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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 1221–1240 of 4,510, best-graded first.

A

85/100

Gardena Convalescent Center

Gardena, CA · Los Angeles County

CMS 3/5 74 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
25%
Serious cites
0

Gardena Convalescent Center runs 74 certified beds in Los Angeles County under corporate for-profit ownership. Its 4.17 nurse hours per resident day sit about 8% above the national average of 3.86, and weekend staffing dips roughly 11% below its own weekday level, so the coverage is real, though thinner on Saturdays and Sundays. Staff turnover of 25.4% is notably lower than the 45.8% national figure, which matters for continuity of care. The record is more mixed on oversight: 50 deficiencies total, none at harm or jeopardy level, but 4 abuse-related. Its last inspection was March 13, 2026. Quality and staffing each earned 4 stars from CMS, with health inspection at 3.

A

85/100

Golden Empire

Grass Valley, CA · Nevada County

CMS 4/5 148 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
40%
Serious cites
0

Golden Empire runs 148 beds in Grass Valley under for-profit LLC ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 15% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover lands at 40.4%, a bit better than the 45.8% national figure. Inspections are current as of August 2025, and the record shows 30 deficiencies with none at the harm or jeopardy level, though four are abuse-related, worth asking about directly. Quality measures score well; the health inspection side is where the record is thinner.

A

85/100

Laurel Park Behavioral Health Center

Pomona, CA · Los Angeles County

CMS 4/5 43 beds For-profit Medicaid
Nurse hours
2.68 /day
Staff turnover
35%
Serious cites
0

Laurel Park runs on 2.68 nursing hours per resident day, roughly 31 percent under the national average of 3.86, and weekends drop about 10 percent below its own weekday level. Turnover is 35.3 percent, better than the 45.8 percent national figure, so the problem looks less like a revolving door than like too few hands on any given shift. The current record carries 48 deficiencies, including one at the harm level and nine tied to abuse, against a health inspection rating of 2 out of 5. Quality measures score 5 out of 5, but strong charting doesn't offset thin coverage or that inspection history.

A

85/100

Shandin Hills Behavior Therapy Center

San Bernardino, CA · San Bernardino County

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

Shandin Hills runs lean on nursing hours: 2.55 per resident day against a national average of 3.86, roughly a third below. Weekends dip further, about 7% under the home's own weekday staffing, so coverage thins out exactly when families tend to visit. Turnover sits at 41.4%, a bit better than the 45.8% national figure, and the home's inspection record is recent and clean at the harm level, 18 deficiencies on file, none causing harm or jeopardy, though one is abuse-related, which is worth asking about directly. For-profit, LLC-owned, 78 beds. The care numbers look strong; the question is whether the staffing level holds up on a bad night.

A

85/100

Hayes Convalescent Hospital

San Francisco, CA · San Francisco County

CMS 5/5 34 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
44%
Serious cites
0

Hayes Convalescent Hospital is a small for-profit home in San Francisco, 34 beds, owned by a limited liability company. Its most recent inspection was in November 2025, and the record shows 10 deficiencies, none of which rose to harm or jeopardy, though one was abuse-related. Nurse staffing sits at 4.00 hours per resident day, modestly above the national average, and weekend coverage dips only slightly below weekdays. Annual turnover of 44.1% is a touch better than the national figure. The five-star health inspection rating is the standout here; the one abuse-related deficiency is worth asking about directly before you decide.

A

85/100

Sunny Vista Living Center

Colorado Springs, CO · El Paso County

CMS 3/5 116 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
27%
Serious cites
0

Sunny Vista Living Center runs a tight ship on staffing for a 116-bed nonprofit in Colorado Springs. Nurse coverage sits right at the national average of 3.86 hours per resident day, and turnover is where this home separates itself, 26.5% against a national average of 45.8% means caregivers are staying put, which usually shows up in how consistently residents get the same faces. Weekend staffing dips only about 4% below weekdays, a modest drop. The tradeoff is inspection history: 16 deficiencies on record, including one abuse-related finding, though none rose to harm or jeopardy level. A July 2025 inspection is recent, and the 3/5 health inspection rating reflects that mixed record. Families weighing a move here should ask directly about that abuse citation.

