4,510 Independent Nursing Homes in the United States

Nurse hours

3.79 /day

Staff turnover

33%

Serious cites

0

Elk Haven runs on a nonprofit model with 120 certified beds, and its staffing sits at 3.79 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so if you're visiting on a Saturday, expect a thinner floor. Staff turnover is the brighter spot: 32.7% against a national 45.8% means fewer unfamiliar faces than at most homes. On inspections, nine deficiencies are on record, including one at the harm level and two tied to abuse, with a single $8,018 fine. The most recent inspection was May 2026.

Nurse hours

3.63 /day

Staff turnover

26%

Serious cites

0

Germantown Home runs a leaner nursing floor than most: 3.63 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and needs don't pause. Where it stands out is retention, 26.4% annual turnover against a national 45.8% means aides and nurses largely stay, which tends to show up in familiarity and consistency of care. Fourteen deficiencies sit on the record, none at harm or jeopardy level and none abuse-related, and the most recent inspection was in August 2025. As a nonprofit, there's no ownership chain pulling profit out.

Nurse hours

3.56 /day

Staff turnover

48%

Serious cites

0

Concordia At Spiritrust Sprenkle Drive runs about 3.56 nurse hours per resident day, roughly 8% under the national figure of 3.86, and weekends drop another 7% below its own weekday coverage. That thinner weekend floor matters because the home's current record carries 19 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, plus two fines totaling $24,670. Staff turnover sits at 47.9%, a bit above the 45.8% national average. The quality measure score is strong, but staffing and inspection results are middling, and the last full inspection came in November 2025.

Nurse hours

3.84 /day

Staff turnover

42%

Serious cites

0

Wesley Enhanced Living at Stapeley runs 120 certified beds as a nonprofit, with total nurse staffing at 3.84 hours per resident day, just under the national average, and weekends about 9% thinner than weekdays. Staff turnover sits at 42.2%, a bit better than the 45.8% national figure. The current record shows 28 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $8,824; the most recent inspection was May 2026. CMS rates the home 3 out of 5 on health inspections but 4 out of 5 on both quality measures and staffing. The inspection history and those abuse-related findings are what pull against the otherwise solid marks.

Nurse hours

3.44 /day

Staff turnover

36%

Serious cites

0

Centre Care runs a 240-bed nonprofit operation in Bellefonte, and the numbers show a place that's mostly steady but not without friction. Nurse staffing sits at 3.44 hours per resident day, about 11 percent under the national average, and weekends dip roughly 12 percent below the home's own weekday pace, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover at 36.3 percent actually beats the national rate of 45.8, which suggests aides and nurses tend to stick around here. The 26 deficiencies on record include two tied to abuse, though none rose to the level of harm or jeopardy, and the most recent inspection came in August 2025.

Nurse hours

4.02 /day

Staff turnover

45%

Serious cites

0

Lafayette Manor runs on a nonprofit model with 98 beds in Uniontown, and its nurse staffing sits a bit above the national average, 4.02 hours per resident day against 3.86. That edge shrinks on weekends, though, when coverage drops roughly 13% below its own weekday level, so the weekday numbers don't tell the whole story. Turnover lands at 45.3%, essentially matching the national rate. The record shows 37 deficiencies, none at the harm or jeopardy level, but four tied to abuse, worth asking about directly. Inspectors were last on site in September 2025, and the health inspection rating came back at 2 out of 5, even as quality measures scored 5 out of 5. Those two scores pulling in opposite directions is the tension here.

Nurse hours

3.94 /day

Staff turnover

50%

Serious cites

0

Naamans Creek Country Manor runs a bit more nursing time per resident than the national average, 3.94 hours versus 3.86, but weekend coverage drops about 7% below its own weekday level, so your Saturday visit may look different from your Tuesday one. Staff turnover sits at 49.5%, higher than the 45.8% national figure, which means familiar faces are harder to keep. The current record shows 17 deficiencies, none at the harm level, though one is abuse-related. The last inspection was in May 2025, so the picture is recent. This is a nonprofit home with decent staffing numbers and some churn worth asking about directly.

