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
DFW Nursing & Rehab runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekends drop another 11% below its own weekdays. Staff turnover is unusually low at 17.4%, so the problem isn't churn, it's raw coverage. The inspection record is where the real trouble sits: 62 deficiencies, 13 of them at harm or jeopardy level and 16 abuse-related, plus six fines totaling $317,302. CMS has placed the home in its Special Focus Facility program, a status reserved for the most persistently poor performers, and its last inspection was August 2025. For-profit, limited liability ownership.
San Rafael Health and Rehabilitation runs on county money and 51 beds in Ferron, and its staffing hours land right at the national average, close enough that there's no real cushion. What stands out is the churn: more than half the nursing staff turns over in a year, and weekend coverage drops about 19% below weekday levels. The inspection record is where things get serious. Twenty-seven deficiencies, six of them involving harm or jeopardy, four tied to abuse, plus two fines near $29,000 and a spot in CMS's Special Focus Facility program. Inspectors were last there in November 2024. County ownership doesn't change what those numbers say.
Mountain View Health Services is a 155-bed for-profit in Ogden, and the numbers behind its record are hard to look past. Nurse staffing sits at 3.08 hours per resident per day against a national average of 3.86, and more than half the nursing staff turned over in the past year. The home carries 101 deficiencies on its current record, 22 of them serious enough to involve harm or jeopardy, plus seven tied to abuse. Three CMS fines total $150,781, and the federal government has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes. If you're considering this one, ask what's changed since the January 2026 inspection.
Thompson House runs lean on inspection results, not on staff. The Brattleboro nonprofit, 43 beds, has averaged 4.95 nurse hours per resident day, roughly 28% above the national figure, yet CMS still gave it a single star for health inspections after seven deficiencies, three serious enough to involve harm or jeopardy, and a $112,499 fine.
Weekend coverage drops about 15% below weekday levels, and turnover sits at 56.1% against a 45.8% national average. Those two numbers matter when the same crew isn't there to catch what a thin weekend shift misses.
Being placed in the Special Focus Facility program means federal regulators are watching this home's correction plan directly. The last inspection was March 2026.
The Villa Rehab runs high on nurse hours, 5.08 per resident day, roughly a third more than the national average, but that staffing thins out on weekends by about 18%, and 61% of staff turned over in the last year against a national rate near 46%. The inspection record is where this home gets into trouble: 24 deficiencies, including four tied to abuse and one serious enough to put residents in immediate harm, plus $37,040 in fines across two penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and its last inspection was July 30, 2025. For-profit, limited liability ownership, 30 beds.
Crystal Cove Post Acute runs 96 beds in Lacey under for-profit LLC ownership, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. The numbers back that up: 132 deficiencies on the current record, including 6 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $215,060. Nurse staffing sits at 3.77 hours per resident day, slightly under the national average, and drops about 15% on weekends, when coverage thins out. Staff turnover is the sharper problem, 69.7% a year against a national average of 45.8%, meaning most of the people caring for residents are new to the building.
Auburn Post Acute is a 96-bed for-profit home in King County, and the number that should stop you is 131 deficiencies on its current record, 11 of them at the level where a resident was actually harmed, 10 tied to abuse. That record, plus $380,862 in fines across six penalties, is why CMS has placed it in the Special Focus Facility program, the agency's watchlist for the homes with the worst inspection histories. Nurse staffing of 3.66 hours per resident day sits just under the national average, and weekends run about 13% thinner than weekdays, so coverage gets lightest when families tend to visit. Staff turnover is roughly average, nothing here suggests the direct-care aides are the problem. The last inspection was January 31, 2025.
Majestic Care Of Hopemont has 98 certified beds and runs a for-profit corporate operation, and its staffing numbers are the hard part to square. Total nurse staffing sits at 4.37 hours per resident day, above the national average of 3.86, but weekend coverage drops about 6% below its own weekday level, and annual turnover is 94.8% against a national average of 45.8%. So the hours are there on paper, but the people filling them keep leaving. The inspection record shows 52 deficiencies, including 5 at harm or jeopardy level and 6 abuse-related, with a $57,116 fine and a February 2026 inspection. CMS rated staffing 1 out of 5 and health inspections 1 out of 5.
Maplewood Center has real staffing muscle, 5.12 nurse hours per resident day sits about a third above the national average, but the inspection record is where the story turns. Eighty-one deficiencies on the current record, eleven of them at harm or jeopardy level and ten tied to abuse, with $352,483 in fines across four penalties. That's a lot of serious findings for a 150-bed nonprofit, and a 1-out-of-5 health inspection rating reflects it.
Turnover runs 52.1% against a national 45.8%, so even the strong staffing numbers come with constant churn, and weekend coverage drops about 9% below weekdays. The most recent inspection was May 2025, so the record is current.
The Jewish Home and Care Center in Milwaukee runs about 5.01 nurse staffing hours per resident day, roughly 30% above the national average, yet weekend coverage dips about 12% below its own weekday levels. Staff turnover sits at 52.4%, higher than the 45.8% national figure. What tempers that staffing picture is the record: 33 deficiencies on file, seven at the harm or jeopardy level and two tied to abuse, with one $8,959 fine. CMS has placed this home in its Special Focus Facility program, and its most recent inspection came April 6, 2026. A nonprofit operator and strong weekday hours don't erase a harm-level deficiency pattern.
