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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 1661–1680 of 4,510, best-graded first.

B

82/100

Clapp's Convalescent Nursing Home Inc

Asheboro, NC · Randolph County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
44%
Serious cites
0

Clapp's Convalescent in Asheboro runs 96 beds under individual for-profit ownership, and its inspection record is the strongest part of the picture: four deficiencies on file, none at the harm or jeopardy level, with a survey completed in December 2025. The staffing numbers are where it slips. At 3.60 nurse hours per resident day, it sits about 7% under the national average, and weekends run roughly 8% lighter than its own weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Turnover at 44% is essentially average. One abuse-related deficiency appears on the record, so read that inspection report yourself before deciding.

B

82/100

White Oak Of Waxhaw

Waxhaw, NC · Union County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
42%
Serious cites
0

White Oak Of Waxhaw runs about 4.10 nurse hours per resident each day, roughly 6% above the national average, though weekends dip about 10% below its own weekday level. Staff turnover sits at 41.9%, a bit better than the 45.8% national figure. The current inspection record is clean, zero deficiencies, none at the harm or jeopardy level, nothing abuse-related, and the most recent survey was September 2025. It's a for-profit limited liability company with 100 certified beds. The staffing numbers are solid but not exceptional, and the quality measure rating lands at 4 out of 5. What carries this home is the inspection record and steady retention, not deep staffing margins.

B

82/100

Wentz Living Center

Napoleon, ND · Logan County

CMS 4/5 36 beds Non-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
—
Serious cites
0

Wentz Living Center runs 36 certified beds in Napoleon under nonprofit ownership, and its nurse staffing sits at 4.95 hours per resident day, roughly 28% above the national average of 3.86. That's a real margin, though weekend coverage drops about 19% below its own weekday level, so the weekday numbers aren't the whole picture. The home's inspection record shows five deficiencies, one of them serious enough to reach harm or jeopardy level, with no abuse citations, and one fine totaling $13,627. Its last inspection was March 25, 2026, which is recent. A 4/5 inspection rating and 4/5 staffing rating are doing real work here; the quality measure score of 3/5 and that single harm-level deficiency are what pull the overall picture down.

B

82/100

Friends Extended Care Center

Yellow Springs, OH · Greene County

CMS 4/5 59 beds Non-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
33%
Serious cites
0

Friends Extended Care Center runs about 4.57 nurse hours per resident each day, roughly 18% above the national average of 3.86, and its staff turnover of 32.8% sits well below the national 45.8%. Weekends thin out some, about 13% below its own weekday coverage, so ask how that plays out on Saturdays and Sundays. The inspection record shows seven deficiencies, none at the harm level and none abuse-related, with the most recent visit in February 2026. As a nonprofit with 59 beds, it's small enough to know its residents, and the staffing and inspection numbers back that up.

B

82/100

Norwalk Memorial Home

Norwalk, OH · Huron County

CMS 4/5 69 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
41%
Serious cites
0

Norwalk Memorial Home runs on a nonprofit model with 69 certified beds, and its staffing sits at 3.72 hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 5% below the home's own weekday coverage, so families should ask how that gap gets filled on Saturdays and Sundays. Turnover is 40.8%, better than the 45.8% national figure, which suggests less churn than many peers. The inspection record shows 23 deficiencies with none at the harm or jeopardy level, though four are abuse-related, worth asking about directly. Last inspection was August 2024, so the record is fairly current.

B

82/100

Morrow Manor Nursing Center

Chesterville, OH · Morrow County

CMS 3/5 46 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
56%
Serious cites
0

Morrow Manor runs 46 beds in Chesterville under corporate ownership, and the raw staffing number looks better than it is: 4.36 nurse hours per resident day, roughly 13% above the national average. But that average hides a staffing star rating of just 1 out of 5, which tells you the hours aren't distributed where CMS wants them, and weekends run about 10% thinner than weekdays. Staff turnover sits at 55.9% against a national 45.8%, so more than half the nursing staff leaves each year. Inspections in August 2025 turned up 21 deficiencies, including one at the harm level and one abuse-related. The quality measure score is strong and the inspection record is mid-range.

