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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 641–660 of 4,510, best-graded first.

A

90/100

Mount Sinai South Nassau T C U

Oceanside, NY · Nassau County

CMS 5/5 20 beds Non-profit
Nurse hours
6.14 /day
Staff turnover
41%
Serious cites
0

Mount Sinai South Nassau T C U runs a small 20-bed unit inside a nonprofit hospital system, and the numbers back up the setup. Nurse staffing sits at 6.14 hours per resident per day, roughly 59% above the national average of 3.86, though weekends drop about 25% below the home's own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 40.7%, a bit better than the 45.8% national figure, and the inspection record is clean where it counts: five deficiencies total, none at the harm level, none abuse-related, with the most recent inspection in December 2025.

A

90/100

Scotia Village - Snf

Laurinburg, NC · Scotland County

CMS 5/5 58 beds Non-profit Medicaid
Nurse hours
5.44 /day
Staff turnover
41%
Serious cites
0

Scotia Village runs a rare staffing profile: 5.44 nurse hours per resident day, roughly 41% above the national average, which helps explain the top marks on both staffing and health inspections. The record isn't flawless, four deficiencies, one tied to abuse, though none at the harm or jeopardy level. Weekend coverage drops about 13% below weekday levels, a gap worth asking about. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. As a nonprofit with a December 2025 inspection behind it, the numbers suggest a home that's well-resourced where it counts most.

A

90/100

Towner County Living Ctr

Cando, ND · Towner County

CMS 4/5 28 beds Non-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
50%
Serious cites
0

Towner County Living Center runs on a fairly lean 28 beds, and the nursing hours reflect that attention, 4.31 per resident day, roughly 12% above the national average, which is why its staffing rating comes in at the top of the scale. Weekend coverage dips about 12% below its own weekday pace, so families should ask who's actually on the floor on Saturdays and Sundays. The 13 deficiencies on record carry no harm or jeopardy findings and nothing abuse-related, and the last inspection was in January 2026, so the picture is current. Staff turnover sits at 50%, a bit above the 45.8% national figure.

A

90/100

Springfield Masonic Community

Springfield, OH · Clark County

CMS 4/5 84 beds Non-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
40%
Serious cites
0

Springfield Masonic Community runs on a nonprofit model with 84 certified beds, and its nurse staffing sits at 4.75 hours per resident day, roughly 23 percent above the national average of 3.86. Weekend coverage dips only about 5 percent below its own weekday level, which matters because that's where many homes quietly thin out. Staff turnover lands at 39.5 percent, better than the national 45.8 percent, and the current record shows 17 deficiencies with none at the harm or jeopardy level and none abuse-related. The last inspection was March 5, 2026. More staff and steadier retention than most, paired with a clean harm record, is the real story here.

A

90/100

Twin Lakes

Cincinnati, OH · Hamilton County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
5.74 /day
Staff turnover
41%
Serious cites
0

Twin Lakes runs on 5.74 nurse hours per resident day, roughly half again the national average of 3.86, and it carries a five-star staffing rating and a five-star inspection record to match. Three deficiencies sit on the current record, none of them at the harm or jeopardy level and none abuse-related, with the last inspection dated June 2024. Weekend staffing dips about 13% below its own weekday level, so ask how weekends actually look on the floor, and turnover of 40.7% is lower than the national 45.8% but still means a good share of the staff you meet will be new within a year. Nonprofit ownership, 43 beds, and a quality measure rating of 3 out of 5 round out the picture.

A

90/100

Canterbury Of Twinsburg

Twinsburg, OH · Summit County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
50%
Serious cites
0

Canterbury Of Twinsburg runs 50 beds under for-profit LLC ownership, and the nurse staffing number is the first thing that stands out: 5.10 hours per resident day, roughly a third higher than the national average. That staffing is not perfectly even, though, weekends dip about 11% below weekdays. The 50% annual turnover is above the 45.8% national figure, so the hours are there but the faces change. The health inspection side is more mixed. Twenty-eight deficiencies sit on the current record, including two at the harm or jeopardy level and three tied to abuse. The most recent inspection was November 14, 2024. Quality measures score well, but the inspection history is what a family should ask about directly.

A

90/100

Community At Rockhill, The

Sellersville, PA · Bucks County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
4.77 /day
Staff turnover
36%
Serious cites
0

The Community at Rockhill in Sellersville runs on about 4.77 nurse hours per resident day, roughly a quarter more staffing than the national average, and that shows up in its five-star staffing and health inspection ratings. Weekend coverage dips about 13 percent below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 35.5 percent, better than the national 45.8 percent, and the home carries just one deficiency on its current record, none involving harm, jeopardy, or abuse, with its last inspection in August 2025.

