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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 81 to 100 of 4,510, best-graded first.

A

97/100

Southwind At Spearville

Spearville, KS · Ford County

CMS 4/528 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
10%
Serious cites
0

Southwind At Spearville runs on an unusually steady crew for a nursing home its size. Nurse staffing sits near 4.78 hours per resident day, roughly a quarter above the national average, and weekend coverage barely dips below weekday levels, a gap that typically signals a home isn't scrambling to fill shifts. Annual turnover of 10% is strikingly low next to the national 45.8%, which matters more than any single inspection score, since aides who stay tend to know residents' routines. The tradeoff: 13 deficiencies on the current record, including one abuse-related finding, though none rose to harm or jeopardy. State inspectors last visited in January 2026, so the picture is current.

A

97/100

Dooley Center

Atchison, KS · Atchison County

CMS 5/544 bedsNon-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
33%
Serious cites
0

Dooley Center runs 44 certified beds in Atchison under nonprofit ownership, and its nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday levels, which is common but still worth knowing if you're planning visits or worrying about Saturday care. Annual turnover is 33.3%, well under the national 45.8%, so the people caring for residents tend to stick around. Ten deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was in October 2025.

A

97/100

Baptist Health Hardin

Elizabethtown, KY · Hardin County

CMS 5/515 bedsNon-profit
Nurse hours
8.02 /day
Staff turnover
42%
Serious cites
0

Baptist Health Hardin runs just 15 certified beds, which is tiny for a nursing home, and the staffing reflects that kind of focus: 8.02 nurse hours per resident day, more than double the national average of 3.86. Weekend coverage dips only about 4% below weekdays, so care doesn't thin out much on Saturdays and Sundays. The inspection record carries 6 deficiencies with none at the harm level, though 2 are abuse-related, which is worth asking about directly. Staff turnover at 42.3% sits slightly below the national 45.8%. A nonprofit corporation operates it, and its most recent inspection was in December 2025.

A

97/100

Western Md Hospital Center

Hagerstown, MD · Washington County

CMS 5/563 bedsGovernmentMedicaid
Nurse hours
7.40 /day
Staff turnover
19%
Serious cites
0

Western Md Hospital Center runs on state government money and a nurse staffing level of 7.40 hours per resident day, roughly double the national average of 3.86. That staffing holds up on weekends better than most places, dipping only about 9% below its own weekday level, and annual turnover of 19.4% is less than half the national rate of 45.8%. What pulls it back to a middling grade is the inspection record: 37 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $24,060. A December 2025 inspection means the picture is current; the quality and staffing stars are top marks, but the compliance history is what a family needs to weigh.

A

97/100

Paul Oliver Memorial Hospital Ltcu

Frankfort, MI · Benzie County

CMS 5/535 bedsNon-profitMedicaid
Nurse hours
5.86 /day
Staff turnover
23%
Serious cites
0

Paul Oliver Memorial Hospital Ltcu runs 35 certified beds in Frankfort under corporate for-profit ownership, and the staffing numbers stand out: 5.86 nurse hours per resident day, roughly half again the national average of 3.86. Turnover sits at 22.5%, well under the 45.8% national figure, though weekend coverage dips about 9% below its own weekday level. Federal ratings put inspections at 4 of 5 stars and both quality measures and staffing at 5 of 5. The current record shows 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection dated March 20, 2025.

A

97/100

Community Medical Center Tcu

Toms River, NJ · Ocean County

CMS 5/525 bedsNon-profit
Nurse hours
6.93 /day
Staff turnover
9%
Serious cites
0

Community Medical Center Tcu runs 25 certified beds in Toms River under nonprofit ownership, and the staffing numbers stand out: 6.93 nurse hours per resident day, roughly 79% above the national average, with weekend coverage holding within about 1% of weekdays. That steadiness matters, because weekend gaps are where a lot of homes quietly slip. Turnover sits at 9.1% against a national average of 45.8%, so the people caring for residents largely stay put. Five deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was July 2, 2025. Five stars for health inspections and staffing, four for quality measures. Small homes can be uneven. This one's numbers aren't.

A

97/100

Mohun Health Care Center

Columbus, OH · Franklin County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
5.48 /day
Staff turnover
21%
Serious cites
0

Mohun Health Care Center runs on unusually deep nurse coverage: 5.48 hours per resident day against a national average of 3.86, and weekends dip only about 8% below its own weekday level, so care doesn't thin out much when families visit. Staff turnover sits at 21.4% versus 45.8% nationally, meaning aides and nurses here tend to stay. Its 12 deficiencies include none at the harm level and none abuse-related, and the most recent inspection was in March 2026. As a nonprofit with 72 beds, it isn't chasing volume, the numbers point to a home that invests in the people doing the daily work.

