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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 781–800 of 4,510, best-graded first.

A

89/100

Tierra Rose Care Center

Salem, OR · Marion County

CMS 5/5 76 beds For-profit Medicaid
Nurse hours
5.15 /day
Staff turnover
31%
Serious cites
0

Tierra Rose runs on a corporate for-profit model in Salem, and the numbers underneath its grade are mostly working in residents' favor. Nurse staffing sits at 5.15 hours per resident day, roughly a third more than the national average, and weekend coverage dips only about 10% below weekdays, which matters because that's where a lot of homes quietly thin out. Turnover comes in at 30.6%, well under the 45.8% national figure, so the people caring for residents tend to stick around. The catch is the 20 deficiencies on the current record, though none rose to harm or jeopardy level and none involved abuse, and the last inspection was recent enough to trust. Quality measures land mid-range while inspections scored at the top.

A

89/100

Village Manor Of Cascadia

Wood Village, OR · Multnomah County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
21%
Serious cites
0

Village Manor of Cascadia runs 4.52 nurse hours per resident day, about 17% above the national average, and its staffing star rating reflects that. Weekend coverage dips roughly 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Turnover sits at 20.9% against a national average of 45.8%, staff here tend to stay. The tradeoff is the inspection record: 24 deficiencies, including one at the harm level and four tied to abuse, plus a $13,520 fine. The most recent inspection was May 2025, so the record is current. A for-profit LLC with 60 beds. Strong staffing and retention, but the deficiency history is the piece to press on.

A

89/100

Berks Heim Nursing & Rehabilitation

Leesport, PA · Berks County

CMS 5/5 420 beds Government Medicaid
Nurse hours
3.73 /day
Staff turnover
26%
Serious cites
0

Berks Heim runs on county money, and the numbers suggest that's mostly working in its favor. Staff turnover sits at 25.6%, well under the national 45.8%, which matters more than raw hours, familiar faces tend to notice small changes before they become falls or pressure sores. The trade-off shows up in coverage: 3.73 nurse hours per resident day is slightly under the national 3.86, and weekends run about 15% thinner than weekdays, so timing your visits matters. Nine deficiencies on record, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Inspectors were last in December 2025.

A

89/100

Guy And Mary Felt Manor, Inc

Emporium, PA · Cameron County

CMS 4/5 30 beds Non-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
26%
Serious cites
0

Guy and Mary Felt Manor runs 30 beds in Emporium, and its nurse staffing sits at 4.03 hours per resident day, a bit above the national average of 3.86. Weekends dip roughly 13% below its own weekday staffing, so coverage isn't perfectly even. The standout number is turnover: 25.9% against a national average near 46%, which suggests people stay. That said, the current inspection record carries 21 deficiencies, including two tied to abuse, though none reached harm or jeopardy level. The most recent inspection was in June 2025.

A

89/100

Masonic Village At Lafayette Hill

Lafayette Hill, PA · Montgomery County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.79 /day
Staff turnover
21%
Serious cites
0

Masonic Village at Lafayette Hill runs on a non-profit corporate model with just 50 certified beds, and its nurse staffing sits at 4.79 hours per resident day, roughly 24% above the national average. Weekend coverage dips about 8% below its own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 21%, less than half the national figure of 45.8%, so the people caring for residents tend to stay. The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated July 17, 2025. CMS rates staffing 5 out of 5, though quality measures come in at 2 out of 5 and health inspections at 3.

A

89/100

Good Shepherd Home-Bethlehem

Bethlehem, PA · Lehigh County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
4.89 /day
Staff turnover
29%
Serious cites
0

Good Shepherd Home-Bethlehem runs about 4.89 nurse hours per resident day, roughly 27% above the national average of 3.86, and its staff turnover sits at 29.4% against a national 45.8%, that combination of more hands and steadier hands is uncommon. The current record shows three deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the last inspection was January 8, 2026, so the picture is recent. Weekend staffing dips about 11% below weekday levels, which is worth asking about if your family tends to visit Saturdays and Sundays.

A

89/100

White Oak Manor - Newberry

Newberry, SC · Newberry County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
28%
Serious cites
0

White Oak Manor-Newberry runs 140 beds under corporate ownership, and its staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average. Weekends drop about 15% below its own weekday coverage, so ask how that plays out on a Sunday. Turnover is the standout: 28.3% against a national average near 46%, meaning caregivers here tend to stay. The current record shows five deficiencies with none at harm level, though one is abuse-related, which is worth a direct question. Inspectors last visited in April 2025, and all three CMS star categories, health inspections, quality measures, and staffing, land at four out of five.