A

90/100

Elm Terrace Gardens

Lansdale, PA · Montgomery County

CMS 5/5 72 beds Non-profit Medicaid
Nurse hours
4.82 /day
Staff turnover
37%
Serious cites
0

Elm Terrace Gardens runs on more nursing hours than most homes in the country, 4.82 per resident day against a national average of 3.86. Weekend coverage dips about 9% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.2%, better than the 45.8% national figure, and the home carries four deficiencies on its current record with none at the harm level and none tied to abuse. The last inspection was April 2026, and the five-star inspection and staffing ratings reflect that record.

A

90/100

St Barnabas Nursing Home

Gibsonia, PA · Allegheny County

CMS 4/5 119 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
42%
Serious cites
0

St Barnabas runs 119 certified beds as a nonprofit, and its staffing sits at 3.88 nurse hours per resident day, essentially even with the national average of 3.86. Weekend coverage dips about 4% below its own weekday levels, so weekends run a little thinner than weekdays. Turnover is 42.2%, better than the 45.8% national figure but still meaning roughly two in five staff leaving in a year. The 26 deficiencies on record include five tied to abuse, though none reached harm or jeopardy level. Its last inspection was February 2026, and quality measures scored strongly while health inspections came in middle of the pack.

A

90/100

Souderton Mennonite Homes

Souderton, PA · Montgomery County

CMS 5/5 71 beds Non-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
36%
Serious cites
0

Souderton Mennonite Homes runs a 71-bed nonprofit operation in Montgomery County, and the staffing numbers are the story here: 4.46 nurse hours per resident day, roughly 16% above the national average. That matters more than any single inspection finding, since hands-on time is what families actually feel. Weekend coverage dips about 10% below its own weekday level, which is worth asking about directly. Staff turnover sits at 35.9%, well under the 45.8% national figure, a sign people stay. The current record shows nine deficiencies, none at the harm level, though one is abuse-related and deserves a specific question. The last inspection was April 2026; ask what's happened since.

A

90/100

Frederick Living - Cedarwood

Frederick, PA · Montgomery County

CMS 5/5 61 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
40%
Serious cites
0

Frederick Living - Cedarwood runs on 4.80 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home. That extra coverage dips about 11% on weekends, which is worth knowing if your visits fall on Saturdays or Sundays. The record is otherwise hard to argue with: one deficiency total, none involving harm or abuse, and a September 2024 inspection. Staff turnover sits at 39.5%, better than the 45.8% national figure, though still meaning a good share of caregivers leave each year. As a nonprofit, it isn't answering to shareholders. Five stars for both inspections and staffing, four for quality measures, the weak spot, relatively speaking, is clinical outcomes, not the care environment itself.

A

90/100

Homestead Village, Inc

Lancaster, PA · Lancaster County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
36%
Serious cites
0

Homestead Village sits in Lancaster with 60 certified beds and a nonprofit owner, and the numbers behind its grade are mostly about consistency. Nurse staffing runs 5.11 hours per resident day, roughly a third above the national average of 3.86, and weekend coverage dips only about 4% below weekdays, so care doesn't thin out when families tend to visit. Staff turnover is 36.2%, meaningfully lower than the 45.8% national figure, which matters for residents who need familiar faces. The tradeoff is a record of 9 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Its last inspection was March 2026, so the picture is current.

A

90/100

Fellowship Manor

Whitehall, PA · Lehigh County

CMS 5/5 121 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
31%
Serious cites
0

Fellowship Manor runs on 4.65 nurse hours per resident per day, roughly a fifth more staffing than the typical American nursing home, and that shows up in the government's staffing rating. Weekend coverage does dip about 10% below weekday levels, so ask how that plays out on Saturdays and Sundays. The nonprofit's staff turnover sits at 31.1% against a national average near 46%, which matters because consistent caregivers know the residents. Inspections in June 2025 turned up just three deficiencies, none causing harm, though one was abuse-related, worth asking about directly. A 3/5 on quality measures is the soft spot here; the staffing and inspection numbers are the stronger part of the picture.

