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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 541–560 of 4,510, best-graded first.

A

91/100

Parkview Home

Belview, MN · Redwood County

CMS 3/5 30 beds Government Medicaid
Nurse hours
4.07 /day
Staff turnover
29%
Serious cites
0

Parkview Home runs on a city/county budget in a town of about 400 people, and its staffing reflects that kind of stability: 4.07 nurse hours per resident day, roughly 6% above the national average, with turnover at 29.2% against a national 45.8%. Weekends thin out about 9% below weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The trouble sits on the inspection side, 20 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $14,521 fine. That mix of strong daily care and serious paperwork problems is what pulls the overall picture down.

A

91/100

Valley View Healthcare & Rehab

Houston, MN · Houston County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
19%
Serious cites
0

Valley View runs a tight ship on staffing: 4.20 nurse hours per resident day, about 9% above the national average, and turnover sits at 19.1% when the typical home loses nearly 46% of its staff each year. That kind of retention matters, because residents see the same faces instead of a rotating cast. The catch is weekends, when coverage drops roughly 12% below the home's own weekday level. Inspections land in the middle, a 2025 visit, one harm-level deficiency among 10 total, no abuse findings, and a single $26,685 fine. Nonprofit ownership and 40 beds suggest a smaller operation. The weak spot isn't care quality on paper; it's whether the weekend shift erodes what the weekday numbers promise.

A

91/100

Jeanne Jugan Center

Kansas City, MO · Jackson County

CMS 5/5 52 beds Non-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
34%
Serious cites
0

The Jeanne Jugan Center runs 52 certified beds in Kansas City under nonprofit ownership, and the numbers back up that mission-driven setup. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, with weekend coverage dipping about 10% below weekdays, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 34.1%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. On inspections, the record is clean where it counts: four deficiencies total, none at the harm level, none abuse-related, and the most recent inspection was in August 2025. Quality measures score mid-range, so care outcomes look solid rather than exceptional.

A

91/100

St Luke Community Nursing Home

Ronan, MT · Lake County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
33%
Serious cites
0

St Luke Community Nursing Home runs on 4.42 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 32.6% sits well below the 45.8% national figure, both signs of a stable, well-staffed floor. The tradeoff shows up in inspections: 18 deficiencies on the current record, two at the harm or jeopardy level, and one fine of $44,252, with the most recent visit in March 2025. Weekend staffing dips about 10% below weekday levels, worth asking about if your family visits Saturdays or Sundays. Nonprofit ownership and strong quality and staffing ratings don't erase a two-star inspection history; they just tell you where the problems are likely to surface.

A

91/100

Wakefield Health Care Center

Wakefield, NE · Dixon County

CMS 5/5 40 beds Government Medicaid
Nurse hours
5.05 /day
Staff turnover
33%
Serious cites
0

Wakefield Health Care Center is city-owned, and its 40 beds get 5.05 nursing hours per resident per day, roughly a third more than the national average. Staff turnover sits at 33.3%, well below the 45.8% national figure, though weekend coverage dips about 7% from weekday levels. The tradeoff shows up in its record: 17 deficiencies, five tied to abuse, but none at the harm or jeopardy level, and the most recent inspection was in July 2025. A 4 out of 5 on health inspections and a 3 on quality measures round out a home that's better staffed than most, with a survey history worth asking about directly.

A

91/100

Cheshire County Home

Westmoreland, NH · Cheshire County

CMS 4/5 150 beds Government Medicaid
Nurse hours
4.49 /day
Staff turnover
36%
Serious cites
0

Cheshire County Home runs on a county government budget, and the numbers suggest that arrangement is working. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average, and the federal staffing rating reflects it. Weekend coverage does dip roughly 8 percent below weekday levels, so ask about Saturday and Sunday shifts specifically. Staff turnover of 36.1 percent is meaningfully lower than the national 45.8 percent, which matters for whether your family sees the same faces month to month. The home's nine deficiencies include nothing tied to harm, jeopardy, or abuse, and its last inspection was recent, in September 2025. Quality measures score well too.

A

91/100

Holy Cross Health Center

Manchester, NH · Hillsborough County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.70 /day
Staff turnover
34%
Serious cites
0

Holy Cross Health Center runs 40 certified beds in Manchester under church-related nonprofit ownership, and the staffing numbers are the story here: 4.70 total nurse hours per resident day, roughly 22 percent above the national average. Weekend coverage dips about 9 percent below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 34.3 percent, well under the 45.8 percent national figure, which matters for whether your parent sees the same faces week to week. Two deficiencies on the current record, none at the harm level and none abuse-related, with the most recent inspection dated February 2026.