A

89/100

Veterans Victory House

Walterboro, SC · Colleton County

CMS 5/5 220 beds Government Medicaid
Nurse hours
3.61 /day
Staff turnover
35%
Serious cites
0

Veterans Victory House runs 220 certified beds as a state-run home, and its inspection record is the strongest thing about it: a 5-star health inspection rating with just four deficiencies on file, none of them causing harm or involving abuse. Staffing tells a more mixed story. At 3.61 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends run roughly 14% lighter than its own weekdays. The tradeoff is retention, 34.6% turnover beats the 45.8% national figure, so the aides and nurses here tend to stick around longer than elsewhere. The last inspection was May 2026.

A

89/100

The Lodge At Wellmore- Tega Cay

Fort Mill, SC · York County

CMS 5/5 60 beds For-profit
Nurse hours
4.74 /day
Staff turnover
30%
Serious cites
0

The Lodge at Wellmore in Tega Cay runs 4.74 nursing hours per resident per day, about 23% above the national average of 3.86, and its staffing and quality measure ratings both come in at 5 out of 5. Staff turnover sits at 29.5%, well below the national 45.8%, which matters for whether your family sees the same faces month to month. The catch is the inspection record: seven deficiencies, three of them serious enough to reach harm or jeopardy level, plus three fines totaling $35,403, with the most recent inspection in April 2025. Strong daily care numbers and a thin margin for error on compliance can both be true.

A

89/100

Garfield County Nursing Home

Panguitch, UT · Garfield County

CMS 4/5 21 beds Government Medicaid
Nurse hours
6.25 /day
Staff turnover
32%
Serious cites
0

Garfield County Nursing Home is small, 21 certified beds, and county-run, which matters less than how it's staffed. At 6.25 total nurse hours per resident day, it runs about 62 percent above the national average, an unusually wide margin. Weekend staffing dips roughly 14 percent below weekday levels, so coverage isn't perfectly even across the week. Turnover sits at 32.3 percent, well under the national 45.8 percent. The tradeoff shows up in care quality: a 2-out-of-5 on quality measures, 15 deficiencies on record including 2 abuse-related, though none rose to harm or jeopardy. The most recent inspection was June 25, 2025. Strong staffing and stable retention are carrying a lot of weight here.

A

89/100

Helen Porter Healthcare & Rehab

Middlebury, VT · Addison County

CMS 5/5 98 beds Non-profit Medicaid
Nurse hours
4.92 /day
Staff turnover
33%
Serious cites
0

Helen Porter Healthcare & Rehab runs on a nonprofit model with 98 certified beds, and the staffing numbers are the story here: 4.92 nurse hours per resident day, roughly 28% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday level, worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 33.3%, meaningfully better than the 45.8% national figure, which matters for whether your family member sees the same faces month to month. The current deficiency record shows 10 citations, none at the harm or jeopardy level and none abuse-related, with the last inspection completed in August 2025. Quality measure scores run lower than the staffing marks suggest.

A

89/100

Gill Odd Fellows Home Of Vermont

Ludlow, VT · Windsor County

CMS 4/5 46 beds Non-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
21%
Serious cites
0

Gill Odd Fellows Home in Ludlow runs on a non-profit model with 46 beds, and its staff retention is the standout number here: 20.5% turnover against a national average of 45.8%. That kind of stability matters more than it sounds, because consistent caregivers know residents' routines and catch changes early. Total nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends dip roughly 11% below the home's own weekday levels, so coverage thins out when families tend to visit. Inspections in February 2026 turned up 24 deficiencies, two tied to abuse, though none reached harm or jeopardy. The recent four-star inspection and quality ratings reflect a home that's generally steady, with room to tighten weekend staffing.

A

89/100

Columbia Lutheran Home

Seattle, WA · King County

CMS 4/5 116 beds Non-profit Medicaid
Nurse hours
5.33 /day
Staff turnover
41%
Serious cites
0

Columbia Lutheran Home runs 5.33 nurse hours per resident day, roughly a third more staffing than the national average, and its staff turnover of 41% sits a bit below the national figure. The trade-off shows up in the inspection record: 46 deficiencies on file, including four tied to abuse, though none at the harm or jeopardy level. A March 2025 inspection means the picture is current. Weekend staffing drops about 11% from weekday levels, and while quality measures score well, the inspection history is what keeps this from being a stronger pick. Worth a visit, with questions ready about that abuse category.

A

89/100

Orchard Manor

Lancaster, WI · Grant County

CMS 5/5 74 beds Government Medicaid
Nurse hours
4.49 /day
Staff turnover
27%
Serious cites
0

Orchard Manor runs on a county-owned model that shows up clearly in its numbers. Nurse staffing sits at 4.49 hours per resident day, roughly 16% above the national average, and the 26.8% annual turnover is well under the national 45.8%, a stable crew matters when you're talking about daily care. The trade-off is in the inspection record: nine deficiencies, two of them serious enough to reach harm or jeopardy level, and two tied to abuse, with one fine of $22,425. Weekend staffing dips about 11% below weekday levels, so care may thin out on Saturdays and Sundays. The most recent inspection was December 2025, so the picture is current.

