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
Betsy Ross Rehabilitation Center runs 120 beds in Rome under corporate ownership, and the staffing numbers are where the concern starts. At 3.38 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 11% below its own weekday coverage, so the thinnest hours come when families tend to visit. Staff turnover of 54.6% runs well above the 45.8% national figure, which matters because caregivers who leave take familiarity with residents with them. The inspection record shows 23 deficiencies, one serious enough to reach harm or jeopardy level, plus four fines totaling $32,254. The most recent inspection was June 30, 2025. No abuse-related deficiencies appear on the current record.
The Citadel Mooresville runs on thinner nurse coverage than most homes, 3.28 hours per resident day against a national average of 3.86, and weekends drop further below its own weekday level. That staffing shortfall shows up in the numbers that matter most: a 1-out-of-5 inspection rating, 49 deficiencies on the current record, nine of them serious enough to cause harm or jeopardy, and three tied to abuse. Fines total $201,886 across two penalties, and more than six in ten nursing staff left over the past year, well above the typical rate. The most recent inspection was in May 2025, so the record is current, not stale.
Park Vista runs on thin nurse staffing, 3.14 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday level. That shortfall shows up in the numbers that track workers: 72.5% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. The inspection record is heavier still: 63 deficiencies, including two at the harm level and one abuse-related, plus a $24,876 fine, with the most recent inspection in February 2025. Quality measures rate better at three stars, but the corporate owner's record here is mostly a staffing and compliance story. Families should ask direct questions about who's on the floor on weekends and how long the current director of nursing has been in place.
Saint Luke Lutheran Home is a 166-bed nonprofit in North Canton, but nonprofit status isn't shielding residents here. Nurse staffing sits at 3.71 hours per resident day, under the national average, and weekends run thinner than weekdays. The bigger flag is turnover: 81.7% annually, far above the 45.8% national figure, meaning caregivers are constantly changing. Its inspection record shows 85 deficiencies, four at harm or jeopardy level, seven abuse-related, and one fine near $98,000. CMS has placed it in the Special Focus Facility program, reserved for the poorest performers. The last inspection was January 2023, so that record is getting old, which matters when you're weighing how current the picture really is.
Harmony Court runs on thinner staffing than most homes, 3.50 nurse hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That matters more when you see turnover at 76.9%, well above the 45.8% national figure, meaning the people caring for residents are frequently new. Its inspection record shows 74 deficiencies, including 2 at harm or jeopardy level and 10 tied to abuse, plus a $100,887 fine. The 5/5 quality measure score reflects charted care indicators, not the day-to-day picture; the 1/5 inspection rating and 2/5 staffing rating, from a for-profit LLC, tell you where the strain actually sits.
Heritage Hall Tazewell runs about 2.92 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home. Staffing thins out further on weekends, and with 180 beds to cover, that gap shows up where it matters. The inspection record carries 21 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $78,553 from a March 2024 visit. Turnover at 39.1% is actually better than the 45.8% national figure, so the problem isn't retention, it's how few staff each resident gets. For-profit LLC ownership rounds out the picture.
Fairmont Rehabilitation and Healthcare Center runs on 2.76 nurse staffing hours per resident day, roughly a quarter less than the national average, and weekend coverage drops further below its own weekday level. That thin staffing sits alongside a 68.3% annual turnover rate, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The inspection record is where it gets serious: 77 deficiencies on file, three at the harm or jeopardy level and seven tied to abuse, with a $17,959 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems. Family considering this one should ask hard questions.
The numbers at Resolve At West Allis Respiratory And Rehab don't tell one story, they tell two, and they don't agree. Total nurse staffing runs 4.93 hours per resident day, roughly 28% above the national average, which sounds like plenty of hands on deck. But weekend staffing drops about 14% below its own weekday level, so the coverage families see on a Tuesday isn't what shows up on a Saturday. Turnover sits at 58.8% against a national 45.8%, meaning a large share of that staff is new and still learning the building. Then there's the record: 61 deficiencies, four at harm or jeopardy level, eight tied to abuse, and a $130,322 fine, with the most recent inspection dated April 2026.
The Hilltop On Main runs lean on nursing staff, 2.83 hours per resident day against a national average of 3.86, with weekends about 15% thinner than weekdays. Half the staff turned over in the past year, and the most recent inspection, in March 2026, left 15 deficiencies on the record, three of them serious enough to involve harm or jeopardy, plus one fine of $29,243. This is a for-profit limited liability company operating 94 certified beds, and its federal ratings sit at 2 for health inspections, 2 for quality measures, and 1 for staffing. If you're weighing this one, ask what specifically was cited at those harm-level deficiencies and how the home plans to hold onto direct-care staff.
Countryside Post Acute runs 62 beds in Buchanan, and the staffing numbers are the first thing to notice: 3.08 nurse hours per resident day against a national average of 3.86. Weekends drop about 12% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. The federal inspection record shows 18 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and CMS has fined the home once for $4,068. Its most recent inspection was in August 2025, so the record is current. Quality measures and health inspection each sit at two stars, staffing at one.
