4,510 Independent Nursing Homes in the United States

Nurse hours

7.17 /day

Staff turnover

41%

Serious cites

0

The Village at Germantown runs 7.17 nurse staffing hours per resident day, roughly 86% above the national average, and weekend coverage stays within about 10% of weekday levels, which matters because that's where a lot of homes quietly thin out. But the inspection record is the problem: 16 deficiencies on file, two of them at harm or jeopardy level, and a one-star health inspection rating that pulled the overall grade down despite the five-star staffing mark. Annual turnover sits at 41%, a bit better than the 45.8% national figure. The last inspection was September 2025, so the record is current, and there's one fine totaling $11,196. Plenty of hands, but a documented history of things going wrong.

Nurse hours

5.99 /day

Staff turnover

83%

Serious cites

0

Coldwater Manor runs on a hospital district's budget out in Sherman County, and the staffing numbers show it: 5.99 nurse hours per resident day, roughly 55% above the national average of 3.86. That's real coverage for a 26-bed home, though weekends dip about 11% below its own weekday level, worth asking about if your family visits Saturdays or Sundays. The bigger flag is turnover, 82.6% against a national 45.8%, meaning most of the people caring for residents are relatively new. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, June 2025. Quality measures score well. The care seems steady; the question is whether it stays that way as staff cycle through.

Nurse hours

3.92 /day

Staff turnover

50%

Serious cites

0

North Central Care Center runs 99 certified beds in Spokane under corporate for-profit ownership, and its nurse staffing sits slightly above the national average, 3.92 hours per resident day, though weekends drop about 10% below its own weekday levels, so coverage does thin out when families tend to visit. Annual turnover hits 50%, higher than the 45.8% national figure, which means the people caring for your relative are more likely than average to be new or on their way out. The current record carries 39 deficiencies, none at harm or jeopardy level but one tied to abuse, and the last inspection was July 2025. Quality measures score well; the inspection history is where the caution lies.

Nurse hours

4.56 /day

Staff turnover

35%

Serious cites

0

Kin On Health Care Center runs a nonprofit home with 100 certified beds in Seattle, and its staffing is the strongest part of the story: 4.56 nurse hours per resident day, roughly 18% above the national average. Weekend coverage dips about 12% below its own weekday level, but annual turnover sits at 35.3%, noticeably better than the 45.8% national figure. Then there's the inspection record, which is where things get harder to square. Fifty deficiencies on the current record, two of them at the harm or jeopardy level and five abuse-related, with two fines totaling $19,468. The last inspection was February 2025. Strong staffing and a recent, difficult survey can coexist at the same address.

Nurse hours

4.60 /day

Staff turnover

42%

Serious cites

0

St. Camillus runs a 50-bed nonprofit home in Wauwatosa where the day-to-day staffing is genuinely strong, 4.60 nurse hours per resident day, roughly 19% above the national average, and weekend coverage dips only about 9% below its own weekday level, which is modest by industry standards. Turnover sits at 41.5%, a bit better than the national 45.8%. The trouble shows up on the inspection side: 17 deficiencies on the current record, two of them at harm or jeopardy level and five tied to abuse, with $65,881 in fines and a 2-out-of-5 health inspection rating from CMS. That contrast, high staffing and quality marks against a recent, serious inspection history, is what holds the overall grade down.

Nurse hours

3.79 /day

Staff turnover

20%

Serious cites

0

American Lutheran Home-Mondovi runs on church-affiliated nonprofit ownership, and the numbers suggest that mission shows up in practice. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, but a 20% annual turnover rate is less than half the national figure of 45.8%, which means residents likely see familiar faces instead of a rotating cast. The inspection record supports that: seven deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 7, 2026. Weekend staffing dips about 7% below weekday levels, worth asking about if your family visits on Saturdays or Sundays.

Nurse hours

4.13 /day

Staff turnover

38%

Serious cites

0

Luther Home sits in Marinette with 80 certified beds and a nonprofit owner, and the staffing numbers are the first thing worth noting: 4.13 nurse hours per resident day, roughly 7% above the national average, with weekends dipping about 7% below its own weekday levels. Turnover runs 37.7%, better than the 45.8% national figure, which matters for consistency of care. On the record are 24 deficiencies, none at the harm or jeopardy level, though 6 are abuse-related, worth asking about directly. The most recent inspection was December 2025, so the picture is current. Quality and staffing each earned 4 of 5 stars; health inspection earned 3.

