ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 1061–1080 of 4,510, best-graded first.

A

86.5/100

Dugan Memorial Home

West Point, MS · Clay County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
5.12 /day
Staff turnover
49%
Serious cites
0

Dugan Memorial Home runs on unusually heavy staffing for a 60-bed for-profit home, 5.12 nurse hours per resident day, roughly a third more than the national average, and CMS gives it top marks on that measure. Weekends thin out by about a fifth, and turnover sits near 49%, a touch above the national figure, so the coverage isn't perfectly steady. The record isn't spotless either: 11 deficiencies, including one at harm level and two tied to abuse, plus a single $8,788 fine. Its last inspection was March 2026, so the picture is current. Strong hands-on care, some real compliance blemishes worth asking about directly.

A

86.5/100

Cox Medical Centers Meyer Orthopedic And Surgical

Springfield, MO · Greene County

CMS 4/5 28 beds Non-profit
Nurse hours
10.00 /day
Staff turnover
55%
Serious cites
0

Cox Medical Centers Meyer Orthopedic and Surgical runs 28 certified beds in Springfield, and the staffing numbers here are unusual: 10.00 nurse hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage actually edges out weekdays, so care doesn't thin out when families tend to visit. The tradeoff is retention, 54.5% annual turnover, well above the 45.8% national figure, meaning the people delivering those hours keep changing. Inspections look strong on paper: a 5/5 health inspection rating, four deficiencies total, none causing harm or involving abuse, and a survey as recent as May 2024. Nonprofit ownership with that staffing cushion is a real advantage; just ask how they hold onto nurses.

A

86.5/100

Bishop Spencer Place, Inc, The

Kansas City, MO · Jackson County

CMS 3/5 57 beds Non-profit Medicaid
Nurse hours
5.46 /day
Staff turnover
41%
Serious cites
0

Bishop Spencer Place runs a nonprofit shop with 57 beds, and the staffing numbers stand out: 5.46 nurse hours per resident day, roughly 41% above the national average. Turnover sits at 40.6%, better than the 45.8% norm, though weekend coverage dips about 19% below weekday levels. The tradeoff shows up in its record, 25 deficiencies, including one at the harm level and one tied to abuse, plus an $8,021 fine. Last inspection was January 2026, so the picture is current. Strong hands on deck, but a survey history that needs watching.

A

86.5/100

Rock County Hospital Long Term Care

Bassett, NE · Rock County

CMS 4/5 30 beds Government Medicaid
Nurse hours
6.14 /day
Staff turnover
—
Serious cites
0

Rock County Hospital Long Term Care runs a genuinely strong staffing operation, 6.14 nurse hours per resident day against a national average of 3.86, roughly 59% more hands-on time. Weekends dip about 13% below its own weekday level, which is worth asking about, but the baseline is high enough that even the lower weekend figure beats most homes. The tradeoff shows up in the inspection record: 12 deficiencies on file, including one at the harm or jeopardy level and one abuse-related, with the last survey in September 2025. County ownership tends to mean stable funding and no profit motive, but it doesn't erase those findings. The care hours are real; the inspection history is the part to press on.

A

86.5/100

Nevada State Veterans Home - Boulder City

Boulder City, NV · Clark County

CMS 5/5 180 beds Government Medicaid
Nurse hours
3.99 /day
Staff turnover
—
Serious cites
0

Nevada State Veterans Home in Boulder City runs 180 certified beds and is state-owned, which usually means more public accountability than a for-profit chain. Its 3.99 nurse staffing hours per resident day sit just above the national average of 3.86, but weekends drop about 10% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. The inspection history is the real story: 24 deficiencies on record, including one at the harm level and two tied to abuse, plus a $10,358 fine. Quality measures score well, and the last inspection was recent, so the record is current rather than stale.

A

86.5/100

Trinitas Hospital

Elizabeth, NJ · Union County

CMS 3/5 124 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
44%
Serious cites
0

Trinitas Hospital runs 124 certified beds in Elizabeth under nonprofit ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. The catch is weekends, when coverage drops about 17% below its own weekday level, so the hours aren't spread evenly across the week. Staff turnover of 43.8% is slightly better than the 45.8% national figure, which matters for whether you see the same faces. Ten deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in January 2025. Quality and staffing each earned 4 of 5 stars from CMS; health inspections came in at 3.

