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
Meadowbrook Manor runs 298 beds in Bolingbrook, and the numbers show a building stretched thin. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average, and weekends drop about 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 52.1%, well above the 45.8% national figure, which means the people at the bedside keep changing.
The inspection record is where it gets serious: 53 deficiencies, including 4 at the harm or jeopardy level and 6 tied to abuse. Three fines total $169,675, and the last inspection was July 31, 2025. Corporate for-profit ownership, and CMS rated staffing and health inspections both 2 out of 5.
Fireside House runs lean on nursing hours, 3.50 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 13% below what the home staffs on weekdays. That gap matters most when families visit Saturday and Sunday and find fewer hands on deck. Staff turnover sits at 43.1%, a touch better than the 45.8% national figure, but the inspection record is where this home gets exposed: 18 deficiencies, four of them at harm or jeopardy level, one tied to abuse, and three fines totaling $71,979. The last state visit was December 2024. A for-profit LLC, 98 beds.
Tower Hill runs on 2.74 nurse hours per resident day, roughly 29 percent below the national average of 3.86, and weekends dip about 10 percent below its own weekday staffing. That thin coverage sits alongside 55 deficiencies on the current record, including 6 at the harm or jeopardy level and 11 abuse-related, plus $57,365 in fines. Turnover at 38.3 percent is actually better than the 45.8 percent national figure, so the problem isn't retention so much as how few hours each resident gets. Inspectors were last in on February 6, 2025. For a 206-bed for-profit partnership, ask specifically who covers the floor on Saturday and Sunday.
Lakepoint Augusta runs about 3.17 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends dip another 10% below its own weekday coverage. Staff turnover sits at 50.7%, higher than the 45.8% national figure, so the people caring for residents change often. Its inspection record shows 24 deficiencies, two of them serious enough to put residents at harm or jeopardy, plus one fine of $15,940. The most recent inspection was October 31, 2024. Ownership is for-profit through a limited liability company. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5.
St. Francisville Nursing and Rehab runs on 2.85 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 10% below its own weekday level. Staff turnover sits at 60.2% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is the heavier concern: 23 deficiencies, four serious enough to put residents in harm's way, and four tied to abuse, plus $112,896 in fines. The most recent inspection was April 2025, so the picture is current rather than stale.
St. Helena Parish Nursing Home runs 4.98 nurse hours per resident day, about 29% above the national average, so the raw staffing number looks like the strongest thing here. But the inspection record tells the opposite story: 32 deficiencies on file, six of them at harm or jeopardy level and four abuse-related, with three fines totaling just under $320,000. Weekend staffing drops about 21% below its own weekday level, which means the coverage families see on a tour isn't what a Saturday looks like. Government hospital-district ownership doesn't change any of that. The most recent inspection was May 6, 2026.
Copper Ridge runs about 4.02 nurse hours per resident day, a bit above the national average, but that cushion shrinks on weekends when staffing drops roughly 6% below its own weekday levels. The bigger concern is turnover: 60.8% of staff left over the past year, well above the 45.8% national figure, which matters because consistent caregivers know residents' routines and catch changes early. Inspections turned up 51 deficiencies, including one at the harm level and five tied to abuse, with a $14,020 fine on record. The last inspection was June 2025, so the picture is current.
The Center At Advocate runs 190 beds in East Boston under for-profit LLC ownership, and its last inspection was June 5, 2025. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86, and weekends drop about 10% below its own weekday levels. Turnover is 41.5%, actually better than the 45.8% national figure, but that's the one bright spot. The inspection record shows 66 deficiencies, seven at harm or jeopardy level and six abuse-related, with two fines totaling $69,000. A 1/5 inspection rating and 2/5 quality measures tell you where the problems concentrate.
Aberdeen runs lean on nursing hours, 3.42 per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday level, which is when families tend to visit and notice. The bigger number is turnover: 68.2% of staff leaving in a year, well above the 45.8% norm. That churn matters because 36 deficiencies sit on the current record, three tied to abuse, though none reached the harm or jeopardy level. State inspectors were last in on September 11, 2025. It's a 120-bed for-profit home owned by an individual, and the staffing and quality ratings of 1 and 2 reflect what the numbers already say.
Beaconshire runs 99 certified beds in Detroit under individual for-profit ownership, and the staffing numbers are the first thing to notice. Nurses give residents 3.38 hours of care per day against a national average of 3.86, roughly 13% less, and weekends drop about 12% below what the home itself staffs on weekdays. Annual turnover sits at 46.7%, a touch above the national rate, so the people providing that thinner coverage keep changing. The inspection record shows 49 deficiencies, including 3 at the harm or jeopardy level and 7 tied to abuse, with $23,994 in fines across three penalties. A January 2025 inspection is recent enough to reflect current conditions.
