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
Village Health Care Center in Broken Arrow is a 90-bed for-profit home owned by a limited liability company, and its federal record is poor across all three CMS measures, inspections, quality, and staffing each sit at one star out of five. The inspection history shows 38 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $44,220 fine. The most recent inspection was in August 2025, so the record reflects current conditions rather than an old survey. Low staffing scores mean the people on shift are stretched thin, which matters most when you're evaluating how often a resident gets help with basic care. If you're considering this home, ask the administrator directly what's changed since that inspection.
Brentwood Extended Care & Rehab runs 90 certified beds in Muskogee under individual for-profit ownership, and the numbers behind its record are worth a careful look. Nurse staffing sits at 3.11 hours per resident day, roughly 19% under the national average, and weekends dip about 5% below its own weekday levels, so coverage thins out right when families tend to visit. The current inspection record shows 47 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with nine fines totaling $97,625 and a survey completed July 31, 2025. If you're weighing this home, ask directly how those abuse-related findings were resolved and what weekend nursing coverage actually looks like.
Colonial Nursing & Rehabilitation Center runs 90 certified beds in Lindale under individual for-profit ownership, and its staffing sits at 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 7% below the home's own weekday coverage, so the thinnest shifts get thinner.
The inspection record is the bigger concern. Twenty-three deficiencies are on file, three of them serious enough to involve harm or jeopardy, and two tied to abuse. One federal fine totals $247,572, a figure usually reserved for repeat or high-severity problems. The last inspection was March 18, 2026, so the record is recent, not stale.
If you're weighing this one, ask the administrator directly how those abuse deficiencies were resolved and what weekend nurse coverage looks like on a typical Saturday.
The Blossoms at Breckenridge runs 143 beds in Little Rock under for-profit LLC ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average, and weekends drop about 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover is 65.1% against a national 45.8%, meaning most of the people caring for residents are new to the building. Its current record carries 26 deficiencies, including one at the harm level and two tied to abuse, with $28,654 in fines. The last inspection was April 2026.
Villa Maria runs on 3.31 nurse staffing hours per resident day, roughly 14% under the national average, and weekends dip about 6% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 54.8% against a national 45.8%, meaning more than half the nursing team turns over in a year. Behind that churn: 58 deficiencies on the current record, including four at harm or jeopardy level and six tied to abuse, plus three fines totaling $41,289. The last inspection was June 2025. State records show a for-profit limited liability company.
Masonicare Health Center is a 336-bed nonprofit home in Wallingford, and the staffing number is the one to sit with: 0.36 total nurse hours per resident day against a national average of 3.86. That's roughly 91% below average, and it's the kind of gap that shows up in call-bell response times and how much time aides actually have with your mother. Weekend staffing runs about 29% above its own weekday level, which sounds reassuring until you realize it may just reflect how thin weekdays are. Staff turnover sits at 69.6% versus 45.8% nationally, meaning most of the people caring for residents are still learning the building. The current record shows 28 deficiencies, including one at the harm level and one abuse-related, plus a $13,085 fine; the last inspection was December 2024.
Meriden Health and Rehab runs 90 beds under for-profit LLC ownership, and its staffing numbers look decent on paper, 3.94 nurse hours per resident day, just above the national average. But the people delivering that care don't stay: turnover is 75%, against a national average of 45.8%, and weekend coverage drops roughly 14% below weekday levels. The inspection record is the harder problem. The current file holds 49 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with two fines totaling $29,965. The most recent inspection was in January 2025. When direct-care staff cycle through that fast, consistency is hard to maintain, and the survey history here suggests it shows.
The Place At Martinez runs on 2.60 nurse staffing hours per resident day, roughly a third less than the national average of 3.86, and weekends dip about 11% below its own weekday level. Staff turnover sits at 46.3%, essentially the national rate, so the problem isn't churn, it's how few hands are scheduled per resident. Its current record shows eight deficiencies, none at the harm or jeopardy level but one tied to abuse, and the last inspection was in November 2025. CMS rates it 2 out of 5 on health inspections and 1 out of 5 on both quality measures and staffing. If you're weighing this Richmond County home, ask how the weekend floor is actually covered.
La Bella Of Freeburg runs on thinner staffing than most homes, 3.67 nurse hours per resident day against a national average of 3.86, and it thins out further on weekends, dropping about 13% below its own weekday level. That's the pattern families notice as fewer hands on the floor Saturday and Sunday. The inspection record is the harder read: 22 deficiencies, nine of them serious enough to put residents at harm or jeopardy, six tied to abuse, and five fines totaling $164,604. Staff turnover sits at 53.8%, meaning more than half the nursing workforce leaves in a year, compared with 45.8% nationally. The most recent inspection was November 2025.
Sharon Health Care Willows runs 218 certified beds under corporate ownership, and its staffing is the first thing that stands out: 2.88 nurse hours per resident per day, roughly a quarter below the national average. Weekends are thinner still, about 11% below the home's own weekday coverage, and nearly half the nursing staff turned over last year. The inspection record backs that up, 44 deficiencies, four serious enough to involve harm or jeopardy, and 16 tied to abuse. The most recent inspection was October 2024, so the picture is current, not stale. When you tour, ask how they cover weekends and what's changed since those abuse citations.
