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
Sunset Nursing and Rehabilitation Center is a 120-bed for-profit home in Boonville, and the number that should give you pause is 27 deficiencies on its current record, four of them serious enough to involve actual harm or jeopardy, and four tied to abuse. That's why CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. Nurse staffing sits at 3.45 hours per resident per day, about 11% under the national average, and weekends run roughly 10% thinner than weekdays. Staff turnover is 39.6%, which is actually better than the 45.8% national figure. The most recent inspection was June 27, 2025, and CMS has fined the home $56,261.
Grand Manor runs on thin staffing: 2.80 nurse hours per resident per day against a national average of 3.86, a gap of roughly 27%, and weekends drop about 16% below the home's own weekday level. That's the backdrop for 61 deficiencies on the current record, including 9 at harm or jeopardy level and 5 tied to abuse, plus four CMS fines totaling $563,175. The federal Special Focus Facility designation means regulators have flagged this home for sustained poor performance, and the most recent inspection was December 9, 2025. Turnover, at 40.3%, actually sits below the national average of 45.8%, one number that isn't working against it.
Premier Living And Rehab Center is a for-profit home in Lake Waccamaw with 127 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average, and weekends dip about 9% below its own weekday levels, right when families often visit. The inspection history carries 56 deficiencies, eight of them at harm or jeopardy level and three tied to abuse, with two fines totaling $383,791. CMS has placed it in the Special Focus Facility program, meaning federal regulators flag it for sustained poor performance. If you're weighing this one, ask pointed questions about the abuse citations and weekend coverage.
Tsali Care Center has real strengths on the staffing side, 6.14 nurse hours per resident day is well above the national average, and CMS gives it top marks there. But staffing alone doesn't keep residents safe. The home carries 82 deficiencies on its current record, four of them serious enough to put residents in harm's way, plus one tied to abuse, and it's been fined four times for a total of $157,555. That's why CMS placed it in the Special Focus Facility program, a designation reserved for the country's most troubled homes. Staff turnover sits slightly above the national rate, and weekend coverage dips below weekday levels. The last inspection was in August 2025.
Fuquay-Varina Health and Rehabilitation Center runs about 3.75 nurse hours per resident day, a bit under the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. That thin weekend margin matters more when turnover sits at 60% against a national rate near 46%, people are cycling through, and the ones on duty Saturday and Sunday are often the newest. The home carries 50 deficiencies on its current record, including two at the harm level and four tied to abuse, plus a $76,047 fine. Its last inspection was in April 2026, and the federal staffing rating sits at the bottom of the scale.
O'Berry Neuro-Medical Treatment Center is a state-run home in Goldsboro with 144 certified beds, and its inspection record is the part that matters most. Twenty-eight deficiencies are on the current record, eight of them at the harm or jeopardy level, and six tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and a $167,242 fine is on file. The last inspection was recent, October 9, 2025, so this isn't a stale record. Quality measures sit around the middle at 3 out of 5. If you're considering this home, ask directly what's changed since that inspection.
Rolette Community Care Center runs on decent nurse hours, 3.94 per resident day, a little above the national average, and weekends dip only about 6% below weekdays, which is steadier than many homes manage. The trouble sits elsewhere: a one-star health inspection rating, 36 deficiencies on the current record including two at the harm level, and $90,017 in fines across two penalties. Staff turnover of 53.6% outpaces the national 45.8%, meaning more than half the nursing staff leaves each year. CMS has placed this nonprofit, 31-bed home in its Special Focus Facility program, the agency's watchlist for homes with a persistent pattern of poor inspections.
The staffing hours at Wedgewood Manor look fine on paper, 3.99 per resident day, a bit above the national average, and that's likely why CMS gives it four stars there. But the numbers behind the numbers matter here: turnover runs 53.5% against a national 45.8%, and weekend coverage drops well below its own weekday level. What CMS found on inspection is worse. Twelve deficiencies on record, three serious enough to put residents in harm's way, three tied to abuse, and a $54,925 fine. A one-star inspection rating and one-star quality measures, plus placement in the Special Focus Facility program, tell you regulators are watching closely.
Highland Oaks is a for-profit home in Morgan County with 99 certified beds, and the numbers tell a split story. The quality measures CMS tracks look strong, but the inspection record is another matter: 105 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, and six tied to abuse. That inspection history is why CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Staffing sits about 5% under the national average, weekend coverage drops roughly 10% below weekday levels, and nearly half the nursing staff turns over each year.
Suburban Healthcare and Rehabilitation runs 150 beds in North Randall under for-profit LLC ownership, and the numbers that stand out most are on the staffing side. At 3.33 nurse hours per resident day, it sits roughly 14% under the national average, with weekends about 7% below its own weekday level. Annual turnover is 58.3% against a national 45.8%, so the people caring for residents change often.
The inspection record is heavier still: 67 deficiencies, six at harm or jeopardy level and one abuse-related, plus four fines totaling $94,587. The most recent inspection was March 2024. Quality measures look better than the rest of the picture, but they measure care outcomes, not whether enough consistent staff are present to deliver it.
