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
Ridgeview runs a 111-bed for-profit home in Shenandoah, and the numbers there deserve a hard look before you tour. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends run about 5% thinner than weekdays, so coverage is already stretched and gets thinner when it matters. The bigger red flag is turnover: 84.9% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, unlikely to still be there in a year. The inspection record shows 73 deficiencies, including 4 tied to abuse and 2 serious enough to put residents in harm's way, with $333,638 in fines.
Wonder City Rehabilitation and Nursing Center is a 130-bed for-profit home in Hopewell, and the numbers behind its record deserve a hard look. Nurse staffing sits at 2.75 hours per resident per day, roughly 29% below the national average, and it dips about 12% further on weekends, while annual turnover runs 68.4% against a national 45.8%. Its inspection record carries 93 deficiencies, eight at the harm or jeopardy level and ten abuse-related, plus a $26,060 fine, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One inspection star and one staffing star out of five round out a record that hasn't been updated since July 2023.
Ralls Nursing Home runs on 2.31 nurse hours per resident day, roughly 40% under the national average of 3.86, and weekend coverage drops another 14% below its own weekday levels. That thin staffing sits behind 29 deficiencies on the current record, nine of them at harm or jeopardy level and 13 abuse-related, with five fines totaling $303,179. Annual turnover of 72.4% means most of the aides and nurses working here last year aren't the ones working here now. The last inspection was September 2025, so the record is current, not stale. One bright spot: the quality measure rating is 4 out of 5, but quality scores are largely built from resident assessment data the facility itself reports, and they don't offset a 1-out-of-5 inspection and staffing picture.
Fall Creek runs on 3.25 nursing hours per resident day, about 16 percent under the national average, with weekends dropping roughly 14 percent below its own weekday staffing. That thin coverage shows up in the numbers: a 65.6 percent annual turnover rate, well above the 45.8 percent national figure, and a one-star CMS staffing rating. Inspectors have cited 21 deficiencies, seven of them serious enough to put residents in harm's way and three tied to abuse, with two fines totaling $48,555. The last inspection was in May 2025. For a 126-bed for-profit home, the pattern across staffing, turnover, and enforcement history is worth weighing carefully before you decide.
East Carolina Health and Rehabilitation Center runs 130 certified beds in Greenville, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.65 hours per resident per day, slightly under the national average, and weekends drop roughly 15% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger flag: 76.7% annually against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. That instability shows up in the inspection record too: 45 deficiencies, two at harm or jeopardy level, four abuse-related, and $61,585 in fines.
The staffing number at Wyoming Retirement Center is the one to sit with: 0.39 total nurse hours per resident per day, roughly a tenth of the national average of 3.86. Weekends run about 45% thinner than weekdays already are, so certain shifts have very little licensed coverage in a 90-bed building. On the state's watch, its current record shows 18 deficiencies, six of them at harm or jeopardy level and seven tied to abuse, with two fines totaling $41,201 and an inspection from December 2024. State-run ownership doesn't change what those numbers mean for a resident who needs help at 2 a.m.
Cobalt Lodge runs on 1.77 nurse staffing hours per resident per day, and the national average is 3.86, so it's working with roughly half the direct care you'd see elsewhere. Weekend coverage drops about 15% below its own weekday level, which matters because that's when families often visit and when problems tend to surface. Staff turnover sits at 72.2% against a 45.8% national figure, meaning most of the people caring for residents are new to the building. The current record holds 50 deficiencies, including 3 at the harm or jeopardy level and 6 tied to abuse, plus a $37,440 fine. CMS has placed it in the Special Focus Facility program, and its last inspection was November 2024.
Ryze On The Avenue runs 302 beds on Chicago's South Side, and the numbers behind its record are hard to dress up. Nurse staffing sits at 2.64 hours per resident day, roughly a third below the national average, and weekend coverage barely dips from that already thin weekday level, so there's little sign of extra help when families visit. Nearly three in five staff left over the past year, well above the typical rate. Inspectors have cited 86 deficiencies, seven involving harm or jeopardy and a dozen tied to abuse, with nine fines totaling $192,821. The last inspection was September 2024.
Central Nursing Home runs 245 beds on Chicago's West Side, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 2.24 hours per resident per day, roughly 42% under the national average of 3.86, and weekends run about 8% thinner than weekdays, so the hours when families visit most are the hours with the least coverage. The inspection record shows 45 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, with three fines totaling $85,800 and a last inspection in August 2024. Staff turnover of 46.5% is close to the national rate, meaning the instability here isn't unusual for the industry, but combined with the low staffing and quality scores, it leaves little margin.
Sharon Health Care Elms runs 96 beds in Peoria under corporate ownership, and the numbers behind its federal record aren't kind. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and it thins out further on weekends, about 12% below the home's own weekday level. Staff turnover is 46.2%, essentially matching the national rate, so continuity isn't the outlier here; the shortfall is hours of care.
