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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 1581–1600 of 4,510, best-graded first.

B

82.5/100

Greensboro Nursing Home

Greensboro, VT · Orleans County

CMS 4/5 30 beds Non-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
—
Serious cites
0

Greensboro Nursing Home runs 30 certified beds as a nonprofit, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average, though weekends drop about 11% below its own weekday levels. That's a real gap if your family visits or calls on Saturdays and Sundays. The inspection record is where things get more complicated: 23 deficiencies on file, none at the harm or jeopardy level, but seven tied to abuse. The last inspection was May 2026, so the record is recent. Its quality measure rating is strong, but a 3-out-of-5 on health inspections and staffing, plus those abuse-related citations, is worth asking about directly before you decide.

B

82.5/100

Franklin County Rehab Center, Llc

St. Albans, VT · Franklin County

CMS 4/5 64 beds For-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
40%
Serious cites
0

Franklin County Rehab Center runs on a for-profit individual owner, and the staffing is genuinely the story here: 5.45 nurse hours per resident day, roughly 41% above the national average of 3.86, which is a real cushion compared to most homes. That said, weekends drop about 18% below its own weekday level, and turnover sits at 40.2%, better than the 45.8% national figure, but still two in five staff leaving in a year, so continuity is a fair question. The inspection record shows 14 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026, so the record is current rather than stale.

B

82.5/100

Lake Taylor Hosp

Norfolk, VA · Norfolk City County

CMS 4/5 192 beds Government Medicaid
Nurse hours
4.90 /day
Staff turnover
47%
Serious cites
0

Lake Taylor runs a government hospital-district home with 192 beds, and its nurse staffing sits at 4.90 hours per resident day, roughly 27% above the national average of 3.86. That's real coverage, though weekends drop about 19% below what the home itself staffs on weekdays, so families should ask who's actually on the floor Saturday and Sunday. Turnover is 47.3%, slightly worse than the 45.8% national figure, and inspectors have logged 24 deficiencies, two of them at harm or jeopardy level, with one $59,150 fine. The last inspection was September 2025, so the record is current. Solid clinical quality marks and thin inspection margins pull in opposite directions here.

B

82.5/100

Corwin Center At Emerald Heights

Redmond, WA · King County

CMS 4/5 61 beds Non-profit Medicaid
Nurse hours
4.94 /day
Staff turnover
34%
Serious cites
0

Corwin Center At Emerald Heights runs 4.94 nurse hours per resident day, roughly 28% above the national average, and its staff turnover of 34.2% beats the national 45.8%, that's a stable, well-staffed building on paper. Weekends dip about 15% below weekday coverage, worth asking about if your family tends to visit then. The trouble sits elsewhere: 45 deficiencies on record, including 2 at the harm level and 4 abuse-related, plus one fine of $39,468. A 2/5 quality measure rating and a 3/5 inspection rating don't support the staffing strength. The last inspection was April 2025, so the record is current. Nonprofit ownership, strong staffing, but a deficiency history that needs direct questions.

B

82.5/100

Aria At Villa Pines

Friendship, WI · Adams County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
46%
Serious cites
0

Aria At Villa Pines runs 4.45 nurse hours per resident day, roughly 15% above the national average, and that staffing depth is the main reason it holds up. The catch is weekends, when coverage drops about 20% below its own weekday level, so the hours are there on paper, but not evenly across the week. Turnover sits at 45.7%, essentially identical to the national figure, so continuity isn't unusually bad or good. Fifteen deficiencies appear on the current record, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The last inspection was April 2026, so the picture is recent.

B

82.5/100

Golden Age Manor

Amery, WI · Polk County

CMS 2/5 85 beds Government Medicaid
Nurse hours
3.82 /day
Staff turnover
—
Serious cites
0

Golden Age Manor runs on county money, and its staffing numbers are right at the national line, 3.82 nurse hours per resident day against a 3.86 average. That's basically a wash on paper, but weekends drop about 13% below the home's own weekday level, which is where thin coverage tends to show up. The bigger issue is the inspection record: 28 deficiencies, one of them serious enough to cause harm, though nothing abuse-related. State inspectors were last in on April 10, 2025, and gave the health inspection side 2 out of 5 stars. Quality measures land at 3, staffing at 4. A county home with a clean abuse record and a recent visit, but 28 findings is a lot to carry.

