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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 981–1000 of 4,510, best-graded first.

A

87/100

Countryside Health Care Of Milford

Milford, MA · Worcester County

CMS 4/5 109 beds Government Medicaid
Nurse hours
4.40 /day
Staff turnover
31%
Serious cites
0

Countryside Health Care Of Milford is city-owned, and its 4.40 nurse hours per resident day sit about 14% above the national average. Turnover runs 31.4%, well under the 45.8% norm, so the people caring for residents tend to stick around. Weekend staffing dips only about 5% below weekday levels, a smaller drop than many homes show. The inspection record isn't spotless: 16 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection came in February 2026 and the health inspection rating holds at 4 of 5. Quality measures land at 3 of 5, the softer spot in the data.

A

87/100

Munson Healthcare Crawford Continuing Care Center

Grayling, MI · Crawford County

CMS 5/5 39 beds Non-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
21%
Serious cites
0

Munson Healthcare Crawford Continuing Care Center runs on 4.57 nurse hours per resident day, about 18% above the national average, and its staff turnover of 20.7% is less than half the national rate of 45.8%. That kind of stability matters more than any single inspection score, because residents see the same faces instead of a rotating cast. Weekend staffing dips roughly 5% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The home carries 26 deficiencies on its current record, none at the harm level, though two are abuse-related, and it has paid one fine of $27,600. Its last inspection was in March 2026, so the picture is current.

A

87/100

Cokato Manor

Cokato, MN · Wright County

CMS 5/5 56 beds Non-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
44%
Serious cites
0

Cokato Manor runs a tight operation on the care side. Its quality scores sit at the top of CMS's scale, health inspections come in strong, and staffing holds up well, about 3.66 nurse hours per resident each day, just under the national average and with only a modest weekend dip. Eighteen deficiencies appear on the current record, but none rose to actual harm or jeopardy, which matters more than the raw count suggests. The one flag worth asking about is an abuse-related citation, and with a 44.2% turnover rate roughly matching the national figure, the nonprofit's workforce is neither bleeding nor unusually stable.

A

87/100

Gundersen St Elizabeth's Care Center

Wabasha, MN · Wabasha County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
28%
Serious cites
0

Gundersen St Elizabeth's runs on a nonprofit model with 4.19 nurse hours per resident day, roughly 8% above the national average, and its staff turnover sits at 27.6% against a national 45.8%, people tend to stay here. Inspections back that up: the most recent was in June 2026, and of the 8 deficiencies on record, none reached harm or jeopardy level, though one is abuse-related, which is worth asking about directly. Weekend staffing dips about 9% below weekday levels, a common pattern but still a gap. The quality measure score of 2 out of 5 is the one soft spot in an otherwise strong record, so ask what's driving those clinical numbers.

A

87/100

Central Todd County Care Center

Clarissa, MN · Todd County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
33%
Serious cites
0

Central Todd County Care Center runs on unusually deep staffing for a 45-bed nonprofit home, 4.56 nurse hours per resident day, roughly 18% above the national figure, and its staff turnover of 32.8% sits well under the 45.8% national average, which matters for whether your parent sees the same faces each week. The trade-offs show up elsewhere: weekend coverage drops about 13% below weekday levels, and the five deficiencies on record include one at the harm level and one tied to abuse, even though the last inspection was recent. Quality measures score 2 out of 5, so ask specifically how they're addressing those before you decide.

A

87/100

Auburn Manor

Chaska, MN · Carver County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
42%
Serious cites
0

Auburn Manor runs a tight ship on staffing: 3.82 nurse hours per resident day sits just under the national average, and its 41.8% turnover beats the typical 45.8%. But inspections tell a different story, 29 deficiencies on the current record, one serious enough to involve harm or jeopardy, and a two-star health inspection rating despite the five-star staffing score. The last full inspection was April 30, 2026, so the record is recent, not stale. Weekend coverage dips about 9% below weekday levels, which matters if your family visits or needs care on Saturdays and Sundays. This nonprofit's strong direct-care numbers don't cancel out a documented pattern of regulatory problems.

A

87/100

Mn Veterans Home Silver Bay

Silver Bay, MN · Lake County

CMS 4/5 54 beds Government Medicaid
Nurse hours
4.97 /day
Staff turnover
—
Serious cites
0

Minnesota Veterans Home - Silver Bay runs a 54-bed government-owned home where nurse staffing sits at 4.97 hours per resident day, roughly 29% above the national average of 3.86. That's a real margin, though weekend coverage drops about 17% below the home's own weekday level, so care thins out on Saturdays and Sundays. The inspection record shows six deficiencies, including one at the harm or jeopardy level and one tied to abuse. Those carry weight even with strong star ratings and a recent April 2026 inspection, and the federal government is the owner here, not a chain.

