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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 921–940 of 4,510, best-graded first.

A

87.5/100

Jackson Memorial Perdue Medical Center

Cutler Bay, FL · Miami-Dade County

CMS 5/5 163 beds Government Medicaid
Nurse hours
4.67 /day
Staff turnover
24%
Serious cites
0

Jackson Memorial Perdue runs on county money, and that shows up in the staffing numbers: 4.67 nurse hours per resident per day, roughly a fifth above the national figure, with weekend coverage dipping about 16% below its own weekdays. Turnover sits at 23.6%, about half the national rate, which matters more than any single inspection score, stable crews know the residents. The tradeoff is a longer deficiency record: 16 citations, one serious enough to involve harm or jeopardy, and two fines totaling $28,045. The most recent inspection was April 2026. Quality and staffing measures both rate at the top of CMS's scale; the health inspection side is more mixed at three stars.

A

87.5/100

Heart Of Georgia Nursing Home

Eastman, GA · Dodge County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
29%
Serious cites
0

Heart Of Georgia Nursing Home runs on 4.00 nurse hours per resident per day, a bit above the national average, and its staff turnover of 29.3% sits well under the 45.8% national figure, that kind of retention is not common in for-profit nursing homes and usually shows up in how consistently residents are cared for. The catch is weekends, when staffing drops roughly 19% below the home's own weekday level, so coverage isn't evenly spread across the week. Inspections in January 2026 turned up 11 deficiencies, two tied to abuse, though none reached harm or jeopardy level. Eastman's only Medicare-certified home, corporate-owned, with a 3/5 inspection score.

A

87.5/100

Bear Lake Memorial Skilled Nursing Facility

Montpelier, ID · Bear Lake County

CMS 3/5 36 beds Government Medicaid
Nurse hours
3.74 /day
Staff turnover
35%
Serious cites
0

Bear Lake Memorial runs on thin staffing for a 36-bed county-owned home: 3.74 nurse hours per resident day, a bit under the national average, and weekends drop about 16% below its own weekday coverage. That gap shows up in the federal staffing rating. What offsets it is consistency, 35.3% turnover against a national 45.8% means the aides and nurses who are there tend to stay, which matters more in a small rural facility than raw hours. The inspection record carries 22 deficiencies, one serious enough to involve harm, though none tied to abuse. Quality measures score well; the last survey was February 2026.

A

87.5/100

Trego Co-Lemke Memorial Hospital Ltcu

Wakeeney, KS · Trego County

CMS 4/5 37 beds Government Medicaid
Nurse hours
5.35 /day
Staff turnover
27%
Serious cites
0

Trego County runs this 37-bed home inside the local hospital, and the staffing is the strongest thing it has going: 5.35 nurse hours per resident day, well above the national average. Turnover sits at 26.5%, notably lower than the typical nursing home, so the people caring for residents tend to stick around. Weekends thin out about 17% from weekday coverage, which is worth asking about if your family visits then. The trade-off shows in the care record, 18 deficiencies on file, including one at the harm level and three related to abuse, with a mid-2025 inspection. Staffing is clearly the priority here; the quality measures and inspection history are not keeping pace.

A

87.5/100

Protection Valley Manor

Protection, KS · Comanche County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
24%
Serious cites
0

Protection Valley Manor sits in a small Comanche County town with 45 certified beds, run by a nonprofit corporation. Its nurse staffing runs a bit above the national average, though weekends drop roughly 19 percent below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is unusually low at 23.5 percent against a national 45.8 percent, which suggests people stay. The inspection record is strong on its most recent survey, but ten deficiencies are on file, one of them serious enough to involve harm or jeopardy. One incident can carry real weight in a small building, so read what that deficiency actually involved before deciding.

A

87.5/100

Horizons Living And Rehab Center

Brunswick, ME · Cumberland County

CMS 4/5 65 beds For-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
24%
Serious cites
0

Horizons Living And Rehab Center runs on unusually deep staffing for a 65-bed for-profit home, 4.71 nurse hours per resident day, roughly a fifth more than the national average, and its workers tend to stay, with turnover near 24% against a national rate closer to 46%. Weekends thin out by about 17% compared to weekdays, so ask how coverage holds up on a Saturday. The inspection record shows 20 deficiencies, none involving harm or abuse, and the most recent survey was in August 2024. Quality measures score low even as staffing scores high, a split worth asking the administrator to explain.

A

87.5/100

Lakeview House Skld Nrsg And Residential Care Fac

Haverhill, MA · Essex County

CMS 4/5 91 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
21%
Serious cites
0

Lakeview House runs on 4.19 nurse hours per resident day, roughly 8% above the national average, and its staff retention is unusually strong for the industry, 20.8% turnover against a national average near 46%. The tradeoff shows up on weekends, when staffing drops about 19% below the home's own weekday levels. Inspectors logged 12 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the most recent inspection was July 30, 2025, so the record is current. A 4/5 inspection rating and 4/5 quality measures round out a picture of a for-profit corporate home that is well-staffed on paper and mostly clean in practice, with the abuse citation and weekend dip worth asking about directly.

