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
Pink Bud Home For The Golden Years has real staffing depth, 4.81 nurse hours per resident day, about a quarter above the national average, and that's the one clear strength here. The rest of the picture is harder. State inspectors have cited 17 deficiencies, including two at the harm or jeopardy level and three tied to abuse, and the federal government has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled nursing homes. Staff turnover runs slightly above the national rate, weekend coverage drops about 18% below weekday levels, and a $28,561 fine sits on the record. The most recent inspection was May 2025.
Murfreesboro Rehab and Nursing is a 66-bed for-profit home in Pike County, and the numbers that stand out are the inspection ones. Twenty-two deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, are what put it in CMS's Special Focus Facility program, a status reserved for homes with a persistent pattern of serious problems. Its staffing sits at 3.68 nurse hours per resident day, about 5% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage is weakest when families tend to visit. The last inspection was in January 2026, so the record is recent rather than stale.
Santa Anita Convalescent Hospital has 391 certified beds and enough nursing hours per resident to clear the national average by about 10%. But that staffing number is the strongest thing in its file. Turnover runs 41.1%, and weekends drop roughly 6% below its own weekday coverage. The inspection record is where it falls apart: 179 deficiencies, 9 of them at harm or jeopardy level and 19 tied to abuse, with CMS fines totaling $234,187. Federal regulators have placed it in the Special Focus Facility program, and the most recent inspection was May 8, 2025. A corporate-owned home with that citation history needs close, specific questions before you consider it.
Golden Rose Care Center has 99 certified beds and enough nurses on paper, 4.41 hours per resident day, roughly 14% above the national average, but the inspection record tells a different story. The current file lists 129 deficiencies, including four at the level where residents were actually harmed or put in jeopardy, and ten tied to abuse. State and federal surveyors fined this for-profit corporate home 22 times for a total of $175,941.
Staffing holds up better than most on turnover, at 43.1% against a national 45.8%, though weekend coverage drops about 7% below its own weekday levels. The last inspection was June 5, 2025. A 1-out-of-5 health inspection rating with that many harm-level findings is the number that matters most here.
Avalon Villa Care Center is a 131-bed for-profit home in Los Angeles, and its record is one of the heaviest in the federal system: 132 deficiencies on file, three of them serious enough to put residents in harm's way, and ten tied to abuse. Those numbers, plus $111,937 in fines, are why CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of persistent problems. Nurse staffing sits just under the national average, weekends run about 5% leaner than weekdays, and nearly half the staff turned over last year. The good quality-measure score doesn't offset an inspection record like this.
Inland Valley runs 221 beds in Pomona under for-profit LLC ownership, and its staffing numbers are genuinely better than most: 4.60 nurse hours per resident day, roughly 19% above the national average, with weekend coverage holding within about 4% of weekdays. Turnover sits at 27.8%, well under the 45.8% national figure. The problem is everything else. That staffing hasn't translated into safe care, 197 deficiencies on the current record, seven of them at harm or jeopardy level and six tied to abuse, plus four fines totaling $204,818. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the most recent inspection was August 2025. Good ratios can't offset a record like that.
Nurse staffing at Hyde Park Healthcare Center runs about 4.35 hours per resident day, roughly 13% above the national average of 3.86, but that's the one number here that looks good. The rest is harder: 64.6% annual turnover against a 45.8% national average means nearly two-thirds of the nursing staff left within a year, and weekend coverage drops about 9% below the home's own weekday level. On the current record are 91 deficiencies, including 4 at the harm or jeopardy level and 10 related to abuse, plus five fines totaling $264,318. A 1-out-of-5 inspection rating and a 2-out-of-5 on quality measures rounds it out.
Sunnyside Nursing Center runs 299 certified beds in Torrance under nonprofit corporate ownership, and the staffing numbers are the one bright spot: 4.94 nurse hours per resident day, roughly 28% above the national average of 3.86. That staffing comes with churn, 52.2% annual turnover against a 45.8% national figure, and it thins out on weekends, dropping about 12% below the home's own weekday level.
The inspection record is where the real weight sits. Eighty-seven deficiencies are on file, nine of them at the harm or jeopardy level and four tied to abuse, drawing five fines totaling $214,020. CMS has placed Sunnyside in its Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The most recent inspection was April 10, 2026.
The Lodge At Red Rocks carries 64 deficiencies on its current record, and 8 of those reached harm or jeopardy level. Seven are abuse-related. That's the kind of pattern that put this home in CMS's Special Focus Facility program, and the inspection history backs it up, 1 out of 5 stars on health inspections, with four fines totaling $144,259. Staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average, and weekends drop about 12% below the home's own weekday coverage. Ownership is a for-profit limited liability company. The quality measure rating is 3 out of 5, but that's the one bright spot in an otherwise rough picture.
Autumn Lake Healthcare at Windsor runs 108 certified beds under corporate ownership, and the staffing numbers are the first thing that stand out. At 3.34 nurse hours per resident day, it sits about 14 percent under the national average of 3.86, and weekends dip roughly 6 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover lands at 50.6 percent against a national 45.8 percent, which means the aides and nurses caring for your relative are likely to change often over a year. On inspections, the record shows 53 deficiencies, including one at the harm level and six tied to abuse, plus $190,822 in fines across two penalties. The most recent inspection was March 11, 2026.
