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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 821–840 of 4,510, best-graded first.

A

88.5/100

Pearl River Co Nursing Home

Poplarville, MS · Pearl River County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
5.95 /day
Staff turnover
39%
Serious cites
0

Pearl River Co Nursing Home runs on unusually heavy staffing for a 105-bed nonprofit, 5.95 nurse hours per resident day, well above the 3.86 national figure. The catch is weekends, when hours drop roughly a quarter below the weekday pace, so coverage isn't as steady as the top-level number suggests. Staff turnover sits at 39.3%, better than the 45.8% national average, which matters for residents who value seeing the same faces. Nine deficiencies on record, none at harm or jeopardy level, though one is abuse-related. The last inspection came in February 2025, so the picture is current.

A

88.5/100

Havenwood-Heritage Heights

Concord, NH · Merrimack County

CMS 2/5 70 beds Non-profit Medicaid
Nurse hours
5.23 /day
Staff turnover
—
Serious cites
0

Havenwood-Heritage Heights runs a lean nonprofit shop of 70 beds, and its nurse staffing sits at 5.23 hours per resident day against a national average of 3.86, roughly a third more hands-on time than the typical home. The catch is weekends, when coverage drops about 5% below its own weekday pace, so timing matters if you're visiting or checking in. State inspectors last walked through in April 2026 and left seven deficiencies on the record, none at the harm level and none tied to abuse, though the two-star inspection rating says the paperwork and process side isn't as clean as the clinical numbers. On measures like falls and infections, it performs well above average.

A

88.5/100

Harrogate Village

Lakewood, NJ · Ocean County

CMS 5/5 68 beds Non-profit
Nurse hours
3.99 /day
Staff turnover
—
Serious cites
0

Harrogate Village runs about 3.99 nurse hours per resident each day, a bit above the national average of 3.86, though weekends dip roughly 8% below its own weekday coverage, worth asking about if your family visits Saturdays or Sundays. The record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was February 2026, so that picture is recent. Quality measures score 5 out of 5 and inspections 4 out of 5, while staffing sits at 3. The nonprofit corporation that owns it has kept serious problems off the record, which matters more than the raw count of minor findings.

A

88.5/100

Jamaica Hospital Nursing Home Co Inc

Jamaica, NY · Queens County

CMS 5/5 226 beds Non-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
15%
Serious cites
0

Jamaica Hospital Nursing Home runs on numbers that mostly hold up. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, and the weekend dip of about 15% is worth asking about, that's when families tend to visit and when coverage quietly thins out. What stands apart is the turnover: 14.5% against a national average near 46%, meaning the people caring for your relative are more likely to still be there next year. Seven deficiencies on record, one serious enough to involve harm, and a single fine under $9,000. Inspectors were last in this past February, so the picture is current.

A

88.5/100

Strasburg Nursing Home

Strasburg, ND · Emmons County

CMS 5/5 30 beds Non-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
50%
Serious cites
0

Strasburg Nursing Home runs a tight ship on staffing: 4.49 nurse hours per resident day, roughly 16% above the national average, and the federal staffing rating reflects that. Weekend coverage dips about 16% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record shows 15 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. Staff turnover sits at 50%, above the 45.8% national average. With 30 beds, this is a small nonprofit where you can likely get straight answers from the people in charge.

A

88.5/100

Transitional Care Unit

Saint Marys, OH · Auglaize County

CMS 4/5 15 beds Non-profit
Nurse hours
10.75 /day
Staff turnover
—
Serious cites
0

If you're comparing nursing homes in Auglaize County, the staffing numbers here stand out first. At 10.75 nurse hours per resident day, this home runs nearly three times the national average of 3.86, and weekend coverage holds close to weekday levels, down only about 5%. Five deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was April 2026, so the picture is recent. It's a small nonprofit unit of 15 beds, which helps explain the ratios: fewer residents to spread staff across. The trade-off with a unit this size is worth asking about directly, what happens when more than one resident needs intensive attention at once.

A

88.5/100

Wesley Woods At New Albany

New Albany, OH · Franklin County

CMS 5/5 16 beds Non-profit Medicaid
Nurse hours
7.12 /day
Staff turnover
46%
Serious cites
0

Wesley Woods At New Albany runs just 16 certified beds under church-related nonprofit ownership, and the staffing numbers stand out: 7.12 nurse hours per resident day, roughly 84 percent above the national average of 3.86. Weekend coverage dips about 18 percent below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 46.4 percent, essentially matching the national 45.8 percent. Twelve deficiencies appear on the current record, none at the harm level and none abuse-related, with the last inspection in June 2025. Small, well-staffed, and inspected recently, the tradeoff is that a 16-bed home has little room to absorb a bad week.

