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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 1141–1160 of 4,510, best-graded first.

A

86/100

Western Reserve Masonic Comm

Medina, OH · Medina County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
51%
Serious cites
0

Western Reserve Masonic Comm runs 4.48 nurse hours per resident day, about 16% above the national average, and weekends dip roughly 10% below its own weekday staffing. Turnover sits at 50.7%, higher than the 45.8% national figure. The current record shows six deficiencies, none at the harm or jeopardy level, though three are abuse-related, and two fines totaling $8,090. The last inspection was May 30, 2025, and CMS gives it five stars on health inspections and quality measures, four on staffing. Staffing depth and inspection results are strong here; the turnover rate and those three abuse-related tags are the things worth asking about directly.

A

86/100

Algart Health Care

Cleveland, OH · Cuyahoga County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
41%
Serious cites
0

Algart Health Care sits on Cleveland's west side with 78 certified beds and a for-profit corporate owner. The numbers that matter most here are clean: five deficiencies on the current record, none of them causing harm or jeopardy, and none related to abuse. That's a record inspectors last reviewed in September 2025, and the 5-star health inspection rating reflects it. Staffing is where the picture gets more mixed. At 3.55 nurse hours per resident day, Algart runs about 8 percent under the national average, and weekends drop roughly 11 percent below its own weekday levels, worth asking about if your family member needs help on Saturdays and Sundays. Turnover, at 41.3 percent, is actually better than the 45.8 percent national figure.

A

86/100

Colonial Park Manor

Okemah, OK · Okfuskee County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
35%
Serious cites
0

Heartway At Colonial Park runs on thinner nursing hours than most homes, 3.65 per resident day against a national average of 3.86, and weekends dip about 5% below its own weekday staffing. That's the tradeoff worth knowing about, though the numbers soften it: staff turnover of 34.8% is well under the national 45.8%, so the aides and nurses who are there tend to stay. The inspection record backs that up. Seven deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent state visit in March 2025. This is a for-profit LLC with 80 certified beds, and its quality measure score sits a notch below its staffing and inspection marks.

A

86/100

Golden Age Nursing Home Of Guthrie, Llc

Guthrie, OK · Logan County

CMS 5/5 125 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
26%
Serious cites
0

Golden Age Nursing Home of Guthrie runs on unusually steady staffing for a for-profit home. Its 3.94 nurse hours per resident day edges past the national average, and a 26.4% turnover rate sits well below the 45.8% norm, that kind of retention usually means residents see familiar faces instead of a rotating cast. Weekend coverage does dip about 12% below weekday levels, worth asking about if you're planning visits then. The inspection record backs this up: eight deficiencies on file, none at harm or jeopardy level, no abuse findings, and the most recent inspection was May 2025. One fine of $14,069 is modest for a building this size. The tradeoff is quality measures, which land mid-pack. Solid care, clean record, room to improve on outcomes.

A

86/100

Willow Creek Health Care

Guthrie, OK · Logan County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
26%
Serious cites
0

Willow Creek runs about 4.14 nursing hours per resident day, roughly 7% above the national average, and its staff turnover sits at 25.5%, well under the national 45.8%. That retention matters more than any single inspection finding, because consistent caregivers notice changes in residents early. Weekend coverage dips about 9% below weekday levels, which is common but worth asking about. The home carries 12 deficiencies on its current record, none at the harm level and none abuse-related, with a clean five-star health inspection and a December 2024 survey. It's a for-profit LLC with 100 certified beds, and its quality measure score is the softer spot at three stars.

A

86/100

Epworth Villa Health Services

Oklahoma City, OK · Oklahoma County

CMS 4/5 87 beds Non-profit
Nurse hours
4.61 /day
Staff turnover
36%
Serious cites
0

Epworth Villa runs about 4.61 nurse hours per resident per day, roughly 19% above the national average, and its staff turnover of 36.1% sits well below the national 45.8%, two numbers that usually point to a stable, adequately staffed floor. Weekend coverage dips about 8% from weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. The home carries nine deficiencies on its current record, two of them serious enough to involve harm or jeopardy, though none are abuse-related. Its last full inspection was in October 2024, and all three CMS star categories, health inspections, quality measures, and staffing, land at four out of five.

A

86/100

Lutheran Home At Topton, The

Topton, PA · Berks County

CMS 5/5 194 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
48%
Serious cites
0

Lutheran Home at Topton is a 194-bed church-affiliated nonprofit in Berks County, and the numbers mostly hold up. Nurse staffing sits at 3.84 hours per resident day, a hair under the national average of 3.86, and weekends run about 7% thinner than weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 47.6%, slightly above the national 45.8%, so expect some churn among aides. The stronger signals: a 4/5 health inspection rating, a 5/5 on quality measures, and just 12 deficiencies on record with none at the harm level and none related to abuse. The most recent inspection was September 2025, so the picture is current.

