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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 1561–1580 of 4,510, best-graded first.

B

82.5/100

Idaho State Veterans Home - Boise

Boise, ID · Ada County

CMS 2/5 122 beds Government Medicaid
Nurse hours
4.23 /day
Staff turnover
45%
Serious cites
0

The Idaho State Veterans Home in Boise runs on remarkably strong nurse staffing, 4.23 hours per resident day, about 10% above the national average, with a CMS staffing rating that reflects it. The trouble shows up elsewhere. State inspectors recorded 27 deficiencies on the current record, including two at the harm level and four tied to abuse, and the health inspection rating sits at 1 out of 5. That gap between staffing strength and inspection problems is the whole story here. Staff also thin out on weekends, dropping roughly 19% below weekday coverage, so care may look different depending on when you visit. Annual turnover, about 45%, is essentially in line with the national average.

B

82.5/100

Plymouth Place

La Grange Park, IL · Cook County

CMS 5/5 86 beds Non-profit
Nurse hours
4.56 /day
Staff turnover
—
Serious cites
0

Plymouth Place runs 4.56 nurse hours per resident per day, roughly 18% above the national average, and that staffing depth shows in the numbers: a 4-out-of-5 staffing star and a 5-out-of-5 inspection star, with the most recent survey completed in February 2026. Weekend coverage dips about 7% below weekday levels, which is worth asking about if your family member needs more help on Saturdays and Sundays. The record isn't spotless, 11 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. This is a nonprofit home with solid clinical foundations and one past lapse to weigh.

B

82.5/100

Westminster Village Health & Rehab

Terre Haute, IN · Vigo County

CMS 2/5 78 beds Non-profit Medicaid
Nurse hours
4.77 /day
Staff turnover
—
Serious cites
0

Westminster Village keeps a strong bench of nurses, 4.77 hours per resident day, roughly a quarter more than the national average, though weekends thin out by about 11% compared to weekdays. That staffing cushion hasn't translated into a clean inspection record: 31 deficiencies, one of them serious enough to cause harm, with a survey completed in April 2025. No abuse citations appear anywhere in the file, and the home is nonprofit-owned. Where this sits for you depends on what you weigh: consistent bedside coverage and quality scores around the middle of the pack, against a citation count that's higher than you'd want to see.

B

82.5/100

Osceola Senior Living

Sibley, IA · Osceola County

CMS 5/5 46 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
—
Serious cites
0

Osceola Senior Living runs 46 certified beds in Sibley under for-profit LLC ownership, and its nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86. That margin is modest, though, and weekends dip roughly 10% below the home's own weekday coverage, so the daily experience can shift depending on when you visit. The current record shows 6 deficiencies, none at the harm or jeopardy level and none related to abuse. With a 4/5 health inspection rating and a recent inspection dated April 2026, the compliance picture looks stable rather than spotless.

B

82.5/100

Pickersgill Retirement Community

Towson, MD · Baltimore County

CMS 4/5 43 beds Non-profit Medicaid
Nurse hours
5.43 /day
Staff turnover
—
Serious cites
0

Pickersgill runs 43 certified beds in Towson under nonprofit ownership, and its nurse staffing sits at 5.43 hours per resident day, roughly 41% above the national average of 3.86. That's a real cushion, though weekends dip about 29% below the home's own weekday coverage, so the weekday-to-weekend gap is worth asking about directly. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey dated April 2026. CMS gives it four stars for health inspections and four for staffing, three for quality measures. Nothing here suggests danger; the open question is whether weekend coverage holds up when your family member needs help.

B

82.5/100

Resthaven Care Center

Holland, MI · Allegan County

CMS 3/5 145 beds Non-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
36%
Serious cites
0

Resthaven Care Center runs about 4.33 nursing hours per resident day, roughly 12% above the national average, and its staff tends to stay, turnover of 35.5% sits well under the national 45.8%. That stability matters, though weekend coverage drops about 16% below weekday levels, so staffing isn't perfectly even across the week. The inspection record is mixed: 29 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. A June 2025 inspection keeps the picture current. As a nonprofit with 145 beds, it shows real strengths in direct care hours and retention, paired with a health inspection history that's merely average.

B

82.5/100

Buffalo Lake Health Care Center

Buffalo Lake, MN · Renville County

CMS 4/5 49 beds Non-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
43%
Serious cites
0

Buffalo Lake Health Care Center runs on 4.60 nurse hours per resident day, roughly 19% above the national average, a real cushion, though weekends dip about 15% below its own weekday pace. Staff turnover sits at 42.6%, slightly better than the 45.8% national figure. The trade-off shows up in quality measures, which score low, and in a record of 13 deficiencies, including one tied to abuse; none rose to the level of actual harm or jeopardy. Inspectors were last on site in January 2026. This is a nonprofit corporation with 49 certified beds, small enough that staffing depth matters more than at a larger campus.

