4,510 Independent Nursing Homes in the United States

Nurse hours

3.27 /day

Staff turnover

38%

Serious cites

0

Karen Acres runs a tight ship on inspections and quality measures, a four-star health inspection record and five stars on clinical quality, with no deficiencies at the harm level and nothing abuse-related. The trade-off sits in daily staffing: 3.27 nurse hours per resident, roughly 15% under the national average, and weekends run about 7% thinner than weekdays. That gap matters most when a resident needs help on a Saturday afternoon. Turnover is the bright spot, 37.5% versus 45.8% nationally, so caregivers tend to stick around, which helps in a 35-bed building where everyone knows everyone. One recent inspection, June 2025, with ten deficiencies on record but none serious.

Nurse hours

3.95 /day

Staff turnover

29%

Serious cites

0

Crestview runs on solid staffing numbers, 3.95 nurse hours per resident day, a bit above the national average, with a 4-out-of-5 staffing rating and turnover at 28.6% compared to the national 45.8%. That stability matters, though weekend coverage dips about 9% below weekday levels, so care on Saturdays and Sundays may look different than midweek. The trouble sits in inspections: 19 deficiencies on the current record, three of them serious enough to put residents at harm or jeopardy, and $25,136 in fines across two penalties. Health inspection rating is 2 out of 5, quality measures 3. That combination, good hands, rough oversight history, is what pulls the overall picture down.

Nurse hours

3.46 /day

Staff turnover

21%

Serious cites

0

Colonial Manors of Columbus Community runs 39 certified beds in Louisa County under corporate for-profit ownership. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average of 3.86, and weekends dip about 8% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The tradeoff shows up in turnover: 21.2% annually against a national average of 45.8%, meaning aides and nurses here tend to stay. Inspections were recent, in July 2025, with 20 deficiencies on record, none at harm or jeopardy level, though one is abuse-related.

Nurse hours

4.09 /day

Staff turnover

51%

Serious cites

0

Kansas Christian Home runs a church-affiliated nonprofit with 54 beds in Newton, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average, which is the main reason its staffing rating lands at 4 stars. That cushion thins on weekends, when hours drop about 11% below the home's own weekday pace. Annual turnover of 50.9% edges past the national 45.8%, and the inspection record shows 27 deficiencies, including one at the harm level and two tied to abuse. Its last inspection was May 2026, so that record is recent, not stale. Quality and health inspection measures both come in at 3 stars, solid enough, but the deficiency history is the piece worth asking about directly.

Nurse hours

4.29 /day

Staff turnover

63%

Serious cites

0

Salem Home runs a solid non-profit operation in Hillsboro, and the inspection side is genuinely strong, a four-star health inspection rating, last survey in August 2024, and no abuse citations on record. The catch is inside the staffing numbers. Overall nurse hours beat the national average by about 11%, but weekends run roughly 11% thinner than weekdays, and turnover sits at 62.5% against a national 45.8%. That's a lot of churn for a 45-bed home, and it's the kind of thing families feel in consistency of care more than in any rating. Ten deficiencies, one at harm level, isn't alarming, but it's not spotless either.

Nurse hours

7.05 /day

Staff turnover

26%

Serious cites

0

Rockcastle Regional runs a genuinely heavy nursing floor: 7.05 nurse hours per resident day, roughly 83% above the national average, with weekend coverage dipping about 14% below its own weekday level. Staff turnover sits at 26.1%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The inspection record is clean where it counts, four deficiencies, none at harm or jeopardy level, no abuse citations, and the most recent survey was in March 2025. Quality measures score 5/5. The softer spot is staffing stars at 3/5 despite the raw hours, likely reflecting case-mix or weekend consistency rather than thin coverage overall.

Nurse hours

4.06 /day

Staff turnover

42%

Serious cites

0

Pinnacle Health & Rehab At South Portland runs 73 certified beds under for-profit limited liability ownership, and the staffing numbers are the strongest part of the picture. At 4.06 nurse hours per resident day, it sits about 5% above the national average, though weekend coverage dips roughly 6% below its own weekday level, worth asking about if your family visits mainly on Saturdays. Staff turnover of 41.7% is better than the 45.8% national figure but still means a lot of faces changing over a year. The 25 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was September 17, 2025.

