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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 621–640 of 4,510, best-graded first.

A

90/100

Whittier Westborough Transitional Care Unit

Westborough, MA · Worcester County

CMS 5/5 19 beds For-profit Medicaid
Nurse hours
6.82 /day
Staff turnover
46%
Serious cites
0

Whittier Westborough runs a 19-bed transitional care unit, and the numbers that stand out most are its staffing: 6.82 nurse hours per resident day, roughly 77% above the national average of 3.86. That kind of ratio is unusual, and the five-star staffing rating reflects it. Weekend coverage dips about 12% below weekday levels, so care may feel thinner on Saturdays and Sundays. Turnover sits at 45.5%, essentially matching the national rate rather than exceeding it. The home carries six deficiencies, none involving harm or abuse, and its most recent inspection was in May 2025. Corporate for-profit ownership is worth noting, but the inspection and quality measure ratings both come in at four stars.

A

90/100

Munson Healthcare Otsego Memorial Hospital Ltcu

Gaylord, MI · Otsego County

CMS 4/5 34 beds Non-profit Medicaid
Nurse hours
5.14 /day
Staff turnover
36%
Serious cites
0

Munson Healthcare Otsego Memorial's long-term care unit in Gaylord runs 34 certified beds under nonprofit corporate ownership, and its staffing is the clearest strength here: 5.14 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, and annual turnover of 36.1% sits below the national 45.8%, so the people providing that care tend to stay. The caution is the inspection record, 15 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated April 2026. Solid staffing and a thinner margin for error on compliance can both be true at once.

A

90/100

Kalkaska Memorial Health Center

Kalkaska, MI · Kalkaska County

CMS 3/5 104 beds Government Medicaid
Nurse hours
4.98 /day
Staff turnover
17%
Serious cites
0

Kalkaska Memorial runs on a hospital-district license, and its staffing is the clearest thing in its file: 4.98 nurse hours per resident day, roughly 29% above the national average, with weekend coverage dipping about 12% below its own weekday level. Turnover sits at 17.4% against a 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. The friction is inspections. Thirteen deficiencies on the current record, four of them serious enough to involve harm or jeopardy, plus one fine of $10,549, and the last survey was July 2025. Strong hands-on care, a thinner safety and compliance record.

A

90/100

Memorial Healthcare Center

Owosso, MI · Shiawassee County

CMS 5/5 39 beds Non-profit Medicaid
Nurse hours
7.77 /day
Staff turnover
36%
Serious cites
0

Memorial Healthcare Center runs on unusually heavy nurse coverage for its size, 7.77 hours per resident day against a national average of 3.86, with weekends dipping about 12% from its own weekday pace. Staff turnover sits at 35.7%, roughly ten points better than the national figure, which matters in a 39-bed nonprofit building where you'd notice every departure. The inspection record is thin: one deficiency on file, none involving harm or abuse, and the most recent survey dates to January 2026. Quality measures score lower than the staffing and inspection marks, so the care process data isn't as strong as the hands-on hours suggest.

A

90/100

Covenant Skilled Nursing And Rehabilitation At Wel

Saginaw, MI · Saginaw County

CMS 4/5 39 beds Non-profit Medicaid
Nurse hours
4.96 /day
Staff turnover
37%
Serious cites
0

Covenant Skilled Nursing runs 39 beds in Saginaw under nonprofit ownership, and the staffing numbers are the real story here: 4.96 nurse hours per resident day, roughly 28% above the national average, with a 5/5 CMS staffing rating to match. Turnover sits at 36.7%, below the national 45.8%, so the people caring for residents tend to stick around. Weekends run about 13% thinner than weekdays, which is worth asking about if your family visits mainly on Saturdays or Sundays. The current record shows 20 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in March 2026. Quality measures rate 4/5, health inspections 3/5.

A

90/100

St Ottos Care Center

Little Falls, MN · Morrison County

CMS 5/5 86 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
28%
Serious cites
0

St. Otto's runs about 4.17 nurse hours per resident per day, roughly 8% above the national average, and weekends dip only about 13% below its own weekday staffing, a modest drop rather than the steep falloff common elsewhere. Staff turnover sits at 28.2%, well under the 45.8% national figure, which suggests people tend to stay. The current record shows four deficiencies, none at the harm level and none abuse-related, following an inspection in December 2025. Ownership is corporate for-profit. The weaker spot is quality measures, which land in the middle of the pack even as the health inspection side holds up.

