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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 841–860 of 4,510, best-graded first.

A

88/100

Washington Ctr For Aging Svcs

Washington, DC · The District County

CMS 3/5 259 beds Non-profit Medicaid
Nurse hours
4.84 /day
Staff turnover
19%
Serious cites
0

Washington Ctr For Aging Svcs runs about 4.84 nurse hours per resident day, roughly a quarter above the national average, and its staff turnover of 18.6% is far below the 45.8% norm, people here tend to stay. Weekend coverage dips about 13% below weekday levels, though. The harder reading is in the inspection record: 51 deficiencies, three at harm or jeopardy level, five abuse-related, and three fines totaling $214,785, with the last inspection in July 2024. Strong staffing and stable retention sit alongside a troubled survey history, which is why the two sets of numbers don't point the same direction.

A

88/100

Alliance Health And Rehabilitation Center

Deland, FL · Volusia County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
46%
Serious cites
0

Alliance Health and Rehabilitation Center sits in Deland with 130 certified beds and for-profit partnership ownership. The staffing numbers tell a steady story: 4.10 nurse hours per resident day, roughly 6% above the national average, though weekend coverage drops about 12% below its own weekday level. Turnover lands at 45.5%, essentially matching the national rate. On inspections, the record shows 7 deficiencies with none at the harm or jeopardy level and none abuse-related, and the most recent survey came in February 2025. Quality measures scored 5 out of 5 stars, with staffing and health inspections each at 4. If you're weighing this one against others in Volusia County, the clean deficiency record and above-average staffing are the real substance here.

A

88/100

Idaho State Veterans Home - Lewiston

Lewiston, ID · Nez Perce County

CMS 5/5 66 beds Government Medicaid
Nurse hours
4.72 /day
Staff turnover
27%
Serious cites
0

The Idaho State Veterans Home in Lewiston runs on state money and 66 beds, with nurse staffing at 4.72 hours per resident day, roughly 22% above the national average, and weekend coverage holding fairly steady, down only about 14% from weekdays. Staff turnover sits at 26.9%, well under the national 45.8%, which matters for residents who need consistent faces. But the inspection record is where this home gets complicated: 15 deficiencies, two of them serious enough to endanger residents, five tied to abuse, and a single fine that climbed to $186,850. The most recent inspection was July 2025, so the picture is current. Strong staffing and low turnover are real strengths; those deficiency numbers are equally real.

A

88/100

Dekalb County Rehab & Nursing

Dekalb, IL · De Kalb County

CMS 4/5 190 beds Government Medicaid
Nurse hours
4.77 /day
Staff turnover
39%
Serious cites
0

Dekalb County Rehab & Nursing runs on county government ownership, and the staffing numbers show it: 4.77 nurse hours per resident day, roughly a quarter above the national average, with a five-star staffing rating to match. Turnover sits at 38.6%, better than the 45.8% national figure, though weekend coverage drops about 12% below the home's own weekday level. The current inspection record carries 22 deficiencies, three of them serious enough to involve harm or jeopardy, along with two fines totaling $140,423. That's the tension here, strong day-to-day staffing paired with a citation record that keeps the health inspection rating at three stars. The most recent survey was April 3, 2025.

A

88/100

Snyder Village

Metamora, IL · Woodford County

CMS 5/5 84 beds Non-profit Medicaid
Nurse hours
4.91 /day
Staff turnover
37%
Serious cites
0

Snyder Village runs on more nursing hours than most places, 4.91 per resident day against a national average of 3.86, and that staffing holds up on weekends better than at many homes, though it still dips about 10% below weekday levels. Turnover sits at 36.9%, noticeably under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The inspection record is clean where it counts: five deficiencies, none causing harm or jeopardy and none tied to abuse, with the most recent state visit in March 2025. Woodford County's nonprofit ownership rounds out a picture of a home that is, by the numbers, steady rather than spectacular.

A

88/100

Good Samaritan Home

Quincy, IL · Adams County

CMS 4/5 203 beds Non-profit Medicaid
Nurse hours
5.01 /day
Staff turnover
44%
Serious cites
0

Good Samaritan Home in Quincy runs 203 certified beds as a nonprofit, and its nurse staffing sits at 5.01 hours per resident day, roughly 30% above the national average of 3.86. That's the strongest thing in its file, and weekends dip only about 8% below its own weekday levels. Turnover is 44.4%, a hair under the national 45.8%. Against that, the current record shows 16 deficiencies, three at harm or jeopardy level and three abuse-related, plus one fine of $26,640. The last inspection was August 2024. Staffing looks like the reason this home lands where it does; the deficiency history is what a family should ask about directly.

