4,510 Independent Nursing Homes in the United States

Nurse hours

4.67 /day

Staff turnover

37%

Serious cites

0

Santa Paula Post Acute Center runs 99 certified beds under individual for-profit ownership, and its staffing is the clearest strength: 4.67 nurse hours per resident day, roughly 21% above the national average. Turnover sits at 36.9% against a national 45.8%, though weekend coverage dips about 12% below its own weekday level, so ask how that gap gets filled. The inspection record shows 35 deficiencies, none at the harm level and none abuse-related, with the most recent survey in April 2025. All three CMS ratings, health inspection, quality measures, and staffing, land at 4 out of 5.

Nurse hours

4.77 /day

Staff turnover

43%

Serious cites

0

Mission Park runs on 4.77 nurse hours per resident per day, roughly 23% above the national average, though weekends dip about 11% below its own weekday staffing. Turnover sits at 42.5%, slightly better than the 45.8% national figure. The inspection record shows 14 deficiencies, none at harm or jeopardy level, but two are abuse-related, and the most recent inspection was in December 2024, so the record is current. The 5/5 inspection rating and 4/5 quality measures reflect that clean harm-level record, while the 3/5 staffing rating suggests CMS isn't fully crediting the above-average hours. It's a for-profit LLC with 138 beds.

Nurse hours

4.60 /day

Staff turnover

33%

Serious cites

0

Sequoias San Francisco runs about 4.60 nurse hours per resident day, roughly 19% above the national average, and its staff turnover of 32.7% sits well below the 45.8% national figure. Both matter, because consistent caregivers tend to know residents and catch changes early. Weekend staffing drops about 30% from weekday levels, so coverage isn't even across the week. The current record shows 15 deficiencies, none at the harm level and none abuse-related, with a 3/5 inspection rating and 2/5 on quality measures against 5/5 for staffing. As a nonprofit, it isn't answering to shareholders, which often shows up in exactly this pattern: strong staff numbers, middling clinical quality scores.

Nurse hours

4.19 /day

Staff turnover

39%

Serious cites

0

We Care Skilled Nursing in Fremont runs on 4.19 nurse hours per resident day, about 8% above the national average, and its 38.9% turnover is meaningfully better than the 45.8% typical elsewhere. Weekend staffing dips roughly 7% from weekday levels, so coverage is a little thinner on Saturdays and Sundays. Inspectors wrote up 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last visit in December 2024. The for-profit limited liability company behind it earned a 3 out of 5 on health inspections, while quality measures and staffing both came in at 4. Staffing and turnover look like the strengths here; the inspection record, while free of serious findings, is the softer spot.

Nurse hours

10.93 /day

Staff turnover

28%

Serious cites

0

All Saints runs unusually heavy nurse staffing, nearly 11 hours per resident day, roughly triple the national figure, and its 28% turnover beats the 45.8% national average. Weekend coverage dips about 10% below its own weekday level, but the numbers stay high regardless. The inspection record is where it falls apart. Ninety-six deficiencies are on file, four of them at the harm or jeopardy level and six tied to abuse, with three fines totaling $118,855. The most recent inspection, in January 2026, gave the home a one-star health inspection rating even as its quality and staffing measures scored five. Corporate ownership, 128 beds, and a record showing both strong bedside hours and serious compliance problems, that combination is what the grade reflects.

Nurse hours

5.00 /day

Staff turnover

47%

Serious cites

0

Center At Foresight in Grand Junction runs on unusually deep nurse staffing, 5.00 hours per resident day, roughly 29% above the national average, and its inspection record backs that up: six deficiencies on file, none at the harm or jeopardy level, none tied to abuse. Weekend coverage dips about 14% below its own weekday level, worth asking about if your family visits Saturdays or Sundays, though the home's overall staffing still clears the national bar comfortably. Staff turnover sits at 46.7%, essentially matching the national average of 45.8%, so continuity of caregivers here looks typical rather than exceptional. The last inspection was March 2026, so the record is current.

