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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 1281–1300 of 4,510, best-graded first.

A

85/100

Bethany Village

Dayton, OH · Montgomery County

CMS 5/5 227 beds Non-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
36%
Serious cites
0

Bethany Village runs on 4.23 nursing hours per resident day, roughly 9% above the national average, though weekends drop about 12% below its own weekday staffing. That gap matters more than the headline number if your family visits on Saturdays and Sundays. Staff turnover sits at 35.8%, well under the 45.8% national figure, which suggests people tend to stay. The inspection record is thin: two deficiencies total, none at the harm level, none abuse-related, with a survey completed in January 2026. As a nonprofit with 227 beds, it carries five stars on both health inspections and quality measures.

A

85/100

Kensington At Anna Maria

Aurora, OH · Portage County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
43%
Serious cites
0

Kensington At Anna Maria runs 4.48 nurse hours per resident day, about 16 percent above the national average, and its five-star health inspection and quality ratings suggest that staffing shows up where it counts. The caution is in staffing consistency: weekends drop roughly 11 percent below weekday levels, so coverage isn't uniform across the week. Four deficiencies appear on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related, and the most recent inspection was in December 2025. Turnover sits at 42.9 percent, slightly better than the national 45.8 percent. Corporate for-profit ownership, 99 beds, and a solid but not flawless record.

A

85/100

Mill Manor Care Center

Vermilion, OH · Erie County

CMS 5/5 33 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
17%
Serious cites
0

Mill Manor runs a tight ship on inspections and quality measures, but staffing is where the numbers get interesting. At 3.35 nurse hours per resident day, it sits about 13% under the national average, and weekends drop roughly 9% below its own weekday levels, worth asking about if your family member needs more hands-on help on Saturdays and Sundays. The tradeoff is stability: 17.2% turnover is far below the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. Thirteen deficiencies on record, three tied to abuse, but none at the harm or jeopardy level, and the most recent inspection was January 2026.

A

85/100

Mennonite Memorial Home

Bluffton, OH · Allen County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
47%
Serious cites
0

Mennonite Memorial Home runs on slightly better staffing than most places, about 4.02 nurse hours per resident day against a national average of 3.86, with a four-star staffing rating to match. The catch is weekends, when coverage drops roughly 11% below what the home staffs on weekdays, and turnover sits at 46.8%, a touch above the national rate. Its inspection record shows 29 deficiencies, none at the harm or jeopardy level, though four are abuse-related, and the most recent inspection was in late 2024. The quality measure rating of four stars suggests the clinical numbers hold up. Church-affiliated nonprofit ownership, 60 beds.

A

85/100

Maple Lawn Nursing And Rehabilitation

Hydro, OK · Blaine County

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

Maple Lawn runs 4.34 nurse hours per resident day, roughly 12% above the national average of 3.86, and its staff turnover of 34.9% sits well under the 45.8% national figure, two numbers that tend to matter more day to day than anything else. Weekend coverage dips about 11% below its own weekday level, worth asking about if your family visits Saturdays or Sundays. The inspection record shows eight deficiencies, none at the harm level, though one is abuse-related and should be asked about directly. A 2/5 quality measure rating sits alongside stronger marks for staffing and inspections, so the picture is mixed rather than clean.

A

85/100

Spanish Cove Housing Authority

Yukon, OK · Canadian County

CMS 5/5 57 beds For-profit
Nurse hours
5.18 /day
Staff turnover
29%
Serious cites
0

Spanish Cove runs about 5.18 nurse hours per resident per day, roughly a third more than the national average, and weekend coverage dips only about 13 percent below its own weekdays, a smaller drop than many homes show. Staff turnover sits at 28.6 percent against a national 45.8 percent, so the people caring for residents tend to stick around. The tradeoffs show up elsewhere: two deficiencies on the current record, one serious enough to involve harm or jeopardy, and one fine of $8,018. The last inspection was October 2024. A for-profit individually owned home where the numbers are mostly good, with one inspection finding worth asking about directly.

A

85/100

Carbondale Rehabilitation And Healthcare Center

Carbondale, PA · Lackawanna County

CMS 5/5 115 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
22%
Serious cites
0

Carbondale Rehabilitation and Healthcare Center runs 115 certified beds under for-profit LLC ownership, and its numbers tell a fairly steady story. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average of 3.86, and weekends run about 7% lighter than weekdays, worth asking about if your family tends to visit Saturday or Sunday. What stands out more is retention: 21.7% annual turnover against a national average of 45.8%, meaning the people caring for residents tend to stick around. The home logged 14 deficiencies on its current record, none at the harm or jeopardy level, though two were abuse-related, a category worth reading closely. Its most recent inspection was March 20, 2026, so the picture is current.

