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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 1181–1200 of 4,510, best-graded first.

A

86/100

New Bethany Skilled Nursing

Los Banos, CA · Merced County

CMS 2/5 35 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
22%
Serious cites
0

New Bethany Skilled Nursing runs 35 beds in Los Banos, and its staffing is the clearest strength: 4.45 nurse hours per resident day, roughly 15 percent above the national average, with a 4-out-of-5 staffing star to match. Turnover sits at 22.2 percent, about half the national rate of 45.8 percent, which matters for whether you see the same faces month to month; weekend coverage does drop about 13 percent below weekday levels. The caution is inspections: a 2-out-of-5 health inspection star, 29 deficiencies on record, and one abuse-related citation, though none rose to harm or jeopardy. The last inspection was September 2025, so the record is current.

A

86/100

Chaparral House

Berkeley, CA · Alameda County

CMS 4/5 49 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
48%
Serious cites
0

Chaparral House is a 49-bed nonprofit in Berkeley, and the numbers behind its grade start with staffing: 4.24 nurse hours per resident day, roughly 10 percent above the national average. Weekend coverage dips about 10 percent below its own weekday levels, and turnover sits at 48 percent, a bit above the national 45.8 percent. The inspection record shows 23 deficiencies, none at the harm or jeopardy level, though two are abuse-related. Its last inspection was September 27, 2024, and CMS gives it 4 of 5 stars for health inspections and 4 for staffing, with a perfect 5 for quality measures. The high quality scores and consistent weekday staffing carry real weight here.

A

86/100

Trinity Hospital Skilled Nursing Facility

Weaverville, CA · Trinity County

CMS 3/5 13 beds For-profit Medicaid
Nurse hours
5.75 /day
Staff turnover
38%
Serious cites
0

Trinity Hospital Skilled Nursing Facility is a 13-bed for-profit home in Weaverville, and the staffing numbers here are unusual in a good way, 5.75 nurse hours per resident day, roughly half again the national average of 3.86. Weekend coverage drops about 15% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 38.1%, better than the 45.8% national figure, which matters in a small building where you want familiar faces. The tradeoff shows up in 14 deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025.

A

86/100

Imperial Manor

Imperial, CA · Imperial County

CMS 4/5 31 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
46%
Serious cites
0

Imperial Manor runs 31 beds in Imperial, and the numbers tell a mixed story. Nurse staffing sits at 3.84 hours per resident day, essentially level with the national average of 3.86, with weekend coverage holding steady rather than dropping off, but the federal staffing rating still comes in at just one star, which suggests the mix and consistency of that coverage isn't reassuring inspectors. The inspection record is the bigger concern: 29 deficiencies, including one at the harm level and two tied to abuse, plus eight fines totaling $45,518. Annual turnover of 45.9% is right at the national norm, so staff are cycling through at a typical rate. Family members should ask directly about those abuse-related findings before deciding.

A

86/100

Buckner Westminster Place

Longview, TX · Gregg County

CMS 4/5 20 beds Non-profit
Nurse hours
5.28 /day
Staff turnover
31%
Serious cites
0

Buckner Westminster Place runs a small 20-bed home in Longview, and its staffing is the standout: 5.28 nurse hours per resident day, well above the national average, with weekends dipping only slightly. Turnover sits at 30.8%, better than the typical nursing home. What pulls the record down is the inspection side, 15 deficiencies on file, four of them at harm or jeopardy level and one abuse-related, plus two fines totaling $29,716. The most recent inspection was June 2025. So you have a home that's well staffed and stable on paper, but with a history of serious survey findings. Worth asking about those directly.

A

86/100

S.p.j.s.t. Rest Home 3

El Campo, TX · Wharton County

CMS 5/5 57 beds Non-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
27%
Serious cites
0

S.p.j.s.t. Rest Home 3 runs lean on nurse staffing, 3.42 hours per resident day, roughly 11 percent under the national average of 3.86, with weekends running about 4 percent below its own weekday level. It offsets that weakness well: state inspectors gave it a 5-star health inspection rating at its most recent survey in September 2025, and the record shows just 7 deficiencies, none at the harm or jeopardy level and none abuse-related. Annual staff turnover is 27.3 percent, well below the national 45.8 percent, so the caregivers who are there tend to stay. Quality measures land at 4 stars. Weekend coverage is the number worth watching.

A

85.5/100

Little Sisters Of The Poor Sacred Heart Residence

Mobile, AL · Mobile County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
34%
Serious cites
0

Little Sisters of the Poor Sacred Heart Residence runs on 4.39 nurse hours per resident day, roughly 14% above the national average, and its staff turnover of 34.4% sits well below the 45.8% norm, two signs of a stable, well-staffed building. Weekend coverage dips about 16% from weekday levels, so ask how that plays out on Saturdays and Sundays. Three deficiencies on record, none at the harm level and none abuse-related. One caution: the last inspection was March 2020, so the clean record is real but aging. The nonprofit's quality measure score of 2 out of 5 is the softer spot against otherwise strong marks.

