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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 1481–1500 of 4,510, best-graded first.

B

83/100

Lutheran Hillside Village

Peoria, IL · Peoria County

CMS 5/5 107 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
40%
Serious cites
0

Lutheran Hillside Village in Peoria runs on a nonprofit model with 107 certified beds, and the staffing numbers are the first thing that stands out: 4.40 nurse hours per resident day, roughly 14% above the national average. Weekend coverage dips about 7% below its own weekday level, though, so care isn't perfectly even across the week. Staff turnover sits at 40.2%, lower than the 45.8% national rate, which matters for continuity. On inspections, the home holds a 5/5 rating with its last visit in December 2024, and while 13 deficiencies appear on the current record, none reached harm or jeopardy level, just one is abuse-related.

B

83/100

British Home, The

Brookfield, IL · Cook County

CMS 3/5 72 beds Non-profit
Nurse hours
4.49 /day
Staff turnover
45%
Serious cites
0

The British Home in Brookfield runs a nonprofit operation with 72 certified beds, and its nurse staffing sits at 4.49 hours per resident day, about 16% above the national average of 3.86. That helps explain the top staffing rating from CMS. Weekend coverage runs roughly 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 45.1%, essentially matching the national average of 45.8%, so retention isn't a standout problem here. The inspection record is more mixed: 18 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse. The last inspection was February 27, 2025. Quality and inspection ratings both sit at 4 out of 5.

B

83/100

Avira Health Pavilion

Loves Park, IL · Winnebago County

CMS 4/5 54 beds For-profit Medicaid
Nurse hours
5.63 /day
Staff turnover
63%
Serious cites
0

East Bank Center runs a 54-bed for-profit home in Loves Park, and the staffing numbers are the first thing worth noticing: 5.63 nurse hours per resident day, roughly 46% above the national average. That's real coverage, though weekends dip about 10% below the home's own weekday level, so the floor isn't perfectly even. Turnover sits at 62.7% against a national 45.8%, which means many of the people providing that care are still new to the building. Inspections in July 2025 turned up 24 deficiencies, one serious enough to reach harm or jeopardy, none tied to abuse. Consistent staffing and solid quality marks are doing a lot of work here; the churn and that one high-level citation are the tradeoffs.

B

83/100

Willows Health Center

Rockford, IL · Winnebago County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
5.21 /day
Staff turnover
—
Serious cites
0

The Willows Health Center runs 50 certified beds in Rockford under nonprofit ownership, and its staffing sits well above average, 5.21 total nurse hours per resident day, roughly 35% more than the national figure. That's the strongest card in its hand, though weekend coverage drops about 17% below its own weekday level, so the weekday-to-weekend difference is worth asking about. The trade-off shows up in its record: 26 deficiencies, one serious enough to reach harm or jeopardy, plus three tied to abuse, and one fine of $12,909. With the last inspection dated November 2025 and quality and staffing each rated 4 out of 5, you're looking at a home that invests in staff but has real compliance problems to weigh.

B

83/100

Evansville Protestant Home

Evansville, IN · Vanderburgh County

CMS 2/5 49 beds Non-profit Medicaid
Nurse hours
5.35 /day
Staff turnover
46%
Serious cites
0

Evansville Protestant Home runs on a nonprofit model with 49 certified beds, and its strongest number is staffing: 5.35 nurse hours per resident day, roughly 39% above the national average. That cushion matters, though weekends dip about 8% below the home's own weekday levels. Turnover sits at 46%, almost identical to the national 45.8%, so continuity of caregivers isn't a distinguishing strength. Where the record gets harder to read is inspections and care quality, both rated 2 out of 5, with 19 deficiencies on file and one at the harm or jeopardy level, none abuse-related. The most recent inspection was April 2025, so the picture is current. Strong hands-on staffing, middling oversight results.

B

83/100

Indiana Veterans Home

West Lafayette, IN · Tippecanoe County

CMS 4/5 212 beds Government Medicaid
Nurse hours
5.61 /day
Staff turnover
64%
Serious cites
0

The Indiana Veterans Home in West Lafayette runs on a state government operation with 212 certified beds, and the nurse staffing numbers are genuinely strong, 5.61 hours per resident day puts it roughly 45% above the national average of 3.86. That's real coverage on paper, though weekends dip about 15% below its own weekday levels, and annual turnover sits at 64.2% against a national 45.8%, so the floor is covered but the faces change often. The inspection record carries 19 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with a 3/5 health inspection rating and the most recent survey dated December 2025.