Amethyst Health Of Wausau carries six deficiencies classified at the harm or jeopardy level, six tied to abuse, and forty-five total on its current record, that's an unusually heavy inspection load, and it's why CMS has placed the home in its Special Focus Facility program. Staffing looks decent on paper at 4.17 nurse hours per resident day, about 8% above the national average, but weekend coverage drops roughly 9% below the home's own weekday level, and annual turnover sits at 62.2% against a national average of 45.8%. Six fines totaling $100,976 round out the picture. The most recent inspection was September 4, 2025, so the record is current. A for-profit limited liability company owns the 80-bed home.
Amethyst Health Of Brown Deer has 86 deficiencies on its current record, and seven of them were serious enough to cause actual harm or put residents in immediate jeopardy, four tied to abuse. It's in CMS's Special Focus Facility program, the federal watchlist for homes with a pattern of persistent problems, and it's carrying $276,756 in fines. Nurse staffing sits at 4.51 hours per resident day, well above the national figure, but that headline number hides a 65.5% annual turnover rate and weekends that run thinner than weekdays. Ownership is for-profit corporate, and the last inspection was February 2026. High staffing hours aren't offsetting what inspectors keep finding here.
The numbers here split in two directions. Nurse staffing runs 6.03 hours per resident day against a national average of 3.86, which is real coverage, though weekends slip about 8% below the weekday pace and annual turnover sits at 51.4%, higher than the 45.8% national figure, so the people providing that care keep changing. What outweighs the staffing is the record: 46 deficiencies as of the January 2025 inspection, 9 of them at harm or jeopardy level and 14 tied to abuse. Six fines totaling $386,235 sit on file. The state runs this 158-bed home, and the inspection and quality ratings both came back at the bottom of the scale.
The Legacy Living and Rehabilitation Center is run by the local hospital district and has 160 certified beds. Nurse staffing runs 4.59 hours per resident day, about 19% above the national average, though weekends drop roughly 15% below its own weekday level. The numbers that matter more are elsewhere: 38 deficiencies on the current record, 8 of them at harm or jeopardy level, 11 abuse-related, and $115,597 in CMS fines across four events. Annual turnover is 70.5% against a national 45.8%, meaning most of the staff caring for residents last year are gone. CMS has placed it in the Special Focus Facility program, its most serious watch list. The last inspection was March 13, 2026.
Casper Mountain Rehabilitation and Care Center is a 120-bed for-profit home in Casper, and the numbers are hard to read. Nurse staffing sits at 2.80 hours per resident day, roughly 27% under the national average of 3.86, and weekends run about 13% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 64.8% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record shows 52 deficiencies, including two at the harm level and two tied to abuse, plus a $62,647 fine. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Polaris Rehabilitation and Care Center is a for-profit home in Cheyenne with 105 certified beds, and the numbers tell a story worth paying attention to. Nurse staffing sits at 3.49 hours per resident day, about 10% under the national average, and it drops roughly 15% further on weekends, while annual turnover hits 69% against a national figure of 45.8%. That churn matters at the bedside. The inspection record is the sharper concern: 39 deficiencies, three at harm or jeopardy level, four tied to abuse, and a $62,647 fine. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. The most recent inspection was January 15, 2026.
Big Horn runs on thinner staffing than most homes, about 3.28 nurse hours per resident day against a national average near 3.86, and weekends dip below its own weekday levels. Annual turnover sits at 56.5%, well above the national 45.8%, so the people around your family member keep changing. CMS has flagged the inspection record at its lowest star, with 46 deficiencies on file, three serious enough to cause harm and seven tied to abuse. That record, plus Special Focus Facility status, is what sits behind the failing grade here.
Ararat Nursing Facility has real staffing strength, 4.79 nurse hours per resident day, about a quarter above the national average, with turnover at 41.7% that's actually a bit better than the typical home. That's the good news, and it matters. The problem is everything else. A one-star inspection rating, 145 deficiencies on record including 12 at the harm or jeopardy level and 17 tied to abuse, and $469,538 in fines across eight penalties. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a persistent pattern of serious problems. Weekend staffing also drops about 12% below weekdays, so the coverage families see on a Tuesday isn't what they get on a Saturday. Good aides can't offset a record like that.
The Metropolitan State Hospital SNF in Norwalk runs on unusually heavy nurse staffing, 9.80 hours per resident day, roughly two and a half times the national average, and its 22.6% turnover is about half the national rate. Those numbers are real, and they matter. But look at the record: 55 deficiencies, five of them at harm or jeopardy level, ten tied to abuse, and $83,093 in fines. It sits in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems, and its last inspection was December 2025. Weekend coverage drops about 8% below weekdays. Strong staffing alone hasn't translated into safe care here.
Santa Monica Rehabilitation Center has 170 deficiencies on its current record, including 18 tied to abuse and seven at the level where residents were actually harmed or put in immediate jeopardy. That record, plus four fines totaling $156,799, is why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the worst sustained inspection histories. Staffing looks decent on paper at 4.02 nurse hours per resident day, slightly above the national average, but weekends run about 11% thinner than weekdays and turnover sits at 55.8% against a 45.8% national rate. High turnover and a one-star inspection rating mean the people caring for residents are often new and the oversight has been failing.
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?