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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

Showing 441–460 of 4,510, best-graded first.

A

92/100

Lourdes Rehabilitation And Healthcare Center

Waterford, MI · Oakland County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
25%
Serious cites
0

Lourdes Rehabilitation And Healthcare Center runs on church-affiliated nonprofit ownership, and the numbers show a home that's mostly steady. Nurse staffing sits at 3.99 hours per resident day, a bit above the 3.86 national average, though weekends drop roughly 11% below weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 25.3%, well under the 45.8% national figure, which suggests less churn than most places. The inspection record shows 11 deficiencies, one at the harm level and none abuse-related, with a single $15,593 fine and a recent survey from August 2025.

A

92/100

Porter Hills Health Center

Grand Rapids, MI · Kent County

CMS 5/5 39 beds Non-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
30%
Serious cites
0

Porter Hills Health Center runs on numbers that hold up. Nurse staffing sits at 4.58 hours per resident day, roughly 19 percent above the national average, and turnover is 30 percent against a national 45.8, meaning the people caring for residents tend to stick around. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none abuse-related. Its last inspection was in July 2025, and it earned five stars for both health inspections and staffing, four for quality measures. Weekend staffing dips only about 4 percent below its own weekday level. Ownership is nonprofit. For 39 beds, that's a stable, well-staffed operation.

A

92/100

Mcintosh Senior Living

Mcintosh, MN · Polk County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.92 /day
Staff turnover
27%
Serious cites
0

McIntosh Senior Living runs on a non-profit model with 45 certified beds, and the staffing numbers are the first thing worth noting: 4.92 nurse hours per resident day, about 27 percent above the national average. That matters more than any single inspection result, because consistent coverage is what keeps small homes safe day to day. Weekend staffing dips roughly 14 percent below its own weekday level, so ask how that gap gets covered. Staff turnover sits at 27 percent, well under the national 45.8 percent, which suggests people stay. The record shows 2 deficiencies, one serious enough to involve harm or jeopardy, with no abuse citations and a recent March 2026 inspection.

A

92/100

Courage Kenny Rehabilitation Institutes Trp

Golden Valley, MN · Hennepin County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
7.24 /day
Staff turnover
39%
Serious cites
0

Courage Kenny Rehabilitation Institutes Trp runs 56 certified beds in Golden Valley under nonprofit ownership, and the staffing numbers are the standout: 7.24 nurse hours per resident day, roughly double the national average of 3.86. Weekend coverage dips only about 6% below weekdays, and turnover at 38.7% sits below the 45.8% national figure. The weaker side is inspections, where CMS rates it 2 out of 5, with 12 deficiencies on record including one at the harm or jeopardy level and one tied to abuse, plus a $16,355 fine. That last inspection was recent, in March 2025, so the record is current rather than stale. Strong hands-on care, but a citation history worth asking about directly.

A

92/100

Legacy Square

Henderson, NE · York County

CMS 2/5 40 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
24%
Serious cites
0

Legacy Square runs a lean but well-staffed floor: 4.09 nurse hours per resident day, roughly 6% above the national average, and weekend coverage holds up better than you'd expect, dipping only about 13% below weekdays. Turnover sits at 23.5% against a national 45.8%, which means the people caring for residents tend to stick around. The trouble is on the inspection side. Eleven deficiencies are on the current record, including one at the harm level and two tied to abuse, and the health inspection rating reflects that. A single $14,069 fine and a January 2026 inspection round out the picture. Strong staffing can't paper over those findings.

A

92/100

Mcauley Hall Health Care Cente

Watchung, NJ · Somerset County

CMS 4/5 74 beds Non-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
28%
Serious cites
0

McAuley Hall runs on more nursing hours than most homes in the country, about 4.14 per resident day against a national average near 3.86, and its staff tends to stay, with turnover at 27.5% compared to roughly 46% nationally. The trade-off shows up in the inspection record: 20 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. Weekend coverage dips about 4% below weekday levels, which is worth asking about. State inspectors were last in during August 2025, and the home scores 4 out of 5 on health inspections, quality measures, and staffing alike.

A

92/100

De La Salle Hall

Lincroft, NJ · Monmouth County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
35%
Serious cites
0

De La Salle Hall runs about 4.63 nursing hours per resident each day, roughly 20 percent more than the national average, and its weekend coverage barely dips below weekdays. Staff turnover sits at 35.3 percent, well under the national 45.8 percent, people tend to stay. Six deficiencies show on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection closed out at the end of 2024. For a small nonprofit home of 32 beds in Monmouth County, that combination of steady staffing and clean inspections is doing most of the work here.