A

86/100

Communities At Indian Haven,

Indiana, PA · Indiana County

CMS 3/5 108 beds Government Medicaid
Nurse hours
3.75 /day
Staff turnover
40%
Serious cites
0

Indian Haven is county-owned, which matters here, government homes often run leaner on frills but steadier on staffing, and that shows up in its four-out-of-five staffing score. Total nurse coverage sits at 3.75 hours per resident day, roughly 3% under the national average, and weekends drop about 4% below its own weekday numbers, so weekend coverage is worth asking about directly. Turnover at 40% actually beats the national 45.8%. The harder reading is the inspection record: 44 deficiencies, including one at harm level and two abuse-related, with a two-out-of-five health inspection score. Quality measures scored five out of five, but that's self-reported data. One fine on record, $8,281, with the last inspection dated January 2026.

A

86/100

Saint John Xxiii Home

Hermitage, PA · Mercer County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
21%
Serious cites
0

Saint John XXIII Home runs lean on nurse hours, 3.72 per resident day against a national average of 3.86, and weekends dip roughly 8% below its own weekday coverage, so ask how that plays out on a Saturday. What stands out instead is stability: turnover at 20.5% is less than half the national rate of 45.8%, which matters more than raw hours because familiar staff notice changes sooner. The inspection record backs that up, with four deficiencies on file, none at the harm level and none involving abuse, and a survey completed in March 2026. Church-affiliated nonprofit ownership, 90 beds, and clean inspections carry real weight here.

A

86/100

Snu Armstrong Co Memorial Hosp

Kittanning, PA · Armstrong County

CMS 3/5 17 beds Non-profit
Nurse hours
8.65 /day
Staff turnover
20%
Serious cites
0

Nurse staffing here runs at 8.65 hours per resident day, well over twice the national average of 3.86, and weekends dip only about 7% below weekdays, so coverage stays fairly steady. Annual turnover sits at 20% against a national 45.8%, which means the people caring for residents tend to stick around. The current record shows 21 deficiencies with none at the harm or jeopardy level, though one is abuse-related. Inspectors were last in on July 9, 2025. The catch is in the quality measures, which sit at the bottom of CMS's scale even as staffing earns top marks, a split worth asking the administrator about directly.

A

86/100

Rehab At Shannondell

Audubon, PA · Montgomery County

CMS 4/5 120 beds For-profit
Nurse hours
4.12 /day
Staff turnover
40%
Serious cites
0

Rehab At Shannondell runs 120 certified beds in Audubon under corporate for-profit ownership, and the numbers behind its grade are mostly steady rather than spectacular. Nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average, though weekends run about 9% thinner than weekdays, a dip worth asking about if your family visits mainly on Saturdays or Sundays. Turnover is 40.3%, better than the 45.8% national figure but still meaning two in five caregivers left within the year. The current record shows 11 deficiencies, none at harm or jeopardy level, but 2 are abuse-related, which is the detail to press the administrator on directly. Its last inspection was April 28, 2026.

A

86/100

Pennsylvania Soldiers And Sailors Home

Erie, PA · Erie County

CMS 5/5 107 beds Government Medicaid
Nurse hours
5.83 /day
Staff turnover
35%
Serious cites
0

The Pennsylvania Soldiers and Sailors Home in Erie is a state-run veterans' home with 107 certified beds, and the staffing numbers are the first thing that stands out: 5.83 nurse hours per resident day against a national average of 3.86. That's about half again the typical home, and turnover sits at 35.2% versus 45.8% nationally, meaning workers tend to stay longer here than at most places. Weekend coverage dips roughly 14% below its own weekday levels, which is worth asking about if your family visits Saturday or Sunday. The ten deficiencies on the current record include two tied to abuse, though none rose to the harm or jeopardy level. A March 2026 inspection, a four-star health inspection, and a two-star quality measure score round out a mixed but generally steady picture.

A

86/100

Hattie Ide Chaffee Home

East Providence, RI · Providence County

CMS 4/5 69 beds Non-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
35%
Serious cites
0

Nurse staffing at Hattie Ide Chaffee Home runs 5.39 hours per resident day, roughly 40% above the national average, and weekends hold within about 10% of weekday coverage, a gap that trips up many homes. Staff turnover sits at 34.7%, better than the 45.8% national figure, so the people caring for residents tend to stay. The tradeoff shows up in the inspection record: 19 deficiencies, one serious enough to reach harm or jeopardy level, and a $40,295 fine. That combination, strong daily staffing, thinner safety and compliance results, is what pulls the score down despite the five-star staffing rating.

