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
Villa Del Rio is a twelve-bed for-profit home in Bell Gardens, and its record is one of the most troubled you'll find in Los Angeles County. The nurse staffing number looks fine on paper, but that average hides a 57.3% annual turnover rate, well above the national 45.8%, and weekend coverage that drops about 8% below its own weekday level, meaning care gets thinner exactly when families tend to visit. The inspection history is the real problem: 99 deficiencies on the current record, including 4 at the harm or jeopardy level and 8 tied to abuse, plus four fines totaling $147,028. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
River Hills runs on thin staffing: 3.11 nurse hours per resident day against a national average of 3.86, with weekends about 12% lighter than weekdays, and turnover at 75.9%, well above the 45.8% typical elsewhere, meaning the people caring for residents are constantly changing. The inspection record backs that up. Fifty-eight deficiencies, six serious enough to endanger residents, four tied to abuse, and three fines totaling $112,133, with the most recent inspection in June 2025. Quality measures score well, but that's a narrow bright spot. This is an individually owned for-profit home where the care depends heavily on who happens to be on shift.
Chelsea Gardens runs about 3% below the national average for nurse staffing, and weekends dip roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The bigger issue is consistency: 57.5% of staff turned over in a year against a national average of 45.8%, which means the people caring for residents keep changing. On inspections, 13 deficiencies sit on the current record, three at harm or jeopardy level and one tied to abuse, with two fines totaling $64,918. Inspectors were last there in October 2025. It's a for-profit partnership with 60 beds.
Senior Care Center - St Marys runs on 2.91 nurse hours per resident day, roughly a quarter below the national figure of 3.86, and its staffing star sits at 1 out of 5. Weekend coverage drops about 23% below its own weekday level, so the quietest shifts are also the thinnest. Annual turnover of 62.5% outpaces the national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 21 deficiencies, none at harm or jeopardy level but one tied to abuse, plus a $4,072 fine. The last inspection was November 2025, and quality measures score better than the inspection and staffing numbers do, 22 of those 21 deficiencies sit on the health side without immediate harm findings.
Bostick Nursing Center runs 280 certified beds in Milledgeville under individual for-profit ownership, and the staffing number is the one to sit with: 0.46 total nurse hours per resident day against a national average of 3.86. That's roughly 88% below what nursing homes typically report. The 1-out-of-5 staffing star reflects it, and the quality measure star sits at 1 as well. Inspections tell a quieter story, a 3-out-of-5 health inspection rating in May 2024, with 18 deficiencies on record, none at the harm or jeopardy level, though one is abuse-related. Weekend staffing doesn't drop below weekday levels. If you're considering this home, ask directly how 0.46 hours a day gets covered across three shifts.
Prairie Crossing runs lean on nurse staffing, 3.61 hours per resident day, about 7% under the national average, and weekends drop roughly 16% below its own weekday coverage. That thinner weekend presence matters most when families visit and when residents need help between shifts. Staff turnover sits at 41.9%, a bit better than the 45.8% national figure, so the team is somewhat more stable than average. The current record carries 16 deficiencies, five at harm or jeopardy level and one abuse-related, plus three fines totaling $39,635. The last inspection was in October 2024. Ownership is for-profit, a limited liability company.
Byron Health Center runs on 1.19 nurse staffing hours per resident day, roughly 69 percent below the national average of 3.86, and weekends drop about 17 percent below its own weekday level. That's a thin margin before anything goes wrong, and the record shows things have: 15 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $8,281. Staff turnover sits at 45.3 percent, almost exactly the national figure, so the problem isn't retention so much as how few hours reach the floor. The last inspection was March 31, 2026, and the nonprofit operator's 120 beds carry a 2/5 inspection rating, 2/5 quality measures, and 1/5 staffing. The staffing number is the one to weigh hardest.
Kimball County Manor runs on county government ownership, and its 49 beds are staffed at 3.57 nurse hours per resident day, about 8% under the national average of 3.86. Weekends drop roughly 17% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover sits at 57.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the harder read: 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $27,606 fine. Health inspection and quality measure ratings both sit at 1 out of 5, though staffing scored 3. The most recent inspection was April 21, 2025.
Nye Summit is city-owned, which usually means less pressure to turn a profit, but that alone isn't keeping the place steady. Nurse staffing sits slightly under the national average, weekends run nearly a fifth leaner than weekdays, and 80% annual turnover means most of the people caring for residents this year won't be there next. Inspectors have logged 22 deficiencies, two serious enough to put residents in harm's way and one tied to abuse, with a $23,595 fine on record. The most recent inspection was in January 2025, so the picture is current. Government ownership, thin weekend coverage, and a churning workforce is a hard combination.
Santa Fe Care Center reports 0.30 total nurse staffing hours per resident per day. The national average is 3.86, so this home is running at roughly a twelfth of typical staffing. Its weekend numbers are about 1% above its own weekday level, which tells you the shortfall isn't a weekend problem, it's every day.
The inspection record backs that up: 57 deficiencies, 5 of them at the level where harm or jeopardy was possible, and 2 tied to abuse. The last inspection was July 2024. Two fines total $25,562. For-profit corporate ownership, 120 certified beds. A 1-star staffing rating and a 2-star health inspection rating mean the federal data is flagging the same thing the numbers above show.
