4,510 Independent Nursing Homes in the United States

Nurse hours

4.69 /day

Staff turnover

37%

Serious cites

0

Greene County Health And Rehabilitation runs on county money and 60 certified beds, and its staffing is the standout: 4.69 nurse hours per resident day, roughly a fifth above the national average, which is why CMS hands it a five-star staffing rating. Retention is steadier than most, too, 36.5% turnover against a national 45.8%, though weekend coverage still dips about 14% below weekdays. The caution sits on the inspection side: nine deficiencies on the current record, two serious enough to reach harm or jeopardy, one tied to abuse, and a $8,788 fine. That last inspection closed in January 2026, so the picture is current. Good hands on deck; the safety record is the open question.

Nurse hours

4.08 /day

Staff turnover

38%

Serious cites

0

Shirkey runs on county money, which usually means steadier budgets than the for-profit chains, and the staffing numbers bear that out, 4.08 nurse hours per resident day, about 6% above the national average. Turnover sits at 37.6%, well under the 45.8% national figure, so the people caring for your relative are more likely to still be there next year. The catch is on record: 47 deficiencies, one at the level that signals actual harm or jeopardy, and two tied to abuse. Inspectors were last in on May 8, 2025. Weekend coverage drops roughly 10% from weekday levels, so ask specifically who is on the floor on Saturdays.

Nurse hours

3.76 /day

Staff turnover

55%

Serious cites

0

Baptist Homes of Adrian runs 38 certified beds as a nonprofit, and its inspection history looks solid: seven deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, and a survey completed in November 2025. The staffing picture is where you'll want to pay attention. At 3.76 nurse hours per resident day, it sits just under the national average of 3.86, and weekends dip about 1% below its own weekday levels. Annual turnover of 54.5% runs well above the 45.8% national figure, which matters in a small building where residents see the same faces day to day.

Nurse hours

3.99 /day

Staff turnover

45%

Serious cites

0

Pioneer Manor runs on city government ownership in a small Sheridan County town, and the numbers mostly hold up. Nurse staffing sits at 3.99 hours per resident day, a touch above the national average, and the weekend-to-weekday gap of roughly 15% is worth asking about directly, that's when families tend to notice less coverage. Staff turnover at 44.8% lands right around the national figure, so this isn't a home bleeding workers faster than everyone else. Nine deficiencies on record, one serious enough to involve harm, none tied to abuse, with an inspection completed at the end of 2025. That single harm-level finding is the one item I'd want explained before deciding.

Nurse hours

4.26 /day

Staff turnover

30%

Serious cites

0

Meadowview is county-owned, and that shows in the staffing: 4.26 nurse hours per resident day, about 10% above the national average, with turnover at 30.2% against a national 45.8%. Those are real strengths, and they're why the staffing rating sits at 4 out of 5. The inspection record is where it gets harder. Thirty-two deficiencies on the current record, three of them at harm or jeopardy level and three abuse-related, plus two fines totaling $63,769. The health inspection rating is 2 out of 5, and the most recent survey was March 2025. So you have a home that's well-staffed and stable on paper, with a recent inspection history that raises questions worth asking about directly.

Nurse hours

4.96 /day

Staff turnover

16%

Serious cites

0

The numbers at Actors Fund Home tell a fairly consistent story about staffing. At 4.96 nurse hours per resident day, it runs about 28 percent above the national average of 3.86, and its turnover rate of 15.8 percent is roughly a third of the national figure, people tend to stay here. Weekend coverage dips about 9 percent below weekday levels, worth asking about if your visits fall on Saturdays or Sundays. The health inspection side is solid: 15 deficiencies on record, none at the harm or jeopardy level and none abuse-related, with the last inspection in July 2025. The one number that doesn't fit is the quality measure star rating of 1 out of 5, which sits awkwardly beside the strong staffing and inspection marks.

