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
Nexus Pavilion At Belleville runs 180 beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.24 hours per resident day against a national average of 3.86, weekend coverage drops about 15% below its own weekday level, and annual turnover hits 70.4%, well above the 45.8% national figure. That thin, churning workforce shows up in the inspection record: 75 deficiencies, 25 at harm or jeopardy level, 17 abuse-related, and seven fines totaling $821,641. CMS has placed it in the Special Focus Facility program, reserved for the poorest performers. Its last inspection was March 14, 2025.
Gallaway Health and Rehab runs on 2.94 nurse hours per resident day, about a quarter below the national average, and weekends drop roughly 15% below what the home staffs on weekdays. Nearly two-thirds of its nurses left over the past year, well above the 45.8% national rate, which means care is often delivered by people still learning the building. Its record shows 21 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $78,741 fine. The last inspection was June 2022, so that record is largely unverified since then. A for-profit LLC operates the 104-bed home out of Fayette County.
Kimes runs on 3.11 nursing hours per resident per day, roughly a fifth below the national average, and the weekend gap makes it thinner still, about 16% less staff on Saturdays and Sundays than during the week. The bigger red flag is turnover at 87.2%, nearly double the national figure, which means the people caring for residents are, more often than not, new to the building. The current inspection record shows 51 deficiencies, including three tied to abuse and one serious enough to cause harm or jeopardy, and the last inspection was in October 2024. A one-star inspection rating and two-star quality measures reflect a home that has struggled on multiple fronts, not just one bad survey.
The Haven On The River runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, with weekends dipping about 7% below its own weekday levels. That matters because turnover sits at 65.9%, well above the national 45.8%, so the people providing care keep changing. The inspection record shows 37 deficiencies, five at harm or jeopardy level and three abuse-related, plus three fines totaling $338,630. The most recent inspection was May 2025, so the picture is current, not old. This is a for-profit limited liability company with 66 certified beds, and the numbers above are what a family should weigh before deciding.
Big Bend Woods runs on 2.84 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage drops about 11% below its own weekday level. Staff turnover sits at 67% against a national 45.8%. The inspection record shows 64 deficiencies, including four at harm or jeopardy level and five tied to abuse, plus an $85,176 fine and a 1-out-of-5 CMS rating on both staffing and quality measures. Ownership is for-profit and individual. The most recent inspection was September 2025.
Aria Of Brookfield runs 170 certified beds as a for-profit corporation, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.40 hours per resident day, about 12% under the national average, and weekends run roughly 8% leaner than weekdays. Staff turnover is 71%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record shows 109 deficiencies, including 10 at the harm or jeopardy level and 7 tied to abuse, with four fines totaling $396,970. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5. The most recent inspection was August 27, 2025.
Nortonville Health Care Center is a 45-bed for-profit home in Jefferson County, and the numbers behind its record are hard to get past. Nurse staffing sits at 3.04 hours per resident day against a national average of 3.86, weekends run about 18% thinner than weekdays, and annual turnover is 80.7%, nearly double the national figure, so the people caring for residents change constantly. The inspection history includes 74 deficiencies, 12 at harm or jeopardy level and 3 abuse-related, with four fines totaling $252,207, and CMS has placed the home in its Special Focus Facility program. That program exists for homes with a persistent pattern of poor care, and the most recent inspection in January 2026 means the record is current, not old.
If you're looking at Estates of Perryville, the numbers behind its federal record are worth your time. The home has 156 certified beds and a for-profit LLC owner, and its nurse staffing comes in at 2.10 hours per resident day, roughly 46% below the national average, with weekend coverage dropping about 18% below its own weekday levels. Annual turnover sits at 61.4%, well above the 45.8% national figure. On the current record: 45 deficiencies, six at harm or jeopardy level, six abuse-related, and three fines totaling $303,763. All three CMS star ratings land at 1 out of 5, and the last inspection was March 11, 2026.
Friendship Rehab and Health is one of the largest nursing homes in Pennsylvania, with 589 certified beds, and it's owned by a for-profit limited liability company. The staffing numbers are the first thing you'd notice: 2.40 nurse hours per resident per day, roughly 38% under the national average, with weekends running about 18% below its own weekday levels. Staff turnover sits at 66.2% a year against a national average of 45.8%. The inspection record is heavy, 173 deficiencies, 10 of them at harm or jeopardy level, 13 abuse-related, and five fines totaling $234,389. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems.
Timbercreek runs on thinner staffing than most homes its size, 3.42 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 15% below what it manages Monday through Friday. That matters over 202 beds, where gaps get covered by whoever's left. Annual turnover sits at 65.9% while the national figure is 45.8%, so the aides and nurses cycling through are often new to the building and to each other. On inspections, the record shows 74 deficiencies, 11 of them at harm or jeopardy level and four tied to abuse, with seven fines totaling $260,624. The last inspection was August 2024. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Craighead Nursing Center is county-owned, which matters in Arkansas because government-run homes often operate with different budget pressures than for-profit chains. Five deficiencies on the current record sounds like a lot until you look at severity: none rose to actual harm or jeopardy, and none involved abuse. That's the distinction that separates paperwork problems from safety problems. The last inspection closed out in December 2025, so the picture is current, not stale. What the record doesn't show is the kind of repeat, high-severity citations that tend to follow residents around. For a 121-bed county home, that's a fairly quiet file, the kind you'd want to ask about in person, but not one that raises immediate alarm.
