4,510 Independent Nursing Homes in the United States

Nurse hours

8.62 /day

Staff turnover

37%

Serious cites

0

Nurse staffing at the Yankton state-run home runs 8.62 hours per resident day, more than double the national figure of 3.86, and weekends dip only about 13% below its own weekday level, a smaller drop than many homes see. Annual turnover sits at 37.4%, better than the 45.8% national average. Inspectors visited recently, in June 2025, and found five deficiencies, none causing harm or jeopardy, though one is abuse-related. The 2/5 quality measure rating is the number to ask about on your next call.

Nurse hours

5.48 /day

Staff turnover

48%

Serious cites

0

White River Health Care Center runs on unusually heavy staffing, 5.48 nurse hours per resident day, roughly 42% above the national average, and it shows in the federal stars, with 5s for staffing and health inspections and a 4 for quality measures. The catch is consistency: weekend coverage drops about 15% below the home's own weekday level, and turnover sits at 47.8%, slightly worse than the 45.8% national figure. Its three deficiencies include one at the harm level and one tied to abuse, with a single $6,168 fine. The most recent inspection was March 27, 2025. Nonprofit ownership and strong weekday staffing are real strengths; the harm-level finding is the piece worth asking about directly.

Nurse hours

4.29 /day

Staff turnover

23%

Serious cites

0

Towne Square Care of Puryear runs 32 certified beds in Henry County under corporate for-profit ownership, and its staffing numbers tell two different stories. Total nurse coverage sits at 4.29 hours per resident day, about 11% above the national average, but weekends run roughly 34% below its own weekday level, so the weekday floor is better staffed than the weekend one. Staff turnover is the standout: 22.7% annually, well under the national 45.8%, which suggests people stay. The tradeoff is a record of 16 deficiencies with no harm-level findings, though one is abuse-related, and a 3/5 inspection rating against a 4/5 on quality measures. That mix, steady staff, thinner weekends, a documented abuse citation, is what a family should weigh.

Nurse hours

4.46 /day

Staff turnover

57%

Serious cites

0

Shannondale of Maryville is a 44-bed nonprofit home run by a church, and the staffing numbers are its strongest feature: 4.46 nurse hours per resident day, roughly 16% above the national average. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your visits will fall on Saturdays or Sundays. The tradeoff is retention, 57.4% annual turnover runs well above the 45.8% national figure, so aides and nurses cycle through faster than average. On the inspection side, six deficiencies appear on the current record with none at the harm level, but two are abuse-related, a small number that still deserves a direct question.

Nurse hours

5.09 /day

Staff turnover

47%

Serious cites

0

The Reserve At Spring Hill runs 5.09 nurse hours per resident day, roughly a third more than the national average of 3.86, and its inspection and quality ratings both sit at the top of CMS's five-star scale. Nine deficiencies on record with none at the harm level and none tied to abuse is a clean sheet by most standards, though the last full inspection was in June 2021, so that picture is a few years old. Staff turnover lands at 47.1%, slightly worse than the 45.8% national figure, and weekend coverage drops about 11% below weekday levels, worth asking about if your family member needs care Saturday or Sunday.

Nurse hours

3.93 /day

Staff turnover

41%

Serious cites

0

Texhoma Christian Care Center runs 234 beds in Wichita Falls under hospital district ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, though weekend coverage drops roughly 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 41.1%, better than the national 45.8%, which suggests people tend to stay. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection and an inspection as recent as December 2025. The weaker spot is staffing star rating at three.

Nurse hours

3.34 /day

Staff turnover

23%

Serious cites

0

St. Francis runs a tight ship on retention, 22.9% turnover is roughly half the national rate, which means the aides and nurses you meet on Monday are likely still there in six months. That consistency matters more than headline numbers when you're trusting strangers with daily care. The tradeoff shows up in hours: 3.34 nurse staffing hours per resident day, about 14% under the national average, and weekends dip roughly 4% below the home's own weekday level. State inspectors last visited in January 2026 and logged 20 deficiencies, two serious enough to involve harm or jeopardy. The building is corporate-owned and has solid inspection and quality marks, but the staffing number is the one to ask about on your tour.

