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
Ryze At The Ridge runs on 2.17 nurse staffing hours per resident day, roughly 44% below the national average of 3.86, a gap that shows up on weekends too, when coverage dips about 4% below its own weekday level. The inspection record is where it gets harder to look past: 50 deficiencies on file, including 6 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $301,750. The last inspection was August 23, 2024. Turnover sits near the national figure at 44.2%, so the problem isn't retention so much as how few hands are scheduled in the first place. For-profit, limited liability ownership.
Berkeley Nursing & Rehab Center runs on 2.53 nursing hours per resident per day, roughly a third below the national average, and weekends dip another 10% under its own weekday staffing. For a 72-bed home, that thin margin matters, 35 deficiencies sit on the current record, four of them serious enough to involve harm or jeopardy, plus one tied to abuse, and CMS has issued 25 fines totaling $252,245. The ownership is for-profit and individually held, and turnover at 39.6% actually beats the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was April 2025, and the health inspection rating of 4/5 is genuinely decent, it's the staffing side that drags everything down.
Ridgecrest Village runs 137 certified beds in Davenport as a nonprofit, and the numbers worth knowing sit in its staffing and inspection record. Nurse staffing comes in at 3.69 hours per resident day, roughly 5% under the national average, and weekends drop about 7% below what the home staffs on weekdays. Annual turnover is 97.4%, more than double the national figure of 45.8%, meaning the aides and nurses around your family member likely change often. The current record carries 41 deficiencies, three at harm or jeopardy level and two tied to abuse, along with three fines totaling $118,886. The most recent inspection was October 2025, and the health inspection rating sits at 1 out of 5.
River Oaks Retirement Manor runs 4.52 nurse hours per resident day, about 17% above the national average, which is real and worth noting. But the weekend dips roughly 13% below its own weekday level, and turnover sits at 55.4% against a national 45.8%, so the coverage you see on paper isn't always the coverage your family member gets. The inspection record shows 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, plus two fines totaling $99,451. Louisiana's most recent look at this home was December 2025, and it didn't come back clean.
Dennett Rehab Center runs 99 certified beds in Oakland under for-profit LLC ownership, and the staffing numbers explain a lot. At 3.27 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 11% below its own weekday level, so care thins out exactly when families tend to visit. Annual turnover of 53.6% tops the national 45.8%, meaning the aides and nurses who know your relative are likely to leave within the year. Behind those numbers: 57 deficiencies on the current record, including 5 at harm or jeopardy level and 5 abuse-related, plus three fines totaling $32,938. The most recent inspection was March 2026.
Gold Crest is a 52-bed nonprofit home in Adams that does two things well and one thing badly. Its last inspection, in March 2025, produced a 4-out-of-5 health inspection rating and 12 deficiencies with none at the harm or jeopardy level, though one is abuse-related. Quality measures also score 4 out of 5. The problem is staffing: 0.64 nurse hours per resident day, roughly 83 percent below the national average of 3.86, which is why the staffing rating sits at 1 out of 5. Annual turnover of 66.7 percent is well above the 45.8 percent national figure, so even that thin coverage keeps changing faces.
Maggie Valley Health and Rehabilitation Center runs on thinner nursing coverage than most homes, 3.05 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 11% below its own weekday level. That matters when you're thinking about who's available on a Saturday night. Its inspection record shows 17 deficiencies, two of them serious enough to put residents at risk of harm, plus two tied to abuse, and three fines totaling $52,629. Turnover at 31.8% is actually better than the national 45.8%, which suggests some steadiness in the workforce. The last inspection was March 2026. Oversight by a for-profit corporation, and the pattern of citations is worth asking about directly.
Pelican Health Randolph runs on 3.15 nursing hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage slips another 5% below its own weekday level. That thin staffing shows in the turnover number: 76.1% of nurses leave within a year, against a national average of 45.8%, and CMS rates staffing at 1 out of 5. The inspection record carries 47 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with three fines totaling $19,663 and a 2-out-of-5 health inspection rating. It's corporate-owned for profit, and its last inspection was September 17, 2025.
Shamrock Nursing Center runs on about 3.04 nurse hours per resident per day, roughly a fifth below the national average, and weekend coverage drops further. That thin staffing shows in who stays: turnover sits at 73.4% against a national 45.8%, so most of the people caring for your relative are likely new to the building. The inspection record is the harder problem, 28 deficiencies, seven involving actual harm or jeopardy, two tied to abuse, and a $144,199 fine, with the most recent inspection in August 2025. Its quality measure score looks fine on paper, but that reflects charted care, not whether enough hands are present.
Rae Ann Suburban runs 95 beds in Westlake under for-profit LLC ownership, and the staffing numbers are the first thing you'd notice. At 3.39 nurse hours per resident day, it sits about 12% under the national average, and weekends drop another 14% below its own weekdays, so the coverage your family member gets on a Saturday looks different from a Tuesday. Annual turnover of 75% is well above the 45.8% national figure, meaning familiar faces cycle out fast. Its health inspection rating is 1 out of 5, with 37 deficiencies on record, including one at the harm level and three tied to abuse; a $10,065 fine was levied, and the last inspection was June 2025.
