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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 1461–1480 of 4,510, best-graded first.

B

83/100

Motion Picture And T.v. Hosp D/P Snf

Woodland Hills, CA · Los Angeles County

CMS 3/5 195 beds Non-profit Medicaid
Nurse hours
4.88 /day
Staff turnover
37%
Serious cites
0

Motion Picture And T.V. Hosp D/P Snf runs on unusually strong nurse coverage for a 195-bed nonprofit, 4.88 hours per resident day, roughly a quarter more than the national figure, though weekends dip about 11% below its own weekday level, a gap worth asking about. Staff turnover of 36.8% sits well under the national 45.8%, which suggests people stay. The caution signs are elsewhere: a 2-star health inspection rating, 50 deficiencies on record including 3 tied to abuse, and a survey completed in April 2025. None of those deficiencies reached harm or jeopardy level, but the count and the abuse findings are the part of this file a family should read closely.

B

83/100

Bethany Home Society San Joaquin County

Ripon, CA · San Joaquin County

CMS 4/5 92 beds Non-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
46%
Serious cites
0

Bethany Home Society in Ripon runs on a nonprofit model with 92 certified beds, and its nurse staffing sits at 4.31 hours per resident day, roughly 12% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 10% below its own weekday level, so care can feel thinner on Saturdays and Sundays. Staff turnover is 46.4%, essentially matching the national 45.8%. The current inspection record lists 29 deficiencies, none at the harm or jeopardy level, with one tied to abuse. Its last inspection was in March 2025, and CMS gave it 4 out of 5 stars for both health inspections and quality measures, 3 for staffing.

B

83/100

Berkeley Pines Skilled Nursing Center

Berkeley, CA · Alameda County

CMS 2/5 36 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

Berkeley Pines runs 3.93 nurse hours per resident day, just above the national average, and weekend staffing holds steady rather than dropping off. Staff turnover sits at 43.6%, a bit better than the 45.8% national figure. The catch is inspections: 21 deficiencies on the current record, none at harm or jeopardy level, with the last inspection in March 2024. A 2/5 health inspection rating against 4/5 for staffing and quality measures tells you the care delivery looks solid on paper while the survey history is the weaker spot. For a 36-bed for-profit home, that split is worth asking about directly.

B

83/100

Inspire Behavioral Health

San Jose, CA · Santa Clara County

CMS 2/5 116 beds For-profit Medicaid
Nurse hours
2.43 /day
Staff turnover
32%
Serious cites
0

Inspire Behavioral Health runs 116 certified beds in San Jose under for-profit LLC ownership, and its inspection record is the hard part: 40 deficiencies on file, three of them serious enough to involve harm or jeopardy, plus one abuse-related citation. CMS gave it a single star for health inspections, though the quality measure score came back at five. Staffing sits at 2.43 nurse hours per resident day, roughly 37% under the national average of 3.86, and weekends dip about 9% below its own weekday levels. Turnover is the one bright spot at 31.6%, better than the 45.8% national figure. The most recent inspection was November 5, 2025.

B

83/100

Penn Mar Healthcare Center

El Monte, CA · Los Angeles County

CMS 2/5 45 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
57%
Serious cites
0

Penn Mar Healthcare Center runs 45 beds in El Monte under for-profit LLC ownership, and its staffing is the first thing that stands out. At 3.35 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 56.9% against a national 45.8%, meaning the aides and nurses cycling through are often new to the building. The inspection record shows 71 deficiencies, including one at harm level and eight tied to abuse. Quality measures score well, but that's a narrow slice of the picture. --- **Word count:** ~112 words. If you'd like it closer to the 110-140 range with a bit more air, here's a slightly fuller version: Penn Mar Healthcare Center is a 45-bed for-profit LLC home in El Monte, and staffing is where the numbers get uncomfortable. At 3.35 nurse hours per resident day, it runs about 13% below the national average of 3.86, with weekends dropping roughly 12% below its own weekday level, the thinnest coverage arrives when families tend to visit. Annual turnover of 56.9% against a national 45.8% means many caregivers are still new to the building. Its inspection record carries 71 deficiencies, one at harm level and eight abuse-related, alongside a single $4,893 fine. Quality measures look strong, but that's one

B

83/100

Villa Siena

Mountain View, CA · Santa Clara County

CMS 1/5 30 beds Non-profit Medicaid
Nurse hours
6.04 /day
Staff turnover
15%
Serious cites
0

Villa Siena runs 30 certified beds as a nonprofit corporation, and its nurse staffing sits at 6.04 hours per resident day, roughly 56% above the national average of 3.86. Weekend coverage dips only about 4% below its own weekday level, and annual staff turnover is 15.2% against a national average of 45.8%. Those are unusually steady numbers for a home this size. The inspection record is where it gets mixed. The last visit was July 28, 2025, and the current file carries 34 deficiencies, none at the harm or jeopardy level but three tied to abuse. CMS scored quality measures and staffing at 1 out of 5 stars each, with a 3 out of 5 on health inspections, worth asking about directly before you decide.