A

90/100

Truman Senior Living

Truman, MN · Martin County

CMS 5/5 30 beds Non-profit Medicaid
Nurse hours
4.77 /day
Staff turnover
46%
Serious cites
0

Truman Senior Living runs about 4.77 total nurse staffing hours per resident day, roughly 23% above the national average of 3.86, a real difference at a 30-bed home where minutes matter. Weekend coverage dips about 8% below its own weekday level, and annual turnover sits at 45.5%, essentially matching the national 45.8%. The 11 deficiencies on record include none at the harm or jeopardy level and none related to abuse; the last inspection was January 2, 2026, so the findings are recent. The quality measure and staffing ratings both come in at 5 out of 5, with a 4 out of 5 on health inspections.

A

90/100

Lifecare Greenbush Manor

Greenbush, MN · Roseau County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
44%
Serious cites
0

Lifecare Greenbush Manor runs on 4.33 nurse hours per resident day, roughly 12% above the national average, and that staffing depth shows up in its five-star staffing rating. Weekend coverage dips about 14% below its own weekday level, and turnover sits at 44.2%, basically in line with the national figure, so continuity of care is neither a strength nor a glaring problem here. The inspection record is thin on paper: three deficiencies, none at harm or jeopardy level, though two are abuse-related, which is worth asking about directly. The most recent inspection was in June 2026, so the picture is current. Quality measures land at three stars, softer than the staffing and inspection scores.

A

90/100

Phelps Health

Rolla, MO · Phelps County

CMS 5/5 20 beds Non-profit
Nurse hours
7.56 /day
Staff turnover
50%
Serious cites
0

Phelps Health runs a small operation, 20 certified beds, and it's licensed as a nonprofit. The staffing numbers stand out: 7.56 nurse hours per resident per day, roughly double the national average of 3.86, and weekend coverage holds within about 9% of its weekday level, which is a smaller drop than many homes see. Turnover sits at 50%, a bit above the 45.8% national figure, so the people caring for residents do change fairly often. On the regulatory side, the record is clean: one deficiency total, none involving harm or abuse, and a five-star inspection rating with a survey completed in late November 2025.

A

90/100

Dunklau Gardens

Fremont, NE · Dodge County

CMS 5/5 106 beds Non-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
25%
Serious cites
0

Dunklau Gardens runs on more nursing hours than most places, 4.43 per resident day against a national average of 3.86, and the weekend dip is real but modest. The number that stands out most is turnover: 24.7% against a national average near 46%, which suggests people actually stay. Four deficiencies on the current record, none involving harm or abuse, and the last inspection was in May 2025, so the picture is reasonably current. Quality measures land in the middle of the pack while staffing sits at the top. Nonprofit ownership in Fremont, 106 beds. The weak spot is weekend coverage, not the care record.

A

90/100

Oglala Sioux Lakota Nursing Home

Rushville, NE · Sheridan County

CMS 4/5 72 beds Non-profit Medicaid
Nurse hours
6.77 /day
Staff turnover
35%
Serious cites
0

Nurse staffing at Oglala Sioux Lakota Nursing Home runs 6.77 hours per resident day, roughly 75% above the national average of 3.86, a serious number that separates it from most homes. Staff turnover sits at 35.1%, below the national 45.8%, and the last inspection was recent, December 2025. The concerns are on the record: 20 deficiencies, including one at the harm or jeopardy level and one abuse-related. State surveyors gave three stars for health inspections and three for quality measures, while staffing earned five. Weekend coverage dips about 13% below weekday levels, which matters when aides are already stretched. For families weighing hands-on care against regulatory history, the staffing numbers are the case for this place; the deficiency record is the caution.

A

90/100

Grover C Dils Medical Center Snf

Caliente, NV · Lincoln County

CMS 5/5 16 beds Government Medicaid
Nurse hours
4.01 /day
Staff turnover
46%
Serious cites
0

Grover C Dils Medical Center SNF is a small hospital-district home in Caliente, 16 beds, government-run, which usually means the money goes back into the building rather than to a corporate parent. Staffing sits at 4.01 nurse hours per resident day, about 4% above the national average, though weekends run roughly 12% leaner than weekdays. Turnover is 46.2%, essentially the national rate, so this isn't a stable long-term crew. The current record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was recent. Four-star health and quality ratings with five stars on staffing back that up.

A

90/100

Silver State Pediatric Skilled Nursing Facility

Las Vegas, NV · Clark County

CMS 5/5 36 beds For-profit Medicaid
Nurse hours
7.00 /day
Staff turnover
43%
Serious cites
0

Silver State Pediatric in Las Vegas runs on unusually deep nurse coverage, 7.00 hours per resident day against a national average of 3.86, and weekend staffing holds essentially level with weekdays, which is rare. That staffing shows up in the numbers: 15 deficiencies on record, but none at the harm or jeopardy level and none related to abuse. Staff turnover sits at 42.6%, slightly better than the national 45.8%. It's a for-profit LLC with 36 beds, and its last inspection was February 2026, so the record is current. The low patient count and pediatric focus mean fewer residents share that staffing pool, which matters for how much attention each child actually gets.

