4,510 Independent Nursing Homes in the United States

Nurse hours

3.79 /day

Staff turnover

17%

Serious cites

0

Lyngblomsten runs on a paradox: its nurses stay, but its record doesn't. Turnover at 16.7% is well under half the national rate, and CMS gives staffing its top mark, yet total nurse hours sit slightly below the national average, and weekends run about 9% thinner than weekdays, so coverage is steady in who shows up, thinner in how much. The inspection side is where the trouble sits: 20 deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, with $101,482 in fines and a June 2025 inspection still recent. Quality measures score well. The gap between the care metrics and the compliance history is the real story here.

Nurse hours

3.98 /day

Staff turnover

50%

Serious cites

0

Good Shepherd Lutheran Home runs about 3.98 nurse hours per resident day, a bit above the national average, and its inspection record is clean where it matters: five deficiencies total, none causing harm or jeopardy, none tied to abuse. The catch is staffing consistency. Weekend hours drop roughly 13% below weekday levels, and turnover sits at 50% against a national 45.8%. So you're looking at a nonprofit home that inspects well and staffs above average on paper, but with enough churn and weekend slippage that your family should ask how they cover Saturdays and Sundays, and how long the current director of nursing has been there.

Nurse hours

4.40 /day

Staff turnover

47%

Serious cites

0

Friendship Village Chesterfield runs a nonprofit home of 98 beds in St. Louis County, and the staffing numbers are its strongest card: 4.40 nurse hours per resident day, roughly 14 percent above the national average, which is why CMS gives it five stars on staffing. The catch is consistency, weekend coverage drops about 13 percent below its own weekday level, so care on a Saturday isn't quite what it is on a Tuesday. Turnover sits at 46.6 percent, essentially the national rate. Inspections from September 2024 produced 21 deficiencies, none at the harm level, but four tied to abuse.

Nurse hours

4.60 /day

Staff turnover

48%

Serious cites

0

Friendship Village Sunset Hills runs 4.60 nurse staffing hours per resident day, about 19% above the national average of 3.86, a real margin, though weekends dip roughly 4% below its own weekday level. That strong staffing sits alongside a rougher inspection record: 24 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse, with a single fine of $14,433 and a January 2025 inspection. Staff turnover of 48.1% edges past the national 45.8%, meaning the people providing that above-average care are still cycling out. High staffing hours and a meaningful resident census don't erase what inspectors found here.

Nurse hours

3.94 /day

Staff turnover

41%

Serious cites

0

Maranatha Village runs on better-than-average nursing hours, 3.94 per resident day against a national 3.86, and its 40.8% turnover comes in under the 45.8% typical elsewhere, which matters for whether your family sees the same faces month to month. Weekend coverage drops roughly 14% below weekday levels, so pay attention to Saturday and Sunday care if you visit then. The 26 deficiencies on record include five tied to abuse, none reaching harm or jeopardy level, and the last full inspection was April 2024. Quality measures score at the top of CMS's scale, with staffing close behind; inspections sit in the middle.

Nurse hours

6.95 /day

Staff turnover

54%

Serious cites

0

The state-run home in Lewistown runs nurse staffing at 6.95 hours per resident per day, roughly 80% above the national average of 3.86, and it holds up on weekends, dipping only about 7% below its own weekday level. That staffing depth is the main reason it lands at a B. The caution side: its current record carries 37 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, and its last inspection in October 2024 produced a 2-out-of-5 health inspection rating. A single fine of $7,163 is on file. High staffing, real quality concerns.

Nurse hours

4.01 /day

Staff turnover

39%

Serious cites

0

Elwood Care Center is city-owned, which is unusual, most nursing homes are run for profit, and it tends to show in how the place is staffed. Nurses here give about 4.01 hours of care per resident each day, a bit above the national average, though weekends run roughly 9% leaner than weekdays. Staff turnover sits at 39.4%, lower than the 45.8% national figure, meaning fewer unfamiliar faces. The home was inspected in February 2025 and carries just four deficiencies, none involving harm or abuse. Quality measures score a middling 3 out of 5, but the inspection and staffing records are what carry this one.

