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
Avenora Elmhurst runs on 1.44 nursing hours per resident day, roughly a third of the national figure and the kind of number that shows up on weekends too, when coverage drops another 5 percent below its own weekday level. The inspection record backs that up: 36 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $216,044 in fines across four separate penalties. Staff turnover sits at 46.9 percent, right about where the national average is, so this isn't a retention crisis, it's a staffing-level one, in a for-profit building that state inspectors last visited in October 2024 and rated one star.
Fondulac runs on 2.89 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. That thin coverage sits behind a one-star CMS staffing rating and a one-star inspection rating, with 65 deficiencies on the current record, six serious enough to reach harm or jeopardy level, six tied to abuse. Two fines total $146,601, and the most recent inspection was August 2024, so that record reflects where things stood then. Ownership is for-profit corporate, and the quality measure rating of three stars doesn't offset what the inspection and staffing numbers show.
Adira Medical Resort runs on 3.41 nurse hours per resident day, about 12% under the national average, and weekends dip roughly 13% below its own weekday numbers. The bigger problem is who's still there to work: turnover hits 86.7%, nearly double the national rate of 45.8%, which means most of the staff who cared for your relative last year are gone this year. Inspectors have logged 36 deficiencies, two serious enough to involve harm or jeopardy, and the most recent visit was January 2026. For-profit LLC ownership hasn't been fined much, $8,281 total, but that's cold comfort when the staffing numbers look like this.
Jefferson City Manor Care Center runs about 3.62 nurse hours per resident per day, roughly 6% under the national average, and weekends dip another 7% below its own weekday staffing. The bigger issue is turnover: 85.4% of nursing staff left over the past year, nearly double the national rate of 45.8%. Inspectors have cited 40 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine of $8,340. The most recent inspection was in May 2025. Federal ratings put quality measures and staffing at one star each, with inspections at three.
Estates of Spanish Lake runs on 2.30 nurse hours per resident day, roughly 40% under the national average, and weekend coverage dips about 13% below its own weekday level. The for-profit LLC carries 66 deficiencies on its current record, including 3 at harm or jeopardy level and 11 tied to abuse; two fines total $57,868, and the most recent inspection was April 2025. Staff turnover sits at 68.8% against a national 45.8%, meaning most of the people caring for residents are new to the building. The quality measure star comes in at 4 out of 5, but that number reflects charted outcomes, not the hands available to deliver care.
Holmes Lake runs on 3.24 nurse staffing hours per resident day, and that's roughly 16 percent under the national average of 3.86. Weekends dip even lower, about 11 percent under the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 84 percent against a national 45.8, meaning most of the people caring for your relative are new or on their way out. The inspection record shows 24 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in April 2026. Corporate for-profit ownership rounds out the picture.
Cuba Memorial's 61-bed nonprofit unit runs on 2.71 nursing hours per resident day, roughly 30 percent below the national average of 3.86, and staffing thins further on weekends, dropping about 15 percent from its own weekday level. That shortfall shows up in the numbers: a 57.4 percent annual turnover rate against a 45.8 percent national average, and CMS scoring staffing and quality measures at 1 out of 5 stars each, even though the health inspection rating sits at 4. The current record carries 15 deficiencies, none at harm or jeopardy level but five tied to abuse. A recent May 2024 inspection is the one clear positive here.
Liberty Nursing Center of Colerain runs on 3.02 nurse hours per resident day, roughly 22 percent under the national figure of 3.86, and weekends drop about 12 percent from its own weekday level. Turnover sits at 70.4 percent against a national average of 45.8, so the aides and nurses cycling through are largely new to the building. The inspection record shows 45 deficiencies, three involving harm or jeopardy and two tied to abuse, with the most recent inspection in February 2025. It's a 93-bed for-profit run by a corporation, and the low marks on all three CMS ratings reflect conditions that staffing and turnover numbers alone would predict.
West Hills runs a nonprofit home with 194 beds, and its inspection record is genuinely good, 4 out of 5 stars, last surveyed in November 2024, with 10 deficiencies on file, only 2 of them serious enough to cause harm. The problem sits elsewhere. Nurse staffing comes in around 3.41 hours per resident day, roughly 12% under the national average, and weekends run about 11% lighter than weekdays. Staff turnover is the number that should worry you most: 77%, against a national average near 46%. That's a lot of unfamiliar faces coming through the door. Quality measures score 2 out of 5, which suggests the day-to-day care isn't matching the clean inspection sheet.
The staffing numbers at Christian Care Center of Medina are the first thing that stands out: 3.35 nurse hours per resident day, roughly 13 percent under the national average, with weekends running about 12 percent thinner than weekdays. That shortfall shows up in the turnover figure too, 70.6 percent annually against a national rate near 46 percent, meaning most of the people caring for residents are relatively new to the building. Meanwhile, the current inspection record carries 28 deficiencies, four of them serious enough to involve harm or jeopardy and three tied to abuse. Three fines totaling $15,592 round out the picture. Nonprofit ownership doesn't change what those numbers say.
