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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 1521–1540 of 4,510, best-graded first.

B

83/100

Greenfield Health & Rehab Center

Lancaster, NY · Erie County

CMS 4/5 160 beds Non-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
49%
Serious cites
0

Greenfield Health & Rehab in Lancaster runs a nonprofit shop with 160 certified beds, and the staffing numbers are genuinely above average, 4.58 nurse hours per resident day, roughly 19% higher than the national figure. That's the kind of cushion that shows up in daily care, though weekends dip about 12% below weekdays, so timing matters. Staff turnover sits at 48.9%, a bit worse than the 45.8% national rate. The inspection record shows 12 deficiencies, none at harm or jeopardy level, but 5 abuse-related findings is a real number worth asking about directly. The last inspection was August 2025, so the record is current.

B

83/100

Forest View Center For Rehabilitation & Nursing

Forest Hills, NY · Queens County

CMS 5/5 160 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
30%
Serious cites
0

Forest View runs 3.41 nurse hours per resident per day, roughly 12 percent under the national average, and weekends dip about 7 percent below its own weekday staffing. That thinner coverage is the main thing pulling its staffing picture down, even though turnover at 29.8 percent is well below the 45.8 percent national rate, meaning the aides and nurses who are there tend to stay. The inspection record is strong: a 5/5 health inspection rating, most recently surveyed in May 2024, with 9 deficiencies and none at the harm or jeopardy level, though 2 are abuse-related, which is worth asking about directly.

B

83/100

The Baptist Home At Brookmeade

Rhinebeck, NY · Dutchess County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
29%
Serious cites
0

The Baptist Home at Brookmeade runs lean on daily nursing hours, 3.06 per resident, roughly a fifth below the national figure, and weekends are thinner still, about 8% under its own weekday coverage. What offsets that is stability: staff turnover sits at 28.9% against a national 45.8%, so the people showing up are more likely to know the residents. Inspections back that up, with seven deficiencies on record, none causing harm or tied to abuse, and the most recent visit in March 2024. A five out of five on quality measures and four on health inspections round out a nonprofit home that's short on hours but steady where it counts.

B

83/100

Bradley Creek Health Center

Wilmington, NC · New Hanover County

CMS 5/5 30 beds For-profit
Nurse hours
4.39 /day
Staff turnover
44%
Serious cites
0

Bradley Creek Health Center runs small, 30 certified beds in Wilmington, and the staffing numbers are the first thing worth noticing. At 4.39 nurse hours per resident day, it sits about 14% above the national average, though weekends dip roughly 10% below its own weekday coverage, so ask how that gap gets filled. Staff turnover of 43.8% is a touch better than the 45.8% national figure, and the inspection record is clean where it counts: six deficiencies, none at the harm level, none tied to abuse, with the most recent visit in May 2025. A for-profit corporate owner and a middling quality-measure score are the caveats.

B

83/100

Ashley Medical Center Nursing Home

Ashley, ND · Mcintosh County

CMS 5/5 31 beds For-profit Medicaid
Nurse hours
5.22 /day
Staff turnover
41%
Serious cites
0

Ashley Medical Center Nursing Home runs on remarkably strong staffing for a 31-bed home, 5.22 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 41% actually beats the national rate. It's been inspected recently, in July 2025, and the seven deficiencies on file involve no harm or jeopardy and no abuse. The weak spot is quality measures, where it scores 2 out of 5, meaning clinical outcomes like falls, infections, or antipsychotic use don't track with how well the place is staffed. Weekend coverage also drops about 26% below weekday levels, so care may thin out on Saturdays and Sundays.

B

83/100

Eventide Fargo

Fargo, ND · Cass County

CMS 3/5 98 beds Non-profit Medicaid
Nurse hours
4.66 /day
Staff turnover
48%
Serious cites
0

Eventide Fargo runs a church-affiliated nonprofit home with 98 certified beds, and its nurse staffing sits at 4.66 hours per resident day, roughly 21% above the national average of 3.86. That's a real margin, though weekend coverage dips about 7% below its own weekday levels, so the weekday-to-weekend gap is worth asking about directly. The inspection record shows 11 deficiencies, one of them at the harm or jeopardy level, plus a single fine of $9,030. Staff turnover is 47.7%, slightly above the national 45.8%. The last inspection was September 18, 2025, so the picture is current. Quality and staffing measures both rate 4 out of 5 stars, while health inspections sit at 3, consistent with a home whose day-to-day care numbers look stronger than its compliance history.