B

83/100

West Hartford Health & Rehabilitation Center

West Hartford, CT · Capitol County

CMS 5/5 160 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
29%
Serious cites
0

West Hartford Health & Rehabilitation runs 160 beds under corporate ownership, and its inspection record is genuinely solid, 4 out of 5 stars from CMS, with the most recent survey done in August 2025 and no deficiencies at the harm or jeopardy level. The 22 total deficiencies include one abuse-related finding, which is worth asking about directly. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and weekends run roughly 10% thinner than weekdays, so coverage can feel different depending on when you visit. What stands out favorably is turnover: 28.8% against a national 45.8% means aides and nurses tend to stay, which matters for consistency of care.

B

83/100

Kentmere Rehabilitation And Healthcare Center

Wilmington, DE · New Castle County

CMS 3/5 104 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
39%
Serious cites
0

Kentmere runs on decent staffing for a nonprofit home: 4.51 nurse hours per resident day, roughly 17% above the national average, and weekend coverage dips only about 7% below weekdays. Turnover sits at 39.4%, better than the 45.8% national figure, and the most recent inspection was in December 2025, so the record is current. What holds it back is the deficiency history, 33 citations on the active record, including one at the harm level and five tied to abuse. One fine totaling $8,278 has been assessed. The staffing is there; the compliance side is where the questions are.

B

83/100

Manor At Blue Water Bay, The

Niceville, FL · Okaloosa County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
48%
Serious cites
0

Manor At Blue Water Bay runs 3.97 nurse hours per resident day, a bit above the national average of 3.86, and its weekend staffing dips about 7% below its own weekday level, worth knowing if most of your visits land on Saturdays or Sundays. Staff turnover sits at 48.4%, slightly above the 45.8% national figure, so call lights may get answered by a changing cast of faces. Against that, the record is unusually clean: a single deficiency, none at the harm level, nothing abuse-related, and a five-star inspection rating from a visit dated April 2026. For-profit, LLC-owned, 120 beds.

B

83/100

Edgewater At Waterman Village

Mount Dora, FL · Lake County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
40%
Serious cites
0

Edgewater At Waterman Village runs on a nonprofit model with 120 certified beds, and the staffing numbers are a real strength: 4.11 nurse hours per resident day, roughly 6% above the national average. Retention is better than most too, 40.4% turnover against a national 45.8%. The catch is consistency. Weekend staffing drops about 12% below its own weekday level, so care can feel different depending on when you visit. The inspection record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related. That combination, solid staffing, no serious safety findings, but a middling inspection history, explains why this lands as a solid B rather than something higher.

B

83/100

Blountstown Health And Rehabilitation Center

Blountstown, FL · Calhoun County

CMS 5/5 96 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
41%
Serious cites
0

Blountstown Health and Rehabilitation Center runs on better-than-average nurse coverage: 4.27 hours per resident day, roughly 11 percent above the national figure, which is why its staffing rating sits at the top of CMS's scale. Weekend hours dip about 11 percent below its own weekday levels, so ask how that plays out on a Saturday. Staff turnover of 40.7 percent is lower than the 45.8 percent national average, and the inspection record shows seven deficiencies, none involving harm or abuse, with the most recent survey done in December 2025. The tradeoff worth noting: quality measures land mid-range while staffing and inspections carry the score. It's a for-profit limited liability company with 96 certified beds.

B

83/100

Pinewood Healthcare Center

Hawkinsville, GA · Pulaski County

CMS 3/5 102 beds For-profit Medicaid
Nurse hours
2.88 /day
Staff turnover
23%
Serious cites
0

Pinewood runs lean on nurses, 2.88 hours per resident per day against a national average of 3.86, and weekends drop another 14% below its own weekday numbers. That thin coverage is the main reason its staffing rating lands at the bottom. The counterweight is stability: turnover sits at 22.9%, roughly half the national rate, so the aides and nurses who are there tend to stay. Inspections came back at 3 stars with 19 deficiencies on record, none at harm level, though two are abuse-related, worth asking about directly. Quality measures score 5 stars, but those are largely self-reported. Ask how many CNAs are actually on the floor on a Saturday night.

B

83/100

Washington Co Extended Care Facility

Sandersville, GA · Washington County

CMS 3/5 60 beds Government Medicaid
Nurse hours
4.15 /day
Staff turnover
36%
Serious cites
0

Washington County runs this 60-bed home in Sandersville itself, and the staffing reflects that. Nurses provide 4.15 hours per resident per day, roughly 7% above the national average of 3.86, and the staff tends to stay: turnover is 35.6% against a national 45.8%. The catch is weekends, when coverage drops about 12% below the home's own weekday level, so a Saturday shift runs leaner than a Tuesday one. Inspectors were last in on February 26, 2026, and found nine deficiencies, none at the harm or jeopardy level, though one was abuse-related. The county's own numbers put this home modestly ahead of average, with the weekend gap the thing worth asking about.

