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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 1741–1760 of 4,510, best-graded first.

B

81.5/100

Magnolia Place Health Care

Liberty, TX · Liberty County

CMS 4/5 118 beds Government Medicaid
Nurse hours
3.73 /day
Staff turnover
52%
Serious cites
0

Magnolia Place runs 118 beds in Liberty under for-profit partnership ownership, and its numbers are a mixed bag. Nurse staffing sits at 3.73 hours per resident day, a bit under the national figure of 3.86, and weekends drop roughly 21% below what the home staffs on weekdays, worth asking about if your family visits Saturdays or Sundays. Turnover is the bigger flag: 51.8% of staff leaving annually against a national 45.8%, which means caregivers you meet may not be there in a year. The inspection record shows 23 deficiencies, none at harm or jeopardy level but one tied to abuse, with the most recent survey in June 2025.

B

81/100

Woodruff County Health Center

Mccrory, AR · Woodruff County

CMS 3/5 120 beds Government Medicaid
Nurse hours
4.57 /day
Staff turnover
48%
Serious cites
0

Woodruff County Health Center is county-owned, and its nurse staffing runs about 18% above the national average, 4.57 hours per resident day against 3.86. That's real coverage, though weekends dip roughly 6% below the home's own weekday level, so the cushion thins out when families tend to visit. Staff turnover sits at 47.5%, a touch above the national 45.8%, which means familiar faces aren't guaranteed. The current record shows 16 deficiencies, one serious enough to reach harm or jeopardy, plus a single fine of $8,278. The last inspection was September 2025. You're looking at a home with genuinely strong hands-on staffing but a survey history that isn't clean.

B

81/100

Ramona Rehabilitation And Post Acute Care Center

Hemet, CA · Riverside County

CMS 3/5 104 beds For-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
41%
Serious cites
0

Ramona Rehabilitation runs 4.64 nurse hours per resident day, roughly a fifth more than the national average, and its staff turnover of 41.1% sits below the national 45.8%, so people tend to stay. Weekends dip about 9% below weekday coverage, worth asking about if your relative needs help with meals or mobility on Saturdays. The tradeoff is the record itself: 35 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and one fine totaling $8,281. State inspectors were last in on February 13, 2026. Corporate-owned, 104 beds, mid-range marks for health inspections and quality measures.

B

81/100

Edgewater Health And Rehabilitation

Lakewood, CO · Jefferson County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
47%
Serious cites
0

Edgewater Health and Rehabilitation runs 67 certified beds in Lakewood under for-profit LLC ownership, and its 3.33 nurse staffing hours per resident day sit roughly 14% under the national average of 3.86. Weekend coverage drops about 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover of 46.8% edges just past the national 45.8%, meaning nearly half the nursing team turns over each year. The inspection record shows 12 deficiencies, including one at the harm or jeopardy level and one abuse-related, though the most recent inspection was August 2025. Strong quality measures and a 4-star inspection rating coexist with real staffing and deficiency concerns worth asking about directly.

B

81/100

Veterans Community Living Center At Fitzsimons

Aurora, CO · Adams County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
4.67 /day
Staff turnover
94%
Serious cites
0

Veterans Community Living Center At Fitzsimons runs 180 certified beds in Aurora and pays for more nursing hours than most homes, 4.67 per resident day against a national average of 3.86, with weekends dipping roughly 9% below its own weekdays. The catch sits in the workforce numbers: 94% annual turnover, more than double the national 45.8%, meaning the people delivering that above-average care are largely new to the building. On inspections, there are 18 deficiencies on record, including one at the harm level and two tied to abuse, plus a $34,467 fine; the most recent inspection was November 2024. Ownership is for-profit, individual.

B

81/100

Center At Lowry, Llc

Denver, CO · Denver County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
5.12 /day
Staff turnover
49%
Serious cites
0

The Center at Lowry runs on a lot of nursing hours, 5.12 per resident day, roughly a third more than the national average, and that labor shows up in a four-star staffing rating and a five-star quality measure score. But the inspection record pulls the other way: 18 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $17,933 fine. Staff turnover sits at 49.1%, a bit worse than the 45.8% national figure, and weekends run about 14% thinner than weekdays. It's a for-profit LLC with a 96-bed census, inspected April 2, 2026. Strong day-to-day care numbers, a recent inspection that found serious problems. Ask what changed since.