A

85/100

Katherine And Charles Hover Green Houses

Longmont, CO · Boulder County

CMS 4/5 48 beds Non-profit
Nurse hours
5.23 /day
Staff turnover
54%
Serious cites
0

Katherine and Charles Hover Green Houses runs 48 beds in Longmont as a nonprofit, and its staffing is the real story here: 5.23 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping only about 5% below weekdays. That consistency matters more than most families realize. The caution side is turnover, at 53.9% against a national 45.8%, and an inspection record showing 13 deficiencies, including 2 at the harm level and 2 tied to abuse, plus six fines totaling $42,262. The most recent inspection was January 2026, so the record is current. Strong hands-on care, but ask directly about staff retention and those abuse-related findings.

A

85/100

Avon Health Center

Avon, CT · Capitol County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
46%
Serious cites
0

Avon Health Center runs 4.24 nurse hours per resident day, roughly 10% above the national average, and weekends dip about 10% below its own weekday staffing. Turnover sits at 46%, almost exactly the national rate, so retention isn't the problem here, the record is. Thirty-one deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus $32,692 in fines across two penalties, add up to more than the staffing numbers alone would suggest. The last inspection was March 17, 2026, and the health inspection rating comes in at 4 out of 5. Ask about those abuse-related findings directly before you visit.

A

85/100

Fairview

Groton, CT · Southeastern Ct County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
34%
Serious cites
0

Fairview runs on 4.23 nurse hours per resident day, roughly 10% above the national average, and its staff turnover of 33.7% sits well under the 45.8% national figure, both signs of a stable floor. The trade-off shows up on weekends, when staffing drops about 12% below its own weekday level, and in a record of 19 deficiencies that includes one at the harm level and one abuse-related citation. Its last full inspection was July 2024. A nonprofit corporation operates the 120-bed home. Strong routine staffing and low turnover matter, but that deficiency record is the part worth asking about directly.

A

85/100

Pomperaug Woods Health Center

Southbury, CT · Naugatuck Vly County

CMS 4/5 37 beds Non-profit
Nurse hours
5.26 /day
Staff turnover
45%
Serious cites
0

Pomperaug Woods runs a small 37-bed unit, and its nurse staffing sits well above the national norm, about 5.26 hours per resident day against 3.86 nationally. That's the strongest part of the picture, though weekend coverage dips roughly 12% below its own weekday level, so care isn't perfectly even across the week. Staff turnover lands at 45.1%, essentially matching the national rate. What pulls the record down is the inspection side: 20 deficiencies on file, including 2 at the harm level and 3 tied to abuse, with two fines totaling $20,872. The most recent inspection was in October 2024. Strong staffing, a rougher paper trail.

A

85/100

Saint Josephs Living Center Inc

Windham, CT · Northeastern Ct County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
33%
Serious cites
0

Saint Josephs Living Center runs a tight ship on staff retention, 32.5% annual turnover is well under the national average of 45.8%, which means the people caring for your relative are more likely to still be there next year. Nurse staffing sits at 3.91 hours per resident day, just barely above the national figure, though weekends dip about 8% below the home's own weekday coverage. The record isn't spotless: 22 deficiencies on file, including one at the harm level and one abuse-related, plus a $13,065 fine. The most recent inspection was December 2024, so the picture is reasonably current.

A

85/100

Cascades Health And Rehabilitation Center

Delray Beach, FL · Palm Beach County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
19%
Serious cites
0

Cascades Health and Rehabilitation Center runs 100 certified beds in Delray Beach under for-profit limited liability ownership. Nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average, and weekends dip about 11% below the home's own weekday levels, a pattern worth asking about if your family visits on Saturdays and Sundays. The inspection record carries 20 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $29,780; the most recent inspection was December 4, 2025. Staff turnover is the outlier here: 18.8% against a national average of 45.8%, which suggests a steadier workforce than most. Quality measure scores look strong, but the inspection findings are the part that matters most.

A

85/100

Terrace Of Jacksonville, The

Jacksonville, FL · Duval County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
45%
Serious cites
0

Nurse staffing at this Jacksonville home runs 3.96 hours per resident day, a bit above the national average, though weekends drop roughly five percent below its own weekday levels. Staff turnover sits at 44.8%, right in line with the national figure. The inspection record is where things get more complicated: 16 deficiencies on file, three at the harm or jeopardy level and two tied to abuse, with the most recent inspection in August 2024. Those are real marks against a home that otherwise scores well on health inspections and quality measures. If you're considering it, ask directly how the abuse-related citations were resolved and what changed since.