Laurel Lakes runs 186 certified beds in Chambersburg under for-profit LLC ownership, and the staffing numbers are the first thing worth knowing. At 3.31 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekend coverage drops roughly 7% below its own weekday level. Staff turnover is 46.6%, close to the national 45.8%. The inspection record is heavier: 40 deficiencies currently on file, three at harm or jeopardy level, two tied to abuse, and a single CMS fine of $211,205. Its last inspection was May 20, 2026. If you're weighing this one, ask specifically about weekend nursing coverage and how the abuse-related findings were resolved.
Cedar Haven is a 324-bed for-profit partnership in Lebanon, and the numbers that matter most here are the staffing and inspection records. Nurses provide about 3.05 hours of care per resident per day against a national average of 3.86, roughly a fifth less, and the home runs even leaner on weekends than it does during the week. That staffing level earns one star from CMS and sits alongside a one-star health inspection rating, with 24 deficiencies on the current record, including two involving harm or jeopardy and two tied to abuse. Fines total $65,692 across two penalties, and the most recent inspection was in November 2024. Turnover, at 40.1%, is actually a bit below the national rate, that's the one figure working in its favor.
Wayne Woodlands Manor runs 117 beds as a nonprofit, and its nurse staffing lands at 3.87 hours per resident day, essentially dead even with the national average, not above it in any meaningful way. Weekends dip about 9% below its own weekday coverage, and turnover sits at 59.5% against a national 45.8%, so nearly six in ten staff left over the year. The inspection record shows 34 deficiencies, three serious enough to reach harm or jeopardy and ten tied to abuse; one fine of $57,330 is on file, with the most recent inspection dated May 2026. Quality measures score 1 out of 5, the weakest area here.
Bayberry Commons runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends run about 12% thinner than weekdays, so coverage dips when families tend to visit. The current inspection record carries 20 deficiencies, three serious enough to reach harm or jeopardy level and two tied to abuse, plus $51,948 in fines across three penalties. Staff turnover, at 45.6%, is essentially the national norm, and the last inspection was July 2025. Quality measures score 1 out of 5 stars.
Crystal Lake Rehabilitation And Care Center runs 71 certified beds under for-profit LLC ownership, and the numbers around it deserve a close look. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends drop roughly 13% below the home's own weekday levels, meaning care thins out exactly when families tend to visit. Staff turnover is 57.6% against a national 45.8%, so the people caring for residents are cycling through fast. The inspection record is the hardest part: 60 deficiencies, 8 at harm or jeopardy level, 2 abuse-related, and 15 fines totaling $306,656, with the most recent inspection in April 2025.
Heritage Convalescent Center runs 116 certified beds in Amarillo under corporate for-profit ownership, and its overall nurse staffing sits at 4.00 hours per resident day, modestly above the national average. That top-line number hides a couple of things worth knowing, though. Weekend staffing drops roughly 13% below its own weekday level, and annual turnover lands at 57% against a national rate of 45.8%, so the people covering those shifts are changing often. The current record shows 27 deficiencies, none at the harm or jeopardy level but one tied to abuse, and the last inspection was in December 2025. Federal ratings put staffing at 1 out of 5 stars and quality measures at 2.
Town Hall Estates runs on thinner nursing coverage than most homes, about 3.07 nurse hours per resident day against a national average near 3.86, with weekends dipping below its own weekday levels. That shortfall shows up in the staffing rating and in a turnover rate of 62.2%, well above the 45.8% national figure. The inspection record is the bigger concern: 29 deficiencies, five serious enough to involve harm or jeopardy, and one tied to abuse, plus eight fines totaling $83,494. A recent September 2025 inspection means the picture is current, not stale. Quality measures score well, but that's the one bright spot in an otherwise difficult record.
Archbold Living Cairo runs on 3.03 nursing hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 18% below what the home itself staffs on weekdays. That thin weekend coverage matters, since aides and nurses are the people who catch a change in condition before it becomes a hospital trip. Turnover sits at 55.7% against a national 45.8%, meaning more than half the nursing staff leaves in a year. Nine deficiencies are on record, none at the harm level and none abuse-related, and the last inspection was recent, in August 2025. County-owned, 75 beds. The quality measure rating of 1 out of 5 is the piece worth asking about directly.
Eastside Health and Rehabilitation Center runs on thinner staffing than most homes its size, 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below what the building manages on weekdays. That's a real gap for a 92-bed for-profit, and it shows up in a federal staffing rating of 1 out of 5. The inspection history is mixed: a recent visit in June 2025 and a 4-star inspection rating, but 14 deficiencies on record, including two at the harm level and two tied to abuse. Quality measures sit at 2 stars. Ownership is corporate, for-profit.
Shawnee Senior Living runs 159 certified beds in Herrin under for-profit limited liability ownership, and the staffing numbers are the first thing worth noticing: 3.28 nurse hours per resident day, roughly 15% under the national average, with weekends running about 18% below its own weekday level. Turnover of 44.7% sits close to the national 45.8%, so retention isn't the outlier here, it's the thin daily coverage combined with a health inspection rating of 2 out of 5 and 52 deficiencies on the current record, 12 of them at harm or jeopardy level and 10 abuse-related. Two fines totaling $313,508 are on file, and the most recent inspection was June 12, 2025.
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?