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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 1381–1400 of 4,510, best-graded first.

B

84/100

Southwest Louisiana War Veterans Home

Jennings, LA · Jeffrson Davis County

CMS 5/5 8 beds Government
Nurse hours
11.68 /day
Staff turnover
—
Serious cites
0

The Southwest Louisiana War Veterans Home in Jennings is a state-run home with just 8 certified beds, which is a fraction of the size of a typical nursing facility. Inspections are a clear strength: zero deficiencies at the harm or jeopardy level and none related to abuse, with a perfect health inspection rating and a fresh survey from June 2026. Staffing is the weak point, the lowest possible rating, meaning hours per resident fall well below what CMS expects. A state government owner and a spotless inspection record give families real reassurance, but with only eight beds, ask directly how many aides are actually on the floor overnight.

B

84/100

Odd Fellows Health Care Center

Auburn, ME · Androscoggin County

CMS 3/5 26 beds Non-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
—
Serious cites
0

Odd Fellows Health Care Center in Auburn runs on a nonprofit structure and just 26 beds, which tends to mean the staff actually know the residents. Its 4.52 nurse hours per resident day sit well above the national average, though weekends drop roughly a fifth below weekday coverage, so timing matters if you're visiting or calling. The home carries 24 deficiencies on its current record, including one tied to abuse, but none at the harm or jeopardy level, and its last inspection was in February 2026. Quality and staffing both score 4 out of 5 from CMS, with inspection results at 3. For a small nonprofit, the numbers describe a stable place with some compliance history worth asking about directly.

B

84/100

Citizens Care Center

Havre De Grace, MD · Harford County

CMS 5/5 184 beds Non-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
28%
Serious cites
0

Citizens Care Center runs on a nonprofit model with 184 certified beds, and its strongest asset is the people on the floor: 4.02 nurse hours per resident day, roughly 4% above the national average, and turnover at 28.2% against a national 45.8%, that retention matters more than any single score. The trade-off shows up in the 38 deficiencies on record, including one tied to abuse, though none reached harm or jeopardy, and quality measures sit at 2 stars even as staffing hits 5. That gap is worth asking about directly.

B

84/100

St Joseph Manor Health Care Inc

Brockton, MA · Plymouth County

CMS 4/5 118 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
26%
Serious cites
0

St. Joseph Manor runs a tight ship on retention, 26% turnover against a 45.8% national average means aides and nurses tend to stay, which matters more for daily care than almost anything else on paper. The tradeoff shows up in raw hours: 3.64 nurse staffing per resident day sits about 6% under the national figure, and weekends dip roughly 10% below the home's own weekday coverage, so ask how that gap gets covered. Fifteen deficiencies on record with none at harm level and nothing abuse-related, plus a December 2025 inspection, points to a home that gets watched closely and corrected quickly rather than one coasting.

B

84/100

Affinity Healthcare

Braintree, MA · Norfolk County

CMS 2/5 177 beds For-profit Medicaid
Nurse hours
5.21 /day
Staff turnover
27%
Serious cites
0

Affinity Healthcare in Braintree runs on a for-profit corporate model with 177 certified beds, and its staffing is genuinely stronger than most: 5.21 nurse hours per resident day, roughly 35% above the national average, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 26.9%, well under the national 45.8%. The trouble is inspection history. Forty deficiencies are on the current record, including two at the harm or jeopardy level and four tied to abuse. Two fines total $27,648, and the last inspection came in December 2025, recent enough that the findings reflect how the place operates now. Strong staffing paired with that many serious citations is the tension worth weighing.

B

84/100

Waterview Lodge Llc, Rehabilitation & Healthcare

Ashland, MA · Middlesex County

CMS 3/5 103 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
13%
Serious cites
0

Waterview Lodge runs 103 certified beds in Ashland under for-profit LLC ownership, and its staffing story is the strong part: 3.87 nurse hours per resident day, essentially matching the national average, with a 12.5% turnover rate that's far below the 45.8% typical elsewhere. That stability matters when aides and nurses actually stay. The trade-offs show up elsewhere, 37 deficiencies on record, three tied to abuse, and health inspection and quality measure ratings both at 2 out of 5, even with a recent February 2026 inspection. Weekend staffing also drops about 11% below weekday levels, so coverage thins when families tend to visit. Worth asking about those abuse-related findings directly.