A

88/100

Victorian Village Hlth & Well

Homer Glen, IL · Will County

CMS 5/5 50 beds Non-profit
Nurse hours
5.25 /day
Staff turnover
32%
Serious cites
0

Victorian Village in Homer Glen runs a tight ship on staffing: 5.25 nurse hours per resident day against a national average of 3.86, and turnover at 31.6% sits well below the typical 45.8%. Weekend coverage dips about 11% from weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The trade-off is in the inspection record, 22 deficiencies, including one at the harm level, though nothing abuse-related, and the most recent state visit was July 2025. As a nonprofit with 50 beds, it's small enough that you can press administrators directly on that harm citation and what changed afterward.

A

88/100

Lutheran Life Villages

Fort Wayne, IN · Allen County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
33%
Serious cites
0

Lutheran Life Villages runs about 4.08 nurse hours per resident per day, roughly 6% above the national average, and its staff retention is stronger than most, 33% turnover against a national 45.8%. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Sundays and holidays. The 11 deficiencies on record include three tied to abuse, though none rose to harm or jeopardy, and the most recent inspection was August 2025. Quality measures score well; the health inspection side is more mixed. As a nonprofit, it answers to a board rather than shareholders, which tends to shape how it spends on direct care.

A

88/100

Eastern Star Masonic Home

Boone, IA · Boone County

CMS 3/5 76 beds Non-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
40%
Serious cites
0

Eastern Star Masonic Home runs on 4.13 nurse staffing hours per resident day, about 7% above the national average, and turnover sits at 39.5%, lower than the 45.8% typical elsewhere. Those are real strengths. The trade-offs show up in the inspection record: 19 deficiencies, two of them abuse-related, though none rose to actual harm or jeopardy. Weekend staffing drops roughly 13% below its own weekday level, so care can thin out on Saturdays and Sundays. The last inspection was in April 2025, so the picture is reasonably current. For a 76-bed nonprofit in Boone, this reads as a generally solid home with a specific weekend and abuse-reporting pattern worth asking about directly.

A

88/100

Algona Manor Care Center

Algona, IA · Kossuth County

CMS 5/5 46 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
33%
Serious cites
0

Algona Manor Care Center runs 46 beds under corporate ownership, and its staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 33.3% against a national 45.8%, meaning aides and nurses here tend to stay longer than is typical. The inspection record is current (June 2025) with 12 deficiencies, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A 4/5 inspection rating and 5/5 quality measures round out a solid, if not richly staffed, picture.

A

88/100

Brooklyn Community Estates

Brooklyn, IA · Poweshiek County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
26%
Serious cites
0

Brooklyn Community Estates runs a tight ship on inspections, one deficiency on its current record, none involving harm or abuse, and a survey done just this year. Turnover tells a similar story: 25.7% is well under the national average of 45.8%, so the people caring for residents tend to stick around. Where it gives ground is daily staffing hours, which sit about 10% below the national average, and weekends run roughly 11% thinner than weekdays. That combination, steady, experienced staff but fewer of them on the floor, especially Saturdays and Sundays, is the main tradeoff here. For a 50-bed for-profit home, the compliance record is the strong part.

A

88/100

Meadowlark Hills

Manhattan, KS · Riley County

CMS 5/5 134 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
49%
Serious cites
0

Meadowlark Hills runs a strong clinical floor: 4.51 nursing hours per resident day, roughly 17 percent above the national average, with top marks in staffing and quality measures. Inspections are recent and the health inspection rating sits at 4 of 5, but the record isn't spotless, 30 deficiencies, including one at the harm level and one tied to abuse, plus a single $8,278 fine. Staff turnover at 48.8 percent edges past the national 45.8, and weekend coverage dips about 7 percent below weekday levels. The nonprofit ownership and recent survey work in its favor; the abuse-related finding and churn are what a family should ask about directly.

A

88/100

Sharon Lane Health And Rehabilitation

Shawnee, KS · Johnson County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
33%
Serious cites
0

Sharon Lane runs lean on nursing hours, 3.58 per resident per day against a national average of 3.86, and weekends dip about 12% below what the home staffs on weekdays. What offsets that is retention: turnover sits at 32.6%, well under the 45.8% national figure, so the people providing that care tend to stick around. The inspection record backs it up: 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent look from regulators in November 2025. For-profit, LLC-owned, 78 beds, in Shawnee. The staffing numbers say watch the weekends; the rest says this is a stable building.