Nurse hours

4.24 /day

Staff turnover

46%

Serious cites

0

Valley View runs 31 beds in Newton under for-profit limited liability ownership, and its nurse staffing comes in at 4.24 hours per resident day, roughly 10% above the national average, with weekend coverage holding nearly level with weekdays. Turnover sits at 46.2%, essentially the national rate. The catch is on inspections: a 1-out-of-5 health inspection rating, with 28 deficiencies on the current record, though none reached harm or jeopardy level and none were abuse-related. The most recent inspection was April 2025. Quality measures score 4 out of 5, which helps offset the inspection picture, but the staffing star rating still lands at 1 despite the above-average hours. Families should ask how those deficiencies were resolved.

Nurse hours

3.91 /day

Staff turnover

38%

Serious cites

0

Peace Care St Ann's runs a tight ship on staffing: 3.91 nurse hours per resident day, a hair above the national average, with weekend coverage dipping about 6% below weekdays. Turnover sits at 37.8%, meaningfully lower than the 45.8% national figure, which suggests less churn than many homes. The tradeoff shows up in inspections. Twenty-seven deficiencies on the current record, including one abuse-related citation, with no harm-level findings; the health inspection rating lands at 2 out of 5, and the last survey was in March 2026. Quality measures score 4 out of 5. A nonprofit with steady hands on staff but a longer paper trail than you'd like.

Nurse hours

4.22 /day

Staff turnover

30%

Serious cites

0

New Vista runs a 340-bed for-profit home in Newark, and the numbers split in an unusual way. Nurse staffing sits at 4.22 hours per resident day, about 9% above the national average, and weekend coverage only dips roughly 7% below weekdays, better continuity than many places manage. Staff turnover is 30%, well under the national 45.8%, which matters for residents who need consistent caregivers. Then there's the inspection record: 49 deficiencies, six tied to abuse, and 17 fines totaling $97,376, with a 2-out-of-5 health inspection rating. No deficiency reached harm or jeopardy level, and the most recent inspection was July 2025. Strong staffing and quality scores don't erase a long citation history, ask pointed questions about the abuse-related findings before deciding.

Nurse hours

4.23 /day

Staff turnover

39%

Serious cites

0

The Church Home in Rochester runs on more nursing hours than most places, 4.23 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 38.8% versus 45.8% nationally. Both matter, because consistent caregivers know the residents. Weekend coverage does dip about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. Inspectors cited 12 deficiencies on the current record, none at the harm level, but three tied to abuse, which is worth asking about directly. The last inspection was in January 2024, so the record is reasonably current. As a nonprofit, it answers to a board rather than shareholders.

Nurse hours

4.27 /day

Staff turnover

51%

Serious cites

0

McAuley Residence is a nonprofit home in Kenmore with 160 certified beds, and the numbers that matter most here are strong. Nurse staffing runs 4.27 hours per resident day, about 11% above the national average, and its most recent inspection, in January 2025, came back clean enough to earn top marks on health inspections and quality measures alike. Two things are worth watching. Turnover sits at 50.5%, above the national 45.8%, and weekends run roughly 8% thinner than weekdays, so care can shift depending on when you visit. The eight deficiencies on record include three tied to abuse, though none rose to harm or jeopardy.

Nurse hours

5.06 /day

Staff turnover

48%

Serious cites

0

King Street Home runs a lean, well-staffed operation on paper: 5.06 nurse hours per resident day, roughly a third more than the national average, and weekend coverage barely dips from weekday levels. Turnover sits at 48%, a bit above the national figure, which matters for how consistently residents see the same caregivers. The health inspection record is the weak spot, 30 deficiencies, one tied to abuse, though none rose to harm or jeopardy level, and the most recent survey was in January 2024. Quality measures and staffing both score well; state inspectors have been less impressed. For-profit corporate ownership. Ask about that abuse citation and how the 48% turnover plays out on the floor.

Nurse hours

4.13 /day

Staff turnover

38%

Serious cites

0

Kingsway Arms runs about 4.13 nurse hours per resident per day, roughly 7% above the national average, but weekends dip about 14% below its own weekday coverage, so the care your family member gets on a Saturday may look thinner than what the weekday numbers suggest. Turnover sits at 37.6%, meaningfully better than the 45.8% national rate, which matters for whether aides actually know the residents. On its current record there are 7 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in August 2024. It's a for-profit, individually owned home, and the three CMS star ratings all land at 4 out of 5.