Oasis At Pearland runs 138 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.50 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends dip roughly 8% below its own weekday level. Turnover tells a harder story: 71.8% of staff leave annually, against a national 45.8%. The inspection record backs that up, 42 deficiencies, including 6 at harm or jeopardy level and 3 abuse-related, with $34,510 in fines across three events. A 1-out-of-5 health inspection rating and 1-out-of-5 staffing rating, last surveyed June 12, 2025, describe a home where both the workforce and the oversight have been thin.
Benbrook Nursing & Rehabilitation Center runs on 2.81 nurse staffing hours per resident day, roughly 27% under the national average of 3.86, and weekend coverage drops about 10% below its own weekday level. When a facility leans that thin on staff, the numbers elsewhere tend to follow: 53 deficiencies on the current record, including 2 at the harm or jeopardy level and 7 tied to abuse, plus $41,143 in fines. Annual turnover of 62.8%, well above the 45.8% national average, means the people caring for residents are often new to the building. The most recent inspection was September 11, 2025, so the picture is current, not dated.
Heardmont Health And Rehabilitation is a for-profit LLC home in Elberton with 60 certified beds, and its record is one of the more serious in the federal data. Twenty-eight deficiencies are on file, seven of them at the harm or jeopardy level and three tied to abuse, which is why CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average, and weekends run about 20% thinner than weekdays. Annual turnover of 48.9% tops the national rate, and the single fine on record is $170,259. The most recent inspection was November 18, 2025.
Nexus At Palos runs 207 beds in Palos Hills under for-profit LLC ownership, and its staffing looks fine on paper, 4.13 nurse hours per resident day, about 7% above the national average. But that average hides a lot: weekend staffing drops roughly 21% below its own weekday level, and annual turnover sits at 54.8% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the bigger problem. Eighty-seven deficiencies, 21 of them at harm or jeopardy level, 8 tied to abuse, and nine fines totaling $431,708. The most recent inspection was May 2025.
Silvis Center runs 120 beds under LLC ownership, and the staffing numbers are where the trouble starts: 3.42 nurse hours per resident day against a national average of 3.86, with weekends about 10% thinner than weekdays. The inspection record backs that up, 28 deficiencies logged, four of them serious enough to put residents in harm's way, plus one tied to abuse, and $42,856 in fines across two penalties. Its last inspection was in March 2025, so the picture is current rather than stale. All three CMS ratings, health inspections, quality measures, and staffing, sit at the bottom of the scale. If you're weighing this placement, ask what's changed since that inspection.
La Bella Of Rochelle runs on 2.43 nurse hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 13% under its own weekday level. The inspection record is heavy: 87 deficiencies, 13 of them at harm or jeopardy level, 10 tied to abuse, and eight fines totaling $434,100. The last inspection was March 5, 2025. This is a for-profit corporate home with 74 certified beds, and its federal ratings sit at one star for health inspections, one for staffing, and two for quality measures. When staffing is this thin and the deficiency count this high, the pattern tends to show up in daily care, not just on paper.
Sycamore Care Strategies runs 56 beds in Loogootee under for-profit LLC ownership, and the numbers there are hard to dress up. Nurse staffing sits at 2.76 hours per resident day, roughly 28% under the national average of 3.86, and weekends drop another 6% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level, plus four fines totaling $30,921; the most recent inspection was March 2025. Both the health inspection and quality measure ratings sit at 1 out of 5 stars. Nothing here is abuse-related, but staffing and inspection results are the two things to weigh hardest.
Lafon Nursing Facility of the Holy Family runs 155 certified beds as a nonprofit, and its staffing sits just under the national average at 3.80 hours per resident day. The bigger concern is who's staying: 65.9% of staff turn over each year, well above the 45.8% national figure, and weekends already run about 17% thinner than weekdays. Inspectors documented 34 deficiencies on the current record, including one at the harm level and two tied to abuse, along with a $156,653 fine. The last inspection was August 2025, so the picture is recent rather than stale.
Aria of Waukesha runs on thinner nurse coverage than most homes, about 3.66 hours per resident day against a national average of 3.86, and weekends get noticeably leaner, with staffing dropping roughly 24% below its own weekday pace. That matters when you're deciding how safe a Friday night or Sunday afternoon actually looks. Staff turnover sits at 64.5%, well above the 45.8% national figure, so the people caring for residents are cycling through fast. The current record shows 25 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with the last inspection in February 2026. The quality measure rating of 1 out of 5 reinforces what the inspection and turnover numbers already suggest.
Merkel Nursing Center runs on thin coverage. At 3.35 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly a quarter below what the home itself staffs on weekdays. That gap matters, because turnover runs 71.1 percent against a national 45.8, most of the people caring for your family member are new, and many won't stay a year. The inspection record is where the real weight sits: 64 deficiencies, five at harm or jeopardy level, six tied to abuse, and $391,887 in fines. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes.
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?