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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

Showing 421–440 of 4,510, best-graded first.

A

92/100

Eisenberg Village

Reseda, CA · Los Angeles County

CMS 3/5 166 beds Non-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
17%
Serious cites
0

Eisenberg Village runs on 4.60 nurse hours per resident day, roughly 19% above the national average, and its staff tends to stay, 16.7% turnover against a national rate near 46%. Weekend coverage dips about 8% below its own weekday level, which is worth asking about if your visits fall on Saturdays or Sundays. The record shows 37 deficiencies, none at the harm or jeopardy level, though one is abuse-related and the last inspection was in February 2026. This nonprofit's strength sits in staffing and quality measures rather than a spotless inspection history, so read the survey findings yourself before deciding.

A

92/100

Shields Richmond Nursing Center

Richmond, CA · Contra Costa County

CMS 4/5 84 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
18%
Serious cites
0

Shields Richmond Nursing Center runs 84 certified beds under corporate for-profit ownership, and its staffing story is more interesting than the headline number. Total nurse staffing sits at 3.71 hours per resident day, about 4 percent under the national average, and weekends dip roughly 7 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. What stands out is retention: 18.2 percent annual turnover against a national average of 45.8 percent means the same caregivers are largely still there year to year. Inspections are recent, from April 2025, and the record shows 43 deficiencies with none at the harm level, though two are abuse-related.

A

92/100

High Valley Lodge

Sunland, CA · Los Angeles County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
14%
Serious cites
0

High Valley Lodge runs on a lean but steady staff. At 4.20 nurse hours per resident day, it sits about 9% above the national average of 3.86, and its 13.6% turnover is a fraction of the 45.8% national figure, a sign people tend to stay. Weekend coverage dips roughly 10% below weekdays, which is common but still worth asking about. The record isn't spotless: 43 deficiencies, three tied to abuse, though none at the harm or jeopardy level. Inspectors were last in on August 7, 2025, and the home scored 4/5 on health inspections, 5/5 on quality measures, and 4/5 on staffing. For-profit corporate ownership is worth noting. Ask about those abuse-related citations directly.

A

92/100

Atterdag Care Center

Solvang, CA · Santa Barbara County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
20%
Serious cites
0

The staffing situation at Atterdag is unusual in two directions at once. Total nurse hours run 4.85 per resident day, roughly a quarter above the national average, and the 19.6% turnover is less than half the national figure, people tend to stay. But that same staffing rates only 1 star from CMS, likely because those hours aren't distributed the way the formula expects, and weekends drop about 12% below the home's own weekday level. The inspection record is heavier than you'd want: 32 deficiencies, one abuse-related, though none rose to harm or jeopardy. The most recent survey was January 2026, so the picture is current. As a nonprofit with 50 beds, it's small and locally run, worth visiting on a weekend.

A

92/100

Vista Pacifica Center

Jurupa Valley, CA · Riverside County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
26%
Serious cites
0

Vista Pacifica Center runs lean on nurses: 3.05 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday staffing. What offsets that is continuity, turnover of 25.6% sits well under the 45.8% national figure, so the aides and nurses your family member sees are more likely to be the same faces month to month. The current record shows 29 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was in May 2025. A for-profit corporate owner, 108 beds, and strong marks on inspections and quality measures round out a picture of a home that's well-run on paper but staffed thinner than average.

A

92/100

Miami Jewish Health Systems, Inc

Miami, FL · Miami-Dade County

CMS 4/5 393 beds Non-profit Medicaid
Nurse hours
7.13 /day
Staff turnover
28%
Serious cites
0

Miami Jewish Health Systems runs 393 certified beds as a nonprofit corporation, and the staffing numbers are the story here: 7.13 nurse hours per resident day, roughly 85% above the national average of 3.86. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on a Sunday. Annual turnover sits at 28.4%, well under the national 45.8%. The tradeoff shows up in inspections, 11 deficiencies on record, one at harm or jeopardy level, and a single $14,800 fine, with the most recent inspection in September 2025. Quality measures rate 4 out of 5; health inspections 3. That mix of heavy staffing and a recent serious deficiency is worth asking about directly.

A

92/100

Ft Lauderdale Health & Rehabilitation Center

Fort Lauderdale, FL · Broward County

CMS 4/5 169 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
33%
Serious cites
0

Ft Lauderdale Health & Rehabilitation Center runs 169 certified beds under for-profit LLC ownership, and its staffing sits at 3.99 nurse hours per resident day, modestly above the national average of 3.86. The bigger story is retention: 33.3% turnover against a national 45.8% means fewer unfamiliar faces, though weekend coverage dips roughly 8% below weekday levels. The inspection record shows 28 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated March 2026. Quality measures score 5/5 and staffing 4/5, while health inspections land at 3/5, the weakest of the three. Families weighing a tour should ask specifically how weekend staffing is covered.

