ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 1321–1340 of 4,510, best-graded first.

B

84.5/100

Strawberry Point Lutheran Home

Strawberry Point, IA · Clayton County

CMS 4/5 16 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
56%
Serious cites
0

Strawberry Point Lutheran Home is a 16-bed nonprofit in Clayton County, and the numbers suggest a place that runs lean but attentive. Nurse staffing sits at 5.13 hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level, worth asking how that gap gets covered. Staff turnover is 56%, higher than the 45.8% national figure, which is common in small rural homes but still means familiar faces cycle through. Nine deficiencies on record, none at the harm level and none abuse-related, with a fresh inspection in April 2025. Its four-star marks across inspections, quality measures, and staffing line up with what you'd expect from a well-staffed, small nonprofit.

B

84.5/100

Colonial Manor Of Amana

Amana, IA · Iowa County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
35%
Serious cites
0

Colonial Manor Of Amana runs a tight ship on inspections, a five-star health inspection record with just three deficiencies on file, none causing harm and none tied to abuse. That matters more than most families realize. The tradeoff shows up in daily staffing: 3.43 nurse hours per resident, about 11% under the national average, and weekends run roughly 17% thinner than weekdays. Turnover sits at 34.8%, which is actually better than the national 45.8%, a sign this for-profit corporation retains its caregivers reasonably well. Fifty beds, inspected recently in June 2025, quality measures middling at three stars. The care appears safe and well-supervised; just know weekends may feel stretched.

B

84.5/100

Parkview Home

Wayland, IA · Henry County

CMS 5/5 34 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
39%
Serious cites
0

Parkview Home runs on a church-affiliated nonprofit model with 34 beds, and the numbers behind its grade hold up well. Nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average, though weekends drop about 18% below what the home staffs on weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover is 39.3%, better than the 45.8% national figure, and the home carries 10 deficiencies with none at the harm level and none abuse-related. Its last inspection was June 2025, and it scored 5 out of 5 on health inspections.

B

84.5/100

West Point Care Center Inc

West Point, IA · Lee County

CMS 5/5 46 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
54%
Serious cites
0

West Point Care Center runs 46 beds under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, barely above the national average of 3.86. That thin margin matters because weekend coverage drops roughly 16% below the home's own weekday level, and annual turnover hits 53.7% against a national 45.8%. The inspection record shows 9 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $13,627. CMS gives strong marks on quality measures and solid ones on health inspections, with a recent survey date. The staffing picture is where the tension sits.

B

84.5/100

Mitchell County Hospital Health Systems Ltcu

Beloit, KS · Mitchell County

CMS 4/5 36 beds Government Medicaid
Nurse hours
4.79 /day
Staff turnover
28%
Serious cites
0

Nurse staffing here runs about 4.79 hours per resident day, roughly a quarter above the national average, and only about 28% of staff leave each year, compared to 45.8% nationally. That kind of retention matters more than almost anything else, because familiar aides notice changes in a resident before a chart does. Weekends dip about 16% below weekday coverage, so ask how that gap gets filled. The health inspection record is strong and recent, February 2025, with no deficiencies at the harm level. The tension is in the quality measures, which sit at the bottom of the scale, worth asking what specifically drives that, because good staffing and a low measure score don't usually tell the same story.

B

84.5/100

Fowler Residential Care

Fowler, KS · Meade County

CMS 5/5 20 beds Government Medicaid
Nurse hours
5.50 /day
Staff turnover
37%
Serious cites
0

Fowler Residential Care is a small hospital-district home, 20 beds, and its staffing is the headline: 5.50 nurse hours per resident day, roughly 42% above the national figure of 3.86. Turnover sits at 37%, better than the 45.8% national average, though weekend coverage drops about 20% below the home's own weekday level. The trade-off shows up in its record: nine deficiencies, one serious enough to reach harm or jeopardy level, and a single $8,021 fine, with the most recent inspection in February 2025. Nothing here suggests abuse, and the staffing numbers are genuinely strong, but the harm-level citation is the kind of thing worth asking about directly before you decide.

B

84.5/100

Kimball Farms Nursing Care Center

Lenox, MA · Berkshire County

CMS 4/5 74 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
41%
Serious cites
0

Kimball Farms runs a nonprofit shop in Lenox with 74 certified beds, and the staffing numbers are genuinely better than most: 4.42 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 18% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 41%, a bit under the 45.8% national figure, which matters because familiar aides tend to notice changes sooner. The inspection record is current as of December 2025, with nine deficiencies and none at the harm or jeopardy level. Four out of five stars across health inspections, quality measures, and staffing is a consistent profile, not a lopsided one.