A

86/100

Cedar Crest Nursing Centre Inc

Cranston, RI · Providence County

CMS 5/5 156 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
27%
Serious cites
0

Cedar Crest runs a 156-bed for-profit operation in Cranston, and the staffing numbers are the strongest part of the picture: 4.10 nurse hours per resident day, roughly 6% above the national average, with a 5/5 CMS staffing star. Turnover sits at 27%, well under the 45.8% national figure, so the people caring for residents tend to stick around. Weekend coverage dips about 9% below weekday levels, which is worth asking about. The inspection record is where it gets complicated, 22 deficiencies, including one at the harm level and two tied to abuse, plus a $14,433 fine. The most recent inspection was September 2025, so the record is current.

A

86/100

White Oak Manor - Columbia

Columbia, SC · Richland County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
29%
Serious cites
0

White Oak Manor in Columbia runs 120 beds under corporate for-profit ownership, and its nurse staffing sits about 5% under the national average at 3.65 hours per resident day. Weekends dip roughly 12% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot: 29% against a national 45.8% means aides and nurses tend to stick around, so your mother likely sees familiar faces. The inspection record shows nine deficiencies, one serious enough to reach harm or jeopardy level, plus a single $8,788 fine. Quality measures score well; the last inspection was November 2025.

A

86/100

Saluda Nursing Center

Saluda, SC · Saluda County

CMS 3/5 176 beds Government Medicaid
Nurse hours
4.49 /day
Staff turnover
18%
Serious cites
0

Saluda Nursing Center runs a county-owned home of 176 beds, and its staffing is the strongest part of the picture, 4.49 nurse hours per resident day, about 16% above the national average, with a 5/5 staffing rating. Turnover sits at 17.9%, well below the 45.8% national figure, which matters for consistency of care. Weekend coverage dips roughly 11% below weekday levels, worth asking about. The concern is inspections: a 1/5 health inspection rating, 10 deficiencies on record including 2 at harm or jeopardy level and 2 abuse-related, plus $16,984 in fines. The most recent inspection was April 2025. Quality measures land at 3/5. Staffing is genuinely good here; the inspection record is the real question.

A

86/100

The Palms At Florence

Florence, SC · Florence County

CMS 2/5 163 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
35%
Serious cites
0

The Palms at Florence runs a 163-bed for-profit operation, and its staffing sits slightly above the national average at 3.95 nurse hours per resident day. That edge is real but thin, weekends drop roughly 15% below the home's own weekday coverage, so the care you'd see on a Saturday won't quite match a Tuesday. Turnover is where it separates itself: 34.5% compared with a national 45.8%, which suggests a more stable crew than most. The inspection record is solid, a 4-star health inspection in April 2025, 10 deficiencies total, one serious enough to reach harm level, no abuse findings, and a single $7,901 fine. Nothing here reads as a red flag, though that one harm-level citation is worth asking about directly.

A

86/100

Rosecrest Rehabilitation And Healthcare Center

Inman, SC · Spartanburg County

CMS 5/5 75 beds Non-profit
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Rosecrest runs about 4.41 nurse hours per resident per day, roughly 14% above the national average, though weekend coverage dips about 14% below its own weekday level, worth asking about if your family visits or calls mainly on Saturdays and Sundays. Staff turnover sits at 40%, better than the 45.8% national figure, which suggests people tend to stay. Its current record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, alongside a five-star health inspection rating, and the most recent inspection was in April 2026. Church-affiliated nonprofit ownership rounds out a picture of a home that looks steady rather than flashy.

A

86/100

Bowdle Nursing Home

Bowdle, SD · Edmunds County

CMS 4/5 27 beds Government Medicaid
Nurse hours
3.80 /day
Staff turnover
35%
Serious cites
0

Bowdle Nursing Home is city-owned, and that shows in its stability. Staff turnover runs 34.8%, well under the 45.8% national average, a big deal in a 27-bed home, where losing even a few aides can unsettle care. The nursing hours come in just slightly under the national average, and weekends dip about 9% below weekdays, so ask how coverage holds up on Saturdays and Sundays. Its last inspection was July 2025, and the five deficiencies on record include none tied to harm or abuse. Four stars on inspections and staffing, three on quality measures, solid footing, with room to ask questions.

A

86/100

Menno-Olivet Care Center

Menno, SD · Hutchinson County

CMS 5/5 41 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
36%
Serious cites
0

Menno-Olivet runs on a nonprofit model with 41 certified beds, and the staffing numbers stand out: 4.40 nurse hours per resident day, roughly 14% above the national average, with a 5/5 staffing rating to match. Weekend coverage dips about 9% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 35.7%, better than the 45.8% national figure, so the people caring for residents tend to stick around. The inspection record is strong, a 5/5 rating with six deficiencies total, though one reached harm or jeopardy level. The weaker spot is quality measures at 2/5, so ask what specifically drives that score.

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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