A

92/100

Jackson Memorial Long Term Care Center

Miami, FL · Miami-Dade County

CMS 5/5 180 beds Government Medicaid
Nurse hours
5.66 /day
Staff turnover
12%
Serious cites
0

Jackson Memorial runs on county money, and the staffing numbers show it: 5.66 nurse hours per resident per day, roughly 47% above the national average, with a 12.2% turnover rate against a national 45.8%. That kind of retention is rare, and it means your family member sees familiar faces. The tradeoffs are real, though. Weekend coverage dips about 15% below weekday levels, and the current inspection record carries nine deficiencies, one serious enough to involve harm or jeopardy. The last inspection was August 2025, so the picture is recent. Quality and staffing measures both score at the top; the health inspection side sits in the middle.

A

92/100

Palace At Kendall Nursing And Rehabilitation Cente

Miami, FL · Miami-Dade County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
30%
Serious cites
0

The Palace at Kendall runs on 4.26 nursing hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 9% below its own weekday level, a gap worth asking about if your family visits on Saturdays. Staff turnover sits at 29.6% against a national average of 45.8%, which means aides and nurses here tend to stick around longer than is typical. Fourteen deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was April 2026. This is a for-profit partnership with 180 certified beds.

A

92/100

Tri-County Nursing Home

Trenton, FL · Gilchrist County

CMS 5/5 81 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
33%
Serious cites
0

Tri-County Nursing Home runs 3.84 nurse staffing hours per resident day, just under the national average of 3.86, close enough that it's basically at par, though weekends dip about 8% below what the home staffs during the week. The standout number is turnover: 32.9% against a national average of 45.8%, meaning workers here tend to stay longer than at the typical home. Inspections back that up. Six deficiencies on record, none involving harm or abuse, and the most recent visit was April 2026. As a nonprofit with 81 beds, it's small and stable on paper, and the staffing consistency and inspection record are what separate it from the pack.

A

92/100

Finnish-American Village

Lake Worth, FL · Palm Beach County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
12%
Serious cites
0

Finnish-American Village runs on a level of nurse staffing that most homes don't come close to, 4.34 hours per resident day against a national average of 3.86, with weekend coverage holding nearly steady. What stands out just as much is the turnover: 12.2% annually, when the typical nursing home is losing closer to 46% of its staff every year. Eleven deficiencies sit on the current record, but none rose to the level of harm or jeopardy, and nothing abuse-related. The last inspection was March 2025, and one fine totaling $9,471 is the only money the home has paid. A nonprofit with 45 beds in Lake Worth, it looks steady across every measure that matters.

A

92/100

Victoria Nursing & Rehabilitation Center, Inc.

Miami, FL · Miami-Dade County

CMS 5/5 264 beds For-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
30%
Serious cites
0

Victoria Nursing & Rehabilitation Center runs a 264-bed for-profit home in Miami, and the staffing numbers are the first thing worth noting: 4.78 nurse hours per resident day, roughly a quarter above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 30.2%, well under the national 45.8%, which suggests people tend to stay. The record shows 19 deficiencies with none at the harm level, though one is abuse-related and worth asking about directly. The last inspection was December 2024.

A

92/100

Dupage Care Center

Wheaton, IL · Du Page County

CMS 5/5 366 beds Government Medicaid
Nurse hours
4.11 /day
Staff turnover
17%
Serious cites
0

Dupage Care Center runs 366 beds in Wheaton under county ownership, and its staffing holds up well against national norms, 4.11 nurse hours per resident day versus 3.86 nationally, with turnover at 16.9% compared to the 45.8% average, meaning the people caring for residents tend to stay. Inspections in September 2025 turned up 24 deficiencies, including one at the harm level and one abuse-related, so the record is not spotless. Weekend staffing sits about 14% below weekday levels, which is worth asking about directly.

A

92/100

Gibson Community Hsp Annex

Gibson City, IL · Ford County

CMS 5/5 16 beds Non-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
23%
Serious cites
0

Gibson Community Hsp Annex runs a small 16-bed operation in Gibson City, and the numbers behind its A grade mostly hold up. Nurse staffing sits at 4.71 hours per resident day, roughly a quarter above the national average, and weekend coverage only dips about 9% below weekdays, a gap that's usually much wider elsewhere. Annual turnover of 23.1% is about half the national rate, which matters in a building this size where one departure is felt immediately. What keeps it from a perfect score is the inspection record: 11 deficiencies, two of them serious enough to reach harm or jeopardy level, plus a $20,046 fine. No abuse findings, and the most recent inspection was December 2025, so the picture is current.

