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
Copperfield Health & Rehabilitation runs 120 beds in Concord under corporate ownership, and the numbers there are hard to dress up. Nurse staffing sits at 3.18 hours per resident day against a national average of 3.86, and weekends drop about 11% below what the home manages on weekdays, meaning the thinnest coverage lands exactly when families tend to visit. Staff turnover of 64.1% compounds that: most of the people caring for your relative this year likely won't be there next year. The inspection record shows 21 deficiencies, seven at harm or jeopardy level and six tied to abuse, with $158,405 in fines across three penalties and a survey as recent as February 2026.
Oak Hills Living Center runs 160 beds in Jones under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.67 hours per resident per day, about 5% under the national average, and weekend coverage drops roughly 39% below what the home provides on weekdays, so the hours your family member gets depend heavily on which day it is. Staff turnover is 82.8% against a national 45.8%, meaning most of the people providing care are new to the building.
The current inspection record shows 37 deficiencies, five of them at the level where harm or jeopardy occurred, twelve tied to abuse. CMS has fined the home three times for a combined $137,412 and placed it in the Special Focus Facility program, which CMS reserves for homes with a persistent record of poor care.
Champion City is a 187-bed for-profit home in Pittsburgh, and the federal numbers paint a rough picture from every angle. Staff turnover runs at 60.7 percent a year, well above the national average of 45.8, and its staffing, quality, and health inspection ratings each sit at the lowest mark CMS gives. The current record carries 90 deficiencies, including 2 at the harm or jeopardy level and 11 tied to abuse. CMS has placed it in the Special Focus Facility program, which the agency reserves for the homes with the most persistent problems. Its last inspection was March 27, 2026, and there's one fine on record, totaling $7,656.
Meridian Care Monte Vista runs 4.74 nurse hours per resident day, roughly a quarter above the national average, but that raw number hides two problems: weekend staffing drops about 15% below its own weekday level, and annual turnover sits at 68.4% against a national 45.8%, meaning most of the people providing that care are new and likely to leave. The inspection record is where it gets harder to defend, 49 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with fines totaling $28,345 and a February 2026 inspection still the most recent. The staffing ratio looks good on paper, but a home where two-thirds of caregivers turn over each year and inspectors keep finding serious problems isn't one where that number translates into steady care.
Walker Rehabilitation Center is a for-profit home in Carbon Hill with 59 certified beds, and the numbers behind its record are worth walking through. Federal inspectors have cited 18 deficiencies, seven of them involving actual harm or jeopardy to residents and four tied to abuse, with a single fine reaching $235,127. Staff turnover sits at 68.8% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Nurse staffing runs slightly under the national average and drops about 22% on weekends. CMS has placed this home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes, and its most recent inspection was November 30, 2024.
Harrison Nursing and Rehabilitation Center runs on thin staffing. At 3.18 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly 11% below what the home manages on weekdays, meaning the thinnest coverage lands when backup is hardest to find. The inspection record backs that up: 39 deficiencies, six of them serious enough to threaten resident harm, plus five fines totaling $34,409. All three CMS ratings, health inspections, quality measures, staffing, come in at one star out of five. Corporate-owned and certified for 54 beds, its most recent inspection was April 2, 2026.
Truman Lake Manor runs on thin staffing, and the numbers show it. At 2.77 nurse hours per resident each day, it sits about 28% under the national average of 3.86, and weekends drop roughly 17% below its own weekday level, so care is already leaner when families tend to visit. Turnover tells a similar story: 67.7% of staff leave within a year, against a national 45.8%, which means unfamiliar faces and less continuity for residents.
The inspection record is heavier than most. Forty-four deficiencies are on file, including two at the harm or jeopardy level and eight tied to abuse. The last inspection was in March 2024, and the quality measure rating sits at the lowest mark.
Rich Square Nursing & Rehabilitation Center runs on 3.17 nurse staffing hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home itself staffs during the week. That thin coverage helps explain 27 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, plus a $190,684 fine, all with a health inspection rating of 1 out of 5 and a staffing rating of 1 out of 5. Annual turnover sits at 52.1%, above the 45.8% national figure, meaning nearly half the nursing staff leaves each year. The most recent inspection was July 2, 2025, and no abuse deficiencies are on record.
Heritage Manor runs on 2.87 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 16% below what the home staffs on weekdays. Turnover sits at 72.7% 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 30 deficiencies, including two at the harm level and one tied to abuse, with $30,133 in fines and a November 2025 inspection. Federal ratings put staffing and quality measures both at one star.
Coral Rehabilitation and Nursing of Austin runs on 2.82 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 11% below its own weekday level. That thin margin shows up in staffing, where the home sits at the bottom of CMS's scale, and in a 57.6% annual turnover rate, well above the 45.8% national figure. The inspection record is heavier still: 86 deficiencies, 18 of them at harm or jeopardy level and 10 involving abuse, plus five fines totaling $294,911. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The last inspection was September 30, 2025.