B

81/100

Havencare At Filosa

Danbury, CT · Western Ct County

CMS 5/5 64 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
53%
Serious cites
0

Havencare At Filosa runs a 64-bed for-profit home in Danbury, and the numbers here are mostly steady with one clear soft spot. Staffing sits at 4.02 nurse hours per resident day, a bit above the national average, but weekends drop roughly 14% below the home's own weekday coverage, and annual turnover of 53.3% runs well past the national 45.8%, so the people around your relative change often, and there are fewer of them on Saturdays and Sundays. Inspections look solid: a 4-out-of-5 health inspection star, nothing on the current record at the harm or jeopardy level, and no abuse deficiencies among the 17 total. The last inspection was August 2024. Quality measures score 5 out of 5. Ask about weekend coverage and how they hold onto aides.

B

81/100

Masonicare At Bishop Wicke Health & Rehabilitation

Shelton, CT · Greater Bridgeport County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
36%
Serious cites
0

Masonicare At Bishop Wicke runs a nonprofit home in Shelton with 120 certified beds, and its strongest number is staffing: 4.47 nurse hours per resident day, roughly 16% above the national average. That cushion matters because weekend coverage dips about 7% below the home's own weekday level, so the extra hours absorb some of that drop rather than leaving residents short. Staff turnover sits at 35.5%, meaningfully better than the 45.8% national figure, which suggests a more stable caregiver group than most places manage. The tradeoffs show up elsewhere. Inspectors have logged 25 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related, and one fine of $8,018. The most recent inspection was September 2025, so the record is current.

B

81/100

Encore At Wilmington

Wilmington, DE · New Castle County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
51%
Serious cites
0

Encore At Wilmington runs 82 certified beds under corporate ownership, and its nurse staffing sits at 3.95 hours per resident day, just slightly above the national average of 3.86. That edge narrows on weekends, when coverage drops about 13% below the home's own weekday level, and staff turnover is 51.3% against a national average of 45.8%. The inspection record is where the real weight sits: 59 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, plus two fines totaling $32,394. The most recent inspection was June 2025. Strong quality-measure scores don't erase that paper trail.

B

81/100

Oak Manor Healthcare & Rehabilitation Center

Largo, FL · Pinellas County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
38%
Serious cites
0

Oak Manor runs 180 certified beds under limited liability ownership, and its staffing sits at 3.56 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so if you're visiting on a Saturday, expect a thinner floor. Turnover is the bright spot: 37.6% against a national 45.8%, which suggests some stability in the workforce. The inspection record shows 13 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $4,017. Its last inspection was January 2024, and the quality measure rating comes in at the top of the scale while inspection and staffing sit mid-range.

B

81/100

Vivo Healthcare Gateway

Pinellas Park, FL · Pinellas County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
37%
Serious cites
0

Vivo Healthcare Gateway runs 120 certified beds in Pinellas Park under for-profit LLC ownership. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average of 3.86, and weekends dip about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot: 36.7% against a national 45.8%, which suggests less churn than many peers. The inspection record is the concern. Twenty-eight deficiencies, three tied to abuse, and a 2/5 health inspection rating, though none reached harm or jeopardy level. Last survey was March 2024, so that picture is reasonably current.

B

81/100

Miracle Hill Nursing & Rehabilitation Center, Inc

Tallahassee, FL · Leon County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
43%
Serious cites
0

Miracle Hill runs a 120-bed nonprofit home in Tallahassee where nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends dip roughly 10% below its own weekday coverage. Turnover runs 42.5%, a bit better than the 45.8% national figure, though 28 deficiencies sit on the current record, including one at the harm level and a $43,264 fine. Its last inspection was June 2025, so the record is recent. What you're looking at is a place with decent marks on quality measures and staffing stars, but thin weekend coverage and a deficiency history worth asking about directly.

B

81/100

Havens At Pensacola, The

Pensacola, FL · Escambia County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
52%
Serious cites
0

The Havens At Pensacola runs 120 certified beds under for-profit LLC ownership, and its numbers land mostly in solid territory. Nurse staffing sits at 3.80 hours per resident day, just under the national average of 3.86, but weekends drop roughly 12% below what the building staffs Monday through Friday, worth knowing if your visits or care concerns tend to fall on Saturdays and Sundays. Staff turnover is 51.8%, above the 45.8% national figure, so expect some churn among caregivers. On the regulatory side, seven deficiencies show on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated June 2026. CMS gives the place 4 of 5 stars across health inspections, quality measures, and staffing.

B

81/100

Effingham Care & Rehabilitation Center

Springfield, GA · Effingham County

CMS 4/5 105 beds Non-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
44%
Serious cites
0

Effingham Care & Rehabilitation Center runs 105 certified beds under nonprofit ownership, and its last state inspection came back in February 2026 with six deficiencies on record, none of them at the harm level, none related to abuse. That's a comparatively clean inspection sheet, and it lines up with a four-out-of-five star rating on health inspections. Staffing is the softer spot: 3.73 nurse hours per resident day sits about 4% under the national average, and weekends run roughly 9% leaner than weekdays, which is where families often notice the difference. Turnover, at 44.4%, is marginally better than the 45.8% national figure, essentially typical, not a red flag.

