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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 1341–1360 of 4,510, best-graded first.

B

84.5/100

Gracelen Care Center

Portland, OR · Multnomah County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
—
Serious cites
0

Gracelen Care Center has real staffing strength: 4.52 nurse hours per resident day, roughly 17% above the national average of 3.86, which is the kind of number that shows up in daily care. But that strength sits against a troubling inspection record. Fifty-eight deficiencies, ten at harm or jeopardy level and nine abuse-related, with a 1-out-of-5 health inspection rating and a recent July 2025 inspection. Weekend staffing also drops about 9% below weekday levels. Ownership is for-profit corporate. The quality measure rating of 4/5 looks good on paper, but the abuse and harm findings are the ones families should weigh most heavily when deciding.

B

84.5/100

Kirby Pines Manor

Memphis, TN · Shelby County

CMS 5/5 120 beds Non-profit
Nurse hours
3.67 /day
Staff turnover
55%
Serious cites
0

Kirby Pines Manor runs on a nonprofit model with 120 certified beds, and its inspection record is genuinely clean, two deficiencies on file, none involving harm or abuse, and a survey completed in June 2025. The quality measure scores back that up. Where it gets less comfortable is staffing: 3.67 nurse hours per resident day sits about 5% under the national average, weekends drop roughly 22% below weekdays, and turnover runs 54.5% against a national 45.8%. So the care standards look strong on paper, but the people delivering that care are stretched thinner than average and cycling through faster than average. Worth asking the administrator directly how they cover weekends and what they're doing about retention.

B

84.5/100

Woodside Lutheran Home

Green Bay, WI · Brown County

CMS 5/5 118 beds Non-profit Medicaid
Nurse hours
5.23 /day
Staff turnover
43%
Serious cites
0

Woodside Lutheran Home runs a strong staffing operation, 5.23 nurse hours per resident day is well above what most homes provide, and the weekend dip of about 16% is smaller than what you'll see at plenty of places. Turnover sits just under the national figure, and the inspection record is clean: two deficiencies, neither at the harm level, with a visit as recent as September 2025. The one soft spot is the quality measure rating, which at 2 out of 5 suggests the clinical outcomes data isn't keeping pace with everything else. If you're weighing this one, ask specifically about falls, pressure sores, and antipsychotic use, that's where the gap tends to show up.

B

84.5/100

Shields Nursing Center

El Cerrito, CA · Contra Costa County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
22%
Serious cites
0

Shields Nursing Center in El Cerrito runs on a for-profit corporate model with 45 certified beds, and its staffing is the standout fact here: 4.47 nurse hours per resident day, roughly 16 percent above the national average, and turnover sits at 22.2 percent against a national 45.8 percent. That retention matters more than the raw hours, since consistent caregivers tend to know residents' routines. Weekend coverage does drop about 18 percent below its own weekday level, so ask how that plays out on Saturdays and Sundays. The 27 deficiencies on record carry no harm or jeopardy findings and none are abuse-related, and the last inspection was in June 2025, so the record is current.

B

84.5/100

Whittier Hospital Medical Ctr D/P Snf

Whittier, CA · Los Angeles County

CMS 5/5 22 beds For-profit Medicaid
Nurse hours
10.10 /day
Staff turnover
29%
Serious cites
0

Whittier Hospital Medical Ctr D/P SNF runs a small 22-bed unit, and the staffing numbers are the story here: 10.10 nurse hours per resident day, roughly two and a half times the national average. Weekend coverage dips about 9% below weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. Turnover sits at 28.6%, well under the national 45.8%, so the people caring for your family member are more likely to stick around. The tradeoff shows up in the inspection record: 26 deficiencies on file, including two at the harm level, though none abuse-related. Inspectors were last out in April 2025, so that record is current, not stale.

B

84.5/100

Community Care On Palm

Riverside, CA · Riverside County

CMS 4/5 51 beds For-profit Medicaid
Nurse hours
4.54 /day
Staff turnover
38%
Serious cites
0

Community Care On Palm runs 4.54 nurse hours per resident day, roughly 18% above the national average, and its staff turnover of 38.2% sits below the national 45.8%, a sign people tend to stay. Weekends are thinner, though, running about 16% under the home's own weekday coverage, so ask how that plays out on a Sunday. The record is where the picture gets complicated: 44 deficiencies, three at harm or jeopardy level and five abuse-related, plus one fine of $33,540. Its last inspection was April 2026. A for-profit LLC with 51 beds, this is a home with genuine staffing strengths and a citation history worth reading closely before you decide.

B

84.5/100

Memorial Health Care Center

Seminole, TX · Gaines County

CMS 4/5 40 beds Government Medicaid
Nurse hours
4.30 /day
Staff turnover
—
Serious cites
0

Memorial Health Care Center runs on county money in Seminole, and that shows in the numbers: 4.30 nurse hours per resident day, roughly 11% above the national average. Weekend staffing dips about 13% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The home carries 14 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and it was inspected as recently as August 2025. A 4-out-of-5 on health inspections, quality measures, and staffing across the board is a steady, unremarkable record, the kind you want from a small county home.