A

86.5/100

Bayonne University Hospital

Bayonne, NJ · Hudson County

CMS 5/5 17 beds For-profit
Nurse hours
7.89 /day
Staff turnover
—
Serious cites
0

Bayonne University Hospital runs a small 17-bed unit, and the staffing number is the first thing worth noticing: 7.89 nurse hours per resident day, roughly double the national average of 3.86. Weekend coverage dips only about 4% below weekdays, which is a modest drop for a place this size. Its inspection record shows three deficiencies, none at the harm level and none related to abuse, with the most recent survey done in September 2025. Quality measures score a middle 3 out of 5 even as staffing and inspections both come in at the top. The for-profit limited liability ownership is worth knowing, but nothing in the numbers suggests problems.

A

86.5/100

Valley Senior Living On Columbia

Grand Forks, ND · Grand Forks County

CMS 4/5 196 beds Non-profit Medicaid
Nurse hours
5.32 /day
Staff turnover
33%
Serious cites
0

Valley Senior Living On Columbia runs 5.32 nurse hours per resident day, well above the national average of 3.86, and its staffing star rating reflects that. Weekend coverage drops roughly 20% below weekday levels, which is common but still worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 32.6%, noticeably lower than the 45.8% national figure, so the people caring for residents tend to stick around. The tradeoff shows up in inspections: 13 deficiencies on record, two at the harm level and one abuse-related, with $20,112 in fines. The most recent inspection was June 2025, so the picture is current. Strong staffing, middling regulatory history.

A

86.5/100

Parkside Lutheran Home

Lisbon, ND · Ransom County

CMS 1/5 40 beds Non-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
—
Serious cites
0

Parkside Lutheran runs 4.44 nursing hours per resident day, roughly 15% above the national average, but weekends dip about 14% below its own weekday staffing. That gap matters more than the headline number, because CMS scored staffing 1 out of 5 even as quality measures came in at 4 out of 5, a split that usually means the care model looks good on paper but coverage thins out. The inspection record shows 22 deficiencies, none at harm or jeopardy level, though three are abuse-related. This nonprofit has been inspected recently, in December 2025, so the picture is current. Families should ask how weekend shifts are actually covered.

A

86.5/100

Simpson House Inc

Philadelphia, PA · Philadelphia County

CMS 5/5 142 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
—
Serious cites
0

Simpson House, a nonprofit home in Philadelphia, runs 4.09 nurse hours per resident day, roughly 6% above the national average of 3.86, though weekend coverage dips about 5% below what it manages on weekdays. Its five deficiencies on record include none at the harm level and none related to abuse, and its last inspection was in April 2026, so the picture is current. The staffing star comes in at 3 of 5 even with the above-average hours, which suggests the mix or consistency of coverage holds it back more than the raw number does.

A

86.5/100

Rehabilitation Center At Jefferson Hills, The

Jefferson Hills, PA · Allegheny County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
4.50 /day
Staff turnover
—
Serious cites
0

The Rehabilitation Center at Jefferson Hills runs 4.50 nurse hours per resident day, about 17% above the national average of 3.86, and that staffing shows up in its four-star rating there. Weekend coverage slips roughly 10% below weekday levels, so ask how that plays out on a Sunday. The concern sits on the inspection side: 30 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a two-star health inspection rating, though there are no abuse-related findings and a single fine of $8,281. Quality measures rate four stars, and the last inspection was February 2026.

A

86.5/100

John Edward Harter Nursing Center

Fairfax, SC · Allendale County

CMS 4/5 44 beds Government Medicaid
Nurse hours
5.32 /day
Staff turnover
—
Serious cites
0

John Edward Harter Nursing Center is a 44-bed county-owned home in Fairfax, and its staffing is the story here: 5.32 nurse hours per resident day, roughly 38% above the national average of 3.86. That matters more than most numbers on a page, because direct care time is what families actually feel. Weekend staffing dips about 7% below its own weekday level, so ask how that plays out on a Sunday. The inspection record is light, two deficiencies total, none at the harm level, no abuse citations, with a recent survey in June 2026. County ownership under a city or county government isn't common, and it tends to mean less pressure to chase profit. Two straight 4/5 marks on inspections and quality measures back that up.

A

86.5/100

Dow Rummel Village

Sioux Falls, SD · Minnehaha County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
32%
Serious cites
0

Dow Rummel Village runs a nonprofit home with 50 certified beds, and its staffing is the standout: 5.10 nurse hours per resident day, about a third more than the national average, with turnover at 31.5% against 45.8% nationally. Weekends dip roughly 17% below weekday coverage, which is common but worth asking about. The inspection record is where it gets harder, a 2-out-of-5 health inspection rating, nine deficiencies with three at harm or jeopardy level, and four fines totaling $90,053, most recently inspected January 8, 2026. Good staffing and strong quality measures don't erase a rough survey history, so ask what changed since that inspection.

