ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 1641–1660 of 4,510, best-graded first.

B

82/100

Yalobusha County Nursing Home

Water Valley, MS · Yalobusha County

CMS 3/5 122 beds Government Medicaid
Nurse hours
4.19 /day
Staff turnover
40%
Serious cites
0

Yalobusha County Nursing Home runs on a county government budget, and the staffing numbers show it: 4.19 nurse hours per resident day, about 8% above the national average, though weekends drop roughly 12% below its own weekday level. That uneven coverage matters more than the headline figure, since care doesn't pause on Saturdays. Turnover sits at 40.2%, better than the 45.8% national rate, suggesting a fairly stable workforce for a rural county home. The current inspection record is where the concern lies: 14 deficiencies, including two at the harm or jeopardy level and one tied to abuse. Last inspected October 9, 2025, with a 3/5 inspection score and 2/5 on quality measures.

B

82/100

Methodist Sepcialty Care Center

Flowood, MS · Rankin County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
7.57 /day
Staff turnover
23%
Serious cites
0

Methodist Specialty Care Center runs on unusually deep staffing: 7.57 nurse hours per resident day, roughly double the national figure, and only 22.9% of staff left last year against a national average near 46%. Five deficiencies sit on the current record, none involving harm or abuse, and the most recent inspection was in May 2025, a clean health inspection history that matches the top staffing marks. The weaker spot is the quality measure side, where resident outcome data scores lower than the staffing and inspection records would suggest. Weekend coverage dips about 7% below weekday levels, a modest gap given how much total nursing time is available here.

B

82/100

Walter B Crook Nursing Facility

Ruleville, MS · Sunflower County

CMS 3/5 60 beds Government Medicaid
Nurse hours
4.80 /day
Staff turnover
27%
Serious cites
0

Walter B Crook, a state-run home in Ruleville, runs on unusually strong staffing: 4.80 nurse hours per resident day, about a quarter more than the national average, and its 27% turnover is well below the 45.8% norm. Weekends dip only slightly from weekday coverage. What pulls it down is care quality, CMS rates its quality measures 1 out of 5, and its record carries 14 deficiencies, three serious enough to involve harm or jeopardy and one tied to abuse. A recent November 2025 inspection means the picture is current. Plenty of hands on deck, then; the question is what those hands are doing.

B

82/100

Garden View Care Center Of Chesterfield

Chesterfield, MO · St. Louis County

CMS 4/5 52 beds For-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
62%
Serious cites
0

Garden View Care Center Of Chesterfield runs a for-profit corporate home with 52 certified beds, and its nurse staffing sits at 5.39 hours per resident day, roughly 40% above the national average of 3.86. That's real coverage, though weekend hours dip about 8% below the home's own weekday level, and annual staff turnover is 61.6% against a national average of 45.8%. The current record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse, with the last inspection dated January 9, 2025. High staffing and clean harm-level findings carry weight; the turnover and abuse citations are the parts a family should ask about directly.

B

82/100

Good Samaritan Care Center

Cole Camp, MO · Benton County

CMS 5/5 72 beds Government Medicaid
Nurse hours
3.89 /day
Staff turnover
16%
Serious cites
0

Good Samaritan Care Center is county-owned, which is unusual in Missouri and tends to mean steadier budgets and less pressure to squeeze staff. That shows in the turnover number: 15.6% against a national average of 45.8%, so aides here largely stay put. Nurse staffing sits just above the national average at 3.89 hours per resident day, though weekends run about 9% leaner than weekdays, worth asking about if your family visits on Saturdays. Three deficiencies on record, none involving harm or abuse, and the last inspection was in September 2024. The weaker spot is quality measures, where the home scores low despite strong inspections and staffing.

B

82/100

La Plata Nursing Home

La Plata, MO · Macon County

CMS 3/5 52 beds Government Medicaid
Nurse hours
3.52 /day
Staff turnover
30%
Serious cites
0

La Plata Nursing Home runs on county money, and the numbers show a place that's steady but not especially well-staffed. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is a genuine bright spot: 30% against a national 45.8% means aides and nurses here tend to stay. The tradeoff is a 30-deficiency record, including two at harm or jeopardy level and two tied to abuse, with the last inspection in November 2024. Quality measures score low; staffing and inspections land mid-range.

B

82/100

E W Thompson Health & Rehabilitation Center

Sedalia, MO · Pettis County

CMS 3/5 66 beds Non-profit Medicaid
Nurse hours
5.85 /day
Staff turnover
38%
Serious cites
0

E W Thompson Health & Rehabilitation Center runs on more nursing hours than most homes, 5.85 per resident day against a national average of 3.86, and that staffing strength carries its ratings. Weekend coverage dips about 9% below weekday levels, which is common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 37.6%, better than the 45.8% national figure, so the people caring for residents tend to stay. The tradeoffs show up elsewhere: 15 deficiencies on the current record, one abuse-related, though none rose to harm or jeopardy level, and quality measures scored lower than staffing did. A January 2025 inspection means the record is recent. Nonprofit ownership, steady staffing, and no harm-level findings are real strengths; the quality and deficiency numbers are what hold it back.