B

81/100

Ridgecrest Rehab & Skilled Nursing Center

Columbus, GA · Muscogee County

CMS 5/5 84 beds Government Medicaid
Nurse hours
4.42 /day
Staff turnover
47%
Serious cites
0

Ridgecrest runs on public money, it's city- or county-owned, which in Georgia usually means the taxpayers carry the building, not a chain. Staffing sits at 4.42 nurse hours per resident day, roughly 14% above the national average, though weekends dip about 4% below its own weekday pace. Turnover is 46.9%, essentially the national rate, so the crew is neither unusually stable nor bleeding people. Inspections are the strongest number here: a five-star federal rating, 11 deficiencies on record, none causing harm or involving abuse, and the most recent visit was December 2025. Quality measures land mid-pack at three stars, which is where the shine dulls a little.

B

81/100

Baptist Village, Inc.

Waycross, GA · Ware County

CMS 2/5 254 beds Non-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
37%
Serious cites
0

Baptist Village in Waycross is a church-affiliated nonprofit with 254 beds, and the numbers behind its grade point to a home that's run steadily rather than spectacularly. Nurse staffing sits at 4.95 hours per resident day, roughly 28 percent above the national average of 3.86, and its 36.5 percent turnover beats the 45.8 percent national figure, though weekend coverage dips about 9 percent below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Six deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with one fine totaling $4,017 and an inspection dated December 2025. A 5/5 inspection rating with quality measures at 3/5 suggests the place gets the basics right.

B

81/100

Hitz Memorial Home

Alhambra, IL · Madison County

CMS 3/5 59 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
42%
Serious cites
0

Hitz Memorial Home runs 3.76 nurse hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 11% below its own weekday staffing. Turnover sits at 41.7%, better than the 45.8% national figure, and the nonprofit corporation that owns it has kept its last inspection recent, March 2026. What pulls the record down is the deficiency history: 17 citations currently on file, two of them at the harm or jeopardy level and seven tied to abuse, plus one fine of $75,965. CMS gives it 4 stars each for staffing and quality measures, 3 for health inspections. Read those abuse-related citations closely before you decide.

B

81/100

Greek American Rehab Care Ctr

Wheeling, IL · Cook County

CMS 4/5 188 beds Non-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
28%
Serious cites
0

Greek American Rehab Care Ctr runs 188 certified beds as a nonprofit corporation in Wheeling, and its inspection record is the strongest part of the story, a four-star health inspection rating, with the most recent survey completed January 16, 2026, so there's no stale-data problem here. The ten deficiencies on record include two at the harm or jeopardy level, but none tied to abuse. Staffing sits at 3.83 hours per resident day, just under the national 3.86 average, and weekends run about 8% thinner than weekdays. The real bright spot is turnover: 28.3% against a national 45.8%, meaning aides and nurses are staying put, which matters more for daily care than a tenth of an hour on paper.

B

81/100

Twin Willows Nursing Center

Salem, IL · Marion County

CMS 3/5 72 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
34%
Serious cites
0

Twin Willows has real staffing strength: 4.12 nurse hours per resident day, roughly 7% above the national average, and the state survey team gave it the top staffing rating. Turnover sits at 34.4%, meaningfully lower than the 45.8% national figure, which matters for whether your family sees the same faces month to month. Weekends run about 6% leaner than weekdays, a normal dip but worth asking about. The softer numbers are the 27 deficiencies on record, including one abuse-related citation, and a 1/5 quality measure rating, with the most recent inspection dated April 2026. For-profit corporate ownership rounds it out.

B

81/100

Adams Heritage

Monroeville, IN · Allen County

CMS 5/5 61 beds Government Medicaid
Nurse hours
3.63 /day
Staff turnover
61%
Serious cites
0

Adams Heritage is county-owned, and that shows in the inspection record: three deficiencies on file, none at the harm level, no abuse citations, and a perfect five-star health inspection rating from CMS as of the June 2026 survey. The staffing side tells a different story. At 3.63 nurse hours per resident day, it runs about 6% under the national average of 3.86, weekends dip roughly 5% below its own weekday coverage, and annual turnover sits at 60.5% against a national 45.8%, so the people caring for residents keep changing. Quality measures still score five stars, which suggests the care itself is landing well despite thinner and less stable staffing.

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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