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
Sharon Health Care Pines runs 116 beds in Peoria under corporate for-profit ownership, and its last inspection was September 3, 2025. The record behind it is heavy: 41 deficiencies, nine of them at the level where residents were actually harmed, and 16 tied to abuse. Fines total $235,100 across two penalties. Nurse staffing sits at 2.77 hours per resident day, roughly 28% under the national average of 3.86, and weekends run about 15% thinner than weekdays. Turnover comes in at 39.7%, better than the 45.8% national figure, but that's the one number leaning your way. Federal inspectors rated health inspections and staffing each 1 out of 5 stars, with quality measures at 4.
Belmont Health & Rehabilitation runs on county money, which usually means stable funding but not always generous staffing. Its 3.74 nurse hours per resident day sit just under the national average, and weekends drop about 21% below its own weekday levels, that's the gap families notice when they visit on a Saturday. Turnover is 45.5%, essentially the national rate, so continuity isn't worse than typical. The 21 deficiencies on record include nothing flagged as harm or abuse, and the most recent inspection was September 2025, so the paperwork is current. The staffing star tells the real story here: one out of five, with quality measures at two.
Willow Crossing is county-owned, and it runs 112 beds in Columbus with staffing that sits about 10% under the national average, 3.46 nurse hours per resident day against 3.86. Weekends tell a bigger story than the yearly figure: coverage drops roughly 22% below the home's own weekday level, so the hours your family member gets on a Saturday look different from a Tuesday. Turnover sits at 48.4%, a few points above the national 45.8%, meaning nearly half the nursing staff turns over in a year. The inspection record shows 26 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey dated March 11, 2026. All three CMS star ratings land at 2 out of 5.
Nurse staffing at Heritage Manor Of Mandeville runs 3.98 hours per resident day, a touch above the national average of 3.86, but that number hides a staffing drop on weekends of roughly 22% against its own weekday level. Staff turnover sits at 65.5%, far above the 45.8% national average, and the current record shows 27 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a $9,318 fine. The health inspection rating is 3 out of 5, staffing is 2, and quality measures are 1. The most recent inspection was September 24, 2025. The company is a for-profit limited liability entity.
Ruston Nursing and Rehabilitation Center is a for-profit, LLC-owned home with 157 certified beds, and the numbers behind its record are worth a slow read. Nurse staffing sits at 3.63 hours per resident per day, about 6% under the national average, and weekends run roughly 18% lighter than weekdays, so coverage thins out exactly when families tend to visit. Staff turnover is 52.8%, well above the 45.8% national figure, and the current inspection record carries 25 deficiencies, four at harm or jeopardy level and three abuse-related, plus $36,891 in fines. The most recent inspection was April 16, 2025.
The Grove At Carvalho runs on 3.42 nurse hours per resident day, about 12% under the national average, and weekend coverage dips roughly 5% below what it manages on weekdays. Its inspection history is the bigger concern: 47 deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, plus seven fines totaling $39,082. A corporation owns the 112-bed home, and the staffing and quality measure ratings both sit at the low end of CMS's scale. The most recent inspection was in April 2026, so the record is current rather than stale, meaning those 47 findings reflect conditions regulators saw recently, not problems already resolved.
Hickory Manor runs 60 beds in Licking under individual for-profit ownership, and the numbers pull in different directions. Nurse staffing sits at 3.70 hours per resident per day, about 4% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so the coverage your family member gets depends heavily on which day it is. Annual turnover is 78.8%, well above the national 45.8%, which means most of the people providing daily care are relatively new to the building. The health inspection rating of 4 out of 5 is genuinely strong, and 29 deficiencies with none at the harm level is not alarming on its face. But a 1 out of 5 on quality measures and recent inspection in January 2025 round out a mixed picture.
Colfax General Ltc runs 34 beds in Springer under for-profit partnership ownership, and its recent inspection history is genuinely strong, a 4-out-of-5 health inspection rating with a survey completed in January 2025. The staffing picture is where it gets harder to feel good about. At 2.60 nurse hours per resident day, this home sits roughly a third below the national average of 3.86, and weekends drop about 19% below its own weekday coverage. Annual turnover of 67.9% is well above the 45.8% national figure. Twenty-six deficiencies sit on the current record, three at harm or jeopardy level and three abuse-related.
Van Rensselaer Manor runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends drop about 16% below its own weekday staffing. Staff turnover sits at 48.3%, a couple points above the national figure, and the inspection record shows 33 deficiencies, including two at the harm or jeopardy level and seven tied to abuse. The most recent inspection was April 1, 2026, so the findings are current rather than dated. County ownership means taxpayers, not a chain, carry the operation. With the quality measure rating at 1 out of 5 and health inspections at 2, the numbers point to a home where residents get less nursing time than average and the state has documented repeated problems. If you're considering it, ask directly how the weekend shifts get covered.
Clinton County Nursing Home runs on thinner staffing than most places, 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 24% below its own weekday levels, so coverage is noticeably lighter when families tend to visit. Staff turnover sits at 74.4%, well above the 45.8% national figure, which means the people caring for residents are often new. The current inspection record shows 35 deficiencies, none at harm or jeopardy level but six tied to abuse. The last inspection was July 2023, so that record is getting old. County ownership is stable, but the numbers behind the C grade point to thin, shifting staffing more than anything else.