A

88.5/100

South Mountain Restoration Cen

South Mountain, PA · Franklin County

CMS 5/5 159 beds Government Medicaid
Nurse hours
5.65 /day
Staff turnover
50%
Serious cites
0

South Mountain Restoration Center runs 5.65 nurse hours per resident day, roughly 46 percent more than the national average of 3.86. That staffing depth shows up in the federal stars: five out of five for staffing and five for health inspections, with quality measures at four. The current record carries six deficiencies, none at the harm or jeopardy level and none tied to abuse. Weekend coverage does thin out by about 22 percent against weekdays, and turnover sits at 50.4 percent, a bit above the national 45.8 percent. As a state-run home with a September 2025 inspection behind it, the core picture here is consistent coverage and a clean harm record, with weekend shifts worth asking about directly.

A

88.5/100

Fort Sanders Tcu

Knoxville, TN · Knox County

CMS 4/5 24 beds Non-profit
Nurse hours
5.18 /day
Staff turnover
—
Serious cites
0

Fort Sanders Tcu is a small nonprofit unit, 24 beds, with a clean inspection record and no deficiencies at any level, including nothing abuse-related. That's rare, and the June 2025 survey is recent enough to mean something. The staffing picture is more mixed than it first looks. Total nurse hours run 5.18 per resident day, roughly a third above the national average, but weekend coverage drops about 13% below the home's own weekday level, and CMS still scores staffing at 1 out of 5 stars. Quality measures and health inspections both come in at 5. So the care delivered looks strong on paper; the question a family should ask is who's actually on the floor on a Saturday.

A

88.5/100

Caroline Kline Galland Home

Seattle, WA · King County

CMS 3/5 205 beds Non-profit Medicaid
Nurse hours
6.21 /day
Staff turnover
—
Serious cites
0

Caroline Kline Galland Home runs on unusually heavy nurse staffing, 6.21 hours per resident day, roughly 61% above the national average, with weekends dipping about 12% below its own weekday pace. That kind of coverage usually shows up in the quality numbers, and it does here: the quality measure rating sits at the top. The tradeoff is on the inspection side, where 35 deficiencies are on record, including one abuse-related finding and none flagged at the harm or jeopardy level. The last survey was in March 2026. This is a nonprofit home in Seattle with strong day-to-day care numbers and a survey history worth asking about directly.

A

88.5/100

Surprise Valley Community Hospital D/P Snf

Cedarville, CA · Modoc County

CMS 4/5 22 beds Government Medicaid
Nurse hours
4.87 /day
Staff turnover
—
Serious cites
0

Surprise Valley Community Hospital's skilled nursing unit is a 22-bed government-run operation in Cedarville, and the staffing numbers here tell an unusual story. Total nursing time runs 4.87 hours per resident day, roughly a quarter above the national average, with weekends barely dipping below weekday coverage, which matters in a small rural home where backup staff aren't easy to call in. Inspections in May 2025 turned up 22 deficiencies, none at the harm or jeopardy level, though four were abuse-related; that's a lot of paperwork findings for a building this size, and worth asking about directly. The hospital district owns it, so there's no corporate parent to chase if something goes wrong.

A

88.5/100

Citrus Heights Health Center

Covina, CA · Los Angeles County

CMS 5/5 32 beds For-profit Medicaid
Nurse hours
5.12 /day
Staff turnover
—
Serious cites
0

Citrus Heights Health Center runs on a nonprofit model with just 32 certified beds, and the numbers suggest that small size works in its favor. Nurse staffing sits at 5.12 hours per resident day, about a third higher than the national average of 3.86, though weekend coverage drops roughly 12% below its own weekday level, worth asking about if your family visits mainly on Saturdays or Sundays. The home was inspected recently, in August 2025, and its 16 deficiencies include none at the harm or jeopardy level, plus one abuse-related citation. That staffing consistency, along with a clean recent inspection, is what's actually behind the grade.

A

88/100

Cherokee County Health And Rehabilitation Center

Centre, AL · Cherokee County

CMS 2/5 185 beds Non-profit Medicaid
Nurse hours
4.74 /day
Staff turnover
35%
Serious cites
0

Cherokee County Health and Rehabilitation Center runs on strong staffing and a clean safety record, even though its last health inspection didn't go smoothly. Nurses give residents 4.74 hours of care per day, roughly 23% above the national average, and weekend coverage dips only about 10% below weekday levels. Staff turnover sits at 34.8%, noticeably better than the 45.8% national figure. The inspection side is weaker: 12 deficiencies on record and a one-star health inspection rating from CMS. None of those deficiencies involved actual harm or abuse, and the most recent inspection was December 11, 2025. As a nonprofit with 185 beds, it's a place where the day-to-day caregiving looks steadier than the paperwork does.