B

82.5/100

Laguna Honda Hospital & Rehabilitation Ctr D/P Snf

San Francisco, CA · San Francisco County

CMS 3/5 769 beds For-profit Medicaid
Nurse hours
5.83 /day
Staff turnover
17%
Serious cites
0

Laguna Honda runs 769 certified beds in San Francisco, and its nurse staffing sits at 5.83 hours per resident day, roughly half again the national average, while annual turnover of 17.3% is far below the 45.8% typical elsewhere. That combination is unusual and worth noting, though weekend coverage drops about 22% from weekday levels. The inspection record is where the picture darkens: 40 deficiencies on file, six of them involving harm or jeopardy and seven tied to abuse, plus eight fines totaling $55,499. The most recent inspection was May 2, 2025, so the findings are current. Ownership is for-profit and individual. Strong staffing hasn't kept the regulatory record clean.

B

82.5/100

Sterling Nursing And Rehab

Sterling City, TX · Sterling County

CMS 4/5 44 beds Government Medicaid
Nurse hours
5.35 /day
Staff turnover
53%
Serious cites
0

Sterling Nursing and Rehab is county-owned, and the staffing reflects that: 5.35 nurse hours per resident day, roughly 39% above the national average. That's the strongest thing in the numbers, though weekends run about 19% lighter than weekdays, and turnover sits at 53.3% against a national 45.8%, people are cycling through here faster than average. The inspection record shows 13 deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. The last state visit was September 2025. Four stars on inspections, quality measures, and staffing put this home solidly above middle ground, with the open question being whether that staffing cushion holds up when turnover keeps grinding.

B

82/100

Beatitudes Campus

Phoenix, AZ · Maricopa County

CMS 3/5 72 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
47%
Serious cites
0

Beatitudes Campus runs leaner than most. At 3.62 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 9% below its own weekday coverage, a gap families feel most on Saturdays and Sundays. Staff turnover lands at 46.9%, essentially tracking the national rate of 45.8%. The inspection record is the bigger concern: 26 deficiencies, seven tied to abuse, though none reached harm or jeopardy level, and the most recent survey was September 2025, so the picture is current. Quality measures score well, staffing is middling, and inspections drag. The nonprofit ownership doesn't change what those numbers say.

B

82/100

Pleasant Manor Nursing & Rehab

Ashdown, AR · Little River County

CMS 5/5 88 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
52%
Serious cites
0

Pleasant Manor runs a healthy 4.59 nurse hours per resident day, roughly 19% above the national average, and its most recent inspection in November 2025 came back clean on the serious stuff, nine deficiencies on record, none involving harm or jeopardy, none tied to abuse. That combination is why it lands where it does. The catch is consistency: weekend staffing drops about 32% below its own weekday level, and annual turnover sits at 51.8%, several points above the national average of 45.8%. So you're looking at a home that's well-staffed on paper and inspected well, with a for-profit LLC at the helm, but one where the weekend crew and the revolving door are worth asking about directly.

B

82/100

Vienna Nursing And Rehabilitation Center

Lodi, CA · San Joaquin County

CMS 4/5 150 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
22%
Serious cites
0

Vienna Nursing and Rehabilitation Center runs on unusually steady staffing for a corporate-owned home: 4.63 nurse hours per resident day puts it about 20% above the national average, and turnover sits at 22.1% against a national 45.8%. That continuity matters more than a single good week, though weekend coverage does dip roughly 11% below the home's own weekday level, so ask how that plays out on Saturdays and Sundays. The current record lists 34 deficiencies, none at the harm or jeopardy level, three tied to abuse. The last inspection was February 2026, so the picture is recent. Quality measures score lower than staffing does, which is worth asking about directly.

B

82/100

Pasadena Grove Health Center

Pasadena, CA · Los Angeles County

CMS 2/5 71 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
30%
Serious cites
0

Pasadena Grove runs 4.17 nurse hours per resident day, about 8% over the national average, and its staff turnover sits at 29.7%, well below the 45.8% national figure. That stability matters, though weekend coverage dips roughly 11% below weekday levels. The inspection record is where the picture darkens: 75 deficiencies on file, including one at the harm level and eight tied to abuse. The last inspection was April 2026. Ownership is a for-profit LLC, and there's one fine totaling $4,233. Strong staffing numbers and a clean fine record don't cancel out an inspection history with abuse citations in it. Ask about those directly.

B

82/100

Valley Oaks Post Acute

Santa Maria, CA · Santa Barbara County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
—
Serious cites
0

Nurse staffing at Valley Oaks runs 4.31 hours per resident day, about 12% above the national average of 3.86, which is the main reason it holds up well on paper. Weekends run roughly 17% thinner than weekdays there, so if you're touring, ask who's actually on the floor on a Sunday. Inspections in February 2026 turned up 32 deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. The county's for-profit LLC ownership is common for this size. Staffing and quality measures both rate 4 out of 5, and the record is recent enough that you're looking at current conditions, not a stale snapshot.

