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
Heritage Manor in Bossier City runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 14% below the home's own weekday levels. Annual turnover is 58.7% against a national average of 45.8%. The inspection record is the harder part: 69 deficiencies, two tied to harm or jeopardy, four abuse-related, and $73,487 in fines, all of which landed the home in CMS's Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The most recent inspection was August 2025.
New Richland Care Center runs on a city-government budget with 45 certified beds, and the numbers show real strain. Staff turnover hit 79.3% against a national average of 45.8%, that's most of the workforce cycling out in a year, and it lines up with a 1-out-of-5 staffing rating. Inspectors cited 21 deficiencies on the current record, including four tied to abuse and one serious enough to put a resident in harm's way, plus a $79,694 fine. The last inspection was March 31, 2026, so the record is recent, not stale. One family-facing note: government ownership doesn't automatically mean better care here.
Williamsville Suburban runs 220 beds under for-profit LLC ownership, and the numbers that stand out are on the staffing side. At 3.30 nurse hours per resident day, it sits about 14 percent under the national average, and weekends dip roughly 14 percent below its own weekdays, so coverage thins out right when families tend to visit. Staff turnover is 57.1 percent against a national 45.8 percent, meaning more than half the nursing team turns over in a year.
The inspection record is heavier still: 36 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $43,973 fine. Its most recent inspection was in October 2024.
Checotah Nursing Center runs on a for-profit LLC model with 82 certified beds, and the numbers worth knowing are about staffing and oversight. Annual turnover hits 72.7% against a national average of 45.8%, and CMS gives the place just one star for staffing, meaning nurses and aides are cycling through fast. Inspections back that up: 23 deficiencies on the current record, including three tied to abuse and one serious enough to reach harm or jeopardy level, plus $102,895 in fines across two cases. The last inspection was December 2025, so the record is current, not stale. Quality measures score a middling three stars, but the inspection and staffing picture is where a family should focus its questions.
Countryside Estates runs about 111 certified beds in Warner, and the staffing hours look generous on paper: 4.83 nurse hours per resident day, roughly a quarter above the national average. The catch is who's delivering those hours and for how long. Turnover sits at 57.3% against a national 45.8%, and weekend coverage drops about 7% below the home's own weekday level, so the same faces aren't necessarily there week to week. Inspections in January 2025 turned up 14 deficiencies, none at harm level, one tied to abuse, and a single fine of $3,145. The federal quality measures score low.
Lindengrove Waukesha runs a nonprofit home with 61 beds, and its nurse staffing sits slightly above the national average at 3.98 hours per resident day, but weekends drop about 10% below its own weekday levels, so coverage thins out when families tend to visit. The bigger concerns are elsewhere: staff turnover is 70.8% against a national 45.8%, meaning most of the people caring for residents are new to the building within the year. Inspectors have cited 47 deficiencies, including two at the harm level and one abuse-related, with a $39,621 fine and a September 2025 inspection on record.
Knopp Nursing & Rehab Center runs on noticeably thinner nurse coverage than most homes, 3.09 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday level. That shortfall matters more when you consider the staff turnover of 62.5%, well above the 45.8% national figure, meaning the people providing that care are frequently new or on their way out. The record backs it up: 34 deficiencies, two serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $32,094. With a for-profit corporate owner and the most recent inspection in January 2026, this is a home where the numbers themselves tell the story.
Premier Health Care Center runs on 2.21 nurse hours per resident per day, roughly 43 percent under the national average of 3.86, and weekend coverage dips about 13 percent below its own weekday staffing. Annual turnover sits at 59.1 percent against a national 45.8 percent, so the aides and nurses your relative sees are often new. Inspectors cited 23 deficiencies on the current record, one serious enough to involve harm or jeopardy, with a $14,069 fine attached; the last visit was March 5, 2025. This is a for-profit, individually owned 50-bed home. In plain terms, the people are stretched thin relative to what residents need.
Park Forest Care Center runs on 2.61 nurse hours per resident day, roughly a third below the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. The inspection record shows 32 deficiencies, including four at the harm or jeopardy level and five tied to abuse, with one fine of $24,840 and a June 2025 inspection. Resident outcome measures and staffing both land at the lowest federal rating. With a for-profit corporate owner, 103 certified beds, and serious findings across care and safety, the numbers here point to a home where you would want to ask hard questions before moving anyone in.
Evercare Of Granite City looks decent on paper in two places: its health inspection and quality measure ratings each sit at four out of five stars, and the last inspection was recent, September 2025. But the staffing number is the one that should worry you. At 2.45 nurse hours per resident per day, this home runs about 37 percent below the national average, weekends dip another 18 percent below its own weekday level, and annual turnover hits 78.3 percent against a national 45.8, meaning most of the people caring for your relative are new, and there are fewer of them on Saturdays and Sundays. Add 21 deficiencies, four of them harm-level and three abuse-related, plus $32,523 in fines, and the inspection stars stop telling the whole story.
