4,510 Independent Nursing Homes in the United States

Nurse hours

5.79 /day

Staff turnover

37%

Serious cites

0

Syringa Chalet runs on state government ownership in Blackfoot, and the numbers show a home that's mostly getting the fundamentals right. Nurse staffing sits at 5.79 hours per resident day, roughly half again the national average, and weekend coverage dips only about 9% below weekdays, so care doesn't fall off a cliff on Saturdays and Sundays. Turnover runs 37.3%, better than the 45.8% national figure, which matters because familiar faces tend to know residents' routines. The tradeoff: 22 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and one fine of $13,923. Inspectors were last in on January 22, 2026, so that picture is current.

Nurse hours

5.55 /day

Staff turnover

33%

Serious cites

0

Lake Forest Place runs on a genuinely strong staffing base: 5.55 nurse hours per resident day, roughly 44% above the national average, which is the kind of margin that shows up in day-to-day care. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 33.3%, meaningfully better than the 45.8% national figure, and the nonprofit ownership may help explain the stability. Against that, the current record carries 14 deficiencies, two of them serious enough to involve harm or jeopardy, and the last full inspection was in December 2024.

Nurse hours

4.78 /day

Staff turnover

24%

Serious cites

0

The Klein Center has a lot working in its favor on paper: 4.78 nurse hours per resident day is roughly a quarter more staffing than the national average, and its 23.8% turnover is about half the national rate, which suggests a stable crew. Weekend coverage slips a bit, about 10% below weekdays, so ask how that plays out on Saturdays. The trouble is the inspection record, 14 deficiencies, including two at the harm level and three tied to abuse, plus two fines totaling $65,094. Quality measures score well, but that history is recent, from May 2025.

Nurse hours

3.98 /day

Staff turnover

24%

Serious cites

0

Chautauqua Guest Home #3 in Charles City runs a tight ship. Staffing sits at 3.98 nurse hours per resident day, just above the national average, and the weekend dip is modest at around 8 percent, not the steep drop-off you see at some homes. What stands out most is the 23.8 percent turnover rate, roughly half the national figure, which suggests people actually stay. The inspection record backs that up: six deficiencies on file, none causing harm, none tied to abuse, and the most recent state visit came in July 2025. For-profit corporate ownership, 57 beds, and quality measures scoring well enough to keep this one worth a look.

Nurse hours

4.26 /day

Staff turnover

26%

Serious cites

0

Methodist Manor in Storm Lake runs on a nonprofit model, and its staffing numbers show it. At 4.26 nurse hours per resident day, it sits about 10% above the national average, and it's one of the few homes where the 5-star staffing rating reflects real retention, 25.7% turnover against a national average of 45.8% is unusually steady. Weekends dip only about 6% below weekday coverage, which matters when you're thinking about who's actually on the floor on a Sunday. The caution is in the inspection record: 21 deficiencies, including one at harm level and one abuse-related, with the most recent survey in April 2026. Strong staffing and quality measures, but the compliance history is worth asking about directly.

Nurse hours

4.19 /day

Staff turnover

31%

Serious cites

0

Calvin Community in Des Moines runs on a nonprofit model with 59 certified beds, and the staffing numbers are its strongest suit: 4.19 nurse hours per resident day, roughly 8% above the national average, with a 5/5 CMS staffing star. Weekend coverage dips about 11% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Turnover sits at 31.3% against a national average of 45.8%, meaning workers tend to stay longer here than at most homes. The tradeoff is a 3/5 inspection star with 12 deficiencies on record, though none involved harm or abuse, and one fine totaling $4,233. The last inspection was in December 2025, so the record is recent.

Nurse hours

4.35 /day

Staff turnover

35%

Serious cites

0

United Presbyterian Home runs 4.35 nurse hours per resident day, about 13 percent above the national average of 3.86. Weekend coverage drops roughly 14 percent from its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 35.1 percent against a national 45.8 percent, which matters for how well aides know your mother's routines. The current record shows 22 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in July 2025. This is a nonprofit with strong staffing and quality marks, but those two serious citations are the reason to read the inspection reports yourself before deciding.

