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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 941–960 of 4,510, best-graded first.

A

87.5/100

Martha And Mary Health Service

Poulsbo, WA · Kitsap County

CMS 4/5 135 beds Non-profit Medicaid
Nurse hours
4.77 /day
Staff turnover
36%
Serious cites
0

Martha and Mary Health Service in Poulsbo runs on a nonprofit model with 135 certified beds, and the staffing numbers are its clearest strength: 4.77 nurse hours per resident day, roughly 23 percent above the national average. Weekend coverage drops about 15 percent from weekday levels, a gap worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 35.9 percent, better than the 45.8 percent national figure, which suggests people tend to stay. The tradeoff shows up in inspections: 46 deficiencies on the current record, two tied to abuse, though none rose to actual harm or jeopardy. The most recent inspection was February 2026, so the picture is current. Strong quality scores and staffing carry real weight here; the deficiency history is what holds it back.

A

87.5/100

Guam Memorial Hospital Authority

Barrigada, GU · Guam County

CMS 3/5 40 beds Government Medicaid
Nurse hours
7.72 /day
Staff turnover
16%
Serious cites
0

Guam Memorial Hospital Authority runs 40 certified beds as a government-owned home, and its nurse staffing is the standout fact here, 7.72 hours per resident day, roughly double the national average, with weekend coverage dipping only about 9% below weekdays. Turnover sits at 15.6%, well under the 45.8% national figure, so the people providing that care tend to stay. The inspection record tells a different story: 52 deficiencies on file, including one at harm or jeopardy level and five tied to abuse, with a single $13,247 fine and a most recent inspection in August 2025. Staffing like this is rare; a deficiency count like that isn't easy to overlook either.

A

87.5/100

Army Residence Community

San Antonio, TX · Bexar County

CMS 5/5 91 beds Non-profit
Nurse hours
4.19 /day
Staff turnover
40%
Serious cites
0

Nurse staffing here runs about 4.19 hours per resident per day, roughly 8% above the national average, and the health inspection and quality measure ratings both come in at 5 out of 5. Weekend coverage drops about 16% below the home's own weekday level, though, so care can look thinner on Saturdays and Sundays than the weekday numbers suggest. Staff turnover sits at 40%, a bit better than the 45.8% national figure. The current record shows 18 deficiencies, none at the harm or jeopardy level, but two tied to abuse, which is worth asking about directly.

A

87/100

The Pine Of Camden, Llc

Camden, AL · Wilcox County

CMS 5/5 95 beds For-profit Medicaid
Nurse hours
4.68 /day
Staff turnover
19%
Serious cites
0

The Pine Of Camden runs on unusually stable ground. Nurse staffing sits at 4.68 hours per resident day, roughly a fifth above the national average, and the staff star rating bears that out. Just as telling: turnover is 19.4% against a national average of 45.8%, so the people caring for residents tend to stay. The current record shows a single deficiency, none at harm level and none abuse-related, with a clean five-star inspection rating behind it. Two things temper that. The last inspection was March 2021, so the record is aging, and quality measures score 2 out of 5, the clinical numbers families watch don't match the staffing picture. Weekend coverage also dips about 13% below weekdays, worth asking about directly.

A

87/100

Ketchikan Med Ctr New Horizons Transitional Care

Ketchikan, AK · Ketchikan Gateway County

CMS 1/5 29 beds Non-profit Medicaid
Nurse hours
6.79 /day
Staff turnover
50%
Serious cites
0

Ketchikan Med Ctr New Horizons runs 29 certified beds as a nonprofit, and its nurse staffing sits at 6.79 hours per resident day, roughly 76% above the national average of 3.86. That's a real margin, though weekend coverage drops about 13% below its own weekday level, and annual turnover of 50% runs slightly above the national 45.8%. The health inspection side is where it gets harder to read: a 1/5 star rating, 17 deficiencies on the current record, four of them abuse-related, and none flagged at harm or jeopardy level. The last inspection was April 9, 2026. Quality measures score 3/5 and staffing 4/5, so the numbers don't point the same direction.

A

87/100

Christian Care Nursing Center

Phoenix, AZ · Maricopa County

CMS 4/5 20 beds Non-profit Medicaid
Nurse hours
8.40 /day
Staff turnover
—
Serious cites
0

Christian Care Nursing Center is a small nonprofit home in Phoenix, just 20 certified beds, with nurse staffing at 8.40 hours per resident day, roughly double the national average of 3.86. That's an unusual number, and it shows up in the weekend figures too: coverage drops about 16% below its own weekday level, so the cushion narrows even if it stays comfortable. The home's record carries 9 deficiencies, none at the harm or jeopardy level and none abuse-related, and its last inspection was in August 2025. All three CMS star categories, health inspections, quality measures, and staffing, sit at 4 out of 5. For a family weighing a place this size, the staffing margin and the clean harm record are the parts worth asking about directly.

