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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 481–500 of 4,510, best-graded first.

A

91.5/100

Franklin General Hospital

Hampton, IA · Franklin County

CMS 5/5 52 beds Government Medicaid
Nurse hours
4.33 /day
Staff turnover
31%
Serious cites
0

Franklin General Hospital runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, and the 30.6% turnover rate is well under the national 45.8%, experienced caregivers tend to stay. Weekend coverage dips about 17% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The county-owned home carries 8 deficiencies, none at the harm level, though 2 are abuse-related and deserve a direct question. Inspectors were last on site in May 2025.

A

91.5/100

Humboldt County Memorial Hospital

Humboldt, IA · Humboldt County

CMS 5/5 28 beds Government Medicaid
Nurse hours
4.37 /day
Staff turnover
46%
Serious cites
0

Humboldt County Memorial Hospital runs a small county-owned unit, 28 beds, and the staffing numbers back up the ratings: 4.37 nurse hours per resident day, about 13% above the national average. The catch is weekends, when coverage drops roughly 17% below its own weekday level, so a fall or a change in condition on a Saturday may get a slower response than on a Tuesday. Turnover sits at 45.9%, essentially identical to the national average of 45.8%, meaning the staff you meet are about as likely to still be there next year as anywhere else. Seven deficiencies on record, none at the harm level and none abuse-related, with an inspection dated February 2026.

A

91.5/100

Kansas Soldiers Home

Fort Dodge, KS · Ford County

CMS 3/5 56 beds Government Medicaid
Nurse hours
6.58 /day
Staff turnover
28%
Serious cites
0

Kansas Soldiers Home runs on unusually heavy staffing for a nursing home, 6.58 nurse hours per resident day against a national average of 3.86. That's the strongest thing about it, and it shows up in the five-star staffing rating. Turnover sits at 27.6%, well under the national 45.8%, so the people caring for residents tend to stay. Weekends thin out, though, running about 24% below weekday coverage. The inspection record is the harder part: 25 deficiencies, including one at the harm level and two abuse-related, with a two-star health inspection rating. The last survey was August 2025, so the picture is current rather than stale. State-run ownership, 56 beds, and a mixed record, strong hands on deck, but real problems documented.

A

91.5/100

Anderson County Hospital Ltcu

Garnett, KS · Anderson County

CMS 5/5 36 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
45%
Serious cites
0

Anderson County Hospital Ltcu runs 3.94 nurse hours per resident day, a bit above the national average of 3.86, and its staffing rating reflects that. The catch is weekends, when hours drop roughly 18% below the home's own weekday level, that's when gaps tend to show up. Turnover sits at 44.7%, slightly better than the national 45.8%, so the crew is comparatively stable. Inspections in February 2025 turned up 16 deficiencies, two serious enough to involve harm or jeopardy, though none were abuse-related. For a 36-bed nonprofit hospital-based unit, the day-to-day numbers look reasonable; the weekend dip and those two harm-level findings are what pull the overall picture down.

A

91.5/100

East Jefferson General Hospital - Snf

Metairie, LA · Jefferson County

CMS 5/5 49 beds Non-profit
Nurse hours
7.66 /day
Staff turnover
21%
Serious cites
0

East Jefferson General Hospital's skilled nursing unit runs on 7.66 nurse hours per resident day, roughly double the national figure, and its staff turnover of 20.5% is less than half the national rate, a combination that usually shows up as consistent caregivers who know the residents. The tradeoff is weekends, when hours drop about a fifth below the unit's own weekday level. Six deficiencies sit on the current record, none involving harm or abuse, and the last inspection was February 2026. Quality measures score midrange against a five-star inspection and staffing picture, which fits a hospital-based nonprofit unit that's strong on people and watchful on weekends.

A

91.5/100

St. Joseph's Nursing Home

Catonsville, MD · Baltimore County

CMS 5/5 44 beds Non-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
29%
Serious cites
0

St. Joseph's runs on 4.18 nurse hours per resident day, roughly 8% above the national average, and its staff stays put, 28.6% turnover against a national 45.8%. Weekends dip about 18% below weekday coverage, so ask how that gap gets filled. The inspection record is clean where it counts: 11 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent visit in January 2026. Church-affiliated nonprofit ownership at 44 beds usually means tighter community ties and less pressure to chase census. The staffing and quality stars reflect a home that invests in people and keeps them.

A

91.5/100

Thornapple Manor

Hastings, MI · Barry County

CMS 5/5 161 beds Government Medicaid
Nurse hours
4.95 /day
Staff turnover
40%
Serious cites
0

Thornapple Manor is county-owned, and its staffing reflects that public backing: 4.95 nurse hours per resident day, roughly 28% above the national average, which is why CMS gives it 5 out of 5 stars on staffing. Turnover sits at 39.7%, better than the 45.8% national figure, though weekend coverage drops about 18% below weekday levels. The trade-off shows up in its record: 21 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with the most recent inspection dated April 2026. Strong day-to-day staffing and a solid four-star inspection rating, but those harm-level and abuse findings are worth asking about directly before you decide.