A

85/100

Pocopson Home

West Chester, PA · Chester County

CMS 5/5 275 beds Government Medicaid
Nurse hours
4.53 /day
Staff turnover
31%
Serious cites
0

Pocopson Home is county-run, and the staffing numbers show it: 4.53 nurse hours per resident day, roughly 17% above the national average, with a five-star CMS staffing rating and turnover at 31.1% against a national 45.8%. Weekends run about 13% thinner than weekdays, which is worth asking about if your family visits then. The trade-off sits in the inspection record, 4 out of 5 stars, but five deficiencies on file, two at harm or jeopardy level and three tied to abuse, plus two fines totaling $16,036. Quality measures came in at 2 out of 5. Staffing is this home's strength; the safety history is what you'd want to press on directly.

A

85/100

Dr Arthur Clifton Mckinley Ctr

Brookville, PA · Jefferson County

CMS 4/5 90 beds Non-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
20%
Serious cites
0

Dr Arthur Clifton Mckinley Ctr runs 90 certified beds as a nonprofit corporation, and its strongest asset is retention: 19.7% annual turnover against a national average of 45.8%. Staff tend to stay. The trade-off is raw coverage, 3.68 nurse hours per resident day sits about 5% under the national 3.86, and weekends dip roughly 5% below the home's own weekday levels, so the thinnest shifts are the ones families visit. Thirteen deficiencies appear on the current record, none at harm or jeopardy level, one abuse-related. Inspectors were last in on December 4, 2025, which is recent enough to trust the findings.

A

85/100

John J Kane Regional Center-Mc

Mckeesport, PA · Allegheny County

CMS 3/5 360 beds Government Medicaid
Nurse hours
4.12 /day
Staff turnover
52%
Serious cites
0

John J. Kane Regional Center-Mc gets its residents more nursing time than most homes nationally, 4.12 hours per resident day against a 3.86 average, and families often notice that on weekdays. Weekends are thinner, though, running about 13% below the home's own weekday staffing. The county-run facility carries 21 deficiencies on its current record, including five at the harm or jeopardy level and three tied to abuse, plus four fines totaling $59,395. Staff turnover sits at 52.1%, higher than the 45.8% national figure, which matters for anyone who needs consistent caregivers. Its last inspection was November 2024, so the record is recent. Quality measures score well; the inspection side is where the concerns cluster.

A

85/100

Paul's Run

Philadelphia, PA · Philadelphia County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
29%
Serious cites
0

Paul's Run runs a tight ship on staffing, with 3.88 nurse hours per resident day, just a hair above the national average of 3.86. That margin is thin, and weekends dip about 6% below the home's own weekday coverage, so care can feel lighter on Saturdays and Sundays. The standout number is turnover: 29% against a national 45.8%, meaning aides and nurses tend to stick around, which matters for residents who value familiar faces. Inspections are current (August 2025), the health inspection rating sits at 4 out of 5, and none of the 15 deficiencies on record rose to harm or jeopardy, though two are abuse-related, worth asking about directly. Nonprofit ownership, 119 beds.

A

85/100

Damas Hospital Snf

Ponce, PR · Ponce County

CMS 5/5 25 beds Non-profit
Nurse hours
4.92 /day
Staff turnover
5%
Serious cites
0

Damas Hospital SNF runs a tight ship on staffing. At 4.92 nurse hours per resident day, it's well above the national average of 3.86, and a turnover rate of 4.8% is remarkable next to the 45.8% typical elsewhere. Weekend coverage does dip about 24% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is where things get complicated: 30 deficiencies, including one at the harm level and five tied to abuse, despite a perfect health inspection star rating and a recent March 2026 survey. One fine totaling $10,839 is on file. Small facility, 25 beds, nonprofit-owned, worth a visit and pointed questions about those abuse-related findings.

A

85/100

Musc Health Mullins Nursing Home

Mullins, SC · Marion County

CMS 3/5 92 beds Government Medicaid
Nurse hours
3.68 /day
Staff turnover
27%
Serious cites
0

Musc Health Mullins Nursing Home runs on a state-owned, 92-bed model with staffing that lands a bit under the national average, 3.68 nurse hours per resident day against 3.86, and weekends thin out about 10% below its own weekday levels, so coverage does dip at times. What stands out in the other direction is turnover: 27% against a national 45.8%, meaning the people who work here tend to stay. The health inspection record carries 14 deficiencies, three of them at the harm level, none abuse-related, with the most recent look in May 2025.