A

97/100

Valley View Haven, Inc

Belleville, PA · Mifflin County

CMS 5/5155 bedsNon-profitMedicaid
Nurse hours
4.83 /day
Staff turnover
21%
Serious cites
0

Valley View Haven runs on unusually steady staffing for a nursing home: about 4.83 nurse hours per resident day, roughly a quarter more than the national average, and its 20.8% turnover is less than half the typical 45.8%. Weekend coverage dips about 12% below weekday levels, worth asking about if your family visits then. The 20 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy, and the most recent inspection was March 2026. As a nonprofit with 155 beds, it doesn't answer to shareholders, which tends to show up in numbers like these.

A

97/100

Glen At Willow Valley

Lancaster, PA · Lancaster County

CMS 5/5262 bedsNon-profit
Nurse hours
4.45 /day
Staff turnover
29%
Serious cites
0

Glen At Willow Valley runs 262 certified beds as a nonprofit, and the staffing numbers are the story here: 4.45 nurse hours per resident day, roughly 15% above the national average. Just as telling, annual turnover sits at 28.9% against a national average of 45.8%, that stability matters more than any single inspection result, because consistent staff know the residents. Weekend coverage dips about 8% below its own weekday level, so ask how that plays out on a Sunday afternoon. The current record shows one deficiency, none at harm level and none abuse-related, with an inspection dated December 2025. Medicare's own ratings land at five stars across health inspections, quality measures, and staffing.

A

97/100

Oakview Terrace

Freeman, SD · Hutchinson County

CMS 5/545 bedsNon-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
23%
Serious cites
0

Oakview Terrace runs on 4.44 nurse hours per resident per day, roughly 15% above the national average, and its staff turnover sits at 23.4%, about half the national rate of 45.8%. That kind of retention matters more than any single inspection score, because consistent caregivers notice changes in residents sooner. The trade-off shows up in the inspection history: 11 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, plus a $10,839 fine. Weekend staffing also dips about 9% below its own weekday level, so coverage isn't perfectly even across the week. The most recent state visit was June 26, 2025, so the picture is current. Strong staffing and quality numbers, with real inspection problems worth asking about directly.

A

97/100

Baylor Scott & White Continuing Care Hospital Skil

Temple, TX · Bell County

CMS 5/523 bedsNon-profit
Nurse hours
8.51 /day
Staff turnover
34%
Serious cites
0

Nurse staffing here runs about 8.5 hours per resident day, more than double the national average, and it holds up on weekends rather than collapsing the way it does at many homes. Staff turnover sits at 34%, below the 45.8% national figure, and the single deficiency on the current record involves no harm or jeopardy to residents, with nothing abuse-related. The last inspection was in August 2025, so the record is recent. This is a 23-bed nonprofit unit, small enough that staffing ratios matter more than they would in a larger building, and the numbers suggest they're being kept up.

A

97/100

Columbia Health Care Center

Wyocena, WI · Columbia County

CMS 5/575 bedsGovernmentMedicaid
Nurse hours
4.71 /day
Staff turnover
21%
Serious cites
0

Columbia Health Care Center in Wyocena is county-owned, and the numbers back up what that stability tends to buy. Nurses provide about 4.71 hours of care per resident each day, roughly 22 percent more than the national average, and staff turnover sits at 21.3 percent against a national figure near 46 percent, so the people caring for your relative are likely to still be there next year. Weekend coverage dips only slightly below weekday levels, which matters because that's where shortfalls usually hide. One deficiency on the current record, none involving harm or abuse, and an inspection from April 2026.

A

97/100

The Dorothy & Joseph Goldberg Healthcare Center

Encinitas, CA · San Diego County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
5.59 /day
Staff turnover
23%
Serious cites
0

The Dorothy & Joseph Goldberg Healthcare Center runs on 5.59 nurse hours per resident day, roughly 45% above the national figure of 3.86, and it holds that staffing with a 23.3% turnover rate, about half the national average of 45.8%. Weekend coverage dips only about 9% below its own weekday level, which is a modest gap by industry standards. Thirty deficiencies sit on the current record, none at the harm or jeopardy level and none abuse-related; the most recent inspection was July 24, 2025. This is a nonprofit corporation with 58 certified beds in Encinitas, and the numbers point to steady, well-funded care rather than a building skating by on minimums.

