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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 1701–1720 of 4,510, best-graded first.

B

82/100

Oak Park Place Of Nakoma

Madison, WI · Dane County

CMS 3/5 33 beds For-profit Medicaid
Nurse hours
5.49 /day
Staff turnover
59%
Serious cites
0

Oak Park Place Of Nakoma runs a lean 33-bed operation on Madison's west side, and the nurse staffing here is genuinely heavy, 5.49 hours per resident day, roughly 42 percent above the national figure, with weekends dipping only slightly below weekdays. That's the kind of coverage families notice when they visit at odd hours. The tension sits elsewhere: 30 deficiencies on the current record, including one tied to abuse, even though none rose to the level of actual harm. Staff turnover of 58.5 percent is well above the national 45.8 percent, meaning the people providing that generous staffing are often new. The most recent inspection came in January 2026.

B

82/100

Citrus Post-Acute

Santa Ana, CA · Orange County

CMS 2/5 144 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
36%
Serious cites
0

Citrus Post-Acute sits right at the national average for total nurse staffing, 3.87 hours per resident day against 3.86, but that average hides a drop on weekends, when coverage runs about 11% thinner than during the week. Turnover is the brighter spot: 35.6% against a national 45.8% means aides and nurses stick around longer than at the typical home, which matters for residents who need consistent hands. The inspection record is where the concern lives: 90 deficiencies on file, five tied to abuse, and a two-star health inspection rating, though none of those citations rose to actual harm or jeopardy. The last full inspection was in May 2025, so the picture is reasonably current.

B

82/100

Chowchilla Memorial Healthcare District

Chowchilla, CA · Madera County

CMS 4/5 29 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
28%
Serious cites
0

Chowchilla Memorial runs 29 certified beds as a nonprofit, and its nurse staffing sits at 4.07 hours per resident day, a bit above the national average of 3.86, though weekends dip about 4% below its own weekday levels. Staff turnover is 27.6%, which is well below the national 45.8%, suggesting a more stable workforce than most places. The tradeoff shows up in its record: 23 deficiencies, including one at the harm level and one abuse-related, plus $131,603 in fines across 23 penalties. Its most recent inspection was in February 2026, and its health and quality ratings both come in at 4 out of 5.

B

82/100

Sierra View Medical Center

Porterville, CA · Tulare County

CMS 5/5 35 beds For-profit Medicaid
Nurse hours
7.58 /day
Staff turnover
33%
Serious cites
0

Sierra View runs 7.58 nurse hours per resident per day, roughly double the national average, and its staff turnover of 33.3% is well under the 45.8% national figure. Those are real strengths. The catch is the inspection record: 19 deficiencies, one abuse-related, though none rose to the harm or jeopardy level, and the most recent state visit was April 2025. Weekend staffing dips about 9% below weekdays, and the 35-bed size means a single departure or callout shifts the ratio more than it would at a larger building. The low turnover suggests people stay, which matters for consistency in a small home.

B

82/100

Riverside Heights Healthcare Center, Llc

Riverside, CA · Riverside County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
33%
Serious cites
0

Riverside Heights runs a tight ship on staffing relative to most homes, 4.17 nurse hours per resident day sits about 8% above the national average, and its 33.3% turnover is meaningfully lower than the 45.8% national figure. Inspections back that up: a 5/5 health inspection rating and a June 2025 survey, with no deficiencies at the harm or jeopardy level. The catch is quality measures, which land at 2/5, and 17 total deficiencies on record including one abuse-related finding. Weekend staffing also dips about 9% below weekday levels. Owned by a for-profit partnership, this home looks steady on paper but worth asking about that quality score and the abuse citation directly.

B

82/100

Serenethos Care Center, Llc

Hayward, CA · Alameda County

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

Serenethos runs a 36-bed for-profit home in Hayward, and the staffing picture is decent but not deep: 3.99 nurse hours per resident day, roughly 3% above the national average, with weekends about 6% thinner than weekdays. That modest cushion matters in a building this small, where one call-out shifts the whole floor. Turnover sits at 36.4%, better than the 45.8% national figure, which suggests people stick around longer here than at the typical home. Inspections came back clean enough for a 5-star health rating in June 2025, but the record still carries 25 deficiencies, three of them serious enough to risk harm. No abuse findings. Good care, some real scars underneath.

B

82/100

We Care Skilled Nursing Facility

Hayward, CA · Alameda County

CMS 5/5 28 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
52%
Serious cites
0

We Care Skilled Nursing Facility is a small, for-profit home in Hayward, 28 beds, that scores well on inspections and quality measures but sits closer to average on staffing. Its 3.90 nurse hours per resident day edges the national figure of 3.86 by roughly 1%, and weekend coverage dips about 5% below its own weekday level, so care may thin out when families visit. Annual turnover of 51.5% is higher than the 45.8% national average, meaning aides and nurses cycle through faster than typical. The record shows 27 deficiencies, but none at harm or jeopardy level and none abuse-related, and the most recent inspection was in February 2025.

