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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 861–880 of 4,510, best-graded first.

A

88/100

Beaumont Rehab & Skilled Nursing Ctr - Northboro

Northborough, MA · Worcester County

CMS 5/5 96 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
35%
Serious cites
0

Beaumont Rehab & Skilled Nursing Ctr - Northboro runs 96 certified beds under for-profit LLC ownership, and the numbers tell a mixed but mostly steady story. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average of 3.86, with weekends running about 11% lighter than weekdays, a gap worth asking about if your family member needs consistent weekend coverage. Turnover is the brighter spot: 34.6% against a national 45.8%, meaning caregivers here tend to stay longer than at the typical home. The inspection record shows 16 deficiencies, none at harm or jeopardy level, though one is abuse-related. A June 2025 inspection means the record is recent.

A

88/100

Bethany Skilled Nursing Facility

Framingham, MA · Middlesex County

CMS 5/5 169 beds Non-profit Medicaid
Nurse hours
4.90 /day
Staff turnover
45%
Serious cites
0

Bethany Skilled Nursing Facility runs on 4.90 nurse hours per resident day, roughly 27% above the national figure, and weekends dip only about 7% below its own weekday staffing, a modest drop for a 169-bed home. Inspectors visited recently, in June 2025, and the home holds a 5-star health inspection rating, though the current record still shows four deficiencies, two of them serious enough to reach harm or jeopardy level, plus one fine of $9,318. Staff turnover sits at 45.2%, essentially the national average of 45.8%, which means this nonprofit retains caregivers about as well as everyone else. Strong staffing and a clean recent inspection carry the weight here; the harm-level citations are what hold it back.

A

88/100

Overlook Masonic Health Center

Charlton, MA · Worcester County

CMS 4/5 181 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
40%
Serious cites
0

Overlook Masonic Health Center runs on 4.40 nurse hours per resident day, roughly 14% above the national average, which is the kind of margin that shows up in everyday care. Weekend staffing dips about 7% below its own weekday level, though, so coverage isn't perfectly even across the week. Staff turnover sits at 40.1%, better than the 45.8% national figure but still meaning two in five caregivers left last year. The inspection record shows 14 deficiencies, none at harm or jeopardy level, with one abuse-related finding, worth asking about directly. State inspectors last visited in May 2025.

A

88/100

Greenwood Nursing & Rehabilitation Center

Wakefield, MA · Middlesex County

CMS 5/5 36 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
27%
Serious cites
0

Greenwood Nursing & Rehabilitation Center is a small for-profit home in Wakefield, 36 beds, run by a limited liability company. Staffing sits a little above the national average at 3.99 nurse hours per resident day, and weekends dip about 9% below its own weekday coverage, so ask how that gap gets covered. Turnover is the standout number: 26.5% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. The inspection record is current, dated August 2025, with 13 deficiencies but nothing at the harm level and nothing abuse-related. Quality measures score well, and four out of five on inspections and staffing backs that up.

A

88/100

New England Homes For The Deaf, Inc

Danvers, MA · Essex County

CMS 5/5 81 beds Non-profit Medicaid
Nurse hours
4.92 /day
Staff turnover
43%
Serious cites
0

New England Homes For The Deaf runs 81 certified beds in Danvers under nonprofit ownership, and its nurse staffing sits at 4.92 hours per resident day, roughly 28% above the national average. Weekend coverage dips about 10% below its own weekday level, so that strong average isn't perfectly even across the week. Staff turnover comes in at 42.5%, a touch better than the national 45.8%. The tradeoff shows up in its record: 22 deficiencies, including two tied to abuse, though none reached harm or jeopardy, and just one fine of $3,174. Its last inspection was March 2025, so the picture is current.

A

88/100

Hillsdale Hospital Mcguire & Macritchie Long Term

Hillsdale, MI · Hillsdale County

CMS 5/5 38 beds Non-profit Medicaid
Nurse hours
5.70 /day
Staff turnover
52%
Serious cites
0

Hillsdale Hospital Mcguire & Macritchie Long Term runs 38 certified beds under nonprofit ownership, and the nurse staffing here sits well above what most homes provide, 5.70 hours per resident day against a national average of 3.86. Weekend coverage dips about 9% below its own weekday level, and annual turnover of 51.5% edges past the national 45.8%, so continuity of caregivers is worth asking about directly. The inspection record shows nine deficiencies, including one at the harm level and one abuse-related, which matters more than any star rating. The last inspection was recent, December 2025, so that picture is current rather than stale.

