4,510 Independent Nursing Homes in the United States

Nurse hours

5.70 /day

Staff turnover

51%

Serious cites

0

Restoracy Of Goshen runs 48 beds under individual for-profit ownership, and its strongest card is nursing hours: 5.70 per resident per day, roughly 48% above the national average of 3.86. Weekends dip about 10% below its own weekday level, so ask how that plays out on a Sunday. The inspection record shows 29 deficiencies, though none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025. Staff turnover sits at 50.6%, above the 45.8% national figure, worth asking about, since consistent caregivers matter. CMS rates quality measures 5/5, staffing 4/5, and health inspections 3/5.

Nurse hours

4.09 /day

Staff turnover

44%

Serious cites

0

Holy Spirit Retirement Home runs on a nonprofit model with 78 certified beds, and its nurse staffing sits at 4.09 hours per resident day, about 6% above the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so the margins are thinner on Saturdays and Sundays. Annual turnover is 44.4%, essentially in line with the national 45.8%. The inspection record carries 30 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was April 30, 2026. Quality measures score well above average while the health inspection side lags behind.

Nurse hours

4.33 /day

Staff turnover

27%

Serious cites

0

Good Neighbor Home runs a genuinely strong staffing operation for a 112-bed nonprofit in Manchester. Nurses provide 4.33 hours per resident day, about 12% above the national average, and turnover sits at 27.2% against a national 45.8%, that kind of retention matters more than any single number, because consistent caregivers know the residents. The catch is inspections: eight deficiencies on the current record, three of them serious enough to involve harm or jeopardy, with a $6,279 fine attached. State surveyors last visited in June 2025. Weekend coverage also dips roughly 14% below weekday levels, so care can thin out when families visit. Strong hands on staff, but quality measures and inspection history both sit at two stars.

Nurse hours

3.64 /day

Staff turnover

19%

Serious cites

0

Gracewell runs leaner on nurse hours than the typical American nursing home, 3.64 per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. What stands out more is who stays: turnover sits at 18.5% when the national figure is 45.8%, so the people caring for residents here tend to still be there next year. The inspection record backs that up, with 10 deficiencies on file, none involving harm or jeopardy and none abuse-related, and a survey as recent as August 2025. For a nonprofit home, that combination of steady staff and a clean harm record counts for more than the raw hours suggest.

Nurse hours

3.75 /day

Staff turnover

39%

Serious cites

0

Keystone Nursing Care Center runs 55 beds under corporate for-profit ownership, and its inspection record is genuinely strong, a 5-star health inspection rating with just three deficiencies on file, only one at the harm level and none tied to abuse. Quality measures also score 5 stars. Where it gives ground is staffing: 3.75 nurse hours per resident day sits about 3% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing rating lands at 3 stars. Turnover is the brighter spot at 38.6%, well under the 45.8% national figure. Its last inspection was September 2025.

Nurse hours

2.94 /day

Staff turnover

36%

Serious cites

0

Southeast Iowa Healthcare Center runs lean on daily nurse coverage, 2.94 hours per resident, roughly a quarter below the national figure, and weekends dip about 14% under its own weekday levels, so families should ask how that gap gets covered. What offsets it: turnover sits at 35.9%, well under the 45.8% national rate, meaning the aides and nurses who are there tend to stay. The inspection record is clean where it counts, six deficiencies with none causing harm and nothing abuse-related, and the most recent survey was in January 2026. A for-profit LLC with 55 beds, this is a stable, recently inspected home that runs thin on hours rather than on care quality.

Nurse hours

5.70 /day

Staff turnover

53%

Serious cites

0

Brewster Health Center runs on church-affiliated nonprofit ownership and staffs well above average, 5.70 nurse hours per resident day against a national 3.86, roughly half again the typical home. That staffing depth shows up in the four-out-of-five staffing rating and a perfect quality measure score, and the inspection record is recent, from June 2025, with nineteen deficiencies but none rising to harm or jeopardy. Two abuse-related citations are worth asking about directly. The real soft spots are turnover at 53.1 percent, higher than the 45.8 percent national figure, and weekend coverage that drops about 11 percent below weekday levels. Ask how they hold staffing steady on Saturdays and Sundays.

