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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 761–780 of 4,510, best-graded first.

A

89/100

Tallahatchie General Hosp Ecf

Charleston, MS · Tallahatchie County

CMS 5/5 98 beds Government Medicaid
Nurse hours
4.17 /day
Staff turnover
34%
Serious cites
0

Tallahatchie General Hosp Ecf runs on county money, and the staffing numbers reflect that: 4.17 nurse hours per resident day, roughly 8% above the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 33.7%, well under the 45.8% national figure, which matters for continuity of care. The tradeoff shows up in the inspection record, 12 deficiencies currently, including two at harm or jeopardy level and one tied to abuse, plus a single $11,450 fine. The most recent inspection was October 2025. Solid staffing and stable retention, but the harm-level findings are the part a family should ask about directly.

A

89/100

Lake Regional Health Systems

Osage Beach, MO · Camden County

CMS 5/5 16 beds Non-profit
Nurse hours
9.33 /day
Staff turnover
62%
Serious cites
0

Lake Regional Health Systems runs a small 16-bed unit inside a hospital system, and its nurse staffing sits at 9.33 hours per resident per day, roughly two and a half times the national figure. That's an unusual level of coverage, and it shows in the four-out-of-five staffing star, held back mainly by turnover of 61.9% against a national 45.8%. The inspection record is clean where it counts: three deficiencies total, none at harm or jeopardy level, though one is abuse-related, which is worth asking about directly. A five-star inspection and five-star quality rating from a September 2025 survey round out a strong picture, with weekend staffing running about 9% lighter than weekdays.

A

89/100

Mt Carmel Home - Keens Memorial

Kearney, NE · Buffalo County

CMS 4/5 75 beds Non-profit Medicaid
Nurse hours
6.11 /day
Staff turnover
41%
Serious cites
0

Mt Carmel Home in Kearney runs leaner on nursing hours than most places, 6.11 per resident day, roughly 58% above the national average, and that holds up across weekday and weekend shifts, though weekends dip about 13% below the home's own weekday level. Staff turnover sits at 41%, a bit better than the 45.8% typical nationally. The inspection record shows five deficiencies, none rising to harm or jeopardy, but one is abuse-related, worth asking about directly. A January 2026 inspection means the picture is current. Nonprofit ownership and four stars each on health inspections, quality measures, and staffing round out a home that looks steady on paper, with a couple of specific questions worth raising in person.

A

89/100

Saunders Medical Center

Wahoo, NE · Saunders County

CMS 4/5 60 beds Government Medicaid
Nurse hours
4.83 /day
Staff turnover
40%
Serious cites
0

Saunders Medical Center is county-owned, and that shows in the numbers. Nurse staffing runs 4.83 hours per resident day, roughly a quarter above the national average of 3.86, and turnover sits at 39.7% against a national 45.8%, a fairly stable crew for this industry. Weekend coverage dips about 8% below weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Five deficiencies on the current record, none at the harm level, none abuse-related, and the last inspection was in April 2026, so the picture is recent. All three CMS ratings, health inspection, quality measures, staffing, come in at 4 out of 5.

A

89/100

Merrimack County Nursing Home

Boscawen, NH · Merrimack County

CMS 3/5 290 beds Government Medicaid
Nurse hours
4.74 /day
Staff turnover
34%
Serious cites
0

Merrimack County Nursing Home runs on one of the strongest staffing pictures you'll find, 4.74 nurse hours per resident day against a national average of 3.86, and its 34.4% turnover beats the 45.8% norm, which matters for whether your parent sees the same faces each week. Weekends thin out about 11% from weekday coverage, so ask how that gap gets filled. The caution is inspections: 12 deficiencies on the current record, including one at the harm level and one abuse-related, with a $15,646 fine and a 2/5 inspection rating. A March 2026 inspection is recent, at least. County-run and 290 beds means you're dealing with a large public operator, not a chain. Staffing is the strength; the survey history is what to press on.

A

89/100

Bergen New Bridge Medical Center

Paramus, NJ · Bergen County

CMS 4/5 574 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
16%
Serious cites
0

Bergen New Bridge Medical Center runs 574 certified beds as a nonprofit, and its nurse staffing sits right at the national average, 3.88 hours per resident day against 3.86. The number that stands out is turnover: 15.8% annually, roughly a third of the 45.8% national figure, which suggests people stay. Weekend staffing dips about 8% below its own weekday level, a gap worth asking about. The current record shows 15 deficiencies, one at the harm level and none abuse-related, with an inspection in May 2025. Quality and staffing star ratings come in at 4 and 5; health inspections at 3.

