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
Southside Care Center is a 17-bed for-profit home in Minneapolis that Medicare has flagged for its Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The record backs that up: 62 deficiencies, including two at the harm or jeopardy level and two tied to abuse, alongside a one-star health inspection rating. Nurse staffing sits at 2.13 hours per resident day, roughly 45% under the national average, and weekends run about 7% thinner than weekdays. The quality measure rating looks better at four stars, but that's self-reported data, and it doesn't offset a staffing and inspection picture this thin.
Edgewood Health & Rehabilitation has more nursing hours per resident than most homes in the country, 5.36 per day against a national average of 3.86, but that's the strongest thing in its data. The current inspection record carries 47 deficiencies, 16 of them at harm or jeopardy level and 8 involving abuse, with nine fines totaling $123,043. Staff turnover sits at 59.8% versus 45.8% nationally, and weekend coverage drops about 19% below weekday levels. CMS has placed this for-profit, 119-bed home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes. Its last inspection was August 2024.
Beth Haven has one genuinely good number: 4.61 total nurse hours per resident day, roughly 19% above the national average of 3.86. That's where the good news stops. CMS has placed this Hannibal home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the inspection record explains why, 81 deficiencies, five of them at harm or jeopardy level, 12 abuse-related, and six fines totaling $70,743. All three CMS star ratings sit at 1 out of 5, and the most recent inspection was February 2025, so this isn't a stale picture. Weekend staffing also dips about 7% below weekday levels. Corporate-owned, 105 beds. Staffing hours alone don't offset an inspection and quality record like this.
Beloved Health and Rehabilitation Center in Hannibal is a for-profit, individually owned home with 111 certified beds, and the numbers behind its record are hard to read past. Nurse staffing runs 2.79 hours per resident day, roughly 28% under the national average, and weekends drop about 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Its inspection history is the bigger concern: 133 deficiencies on the current record, 15 of them serious enough to put residents at risk of harm or jeopardy, 9 tied to abuse, and $279,380 in federal fines across three penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The last inspection was November 27, 2024.
Lawrence County Manor reports 0.39 total nurse staffing hours per resident day, roughly a tenth of the national average of 3.86, and weekends run about a third thinner than weekdays already are. Staff turnover sits at 93.3% against a national 45.8%, meaning the people who do show up are largely new. The inspection record shows 32 deficiencies, including one at the harm level and six tied to abuse, with a single fine of $13,762 and a health inspection rating of 1 out of 5. County ownership doesn't change any of that. If you're considering this home, the staffing numbers are the ones to ask about directly.
Cascades At Skyview has 48 certified beds and a staffing figure that looks decent on paper, 4.08 nurse hours per resident day, about 6% above the national average. But the weekends run roughly 14% thinner than weekdays, and annual turnover sits at 75.5% against a national norm of 45.8%, so that average is being held up by a workforce that keeps leaving. The inspection record is the bigger problem: 46 deficiencies on file, five of them at harm or jeopardy level and three tied to abuse, with $141,424 in fines and a place in CMS's Special Focus Facility program.
Tlc Care Center runs 255 beds in Henderson under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, about 9% under the national average of 3.86, with weekends roughly 7% thinner than its own weekdays. Turnover is 38.7%, actually better than the 45.8% national figure, so the concern here isn't retention so much as raw hours on the floor. The bigger signal is the inspection record: 61 deficiencies, including one at the harm level and four tied to abuse, with two fines totaling $20,719. Regardless of the staffing stars, that history of harm-level and abuse citations is what a family should weigh hardest when deciding whether this is the right place.
Pleasant View Center runs 176 certified beds in Concord under for-profit limited liability ownership, and the numbers raise real questions. Nurse staffing sits at 3.78 hours per resident day against a national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. Annual turnover hits 68% while the national figure is 45.8%, that churn matters when aides and nurses are the people doing daily care. The current record carries 43 deficiencies, including one at the harm or jeopardy level and six tied to abuse, plus two CMS fines totaling $12,982. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Courville At Manchester runs a for-profit LLC with 76 beds, and the staffing numbers look strong on paper: 4.18 nurse hours per resident day, roughly 8% above the national average, with turnover at 43.6%, slightly better than the 45.8% norm. Weekends thin out about 11% below weekday coverage, which is where gaps tend to show up. The trouble sits in the inspection record. Twenty deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $35,270 in fines and a spot in CMS's Special Focus Facility program, which is reserved for homes with a pattern of serious problems. The most recent inspection was February 2026. Good staffing hasn't translated into safe care here.
Bedford Nursing & Rehabilitation Center runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about another 10% under its own weekday level. Fifteen deficiencies sit on its current record, including one at the harm or jeopardy level, though none involve abuse, and CMS has placed the home in its Special Focus Facility program after a December 2025 inspection. Staff turnover of 39.5% is actually better than the 45.8% national figure, and the 4/5 quality measure rating suggests some clinical care is tracked well. The catch is that 1/5 inspection rating, when federal inspectors find harm-level problems and flag a home for focused oversight, the daily staffing numbers matter more than the quality score.