Chadwick Community Care Center runs 102 certified beds as a for-profit corporation, and its nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 15% below the home's own weekday level, so coverage is thinnest exactly when families tend to visit, and annual turnover of 72.5% means most of the people caring for residents are relatively new. The current record shows 22 deficiencies, one serious enough to involve harm or jeopardy, plus a $8,281 fine; the last inspection was January 29, 2026. Quality measures score lowest of the three CMS categories, with staffing and health inspections each one step above that.
Pinnacle Point runs 180 beds in Riverside under for-profit LLC ownership, and its nurse staffing sits at 3.68 hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 11% below the home's own weekday coverage. Staff turnover is the number that should stop you: 80% a year, nearly double the national 45.8%, which means the person caring for your family member is likely new, and likely gone within the year. Inspections turned up 38 deficiencies, including one at the harm level and two tied to abuse, with a $52,878 fine on record. The most recent inspection was November 2025, so the picture is current.
Ratliff Care Center runs about 3.24 nurse hours per resident each day, roughly 16% under the national average, and weekend coverage drops another 6% below its own weekday level. Staff turnover sits at 72.1% against a national 45.8%, which means most of the people caring for your relative are new to the building. The inspection record shows 20 deficiencies, none at the harm level but three tied to abuse, and the last state visit was May 30, 2025. Quality measures score 2 out of 5 and staffing 1 out of 5, though inspections hold at 4. The individual for-profit owner keeps a thin crew on weekends.
Copper Rock Healthcare in Rogersville runs about 90 beds as a nonprofit, and the staffing numbers are the first thing that stands out. At 3.54 nurse hours per resident day, it sits roughly 8 percent under the national average, and weekends drop another 11 percent below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 77.6 percent, against a national rate near 46 percent, means the people caring for residents are cycling through fast. The current record carries 24 deficiencies, including one at the harm level and three tied to abuse.
If you're considering Gallatin Rest Home, the inspections are the strong part, a recent visit in June 2025 and a four-star health inspection rating. But the staffing picture is thin: one star, well below average, and 62.7% of staff left last year against a national average around 46%. The current record shows 15 deficiencies, including two at the harm level and three tied to abuse, plus a $55,413 fine. Quality measures sit at two stars. County ownership can mean stability, but it doesn't fix turnover. Ask about direct-care hours per resident and how they're holding staffing together before you decide.
Crowell Memorial Home runs a nonprofit operation with 74 certified beds, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average. That's the strongest number here, though weekends dip about 10% below the home's own weekday coverage.
The harder facts are elsewhere. Staff turnover hit 90.5% over the past year, about double the national rate of 45.8%, meaning the people providing that care are largely new and constantly changing. The current inspection record carries 30 deficiencies, including 3 at the harm or jeopardy level and 6 tied to abuse. State inspectors were last on site in June 2025, and the health inspection rating of 2 out of 5 reflects what they found.
Elm Manor runs on thin staffing: 2.84 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 10% below its own weekday levels. Turnover sits at 85.7%, nearly double the national rate, so the people providing that care are constantly changing. The health inspection record shows 35 deficiencies, none involving harm or abuse, but a one-star inspection rating still reflects repeated problems, most recently cited in August 2024. Quality measures score well, which may reflect good clinical tracking, but that doesn't offset what daily coverage looks like. For-profit corporate ownership and 46 beds mean limited margin for error when someone calls out. Ask how they cover weekend shifts.
Rockaway Care Center runs 228 certified beds in Far Rockaway, and the numbers that stand out are on the inspection side. Thirty-two deficiencies sit on its current record, including two at the harm or jeopardy level and three tied to abuse, and one fine of $135,193. Staffing is thin: 3.14 nurse hours per resident day against a 3.86 national average, with weekend coverage dipping about 10% below its own weekday level. Turnover at 45.1% tracks close to the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was in December 2025. A family considering this home should ask directly how the abuse-related findings were resolved.
If you're weighing Beachwood Pointe for someone you love, the staffing numbers deserve your full attention. Nurses provide about 3.08 hours of care per resident each day, roughly a fifth below the national average of 3.86, and weekends run about 7 percent thinner than weekdays. That thin coverage sits alongside a 67.8 percent annual turnover rate, well above the 45.8 percent national figure, meaning the people providing care are constantly changing. Inspectors have cited 46 deficiencies, three tied to abuse, and the last visit was July 2024. The resident outcome scores look better than the staffing picture, but the two don't cancel each other out.
Galion Meadows runs on 3.44 nurse hours per resident day, about 11% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday pace. That thin coverage sits alongside 66% annual staff turnover, well above the 45.8% national figure, meaning the people caring for residents are, on average, fairly new to the building and often replaced. Its record shows 71 deficiencies, including six tied to abuse and two serious enough to put residents in harm's way; the most recent inspection was in May 2026. For-profit ownership under an LLC, 62 beds, and a one-star inspection history round out a home where the quality measures look far better than the day-to-day staffing does.
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?