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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 721–740 of 4,510, best-graded first.

A

89.5/100

Panorama City Conv & Rehab Ctr

Lacey, WA · Thurston County

CMS 5/5 155 beds Non-profit Medicaid
Nurse hours
5.07 /day
Staff turnover
29%
Serious cites
0

Panorama City Conv & Rehab Ctr runs on 5.07 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, 28.9% turnover against a national 45.8%. Weekend coverage dips about 17% below weekday levels, which is common but still worth asking about. The tradeoff shows up on inspections: 25 deficiencies on record, including three at the harm level and three tied to abuse, plus two fines totaling $42,904. Thurston County's Lacey location is nonprofit-owned and was inspected in January 2026. Strong staffing and quality scores, but the inspection history is the part to press them on directly.

A

89.5/100

The Terraces At Skyline

Seattle, WA · King County

CMS 2/5 34 beds Non-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
—
Serious cites
0

The Terraces At Skyline runs 4.60 nurse hours per resident day, roughly 19 percent above the national average, and weekends dip only about 5 percent below its own weekday staffing, a modest gap by industry standards. What holds it back is the inspection record: 55 deficiencies, five of them abuse-related, though none rose to harm or jeopardy level. The last survey was recent, in August 2025, and the two-out-of-five inspection rating reflects those findings rather than any immediate danger. Quality measures and staffing both score four out of five. Nonprofit ownership at 34 beds suggests a small, closely run home; ask specifically about the abuse-related citations and what changed afterward.

A

89.5/100

Amie Holt Care Center

Buffalo, WY · Johnson County

CMS 5/5 50 beds Government Medicaid
Nurse hours
4.97 /day
Staff turnover
41%
Serious cites
0

Amie Holt Care Center runs on a government hospital-district model in Buffalo, and the staffing numbers show it: 4.97 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 16% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 40.8%, better than the 45.8% national figure but still meaning roughly two in five caregivers leaving each year. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in April 2025.

A

89.5/100

Permian Residential Care Center

Andrews, TX · Andrews County

CMS 5/5 112 beds Government Medicaid
Nurse hours
5.63 /day
Staff turnover
35%
Serious cites
0

Permian Residential Care Center is county-owned and staffed well above average, 5.63 total nurse hours per resident day against a national 3.86. Weekend coverage dips about 15% below its own weekday level, which is common but worth knowing if you'll be visiting Saturdays. Staff turnover sits at 34.9%, lower than the 45.8% national rate, and its last inspection was recent, December 2025. That inspection history isn't spotless: 8 deficiencies on record, one serious enough to reach harm or jeopardy level, plus a single fine of $20,865. The staffing and inspection star ratings both come in at 5, while quality measures land at 3.

A

89/100

Southern Springs Healthcare Facility

Union Springs, AL · Bullock County

CMS 5/5 123 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
22%
Serious cites
0

Southern Springs runs on more nursing hours than most homes in the country, 4.09 per resident day against a national average of 3.86, and its weekend staffing only dips about 14% below weekday levels, which matters because weekend gaps are where a lot of problems hide. Staff turnover sits at 22.4%, roughly half the national rate of 45.8%, so the people caring for residents tend to stick around. The tradeoffs: seven deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level, and the last full inspection was back in August 2022. For-profit corporate ownership, 123 beds.

A

89/100

Stella Manor Nursing And Rehabilitation Center

Russellville, AR · Pope County

CMS 5/5 124 beds For-profit Medicaid
Nurse hours
5.19 /day
Staff turnover
47%
Serious cites
0

Stella Manor runs on more nurse time than most places, 5.19 hours per resident day against a national average of 3.86. Weekends dip about 14% below its own weekday coverage, so ask how that plays out on a Sunday. Turnover sits at 46.7%, essentially the national rate. The inspection record is where this home separates itself: a 5/5 health inspection rating, no deficiencies at the harm or jeopardy level, nothing abuse-related, and the last visit was November 2024. Twelve total deficiencies is a real number, but none of them rose to actual resident harm. For-profit corporate ownership, 124 beds, and consistently strong quality measure scores round it out.

A

89/100

Pilgrim Place Health Services Center

Claremont, CA · Los Angeles County

CMS 3/5 62 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Pilgrim Place runs a non-profit home with 62 beds in Claremont, and the staffing numbers are its strongest story: 4.41 nurse hours per resident day, about 14 percent above the national average, with turnover at 39.7 percent versus the 45.8 percent norm. The catch is consistency, weekend coverage drops roughly 12 percent below what the home staffs on weekdays. Inspections are the weak spot: a 2-out-of-5 health inspection rating, 52 deficiencies on the current record, including three tied to abuse, though none rose to the harm or jeopardy level. The last survey was December 5, 2025. Ask about those abuse-related findings and how weekend shifts get covered before you decide.

