4,510 Independent Nursing Homes in the United States
4,510 of the 14,697 Medicare-certified nursing homes in the United States (31%) are independently owned, and all are listed below. 1309 of the 4490 graded homes earn an A and 280 earn a D or F. They average 4.25 nursing hours per resident per day, 0.39 hours above the 3.86 for every home in the United States. Mclean Health Center in Simsbury grades highest at A (100 out of 100).
How independently owned homes in the United States compare
This group set against every nursing home in the United States, from the current CMS release.
Nursing hours per resident per day
4.25
All homes in the United States: 3.86
Better than the local average
Nurse staff turnover
43.3%
All homes in the United States: 45.8%
Better than the local average
Average ElderGrade score
76.6/100
All homes in the United States: 73.5/100
Better than the local average
Grade spread
A
B
C
1,309 grade A, 1,865 grade B, 1,036 grade C, 279 grade D, 1 grade F
The best-graded independently owned home in the United States is
Mclean Health Center
in Simsbury, CT — grade A,
100/100.
Every independently owned nursing home in the United States
Parkview Healthcare runs on 2.75 nurse hours per resident day, roughly 29% under the national figure of 3.86, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in its record: 96 deficiencies, seven of them serious enough to put residents in harm's way, nine tied to abuse, and $140,021 in fines across four penalties. Washington has placed it in the Special Focus Facility program, reserved for the country's most troubled homes, and its last inspection closed in February 2025. Ownership is a for-profit limited liability company. Turnover, at 44.8%, is about average, which means the instability isn't the story here, the short staffing and inspection history are.
Nye Pointe runs 43 beds in Fremont under corporate for-profit ownership, and the staffing picture is where the trouble shows. Nurses give about 3.71 hours per resident per day, a bit under the national average, and weekends drop roughly 14% below the home's own weekday hours, so coverage thins out exactly when families tend to visit. Annual turnover sits at 64.2% against a national 45.8%, meaning most of the people caring for your relative this year likely won't be there next year. The recent inspection record is genuinely clean: seven deficiencies, none at harm or jeopardy level, nothing abuse-related, and the last survey was August 2025. But federal quality measures score 1 out of 5, which sits oddly beside that inspection result.
Arbor Care Centers in Ord runs on thinner nurse coverage than most homes, 3.28 hours per resident day against a national average of 3.86. Weekends drop another 13% below its own weekday levels, and more than half the nursing staff turns over each year, which is higher than the 45.8% national rate.
On its last inspection in November 2025, the home logged 25 deficiencies, three of them abuse-related, though none rose to harm or jeopardy level. Federal reviewers give it one star each for health inspections and quality measures, and two for staffing. That combination is what sits behind the grade, a limited liability company operating a 60-bed home with persistent shortfalls across the measures CMS tracks.
Hillcrest Millard runs on thin staffing. At 3.13 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends drop roughly 9% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover tells the other half of the story: 77.2% of staff leave within a year, well above the 45.8% national figure, which makes consistent care hard to sustain. The inspection record shows 26 deficiencies, none at harm or jeopardy level, but one abuse-related citation. Ownership is for-profit, through a limited liability company. The last inspection was February 24, 2026.
Alpine Healthcare Center runs 85 beds in Keene under for-profit LLC ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 10% below the home's own weekday numbers, and turnover lands at 47.8%, a bit above the national 45.8%. The inspection record carries 21 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level. CMS gave it one star each for health inspections and staffing, two for quality measures, and the state last visited in June 2025. What stands out is staffing: consistently thin, thinner on weekends, with a workforce cycling through faster than average.
Susquehanna Nursing & Rehabilitation Center runs 160 certified beds in Johnson City under for-profit LLC ownership, and the staffing numbers are where families should look first. At 2.99 nurse hours per resident day, it sits roughly 22% under the national average of 3.86, and weekends drop about 14% below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover of 56.8% tops the national 45.8%, meaning caregivers cycle through faster than average. The inspection record shows 31 deficiencies, including one at harm level and one abuse-related, with a $32,321 fine and a one-star health inspection rating. Last inspected September 2024.
River Ridge runs leaner than most. At 3.12 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends drop another 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 67.9% against a national 45.8%, meaning roughly two of every three caregivers left within the year. The inspection history is the harder read: 37 deficiencies on the current record, four tied to abuse, and a one-star health inspection rating, though none of those deficiencies rose to harm or jeopardy level. A single $3,387 fine is on file, and the last inspection was March 2025.
Baptist Health in Scotia runs 262 beds as a nonprofit, and its staffing is where the trouble starts: 3.12 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekdays. That gap matters because aides and nurses are thinner when families tend to visit. Annual turnover of 52.7% tops the national 45.8%, so the people providing that care keep changing. The current record shows 17 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the last inspection was in October 2023. A nonprofit with a stable building and a thin, churning floor staff is the honest picture here.
Palatine Nursing Home runs on 2.37 nurse hours per resident per day, roughly 39 percent under the national average of 3.86, and weekends drop another 5 percent below its own weekday level. Federal data gives it the lowest staffing rating, and turnover sits at 61 percent against a national 45.8, meaning most of the aides and nurses your family would see are new or on their way out. The inspection record shows 15 deficiencies, none rising to harm or jeopardy, though one is abuse-related. A for-profit LLC operates its 70 beds, and the last state inspection was January 22, 2026. Ask about weekend coverage and actual caregiver retention before deciding.
West Lawrence Care Center runs on thin staffing. At 2.55 nurse hours per resident per day, it sits roughly a third below the national average of 3.86, and weekends drop about 8% below its own weekday level, so the thinnest coverage lands when families tend to visit. The current record shows 32 deficiencies, five of them abuse-related, though none rose to actual harm or jeopardy. Inspectors were last in on August 4, 2025. This is a 215-bed for-profit LLC in Far Rockaway, and its turnover rate, 46.2%, is essentially the national norm, which tells you the staffing problem isn't mainly about retention, it's about how few hours the building budgets in the first place. Ask what the afternoon and weekend aide-to-resident ratios actually look like before you decide.
