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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 961–980 of 4,510, best-graded first.

A

87/100

Middletown Nursing And Rehabilitation Center

Middletown, IN · Henry County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
26%
Serious cites
0

Middletown Nursing and Rehabilitation Center runs 45 beds under corporate ownership, and its staffing is the standout: 4.01 nurse hours per resident day, a bit above the national average, with weekend coverage holding close to weekday levels. Turnover sits at 26.3 percent, well under the 45.8 percent national figure, which matters for how well aides know the residents. The tradeoff shows up in inspections, nine deficiencies on record, one tied to abuse, none at harm or jeopardy level, and the most recent survey was in November 2025. Quality and health inspection ratings land at three out of five stars each. Nothing here is alarming, but the abuse-related citation is worth asking about directly.

A

87/100

Health Center At Glenburn Home

Linton, IN · Greene County

CMS 4/5 133 beds Government Medicaid
Nurse hours
4.39 /day
Staff turnover
28%
Serious cites
0

The Health Center at Glenburn Home runs on 4.39 nurse hours per resident day, roughly 14 percent above the national average, and its staff turnover of 27.9 percent is well below the 45.8 percent national figure, a sign people tend to stay. Weekend staffing dips about 12 percent below its own weekday level, so ask how that plays out on Saturdays. County-owned, 133 beds, three separate four-star ratings from CMS on health inspections, quality measures, and staffing. Eleven deficiencies on record, none at the harm level and none abuse-related, with the most recent inspection in August 2025. Solid, consistent numbers across the board.

A

87/100

Lutheran Community Home

Seymour, IN · Jackson County

CMS 5/5 95 beds Non-profit Medicaid
Nurse hours
4.96 /day
Staff turnover
47%
Serious cites
0

Lutheran Community Home runs on a nonprofit model with 95 certified beds in Seymour, and its staffing is the clearest strength here, 4.96 nurse hours per resident day, roughly 28% above the national average of 3.86. That shows up in its five-star staffing rating. Weekend coverage dips about 11% below weekday levels, though, so care may look different on a Saturday. Turnover sits at 47.4%, just above the national 45.8%, meaning aides and nurses still cycle through. Its inspection record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with a recent survey in December 2025. Quality measures land at three stars, softer than the staffing story.

A

87/100

Restoracy Of Whitestown, The

Whitestown, IN · Boone County

CMS 5/5 72 beds For-profit Medicaid
Nurse hours
5.69 /day
Staff turnover
47%
Serious cites
0

Restoracy Of Whitestown runs 72 certified beds under for-profit LLC ownership, and its nurse staffing sits well above average, 5.69 hours per resident day against a national norm of 3.86. That extra coverage holds up on weekends, dipping only about 3% below weekday levels, and the home carries eight deficiencies on its current record with none tied to harm, jeopardy, or abuse. Staff turnover is 47.2%, a touch above the national 45.8%, so the workforce churns a little faster than typical even with strong numbers on the floor. The last inspection came in February 2026, and the inspection and quality measure ratings both land in the top tier.

A

87/100

Friendship Village Retirement

Waterloo, IA · Black Hawk County

CMS 5/5 72 beds Non-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
28%
Serious cites
0

Friendship Village Retirement runs on a nonprofit model with 72 certified beds in Waterloo, and the staffing numbers are the clearest strength here: 4.78 nurse hours per resident day, roughly a quarter above the national average, with weekend coverage dipping only about 8% from weekday levels. Turnover sits at 28.3%, well under the national 45.8%, which matters for continuity of care. The tradeoffs show up elsewhere. Inspections in November 2025 turned up eight deficiencies, including one at the harm level and one tied to abuse, and the quality measure rating comes in at 2 out of 5, a gap worth asking about directly, since staffing strength doesn't automatically translate into clinical outcomes.

A

87/100

Crown Pointe Estates Care Center

Sioux Center, IA · Sioux County

CMS 4/5 99 beds Non-profit Medicaid
Nurse hours
4.88 /day
Staff turnover
28%
Serious cites
0

Crown Pointe Estates runs 4.88 nurse hours per resident day, well above the national average of 3.86, and the weekend drop is modest at around 12 percent. Staff turnover sits at 27.8 percent against a national figure of 45.8, meaning workers tend to stick around here longer than at most homes. The tradeoff shows up elsewhere: 18 deficiencies on the current record, though none reached harm or jeopardy level and none involved abuse, with the most recent inspection in June 2025. Quality measure scores land below average even as staffing earns top marks, so the picture is a well-staffed nonprofit that hasn't yet turned that advantage into strong clinical outcomes on paper.

