ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 501–520 of 4,510, best-graded first.

A

91.5/100

St Anne's Retirement Community

Columbia, PA · Lancaster County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
5.02 /day
Staff turnover
25%
Serious cites
0

St. Anne's runs on about 5 nursing hours per resident per day, roughly 30% more than the national average of 3.86, and its staff tends to stay, 25% annual turnover against a national rate near 46%. Weekend coverage dips about 18% below its own weekday level, which is worth asking about if your family visits primarily on Saturdays or Sundays. The record is otherwise clean: five deficiencies, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in December 2025. Quality and inspection ratings both land at 4 out of 5, staffing at 5.

A

91.5/100

Spartanburg Hospital For Restorative Care Snf

Spartanburg, SC · Spartanburg County

CMS 5/5 25 beds Government
Nurse hours
6.13 /day
Staff turnover
48%
Serious cites
0

Spartanburg Hospital For Restorative Care runs just 25 certified beds, and its staffing reflects that small, hospital-linked setup: 6.13 nurse hours per resident day, roughly 59% above the national average of 3.86. Weekend coverage dips about 17% below its own weekday level, and annual turnover sits at 47.8%, a bit above the 45.8% national figure, worth asking about if consistency matters to you. The inspection record is otherwise clean: one deficiency total, none at harm or jeopardy level, none abuse-related, with the most recent inspection on November 19, 2025. Government ownership, five stars across health inspections, quality measures, and staffing.

A

91.5/100

Greenwood Transitional Rehabilitation Unit

Greenwood, SC · Greenwood County

CMS 5/5 12 beds For-profit
Nurse hours
6.34 /day
Staff turnover
—
Serious cites
0

Greenwood Transitional Rehabilitation Unit runs on unusually heavy staffing for its size, 6.34 nurse hours per resident day against a national average of 3.86, roughly 64% more hands-on time. Weekend coverage dips only about 6% below its weekday level, so the difference between a Tuesday and a Saturday here is modest. The home was inspected recently, in June 2025, and came away with no deficiencies at the harm or jeopardy level, though one of its four citations is abuse-related, worth asking about directly. With 12 certified beds under corporate ownership, it's small enough that you can reasonably expect to know who's on shift.

A

91.5/100

Harbor's Edge

Norfolk, VA · Norfolk City County

CMS 5/5 33 beds Non-profit
Nurse hours
5.87 /day
Staff turnover
40%
Serious cites
0

Harbor's Edge runs 5.87 nurse hours per resident per day, well above the national average of 3.86, and that staffing shows up in its five-star rating on that measure. Turnover sits at 40.4 percent, a bit better than the 45.8 percent national figure. The inspection record is where you'll want to ask questions: 13 deficiencies, none at the harm level, but one abuse-related citation is worth raising directly with the administrator. Staffing also dips about 19 percent on weekends, so ask how coverage works on Saturdays and Sundays. A recent February 2026 inspection means the record is current.

A

91.5/100

The Culpeper

Culpeper, VA · Culpeper County

CMS 4/5 47 beds Non-profit Medicaid
Nurse hours
5.69 /day
Staff turnover
20%
Serious cites
0

The Culpeper runs a nonprofit home of 47 beds, and its nurse staffing sits at 5.69 hours per resident day, roughly 47% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday levels, so care thins out somewhat on Saturdays and Sundays. Staff turnover is 20%, well under the 45.8% national average, which suggests people stay. The current record carries 19 deficiencies, one at the harm level and none abuse-related, with the last inspection in October 2023. CMS gives it top marks for staffing and middling marks for inspections and quality measures. Strong hours and low turnover are doing the heavy lifting here.

A

91.5/100

Windsormeade Of Williamsburg

Williamsburg, VA · James City County

CMS 5/5 22 beds Non-profit Medicaid
Nurse hours
5.54 /day
Staff turnover
36%
Serious cites
0

Windsormeade of Williamsburg runs on church-affiliated nonprofit ownership, and the numbers back up what that structure often buys you: time with residents. Nurse staffing sits at 5.54 hours per resident day, roughly 43 percent above the national average, and turnover comes in at 35.7 percent against a national 45.8, staff tend to stay. The tradeoff worth knowing is weekends, when coverage drops about 21 percent below the home's own weekday level. Nine deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2023. With only 22 certified beds, this is a small home, which cuts both ways on consistency.

A

91.5/100

The Glebe

Daleville, VA · Botetourt County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
5.42 /day
Staff turnover
49%
Serious cites
0

The Glebe runs about 5.42 nurse hours per resident day, roughly 40% more than the national average of 3.86, that's the kind of cushion that matters when a resident needs help at 2 a.m. Weekend staffing dips about 21% below its own weekday levels, worth asking about, though the floor starts high. Seven deficiencies sit on the current record, none at the harm level and none abuse-related. Staff turnover lands at 49%, a bit above the 45.8% national figure. CMS gives this nonprofit five stars each for inspections, quality measures, and staffing, with its last inspection in April 2024.