Nurse hours

4.33 /day

Staff turnover

34%

Serious cites

0

West Ridge Care Center runs 60 beds in Cedar Rapids under corporate ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, though weekends dip about 9% below what the home staffs on weekdays. Turnover is 33.9%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record is thin: one deficiency total, none at the harm level, none abuse-related, with the most recent survey dated January 29, 2026. For a for-profit home, that combination of low turnover, above-average staffing, and a nearly clean survey history is not typical.

Nurse hours

5.34 /day

Staff turnover

34%

Serious cites

0

Bethany Home Association runs a lean, well-staffed operation. At 5.34 nurse hours per resident day, it sits about 38% above the national average, and its staff turnover of 34% beats the national 45.8%, people tend to stay. The 20 deficiencies on record sound like a lot until you notice none reached harm or jeopardy level and none involved abuse, so they read more like paperwork and process issues than resident safety problems. Weekend staffing dips roughly 14% below its own weekday level, which is common but worth asking about. A 4-out-of-5 health inspection star and a recent August 2024 survey round out a picture of a nonprofit that's stable and adequately watched.

Nurse hours

4.68 /day

Staff turnover

37%

Serious cites

0

Pioneer Manor is county-owned, and the staffing numbers show it: 4.68 nurse hours per resident day, roughly a fifth above the national average, and a five-star staffing rating to match. Turnover sits at 37.3%, better than the 45.8% national figure, though weekend coverage dips about 12% below weekday levels, so care can thin out on Saturdays and Sundays. The trouble is inspections. The current record carries 23 deficiencies, three of them at the level where a resident was harmed or put in immediate jeopardy, and one abuse-related. The health inspection rating is 1 out of 5, and the most recent survey was in December 2024. Strong staffing is real, but it hasn't kept the home out of serious trouble.

Nurse hours

5.60 /day

Staff turnover

34%

Serious cites

0

Radcliff Veterans Center is state-run, so it answers to Kentucky rather than a chain or a private operator. The staffing is the strongest part of the picture: 5.60 nurse hours per resident day, well above the 3.86 national average, though weekends drop off by roughly 14 percent compared with weekdays. Turnover sits at 34.2 percent, better than the 45.8 percent national figure. The inspection record pulls the other way. Seven deficiencies are on file, two of them serious enough to involve harm or jeopardy, and two tied to abuse. One fine totaling $9,331 has been levied, and the most recent inspection was in March 2025. Good coverage on paper, but a citation history worth asking about directly.

Nurse hours

6.10 /day

Staff turnover

7%

Serious cites

0

The Boston Home, Inc. runs on a nonprofit model with 96 certified beds in Suffolk County, and the numbers show it. Nurse staffing sits at 6.10 hours per resident day, roughly 58% above the national average, and weekend coverage dips only about 7% below weekday levels, so care doesn't thin out on Saturdays and Sundays. Annual turnover is 7.4% against a national average near 46%, which means the people caring for residents tend to stay. The current record shows zero deficiencies, none at the harm level, and none abuse-related, with the most recent inspection dated March 2026. Quality measures scored 3 out of 5 stars, a middle mark, but staffing and inspection results both came in at 5.

Nurse hours

4.74 /day

Staff turnover

31%

Serious cites

0

Newaygo County's county-owned home in Fremont runs on 4.74 nurse hours per resident per day, roughly a quarter above the national average, and weekend staffing dips only about 6% from weekday levels, a smaller drop than many homes show. Staff turnover sits at 30.5%, well under the national 45.8%, which matters for residents who need consistent caregivers. The inspection record shows seven deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent inspection was in May 2025, so the findings are current. Quality measures land mid-range at three stars while staffing and inspections each earn five. For a 116-bed nonprofit, the pattern is steady hands and clean surveys rather than standout clinical scores.

Nurse hours

5.01 /day

Staff turnover

47%

Serious cites

0

Argentine Care Center runs on unusually thick nurse coverage: 5.01 hours per resident day against a national average of 3.86, and that shows up as a five-star staffing rating. The catch is weekends, when hours drop roughly 13% below the home's own weekday level, so the care you'd see on a Tuesday isn't quite what a Saturday looks like. Staff turnover sits at 46.8%, basically the national rate, meaning nearly half the workforce turns over each year. Inspections turned up 25 deficiencies with none at harm or jeopardy level, but one is abuse-related, and the last full inspection was March 2026. Corporate for-profit ownership, 60 beds.

