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
Church Of Christ Care Center runs 129 certified beds as a church-affiliated nonprofit, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the 3.86 national average, with weekends running about 5% leaner than its own weekdays. Annual turnover is 54.2% against a national 45.8%, so more than half the nursing staff leaves each year. The inspection record shows 28 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus two fines totaling $40,940; the most recent inspection was August 2025. CMS rates it 2 out of 5 on health inspections, 2 on staffing, and 1 on quality measures, a pattern where weaker clinical outcomes line up with thinner staffing.
Belleview Valley runs on 2.72 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even further below its own weekday staffing. That thin coverage sits alongside a 60.3% annual turnover rate, well above the 45.8% national figure, so the people providing care change often. The inspection record is the harder part: 74 deficiencies, including 8 at the harm or jeopardy level and 8 tied to abuse, plus three CMS fines totaling $260,352. CMS has placed the home in its Special Focus Facility program, which is reserved for the most persistently troubled homes. The most recent inspection was December 8, 2025.
Oregon Care Center is a 60-bed for-profit in Holt County, and its numbers pull in two directions. The health inspection side looks solid, a four-star rating, an inspection just this past December, and no deficiencies at the harm or jeopardy level. But staffing is where it gets thin: 3.01 nurse hours per resident day against a national average of 3.86, weekends running about 5% below weekday levels, and annual turnover at 68.8% when the national figure is 45.8%. That churn matters more than almost anything else, because it decides whether the people caring for your family member know them or are meeting them for the first time. There are also two abuse-related deficiencies on the current record, worth asking about directly.
Armour Oaks is a 38-bed nonprofit home in Kansas City, and the staffing numbers are the first thing I'd ask about. At 3.27 nurse hours per resident day, it runs roughly 15% under the national average, and weekends drop about 9% below its own weekday levels. The bigger concern is turnover: two out of three caregivers left last year, against a national rate near 46%. Inspections in August 2025 turned up 35 deficiencies, including one at the harm level and four tied to abuse. Ownership is nonprofit, which sometimes signals stability, but the current record doesn't show it here. I'd ask direct questions about who's actually on the floor on Saturday.
Atrium Post Acute Care of Wayneview is a 170-bed for-profit in Wayne, and its inspection record is the strongest thing it has going: a four-star health inspection score with 14 deficiencies on file, none at the harm level, though one is abuse-related. The trouble sits elsewhere. Nurse staffing runs 2.98 hours per resident day, roughly 23 percent under the national average, and weekends drop about 14 percent below its own weekday levels. Annual turnover hits 59.1 percent against a national 45.8, meaning more than half the nursing staff leaves each year. Quality measures score 1 out of 5. The beds get checked; the people covering them keep changing.
Schaffer Extended Care Center runs about 3.05 nurse hours per resident each day, roughly a fifth below the national average, and weekend coverage drops further below its own weekday levels. Staff turnover sits at 97.8%, more than double the national figure, so the people around your family member are likely to change often. Its record carries 25 deficiencies, including one tied to abuse and one at the harm level, plus a fine, and the last inspection was in May 2025. All three CMS star ratings, inspections, quality measures, staffing, sit at the lowest possible.
Wesleyan Village runs 3.42 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin coverage is paired with 66% annual turnover against a national 45.8%, so the people at the bedside keep changing. The inspection record is the harder problem: 54 deficiencies, six at harm or jeopardy level, four tied to abuse, and $219,798 in fines across two penalties, with the most recent inspection in February 2025. A five-star quality measure score sits alongside one-star inspection and staffing ratings, which is worth asking about directly, since quality scores depend on the staff actually documenting and delivering care.
Springfield Nursing & Independent Living runs on 3.10 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. Staff turnover sits at 78.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 50 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus an $85,067 fine. The last inspection was May 2024, so that record is fairly recent. Quality measures score well, but staffing and inspections tell the harder story.
Northgate runs on 3.10 nurse hours per resident per day, about a fifth below the national average, and weekends dip even further. Three in four employees left last year, against a national rate around 46%, which means the people at the bedside keep changing. Inspectors have written 54 deficiencies, including one at the harm level and three tied to abuse, with a $27,710 fine on record from a July 2025 visit. The quality star is high, but that measure leans on self-reported data. Licensed staffing and inspection results are where this home sits at the bottom.
Huntington Health Care & Rehabilitation Center runs 112 certified beds under for-profit partnership ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 8% below the home's own weekday level, so coverage thins exactly when families tend to visit. The bigger number is turnover: 94.8% annually against a national average of 45.8%, meaning most of the staff you meet this year likely won't be there next year. The current record shows 40 deficiencies, none at harm or jeopardy level but one abuse-related, with the last inspection in July 2025. Federal stars land at 3 for health inspections, 2 for staffing, and 1 for quality measures.