A

87.5/100

Manistee County Medical Care Facility

Manistee, MI · Manistee County

CMS 5/5 78 beds Government Medicaid
Nurse hours
6.28 /day
Staff turnover
31%
Serious cites
0

Manistee County Medical Care Facility runs on unusually heavy staffing for a county-owned home, 6.28 nurse hours per resident day, roughly 63% above the national figure, with weekend coverage dipping about 22% below its own weekday level. Turnover sits at 30.9%, well under the 45.8% national average, and the most recent inspection in December 2025 produced 13 deficiencies, none at the harm level, one abuse-related. Quality measures score 2 out of 5 stars even as inspections and staffing both hit 5, so the sharpest split here is between what the state found on site and what the federal quality data shows. Ask to see the plan of correction for that abuse citation.

A

87.5/100

Marlette Community Hospital Ltcu

Marlette, MI · Sanilac County

CMS 5/5 39 beds Non-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
22%
Serious cites
0

Marlette Community Hospital Ltcu runs on unusually thin turnover, 22.4% against a national average of 45.8%, which helps explain why nurse staffing sits at 4.86 hours per resident day, roughly a quarter above the national figure. Weekends dip about 17% below weekday coverage, so ask how that gap gets filled. The inspection record shows 22 deficiencies, none at harm or jeopardy level, but one abuse-related citation is worth a direct question about what happened and what changed. Quality measures score lower than staffing does.

A

87.5/100

Corewell Health Rehab & Nursing Center-Commons Far

Farmington Hills, MI · Oakland County

CMS 4/5 179 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
39%
Serious cites
0

Corewell Health's Farmington Hills home runs on strong staffing numbers, 4.45 nurse hours per resident day, about 15 percent above the national average, with turnover at 39.3 percent versus 45.8 percent nationally. Those are the figures behind its top staffing and quality marks. The trouble sits on the inspection side: 49 deficiencies on the current record, four of them serious enough to involve harm or jeopardy, and a $15,593 fine. Weekend coverage also slips roughly 16 percent below weekday levels, which matters when problems tend to surface on evenings and weekends. A nonprofit owner with recent inspections and good day-to-day staffing, but a citation history that a two-star health inspection rating reflects.

A

87.5/100

The Lutheran Home: Belle Plaine

Belle Plaine, MN · Scott County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
5.30 /day
Staff turnover
32%
Serious cites
0

The Lutheran Home in Belle Plaine runs on a nonprofit model with 60 certified beds, and its nurse staffing sits at 5.30 hours per resident per day, roughly 37% above the national average. Weekend coverage dips about 16% below its own weekday level, so care thins out on Saturdays and Sundays. Annual turnover of 31.9% beats the national 45.8%, meaning aides and nurses tend to stick around longer here than at most homes. The trouble shows up elsewhere: 18 deficiencies on record, including one at the harm level and two tied to abuse. That last inspection closed April 30, 2025, so the health inspection picture is current. Strong staffing, middling quality measures, and a real compliance history are all part of what you're weighing.

A

87.5/100

Jefferson Davis Community Hospital Ecf

Prentiss, MS · Jefferson Davis County

CMS 5/5 55 beds Non-profit Medicaid
Nurse hours
4.66 /day
Staff turnover
34%
Serious cites
0

Jefferson Davis Community Hospital Ecf runs on unusually strong staffing for a small rural home, 4.66 nurse hours per resident day, about a fifth more than the national average, and it shows in a five-star staffing rating. Weekend coverage drops roughly 21% below its own weekday level, so ask how that gap gets covered. Turnover sits at 34% against a national 45.8%, which matters for whether residents see the same faces. The health inspection rating is solid at four stars and the record shows ten deficiencies, none at harm or jeopardy level and none abuse-related. Quality measures are the weak spot at two stars, so press on falls, weight loss, and medication numbers before deciding.

A

87.5/100

Pontotoc Nursing Home

Pontotoc, MS · Pontotoc County

CMS 5/5 44 beds Non-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
29%
Serious cites
0

Pontotoc Nursing Home runs lean in a good way on staffing, 4.27 nurse hours per resident day, about 11% above the national average, and the low 28.6% turnover means the aides and nurses you meet are more likely to still be there next year. The catch is weekends, when coverage drops roughly 18% below what the home staffs during the week, so ask how that plays out on a Saturday shift. Seven deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, and the most recent inspection was July 2025. Quality measures score low even as staffing scores high, which is worth asking about directly.

A

87.5/100

Quality Living, Inc.

