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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

Showing 401–420 of 4,510, best-graded first.

A

93/100

Masonic Center For Health & Rehab Inc.

Dousman, WI · Waukesha County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
5.03 /day
Staff turnover
25%
Serious cites
0

The Masonic Center for Health & Rehab runs about 5.03 nursing hours per resident each day, roughly 30% above the national average, and its staff retention is unusually strong for this industry, turnover sits at 25.4% against a national figure near 46%. Weekend coverage dips about 10% below weekday levels, so ask how that plays out on a Sunday. Inspectors were last in on June 4, 2025, and the home carries three deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. Nonprofit ownership under a corporate structure, 50 beds, and consistent staffing are the main things working in its favor.

A

93/100

Hope Health And Rehab

Lomira, WI · Dodge County

CMS 5/5 38 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
23%
Serious cites
0

Hope Health and Rehab runs about 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and its staff turnover of 22.7% is about half the national rate of 45.8%. Weekend staffing dips about 14% below its own weekday level, so coverage is thinner on Saturdays and Sundays than the weekday numbers suggest. Inspectors have cited 19 deficiencies on the current record, one at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 1, 2025. For-profit corporate ownership is worth noting when you weigh those inspection findings against the strong staffing picture.

A

93/100

Ridgeview Terrace Long Term Care

Reedsburg, WI · Sauk County

CMS 5/5 25 beds Non-profit Medicaid
Nurse hours
5.51 /day
Staff turnover
31%
Serious cites
0

Ridgeview Terrace runs on a nonprofit model with 25 beds, and the numbers back up the care. Nurse staffing sits at 5.51 hours per resident day, roughly 43% above the national average, and even weekends, which dip about 8% below weekdays, stay well above what most homes provide at any point in the week. Staff turnover is 30.8%, noticeably lower than the 45.8% national figure, which matters for residents who need consistent faces. The home carries zero deficiencies on its current record, including none tied to harm or abuse, and its most recent inspection was April 2025. Quality measures score midrange, but staffing and inspection results are where this one stands apart.

A

93/100

Pride Tlc Therapy And Living Campus

Weston, WI · Marathon County

CMS 5/5 25 beds For-profit
Nurse hours
5.62 /day
Staff turnover
35%
Serious cites
0

Pride TLC in Weston runs 5.62 nurse hours per resident day, roughly 46% above the national average of 3.86, that's real coverage, especially for a 25-bed home where staffing numbers can swing hard. Weekend hours dip only about 9% below weekdays, and turnover sits at 35.1%, better than the 45.8% national figure. The inspection record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2026. The one soft spot is ownership: a for-profit partnership, which tends to weigh toward margin over time. Still, the numbers here describe a home that's currently well staffed and clean on inspections.

A

93/100

Norwood Health Ctr-Central

Marshfield, WI · Wood County

CMS 5/5 32 beds Government Medicaid
Nurse hours
6.12 /day
Staff turnover
40%
Serious cites
0

Norwood Health Center-Central runs on unusually heavy staffing for a 32-bed county home, 6.12 nurse hours per resident day, roughly 59% above the national average, which is where its perfect staffing rating comes from. Weekend coverage dips about 11% below its own weekday level, and turnover sits at 40%, a bit better than the 45.8% national figure. The tradeoff shows up in its record: three deficiencies, all flagged at harm or jeopardy level and all abuse-related, with the most recent inspection dated April 15, 2026. Strong quality and inspection ratings sit alongside those three serious citations, so ask what changed since that April visit before you decide.

A

93/100

Clearview Brain Injury Center

Juneau, WI · Dodge County

CMS 5/5 30 beds Government Medicaid
Nurse hours
7.72 /day
Staff turnover
25%
Serious cites
0

Clearview Brain Injury Center is a county-owned home in Juneau with just 30 certified beds, and its nurse staffing runs about double the national average, 7.72 hours per resident day against 3.86. That cushion matters for a brain injury population, and weekend coverage dips only about 9% below its own weekday level. Staff turnover sits at 25%, well under the 45.8% national figure, which suggests people stay. The current record shows a single deficiency, none at harm or jeopardy level and none abuse-related, with an inspection dated May 28, 2026. Its quality measure rating is the softer spot at 3 out of 5, though inspections and staffing both rate 5.

A

93/100

Sharp Chula Vista Med Ctr Snf

Chula Vista, CA · San Diego County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
22%
Serious cites
0

Sharp Chula Vista Med Ctr Snf runs on a level of nurse staffing you rarely see: 5.45 hours per resident per day, about 41% above the national average, with weekend coverage dipping only slightly below weekdays. Staff turnover sits at 21.6%, less than half the national rate, a sign people stay. Inspections were recent and the health record is solid, though 34 deficiencies include one at harm level and two tied to abuse, which families should ask about directly. Nonprofit ownership and a B grade reflect a home whose day-to-day care capacity is strong, with specific past problems worth understanding before you decide.