A

90/100

Roosevelt Care Center

Edison, NJ · Middlesex County

CMS 5/5 180 beds Government Medicaid
Nurse hours
4.75 /day
Staff turnover
34%
Serious cites
0

Roosevelt Care Center in Edison runs on 4.75 nurse hours per resident day, roughly 23% above the national average, and its weekend staffing only dips about 4% below weekday levels, a small gap compared to many homes. Staff turnover sits at 33.9%, better than the 45.8% national figure, which matters for residents who need consistent caregivers. The county-owned home's inspection record shows 20 deficiencies, including one at the harm level and one abuse-related, plus a single $27,360 fine; its last inspection was December 18, 2025. Staffing and quality measures both earned top marks, but that harm-level deficiency is worth asking about directly before you decide.

A

90/100

Emerson Health Care Center

Emerson, NJ · Bergen County

CMS 5/5 155 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
30%
Serious cites
0

Emerson Health Care Center sits in Bergen County with 155 certified beds, run by a for-profit corporation. The inspection record is the strong part: five deficiencies on file, none at harm or jeopardy level, no abuse citations, and the most recent survey wrapped up in March 2025. Quality measures also come in at the top of CMS's scale. Where it slips is staffing, which lands at the bottom of that five-point scale, worth knowing if day-to-day coverage is what your family cares about most. Staff turnover runs 29.7% a year, which sounds high until you compare it to the 45.8% national average; on that measure this home actually holds onto workers better than most.

A

90/100

Christian Health Care Center

Wyckoff, NJ · Bergen County

CMS 3/5 304 beds Non-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
23%
Serious cites
0

Christian Health Care Center runs 304 beds as a church-affiliated nonprofit, and its staffing sits just above the national average at 3.92 nurse hours per resident day. What stands out more is retention: 22.6% annual turnover against a national 45.8% means aides and nurses here tend to stay, though weekend coverage dips about 7% below weekday levels. The current record shows 35 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in February 2026. CMS rates quality measures 5 out of 5 and staffing 4 out of 5, but health inspections only 2 out of 5, worth asking about during a visit.

A

90/100

United Methodist Communities At Collingswood

Collingswood, NJ · Camden County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
37%
Serious cites
0

United Methodist Communities At Collingswood runs on 4.51 total nurse hours per resident day, roughly 17 percent above the national average, and its staff turnover of 36.8 percent sits well below the 45.8 percent national figure, both signs of a stable, well-manned floor. Weekend staffing dips about 12 percent from weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is clean where it counts: six deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent survey in late 2025. For 60 beds under nonprofit ownership, the numbers point to consistent care rather than occasional good days.

A

90/100

Jewish Home For Rehabilitation And Nursing, The

Freehold, NJ · Monmouth County

CMS 5/5 150 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
33%
Serious cites
0

The Jewish Home in Freehold runs a tight ship on inspections, 14 deficiencies on its record, none of them rising to actual harm or jeopardy, with one tied to abuse. Its last state visit was June 2025, so the picture is current. Staffing sits at 3.82 nurse hours per resident per day, a hair under the national 3.86, and weekends run about 9% thinner than weekdays. What stands out is retention: 32.6% turnover against a national 45.8%, meaning caregivers here tend to stay. For-profit, LLC-owned, 150 beds. The quality measure score is perfect; the health inspection record is strong. Nothing here suggests danger, the numbers suggest consistency.

A

90/100

Casa Promesa

Bronx, NY · Bronx County

CMS 3/5 108 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
43%
Serious cites
0

Casa Promesa runs 108 certified beds in the Bronx under nonprofit ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationwide. That average hides a gap, though: weekends run about 14% leaner than weekdays, so coverage depends on when you visit. Staff turnover is 42.9%, a bit better than the 45.8% national figure. The concern is the inspection record, 28 deficiencies, including one at the harm level and one abuse-related, with a $8,281 fine and a 2-out-of-5 inspection rating. Quality measures score 5/5, but that's self-reported data. The last inspection was December 2024, so the record is current. Ask about weekend coverage and that abuse citation specifically.

A

90/100

Jefferson's Ferry

South Setauket, NY · Suffolk County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
5.30 /day
Staff turnover
50%
Serious cites
0

Jefferson's Ferry runs on unusually heavy staffing for a nursing home, 5.30 nurse hours per resident day, roughly a third more than the national average, and it shows in the inspection record, where only a handful of deficiencies appear and none involved actual harm to a resident. Weekend coverage dips about 10% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Two abuse-related citations on the current record deserve a direct question about what happened and what changed. Turnover sits near 50%, slightly worse than the national figure, so continuity of caregivers isn't a given despite the strong hours.

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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