A

87/100

Briarwood Healthcare Center

Iowa City, IA · Johnson County

CMS 5/5 62 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
44%
Serious cites
0

Briarwood Healthcare Center runs 62 certified beds in Iowa City under corporate for-profit ownership, and the numbers hold up better than most. Nurse staffing sits at 3.88 hours per resident day, essentially level with the national average, and turnover at 43.8% actually comes in slightly under the national rate, which matters because stable staff usually means residents see familiar faces. The inspection record is the real story: eight deficiencies on file, none at the harm level, none related to abuse, and a survey completed in December 2025. For a for-profit home that size, that combination of recent, low-severity findings and steady staffing is what separates it from the pack.

A

87/100

Laurens Care Center

Laurens, IA · Pocahontas County

CMS 4/5 38 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
42%
Serious cites
0

Laurens Care Center runs on 4.30 nurse hours per resident day, roughly 11% above the national average, and that staffing depth is the main thing holding its record together. Weekend coverage dips about 10% below its own weekday level, so care thins out somewhat on Saturdays and Sundays. Staff turnover sits at 42.4%, a bit better than the 45.8% national figure. The inspection history is mixed: 15 deficiencies on record, none at the harm or jeopardy level, but two tied to abuse, with the last inspection dated April 2026. Pocahontas County's nonprofit home isn't coasting on reputation, it's earning its marks through consistent nurse coverage, while those abuse-related findings deserve a direct question.

A

87/100

Fellowship Village

Inwood, IA · Lyon County

CMS 4/5 40 beds Non-profit Medicaid
Nurse hours
5.44 /day
Staff turnover
—
Serious cites
0

Fellowship Village sits in Inwood, a small town in Lyon County, and it's run by a nonprofit corporation, which tends to mean any surplus goes back into the building rather than out to shareholders. On paper, the care side looks solid: four stars each on health inspections and quality measures, and just six deficiencies on the current record with none rising to harm or jeopardy and nothing abuse-related. The catch is staffing, where it earns only one star, well below what you'd want for 40 residents. Inspections were recent, in November 2025, so the picture is current. The takeaway: good outcomes so far, but ask directly how many aides are on the floor during evenings and weekends.

A

87/100

Midlands Living Center L L C

Council Bluffs, IA · Pottawattamie County

CMS 4/5 94 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
41%
Serious cites
0

Midlands Living Center runs 3.78 nurse hours per resident day, a bit under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. Turnover sits at 40.8%, which is better than the 45.8% national figure, worth noting since consistent caregivers matter for residents who need familiar faces. The inspection record shows 16 deficiencies, none at the harm level, but one abuse-related citation stands out and deserves a direct question when you tour. The last inspection was January 2026, so the record is recent. Quality measures score well; the staffing and inspection pictures are more mixed.

A

87/100

Pleasantview Home

Kalona, IA · Washington County

CMS 3/5 66 beds Non-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
46%
Serious cites
0

Pleasantview Home runs about 66 certified beds in Kalona under nonprofit ownership, and its nurse staffing sits roughly 10% above the national average at 4.26 hours per resident day. Weekends dip about 10% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover lands at 46%, essentially matching the national figure, which means retention is ordinary rather than a standout strength. The current record shows six deficiencies, none at the harm level and none abuse-related, with the most recent inspection dated April 2026. Quality and staffing each earned four stars from CMS, while health inspections came in at three.

A

87/100

Hiawatha Care Center

Hiawatha, IA · Linn County

CMS 3/5 109 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
35%
Serious cites
0

Hiawatha Care Center runs 109 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, modestly above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover is 34.5%, meaningfully lower than the 45.8% national figure, which suggests a more stable workforce than many homes manage. The current record shows 10 deficiencies, one at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. CMS gives this home 3 stars for health inspections, 4 for quality measures, and 4 for staffing.

A

87/100

Mennonite Friendship Communities Inc

South Hutchinson, KS · Reno County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
36%
Serious cites
0

Mennonite Friendship Communities runs about 3.98 nurse hours per resident day, a little above the national average, though weekend coverage drops roughly 11% below what it manages during the week. Staff turnover sits at 36.4%, well under the national 45.8%, that kind of retention usually shows up in how consistently residents see the same faces. The current record carries 24 deficiencies, none at the harm level and none abuse-related, with a single fine of $14,498. Its last inspection was in January 2025, and the federal stars land at 4 for health inspections, 5 for quality measures, 4 for staffing.

A

87/100

Clinton-Hickman County Nursing Facility

Clinton, KY · Hickman County

CMS 4/5 46 beds Non-profit Medicaid
Nurse hours
5.43 /day
Staff turnover
31%
Serious cites
0

Clinton-Hickman County Nursing Facility runs on unusually heavy staffing for its size, 5.43 nurse hours per resident day against a national average of 3.86. That's roughly 41% more hands-on time than the typical home, and it shows up in a 5-star staffing rating. Weekend coverage dips about 13% below weekdays, so ask how that plays out on Saturdays and Sundays. Turnover sits at 30.6%, well under the 45.8% national figure, which matters for whether residents see the same faces. Five deficiencies on record, none at harm level, none abuse-related, and the last inspection was June 2025. Quality measures score lower at 2 stars, worth asking about specific outcomes.