Belle Care is a 106-bed for-profit home in Trenton that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The record backs that up: 75 deficiencies, seven of them serious enough to put residents in harm's way, and ten tied to abuse. Nurse staffing sits about 18% under the national average, weekend coverage drops further, and more than half the nursing staff turned over in a year. A four-star quality measure score doesn't offset inspection and staffing ratings of one and two. If you're considering this home, ask hard questions before you sign anything.
Crystal Lake runs 235 beds in Bayville under for-profit LLC ownership, and the staffing numbers are thin: 3.50 nurse hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekdays. That shortfall matters more given what inspectors have found, 55 deficiencies on record, 10 of them at harm or jeopardy level and 9 abuse-related, plus four CMS fines totaling $418,269. Annual turnover sits at 54.4%, well above the 45.8% national figure, so the people providing care keep changing. CMS has placed the home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. The most recent inspection was May 8, 2025.
Masonic Village at Burlington runs on a contradiction. The nursing hours are genuinely high, 5.24 per resident day, roughly a third more than the national average, and CMS gives it top marks for staffing. But inspections tell a different story: 14 deficiencies on record, six of them serious enough to endanger residents, three tied to abuse, plus $178,446 in fines and a spot in the federal Special Focus Facility program, which CMS reserves for the worst-performing homes. Turnover sits at 46%, about even with the national rate, and weekend coverage drops roughly 11% below weekday levels. Quality scores look strong at 4 out of 5, but a home with three abuse citations and active federal monitoring has problems that staffing numbers alone don't fix.
Whiting Gardens runs 200 beds, and its recent inspection history is the part that worries me most. Forty deficiencies on the current record, ten of them serious enough to involve actual harm or jeopardy, plus five tied to abuse, that pattern is why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Nurse staffing sits at 3.09 hours per resident day, roughly a fifth below the national average, and weekends drop another 11 percent below its own weekdays, so coverage thins exactly when families tend to visit. Turnover at 43.7 percent is slightly better than average, but four fines totaling $235,564 tell you the state has been watching closely.
The Fountains of Atco reports 7.70 nurse hours per resident day, roughly double the national average of 3.86, but that staffing number comes with real caveats. Weekend coverage drops about 10% below weekday levels, and CMS still rates staffing just 2 out of 5, with an inspection record of 1 out of 5 behind it. That record includes 34 deficiencies, two at harm or jeopardy level and two abuse-related, plus $153,458 in fines across two penalties. The quality measure score sits at 4 out of 5, which reflects resident health outcomes rather than the home's compliance history. CMS has placed this for-profit, individually owned 60-bed home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Trenton Gardens is a 215-bed for-profit home in Mercer County, and the number that should stop you is 47 deficiencies on its current record, 7 of them serious enough to put residents in harm's way, 3 tied to abuse. That's why CMS has it in the Special Focus Facility program, the agency's watch list for the homes with the worst sustained records, and why it carries $325,922 in fines. Nurse staffing runs 3.27 hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels. Turnover at 36% is actually better than the 45.8% national figure, so the problem isn't retention, it's what's happening on the floor.
Verrazano Nursing and Post-Acute Center runs on 2.68 nurse hours per resident per day, roughly a third less than the national average, and weekend coverage drops about 10% below its own weekday level. Staff turnover sits at 58.3%, well above the 45.8% national figure, so the people caring for residents are changing often. The current record shows 17 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus 13 fines totaling $130,902. Inspectors were last on site in March 2025. Corporate-owned and 120 beds, this is a home where the inspection and quality scores look steadier than the daily staffing picture underneath them.
Tolstoy Foundation Rehabilitation and Nursing Center is a 96-bed nonprofit in Rockland County sitting in CMS's Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The current inspection history backs that up: 45 deficiencies, two of them at the harm or jeopardy level and eight abuse-related, plus a single $126,470 fine. One recent inspection, in September 2025, doesn't erase a pattern like that.
Staffing sits right at the national mark, 3.83 hours per resident day against 3.86, though weekends run about 12% thinner than weekdays. Turnover is genuinely better than average, 35.5% versus 45.8%, and the quality measure rating is a middling 3/5. But the inspection rating is 1/5, and that's the number that matters most here.
The Eleanor Nursing Care Center runs on 2.67 nurse staffing hours per resident day, roughly a third below the national average, and weekends are thinner still. Its inspection record is the real story: 83 deficiencies, including one at the harm level and five tied to abuse, plus a $132,957 fine. Those numbers put it in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Turnover at 30.2% is actually better than the national average, which suggests the trouble here isn't a churning workforce so much as too few hands on the floor and a long history of failed inspections.
Livingston Hills is a for-profit home in Columbia County with 120 certified beds, and the numbers behind its record deserve a close look. Nurse staffing sits at 1.85 hours per resident day, roughly half the national average of 3.86, and weekend coverage drops about 16% below its own weekday level, while annual turnover runs 52.9% against a national 45.8%. Its inspection history is heavy: 73 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, plus an $89,794 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
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?