Nurse hours

4.23 /day

Staff turnover

46%

Serious cites

0

Uintah Basin Rehabilitation And Senior Villa is county-owned, and that shows in the numbers: 4.23 nurse hours per resident day, roughly 9% above the national average. Weekend staffing dips about 14% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 46.4%, basically even with the national average. The inspection record is the strongest part of the story, seven deficiencies, none at the harm level, none abuse-related, and the last full inspection was in February 2025. Five stars on both health inspections and quality measures, four on staffing.

Nurse hours

4.06 /day

Staff turnover

33%

Serious cites

0

North Auburn Care runs 4.06 nurse hours per resident day, about 5% above the national average, and weekend staffing drops roughly 15% below its own weekday level. Turnover sits at 32.9%, well under the national 45.8%. Those numbers look decent on paper, which makes the inspection record the real story here: 103 deficiencies, including five at the harm or jeopardy level and two tied to abuse, with a single $12,035 fine and a 1-out-of-5 inspection rating. The most recent survey was April 2025. This is a for-profit limited liability company with 125 beds, and the gap between its staffing and its inspection history is what a family should weigh most.

Nurse hours

4.67 /day

Staff turnover

41%

Serious cites

0

North Valley Hospital runs on 4.67 nurse hours per resident day, roughly a fifth more than the national average, and its staff turnover of 41.2% sits below the national rate. Inspectors have cited 20 deficiencies, though none rose to harm or jeopardy and none involved abuse, and the home was last inspected in February 2026. Weekend staffing dips about 12% from weekday levels, and its quality measure rating of 2 out of 5 is the weak spot against 5s for inspection and staffing. It's a hospital-district owned home of 42 beds, small enough to know its residents, and the numbers suggest the hands-on care is there even where the clinical outcomes data isn't.

Nurse hours

4.27 /day

Staff turnover

41%

Serious cites

0

Washington Soldiers Home runs on state government ownership, and the numbers show a facility that's mostly steady on care quality but carries some real inspection baggage. Nurse staffing sits at 4.27 hours per resident day, roughly 11% above the national average, though weekends run about 11% lighter than weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 40.7%, a bit better than the 45.8% national figure, which suggests a relatively stable workforce. The concern is the inspection record: 31 deficiencies, including 2 at the harm level and 4 tied to abuse, with one fine of $10,358. The most recent inspection was August 2025, so the picture is current.

Nurse hours

4.85 /day

Staff turnover

49%

Serious cites

0

Lea Hill runs a lean 36-bed building, and the staffing numbers are the strongest part of the story: 4.85 nurse hours per resident day, roughly a quarter more than the national average. That cushion matters most on weekends, which run about 14 percent below the home's own weekday level, still better than most places, but the dip is real. The rest is mixed. Forty-eight point nine percent annual turnover sits slightly above the national rate, and 39 deficiencies on record include one at the harm level and three tied to abuse, which is a lot for a building this size. Inspections were recent, in September 2025.

Nurse hours

4.64 /day

Staff turnover

19%

Serious cites

0

Weirton Geriatric Center runs a 137-bed for-profit operation where the nurse staffing number is the real story: 4.64 hours per resident day, about 20% above the national average, with a 5/5 CMS staffing rating to back it up. Weekend coverage dips roughly 10% below its own weekday level, which is worth asking about if your family visits primarily on Saturdays and Sundays. Staff turnover sits at 19% against a national average near 46%, unusually stable for this industry. The catch is the inspection record: 47 deficiencies, including one at the harm level and three tied to abuse, though the most recent inspection in April 2025 and a 4/5 health inspection rating suggest the recent picture is better than the cumulative one.