B

84/100

Chelsea Retirement Community

Chelsea, MI · Washtenaw County

CMS 5/5 85 beds Non-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
37%
Serious cites
0

Chelsea Retirement Community runs on more nursing hours than most places, 4.44 per resident per day against a national average of 3.86, with weekend coverage dipping about 11% below its own weekday level. Staff turnover sits at 37.4%, well under the 45.8% national figure, which matters for consistency of care. The home's last inspection was in August 2025 and turned up 13 deficiencies, none at the harm or jeopardy level and none abuse-related, the kind of paperwork and process findings that show up at many otherwise well-run buildings. Its inspection and staffing ratings both come in at the top of CMS's scale, backed by nonprofit ownership.

B

84/100

Pomeroy Living Sterling Skilled Rehabilitation

Sterling Heights, MI · Macomb County

CMS 4/5 176 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
39%
Serious cites
0

Pomeroy Living Sterling sits in Sterling Heights with 176 certified beds under corporate ownership, and its inspection record is genuinely clean, 19 deficiencies on file, but none that rose to harm or jeopardy, and nothing abuse-related. The most recent state visit was in May 2025, so you're looking at current information. Nurse staffing runs 3.92 hours per resident day, slightly ahead of the national figure, though weekends dip about 13% below weekdays, which is worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover lands at 38.7%, meaningfully better than the 45.8% national rate, experienced caregivers tend to know residents' routines. All three CMS ratings sit at four stars.

B

84/100

Interfaith Care Center

Carlton, MN · Carlton County

CMS 5/5 96 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
49%
Serious cites
0

Interfaith Care Center in Carlton runs a church-affiliated nonprofit with 96 beds, and its nurse staffing sits at 4.39 hours per resident day, roughly 14% above the national average of 3.86. That's the strongest thing in its file, and CMS agrees, giving it a top staffing rating. Weekends run about 10% lighter than weekdays, so ask how that gap gets covered. Staff turnover lands at 49.4%, a bit above the 45.8% national figure, which matters more than a single staffing snapshot. Nine deficiencies are on record, none at harm or jeopardy level, but four are abuse-related, worth asking about directly. The last inspection was April 2026.

B

84/100

Aicota Health Care Center

Aitkin, MN · Aitkin County

CMS 2/5 56 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
—
Serious cites
0

Aicota Health Care Center runs 4.17 nurse hours per resident day, roughly 8% above the national average, which helps explain the staffing side of its record. Weekend coverage drops about 16% below what the home provides on weekdays, so the weekday number isn't the whole story. State inspectors found 19 deficiencies on the current record, none at the harm or jeopardy level and none related to abuse, a long list, but not a dangerous one. The most recent inspection was January 9, 2026, so the findings are current. This is a for-profit corporation running 56 certified beds in Aitkin. Solid care numbers, steady survey activity, and staffing that thins out on weekends.

B

84/100

Lifeceare Roseau Manor

Roseau, MN · Roseau County

CMS 4/5 40 beds Non-profit Medicaid
Nurse hours
5.71 /day
Staff turnover
28%
Serious cites
0

Lifecare Roseau Manor runs on unusually heavy staffing for a 40-bed nonprofit home, 5.71 nurse hours per resident day, roughly half again the national average, and its staff actually stick around, with turnover near 28% against a national rate closer to 46%. Weekends dip about 13% below its own weekday coverage, so care thins out on Saturdays and Sundays. The catch shows up in the inspection record: eight deficiencies, one serious enough to involve harm or jeopardy, plus a $17,610 fine, and residents' measured outcomes sit at the bottom of the federal scale. Plenty of hands, uneven results.

B

84/100

Woodlake Healthcare And Rehabilitation Center

Crystal, MN · Hennepin County

CMS 3/5 188 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
28%
Serious cites
0

Woodlake runs on staffing that's meaningfully above what most homes manage, 4.28 nurse hours per resident day against a national average of 3.86, and its 28.2% turnover is well below the 45.8% typical elsewhere, which matters because stable aides know the residents. Weekends run about 7% thinner than weekdays, so ask how that gap gets covered. The tradeoff shows up in its record: 26 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last inspection was recent, in December 2025. It's a for-profit, individually owned home with 188 beds, and the health inspection and quality ratings both sit at three stars.

B

84/100

Little Sisters Of The Poor

Saint Paul, MN · Ramsey County

CMS 2/5 73 beds Non-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
48%
Serious cites
0

Little Sisters of the Poor runs 73 certified beds in Saint Paul under nonprofit ownership, and its nurse staffing sits at 4.95 hours per resident day, roughly 28% above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, and staff turnover lands at 47.9%, just above the national 45.8%. The tradeoff shows up in its inspection record: 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with two fines totaling $13,265. Its most recent inspection was January 28, 2026. Strong daily staffing paired with that many cited problems is the tension worth weighing if you're considering this one.