A

87/100

A Grace Sub Acute & Skilled Care

San Jose, CA · Santa Clara County

CMS 4/5 166 beds For-profit Medicaid
Nurse hours
5.35 /day
Staff turnover
20%
Serious cites
0

A Grace Sub Acute & Skilled Care runs 166 certified beds in San Jose under corporate for-profit ownership, and the numbers here are mostly working in residents' favor. Nurse staffing sits at 5.35 hours per resident day, roughly 38% above the national average of 3.86, and weekend coverage barely dips, about 5% below weekday levels, which matters because that's where a lot of homes quietly thin out. Staff turnover is 19.6%, well under half the national rate of 45.8%, so the people caring for residents tend to stick around. The tradeoff is inspection history: 47 deficiencies on record, including one abuse-related finding, though none rose to harm or jeopardy level, and the last inspection was October 2024.

A

87/100

Encore At Foulk

Wilmington, DE · New Castle County

CMS 5/5 46 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
13%
Serious cites
0

Encore At Foulk runs a tight ship on staffing. At 3.91 nurse hours per resident day, it sits just above the national average of 3.86, and its staff turnover of 13.3% is remarkably low next to the 45.8% national figure, that kind of retention usually means people stay because the place is run well. Weekend coverage dips about 10% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. The inspection record is strong too: a five-star health inspection rating, last survey dated April 2026, and no abuse-related deficiencies. Twelve total deficiencies with one at the harm level and a single $13,544 fine are not nothing, but they're modest for a nursing home this size.

A

87/100

Serenity Rehabilitation And Health Center Llc

Washington, DC · The District County

CMS 4/5 183 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
34%
Serious cites
0

Serenity Rehabilitation and Health Center is a for-profit LLC running 183 beds in DC, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86, with weekends running about 7% thinner than weekdays. Turnover is 34.2%, which is actually better than the national 45.8%. The harder number is 83 deficiencies on the current record, including one at the harm level and 11 abuse-related, plus a $47,684 fine. Last inspection was October 2023, so that record isn't fresh. Five stars on quality measures and four on staffing don't erase what 83 deficiencies, including abuse citations, tell you to ask about directly.

A

87/100

Unique Rehabilitation And Health Center Llc

Washington, DC · The District County

CMS 4/5 230 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
33%
Serious cites
0

Unique Rehabilitation and Health Center runs 230 certified beds under for-profit LLC ownership, and its staffing picture is genuinely strong: 4.00 nurse hours per resident day, about 4% above the national average, with weekend coverage dipping only around 5% below weekdays. Turnover sits at 32.5%, well under the 45.8% national figure, which matters for consistency of care. The concern is the inspection record, 73 deficiencies, four at harm or jeopardy level, ten abuse-related, and one fine of $48,887, with the most recent inspection in late November 2024. That combination of good staffing and a troubled survey history is the tension here.

A

87/100

Fountain Manor Health & Rehabilitation Center

North Miami, FL · Miami-Dade County

CMS 5/5 139 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
33%
Serious cites
0

Fountain Manor runs on about 4.12 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 32.7% sits well under the 45.8% national figure, a sign people tend to stay. Weekend staffing, though, drops about 13% below its own weekday level, so coverage thins when families visit. The current record shows 10 deficiencies, none at the harm level, but 2 are abuse-related, worth asking about directly. Inspections are recent, and the 4/5 health inspection and 5/5 quality ratings carry real weight. It's a for-profit LLC, so ask who owns it and how long they've held it.

A

87/100

St Johns Nursing Center

Lauderdale Lakes, FL · Broward County

CMS 4/5 181 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
14%
Serious cites
0

St. Johns Nursing Center sits in Lauderdale Lakes with 181 certified beds and a nonprofit owner. The staffing numbers are its strongest suit: 4.05 nurse hours per resident day, about 5% above the national average, with a 14.4% turnover rate that's roughly a third of the national 45.8%, a stable crew, which matters more than most families realize. But the inspection record is where it gets bumpy: 28 deficiencies on file, two of them at harm or jeopardy level, and one fine of $25,155, with the last state visit in January 2025. Weekend staffing also dips about 8% below weekday levels. Good people, uneven oversight, worth asking about those two serious deficiencies directly.

A

87/100

The Terrace Of Delray Beach Nursing And Rehabilita

Delray Beach, FL · Palm Beach County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
27%
Serious cites
0

The Terrace of Delray Beach runs on a for-profit LLC model with 120 certified beds, and its staffing sits at 3.72 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 5% below its own weekday coverage, so if you're visiting or calling on a Saturday, expect a leaner floor. The stronger numbers are elsewhere: staff turnover is 27%, well under the 45.8% national rate, and the quality measure rating is 5 out of 5, meaning residents aren't showing up in the problem data. There are 25 deficiencies on the current record, but none at harm or jeopardy level and none abuse-related, with the last inspection in July 2024.