Nurse hours

5.60 /day

Staff turnover

40%

Serious cites

0

Paramount Community Living and Rehab runs about 5.60 nurse hours per resident day, roughly 45% above the national average, and weekend staffing holds within about 8% of weekday levels, better continuity than many homes manage. Turnover sits at 40.3%, a bit below the national 45.8%, which matters for residents who value seeing the same faces. The tradeoff shows up in the inspection record: 33 deficiencies on file, one tied to abuse, though none reached harm or jeopardy, and the last inspection was recent enough to trust. For a nonprofit with 101 beds in Newton, the staffing investment is real; the survey history is the part worth asking about directly.

Nurse hours

5.12 /day

Staff turnover

31%

Serious cites

0

Schowalter Villa runs on a nurse staffing level that's roughly a third higher than what's typical nationally, and its staff tends to stick around far longer than the average home, turnover sits near 31% against a national figure closer to 46%. The nonprofit's inspection record backs that up: a clean five-star health inspection rating, with six deficiencies on file and none involving harm, jeopardy, or abuse, last surveyed in November 2024. Weekend coverage dips slightly, about 7% below weekday levels, which is common but worth knowing if you're visiting then. The weaker spot is the quality measure rating, just two stars, suggesting the clinical outcome data isn't keeping pace with the strong staffing and inspection marks.

Nurse hours

6.45 /day

Staff turnover

33%

Serious cites

0

Tug Valley ARH runs 6.45 nurse hours per resident day, roughly two and a half hours more than the national average, and its staff turnover of 33.3% sits well below the 45.8% national figure, those two numbers explain most of why it lands where it does. Weekend staffing dips about 9% below its own weekday level, so ask how that plays out on a Sunday. The record shows 12 deficiencies with none at the harm level, though one is abuse-related, and a June 2025 inspection means the picture is current. Quality measure scores are the weak spot here, so ask what those measures actually track.

Nurse hours

5.11 /day

Staff turnover

42%

Serious cites

0

Sam Swope Care Center has real staffing strength: 5.11 nurse hours per resident day, roughly a third more than the national average, with a 4-star staffing rating to match. Turnover sits at 42.4%, slightly better than the national 45.8%. But the inspection record is where this home gets shakier, 12 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus two abuse-related findings and two fines totaling $14,859. Weekend staffing also dips about 11% below weekday levels, which matters when families visit. The most recent inspection was February 2026. Good coverage day to day, yes, but the enforcement history is the number I'd ask about directly.

Nurse hours

4.60 /day

Staff turnover

24%

Serious cites

0

LaSalle Nursing Home runs on a hospital district's budget in Jena, and the numbers behind it are mostly steady. Nurse staffing sits at 4.60 hours per resident day, roughly 19% above the national average, and weekend coverage only dips about 13% below its own weekday level, a gap that's real but not dramatic. Turnover is the standout: 23.6% against a national average near 46%, meaning the people caring for residents tend to stay. The tradeoffs show up elsewhere. Inspectors found seven deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse, and the home carries a single fine of $7,443. Its last inspection was in December 2025, so the picture is recent. Quality measure scores land in the middle at 3 out of 5, which is where the overall grade loses ground.

Nurse hours

3.46 /day

Staff turnover

41%

Serious cites

0

Alice Byrd Tawes runs a nonprofit home with 76 beds in Crisfield, and the inspection history is the strongest part of the picture: a four-star health inspection rating and a recent survey on record. But 31 deficiencies, including one at the harm or jeopardy level and two tied to abuse, is a lot of findings to carry. Nurse staffing sits at 3.46 hours per resident day, roughly 10 percent under the national average, and weekends run about 11 percent thinner than weekdays, so coverage has a dip built into it. Turnover is 41.3 percent, a bit better than the national 45.8 percent, which suggests some stability in the workforce.