A

87/100

Magnolia Senior Care, Llc

Jackson, MS · Hinds County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
41%
Serious cites
0

Magnolia Senior Care runs 60 beds in Jackson under for-profit LLC ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage, though, drops about 15% below what the home staffs on weekdays, so the weekday-to-weekend gap is worth asking about directly. Annual turnover is 41%, a bit better than the 45.8% national figure. The current inspection record shows 12 deficiencies, two of them at the harm or jeopardy level, with two fines totaling $8,542. The most recent inspection was April 16, 2026, and quality measures score well even as health inspection and staffing sit in the middle.

A

87/100

Webster Health Services Nursing Facilty

Eupora, MS · Webster County

CMS 5/5 36 beds Non-profit Medicaid
Nurse hours
4.54 /day
Staff turnover
29%
Serious cites
0

Webster Health Services runs a small ship in Eupora, 36 beds, nonprofit owned, and the staffing numbers are its strongest card. At 4.54 nurse hours per resident day, it sits about 17% above the national average, and weekend coverage dips only modestly from weekdays. Turnover of 28.6% is well under the national 45.8%, which matters in a rural county where replacing nurses is hard. The caution is the inspection record: four deficiencies, one serious enough to reach harm or jeopardy level, plus a $12,335 fine, with the most recent survey in August 2025. Nothing points to abuse. The care hours look solid; the one bad finding is worth asking about directly.

A

87/100

Surrey Place St Lukes Hospital Skilled Nursing

Chesterfield, MO · St. Louis County

CMS 4/5 130 beds Non-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
44%
Serious cites
0

Staffing is the strongest thing going for this nonprofit home in Chesterfield, 4.72 nurse hours per resident day, roughly 22% above the national average, which earned it a top federal staffing rating. Turnover sits at 44.3%, slightly better than the national average of 45.8%, though weekend coverage drops about 11% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Its inspection record shows 13 deficiencies with nothing at the harm level, but one is abuse-related, worth asking about directly. The last full inspection was in August 2024, so the record is reasonably current.

A

87/100

Lincoln Community Care Center

Lincoln, MO · Benton County

CMS 4/5 66 beds Non-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
29%
Serious cites
0

Lincoln Community Care Center runs on 3.81 nurse hours per resident day, just under the national average of 3.86, and weekend coverage drops roughly 14% from its weekday level, a gap worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 29.3%, well below the national 45.8%, so the aides and nurses here tend to stay. The inspection record shows 11 deficiencies, one serious enough to involve harm or jeopardy, and a single fine of $13,667; the most recent inspection was in January 2026.

A

87/100

Rosebud Health Care Center

Forsyth, MT · Rosebud County

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

Rosebud Health Care Center in Forsyth runs on unusually heavy staffing for a 31-bed nonprofit home, 6.26 nurse hours per resident day, roughly 60 percent above the national average, which is the main reason its staffing rating holds at the top of the scale. Turnover sits right at the national mark, so the hours are being delivered by a workforce that's about as stable as the typical American nursing home, though weekend coverage dips about 12 percent below its own weekday level. The inspection record is strong and recent, with zero deficiencies at the harm or jeopardy level, but the eight total deficiencies include one abuse-related citation, which is the kind of finding worth asking about directly.

A

87/100

Madison Valley Manor

Ennis, MT · Madison County

CMS 5/5 32 beds Government Medicaid
Nurse hours
6.58 /day
Staff turnover
61%
Serious cites
0

Madison Valley Manor runs on county money, and the staffing shows it: 6.58 nurse hours per resident day against a national average of 3.86. Weekend coverage dips only about 4% below weekdays, so families visiting on Saturdays shouldn't find a skeleton crew. The trade-off sits in turnover, 61.3% of staff leaving annually, well above the 45.8% national figure, which means new faces at the bedside more often than you'd like. The inspection record is clean where it counts: 14 deficiencies, none at harm or jeopardy level, one abuse-related. A 5/5 health inspection rating and a May 2026 survey round out a home that's well staffed and well reviewed, but not without churn.