A

91.5/100

Galeon

Osakis, MN · Douglas County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
5.37 /day
Staff turnover
27%
Serious cites
0

Galeon runs a 40-bed nonprofit home in Osakis, and the staffing numbers are the first thing worth noticing: 5.37 nurse hours per resident per day, roughly 39% above the national average of 3.86. That kind of margin usually shows up in day-to-day care, though weekends dip about 22% below the home's own weekday level, so the coverage isn't perfectly even across the week. Staff turnover sits at 27.3%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. On the inspection side, five deficiencies are on record with none at the harm or jeopardy level, but two are abuse-related, so it's worth asking how those were resolved. The most recent inspection was December 17, 2025.

A

91.5/100

Perham Living

Perham, MN · Otter Tail County

CMS 5/5 96 beds Non-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
30%
Serious cites
0

Perham Living is a 96-bed nonprofit home in Otter Tail County with 5.45 nurse staffing hours per resident day, roughly 41% above the national average of 3.86. Its 30% annual turnover is well below the 45.8% national rate, and it holds a perfect 5/5 on CMS staffing and a 5/5 on health inspections, with its last inspection dated March 24, 2026. Six deficiencies sit on the current record, none at the harm or jeopardy level, though one is abuse-related. Weekend staffing dips about 18% below weekdays, so you'll want to ask how that gap gets covered.

A

91.5/100

Merit Health Wesley

Hattiesburg, MS · Forrest County

CMS 5/5 25 beds For-profit
Nurse hours
5.83 /day
Staff turnover
33%
Serious cites
0

Merit Health Wesley runs a small 25-bed unit in Hattiesburg, and the numbers that stand out most are staffing and inspection history. At 5.83 nurse hours per resident day, it puts roughly half again as much nursing time into each resident as the national average of 3.86, and its staff turnover of 33.3% sits well below the 45.8% national figure, meaning the people caring for residents tend to stay. Seven deficiencies on record, none rising to harm or jeopardy and none tied to abuse, with the most recent inspection in February 2026. The weaker spot is quality measures, which land mid-range.

A

91.5/100

Jnh-Jaquith Inn

Whitfield, MS · Rankin County

CMS 5/5 45 beds Government Medicaid
Nurse hours
5.14 /day
Staff turnover
52%
Serious cites
0

Jnh-Jaquith Inn runs on 5.14 total nurse staffing hours per resident day, roughly a third more than the national average, and that shows up in the federal star ratings: five out of five on staffing and on quality measures, four on health inspections. Weekend coverage drops about 19% from weekday levels, worth asking about if your family visits Saturdays or Sundays. Staff turnover sits at 51.7%, higher than the 45.8% national figure, which matters for how well anyone knows your parent. Seven deficiencies on the current record, none causing harm and none abuse-related, with the most recent inspection in February 2026. It's state-run, which shapes both the accountability and the pace of change.

A

91.5/100

Carl T Curtis Health Education Center Nursing Home

Macy, NE · Thurston County

CMS 4/5 25 beds Government Medicaid
Nurse hours
5.15 /day
Staff turnover
32%
Serious cites
0

Carl T Curtis Health Education Center runs on a federal government license in Macy, and its nurse staffing sits at 5.15 hours per resident day, roughly a third more than the national average of 3.86. That's the number driving its five-star staffing rating, and turnover of 32.4% is well below the 45.8% national figure, which suggests people stick around. Weekends do run about 18% lighter than weekdays, so ask how that's covered. Inspectors logged 11 deficiencies, none at the harm level, but one tied to abuse, worth asking about directly. The last inspection was January 29, 2026, so the record is current.

A

91.5/100

Gordon Countryside Care

Gordon, NE · Sheridan County

CMS 5/5 40 beds Government Medicaid
Nurse hours
4.30 /day
Staff turnover
31%
Serious cites
0

Gordon Countryside Care runs on a government hospital district model, and the numbers show a facility that's been kept in decent shape. Nurse staffing sits at 4.30 hours per resident day, about 11% above the national average, and the staff actually stay, 31.3% turnover against a national rate of 45.8%. Inspectors were last in on September 23, 2025, and the 12 deficiencies on record include nothing at the harm level and nothing abuse-related. The one soft spot: weekend staffing drops roughly 16% below what the home runs during the week, so coverage on Saturdays and Sundays isn't quite what families see Monday through Friday.