Nurse hours

3.98 /day

Staff turnover

41%

Serious cites

0

Westview runs a for-profit corporate home with 103 beds, and its staffing is the strongest card it holds: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 41%, lower than the typical 45.8%. Weekends thin out, though, running about 14% below weekday coverage. The health inspection record is the weak spot: 30 deficiencies, including two tied to abuse, and a 2-out-of-5 star rating from CMS on inspections, even though quality measures scored 4 and staffing scored 5. The last inspection was February 3, 2025. None of the deficiencies rose to harm or jeopardy level, which matters, but the count is high. Ask about weekend coverage and the abuse-related findings before deciding.

Nurse hours

4.37 /day

Staff turnover

40%

Serious cites

0

Elim Park Baptist Home runs on a nonprofit model with 90 certified beds, and the staffing picture is the strongest part of the story: 4.37 nurse hours per resident day, roughly 13% above the national average, with a five-out-of-five CMS staffing rating to match. Weekend coverage dips about 6% below weekday levels, which is worth asking about. Turnover sits at 39.8%, better than the 45.8% national figure but still meaning nearly four in ten staff left within a year. The inspection record is where things get more complicated: 19 deficiencies on file, including one at the harm level and one abuse-related citation, plus an $8,018 fine. The last inspection was September 2024.

Nurse hours

4.61 /day

Staff turnover

24%

Serious cites

0

Mozaic Senior Life runs on 294 certified beds as a nonprofit, and the numbers pull in two directions. Nurse staffing sits at 4.61 hours per resident day, about 19% above the national average of 3.86, and turnover is 24.3%, far below the 45.8% norm. Weekend coverage dips roughly 7% under weekday levels, so the floor is thinner on Saturdays and Sundays. What drags the record down is inspection history: 46 deficiencies, including five at harm or jeopardy level and nine tied to abuse, plus five fines totaling $58,260. The most recent inspection was September 29, 2025. Strong staffing and low turnover don't erase that paper trail.

Nurse hours

4.04 /day

Staff turnover

39%

Serious cites

0

Inspire Rehabilitation and Health Center runs 180 certified beds under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.04 nurse hours per resident day, roughly 5% above the national average, with turnover at 39.4% compared to the 45.8% national figure. Weekends thin out, though, dropping about 13% below weekday coverage. The inspection record is where the story shifts, 83 deficiencies on file, including two at the harm or jeopardy level and seven tied to abuse, plus one $11,921 fine. The last inspection was November 2023, so the record is current, not stale. Quality and staffing measures both earn 4 stars, but that deficiency count, particularly the abuse-related findings, is the number worth asking about directly.

Nurse hours

4.44 /day

Staff turnover

25%

Serious cites

0

Coral Gables Nursing and Rehabilitation Center runs on 87 certified beds in Miami, and the staffing numbers stand out: 4.44 nurse hours per resident per day, roughly 15% above the national average. Turnover sits at 24.7%, well under the 45.8% national figure, which matters for continuity of care. Weekend staffing dips about 12% below weekday levels, so ask how that plays out on Sundays. The inspection record is clean, two total deficiencies, none at the harm or jeopardy level, and the most recent survey was December 18, 2025. Quality measures came in at three stars, softer than the staffing and inspection scores. It's a for-profit limited liability company, so worth asking who runs day-to-day operations and how long they've been there.

Nurse hours

4.68 /day

Staff turnover

47%

Serious cites

0

Hidden Lakes runs on 24 beds in Vero Beach, and the staffing numbers are the strongest part of the picture: 4.68 nurse hours per resident day, roughly a fifth more than the national average, though weekends drop about 12% below its own weekday level. Turnover sits at 46.9%, a hair above the national 45.8%, so the clinical team is stable enough for a home this size. What pulls the record down is inspection history, 27 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent survey in February 2026. Quality measures score well; the recurring paperwork and process problems are what families should ask about directly.

Nurse hours

4.71 /day

Staff turnover

54%

Serious cites

0

Nurse staffing here runs 4.71 hours per resident day, about 22 percent above the national average, and weekends dip roughly 11 percent below its own weekday levels, so cover is thinner on Saturdays and Sundays. The inspection record shows 10 deficiencies, two of which involved harm or jeopardy and one tied to abuse, with the most recent state visit in December 2024. Staff turnover sits at 54 percent, above the 45.8 percent national figure, meaning roughly half the caregiver workforce turns over in a year. As a nonprofit, there's no owner profit to feed, but that doesn't erase the harm-level findings or the weekend gap.

