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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 1781–1800 of 4,510, best-graded first.

B

81/100

Sanilac Medical Care Facility

Sandusky, MI · Sanilac County

CMS 3/5 104 beds Government Medicaid
Nurse hours
5.32 /day
Staff turnover
46%
Serious cites
0

Sanilac Medical Care Facility is county-owned, and the staffing numbers are the strongest thing going for it: 5.32 nurse hours per resident day, roughly 38% above the national average, which earns a four-star staffing rating. Two caveats sit underneath that. Weekend coverage drops about 13% from weekday levels, and turnover at 45.6% is essentially the national rate, so the extra hours don't come with unusual stability. The inspection record is more mixed: 33 deficiencies, including two at harm or jeopardy level and one abuse-related, with the last inspection in August 2025. Quality and inspection ratings both land at three stars.

B

81/100

Bronson Commons

Mattawan, MI · Van Buren County

CMS 3/5 100 beds Non-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
40%
Serious cites
0

Bronson Commons has real strengths in its staffing, and they're worth naming: 4.43 nurse hours per resident day puts it about 15% above the national average, and turnover at 40.3% is better than the 45.8% typical elsewhere. Weekend coverage dips roughly 11% below weekday levels, though, so care may feel thinner on Saturdays and Sundays. What pulls the picture down is the inspection record, 21 deficiencies currently on file, including two at the harm or jeopardy level and one tied to abuse, with the most recent inspection in June 2025. Federal quality and inspection ratings both sit at 2 out of 5. Strong hands on staff, but a compliance history that needs watching.

B

81/100

Parkview Care Center

Wells, MN · Faribault County

CMS 3/5 30 beds Non-profit Medicaid
Nurse hours
4.89 /day
Staff turnover
55%
Serious cites
0

Parkview Care Center in Wells runs on unusually heavy nurse staffing for a 30-bed nonprofit home, 4.89 hours per resident day, roughly 27% above the national average, and that's where the good news mostly ends. Weekend coverage drops about 14% below its own weekday level, so the care you'd see on a Tuesday isn't what you'd see on a Sunday. Staff turnover sits at 54.8%, well above the 45.8% national average, and 22 deficiencies on the current record, three at harm or jeopardy level and two abuse-related, are hard to square with a five-star staffing score. With a mid-2026 inspection behind it, the numbers say well-staffed but not consistently safe.

B

81/100

Community Place

Brandon, MS · Rankin County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
4.77 /day
Staff turnover
44%
Serious cites
0

Community Place runs on a nonprofit model with 60 certified beds in Brandon, and its nurse staffing sits at 4.77 hours per resident day, roughly a quarter above the national average of 3.86. That staffing strength holds up on weekends less well, running about 27% below its own weekday level, though turnover at 44.2% is slightly better than the national 45.8%. Inspections tell a mixed story: the most recent, in May 2026, produced a 4-star health inspection rating, with 14 deficiencies on record and none at the harm or jeopardy level, but one abuse-related citation is worth asking about directly. Quality measures score just 2 out of 5, so ask how the staff-to-resident ratio actually plays out on Saturdays and Sundays.

B

81/100

Kabul Nursing Homes Inc

Cabool, MO · Texas County

CMS 5/5 99 beds Non-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
35%
Serious cites
0

Kabul Nursing Homes is a nonprofit with 99 beds in Cabool, and its last inspection was recent, August 2025, with 12 deficiencies on record, none at the harm level and none related to abuse. The staffing picture is mixed: 3.14 nurse hours per resident day sits about 19% under the national average of 3.86, and weekends run roughly 4% leaner than weekdays. What offsets that is stability, 35% turnover beats the national 45.8%, meaning the aides and nurses who are there tend to stay, which matters more for daily care than raw headcount alone.

