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
Hopkins Rehabilitation and Care Center runs 90 beds in Middleburg Heights under for-profit LLC ownership, and its staffing works out to roughly the national average on paper. But look at the shape of it: staff turnover sits at 80.3 percent against a national norm near 46 percent, meaning most of the people caring for residents this year likely won't be there next year. That churn shows up in the inspection record too, 30 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and $76,040 in fines. The most recent inspection was December 2024. Quality measures score well, but consistent staffing and a clean safety record are what families actually live with day to day.
Widows Home of Dayton is run by a for-profit limited liability company and holds 75 certified beds. Its overall nurse staffing of 4.06 hours per resident day sits modestly above the national figure, but weekends run roughly 15% thinner than weekdays, and annual turnover of 56.8% is well above the 45.8% national average, you're looking at a workforce that's above-average in size on paper but churning fast. The inspection record is the harder problem: 36 deficiencies, four at harm or jeopardy level, two abuse-related, and two fines totaling $48,833, with the last inspection in May 2025. Quality measures score well; staffing and health inspection results don't.
Broken Bow Health and Rehab runs 105 certified beds under for-profit partnership ownership, and the numbers worth knowing start with staffing: 3.29 nurse hours per resident day, roughly 15 percent under the national average, with weekend coverage dipping about 6 percent below its own weekday level. Turnover sits at 65.6 percent against a national average of 45.8 percent, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 36 deficiencies, two serious enough to involve harm or jeopardy, and $21,828 in fines across two penalties. Inspectors last visited in December 2024. CMS rates the health inspection and quality measures 1 out of 5 each, though staffing itself earns 3 out of 5, the direct-care hours aren't the worst part, but consistency and compliance clearly are.
Heritage Park runs on 2.83 nursing hours per resident day, roughly 27% under the national average of 3.86, the kind of gap that shows up in how quickly call lights get answered. Weekend staffing dips about 3% below its own weekday levels, and annual turnover sits at 69.8%, well above the 45.8% national figure, so the people caring for residents are often new and still learning the building. The current record carries 22 deficiencies, none flagged as actual harm or abuse, and the last inspection was in October 2024. Corporate-owned with 55 beds, it's a smaller home with a thin staffing margin and a lot of churn.
Amoroso Healthcare And Rehabilitation Woodridge is a 95-bed for-profit home in Harrisburg, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 8% thinner than weekdays. The inspection history is the bigger concern: 30 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse, plus a $42,016 fine. Staff turnover (46.3%) is basically at the national rate, so that's not the issue here, and CMS gave it one star for health inspections with a November 2025 inspection date. Ask about the abuse-related findings directly before you visit.
Sumter East runs 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday numbers. Staff turnover sits at 44.2%, close to the national figure, so the problem isn't retention so much as how few hands are on deck. The inspection record is harder to look past: 32 deficiencies, three at harm or jeopardy level, four tied to abuse, and five fines totaling $33,097, with the last inspection in March 2026. For a 176-bed for-profit run by an LLC, the staffing and inspection numbers together tell you where the risk sits.
Brookhaven runs on thin staffing: 3.15 nurse hours per resident day against a national average of 3.86, with weekends about 9% leaner than weekdays. Turnover sits at 75.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is the bigger concern, 48 deficiencies, including four at harm or jeopardy level and two tied to abuse, with three fines totaling $24,739 and a survey as recent as July 2025. That combination of low staffing, high turnover, and repeat serious findings is what drives the low marks across all three CMS categories.
Crescent Manor runs 90 beds in Bennington under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.82 nurse hours per resident day it sits just under the national average, but weekends drop roughly 10% below its own weekday coverage, so the gap widens exactly when families tend to visit. Annual turnover of 70.4% is well above the 45.8% national figure, which means aides and nurses are cycling through constantly. The inspection record shows 25 deficiencies, three at harm or jeopardy level and three tied to abuse. Two fines total $47,258. That's the picture behind the low marks.
Waterview runs on thinner staffing than most homes nationally, 3.48 nurse hours per resident day against a 3.86 average, and weekends drop another 11% below its own weekday levels, which is when gaps tend to matter most. The bigger concern is turnover: 70.5% of staff leaving annually, well above the 45.8% national figure, meaning the people providing care keep changing. A 1/5 inspection rating with 54 deficiencies on record, including one at the harm level and three tied to abuse, points to problems that have persisted. The last full inspection was August 2023, so that record is growing dated, and one fine totaling $14,888 has been levied.
Woodland Convalescent Center runs lean on nursing hours: 3.10 per resident day, roughly a fifth below the national average, and weekends drop another 22% below its own weekday coverage. That thin schedule matters more given what inspectors have logged, 21 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse, with $31,793 in fines across two penalties. The last inspection was June 20, 2025, so the record is recent. The health and quality measure ratings sit mid-range, but the staffing rating is the outlier at one star. For-profit corporate ownership. If you're weighing this one, ask how they cover weekends and what changed after those abuse findings.
Grand View Care Center in Blair is a 50-bed nonprofit home where the nursing hours look good on paper, 4.30 per resident day, roughly 11% above the national average, but weekends run about 15% thinner than weekdays, so coverage isn't steady across the week. Staff turnover sits at 56.1%, well above the national 45.8%, which matters in a building this small, where a few departures change who's at the bedside.