Nurse hours

4.28 /day

Staff turnover

—

Serious cites

0

Sandhills Care Center is county-owned, which matters here, no corporate chain pulling the strings, and the city or county answers for how it runs. Staffing sits at 4.28 nurse hours per resident day, about 11% above the national average, though weekends run roughly 19% leaner than weekdays, so care can thin out when families visit. The health inspection record is the weak spot: 22 deficiencies, including three tied to abuse, though none rose to actual harm or jeopardy. The last inspection was June 2025, so that picture is current. Quality measures score well on paper, but the inspection findings are where the real problems live.

Nurse hours

3.89 /day

Staff turnover

38%

Serious cites

0

Hillcrest Firethorn runs 72 beds in Lincoln under corporate ownership, and its nurse staffing sits right at the national mark, 3.89 hours per resident day against 3.86 nationally, so about a 1% edge. Weekends tell a different story: coverage drops roughly 11% below the home's own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the genuine bright spot at 37.8%, well under the 45.8% national average, meaning aides and nurses tend to stay. The tradeoff shows up in inspections, 12 deficiencies on record, one serious enough to involve harm or jeopardy, though none tied to abuse. The last state visit was April 2025, so the record is recent.

Nurse hours

3.61 /day

Staff turnover

18%

Serious cites

0

Imperial Care Center runs 121 beds in Neptune under for-profit LLC ownership, and its staffing sits at 3.61 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so if you're visiting on a Saturday, expect a thinner floor than midweek. The turnover number is the one that stands out: 17.9% against a national average of 45.8%. That kind of stability usually means caregivers who know the residents, and it's rare in this sector. Twelve deficiencies are on record, none at harm level, one abuse-related, worth asking about directly. The last inspection was January 2026, so the picture is current.

Nurse hours

4.01 /day

Staff turnover

20%

Serious cites

0

Staffing at Gardens At Monroe runs about 4% above the national average, and the 20.3% turnover rate is less than half the norm, that kind of stability matters when aides and nurses stick around. Weekend coverage dips roughly 9% below weekdays, worth knowing if your visits fall on Saturdays or Sundays. The current record shows 18 deficiencies, none at the harm level, though three are abuse-related, which is the number I'd ask about directly. The last inspection was April 2025, so the picture is recent. A for-profit individual owner, 136 beds, strong quality scores but a middle-of-the-road inspection history.

Nurse hours

4.63 /day

Staff turnover

39%

Serious cites

0

Livia Health and Senior Living runs about 4.63 nurse hours per resident day, roughly 20% above the national average, and its staff turnover of 38.5% actually beats the national 45.8%, meaning workers here tend to stick around longer than at the typical home. The catch is what inspectors have logged. Sixteen deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, plus one tied to abuse, and a $24,850 fine. CMS gives it strong marks for quality measures and inspections, but that paperwork tells a different story than the staffing numbers alone. Weekend coverage also dips about 6% below weekday levels, so the care you see on a Tuesday may not match a Saturday.

Nurse hours

3.10 /day

Staff turnover

22%

Serious cites

0

New Carlton runs lean on nursing hours, 3.10 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, which matters most when families visit and fewer eyes are on residents. Turnover is where it separates itself: 21.5% annually, less than half the national rate, meaning the aides and nurses here tend to stay. The record shows 16 deficiencies, none at harm or jeopardy level, though three are abuse-related and worth asking about directly. Inspectors last visited in July 2024, and the home is owned by a for-profit LLC. Quality measures score high; staffing and inspections sit in the middle.

Nurse hours

3.69 /day

Staff turnover

24%

Serious cites

0

Oceanside Care Center runs 100 certified beds under corporate for-profit ownership, and its strongest number is staff retention: 24.4% annual turnover against a national average of 45.8% means aides and nurses here tend to stay, which matters for residents who need consistent hands. The weaker spot is raw coverage, 3.69 nurse hours per resident day sits about 4% under the national figure of 3.86, and weekends drop roughly 15% below the home's own weekday staffing. The inspection record shows 18 deficiencies, none at harm or jeopardy level, one tied to abuse, with the most recent survey dated January 5, 2026.