A

89/100

Neighbors - East Neighborhood (The)

Menomonie, WI · Dunn County

CMS 4/5 46 beds Government Medicaid
Nurse hours
4.09 /day
Staff turnover
51%
Serious cites
0

The county runs this 46-bed home in Menomonie, and the nursing hours are genuinely better than most, 4.09 per resident day against a national average of 3.86. Weekends dip only slightly below weekdays, so coverage stays fairly even. What pulls it down is staff retention: 50.8% turnover, higher than the 45.8% national figure, meaning roughly half the nursing staff leaves each year. On the current record there are 13 deficiencies, including one at the harm level and two tied to abuse. The most recent inspection was January 2026, so the picture is current. Strong daily staffing and a five-star quality measure score sit alongside real problems in how residents are protected and how well workers stay.

A

89/100

Sky View Nursing Center

Hurley, WI · Iron County

CMS 5/5 33 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
24%
Serious cites
0

Sky View Nursing Center is a small for-profit home in Hurley, 33 beds, individually owned. Its staffing sits about 3% under the national average at 3.74 nurse hours per resident day, and weekends run roughly 9% thinner than weekdays, so coverage dips when it's hardest to fill. What stands out is retention: turnover runs at 23.5%, about half the national rate, which suggests people stay. State inspectors visited in April 2026 and found seven deficiencies, none causing harm and none abuse-related. The quality measure score is weak, though, so ask what those measures reflect before assuming daily care matches the stable workforce.

A

89/100

Veterans Home Of California - Yountville - Snf

Yountville, CA · Napa County

CMS 5/5 274 beds Government Medicaid
Nurse hours
7.02 /day
Staff turnover
26%
Serious cites
0

Nurse staffing at this state-run veterans home runs about 7.02 hours per resident day, roughly 82% above the national average, and it earns the top CMS staffing rating. Turnover sits at 26.2%, well under the national 45.8%. Those are real strengths. The inspection side is where it gets complicated: 41 deficiencies on record, including 3 at the harm or jeopardy level and 2 tied to abuse. The last inspection was March 2026. Weekend staffing dips about 15% below its own weekday levels, so the strong average thins out on Saturdays and Sundays. CMS rates the health inspection 3 out of 5 stars and quality measures 2 out of 5. Plenty of hands on weekdays, but a documented history worth asking about directly.

A

89/100

Ararat Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 4/5 42 beds Non-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
27%
Serious cites
0

Ararat Convalescent Hospital runs a tight, well-staffed ship for a 42-bed nonprofit home in Los Angeles. Nurse staffing sits at 4.71 hours per resident day, roughly 22% above the national average, and only about 27% of staff turned over last year against a national rate near 46%, which matters because consistent caregivers know their residents. The catch is the inspection record: 36 deficiencies, including one at the harm level and one tied to abuse, with a single $10,039 fine. Weekend staffing also dips about 11% below weekday levels, so care can thin out when families visit. Strong bedside numbers, uneven oversight history.

A

89/100

Mission De La Casa

San Jose, CA · Santa Clara County

CMS 2/5 163 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
17%
Serious cites
0

Mission De La Casa runs on a relatively steady workforce: 16.7% annual turnover against a national average of 45.8%, and nurse staffing at 3.95 hours per resident day, slightly above the national figure of 3.86. Weekend coverage dips about 8% below its own weekday level, but the bigger issue sits on the inspection side. The current record carries 35 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $51,753 fine and a one-star health inspection rating from CMS. Quality and staffing measures both score five stars, and the most recent inspection was August 2025. Strong daily care numbers are real, but the enforcement history is what a family should ask about directly.

A

89/100

Whittier Nursing And Wellness Center, Inc

Whittier, CA · Los Angeles County

CMS 5/5 36 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
20%
Serious cites
0

Whittier Nursing and Wellness Center is a 36-bed for-profit in Whittier, and the staffing numbers are the first thing that stands out: 4.16 nurse hours per resident per day, roughly 8% above the national average, and weekend staffing holds steady rather than dropping off. Staff turnover sits at 20% against a national average near 46%, which matters more than almost anything else for whether care stays consistent. The tradeoff is in the inspection record, 29 deficiencies, one serious enough to involve harm or jeopardy, and a $13,627 fine. Inspectors were last there in December 2025, so the record is current. Small home, steady hands on staff, but a deficiency count worth asking about directly.

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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