A

85/100

Lake Placid Health And Rehabilitation Center

Lake Placid, FL · Highlands County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
39%
Serious cites
0

Lake Placid Health and Rehabilitation Center runs 180 certified beds under for-profit LLC ownership, and its inspection record is the real story here, 35 deficiencies on file, one of them serious enough to reach harm or jeopardy level, with the most recent state visit in July 2025. That's a lot of paperwork for a single building. Staffing sits at 3.79 nurse hours per resident day, just under the national 3.86 average, and weekends drop about 8% below the home's own weekday coverage. Turnover at 39.3% actually beats the 45.8% national figure, so the people who stay seem to stay. The quality measures look strong, but inspections tell you what a building actually looks like on its worst day.

A

85/100

Hampton Court Nursing And Rehabilitation Center

North Miami Beach, FL · Miami-Dade County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
43%
Serious cites
0

Hampton Court sits in North Miami Beach with 120 certified beds under for-profit LLC ownership, and its inspection record is the strongest part of the story: a 4-out-of-5 health inspection rating, last surveyed in April 2025, with nine deficiencies on file and none at the harm or jeopardy level. Nurse staffing runs 3.83 hours per resident day, just under the national average, and weekends drop roughly 4% below the home's own weekday levels, worth asking about if your family visits Saturdays. Staff turnover of 43.1% is slightly better than the national rate. The quality measures hold up well. The main thing to watch is consistency of hands-on care across the whole week.

A

85/100

A.g. Rhodes Home Wesley Woods

Atlanta, GA · De Kalb County

CMS 4/5 150 beds Non-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
36%
Serious cites
0

A.G. Rhodes Home Wesley Woods runs about 4.73 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 36.1% sits below the national 45.8%, both signs of a stable floor. The catch is weekends, when staffing drops about 11% below its own weekday level. On inspections, the record shows 13 deficiencies, one serious enough to reach harm or jeopardy, plus a single fine of $8,018; the last survey was in September 2025, so the picture is current. As a nonprofit, its 5/5 quality measure rating stands out against a middling 3/5 on health inspections.

A

85/100

New Horizons Limestone

Gainesville, GA · Hall County

CMS 4/5 142 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
22%
Serious cites
0

New Horizons Limestone runs on a nonprofit model in Gainesville, and the numbers show steady hands. Nurse staffing sits at 4.07 hours per resident day, a bit above the national average of 3.86, and weekend coverage dips about 12% from weekday levels, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover is 22.2%, less than half the national average of 45.8%, which means aides and nurses tend to stick around and know the residents. The inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the most recent survey dated March 2026. Three separate CMS ratings, health inspections, quality measures, and staffing, all land at four out of five stars.

A

85/100

Spring Harbor At Green Island

Columbus, GA · Muscogee County

CMS 3/5 40 beds Non-profit
Nurse hours
5.95 /day
Staff turnover
61%
Serious cites
0

Spring Harbor At Green Island runs on unusually heavy staffing for a 40-bed nonprofit home, 5.95 nurse hours per resident day, roughly half again the national figure, and weekends barely dip below weekdays. That consistency matters more than the raw number. The tradeoff shows up in turnover: 61% of staff leave each year, well above the 45.8% national rate, so the people delivering that care keep changing. Ten deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related, and the last inspection was in January 2026. Quality and staffing both rate 4 out of 5 stars; inspections come in at 3.

A

85/100

Henderson County Ret Center

Stronghurst, IL · Henderson County

CMS 5/5 58 beds Non-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
53%
Serious cites
0

Henderson County Ret Center runs on a nonprofit model with 58 certified beds, and the nurse staffing number sits at 3.93 hours per resident day, a bit above the national average of 3.86, though weekend coverage drops roughly 13% below what the home staffs on weekdays. Annual turnover is 52.6%, which is higher than the national 45.8%, so you'd want to ask how they hold onto aides and nurses. The inspection record is clean where it matters: five deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent inspection was April 2, 2025.

A

85/100

Concordia Village Care Center

Springfield, IL · Sangamon County

CMS 5/5 62 beds Non-profit Medicaid
Nurse hours
4.90 /day
Staff turnover
45%
Serious cites
0

Concordia Village runs a church-affiliated nonprofit home with 62 beds in Springfield, and the staffing is the strongest part of the picture: 4.90 nurse hours per resident day, roughly 27% above the national average of 3.86. Weekend coverage slips about 6% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Turnover sits at 44.7%, essentially matching the national 45.8%. The inspection record shows 13 deficiencies, including two at the harm or jeopardy level and one abuse-related, plus a single fine of $8,678. The last inspection was August 2024. Quality measures land mid-range while staffing rates high, so the direct-care hours look better than the survey history.

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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