A

87/100

Hialeah Shores Nursing And Rehab Center

Miami, FL · Miami-Dade County

CMS 5/5 106 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
27%
Serious cites
0

Hialeah Shores runs on numbers most homes in Miami-Dade can't match. Nurse staffing sits at 3.95 hours per resident day, slightly above the national average, and the 26.5% turnover rate is well under the 45.8% national figure, a sign people stay. Weekend coverage dips about 7% below weekday levels, worth asking about if your relative needs help on Saturdays and Sundays. Three deficiencies on record, none at harm level, none related to abuse, with an inspection dated July 2025. Corporate-owned and for-profit, 106 beds. The weak spot is nothing in the inspection or quality data, it's that staffing, while solid, isn't generous enough to call this a place with room to spare.

A

87/100

Clermont Health And Rehabilitation Center

Clermont, FL · Lake County

CMS 4/5 182 beds Non-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
20%
Serious cites
0

Clermont Health and Rehabilitation Center runs a nonprofit operation with 182 beds, and its record is steadier than most. The 14 deficiencies on file include none at the harm or jeopardy level and nothing abuse-related, which matters more than the raw count. On the other hand, nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national figure of 3.86, and weekends run about 7% thinner than weekdays, so coverage can feel stretched on a Saturday. Turnover is the bright spot: 20.4% against a national average of 45.8%, meaning the people caring for your relative are more likely to still be there next year. A recent inspection in August 2025 rounds it out.

A

87/100

Benderson Family Skilled Nursing And Rehab Center

Sarasota, FL · Sarasota County

CMS 5/5 45 beds For-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
46%
Serious cites
0

Benderson Family runs 45 beds in Sarasota under corporate ownership, and the numbers hold up well. Nurse staffing sits at 4.72 hours per resident day, roughly 22% above the national average of 3.86, and weekends dip only about 6% below weekday levels, a smaller drop than many homes show. Turnover is 46.3%, essentially matching the national 45.8%, so you're not looking at a churning floor staff. Ten deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in June 2025. The one caveat: corporate for-profit ownership means decisions about this building get made somewhere else.

A

87/100

Glades West Rehabilitation And Nursing C

Pembroke Pines, FL · Broward County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
24%
Serious cites
0

Glades West Rehabilitation And Nursing C sits in Pembroke Pines with 120 certified beds under individual for-profit ownership. The numbers behind its A grade start with people: 4.06 nurse staffing hours per resident day, about 5% above the national average, and turnover of 24.1% against a national 45.8%, meaning workers here tend to stay, which matters for how well residents are known. Weekend staffing dips roughly 11% below weekday levels, worth asking about if your family visits Saturdays or Sundays. Five deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025.

A

87/100

Calhoun Nursing Home

Edison, GA · Calhoun County

CMS 5/5 60 beds Government Medicaid
Nurse hours
4.49 /day
Staff turnover
39%
Serious cites
0

Calhoun Nursing Home runs on a hospital district's budget out in Edison, and the numbers show a place that mostly does right by its residents. Nurses give 4.49 hours of care per resident per day, roughly 16% more than the national average, though weekends drop about 12% below its own weekday pace, worth asking about if you're planning visits. Staff turnover sits at 39%, better than the 45.8% national figure, which suggests people stick around. The trade-offs: eight deficiencies on record, two serious enough to involve harm or jeopardy, and the most recent inspection was May 2025. No abuse findings, and quality measures score at the top of the scale.

A

87/100

Kulana Malama

Ewa Beach, HI · Honolulu County

CMS 5/5 33 beds For-profit Medicaid
Nurse hours
9.84 /day
Staff turnover
41%
Serious cites
0

Kulana Malama sits in Ewa Beach with 33 certified beds, run by a for-profit limited liability company. The staffing number is the headline: 9.84 total nurse hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage dips only about 6% below weekdays, and turnover at 41% runs slightly better than the 45.8% national figure. But 25 deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, plus a $14,069 fine. The last inspection was June 2024. Strong daily staffing and a clean recent survey history aren't the same thing, and here the paper trail is doing more work than the hours-per-resident number.

A

87/100

Central Baptist Village

Norridge, IL · Cook County

CMS 5/5 116 beds Non-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
42%
Serious cites
0

Central Baptist Village runs on staffing that most homes don't come close to, 4.56 nurse hours per resident per day, about 18% above the national average, which is why it earns a top CMS staffing rating. Weekend coverage dips roughly 14% below its own weekday level, so ask how that plays out on a Saturday. The 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was in August 2025, so the picture is current. Annual turnover of 42% sits slightly better than the 45.8% national average. Church-affiliated nonprofit ownership, 116 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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