A

86.5/100

Good Shepherd Services Ltd

Seymour, WI · Outagamie County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
53%
Serious cites
0

Good Shepherd Services runs a tight ship on direct care: 4.48 nurse hours per resident day, roughly 16% above the national average, with 4 out of 5 stars for staffing. The tradeoffs show up elsewhere. Turnover hits 52.9% against a national 45.8%, and weekend coverage dips about 17% below weekday levels, so the hands on deck can shift depending on the day. Inspections returned 14 deficiencies, none at harm level but five tied to abuse, and the last survey was recent enough to reflect current conditions. For a 50-bed nonprofit, the floor care is the strength; the questions are stability and consistency.

A

86.5/100

Vacaville Convalescent And Rehabilitation Center

Vacaville, CA · Solano County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
5.68 /day
Staff turnover
—
Serious cites
0

Vacaville Convalescent runs its nurse staffing at 5.68 hours per resident day, roughly 47% above the national average of 3.86, the kind of margin that matters most during evenings and weekends. That said, weekend coverage dips about 13% below its own weekday level, so the staffing cushion thins out on Saturdays and Sundays. The home sits on 22 deficiencies, with none rising to harm or jeopardy but five flagged as abuse-related, which a family should ask about directly. It carries one fine totaling $7,976, and its last inspection was in early March 2026, so the record is current.

A

86/100

Archie Hendricks Senior Skilled Nursing Facility

Sells, AZ · Pima County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
6.08 /day
Staff turnover
61%
Serious cites
0

Archie Hendricks runs on a nonprofit model with 60 certified beds, and the staffing is the standout: 6.08 nurse hours per resident day, roughly 57% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Turnover sits at 61.3%, well above the 45.8% national figure, which matters because consistent caregivers know residents. Inspections in July 2025 turned up 28 deficiencies, none at harm or jeopardy level, though one was abuse-related. Quality and staffing each earned 4 of 5 stars from CMS, inspections 3.

A

86/100

Mitchell's Nursing Home, Inc.

Danville, AR · Yell County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
44%
Serious cites
0

Mitchell's Nursing Home runs about 4.35 nurse hours per resident day, roughly 13% above the national average, though weekend coverage drops about 13% below its own weekday pace, worth asking about if your family visits on Saturdays or Sundays. The 12 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was in September 2025. Staff turnover sits at 44.4%, essentially matching the national rate rather than beating it, which means retention here is ordinary, not exceptional. For-profit corporate ownership is worth noting when you tour.

A

86/100

Redwood Grove Post Acute

Santa Cruz, CA · Santa Cruz County

CMS 2/5 144 beds For-profit Medicaid
Nurse hours
4.70 /day
Staff turnover
56%
Serious cites
0

Redwood Grove Post Acute runs 144 certified beds in Santa Cruz under a for-profit LLC, and its nurse staffing of 4.70 hours per resident day sits roughly 22% above the national average of 3.86, the kind of margin that usually shows up in daily care. Weekend coverage dips about 7% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The concerns are on the record: 39 deficiencies, including one at the harm level and two tied to abuse, with the last inspection in February 2025. Annual turnover hits 56% against a national 45.8%, meaning more than half the staff leaves each year. Strong hours, unsettled history.

A

86/100

Desert Canyon Post Acute, Llc

Lancaster, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
25%
Serious cites
0

Desert Canyon Post Acute runs 4.09 nurse hours per resident day, about six percent above the national average, and its staff turnover of 25.3% is well below the 45.8% national figure, that kind of retention usually means people stay, which matters for residents who need consistent caregivers. Weekend staffing dips roughly ten percent below weekday levels, so coverage thins out when families tend to visit. The inspection record is where it gets harder to ignore: 111 deficiencies on file, including two at the harm level and nine tied to abuse, with a one-out-of-five inspection rating and a survey as recent as February 2026. Good staffing numbers don't cancel out that paper trail.

A

86/100

Manning Gardens Care Center, Inc

Fresno, CA · Fresno County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
27%
Serious cites
0

Manning Gardens runs on a relatively lean corporate ownership structure, but the numbers that matter most here are the people on the floor. Nurse staffing sits at 4.61 hours per resident day, about 19% above the national average, and the staff retention is unusually steady, 26.7% turnover against a national 45.8% means caregivers tend to stay. Weekend coverage dips roughly 11% below weekday levels, which is worth asking about if your family visits or needs help on Saturdays and Sundays. The inspection record is the tradeoff: 40 deficiencies on file, two of them serious enough to reach harm or jeopardy level, though none involve abuse. A single $12,000 fine and an inspection as recent as December 2025 suggest the state is watching closely.

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.

Before you shortlist