4,510 Independent Nursing Homes in the United States

Nurse hours

3.60 /day

Staff turnover

37%

Serious cites

0

Millard County Care and Rehabilitation is county-owned, which matters less than what the numbers show. Staffing sits at 3.60 nurse hours per resident day, about 7% under the national average, and weekends dip slightly below its own weekday levels, though turnover at 36.8% is notably better than the 45.8% national figure. The real concern is the inspection record: 40 deficiencies, including two at the harm level and three tied to abuse, with a $19,656 fine and a one-star health inspection rating. Quality and staffing measures both score 5/5, so day-to-day care looks solid, but the compliance history is where you'd want to ask hard questions before choosing this home.

Nurse hours

3.91 /day

Staff turnover

47%

Serious cites

0

The Springs runs a tight ship on clinical measures, a 5/5 on CMS quality and 4/5 on health inspections, with 16 deficiencies on record, none rising to harm or jeopardy. Staffing sits at 3.91 nurse hours per resident day, barely above the national average, and weekends drop about 11% below the home's own weekday coverage, so the care you'd see on a Saturday looks thinner than a Tuesday. Turnover at 47.4% is slightly worse than the national figure. The three abuse-related deficiencies are the part worth asking about directly, even though they never reached the harm level.

Nurse hours

5.03 /day

Staff turnover

46%

Serious cites

0

Lakewood Manor runs 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, and that shows up in the staffing and quality measure ratings. The trade-off is on the health inspection side: 22 deficiencies on record, one of them at the harm or jeopardy level and three tied to abuse, with the last inspection back in June 2023. Staff turnover sits at 46.4%, right about at the national norm, and weekend coverage dips about 9% below the weekday level, so evenings and Sundays are where the extra hours are least likely to reach the floor.

Nurse hours

4.78 /day

Staff turnover

38%

Serious cites

0

Hampshire Memorial is a thirty-bed hospital-based unit in Romney, and its staffing is the strongest part of the picture, 4.78 nurse hours per resident day, roughly a quarter above the national average, with a five-star CMS staffing rating to match. Retention looks solid too: 37.5% turnover sits below the national 45.8%, though weekend coverage drops about 14% from weekday levels, so care may thin out on Saturdays and Sundays. The inspection record is where it gets murkier. Twenty-nine deficiencies, one serious enough to reach harm or jeopardy level, and one fine of $8,281, with the most recent survey in January 2026. Nothing here suggests abuse, and the quality measures hold at three stars.

Nurse hours

5.79 /day

Staff turnover

23%

Serious cites

0

Rock Haven is county-owned, and that shows up in the staffing numbers: 5.79 nurse hours per resident day against a national average of 3.86. Turnover sits at 23.4%, roughly half the national rate, so the people caring for residents tend to stay. Weekends run about 7% thinner than weekdays, which is worth asking about if your family visits then. The record isn't clean. Twenty-three deficiencies, including one at the harm level and four tied to abuse, plus a $42,560 fine. The last inspection was in January 2026, so that picture is current rather than stale. Strong staffing and steady retention are real strengths; the inspection history is the counterweight, and it's the part I'd want to read closely before deciding.

Nurse hours

4.35 /day

Staff turnover

46%

Serious cites

0

Maplewood Of Sauk Prairie runs 4.35 nurse hours per resident day, roughly 13% above the national average, which is the main reason its staffing and quality measure ratings sit at 4 and 5 stars. The tradeoff is staffing consistency: weekends drop about 13% below weekday levels, so coverage depends on when you visit. Its 16 deficiencies include four tied to abuse, though none rose to harm or jeopardy, and the last inspection was in February 2026. Staff turnover at 46.4% tracks just above the national average of 45.8%, so aides cycling through is a real factor here. For-profit corporate ownership rounds out the picture.