Nurse hours

3.29 /day

Staff turnover

13%

Serious cites

0

Beacon Rehabilitation And Nursing Center runs 120 beds in Far Rockaway under for-profit LLC ownership, and its staffing sits at 3.29 nurse hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 8% below its own weekday numbers, a gap families often feel because that's when visits happen. What stands out in the other direction is turnover: 13.2%, against a national average of 45.8%. That kind of stability usually means familiar faces, and it may help explain the 5/5 quality measure rating despite a 3/5 on health inspections. The current record shows 15 deficiencies, including one at the harm level and three tied to abuse. One fine, $8,512. Last inspected January 2026.

Nurse hours

3.42 /day

Staff turnover

25%

Serious cites

0

Andrus On Hudson sits in Hastings On Hudson with 197 certified beds under corporate for-profit ownership. The staffing story is mixed: 3.42 nurse hours per resident day runs about 11% under the national average of 3.86, and weekends dip roughly 8% below the home's own weekday levels, so coverage thins out when families tend to visit. What stands out is retention: 25.4% annual turnover against a national 45.8% means aides and nurses largely stay, which matters for familiarity and consistency of care. On inspections, 17 deficiencies with none at harm or jeopardy level and one abuse-related finding, last surveyed March 2023. Quality measures score well. The trade-off is real: steady staff, thinner hours.

Nurse hours

3.85 /day

Staff turnover

34%

Serious cites

0

Nottingham R H C F runs a tight ship on the clinical side. The forty-bed nonprofit in Jamesville has a clean inspection record, eight deficiencies on the books, none of them causing harm or involving abuse, and its most recent state visit was just this past September. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends run about 11 percent thinner than weekdays, so ask how that gap gets covered. Staff turnover of 34.2 percent is meaningfully better than the 45.8 percent national figure, which matters for whether your parent sees the same faces. Small homes live or die on consistency, and the numbers here suggest this one mostly has it.

Nurse hours

3.56 /day

Staff turnover

27%

Serious cites

0

Springvale runs 200 beds in Croton On Hudson, under for-profit LLC ownership, and the numbers pull in different directions. Nurse staffing sits at 3.56 hours per resident day, about 8% under the national average, and weekends drop roughly 13% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the brighter spot: 26.9% against a national 45.8%, which suggests aides and nurses are staying. The inspection record is the caution flag: 39 deficiencies on file, six tied to abuse, and the most recent visit was August 2025. None of those deficiencies rose to harm or jeopardy, but 39 is a lot to carry.

Nurse hours

5.25 /day

Staff turnover

51%

Serious cites

0

Luther Memorial Home in Mayville runs on a nonprofit model and staffs at 5.25 nurse hours per resident day, roughly a third more than the national average of 3.86. That's the strongest thing in its file, and it's why the federal staffing rating sits at the top of the scale. The trade-offs show up elsewhere: about half the nursing staff turns over each year, slightly worse than the 45.8% national figure, and weekends run around 14% thinner than weekdays. Seven deficiencies sit on the current record, including one involving harm or jeopardy, though none are abuse-related, and the single fine totals $5,814. The most recent inspection closed out 2025.

Nurse hours

4.75 /day

Staff turnover

40%

Serious cites

0

Altenheim runs on 4.75 nurse hours per resident day, about 23% above the national average, and weekend staffing dips roughly 13% from its own weekday level, so coverage is thinner on Saturdays and Sundays than the weekday numbers suggest. Staff turnover sits at 40%, a bit better than the 45.8% national figure. The health inspection record shows 12 deficiencies, one of them at the harm or jeopardy level, with no abuse citations, and the last inspection was July 2024. Quality measures score 5 out of 5 while inspection results sit at 3, a split worth noticing: the day-to-day care metrics look strong, but the survey history carries one serious finding.