B

84.5/100

Whittier Bradford Transitional Care Unit

Bradford, MA · Essex County

CMS 5/5 20 beds For-profit Medicaid
Nurse hours
7.18 /day
Staff turnover
64%
Serious cites
0

Bradford's Whittier Bradford Transitional Care Unit is a small for-profit home, 20 beds, and its inspection record is clean: zero deficiencies on the current record, none at the harm or jeopardy level, no abuse citations, with the most recent inspection in July 2025. Nurse staffing sits at 7.18 hours per resident day, roughly 86% above the national average, so there's real coverage here. The catch is retention: annual turnover is 64.1%, well above the 45.8% national figure, and weekend staffing drops about 17% from its own weekday level. That churn matters in a 20-bed home, where losing even a couple of nurses changes who's at the bedside.

B

84.5/100

St Clare Living Community Of Mora

Mora, MN · Kanabec County

CMS 3/5 65 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
23%
Serious cites
0

St. Clare Living Community of Mora runs a lean, stable ship on the staffing side, 4.05 nurse hours per resident day, a bit above the national average, and turnover of 23.1% that's roughly half the national rate. Those numbers suggest a team that mostly sticks around, though weekend coverage drops about 19% below weekday levels. The trouble is inspections: 28 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $45,100 in fines across 13 penalties, with the most recent inspection in May 2026. Quality measures score well, but a one-star health inspection rating against five-star staffing points to a home where care delivery looks solid and compliance does not.

B

84.5/100

Evansville Care Center

Evansville, MN · Douglas County

CMS 5/5 27 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
16%
Serious cites
0

Evansville Care Center is a 27-bed for-profit run by a limited liability company, and its staffing numbers are the headline: 3.92 nurse hours per resident day, just above the national average, with a 16% turnover rate against a national 45.8%. That stability matters more than the small margin above average, because consistent caregivers know residents. Weekend staffing drops roughly 17% below weekday levels, so ask how that plays out on Saturdays and Sundays. The current record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with a 4/5 inspection rating and a 5/5 staffing rating. The last inspection was January 21, 2026, so the record is recent.

B

84.5/100

Winston County Nursing Home

Louisville, MS · Winston County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
36%
Serious cites
0

Winston County Nursing Home runs a nonprofit operation with 120 certified beds, and the staffing numbers are the strongest part of the picture: 4.39 nurse hours per resident day, about 14% above the national average. That earned a five-star CMS staffing rating, and turnover sits at 36.2%, well below the national 45.8%, a sign people tend to stay. The tradeoffs show up elsewhere. Weekend staffing drops roughly 18% below weekday levels, and the quality measure rating is 2/5. Nine deficiencies sit on the current record, none at harm or jeopardy level, but two are abuse-related, which families should ask about directly. The last inspection was March 2024.

B

84.5/100

Noxubee County Nursing Home

Macon, MS · Noxubee County

CMS 1/5 60 beds Government Medicaid
Nurse hours
4.18 /day
Staff turnover
27%
Serious cites
0

Noxubee County Nursing Home runs a county-owned, 60-bed operation in Macon, and its staffing numbers are the bright spot here. At 4.18 nurse hours per resident day, it sits about 8% above the national average, and turnover of 27.1% is well below the 45.8% typical elsewhere, a sign people tend to stay. Weekends thin out, though, running roughly 17% under weekday levels. The harder read is quality and safety: the last inspection in June 2025 turned up 14 deficiencies, including two at harm or jeopardy level and one tied to abuse. A 1-out-of-5 inspection rating against a 4-out-of-5 staffing rating tells you the care hours are there, but the oversight record isn't.

B

84.5/100

James T Champion

Meridian, MS · Lauderdale County

CMS 4/5 70 beds Government Medicaid
Nurse hours
6.83 /day
Staff turnover
34%
Serious cites
0

James T Champion runs on state government ownership in Meridian, and the staffing numbers are the first thing that stands out: 6.83 nurse hours per resident day, roughly 77% above the national average. That's an unusual level of coverage, and turnover sits at 33.8% against a national 45.8%, so the people providing that care tend to stay. Weekends dip about 15% below the home's own weekday staffing, worth knowing if your visits land on Saturdays or Sundays. The tradeoff shows up in the quality measures, where CMS scores it 1 out of 5, and in 10 deficiencies on the current record, one abuse-related, though none at harm or jeopardy level. The last inspection was February 2026. Strong hands-on staffing, weaker clinical outcomes on paper.