Bluestem Village is state-run, which puts it in a small category of Colorado nursing homes, most are for-profit chains or nonprofits. Its inspection record is clean: zero deficiencies of any kind on the current record, none at the harm level, and nothing abuse-related. The last full inspection was September 5, 2024, so the findings are recent enough to mean something. With 56 beds, it's a small home, the kind where a state surveyor can look at every resident chart in a day. One caveat worth knowing: the absence of problems in the record doesn't say anything about staffing hours or turnover, which are the numbers that usually predict day-to-day life. Ask about those directly.
Redbud Village runs 34 beds as a nonprofit, and its nurse staffing sits at 3.73 hours per resident day, about 3% under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 6% below what the home staffs on weekdays. The record shows five deficiencies, two of them serious enough to count as harm or jeopardy, plus one tied to abuse, and CMS has issued two fines totaling $24,779.
One thing in the home's favor: the most recent inspection was March 12, 2025, so the state's picture of conditions here is fairly current rather than years stale. If you're weighing this one, ask specifically about the abuse-related finding and how weekend coverage is handled.
Access Mental Health in Peabody holds 45 certified beds under for-profit limited liability ownership, and its last inspection was June 3, 2026. Staff turnover sits at 25.9% against a national average of 45.8%, so on retention this home beats most of its peers. The rest of the record runs the other way: 45 deficiencies, 10 of them at the harm or jeopardy level, 5 tied to abuse, and three CMS fines totaling $122,551. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. Low turnover alone doesn't offset that kind of inspection history.
The Massachusetts Veterans Home at Holyoke runs 128 certified beds under state government ownership, and its nurse staffing sits at 8.21 hours per resident day. That's roughly double the national average of 3.86, which is unusual even for a government-run home. Weekend staffing drops about 11% below its own weekday level, so the coverage families see on a Saturday won't match a Tuesday. Its record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection on February 28, 2025. High staffing and a clean harm record don't erase the weekend gap, but they tell you where this home puts its resources.
Alyce G Clarke Center is a state-run home in Jackson, Mississippi, serving medically fragile children. Its record shows zero deficiencies on the current inspection, including none at the harm or jeopardy level and none tied to abuse. The most recent survey was December 9, 2025, meaning the findings are recent rather than stale. That combination, a clean record with no harm-level citations and a fresh inspection, is uncommon and worth weighing against the kind of population this home serves. Children who are medically fragile often need intense, specialized care, so a spotless survey here reflects steady clinical attention, not an easy caseload. If you're considering placement, the paperwork itself won't give you much to worry about.
Western Sky Community Care Center is a small nonprofit home in Grant, and its record is about as clean as it gets: zero deficiencies on the current survey, none at the harm or jeopardy level, and nothing abuse-related. The last inspection wrapped up in April 2026, which is recent enough that those results reflect how the place actually runs right now. With 44 certified beds, it's the kind of size where staff know every resident by name, and nonprofit ownership tends to mean decisions get made locally rather than by a distant chain. If you're weighing this one for a family member, the inspection history and ownership together are the strongest things it has going for it.
A 42-bed for-profit LLC home in Carteret County, Embassy At Morehead City carries a clean federal record: zero deficiencies of any kind, including none at the harm or jeopardy level and none tied to abuse. Its most recent inspection was February 17, 2026, so the findings are recent rather than stale. What the public data can't tell you from here is how the place feels day to day, how much direct nursing time each resident actually gets compared with the national average, and whether staff turnover undercuts consistency of care. Those are the questions worth asking the administrator directly, along with who owns the LLC and how long they've operated this building.
Bloomsbury at Hayes Barton Place is a small Wake County home, 31 certified beds, corporate for-profit ownership, and its inspection record right now is spotless. Zero deficiencies on the current record, none at the harm or jeopardy level, and nothing abuse-related, with the most recent survey completed January 22, 2026. That recency matters; a clean record from years ago tells you less than a clean one from weeks ago.
What the numbers don't show is anything about staffing hours, turnover, or how residents and families actually experience the place day to day. Thirty-one beds means the place runs small, which can cut either way. If you're considering it, ask directly about nurse coverage on nights and weekends, and whether the same aides are still there year to year.
Rolling Meadows is a small non-profit home in Wichita Falls, certified for just two beds, and its record is clean on the federal measures that matter most: no deficiencies of any kind, nothing at the harm or jeopardy level, and no abuse-related citations. The most recent inspection was July 24, 2025, so the picture is current rather than stale. With a bed count that low, there's also no meaningful staffing average to weigh against the national figure, the usual comparison doesn't apply here. What you're looking at is a very small operation with a spotless recent survey history and no for-profit owner pushing the numbers. Call and ask how those two beds are actually used.
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?