Nurse hours

6.08 /day

Staff turnover

—

Serious cites

0

Star Valley Care Center is a 24-bed hospital-district home in Afton, and its staffing numbers are the first thing worth knowing: 6.08 nurse hours per resident day, roughly 57 percent above the national average of 3.86. Weekend coverage drops about 19 percent below its own weekday level, which is common but still the gap to watch in a small building. On inspections, the record is clean, four deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in February 2026. Quality measures sit in the middle of the pack, so the stronger story here is consistent hands-on care and a well-kept survey record.

Nurse hours

8.37 /day

Staff turnover

15%

Serious cites

0

East Los Angeles Doctors Hosp runs just 25 certified beds, which is small even by California standards, and the staffing number jumps out first: 8.37 nurse hours per resident day against a national average of 3.86. That's more than double the typical home, though weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 14.6% while the national average is 45.8%, so the people caring for residents tend to stay. The inspection record shows 13 deficiencies with none at the harm or jeopardy level and none abuse-related, and the most recent visit was January 8, 2026. Corporate for-profit ownership, with quality and staffing marks a step below its inspection result.

Nurse hours

5.30 /day

Staff turnover

—

Serious cites

0

Chinese Hospital's skilled nursing unit runs a tight 23-bed operation, and the staffing numbers show it: 5.30 nurse hours per resident day, roughly 37 percent above the national average. Weekends dip about 9 percent from weekday coverage, which is worth asking about if your family visits then. The current record carries 19 deficiencies, none at the harm or jeopardy level, though two are abuse-related, enough to warrant a direct question about what happened and what changed. Inspectors were last in on February 26, 2026, and the health inspection rating sits at 4 out of 5. As a nonprofit, this home answers to a mission rather than shareholders, which tends to show in how it staffs.

Nurse hours

4.53 /day

Staff turnover

29%

Serious cites

0

Marbridge Villa runs 4.53 total nurse hours per resident per day, roughly 17% above the national average of 3.86, and its staff turnover of 29.3% sits well below the national 45.8%, both signs of a stable, well-staffed floor. The trade-off shows up in its record: 14 deficiencies and seven fines totaling $45,778, though none of those deficiencies reached harm or jeopardy level and none were abuse-related. Weekend staffing dips about 11% below weekday levels, which is common but worth asking about if your family visits mostly on Saturdays. A May 2025 inspection and 4-star marks across health, quality, and staffing round out a picture that's solid rather than spotless.

Nurse hours

4.48 /day

Staff turnover

35%

Serious cites

0

Villages Of Lake Highlands sits in Dallas with 126 certified beds and a corporate for-profit owner. The staffing numbers are the good news: 4.48 nurse hours per resident day, about 16% above the national average, with turnover at 35.4%, well below the 45.8% national figure. Weekends run roughly 10% leaner than weekdays, so coverage does thin out. The inspection record is where it gets harder. Fourteen deficiencies on the current record, five of them at harm or jeopardy level, plus three fines totaling $29,022 and a recent May 2025 inspection. No abuse citations, which matters. The federal quality measure rating of 5/5 contrasts sharply with a 1/5 on health inspections, a gap worth asking the administrator about directly.

Nurse hours

4.77 /day

Staff turnover

43%

Serious cites

0

Hanceville Nursing & Rehab runs a 208-bed for-profit operation, and the staffing numbers are the strongest thing it has going: 4.77 nurse hours per resident day, well above the national average, with turnover at 43.4% running slightly better than the typical home. Weekends thin out by roughly 16% against weekdays, so coverage isn't perfectly even across the week. The caution is inspections. CMS gives the health inspection side one star out of five, with eight deficiencies on the current record, none serious enough to reach harm or jeopardy and none abuse-related. The most recent inspection was in December 2025. Good daily staffing can offset a lot, but ask what those eight citations actually involved.