A

91/100

Foothill Acres Rehabilitation & Nursing Center

Hillsborough, NJ · Somerset County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
39%
Serious cites
0

Foothill Acres runs on better-than-average nurse coverage: 4.17 hours per resident day, roughly 8% above the national figure, though weekends dip about 8% below its own weekday pace. Staff turnover sits at 39.3%, lower than the 45.8% national average, which matters for consistency of care. The catch is inspections. Nineteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, but CMS scored the health inspection side 2 out of 5, and the most recent survey was March 2025, so that record is recent, not stale. Quality measures scored 5 out of 5. For-profit, LLC-owned, 200 beds.

A

91/100

United Methodist Communities At Pitman

Pitman, NJ · Gloucester County

CMS 5/5 72 beds Non-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
39%
Serious cites
0

United Methodist Communities At Pitman runs on 4.15 nurse hours per resident day, about 8% above the national average, and its staff turnover of 38.8% sits below the national 45.8%, both signs of a stable floor. The tradeoff is weekends, when staffing drops roughly 12% below its own weekday level, so ask how that plays out on a Sunday. Inspections are current as of January 2026 and turned up 6 deficiencies, one at the harm level, with a single fine of $12,735 and nothing abuse-related. For a 72-bed nonprofit, that's a thin record.

A

91/100

Beechwood Health Care Center, Inc.

Getzville, NY · Erie County

CMS 5/5 272 beds Non-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
38%
Serious cites
0

Beechwood runs 272 certified beds as a nonprofit corporation, and its 3.97 nurse staffing hours per resident day sits slightly above the national average of 3.86. Turnover is where it separates itself: 37.5% annually against a national 45.8%, meaning fewer caregivers are walking out the door than at the typical home. The tradeoff is weekends, when staffing drops about 13% below its own weekday level. Eight deficiencies are on the current record, none at the harm or jeopardy level, though one is abuse-related. The last inspection was November 2023, so the picture is reasonably current, and the federal ratings come back clean across health inspections, quality measures, and staffing.

A

91/100

North Shore - Lij Orzac Center For Rehabilitation

Valley Stream, NY · Nassau County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
5.95 /day
Staff turnover
30%
Serious cites
0

Staffing is where Orzac stands apart: 5.95 nurse hours per resident day, roughly half again the national average, and a 29.9% turnover rate that's well below the typical 45.8%. Families usually notice that as more consistent hands on the floor. Weekend coverage dips about 8% from weekday levels, which is worth asking about if you visit Saturdays. The caution is inspections. Eleven deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $41,575 fine, with the most recent inspection in May 2025. Strong care hours and a weaker regulatory history can both be true at once.

A

91/100

Woodland Pond At New Paltz

New Paltz, NY · Ulster County

CMS 4/5 40 beds Non-profit Medicaid
Nurse hours
5.37 /day
Staff turnover
31%
Serious cites
0

Woodland Pond runs a small 40-bed unit, and the staffing numbers are the story here: 5.37 nurse hours per resident day against a national average of 3.86. Weekends dip about 10% below its own weekday coverage, so ask how that plays out on a Sunday. Turnover sits at 31.4%, well under the 45.8% national figure, which suggests people stay. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with three fines totaling $13,099. The last inspection was April 2025, so the picture is recent. Nonprofit ownership, steady staff, no serious citations, the marks that matter most to daily care look solid.

A

91/100

Maryfield Nursing Home

High Point, NC · Guilford County

CMS 5/5 115 beds Non-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
18%
Serious cites
0

Maryfield runs on about 4.04 nurse hours per resident day, which puts it roughly 5% above the national average of 3.86. That margin matters less than the turnover number: 18% annually against a national average near 46%, meaning the people caring for residents here tend to stay. Weekend staffing dips about 12% below weekday levels, a normal pattern but worth asking about if your visits fall on Saturdays or Sundays. The health inspection record shows two deficiencies, neither at the harm level and none abuse-related, with the most recent inspection dated April 2026. For a 115-bed nonprofit in High Point, the staffing consistency and clean inspection history are the story.