A

88/100

Henry County Health And Rehabilitation Facility

Abbeville, AL · Henry County

CMS 4/5 142 beds Government Medicaid
Nurse hours
5.02 /day
Staff turnover
44%
Serious cites
0

Henry County Health and Rehabilitation runs on county money, and the numbers show it: 5.02 nurse hours per resident day, roughly 30% above the national average, which is enough to earn the top federal staffing rating. Turnover sits at 43.6%, modestly better than the 45.8% national figure, though weekend coverage drops about 15% below weekday levels, so care can thin out on Saturdays and Sundays. The inspection record shows 11 deficiencies with nothing at the harm or abuse level, but the last visit was February 2022, over three years ago. Strong staffing paired with that gap in oversight is what's behind the grade.

A

88/100

Mount San Antonio Gardens

Pomona, CA · Los Angeles County

CMS 5/5 64 beds Non-profit
Nurse hours
5.95 /day
Staff turnover
—
Serious cites
0

Mount San Antonio Gardens runs 5.95 nurse hours per resident day, roughly 54 percent above the national average of 3.86, and its state inspection record shows 17 deficiencies with none at the harm or jeopardy level and none abuse-related. Families should know the catch: weekend staffing drops about 20 percent below the home's own weekday level, so care may look thinner on Saturdays and Sundays than the weekday numbers suggest. The 2025-05-30 inspection is recent, and as a nonprofit corporation it answers to a board rather than shareholders, which usually means steadier staffing decisions.

A

88/100

Hollenbeck Palms

Los Angeles, CA · Los Angeles County

CMS 4/5 106 beds Non-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
28%
Serious cites
0

Hollenbeck Palms runs on a nonprofit model with 106 certified beds, and the staffing numbers are genuinely strong: 4.59 nurse hours per resident day, roughly 19% above the national average of 3.86. Turnover sits at 28.1% against a national 45.8%, which suggests workers are staying put. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is where the picture gets more complicated, 39 deficiencies, including one at the harm level and four tied to abuse, though the most recent inspection was in December 2025, so the record is current.

A

88/100

Carmel Hills Care Center

Monterey, CA · Monterey County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
32%
Serious cites
0

Carmel Hills runs on unusually strong staffing, 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 31.6% compared to 45.8% nationally. That consistency matters more than any single number, though weekend coverage dips about 11% below weekday levels, so you'll want to ask who's actually on the floor on Saturdays and Sundays. The inspection record is where the picture darkens: 39 deficiencies on file, including two tied to abuse, and the last inspection was April 2026. No harm-level citations, and the quality measures land mid-range at 3 out of 5. This for-profit corporate home is well-staffed on paper; the open question is what those 39 deficiencies looked like in practice.

A

88/100

Temple City Healthcare

Temple City, CA · Los Angeles County

CMS 2/5 59 beds For-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
34%
Serious cites
0

Temple City Healthcare runs 59 beds under limited-liability, for-profit ownership, and its staffing is the strongest card it holds: 4.85 nurse hours per resident day, roughly a quarter above the national average, with turnover at 33.8% against a national 45.8%. Weekends dip about 12% below weekday coverage, so the care floor is real but thinner on Saturdays and Sundays. The inspection record is where it gets harder to read. Fifty-two deficiencies on the current record with none at harm or jeopardy level, but four tied to abuse, and a 2/5 health inspection rating alongside a 3/5 on quality measures. The last inspection was April 17, 2026, so the picture is current.

A

88/100

Hildebrand Care Center

Canon City, CO · Fremont County

CMS 5/5 75 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
49%
Serious cites
0

Hildebrand Care Center in Canon City runs 75 certified beds under corporate ownership, and its inspection record is genuinely strong, a 4 out of 5 on health inspections and a perfect 5 on quality measures, with a survey completed in December 2025. What holds it back is the care floor and the record underneath. Nurse staffing sits at 3.81 hours per resident day, just under the national average, and weekends drop about 12% below the home's own weekday levels. Turnover is 48.6%, above the national 45.8%. Fifteen deficiencies are on file, three involving harm or jeopardy and one tied to abuse, with a $15,642 fine.

A

88/100

Grand River Health Care Center

Rifle, CO · Garfield County

CMS 3/5 57 beds Non-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
40%
Serious cites
0

Grand River Health Care Center in Rifle runs a lean nonprofit ship, and the staffing numbers show it: 4.85 nurse hours per resident day, roughly a quarter more than the national average, with a five-star CMS staffing rating to match. Turnover sits at 40%, a bit better than the 45.8% national figure. The catch is inspections. Eleven deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a single fine of $34,110. The last inspection was January 30, 2026. Weekends also run about 13% thinner than weekdays, so care can shift depending on when you visit. Strong hands on deck, uneven follow-through on the paperwork and safety side.

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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