B

82/100

The Royal Home

El Cajon, CA · San Diego County

CMS 4/5 19 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
74%
Serious cites
0

The Royal Home is small, 19 certified beds, and it's staffed better than most: 4.18 nurse hours per resident day, about 8% over the national average. Weekends dip roughly 9% below its own weekday level, so coverage thins out then. The bigger number to sit with is turnover: 73.9% of nursing staff leaving annually, against a national average of 45.8%. That churn matters more at a 19-bed home, where there's no big team to absorb it. Its record shows 31 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in December 2025, recent enough. Quality measures score well; the inspection history is middling. You're looking at a well-staffed, recently inspected home with a retention problem.

B

82/100

Crestwood Manor - 104

Stockton, CA · San Joaquin County

CMS 3/5 190 beds For-profit Medicaid
Nurse hours
6.26 /day
Staff turnover
10%
Serious cites
0

Nurse staffing at Crestwood Manor runs 6.26 hours per resident per day, about 62 percent above the national average, and the staff tends to stay, 9.8 percent annual turnover against a national figure near 46 percent. Weekend coverage dips roughly 7 percent below weekday levels, which is a normal pattern but worth asking about if your family visits mostly on Saturdays. The inspection record is more mixed: 34 deficiencies, four of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent inspection came in April 2025. For a 190-bed corporate-owned home, the care hours and retention are doing the heavy lifting here.

B

82/100

Washington County Nursing Home

Akron, CO · Washington County

CMS 5/5 40 beds Government Medicaid
Nurse hours
4.31 /day
Staff turnover
43%
Serious cites
0

Washington County Nursing Home, the county-run home in Akron, runs on more nursing hours than most: 4.31 per resident day against a national average of 3.86. That's a real margin, and it's why CMS gives staffing top marks. It's not all upside. Inspectors wrote up 20 deficiencies, five at harm or jeopardy level and three tied to abuse, and one fine of $24,668 sits on the record. The last inspection was September 2024. Turnover of 42.6% is slightly better than average, and weekend staffing dips about 5% below weekdays, worth asking about if you visit mostly Saturdays.

B

82/100

Lutheran Home Of Southbury Inc

Southbury, CT · Naugatuck Vly County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
49%
Serious cites
0

Lutheran Home of Southbury runs a nonprofit operation with 120 certified beds, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average of 3.86. That's a real strength, though weekends run about 13% thinner than weekdays, so coverage isn't perfectly even across the week. Staff turnover lands at 49.2%, a bit above the 45.8% national figure, which matters for how well residents get to know their caregivers. The inspection record shows 35 total deficiencies with none at the harm or jeopardy level, but 7 are abuse-related, a category worth asking about directly. The most recent inspection was June 17, 2025, so the picture is current.

B

82/100

Woodlake At Tolland

Tolland, CT · Capitol County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
31%
Serious cites
0

Woodlake At Tolland runs 4.11 nurse hours per resident day, about six percent above the national average, and its staff turnover of 30.9% sits well under the 45.8% norm, a sign people tend to stay. Weekend staffing, though, drops roughly 10% below its own weekday level, so coverage thins out when families visit most. The inspection record carries 52 deficiencies, including one at the harm level and three tied to abuse, which is a lot to work through even with a recent February 2026 inspection. For-profit LLC ownership. Strong care measures and steady staffing pull the picture up; the deficiency history is the part worth asking about directly.

B

82/100

Vanderman Place

Willimantic, CT · Capitol County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
33%
Serious cites
0

Vanderman Place runs a hundred and twenty-four beds under for-profit limited liability ownership, and its staffing sits a touch above the national average at 4.01 nurse hours per resident day. Turnover is where it separates itself: 33 percent against a national 45.8, which means the people caring for your relative are more likely than average to still be there next year. Weekends run about 7 percent thinner than weekdays, so plan visits accordingly. The record isn't clean. Fifty-one deficiencies, one serious enough to reach harm or jeopardy, five tied to abuse, and a May 2025 inspection that's still recent. Weigh steady staffing against that citation history before deciding.

B

82/100

Stuart Rehabilitation And Healthcare

Stuart, FL · Martin County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
28%
Serious cites
0

Stuart Rehabilitation and Healthcare runs 3.69 nursing hours per resident day, about 5% under the national average, and weekends dip roughly 10% below its own weekday coverage. That's a leaner floor than average, though the home keeps its staff: 27.8% annual turnover against a national 45.8% means fewer unfamiliar faces. Fifteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2024. The quality measure score of 2 out of 5 is the weak spot, federal clinical benchmarks like hospitalizations and antipsychotic use don't track as well here as the staffing and inspection results do.

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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