B

82/100

Crown Point Health Suites

Lubbock, TX · Lubbock County

CMS 5/5 108 beds Government Medicaid
Nurse hours
5.01 /day
Staff turnover
52%
Serious cites
0

Crown Point Health Suites runs on a hospital district's license in Lubbock, and the staffing numbers are the first thing worth knowing: 5.01 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekends drop about 14% below its own weekday level, and annual turnover sits at 52.3%, higher than the 45.8% national figure. Inspections tell a mixed story, 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse, and a single fine of $8,281. The last inspection was April 2026. Strong daily coverage and quality scores, but that turnover and those deficiencies are what hold the grade down.

B

81.5/100

Sunset Manor

Guin, AL · Marion County

CMS 4/5 71 beds For-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
37%
Serious cites
0

Sunset Manor runs on more nurse hours than most homes in the country, 4.21 per resident day against a national average of 3.86, and the federal staffing rating reflects that at 5 stars. The trade-off shows up elsewhere: nine deficiencies on the current record, none rising to actual harm or jeopardy, and a quality measure rating of 2 out of 5. Staff turnover sits at 36.5%, better than the 45.8% national figure, though weekend coverage drops roughly 16% below what the building manages Monday through Friday. The last full inspection was July 2023, so that record is getting stale. Corporate-owned and Medicare-certified at 71 beds.

B

81.5/100

Heritage Health Care & Rehab Inc

Tuscaloosa, AL · Tuscaloosa County

CMS 3/5 216 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
46%
Serious cites
0

Heritage Health Care & Rehab runs 216 beds in Tuscaloosa under corporate ownership, and the staffing numbers are the strongest part of the picture: 4.22 nurse hours per resident day, about 9% above the national average. Weekend coverage drops roughly 16% below its own weekday level, which is common but still worth asking about if you're touring. Turnover sits at 46.2%, essentially matching the national rate, so continuity of caregivers isn't unusually bad here. Nine deficiencies on record with none at the harm level and none abuse-related is a comparatively clean inspection history, though the last full inspection was in January 2022, so that record is aging.

B

81.5/100

Springhill Senior Residence

Mobile, AL · Mobile County

CMS 4/5 151 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
48%
Serious cites
0

Springhill Senior Residence runs a 151-bed for-profit operation in Mobile, and the numbers are mostly solid. Nurse staffing sits at 3.89 hours per resident day, just barely above the national average of 3.86, and weekend coverage drops about 15% below what the home provides on weekdays. Staff turnover is 48.4%, running a bit higher than the 45.8% national figure. Five deficiencies appear on the current record, none at the harm level and none abuse-related, though the last full inspection was January 30, 2020, more than five years ago. Inspection, quality, and staffing ratings each land at 4 out of 5 stars.

B

81.5/100

Arkansas Veterans Home At Fayetteville

Fayetteville, AR · Washington County

CMS 2/5 90 beds Government Medicaid
Nurse hours
4.28 /day
Staff turnover
69%
Serious cites
0

The Arkansas Veterans Home At Fayetteville runs a state-owned, 90-bed operation where the day-to-day staffing numbers look better than most: 4.28 nurse hours per resident day, roughly 11% above the national average. The catch is consistency. Weekend coverage drops about 18% below the home's own weekday level, and annual turnover sits at 69.1% against a national average of 45.8%, meaning a lot of the people delivering that above-average care are new, or leaving. Its inspection record shows 39 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in March 2025. Quality and staffing measures both earned four stars; inspections came in at two.

B

81.5/100

Santa Maria Post Acute

Santa Maria, CA · Santa Barbara County

CMS 2/5 55 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
—
Serious cites
0

Santa Maria Post Acute runs 4.41 nurse hours per resident day, roughly 14% above the national average, but weekends drop about 15% below its own weekday level, so the coverage families see on a Tuesday isn't what they get on a Saturday. State inspectors cited 50 deficiencies on the current record, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The last inspection was November 2024. This is a for-profit LLC with 55 beds, graded 2 out of 5 on CMS staffing despite the healthy average, which suggests the hours aren't distributed where they count.

B

81.5/100

Beechwood Health & Rehabilitation Center

New London, CT · Southeastern Ct County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
—
Serious cites
0

Beechwood runs 60 beds under for-profit LLC ownership in New London, and its last inspection was recent, June 2025. The 23 deficiencies on record include four abuse-related citations, though none rose to harm or jeopardy level, which matters for how seriously to read the rest. Nurse staffing sits at 4.00 hours per resident day, slightly above the national 3.86 average, but that headline number deserves a second look: weekend coverage drops roughly 9% below the home's own weekday level, so the hours your family member gets on a Saturday won't match a Tuesday. Federal inspectors rated the care quality and inspection record well, but staffing earned only two stars, the gap between those ratings is the thing to ask about on a tour.