A

85/100

Lake Moultrie Nursing Home

Saint Stephen, SC · Berkeley County

CMS 3/5 88 beds Government Medicaid
Nurse hours
3.59 /day
Staff turnover
28%
Serious cites
0

Lake Moultrie Nursing Home runs on a hospital-district payroll, which shows up in the turnover number: 28.4% against a national average near 46%, so the aides and nurses here tend to stay. The trade-off is coverage. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday staffing. Inspectors cited nine deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, with a single fine of $11,196 on record. The most recent inspection was March 12, 2026. Stable staff, thinner weekend coverage, and a citation history worth asking about directly.

A

85/100

Rice Estate Rehabilitation And Healthcare

Columbia, SC · Richland County

CMS 3/5 80 beds Non-profit
Nurse hours
4.96 /day
Staff turnover
41%
Serious cites
0

Rice Estate Rehabilitation And Healthcare runs on 4.96 total nurse hours per resident day, roughly 29% above the national figure of 3.86, and that shows up in its staffing rating of 4 out of 5. Weekend coverage dips about 12% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 40.9%, better than the 45.8% national average, which matters for whether your parent sees the same faces. Five deficiencies are on record, none at the harm level and none abuse-related, with the last inspection in April 2026. As a nonprofit with 80 beds, it's small enough to know residents by name.

A

85/100

The Neighborhoods At Brookview

Brookings, SD · Brookings County

CMS 5/5 79 beds Government Medicaid
Nurse hours
4.60 /day
Staff turnover
54%
Serious cites
0

The Neighborhoods At Brookview is city/county-owned, and it shows in the staffing: 4.60 nurse hours per resident day, roughly 19% above the national average. Inspections back that up, a 5/5 health inspection rating, only 8 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent survey in November 2025. The tradeoffs are real, though. Staff turnover sits at 53.6% against a national 45.8%, and weekend coverage runs about 14% thinner than weekdays, so the hands-on care you see on a Tuesday may not match what a Saturday brings. Quality measures land mid-pack at 3/5.

A

85/100

Woodhaven Hall At Williamsburg Landing

Williamsburg, VA · James City County

CMS 3/5 73 beds Non-profit Medicaid
Nurse hours
5.40 /day
Staff turnover
40%
Serious cites
0

Woodhaven Hall runs a genuinely strong staffing operation, 5.40 nurse hours per resident day against a national average near 3.86, and its 39.7% turnover beats the 45.8% national figure. That's the good news, and it's real. The problems sit on the inspection side: 32 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, with a single $36,374 fine. Inspectors were last in on February 27, 2026. A nonprofit with this much direct care on the floor is doing something right, but the survey history is what a family should be asking about directly.

A

85/100

Seaside Hhc @ Atlantic Shore

Virginia Beach, VA · Virginia Beach City County

CMS 4/5 50 beds For-profit
Nurse hours
4.50 /day
Staff turnover
48%
Serious cites
0

Seaside Hhc @ Atlantic Shore runs 50 certified beds in Virginia Beach under for-profit LLC ownership, and the staffing numbers are the strongest part of the picture: 4.50 nurse hours per resident day, roughly 17% above the national average of 3.86. The catch is weekends, when coverage drops about 12% below the home's own weekday level, worth asking about if your family visits or calls mainly on Saturdays and Sundays. Its 48% annual turnover sits a bit above the 45.8% national figure, so caregivers do cycle through. Inspections in late November 2025 turned up 20 deficiencies, none at harm or jeopardy level and none abuse-related, and the home earned 4 of 5 stars on health inspections, quality measures, and staffing.

A

85/100

Sw Va M H Inst Geri Trt Ctr

Marion, VA · Smyth County

CMS 4/5 25 beds Government Medicaid
Nurse hours
— /day
Staff turnover
20%
Serious cites
0

Sw Va M H Inst Geri Trt Ctr runs on a state government license in Marion with just 25 certified beds, and the numbers suggest a well-run operation. Nurse staffing sits at 4.76 hours per resident day, roughly 23% above the national average of 3.86, and the weekend dip is only about 8% off its own weekday level, minor compared with what many homes see. Staff turnover is 19.6%, less than half the national rate of 45.8%, so the people caring for residents tend to stick around. Five deficiencies show on the current record with none at the harm or jeopardy level and none abuse-related, and the most recent inspection closed out in late December 2025.

A

85/100

Mirabella

Seattle, WA · King County

CMS 5/5 46 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
37%
Serious cites
0

Mirabella runs 4.38 nurse hours per resident day, roughly 13% above the national average, and weekend coverage only dips about 12% below its weekday level, a smaller drop than many homes show. Staff turnover sits at 36.6%, well under the 45.8% national figure, which matters for residents who need consistent faces. The tradeoff shows up in its inspection history: 48 deficiencies on record, including two at the harm level and five tied to abuse, with $23,463 in fines across two events. The most recent inspection was June 27, 2025. Strong staffing and a nonprofit owner don't erase that record; they just mean care is likely well-covered day to day even as the compliance side carries real problems.

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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