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
Living Center West runs lean on nursing staff, 2.82 hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday levels. That staffing shortfall shows up in a 61.4% annual turnover rate, well above the national 45.8%, so the aides and nurses at the bedside keep changing. The inspection record is heavy: 33 deficiencies, seven at harm or jeopardy level, five tied to abuse, and $72,070 in fines. A 5/5 quality measure rating and a non-profit owner don't offset a 2/5 on inspections and 1/5 on staffing.
Country Aire Retirement Center runs 60 certified beds in Lewistown under for-profit LLC ownership, and its staffing numbers are the first thing to look at: 2.97 nurse hours per resident per day against a national average of 3.86. Weekends drop about 10% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Annual turnover sits at 61.3%, well above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. The inspection record shows 66 deficiencies, six of them abuse-related, and CMS gave the health inspection and staffing domains one star each. The last inspection was July 2024.
Good Shepherd Lutheran Home runs 84 certified beds in Blair under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.50 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 70.3% is well above the 45.8% national figure, meaning the people caring for your relative are likely new and still learning the building. Add a one-star health inspection rating, 34 deficiencies on record including one at harm level and three abuse-related, and a May 2025 inspection, and you're looking at a home with real, documented problems. Worth asking hard questions before committing.
Highland Square is a for-profit corporation home with 91 beds, and the numbers that stand out most are the ones CMS rates lowest. Nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average, and weekends run about 9% leaner than weekdays, so coverage thins out exactly when families tend to visit. Annual turnover is 61.3%, well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The inspection record shows 57 deficiencies, five at harm or jeopardy level and eight tied to abuse, with $299,782 in fines across five penalties. Its quality measure rating is high, but that's self-reported data, and the last inspection was February 2025.
Legacy Park runs 176 certified beds in Knox County under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop another 13% below its own weekday level. That thin coverage helps explain a 63.6% annual turnover rate, well above the 45.8% national figure, and a CMS staffing rating of 1 out of 5. The health inspection record shows 32 deficiencies, one serious enough to reach harm or jeopardy level, plus a $74,633 fine. Its last inspection was August 2025, so the record is current. Quality measures score well, but consistent hands-on care is the weaker spot here.
Sunset Rehabilitation and Health Care is a 115-bed for-profit in Canton, and the numbers that stand out most aren't the quality scores, they're the inspection record. Fifty deficiencies on file, eight of them serious enough to put residents in harm's way, eight tied to abuse. Add three fines totaling more than $518,000, and a one-star inspection rating, and you've got a paper trail regulators have clearly been working. Nurse staffing sits just under the national average at 3.73 hours per resident day, and it drops about 11% on weekends, which is when families often visit and notice things. The four-star quality measure score reflects what the home reports about resident outcomes, but that's a narrower view than the inspection history, which covers the last visit in November 2024.
Heartland Senior Living runs 71 certified beds in Neoga under for-profit LLC ownership, and the staffing numbers are the main thing to know. At 3.23 nurse hours per resident day, it sits about 16 percent under the national average of 3.86, and weekends drop roughly another 16 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 40 percent is actually a bit better than the 45.8 percent national figure, but that's the one bright spot. The inspection record shows 27 deficiencies, including 8 at harm or jeopardy level and 3 abuse-related, with four fines totaling $152,711.
Benton Rehabilitation runs 3.02 nurse hours per resident day, roughly 22 percent under the national average, and weekends dip about 9 percent below its own weekday staffing. The inspection record shows 42 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, with one fine of $17,512; the most recent inspection was April 2025, so the record is current. Quality measures and staffing each score 1 out of 5 from CMS, while inspections land at 3. Corporate-owned and certified for 67 beds, this is a home where the daily staffing numbers and the deficiency history tell the same story.
Villa Feliciana Chronic Disease is state-run and holds 299 certified beds in Jackson. Its nurse staffing sits at 2.77 hours per resident day, roughly 28 percent under the national average of 3.86, and weekends drop another 16 percent below its own weekday level. Staff turnover is 69.7 percent a year, well above the national 45.8 percent, which means the people caring for residents are, on average, new to the building. The inspection record shows 38 deficiencies, including three at harm or jeopardy level and ten tied to abuse, with $456,518 in fines across three penalties. The most recent inspection was January 2026.
Ferncrest Manor Living Center is a 200-bed for-profit home in New Orleans, and the federal numbers are rough across the board. Its staffing rating sits at the bottom of CMS's scale, and the inspection record shows 60 deficiencies, including six at the level where residents were actually harmed or put in immediate jeopardy, plus eight tied to abuse. Three fines total $402,870, which tells you regulators found problems serious enough to penalize repeatedly. The last inspection was May 2025, so the record is current, not stale. With quality measures also below average and an LLC ownership structure, a family considering this home should ask direct questions about direct-care hours per resident and how abuse allegations get investigated.
