4,510 Independent Nursing Homes in the United States

Nurse hours

4.06 /day

Staff turnover

41%

Serious cites

0

Main Street Care runs about 4.06 nurse hours per resident each day, roughly 5% above the national average, and its staff turnover of 41.2% is a bit better than the typical 45.8%. Weekend coverage dips about 7% below weekday levels, so ask how that plays out on a Saturday. The inspection history is the reassuring part: 21 deficiencies on record, none at the harm level and none abuse-related, with the most recent survey in January 2026. It's a small 34-bed nonprofit, and CMS's staffing rating comes in at just 1 star despite those hours, which is worth asking about directly.

Nurse hours

4.21 /day

Staff turnover

40%

Serious cites

0

Bethany St Joseph runs a nonprofit shop with 100 beds, and its strongest number is staffing: 4.21 nurse hours per resident day, roughly 9% above the national average, which is why CMS gives it top marks there. Weekends dip about 11% below its own weekday coverage, so ask how that plays out on a Saturday. Turnover sits at 40.4%, better than the 45.8% national figure. The tradeoff is quality measures at 2 out of 5, plus 13 deficiencies on the current record, one serious enough to involve harm, and a single $3,145 fine. The last inspection was June 2025, so the record is recent. Good hands on deck; watch the care outcomes.

Nurse hours

4.99 /day

Staff turnover

59%

Serious cites

0

Rocky Knoll Health Care is county-owned, and that shows in the staffing numbers, 4.99 nurse hours per resident day, roughly 29% above the national average, which is the kind of margin that matters on a Tuesday afternoon when someone needs help. The tradeoffs are real, though. Turnover sits at 58.6%, well above the national rate, and 27 deficiencies appear on the current record, three tied to abuse, though none reached the level of actual harm or jeopardy. Inspections were recent, March 2025, and the health inspection side scored low relative to quality measures and staffing. If you're weighing this one, ask how they hold staffing on weekends, which run about 6% lighter than weekdays.

Nurse hours

5.06 /day

Staff turnover

35%

Serious cites

0

Clearview is county-owned, and its staffing is the strongest part of the picture: 5.06 nurse hours per resident day, roughly 31% above the national average, with a 5-star staffing rating to match. Turnover sits at 35.2%, well below the national 45.8%. Weekends run about 9% leaner than weekdays, so ask how that gap gets covered. The record isn't spotless, 9 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $9,110, though nothing abuse-related. A 4-star inspection and a fresh August 2025 survey help. The 3-star quality measures are the soft spot worth asking about.

Nurse hours

4.39 /day

Staff turnover

35%

Serious cites

0

Peabody Manor runs a nonprofit operation with 58 beds in Appleton, and its staffing is the clearest strength: 4.39 nurse hours per resident day, well above the national average. That helps explain the top staffing marks, and turnover at 35.1% sits below the national rate, though weekend coverage drops about 10% from weekday levels. The concerns live on the inspection side. The current record shows 23 deficiencies, including one at the harm or jeopardy level and four tied to abuse. The last inspection was in December 2024. Quality measure scores come in low, and the mix of strong staffing with a thicker deficiency record is what pulls the overall picture down to a solid-but-not-clean range.

Nurse hours

3.84 /day

Staff turnover

37%

Serious cites

0

Crest View runs 50 beds as a nonprofit, and its inspection record is the strongest thing about it, a five-star health inspection rating, four total deficiencies, none of them causing harm or involving abuse, and the most recent survey done March 31, 2026. Staffing sits right at the national mark of 3.86 hours per resident day, close enough to call it even, though weekends drop about 11% below the home's own weekday coverage. Turnover is 36.5%, well under the 45.8% national average, which suggests people stay. The soft spot is quality measures at two stars, so ask what specific clinical measures are pulling that down and how the staff plans to address them.

Nurse hours

4.33 /day

Staff turnover

41%

Serious cites

0

Morrow Memorial Home runs on more nursing hours than most places, 4.33 per resident day, roughly 12% above the national average, and that's the main reason its staffing rating sits at the top of the scale. The trade-off shows up in care outcomes: the quality measure rating is only 2 out of 5, and the current record carries 13 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involve abuse. Weekend coverage dips about 10% below weekday levels, and turnover runs at 40.6%, a bit better than the national 45.8%. The last inspection was in June 2025, so the picture is recent. Church-affiliated and nonprofit, 80 beds.

