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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 41 to 60 of 4,510, best-graded first.

A

99/100

Mcv Health Care Facilities, Inc

Mason, OH · Warren County

CMS 5/573 bedsNon-profitMedicaid
Nurse hours
5.60 /day
Staff turnover
29%
Serious cites
0

Mcv Health Care Facilities runs on church-affiliated nonprofit ownership, and the numbers reflect that stability. Nurse staffing sits at 5.60 hours per resident day, roughly 45% above the national average of 3.86, and weekend coverage dips only about 12% below weekday levels, a gap that's smaller than what many homes show. Staff turnover is 29.3%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. The inspection record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in November 2023. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

A

99/100

Wooster Community Hospital Snf

Wooster, OH · Wayne County

CMS 5/522 bedsGovernment
Nurse hours
7.08 /day
Staff turnover
29%
Serious cites
0

Wooster Community Hospital's skilled nursing unit runs on 7.08 nurse hours per resident day, roughly 83% above the national average of 3.86, and its staff turnover sits at 28.6% against a national 45.8%, meaning the people caring for residents tend to stay. Weekend coverage dips about 9% below weekday levels, a gap worth asking about if your family visits mainly on Saturdays. The inspection record is clean where it counts: three deficiencies total, none at the harm level, none abuse-related, with the most recent survey in January 2024. City-owned and small at 22 beds, it pairs that staffing with 5/5 ratings across health inspections, quality measures, and staffing.

A

99/100

Lebanon Valley Brethren Home

Palmyra, PA · Lebanon County

CMS 5/588 bedsNon-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
26%
Serious cites
0

Staffing here runs about 5.1 nurse hours per resident per day, roughly a third above the national average, and that holds up on weekends too, weekend coverage dips only about 10% from weekday levels, which is smaller than what many homes show. Annual turnover sits at 26.1% against a national average near 46%, so the people caring for residents tend to stay. The inspection record is thin in the best way: one deficiency total, none involving harm or abuse, from a visit dated February 2026. Put the staffing, retention, and inspection history together and you get a home that looks steady rather than lucky.

A

99/100

Waverly Heights

Gladwyne, PA · Montgomery County

CMS 5/531 bedsNon-profit
Nurse hours
7.52 /day
Staff turnover
17%
Serious cites
0

Waverly Heights runs on a nonprofit model with 31 certified beds, and the numbers behind its record are worth a closer look. Nurse staffing sits at 7.52 hours per resident day, roughly double the national average of 3.86, and weekend coverage holds within about 5% of weekday levels, so families visiting on Saturdays and Sundays aren't walking into a thinner floor. Staff turnover is 16.7%, well under the national 45.8%, which matters because consistent caregivers know the residents. Six deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated February 2026. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

Hcc At White Horse Village

Newtown Square, PA · Delaware County

CMS 5/555 bedsNon-profit
Nurse hours
5.04 /day
Staff turnover
23%
Serious cites
0

Hcc At White Horse Village sits in Newtown Square with 55 certified beds under nonprofit ownership, and the staffing numbers are the story here. At 5.04 nurse hours per resident day, it runs about 31 percent above the national average of 3.86, that's real coverage, not a rounding error. Weekend staffing dips roughly 7 percent below its own weekday level, which is worth knowing if your visits skew toward Saturdays and Sundays. Annual turnover of 23.3 percent sits well under the national 45.8 percent, so the same faces tend to stay. Three deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026.

A

99/100

Lehigh Valley Hospital Tsu

Allentown, PA · Lehigh County

CMS 5/552 bedsNon-profit
Nurse hours
6.46 /day
Staff turnover
15%
Serious cites
0

Lehigh Valley Hospital Tsu runs on unusually heavy staffing, 6.46 nurse hours per resident day, roughly two-thirds more than the national average, and its workers tend to stay, with turnover at 14.9% against a national 45.8%. Weekend coverage dips about 15% below weekday levels, but the floor stays well above what most homes provide. The caution sits in the inspection record: two deficiencies, one serious enough to involve harm or jeopardy, and the most recent survey dates to May 2026, so that record is getting stale. A nonprofit hospital-based unit with strong quality scores and a thin but not clean regulatory history, worth asking what that harm-level finding involved and when surveyors are due back.