La Bella Of Woodstock runs on 2.83 nurse hours per resident day, about 27% under the national average, and weekends drop roughly 12% below its own weekday staffing. The inspection record is the bigger issue: 87 deficiencies, 13 of them serious enough to put residents at risk of harm, plus 29 abuse-related citations and seven fines totaling just under $600,000. A 1-star inspection rating and 1-star staffing rating sit alongside a 3-star quality measure score, which mostly reflects how well the home documents care, not how much of it residents actually get. The most recent inspection was June 2025, so the record is current, not stale.
Piatt County Nursing Home is county-owned, and its 4.15 nurse hours per resident day sit about 7% above the national average, but that average hides a weekend drop of roughly 17%, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Turnover runs 56.1% against a national 45.8%, and the record carries 32 deficiencies, six of them at harm or jeopardy level and four tied to abuse, plus three fines totaling $182,948. The last inspection was June 2025. Staffing and quality measures both score low, and the inspection history is where the real weight sits.
Arbor View runs on 2.47 nurse hours per resident per day, roughly a third less than the 3.86 national average, and weekends drop about 15% below its own weekday staffing. With 53.8% annual turnover, more than half the nursing staff leaves each year, which matters when residents need consistent hands. The current record shows 55 deficiencies, including one at the harm level and four fines totaling $29,491, with the most recent inspection in April 2025. Ownership is a for-profit limited liability company. Families comparing options here should ask specifically how the home covers weekend shifts and what it's doing to keep nurses from walking out the door.
Morningstar runs 120 beds in Oswego County, and the staffing picture is thin, 3.19 nurse hours per resident day against a national average of 3.86, with weekends dropping about 18% below its own weekday levels. That means care gets thinnest exactly when families are most likely to visit. Annual turnover sits at 53.3%, well above the 45.8% national figure, so the people providing that care keep changing. The inspection record backs this up: 33 deficiencies, two serious enough to involve harm or jeopardy, and $122,464 in fines across two penalties, with the most recent inspection in May 2025. For-profit corporate ownership rounds out the picture.
The Villa at Marymount runs 130 beds in Garfield Heights under for-profit LLC ownership, and its state inspection history is the part I'd weigh hardest. Twenty-six deficiencies sit on the current record, four of them serious enough to involve actual harm or jeopardy to residents, plus one tied to abuse. Two fines total $83,603. Staffing averages 4.03 nurse hours per resident day, a bit above the national figure, but weekends drop roughly 16% below the home's own weekday coverage. Annual turnover is 63.1% against a national average near 46%, meaning most of the people caring for your family member are new. The last inspection was March 2025. If you're considering this one, ask specifically how weekends and evenings are staffed.
Pauls Valley Care Center runs 71 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.87 nurse hours per resident day against a national average of 3.86. That's roughly a quarter less direct nursing time than the typical home, and weekends drop another 7% below its own weekday level, so the thinnest coverage lands when families tend to visit. Fifteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, with a single fine of $50,778. The last inspection was in December 2025, so the record is recent. Quality measures rate 2 out of 5 and staffing 1 out of 5, this is a home where the care hours, not the inspection history, are the real concern.
Parkside Care in Union Gap runs 88 certified beds under for-profit LLC ownership, and its record is one of the heaviest in the county. Sixty-three deficiencies sit on the current record, four at harm or jeopardy level, two tied to abuse, with four fines totaling $205,277. Those numbers line up with inspection and quality ratings of 1 out of 5 each. Staffing looks adequate on paper at 3.88 hours per resident day, barely above the national average, but weekends run about 14 percent thinner than weekdays, and that rating still comes in at 2 out of 5. The last inspection was March 2026, so this is a current picture, not an old one.
Apex Secure Care Brownfield runs on 2.27 nurse staffing hours per resident day, roughly 41% under the national average of 3.86, and weekends drop about 17% below its own weekday levels. Staff turnover sits at 55.8% against a national 45.8%, so the people who remain are stretched thin and constantly changing. The inspection record shows 39 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $27,738 in fines across two penalties. Its most recent inspection was April 14, 2026, and the health inspection rating of 2 out of 5 reflects what surveyors found. A 4-out-of-5 quality measure score does not offset a 1-out-of-5 staffing rating.
The Willows of New Castle runs about 3.75 nurse hours per resident day, a bit under the national average, and weekends dip roughly 13% below its own weekday staffing. That thin coverage shows up in the numbers: a 58.8% annual turnover rate, well above the 45.8% national figure, and CMS giving staffing 1 out of 5 stars. The current record carries 22 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related. A March 2026 inspection is recent, and the 3/5 health inspection rating is the strongest piece here. Quality measures sit at 2/5, and the corporate for-profit owner runs 95 beds.
Swan Health At Overland Park runs 44 certified beds under for-profit LLC ownership, and the staffing picture is more complicated than the headline number. Total nurse staffing sits at 4.42 hours per resident day, roughly 15% above the national average, but weekends drop about 9% below the home's own weekday level, and annual turnover hits 66.7% against a national average of 45.8%. The inspection record carries 30 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with three fines totaling $82,592 and a May 2025 inspection that produced a 2-star health inspection rating. High turnover and serious deficiency findings tend to matter more than raw staffing averages.
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?