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
Park Place runs 4.14 nurse hours per resident day, which is actually above the national average of 3.86, that number alone would make it look fine. The rest of the record doesn't. Weekend staffing drops roughly 30% below its own weekday level, and annual turnover sits at 88.4% against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. The current record carries 35 deficiencies, five of them at the harm or jeopardy level and five abuse-related, plus six CMS fines totaling $131,280. CMS has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes. The most recent inspection was February 18, 2026.
Elan Skilled Nursing and Rehab runs 145 certified beds in Scranton under nonprofit ownership, and its staffing is genuinely a strength, 4.47 nurse hours per resident day, about 16% above the national average. The catch is that weekends run roughly 11% thinner than weekdays, so coverage isn't evenly spread across the week. Turnover sits at 46.8%, essentially the national rate. The bigger concern is the inspection record: 31 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $19,105 fine. That's a lot of findings against a 2-out-of-5 health inspection rating, even with a recent November 2025 inspection. Ask about weekend staffing and how the abuse-related citations were resolved.
Independence Rehab and Nursing is a 255-bed nonprofit home in Philadelphia, and the numbers on its record are hard to get past. State inspectors cited 61 deficiencies, seven of them serious enough to involve harm or jeopardy, and six tied to abuse, with five fines totaling $353,465. Staffing sits around 3.35 nurse hours per resident per day, roughly 13% under the national average, and weekends run even leaner than weekdays. Annual turnover is 54.3%, meaning more than half the nursing staff leaves each year, well above the 45.8% national figure. The most recent inspection was in December 2025. If you're considering this home, ask directly how they plan to fix the abuse-related findings and what keeps staff from walking out the door.
Emerald Nursing and Rehabilitation runs 73 beds in Elizabethtown under for-profit LLC ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.70 hours per resident day, under the national average, and weekends drop roughly 14 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 69.7 percent against a 45.8 percent national rate, which means caregivers are cycling out faster than most homes can replace them. Forty deficiencies sit on the current record, including four at harm or jeopardy level and two tied to abuse, with $35,265 in fines across three penalties. The last inspection was May 2026.
Twin Lakes Rehabilitation and Healthcare Center is a for-profit, 137-bed home in Greensburg that Medicare has flagged for its Special Focus Facility program, the designation CMS reserves for the homes with the most persistent quality problems. The inspection record backs that up: 83 deficiencies on file, including one at the harm or jeopardy level and one abuse-related citation, with a single fine of $29,035. Staffing sits at 3.15 nurse hours per resident day, roughly 18% under the national average, and weekends run about 6% thinner than weekdays. Annual turnover is 47.3%, a bit above the national figure. The quality measure stars look good, but they're self-reported data, the inspection and staffing numbers tell the more reliable story.
Kadima Rehabilitation & Nursing At Cheswick carries a CMS health inspection rating of 1 out of 5 and currently sits in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The record backs that up: 77 deficiencies, including six tied to abuse and two at the level where residents were harmed or put in immediate jeopardy, plus a $72,725 fine. Staffing tells its own story, 3.32 nurse hours per resident day, roughly 14% under the national average, with weekends about 11% thinner than weekdays, and 52% annual turnover against a 45.8% national figure. Its quality measure score of 4 out of 5 stands out against everything else, but quality measures come from resident assessments, not from how well a building is run day to day.
Greenery Center For Rehab And Nursing is a 140-bed for-profit home in Canonsburg, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average, and weekends run about 8% thinner than weekdays, so coverage is stretched even at its best. Staff turnover is 71.4% a year against a national rate near 46%, which means the people caring for residents are, more often than not, new. CMS has placed it in the Special Focus Facility program, its last inspection was April 2026, and its record shows 65 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $35,133 in fines.
Care Pavilion is a 396-bed for-profit home in Philadelphia, and the numbers that stand out most aren't about its size. State inspectors have cited 96 deficiencies on the current record, including five at the harm or jeopardy level and nine tied to abuse, a volume that suggests problems aren't isolated incidents. Federal fines total $185,704 across three actions. Nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average, and weekends run about 11% thinner than weekdays. One relative bright spot: staff turnover is 32.4%, better than the 45.8% national figure. The last inspection was December 22, 2025, so that record is recent.
Greenwood Center is a 130-bed for-profit home in Warwick, and the numbers that stand out are the inspection ones. It has 41 deficiencies on its current record, seven of them serious enough to involve harm or jeopardy, and two tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections, and the fines total $225,416 across four penalties. Nurse staffing runs 3.34 hours per resident day, roughly 14% under the national average, with weekends about 4% thinner than weekdays. Turnover at 42.4% is slightly better than average, but that's the one bright spot in an otherwise difficult record.
The nurse staffing number at this Coventry home looks fine on paper, 4.09 hours per resident day, about 6% above the national average, but that average hides a weekend drop of roughly 9% from weekday levels, and it sits alongside a 71.8% annual turnover rate, well above the 45.8% national figure. The inspection record is the harder read: 69 deficiencies on file, 17 of them serious enough to involve harm or jeopardy, plus two tied to abuse, and eight CMS fines totaling $370,011. Federal regulators have placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Greenville Operations runs 131 beds as a for-profit LLC, and its inspection record is the thing that stands out: 51 deficiencies, seven of them serious enough to cause harm or jeopardy, and seven tied to abuse. CMS has placed it in the Special Focus Facility program, and four fines total $336,776. Staffing is a mixed picture, 3.62 nurse hours per resident day trails the national average, weekends run thinner than weekdays, but turnover at 34.9% is actually better than the 45.8% typical elsewhere. The most recent inspection was March 2026, so the record is current. When a home's inspection rating sits at the bottom while its staffing holds up, the problem usually isn't how many people are on the floor, it's what happens when they're there.