A

99/100

Upmc Magee-Womens Hospital Tcu

Pittsburgh, PA · Allegheny County

CMS 5/520 bedsNon-profit
Nurse hours
6.41 /day
Staff turnover
26%
Serious cites
0

Upmc Magee-Womens Hospital Tcu runs just 20 certified beds, which tends to mean staff actually know the residents. The numbers back that up: 6.41 nurse staffing hours per resident day, roughly 66% above the national average, and a 25.8% turnover rate that's well below the 45.8% national figure. Weekend staffing dips about 7% from weekday levels, a modest drop rather than a cliff. Ten deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in late 2025. As a nonprofit, it answers to a mission rather than shareholders.

A

99/100

Health Center At The Hill At Whitemarsh, The

Lafayette Hill, PA · Montgomery County

CMS 5/560 bedsNon-profit
Nurse hours
5.37 /day
Staff turnover
31%
Serious cites
0

Nurse staffing at the Hill at Whitemarsh runs 5.37 hours per resident day, roughly 39 percent above the national average, and weekends dip only about 9 percent below its own weekday level, a modest slide, not the sharp drop many homes show. Staff turnover sits at 31.1 percent against a national 45.8 percent, meaning fewer caregivers are cycling out the door. The current inspection record holds a single deficiency, none at the harm level and none abuse-related, with the most recent survey completed in December 2025. For a 60-bed nonprofit in Lafayette Hill, those three numbers, staffing depth, retention, and a nearly clean inspection history, tell you where the consistency comes from.

A

99/100

Menno Haven Rehabilitation Center

Chambersburg, PA · Franklin County

CMS 5/544 bedsNon-profit
Nurse hours
5.76 /day
Staff turnover
28%
Serious cites
0

Menno Haven runs about 5.76 nursing hours per resident each day, roughly half again the national average of 3.86, and its weekend coverage dips only about 10% below weekday levels. Staff turnover sits at 28.3% against a national 45.8%, which matters over time, familiar aides tend to notice small changes sooner. The inspection record shows 13 deficiencies, none of them at the harm or jeopardy level and none abuse-related, with the most recent visit in August 2025. As a nonprofit, it answers to a board rather than shareholders. Nothing here reads like a place cutting corners on direct care.

A

99/100

Hendrick Skilled Nursing Facility

Abilene, TX · Taylor County

CMS 5/520 bedsNon-profit
Nurse hours
9.65 /day
Staff turnover
34%
Serious cites
0

Hendrick Skilled Nursing Facility is a small nonprofit home in Abilene, just 20 certified beds, and the staffing numbers are the first thing that stands out. At 9.65 nurse hours per resident day, it runs roughly two and a half times the national average, and even with weekends dipping about 12% below its own weekday level, that floor stays unusually high. Staff turnover sits at 34.3%, well under the national 45.8%. The inspection record is current as of December 2025, with eight deficiencies on file but none at the harm level and none abuse-related. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

Rappahannock Westminster Canterbury

Irvington, VA · Lancaster County

CMS 5/542 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
26%
Serious cites
0

Rappahannock Westminster Canterbury runs about 4.92 nurse hours per resident day, which is roughly 28% above the national average, and its staff turnover sits at 25.6% against a national 45.8%, that combination is why the numbers look strong here. Weekend staffing does dip about 13% below its weekday level, so ask how that plays out on Saturdays and Sundays. The current record shows 14 deficiencies, one of them at the harm or jeopardy level, with no abuse citations; the last inspection was August 2023, so the picture may be older than you'd like. A 42-bed nonprofit home with that staffing edge and relatively stable workforce is worth a visit, but bring questions about that harm-level finding and what's changed since.

A

99/100

Heron's Key

Gig Harbor, WA · Pierce County

CMS 5/530 bedsNon-profit
Nurse hours
5.75 /day
Staff turnover
30%
Serious cites
0

Heron's Key sits in Gig Harbor with just 30 certified beds, and the staffing numbers are the first thing worth noting: 5.75 nurse hours per resident day, roughly half again the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is common but still worth asking about. Annual turnover of 29.6% runs well under the 45.8% national figure, so the people caring for residents tend to stay. Inspections tell a mixed story, 19 deficiencies on record, one serious enough to involve harm or jeopardy, and a single $15,015 fine. The last inspection was February 2026, so the picture is current.

A

99/100

Wi Veterans Hm Ainsworth Hall

King, WI · Waupaca County

CMS 5/5198 bedsGovernmentMedicaid
Nurse hours
5.82 /day
Staff turnover
27%
Serious cites
0

The state runs this 198-bed home in Waupaca County, and the staffing numbers show it: 5.82 nurse hours per resident per day, roughly half again the national average of 3.86. Weekend coverage dips about 11% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Turnover sits at 26.9%, well under the 45.8% national figure, so the people caring for residents tend to stay. Fifteen deficiencies appear on the current record with none at the harm level, one tied to abuse, and the most recent inspection was in March 2025.