A

91/100

Penick Village

Southern Pines, NC · Moore County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
6.76 /day
Staff turnover
48%
Serious cites
0

Penick Village runs a small 32-bed nonprofit home in Southern Pines, and the numbers that stand out are the staffing ones: 6.76 nurse hours per resident day, roughly three-quarters more than the national average of 3.86, with weekend coverage holding almost level with weekdays. Turnover sits at 47.9%, only slightly above the 45.8% national figure, so that staffing depth isn't being erased by constant churn. The tradeoff is on the inspection side, nine deficiencies on the current record, one serious enough to involve harm or jeopardy, and one fine of $8,648, though the most recent inspection was April 2026 and nothing on file involves abuse.

A

91/100

Rex Rehab & Nursing Care Center

Raleigh, NC · Wake County

CMS 5/5 120 beds Government Medicaid
Nurse hours
4.30 /day
Staff turnover
33%
Serious cites
0

Rex Rehab & Nursing Care Center runs on 4.30 nurse hours per resident per day, about 11% above the national average, and its staff turnover of 33.3% sits well below the typical 45.8%, numbers that suggest a steadier workforce than most. The catch is weekends, when staffing drops roughly 11% below the home's own weekday level, so coverage isn't uniform across the week. On inspections, the record shows 9 deficiencies with 1 at the harm level and one fine of $15,646; the last visit was August 2025. Government hospital-district ownership, 120 beds.

A

91/100

Woodside Village

Grand Forks, ND · Grand Forks County

CMS 4/5 138 beds Non-profit Medicaid
Nurse hours
5.25 /day
Staff turnover
40%
Serious cites
0

Woodside Village is run by a church-affiliated nonprofit and staffs at 5.25 nurse hours per resident day, roughly 36% above the national average of 3.86. Weekends dip about 10% below its own weekday levels, but the floor stays high. Annual turnover sits at 40%, better than the 45.8% national figure, and the last inspection was recent, in March 2026. What keeps it from a cleaner record: 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,278. That's a real concern worth asking about directly. The staffing and quality measure ratings both land at 4 out of 5, so the day-to-day care signals are solid even with those survey findings on the books.

A

91/100

Sheyenne Crossings Care Center/Tcu

West Fargo, ND · Cass County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
33%
Serious cites
0

Sheyenne Crossings runs one of the stronger staffing setups you'll find in a North Dakota nursing home, 4.72 nurse hours per resident day, roughly 22 percent above the national average, with turnover at 33 percent against a national 45.8. Weekend coverage dips only about 7 percent below weekdays, which matters because that's where a lot of homes quietly thin out. The record isn't spotless: eight deficiencies, though none rose to harm or jeopardy and none involved abuse, and the most recent inspection came in February 2026. Nonprofit ownership under a corporation. The staffing number is the story here, that's what tends to show up in daily care.

A

91/100

Worthington Christian Village

Columbus, OH · Franklin County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
6.15 /day
Staff turnover
51%
Serious cites
0

Worthington Christian Village runs 6.15 nurse hours per resident day, roughly 59% above the national average of 3.86, and that staffing level is the main thing separating it from most homes its size. Weekends dip about 12% below its own weekday coverage, and turnover sits at 50.9% against a national 45.8%, so the floor isn't perfectly steady even with the strong numbers. The current record shows 17 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involve abuse. Its last inspection was in January 2026, and the quality and staffing ratings both come in at the top of CMS's scale.

A

91/100

Ohio Veterans Home - Georgetown

Georgetown, OH · Brown County

CMS 5/5 168 beds Government Medicaid
Nurse hours
5.61 /day
Staff turnover
41%
Serious cites
0

The Ohio Veterans Home in Georgetown runs on state money, and the staffing shows it: 5.61 nurse hours per resident day, roughly 45% above the national average. Weekends dip about 13% below its own weekday level, so coverage tightens then, but the floor stays high. Staff turnover sits at 40.5%, a bit better than the 45.8% national figure. Inspectors logged 19 deficiencies on the current record, none causing harm or jeopardy and none abuse-related, with the last visit in May 2023. The 168-bed home earns four stars each for health inspections and quality measures, five for staffing. What stands out is consistency: enough nurses, no serious findings, and a workforce that stays longer than most.

A

91/100

Brookview Health Care Center

Chambersburg, PA · Franklin County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
5.26 /day
Staff turnover
33%
Serious cites
0

Brookview Health Care Center runs 56 certified beds as a nonprofit corporation in Chambersburg, and its staff turnover sits at 32.9%, well below the 45.8% national average, which suggests people tend to stay. But the federal staffing rating comes in at just 1 out of 5, meaning the hours actually worked per resident fall short even if the workers who are there don't leave quickly. The inspection record shows 14 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with $16,801 in fines across three events. The most recent inspection was March 27, 2026.

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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