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 Shepherd's Center is small, 28 beds, and it's a nonprofit, but that hasn't kept it out of trouble. CMS has it in the Special Focus Facility program, which is reserved for homes with a pattern of serious problems, and the inspection record backs that up: 26 deficiencies, three of them at harm or jeopardy level, three abuse-related, plus a $13,627 fine. Staffing tells two stories. The federal formula gives it top marks, yet the actual hours per resident land about 19% under the national average, and weekends run thinner still. Turnover sits at 58.1%.
Kearny County Hospital Ltcu is a 40-bed county-owned home in Lakin, and the federal numbers are hard to read past. Inspectors have cited 43 deficiencies on the current record, two of them serious enough to put residents in harm's way, and the staffing rating sits at the bottom of CMS's scale, well below what the government considers adequate. The result: 8 fines totaling $69,565, and a place in the Special Focus Facility program, which CMS reserves for the homes with the most persistent problems. The last inspection was in October 2024, so that record is current, not stale. County ownership here doesn't translate into better care. If you're considering this home, ask what's changed since that inspection.
Bourbon Heights sits in Paris, Kentucky, licensed for 99 beds and run as a nonprofit. The staffing numbers look strong on paper, 4.74 nurse hours per resident day, well above the national average, but that average comes with a catch: weekend coverage drops about 13% below weekday levels, and nearly 58% of staff turned over in the past year. The inspection record is the real concern. Twenty-nine deficiencies on file, eleven of them serious enough to put residents in harm's way, three tied to abuse, plus two fines totaling nearly $58,000. CMS has placed this home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Rosewood Nursing Center runs about 3.34 nursing hours per resident per day, roughly 14% under the national average, and weekends dip another 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 52.2%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. On the current record: 20 deficiencies, three serious enough to involve harm or jeopardy, one tied to abuse, and $47,585 in fines across three penalties. The last inspection was March 4, 2026. For-profit, limited liability ownership, 150 beds.
Town & Country Health & Rehab runs 124 certified beds in Minden under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, a bit under the national average, with weekends running roughly 17% thinner than weekdays. The inspection record is the real problem: 12 deficiencies, two of them at harm or jeopardy level and one abuse-related, plus a single CMS fine that reached $322,647. Staff turnover is 22.6%, well below the national 45.8%, which suggests the workforce here is comparatively stable. So you're looking at a home where the people side holds up, but the state's most recent look, in May 2025, turned up serious findings.
Luling Living Center runs 117 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.65 hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 16% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. The inspection record is the harder part: 16 deficiencies, two of them serious enough to reach harm or jeopardy level, plus a single fine of $38,465. No abuse-related citations appear. The most recent inspection was March 25, 2026. Quality measures score well, but that one-star health inspection result and the weekend staffing gap are what pull the overall picture down.
Waterville Center for Health and Rehab has enough nurses on paper, 4.83 hours per resident day, roughly 25% above the national average, but the care record tells a different story. State and federal inspectors have cited 45 deficiencies, including four at the level where residents were actually harmed or put in immediate jeopardy and five tied to abuse. That's why CMS has placed this home in its Special Focus Facility program, the agency's watchlist for the country's most troubled nursing homes, and why a single fine has already reached $83,038. Staff turnover sits at 50.4% against a national average of 45.8%, and weekend coverage drops about 8% below weekday levels. Ownership is a for-profit limited liability company. The most recent inspection was August 28, 2025.
Pine Knoll runs on 3.39 nursing hours per resident per day, roughly 12 percent under the national average, and weekend staffing drops about 5 percent below what it manages on weekdays, so the thinnest coverage lands when families tend to visit and when fewer eyes are watching. The inspection record backs that up: 82 deficiencies, 12 of them serious enough to involve harm or jeopardy, 4 tied to abuse, and $568,747 in federal fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. The most recent inspection was March 2026.
Saugus Center is a for-profit LLC with 80 certified beds, and the numbers that stand out most are on the inspection side. Sixty-six deficiencies sit on its current record, six of them serious enough to cause harm or put residents in jeopardy, plus two tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems, and there's $65,946 in fines across two penalties. Staffing runs about 3.17 nurse hours per resident day, roughly 18% under the national average, though turnover at 30% is actually better than the 45.8% norm. The last inspection was June 2025.
The Gardens At Country runs 86 certified beds in Swansea under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86. Weekend coverage dips about 5 percent below what the home provides on weekdays, so the thinnest shifts get even thinner. The inspection record is the harder read: 58 deficiencies, one tied to abuse, and four fines totaling $24,635, with the most recent inspection in June 2025. All three CMS star categories, health inspections, quality measures, staffing, land at 1 out of 5. If you're weighing this one, ask specifically how weekends and abuse-prevention training are handled.