B

81/100

John Knox Village Care Center

Lees Summit, MO · Jackson County

CMS 4/5 324 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
43%
Serious cites
0

John Knox Village Care Center runs 324 certified beds as a nonprofit, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average. That cushion matters, though weekends drop about 13% below the home's own weekday levels, so coverage isn't perfectly even across the week. Staff turnover lands at 42.9%, a bit better than the 45.8% national figure, which suggests the workforce is somewhat more stable than most. Inspectors visited in January 2025 and logged 20 deficiencies, none at the harm or jeopardy level and none abuse-related. Four stars on health inspections and staffing, three on quality measures, tells you the basics are solid even if quality reporting lags.

B

81/100

Intermountain Health Holy Rosary Hospital

Miles City, MT · Custer County

CMS 2/5 84 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
—
Serious cites
0

Holy Rosary Hospital sits right at the national average for nurse staffing, 3.87 hours per resident day against 3.86 nationally, so it's not shortchanging direct care, but it isn't going above it either. Weekends get thinner, though, running roughly 17% below what the home staffs on weekdays, which is where gaps tend to show up. Twenty-two deficiencies on the current record is a lot of paperwork, and three of them are abuse-related, which families should ask about directly even though none rose to the harm or jeopardy level. Inspections were last done in April 2026, so the picture is current.

B

81/100

Beaver City Manor

Beaver City, NE · Furnas County

CMS 3/5 30 beds Government Medicaid
Nurse hours
4.43 /day
Staff turnover
29%
Serious cites
0

Beaver City Manor is a 30-bed city-owned home in Furnas County, and its strongest asset is people: 4.43 nurse hours per resident day, about 15% above the national average, with turnover at 29% against a national 45.8%. That staffing consistency matters more than any single number here, though weekend coverage dips roughly 14% below weekday levels. The trade-off sits in care quality measures, which scored 1 out of 5, and nine deficiencies on record, none at harm or jeopardy level, but one abuse-related. The last inspection was in June 2025, so the picture is reasonably current. Small, government-run, well-staffed, but with real quality-measure gaps worth asking about directly.

B

81/100

Sierra Basin Post Acute

Carson City, NV · Carson City County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
50%
Serious cites
0

Sierra Basin runs 4.61 nurse hours per resident day, about 19% above the national average, but staffing thins out on weekends, roughly 15% below the home's own weekday level. Annual turnover sits at 50%, higher than the 45.8% national figure, so the people providing that care keep changing. The inspection record shows 25 deficiencies, four of them abuse-related, though none rose to harm or jeopardy level, and the most recent inspection was in March 2026. For-profit, LLC-owned. The federal quality measures look strong; the staffing and inspection record is more mixed. Worth asking about weekend coverage, turnover, and what those abuse deficiencies involved before deciding.

B

81/100

Salemhaven

Salem, NH · Rockingham County

CMS 2/5 110 beds Non-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
42%
Serious cites
0

Salemhaven runs a nonprofit home with 110 beds, and its nurse staffing sits right at the national mark, 3.89 hours per resident day against 3.86, though weekends thin out by about 15% compared to weekdays, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 42.4%, a bit better than the 45.8% national figure, so caregivers tend to stick around longer than average. The health inspection side is the weak spot: a 2-out-of-5 rating, 14 deficiencies on record including one abuse-related citation, though none rose to actual harm or jeopardy. The most recent inspection was August 2025, so the picture is current.

B

81/100

Greenwood House Home For The Jewish Aged

Trenton, NJ · Mercer County

CMS 2/5 137 beds Non-profit Medicaid
Nurse hours
4.82 /day
Staff turnover
42%
Serious cites
0

Greenwood House runs on a paradox: the nursing floor is well staffed at 4.82 hours per resident day, roughly a quarter above the national average, and its quality measures and staffing both score at the top of CMS's scale. Turnover sits at 41.5%, a bit better than the 45.8% national figure. But the inspection record is where this home falls apart, 23 deficiencies, two of them at harm or jeopardy level, four tied to abuse, and a single $323,570 fine. The most recent inspection closed in March 2026, so the picture is current, not stale. Good care on paper and serious findings in practice can coexist. Ask what those four abuse deficiencies involved before you decide.