Nurse hours

4.58 /day

Staff turnover

43%

Serious cites

0

Grancare Nursing Center runs on a for-profit corporate model with 64 certified beds, and the numbers that stand out are the staffing ones. At 4.58 nurse hours per resident day, it sits roughly 19% above the national average of 3.86, a real cushion, though weekend coverage drops about 11% below its own weekday level, so care isn't perfectly even across the week. Staff turnover lands at 43.2%, slightly better than the 45.8% national figure, which matters for consistency. The inspection record shows 9 deficiencies, none at harm or jeopardy level, but one is abuse-related, worth asking about directly. Its most recent inspection was January 2026, so the picture is current.

Nurse hours

4.24 /day

Staff turnover

49%

Serious cites

0

Christian Community Home runs 4.24 nurse hours per resident day, roughly 10% above the national average, and that staffing shows up in the top CMS staffing and quality scores. Weekend coverage dips about 9% below its own weekday level, and staff turnover sits at 49.2%, a few points above the national average, so consistency of caregivers is the real question mark. The recent inspection in February 2025 turned up 12 deficiencies, one serious enough to reach harm or jeopardy level, though none were abuse-related. One fine of $5,293 is on record. For 50 beds under nonprofit ownership, the care hours are there; the inspection record and turnover are what a family should ask about directly.

Nurse hours

4.87 /day

Staff turnover

45%

Serious cites

0

United Pioneer Home in Luck sits at 50 certified beds under nonprofit ownership, and its nurse staffing runs about 4.87 hours per resident day, roughly 26% above the national average. Weekends dip about 8% below its own weekday levels, and turnover lands at 45%, essentially matching the national rate. Where things get more complicated is the inspection record: 24 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the most recent inspection in September 2025. That mix, strong staffing, middling inspection and quality-measure ratings, is what keeps this home in the middle of the pack rather than at the top, despite the caregiver hours.

Nurse hours

4.14 /day

Staff turnover

15%

Serious cites

0

The Hills Healthcare Center runs a 67-bed for-profit operation in Sunland, and its strongest number is staffing: 4.14 nurse hours per resident day, roughly 7% above the national average, with a 5/5 CMS staffing star. Turnover sits at 14.8% against a national average near 46%, which matters more than any single inspection score, stable aides know the residents. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on a Sunday. The record shows 44 deficiencies, none at harm or jeopardy level, but four are abuse-related, and the last inspection was December 2025.

Nurse hours

7.00 /day

Staff turnover

24%

Serious cites

0

Kaweah Health Skilled Nursing Center is run by the local hospital district, and its staffing reflects that: 7.00 nurse hours per resident day, roughly 81% above the national average. Weekend coverage dips only about 5% below weekday levels, so care doesn't thin out much on Saturdays and Sundays. Turnover sits at 23.6%, about half the national rate, which matters more than any single inspection score because it means the people caring for residents tend to stick around. The inspection record shows 25 deficiencies, one at the harm level, with no abuse citations, and the most recent survey was in January 2026. Quality measures score 5/5, though the staffing star comes in lower at 3/5 despite those hours.

Nurse hours

4.27 /day

Staff turnover

22%

Serious cites

0

Ashby Care Center is a small, for-profit home in Berkeley with 31 certified beds, and its record is genuinely mixed. The clinical quality measures look strong, but staffing earns just one star out of five, and 38 deficiencies sit on the current record, including two at the harm or jeopardy level and one tied to abuse, with a single $66,134 fine. What stands out in the other direction is turnover: 21.7% annually against a national average near 46%, meaning this home keeps its workers far longer than most. The last inspection was in May 2025. Fewer than three dozen beds also means less margin for error when staffing is thin.

Nurse hours

5.36 /day

Staff turnover

20%

Serious cites

0

Ararat Post Acute runs a tight ship on staffing for a 28-bed for-profit home in Glendale. At 5.36 nurse hours per resident day, it beats the national average by roughly 39%, and a 20% turnover rate is less than half the national figure, that kind of stability matters more than any star rating. The catch is in the inspection record: 30 deficiencies, one serious enough to trigger a harm or jeopardy finding, and two fines totaling $49,089. Weekend coverage also dips about 14% below weekday levels, so care can thin out when families visit. The most recent inspection was January 2026, so the record is current. Strong staffing, but the deficiency history is real.