Omaha, NE · Douglas County

CMS 3/5 133 beds Non-profit Medicaid
Nurse hours
8.63 /day
Staff turnover
42%
Serious cites
0

Quality Living runs about 8.63 nursing hours per resident day, more than double the national average of 3.86, and that staffing depth shows up in a 4-out-of-5 CMS staffing rating. Weekend coverage dips roughly 15% below the weekday level, so ask how that plays out on Saturdays and Sundays. The 41.8% turnover is slightly better than the 45.8% national figure, which matters for consistency of care. Sixteen deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related. The last inspection was March 3, 2025. Nonprofit ownership, a 4-out-of-5 quality measure rating, and a 3-out-of-5 inspection rating round out the picture: strong staffing, average compliance.

A

87.5/100

The Laurels Of Summit Ridge

Asheville, NC · Buncombe County

CMS 4/5 68 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
38%
Serious cites
0

The Laurels of Summit Ridge runs on better-than-average nurse hours, 4.17 per resident day, roughly 8 percent above the national figure, and its staff turnover of 38.2 percent actually beats the national rate instead of trailing it. That's not nothing in a for-profit building where aides cycling out the door is the usual problem. What tempers the picture is a 2-out-of-5 inspection history: 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none involved abuse. Weekend staffing drops about 18 percent below weekday levels, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. The inspection from May 2025 is recent, at least, so those findings reflect how the place runs now.

A

87.5/100

Crandall Nursing Home

Sebring, OH · Mahoning County

CMS 4/5 150 beds Non-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
34%
Serious cites
0

Crandall Nursing Home runs on more nursing hours than most places, 4.61 per resident per day against a national average of 3.86, roughly 19% higher. That staffing edge holds up in the turnover figure too: 34.1% annual turnover versus 45.8% nationally, meaning fewer unfamiliar faces from one month to the next. The tradeoff sits in the inspection record. Twelve deficiencies are on file, including one at the harm or jeopardy level and one tied to abuse, even though the last inspection was recent, in March 2026. Weekend coverage also drops about 21% below the home's own weekday level, which matters if your family visits on Saturdays and Sundays. Nonprofit ownership; four stars each for health inspections, quality measures, and staffing.

A

87.5/100

Carroll Healthcare Center Inc

Carrollton, OH · Carroll County

CMS 5/5 52 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
35%
Serious cites
0

Carroll Healthcare Center runs on better-than-average nurse coverage, 3.93 hours per resident day against a national 3.86, and its staff tends to stick around, with turnover at 34.9% versus 45.8% nationally. The tradeoff shows up in its record: 12 deficiencies, including one at the harm level and one tied to abuse, which is the kind of finding worth asking about directly. Inspectors were last in on May 8, 2025, so the picture is current. Weekend staffing drops roughly 16% below weekday levels, meaning care can thin out on Saturdays and Sundays. For-profit corporate ownership. The strong staffing numbers are real, but they're not the whole story.

A

87.5/100

Shepherd Of The Valley Howland

Howland, OH · Trumbull County

CMS 4/5 65 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
32%
Serious cites
0

Shepherd Of The Valley Howland runs on 4.29 nurse hours per resident day, roughly 11% more than the national average, and its 4/5 staffing rating backs that up. Weekend coverage dips about 15% below weekday levels, so ask how that plays out on a Saturday. Turnover sits at 32.1% against a national 45.8%, which matters for whether you see the same faces. Eleven deficiencies are on record, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The last inspection was June 2025, and with 4/5 ratings on health inspections and quality measures, this nonprofit's numbers hold up better than most.

A

87.5/100

Park Village Hc Np Llc

New Philadelphia, OH · Tuscarawas County

CMS 5/5 40 beds For-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
31%
Serious cites
0

Park Village runs one of the smaller operations you'll find, just 40 certified beds in New Philadelphia, and it's owned by a for-profit limited liability company. The numbers that matter most here look good: nurse staffing sits at 4.21 hours per resident day, roughly 9% above the national average, and the inspection history is clean at the top level, 20 deficiencies on record, none of them causing harm or jeopardy, though two are abuse-related and worth asking about directly. Staff turnover is 30.9%, well below the 45.8% national figure, which suggests people stick around. One caveat: weekend staffing drops about 15% from weekday levels, so ask how that plays out on Saturdays and Sundays.

A

87.5/100

Country Meadows Nursing Center Of Bethlehem

Bethlehem, PA · Northampton County

CMS 5/5 70 beds For-profit
Nurse hours
4.12 /day
Staff turnover
35%
Serious cites
0

Country Meadows Nursing Center Of Bethlehem runs about 4.12 nurse hours per resident day, roughly 7 percent above the national average, and its staff turnover of 35.2 percent sits well under the 45.8 percent national figure, a meaningful edge in a field where constant retraining hurts care. Weekend staffing dips about 17 percent below weekday levels, so ask how weekends are covered. The inspection record is clean where it counts: three deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey in July 2025. For-profit corporate ownership and 70 beds round out the picture; the numbers here lean favorable.

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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