Pine Knoll Path of Journey runs 122 beds in Carrollton under for-profit LLC ownership, and its inspection record is genuinely clean, 11 deficiencies on file, none at harm or jeopardy level, none abuse-related, and a survey as recent as April 2025. The problem is the floor. Nurses give 3.18 hours per resident per day against a national average of 3.86, and weekends drop roughly 12% below what the home staffs on weekdays. Every single nursing position turned over last year, 100%, compared with about 45.8% nationally. A recent inspection tells you what a surveyor saw that day; it doesn't tell you who's left to answer a call light on a Sunday evening.
Tybee Island Trails of Journey runs 50 certified beds under for-profit LLC ownership, and its nurse staffing sits at 1.74 hours per resident day, roughly 55% under the national average of 3.86. Weekends drop about 30% below its own weekday coverage, so the thinnest shifts are also the least supervised. Staff turnover is 69.2% against a national 45.8%, meaning most of the people caring for residents are relatively new to the building.
The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated January 30, 2026. CMS rates staffing 1 out of 5 stars, health inspections and quality measures each 2 out of 5. If you're considering this home, ask directly how weekend coverage is staffed and how abuse allegations get reported and resolved.
Paul House & Health Cr Ctr runs 110 certified beds on Chicago's Near West Side, and the staffing numbers are where the trouble starts. Nurses provide 3.77 hours per resident day, slightly under the 3.86 national average, but weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Staff turnover sits at 64.2% against a 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. Add 59 deficiencies on the current record, three serious enough to involve harm or jeopardy, plus $107,115 in fines, and the recent June 2025 inspection reads less like a fresh start than a long-running pattern.
Ryze At Homewood runs 259 certified beds out of a for-profit LLC, and the nurse staffing line is where the trouble starts: 2.49 hours per resident day, roughly 36% below the national average of 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 62.4% against a national 45.8%, so even the hours that exist are often worked by someone new. The inspection record backs that up, 73 deficiencies, 15 at harm or jeopardy level, six abuse-related, and $502,525 in fines across 10 citations, with the last inspection in December 2024. Quality measures score mid-range, but that's the one bright spot in an otherwise thin picture.
Hadley Pointe runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage sits behind a record of 48 deficiencies, four at harm or jeopardy level and seven abuse-related, plus two fines totaling $85,596, with CMS placing the home in its Special Focus Facility program. Annual turnover of 70% is well above the 45.8% national average. The 154-bed for-profit corporation changed ownership within the past year, and the most recent inspection was January 17, 2025, with staffing and health inspection each landing a single star.
Fountain Care At Sunset Hills runs 166 beds 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 another 6% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to be there. Annual turnover is 79.8%, against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record shows 78 deficiencies, six at harm or jeopardy level and 13 abuse-related, with four fines totaling $119,588 and a survey completed in April 2025.
Golden Years Center for Rehab and Healthcare sits in Harrisonville with 128 certified beds and a corporate owner. The numbers that stand out aren't flattering: nurse staffing runs about 6% under the national average, weekends dip roughly 10% below the home's own weekday coverage, and annual turnover hits 70.6% against a national 45.8%, meaning most of the people caring for residents are new or on their way out. The inspection record is heavier still: 74 deficiencies, four at harm or jeopardy level, two tied to abuse, and a $166,800 fine. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, with the most recent inspection dated January 30, 2026.
Big Spring Care Center runs on 3.35 total nurse hours per resident day, roughly 13% under the national average, and weekends dip another 10% below its own weekday staffing. Annual turnover sits at 76.3%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record shows 37 deficiencies, four of them abuse-related, with the most recent look in January 2025. All three CMS star ratings sit at one out of five. Limited liability ownership with no harm-level citations on file offers little reassurance against numbers like these.
Ellisville Rehabilitation and Nursing runs 210 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.92 hours per resident day, only about 1% above the national average, but weekends drop roughly 12% below its own weekday level, and annual turnover is 71.9% against a national 45.8%, meaning most of the people caring for residents are new to the building.
The inspection record is harder to explain away: 65 deficiencies, 12 at harm or jeopardy level, 12 abuse-related, and $260,092 in fines. CMS has placed it in the Special Focus Facility program, reserved for the country's poorest performers. The last inspection was November 2024.
Riverside Health Services runs 56 certified beds in Arkoma under for-profit LLC ownership, and its nurse staffing comes in at 5.08 hours per resident day, roughly a third above the national average. That sounds like good news until you notice weekends run about 12% thinner than weekdays, and annual turnover sits at 58.5%, well past the 45.8% national figure. The current inspection record is more concerning still: 14 deficiencies, three of them serious enough to cause harm or jeopardy, one tied to abuse, and two fines adding up to $115,170. CMS scored its most recent inspection, from February 2025, at 2 of 5 stars. High raw staffing hours paired with that much turnover and that many serious findings is the tension worth weighing.
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?