Nurse hours

4.09 /day

Staff turnover

14%

Serious cites

0

Bellaken Skilled Nursing Center runs on numbers that hold up well against the national picture. Nurse staffing sits at 4.09 hours per resident day, about 6% above the national average, and the 14% annual turnover is strikingly low next to the 45.8% norm, that kind of retention usually shows up in how consistently residents see the same faces. Weekend staffing dips roughly 8% below its own weekday level, worth asking about if your family visits mainly on Saturdays. The inspection record backs this up: 17 deficiencies on file, none at the harm or jeopardy level, nothing abuse-related, and the most recent inspection was November 2024. Corporate for-profit ownership, 61 beds, five stars on both health inspections and quality measures.

Nurse hours

3.73 /day

Staff turnover

26%

Serious cites

0

Robert Lee Care Center is a 70-bed hospital-district home, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.73 hours per resident day, roughly 3% under the national average, and weekends run about 9% lighter than weekdays, so coverage does thin out on Saturdays and Sundays. What stands out instead is retention: turnover is 25.6%, well below the national 45.8%, meaning the people caring for residents tend to stay. The inspection record shows 11 deficiencies with none at the harm level and none abuse-related, and the most recent survey was in late 2025.

Nurse hours

4.08 /day

Staff turnover

33%

Serious cites

0

Capstone Healthcare Of Perryton runs on 4.08 nurse hours per resident day, roughly 6% above the national average, and its staff retention is a real bright spot: 33.3% turnover against a national 45.8%. Weekend coverage drops about 14% below weekday levels, so ask how that plays out on Saturdays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level, with one abuse-related finding, worth asking about directly. A 2025-04-09 inspection means the record is recent. Corporate, for-profit ownership, 60 beds. The staffing numbers and retention carry this home; the abuse citation and weekend dip are the two things to press on.

Nurse hours

4.78 /day

Staff turnover

42%

Serious cites

0

El Reposo runs on 4.78 nurse hours per resident day, about a quarter more staffing than the typical American nursing home, and that shows up in the numbers where it counts. Weekend coverage dips roughly 17% below weekdays, though, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 42.4%, a bit better than the national 45.8%, no small thing in a labor market where half the aides often walk out the door each year. The current record holds four deficiencies, none involving harm or abuse, with the last full inspection in July 2024. Corporate-owned, 60 beds, and solid marks on quality and staffing measures.

Nurse hours

3.55 /day

Staff turnover

—

Serious cites

0

View Heights Conv Hosp runs 163 beds in Los Angeles under for-profit partnership ownership, and its inspection record is the part that should give you pause. Seventy deficiencies on the current record, including four tied to abuse and two serious enough to reach harm or jeopardy, with one fine totaling $31,450. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends drop about 9% below the home's own weekday coverage, so the hours when families tend to visit are the thinnest. The 5/5 quality measure score stands out against a 1/5 inspection rating, which is worth asking about directly.

Nurse hours

3.72 /day

Staff turnover

23%

Serious cites

0

Grimes Center runs on 3.72 nurse hours per resident day, a bit under the national figure, and weekends are where that shows, staffing drops roughly a fifth below its own weekday level, so a Saturday visit may look thinner than a Tuesday. The steadier number is turnover at 23.2%, about half the national rate, which matters because familiar aides tend to know residents' routines. Inspections turned up 22 deficiencies with none at harm level, though three are abuse-related and worth asking about directly. As a nonprofit with a recent inspection and 4s on health and quality measures, this reads like a place that is well-run but stretched on weekend coverage.

Nurse hours

3.97 /day

Staff turnover

41%

Serious cites

0

Cook Willow runs 60 certified beds in Plymouth under corporate ownership, and the staffing picture is quietly solid: 3.97 nurse hours per resident day, a bit above the national average of 3.86. Turnover sits at 40.8%, better than the 45.8% national figure, though weekends run about 18% thinner than weekdays, worth asking about if your family visits Saturday or Sunday. Inspections in September 2025 found 23 deficiencies, none at harm or jeopardy level, but three tied to abuse, which deserves a direct question about what happened and what changed. Quality measures scored 5/5 and inspections 4/5, so the record is mostly clean with that one category worth pressing on.