Nurse hours

3.94 /day

Staff turnover

—

Serious cites

0

Cheyenne Manor is a 39-bed county hospital district home in Cheyenne Wells, and its inspection record is the strongest thing going for it, a perfect health inspection rating, with the last visit in late October 2025. Only three deficiencies sit on the current record, none of them causing harm or jeopardy. One is abuse-related, which is worth asking about directly. Nurse staffing runs 3.94 hours per resident day, slightly ahead of the national average of 3.86, though weekends dip about 5% below weekdays, so coverage isn't perfectly even. Quality measures grade well at 4 out of 5. Small government-owned homes like this often live or die on who's on shift, so ask about weekend and evening coverage.

Nurse hours

4.16 /day

Staff turnover

—

Serious cites

0

Notre Dame Health and Rehabilitation Center runs about 60 beds under nonprofit ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average. That's the strongest part of the picture. The weaker part: weekend staffing drops about 13% below its own weekday level, so coverage isn't evenly spread across the week. Inspections in August 2024 turned up 15 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $12,735. Nothing on the record involves abuse. Federal ratings put health inspections and quality measures at 4 out of 5, with staffing at 3. If you're touring, ask how weekends and evenings are actually covered.

Nurse hours

3.77 /day

Staff turnover

33%

Serious cites

0

Hart Care Center runs 117 certified beds in Hartwell as a for-profit corporation, and its inspection record is the standout: a single deficiency on file, none involving harm or abuse, from a visit in March 2025. Staffing tells a more mixed story. At 3.77 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 19% below its own weekday coverage, the pattern families tend to notice on Saturday afternoons. Turnover, though, is genuinely low at 33.3% against a national 45.8%, which matters for whether your mother sees the same aides month to month. Quality measures score well; staffing is the soft spot.

Nurse hours

4.73 /day

Staff turnover

43%

Serious cites

0

Eden Village Care Center runs on a nonprofit model in Glen Carbon with 107 certified beds, and the staffing numbers are the story here: 4.73 nurse hours per resident day, roughly 22% above the national average of 3.86. That's the kind of margin that shows up in daily care, though weekend coverage drops about 19% below its own weekday level, so families should ask how that gap gets managed. Staff turnover sits at 42.5%, a little better than the 45.8% national figure. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in February 2025.

Nurse hours

3.81 /day

Staff turnover

25%

Serious cites

0

Accura Healthcare of Ottumwa runs 60 certified beds under corporate ownership, and its staffing sits just a hair under the national average at 3.81 hours per resident day. The bigger story is consistency: weekend coverage drops roughly 17% from weekday levels, so families should ask how that gap gets filled. Turnover is the bright spot here, 25.4% against a national average of 45.8% means aides and nurses tend to stay, which matters for familiarity with residents. The current record shows six deficiencies, one serious enough to involve harm or jeopardy, with no abuse citations. Inspectors last visited in September 2025, and the home earned four stars across health inspections, quality measures, and staffing.

Nurse hours

4.07 /day

Staff turnover

47%

Serious cites

0

Citizens Medical Center Ltcu sits in Colby, run by a nonprofit corporation, and the staffing picture is better than most: 4.07 nurse hours per resident day against a national average of 3.86. Weekends get thinner, though, roughly 17 percent below the home's own weekday coverage, and that gap is where problems tend to surface in nursing homes. The inspection record shows 17 deficiencies, two serious enough to reach harm or jeopardy level and one tied to abuse, with a single fine of $17,124 and a last inspection in August 2024. Staff turnover runs 47.4 percent, slightly above the national figure, so the people delivering that above-average care are still cycling through.

Nurse hours

4.77 /day

Staff turnover

31%

Serious cites

0

Prairie Manor runs a nonprofit operation in Pine Prairie with 100 certified beds, and the staffing numbers are the first thing worth noticing. At 4.77 nurse hours per resident day, it sits about 24% above the national average of 3.86, and weekend coverage only dips around 18% below its own weekday level, a modest drop next to what many homes show. Turnover comes in at 30.6% against a national 45.8%, which suggests people stick around here more than they do elsewhere. The tradeoff shows up in the quality measures, where a 2-star score sits well below the 5-star inspection result, despite seven deficiencies on record and none involving harm or abuse.