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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 881–900 of 4,510, best-graded first.

A

88/100

Forest Hills Care Center

Forest Hills, NY · Queens County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
31%
Serious cites
0

Forest Hills Care Center runs 100 certified beds under for-profit partnership ownership, and its staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot: 30.8% against a national 45.8%, which suggests aides and nurses are sticking around longer than at the typical home. The inspection record shows 16 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in June 2025. Quality measures score well and inspections land mid-range; the staffing number is the piece worth watching.

A

88/100

The Valley View Center For Nursing Care And Rehab

Goshen, NY · Orange County

CMS 2/5 360 beds Government Medicaid
Nurse hours
3.92 /day
Staff turnover
21%
Serious cites
0

Valley View, a county-run home in Goshen with 360 beds, sits in an unusual spot. Its staffing looks solid on paper, 3.92 nurse hours per resident day, just above the national average, with a 4/5 staffing star, and turnover is genuinely low at 20.8% against a national 45.8%. But weekend staffing drops roughly 10% below its own weekday level, and the inspection record is the real story: 44 deficiencies on file, including 8 tied to abuse, with a 1/5 health inspection star despite the most recent survey in July 2025. None of those deficiencies reached harm or jeopardy level, and resident quality measures score 5/5. So you're weighing a home that keeps its staff and treats residents well by the measures, against a thick inspection history worth asking about directly.

A

88/100

Grandell Rehabilitation And Nu

Long Beach, NY · Nassau County

CMS 5/5 278 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
22%
Serious cites
0

Grandell runs 278 beds in Long Beach under corporate ownership, and its inspection record looks solid on paper, a 4-star health inspection rating and a survey completed in August 2025. The catch is in the details. Fifteen deficiencies sit on the current record, three of them abuse-related, though none rose to harm or jeopardy level. Staffing tells a similar story: 3.68 nurse hours per resident day trails the national average, and weekends run about 6% thinner than weekdays. What stands out favorably is turnover at 22%, well under the 45.8% national figure, suggesting people stay. Quality measures score 5 stars. The numbers point to a home that inspects well and keeps its staff, but runs lean on daily coverage.

A

88/100

Lutheran Center At Poughkeepsie Inc

Poughkeepsie, NY · Dutchess County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
32%
Serious cites
0

Lutheran Center At Poughkeepsie runs 4.06 nurse hours per resident day, roughly 5% above the national average, and its 31.9% turnover is well below the 45.8% typical elsewhere, that stability matters when you're thinking about who's actually at the bedside. Weekends thin out about 9% against weekday coverage, so ask how that plays out on a Sunday. The harder reading is the inspection record: 23 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with the last inspection in February 2024. Quality measures look strong and staffing holds up, but you'll want to ask directly what changed since that inspection.

A

88/100

Lutheran Home

Westlake, OH · Cuyahoga County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
5.37 /day
Staff turnover
52%
Serious cites
0

Lutheran Home runs about 5.37 nurse hours per resident each day, roughly 39% above the national average, that's a real cushion, and it's the number driving the grade here. The catch is turnover: 51.6% of staff left over the year, higher than the 45.8% national rate, and weekend coverage dips about 5% below weekdays. Inspections show 15 deficiencies on record, none rising to harm or jeopardy, though three are abuse-related. The last full inspection was August 2023, so the picture is more than a year old. This is a well-staffed nonprofit with steady quality marks and enough staff to absorb some churn, worth a visit, with questions ready about weekend coverage and that abuse history.

A

88/100

First Community Village Healthcare Ctr

Columbus, OH · Franklin County

CMS 4/5 47 beds Non-profit Medicaid
Nurse hours
5.06 /day
Staff turnover
51%
Serious cites
0

First Community Village in Columbus runs a nonprofit home with 47 beds, and its nurse staffing sits well above what most homes manage, about 5.06 hours per resident day against a national average near 3.86. That's a real edge, though weekends dip roughly 8% below its own weekday coverage, and turnover runs 51%, a bit above the 45.8% national figure. The tradeoff shows up in its record: 26 deficiencies, two of them at harm or jeopardy level and two tied to abuse, plus one fine of $17,610. Its last inspection was June 2025. Quality measures score high; the inspection history is where the caution lives.

A

88/100

Brethren Care Village Health Care Center

Ashland, OH · Ashland County

CMS 5/5 79 beds For-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
36%
Serious cites
0

Brethren Care Village runs 79 certified beds as a nonprofit, and the numbers suggest a home that's been stable for a while. Nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average, though weekends dip about 8% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 36.2% against a national average near 46%, which matters because consistent caregivers learn residents' routines. Its twelve deficiencies include none at the harm level and none abuse-related, and the last inspection was in September 2022, so that record is getting older and could shift at the next survey.