Mill Town Health and Rehabilitation runs on thin staffing: 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop another 8% below its own weekday level. That's the kind of gap families feel on a Saturday afternoon when a call light goes unanswered. The inspection record is heavier still, 61 deficiencies, five serious enough to put residents in harm's way, seven tied to abuse, and $239,585 in fines against a for-profit LLC. Staff turnover sits at 52.8%, so the people caring for your relative are often new and still learning the building. If you're considering this one, ask hard questions about weekend coverage and how they've fixed the abuse findings.
Bayside Village is a 59-bed nonprofit home in L'Anse that CMS has placed in its Special Focus Facility program, the designation reserved for the homes with the most persistent compliance problems. The record backs that up: 47 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, plus $176,157 in fines across two penalties. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends, about 11 percent below the home's own weekday level. Inspection and quality measure ratings both come in at the bottom of CMS's scale.
Pinnacle Care of Battle Creek runs 82 certified beds as a for-profit partnership, and its nurse staffing sits at 1.78 hours per resident day against a national average of 3.86, roughly half the typical level, with weekends about 3% thinner than weekdays. The inspection record carries 111 deficiencies, including four at harm or jeopardy level and eight tied to abuse, plus two fines totaling $133,946; CMS has placed the home in its Special Focus Facility program, and the most recent inspection was May 12, 2025. Its quality measure stars look strong at 5/5, but that score sits alongside 1/5 marks for health inspections and staffing, which tells you where the real trouble lies.
Greentree of Hubbell runs 55 beds as a for-profit, individually owned home, and the numbers carry more weight than any single rating. Nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average, and weekends drop about 16% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Its inspection record is the real concern: 66 deficiencies, three at harm or jeopardy level, two tied to abuse, and $59,940 in fines. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor inspections. Turnover, at 43.8%, is slightly better than average, and the quality measure score is strong, but those don't offset a supervision and safety record this troubled.
Franklin Restorative Care Center runs on 3.19 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends dip about 7 percent below its own weekday level. That thin margin matters more here because turnover sits at 64.8 percent against a national 45.8 percent, so replacements are constantly learning residents who need consistency. The inspection record is where the trouble concentrates: 37 deficiencies, including one at harm or jeopardy level and four tied to abuse, with the most recent survey in May 2025. Corporate for-profit ownership, 40 beds, and staffing that earns a single star tell you where the pressure points are.
Nurse staffing here runs about 24% above the national average, and turnover is lower than most homes, 34.7% against 45.8% nationwide. That matters, because consistent caregivers usually mean better daily care. But the inspection record tells a different story: 159 deficiencies, 12 of them serious enough to put residents in harm's way, 8 tied to abuse. Eight fines total $174,044, and CMS has placed the home in its Special Focus Facility program, a status reserved for the most persistently troubled buildings. It was last inspected in June 2026. Good staffing can coexist with serious compliance problems. Ask to see the plan of correction and how the abuse-related findings were resolved.
Olivia Restorative Care Center has enough nurses on paper, 3.62 hours per resident day, close to the national figure, but that staffing thins out on weekends, running about 12% below its own weekday level. The bigger problem is what inspectors found: 40 deficiencies on the current record, six serious enough to put residents in harm's way and five tied to abuse. That's why CMS placed this 60-bed for-profit home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. Staff turnover of 58.7% means the people providing care keep changing, which matters when residents need consistent attention. Inspectors were last on site in July 2025.
Wabasso Restorative Care Center runs 44 beds under for-profit LLC ownership, and its staffing sits at 3.15 nurse hours per resident day, roughly 18% under the national average, with weekends about 8% thinner than weekdays. Turnover is 37.9%, better than the 45.8% national figure, so the people who stay seem to stay. What pulls the record down is the inspection side: 69 deficiencies on file, including 6 at harm or jeopardy level and 11 tied to abuse, plus a $19,135 fine and a spot in CMS's Special Focus Facility program, which is reserved for the homes with the most persistent problems. The most recent inspection was January 14, 2026.
Park River Healthcare and Rehabilitation Center in Coon Rapids is a for-profit, individually owned home with 98 certified beds, and the numbers pull in two directions. Nurse staffing runs 4.58 hours per resident day, about 19% above the national average, and turnover at 41.7% is better than the 45.8% national figure, so there are real people on the floor, though weekend coverage dips roughly 6% below its own weekday level. The trouble sits in inspections: a 1-out-of-5 health inspection rating, 41 deficiencies on the current record, three at harm or jeopardy level and four abuse-related, with the most recent inspection dated April 27, 2026. Strong staffing and quality measure scores don't cancel out that inspection history.
Bywood East runs on thin staffing: 2.43 nurse hours per resident per day against a national average of 3.86, and weekends drop about 17% below its own weekday coverage. The inspection record is the bigger concern, 77 deficiencies on file, including 7 at the harm or jeopardy level and 13 tied to abuse, which is why CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. Its quality measure stars look good on paper, but those reflect resident assessments rather than the care environment itself, and a 1-star inspection rating with the most recent survey dated May 2026 tells you regulators keep finding problems. Turnover at 36.8% runs below the national figure, so the issue isn't retention, it's how few staff there are.
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?