Riverview runs about 284 beds in Savannah, and the numbers show a building stretched thin. Nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average, and weekends drop another 15 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. That shows up in the inspection record: 27 deficiencies, five serious enough to put residents in harm's way, three tied to abuse, and a $92,794 fine. Staff turnover at 45.7 percent is essentially the national rate, so this isn't a retention crisis; it's a coverage one. The most recent inspection was March 2026.
St. Anthony's has been cited 56 times on its current record, and nine of those deficiencies put residents in immediate harm or jeopardy, seven involved abuse. The state fined the home four times, totaling $557,075, and the most recent inspection in February 2025 shows the problems are ongoing, not historical. On all three federal measures, health inspections, quality measures, and staffing, CMS scored the home 1 out of 5. It's a for-profit limited liability company with 130 certified beds. When a home carries this many harm-level and abuse citations alongside maximum fines, the pattern points to resident safety, not paperwork, as the core failure. Families considering placement here should ask the administrator directly what has changed since that February inspection.
Fair City Health and Rehab runs 121 certified beds in Franklinton under for-profit LLC ownership, and the numbers behind its federal record are worth walking through. Nurse staffing sits at 3.68 hours per resident day against a national average of 3.86, and weekends drop roughly 20% below the home's own weekday coverage. Staff turnover hits 47.5%, slightly above the national rate, while the inspection history shows 26 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Three fines total $198,912, and the most recent inspection was March 18, 2026. If you're weighing this one for someone in your family, those are the facts to bring to a visit.
Clarkson Community Care Center runs on 1.43 nurse staffing hours per resident day, roughly 63% under the national average of 3.86, and weekends drop about 11% below its own weekday level. That thin coverage shows up in the numbers: 24 deficiencies on the current record, including three tied to abuse and one serious enough to reach harm or jeopardy, plus a $15,593 fine. The last inspection was September 3, 2025, so the record is recent. This is a small nonprofit home in Colfax County, but nonprofit status isn't protecting residents here, low staffing and repeat problems are what the federal data actually shows.
Avina Of Milwaukee runs 108 certified beds under corporate for-profit ownership, and its staffing comes in at 3.97 nurse hours per resident day, modestly ahead of the national average but thinning out on weekends, when coverage drops roughly 17% below its own weekday level. The bigger concern sits in the numbers behind that average: annual turnover of 74% against a national norm near 46%, meaning most of the people caring for residents are relatively new to the building. Its inspection record carries 80 deficiencies, including 16 tied to abuse and 5 serious enough to put residents in harm's way, plus $90,921 in fines and a one-star health inspection rating. The most recent inspection was March 2026.
Rehab At Scottsdale Village Square has real staffing depth, 5.02 nurse hours per resident day, roughly 30% above the national average, and turnover at 38.4% is better than the 45.8% norm. Weekend coverage dips only slightly, about 6% under weekdays. But the compliance record is where this home separates from the pack: 68 deficiencies, including four at the harm or jeopardy level and 35 tied to abuse. Eleven fines add up to $199,344, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. The most recent inspection was August 2025. Good staffing numbers can coexist with a troubled record; here, they do.
Dr Guy Gorman Sr Care Home has enough nurses on paper, 4.09 hours per resident day, a bit more than the national average, but the weekend dip of about 17% means the coverage isn't steady across the week. The inspection record is the real problem: 64 deficiencies, three of them serious enough to put residents in harm's way, eight tied to abuse, and $127,634 in fines. Being placed in the Special Focus Facility program means CMS has flagged this home for closer monitoring than most. That combination of thin weekend staffing and a long, serious deficiency history is what's driving the low grade, not the raw staffing number.
Dermott City Nursing Home is city-owned and holds 70 certified beds in Chicot County. On its latest inspection, dated February 27, 2025, surveyors cited 27 deficiencies, two of which rose to the level of actual harm or jeopardy to residents. There are two fines on record totaling $31,889. CMS gives the home one star out of five in all three categories, health inspections, quality measures, and staffing, meaning it sits below the national average on each. No abuse-related deficiencies appear on the current record, which is worth noting. But a government-run home with that many citations, harm-level findings, and bottom-tier staffing marks is one to ask hard questions about before you consider it.
Meadowview Healthcare and Rehab is a for-profit limited liability company home in Huntsville with 105 certified beds, and the inspection record is the first thing to know: 53 deficiencies, seven of them at harm or jeopardy level, five tied to abuse, and $18,446 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections. Staffing runs 3.25 nurse hours per resident day against a national average of 3.86, and weekends drop about 16% below the home's own weekday levels. The 5/5 quality measure score reflects resident assessment data, but it sits alongside a 1/5 inspection rating and 2/5 staffing. If you're considering this one, ask directly what changed since the May 2026 inspection.
Pine Bluff Transitional Care runs 177 certified beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average, and it thins out further on weekends, about 14% below its own weekday level, while annual turnover hits 63.7% against a national 45.8%. The inspection record shows 72 deficiencies, including two at harm or jeopardy level and five tied to abuse, with six fines totaling $97,971. CMS has placed the home in its Special Focus Facility program, and the most recent inspection was April 9, 2026.
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?