B

82/100

Judson Park

Cleveland, OH · Cuyahoga County

CMS 4/5 36 beds Non-profit Medicaid
Nurse hours
8.10 /day
Staff turnover
—
Serious cites
0

Judson Park runs a small 36-bed operation in Cleveland, and the nurse staffing number stands out, 8.10 hours per resident day, more than double the national average. That cushion matters, though weekends dip about 21% below the home's own weekday coverage, so care may feel thinner on Saturdays and Sundays. The inspection record shows 10 deficiencies, two serious enough to reach harm or jeopardy level, plus one fine of $25,847; the last full inspection was in January 2023, so that picture is getting stale. Nonprofit ownership and solid marks on health, quality, and staffing all point to a home that's generally doing right by residents, with the weekend gap and those two harm-level findings the things worth asking about directly.

B

82/100

Gables Care Center

Hopedale, OH · Harrison County

CMS 2/5 86 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
28%
Serious cites
0

Gables Care Center runs 86 certified beds in Hopedale under for-profit LLC ownership, and the staffing picture is roughly average on paper, 3.85 nurse hours per resident day against a national 3.86. The catch is weekends, which run about 10% thinner than weekdays. Turnover sits at 28%, well under the 45.8% national figure, so the people showing up are largely sticking around. What pulls the record down is the inspection side: 29 deficiencies on file and a 2/5 health inspection rating, though none reached harm or jeopardy and none involved abuse. The most recent inspection was April 2026, so the findings are current rather than stale. Quality and staffing measures both rate 4/5.

B

82/100

The Meadows At Osborn Park

Huron, OH · Erie County

CMS 3/5 130 beds Government Medicaid
Nurse hours
3.76 /day
Staff turnover
36%
Serious cites
0

The Meadows At Osborn Park is county-owned, and that shows in the numbers: a 36.4% annual staff turnover rate, well under the national average of 45.8%, suggests people tend to stay. Nurse staffing sits at 3.76 hours per resident day, about 3% under the national average, and weekends run roughly 13% lighter than weekdays, worth asking about if your relative needs more help on Saturdays and Sundays. Fourteen deficiencies are on the current record, one serious enough to involve harm or jeopardy, though none tied to abuse. The last full inspection was March 2023.

B

82/100

Brewster Convalescent Center

Brewster, OH · Stark County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
29%
Serious cites
0

Brewster Convalescent Center is a 60-bed for-profit home in Stark County, and its staffing numbers tell the clearest story here. At 3.47 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekend coverage drops roughly 13% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 29.2% against a national 45.8% means aides and nurses are staying put, which matters for residents who need consistent hands. Against that, 30 deficiencies on record, three serious enough to involve harm or jeopardy, plus a $62,113 fine, point to real compliance problems. Last inspected December 2024.

B

82/100

Singleton Health Care Center

Cleveland, OH · Cuyahoga County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
40%
Serious cites
0

Singleton Health Care Center runs about 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends drop another 14% below its own weekday staffing. Turnover sits at 39.6%, a bit better than the 45.8% national figure. The current inspection record shows 24 deficiencies, none at harm or jeopardy level, but three tied to abuse. Inspectors were last in on November 18, 2024, and the health inspection and quality measure ratings both come in at 4 out of 5 stars, with staffing at 3. That mix, solid survey results against thinner daily coverage, is worth weighing when you visit.

B

82/100

Alois Alzheimer's Care Center

Cincinnati, OH · Hamilton County

CMS 3/5 93 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
36%
Serious cites
0

Alois Alzheimer's Care Center runs 93 certified beds in Cincinnati under corporate for-profit ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.86 hours per resident day, right at the national average, not above it, though weekends dip about 9% below the home's own weekday coverage, a gap worth asking about if your family visits mainly on Saturdays or Sundays. Staff turnover is 36.1%, noticeably better than the 45.8% national figure, which suggests less churn among the people doing daily care. Eleven deficiencies are on record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in September 2025.

B

82/100

Cedarcrest Care Center

Broken Arrow, OK · Tulsa County

CMS 2/5 89 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
60%
Serious cites
0

Cedarcrest runs 89 beds in Broken Arrow under for-profit partnership ownership, and the staffing numbers are genuinely better than most: 4.20 nurse hours per resident day, roughly 9% above the national average, and weekend coverage holds fairly steady. What pulls the record down is inspection history, 28 deficiencies, seven of them abuse-related, though none rose to harm or jeopardy. Turnover sits at 59.5% against a national 45.8%, meaning nearly six in ten staff left within the year, which matters for how well residents know their caregivers. The most recent inspection was May 2025, so the picture is current. Ask about abuse-prevention policies and how they keep consistent aides on the floor.