A

93/100

Presbyterian Intercomm Hosp Dp/Snf

Whittier, CA · Los Angeles County

CMS 5/5 35 beds Non-profit
Nurse hours
10.07 /day
Staff turnover
20%
Serious cites
0

Staffing at Presbyterian Intercomm Hosp Dp/Snf runs at 10.07 nurse hours per resident day, roughly two and a half times the national figure, and only about 20% of its nurses leave each year against a national average near 46%. Weekends dip about 14% below its own weekday coverage, worth knowing if your visits fall on Saturdays or Sundays. The inspection record shows 21 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was July 2025, and its health inspection and staffing ratings both sit at five stars out of five. Quality measures come in lower, at three. It's a small nonprofit home, 35 beds.

A

93/100

Meadowood A Health And Rehabilitation Center

Stockton, CA · San Joaquin County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
5.20 /day
Staff turnover
29%
Serious cites
0

Meadowood runs on a non-profit model with 100 certified beds in Stockton, and the staffing numbers are the first thing that stands out: 5.20 nurse hours per resident day, roughly a third more than the national average of 3.86. That matters, though weekends run about 10% leaner than weekdays, so coverage isn't perfectly even across the week. Staff turnover sits at 28.7%, well under the 45.8% national figure, a sign people tend to stay. The tradeoff is a longer deficiency record: 38 total, three tied to abuse, though none rose to harm or jeopardy level. The last inspection was February 2025, so the picture is current.

A

93/100

Veterans Home Of California - West Los Angeles

Los Angeles, CA · Los Angeles County

CMS 3/5 312 beds Government Medicaid
Nurse hours
5.82 /day
Staff turnover
35%
Serious cites
0

The state-run veterans home in West Los Angeles has 312 certified beds and a nurse staffing level of 5.82 hours per resident day, roughly 51% above the national average of 3.86. That staffing cushion is real, and it shows in a 35.3% turnover rate that beats the national 45.8%. The catch is inspections: a 2-out-of-5 health inspection rating, with 46 deficiencies on the current record. None were flagged at the harm or jeopardy level, but three are abuse-related, which families should ask about directly. The most recent inspection was December 12, 2025, so the record is current. Strong hands-on care, weaker regulatory track record.

A

93/100

The Hallmark

Houston, TX · Harris County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
5.33 /day
Staff turnover
51%
Serious cites
0

The Hallmark runs about 5.33 nurse hours per resident day, roughly 38% above the national average, and weekends dip only about 14% below its own weekday level, a modest drop by nursing home standards. Staff turnover sits at 51.3%, higher than the 45.8% national figure, so the people caring for residents do change fairly often. Its inspection record shows 16 deficiencies, none at the harm level and none abuse-related, with the most recent visit in January 2025; both its inspection and quality measure ratings come in at 5 out of 5. For a 32-bed nonprofit home, the numbers describe steady care with a staffing churn worth asking about directly.

A

92.5/100

Washington County Nursing Home

Chatom, AL · Washington County

CMS 5/5 88 beds Government Medicaid
Nurse hours
4.61 /day
Staff turnover
25%
Serious cites
0

Washington County Nursing Home runs on numbers that hold up. Nurse staffing sits around 4.61 hours per resident day, roughly a fifth above the national figure, and weekend coverage dips about 16 percent from weekday levels, a gap worth asking about, since that's when families tend to visit. Staff turnover is 25.3 percent, well under the national 45.8 percent, which suggests people stay. The one mark against the place is on the inspection side: a single deficiency on record, abuse-related but not at harm or jeopardy level, and the last full inspection was June 2021, so that record is getting old. County-owned, 88 beds.

A

92.5/100

Pavilion For Health Care, The

Penney Farms, FL · Clay County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.91 /day
Staff turnover
34%
Serious cites
0

The Pavilion for Health Care runs on 4.91 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its inspection record is clean by any reasonable standard: three deficiencies total, none causing harm, none tied to abuse. Staff turnover sits at 34.4%, well below the national 45.8%, though weekends run about 15% thinner than weekdays, worth asking about if your family visits on Saturdays. This is a small nonprofit home of 50 beds in Clay County, last inspected in March 2026. The numbers describe a stable, well-staffed place, not a perfect one.

A

92.5/100

Buchanan County Health Center

Independence, IA · Buchanan County

CMS 5/5 39 beds Government Medicaid
Nurse hours
4.19 /day
Staff turnover
26%
Serious cites
0

Buchanan County Health Center runs on county ownership, and the numbers that stand out most are the ones about people. Nurse staffing sits at 4.19 hours per resident day, roughly 8% above the national average, and the staff stays: turnover is 26.3% against a national rate near 46%. Weekends are leaner, though, about 19% below the home's own weekday coverage. The inspection record is mixed, 12 deficiencies, one serious enough to involve harm or jeopardy, plus a single $4,011 fine, and the last inspection was fairly recent, in March 2026. Quality and inspection ratings both came in at 4 out of 5, but those 12 deficiencies and the thin weekend hours are what pull the overall picture down.