Gardens of Mayfield Village runs 99 beds as a for-profit corporation, and the numbers that matter most here are staffing and oversight. Nurses provide 3.22 hours per resident day, roughly 17% under the national average, weekends run about 7% thinner than weekdays, and 71.2% of staff turn over in a year against a national 45.8%, so the people delivering care keep changing. The inspection record shows 106 deficiencies, five at harm or jeopardy level and six tied to abuse, with $155,225 in fines and CMS placing the home in its Special Focus Facility program. The quality measure rating is high, but that's self-reported chart data; the staffing and inspection ratings sit at the bottom.
Momentous Health At Richfield has 72 certified beds and an individual for-profit owner, and the numbers here are hard to get past. Nurse staffing sits at 3.23 hours per resident day against a national average of 3.86, roughly 16% below what residents elsewhere typically receive, while annual turnover hits 64% compared with 45.8% nationally, meaning most of the people providing daily care are new to the building within a year. The deficiency record is the bigger problem: 103 total, including 3 at the harm or jeopardy level and 8 abuse-related. CMS has fined this home $158,534 and placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Astoria Place Of Cincinnati runs 97 beds under for-profit LLC ownership, and its staffing sits at 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends about 10 percent thinner than weekdays. Turnover tells its own story: 66.7 percent of staff leave each year, against a national rate near 46 percent. On inspections it holds a 1-out-of-5 star rating, with 72 deficiencies on record, including 4 at the harm or jeopardy level and 13 tied to abuse. Two fines total $147,294, and CMS has placed it in the Special Focus Facility program for homes with a persistent pattern of poor care.
Fair Haven Shelby County is a 90-bed county-run home in Sidney with a staffing picture that splits in two directions. Nurses provide 3.65 hours per resident day, about 5% under the national average, and weekends run roughly 5% thinner than weekdays, but turnover sits at 33.3%, well below the 45.8% national figure, which matters for consistency of care.
The inspection record is where the trouble is. CMS rates health inspections 1 out of 5, and the current record carries 56 deficiencies, including one at the harm or jeopardy level and five tied to abuse. The home is in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Bethany Nursing Home runs about 86 beds under for-profit LLC ownership, and its staffing sits modestly above the national average at 4.00 nurse hours per resident day. That edge fades on weekends, when coverage drops roughly 8% below its own weekday level, and nearly half its staff turns over each year, 49.2%, a bit worse than the 45.8% national figure. The inspection record is the real concern: a 1-star health inspection rating, 45 deficiencies on file, including 3 tied to abuse, though none reached harm or jeopardy. A 5-star quality measure score stands out against that. The last inspection was March 2026, so the record is current.
Sequoyah Manor is a 162-bed for-profit home in Sallisaw, and the federal numbers on it are rough. The inspection record shows 62 deficiencies, including three at the level where a resident was actually harmed or put in immediate jeopardy, and four tied to abuse. Staffing sits at the lowest tier CMS awards, its payroll hours come in well under what the government considers adequate, and it's one of the relatively few homes the agency has pulled into its Special Focus Facility program, which is reserved for the worst repeat offenders. Two fines totaling $33,270 are on file. The last inspection was December 2024, so this record is recent, not stale.
Community Health Care of Gore runs 70 certified beds under corporate ownership in Sequoyah County, and its staffing numbers come in above the national average, about 4.19 nurse hours per resident day versus 3.86 nationally. That sounds promising until you look at the rest: weekends run roughly 18% thinner than weekdays, which matters when families can't easily visit. The inspection record is the real concern. Forty-six deficiencies, five serious enough to put residents in harm's way, eight tied to abuse. CMS fined the home $23,879 and placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. Its last inspection was March 2025.
Wewoka Healthcare Center runs on 3.33 nurse hours per resident day, about 14 percent under the national average, and weekends drop roughly 6 percent below its own weekday staffing. That thinner coverage lands on a workforce where 77 percent of staff turn over each year, well above the 45.8 percent national figure. The inspection record is the harder part: 73 deficiencies, 11 serious enough to put residents in harm's way, 14 tied to abuse, and $389,250 in federal fines. CMS has placed the home in its Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The most recent inspection was March 5, 2026.
Lawton Post Acute & Rehab runs 95 certified beds under for-profit LLC ownership, and its 21 citations on the current record include one at the harm level. That's a lot of findings for a single inspection cycle, and the $99,585 fine attached to the record reflects it. Staffing sits at 3.94 nurse hours per resident day, only about 2% above the national average, and weekends drop roughly 17% below what the home staffs on weekdays, so the coverage families see midweek isn't what shows up Saturday. Annual turnover of 52.7% tops the national 45.8%, meaning more than half the nursing staff leaves each year, which makes consistent care hard to sustain.
Chickasha Nursing Center is a 60-bed for-profit home where the staffing number is the one to look at first, it sits well below what CMS considers average for a facility this size, and that's the single biggest reason its inspection and quality scores land where they do. The record shows 17 deficiencies from the September 2024 survey, none of them serious enough to reach harm or jeopardy level and none abuse-related, so the problems are more about day-to-day consistency than safety failures. Low staffing at a small rural home usually shows up as slower call-button response and less hands-on time, not necessarily bad intentions. Ask about weekday versus weekend coverage before deciding.
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?