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
Maple Ridge runs on 2.28 nurse hours per resident day, roughly 41% under the national average of 3.86, and weekends dip about 6% below its own weekday coverage. Staff turnover sits at 72.4% against a national 45.8%, so the people around your family member change often. The inspection record backs that up: 34 deficiencies, including three at the harm level and four tied to abuse, with two fines totaling $11,887. Salt Lake City-county ownership doesn't change the arithmetic. The 4/5 quality measure score reflects how residents are doing on paper, but the last inspection was June 2025 and the staffing rating is 1/5. Worth asking hard questions before a move-in.
Crescent Health Care runs 85 beds in Yakima under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 11% below what the home staffs during the week, so coverage gets thinnest exactly when families tend to visit. Turnover at 42.9% is slightly better than the national rate, which is one genuine bright spot.
The inspection record is where things get harder to dismiss: 47 deficiencies on file, including 5 at the harm level and 8 tied to abuse, plus four fines totaling $245,834. The most recent inspection was December 5, 2025, so the record is current. If you're considering this home, ask directly how those abuse-related citations were resolved.
Edgemere Estates runs 138 beds in El Paso under corporate ownership, and the staffing numbers are where I'd start. At 3.34 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly 14 percent below its own weekday level, so the coverage you see midweek isn't what your family member gets on a Saturday. Turnover is 52.6 percent against a national 45.8. The inspection record carries 67 deficiencies, including four at harm or jeopardy level and five tied to abuse, with three fines totaling $49,292. The last inspection was April 30, 2025. Quality measures score well; staffing and inspections don't.
Le Reve runs on 3.06 nurse hours per resident day, roughly a fifth under the national average, and weekend coverage drops about 11% below what it manages on weekdays. Staff turnover sits at 64.7% against a national 45.8%, so the people caring for residents are, more often than not, new, and the health inspection record is where that shows: 26 deficiencies on the current record, six of them at harm or jeopardy level and three tied to abuse. Three fines totaling $120,553. Ownership is corporate and for-profit. One thing the numbers don't capture: CMS scored the quality measures 4 out of 5, which suggests some clinical care is being tracked well even as staffing and inspection results lag badly behind.
Pine Hill Rehabilitation and Wellness Center is a 190-bed for-profit in Birmingham, and the numbers that stand out most are about the people doing the work. Nurse staffing sits at 3.19 hours per resident day, about 17% under the national average, and it drops roughly 18% further on weekends, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 71.9% is well above the national figure of 45.8%, which means aides and nurses cycle through quickly and residents see a lot of unfamiliar faces. The current record carries 16 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. The last full inspection was in March 2024.
If you're weighing Newman Rehab & Health Care Ctr, the staffing numbers deserve your attention first. Nurses provide about 3.16 hours of care per resident each day, roughly 18 percent below the national average, and weekends run about 24 percent lighter than weekdays, so the coverage you see on a Tuesday isn't what a Saturday looks like. Annual turnover sits at 73 percent against a national 45.8, meaning most of the people caring for your family member are relatively new. The current record carries 39 deficiencies, including one at the harm level and three tied to abuse, plus a $10,517 fine. The last inspection was September 2024. The five-star quality measure score reflects reported care outcomes; the one-star staffing score reflects what's actually on the floor.
Grandview Healthcare Center is a 40-bed for-profit home in Dayton, and the numbers that stand out most are its staffing and quality measure ratings, both at 1 out of 5 stars. Staff turnover runs at 52 percent a year, meaning more than half the workforce turns over annually, compared with a national average closer to 46 percent. The inspection record shows 12 deficiencies, one of them serious enough to reach the harm or jeopardy level, and a single fine of $33,598. The last inspection was in December 2025. A 40-bed home with that much turnover and a harm-level deficiency is worth asking hard questions about before you decide.
Cedargate Health Care Center runs 108 certified beds in Poplar Bluff under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.75 nurse hours per resident per day, it sits just under the national average of 3.86, and weekends dip about 3% below its own weekday level, meaning the thinnest coverage lands exactly when families tend to visit. State inspectors were last in on May 22, 2025, and the record shows 40 deficiencies, none at the harm or jeopardy level but two tied to abuse. Quality measures score 2 out of 5 stars, staffing just 1. Ask about weekend aide coverage and how the abuse-related findings were resolved.
Ozark Riverview Manor runs 3.15 nurse hours per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday levels. That staffing pattern, plus 63% annual turnover compared with 45.8% nationally, helps explain the two-out-of-five marks on both staffing and quality measures. The home carries 20 deficiencies, including one at the harm level and one abuse-related, and a $30,319 fine. Its last inspection was in December 2025, so the record is fairly current. As a nonprofit, it isn't chasing a quarterly number, but the numbers here still show thin coverage and a workforce that keeps changing.
Mountain View Manor runs about 17% below the national average for nurse staffing, 3.21 hours per resident day against 3.86, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current record carries 31 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $14,131, with the most recent inspection in April 2025. Ownership is a for-profit limited liability company. The staffing, quality, and inspection ratings all sit at or near the bottom of CMS's five-star scale, which tells you the gaps here aren't isolated to one area.