Nurse hours

4.34 /day

Staff turnover

45%

Serious cites

0

The Friendly Home runs 4.34 nurse staffing hours per resident day, about 12 percent above the national average, and weekend coverage dips roughly 14 percent below its own weekday levels. Staff turnover sits right at the national figure, 45.4 percent against 45.8. On its current record are 18 deficiencies, none flagged at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Its last inspection came in December 2025, so the picture is recent. Quality measure scores are strong; health inspection scores are middling. This is a nonprofit with 200 beds that invests in staffing and generally delivers, but the abuse citations and weekend drop-off are the two things I'd want answered before deciding.

Nurse hours

3.86 /day

Staff turnover

26%

Serious cites

0

St. Josephs Place runs 46 beds in Port Jervis, and its staffing numbers are the story here. Total nurse coverage sits at 3.86 hours per resident day, almost exactly at the national average, though weekends dip about 13% below what the home staffs during the week. Turnover is where it separates itself: 25.8% against a national average of 45.8%, which suggests people stay. The inspection record shows 7 deficiencies with none at the harm level and none abuse-related, and the last survey was in February 2024. As a nonprofit with 46 beds, it's small enough that consistency matters more than scale.

Nurse hours

4.18 /day

Staff turnover

38%

Serious cites

0

St. Ann's Community runs a tight ship on staffing. At 4.18 nurse hours per resident day, it sits about 8% above the national average, and weekend coverage dips only modestly below weekdays. Turnover lands at 37.5%, well under the 45.8% national figure, which matters because stable staff tend to know residents' routines. The home's 11 deficiencies include two abuse-related citations, though none rose to harm or jeopardy level, and its last inspection was recent. As a nonprofit, it isn't answering to shareholders. The numbers point to steady care rather than crisis management, worth weighing against those two abuse citations when you visit.

Nurse hours

4.42 /day

Staff turnover

50%

Serious cites

0

Brookridge is a nonprofit home in Winston-Salem with a recent inspection on the books and a clean record on serious problems, five deficiencies total, none of them causing harm or involving abuse. The quality measures look strong too, which suggests residents' conditions are being tracked well. Where it falls short is staffing: the federal staffing rating sits at the bottom of the scale, and annual turnover runs about 50 percent, a bit above the national average. Inspection and quality scores can both look good even when the people doing the daily work are stretched thin or constantly changing. That's the number to ask about when you visit.

Nurse hours

5.05 /day

Staff turnover

53%

Serious cites

0

Mount Saint Joseph Rehab Center runs on 5.05 nurse hours per resident day, about 31% above the national average of 3.86, and that staffing shows up in a 4/5 staffing star rating. Weekends dip roughly 9% below its own weekday coverage, so care can look a little different on a Saturday. Turnover sits at 52.5%, higher than the 45.8% national figure, which matters because new faces mean less continuity for a 90-bed home. The inspection record includes 13 deficiencies, one at the harm level and one abuse-related, though the last survey was recent, April 2025, and the health inspection rating is 4/5.

Nurse hours

3.71 /day

Staff turnover

33%

Serious cites

0

Main Street Terrace runs 50 beds in Lancaster, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 8% below the home's own weekday coverage, so the hours aren't spread evenly across the week. Turnover is the bright spot at 33.3% against a national 45.8%, meaning fewer caregivers cycling out the door than most homes. The current inspection record shows 30 deficiencies, including one at the harm or jeopardy level and one tied to abuse. The last inspection was December 31, 2025.

Nurse hours

4.99 /day

Staff turnover

51%

Serious cites

0

Mt Healthy Christian Home runs on unusually heavy staffing for a 75-bed nonprofit, just under 5 nurse hours per resident per day, roughly 29% above the national average, and weekend coverage barely dips below weekdays. That's the kind of consistency that matters when a resident needs help on a Sunday night. Inspections back it up: a perfect health inspection record and no abuse deficiencies, with the most recent visit in October 2024. Two things keep this from being a clean sweep. Staff turnover sits at 51.4%, above the 45.8% national average, which can wear on continuity of care. And of seven deficiencies on record, one rose to the harm level. Worth asking the administrator how they're addressing both.