B

83/100

Washita Valley Living Center

Pauls Valley, OK · Garvin County

CMS 4/5 109 beds For-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
52%
Serious cites
0

Washita Valley Living Center runs a 109-bed for-profit operation in Pauls Valley, and the staffing numbers are the strongest part of the picture, 5.10 nurse hours per resident day, roughly a third more than the national average. That cushion matters less on weekends, when hours drop about 15% below the home's own weekday level, and turnover sits at 52.1%, higher than the 45.8% national figure. Six deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in April 2025. A 4/5 inspection rating and 3/5 on quality measures round out a home that's better staffed than most, though the weekend dip and turnover are worth asking about directly.

B

83/100

Bellevue Health & Rehabilitation Center

Oklahoma City, OK · Oklahoma County

CMS 3/5 142 beds For-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
50%
Serious cites
0

Bellevue Health & Rehabilitation Center runs 142 certified beds in Oklahoma City under for-profit LLC ownership, and its nurse staffing sits at 4.56 hours per resident day, roughly 18% above the national average of 3.86. That's a real margin in a field where staffing shortfalls drive most problems. Weekend coverage dips about 10% below its own weekday level, and annual turnover runs 50.3%, a bit above the national 45.8%. The inspection record shows 19 deficiencies with none at the harm or jeopardy level, though two are abuse-related, which families should ask about directly. State inspectors last visited in December 2025.

B

83/100

Beare Manor

Hartshorne, OK · Pittsburg County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
51%
Serious cites
0

Beare Manor runs about 3.24 nurse hours per resident per day, roughly 16 percent under the national average of 3.86, and its staff turnover sits at 51.4 percent against a national figure near 45.8. Those two numbers matter more than any single score, because they shape what daily care actually looks like. Weekend staffing holds roughly even with weekdays, which is not nothing. The current inspection record shows 13 deficiencies, none involving harm or jeopardy and none tied to abuse, and the last survey was in July 2024. Quality measures score well, inspections land mid-range, and staffing is the weak spot. A for-profit partnership operates the place.

B

83/100

Harrah Nursing Center

Harrah, OK · Oklahoma County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
—
Serious cites
0

Harrah Nursing Center runs 100 certified beds under individual for-profit ownership, and the staffing picture is a mixed one. Total nurse coverage sits at 4.09 hours per resident day, roughly 6% above the national average of 3.86, though weekend staffing drops about 22% below what the home manages on weekdays. On the health inspection side, a survey from January 30, 2025 left 16 deficiencies on the record, none at the harm or jeopardy level and none abuse-related. The quality measure rating sits at the top of the scale while the staffing star lands in the middle, which tracks with the numbers: decent overall hours, thinner weekend coverage.

B

83/100

Baptist Village Of Enid

Enid, OK · Garfield County

CMS 3/5 90 beds Non-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
52%
Serious cites
0

Baptist Village of Enid runs a nonprofit home with 90 certified beds, and the staffing numbers are the strongest part of the picture: 4.83 nurse hours per resident day, roughly a quarter above the national average. That cushion matters less on weekends, when hours drop about 13% from the weekday pace, and turnover sits at 52% against a national 45.8%, so the people providing that care keep changing. The inspection record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey came in December 2024. With consistent staffing and no serious harm findings, the main thing to weigh is how often the staff themselves turn over.

B

83/100

Woodlands Skilled Nursing And Therapy

Okmulgee, OK · Okmulgee County

CMS 3/5 114 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
24%
Serious cites
0

Woodlands Skilled Nursing And Therapy runs lean on nurse staffing, 3.11 hours per resident day against a national average of 3.86. That gap is real, though weekend coverage barely dips from weekday levels, which matters more than people expect. What stands out is the stability of the workforce: 24.2% annual turnover against a national 45.8% means caregivers here tend to stay, and that continuity shows up in the inspection record, 28 deficiencies on file, but none at the harm or jeopardy level and nothing abuse-related, with a May 2025 survey keeping things current. For-profit partnership ownership, 114 beds. The staffing hours are the thing to weigh, but low turnover and a clean harm record are genuinely hard to find together.

B

83/100

Lexington Nursing Home, Inc.

Lexington, OK · Cleveland County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
5.62 /day
Staff turnover
52%
Serious cites
0

Lexington Nursing Home runs on a for-profit corporate model with 70 certified beds, and the staffing numbers stand out: 5.62 nurse hours per resident day, well above the national average of 3.86. Weekends dip about 9% below weekday coverage, and annual turnover sits at 51.6% against a national 45.8%, so continuity of caregivers is a real question mark. The inspection record is clean where it counts most, 13 deficiencies on file, none at harm or jeopardy level, none abuse-related, with a survey as recent as April 2026. Quality measures land mid-range. What you're looking at is a home that's well-staffed on paper and recently inspected without serious findings, but with enough turnover to ask about who's actually at the bedside.

