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
Etowah Landing runs 100 beds in Rome under individual for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. The bigger issue is consistency: weekends drop about 11% below the home's own weekday levels, and annual turnover hits 64.3% against a national average of 45.8%, so the people covering those shifts are often new. Inspectors logged 16 deficiencies on the current record, four of them at the harm or jeopardy level, with one fine totaling $88,205. The most recent inspection was April 2026. Nothing on the record involves abuse, but four harm-level findings plus thin weekend coverage is the pattern worth asking about directly when you tour.
Blossom Healthcare & Rehabilitation Center runs 143 certified beds in Macon under for-profit LLC ownership, and the numbers describe a home stretched thin. Nurse staffing sits at 3.01 hours per resident day, about 22% under the national average of 3.86, and weekends drop roughly another 11% below the home's own weekday levels. Staff turnover is 70%, well above the 45.8% national figure, meaning the people providing daily care are cycling through fast. On its current record are 23 deficiencies, two tied to abuse; none reached the harm or jeopardy level. Federal ratings put inspection, quality measures, and staffing each at the bottom of the scale, and the last inspection came in January 2026.
Rivaya Care of Des Plaines runs 231 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.34 hours per resident per day, roughly 13 percent under the national average, and weekends drop about 15 percent below what the home itself staffs on weekdays. Turnover is 61.5 percent against a national figure near 46 percent, so more than half the nursing staff leaves within a year.
The inspection history is heavier still: 48 deficiencies on the current record, 12 of them at harm or jeopardy level and 9 tied to abuse, with six fines totaling $297,306. The most recent inspection was December 18, 2025.
If you're considering this home, ask directly how they're fixing staffing and what's changed since that December visit.
Marigold Rehabilitation and Health Care Center runs 3.00 nurse hours per resident per day, about 22% under the national average of 3.86, and weekends dip another 9% below its own weekday levels. Staff turnover sits at 55.6% against a national 45.8%, so the people caring for residents are cycling out faster than usual. The inspection record shows 40 deficiencies, seven at harm or jeopardy level and nine tied to abuse, with $222,740 in fines across three actions; the last inspection was August 2024. Corporate-owned, 172 beds, and a one-star inspection rating alongside a one-star staffing rating, the quality measure score of three stars is the outlier here, not the pattern.
Nexus At Columbia runs 119 beds under for-profit LLC ownership, and the numbers deserve a close look before you consider it. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends drop about 10% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. Staff turnover is 51.5%, meaning more than half the nursing team leaves in a year, against a national rate near 46%.
The inspection record is the heavier concern: 46 deficiencies, 9 of them serious enough to involve harm or jeopardy, 13 tied to abuse, and seven fines totaling $381,423. The most recent inspection was October 2024.
Nexus At Mascoutah runs 55 certified beds and sits about 5% under the national average for nurse staffing hours per resident day, with weekends dropping roughly 12% below its own weekday numbers. The staffing picture gets harder when you look at turnover: 77.6% annually against a national average near 46%, meaning most of the people caring for your relative were hired within the past year or so. Inspectors have cited 42 deficiencies, including 7 at the harm or jeopardy level and 8 tied to abuse, with four fines totaling $73,886; the last visit was August 2024. Ownership is a for-profit partnership.
Pioneer Trace runs 92 certified beds in Flemingsburg under for-profit LLC ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average. Weekends are thinner still, about 14% below what the home staffs on weekdays, right when families often visit. The inspection record is the harder part: 12 deficiencies, three serious enough to reach harm or jeopardy level, and two tied to abuse. Three fines total $27,493. Staff turnover, at 40.3%, is actually a little better than the 45.8% national figure, so retention isn't the main problem here. The most recent inspection was January 8, 2026.
Rosewood Rehabilitation And Nursing Center runs about 2.86 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 15% under its own weekday levels. Annual turnover sits at 73% against a national 45.8%, so the people around your family member keep changing. The inspection record is the real warning: 45 deficiencies, three at harm or jeopardy level, three tied to abuse, and nine fines totaling $219,130, with CMS placing the home in its Special Focus Facility program. That program exists for homes with a persistent pattern of poor care, not a single bad survey. The quality measure rating looks good on paper, but it reflects resident assessments, not whether enough staff are present to act on them.
Crestview runs on thin staffing: 3.11 nurse hours per resident per day against a national average of 3.86, with weekend coverage dropping roughly 11% below its own weekday level. The bigger alarm is turnover, 81.6% of staff leaving annually, nearly double the national rate, which means the people providing care are constantly new. Its current record carries 52 deficiencies, 11 serious enough to cause harm or jeopardy and 5 tied to abuse, plus $144,008 in fines across four penalties. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and its last inspection was September 2025. A 1-out-of-5 inspection rating with that deficiency history tells you oversight has been continuous, not resolved.
Ardmore Center for Rehabilitation and Healthcare runs 3.30 nurse hours per resident day, roughly 14% under the national average, and weekend staffing dips about 4% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover sits at 68.9% 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 10 deficiencies, including one at the harm level and one abuse-related, plus two fines totaling $12,606. Inspectors were last in on February 27, 2025.
