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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 601–620 of 4,510, best-graded first.

A

90/100

Prairieview At The Garlands

Barrington, IL · Lake County

CMS 5/5 20 beds For-profit
Nurse hours
6.11 /day
Staff turnover
42%
Serious cites
0

Prairieview At The Garlands runs a small house, just 20 certified beds, and staffs it heavily: 6.11 nurse hours per resident day, roughly 58% above the national average of 3.86. Turnover sits at 41.7%, a bit better than the 45.8% national figure, and weekend coverage dips only about 6% below weekdays, which is mild as these things go. The tradeoff shows up in its record: five deficiencies, two of them serious enough to involve harm or jeopardy, and a 3 out of 5 on quality measures despite a 5 out of 5 inspection rating and a recent May 2026 survey. It's for-profit, LLC-owned, and the numbers say well-staffed but not spotless.

A

90/100

Park Place Christian Community

Elmhurst, IL · Du Page County

CMS 5/5 37 beds Non-profit
Nurse hours
4.67 /day
Staff turnover
20%
Serious cites
0

Park Place Christian Community runs on a small scale, 37 certified beds, and its nurse staffing sits at 4.67 hours per resident day, roughly 21% above the national average. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on Sundays. Staff turnover is 20% against a national average near 46%, which matters for continuity of care. The inspection history isn't spotless: eight deficiencies on record, one at the harm level, though none abuse-related, and the most recent inspection was in April 2025. As a nonprofit, it answers to a board rather than shareholders.

A

90/100

Holy Cross Village At Notre Dame Inc

Notre Dame, IN · St. Joseph County

CMS 3/5 52 beds Non-profit Medicaid
Nurse hours
4.89 /day
Staff turnover
36%
Serious cites
0

Holy Cross Village runs nurse staffing at 4.89 hours per resident day, roughly 27% above the national average, and its staff turnover of 35.5% sits well below the 45.8% national figure, a sign people tend to stay. The tradeoff is the inspection record: 14 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a 3-out-of-5 health inspection rating, though the most recent inspection was May 2026. Weekend staffing dips about 8% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The quality measure rating comes in at 4 out of 5. Strong everyday staffing and steady retention, but the harm-level and abuse-related citations deserve a direct question before you decide.

A

90/100

Chautauqua Guest Home #2

Charles City, IA · Floyd County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
41%
Serious cites
0

Chautauqua Guest Home #2 runs a 53-bed operation in Charles City, and the staffing numbers are the strongest part of its case. At 4.02 nurse hours per resident day, it sits about 4% above the national average, and the weekend dip of roughly 10% below its own weekday level is modest, worth knowing, but not alarming. Turnover lands at 41.3%, slightly better than the 45.8% national figure, which suggests the crew sticks around better than most. Two deficiencies on record, one serious enough to involve actual harm, is the item that deserves a direct question when you visit. The most recent inspection was September 2025, so the picture is current.

A

90/100

Oaknoll Retirement Residence

Iowa City, IA · Johnson County

CMS 5/5 70 beds Non-profit Medicaid
Nurse hours
5.28 /day
Staff turnover
28%
Serious cites
0

Oaknoll runs a leaner, steadier operation than most. Nurse staffing sits at 5.28 hours per resident day, roughly 37% above the national average, and weekends barely dip from that pace, only about 3% below weekday levels, which is where a lot of homes quietly cut corners. Staff turnover is 27.9%, well under the 45.8% national figure, so the people caring for residents tend to stick around. Inspections back that up: a 5/5 health inspection rating, seven deficiencies on record with none at the harm or jeopardy level and none abuse-related, and the most recent visit in September 2025. One caveat worth naming: the quality measure score is 2/5, so the clinical-outcome data isn't as strong as everything else here.

A

90/100

Kanawha Community Home, Inc.

Kanawha, IA · Hancock County

CMS 5/5 26 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
39%
Serious cites
0

Kanawha Community Home runs a tight ship for a 26-bed for-profit in Hancock County. Nurse staffing sits at 4.52 hours per resident day, roughly 17 percent above the national average, and the health inspection record is clean where it counts: three deficiencies total, none at the harm or jeopardy level, none tied to abuse, with the last inspection in September 2025. Staff turnover lands at 38.5 percent against a national average near 46, which for this industry is stability, not churn. The one soft spot is weekends, when coverage dips about 8 percent below the home's own weekday levels. A small building with low turnover and steady weekday staffing can absorb that; families should still ask who's on duty Saturday and Sunday.