B

82.5/100

Tippah County Nursing Home

Ripley, MS · Tippah County

CMS 4/5 40 beds Government Medicaid
Nurse hours
4.95 /day
Staff turnover
37%
Serious cites
0

Tippah County Nursing Home runs on a county budget and 40 beds, and the staffing numbers stand out: 4.95 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 20% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.2%, lower than the national 45.8%, so the people caring for residents tend to stay. Seventeen deficiencies on record, none at the harm level and none abuse-related, with the last inspection in February 2026. Quality measure scores run low at 2 out of 5, so ask what those specific measures cover.

B

82.5/100

Fairview Manor

Fairmont, NE · Fillmore County

CMS 5/5 40 beds Government Medicaid
Nurse hours
4.13 /day
Staff turnover
16%
Serious cites
0

Fairview Manor runs on a city-county budget in a town of about 6,000, and the numbers suggest that setup is working. Nurses give residents 4.13 hours of care a day, roughly 7 percent more than the national average, and only 16.3 percent of staff left last year against a national rate near 46 percent, that kind of retention usually means people want to stay. Inspection history is clean: three deficiencies on record, none causing harm, none tied to abuse, and the last state visit came in January 2026. The softer spot is weekend coverage, which dips about 19 percent below weekday levels, and quality measures sit mid-range.

B

82.5/100

Harvard Rest Haven

Harvard, NE · Clay County

CMS 4/5 30 beds Government Medicaid
Nurse hours
4.41 /day
Staff turnover
49%
Serious cites
0

Harvard Rest Haven runs on a fairly lean crew for a 30-bed home, though the 4.41 nurse hours per resident day lands above the national average. Weekends are where it thins out, roughly 19% less staffing than weekdays, which is common but worth knowing if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 48.5%, a bit above the national figure, so continuity of caregivers isn't guaranteed. The inspection record is genuinely strong: a 5/5 health inspection rating, ten deficiencies on file with none at the harm level, and the most recent survey done in February 2025. One abuse-related deficiency is on the record, which you should ask about directly.

B

82.5/100

Daughters Of Israel Pleasant Valley Home

West Orange, NJ · Essex County

CMS 3/5 279 beds Non-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
—
Serious cites
0

Daughters Of Israel Pleasant Valley Home runs 303 certified beds in West Orange under nonprofit ownership, and its 26 deficiencies on record are worth noting, none rose to harm or jeopardy level, and none involved abuse, which matters more than the raw count. The bigger story is staffing: 3.86 nurse hours per resident day, essentially dead even with the national average, though weekends run about 6% leaner than weekdays. Its 2/5 inspection rating reflects problems found on survey, while resident care measures scored 5/5 and staffing 3/5. The last inspection was March 2026, so the record is current.

B

82.5/100

Broadway House For Continuing Care

Newark, NJ · Essex County

CMS 4/5 78 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
—
Serious cites
0

Broadway House runs a little more nurse coverage than the typical American nursing home, 4.07 hours per resident day against a national average of 3.86, though weekends dip about 4% below its own weekday pace, so ask how that gap gets covered. The inspection record shows 12 deficiencies, none serious enough to cause harm or jeopardy, but two are abuse-related, which is worth asking about directly. State inspectors were last in on February 26, 2025, so the findings are fresh. As a nonprofit with 78 beds, it's small enough that you can press for specifics on those two citations and get a straight answer.

B

82.5/100

Wayne County Nursing Home

Lyons, NY · Wayne County

CMS 1/5 192 beds Government Medicaid
Nurse hours
4.57 /day
Staff turnover
33%
Serious cites
0

Wayne County Nursing Home is run by the county, and its staffing is the strongest part of the picture: 4.57 nurse hours per resident day, about 18% above the national average, with turnover at 33.3%, noticeably lower than the 45.8% typical elsewhere. Weekends, though, run roughly 19% thinner than weekdays, so coverage isn't even across the week. The trouble sits in inspections, where CMS gives one star out of five. Fourteen deficiencies are on the current record, including one at the harm or jeopardy level and one abuse-related, plus a $16,153 fine. The most recent inspection was November 2024. Good staffing and steady retention matter, but a harm-level finding and an abuse citation are the kind of thing you'd want to ask about directly before deciding.