Nurse hours

4.41 /day

Staff turnover

47%

Serious cites

0

Coastal Manor in Yarmouth runs on 4.41 nurse hours per resident per day, about 14% above the national average, and that staffing shows up as the strongest part of its record. Weekends slip roughly 7% below its own weekday level, and turnover sits at 46.5%, essentially even with the national figure, meaning the hands-on coverage is real but not especially stable. What pulls the rest down is the inspection history: 42 deficiencies on the current record, including one abuse-related citation and zero at the harm or jeopardy level, with the latest inspection in December 2025. For-profit corporate ownership, 39 beds, and a two-star health inspection rating against four stars for staffing.

Nurse hours

3.82 /day

Staff turnover

35%

Serious cites

0

Montcare At Wheaton runs a bit lean on nursing hours, 3.82 per resident day against a national average of 3.86, and weekends thin out further, with roughly 11% less coverage than weekdays. That dip matters most on Saturdays and Sundays, when families often visit and when problems tend to surface unnoticed. The home's 58 deficiencies include three tied to abuse, though none rose to the level of harm or jeopardy, and its last full inspection was in July 2024. Staff turnover sits at 35.1%, well under the 45.8% national figure, which suggests a steadier workforce than many for-profit LLC-owned homes of this size manage.

Nurse hours

3.70 /day

Staff turnover

19%

Serious cites

0

Althea Woodland is a small for-profit home in Silver Spring, and its numbers tell a mixed story. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average, and weekends run about 9% thinner than weekdays, a real gap for families who visit or worry on Saturdays and Sundays. What stands out is retention: 18.9% turnover against a national average of 45.8%, meaning the people caring for residents tend to stay, which matters more than most spreadsheet columns. The inspection record shows 29 deficiencies, none at harm or jeopardy level, with the most recent visit in April 2025.

Nurse hours

3.59 /day

Staff turnover

23%

Serious cites

0

Montgomery Village Care Center runs on thinner nurse coverage than the typical American nursing home, 3.59 hours per resident day against a national average of 3.86, and weekends drop about another 10% below what the building staffs Monday through Friday. That matters for a 147-bed corporate-owned home, since shorter weekend coverage is when falls and missed medications tend to happen. The tradeoff is that workers stay: turnover of 22.9% is roughly half the national rate, so the people on the floor know the residents. Inspections look strong on paper, but the last one was in January 2021, more than four years ago, so the 39 deficiencies on file, none involving harm or abuse, may not reflect how the building runs today.

Nurse hours

3.33 /day

Staff turnover

32%

Serious cites

0

Anchorage Rehabilitation and Wellness Center runs 126 certified beds in Salisbury under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national figure of 3.86. Weekends thin out further, about 10% below the home's own weekday coverage, so a Saturday shift isn't staffed like a Tuesday. Turnover is the brighter spot: 32.1% against a national average near 46%, which matters for whether aides know residents' routines. The current record carries 96 deficiencies, none at harm or jeopardy level, three tied to abuse, plus one fine of $10,033. The last inspection was December 10, 2025, so the picture is recent. Ask about weekend coverage and those abuse-related citations when you visit.

Nurse hours

3.85 /day

Staff turnover

42%

Serious cites

0

Ellis Nursing Home runs 191 beds in Norwood under for-profit LLC ownership, and its staffing sits right at the national mark, 3.85 nurse hours per resident day against 3.86, though weekends dip about 9% below its own weekday coverage, which is worth asking about if your family visits on Saturdays or Sundays. Turnover lands at 42%, a touch better than the 45.8% national figure. The inspection record is where things get heavier: 44 deficiencies on file, three of them at harm or jeopardy level and two tied to abuse, plus one fine of $57,158. The most recent inspection was April 2025, so the picture is fairly current. Strong quality scores don't erase that deficiency history.