A

89/100

Merry Heart Nursing Home

Succasunna, NJ · Morris County

CMS 3/5 113 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
29%
Serious cites
0

Merry Heart runs leaner than the typical American nursing home, 3.71 nurse hours per resident day against a national average of 3.86, and weekends get thinner still, with staffing dropping about 11% below its own weekday level. Turnover is where it stands apart: 28.7% versus 45.8% nationally, meaning the people showing up are more likely to still be there next year. Its 12 deficiencies include one tied to abuse, though none reached harm or jeopardy, and the most recent inspection came in January 2025. Forty-five minutes from now, that mix of steady staff and a recent, mostly clean survey is the real story here.

A

89/100

Childrens Specialized Hospital Mountainside

Mountainside, NJ · Union County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
7.79 /day
Staff turnover
33%
Serious cites
0

Childrens Specialized Hospital Mountainside runs 7.79 nurse hours per resident day, roughly double the national average of 3.86, and that staffing depth holds up on weekends, dipping only about 7% below weekday levels. Turnover sits at 33%, well under the 45.8% national figure, so the people caring for residents tend to stay. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its most recent inspection was in January 2026. As a nonprofit, it answers to a mission rather than shareholders. For a 64-bed pediatric facility, the numbers point to steady, well-staffed care.

A

89/100

Bridgeway Care And Rehab Center At Hillsborough

Hillsborough, NJ · Somerset County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
33%
Serious cites
0

Bridgeway Care and Rehab Center at Hillsborough runs on a for-profit LLC model with 126 certified beds, and its staffing is the strongest part of the story, 4.12 nurse hours per resident day, roughly 7% above the national average, with a 5-out-of-5 CMS staffing rating. Turnover sits at 33.3%, well below the national 45.8%, which suggests people stay. The tradeoffs show up elsewhere. A 3-out-of-5 inspection rating reflects 24 deficiencies on the current record, including one at the harm level and five related to abuse. That's a meaningful record to weigh, even though the most recent inspection was in January 2026 and quality measures rate 4 out of 5.

A

89/100

Bethel Nursing Home Company Inc

Ossining, NY · Westchester County

CMS 3/5 43 beds Non-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
25%
Serious cites
0

Bethel Nursing Home Company in Ossining is a small nonprofit, 43 certified beds, and the numbers tell a story with real strengths and real caveats. Nurse staffing runs about 3.53 hours per resident day, roughly 9% under the national average, though its 25% annual turnover is well below the 45.8% national figure, which matters for whether you see the same faces week to week. The inspection record is the weak spot: 22 deficiencies, two tied to abuse, and a two-star health inspection rating, though none reached harm or jeopardy level and the most recent inspection was in March 2025. Ask specifically about those abuse-related citations and how weekend coverage holds up.

A

89/100

Ideal Senior Living Center

Endicott, NY · Broome County

CMS 5/5 150 beds Non-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
30%
Serious cites
0

Ideal Senior Living Center runs on 4.55 nurse hours per resident day, roughly 18% more than the national average, though weekend coverage dips about 14% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 30.2%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record shows 8 deficiencies with none at the harm level and none abuse-related, plus one fine of $28,140; the most recent inspection was in February 2026, so the picture is current. As a nonprofit, it answers to a board rather than shareholders.

A

89/100

Deerfield Episcopal Retirement

Asheville, NC · Buncombe County

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

Deerfield Episcopal runs a lean, well-staffed operation: 5.44 nurse hours per resident day against a national average of 3.86, and turnover at 28.7% is far below the 45.8% norm, which matters because consistent caregivers know the residents. Inspections back that up, a five-star health inspection rating, three total deficiencies, none causing harm, none abuse-related. The soft spot is quality measures, where the home scores just two stars, and weekend staffing dips about 14% below weekday levels, so ask specifically who's on the floor on Saturdays and Sundays. It's a nonprofit with 62 beds and a recent inspection, and the numbers suggest solid care with one area worth a direct question.

A

89/100

Jenkins Care Community

Wellston, OH · Jackson County

CMS 4/5 57 beds Non-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
26%
Serious cites
0

Jenkins Care Community runs a tight ship on staffing: 3.95 nurse hours per resident day, slightly above the national average, and turnover sits at 26% against a national figure near 46%. That retention matters, it usually means residents see the same faces. Weekends dip about 12% below weekday coverage, so ask how that plays out on Sundays. The blemishes on the record are real: 23 deficiencies, one at the harm level and one tied to abuse. A February 2025 inspection is recent, and the four-star inspection and quality ratings suggest the problems were addressed rather than ignored. As a nonprofit, there's no owner extracting profit, which gives it room to spend on care.