A

99/100

Torrance Memorial Med Ctr Snf/Dp

Torrance, CA · Los Angeles County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
8.46 /day
Staff turnover
22%
Serious cites
0

Torrance Memorial Med Ctr Snf/Dp runs on unusually heavy staffing: 8.46 nurse hours per resident per day, more than double the national average of 3.86. That number holds up on weekends too, dipping only about 7% below its own weekday level, and staff turnover sits at 21.9% against a national average of 45.8%, people tend to stay. The home carries 28 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was in March 2026. As a nonprofit with 40 certified beds, it pairs a clean federal record with staffing most homes can't match.

A

99/100

Baywood Court Health Center

Castro Valley, CA · Alameda County

CMS 5/556 bedsNon-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
31%
Serious cites
0

Baywood Court runs about 4.88 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 10% below its own weekday levels, so ask how that plays out on a Sunday. Staff turnover sits at 30.8%, well under the national 45.8%, that kind of retention usually means caregivers who know the residents. The inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with the last visit in October 2024. As a nonprofit with top marks across inspection, quality, and staffing, this is a consistently strong home.

A

99/100

Veterans Home Of California - Fresno

Fresno, CA · Fresno County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
6.03 /day
Staff turnover
28%
Serious cites
0

The Fresno Veterans Home is state-run and staffed at 6.03 nurse hours per resident day, roughly 56% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on a Sunday. Staff turnover sits at 28.3% against a national average near 46%, which matters for whether you see the same faces month to month. The record shows 29 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 30, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 4 or 5 out of 5.

A

99/100

Laredo Medical Center

Laredo, TX · Webb County

CMS 5/518 bedsFor-profit
Nurse hours
6.27 /day
Staff turnover
30%
Serious cites
0

The numbers at Laredo Medical Center are unusually clean for an 18-bed for-profit home. Nurse staffing sits at 6.27 hours per resident day, roughly 62% above the national average, and the staff turnover rate of 30% beats the national figure of 45.8%. Only two deficiencies show on the current record, neither at the harm level and none abuse-related, following an inspection in December 2025. The one soft spot is weekends, when staffing runs about 12% below the home's own weekday level. That's a common pattern, but with this few beds it's worth asking how coverage holds up on a Saturday.

A

99/100

The Methodist Hospital Snf

Houston, TX · Harris County

CMS 5/525 bedsNon-profit
Nurse hours
10.85 /day
Staff turnover
25%
Serious cites
0

The Methodist Hospital SNF runs 25 certified beds on a church-affiliated nonprofit model, and the staffing numbers reflect that: 10.85 nurse hours per resident day against a national average of 3.86. That's not a rounding error, it's roughly triple the typical home, with weekend coverage dipping only about 7% below its own weekday level, so care doesn't thin out when families visit. Staff turnover sits at 25% versus 45.8% nationally, meaning aides and nurses here tend to stay. The current record shows two deficiencies, neither at harm level and none abuse-related, with an inspection dated August 2025. Small, stable, and recently reviewed.

A

99/100

The Legacy At Willow Bend

Plano, TX · Collin County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.58 /day
Staff turnover
27%
Serious cites
0

The Legacy At Willow Bend runs on about 5.58 nurse hours per resident day, roughly 45% more staffing than the typical American nursing home. That's the kind of margin that shows up in daily care, and it's backed by a 26.7% annual staff turnover rate, well below the 45.8% national figure, meaning fewer unfamiliar faces. The trade-off: 16 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy level. The most recent inspection was in December 2025, so the picture is current. Weekend staffing dips about 8% below its own weekday level, a small but real gap. Nonprofit ownership, strong inspection and quality ratings, and no harm-level findings round out the record.

A

98/100

Jeanne Jugan Residence

Washington, DC · The District County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
6.49 /day
Staff turnover
17%
Serious cites
0

Jeanne Jugan Residence runs on 6.49 nurse hours per resident day, roughly two-thirds more staffing than the typical American nursing home, and its weekend coverage barely dips from weekday levels. Staff turnover sits at 17.1% against a national average near 46%, which means aides and nurses are staying long enough to know the residents. The home carries 11 deficiencies on its current record, none at the harm level and one abuse-related, with a May 2025 inspection behind those numbers. It's a small nonprofit of 40 beds where the inspection, quality, and staffing ratings all land at the top of CMS's scale.

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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