Maison De Lafayette runs 189 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average, and weekends drop about 15% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover of 74.2% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are, more often than not, new to the building. On the current inspection record there are 47 deficiencies, including two at the harm or jeopardy level and two tied to abuse.
Ozark Rehabilitation & Health Care Center runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends dip even lower than its own weekdays. Inspectors have cited 36 deficiencies on the current record, including three at the harm or jeopardy level and two tied to abuse, with $23,224 in fines across two penalties. The quality measure rating sits at 1 out of 5, and the last inspection was May 15, 2025. For-profit, LLC-owned, 60 beds, if you're considering this one, ask directly how they cover weekends and what changed since those abuse findings.
Groton Community Health Care Center runs 80 certified beds as a nonprofit, and its nurse staffing sits almost exactly at the national average of 3.86 hours per resident day. The problem isn't the typical Tuesday, it's that weekends drop roughly 18% below weekday coverage, so the hours aren't distributed when residents need them. Staff turnover is 62.8%, well above the 45.8% national figure, and the inspection record shows 26 deficiencies, including three at harm or jeopardy level and one tied to abuse, with a $132,948 fine. A February 2026 inspection is recent, but the pattern across those numbers is what families should weigh.
Fairview Rehab and Care Center is a 176-bed for-profit home in Philadelphia, and the staffing numbers are the first thing you'd notice. At 2.86 nurse hours per resident day, it runs about 26% below the national average of 3.86, and weekends dip roughly 8% below its own weekday level. Turnover sits at 55.7% against a national figure of 45.8%, which means the people caring for residents are often new.
The inspection record backs that up: a 1-out-of-5 health inspection rating, 84 deficiencies on file, including five tied to abuse and one at the harm level. A single fine of $37,431 is on record, and the most recent inspection was January 9, 2026. Its quality measure score is strong, but that measures resident outcomes on paper, not the hands available to deliver care.
Bayou Pines Care Center runs 120 certified beds in La Marque, and the staffing numbers are where a family should focus first. At 3.03 nurse hours per resident day, it sits about 22 percent under the national average, and weekend coverage drops roughly 16 percent below what the home itself staffs on weekdays. Turnover tells a similar story: 68.1 percent of nursing staff leaving annually, against a national norm near 46 percent, which matters because unfamiliar caregivers mean less continuity for residents who need consistent attention. The current record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a $14,069 fine. Its last inspection was August 2025. Ownership is for-profit, through a limited liability company.
Nurse staffing at Winslow Campus of Care runs 0.45 hours per resident day, roughly a tenth of the national average, an extraordinary gap. That's not a rounding quirk; it's the kind of number that shapes every shift. Annual turnover sits at 72.5%, well above the 45.8% national figure, so the aides and nurses who do show up are often new. Behind that: 46 deficiencies on the current record, 22 of them abuse-related and 3 serious enough to put residents in harm's way, plus five fines totaling $117,139. The quality star rating is 4 out of 5, which may reflect care processes on paper, but inspectors last visited in January 2025 and rated health inspections 1 out of 5.
Randolph County Care Center runs on thin margins where it counts. Nurse staffing sits just under the national average, and weekends drop roughly 9% below what the home staffs on weekdays, so the coverage your family sees Monday may not be there Saturday. Turnover tells a bigger story: 60% of staff leave each year, well above the 45.8% national figure, which means unfamiliar faces at the bedside. On inspections, the record shows 21 deficiencies, four serious enough to involve harm or jeopardy and five tied to abuse, with two fines totaling $172,932. The last full inspection was April 2024. County-run and 100 beds, but the numbers carry real weight.
Mado Healthcare - Uptown runs on 2.87 nurse hours per resident day, roughly a quarter below the national average, and weekends dip even further, about 12% under its own weekday staffing. That thin coverage shows up in the record: 33 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, plus $123,614 in fines across two cases. The one number that runs the other way is turnover at 29.9%, better than the 45.8% national average, so the staff who are there tend to stay. The last inspection was November 2024, so the picture is current.
Perkins Country Manor runs 32 beds in Augusta under corporate for-profit ownership, and its staffing sits just under the national average at 3.73 nurse hours per resident day. Weekends drop about 13% below its own weekday coverage, which matters in a building this small, there's no cushion when someone calls in. The bigger concern is turnover: 61.8% of nursing staff leaving annually against a national 45.8% means caregivers are cycling through constantly, and CMS rates staffing and quality measures at just one star each. Inspections look steadier: five deficiencies on record, none at harm level, no abuse findings, and a single $6,900 fine. The last survey was February 2025.
Jena Nursing and Rehabilitation Center is a for-profit LLC with 108 certified beds, and its staffing sits just under the national average at 3.83 nurse hours per resident day. That small gap matters less than the pattern around it: weekend staffing drops about 9% below weekday levels, and annual turnover runs 60.5% against a national average of 45.8%. The inspection record is harder to explain away, 52 deficiencies, including 3 at the harm or jeopardy level and 9 tied to abuse, plus two fines totaling $53,231. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5.
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?