The current record shows 24 deficiencies, including two at the harm or jeopardy level and three related to abuse, plus a $59,085 fine. The last inspection was April 17, 2025. Federal quality measures score 1 out of 5 despite the staffing score of 4.
Pleasant View in Monroe is county-run, and its staffing looks solid on paper: 4.51 nurse hours per resident day, well above the national average. In practice, weekend coverage drops about 7% below weekdays, and turnover sits at 55.5%, roughly ten points above the national rate, so the people providing that care keep changing.
The inspection record is harder to explain away. Forty-two deficiencies, including five at the harm level and eight tied to abuse, and a one-star health inspection rating. The last inspection was in September 2025, so this is current, not stale. One fine totaling $41,980 is on record. High staffing hours can't offset that pattern.
Columbus Oaks runs 137 certified beds as a for-profit corporation, and the numbers show strain in a few places. Staff turnover sits at 56.5% against a national average of 45.8%, and the federal staffing and quality ratings both come in at one star out of five. The health inspection record shows 30 deficiencies, two of them serious enough to reach harm or jeopardy level, though none tied to abuse. Fines total $8,412 from a single penalty, and the most recent inspection was July 9, 2025. Nothing here suggests a home in crisis, but the combination of high turnover and low staffing marks is worth asking about directly.
Kent County Nursing Home runs on thinner staffing than most: 3.56 nurse hours per resident day against a national average of 3.86, with weekends dropping about 9% below its own weekday coverage. That matters in a 60-bed county-run home, because turnover sits at 55.1% while the national figure is 45.8%, more than half the nursing staff cycling out in a year. The inspection record is heavier still: 27 deficiencies, four serious enough to reach harm or jeopardy, five tied to abuse, and seven fines adding up to $187,081. The most recent inspection was December 2025. If you're weighing this one, ask about weekend coverage and how they've addressed the abuse findings.
Meadowbrook Manor runs 249 certified beds in Naperville under for-profit LLC ownership, and its nurse staffing sits at 2.85 hours per resident day, roughly 26 percent under the national average of 3.86. Weekends thin out further, running about 17 percent below the home's own weekday level, so coverage is lightest exactly when families tend to visit. The inspection record shows 45 deficiencies, including 5 at harm or jeopardy level and 6 abuse-related, plus a $133,390 fine. Staff turnover of 42.5 percent is slightly better than the 45.8 percent national figure, but that's the one relative bright spot in the numbers. The most recent inspection was January 15, 2026.
Meadowbrook Manor in La Grange runs 197 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national average, and weekends drop roughly 18% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Staff turnover is 46.8%, slightly above the national figure, and the home carries 46 deficiencies on its current record, four of them at the harm or jeopardy level, with two fines totaling $57,714. Its last inspection was July 2025, and CMS rates it 2 out of 5 on health inspections, quality measures, and staffing alike.
Carroll Health and Rehab runs 3.13 nursing hours per resident day, roughly 19 percent under the national average, and weekends drop another 19 percent below its own weekday staffing. The inspection record is the harder part: 49 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with a $37,884 fine and a one-star health inspection rating. Staff turnover sits at 42.1 percent, slightly better than the national 45.8 percent, so retention isn't the main problem here, coverage and compliance are. The most recent inspection was July 28, 2025, so the record is current. For a 120-bed for-profit home owned by an individual, those numbers describe thin staffing and serious findings that a family should ask about directly.
Avoyelles Manor's staffing number is the thing you'd notice first: 0.14 total nurse hours per resident day, which is about 96% below the national average of 3.86. That's not a rounding difference, and the weekend picture is worse, staffing drops roughly 56% below the home's own weekday level. A recent inspection on May 19, 2026 and a clean deficiency record (four total, none at harm or jeopardy level, none abuse-related) work in its favor, and the five-star health inspection rating reflects that. But quality measures sit at three stars and staffing at one, which is what pulls the overall picture down. For-profit corporate ownership. The inspection record is genuinely good; the daily staffing numbers are the reason to ask hard questions before moving someone in.
Tiffany Heights runs on 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 18% below what the home staffs during the week. That thin coverage sits behind a 69% annual turnover rate, well above the 45.8% national figure. Inspectors have cited 29 deficiencies on the current record, two of them abuse-related, though none reached harm or jeopardy level. The last inspection was December 5, 2025. A for-profit limited liability company owns the 60-bed home in Mound City. Quality measures rate mid-range, but staffing and inspection results are where the concerns concentrate.
Finger Lakes Health in Geneva runs 345 certified beds under corporate ownership, and its inspection record shows 26 deficiencies, including a pair serious enough to reach harm or jeopardy level and three tied to abuse. That's a lot to carry, and the two-out-of-five health inspection rating reflects it. The quality measure score sits at the same two stars, so this isn't a case of strong clinical outcomes offsetting weak inspections. The last survey was September 2023, which means the record you're looking at isn't fresh, call and ask what's happened since, and specifically how the abuse-related findings were resolved. With a home this size, staffing consistency matters as much as any single number.
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?