A

89/100

Beechwood Home For Incurables

Cincinnati, OH · Hamilton County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
5.26 /day
Staff turnover
42%
Serious cites
0

Beechwood Home for Incurables runs 80 certified beds as a nonprofit in Cincinnati, and its nurse staffing sits at 5.26 hours per resident per day, roughly 36% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Annual turnover is 41.9%, a bit better than the 45.8% national figure. The health inspection record shows 14 deficiencies, none at the harm or jeopardy level, though four are abuse-related and worth asking about directly. The most recent inspection was May 22, 2025, so the picture is current. Strong quality measure scores and above-average staffing are the real story here.

A

89/100

Ottawa Co Riverview Nursing Ho

Oak Harbor, OH · Ottawa County

CMS 4/5 115 beds Government Medicaid
Nurse hours
4.26 /day
Staff turnover
39%
Serious cites
0

Riverview runs on county money, and the staffing numbers show it: 4.26 nurse hours per resident day, roughly 10% above the national average, with turnover at 38.9% against a national 45.8%. That's a stable workforce by nursing home standards, though weekend coverage dips about 6% below weekdays. The tradeoff shows up in inspections. Fourteen deficiencies sit on the current record, including one at the harm level and two tied to abuse, and a $17,345 fine. The last inspection was February 2026, so the record is recent. Strong quality scores and above-average staffing are real, but the harm-level and abuse findings are the kind of thing worth asking about directly before you decide.

A

89/100

Bayley Place

Cincinnati, OH · Hamilton County

CMS 5/5 110 beds Non-profit Medicaid
Nurse hours
6.80 /day
Staff turnover
50%
Serious cites
0

Bayley Place is a nonprofit home in Cincinnati with 110 certified beds, and its nurse staffing runs 6.80 hours per resident day, roughly 76% above the national average of 3.86. That kind of staffing depth shows up in the numbers: the home scores 4 out of 5 on both CMS staffing and health inspection ratings, and a perfect 5 out of 5 on quality measures. Its last inspection was recent, August 2025, and the record carries 18 deficiencies with none at the harm or jeopardy level. Two things are worth knowing. Weekend staffing drops about 5% below weekday levels, and annual turnover sits at 49.7%, above the 45.8% national average. Five abuse-related deficiencies are also on record.

A

89/100

Briarfield Place

Boardman, OH · Mahoning County

CMS 5/5 58 beds For-profit Medicaid
Nurse hours
4.50 /day
Staff turnover
35%
Serious cites
0

Briarfield Place sits in Boardman with 58 certified beds and a corporate for-profit owner, numbers that usually raise questions but don't here. The nursing staff delivers 4.50 hours per resident day, roughly 17% above the national average, with turnover at 35.2% against a national 45.8%, so residents see more consistent faces, though weekend coverage dips about 9% below weekdays. Its record shows 10 deficiencies, none at harm or jeopardy level and none abuse-related, with an inspection dated February 2026. Both health inspection and quality measure ratings land at 5 out of 5 stars. The staffing picture is strong but a notch lower, at 4 of 5.

A

89/100

Gran Gran's Place

Yukon, OK · Canadian County

CMS 3/5 69 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
47%
Serious cites
0

Gran Gran's Place reports 4.59 nurse hours per resident day, which is genuinely high, about 19% above the national average. But the federal staffing rating comes out at 1 out of 5, and that tells you the hours aren't distributed the way regulators want: weekends run roughly 14% thinner than weekdays, and turnover sits at 46.9%, just above the national rate, so the faces change often. The 22 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, and the most recent inspection was April 2026. Quality measures score 5 out of 5; health inspections land at 3. If you're weighing this one, ask how weekend coverage actually gets filled.

A

89/100

Zarrow Pointe

Tulsa, OK · Tulsa County

CMS 5/5 62 beds Non-profit Medicaid
Nurse hours
5.57 /day
Staff turnover
41%
Serious cites
0

Zarrow Pointe runs a sizeable nursing staff, 5.57 hours per resident per day against a national average of 3.86, with weekends dipping about 11% below weekdays, so coverage stays solid across the week. Staff turnover sits at 41%, slightly better than the typical 45.8% nationally. Against that, the current record shows 19 deficiencies, including two at the harm level and one abuse-related, plus a single fine of $8,278. The last inspection was August 2025. The staffing numbers are the strength here; the deficiency history is what a family should ask about directly, particularly the abuse finding.

A

89/100

Tidwell Living Center

Wilburton, OK · Latimer County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
34%
Serious cites
0

Tidwell Living Center runs about 4.00 nurse hours per resident per day, a bit above the national average of 3.86, and weekend coverage dips roughly 8% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 34.4%, noticeably under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The current record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. This is a for-profit, individually owned home of 55 beds in Latimer County, and its inspection and quality ratings both land above average.

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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