A

87/100

Ochsner Medical Center Skilled Nursing Facility

Jefferson, LA · Jefferson County

CMS 5/5 30 beds Non-profit
Nurse hours
6.83 /day
Staff turnover
26%
Serious cites
0

Ochsner Medical Center Skilled Nursing Facility runs a 30-bed nonprofit unit in Jefferson, and the numbers split in two directions. Nurse staffing sits at 6.83 hours per resident day, roughly 77% above the national average, and the staff turnover rate of 25.6% is nearly half the national figure, so the people caring for residents tend to stay. That consistency shows up in the inspection record too: a five-star health inspection rating and only six deficiencies, none tied to abuse, though one did rise to the harm level and drew an $8,186 fine. Where it slips is quality measures, which land at two stars. The most recent inspection was in March 2026.

A

87/100

Montcare At Potomac

Potomac, MD · Montgomery County

CMS 5/5 168 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
17%
Serious cites
0

Montcare At Potomac runs on 3.69 nurse hours per resident day, about 4% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels, worth asking about if your family visits mostly on Saturdays. What stands out more is the staff: 16.7% annual turnover against a national 45.8%, which suggests people stay. The inspection record shows 21 deficiencies, none at harm or jeopardy level and one abuse-related, with the most recent inspection dated February 2026. Quality measures score at the top of CMS's scale, and the health inspection rating is strong. The main tradeoff is thin daily staffing hours against a stable workforce.

A

87/100

Brooke Grove Rehab. & Nsg Ctr

Sandy Spring, MD · Montgomery County

CMS 3/5 190 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
30%
Serious cites
0

Brooke Grove runs about 4.45 nursing hours per resident day, roughly 15% above the national average, and its staff turnover of 29.9% is well under the 45.8% national figure, both genuinely good signs for consistency of care. The tradeoff shows up on the health inspection side, where CMS gives it 2 out of 5 stars and the current record carries 41 deficiencies, including 5 tied to abuse. None of those rose to the harm or jeopardy level, and its most recent inspection was April 1, 2025, so the record is current, not stale. Weekend staffing dips about 13% below its own weekday level, which is worth asking about if your family member needs help on Saturdays and Sundays.

A

87/100

Maryland Masonic Homes Ltd

Cockeysville, MD · Baltimore County

CMS 3/5 88 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
32%
Serious cites
0

Nurse staffing at Maryland Masonic Homes sits at 4.06 hours per resident day, roughly 5% above the national average, and staff turnover is 32.3%, noticeably lower than the 45.8% norm elsewhere. Those are real strengths, and the recent inspection in June 2025 means the record is current. But the deficiency history is heavy: 65 total, including one at the harm level and seven tied to abuse. One fine of $16,420 has been levied. Nonprofit ownership and strong weekend coverage soften the picture, yet the gap between the care numbers and the inspection record is what a family should weigh most carefully.

A

87/100

The Lutheran Village At Miller's Grant

Ellicott City, MD · Howard County

CMS 5/5 16 beds Non-profit Medicaid
Nurse hours
5.75 /day
Staff turnover
46%
Serious cites
0

The Lutheran Village at Miller's Grant runs a small house, 16 certified beds, and staffs it far more heavily than most: 5.75 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 9% below its own weekday level, but a 5/5 staffing star and a 5/5 health inspection star, with the most recent inspection in June 2025, suggest consistent survey performance. The catch is turnover: 46.2%, essentially matching the national average, which means even a well-staffed building is replacing roughly half its nursing team each year. Fourteen deficiencies sit on the record, none at harm or jeopardy level, one abuse-related, and quality measures rate a middle 3/5.

A

87/100

Queen Anne Nursing Home, Inc

Hingham, MA · Plymouth County

CMS 5/5 106 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
25%
Serious cites
0

Queen Anne Nursing Home in Hingham runs on steady staffing: 3.99 nurse hours per resident day, a bit above the national average, though weekends dip about 6% below its own weekday levels. The number that stands out is turnover, 25.3% against a national average near 46%, meaning aides and nurses here tend to stay. State inspectors visited in June 2025 and logged 21 deficiencies, none at the level of harm or jeopardy and none related to abuse. Ownership is a for-profit partnership. The trade-off is ordinary and worth naming: a smaller, stable crew with weekend gaps, paired with a clean recent inspection record. Ask about weekend coverage specifically.

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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