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
The nurse staffing numbers at this 200-bed Brunswick home are where I'd start: 3.04 hours per resident per day against a national average of 3.86, and weekends run about 9% thinner than weekdays, which is when families tend to visit and notice. Annual turnover of 66.4% sits well above the 45.8% national figure, so the people providing care change often. Inspectors have cited 38 deficiencies, six of them at the level where harm or jeopardy to a resident occurred and three tied to abuse, with two fines totaling $16,801 on record. The most recent inspection was July 29, 2025. The quality measure score of 4 out of 5 looks strong on paper, but the staffing and inspection results point a different direction, and that gap is worth asking about directly.
Kuakini Geriatric Care is a 187-bed nonprofit in Honolulu with a serious split in its record. The staffing numbers aren't the problem: 3.43 nurse hours per resident day sits about 11% under the national average, but turnover is 26.1% against a national 45.8%, and CMS gives staffing four stars. The inspection side is where it falls apart, 55 deficiencies on the current record, three at harm or jeopardy level and two tied to abuse, plus $83,236 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Hale Malamalama runs 40 beds in Honolulu under corporate for-profit ownership, and its staffing numbers are genuinely above average, 4.18 nurse hours per resident day against a national 3.86, though weekend coverage dips about 10% below its own weekday level. Turnover sits at 51.2%, higher than the 45.8% national figure. What pulls the picture down is the inspection record: 43 deficiencies, three at harm or jeopardy level and three abuse-related, with $87,032 in fines and a spot in CMS's Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was September 27, 2024. Strong quality scores don't cancel out that history.
Nurse staffing here runs 5.67 hours per resident day, about 47% above the national average of 3.86, which is a real point in its favor, and turnover at 40% is slightly better than the 45.8% norm. But weekends dip roughly 12% below the home's own weekday coverage, so the care you see on a Tuesday isn't guaranteed on a Sunday. The inspection record is the problem: 56 deficiencies, including one at the harm level and three tied to abuse, plus an $89,206 fine, against a 1-out-of-5 health inspection rating. The last inspection was May 2026. Strong staffing can't offset that pattern on its own.
Fair Havens runs 154 beds in Decatur under for-profit LLC ownership, and the numbers that matter most here are the ones CMS flags hardest. Its health inspection rating sits at 1 out of 5, with 93 deficiencies on the current record, 9 of them at harm or jeopardy level and 17 tied to abuse. Four fines total $277,416, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Nurse staffing runs just below the national average at 3.73 hours per resident day, weekends drop about 15% below weekdays, and turnover hits 51.9% against a 45.8% national figure. The December 2025 inspection is recent.
Claridge Healthcare Center is a 231-bed for-profit home in Lake Bluff, and its record with CMS is about as bad as it gets. Seventy deficiencies on the current inspection record, seven of them at the level where a resident was actually harmed or put in immediate jeopardy, and twelve tied to abuse. Staffing sits at one out of five stars, well below what CMS expects for a building this size, and the quality measure score is barely better at two. Three fines totaling more than $241,000, and CMS has placed it in the Special Focus Facility program, the designation reserved for the poorest performers in the country. The most recent inspection was June 6, 2024. When you tour, ask directly how they're addressing the abuse findings and what staffing looks like on nights and weekends.
Little Village runs on 2.37 nurse hours per resident day, roughly 39% under the national average, and weekends drop about 27% below what the home itself staffs on weekdays. That thin coverage sits behind a record of 51 deficiencies, nine of them at harm or jeopardy level and 11 tied to abuse, plus a $54,464 fine and a December 2024 inspection. Turnover, at 33.3%, is actually better than the 45.8% national figure, so the problem here isn't retention, it's how few hands are scheduled against a for-profit, limited-liability operation where federal ratings land at 2/5 for inspections and 1/5 for both quality measures and staffing.
Pleasant Meadows runs about 18% below the national average on nurse staffing, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover sits near 59% against a national 45.8%, meaning the aides and nurses around your relative are likely to keep changing. The inspection record is where it gets hardest to explain away: 89 deficiencies, 14 serious enough to involve harm or jeopardy, and 14 tied to abuse. Five fines total $400,084. The quality star says 4, but that score comes from resident assessments, not from whether the building is adequately staffed or kept in compliance.
Cisne Rehabilitation and Health Care Center runs 35 beds in Wayne County under corporate for-profit ownership, and its inspection record is the main thing to know: 27 deficiencies on file, six of them serious enough to cause harm or jeopardy, three tied to abuse. Three fines add up to $87,202. Staffing hours land at 3.87 per resident day, right on the national average of 3.86, but weekend coverage drops about 11% below the home's own weekday levels, and turnover sits at 45.5%, essentially the same as the national rate. CMS gave all three of its star ratings a 2 out of 5. The most recent inspection was June 6, 2025.
Brownsburg Health Care Center runs 160 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.55 nurse hours per resident day, it sits about 8% under the national average, weekend coverage drops roughly 11% below its own weekday level, and nearly 60% of staff turned over in a year against a national rate near 46%. Inspectors have cited 44 deficiencies, including one at the harm level and four tied to abuse, with a $31,540 fine on record. CMS has placed the home in its Special Focus Facility program, and its last inspection was January 13, 2026. Families should ask directly how the home is fixing staffing and oversight.