A

85.5/100

Harvard Creek Post Acute

Covina, CA · Los Angeles County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
—
Serious cites
0

Harvard Creek Post Acute runs on 4.85 total nurse hours per resident day, about 26% above the national average, that's the strongest thing in its numbers. Weekend staffing dips only slightly below weekday levels, so coverage stays steady. But the record shows 44 deficiencies, one tied to abuse, even though none reached harm or jeopardy; a February 2026 inspection keeps that picture current. Quality measures score well, though the staffing star sits lower than the raw hours might suggest, and this is a for-profit LLC. If you're weighing it, ask specifically about that abuse-related citation and how the building's care planning has changed since.

A

85.5/100

Colorado Veterans Community Living Ctr At Homelake

Monte Vista, CO · Rio Grande County

CMS 5/5 60 beds Government Medicaid
Nurse hours
5.08 /day
Staff turnover
24%
Serious cites
0

Colorado Veterans Community Living Ctr At Homelake runs on unusually deep staffing for a 60-bed home, 5.08 nurse hours per resident day, roughly a third more than the national average, with turnover at 23.7% against a national 45.8%. That stability shows: a five-star staffing rating and a five-star health inspection record, with the most recent survey in October 2024. The friction sits elsewhere. Nine deficiencies are on file, including one at the harm level and one tied to abuse, and the quality measure rating lands at two stars, the clinical outcomes side doesn't match the care hours. Weekend coverage also drops about 25% below weekday levels, so ask how that gap gets covered.

A

85.5/100

Rockwell Community Nursing Home

Rockwell, IA · Cerro Gordo County

CMS 5/5 40 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
47%
Serious cites
0

Rockwell Community Nursing Home runs on 4.38 nursing hours per resident day, roughly 13 percent more than the national average of 3.86, and that strength shows up in its five-star staffing rating. Weekend coverage slips about 15 percent below the home's own weekday level, so ask how that plays out on Saturdays and Sundays. One deficiency sits on the current record with nothing at the harm level and no abuse findings, following an inspection in September 2025, and staff turnover of 47.1 percent edges just past the 45.8 percent national figure, worth asking about, since consistency matters as much as raw hours.

A

85.5/100

Stonehill Care Center

Dubuque, IA · Dubuque County

CMS 4/5 185 beds Non-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
—
Serious cites
0

Stonehill Care Center runs 4.31 nursing hours per resident per day, roughly 12% above the national average of 3.86, and that staffing shows up in its four-star rating. Weekend coverage dips about 10% below its own weekday level, which is common but worth knowing if you're visiting on a Saturday. The inspection record is clean where it counts: four total deficiencies, none at the harm or jeopardy level and none abuse-related, with a visit as recent as August 2025. As a nonprofit with 185 beds in Dubuque, it's working from a stable base. Families weighing options here are looking at a home that's solidly staffed and hasn't had serious trouble.

A

85.5/100

Derby Health & Rehabilitation, Llc

Derby, KS · Sedgwick County

CMS 5/5 74 beds For-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
61%
Serious cites
0

Derby Health & Rehabilitation runs a tight clinical operation on the surface: 4.99 nurse hours per resident day against a national average of 3.86, top marks on both health inspections and quality measures, and a survey done as recently as March 2026. The catch sits underneath. Staff turnover hits 60.7% a year, well above the 45.8% national figure, and weekends drop about 16% below weekday coverage, so the people giving the extra hands-on time keep changing, and there are fewer of them on Saturdays and Sundays. The 14 deficiencies on record include one tied to abuse; none reached harm or jeopardy. For-profit corporate ownership rounds out the picture.

A

85.5/100

St Luke Living Center

Marion, KS · Marion County

CMS 4/5 32 beds Government Medicaid
Nurse hours
4.19 /day
Staff turnover
—
Serious cites
0

St Luke Living Center runs on 4.19 nurse hours per resident day, roughly 8% above the national average of 3.86, and weekends dip about 13% below its own weekday levels, a drop families should ask about directly. The 22 deficiencies on record include none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection came in October 2025. This is a hospital-district-owned home in Marion with 32 certified beds, which means a small census and a public owner. Its four-out-of-five ratings for health inspections, quality measures, and staffing are consistent across the board, suggesting a stable operation rather than one carried by a single strong category.