A

89/100

The Sequoias

Portola Valley, CA · San Mateo County

CMS 5/5 43 beds Non-profit
Nurse hours
4.28 /day
Staff turnover
6%
Serious cites
0

The Sequoias runs a tight ship on staffing, averaging 4.28 nurse hours per resident day, about 11% above the national average, and its turnover sits at 6.3% against a national rate of 45.8%, which tells you caregivers tend to stay put. Weekend coverage drops roughly 30% below weekday levels, so if you're visiting on a Saturday, that's worth asking about directly. The home carries 20 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related; one fine totaling $12,703 appears on file. Its last inspection was August 2025, and both its health inspection and quality measure ratings come in at five stars.

A

89/100

Maywood Acres Healthcare

Oxnard, CA · Ventura County

CMS 5/5 98 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
29%
Serious cites
0

Maywood Acres runs 3.57 nurse hours per resident day, roughly 7% under the national average, so staffing is the weakest number here, weekends dip another 5% below its own weekday level. What offsets that is consistency: 29.3% annual turnover is well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay. The inspection record backs it up, with 30 deficiencies logged but none at the harm level and none abuse-related, and the most recent survey dates to August 2025. This is a for-profit LLC with 98 beds, and the health and quality ratings both sit at the top of CMS's scale.

A

89/100

Santa Clara Post Acute

Santa Clara, CA · Santa Clara County

CMS 3/5 201 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
28%
Serious cites
0

Santa Clara Post Acute is a 201-bed corporate-owned home in Santa Clara County, and its numbers tell a mixed story. Nurse staffing sits at 3.81 hours per resident day, just under the national average of 3.86, with weekends running about 5 percent lighter than weekdays, worth asking about if your family visits on Saturdays. Turnover is genuinely low at 28 percent against a national 45.8, and the quality measure rating is strong, but the inspection record is the real concern: 57 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, from a September 2025 survey. Low turnover doesn't cancel out an inspection history like that, so read the actual reports before deciding.

A

89/100

Crestwood Manor

Modesto, CA · Stanislaus County

CMS 5/5 194 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
31%
Serious cites
0

Crestwood Manor runs about 4.44 nurse hours per resident per day, roughly 15% above the national average, and its staff turnover of 30.8% sits well under the 45.8% national figure, that combination usually means care is steadier than at most homes. But recent inspections turned up 19 deficiencies, three of them serious enough to put residents at risk of harm, plus one tied to abuse. Weekend staffing also drops about 13% below weekday levels, so coverage thins exactly when families tend to visit. The inspection history, not the staffing, is what pulls this Modesto home down to a middle-of-the-pack result.

A

89/100

Riverside Behavioral Healthcare Center

Riverside, CA · Riverside County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
2.51 /day
Staff turnover
37%
Serious cites
0

Riverside Behavioral Healthcare Center runs on noticeably thin nursing coverage, 2.51 hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday levels. The trade-off shows up in consistency: staff turnover sits at 36.7%, better than the 45.8% national figure, so the people who are there tend to stay. Its inspection record is current, with the most recent visit in November 2025 and 23 deficiencies logged, none at the harm level, though two are abuse-related. State surveyors rate it well above average on health inspections and quality measures. Families should weigh the lean daily staffing against a relatively stable, recently reviewed operation.

A

89/100

Crestwood Manor - Fremont

Fremont, CA · Alameda County

CMS 5/5 126 beds For-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
24%
Serious cites
0

Crestwood Manor runs on unusually deep staffing for a for-profit chain home, 4.99 nurse hours per resident day against a national average of 3.86. Turnover sits at 23.5%, roughly half the national rate, which matters more than any single inspection score because it means the people caring for your relative tend to stick around. Weekend coverage dips about 12% below weekdays, so ask how that plays out on Sundays. The inspection record is the part to press on: 17 deficiencies, including one at the harm level and three tied to abuse. A recent April 2025 inspection and strong staffing don't erase those three. Ask the administrator directly what changed.