Nurse hours

12.42 /day

Staff turnover

58%

Serious cites

0

Lanai Community Hospital runs just 10 certified beds, which makes its staffing figure worth a second look: 12.42 nurse hours per resident day, roughly triple the national average. Small homes often post numbers like that because a fixed crew covers very few residents. Weekend staffing dips about 9% below its own weekday level, so coverage isn't perfectly even. Turnover sits at 58.3%, well above the 45.8% national mark, meaning the people delivering that care change often. Inspections in April 2026 produced 17 deficiencies, none at the harm level, though four were abuse-related, worth asking about directly. The company is a for-profit LLC.

Nurse hours

6.15 /day

Staff turnover

28%

Serious cites

0

Pearl City Post Acute runs 6.15 nurse hours per resident day, roughly 59% above the national average, and its staff turnover of 27.8% sits well under the 45.8% national figure, a combination that suggests people here tend to stay. Weekend staffing dips about 11% below weekday levels, which is common but worth knowing if you're visiting or calling on a Saturday. The current record shows 29 deficiencies, none at the harm or jeopardy level, though three are abuse-related and should be asked about directly. The last inspection was April 2026, so the picture is recent. A for-profit limited liability company operates the 122-bed home.

Nurse hours

4.74 /day

Staff turnover

28%

Serious cites

0

The county-run home in Macomb runs on 4.74 nurse hours per resident day, roughly a quarter more than the national average, and its 28.4% turnover sits well under the 45.8% typical elsewhere, signs of a stable, well-staffed floor. State inspectors visited in March 2025 and rated the home 5 out of 5, though the record carries 14 deficiencies, one serious enough to involve harm. Quality measures are the soft spot at 2 out of 5, and weekend coverage dips about 12% below weekday levels, so ask how that plays out on Saturdays. No abuse citations appear on the current record.

Nurse hours

6.85 /day

Staff turnover

33%

Serious cites

0

Heritage Square runs about 6.85 nurse hours per resident each day, roughly 78 percent more than the national average, and its staff turnover of 32.6 percent sits well under the 45.8 percent typical elsewhere. Weekend coverage dips about 14 percent below its own weekday level, so ask how that plays out on Saturdays. The 11 deficiencies on record include nothing involving harm or abuse, and a September 2025 inspection found no health problems worth flagging. What stands out is the split: staffing and inspection results look strong, while the quality measure side tells a different story. A small nonprofit home with 27 beds, it leans hard on having enough hands on deck.

Nurse hours

4.99 /day

Staff turnover

48%

Serious cites

0

Elwood Health and Living runs on a nonprofit model with 85 beds, and its nurse staffing sits at 4.99 hours per resident per day, roughly 29% above the national average of 3.86. Weekend coverage dips about 7% below its own weekday levels, and annual turnover is 48%, slightly above the 45.8% national figure. The inspection record is where things get uneven: 23 deficiencies on file, none at the harm or jeopardy level, but three tied to abuse. The health inspection rating lands at 2 out of 5, while quality measures hit 5 out of 5 and staffing earns 4. The last inspection was March 12, 2026, so the record is current rather than stale. Strong daily staffing and quality scores coexist with inspection problems worth asking about directly.

Nurse hours

4.40 /day

Staff turnover

43%

Serious cites

0

Bertha D Garten Ketcham Memorial Center runs on 4.40 nurse hours per resident per day, roughly 14% above the national average of 3.86, that's the strongest thing in its numbers. Weekend coverage drops about 13% below its own weekday level, so if you're visiting on a Saturday, expect a thinner floor. Staff turnover is 42.6%, a bit better than the 45.8% national rate. Against that, the current record carries 18 deficiencies, including one at the harm level and one abuse-related, and its last inspection was January 2026. The staffing and quality stars come in at 4 out of 5, inspection at 3.

Nurse hours

3.79 /day

Staff turnover

36%

Serious cites

0

Sheffield Care Center runs 45 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out when families tend to visit. Turnover is 36.1%, better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, 14 deficiencies on record including 2 abuse-related, and three fines totaling $17,644. The most recent inspection was August 2025. Quality and staffing measures both rate 4 out of 5, so the clinical picture looks steadier than the survey history does.