A

87/100

Garden County Hospital & Nursing Home

Oshkosh, NE · Garden County

CMS 3/5 24 beds Government Medicaid
Nurse hours
4.18 /day
Staff turnover
44%
Serious cites
0

Garden County Hospital & Nursing Home runs on a county-owned model with 24 certified beds in Oshkosh, and its staffing is the real bright spot: 4.18 nurse hours per resident day, roughly 8% above the national average, with the federal staffing rating at the top of the scale. Turnover sits at 44%, basically in line with the national 45.8%. Weekend coverage dips about 14% below weekday levels, so ask how that plays out on Saturdays. The inspection record is where it gets shakier, 18 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in August 2025. That combination is worth asking the administrator about directly before you decide.

A

87/100

St Joseph Residence

Manchester, NH · Hillsborough County

CMS 4/5 22 beds Non-profit Medicaid
Nurse hours
5.90 /day
Staff turnover
46%
Serious cites
0

St Joseph Residence runs on 5.90 nurse hours per resident day, roughly half again the national average of 3.86, and that staffing shows up as a five-star CMS rating even though the home only has 22 beds. Weekends dip about 14% below its own weekday coverage, so care can thin out on Saturdays and Sundays. The record shows 11 deficiencies, none at the harm level, one tied to abuse, and the last inspection came in December 2025. Turnover sits at 46.3%, essentially the national norm. Church-affiliated and nonprofit, it's small and well-staffed on paper, with a health inspection and quality record that lands in the middle.

A

87/100

Webster At Rye

Rye, NH · Rockingham County

CMS 4/5 61 beds Non-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
46%
Serious cites
0

Webster At Rye runs on more nurse time than most places, 4.58 hours per resident day against a national average of 3.86, roughly 19% more. Weekend coverage dips about 8% below its own weekday pace, so ask how that plays out on a Saturday. Staff turnover sits at 45.5%, almost exactly the national figure, which tells you this isn't a home bleeding caregivers out the door. Its eight deficiencies include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was recent, in August 2025. A nonprofit corporation owns the 61-bed building, which matters for where any surplus goes.

A

87/100

South Jersey Extended Care

Bridgeton, NJ · Cumberland County

CMS 3/5 167 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
53%
Serious cites
0

South Jersey Extended Care runs 167 beds in Bridgeton under limited-liability ownership, and its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 4% below the home's own weekday coverage, and annual turnover hits 53% against a national 45.8%, so the people showing up are increasingly new. The health inspection side is where the record gets heavier: 38 deficiencies, three tied to abuse, though none at harm or jeopardy level, with the last inspection in late November 2025. Quality measures score well; the inspection history is what pulls the overall picture down.

A

87/100

Inglemoor Rehabilitation And Care Center

Livingston, NJ · Essex County

CMS 5/5 138 beds For-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
38%
Serious cites
0

Inglemoor runs on numbers that mostly hold up. Nurse staffing sits at 4.51 hours per resident day, about 17% above the national average, and turnover of 37.9% is meaningfully better than the 45.8% norm, that usually signals a stable floor staff rather than a revolving door. The inspection record is thin: two deficiencies total, none at harm or jeopardy level, none abuse-related, with the last visit in December 2023. The one soft spot is weekends, when staffing drops roughly 9% below its own weekday level. For a 138-bed for-profit LLC, this is a relatively clean file, though the gap between weekday and weekend coverage is worth asking about directly.

A

87/100

Reformed Church Home

Old Bridge, NJ · Middlesex County

CMS 5/5 108 beds Non-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
33%
Serious cites
0

Reformed Church Home runs on a church-affiliated nonprofit model in Old Bridge, and the numbers mostly back up what that setup suggests. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average of 3.86, and weekends drop about 9% below its own weekday coverage, worth asking about if your family visits mainly on Saturdays and Sundays. Where it stands out is consistency: staff turnover of 33.3% is well below the 45.8% national figure, and the inspection record shows six deficiencies with none at the harm level, though two are abuse-related. A December 2024 inspection, five stars on health inspections and quality measures, and four on staffing round out the picture.

A

87/100

The Nm Behavioral Health Institute At Las Vegas

Las Vegas, NM · San Miguel County

CMS 5/5 162 beds Government Medicaid
Nurse hours
4.08 /day
Staff turnover
25%
Serious cites
0

The Nm Behavioral Health Institute At Las Vegas runs on state government ownership and 176 certified beds, and its staffing picture is genuinely strong: 4.08 nurse hours per resident day, roughly 6% above the national average, with weekend coverage dipping only about 6% below its own weekday level. Staff turnover sits at 25.4%, well under the 45.8% national figure, which matters for consistency of care. What pulls it down is the inspection record, 26 deficiencies, one at harm or jeopardy level and two tied to abuse, plus a single $18,353 fine. The most recent inspection was December 12, 2025, so that record is current, not stale.

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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