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
Mesa Glen runs a for-profit operation with 96 certified beds, and 144 deficiencies sit on its current record, a number worth pausing on, since 18 of those are abuse-related and three rose to the level of actual harm or jeopardy. Federal inspectors have flagged the Glendora home as a Special Focus Facility, a designation reserved for the small share of nursing homes with a pattern of persistent problems; two fines totaling $103,080 are also on file. Nurse staffing averages 4.11 hours per resident day, which beats the national figure, but turnover sits at 63.2 percent and weekend coverage drops about 8 percent below weekdays, so the hours look better on paper than they likely feel on a Sunday.
Viridian Wellness & Rehabilitation runs 204 beds in Arlington under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop about 9% below the home's own weekday level, so care thins out exactly when families tend to show up. Every direct-care position turned over in the past year, against a national average near 46%, which means the aides and nurses on any given shift are often new. The current record carries 101 deficiencies, 11 at harm or jeopardy level and 7 tied to abuse, plus five CMS fines totaling $312,466 and placement in the federal Special Focus Facility program. The last inspection was September 16, 2025.
Brush Country runs on 3.05 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 15% below its own weekday level. Turnover sits at 77.8% against a national 45.8%, so the staff you meet is likely to change often. Inspectors have cited 45 deficiencies, three at harm or jeopardy level, with $130,834 in fines across three penalties; the last visit was August 2025. A one-star inspection rating and one-star staffing rating tell the story the quality measure score of three stars can't offset.
South Dallas Nursing & Rehabilitation runs on 2.23 nurse staffing hours per resident day, roughly 42 percent under the national average, and weekend coverage drops another 13 percent below its own weekday level. That thin margin shows up in the inspection record: 61 deficiencies, five at harm or jeopardy level, six tied to abuse, and two fines totaling $272,139. Staff turnover sits at 50 percent, above the 45.8 percent national figure. The limited liability ownership means profits and liability stay with the company. A 4/5 on quality measures doesn't outweigh a 1/5 on both staffing and health inspections, the people providing daily care are stretched, and the state has documented what happens when they are.
Arbor Grace runs 42 deficiencies on its current record, five of them serious enough to put residents in harm's way and three tied to abuse. The $187,096 fine is a single penalty, not a slow accumulation, which tells you something went badly wrong at least once. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends drop another 13% below the home's own weekday levels. Turnover is the number that would worry me most: 75.3% of staff leaving in a year against a national rate near 46%. Kilgore is a 127-bed for-profit, and the last inspection in April 2025 is recent enough to mean the record reflects how things run now.
Avir At Arlington runs 114 beds under limited-liability, for-profit ownership, and the numbers worth your attention are on the staffing side. Nurse hours come to 3.36 per resident per day against a national average of 3.86, and weekends drop roughly 13% below the home's own weekday coverage, meaning the thinnest shifts land when families tend to visit. Staff turnover sits at 66.7% against a national 45.8%, so aides and nurses cycle through quickly. The inspection record shows 27 deficiencies, three serious enough to put residents at risk of harm, and one fine of $121,953. A recent inspection in February 2026 keeps that record current rather than stale.
Shady Acres runs 26 deficiencies on its current record, and seven of those are serious enough to involve actual harm or jeopardy. Six are abuse-related. That combination, plus four fines totaling $144,358, is what put this 84-bed for-profit home into CMS's Special Focus Facility program, a status reserved for the homes the government watches most closely. Staffing hours look adequate on paper at 3.87 per resident day, roughly matching the national average, but weekends run about 14% thinner than weekdays, so coverage depends on when you visit. Annual turnover sits at 40%, a bit better than the 45.8% national figure, though the inspection and staffing star ratings both come in at 1 out of 5.
The Plaza At Richardson runs on 3.02 nurse hours per resident per day, about a fifth below the national average, which is thin enough that the 1-out-of-5 staffing rating is no surprise. Turnover tells the bigger story: 95.3% of nursing staff left over the past year, roughly double the national rate, so the people caring for your relative are likely new to the building and still learning it. The 39 deficiencies on record include two tied to abuse, though none rose to the level of actual harm, and the most recent inspection was in June 2025. Weekend coverage also dips below its own weekday level.
Brenham Healthcare Center is a 62-bed for-profit home in Washington County, and the numbers behind its record tell a story worth slowing down for. Nurse staffing sits at 3.56 hours per resident per day, about 8% under the national average, and weekends run roughly 14% thinner than weekdays. The bigger flag is turnover: 95.2% annually, more than double the national rate of 45.8%, which means the people caring for residents are constantly changing. On inspections, CMS has cited 51 deficiencies, 11 at harm or jeopardy level and 7 abuse-related, with five fines totaling $113,796, and the home currently sits in the federal Special Focus Facility program, a designation reserved for the most persistently troubled homes. The last inspection was December 2025.
Thrive Rehabilitation of Pearland runs a for-profit shop under limited liability ownership, and its nurse staffing is genuinely high: 5.67 hours per resident day, roughly 47% above the national average of 3.86. That's the one clear strength. The rest of the record reads differently. Staff turnover sits at 68.3% against a national average of 45.8%, so the people providing that care are largely cycling through. Inspections turned up 35 deficiencies, including 5 at the harm or jeopardy level and one tied to abuse, with six fines totaling $61,623. Both the health inspection and quality measure ratings land at 1 out of 5. A recent inspection date doesn't erase a pattern like that.