Bladen East runs about 7% below the national average for nurse staffing, and weekends dip roughly 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 51.7%, above the national 45.8%, which means many of the people caring for residents are still new to the building. The inspection record shows 10 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus two fines totaling $13,130. The most recent inspection was March 2025, so the picture is current. Federal quality measures rate poorly here even as inspections rate well, a split worth asking about directly.
Perry Creek runs 132 beds in Raleigh under for-profit, limited-liability ownership, and its nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average, with weekends about 15% thinner than its own weekdays. Staff turnover is the harder number: 63.7% a year against a 45.8% national average, meaning most of the people caring for your family member are relatively new and likely to leave. The record backs that up: 85 deficiencies, 11 of them serious enough to cause harm or jeopardy, four tied to abuse, and $326,170 in fines across three actions. CMS has placed it in the Special Focus Facility program, which it reserves for the country's most persistently troubled homes.
Avon Place sits in Lorain County with 91 certified beds and a for-profit corporate owner, and the numbers tell a mixed story. Nurse staffing runs 3.10 hours per resident day, roughly a fifth below the national average, and the weekend gap of about 9% means care thins out when families often visit. Turnover of 65.8% is well above the national 45.8%, so the people caring for your relative are changing often. Inspections landed a middle-of-the-road health rating with 23 deficiencies on record, none at harm level and none abuse-related, which matters. The last inspection was June 2023, so that record is getting stale.
St. Theresa Care Center runs on thin staffing, and the numbers show it. Nurses provide about 3.59 hours of care per resident per day, roughly 7 percent under the national average, and weekends drop about 12 percent below what the home manages on weekdays. Annual turnover sits at 70.7 percent against a national 45.8 percent, most of the people caring for your family member will be new to the building within a year or so, and few will stay long.
Its inspection record carries 36 deficiencies, three tied to abuse, though none at the harm or jeopardy level. The last full inspection was June 2025, so the picture is current. Quality measures look better than the floor staffing does, but weekday-to-weekend gaps and constant turnover are what a resident actually feels.
The Anderson runs about 3.59 nurse hours per resident day, roughly 7% under the national average, and weekend coverage drops another 14% below its own weekday level. That thin schedule shows up in the numbers: annual staff turnover is 58.8% against a national 45.8%, and CMS gives staffing a single star. Inspectors cited 19 deficiencies on the current record, three of them at harm or jeopardy level and one tied to abuse, with two fines totaling $112,473. Ownership is for-profit and individual. The most recent inspection was August 2025, so the record is current rather than stale.
Sherwood Manor runs 3.58 nurse hours per resident day, about 7% under the national average, and weekend coverage dips roughly 6% below what it manages on weekdays. The bigger number is turnover: 59.7% of staff left over the past year, against a national rate near 46%, which means the people caring for residents are, more often than not, new. Its record shows 30 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with $91,862 in fines. Inspectors last visited in September 2024. For-profit individual ownership, 102 beds. Call the long-term care ombudsman before you tour.
Milton Rehabilitation and Nursing Center runs 138 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average. Weekends dip about 7 percent below the home's own weekday levels, and annual turnover hits 50.9 percent against a national 45.8 percent, so the aides and nurses cycling through aren't staying long.
The current inspection record shows 38 deficiencies, none at the harm or jeopardy level, with one tied to abuse. State inspectors last visited in November 2024. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. If you're weighing this one, ask about weekend coverage and how they screen and supervise staff.
Rose Meadows runs about 200 certified beds in Pittsburgh under corporate ownership, and the staffing numbers are where the trouble starts: 3.60 nurse hours per resident day against a national average of 3.86, with weekends running roughly 8% thinner than weekdays. Staff turnover sits at 56.1% while the national figure is 45.8%, so the people around your family member change often. The inspection record is heavier still, 31 deficiencies, including 6 at harm or jeopardy level and 8 tied to abuse, with a single fine of $274,651. The quality measure score is strong, but that reflects charted care, not the conditions a state surveyor last documented in December 2025.
Oneida Nursing and Rehab Center sits in Scott County with 56 certified beds and a for-profit LLC structure. Nurse staffing runs 3.86 hours per resident day, right at the national average on paper, but weekends drop about 13% below the home's own weekday level. Staff turnover is 59.5% a year versus a national average of 45.8%. The current record carries 8 deficiencies, 3 of them at harm or jeopardy level, and one fine totaling $52,111. CMS has placed this home in its Special Focus Facility program, and the last inspection was September 2023. The staffing number looks fine; almost everything around it doesn't.
Dickson Health And Rehab runs 70 certified beds as a for-profit corporation, and its staffing is the part I'd want you to sit with. At 3.16 nurse hours per resident day, it's about 18 percent under the national average of 3.86, weekends dip roughly 10 percent below its own weekday level, and annual turnover sits at 57.1 percent against a 45.8 percent national figure, that's a lot of new faces cycling through. The inspection record shows 28 deficiencies, three at harm or jeopardy level and one abuse-related, with the most recent survey in March 2025. Nurses' aide coverage and consistency are the questions I'd ask about directly on a tour.
Frequently asked questions
How many independently owned nursing homes are there in the United States?
There are 4,510 independently owned Medicare-certified nursing homes in the United States, 31% of the 14,697 nursing homes there.
Are independently owned nursing homes better staffed?
In the United States they average 4.25 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.39 hours. Staff turnover averages 43.3% against 45.8%.
Which independently owned nursing home grades best in the United States?