A

92.5/100

Bethesda Home

Goessel, KS · Marion County

CMS 5/5 57 beds Non-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
32%
Serious cites
0

Bethesda Home in Goessel runs on a nonprofit model with 57 certified beds, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average of 3.86, though weekend coverage drops about 16% below what the home provides on weekdays, worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover is the standout: 31.6% against a national average of 45.8%, meaning caregivers here tend to stay. Five deficiencies on the current record, none at the harm level and none abuse-related, with the last inspection in March 2025.

A

92.5/100

Mymichigan Skilled Nursing Facility

Standish, MI · Arenac County

CMS 5/5 29 beds Non-profit Medicaid
Nurse hours
5.87 /day
Staff turnover
23%
Serious cites
0

The numbers at MyMichigan Skilled Nursing in Standish are mostly good news: 5.87 nurse hours per resident per day, roughly half again the national average, and staff turnover of 22.6% against a national 45.8%, both signs of a stable, well-covered floor. Weekend coverage dips about 18% below weekday levels, worth asking about if a family member needs more help on Saturdays and Sundays. The caution is in the inspection record: 18 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a single $32,175 fine. Quality and staffing each scored 5 out of 5 from CMS, and the most recent inspection was April 2026, so the picture is current.

A

92.5/100

Good Shepherd Home

Fostoria, OH · Seneca County

CMS 4/5 95 beds Non-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
32%
Serious cites
0

Good Shepherd Home runs on 4.60 nurse hours per resident day, about 19% more than the national average, and its staff turnover of 32% sits well under the 45.8% national figure, both signs of a stable, adequately covered floor. The trade-offs show up elsewhere: weekend staffing drops roughly 16% below its own weekday level, and the current record carries 30 deficiencies, one serious enough to reach harm or jeopardy, though none involve abuse. Inspectors last visited in October 2024. Quality measures score high, staffing solid, inspections middling, a home that's generally well-run with at least one lapse worth asking about directly.

A

92.5/100

Davis And Mcdaniel Veterans Care Center

Roanoke, VA · Roanoke City County

CMS 5/5 180 beds Government Medicaid
Nurse hours
3.99 /day
Staff turnover
29%
Serious cites
0

Davis and McDaniel Veterans Care Center runs 180 certified beds under state government ownership, and the numbers behind its record are unusually steady. Nurse staffing sits at 3.99 hours per resident day, a bit above the national average, with weekend coverage dipping about 16% below its own weekday level, worth asking about if your visits fall on Saturdays or Sundays. Staff turnover is the standout: 28.7% against a national average of 45.8%, meaning aides and nurses here tend to stay. Ten deficiencies appear on the current record, none at the harm level, though one is abuse-related. The last inspection was January 8, 2026.

A

92.5/100

Veterans Home Of California - Redding

Redding, CA · Shasta County

CMS 5/5 60 beds Government Medicaid
Nurse hours
5.92 /day
Staff turnover
39%
Serious cites
0

The state-run Veterans Home of California in Redding employs nurses at 5.92 hours per resident day, roughly 53% above the national average of 3.86, and its staff turnover of 38.9% sits below the national 45.8%. That staffing depth shows up in the CMS ratings: 5 out of 5 for staffing, quality measures, and 4 out of 5 on health inspections, with the most recent inspection dated April 2026. The record isn't spotless. Twenty-one deficiencies are documented, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $8,278. Weekend coverage drops about 16% below weekday levels. Strong day-to-day staffing, a handful of serious findings worth asking about directly.

A

92/100

Montgomery County Nursing Home

Mount Ida, AR · Montgomery County

CMS 5/5 112 beds Government Medicaid
Nurse hours
5.14 /day
Staff turnover
15%
Serious cites
0

Montgomery County Nursing Home runs on 5.14 nurse hours per resident day, roughly a third more than the national average, and its staff turnover sits at 15.4 percent against a national rate near 46 percent, a combination that usually means the people caring for your relative have been there a while. The county owns it, and the current record shows 16 deficiencies, none involving harm or abuse, with a May 2025 inspection behind them. Weekend staffing dips about 12 percent from weekday levels, worth asking about if your visits or your family member's care needs fall on Saturdays and Sundays.

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?
Mclean Health Center in Simsbury, CT — grade A, 100 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 4,490 graded independently owned homes in the United States, 1,309 grade A and 280 grade D or F.
Do independently owned nursing homes in the United States accept Medicaid?
4,250 of the 4,510 are certified to accept Medicaid. See Medicaid and nursing homes.

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