B

83/100

Salude - The Art Of Recovery

Suwanee, GA · Gwinnett County

CMS 5/5 64 beds For-profit
Nurse hours
4.68 /day
Staff turnover
51%
Serious cites
0

Salude sits in Suwanee with 64 certified beds and a for-profit LLC structure behind it. Nurse staffing runs 4.68 hours per resident day, roughly 21% above the national average, though weekends dip about 8% below what the home staffs on weekdays. Staff turnover lands at 50.6%, higher than the 45.8% national figure, meaning the people caring for residents change fairly often. The inspection record is clean: one deficiency total, none at harm or jeopardy level, none abuse-related, with the most recent visit in September 2025. That combination, strong weekday coverage, a spotless survey history, but churn among the workforce, is what a B grade reflects.

B

83/100

Hale Makua - Kahului

Kahului, HI · Maui County

CMS 3/5 252 beds Non-profit Medicaid
Nurse hours
4.87 /day
Staff turnover
32%
Serious cites
0

Hale Makua - Kahului runs a 252-bed nonprofit home where the day-to-day staffing is genuinely strong, 4.87 nurse hours per resident, about 26% above the national average, with 5 out of 5 on CMS's staffing measure. Retention is better than most too: 32.2% turnover against a national 45.8%. What pulls the record down is the inspection side. The current file shows 59 deficiencies, six of them at harm or jeopardy level and two involving abuse, with $170,249 in fines across three events and a 2-out-of-5 inspection rating. The most recent survey was January 2026, so the findings are recent, not stale. Weekend coverage also dips about 13% below weekday levels. Good staffing, troubled compliance.

B

83/100

Palolo Chinese Home

Honolulu, HI · Honolulu County

CMS 2/5 113 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
49%
Serious cites
0

Palolo Chinese Home runs 4.13 nurse hours per resident day, which is genuinely better than the national average of 3.86. The catch is that weekend staffing drops roughly 8% below its own weekday levels, and turnover sits at 49.1%, higher than the 45.8% national figure. On the record side, 48 deficiencies is a lot to carry, including one at the harm level and seven tied to abuse. Inspectors were last in on May 1, 2025. The staffing and quality measure scores look decent, but a 2/5 on health inspections is the number that should give you pause.

B

83/100

Lutheran Care Center

Altamont, IL · Effingham County

CMS 5/5 96 beds Non-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
21%
Serious cites
0

Lutheran Care Center runs on a nonprofit model with 96 certified beds in Altamont, and its staff retention is the standout number: 20.5% turnover against a national average of 45.8%, meaning caregivers tend to stay. That stability shows in the staffing star rating, which is perfect, even though the raw hours, 3.51 per resident day, sit about 9% under the national figure, and weekends run thinner than weekdays by roughly a tenth. The caution side is the inspection record: 11 deficiencies, three serious enough to count as harm or jeopardy, two tied to abuse, and two fines totaling $19,208. The most recent inspection was September 2025, so the picture is current.

B

83/100

Fayette County Hospital

Vandalia, IL · Fayette County

CMS 4/5 63 beds Non-profit Medicaid
Nurse hours
4.88 /day
Staff turnover
33%
Serious cites
0

Fayette County Hospital runs 4.88 nurse hours per resident day, roughly 26% above the national average, and weekend staffing dips only about 9% below its weekday level. Staff turnover sits at 32.6%, well under the national 45.8%, and the home holds five stars for both staffing and health inspections, with its most recent inspection dated January 16, 2026. The weaker spot is quality measures, rated one star, and seven deficiencies remain on record, one at the harm level, along with a single $18,233 fine. Nonprofit ownership under a corporation. Strong hands-on care and steady retention, but the clinical outcomes those hours produce don't track with the staffing numbers.

B

83/100

Valley Hi Nursing Home

Woodstock, IL · Mc Henry County

CMS 4/5 128 beds Government Medicaid
Nurse hours
4.71 /day
Staff turnover
34%
Serious cites
0

Valley Hi is county-run, and the staffing shows it: 4.71 nurse hours per resident day, roughly 22% above the national average, earning a top staffing rating. Weekend coverage dips about 11% below its own weekday level, though, and turnover sits at 33.9%, better than the 45.8% national figure but still a third of the workforce leaving each year. The inspection record is where it gets heavier: 30 deficiencies, including two at the harm level and three tied to abuse, plus three fines totaling $155,366. A recent March 2026 inspection means the picture is current. Strong hands on deck, but a documented history that needs watching.

B

83/100

Knox County Nursing Home

Knoxville, IL · Knox County

CMS 4/5 169 beds Government Medicaid
Nurse hours
3.73 /day
Staff turnover
34%
Serious cites
0

Knox County Nursing Home runs a tight ship on inspections, a five-star health inspection rating and seven total deficiencies on the current record, none of them causing harm or involving abuse. That's a clean record for a 169-bed county-owned home, and its last full inspection was recent, in August 2024. Staffing sits at 3.73 hours per resident day, roughly 3% under the national average, with weekends about 4% leaner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The number that stands out is turnover: 34% against a national average near 46%, meaning aides and nurses here tend to stay longer than they do at most homes.

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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