B

82/100

Cottages Of Lake St Louis

Lake Saint Louis, MO · St. Charles County

CMS 4/5 60 beds For-profit
Nurse hours
6.03 /day
Staff turnover
58%
Serious cites
0

Cottages Of Lake St Louis runs a lean 60 beds under limited-liability ownership, and the staffing numbers are genuinely strong: 6.03 nurse hours per resident day, roughly 56% above the national average. That cushion matters, though weekend coverage dips about 9% below its own weekday level, so care can thin out on Saturdays and Sundays. Turnover sits at 57.5% against a national 45.8%, a quarter of the staff cycling out each year adds up in familiarity and consistency. The current record shows 8 deficiencies, one serious enough to reach harm or jeopardy, plus a single $17,696 fine. Inspections were recent, in July 2025, and the survey history holds up reasonably well overall.

B

82/100

Sweet Memorial Nursing Home

Chinook, MT · Blaine County

CMS 2/5 42 beds Non-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
51%
Serious cites
0

Sweet Memorial in Chinook runs a nonprofit shop with 42 beds, and the staffing numbers are genuinely decent: 3.95 nurse hours per resident day, a bit above the national average. But weekends drop roughly 14% below the home's own weekday coverage, and turnover sits at 51.1% against a national 45.8%, that's a lot of churn for a small rural building. The inspection record is where it gets uncomfortable: 44 deficiencies, one serious enough to reach harm or jeopardy, and nine tied to abuse. A $43,450 fine and a recent January 2026 inspection round out the picture. Quality scores look strong on paper, but the compliance history tells a different story.

B

82/100

Midwest Covenant Home

Stromsburg, NE · Polk County

CMS 3/5 51 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
49%
Serious cites
0

Midwest Covenant Home runs a solidly staffed floor: 4.30 nurse hours per resident day puts it about 11% above the national average, and CMS gives that staffing a 4 out of 5. The catch is consistency, weekends run roughly 14% leaner than weekdays, and turnover sits at 49.2%, a few points above the national rate, so familiar faces cycle through. The record shows 12 deficiencies from a March 2025 inspection, none rising to harm or jeopardy, though two are abuse-related, which any family should ask about directly. Its inspection and quality ratings both land at 3 out of 5. This nonprofit is decently resourced and recently reviewed; the questions worth pressing on are weekend coverage and how those abuse findings were resolved.

B

82/100

Hillcrest Nursing Home

Mccook, NE · Red Willow County

CMS 2/5 100 beds Government Medicaid
Nurse hours
4.88 /day
Staff turnover
36%
Serious cites
0

Hillcrest runs on county money, and the staffing shows it: 4.88 nurse hours per resident day against a national average of 3.86, with turnover at 36.3% compared to 45.8% nationally. That's a real edge in keeping aides and nurses on the floor, though weekends run about 13% thinner than weekdays, so coverage isn't perfectly even. The softer spots are inspections and quality measures, both two out of five stars, with 16 deficiencies on record, one tied to abuse. None of those rose to harm or jeopardy level, and the most recent inspection was May 2026. Strong hands-on care, middling survey history, that's the tradeoff here.

B

82/100

Green Hill

West Orange, NJ · Essex County

CMS 2/5 127 beds Non-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
55%
Serious cites
0

Green Hill runs about 4.23 nurse hours per resident day, roughly 10% above the national average, and weekend coverage only dips about 4% below weekdays, that consistency matters. But turnover sits at 55% against a national 45.8%, so a lot of that staffing is people still learning the building. The inspection record is the real concern: 25 deficiencies, including one at harm or jeopardy level and one abuse-related, with a 2/5 health inspection rating from CMS. Quality measures score 4/5 and it's a nonprofit, which helps explain the decent grade. Still, ask directly how they've addressed the abuse citation since the February 2025 inspection.

B

82/100

United Methodist Communities At Bristol Glen

Newton, NJ · Sussex County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
45%
Serious cites
0

United Methodist Communities At Bristol Glen runs a 60-bed nonprofit home in Newton, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average. Weekend coverage dips about 7% below its own weekday level, so ask how that plays out on Sundays. Staff turnover is 44.8%, essentially in line with the national figure of 45.8%. Six deficiencies appear on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related. One fine totaling $8,278 has been issued. The last inspection was May 2024, and CMS gives 4 out of 5 stars across health inspections, quality measures, and staffing.