A

91.5/100

New Jersey Veterans Memorial Vineland

Vineland, NJ · Cumberland County

CMS 3/5 300 beds Government
Nurse hours
5.13 /day
Staff turnover
33%
Serious cites
0

New Jersey Veterans Memorial Vineland runs a state-owned, 300-bed operation where the staffing numbers stand out: 5.13 nurse hours per resident day, roughly a third more than the national average, with a 5-out-of-5 staffing rating and turnover at 32.9% against a national 45.8%. Weekend coverage dips about 17% below weekdays, which is worth asking about if your visits fall on Saturdays or Sundays. The weaker side is inspections, a 2-out-of-5 health inspection rating, nine deficiencies on record, one serious enough to reach harm or jeopardy level, though none abuse-related. The most recent inspection was September 2025, so the record is current.

A

91.5/100

Givens Health Center

Asheville, NC · Buncombe County

CMS 5/5 70 beds Non-profit Medicaid
Nurse hours
5.26 /day
Staff turnover
32%
Serious cites
0

Givens Health Center in Asheville runs on 5.26 nurse staffing hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 18% below its own weekday level, so care may look thinner on Saturdays and Sundays. Staff turnover sits at 31.6%, well under the national 45.8%, a real advantage in a field where constant retraining erodes familiarity with residents. The nonprofit's inspection record carries 19 deficiencies, none at harm or jeopardy level and none abuse-related, with a 4/5 inspection rating and a March 2026 survey. The quality measure score of 3/5 is the softer spot.

A

91.5/100

Dakota Alpha

Mandan, ND · Morton County

CMS 5/5 20 beds Non-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
40%
Serious cites
0

Dakota Alpha is a small, nonprofit-run home in Mandan, just 20 certified beds, and the numbers behind its A grade are mostly about staffing. Its 4.83 nurse hours per resident day sit roughly 25% above the national average of 3.86, and staff turnover of 40% comes in under the 45.8% national figure. One caveat worth knowing: weekend staffing drops about 21% below the home's own weekday level, so care may look thinner on Saturdays and Sundays. Inspections are current as of July 2025, with nine deficiencies on record, none involving harm or jeopardy, and none abuse-related.

A

91.5/100

Friendship Village Of Dublin

Dublin, OH · Franklin County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
5.20 /day
Staff turnover
—
Serious cites
0

Friendship Village Of Dublin runs 5.20 total nurse staffing hours per resident day, roughly a third more than the 3.86 national average, and weekends only dip about 9% below its own weekdays. That's a real cushion, and it's why staffing holds four stars. The quality measures are stronger still at five. What pulls against that picture is the inspection record: 20 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. The most recent state visit was November 2024. So you're looking at a nonprofit home where day-to-day care capacity is clearly above par, but the survey history has some weight in it. Ask to see the plan of correction for that harm-level citation before you decide.

A

91.5/100

Maplecrest Nursing And Hta

Struthers, OH · Mahoning County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
40%
Serious cites
0

Maplecrest runs on more nursing hours than most homes, about 4.05 per resident per day against a national average near 3.86, and its 40% turnover sits below the national figure, so the staff you meet are more likely to still be there next year. The catch is consistency: weekends run roughly 18% thinner than weekdays. Inspectors were last in on April 14, 2025, and the record shows 17 deficiencies, including one at the harm level and one tied to abuse. That combination, strong day-to-day numbers, a recent inspection with a serious finding, is what a family should weigh before deciding.

A

91.5/100

Fernwood Supportive Living At Madrona Grove

Portland, OR · Clackamas County

CMS 4/5 16 beds Non-profit Medicaid
Nurse hours
6.29 /day
Staff turnover
—
Serious cites
0

Fernwood runs on 6.29 total nurse hours per resident day, roughly 63% above the national average, and weekends dip only about 11% below weekdays, a smaller drop than many homes show. That staffing depth is what lifts its grade despite a mixed inspection record: 22 deficiencies on file, including two at harm or jeopardy level and five tied to abuse, with a 3/5 inspection rating. The last inspection was August 2025, so the picture is recent. With 16 beds and nonprofit ownership, it's small enough that staff consistency matters more than corporate polish. The quality measure rating is 5/5, which suggests residents' clinical outcomes track better than the deficiency count alone would imply.

A

91.5/100

St Luke's Rehabilitation And Nursing Center

Coaldale, PA · Schuylkill County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
21%
Serious cites
0

St. Luke's in Coaldale runs on 4.37 nurse hours per resident day, roughly 13% more than the national average, and its staff tends to stay: 20.9% annual turnover against a national 45.8%. Weekend coverage dips about 15% below its own weekday levels, which is worth asking about if your family visits Saturdays or Sundays. The current record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. As a nonprofit with 48 beds, it's small enough that you can reasonably expect to know the people caring for your relative.

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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