B

84/100

Welbrook Yuma Opco Llc

Yuma, AZ · Yuma County

CMS 5/5 41 beds For-profit
Nurse hours
4.77 /day
Staff turnover
51%
Serious cites
0

Welbrook Yuma runs a 41-bed for-profit home in Yuma County, and the staffing numbers are the strongest thing it has going: 4.77 nurse hours per resident day, about 24% above the national average, which is why CMS gives it 5 stars on staffing. Weekends dip roughly 12% below its own weekday level, so coverage is thinner Saturday and Sunday than the weekday figure suggests. Turnover sits at 50.8%, above the 45.8% national average. Inspections are recent, April 2026, with 4 of 5 stars and eight deficiencies on record, none at harm or jeopardy level, but two tied to abuse, which is worth asking about directly.

B

84/100

Bancroft Healthcare Center

San Leandro, CA · Alameda County

CMS 3/5 39 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
35%
Serious cites
0

Bancroft Healthcare Center is a small for-profit home in San Leandro, 39 beds, and its inspection and quality records both sit at 4 out of 5 stars, with a clean abuse record and a recent October 2024 survey behind it. The catch is staffing: 3.56 nurse hours per resident day, roughly 8% under the national average, and that gap is what pulls its staffing rating down to 1 star. Weekends hold close to weekday levels, so the thin coverage isn't a weekend problem, it's the baseline. Turnover at 34.5% is better than the 45.8% national figure, which matters less than it sounds if the hours simply aren't there. Thirty deficiencies on record, one at harm level, is a lot for a building this size.

B

84/100

Lompoc Valley Medical Center Comprehensive Care Ce

Lompoc, CA · Santa Barbara County

CMS 5/5 110 beds Government Medicaid
Nurse hours
4.57 /day
Staff turnover
—
Serious cites
0

Lompoc Valley Medical Center's skilled nursing unit runs on government-hospital-district money, and it shows in the staffing: 4.57 nurse hours per resident day, roughly 18 percent above the national average of 3.86. That's a real cushion, though weekends dip about 16 percent below the home's own weekday levels, so coverage isn't perfectly even. The inspection record is the strongest part of the story, a 5-star health inspection rating, a survey completed in March 2026, and 19 deficiencies on file with none at the harm or jeopardy level. Three of those are abuse-related, which is worth asking about directly. Quality measures sit at 4 stars, staffing at 4 stars. For a 110-bed public facility, the pattern is steady rather than spotless.

B

84/100

Fulton Gardens Post Acute, Llc

Stockton, CA · San Joaquin County

CMS 3/5 116 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
37%
Serious cites
0

Fulton Gardens runs 116 beds under for-profit LLC ownership, and its nurse staffing sits at 3.99 hours per resident day, slightly above the national average, though weekends dip about 8% below what the home provides on weekdays. Staff turnover comes in at 36.6%, noticeably lower than the 45.8% national figure, which suggests less churn than many homes manage. What stands out on the record is the 50 deficiencies, a high count, including 3 tied to abuse; none rose to the harm or jeopardy level, and the most recent inspection is recent, dated May 2026.

B

84/100

The Tamalpais

Greenbrae, CA · Marin County

CMS 5/5 52 beds Non-profit
Nurse hours
4.51 /day
Staff turnover
40%
Serious cites
0

The Tamalpais runs on a nonprofit model with 52 certified beds in Greenbrae, and its nurse staffing sits at 4.51 hours per resident day, roughly 17% above the national average. That's the number that drives its staffing star rating to the top of the scale. Turnover lands at 40%, a bit better than the national 45.8%, so caregivers are staying longer than is typical. The record isn't spotless: 14 deficiencies, though none at harm or jeopardy level and none abuse-related. The most recent inspection was September 2025. One thing worth asking about directly, weekend staffing drops about a third below weekday levels, so coverage on Saturdays and Sundays looks meaningfully thinner than during the week.

B

84/100

Oakdale Nursing And Rehabilitation Center

Oakdale, CA · Stanislaus County

CMS 4/5 115 beds Government Medicaid
Nurse hours
4.19 /day
Staff turnover
51%
Serious cites
0

Oakdale Nursing and Rehabilitation Center runs on a hospital-district license with 115 certified beds, and its staffing is the strongest card it holds, 4.19 nurse hours per resident day, roughly 9% above the national figure. That headcount comes with a catch: weekends run about 12% leaner than weekdays, and turnover sits at 51.4%, higher than the 45.8% national average, so the faces around a resident change fairly often. The inspection record shows 33 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent state visit was in March 2025. Nothing here suggests danger; it reads more like a home getting the basics right while working through a long list of smaller problems.