Edmond Health Care Center runs on thin staffing and a lot of turnover. Nurses give 3.53 hours of care per resident each day, under the national average of 3.86, and weekends drop about 36% below the home's own weekday levels. More than eight in ten staff members left over the past year, against a national rate near 46%. Inspectors have cited 50 deficiencies, four of them at the level where residents were harmed or put in immediate jeopardy, and nine tied to abuse. The home has paid eight fines totaling $71,283. State surveyors last visited in January 2026. County records list the owner as a for-profit limited liability company.
Forest Park runs on 3.30 nurse hours per resident day, roughly 15 percent under the national average, and weekend coverage drops further below its own weekday level. Annual turnover sits at 71.9 percent against a national figure near 46, which means the people caring for residents are, more often than not, new to the building. The inspection record backs that up: 109 deficiencies, five of them at the harm or jeopardy level and four tied to abuse, with five fines totaling $161,919. Ownership is a for-profit limited liability company. The most recent inspection was March 2025. If you're weighing this one, ask about weekend staffing and how they keep experienced aides.
Avir At Athens runs on 2.92 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 13% below what the home already provides during the week. That thin coverage shows up elsewhere: annual turnover is 57.5% against a national 45.8%, so the aides and nurses your family meets may not be there in six months. The inspection record carries 22 deficiencies, four serious enough to put residents in harm's way and four tied to abuse, with $243,325 in fines across four penalties. The most recent inspection was February 2026. A 112-bed for-profit partnership, it's licensed and it takes Medicare and Medicaid, but the staffing and inspection numbers are the ones to ask about directly.
Trinity Nursing & Rehab Of Granbury runs on 3.12 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 15% below what the home staffs on weekdays. Turnover sits at 69.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $66,367 fine. The last inspection was June 4, 2025. For-profit, LLC-owned, 90 beds. If you're considering this one, ask directly how they cover weekends and what's changed since that June inspection.
The numbers here are hard to get around. Forty-two deficiencies on the current record, five of them serious enough to put residents at actual harm, plus $253,955 in fines across four separate penalties, that's a lot of enforcement for a 56-bed building. Staffing sits well below where you'd want it, and the low inspection rating reflects problems that keep showing up rather than getting fixed, which is why CMS put this home in its Special Focus Facility program. That designation means closer federal monitoring and a deadline to improve or lose Medicare funding.
The one piece of good news is that none of the deficiencies are abuse-related. But recent inspections and persistent shortfalls in care and staffing are the real story. If you're considering this home, ask what's changed since February 2026 and get specifics.
The staffing numbers at Edgemont Healthcare are where I'd start. At 2.92 nurse hours per resident per day, it runs about a quarter below the national average, and weekend coverage dips even further below its own weekday level. That matters more than any single inspection finding, because thin staffing tends to be the condition that produces everything else.
The record backs that up: 26 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, plus three abuse-related citations and a $133,225 fine. Annual staff turnover sits at 100 percent, the entire nursing workforce turning over in a year, against a national rate near 46 percent. The most recent inspection was in July 2025, so this is current, not stale.
Acadia St. Landry runs on thin coverage: 3.29 nurse hours per resident day against a national average of 3.86, with weekends about 18% lighter than weekdays. Inspectors have cited 45 deficiencies, including four at the harm or jeopardy level and two tied to abuse, and the home carries $268,528 in federal fines. Its most recent inspection was March 11, 2026, so the record is current. The limited liability company that owns it operates for profit, and every CMS rating category, health inspections, quality measures, and staffing, currently sits at one star out of five.
Amberwood Estates runs on 0.71 nurse staffing hours per resident day, that's about a fifth of the national average of 3.86, and weekends drop roughly 13% below its own weekday level. Staff turnover sits at 84.5%, well above the national 45.8%, so the people around your family member change often. Inspectors documented 67 deficiencies, six tied to abuse, with $19,760 in fines; the most recent inspection was February 2026. It's a for-profit LLC with 115 beds. If you're considering this one, ask specifically how they cover nursing hours on weekends and how they screen and train staff.
Spring River runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop another 13 percent below its own weekday levels. That thin coverage shows up in the inspection record: 67 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, plus $111,643 in federal fines. Staff turnover sits at 60.5 percent against a national 45.8 percent, so the people providing care keep changing. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes. The most recent inspection was December 12, 2024.
Campbell Hall Rehabilitation Center is a for-profit home with 134 beds, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.03 hours per resident day, roughly a fifth below the national average, and weekends run about 11% thinner than weekdays, which matters if your family visits on a Saturday or Sunday. Its inspection history shows 67 deficiencies, including three at the harm or jeopardy level and five related to abuse, with 22 fines totaling $190,505. Staff turnover runs 48.5%, above the national figure, and CMS has placed the home in its Special Focus Facility program. All three of its CMS star ratings sit at one out of five.
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?