Sequoyah East runs 3.61 nurse staffing hours per resident day, roughly 7% under the national average, and weekends drop about 6% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern: 54 deficiencies, including one at the harm level and five tied to abuse, with six fines totaling $115,864. CMS scored health inspections and quality measures both 1 out of 5, staffing 2 out of 5. The most recent inspection was April 2025, so this isn't stale history. For a for-profit limited liability company running 80 beds in Roland, the pattern across staffing, inspections, and quality points the same direction.
Bristol Health & Rehab Center is a 174-bed for-profit in Bucks County, and the federal numbers are rough across the board. Inspectors have cited 56 deficiencies on the current record, five of them serious enough to put residents in immediate harm or jeopardy, and two tied to abuse, a combination that helped land this home in CMS's Special Focus Facility program, the watch list for the country's most persistently troubled nursing homes. Staffing sits at the bottom of the national range, and the government has fined the operator three times for a total of $428,987, with the most recent inspection in September 2024. That's a lot of documented problems for one building to carry.
The numbers that stand out at Linwood aren't the inspection score, it's the staffing. A one-out-of-five staffing rating at a 102-bed nonprofit in Scranton means the people providing daily care are spread thin by federal standards, and that's the thing families feel first. The inspection record backs it up: 59 deficiencies, including five tied to abuse and three serious enough to put residents in harm's way, plus a recent inspection in March 2026 with a $113,348 fine on the books. Quality measures land at a middling three, but good clinical numbers can't carry a building when there aren't enough hands on the floor. Ask about direct-care hours per resident per day, and ask what changed after that last survey.
The staffing numbers look decent on paper, 4.24 nurse hours per resident day, about 10% above the national average, but that's where the good news mostly stops. Weekend coverage drops roughly 7% below the home's own weekday level, and a 1-out-of-5 inspection rating with 139 deficiencies on record, including 12 tied to abuse and four at harm or jeopardy level, tells you regulators have found serious problems repeatedly. Four fines totaling $151,463 back that up. This is a 231-bed for-profit run by a limited liability company, and its last inspection was in July 2025. Quality measures score middle-of-the-road, so the clinical picture isn't the concern, the oversight history is.
Staff turnover at Columbine West runs about double the national rate, 95.7% versus 45.8%. That means the aides and nurses caring for your family member are, more likely than not, new to the building and still learning it. The inspection record backs up that instability: 17 deficiencies on file, including two serious enough to put a resident in harm's way and two tied to abuse. Two fines totaling $26,891 have been levied, and the last full inspection was April 2024. For-profit corporate ownership and 100 beds round out the picture. The quality measure score looks fine on paper, but quality measures are self-reported, and they sit uneasily next to that inspection history.
High Plains Post Acute runs about 3.67 nurse hours per resident day, roughly 5% under the national average, and weekend coverage drops another 9% below its own weekday levels. The bigger concern is turnover: 65.7% annually against a national average of 45.8%, meaning most of the people caring for your family member are relatively new. On the last inspection in February 2025, surveyors wrote 33 deficiencies, six serious enough to put residents in harm's way, one involving abuse, with four fines totaling $72,840. The quality measure score looks good on paper, but those numbers come largely from resident assessments, the staffing and inspection record is where the real picture sits.
Leeway, Inc is a 30-bed nonprofit home in New Haven, and the numbers here pull hard in two directions. Its most recent inspection, from late December 2025, found no deficiencies at the harm or jeopardy level and no abuse citations, yet the home carries 23 deficiencies on its current record overall. The bigger concern is staffing: 0.29 nurse hours per resident day sits roughly 92 percent below the national average of 3.86, and every direct-care worker turned over in the past year against a national rate near 46 percent. Weekend coverage runs higher than weekdays, which is unusual, but with a workforce this thin and this transient, that gap between inspection results and daily care is what a family should weigh.
Pinellas Park Fl Opco runs 120 certified beds as a for-profit corporation, and its inspection record is the first thing that stands out: 25 deficiencies on the current record, five of them serious enough to put residents at risk of harm, plus two tied to abuse. The health inspection rating sits at 1 out of 5, and the last full inspection was December 2023. Staff turnover is the other hard number, 67.9% annually against a national average of 45.8%, meaning roughly two-thirds of the workforce cycles out each year. One fine totaling $19,734 is on record. Quality measures rate better at 3 out of 5, but that's a narrow bright spot against the inspection and staffing picture.
Harborview Satilla is a 174-bed corporate-owned home in Waycross, and its record carries some weight. The last inspection, in February 2026, turned up 23 deficiencies, four of them at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse. That inspection star rating sits at 1 out of 5. Staffing is close to the national average on paper, 3.84 hours per resident day against 3.86, but weekends run about 15% thinner than weekdays, and turnover comes in at 44.8%, so the coverage you see during a weekday visit isn't what a resident gets on a Sunday.
Gibson Health Opco runs 104 beds as a for-profit LLC, and its inspection record is genuinely clean, a five-star health inspection rating, just two deficiencies on file, none causing harm or involving abuse. The staffing side tells a different story. At 3.26 nurse hours per resident day, it sits roughly 16% under the national average, weekends drop another 13% below its own weekday levels, and annual turnover hits 56.5% against a national 45.8%. Quality measures land at two stars. Four fines totaling $14,732 round out the record. A recent inspection in April 2026 means the picture is current. Good inspections, thin and churning staff, worth asking how weekends and evenings actually feel.
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?