A

88/100

Mount Notre Dame Health Center

Cincinnati, OH · Hamilton County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
5.42 /day
Staff turnover
41%
Serious cites
0

Mount Notre Dame Health Center runs on 5.42 total nurse hours per resident per day, roughly 40% above the national average of 3.86, a real cushion given it's a 40-bed home. Weekend staffing dips about 10% below its own weekday level, so the weekday coverage is stronger than Saturdays and Sundays. Staff turnover sits at 40.6%, a bit better than the 45.8% national figure, which matters in a small building where one departure is felt. The inspection record is clean where it counts: three deficiencies total, none at harm or jeopardy level, none abuse-related, and the last visit was November 2024. Church-affiliated nonprofit ownership rounds out the picture.

A

88/100

Walnut Hills Nursing Home

Walnut Creek, OH · Holmes County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
52%
Serious cites
0

Walnut Hills runs on more nursing hours than most homes, 4.71 per resident day against a national average of 3.86, and weekends dip only about 9% below its own weekday pace, which is a smaller drop than many places manage. The trade-off shows up in turnover: 52.1% of staff left over the year, higher than the 45.8% national figure, so the people delivering that care keep changing. Its inspection record carries 36 deficiencies, none at the harm level but two tied to abuse, with the last survey in November 2024. Church-affiliated nonprofit ownership and a 5/5 quality measure rating round out the picture.

A

88/100

Aidan Senior Living At Reedsport

Reedsport, OR · Douglas County

CMS 4/5 29 beds For-profit Medicaid
Nurse hours
6.42 /day
Staff turnover
43%
Serious cites
0

Aidan Senior Living At Reedsport runs on unusually heavy staffing for a 29-bed home, 6.42 nurse hours per resident day, roughly two-thirds above the national average, and its staff turnover of 43.1% is slightly better than typical. That's the real story here. The caution is in the inspection record: 34 deficiencies, including one at the harm level and three tied to abuse, with a single $8,018 fine and a survey completed in March 2025. Weekend coverage also dips about 12% below its own weekday level, so care may thin out on Saturdays and Sundays. A for-profit corporate owner, solid staffing, a mixed inspection history. Ask about those abuse-related findings directly before deciding.

A

88/100

Mosser Nursing Home

Trexlertown, PA · Lehigh County

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

Mosser Nursing Home runs on a nonprofit model with 60 certified beds in Lehigh County, and its numbers tell a fairly steady story. Nurse staffing sits at 3.78 hours per resident day, just under the national average, and weekends dip only about 3% below weekdays, which matters because weekend coverage is where a lot of homes quietly fall apart. The bigger signal is turnover: 28.6% against a national average of 45.8%, meaning caregivers here tend to stay. Five deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection dated April 2026. Nothing here is flashy; it's just consistently adequate or better where it counts.

A

88/100

Wesbury United Methodist Commu

Meadville, PA · Crawford County

CMS 4/5 210 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
35%
Serious cites
0

Wesbury United Methodist runs 210 certified beds in Meadville under church-related nonprofit ownership, and its inspection record is clean where it counts: 14 deficiencies on file, none at the harm or jeopardy level, none abuse-related, with a survey completed in July 2025. Staffing is the tradeoff. At 3.63 nurse hours per resident day it sits about 6% under the national average of 3.86, and weekends dip roughly 8% below the home's own weekday numbers, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover tells a better story: 35% against a national 45.8% means aides and nurses tend to stay, which matters more for daily care than a single staffing snapshot.

A

88/100

Moravian Manor

Lititz, PA · Lancaster County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
4.90 /day
Staff turnover
52%
Serious cites
0

Moravian Manor is a 119-bed nonprofit in Lititz, and the first thing that stands out is nurse staffing: 4.90 hours per resident day, roughly 27% above the national average of 3.86. That matters, though weekends run about 7% thinner than weekdays, so coverage isn't perfectly even. Turnover sits at 51.5%, higher than the 45.8% national figure, which means familiar faces aren't guaranteed. The inspection record is strong, five stars and only 10 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. Last inspection was August 2025, so the picture is current.

A

88/100

Pavilion At Brmc, The

Bradford, PA · Mc Kean County

CMS 5/5 95 beds Non-profit Medicaid
Nurse hours
5.34 /day
Staff turnover
42%
Serious cites
0

The Pavilion at BRMC runs on unusually deep nurse staffing, 5.34 hours per resident day, roughly 38% above the national average, and that shows up in its five-star staffing rating. Weekend coverage dips about 10% below weekday levels, which is common but worth knowing if your family visits primarily on Saturdays or Sundays. Its inspection record is solid but not spotless: 12 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $16,316 in fines across two penalties. Staff turnover sits at 41.7%, slightly better than the 45.8% national figure. The most recent inspection was April 23, 2026, so the picture is current. Nonprofit ownership under a corporation. Strong staffing, some serious citations on file, read the inspection details before deciding.