New London Sub-Acute And Nursing carries 83 deficiencies on its current record, and the ones that matter most are serious: 10 at the harm or jeopardy level and 11 tied to abuse. That record, plus six fines totaling $92,590, put the Waterford home in CMS's Special Focus Facility program, a designation reserved for the country's poorest performers. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 9% thinner than weekdays. Annual turnover of 42.6% is slightly better than the national figure, and the most recent inspection was in March 2025. The company is a for-profit limited liability company.
Grandview runs 4.00 nurse hours per resident day, a bit above the national average, so the raw staffing number looks fine at first glance. The problem is who's actually there from one week to the next: turnover is 64.1% against a national 45.8%, and weekends run roughly 10% thinner than weekdays. On top of that, CMS has cited 71 deficiencies, six at harm or jeopardy level and 17 abuse-related, with $485,942 in fines across five penalties, and the home sits in the Special Focus Facility program. That program is reserved for the country's most persistently troubled homes, and a 2025-07-24 inspection keeps it current rather than resolved.
Noble Horizons runs a tale of two report cards. Its staffing numbers look strong on paper, 3.74 nurse hours per resident day, close to the national average, with a five-star CMS staffing rating. Turnover sits at 35.5%, well below the national 45.8%, which suggests people stay. But the inspection record is where things fall apart: 51 deficiencies on file, five of them at the harm or jeopardy level and four tied to abuse. Three fines totaling $62,302 have been levied, and the most recent inspection, in February 2026, wasn't long ago. Weekend coverage runs about 9% thinner than weekdays. A nonprofit corporation owns the 91-bed home. Strong retention can't offset that many serious findings.
Bickford Health Care Center in Windsor Locks has a staffing rating of one out of five stars, and the health inspection record is the same, one star. That's not a snapshot problem: the home carries 100 deficiencies, five of them serious enough to cause harm or put residents in immediate jeopardy, and ten tied to abuse. Federal fines total $122,338 across three penalties, and CMS has placed the home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes. The quality measure rating sits at three stars, but strong clinical numbers can't offset a staffing shortfall and an inspection history this deep. If you're considering this home, ask directly what's changed since the January 2026 inspection.
Encore At Parkside has 53 deficiencies on its current record, three of them at the harm or jeopardy level and two tied to abuse. That's the number that matters most here, because CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The inspection star rating sits at 1 out of 5, and the last survey was in January 2026. Nurse staffing runs 3.51 hours per resident day, about 9% under the national average, with weekends roughly 14% thinner than weekdays. Staff turnover is 38.9%, better than the 45.8% national figure, and ownership changed within the past year.
State-run and sitting in Smyrna, this home has 175 certified beds and a nursing staff that's roughly two and a half times the national average, 10.25 hours per resident day against 3.86. Turnover runs 17.5%, well under the national 45.8%, though weekend coverage dips about 17% below its own weekday level. Those numbers sit alongside a harder fact: 11 deficiencies on the current record, three of them serious enough to put residents at risk of harm, plus two fines totaling $59,947, and CMS has placed the home in its Special Focus Facility program. The last inspection was January 9, 2026.
Aviata At North Florida carries 38 deficiencies on its current record, seven of them serious enough to involve harm or jeopardy, and three tied to abuse. That's the number that should stop you. The federal government has placed this Gainesville home in its Special Focus Facility program, a designation reserved for the worst-performing nursing homes, and $241,139 in fines across three actions backs that up. Staffing sits at 3.69 hours per resident day, a bit under the national average, and weekends drop below its own weekday levels. Annual turnover of 60.5% means most of the people caring for residents this year won't be there next year. One star for health inspections, with the last visit in June 2026.
Ansley Cove is a 39-bed for-profit home in Maitland, and the numbers behind its grade are worth walking through slowly. Staffing sits at the lowest federal rating, and turnover runs at 59%, well above the 45.8% national average, which means the people caring for your family member are cycling out faster than they can learn the job. The inspection record is the heavier problem: 37 deficiencies, 7 of them at harm or jeopardy level, 5 tied to abuse, and $197,672 in fines across four citations. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Its last inspection was July 2025, so the picture is current, not old.
Archbold Living Camilla is owned by Mitchell County, and that government status hasn't shielded it from scrutiny: CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The inspection record backs that up, 39 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a one-star health inspection rating. Staffing tells a different story, at four stars, though the 3.16 nurse hours per resident day still falls about 18% under the national average, with weekends running about 12% thinner than weekdays. Turnover sits at 48.7%, above the national rate.
Crestview runs 388 certified beds on 2.71 nursing hours per resident day, roughly 30% under the national average of 3.86. Weekends drop another 11% below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.2% against a national 45.8%, meaning more than half the nursing staff leaves each year, and the ones who stay are stretched thin. The inspection record shows 22 deficiencies, including three at harm or jeopardy level and six tied to abuse. CMS has placed the home in its Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems. Its last inspection was June 5, 2025.
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?