B

81.5/100

Olive Branch Health And Rehabilitation Center

Pensacola, FL · Escambia County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
55%
Serious cites
0

Olive Branch runs 4.86 nurse hours per resident per day, roughly a quarter more than the national average, and its last inspection in April 2025 turned up 11 deficiencies with none causing harm and nothing abuse-related. Weekend staffing dips about 15% below its own weekday levels, and turnover sits at 54.8% against a national 45.8%, so the aides and nurses around your family member change often. For-profit, LLC-owned, 90 beds. The inspection record is the strongest part of the picture; the churn is the part worth asking about when you tour.

B

81.5/100

Golden Age Care Center

Centerville, IA · Appanoose County

CMS 3/5 46 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
24%
Serious cites
0

Golden Age Care Center runs on a modest 46 beds in Centerville under for-profit LLC ownership, and its staffing is the clearest strength here: 3.91 nurse hours per resident day sits slightly above the national average, though weekends drop roughly 18% below its own weekday coverage. Turnover runs 24.3% against a national 45.8%, meaning the aides and nurses you'd meet are more likely to still be there next year. The caution is quality measures, which score poorly, and 15 deficiencies on record, one abuse-related, none at harm level. A July 2025 inspection is recent. The staffing picture is good; the clinical report card is not.

B

81.5/100

Thomas Rest Haven

Coon Rapids, IA · Carroll County

CMS 2/5 57 beds Government Medicaid
Nurse hours
4.71 /day
Staff turnover
47%
Serious cites
0

Thomas Rest Haven runs on a city/county budget, and the staffing shows it: 4.71 nurse hours per resident day, roughly 22% above the national average. That's the strongest number here, though weekends drop about 16% below the home's own weekday coverage, so care thins out exactly when families tend to visit. The inspection record is the bigger concern. Eighteen deficiencies on file, including two at the harm level and two abuse-related, with one fine of $11,190 and a two-star health inspection rating. Turnover sits at 46.5%, essentially the national average, so continuity isn't unusual for the industry but isn't a strength. The last inspection was September 2025, so that record is recent.

B

81.5/100

Mercyone Centerville Medical Center

Centerville,, IA · Appanoose County

CMS 2/5 19 beds Non-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
—
Serious cites
0

Mercyone Centerville Medical Center is a small, church-affiliated nonprofit home in Appanoose County with just 19 certified beds. Its nurse staffing sits at 4.56 hours per resident day, roughly 18 percent above the national average, though weekend coverage drops about 11 percent below its own weekday level. That staffing strength is real, but it's offset by a two-out-of-five health inspection rating and 16 deficiencies on the current record, none at the harm or jeopardy level, and none abuse-related. The last inspection was in August 2025, so the picture is recent. Quality measures also rate two out of five. Read together: well-staffed day to day, but the inspection and quality numbers suggest care planning and clinical follow-through deserve scrutiny before you decide.

B

81.5/100

Minneola District Hospital Ltcu

Minneola, KS · Clark County

CMS 1/5 20 beds Government Medicaid
Nurse hours
7.16 /day
Staff turnover
—
Serious cites
0

Minneola District Hospital Ltcu runs on unusually heavy staffing for a 26-bed home, 7.16 nurse hours per resident day, roughly 85% above the national average, though weekends drop about 15% below its own weekday pace. That staffing cushion is doing a lot of work here, because the inspection record is rough: 23 deficiencies on file, two of them serious enough to involve harm or jeopardy, and a one-star health inspection rating despite a March 2025 survey that's still recent. Government hospital-district ownership doesn't change the picture either way. The quality measure score sits at two stars, so what you're really weighing is whether strong daily coverage outweighs a troubled survey history.

B

81.5/100

St. Agnes Healthcare And Rehab Center

Breaux Bridge, LA · St. Martin County

CMS 3/5 128 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
54%
Serious cites
0

St. Agnes runs 128 certified beds in Breaux Bridge under corporate for-profit ownership, and the staffing picture is mixed. Total nurse coverage sits at 3.92 hours per resident day, just above the national average of 3.86, but weekends drop roughly 20% below the facility's own weekday levels, and annual turnover is 54% against a national 45.8%. CMS rates staffing 2 out of 5 stars, while quality measures earn 4. The current record shows 22 deficiencies, none at harm or jeopardy level, though three involve abuse. The last inspection was March 26, 2025. Read together, the quality scores look better than the staffing stability behind them.

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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