Nurse hours

3.52 /day

Staff turnover

31%

Serious cites

0

Haven Convalescent Home runs 3.52 nurse staffing hours per resident day, about 9% under the national average of 3.86, and weekends dip roughly 11% below its own weekday levels, so coverage thins out when families tend to visit. What offsets that is a clean record and a stable workforce: one deficiency total, none at harm level, none abuse-related, and a recent inspection in November 2025. Staff turnover of 30.6% sits well under the 45.8% national figure, which matters for residents who need consistent caregivers. The quality measure score of 3 out of 5 is the softer spot here, worth asking about during a tour.

Nurse hours

5.04 /day

Staff turnover

27%

Serious cites

0

Centro Medico Wilma N Vazquez SNF runs on unusually strong staffing for a 45-bed for-profit home, 5.04 nurse hours per resident day, roughly 30% above the national average, with turnover at 26.9% against a national 45.8%. That consistency matters, though weekends drop about 22% below the home's own weekday coverage. The inspection record is the tension here: 35 deficiencies on file, zero at harm or jeopardy level and none abuse-related, plus one $29,997 fine and a December 2024 inspection. A 1/5 health inspection star sitting beside a 5/5 staffing star tells you the care presence is real but the paperwork and process side has repeatedly drawn federal citations.

Nurse hours

3.47 /day

Staff turnover

26%

Serious cites

0

John Clarke Senior Living runs a leaner nursing floor than most, 3.47 hours of nurse staffing per resident day against a national average of 3.86, with weekends dropping roughly another 10% below its own weekday coverage. The trade-off looks deliberate: turnover sits at 25.5% while the country averages 45.8%, so the aides and nurses here tend to stay. The home carries four deficiencies on its current record, one serious enough to involve harm or jeopardy, and no abuse citations. Inspections came in April 2026. If the C grade gives you pause, the numbers behind it are thin coverage and one real lapse, not a pattern of churn.

Nurse hours

3.35 /day

Staff turnover

36%

Serious cites

0

Eastgate runs on leaner nursing hours than most homes, 3.35 per resident day against a national average of 3.86, and weekends dip about 7% below its own weekday coverage. What offsets that is stability: turnover sits at 36.4%, well under the 45.8% national figure, and a recent inspection in February 2026 turned up 12 deficiencies with none at the harm level and none tied to abuse. The inspection and quality measure ratings both came back at the top of CMS's scale, and the state survey was fresh enough to reflect how the place runs now. For a 60-bed for-profit, that's a cleaner record than the staffing number alone would suggest.

Nurse hours

4.64 /day

Staff turnover

17%

Serious cites

0

Steere House runs on a nonprofit model with 120 certified beds, and its nurse staffing sits at 4.64 hours per resident day, about 20% above the national average of 3.86. That's meaningful coverage, though weekends dip roughly 11% below its own weekday level, so the floor gets thinner when families tend to visit. The bigger story is consistency: annual turnover of 16.7% against a national average of 45.8% suggests a stable workforce that knows its residents. But the inspection record pulls this down. Thirteen deficiencies, four at harm or jeopardy level, one abuse-related, and three fines totaling $85,654. The most recent inspection was March 5, 2026. Strong staffing and low turnover are real strengths, they just don't erase four harm-level findings.

Nurse hours

3.84 /day

Staff turnover

36%

Serious cites

0

White Oak Manor in Rock Hill runs 136 certified beds under for-profit LLC ownership, and its staffing sits right at the national line, 3.84 nurse hours per resident day against a 3.86 average. Weekends are where that gets thin, dropping roughly 13% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. Turnover is the bright spot: 36.4% against a national 45.8%, meaning caregivers tend to stick around longer here than at the typical home. Nine deficiencies on record, one serious enough to involve harm or jeopardy, plus a single $7,446 fine. The last inspection was May 2026.