Nurse hours

4.55 /day

Staff turnover

49%

Serious cites

0

Inland Christian Home runs a tight ship on the numbers that tend to matter most. Nurse staffing sits at 4.55 hours per resident day, roughly 18% above the national average, though weekends dip about 11% below its own weekday level, worth asking about if you're planning visits or worrying about Saturday-night coverage. The inspection record is clean where it counts: 25 deficiencies on file but none at the harm or jeopardy level and nothing abuse-related, with the most recent state visit in June 2025. Turnover is the soft spot at 49.3%, just above the national 45.8%, which isn't alarming for this industry but does mean some churn among the people providing care.

Nurse hours

4.41 /day

Staff turnover

41%

Serious cites

0

Solheim Senior Community runs on a nonprofit model with 76 certified beds in Los Angeles, and its nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, and staff turnover lands at 41%, a bit better than the 45.8% national figure. The trouble is inspections: 37 deficiencies on record, one serious enough to reach harm or jeopardy level, though none abuse-related, and a 2/5 health inspection star. That lopsided pattern, solid staffing, weaker inspection history, is what shapes the picture here. The most recent inspection was December 18, 2025, so the record is current.

Nurse hours

4.24 /day

Staff turnover

24%

Serious cites

0

The Care Center on Hazeltine has some real strengths in its numbers. Nurse staffing runs about 10% above the national average, and weekend coverage only dips about 5% below weekdays, a smaller drop-off than many homes. Annual turnover sits at 23.7%, roughly half the national rate of 45.8%, which suggests a stable crew. But the inspection record is where it gets concerning: 35 deficiencies, including 2 at the harm or jeopardy level and 4 abuse-related, along with two fines totaling $72,521. The most recent inspection was in December 2025. Strong staffing and stable turnover matter, but the count of serious deficiencies is the piece I'd ask about directly before deciding.

Nurse hours

4.38 /day

Staff turnover

28%

Serious cites

0

The numbers here tell two different stories. Nurse staffing runs 4.38 hours per resident day, well above the 3.86 national average, and the 27.8% turnover rate is far below the typical 45.8%, which matters because consistent caregivers tend to know residents' routines. Weekend coverage dips only slightly, about 6% under weekday levels. On the other side, the quality measure rating sits at 1 out of 5, and the home carries 15 deficiencies on its current record, though none at the harm level and none abuse-related. Its last inspection was recent, February 2025, and it scored 5 out of 5 on that inspection. Nonprofit ownership, strong staffing, weak quality metrics, worth asking what's driving that gap.

Nurse hours

3.68 /day

Staff turnover

61%

Serious cites

0

Hillcrest runs a tight ship on the clinical side. Twenty deficiencies on record with zero at the harm level and nothing abuse-related, plus a recent inspection and top marks from CMS on both health inspections and quality measures, that's a home that gets the basics right. Where it gives ground is staffing. At 3.68 nurse hours per resident day it sits about 5% under the national average, weekend coverage dips roughly 3% below its own weekday level, and turnover at 60.6% runs well above the 45.8% national figure. Corporate-owned and small at 59 beds, Hillcrest looks like a place where care quality holds up but consistent hands on deck is the open question.

Nurse hours

4.46 /day

Staff turnover

43%

Serious cites

0

Presbyterian Village North runs 4.46 nurse hours per resident day, roughly 16% above the national average, with weekend coverage dipping about 11% below its own weekdays. Staff turnover sits at 43%, a little better than the 45.8% national figure, and the nonprofit's last inspection was mid-2025. Against that, the record shows 12 deficiencies, two of them serious enough to involve harm or jeopardy, and two fines totaling $36,505. The staffing and quality ratings both land at 4 out of 5, which is genuinely solid, but inspection history is where families should look closest, a recent visit doesn't erase what regulators already found. Worth asking about those two harm-level citations specifically.