A

89/100

Pines Of Sarasota

Sarasota, FL · Sarasota County

CMS 5/5 171 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
41%
Serious cites
0

Pines of Sarasota runs on more nursing time than most homes in the country, 4.20 hours per resident day against a national average of 3.86. That margin matters, though weekends here run about 9% thinner than weekdays, so ask how coverage looks on a Sunday. Staff turnover sits at 41%, a bit better than the 45.8% national figure, which suggests people stay. The inspection record shows nine deficiencies, none at harm or jeopardy level, one tied to abuse, worth asking about directly. State inspectors last visited in May 2024, and the nonprofit ownership means no shareholder pressure on the budget.

A

89/100

Miami Shores Nursing And Rehab Center

Miami, FL · Miami-Dade County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
28%
Serious cites
0

Miami Shores runs 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover sits at 28.1% against a national 45.8%, meaning aides and nurses here tend to stick around longer than at the typical home. Weekends dip about 9% below weekday coverage, so ask how the schedule holds up on Saturdays and Sundays. The current inspection record shows 23 deficiencies, none at the harm or jeopardy level, though one is abuse-related; that one deserves a direct question. Inspectors were last in on March 26, 2025, so the picture is recent. It's a for-profit LLC with 99 beds in Miami-Dade County.

A

89/100

Apostolic Christian Restmor

Morton, IL · Tazewell County

CMS 5/5 62 beds Non-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
29%
Serious cites
0

Apostolic Christian Restmor runs about 62 beds in Morton under nonprofit ownership, and its nurse staffing sits modestly above the national average at roughly 4.01 hours per resident day, with weekends dipping about 5% below weekday coverage. Staff turnover is the standout: 28.9% against a national average near 46%, meaning caregivers here tend to stay. The current inspection record shows 10 deficiencies, four serious enough to reach harm or jeopardy level, including one tied to abuse, with two fines totaling $24,723 and a survey completed in April 2025. Strong staffing and stable retention are real strengths, but those harm-level findings are the part worth asking about directly.

A

89/100

Evenglow Lodge

Pontiac, IL · Livingston County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
60%
Serious cites
0

Evenglow Lodge runs a tight ship on the clinical side. The last inspection was in December 2025, and the record shows 21 deficiencies with none at the harm or jeopardy level and nothing abuse-related, that's a clean pattern for a 48-bed nonprofit home. Nurse staffing sits at 5.08 hours per resident day, roughly a third above the national average, which is why the staffing stars hold at 4/5 even with weekends running about 11% lighter than weekdays. The real soft spot is turnover: 60% annually against a national 45.8%, meaning nearly two-thirds of the care team cycles through each year. Families should ask how that affects consistency on evenings and weekends.

A

89/100

Avondale Estates Of Elgin

Elgin, IL · Kane County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
5.21 /day
Staff turnover
31%
Serious cites
0

Avondale Estates Of Elgin runs on 5.21 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, turnover sits at 31.3% against a national 45.8%. Weekend coverage dips only about 7% below weekday levels, so the place doesn't hollow out on Saturdays. The trade-off is a longer deficiency record: 11 findings on the current file, one serious enough to involve harm or jeopardy, though none tied to abuse. State inspectors were last in on June 27, 2025, and the health inspection rating came back at the top of the scale. For a for-profit, individually owned home of 120 beds, the staffing and retention numbers are doing most of the work here.

A

89/100

Lutheran Life Villages

Kendallville, IN · Noble County

CMS 5/5 99 beds Government Medicaid
Nurse hours
3.71 /day
Staff turnover
40%
Serious cites
0

Lutheran Life Villages runs 99 certified beds in Kendallville under county government ownership, and its inspection record is the cleanest part of the story: five deficiencies on file, none of them causing harm or jeopardy, none tied to abuse, with the most recent state visit in March 2026. Staffing is where the numbers get more ordinary. At 3.71 nurse hours per resident day, it sits about 4% under the national average of 3.86, and weekends dip roughly 8% below its own weekday coverage. Annual turnover of 40.3% is better than the 45.8% national figure, which matters for whether you see the same faces month to month.

A

89/100

Lutheran Life Villages

Fort Wayne, IN · Allen County

CMS 5/5 84 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
41%
Serious cites
0

Lutheran Life Villages runs 84 certified beds as a nonprofit, and the numbers hold up well. Nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average of 3.86, though weekend coverage dips about 9% below what the home provides on weekdays, so ask how that gap gets managed. Staff turnover is 41.4%, a bit better than the 45.8% national figure, which matters for continuity of care. Seven deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with a recent inspection in March 2026. Quality and inspection ratings both came back 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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