Nurse hours

5.91 /day

Staff turnover

46%

Serious cites

0

Hebron Oaks runs a nonprofit shop with 70 beds in Madison, and its strongest suit is clearly people: 5.91 nurse staffing hours per resident day, about 53% above the national average, though weekends dip roughly 8% below its own weekday levels. Turnover sits at 46.2%, essentially the national norm, so you're not looking at a staffing crisis. The trouble is on the record. Ten deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $22,925 fine and a mid-2025 inspection that's now some months back. A 3-out-of-5 inspection rating against 5s for staffing and 4s for quality measures is the whole story here: enough hands on deck, but a paper trail worth asking hard questions about before you sign anything.

Nurse hours

4.30 /day

Staff turnover

30%

Serious cites

0

The county runs this 45-bed home in Menomonie, and the numbers show a place that is well staffed but not without some quality concerns. Nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average, with a 5/5 staffing rating and annual turnover of 29.7%, noticeably lower than the 45.8% national figure. Weekend coverage dips about 10% below weekday levels, which is common but worth asking about. The health inspection rating is 3/5, with six deficiencies on record, none at the harm level and none abuse-related. Its quality measure score of 2/5 pulls the overall picture down, meaning clinical outcomes don't match the strong staffing.

Nurse hours

3.84 /day

Staff turnover

20%

Serious cites

0

Fair View runs a tight ship on the clinical side. The Mauston nonprofit's last state inspection, in March 2026, left nine deficiencies on record, none of them serious enough to cause harm or put anyone in immediate jeopardy. Staffing sits right at the national average, and weekend coverage dips about 13% below weekdays, worth asking about if your family visits Saturdays. What stands out is retention: 20% turnover against a national average near 46% means aides and nurses tend to stay, which usually shows up in how well residents are known. One abuse-related citation is on the books, so read that inspection report yourself.

Nurse hours

4.26 /day

Staff turnover

37%

Serious cites

0

Sheboygan Senior Community runs about 4.26 nursing hours per resident per day, roughly 10 percent above the national figure, and weekend staffing only dips about 5 percent below its own weekday levels, a fairly steady pattern. Staff turnover sits at 36.8 percent, noticeably under the national 45.8 percent, so the same caregivers are more likely to still be there next year. The concerns show up elsewhere. The current record lists 28 deficiencies, including one at the harm or jeopardy level and two tied to abuse, and the last inspection was in January 2026. Quality measures score well; the inspection and staffing ratings don't.

Nurse hours

3.95 /day

Staff turnover

37%

Serious cites

0

Villa Marina runs on solid staffing numbers. At 3.95 nurse hours per resident day, it sits slightly above the national average, and its CMS staffing rating reflects that. Weekend coverage dips about 12% below weekday levels, which is common but worth knowing if you visit on Saturdays. Turnover stands at 36.7%, well below the national average of 45.8%, a meaningful sign that caregivers tend to stay. The tradeoff is a record of 15 deficiencies, including 4 tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent inspection was in September 2025, so the picture is current. It's a for-profit corporate home with a mixed inspection history but stable, above-average staffing.

Nurse hours

3.85 /day

Staff turnover

34%

Serious cites

0

Norseland runs on a city government budget, and the numbers show a home that's basically holding steady. Nurse staffing sits at 3.85 hours per resident day, which is right on the national average of 3.86, but weekends drop about 12% below its own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 34%, which is meaningfully lower than the national 45.8%, so the people caring for residents tend to stick around. The current record carries 18 deficiencies, one of them serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection was in June 2025, so the picture is fairly current. Nothing here is alarming, but that one harm-level finding and the weekend staffing dip are the two things I'd ask about directly.

Nurse hours

4.65 /day

Staff turnover

25%

Serious cites

0

Downey Community Health Center runs about 4.65 nurse hours per resident day, roughly 20% above the national average, and weekend staffing dips only about 9% below its own weekday level, that's a fairly modest drop. Staff turnover sits at 25% against a national average near 46%, so people tend to stay. The catch is the inspection record: 71 deficiencies on file, three tied to abuse, though none rose to the harm or jeopardy level. State surveyors were last in on April 10, 2025. With 198 beds under for-profit partnership ownership, the staffing and retention numbers are genuinely strong; the deficiency count and 2-out-of-5 inspection rating are where the concerns live.