Bentleys Extended Care is a 72-bed for-profit home in Overland, and the inspection record is the first thing you should look at. The current file shows 67 deficiencies, including 10 at the level where residents were actually harmed or put in immediate jeopardy, and three tied to abuse. That is a lot of serious findings for a building this size, and the staffing rating sits at the bottom of CMS's scale, so the people working there are stretched thin against what the government expects. A single fine of $28,969 and a last inspection in October 2024 round out the picture.
Ozark Care & Rehab Center runs on 2.90 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend staffing drops about 9% below its own weekday level. That thin coverage shows up in the federal ratings: one out of five stars for staffing, two for health inspections. The current record carries 39 deficiencies, including 3 at the harm or jeopardy level and 8 tied to abuse, plus two fines totaling $48,557. Inspectors last visited in December 2024. The quality measure score of three stars is the one bright spot, but it doesn't offset what the staffing and inspection numbers say about daily care.
Magnolia Healthcare is a for-profit LLC home with 181 certified beds in Columbia, and its staffing is the number that stands out. At 3.40 nurse hours per resident day, it runs about 12% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover of 72.5% is well above the 45.8% national figure, which means the people caring for your relative are likely to change often. The good news: 18 deficiencies on record, but none at harm or jeopardy level and none abuse-related, and the last inspection was April 2026.
Grace Care Center Of Henrietta runs 60 certified beds under for-profit LLC ownership, and the federal numbers are hard to get past. Its staffing rating sits at the lowest tier, meaning nurse hours per resident fall well short of the national average, and the health inspection rating matches it. The deficiency record shows 54 citations, four of them serious enough to put residents in harm or jeopardy, four tied to abuse. Two fines add up to $204,137. The quality measure rating is slightly better at two stars, but that's the outlier here. A July 2025 inspection is recent, so this isn't a stale file, the problems are current.
Wrightsville Manor runs on 3.31 nurse hours per resident per day, roughly 14 percent under the national average, and weekends are thinner still, about 12 percent below what the home staffs on weekdays. That matters more than usual here, because the home's inspection record carries 18 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus three fines totaling $74,208. Turnover sits at 40.9 percent, a bit better than the 45.8 percent national figure, but it's the only number that reads favorably. The most recent inspection was July 31, 2025, and all three CMS star ratings, health inspections, quality measures, and staffing, come in at one out of five.
Nancy Hart Operation runs on thinner nursing coverage than most homes its size, 3.02 nurse hours per resident each day against a national average of 3.86, with weekends dipping about 12 percent below its own weekday pace. That staffing pattern shows up alongside a 54.5 percent annual turnover rate, meaning more than half the nursing staff leaves within a year. The inspection record carries 28 deficiencies, three serious enough to cause harm and one tied to abuse, plus five fines totaling $30,309 and a July 2025 inspection. This is a for-profit LLC with 67 beds, and families should ask directly how the home covers weekend shifts and what it has changed since that abuse finding.
La Bella Of Morrison runs on a nurse staffing level of 3.04 hours per resident day, roughly 21% under the national average, and weekends dip about 7% below what the home already provides on weekdays. The bigger red flag is turnover: 100% of nursing staff left over the past year, against a national rate near 46%. On the inspection side, the record shows 47 deficiencies, including 5 at the harm or jeopardy level and 5 tied to abuse, plus three fines totaling $65,860. The most recent inspection was March 5, 2025. Ownership is a for-profit limited liability company, and the staffing star rating sits at 1 out of 5.
Colfax Nursing and Rehab runs 140 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.86 hours per resident per day, roughly a quarter below the national average of 3.86. Weekend coverage drops another 6 percent below what the home provides on weekdays, so the quietest shifts are also the thinnest. Annual turnover hits 69.4 percent against a national 45.8, meaning most of the aides and nurses you'd meet this year likely won't be there next year. The current record carries 45 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. The last inspection was August 27, 2025.
Avenir At Mark Twain runs on thin staffing: 3.47 nurse hours per resident day, roughly 10 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That gap matters most when families visit and when emergencies happen. The record shows 62 deficiencies, including five tied to abuse and two at the level of actual harm or jeopardy, plus eight fines totaling $195,310. Staff turnover sits at 71.4 percent against a national average of 45.8, most caregivers here are new to the building and still learning it. Ownership changed hands within the last year, and the most recent inspection was August 2025.
Crest Manor runs on thin staffing: 3.44 nurse hours per resident day, about 11% under the national average, and weekends dip roughly 8% below its own weekdays. That's the number families feel when a call light goes unanswered.
Turnover is the bigger warning sign. At 76.9%, more than three-quarters of the nursing staff left within a year, well above the 45.8% national rate. Combine that churn with a 1-out-of-5 inspection rating and 35 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, and the pattern is consistent. A single $41,360 fine and an inspection dated October 2024 complete the picture.
The quality measure score of 4 out of 5 stands out against everything else, but those measures reflect a narrow slice of care. For-profit, limited liability ownership.
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?