Nurse hours

4.82 /day

Staff turnover

49%

Serious cites

0

St. Ann's Home runs on a church-affiliated nonprofit model with 55 certified beds, and the staffing numbers back up the care. At 4.82 nurse hours per resident day, it sits roughly a quarter above the national average of 3.86, that's real difference in daily attention, even if weekends dip about 14% below its own weekday pace. Staff turnover lands at 49.2%, slightly above the national rate of 45.8%, which is worth knowing when you're thinking about consistency of caregivers over time. The inspection record is recent and clean at the harm level: 14 deficiencies on file, none involving harm or jeopardy, none abuse-related. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

Nurse hours

4.88 /day

Staff turnover

37%

Serious cites

0

St Anthony Park Home runs a strong bedside operation on paper: 4.88 nurse hours per resident day is roughly a quarter above the national average, and 37.2% turnover beats the 45.8% national figure, both signs of stable, well-staffed care. Weekends dip about 7% below weekday coverage, a modest drop most families wouldn't notice. Where it slips is inspections, a 1-star health inspection rating and 42 deficiencies on record, including two abuse-related findings and one at the harm level, drive the middling grade far more than staffing or quality measures do. The single $8,827 fine is small, but the abuse citations and that harm-level deficiency are what you'd want to ask about directly.

Nurse hours

5.25 /day

Staff turnover

21%

Serious cites

0

Mount Olivet Careview Home runs on 5.25 total nurse staffing hours per resident day, roughly 36% above the national average, and its weekend coverage only dips about 7% below weekday levels, a fairly small drop. Staff turnover sits at 20.9%, less than half the national rate of 45.8%, which suggests people tend to stay. The trouble is on the inspection side: 17 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $55,043. The most recent inspection was February 25, 2026. Strong staffing and low turnover don't cancel out harm-level findings, they just mean the problems aren't coming from short-handed shifts.

Nurse hours

9.47 /day

Staff turnover

54%

Serious cites

0

Charter House runs one of the thinnest-staffed business models you'll see anywhere, 9.47 nurse hours per resident day against a national average of 3.86, a number that would be hard to sustain if the census weren't so small and the nonprofit backing so steady. Weekends drop about 13% below weekday coverage, which matters in a 32-bed building where there's less slack to absorb a callout. Turnover sits at 53.8%, roughly eight points above the national figure, and the inspection record carries 10 deficiencies including one at the harm level and four tied to abuse. The last survey closed in late December 2025, so the file is fresh, and the single fine on record totals $8,824.

Nurse hours

5.29 /day

Staff turnover

37%

Serious cites

0

Field Crest is a 35-bed city-owned home in Hayfield, and the numbers suggest it runs with more staff than most places its size. At 5.29 nurse hours per resident day, it sits about 37% above the national average of 3.86, and weekend staffing only dips about 5% below its own weekday level, a small gap compared to what many homes show. Turnover runs 36.8%, better than the 45.8% national figure, which matters for whether you see the same faces on repeat visits. Its record shows one deficiency total, none at the harm level and none abuse-related, with a February 2026 inspection. City ownership and that thin deficiency history together point to a stable, closely watched building.

Nurse hours

4.18 /day

Staff turnover

20%

Serious cites

0

Catholic Eldercare On Main runs a nonprofit home of 164 beds in Minneapolis, and its staffing is the strongest part of the picture: 4.18 nurse hours per resident day, about 8% above the national average, with a 20% turnover rate that's less than half the national figure. Weekends dip roughly 12% below the home's own weekday staffing, so coverage isn't perfectly even. The inspection record is where it gets sobering, 32 deficiencies, including one at the harm level and two tied to abuse, plus a $24,297 fine and a two-star health inspection rating despite a December 2025 inspection. Quality measures score well at four stars; the survey history is the counterweight.