A

92/100

N J Eastern Star Home

Bridgewater, NJ · Somerset County

CMS 5/5 82 beds Non-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
29%
Serious cites
0

N J Eastern Star Home runs on a nonprofit model with 82 beds in Bridgewater, and the staffing numbers stand out: 4.15 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 9% below its own weekday level. Staff turnover sits at 29.4% against a national average of 45.8%, which matters for continuity of care. The inspection record shows 15 deficiencies, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A January 2026 inspection means the record is recent, and 5/5 staffing and quality measure ratings back up what the hours suggest.

A

92/100

Wyoming County Community Hospitals Snf

Warsaw, NY · Wyoming County

CMS 5/5 138 beds Government Medicaid
Nurse hours
4.29 /day
Staff turnover
35%
Serious cites
0

Nurse staffing at this county-run home in Warsaw runs about 11% above the national average, and its 35% turnover is meaningfully lower than the typical 45.8%, both signs of a stable core staff. Weekend coverage, though, drops roughly 14% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Inspections in March 2024 turned up 15 deficiencies, two tied to abuse, but none at the harm or jeopardy level. That mix, with strong quality measures and solid inspection history, is why it sits near the top of what we grade.

A

92/100

The Wartburg Home

Mount Vernon, NY · Westchester County

CMS 4/5 210 beds Non-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
14%
Serious cites
0

The Wartburg Home runs on 4.64 nursing hours per resident day, roughly a fifth more than the national average, and its staff turnover of 13.8% is far below the typical 45.8%, a sign that caregivers tend to stay, which matters for residents who need consistent faces. Inspections turned up 14 deficiencies, but none involved harm or jeopardy, and none were abuse-related, with the most recent review completed in July 2025. Weekend staffing dips about 14% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The quality measure rating sits at the top of the scale, while the health inspection rating is middling, worth reading the actual inspection reports rather than trusting either number alone.

A

92/100

Hollis Park Manor Nursing Home

Hollis, NY · Queens County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
28%
Serious cites
0

Hollis Park Manor is an 80-bed for-profit home in Queens, and the numbers behind its record are steady across the board. Nurse staffing runs 3.93 hours per resident day, a bit above the national average, and weekend coverage dips about 10% from its own weekday level, worth asking about if your visits land on Saturdays or Sundays. Staff turnover sits at 27.9%, well below the national 45.8%, which matters because consistent caregivers tend to know residents' routines. Its last inspection was May 2025, with 10 deficiencies on record and none at the harm level, though one is abuse-related and worth asking about directly.

A

92/100

The Steven And Alexandra Cohen Ped L T C Pavilion

Valhalla, NY · Westchester County

CMS 5/5 24 beds Non-profit Medicaid
Nurse hours
8.34 /day
Staff turnover
20%
Serious cites
0

The Steven and Alexandra Cohen Pediatric LTC Pavilion in Valhalla runs 8.34 nurse hours per resident day, more than double the national average of 3.86, and that staffing holds up reasonably on weekends, dipping only about 9% from weekday levels. Staff turnover sits at 20.4% against a national 45.8%, so the people caring for these 24 residents tend to stay. Inspections back it up: two deficiencies on record, none involving harm or abuse, and the most recent survey was in August 2024. As a nonprofit with a five-star inspection and quality record, this is about as steady as a small pediatric skilled nursing setting gets.

A

92/100

The Arbor

Pittsboro, NC · Chatham County

CMS 5/5 16 beds Non-profit
Nurse hours
4.46 /day
Staff turnover
0%
Serious cites
0

The Arbor is small, 16 certified beds, and that size shows up in the staffing numbers. At 4.46 nurse hours per resident day, it runs about 15 percent above the national average of 3.86, and weekend staffing actually sits slightly above its own weekday level, which is unusual. No staff turnover in the past year, against a national average near 46 percent, means the same people are showing up shift after shift. Six deficiencies sit on the current record, none at the harm or jeopardy level and none abuse-related; two fines total $6,350. The last inspection was April 2026, so the picture is current, and Chatham County's nonprofit owner has no profit motive pulling hours off the floor.

A

92/100

Brethren Village

Lancaster, PA · Lancaster County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
5.21 /day
Staff turnover
38%
Serious cites
0

Brethren Village runs a strong staffing operation: 5.21 nurse hours per resident day, roughly 35% above the national average, with turnover at 38.1% versus 45.8% nationally. Weekend coverage dips about 7% below its own weekday levels, which is worth asking about, since that's when families often visit. The trouble sits in inspections. Six deficiencies are on the current record, including three at the harm or jeopardy level and three tied to abuse. CMS gave the health inspection domain 2 out of 5 stars, even as quality measures scored 5 out of 5. That gap usually means the care itself looks fine on paper while the survey record tells a rougher story. The most recent inspection was January 30, 2026, recent enough that this reflects current conditions, not old ones.