The inspection history is the heavier problem: 44 deficiencies on the current record, 7 of them at harm or jeopardy level and 3 abuse-related, with four fines totaling $185,971. CMS scored the home 2 out of 5 on health inspections and 1 out of 5 on both quality measures and staffing, with the most recent inspection in October 2024.
Elkton Nursing and Rehabilitation Center runs on thinner staffing than most homes in the country, 3.16 nurse hours per resident day against a national average of 3.86, and it gets worse on weekends, when coverage drops about 13% below the home's own weekday level. That kind of gap matters most when families visit on Saturdays and Sundays and find fewer hands on deck. Staff turnover sits at 62.5%, well above the 45.8% national figure, so the people caring for residents are cycling out faster than average. The current record shows 13 deficiencies, including one tied to abuse, plus seven fines totaling $30,641. State inspectors were last in the building in July 2025.
Marshfield Care Center sits at 74 certified beds under for-profit LLC ownership, and the numbers on its current record are worth reading closely. Nurse staffing averages 2.87 hours per resident day, roughly a quarter below the national average, and weekends run about 14% thinner than weekdays, so coverage is at its lightest exactly when families tend to visit. Annual turnover of 69.8% means most of the people caring for your relative likely won't be there a year from now, against a national rate near 46%. The inspection history adds 45 deficiencies, including one at harm or jeopardy level and nine tied to abuse, with the most recent survey in August 2024. All three CMS star ratings sit at two or below.
Steelville Senior Living runs on thinner staffing than most homes in the country, about 3.31 nurse hours per resident day against a national average of 3.86, and it gets even leaner on weekends, when coverage drops roughly 8% below its own weekday level. Nearly seven in ten staff members left over the past year, well above the 45.8% national rate, which means the people caring for residents are often new and still learning the building. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and a single fine has already reached $87,749. The last inspection was in August 2024.
Graceland Rehabilitation and Nursing Care Center is a 240-bed for-profit home in Memphis, and the numbers behind its record are worth walking through carefully. Nurse staffing sits at 3.47 hours per resident per day, about 10 percent under the national average, and it thins out further on weekends. That shortfall matters given a 51.6 percent annual turnover rate, meaning the aides and nurses caring for residents are changing constantly. The inspection history is the harder part: 33 deficiencies on the current record, 10 of them at the level where harm or jeopardy to residents occurred, three tied to abuse, plus $342,603 in federal fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and the most recent inspection was May 13, 2025.
Holston Health & Rehabilitation runs 137 beds in Wytheville under corporate ownership, and the staffing numbers are the first thing a family should sit with. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 78% against a national 45.8%, meaning most of the people caring for your relative are likely new. The inspection record backs that up: 68 deficiencies, two at harm or jeopardy level, and a $111,911 fine. No abuse citations. The most recent inspection was May 2025.
Arboretum Nursing And Rehabilitation Center Of Win runs on a nurse staffing level that's about a fifth below the national average, and weekends are thinner still, roughly 14% under its own weekday coverage. The bigger issue is the workforce itself: turnover sits at 98.4% a year, more than double the national rate, which tells you the aides and nurses in this building are largely new to it. On the current record are 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, along with two fines totaling $115,663. For a 120-bed for-profit home in Winnie, the pattern is a constant churn of caregivers paired with serious cited problems.
Natchitoches Nursing and Rehabilitation Center runs 98 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and it thins out further on weekends, roughly 16% below its own weekday levels. Staff turnover is 66.7% a year, well above the 45.8% national figure, so the people caring for residents keep changing. On the inspection side, 65 deficiencies are on record, six of them serious enough to involve harm or jeopardy, with four fines totaling $616,611 and a March 2026 inspection. Ownership is a for-profit limited liability company.
Farmerville Nursing and Rehabilitation Center runs on 3.06 nursing hours per resident day, roughly a fifth below the national average, and weekend coverage drops another fifth below its own weekday level. Staff turnover sits at 69.5% against a national 45.8%, meaning most of the aides and nurses caring for residents this year likely won't be there next year. The inspection record shows 30 deficiencies, including one at the level of actual harm or jeopardy and three tied to abuse, with $19,667 in fines and a survey completed in June 2025. For-profit corporate ownership, 117 beds, and low marks across staffing and quality measures round out the picture.
Bishop Rehabilitation and Nursing Center is a 440-bed for-profit home in Syracuse, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.52 hours per resident per day, roughly 9% under the national average, and weekends drop about 18% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Staff turnover runs 55.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. Its current inspection record carries 51 deficiencies, 12 at harm or jeopardy level and one abuse-related, with two fines totaling $699,602 and a May 2025 inspection.
Tonganoxie Terrace runs on 3.00 nurse hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 68.6% versus 45.8% nationally, meaning most of the people caring for your relative likely weren't there a year ago. The current record shows 56 deficiencies, two at harm or jeopardy level and two abuse-related, plus $47,317 in fines. Its last inspection was January 29, 2026. This is a for-profit limited liability company with a 90-bed census. Every CMS star category sits at 1 out of 5.
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?