Achieve Rehabilitation and Nursing Center runs 181 beds in Anderson under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.94 nurse hours per resident day against a national average of 3.86, with weekends about 14% thinner than weekdays. Annual turnover of 62.7% means most of the people caring for your family member are new, and nearly two-thirds of the staff left last year. The inspection record shows 33 deficiencies, four at harm or jeopardy level and two tied to abuse, plus $73,538 in fines and a place in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious problems.
Winner Regional Healthcare Center sits in a small South Dakota town and puts more direct nursing time into each resident than most homes in the country, about five hours a day against a national figure near four. That cushion matters, and it's the main reason inspections look solid, with the most recent visit in December 2024. The trouble is what the numbers show underneath the surface: weekend coverage drops roughly a fifth below its own weekday pace, and more than two-thirds of staff turned over last year, well above the typical rate. Eighteen deficiencies sit on the record, including three tied to abuse and one involving actual harm. Quality scores are weak despite the staffing.
Wilmot Care Center has enough hands on deck, 4.20 nurse staffing hours per resident day, roughly 9% above the national average, but almost everything else on its record is a problem. The home has been flagged as a Special Focus Facility, the CMS watch list for homes with a pattern of serious, repeated deficiencies: 18 total on the current record, two of them at the harm or jeopardy level, plus two fines totaling $28,028. Its last inspection was in March 2025. Staff turnover sits at 60.5% against a national average of 45.8%, and weekend staffing drops about 11% below the home's own weekday level. The staffing is there; the consistency and the compliance record are not.
Medicine Wheel Village sits in Eagle Butte with 50 certified beds and a staffing picture that looks strong on paper, 4.79 nurse hours per resident day, about 24% above the national average, with turnover at 31.4% versus 45.8% nationally. Weekends run roughly 16% leaner than weekdays, so coverage isn't perfectly even. The trouble is what inspections have found: 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $22,636 fine and a place in CMS's Special Focus Facility program. Quality measure scores look good, but a recent inspection and that many citations on record are the numbers that matter most for daily safety.
Mulberry Health & Rehabilitation runs 157 certified beds in Franklin, and its current record carries 35 deficiencies, five of them at the harm or jeopardy level and five tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and its health inspection rating sits at 1 out of 5. Nurse staffing runs slightly under the national average, and weekends dip about 10 percent below the home's own weekday levels. Annual turnover is 67.9 percent against a national average of 45.8 percent, meaning most of the people caring for residents are new to the building. The last inspection was June 15, 2023.
Antioch Tn Opco has a split record that's worth reading carefully. The clinical quality numbers look good on paper, but the staffing rating sits at the bottom of the federal scale, meaning residents are getting too few hours of direct care per day compared to what CMS expects. Inspectors have cited 28 deficiencies, ten of them serious enough to put residents in harm's way, and three tied to abuse. The federal government has placed this home in its Special Focus Facility program, a designation reserved for the small share of homes with a pattern of persistent problems, and fines totaling $293,189 back that up. Ownership is a for-profit corporation, and the last full inspection was in August 2023.
Rocky Top Care Center has the staffing most families hope for, 4.02 nurse hours per resident day, a bit above the national average, and its quality measure scores look strong on paper. But the inspection record tells a different story: 28 deficiencies, four of them serious enough to put residents in harm's way and five tied to abuse. Turnover sits at 45.7%, which sounds average until you realize that's roughly half the nursing staff leaving every year, and weekend coverage drops about 10% below weekday levels. CMS has placed this for-profit home in its Special Focus Facility program and fined it $86,768. Inspectors were last on site in March 2026.
Cedar Creek Post Acute runs 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and weekend staffing holds within about 1% of weekday coverage. That's the good news, and it's real. The rest of the picture is harder. Staff turnover sits at 67% against a national average of 45.8%, meaning most of the people providing that above-average coverage are new to the building. The current record shows 33 deficiencies, 11 of them at harm or jeopardy level and 4 abuse-related, plus a $211,244 fine. Federal inspectors gave one star for health inspections and two each for quality measures and staffing. The most recent inspection was July 30, 2025.
The numbers out of Fallbrook Rehabilitation and Care Center are hard to get past. With 202 beds and government hospital district ownership, it runs 3.33 nursing hours per resident day against a national average of 3.86, weekend coverage drops about 12% below its own weekdays, and nearly 60% of staff turn over each year. A 1/5 staffing rating and 1/5 health inspection rating sit alongside 56 deficiencies, 11 of them at harm or jeopardy level, plus $83,678 in fines and a spot in CMS's Special Focus Facility program. The 3/5 quality measure score doesn't offset what inspectors and payroll records show. The most recent inspection was April 2025, so the record is current.
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?