Nurse hours

2.68 /day

Staff turnover

34%

Serious cites

0

Oakcrest runs lean on nursing hours, 2.68 per resident day, roughly a third below the national average, and weekends dip even further, about 7% under its own weekday staffing. That thin coverage shows up in the inspection record: 22 deficiencies, three serious enough to put residents in harm's way, and one tied to abuse, with two fines totaling nearly $32,000. Turnover at 34.1% is actually better than the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was August 2025, so the record is current. If you're weighing this one, ask how they staff weekends and what changed since that abuse finding.

Nurse hours

4.38 /day

Staff turnover

—

Serious cites

0

Fair Haven is a 259-bed nonprofit home in Birmingham, and its strongest card is raw nursing hours: 4.38 per resident per day, about 13% above the national average. That said, weekends run roughly 9% thinner than weekdays, so the coverage your family sees on a Tuesday isn't quite what shows up on a Sunday. The inspection record carries 11 deficiencies, one tied to abuse, none at the harm or jeopardy level, plus 10 fines totaling $31,615. The last full inspection was in June 2021, which is a long stretch without a fresh look. Ownership is nonprofit, and quality measures score well, but staffing consistency and that dated inspection are the real caveats here.

Nurse hours

3.91 /day

Staff turnover

—

Serious cites

0

Southland Nursing Home in Marion runs a tight ship on care quality, its 5/5 quality measure rating is as good as it gets, and the 4/5 inspection score reflects a record without a single deficiency at the harm or jeopardy level. The seven deficiencies on file are minor, and one fine totaling $5,244 is modest by industry standards. Where it slips is staffing: 3.91 nurse hours per resident day edges the national average by roughly 1%, but weekends run about 10% below its own weekday level, which matters when families visit less. That gap likely explains the middling 3/5 staffing rating. One thing worth asking about: the last inspection was April 2021, so the record is several years old.

Nurse hours

6.08 /day

Staff turnover

28%

Serious cites

0

W Frank Wells runs a genuinely strong floor. At 6.08 nurse hours per resident day, it beats the national average by more than half, and its staff turnover of 27.9% sits well under the 45.8% norm, people stay here. Weekends thin out about 24% from weekday coverage, which is normal but worth knowing if your visits fall on a Saturday. What pulls the record down is inspections: 16 deficiencies on file, four of them serious enough to risk harm or jeopardy, four tied to abuse, and one fine of $26,320 from a December 2024 survey. The staffing is the argument for this place; the inspection history is the argument for asking hard questions before you commit.

Nurse hours

3.91 /day

Staff turnover

47%

Serious cites

0

Marion And Bernard L Samson Nursing Center runs a nonprofit home with 180 beds in Saint Petersburg, and its staffing sits just above the national average at 3.91 hours per resident day. That edge is thin, though, and weekends tell a different story, coverage drops roughly 16% below the home's own weekday levels, which is when falls and missed care tend to happen. Turnover runs 47.4%, slightly worse than the 45.8% national figure, so the faces change often. On paper the clinical quality scores look strong, but the inspection record is the weak spot: 17 deficiencies, one tied to abuse, and a March 2024 inspection that already feels dated. Nothing on the current record rose to harm or jeopardy level, which matters.

Nurse hours

4.15 /day

Staff turnover

45%

Serious cites

0

Royal Care of Avon Park runs a for-profit operation with 90 certified beds, and the staffing numbers are better than they look at first glance, 4.15 nurse hours per resident day sits about 7% above the national average, though weekends drop roughly 16% below the home's own weekday coverage. Turnover lands at 45.4%, basically in line with the national figure. The real concern is the inspection record: 26 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus two fines totaling $17,342. That history is what drags the health inspection rating down to 1 out of 5, even as the quality measure score sits at the top of the scale.

Nurse hours

4.36 /day

Staff turnover

39%

Serious cites

0

Desoto Health and Rehab runs 78 beds in Arcadia under corporate for-profit ownership, and the staffing picture is genuinely better than average, 4.36 nurse hours per resident day against a national 3.86. Turnover sits at 39.1%, below the 45.8% national figure, which matters for whether your family sees the same faces. Two things pull the other direction. Weekend staffing drops about 16% below the home's own weekday level, so care may thin out exactly when families visit. And the inspection record is weak: a 2/5 health inspection rating, 10 deficiencies with one at harm level, and a $13,520 fine. The quality measure score of 4/5 reflects clinical outcomes, not the survey history.