B

83/100

Mount Ayr Health Care Center

Mount Ayr, IA · Ringgold County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
37%
Serious cites
0

Mount Ayr Health Care Center runs 46 certified beds under corporate for-profit ownership, and its staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, so families should ask how that gap gets covered. Turnover is the brighter spot: 37% against a national 45.8%, which suggests a relatively stable crew for a small Iowa home. The inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey dated April 2026.

B

83/100

Akron Care Center, Inc

Akron, IA · Plymouth County

CMS 4/5 45 beds Government Medicaid
Nurse hours
3.80 /day
Staff turnover
40%
Serious cites
0

Akron Care Center is city-owned, which is unusual, most Iowa nursing homes are for-profit. Inspectors have found four deficiencies on its current record, none of them causing harm or involving abuse, and the most recent visit was in May 2025. Nurse staffing sits at 3.80 hours per resident day, a hair under the national average of 3.86, and weekends run about 11% thinner than weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 40.4%, better than the 45.8% national figure but still meaning roughly two in five caregivers left within a year. Quality measure scores lag behind its inspection and staffing results.

B

83/100

Brookside Retirement Community

Overbrook, KS · Osage County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
45%
Serious cites
0

Brookside Retirement Community runs 60 certified beds in Overbrook under corporate for-profit ownership. Nurse staffing sits at 3.82 hours per resident day against a national average of 3.86, and weekends dip about 9% below weekdays, that thinner weekend coverage matters when a resident needs help on a Saturday. Annual turnover of 44.9% is roughly in line with the 45.8% national figure, so continuity isn't unusually bad here. The inspection record shows 7 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations, and one fine totaling $21,645. That harm-level finding, paired with below-average staffing, is what pulls the overall picture down despite strong quality measure scores.

B

83/100

Locust Grove Village

La Crosse, KS · Rush County

CMS 2/5 38 beds Non-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
53%
Serious cites
0

Locust Grove Village runs a 38-bed nonprofit home in La Crosse, and its staffing is genuinely better than most, 4.27 nurse hours per resident day against a national average of 3.86. That edge narrows on weekends, though, when coverage drops about 14% below the home's own weekday level, and turnover sits at 52.5% versus 45.8% nationally, so the faces change often. The inspection record is where the concerns concentrate: 11 deficiencies, including one at the harm level and one tied to abuse, plus a $12,779 fine, with the last inspection in September 2024. Quality measures land mid-range, inspection performance below average, staffing above it.

B

83/100

Crestview Nursing & Residential Living

Seneca, KS · Nemaha County

CMS 5/5 34 beds For-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
41%
Serious cites
0

Crestview runs about 4.34 nursing hours per resident each day, which is roughly 13 percent above the national average of 3.86, and its staff turnover of 41.2% sits a little better than the 45.8% national figure. The tradeoff shows up on weekends, when coverage drops about 8% below what the home staffs on weekdays. Inspectors gave it five out of five stars and found six deficiencies on the current record, including one at the harm or jeopardy level but none tied to abuse; the most recent visit was October 24, 2024. Quality measures came in at three stars. For a 34-bed for-profit home, the staffing and inspection record carry most of the weight here.

B

83/100

Kiowa Hospital District Manor

Kiowa, KS · Barber County

CMS 5/5 29 beds Government Medicaid
Nurse hours
6.34 /day
Staff turnover
46%
Serious cites
0

Kiowa Hospital District Manor runs on unusually heavy staffing for a 29-bed home, 6.34 nurse hours per resident day, roughly two and a half hours more than the national average, and its most recent inspection was in September 2025, so the record is current. The catch is in the inspection findings: ten deficiencies on file, one of them serious enough to reach harm or jeopardy level, which is what pulls the overall picture down despite the five-star staffing rating. Weekend coverage dips about 9% below weekdays, and turnover sits at 46.2%, essentially matching the national rate. As a government hospital-district home, it answers to local public ownership rather than a chain.

B

83/100

Anthony Community Care Center

Anthony, KS · Harper County

CMS 5/5 30 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
29%
Serious cites
0

Anthony Community Care Center runs 30 beds as a nonprofit, and its last full health inspection was in April 2025, recent enough that you're looking at current conditions, not old history. Staff turnover sits at 29.2%, well under the 45.8% national average, which matters for whether your family sees the same faces month to month. The tradeoffs show up elsewhere: nurse staffing at 3.76 hours per resident day lands just under the national 3.86, weekend coverage dips slightly below its own weekday levels, and the record carries 19 deficiencies, one serious enough to involve harm or jeopardy. Quality measure scores come in low. Good retention and steady oversight, thinner care hours and some inspection problems to weigh.