A

91.5/100

Emanate Health Inter-Community Hospital- D/P Snf

Covina, CA · Los Angeles County

CMS 5/5 25 beds Non-profit Medicaid
Nurse hours
6.10 /day
Staff turnover
15%
Serious cites
0

Emanate Health Inter-Community Hospital runs a small 25-bed skilled nursing unit in Covina, and its staffing numbers stand out: 6.10 nurse hours per resident day, roughly 58% above the national average. Weekend coverage does dip about 16% below its own weekday level, so ask how that plays out on Saturdays. Annual turnover of 15.4% is well below the 45.8% national figure, which matters for consistency of care. The inspection record shows 19 deficiencies with none at the harm level, though one is abuse-related, worth asking about directly. A May 2025 inspection means the record is current.

A

91.5/100

Zuckerberg San Francisco General Hosp & Trauma Snf

San Francisco, CA · San Francisco County

CMS 5/5 30 beds Government Medicaid
Nurse hours
8.33 /day
Staff turnover
—
Serious cites
0

Zuckerberg San Francisco General's skilled nursing unit is run by the city and county, and it shows in the numbers: 8.33 nurse hours per resident day, roughly double the national average. Weekend staffing dips about 14 percent below its own weekday level, which is worth knowing if your family visits or calls on Saturdays and Sundays. The current record carries 12 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in January 2026. With 30 beds, it's small enough that staffing and oversight stay close to the residents.

A

91/100

Freedom Plaza Care Center

Peoria, AZ · Maricopa County

CMS 5/5 111 beds For-profit
Nurse hours
4.87 /day
Staff turnover
32%
Serious cites
0

Freedom Plaza Care Center runs on 4.87 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its staff turnover of 32.1% sits well under the 45.8% national figure. That combination of more hands and steadier hands shows up on the health inspection side, where the home earned the top CMS rating and its last survey, in April 2024, turned up no deficiencies at the harm or jeopardy level. Twelve total deficiencies is not nothing, and one is abuse-related. Weekend coverage drops about 12% from weekday levels, so ask how that plays out on Saturdays. Ownership is a for-profit limited liability company.

A

91/100

Idylwood Care Center

Sunnyvale, CA · Santa Clara County

CMS 5/5 185 beds For-profit Medicaid
Nurse hours
6.07 /day
Staff turnover
31%
Serious cites
0

Idylwood Care Center runs on unusually heavy nurse staffing for a 185-bed for-profit home, 6.07 hours per resident day, well above the 3.86 national figure, and its staff tends to stay, with turnover at 30.9% against a national 45.8%. Weekend coverage dips about 15% below weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The home was inspected in April 2025 and carries 30 deficiencies, none at the harm level but one tied to abuse, so ask directly how that was resolved. Ownership is a limited liability company, meaning financial accountability can be harder to trace than with a nonprofit or public operator.

A

91/100

California Home For The Aged

Fresno, CA · Fresno County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
34%
Serious cites
0

California Home For The Aged has one of those rare staffing pictures where nothing looks thin. At 4.24 nurse hours per resident day, it runs about 10% above the national average, and weekend coverage barely dips, roughly 5% off its own weekday level, which is small compared to most homes. Turnover sits at 33.9%, well under the 45.8% national figure, and a non-profit owner tends to hold staff longer. The catch is the inspection record: 35 deficiencies, including one at harm or jeopardy level and one abuse-related, though the most recent inspection was March 2025, so that count may not reflect current conditions.

A

91/100

Bradley Home Infirmary/Pavilion

Meriden, CT · Capitol County

CMS 5/5 30 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
22%
Serious cites
0

Bradley Home Infirmary/Pavilion runs 30 certified beds in Meriden under nonprofit ownership, and its staffing is the clearest strength: 4.07 nurse hours per resident day, a bit above the national average, with a 5/5 staffing rating. Turnover sits at 22.2%, less than half the national figure, which matters for residents who need consistent caregivers, though weekend coverage drops about 13% from weekday levels. The record isn't spotless: 18 deficiencies, one serious enough to involve harm or jeopardy, plus a $12,735 fine. Its last inspection was March 2025, and both health inspection and quality measure ratings came in at 4/5.