Majestic Care of South Bend runs on thinner nursing coverage than most homes, 3.32 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 8% below its own weekday levels. That matters more when you consider the 68.4% annual turnover, well above the 45.8% national figure, so the people providing care are frequently new. The inspection record is the bigger concern: 52 deficiencies, three of them at harm or jeopardy level, three tied to abuse, and $116,322 in fines. A single most-recent inspection in August 2025 produced a 1-star health inspection rating. The quality measure score looks better than the rest, but staffing and compliance are where this home struggles most.
Lake Orion Nursing Center runs lean on staff. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 65.2% is well above the 45.8% national figure, meaning the people caring for your relative are likely to change often.
The inspection record is the harder read: 22 deficiencies, three at harm or jeopardy level, two tied to abuse, and a $137,640 fine. A May 2025 inspection is recent, at least. Nonprofit ownership doesn't erase any of that. Ask about weekend coverage and turnover directly before deciding.
Dwellside Care and Rehab runs 162 certified beds in Cherry Hill under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.48 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends drop roughly 11% below its own weekday level, so the coverage gets thinnest exactly when families tend to visit. Annual turnover of 67.9% against a 45.8% national average means the aides and nurses caring for your relative are likely to change often. On top of that: 45 deficiencies on the current record, including 4 at harm or jeopardy level and 3 tied to abuse, with $154,466 in fines. The last inspection was May 2025.
Brunswick Cove runs 175 beds under for-profit LLC ownership, and the numbers on staff are the ones to sit with. Annual turnover hits 74.7% against a national average of 45.8%, and CMS gives staffing its lowest mark, meaning the people who provide daily care are cycling through fast. The health inspection side is steadier, with a 3/5 rating, 21 deficiencies on record and none flagged at harm or jeopardy level, but quality measures land at 1/5 and nine fines total $70,913. The most recent inspection was December 2025, so the record is current. Ownership structure, high turnover, and weak quality scores together explain why this home sits near the bottom of what we grade.
Rock Rest runs lean on staff. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 9% below its own weekday level. That thin coverage shows up in the numbers: 71% annual turnover, well above the 45.8% national figure, so the aides and nurses your family member sees are likely to keep changing. Inspections are the brighter spot, a 4-out-of-5 health inspection rating and a recent April 2025 visit. But 20 deficiencies sit on the current record, three at harm or jeopardy level and two tied to abuse, which is a lot for a 60-bed home.
Edenbrook South runs 116 certified beds in Williamsport under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover tells a similar story: 61.2% of staff leave each year, against a national rate of 45.8%. Then there's the record itself. Sixty-eight deficiencies, including four tied to abuse and one at the harm or jeopardy level, with a single fine of $10,824. The most recent inspection was February 11, 2026.
The Friendly Home runs 126 certified beds under for-profit LLC ownership, and its staffing sits at 3.66 nurse hours per resident day, about 5% under the national average of 3.86, with weekends running roughly 12% thinner than weekdays. Annual turnover is 51.9% against a national 45.8%, so the people providing that care are cycling through faster than usual. The inspection record is the harder part: 38 deficiencies, six of them at harm or jeopardy level, four fines totaling $107,709, and a one-star health inspection rating from CMS. No abuse citations appear on the current record, and the most recent inspection was December 2025.
Sanford Chamberlain Care Center is a 44-bed nonprofit home in Brule County, and the numbers show a place where care quality and safety have been real problems. Sixteen deficiencies sit on the current record, eight of them serious enough to cause harm or put residents in jeopardy, and four tied to abuse. Federal fines total nearly $125,000 across four penalties. Staffing tells a mixed story: nurses provide 3.69 hours per resident day, which is below the national average, and weekend coverage drops about 6% below weekday levels even as turnover hits 56.9%, well above the national 45.8%. The last inspection was in August 2025, so the record is current.
The Lev At San Antonio runs about 106 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.09 nurse hours per resident per day, it sits roughly 20 percent under the national average of 3.86, and weekends drop about 12 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover lands at 41.5 percent, a bit better than the 45.8 percent national figure, but the inspection record carries more weight: 40 deficiencies, including one at harm or jeopardy level and one abuse-related, plus a single $174,496 fine. The most recent inspection was September 11, 2025.
Trinity Health Care Of Logan has 120 certified beds and runs on 4.38 nurse hours per resident day, roughly 13% above the national average of 3.86. That's a real point in its favor, but the same federal data shows weekend staffing falling about 29% below its own weekday level, and annual turnover at 59.8% against a national 45.8%. Behind the numbers: 43 deficiencies on the current record, including 3 at harm or jeopardy level and 6 tied to abuse, plus three fines totaling $41,930. The last inspection was February 10, 2026. This is an individually owned for-profit home where the weekday coverage looks better than the record it's attached to.
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?