A

88/100

Roubal Care And Rehabilitation Center

Stephenson, MI · Menominee County

CMS 4/5 39 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
32%
Serious cites
0

Roubal Care and Rehabilitation Center runs 39 certified beds in Stephenson, owned by an individual for-profit operator. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average, and weekends drop about 11% below the home's own weekday levels, worth knowing if your visits fall on Saturdays or Sundays. The inspection record shows 26 deficiencies, including one at the harm or jeopardy level and one abuse-related, though the most recent inspection was June 2025, so that picture is fairly current. Staff turnover is 31.6%, better than the 45.8% national average. Quality measures score well, staffing is decent, and inspections land in the middle.

A

88/100

Hazel I Findlay Country Manor

Saint Johns, MI · Clinton County

CMS 5/5 150 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
28%
Serious cites
0

Hazel I Findlay Country Manor runs on a non-profit model in Saint Johns with 150 certified beds, and the staffing numbers are the real story here: 4.37 nurse hours per resident day, roughly 13% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 28.2%, noticeably better than the 45.8% national figure, and the most recent inspection closed in September 2025. The 13 deficiencies on record include none at the harm or jeopardy level, though three are abuse-related, so bring that up directly with the administrator before you decide.

A

88/100

Lake Winona Manor

Winona, MN · Winona County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
34%
Serious cites
0

Lake Winona Manor runs on a nonprofit model with 80 certified beds, and the staffing numbers are the first thing that stands out: 4.28 nurse hours per resident day, roughly 11% above the national average. That's backed by a 34.1% annual turnover rate, well below the national 45.8%, which suggests people stay. Weekend coverage dips about 12% below weekday levels, a common pattern but one worth knowing if your visits fall on Saturdays or Sundays. The inspection record is recent, March 2026, with 24 total deficiencies, one serious enough to rise to harm or jeopardy level, though none tied to abuse. A 4-out-of-5 inspection rating and 3 on quality measures round out a home that's solid on staffing and steady on safety, without a perfect record.

A

88/100

Bethesda

Willmar, MN · Kandiyohi County

CMS 4/5 248 beds Non-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
36%
Serious cites
0

Bethesda in Willmar runs a 248-bed nonprofit home tied to a church, and the staffing numbers are the strongest part of its record: 4.75 nurse hours per resident day, roughly 23% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Saturday. Annual turnover sits at 36.3%, better than the 45.8% national figure, which matters for whether your parent sees the same faces. Inspections give some pause, 19 deficiencies on the current record, one serious enough to involve harm or jeopardy, though none abuse-related. The last inspection was December 2025, so the picture is recent.

A

88/100

Hope Care Center

Kansas City, MO · Jackson County

CMS 5/5 16 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
—
Serious cites
0

Hope Care Center runs on a small scale, 16 beds, nonprofit owned, and the staffing reflects that attention. At 4.51 nurse hours per resident day, it sits about 17% above the national average of 3.86, though weekend coverage drops roughly 17% below its own weekday level, so care may thin out on Saturdays and Sundays. The inspection record shows 27 deficiencies, none at the harm or jeopardy level, with one tied to abuse. State surveyors were last in the building in September 2025, so the picture is current. Quality measures score at the top of CMS's scale, and the health inspection rating is strong, but that abuse-related citation is worth asking about directly before you decide.

A

88/100

The Living Centre

Stevensville, MT · Ravalli County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
5.49 /day
Staff turnover
48%
Serious cites
0

The Living Centre runs 5.49 nurse hours per resident per day, roughly 42% above the national average of 3.86, and CMS gives it five stars for both staffing and quality measures. Weekend coverage dips about 8% below its own weekday level, and turnover sits at 48.2%, a bit worse than the 45.8% national figure. The harder part is the inspection record: 10 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus two fines totaling $37,525. A recent inspection in February 2026 and a four-star health inspection rating suggest the home is being watched closely, but those harm-level and abuse findings are the kind families should ask about directly.

A

88/100

Immanuel Skilled Care Center

Kalispell, MT · Flathead County

CMS 5/5 155 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
40%
Serious cites
0

Immanuel Skilled Care Center runs on 4.37 nurse hours per resident day, roughly 13% above the national average, and CMS gives it top marks for staffing. Weekend coverage dips about 5% below its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 40.2%, better than the 45.8% national figure but still meaning two in five caregivers left last year. The home carries 21 deficiencies, none at the harm level, though three are abuse-related, worth asking about directly. Inspections are current as of December 2025, and the nonprofit corporation behind it has no profit motive pushing census.