Nurse hours

5.76 /day

Staff turnover

43%

Serious cites

0

Jefferson Park At White Pine runs on a county-owned model with just 30 certified beds, and the staffing numbers are the real story here: 5.76 nurse hours per resident day, roughly 49% above the national average. Weekend coverage dips about 6% from its own weekday level, which is a modest gap. Staff turnover sits at 43.1%, slightly better than the 45.8% national figure, so this isn't a home bleeding workers. One deficiency on the current record, none at harm level, none abuse-related, with the last inspection in October 2023, an unusually clean sheet. Small county homes sometimes get overlooked, but the numbers here point to consistent, well-staffed care.

Nurse hours

4.37 /day

Staff turnover

38%

Serious cites

0

Schleicher County Medical Center runs on a government hospital-district model, and the staffing numbers reflect that: 4.37 nurse hours per resident day, roughly 13% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, though annual turnover sits at 37.8%, better than the 45.8% national figure, which matters in a 34-bed home where losing even a few nurses is felt. Inspections earned 4 out of 5 stars, and the last visit was December 2025, so the record is current. The catch is 13 deficiencies, 2 of them serious enough to raise harm or jeopardy concerns, with quality measures rating just 2 out of 5.

Nurse hours

5.06 /day

Staff turnover

63%

Serious cites

0

Fairfield Village Rehabilitation runs 40 certified beds in Layton under for-profit LLC ownership, and its nurse staffing sits at 5.06 hours per resident day, roughly 31% above the national average of 3.86. That's a real margin, though weekend coverage dips about 8% below its own weekday level, so the weekday-to-weekend gap is worth asking about directly. The bigger flag is turnover: 63.2% annually against a national average of 45.8%, meaning a large share of the people caring for residents are new or on their way out. Inspections from January 2025 produced 11 deficiencies, none at harm or jeopardy level but one abuse-related.

Nurse hours

4.26 /day

Staff turnover

48%

Serious cites

0

Menig Nursing Home runs on strong staffing numbers, 4.26 nurse hours per resident day, about 10% above the national average, and the federal rating system gives it top marks there and on quality measures. The catch is inspections. A 2/5 health inspection rating and 25 deficiencies on the current record, including 3 tied to abuse, plus a $76,500 fine, point to real problems with how care is delivered and documented even if no deficiency rose to the level of actual harm or jeopardy. Staff turnover sits near the national average at 47.6%, and weekend coverage dips about 9% below weekday levels. The most recent inspection was in September 2025, so that record is current.

Nurse hours

4.33 /day

Staff turnover

43%

Serious cites

0

Eliseo runs 187 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.33 hours per resident day, about 12% above the national average. But weekends drop roughly 10% below its own weekday levels, so coverage isn't evenly spread across the week. The record shows 53 deficiencies, including one at the harm level and five tied to abuse; the last inspection was May 2025. Staff turnover of 43.2% is slightly better than the 45.8% national figure, though that's a low bar. CMS rates the home 2 out of 5 on health inspections but 5 out of 5 on quality measures, which means the clinical numbers look strong even as the inspection history doesn't.

Nurse hours

4.26 /day

Staff turnover

96%

Serious cites

0

Park Shore runs a non-profit shop with 28 beds in Seattle, and the staffing numbers look solid on paper, 4.26 nurse hours per resident day, about 10% above the national average, with weekends holding steady rather than dropping off. What undercuts that picture is a 96.2% annual turnover rate, more than double the national figure, which means the people delivering those hours are largely new and constantly changing. The inspection record shows 50 deficiencies, including one at the harm level and three tied to abuse. Quality measures score well; the staffing and inspection side tells a different story.

Nurse hours

3.65 /day

Staff turnover

14%

Serious cites

0

Pigeon Falls Hcc runs on one of the steadiest crews you'll find in Wisconsin, 13.9% annual turnover against a national average near 46% means aides and nurses here tend to stay, which matters more than almost anything for residents who need consistent hands. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, and weekends dip roughly 7% below the home's own weekday level, so coverage thins a bit when families visit. The county-owned, 37-bed home was inspected in July 2025 and carries seven deficiencies, none at the harm level, though one is abuse-related, worth asking about directly. Recent inspections look strong; the quality measure scores are the weaker signal.