A

91/100

Stonegates

Greenville, DE · New Castle County

CMS 4/5 49 beds For-profit
Nurse hours
5.96 /day
Staff turnover
26%
Serious cites
0

Stonegates runs on unusually heavy staffing, 5.96 nurse hours per resident day against a national average of 3.86. That's not a rounding quirk; it's roughly half again as much hands-on time as the typical home, and turnover at 26.4% sits well under the 45.8% national figure, meaning the people providing that care tend to stay. Weekends thin out about 14% from weekday levels, worth asking about if your visits fall on Saturdays or Sundays. The caution sits in the inspection record: 20 deficiencies, one serious enough to involve harm or jeopardy, one abuse-related, and a $48,696 fine. The most recent inspection came in December 2025, so the picture is current.

A

91/100

Sibley Mem Hosp Renaissance

Washington, DC · The District County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
6.48 /day
Staff turnover
26%
Serious cites
0

Sibley Mem Hosp Renaissance runs on a nurse staffing level that's genuinely hard to find: 6.48 hours per resident day, roughly 68% above the national average, with a five-star staffing rating and turnover at 26% against a national 45.8%. But the inspection record complicates that picture, 34 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with the last full inspection in January 2023. Weekend coverage also dips about 12% below the home's own weekday level. So you're looking at a small, nonprofit-affiliated home that invests heavily in staff but carries a real compliance history worth asking about directly before you decide.

A

91/100

Gulf Coast Medical Center Skilled Nursing Unit

Fort Myers, FL · Lee County

CMS 5/5 75 beds Government
Nurse hours
5.82 /day
Staff turnover
19%
Serious cites
0

Gulf Coast Medical Center's skilled nursing unit runs on government ownership through the hospital district, and the numbers show a place that's mostly held together by staffing. At 5.82 nurse hours per resident day, it's about half again the national average, and turnover sits at 19.3% against a national 45.8%, unusually stable for the industry. Weekend coverage dips only about 11% below weekdays. Inspections tell a messier story: a 5-star health inspection rating, but six deficiencies on record, one serious enough to involve harm or jeopardy, and a $14,521 fine. The last inspection was August 2023, so the record is dated. Quality measures land at 4 stars. Strong staffing and low turnover are real, but that one harm-level deficiency is the detail worth asking about directly.

A

91/100

Lenbrook

Atlanta, GA · De Kalb County

CMS 5/5 60 beds Non-profit
Nurse hours
6.01 /day
Staff turnover
42%
Serious cites
0

Lenbrook runs 6.01 nurse hours per resident per day against a national average of 3.86, that's roughly half again as much hands-on time as the typical home. Weekend staffing dips about 10% below its own weekday level, so ask how that plays out on a Sunday. Four deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection in late February 2026. Staff turnover sits at 41.6%, a bit better than the 45.8% national figure, though still meaningfully high. As a nonprofit, it answers to a board rather than shareholders.

A

91/100

Magnolia Place Nursing And Rehabilitation

Rome, GA · Floyd County

CMS 5/5 34 beds Non-profit Medicaid
Nurse hours
6.41 /day
Staff turnover
48%
Serious cites
0

Magnolia Place runs on a nonprofit model with 34 certified beds in Rome, and the staffing numbers stand out, 6.41 nurse hours per resident day, roughly two-thirds above the national average of 3.86. Weekend coverage dips only about 3% below its own weekday level, so care doesn't thin out much when families tend to visit. Turnover sits at 48.3%, a touch above the 45.8% national figure, which is worth asking about directly. Five deficiencies appear on the current record, none at the harm level and none abuse-related, and the most recent inspection came in January 2026.

A

91/100

Arcadia Retirement Residence

Honolulu, HI · Honolulu County

CMS 4/5 91 beds Non-profit
Nurse hours
4.61 /day
Staff turnover
25%
Serious cites
0

Arcadia Retirement Residence runs on unusually strong staffing for a nonprofit in Honolulu: 4.61 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 9% below weekdays. Turnover sits at 24.7%, roughly half the national rate, which matters because consistent caregivers know their residents. The tradeoff shows up in its inspection history, 37 deficiencies on record, including two at the harm level and three tied to abuse, with one $12,854 fine. The most recent inspection was October 2024, so that record is current. Strong hands-on care, a thinner record on compliance.

A

91/100

Oahu Care Facility

Honolulu, HI · Honolulu County

CMS 5/5 82 beds For-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
48%
Serious cites
0

Oahu Care Facility runs on better-than-average nurse coverage, 5.09 hours per resident day, roughly a third more than the national figure of 3.86, and its weekend hours dip only modestly below weekdays. Staff turnover is 47.8%, a touch above the national 45.8%, so the people giving that care turn over somewhat more than elsewhere. What pulls the record down is the inspection history: 37 deficiencies on file, including one at the harm level and one tied to abuse, plus an $8,278 fine. The most recent inspection was November 2025. Strong daily staffing, thinner safety record.

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.

Before you shortlist