Nurse hours

4.08 /day

Staff turnover

33%

Serious cites

0

Mayflower Place runs on a for-profit LLC structure with 72 certified beds in West Yarmouth, and its staffing is the clearest strength: 4.08 nurse hours per resident day, about 6% above the national average, with a 4-out-of-5 staffing rating. Turnover sits at 32.9%, well below the national 45.8%, which matters for consistency of care. The concerns are elsewhere. Inspections turned up 40 deficiencies, including 9 tied to abuse, though none rose to harm or jeopardy level. Quality measures rate 2 out of 5, and weekend staffing drops roughly 10% below weekday levels. The last inspection was November 2025, so the record is recent.

Nurse hours

3.66 /day

Staff turnover

42%

Serious cites

0

The Bostonian runs a tight ship on the clinical side, a five-star health inspection record with zero deficiencies at the harm or jeopardy level and nothing abuse-related, which is rarer than it should be. That inspection was recent, too, in May 2025. Where it slips is staffing: 3.66 nurse hours per resident day sits about 5% under the national average, and weekends run roughly 7% lighter than weekdays, so ask how coverage looks on a Saturday. Turnover at 42.1% is slightly better than the national figure, which helps continuity. Seventeen total deficiencies sounds like a lot until you notice none of them caused harm.

Nurse hours

3.26 /day

Staff turnover

15%

Serious cites

0

Care Village At West Roxbury runs 76 beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.26 nurse hours per resident day, roughly 16% under the national average, with weekends about 7% thinner than weekdays. What offsets that is retention, 14.9% turnover against a national average near 46%, which suggests people actually stay. The inspection record shows 38 deficiencies, four tied to abuse, though none reached harm or jeopardy level, and one fine totaling $3,418. The last inspection was November 2025, so the picture is current. Quality and staffing both rate 4 out of 5; health inspections sit at 3.

Nurse hours

3.97 /day

Staff turnover

35%

Serious cites

0

Sudbury Pines runs on decent staffing numbers, 3.97 nurse hours per resident day, a bit above the national average, and its 34.9% turnover is well below the typical 45.8%. But weekends drop about 14% below weekday coverage, so the care your relative gets Saturday may look different from Tuesday. The real concern is the inspection record: 38 deficiencies on file, including four tied to abuse, with the most recent state visit in March 2025. Even though none of those 38 reached harm or jeopardy level, a one-star inspection rating with that many citations is worth asking about directly before you decide.

Nurse hours

3.89 /day

Staff turnover

37%

Serious cites

0

Holy Trinity in Worcester runs a tight ship on the clinical side: a five-star health inspection record with nine deficiencies on file and none reaching harm or jeopardy level, plus zero abuse citations. The last inspection came in January 2026, so the picture is current. Staffing sits just above the national average at 3.89 nurse hours per resident day, though weekends run about 11 percent leaner than weekdays, worth asking about if your family visits Saturday or Sunday. Turnover of 36.5 percent beats the 45.8 percent national figure, which matters more than most families realize. As a nonprofit, there's no ownership group extracting margin. The quality measure score is solid without being perfect, and that's roughly the story here: dependable, not flawless.

Nurse hours

4.64 /day

Staff turnover

46%

Serious cites

0

Moose Lake Village runs a 60-bed nonprofit home in Carlton County, and the staffing is the headline: 4.64 nurse hours per resident day, roughly a fifth more than the national average, which earned it a top federal staffing rating. Weekend coverage dips about 11% below its own weekdays, so ask how that plays out on a Sunday. The record shows 13 deficiencies, none involving harm or abuse, and the last inspection was May 2025. Staff turnover sits at 45.8%, right at the national average, not a red flag, not a strength. Quality measures rate middle of the pack.

Nurse hours

3.39 /day

Staff turnover

30%

Serious cites

0

Living Meadows At Luther runs 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about 6% below its own weekday coverage. That thinner weekend floor matters more at a 40-bed home, where one callout shifts the whole building. Turnover sits at 30% against a national 45.8%, so the staff you meet are more likely to still be there next year. Inspections are recent, April 2026, and produced six deficiencies, including one at the harm level and one tied to abuse, plus a single $13,627 fine. The church-affiliated nonprofit structure doesn't change the arithmetic: steady caregivers, but fewer of them per resident than average.