A

90/100

Sunrise Retirement Community

Sioux City, IA · Woodbury County

CMS 5/5 74 beds Non-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
38%
Serious cites
0

Sunrise Retirement Community runs on 5.09 nurse hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 10% below weekday levels, which is common but worth knowing if your visits land on Saturdays. Staff turnover sits at 37.8%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than elsewhere. The current inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the last survey in September 2025. As a nonprofit with 74 beds, it's smaller than many, and its health inspection rating holds at 4 out of 5.

A

90/100

Twilight Acres

Wall Lake, IA · Sac County

CMS 5/5 39 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
35%
Serious cites
0

Twilight Acres runs on a nonprofit model with 39 beds in Wall Lake, and the numbers behind it look steady. Nurse staffing sits at 4.07 hours per resident day, about 6% above the national average, though weekends dip roughly 9% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Annual turnover is 34.5%, noticeably lower than the 45.8% national figure, which suggests caregivers tend to stay. The inspection record shows 7 deficiencies, none at the harm level, but one is abuse-related, so ask directly how that was resolved. Its last inspection was in December 2025, and quality measures score at the top of the federal scale.

A

90/100

Community Care Center

Stuart, IA · Adair County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
20%
Serious cites
0

Community Care Center in Stuart runs a tight ship on staff retention, 20.4% turnover is less than half the national average of 45.8%, which means the people caring for residents tend to stick around. That stability shows up in the quality and staffing star ratings, both 5 out of 5. The tradeoff is that daily nurse staffing sits at 3.48 hours per resident, about 10% under the national figure, and weekends dip roughly 10% below what the home itself provides on weekdays. Twelve deficiencies appear on the current record, none at the harm level, though three are abuse-related. The last inspection was December 2025, so the picture is recent.

A

90/100

The Gardens Of Cedar Rapids

Cedar Rapids, IA · Linn County

CMS 4/5 40 beds For-profit
Nurse hours
4.16 /day
Staff turnover
41%
Serious cites
0

The Gardens of Cedar Rapids runs 40 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. That staffing edge is the strongest thing the home has going for it, though weekend coverage dips about 12% below its own weekday level, so care can thin out when families visit. Turnover lands at 40.9%, a bit better than the 45.8% national figure. The harder reading comes from inspections: 17 deficiencies on record, 3 at harm or jeopardy level and 5 tied to abuse, with one fine totaling $19,383. The last inspection was January 22, 2026. Strong staffing, but the inspection history is what a family should ask about directly.

A

90/100

Mercyone Dyersville Senior Care

Dyersville, IA · Dubuque County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
38%
Serious cites
0

Mercyone Dyersville Senior Care runs about 4.06 nurse hours per resident day, roughly 5% above the national average, and weekends dip about 10% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.5%, well under the 45.8% national figure, which matters for whether your parent sees the same faces month to month. The inspection record is clean where it counts: six deficiencies total, none at the harm level and none abuse-related, with the most recent survey in November 2025.

A

90/100

Ascension Living Via Christi Village Mclean

Wichita, KS · Sedgwick County

CMS 5/5 36 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
41%
Serious cites
0

Ascension Living Via Christi Village McLean runs 36 beds in Wichita under nonprofit corporate ownership, and its nurse staffing sits at 4.39 hours per resident day, roughly 14% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday level, and annual turnover lands at 40.5%, a bit better than the 45.8% national figure. Inspections in August 2025 turned up 14 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related citation, so the four-star inspection rating comes with real findings attached. Staffing and quality measures both rate four or five stars.

A

90/100

The Transitional Care Center Of Owensboro

Owensboro, KY · Daviess County

CMS 5/5 30 beds Non-profit
Nurse hours
7.81 /day
Staff turnover
—
Serious cites
0

The Transitional Care Center of Owensboro runs a small 30-bed nonprofit home, and its inspection record is genuinely clean, two deficiencies total, none causing harm or involving abuse, with the most recent state visit in September 2025. Quality measures also look strong on paper. The catch is staffing, which scores just one star out of five against the federal average. That's the tension worth sitting with: a home can pass inspections and hit good clinical numbers while running thin on direct care hours. With only 30 beds, ask how many nurses and aides are actually on the floor during evenings and weekends before you decide.