B

84/100

Bethesda Southgate

Saint Louis, MO · St. Louis County

CMS 5/5 130 beds Non-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
32%
Serious cites
0

Bethesda Southgate runs on better-than-average staffing for a 130-bed nonprofit home in St. Louis County, 4.32 nurse hours per resident day, roughly 12% above the national figure. Weekend coverage dips about 12% below its own weekday level, and annual turnover sits at 31.5%, well under the 45.8% national average, which suggests people tend to stay. The tradeoff shows up in the record: 15 deficiencies, including one at the harm level and one abuse-related, against an otherwise strong inspection history from July 2024. Quality measure scores land mid-range, so the clinical picture is decent but not standout.

B

84/100

Belknap County Nursing Home

Laconia, NH · Belknap County

CMS 4/5 94 beds Government Medicaid
Nurse hours
4.96 /day
Staff turnover
32%
Serious cites
0

Belknap County Nursing Home runs on county money, and the staffing numbers show it: 4.96 nurse hours per resident day, roughly 29% above the national average, with a 5/5 CMS staffing rating and turnover at 31.9% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on Sundays. The current record holds four deficiencies, none at harm or jeopardy level and none abuse-related, with an inspection dated September 2025. Where it slips is quality measures, rated 1/5, that's the number worth asking about directly.

B

84/100

Manor, The

Freehold, NJ · Monmouth County

CMS 4/5 123 beds Non-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
24%
Serious cites
0

The Manor in Freehold runs on 4.14 nurse hours per resident per day, about 7% above the national average, and its staff tends to stay, 23.9% annual turnover against a national rate near 46%. Weekend coverage dips roughly 12% below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Its record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with a June 2025 inspection. Nonprofit ownership under a corporation, four stars on health inspections, quality measures, and staffing alike. Solid, not spotless, the kind of home where the numbers hold up.

B

84/100

Regency Heritage Nursing And Rehabilitation Center

Somerset, NJ · Somerset County

CMS 4/5 265 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
43%
Serious cites
0

Regency Heritage runs on 3.42 nurse hours per resident day, about 11 percent below the national average, and weekend coverage dips roughly 7 percent under its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 42.6 percent, slightly better than the 45.8 percent national figure, which suggests staff aren't cycling through quite as fast as at many for-profit peers. The inspection record is the stronger part of the story: 11 deficiencies, none at harm or jeopardy level, none abuse-related, and a survey completed in June 2025. Owned by an individual for profit, it's a large 265-bed building whose quality and inspection ratings hold up better than its staffing numbers do.

B

84/100

Fort Tryon Center For Rehabilitation And Nursing

New York, NY · New York County

CMS 5/5 205 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
37%
Serious cites
0

Fort Tryon runs on thinner staffing than most homes, 3.33 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly 8% below its own weekday levels. That gap matters more than the headline numbers suggest, because 205 beds is a lot of ground to cover when the weekend crew is stretched. What offsets it: staff turnover at 37% sits well below the 45.8% national rate, so the people showing up tend to stay. The inspection record is clean where it counts, 8 deficiencies, none at harm or jeopardy level, no abuse findings, and the most recent survey was in December 2025. For-profit individual ownership, strong quality measure scores, and a stable workforce are doing real work here.

B

84/100

St Cabrini Nursing Home

Dobbs Ferry, NY · Westchester County

CMS 3/5 304 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
21%
Serious cites
0

St Cabrini runs a fairly tight ship on the staffing side. The 304-bed nonprofit in Dobbs Ferry pays for 3.71 nurse hours per resident per day, about 4% under the national figure of 3.86, and weekend coverage dips roughly 9% below its own weekdays, so ask how that gap gets handled. What stands out is retention: 20.8% turnover against a national average near 46%, which suggests a stable, familiar crew. The tradeoffs are 21 deficiencies on record, including one abuse-related finding and none at harm or jeopardy, plus a May 2023 inspection that's now well over a year old. Worth reading the abuse citation closely.

B

84/100

Rutland Nursing Home, Inc

Brooklyn, NY · Kings County

CMS 3/5 538 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
22%
Serious cites
0

Rutland Nursing Home runs a 538-bed nonprofit operation in Brooklyn where the day-to-day staffing is genuinely strong, 4.41 nurse hours per resident day, well above the national average, with a 22% turnover rate that's less than half the typical nursing home. Those numbers matter, and they're reflected in the staffing rating. But the inspection record tells a different story. Twenty-nine deficiencies on file, including two at the harm level and three tied to abuse, plus a $55,231 fine and a one-star health inspection rating. That's a lot of serious findings for a home this size, and the most recent inspection was in March 2025. Good staffing doesn't erase a troubling survey history. If you're considering this one, ask hard questions about what those abuse deficiencies involved and what's changed since.

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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