4,510 Independent Nursing Homes in the United States

Nurse hours

4.59 /day

Staff turnover

29%

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Jones & Cabacoy Veterans Care Center is state-run, and you can see it in the numbers. Nurse staffing runs about 4.59 hours per resident day, roughly 19 percent above the national average, and weekend coverage holds within about 13 percent of weekday levels, a dip, but not a freefall. Staff turnover sits at 29.3 percent against a national average near 46, which suggests people stay. The inspection record is clean: no deficiencies on file, none at the harm level, nothing abuse-related, and the most recent survey dates to January 2024. For a 128-bed home, that combination, solid hours per resident, manageable turnover, an unblemished survey, is uncommon. Worth a visit, with questions about weekend staffing specifically.

Nurse hours

5.64 /day

Staff turnover

47%

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Cedarfield Pinnacle Living runs about 5.64 nurse hours per resident day, roughly 46% above the national average, which is a real cushion for a 20-bed nonprofit home in Henrico County. That staffing isn't perfectly even, though, weekends run about 13% leaner than weekdays, so coverage can thin out when families tend to visit. Turnover sits at 46.7%, essentially tracking the national rate, meaning the hands-on hours come from a workforce that changes over about as often as everyone else's. The current record shows no deficiencies at all, none at the harm level and none tied to abuse, with the last inspection in May 2023.

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Desert Ridge Transitional Care Center is a for-profit corporate home in Victorville with a remarkably thin inspection record, a single deficiency on the current books, none of it rising to harm or jeopardy, and nothing abuse-related. Its most recent survey came January 8, 2026, so the picture is fresh rather than dated. On paper, that's the profile of a home that hasn't given state inspectors much to write about. What the federal data can't tell you from here is how it feels on a Tuesday afternoon, staffing ratios, turnover, whether call lights get answered. Ask those questions directly when you visit. A clean record is a starting point, not the whole story.

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Emmanuel Care Center - Travis is a for-profit corporation home with 99 certified beds in Fairfield, and its 12 deficiencies on the current record are all below the harm or jeopardy level, no resident was seriously injured by the problems inspectors found, and none of them involved abuse. The last inspection was recent, December 4, 2025, so you're looking at current information rather than a stale snapshot. What the numbers can't tell you from here is staffing: how many nurses and aides are actually on the floor per resident, and how that compares to California and national averages. Ask for the last several months of payroll-based staffing reports and the administrator's turnover before you decide.

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Plumas District Hospital's skilled nursing unit is small, 36 certified beds, and it's run by the hospital district rather than a for-profit chain, which shapes how it operates. The current record shows four deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, so it's worth asking staff directly what happened and what changed afterward. The most recent inspection came in February 2026, so the picture here is fairly current rather than stale. With a unit this size, staffing often tracks closely to hospital coverage, which can mean steadier nurse presence than a standalone nursing home of similar bed count. One thing to note: ElderGrade doesn't have a computed grade for this home yet, so there's no score to lean on. That means the federal inspection and staffing data are what you have to work with, ask about the abuse-related finding, and ask how many residents are typically on the unit at once.

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Grossmont Gardens is a for-profit corporate home in La Mesa with 16 deficiencies on its current record. None of those rose to the level of actual harm or jeopardy, which matters, that's the line between paperwork problems and a resident getting hurt. One is abuse-related, so ask about that specifically when you tour. The most recent inspection was February 12, 2026, so the record is current rather than stale. Sixteen citations is a lot to work through, though, and the count itself suggests the home struggles to stay ahead of federal requirements rather than catching problems before surveyors do. Worth asking staff how they've addressed the abuse citation and what changed since.

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St. Joseph's Care Center runs 100 certified beds in McGregor under for-profit partnership ownership. Its record shows two deficiencies, one serious enough to reach the harm or jeopardy level, meaning inspectors found a problem that had already hurt or endangered a resident, not just a paperwork gap. One CMS fine totals $12,735. No abuse-related citations are on file, and the most recent inspection, dated June 12, 2025, is recent enough that the findings still describe the home as it operates now. A single harm-level deficiency in a 100-bed building is not a pattern, but it is not nothing either. Ask what happened and what changed afterward.

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St. Juanita Retirement and Rehab is a 90-bed for-profit corporate home in San Angelo, and its inspection record is mild enough on its face: five deficiencies, none of them at the harm or jeopardy level, none abuse-related, with a very recent survey dated December 23, 2025. What stands out is what isn't there. The home has no computed ElderGrade score, which typically means the underlying CMS data needed to grade it, star ratings, staffing figures, isn't available or complete enough to judge. So a clean deficiency count tells you only that inspectors found little to flag on one visit; it can't tell you whether nurse staffing sits above or below the national average, because that number isn't in the record. Worth asking the administrator directly.

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