Trinity Rehabilitation & Healthcare Center in Trinity, Texas, is a 76-bed home run by a hospital district, and the federal numbers on it are grim. The current record shows 66 deficiencies, nine of them at the level where residents were actually harmed or put in immediate jeopardy, and six tied to abuse. On staffing, CMS rates it at the bottom of its scale, while quality measures land below average too. Four fines totaling $275,584 are on file, and the home sits in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Its last inspection was April 15, 2026. That's a lot of documented harm for a building this size.
Nexus At Berwyn runs 145 certified beds under corporate ownership, and the numbers that matter most here are the ones families can't easily see. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Staff turnover is 57 percent, well above the 45.8 percent national figure, so the people providing care keep changing.
The inspection record is where things get serious: 52 deficiencies, including 9 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $428,544. That's a lot of documented trouble for one building.
Alpine Care Of Zion runs 244 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly 26 percent under the national average of 3.86. Weekends drop about 17 percent below its own weekday levels, and annual turnover of 48.2 percent runs slightly above the national figure of 45.8 percent, so the aide or nurse your relative sees most often may not be there next year. The current record lists 44 deficiencies, three at harm or jeopardy level and two abuse-related, along with three fines totaling $72,394. The most recent inspection was August 2025, so the picture is current, not stale.
Grand Cove runs on thinner staffing than most homes nationally, 3.57 nurse hours per resident day against a 3.86 average, and weekends drop about 22% below what the home itself manages Monday through Friday. Turnover sits at 58.6%, well above the 45.8% national figure, so the people showing up are often new. The inspection record shows 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $29,042 in fines. Its quality measure star is 1 out of 5 and staffing 2 out of 5, though the last inspection was recent, in June 2025. Corporate-owned, 109 beds.
Oak Woods Home for the Elderly runs on 0.80 nurse staffing hours per resident day, about a fifth of the national average of 3.86, and weekends drop roughly 30% below its own weekday level, so coverage thins out exactly when families tend to visit. The current record shows 19 deficiencies, one of them abuse-related, though none rose to the harm or jeopardy level, and the last inspection was recent enough that the picture is current. Two fines totaling $18,349 have been assessed. For a 119-bed nonprofit, the direct-care hours are the concern worth pressing on when you call.
The Estates of St. Louis runs on 2.49 nurse hours per resident per day, about 35% under the national average, and weekend coverage drops roughly a fifth below its own weekday level. Staff turnover sits at 65.6%, well above the 45.8% national rate, which means the people caring for residents are constantly changing. Its inspection record shows 60 deficiencies, including two at the harm or jeopardy level and eight tied to abuse, plus a $66,640 fine. The quality measure score looks good on paper, but that's largely self-reported data, and it doesn't offset a one-star inspection history or thin staffing on weekends.
Blossom Health Care Center runs on 3.42 nursing hours per resident day, about 11% under the national average, and weekends drop roughly 21% below what the home staffs on weekdays. That thin coverage shows up in the numbers: 67.9% annual turnover, well above the 45.8% national rate, so the aides and nurses at the bedside keep changing. Inspectors cited 36 deficiencies on the current record, four tied to abuse, though none rose to actual harm or jeopardy. The last visit was October 2024. With 80 beds and corporate for-profit ownership, this is a home where you should ask directly how they cover weekends and how long their current staff have actually been there.
Lytle Nursing Home runs about 2.84 nurse staffing hours per resident day, roughly a quarter below the national average, and the weekend gap makes that thin coverage thinner. The inspection record shows 43 deficiencies, including two at harm or jeopardy level and one abuse-related citation, plus a $55,904 federal fine, and weekend staffing drops about 8% below its own weekday level. A 1-out-of-5 staffing rating alongside 2-out-of-5 marks for inspections and quality measures tells you the shortfalls show up across the board, not in one bad survey. With the most recent inspection in July 2025, the record is current, and it's a for-profit limited liability company.
Parkview Julian runs 3.90 nurse hours per resident day, which barely edges out the national average of 3.86, and weekend staffing drops about 5% below its own weekday level. The bigger concern is turnover: 65.3% of staff leave each year, well above the 45.8% national figure, and CMS rates staffing at just one star. Inspections tell a harder story, 81 deficiencies on record, including 2 at harm or jeopardy level and 4 tied to abuse, with a $59,560 fine. The last inspection was December 2025. This is a for-profit LLC, and families should ask directly how it plans to keep consistent, trained aides on the floor.
Carrollton Crossing runs on 3.22 nurse hours per resident day, about 17% under the national average, and weekend coverage drops another 12% below its own weekday level. Staff turnover sits at 100%, roughly double the national figure, meaning the aides and nurses caring for residents are largely new or on their way out. The inspection record shows 28 deficiencies, including one at the harm level and three tied to abuse, with a 2/5 health inspection rating and a 1/5 on quality measures. Fines so far total $3,728, which is modest, but the last inspection was April 2026. Ask about weekend coverage and how long current staff have actually been on the floor.
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?