Harvard Gardens runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average, and weekends dip about 8 percent below its own weekday staffing. That thin coverage sits behind a one-star staffing rating and a one-star health inspection rating, with 73 deficiencies on the current record: three at harm or jeopardy level and eight tied to abuse. Six fines add up to $194,149. The five-star quality measure score looks strong on paper, but it's built in part on data the short staffing itself helps generate. Ownership is a for-profit partnership, and the most recent inspection was March 3, 2026. The quality number and the staffing number don't tell the same story.
Letort Spring runs about 13 percent below the national average on nurse staffing, and weekends dip roughly another 10 percent below its own weekday level, so the hours a resident gets vary by the day. The inspection record is the bigger problem: 59 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and $63,892 in fines across three actions. A recent inspection date doesn't erase that backlog. For-profit LLC ownership, a one-star health inspection rating, and thin weekend coverage together mean you'd want to visit unannounced, on a weekend, and ask directly who's on the floor.
Etowah Health and Rehabilitation runs a 120-bed for-profit operation where nurse staffing sits at 3.22 hours per resident day, about 16% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. The inspection record shows 16 deficiencies, three of them serious enough to involve harm or jeopardy, four tied to abuse, and $21,692 in fines across three penalties. CMS rates it one star each for staffing and quality measures, two for health inspections, with the most recent inspection dated February 25, 2026. Families weighing this one should ask directly how the abuse-related findings were resolved and who covers the floor on weekends.
AHC McKenzie runs 99 certified beds under corporate for-profit ownership, and its last health inspection in April 2026 came back strong on paper, a 5-star inspection rating with just three deficiencies on record, none of them causing harm. An abuse-related citation does appear in that count, which is worth asking about directly. The staffing side is where the picture changes: 3.24 nurse hours per resident per day sits about 16% under the national average, weekends run roughly 15% thinner than weekdays, and 60% of staff turned over in a year against a national rate near 46%. Consistent coverage is the thing to press on when you visit.
Novato Healthcare Center has 181 certified beds and enough nurses on weekdays, 3.99 hours per resident day, a touch above the national average. Weekends run about 9% thinner, so ask how that gap gets covered. The real problem sits in its inspection history: 95 deficiencies on the current record, three serious enough to put residents in harm's way and 13 tied to abuse. Two fines total $90,488, and the most recent inspection was November 2025. For-profit, individually owned, with a one-star health inspection rating against a four-star staffing score. Good weekday staffing can't offset that record on its own. Ask to see the plan of correction before you decide anything.
Nurse staffing at The Highlands runs 3.32 hours per resident day against a national average of 3.86, roughly 14% lighter, and weekends drop about 11% below the home's own weekday level, so coverage is thinnest exactly when families tend to visit and aides often work short. The inspection record shows 24 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus four abuse-related citations and one fine of $47,726; the most recent inspection was December 30, 2025. This is a for-profit limited liability company with 116 certified beds, and its CMS staffing rating sits at 1 out of 5 while health inspections and quality measures each sit at 2.
Nurse staffing at The Bartlett runs about 3.58 hours per resident day, roughly 7 percent below the national average, and weekend coverage drops about 12 percent below the home's own weekday level, so care thins out exactly when families tend to visit. The current record shows 36 deficiencies, including 4 tied to abuse and 2 serious enough to put residents in harm's way, along with two fines totaling $34,613. A 1-out-of-5 staffing rating paired with 2s for health inspections and quality measures points to a pattern, not a one-time stumble. The last inspection was August 2025. The for-profit partnership has real ground to make up.
Summerford runs 216 certified beds in Falkville under individual for-profit ownership, and its last full health inspection was in September 2023. The record shows 14 deficiencies, two of them serious enough to cause harm or put residents in jeopardy, and two tied to abuse. Nurse staffing sits at 3.36 hours per resident per day, roughly 13 percent under the national average, and weekends run about 11 percent thinner than weekdays. Annual turnover is 59 percent against a national 45.8, nearly six in ten staff leaving each year. Three fines total $25,568. The staffing star comes in at 3, but inspections and quality measures both land at 2.
Cordele Health And Rehabilitation runs 100 certified beds as a nonprofit corporation, and its nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86. That shortfall is the thread running through everything else here: weekends run about 12% thinner than weekdays already are, and 48.1% of staff turned over last year, slightly worse than the 45.8% national figure. The building's inspection record is its strongest suit, a 3-star rating with 18 deficiencies on file but none at harm or jeopardy level and nothing abuse-related, and the most recent inspection came in April 2025. Quality measures land at 2 stars. Nothing here reads as dangerous, but the day-to-day staffing math is what a family should weigh hardest.
Warm Springs Medical Center Nursing Home runs lean on staff. At 3.04 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 13% below its own weekday coverage. Turnover hits 56.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the bright spot, a 4/5 health inspection rating, 10 deficiencies with none at the harm level, though one is abuse-related. Quality measures land at 1/5, staffing at 2/5. For-profit, LLC-owned, 79 beds, last inspected May 2026. If you're weighing this one, ask how they hold weekday staffing steady through the weekend and what that abuse deficiency involved.
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?