A

88/100

Eventide Lincoln Care Center

Lincoln, NE · Lancaster County

CMS 1/5 197 beds Non-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
50%
Serious cites
0

Eventide Lincoln runs on more nursing hours than most homes in the country, 5.11 per resident day against a national average of 3.86. That's real coverage, though weekends thin out roughly 12% below weekday levels, so the weekday-to-Saturday gap is worth asking about. Turnover sits at 49.6%, a bit above the national 45.8%, which means a good share of the people providing that care are still new to the building. The 22 deficiencies on record include nothing flagged as harm or jeopardy and nothing abuse-related, and the last full inspection was in December 2024. Its health inspection rating is the weak spot even as quality and staffing measures score well.

A

88/100

Rose Blumkin Jewish Home

Omaha, NE · Douglas County

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

Rose Blumkin Jewish Home runs on 4.91 nurse hours per resident day, roughly 27% above the national average of 3.86, a real cushion, though weekends dip about 11% below its own weekday levels, so coverage isn't perfectly even across the week. Staff turnover sits at 38.8%, better than the 45.8% national figure, which matters for residents who benefit from seeing familiar faces. The inspection record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. As a nonprofit with 105 certified beds, this Omaha home pairs strong staffing with a clean harm-free survey history.

A

88/100

Florence Home

Omaha, NE · Douglas County

CMS 4/5 126 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
42%
Serious cites
0

Florence Home runs on more nursing hours than most places, 4.41 per resident per day against a national average of 3.86, and that staffing shows up in its five-star CMS rating for it. Turnover sits at 42.4%, slightly better than the typical 45.8%, though weekend coverage dips about 9% below weekday levels, which families often feel on Saturdays and Sundays. The inspection record shows 15 deficiencies with none rising to harm or jeopardy, but two are abuse-related, so ask directly how those were resolved. State inspectors were last in on November 17, 2025. As a nonprofit, it answers to a board rather than shareholders. Quality measures rate four stars; health inspections, three.

A

88/100

Pershing General Hospital Snf

Lovelock, NV · Pershing County

CMS 3/5 25 beds Government Medicaid
Nurse hours
4.12 /day
Staff turnover
45%
Serious cites
0

Pershing General Hospital's skilled nursing unit runs on a government hospital-district license and 25 certified beds, which makes it the kind of small county home where everyone knows the staff. Nurse coverage sits at 4.12 hours per resident day, about 7% above the national average, and weekend staffing dips roughly 11% below its own weekday level. Turnover lands at 44.8%, roughly in line with the national 45.8%. The record shows 41 deficiencies with none at harm or jeopardy level, though 8 are abuse-related, and one fine of $9,258. Inspectors were last on site in April 2025.

A

88/100

Fountain Springs At Cape May Nursing & Rehab Cente

Cape May Court House, NJ · Cape May County

CMS 5/5 116 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
34%
Serious cites
0

Fountain Springs runs leaner than the typical U.S. nursing home on nurse staffing, 3.55 hours per resident day against a national average of 3.86, and weekends dip roughly 12% below its own weekday coverage, so a Saturday or Sunday visit may feel thinner than a Tuesday. Turnover, though, is a genuine bright spot at 33.7% versus 45.8% nationally, meaning the aides and nurses you meet are more likely to still be there next year. State inspectors cited 19 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in late November 2024. Corporate-owned and Medicare-certified for 116 beds.

A

88/100

Sunnyside Manor

Wall, NJ · Monmouth County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
20%
Serious cites
0

Sunnyside Manor runs about 4.12 nursing hours per resident day, roughly 7% above the national average, and its staff turnover sits at 20%, less than half the 45.8% national figure. That retention matters more than any single inspection result, because consistent caregivers notice changes in a resident before a chart does. Six deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated September 2025. One caveat worth knowing: weekend staffing drops about 8% below the home's own weekday level, so coverage isn't perfectly even across the week.

A

88/100

St Josephs Home

Ogdensburg, NY · St. Lawrence County

CMS 5/5 82 beds Non-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
28%
Serious cites
0

St Josephs Home runs on 3.02 nurse hours per resident per day, roughly 22% under the national average of 3.86, and weekends dip about 11% below its own weekday staffing. What offsets that thin coverage is consistency: turnover sits at 27.8% against a national 45.8%, so the aides and nurses showing up are more likely to already know the residents. The inspection record is clean where it counts, 11 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. This nonprofit has been inspected recently, March 2026, and its quality measures score at the top of the federal scale. Ask about weekend coverage and that abuse citation.

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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