Plainfield Health Care Center runs 189 beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.22 nurse hours per resident per day, about 17% under the national average, with weekends running roughly 12% lighter than weekdays. Annual turnover sits at 61.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 56 deficiencies, four of them serious enough to put residents in harm's way and six tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. One fine of $31,852 is on record. The last inspection was May 21, 2026.
Castleton Health Care Center runs on thin staffing. At 3.28 nurse hours per resident day, it sits about 15% under the national average, with weekends roughly 10% lighter than weekdays. Annual turnover hits 67.8% against a national 45.8%, so the people caring for your relative are often new and still learning the building.
The inspection record is the harder problem: 59 deficiencies, two serious enough to involve harm or jeopardy, six tied to abuse, and CMS has placed this corporate-owned Indianapolis home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. A recent September 2025 inspection means the state is watching closely, but the pattern behind those numbers is what matters.
Newburgh Health and Rehab runs 114 certified beds under corporate for-profit ownership, and the staffing picture is genuinely mixed. Total nurse coverage sits at 4.31 hours per resident day, roughly 12% above the national average, but weekends drop about 15% below the home's own weekday level, and annual turnover hits 51.5% against a national 45.8%. That combination, decent average hours, thinner weekends, half the staff leaving each year, matters more than the headline number. The inspection record is the harder read: 34 deficiencies on file, one abuse-related, and a 1-out-of-5 health inspection rating, even though quality measures score 4 out of 5 and the last inspection was recent, in April 2026. Ask about weekend coverage and what's changed since that survey before deciding.
Cardinal Care Strategies has enough aides and nurses on paper, 4.27 hours per resident day, roughly 11% above the national average, but those hours are spread across a workforce that nearly completely turns over each year. At 98.7% turnover, almost every caregiver you meet in January is gone by the next, and weekends run about 7% thinner than weekdays. The inspection record is where the trouble concentrates: 57 deficiencies currently on file, three serious enough to endanger residents, and 18 tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The most recent inspection, in January 2026, produced a health rating of 1 out of 5, matching its quality score.
Majestic Care of Goshen runs 186 beds under for-profit LLC ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average, and weekends drop about 19 percent below what the home staffs on weekdays, so the coverage gap widens exactly when families tend to visit. Staff turnover at 56.1 percent runs well above the 45.8 percent national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The inspection record is the heaviest weight: 77 deficiencies, 9 tied to abuse and 2 at harm or jeopardy level, with the most recent inspection in January 2025. The quality measure score looks better, but it sits on top of a staffing and compliance picture that doesn't hold up.
Brookside Care Strategies runs 42 beds in Muncie, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 2.69 hours per resident day, roughly 30 percent under the national average, and the trouble isn't spread evenly: weekend coverage actually runs about 8 percent above the home's own weekday level, which tells you the weekday floor is the weak spot. The deficiency record is heavy: 54 citations on file, six of them serious enough to involve harm or jeopardy, 15 tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care, and the most recent inspection was May 21, 2026.
Pine Acres holds 140 certified beds in West Des Moines under for-profit LLC ownership, and the nurse staffing figure, 3.84 hours per resident day, sits roughly even with the national average, though weekends run about 7% thinner than weekdays. The record is where the trouble shows: 85 deficiencies, nine of them at harm or jeopardy level and three abuse-related, plus $353,109 in fines across three CMS actions. Staff turnover is 56.9% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently poor performers. The last inspection was January 8, 2026.
Chapters Living Of Council Bluffs has real staffing strength, 4.88 nurse hours per resident day, well above the national average, though weekends run thinner than weekdays. The inspection record tells a different story: 68 deficiencies, including nine tied to abuse and one serious enough to put residents in harm's way, plus a $163,800 fine. That combination landed it in CMS's Special Focus Facility program, which is reserved for the country's most troubled homes. A recent inspection in January 2026 means the state is watching closely. For families weighing this one, the question isn't whether aides are present, it's what those inspections keep finding.
Adel Acres is a 50-bed for-profit home in Dallas County, and the numbers there split in two directions. The care itself measures well, a 4 out of 5 on quality measures, but the staffing behind that care runs thin: 3.02 nurse hours per resident day, roughly 22 percent under the national average, and weekends drop about 19 percent below the home's own weekday level. Inspections tell the harder story. The current record carries 44 deficiencies, five serious enough to involve harm or jeopardy, three tied to abuse, plus one fine of $16,544. The last inspection was in April 2025. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.
Northbrook Healthcare and Rehabilitation Center runs 130 certified beds under for-profit LLC ownership, and the numbers worth your attention start with staffing. At 3.14 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop about 11% below its own weekday levels, with annual turnover at 56.8% against a national 45.8%. Inspections tell a harder story: a 1-out-of-5 health inspection rating, 53 deficiencies on the current record, three at harm or jeopardy level, two tied to abuse, and one fine totaling $38,787. The most recent inspection was August 2025. Quality measures rate mid-range, but staffing and inspection history are where the concerns concentrate.
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?