A

88/100

Apostolic Christian Home

Sabetha, KS · Nemaha County

CMS 3/5 76 beds Non-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
41%
Serious cites
0

The Apostolic Christian Home in Sabetha is a 76-bed nonprofit run by a church, and its staffing is the strongest part of the picture: 4.15 nurse hours per resident day, about 8% above the national average, with a 5-out-of-5 staffing rating and turnover at 41%, better than the 45.8% national figure. Weekends run roughly 11% leaner than weekdays, which is common but worth knowing if your visits fall on Saturdays or Sundays. The caution is inspections: a 2-out-of-5 health inspection rating, 30 deficiencies on the current record, including two at the harm level and one abuse-related, plus a $13,397 fine. The most recent inspection was December 18, 2024, so that record is fairly fresh.

A

88/100

Pleasant View Home

Inman, KS · Mcpherson County

CMS 3/5 122 beds Non-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
46%
Serious cites
0

Pleasant View Home runs 122 certified beds in Inman under church-related nonprofit ownership, and its record is mixed in ways that matter. The staffing picture is the weak spot: a one-star CMS staffing rating against a turnover rate of 46.3%, slightly worse than the 45.8% national average. Inspections from October 2024 turned up 22 deficiencies, including one at the harm or jeopardy level and five tied to abuse, a serious count for a single home. Quality measures score well at four stars, and the three-star inspection rating suggests surveyors found problems that weren't severe across the board. The nonprofit, church-affiliated structure may mean steadier local oversight than a chain, but it hasn't translated into stable staffing or a clean survey history. Ask about the abuse deficiencies and turnover directly.

A

88/100

Park Villa

Clyde, KS · Cloud County

CMS 5/5 34 beds Non-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
34%
Serious cites
0

Park Villa runs on 3.91 nurse hours per resident day, just above the national average, and that's before you get to the number that matters more: turnover at 34.2% against a national average of 45.8%. In a 34-bed nonprofit home, keeping more than half your usual share of caregivers year over year is how a place stays consistent. Weekend staffing dips about 13% from weekday levels, and the 19 deficiencies on file carry no harm or jeopardy findings and nothing abuse-related. The last inspection was April 15, 2026. What the numbers describe is a small home that maintains its floor reliably and clears inspections without serious findings.

A

88/100

Glasgow State Nursing Facility

Glasgow, KY · Barren County

CMS 3/5 100 beds Government Medicaid
Nurse hours
7.04 /day
Staff turnover
36%
Serious cites
0

Glasgow State Nursing Facility is unusual for a state-run home in that its staffing is genuinely strong, 7.04 nurse hours per resident day, roughly double the national average, and its staff turnover of 35.8% beats the national 45.8%. Those numbers matter, because consistent hands-on care is what families actually feel day to day. The problem sits on the inspection side: six deficiencies on record, five of them serious enough to involve harm or jeopardy, two tied to abuse, and $62,189 in fines. A recent August 2025 inspection means the picture is current, not stale. Strong staffing and troubling survey findings can coexist, here they clearly do, and the inspection record is what a family should ask about directly before deciding.

A

88/100

Keswick Multi-Care Center

Baltimore, MD · Baltimore City County

CMS 4/5 170 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
38%
Serious cites
0

Keswick Multi-Care Center runs on a nonprofit model with 242 certified beds, and its staffing is the clearest strength: 4.45 nurse hours per resident day, roughly 15% above the national average, with turnover at 37.5% compared to 45.8% nationally. Weekend coverage does dip about 9% below its own weekday level, so families should ask how that plays out on Saturdays and Sundays. The inspection record is more mixed, 58 total deficiencies, none at the harm or jeopardy level, but five tied to abuse, and the last inspection was March 2026. A 3/5 health inspection rating alongside 4/5 quality measures suggests decent care delivery with some compliance gaps worth asking about directly.

A

88/100

Goodwill Mennonite Home, Inc.

Grantsville, MD · Garrett County

CMS 4/5 107 beds Non-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
25%
Serious cites
0

Goodwill Mennonite Home sits in Grantsville with 107 certified beds and a church-affiliated nonprofit owner, which tends to mean steadier hands on deck. The staffing numbers back that up: 4.13 nurse hours per resident day, about 7% above the national average, and turnover of 24.5% is roughly half the national rate of 45.8%, that kind of retention matters more than any single inspection score. Weekend coverage does dip about 12% below weekdays, so ask how that plays out on a Saturday. On paper the record shows 37 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus one fine of $13,250. The last inspection was April 2025, so the picture is current.

A

88/100

Laurel Ridge Rehab And Skilled Care Center

Boston, MA · Suffolk County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
26%
Serious cites
0

Laurel Ridge runs on 4.21 nurse hours per resident day, roughly 9% more than the national average, which is the main reason its staffing picture holds up. The trade-off is timing: weekends run about 13% leaner than weekdays, so coverage isn't perfectly even across the week. A 25.6% annual turnover rate is well below the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. Inspections from May 2025 turned up 16 deficiencies, none at the harm level, though one is abuse-related.

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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