A

92/100

Mercy Circle

Chicago, IL · Cook County

CMS 5/5 23 beds Non-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
33%
Serious cites
0

Mercy Circle is a small nonprofit home on Chicago's Southwest Side, church-affiliated, with only 23 certified beds. Staffing runs 4.35 nurse hours per resident day, about 13% above the national average, though weekends dip roughly 7% below its own weekday level, so ask how coverage holds up on Saturdays. Turnover is 33.3%, well below the national 45.8%, which matters for consistent care. The inspection record shows 17 deficiencies, none at harm or jeopardy level, but two tied to abuse, so ask directly how those were resolved. Its last inspection was February 2025, and all three CMS star ratings sit at five.

A

92/100

Heritage Pointe Of Fort Wayne

Fort Wayne, IN · Allen County

CMS 5/5 68 beds Government Medicaid
Nurse hours
4.40 /day
Staff turnover
15%
Serious cites
0

Heritage Pointe of Fort Wayne runs on county government ownership, and the numbers show a home that's been steady for a while. Nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average, and weekend coverage only dips about 8% below its own weekday level, a smaller gap than many places manage. Turnover is the standout: 14.8% against a national average of 45.8%, meaning the people caring for residents largely stick around. The current record shows 5 deficiencies, none at the harm level, though 2 are abuse-related, which is worth asking about directly. The last inspection was January 2026, and both the health inspection and quality measure ratings came back at 5 out of 5.

A

92/100

Riceville Family Care And Therapy Center

Riceville, IA · Mitchell County

CMS 5/5 34 beds Government Medicaid
Nurse hours
3.48 /day
Staff turnover
26%
Serious cites
0

Riceville Family Care and Therapy Center is city/county owned, which is unusual, most Iowa nursing homes are for-profit, and that shows up in how it's run. Weekend nursing coverage drops about 14% below its own weekday level, and overall nurse staffing sits around 3.48 hours per resident day, roughly 10% under the national average. What stands out is retention: 25.9% turnover against a national 45.8% means aides and nurses tend to stay, which matters more for daily care than a staffing number alone. Five deficiencies on record, none involving harm or abuse, and a March 2026 inspection rounds out a record with real consistency behind it.

A

92/100

Prairie View Home

Sanborn, IA · Obrien County

CMS 5/5 55 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
26%
Serious cites
0

Prairie View Home runs on a smaller crew than most places, 3.49 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 12% below what the home staffs during the week. That's the tradeoff worth watching if your family member needs help on a Saturday. What offsets it is stability: turnover here sits at 25.6%, well under the 45.8% national figure, so the people showing up are likely to keep showing up. The inspection record backs that up, five deficiencies on file, none at the harm level, none abuse-related, and the most recent survey was in July 2025.

A

92/100

Bethel Home

Montezuma, KS · Gray County

CMS 5/5 56 beds Non-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
29%
Serious cites
0

Bethel Home sits in Montezuma, Kansas, a 56-bed nonprofit run by a church group. The numbers that matter most here are the people: nurses provide 4.58 hours of care per resident each day, roughly 19 percent above the national average, and only 28.6 percent of staff leave annually against a national rate near 46 percent. That kind of retention usually shows up in how consistently residents see the same faces. Inspections in January 2025 turned up 15 deficiencies, including one causing harm and one tied to abuse, so there's real room for improvement despite the strong staffing and quality ratings. Weekend coverage dips about 13 percent below weekdays, worth asking about if your family visits then.

A

92/100

Sacred Heart Home Inc

Hyattsville, MD · Prince Georges County

CMS 5/5 44 beds Non-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
9%
Serious cites
0

Sacred Heart Home runs about 4.86 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover sits at 8.7 percent against a national figure near 46 percent, numbers that suggest people stay. Weekend staffing dips about 11 percent below its own weekday levels, worth asking about if your family tends to visit then. The current record shows 19 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the most recent inspection was July 2025. This is a small, church-affiliated nonprofit with 44 beds, and its inspection and staffing ratings both come in at the top of CMS's scale.

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?
Mclean Health Center in Simsbury, CT — grade A, 100 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 4,490 graded independently owned homes in the United States, 1,309 grade A and 280 grade D or F.
Do independently owned nursing homes in the United States accept Medicaid?
4,250 of the 4,510 are certified to accept Medicaid. See Medicaid and nursing homes.

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