B

82/100

Hebrew Home For The Aged At Riverdale

Riverdale, NY · Bronx County

CMS 5/5 843 beds Non-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
27%
Serious cites
0

Hebrew Home For The Aged At Riverdale runs 843 beds as a nonprofit, and its 3.27 nurse staffing hours per resident day sit roughly 15% under the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, which matters in a building this size. Turnover is the bright spot: 27.3% against a national 45.8%, so aides and nurses tend to stay. Inspections look solid, 8 deficiencies on record, none at harm or jeopardy level, though one is abuse-related, and the last survey was March 2026.

B

82/100

The Cottages At Garden Grove, A Skilled Nrsg Comm

Cicero, NY · Onondaga County

CMS 2/5 156 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
48%
Serious cites
0

The Cottages at Garden Grove runs on more direct nursing time than most homes nationally, 4.41 hours per resident day against a 3.86 average, and that shows up in a four-star staffing rating. Weekends dip roughly 7% below weekday coverage, so ask how that plays out on a Sunday. The rest of the picture is uneven. Inspectors logged 25 deficiencies on the current record, including one at the harm level and two tied to abuse, with the last visit in July 2024. Turnover sits at 48%, a few points above the national figure. Nonprofit ownership doesn't erase any of that.

B

82/100

Schoellkopf Health Center

Niagara Falls, NY · Niagara County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
54%
Serious cites
0

Schoellkopf Health Center runs 120 certified beds as a nonprofit corporation, and the staffing numbers are the first thing worth knowing. Total nurse coverage sits at 3.76 hours per resident day against a national average of 3.86, and weekends dip about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 54.3%, nearly nine points above the national figure, which matters more than a single shift count because it means less continuity for residents. The inspection record shows 19 deficiencies, none at harm or jeopardy level but two tied to abuse, and the most recent inspection was in August 2025. Quality measures score well; the inspection and staffing sides of the ledger are where the tension sits.

B

82/100

Daughters Of Sarah Nursing Center

Albany, NY · Albany County

CMS 4/5 210 beds Non-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
42%
Serious cites
0

Daughters of Sarah, a nonprofit home in Albany with 210 beds, runs on 3.50 nurse staffing hours per resident day, about 9% under the national average of 3.86. Weekends dip roughly 10% below its own weekday numbers, so a Saturday shift isn't the same as a Tuesday one. That thinner coverage is the main thing keeping its staffing rating at 3 stars, not the care record. Inspections come in at 4 stars with 13 deficiencies on file, none at harm or jeopardy level and none abuse-related; the last full look was September 2024. Staff turnover sits at 42.3%, a bit better than the 45.8% national figure, which helps explain why the quality measures also land at 4 stars. Nonprofit ownership usually means steadier priorities than a chain.

B

82/100

New East Side Nursing Home

New York, NY · New York County

CMS 5/5 58 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
28%
Serious cites
0

New East Side Nursing Home runs a tight ship on the things inspectors actually check. Six deficiencies on its current record, none of them serious enough to harm a resident and none tied to abuse, and a five-star health inspection rating from CMS. Staff turnover sits at 28.3%, well under the national 45.8%, that kind of stability usually means consistent care, and it's not easy to find. The tradeoff is raw staffing hours: 3.43 per resident per day against a national average of 3.86, with weekends running slightly thinner than weekdays. For 58 beds in Manhattan, that's a manageable size, but ask how the floor is covered on Saturday and Sunday before you decide.

B

82/100

Elmhurst Care Center, Inc,

East Elmhurst, NY · Queens County

CMS 4/5 240 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
32%
Serious cites
0

Elmhurst Care Center runs 240 beds under corporate ownership, and its nurse staffing sits around 3.20 hours per resident per day, roughly 17% under the national average of 3.86. Weekends dip about 7% below its own weekday numbers, so coverage thins out just when families tend to visit. What offsets that is stability: turnover is 31.8%, well under the 45.8% national figure, meaning the aides and nurses your relative sees are more likely to still be there next year. The inspection record backs that up, a 4/5 health inspection rating, last survey in July 2024, and 14 deficiencies with none at the harm level and none abuse-related.

B

82/100

Taconic Rehabilitation And Nursing At Beacon

Beacon, NY · Dutchess County

CMS 4/5 160 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
36%
Serious cites
0

Taconic Rehabilitation and Nursing at Beacon is a 160-bed for-profit home in Dutchess County with a solid inspection record, 18 deficiencies on file, none of them serious enough to cause harm or put anyone in immediate jeopardy. The one abuse-related citation is worth asking about directly. Nurse staffing sits at 3.72 hours per resident day, slightly under the national average, and weekends run about 12% thinner than weekdays, so ask how coverage looks on a Saturday. Staff turnover is 36.4%, which is actually better than the national rate of 45.8%, a real point in its favor. The most recent inspection was July 2024, so the picture is reasonably current.

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.

Before you shortlist