Hillcrest Manor runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 7% below its own weekday coverage. That staffing shortfall shows up across the board: two out of five stars each for staffing, health inspections, and quality measures, with 24 deficiencies on the current record, two serious enough to involve harm or jeopardy, and one fine totaling $46,898. It's a for-profit limited liability company with 137 certified beds, inspected most recently on April 4, 2025. No abuse citations appear on the record, which is worth noting, but the staffing numbers and inspection history are the story here.
Cedar Haven's Valley View in Woonsocket has one star for health inspections and sits in CMS's Special Focus Facility program, the short list of homes the government watches most closely. The record backs that up: 64 deficiencies, 13 of them serious enough to put residents in harm's way, five tied to abuse, and six fines adding up to roughly $84,000. Staffing is thinner than most homes, at 2.82 nurse hours per resident day against a national average of 3.86, and weekends run about 17% below the home's own weekday coverage. Turnover actually looks better than average, 36.4% versus 45.8% nationally, so the problem isn't churn, it's simply not enough hands on the floor.
Dayton Nursing and Rehabilitation runs 4.37 nurse hours per resident per day, about 13% above the national average, and that's the best thing in its file. The rest is harder. Weekend staffing drops roughly 16% below its own weekday level, and annual turnover sits at 58.3% against a national 45.8%, so the faces change often. Inspectors have cited 36 deficiencies, four at harm or jeopardy level and three tied to abuse, with three fines totaling $131,714. The last inspection was September 2025. Federal ratings put health inspections and quality measures at 2 of 5 stars each. Individual ownership means one person answers for all of it. If you're considering this home, ask directly what changed after those abuse citations.
San Rafael runs on 3.08 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage shows up in the record: 59 deficiencies, including six at the harm or jeopardy level and five tied to abuse, with four fines totaling $80,132. Turnover at 38.2% is actually better than the 45.8% national average, and the hospital district ownership means public accountability rather than a private operator. But a one-star inspection rating and a March 2025 inspection leave little room to argue the care is well-supervised. If you're considering this one, ask specifically how weekends are covered and how abuse allegations get handled.
Park Place runs lean on the people who actually deliver care. At 3.41 nurse hours per resident day, it sits about 12 percent under the national average, and weekends drop roughly another 18 percent below its own weekday coverage. The staffing picture gets harder when you look at turnover: 63.8 percent of staff left last year, against a national rate near 46 percent, meaning the aides and nurses caring for your relative are, statistically, likely to be new to the building. The government's own inspectors rated staffing and health inspections each 1 out of 5, and the record shows 32 deficiencies, three of them serious enough to put residents in harm's way and three tied to abuse. Two fines total $287,159. Texas corporate ownership, 120 beds, last inspected May 2025.
Park View is a 74-bed hospital-district home in Muleshoe, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.49 hours per resident per day, about 10% under the national average, and it thins out further on weekends, roughly 15% below the home's own weekday level. Annual turnover runs 66.7% against a national 45.8%, meaning most of the people caring for residents are relatively new.
Inspections tell the harder story: 26 deficiencies on the current record, including 2 at harm or jeopardy level and 4 abuse-related, with one fine of $21,645. The most recent inspection was January 15, 2026.
Bridgewalk on Harden runs about 10% leaner on nursing hours than the national average, and weekends drop roughly 8% below its own weekday level, so the coverage gap widens when families tend to visit. Annual turnover of 63.3% sits well above the 45.8% national figure, meaning the staff who are there are often new. That context matters for a home with 17 deficiencies on its current record, including two at the harm level and one abuse-related, plus three fines totaling $181,400. Its last inspection was January 2024. Corporate-owned, 120 beds.
Southgate runs 140 beds under corporate ownership, and the staffing numbers tell a mixed story: 3.75 nurse hours per resident day sits just under the national average of 3.86, and weekends drop about 11% below the home's own weekday levels. The bigger concern is turnover at 58.4%, well above the 45.8% national figure, that's a lot of unfamiliar faces cycling through. On the inspection side, the record shows 33 deficiencies, four at harm or jeopardy level, two tied to abuse, and $20,170 in fines, with the most recent inspection in April 2025. The quality measure rating of 1 out of 5 is the weakest of its three CMS scores, while staffing earned 3.
Sunset Home runs about 3.05 nurse staffing hours per resident per day, roughly a fifth below the national average, and weekend coverage dips a bit further below its own weekday level. That thin margin shows up in the inspection record: 62 deficiencies, 11 of them serious enough to put residents in harm's way, 8 tied to abuse, and four fines totaling nearly a quarter-million dollars. Staff turnover sits at 49.1%, slightly worse than the national rate, so the people providing care keep changing. The last inspection was in October 2024, and the federal ratings land at one star for health inspections and two each for quality measures and staffing.
Good Shepherd Health Center runs 170 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.65 hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 5% below its own weekday coverage, and annual turnover is 68.7% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record shows 28 deficiencies, including 2 at the harm or jeopardy level and 1 abuse-related, with one fine of $87,458. The last inspection was recent, in December 2025, so the picture is current rather than stale.
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?