B

83/100

Solomon Valley Manor

Stockton, KS · Rooks County

CMS 3/5 30 beds Government Medicaid
Nurse hours
4.25 /day
Staff turnover
29%
Serious cites
0

Solomon Valley Manor runs on a city-owned, 30-bed setup in Stockton, and its strongest asset is people: nurses deliver about 4.25 hours of care per resident per day, roughly 10 percent above the national average, and staff turnover sits at 28.6 percent against a national 45.8 percent. That retention matters in a small rural home, though weekend coverage dips about 13 percent below weekday levels. The tradeoffs are real elsewhere. Sixteen deficiencies show on the current record, three serious enough to involve harm or jeopardy, and the quality measure score is weak. Inspectors last visited in October 2024. A well-staffed building with recent inspection problems is worth a close look at what those three citations involved.

B

83/100

Emerald Trace

Elsmere, KY · Kenton County

CMS 2/5 54 beds Non-profit Medicaid
Nurse hours
6.34 /day
Staff turnover
53%
Serious cites
0

Emerald Trace runs on unusually heavy staffing for a 54-bed nonprofit home, 6.34 nurse hours per resident day, roughly two and a half hours more than the national average. That's the strongest thing in its file, and it shows up in a 4-out-of-5 staffing rating. The catch is consistency and oversight: weekend coverage slips about 8% below weekdays, turnover sits at 52.5%, and the last inspection (August 2025) left eight deficiencies, two serious enough to involve harm or jeopardy, plus a $9,318 fine. Good hands-on coverage, uneven follow-through on the compliance side.

B

83/100

Lagniappe Healthcare

Bastrop, LA · Morehouse County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
37%
Serious cites
0

Lagniappe Healthcare runs a 112-bed for-profit home in Bastrop, and the staffing numbers are its strongest card. Nurses deliver 4.12 hours per resident per day, about 7% above the national average, and turnover sits at 37%, better than the 45.8% typical elsewhere, meaning caregivers tend to stick around. Weekends thin out roughly 13% below weekday coverage, so ask how that plays out on a Sunday. The inspection record shows 13 deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. A February 2026 inspection is recent, and the 4-star health inspection rating reflects that.

B

83/100

Rumford Community Home

Rumford, ME · Oxford County

CMS 3/5 32 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
36%
Serious cites
0

Rumford Community Home runs a 32-bed nonprofit operation where the staffing is the strongest part of the story, 4.05 nurse hours per resident day, roughly 5% above the national average, with turnover at 36.1% compared to 45.8% nationally. Weekends dip about 5% below weekday levels, which is worth asking about if your family member needs more attention on Saturdays and Sundays. The weaker side is inspections: a 2-out-of-5 health inspection rating, 28 deficiencies on record including one at the harm level and one abuse-related. The most recent inspection was February 2025, so that record is current. Good staffing and stable retention don't erase a tough survey history, ask to see how those specific deficiencies were corrected.

B

83/100

Durgin Pines

Kittery, ME · York County

CMS 5/5 81 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
46%
Serious cites
0

Durgin Pines sits in Kittery with 81 certified beds, run by a for-profit corporation. Nurse staffing runs 4.07 hours per resident day, about 5% above the national average, and weekend coverage dips only slightly below its own weekday levels, a modest gap, not a cliff. Staff turnover is 46.4%, essentially matching the national rate, meaning the workforce churns at the usual pace rather than a crisis one. The home's inspection record is its strongest feature: a 5/5 health inspection rating, 11 deficiencies with none at harm or jeopardy level, no abuse citations, and two fines totaling $14,434. Its last inspection was in March 2025. Quality measures sit mid-range at 3/5.

B

83/100

Ginger Cove

Annapolis, MD · Anne Arundel County

CMS 4/5 55 beds Non-profit
Nurse hours
4.68 /day
Staff turnover
43%
Serious cites
0

Ginger Cove runs lean on problems and heavy on staff. At 4.68 nurse hours per resident day, it sits about 21% above the national average, and its inspection record backs that up: 12 deficiencies on file, none of them causing harm or jeopardy, though one is abuse-related. Weekend coverage dips roughly 7% below its own weekday levels, worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover of 43.1% is slightly better than the national 45.8%. The odd note is quality measures, which land at the bottom of the scale even as inspections and staffing sit at the top, that gap is the thing to press the administrator on.

B

83/100

Resorts At Chester River Manor Corp

Chestertown, MD · Kent County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
17%
Serious cites
0

Resorts At Chester River Manor runs 98 certified beds in Chestertown under corporate for-profit ownership, and its staffing sits at 3.56 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 3% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. What stands out is retention: 16.7% annual turnover against a national 45.8%, meaning the people caring for residents largely stay put. The tradeoff shows up in the inspection record, 36 deficiencies, including one at harm level and one abuse-related, with the most recent survey dated December 2025.

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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