A

97/100

Morton Bakar Center

Hayward, CA · Alameda County

CMS 5/597 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
15%
Serious cites
0

Morton Bakar Center in Hayward holds 97 certified beds and is run by a for-profit corporation. Its most striking number is staff retention: turnover sits at 14.9%, well under the 45.8% national average, which matters because consistent caregivers know their residents. Total nurse staffing comes in at 3.73 hours per resident day, just under the national figure of 3.86, and weekends run roughly 14% lighter than weekdays, a dip worth asking about. The inspection record is clean where it counts: four deficiencies total, none at harm or jeopardy level, none abuse-related, with the last inspection in September 2024.

A

97/100

Veterans Home Of California - Barstow

Barstow, CA · San Bernardino County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
5.67 /day
Staff turnover
23%
Serious cites
0

The state-run veterans home in Barstow runs on 5.67 nurse hours per resident per day, roughly half again what the typical American nursing home provides, and its staff tends to stay: turnover sits near 23 percent against a national average close to 46. Weekend coverage does dip about 11 percent below weekday levels, worth asking about. Inspectors have cited 12 deficiencies, none at the level of actual harm or jeopardy, though two involve abuse, which is a category families should ask about directly. The last full inspection was April 23, 2026, so the record is recent, and the home holds top federal marks across health inspections, quality measures, and staffing alike.

A

97/100

Bayou Manor

Houston, TX · Harris County

CMS 5/537 bedsNon-profit
Nurse hours
5.28 /day
Staff turnover
28%
Serious cites
0

Bayou Manor runs about 5.28 nurse hours per resident day, roughly 37% above the national average, and its staff turnover sits at 27.9% against a national rate near 46%. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. The home has seven deficiencies on its current record, none at the harm level and none abuse-related, with three fines totaling $22,725. It's nonprofit-owned, holds five stars across all three CMS categories, and was last inspected in December 2025.

A

96/100

Heritage Place

Soldotna, AK · Kenai Peninsula County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
6.85 /day
Staff turnover
24%
Serious cites
0

Heritage Place sits in Soldotna with 60 certified beds and a corporate for-profit owner, and the staffing numbers are the real story here: 6.85 nurse hours per resident day, roughly 77% above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is worth knowing if your family visits mainly on Saturdays and Sundays. Staff turnover runs 23.6%, well under the national 45.8%, that kind of retention usually means familiar faces. The current record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Quality measures rate 4 out of 5 stars, and the inspection history rates 3.

A

96/100

Villa Coronado D/P Snf

Coronado, CA · San Diego County

CMS 5/5122 bedsNon-profitMedicaid
Nurse hours
7.56 /day
Staff turnover
20%
Serious cites
0

Villa Coronado runs on unusually deep nurse staffing, 7.56 hours per resident day, roughly double the national average of 3.86, and its weekend coverage holds close to weekday levels, dipping only about 6%. Staff turnover sits at 20.1%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The tradeoff shows up in the inspection record: 25 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level. State inspectors were last in on May 2, 2025, so that record is recent. A nonprofit corporation operates the 122-bed home, and all three CMS star ratings, health inspections, quality measures, staffing, come in at 5.

A

96/100

Oakpark Healthcare Center

Tujunga, CA · Los Angeles County

CMS 5/549 bedsFor-profitMedicaid
Nurse hours
4.83 /day
Staff turnover
30%
Serious cites
0

Oakpark Healthcare Center runs about 4.83 nurse hours per resident day, roughly a quarter above the national average, and its staff retention is unusually steady for this industry, turnover near 30% against a national figure closer to 46%. Weekend coverage dips about 9% below weekday levels, which is common but worth knowing if your visits fall on Saturdays. The inspection record is the mixed part: 39 deficiencies on file, including one tied to abuse, though none rose to the level of actual harm or jeopardy, and the most recent inspection came in April 2026. Quality and staffing measures both score at the top of CMS's scale; the health inspection side sits mid-range.

A

96/100

St Joseph's Residence

Enfield, CT · Capitol County

CMS 5/525 bedsNon-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
14%
Serious cites
0

St Joseph's Residence is a 25-bed nonprofit in Enfield, and the numbers behind its record are unusually steady. Nurse staffing runs 5.14 hours per resident day, roughly a third above the national average, with weekend coverage dipping only about 6% below weekdays, a small gap compared to what many homes show. Staff turnover sits at 13.8% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. The home carries three deficiencies on its current record, none at the harm level and none abuse-related, and its last inspection was in March 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five.

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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