A

92/100

Quarryville Presbyterian Retirement Community

Quarryville, PA · Lancaster County

CMS 5/5 130 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
21%
Serious cites
0

Quarryville Presbyterian runs 130 certified beds as a church-affiliated nonprofit, and the staffing story here is mostly about retention. A 20.7% annual turnover rate is less than half the national figure of 45.8%, which matters more than the headcount itself: 3.87 nurse hours per resident day sits essentially right at the national average of 3.86, so this home isn't outstaffing anyone, it's keeping the people it hires. Weekend coverage dips about 7% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The current record shows 12 deficiencies with none at harm or jeopardy level, though 2 are abuse-related and the last inspection was in August 2025.

A

92/100

Siskin Subacute West

Chattanooga, TN · Hamilton County

CMS 5/5 108 beds Non-profit Medicaid
Nurse hours
5.86 /day
Staff turnover
26%
Serious cites
0

Siskin Subacute West runs on unusually heavy staffing, 5.86 nurse hours per resident day against a national average near 3.86, and weekend coverage barely dips below the weekday pace. Turnover sits at 26.4%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. Those numbers earn top federal marks across staffing, health inspections, and quality measures. The catch is the inspection record behind those stars: 16 deficiencies, five serious enough to involve harm or jeopardy, and one fine of $93,919. A recent inspection date doesn't erase that history. The staffing is real and strong; the survey record is the part worth asking about directly.

A

92/100

Brian Center Of Alleghany

Low Moor, VA · Alleghany County

CMS 5/5 89 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
32%
Serious cites
0

Brian Center Of Alleghany runs about 3.82 nurse hours per resident each day, roughly even with the national 3.86 average, though weekends dip about 11% below its own weekday coverage. Staff turnover sits at 31.8%, well under the 45.8% national rate, which matters for consistency of care. The current record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2024. Owned by a for-profit limited liability company, the home holds a 4/5 on health inspections and 5/5 on both quality measures and staffing.

A

92/100

Vcu Health Children's Services At Brook Road

Richmond, VA · Richmond City County

CMS 5/5 47 beds Non-profit Medicaid
Nurse hours
9.41 /day
Staff turnover
26%
Serious cites
0

Nurse staffing here runs 9.41 hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage dips only about 6% below weekday levels, so families visiting on a Saturday should still find adequate hands on deck. Annual turnover sits at 26.4%, well under the 45.8% national figure, which suggests a workforce that stays put rather than cycling through constantly. The current record shows five deficiencies, none involving harm or jeopardy and none abuse-related, with the most recent inspection dated November 2025. Nonprofit ownership and perfect marks across health inspection, quality measures, and staffing round out a picture of a facility performing at a high level on the measures that matter most.

A

92/100

Spokane Veterans Home

Spokane, WA · Spokane County

CMS 5/5 100 beds Government Medicaid
Nurse hours
4.02 /day
Staff turnover
35%
Serious cites
0

Spokane Veterans Home runs on state money and 100 certified beds, and the numbers put it in decent shape. Nurse staffing sits at 4.02 hours per resident day, about 4% above the national average, though weekends run roughly 10% thinner than weekdays, worth asking about if your family visits then. Staff turnover is 34.8%, well under the national 45.8%, which matters because consistent caregivers notice changes sooner. The inspection record is where it gets more mixed: 48 deficiencies on file, including one at harm or jeopardy level and four tied to abuse, with the last inspection in March 2025. High star ratings across inspections and quality measures don't erase those specifics.

A

92/100

Roane General Hospital

Spencer, WV · Roane County

CMS 5/5 35 beds Non-profit Medicaid
Nurse hours
4.67 /day
Staff turnover
44%
Serious cites
0

Roane General Hospital runs 35 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.67 hours per resident day, roughly 21% above the national average of 3.86. Weekend coverage dips about 13% below its own weekday levels, so families should ask how that gap gets handled on Saturdays and Sundays. Annual turnover of 43.9% is slightly better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 36 deficiencies, none at the harm or jeopardy level, though two are abuse-related. Its last inspection was in September 2025, so the picture is current. CMS rates it 4 of 5 on health inspections and 5 of 5 on quality measures.

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?
Mclean Health Center in Simsbury, CT — grade A, 100 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 4,490 graded independently owned homes in the United States, 1,309 grade A and 280 grade D or F.
Do independently owned nursing homes in the United States accept Medicaid?
4,250 of the 4,510 are certified to accept Medicaid. See Medicaid and nursing homes.

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