A

88/100

Homeland Center

Harrisburg, PA · Dauphin County

CMS 4/5 95 beds Non-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
44%
Serious cites
0

Homeland Center runs on 4.44 nurse staffing hours per resident day, roughly 15 percent above the national average, though weekends dip about 8 percent below its own weekday coverage. Turnover sits at 43.5 percent, a touch better than the national 45.8 percent. The inspection record is the caution flag: 11 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection on August 21, 2025. This is a nonprofit corporation with 95 certified beds. The staffing and quality measure ratings both land at 4 out of 5, and that staffing cushion is real, but the harm-level and abuse-related findings on the current record are the items worth asking about directly.

A

88/100

Peter Becker Community

Harleysville, PA · Montgomery County

CMS 4/5 72 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
42%
Serious cites
0

Peter Becker Community in Harleysville runs a 72-bed nonprofit home where nurse staffing comes in at 4.45 hours per resident day, roughly 15 percent above the national average of 3.86. Weekend coverage dips about 8 percent below weekday levels, which is worth asking about if your family visits or calls on Saturdays. Staff turnover sits at 42.2 percent, slightly better than the 45.8 percent national figure, so the crew here is a bit more stable than most. The current record shows four deficiencies, none at the harm or jeopardy level, though one is abuse-related. The last inspection was May 13, 2026, and the health, quality, and staffing ratings each came in at 4 out of 5 stars.

A

88/100

Margaret E. Moul Home

York, PA · York County

CMS 5/5 82 beds Non-profit Medicaid
Nurse hours
6.32 /day
Staff turnover
42%
Serious cites
0

Margaret E. Moul Home runs on unusually heavy staffing for a nursing home: 6.32 nurse hours per resident per day, about 64% more than the national average, and weekend coverage stays within roughly 13% of weekday levels. Turnover sits at 42.1%, a bit better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record is clean where it counts, seven deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025. Six fines totaling $15,382 is modest for a home this size. The tradeoff is quality measures landing mid-range at 3 out of 5 stars, so ask how the home is working on those outcomes.

A

88/100

Kershaw Health Karesh Long Term Care

Camden, SC · Kershaw County

CMS 4/5 132 beds Government Medicaid
Nurse hours
4.06 /day
Staff turnover
29%
Serious cites
0

Kershaw Health Karesh Long Term Care sits at 132 certified beds in Camden, run by the county rather than a chain. The staffing numbers are the strongest part of the picture: 4.06 nurse hours per resident day, about 5% above the national average, with a 5-out-of-5 staffing rating. Turnover is 28.8% against a 45.8% national average, which suggests people stay. But weekends run roughly 12% thinner than weekdays, and the inspection record carries five deficiencies, two of them at harm or jeopardy level, plus one $19,460 fine. The last inspection was September 2025. Good daily coverage, thinner weekends, and a harm-level citation are the real story here.

A

88/100

Woodcrest At Blakeford

Nashville, TN · Davidson County

CMS 4/5 83 beds Non-profit
Nurse hours
4.66 /day
Staff turnover
51%
Serious cites
0

Woodcrest at Blakeford sits in Nashville with 83 certified beds and a nonprofit owner. Nurse staffing runs 4.66 hours per resident day, about 21% above the national average of 3.86, and that shows in a four-star staffing rating. The catch is weekends, when coverage drops roughly 11% below the home's own weekday level. Annual turnover is 51.2%, higher than the 45.8% national figure, so even with good raw hours, some of the faces change often. The current record shows 13 deficiencies, none at harm or jeopardy level, but one abuse-related citation. A five-star quality measure rating and an inspection dated March 2026 round out a home that's strong on care measures with a few real caveats.

A

88/100

White House Health Care Inc

White House, TN · Robertson County

CMS 5/5 84 beds For-profit Medicaid
Nurse hours
5.70 /day
Staff turnover
51%
Serious cites
0

White House Health Care runs high on nurse hours, 5.70 per resident per day, roughly half again the national average, and that shows up in its staffing star rating. Weekend coverage dips only about 4% below weekdays, so care doesn't thin out much when families visit. The current inspection record carries 7 deficiencies, none at harm or jeopardy level and none abuse-related, with a survey completed in November 2025. Turnover sits at 51.3% against a national 45.8%, a real weak point given how often residents see new faces. Corporate for-profit ownership, 84 certified beds.

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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