B

84/100

George L Mee Memorial Hospital D/P Snf

King City, CA · Monterey County

CMS 2/5 48 beds Non-profit Medicaid
Nurse hours
5.37 /day
Staff turnover
—
Serious cites
0

The staffing numbers at George L Mee Memorial Hospital D/P SNF are the strongest part of the picture: 5.37 nurse hours per resident day, about 39% above the national average, which supports the four-star staffing rating. Weekend coverage drops roughly 16% below its own weekday level, so care may feel thinner on Saturdays and Sundays. The inspection record is where the home gets harder to read. Thirty deficiencies on file, none at the harm or jeopardy level, but one abuse-related citation, and the two-star health inspection rating reflects that pattern. Ownership is nonprofit, and the last inspection was recent. Plenty of hands on staff; the regulatory history is the part to ask about directly.

B

84/100

Emmanuel Post Acute Care - Hayward

Hayward, CA · Alameda County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
50%
Serious cites
0

Emmanuel Post Acute Care in Hayward runs 99 certified beds under individual for-profit ownership, and its staffing sits at 3.94 nurse hours per resident day, just above the national average of 3.86, though weekends drop about 10% below its own weekday level. Staff turnover is 49.5%, higher than the 45.8% national average, and the inspection record shows 39 deficiencies, including one at the harm level and one abuse-related. CMS gave it 2 out of 5 stars for health inspections but 5 out of 5 for quality measures, with the most recent inspection in August 2025. The pattern here is strong clinical scores offset by a thinner margin on safety and consistency.

B

84/100

Clear Creek Care Center

Westminster, CO · Adams County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
54%
Serious cites
0

Clear Creek Care Center runs 80 certified beds in Westminster under for-profit LLC ownership. Its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average of 3.86, and weekends run about 10% thinner than weekdays. Annual turnover is 54.3%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The health inspection record shows 28 deficiencies, including two at harm or jeopardy level and two tied to abuse; that inspection was in March 2024. The quality measure rating of 5/5 stands out against that inspection history, and it's worth asking how the two line up.

B

84/100

Crowley County Nursing Center

Ordway, CO · Crowley County

CMS 5/5 44 beds Non-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
47%
Serious cites
0

Crowley County Nursing Center runs 44 certified beds as a nonprofit corporation, and the nurse staffing works out to 3.58 hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 12% below the home's own weekday coverage, and turnover sits at 46.8%, just above the national 45.8%. Its last inspection was February 27, 2024, and the current record shows 18 deficiencies, two of them at the harm or jeopardy level, with none tied to abuse. What holds the numbers up is the quality measure rating at 5/5 and staffing at 4/5; the health inspection star sits at 3/5.

B

84/100

Hillcrest Care Center

Wray, CO · Yuma County

CMS 5/5 45 beds Government Medicaid
Nurse hours
3.49 /day
Staff turnover
55%
Serious cites
0

Hillcrest Care Center is a 45-bed hospital-district home in Wray, and the numbers point in two directions at once. The clinical side looks strong: a 5/5 on quality measures and a 4/5 on health inspections, with the most recent survey in October 2024. But staffing tells a different story, 3.49 nurse hours per resident day sits about 10% under the national average, weekends run roughly 10% leaner than weekdays, and turnover hits 55% against a national 45.8%. Twenty deficiencies sit on the current record, including two at the harm level and one tied to abuse. The care delivered here scores well; whether there are consistently enough hands to deliver it is the open question.

B

84/100

Nathaniel Witherell, The

Greenwich, CT · Western Ct County

CMS 2/5 202 beds Government Medicaid
Nurse hours
4.38 /day
Staff turnover
7%
Serious cites
0

Nathaniel Witherell is city-owned, and its staffing is the standout: 4.38 nurse hours per resident day, about 14% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Staff turnover of 7.4% is remarkably low next to the 45.8% national figure, which suggests a stable workforce. The problem sits in inspections. The current record shows 59 deficiencies, 12 of them abuse-related, though none rose to harm or jeopardy, and the last inspection was August 2024. One fine totaling $4,516 is on file. Strong staffing and steady retention are real; the inspection history is what pulls the rest down.

B

84/100

Guilford House, The

Guilford, CT · South Central Ct County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
39%
Serious cites
0

Guilford House runs on unusually strong staffing for a for-profit home, 4.44 nurse hours per resident day, roughly 15 percent above the national average, and its turnover of 39.2 percent beats the national 45.8 percent, which matters because consistent caregivers know residents' routines. Weekend coverage dips only slightly below weekdays. The catch is the inspection record: 33 deficiencies, one serious enough to reach harm or jeopardy, two tied to abuse, and an $8,824 fine. The last full inspection was October 2023, so that record is getting stale. Strong daily care, a middling regulatory history, worth asking the administrator directly what changed since that harm-level finding.

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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