B

82/100

Community Health Center

Wakita, OK · Grant County

CMS 3/5 52 beds Non-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
33%
Serious cites
0

Community Health Center in Wakita runs on 4.03 nurse hours per resident per day, a bit above the national figure, and its staff tends to stay, 33.3% turnover against a national average near 46%. Weekends thin out by roughly 12%, so the weekday coverage is the stronger part of that picture. The inspection record shows 11 deficiencies, none at the level where harm or jeopardy was cited, though two are abuse-related, which a family should ask about directly. The most recent inspection was in April 2026. Quality measures score lower than staffing here, so ask how the home tracks things like falls and pressure sores, not just how many aides are on the floor.

B

82/100

Elk City Nursing And Rehabilitation Center

Elk City, OK · Beckham County

CMS 4/5 118 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
40%
Serious cites
0

Elk City Nursing and Rehabilitation Center runs 118 certified beds under for-profit partnership ownership, and the staffing picture is genuinely better than most: 4.27 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 13% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The 40% annual turnover sits below the 45.8% national figure. On inspections, the record shows 11 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent inspection was August 2025. Quality measures score lower than staffing and inspections do, so ask what's driving that gap before you decide.

B

82/100

Heartsworth Center For Nursing & Rehabilitation

Vinita, OK · Craig County

CMS 1/5 146 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
51%
Serious cites
0

Heartsworth runs 3.61 nurse hours per resident day, about 6% under the national average, and weekend coverage dips roughly 4% below its own weekday levels, so the thinnest shifts come when families tend to visit. Annual turnover sits at 51.3%, well above the 45.8% national figure. The current record shows 34 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with a single fine of $16,430. The 2/5 inspection rating reflects that record. State inspectors were last on site September 18, 2025.

B

82/100

The Health Center At Concordia

Oklahoma City, OK · Oklahoma County

CMS 5/5 30 beds Non-profit
Nurse hours
5.14 /day
Staff turnover
50%
Serious cites
0

The Health Center at Concordia runs on unusually heavy staffing for a 30-bed nonprofit home, 5.14 nurse hours per resident day, roughly a third more than the national average, and weekends hold steady rather than dropping off like they do at many places. That staffing shows up in the inspection record: a 5-star health inspection rating, seven deficiencies on file with none reaching harm or jeopardy level and nothing abuse-related. The tradeoffs are real but modest. Staff turnover sits at 50%, a bit above the 45.8% national figure, and two fines totaling $25,407 are on record. The last inspection was June 2026. The high marks and the money owed don't cancel each other out, they just describe a well-staffed home with some churn and paperwork problems to ask about.

B

82/100

Maryville

Beaverton, OR · Washington County

CMS 4/5 165 beds Non-profit Medicaid
Nurse hours
5.52 /day
Staff turnover
46%
Serious cites
0

Maryville runs 5.52 nursing hours per resident day, about 43% above the national average of 3.86, and that staffing depth is the strongest thing it has going. It shows up in the numbers: a 5/5 staffing rating and a 4/5 quality measure rating. But the inspection record pulls the other way, 23 deficiencies on file, four of them serious enough to involve harm or jeopardy, plus one tied to abuse, and $162,828 in fines across two penalties. Weekend coverage also drops about 9% below weekday levels, and turnover sits at 45.9%, essentially identical to the national rate. The April 2025 inspection is recent, so the 3/5 health inspection rating reflects current conditions, not old history.

B

82/100

Neshaminy Manor Home

Warrington, PA · Bucks County

CMS 4/5 360 beds Government Medicaid
Nurse hours
3.43 /day
Staff turnover
17%
Serious cites
0

Neshaminy Manor is county-owned, and that shows up in the numbers in a good way: only 3 deficiencies on its current record, none at the harm level, none abuse-related, and a recent inspection in February 2026. The trade-off is staffing. At 3.43 nurse hours per resident day, it sits about 11% below the national average of 3.86, and weekends run roughly 11% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. What offsets that is retention: 17% annual turnover against a national average near 46% means familiar faces, which matters for consistent care. Worth asking how they cover weekends.

B

82/100

Zerbe Sisters Nursing Center,

Narvon, PA · Lancaster County

CMS 5/5 87 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
53%
Serious cites
0

Zerbe Sisters runs nurse staffing at 4.24 hours per resident day, roughly 10% above the national average, but the margin thins on weekends, when coverage drops about 9% below its own weekday level. Turnover sits at 52.8%, higher than the 45.8% national figure, so the faces around a resident change more often than average. The inspection record shows three deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $10,033; the most recent inspection was in April 2026. Strong staffing and quality scores sit alongside real gaps in consistency and past safety findings.

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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