B

82.5/100

Big Elm Retirement And Nursing Centers

Kannapolis, NC · Rowan County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
42%
Serious cites
0

Big Elm runs leaner on risk than most: one harm-level deficiency and one abuse citation on the current record, but the state was last in the building in August 2025, so the picture is recent. Staffing is the strong point, 5.10 nurse hours per resident day against a national average of 3.86, though weekends dip about 16% below the home's own weekday coverage, and turnover sits at 42%, a touch better than the 45.8% national figure. Sixteen total deficiencies is not nothing. For a 50-bed for-profit owned by an individual, four stars across health inspections, quality measures, and staffing is a steadier record than that ownership category often produces.

B

82.5/100

Mckenzie County Healthcare Systems Long Term Care

Watford City, ND · Mckenzie County

CMS 4/5 42 beds Non-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
—
Serious cites
0

Mckenzie County Healthcare Systems runs a 42-bed nonprofit home in Watford City, and its nurse staffing sits at 4.27 hours per resident day, roughly 11% above the national average. That's a real cushion, though weekends run about 10% leaner than weekdays, so coverage isn't perfectly even across the week. The inspection record is where things get mixed: 12 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $6,300 fine. The most recent inspection was in July 2025, so the picture is current. For a small rural home, the staffing strength is genuine, but those two serious deficiencies deserve a direct question before you decide.

B

82.5/100

Regency Care Of Copley

Akron, OH · Summit County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
—
Serious cites
0

Regency Care Of Copley runs 70 certified beds in Akron under for-profit LLC ownership, and the direct-care hours come in at 3.94 per resident day, a bit above the national average of 3.86, but weekends run roughly 15% thinner than weekdays, so coverage isn't steady across the week. The inspection record is where you want to look closely: 27 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse. The most recent inspection was December 2025, and the staffing star sits at 3 out of 5, while quality measures rate 5. Ask about weekend coverage and what changed after that harm-level finding, and ask what the abuse-related citations involved.

B

82.5/100

Saint Simeons Episcopal Home

Tulsa, OK · Tulsa County

CMS 4/5 109 beds Non-profit
Nurse hours
5.93 /day
Staff turnover
—
Serious cites
0

Saint Simeons Episcopal Home runs on a church-affiliated nonprofit model with 109 certified beds in Tulsa, and its nurse staffing sits at 5.93 hours per resident day, roughly 54% above the national average of 3.86. Weekends dip about 8% below its own weekday coverage, so the quietest shifts are still comparatively well covered. The inspection record shows 13 deficiencies, none at the harm or jeopardy level, though three are abuse-related and four fines total $12,837; the most recent inspection was January 24, 2025. Federal ratings put health inspections and quality measures at 4 out of 5 stars each, with staffing at 3, a reminder that raw hours and CMS's staffing formula don't always agree.

B

82.5/100

Westhills Village Health Care Facility

Rapid City, SD · Pennington County

CMS 5/5 44 beds Non-profit
Nurse hours
3.70 /day
Staff turnover
46%
Serious cites
0

Westhills Village runs about 3.70 nurse hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage, that gap matters most when a family member needs help on a Saturday. The inspection record is otherwise solid: a 4-out-of-5 health inspection rating, a recent survey from March 2026, and one fine of $8,788. But 11 deficiencies sit on the current record, including one at the harm level and two tied to abuse, and staff turnover of 46.2% is essentially the national rate. For a 44-bed nonprofit, that mix of good routine oversight and a few serious findings is what holds the grade at a B.

B

82.5/100

Claiborne Health And Rehabilitation Center

Tazewell, TN · Claiborne County

CMS 3/5 100 beds Non-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
—
Serious cites
0

Claiborne Health and Rehabilitation Center runs on 4.35 total nurse hours per resident day, roughly 13% above the national average, and that shows up in a 4-out-of-5 staffing rating. The catch is weekends, when coverage drops about 11% below the home's own weekday level. On its current record are 11 deficiencies, none at the harm or jeopardy level, though 3 are abuse-related, worth asking about directly. The most recent inspection was November 20, 2025, so the picture is current. This is a nonprofit corporation with 100 certified beds in Tazewell, sitting at 3 out of 5 on both health inspections and quality measures. Strong weekday staffing, a thinner weekend, and a handful of abuse-related findings is the honest summary.

B

82.5/100

Southern Tenn Medical Center Snf

Winchester, TN · Franklin County

CMS 1/5 46 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
—
Serious cites
0

Southern Tenn Medical Center SNF runs 4.42 nurse hours per resident day, roughly 14% above the national average of 3.86, but that staffing star rating still comes in at just 1 out of 5, and weekends drop about a third below the home's own weekday level. The inspection record shows 11 deficiencies with none at harm or jeopardy level and none abuse-related, and the last state visit was September 4, 2025, so the record is current. Health inspection rating sits at 2 out of 5 while quality measures hit 4 out of 5. It's a 46-bed for-profit owned by an individual. The weekday numbers look better than what families actually experience on Saturdays and Sundays.

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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