A

90/100

Hebrew Home Of Greater Washington

Rockville, MD · Montgomery County

CMS 5/5 558 beds Non-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
19%
Serious cites
0

Hebrew Home of Greater Washington runs 558 certified beds in Rockville under nonprofit ownership, and its nurse staffing sits at 3.95 hours per resident day, a bit above the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so ask how that plays out on Saturdays. The standout number is turnover: 19.3% against a national average of 45.8%, meaning far fewer familiar faces leave each year than at the typical home. Inspections in February 2025 produced a 4-out-of-5 rating, with 30 deficiencies on record, none at harm or jeopardy level but four tied to abuse. That mix, steady staff, recent inspection, some abuse citations, is worth asking about directly.

A

90/100

Citizens Care And Rehabilitation Center Of Frederi

Frederick, MD · Frederick County

CMS 5/5 170 beds Government Medicaid
Nurse hours
3.99 /day
Staff turnover
28%
Serious cites
0

Citizens Care and Rehabilitation Center of Frederick is county-owned, which matters here, it's one of the few government-run homes in the area. Staffing sits at 3.99 nurse hours per resident day, just above the national average, and turnover runs 27.5% against a national 45.8%, so the people caring for residents tend to stick around. Weekends dip about 11% below weekday coverage, worth asking about if you're planning visits. The inspection record shows 33 deficiencies, including one at the harm level and four abuse-related, though the most recent inspection was March 2026 and the health inspection rating came in at 4 of 5 stars. Strong quality measures, steady staff, but read that deficiency history closely.

A

90/100

South Cove Manor Nursing & Rehabilitation Center

Quincy, MA · Norfolk County

CMS 5/5 141 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
14%
Serious cites
0

South Cove Manor runs on a nonprofit model in Quincy, and the numbers show a stable operation. Staff turnover sits at 13.8%, roughly a third of the national rate, which matters because consistent caregivers know residents' routines and catch changes early. Nurse staffing at 3.63 hours per resident day is about 6% under the national average, and weekends dip slightly below the home's own weekday level, so ask how coverage is handled then. Sixteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related. The last inspection was September 2025, recent enough to reflect how the home operates now.

A

90/100

Mary Ann Morse Nursing & Rehabilitation

Natick, MA · Middlesex County

CMS 5/5 124 beds Non-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
31%
Serious cites
0

Mary Ann Morse runs about 4.13 nurse hours per resident per day, roughly 7% above the national average, and its staff turnover sits at 31.1% against a national figure near 46%, people tend to stay here longer than at the typical home. Weekend staffing dips about 6% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record is mostly solid, with 18 deficiencies, but one is at the harm level and one is abuse-related, which you should ask about directly. Its last inspection was in January 2026, so the record is recent.

A

90/100

Loomis Lakeside At Reeds Landing

Springfield, MA · Hampden County

CMS 5/5 42 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
27%
Serious cites
0

Loomis Lakeside At Reeds Landing runs 42 certified beds as a nonprofit, and the numbers behind its record look steady. Nurse staffing sits at 3.90 hours per resident day, just a hair above the national average, though weekends drop about 11% below what the home staffs on weekdays, worth asking about if your family visits or needs care on Saturdays and Sundays. Staff turnover is the real standout: 26.8%, well under the national 45.8%, which suggests people stay. The home carries 8 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, with its last inspection in January 2026.

A

90/100

Dwyer Home

Weymouth, MA · Norfolk County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
31%
Serious cites
0

Dwyer Home is a 50-bed nonprofit in Weymouth, and the numbers behind its record are worth walking through. Nurse staffing runs 4.59 hours per resident day, roughly 19% above the national average, and weekend coverage dips only about 7% below its own weekday level, a smaller drop than many homes show. Annual turnover sits at 30.6% against a national average of 45.8%, so the people caring for residents tend to stay. Its last inspection was recent, in February 2026, and the four deficiencies on record include none at the harm level and none related to abuse. For a family weighing options, that combination, steady staff, clean inspections, is the part that matters.

A

90/100

Our Island Home

Nantucket, MA · Nantucket County

CMS 5/5 45 beds Government Medicaid
Nurse hours
3.97 /day
Staff turnover
36%
Serious cites
0

Our Island Home runs on a county budget, and the numbers hold up well against the national average. Nurse staffing sits at 3.97 hours per resident day, modestly ahead of the 3.86 national figure, though weekend coverage dips about 6% below its own weekday level, worth asking about if your family visits primarily on Saturdays or Sundays. Staff turnover of 36.4% is meaningfully lower than the 45.8% national rate, which suggests a stable workforce, and its 14 deficiencies include none at the harm level and none related to abuse. The last inspection was May 2025, so the picture is current.

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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