Nurse hours

4.16 /day

Staff turnover

33%

Serious cites

0

Nurse staffing at Neville Center runs about 4.16 hours per resident day, roughly 8% above the national average, and that cushion matters most on weekends, which here run about 15% below the home's own weekday level. Staff turnover sits at 33%, well under the 45.8% national figure, so the people caring for residents tend to stick around. The inspection record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent state visit in May 2025. As a nonprofit, it isn't answerable to shareholders. Three four-star CMS ratings across inspections, quality measures, and staffing back up what the numbers suggest: solid, consistent care.

Nurse hours

4.27 /day

Staff turnover

23%

Serious cites

0

Mackinac Straits runs a tight staffing ship: 4.27 nurse hours per resident day beats the national average by about 11%, and the weekend dip is only around 7%, which is modest compared to what many homes see. Turnover sits at 23.3%, roughly half the national rate, so the people caring for residents tend to stick around. The trade-offs show up elsewhere. The health inspection record includes 13 deficiencies, two of them serious enough to put residents in harm's way and one tied to abuse, and quality measures score poorly at 2 stars despite the recent May 2025 inspection. Nonprofit ownership and strong staffing are real strengths; the deficiency record is the piece families should ask about.

Nurse hours

5.18 /day

Staff turnover

23%

Serious cites

0

Valley Health Center runs on unusually thick nurse coverage: 5.18 hours per resident day, roughly a third more than the national average, and it holds onto staff far better than most, 22.9% turnover against a national 45.8%. Weekend hours dip about 8% below weekday levels, so ask how that plays out on a Sunday. The inspection record is recent (July 2025) and mostly clean, though ten deficiencies include one at the harm level and none related to abuse. Quality measure scores sit at 2 out of 5, which is the number worth asking about directly, staffing strength and quality ratings don't always tell the same story.

Nurse hours

5.84 /day

Staff turnover

41%

Serious cites

0

Maple Manor Rehab Center Of Novi runs 72 certified beds in Oakland County under corporate, for-profit ownership. The staffing numbers are the strongest part of the picture: 5.84 nurse hours per resident day, roughly half again the national average, and weekend coverage barely dips below weekdays. Turnover sits at 41%, a bit better than the 45.8% national figure. Inspections tell a more mixed story, 32 deficiencies on the current record, including one at harm or jeopardy level and three tied to abuse, with the most recent visit in March 2025. Michigan survey averages run high, so 32 isn't unusual for a building this size, but the abuse citations are worth asking about directly before you decide.

Nurse hours

4.88 /day

Staff turnover

32%

Serious cites

0

Eventide Lutheran Home runs on unusually deep staffing for a nonprofit: 4.88 nurse hours per resident day against a national average of 3.86, and its 32.2% turnover sits well under the 45.8% typical elsewhere. That consistency shows up where it matters, weekends dip only about 7% below weekday coverage, so care doesn't thin out when families visit. The trade-off is inspection history: 22 deficiencies on record, four serious enough to reach harm or jeopardy, and three fines totaling $39,393. The most recent state visit was June 2025, so the record is current. Strong staffing and steady retention don't erase a troubled survey trail, ask to see how those four harm-level findings were corrected.

Nurse hours

5.27 /day

Staff turnover

39%

Serious cites

0

Oak Hills Living Center runs on unusually heavy staffing for a nonprofit home its size, 5.27 nurse hours per resident day, roughly a third more than the national average, which is why CMS hands it a perfect staffing rating. Turnover sits at 39%, better than the 45.8% national figure, though weekend coverage drops about 14% below its own weekday level, so care can thin out on Saturdays and Sundays. The inspection record is where the picture darkens: ten deficiencies, three serious enough to endanger residents, one tied to abuse, and $30,026 in fines across two penalties. Strong daily staffing doesn't erase those findings, and the most recent inspection in April 2026 suggests they're current, not old history.

Nurse hours

3.42 /day

Staff turnover

12%

Serious cites

0

Viking Manor runs on a city-owned model in a small Clay County town, and the numbers show a stable operation. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national average, and weekends dip roughly 13% below its own weekday coverage, so ask how that plays out on a Saturday. What stands out is the workforce: 12.2% annual turnover against a national 45.8% means people tend to stay. Inspections back that up: a 5/5 health inspection rating, five deficiencies on record with none at harm level and none abuse-related, and the most recent inspection in June 2025.