B

83/100

Elk Crossing

Duncan, OK · Stephens County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
5.75 /day
Staff turnover
46%
Serious cites
0

Elk Crossing runs 120 certified beds in Duncan under for-profit LLC ownership, and the number that stands out is staffing: 5.75 nurse hours per resident day, roughly half again the national average of 3.86. Weekend coverage dips only about 6% below its own weekday level, so the floor doesn't thin out as much as it does at many homes. Turnover sits at 46.4%, essentially level with the national 45.8%, no real edge there. The inspection record shows 8 deficiencies, none at harm or jeopardy level, though one is abuse-related, with the last inspection dated April 2026.

B

83/100

Ball Pavilion, The

Erie, PA · Erie County

CMS 5/5 85 beds Non-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
39%
Serious cites
0

Ball Pavilion runs on strong staffing: 4.55 nurse hours per resident day, about 18% above the national average, and a five-star CMS staffing rating backs that up. Weekend coverage dips roughly 15% below its own weekday level, and turnover sits at 39%, better than the 45.8% national average, though still meaning more than a third of staff leaving each year. The health inspection record is solid: 11 deficiencies, none at harm or jeopardy level, none abuse-related, with an inspection dated March 2026. What pulls the numbers down is the quality measure rating at 2 out of 5, even as staffing and inspections hold up.

B

83/100

Phoebe Berks

Wernersville, PA · Berks County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
43%
Serious cites
0

Phoebe Berks runs about 4.13 nurse hours per resident per day, roughly 7% above the national average, and staff turnover sits at 43.2%, slightly better than the 45.8% national figure, though it still means close to half the nursing staff turns over in a year. Weekend coverage dips about 8% below weekday levels, a gap families should know about. The inspection record is clean where it counts: five deficiencies total, none causing harm or jeopardy and none abuse-related, with the most recent inspection dated March 2026. Quality measure scores land mid-range, so day-to-day care outcomes look average even as the staffing and inspection numbers hold up.

B

83/100

Alpine Nursing Home Inc

Coventry, RI · Kent County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
43%
Serious cites
0

Alpine Nursing Home runs about 60 beds in Coventry under corporate ownership, and its staffing sits right around the national mark, 3.80 nurse hours per resident day versus 3.86 nationally, though weekends dip roughly 8% below its own weekday coverage. Turnover lands at 42.9%, a touch better than the 45.8% national average. The inspection record shows 12 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations, and the most recent survey came in March 2025. A four-star inspection rating alongside that harm-level finding is worth asking about directly, since one deficiency at that severity matters more than the raw count suggests.

B

83/100

Franke Health Care Center

Mount Pleasant, SC · Charleston County

CMS 4/5 44 beds Non-profit
Nurse hours
4.26 /day
Staff turnover
43%
Serious cites
0

Franke Health Care Center runs on a nonprofit model with 44 beds in Mount Pleasant, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That edge matters, though weekends dip about 14% below the home's own weekday coverage, so staffing isn't perfectly even across the week. Staff turnover comes in at 42.6%, a touch better than the 45.8% national figure. The current inspection record shows 8 deficiencies, none at the harm or jeopardy level and none related to abuse, with the most recent inspection dated April 2026. Federal stars land at 4 for health inspections, 4 for staffing, and 3 for quality measures, a solid, recently reviewed record without serious findings.

B

83/100

The Kings Daughters And Sons

Bartlett, TN · Shelby County

CMS 2/5 108 beds Non-profit Medicaid
Nurse hours
5.28 /day
Staff turnover
54%
Serious cites
0

The Kings Daughters And Sons runs a leaner ship than most on paper: 5.28 nurse hours per resident day, well above the national average of 3.86, with weekends dipping only slightly from weekdays. But the inspection record tells a rougher story, nine deficiencies, including one at the harm level and two tied to abuse, plus two fines totaling $13,498. Staff turnover sits at 53.5%, higher than the national 45.8%, which matters when continuity of care is already strained by a two-star health inspection. The last state visit was October 2023, so that record is aging. Strong staffing is real; so is what inspectors found.

B

83/100

Hardin Home

Savannah, TN · Hardin County

CMS 4/5 39 beds For-profit Medicaid
Nurse hours
5.19 /day
Staff turnover
—
Serious cites
0

Hardin Home runs about 5.19 nurse hours per resident day, roughly a third more than the national average of 3.86, which is the main reason its record looks as solid as it does. Weekends drop about 16% below its own weekday staffing, so the coverage families see on a Saturday may not match a Tuesday. The June 2025 inspection is recent, and none of the nine deficiencies on file rose to harm or jeopardy, though two are abuse-related, worth asking about directly. This is a for-profit corporate home with 39 beds, which usually means less corporate cushion but also less bureaucracy. Ask about weekend nurse coverage and what those two abuse deficiencies involved.

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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