B

84.5/100

Kingdom Care Senior Living

Fulton, MO · Callaway County

CMS 4/5 36 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
—
Serious cites
0

Kingdom Care Senior Living runs 36 certified beds in Fulton under for-profit limited liability ownership, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That thin margin matters because weekend coverage drops about 11% below the home's own weekday levels, so the hours aren't spread evenly across the week. The current record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors last visited in September 2024, and the home's quality measure rating comes in at the top of the scale while its inspection and staffing ratings each land at 4 out of 5.

B

84.5/100

Schuyler Hospital Inc And Long Term Care Unit

Montour Falls, NY · Schuyler County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
44%
Serious cites
0

Schuyler Hospital's long-term care unit runs a nonprofit operation with 120 certified beds, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average. That's a real cushion, though weekends drop about 18% below the home's own weekday levels, so coverage isn't uniform across the week. Staff turnover of 44.4% lands just under the national 45.8%, which is close to typical rather than a standout. The inspection record shows 19 deficiencies, none at harm or jeopardy level, but two tied to abuse, worth asking about directly. The last inspection was in March 2024, so the picture is reasonably current.

B

84.5/100

Twin Lakes Community

Burlington, NC · Alamance County

CMS 5/5 104 beds Non-profit Medicaid
Nurse hours
5.32 /day
Staff turnover
41%
Serious cites
0

Twin Lakes Community runs a nonprofit home with 104 beds in Burlington, and its nurse staffing sits at 5.32 hours per resident day, roughly 38% above the national average of 3.86. Weekends dip about 16% below its own weekday coverage, so your visit timing matters. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The inspection history shows seven deficiencies, four of them abuse-related, though none reached harm or jeopardy level, and one fine totaling $6,152. The last inspection was March 2026, so the record is recent. Strong staffing numbers and a clean harm record coexist here with those four abuse citations, worth asking about directly before deciding.

B

84.5/100

Courtland Terrace

Gastonia, NC · Gaston County

CMS 4/5 77 beds Non-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
29%
Serious cites
0

Courtland Terrace is a 77-bed nonprofit home in Gastonia, and the staffing numbers are the strength here, 4.25 nurse hours per resident day, roughly 10% above the national average, with turnover at 28.9% compared to 45.8% nationally. That retention matters more than any single inspection result, because consistent caregivers know the residents. The trade-off is weekends, when staffing drops about 22% below the home's own weekday level, so ask how that plays out on a Sunday afternoon. Ten deficiencies on record with none at the harm level and none abuse-related, and a 4-star health inspection from a visit in February 2026, suggest a home that runs steady rather than spotless.

B

84.5/100

Bellarose Nursing And Rehab

Garner, NC · Wake County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
25%
Serious cites
0

Bellarose runs on more nursing hours than most homes in the country, 4.46 per resident day against a national average of 3.86, and its staff turnover sits at 25%, well under the 45.8% national figure, which matters because familiar caregivers tend to notice small changes sooner. The tradeoff shows up on weekends, when coverage drops about 15% below the home's own weekday level. Its inspection record is clean: two deficiencies total, none involving harm or jeopardy, none abuse-related, with the most recent survey in July 2025 earning a 5-star health inspection rating. Quality measures are middling at 3 stars, so the clinical outcomes data isn't as strong as the staffing and inspection picture.

B

84.5/100

Elm Crest Manor

New Salem, ND · Morton County

CMS 4/5 62 beds Non-profit Medicaid
Nurse hours
4.74 /day
Staff turnover
51%
Serious cites
0

Elm Crest Manor runs on church-affiliated nonprofit ownership and 62 beds in New Salem, and the staffing numbers are genuinely strong: 4.74 nurse hours per resident day, roughly a quarter above the national average. Weekends dip about 17% below its own weekday coverage, though, and turnover sits at 50.6%, higher than the 45.8% national figure, which matters in a small rural building where replacements are hard to find. The current record shows 10 deficiencies with none at the harm or jeopardy level, but 3 are abuse-related, and the most recent inspection was in January 2026. Consistent survey scores and above-average staffing carry real weight here; the abuse citations and churn are what a family should ask about directly.

B

84.5/100

Broadway Living Center

Lexington, OK · Cleveland County

CMS 4/5 101 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
—
Serious cites
0

Broadway Living Center runs 101 certified beds under limited-liability, for-profit ownership in Lexington, and its inspection record is the strongest part of the story: a 4-out-of-5 health inspection rating, 15 deficiencies on file, none of them serious enough to reach harm or jeopardy level. The staffing picture is thinner. At 3.79 nurse hours per resident day, it sits a bit under the national average, and weekends run roughly 12% below its own weekday numbers. One abuse-related deficiency is on the record. The most recent inspection was in March 2024, so the findings are relatively current. Good inspections, but the day-to-day coverage, especially on weekends, leaves less margin than you'd want.

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.

Before you shortlist