A

90/100

Cumberland Crossings Retirement Community

Carlisle, PA · Cumberland County

CMS 5/5 58 beds Non-profit Medicaid
Nurse hours
4.67 /day
Staff turnover
32%
Serious cites
0

Cumberland Crossings is a church-affiliated nonprofit in Carlisle with 58 certified beds, and its staffing is the standout: 4.67 nurse hours per resident day against a national average of 3.86. Weekend coverage dips roughly 12% below its own weekday level, but the bigger picture holds up, annual turnover sits at 31.5% while the national average runs 45.8%, which matters for whether your parent sees the same faces month to month. Inspections are clean where it counts: a 5/5 health inspection rating, eight deficiencies on record, none at the harm level and none abuse-related, with the most recent visit in May 2026. Quality measures rate 3/5, the one lukewarm spot in an otherwise strong record.

A

90/100

Artman Lutheran Home

Ambler, PA · Montgomery County

CMS 5/5 61 beds Non-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
37%
Serious cites
0

Artman Lutheran Home sits in Ambler with 61 certified beds and a church-affiliated nonprofit owner. The staffing numbers are the real story here: 5.39 nurse hours per resident day, roughly 40% above the national average, with turnover at 36.8% compared to 45.8% nationally, a workforce that stays longer than most. Weekend coverage dips about 11% below weekday levels, worth asking about if your family visits mainly on Saturdays. Inspections show a 4/5 health rating and 17 total deficiencies, none at harm or jeopardy level, though three are abuse-related and should be asked about directly. The last inspection was May 2026, so the record is recent.

A

90/100

Stoneridge Poplar Run

Myerstown, PA · Lebanon County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
6.69 /day
Staff turnover
54%
Serious cites
0

Stoneridge Poplar Run runs 60 certified beds as a nonprofit, and the staffing number is the one that stands out: 6.69 nurse hours per resident day, roughly 73% above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so the schedule thins out some but stays well above what most homes provide. The trade-off sits in retention, 53.7% annual turnover against a national 45.8%, meaning a good share of that generous staffing is delivered by people still learning the building. Eleven deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated November 2025.

A

90/100

Concordia At Spiritrust Utz Terrace

Hanover, PA · Adams County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
49%
Serious cites
0

Concordia At Spiritrust Utz Terrace runs 4.19 nurse hours per resident day, roughly 8% above the national average of 3.86, and that staffing shows up in the weekend numbers too, which dip about 8% below the home's own weekday level rather than falling off a cliff. The current record carries 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated May 2026, so the picture is recent and clean where it counts. Turnover sits at 48.9%, a bit above the 45.8% national average, which is worth asking about directly. Forty beds under nonprofit ownership, strong marks across inspection, quality, and staffing stars.

A

90/100

Christ's Home Retirement Community

Warminster, PA · Bucks County

CMS 5/5 48 beds Non-profit
Nurse hours
5.06 /day
Staff turnover
40%
Serious cites
0

Christ's Home in Warminster runs a 48-bed nonprofit operation where the direct-care numbers stand out. At 5.06 nurse hours per resident day, staffing sits roughly 31 percent above the national average of 3.86, and the weekend dip of about 6 percent from its own weekday level is modest compared with what many homes show. Annual turnover of 40.3 percent also comes in under the national 45.8 percent, which matters for consistency of care. The inspection record is short: four deficiencies total, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. With a February 2026 inspection on file and five stars for health inspections, this is a small home whose recent record looks steady.

A

90/100

Alternative Healthcare Solutions Llc

San Juan, PR · San Juan County

CMS 4/5 22 beds For-profit
Nurse hours
4.54 /day
Staff turnover
32%
Serious cites
0

Alternative Healthcare Solutions in San Juan runs a small house, 22 certified beds, and it's staffed well above what's typical nationally, at 4.54 nurse hours per resident day compared to the 3.86 average. Weekend coverage does thin out, running roughly a quarter below its own weekday level, and the 31.8% annual turnover is worth noting even though it sits below the 45.8% national figure. The tradeoff shows up in the inspection record: 33 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent survey from December 2024. For-profit LLC ownership, a middling 3-star inspection rating, and strong staffing together describe a home that's well-covered day to day but has accumulated paperwork-level problems over time.

A

90/100

Still Hopes Episcopal Retirement Community

West Columbia, SC · Lexington County

CMS 5/5 22 beds Non-profit
Nurse hours
7.61 /day
Staff turnover
—
Serious cites
0

Still Hopes Episcopal Retirement Community runs 22 certified beds in West Columbia, and the nurse staffing number stands out: 7.61 hours per resident day against a national average of 3.86. Weekends dip about 21% below the home's own weekday coverage, so the floor is thinner on Saturdays and Sundays even though the overall level stays high. The inspection record is clean where it counts, four deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent visit in June 2025. A nonprofit corporation operates it, and both the health inspection and quality measure ratings sit at five stars.

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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