A

85.5/100

Cedars Nursing Care Center

Portland, ME · Cumberland County

CMS 4/5 102 beds Non-profit Medicaid
Nurse hours
4.89 /day
Staff turnover
—
Serious cites
0

Cedars runs about 27% more nurse staffing than the national average, 4.89 hours per resident day, though weekends drop roughly 7% below its own weekday levels, so coverage isn't perfectly flat. The home was inspected recently, in June 2025, and the record shows 25 deficiencies with none at the harm or jeopardy level, plus two abuse-related citations worth asking about directly. A nonprofit corporation operates its 102 beds, and its CMS ratings land at 4 out of 5 across health inspections, quality measures, and staffing. Those abuse citations and the weekend staffing dip are the two things I'd want explained before deciding.

A

85.5/100

The Massachusetts Veterans Home At Chelsea

Chelsea, MA · Suffolk County

CMS 4/5 154 beds Government
Nurse hours
6.97 /day
Staff turnover
—
Serious cites
0

The Massachusetts Veterans Home at Chelsea runs on 6.97 nurse hours per resident day, roughly 81% more staffing than the national average of 3.86. That's an unusual amount of hands-on time, and it shows in the staffing star rating. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on a Saturday. State-run and inspected most recently in September 2025, it carries 24 deficiencies on its current record, three tied to abuse, though none at the harm or jeopardy level. A 4/5 inspection rating and 3/5 on quality measures round out a record that's solid on staffing, thinner on measured care quality.

A

85.5/100

Abbott Skilled Nursing & Rehabilitation Center

Lynn, MA · Essex County

CMS 4/5 55 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
23%
Serious cites
0

Abbott Skilled Nursing runs 55 beds in Lynn under for-profit LLC ownership, and the numbers tell a story of steady hands rather than flashy ones. Nurse staffing sits at 3.63 hours per resident day, a bit under the national average, and weekends drop roughly 19 percent below weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. What stands out is turnover at 23.1 percent, about half the national rate, which suggests people actually stay. Inspections in May 2025 produced 21 deficiencies, none at harm or jeopardy level, though four were abuse-related, a category you should ask about directly. Recent inspections and solid marks on health, quality, and staffing round it out.

A

85.5/100

St Lukes Lutheran Care Center

Blue Earth, MN · Faribault County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
19%
Serious cites
0

St. Luke's runs on church-affiliated nonprofit ownership, and the numbers show what that stability buys: 4.56 nurse hours per resident day against a national average of 3.86, with turnover at 19.4% while the typical nursing home churns through 45.8% of its staff yearly. Weekend coverage dips about 17% below weekday levels, so ask how that plays out on a Sunday. The April 2025 inspection turned up eight deficiencies, none involving harm or abuse, and the health inspection rating sits at 4 of 5. Where the record thins is quality measures, at 2 of 5, worth asking which specific measures dragged that down before you decide.

A

85.5/100

Whispering Creek

Janesville, MN · Waseca County

CMS 5/5 35 beds Government Medicaid
Nurse hours
4.11 /day
Staff turnover
39%
Serious cites
0

Whispering Creek is city-owned, small at 35 beds, and it runs a tight ship. Nurses provide 4.11 hours of care per resident per day, about 7% above the national average, and the health inspection record is spotless at the top CMS rating, with five total deficiencies and none involving harm, jeopardy, or abuse. Staff turnover of 38.5% beats the national 45.8%, which matters for residents who need consistent faces. The one thing to ask about is weekends: staffing drops roughly 19% below the home's own weekday level, so if your family member needs more help on Saturdays and Sundays, that's the gap worth a direct question.

A

85.5/100

Community Nursing Home Of Anaconda

Anaconda, MT · Deer Lodge County

CMS 3/5 62 beds Non-profit Medicaid
Nurse hours
5.25 /day
Staff turnover
—
Serious cites
0

Community Nursing Home of Anaconda runs on 5.25 nurse hours per resident day, well above the national average of 3.86, that extra margin shows up on weekends too, when staffing dips only about 9% from weekday levels, a smaller drop than many homes manage. The tradeoff sits in the inspection record: 26 deficiencies on file, including one abuse-related citation, though none reached the harm or jeopardy level. Ownership is nonprofit, and the last full inspection came in December 2025, so the picture is recent. Nothing here suggests danger, but the gap between strong daily staffing and a longer-than-ideal deficiency list is the real story.

A

85.5/100

Faith Lutheran Home

Wolf Point, MT · Roosevelt County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
35%
Serious cites
0

Faith Lutheran Home runs a lean ship on the floor and a messier one on paper. Nurse staffing sits at 4.79 hours per resident day, about a quarter above the national average, and its 34.9% turnover beats the 45.8% typical elsewhere, but weekends drop roughly 17% below its own weekday coverage, so the care you'd see on a Tuesday isn't what a Saturday looks like. The record is where it gets uncomfortable: 26 deficiencies, including one at harm level and one abuse-related, plus a $22,825 fine and a recent April 2025 inspection that left the health and quality ratings at 2 out of 5.

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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