B

81/100

Peace Care St Joseph's

Jersey City, NJ · Hudson County

CMS 4/5 139 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
37%
Serious cites
0

Peace Care St Joseph's runs a nonprofit home of 139 beds in Jersey City, and its staffing is the clearest strength: 4.05 nurse hours per resident day, about 5% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Staff turnover sits at 36.6%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The record is more mixed on oversight: 26 deficiencies, including one at the harm level and two tied to abuse, plus 24 fines totaling $192,635. The most recent inspection was April 2026, so the picture is current. Strong quality scores and staffing coexist here with a real compliance history worth asking about directly.

B

81/100

St. Ann's Community

Rochester, NY · Monroe County

CMS 4/5 470 beds Non-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

St. Ann's Community runs 470 beds in Rochester, and the staffing picture is solid: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 38.9% against a national 45.8%, keeping more of your caregivers matters, and this home does better than most. Weekends dip about 10% below weekday coverage, worth asking about if your family visits then. The record isn't clean: 13 deficiencies, including one at the harm level and two abuse-related, plus $55,495 in fines across two events. A 4/5 on health inspections from April 2024 suggests those issues aren't the whole story, but read the abuse citations yourself before deciding.

B

81/100

Fairview Nursing Care Center Inc.

Forest Hills, NY · Queens County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
53%
Serious cites
0

Fairview Nursing Care Center runs a 200-bed for-profit home in Forest Hills, and the staffing numbers are its clearest strength: 5.39 nurse hours per resident day, roughly 40% above the national average of 3.86. Weekends dip only slightly below weekdays, so coverage stays fairly even. But 53.2% annual turnover means the people delivering that care keep changing, which matters more than the raw hours. The inspection record is mixed, 22 deficiencies, none at the harm level, but two tied to abuse. A December 2025 inspection keeps the record current.

B

81/100

Charles T Sitrin Health Care Center Inc

New Hartford, NY · Oneida County

CMS 2/5 188 beds Non-profit Medicaid
Nurse hours
4.70 /day
Staff turnover
43%
Serious cites
0

Charles T Sitrin Health Care Center runs a split profile. On the floor, staffing is genuinely strong: 4.70 nurse hours per resident day, roughly 22% above the national average, with weekend coverage dipping about 10% below its own weekday level. Turnover sits at 42.5%, slightly better than the 45.8% national figure, and the nonprofit ownership structure tends to mean steadier long-term management. The trouble is the inspection history. A 1-out-of-5 health inspection rating rests on 28 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus a $171,860 fine. The most recent inspection was November 2024, so the record is current. Strong staffing and a difficult regulatory history can coexist; ask what the plan of correction actually changed.

B

81/100

Methodist Home For Nursing And Rehabilitation

Bronx, NY · Bronx County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
17%
Serious cites
0

Methodist Home for Nursing and Rehabilitation runs 120 beds in the Bronx under nonprofit ownership, and its inspection record is the strongest thing about it, five stars, five deficiencies on the current record, none of them causing harm or involving abuse, with the last survey in May 2024. Staffing sits just under the national average at 3.82 hours per resident day, and weekends drop roughly 10% below the home's own weekday levels, so coverage thins when families tend to visit. The number worth sitting with is turnover: 17.2% against a national average of 45.8%, meaning aides and nurses here tend to stay.

B

81/100

Rome Memorial Hospital, Inc - R H C F

Rome, NY · Oneida County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
49%
Serious cites
0

Nurse staffing here works out to 3.92 hours per resident day, which is just slightly above the national average of 3.86, so the margin is thin, and weekends run about 14% below weekdays, meaning coverage is lighter on Saturdays and Sundays than during the week. The ten deficiencies on the current record include one abuse-related citation, though none rose to the level of actual harm or jeopardy, and the last inspection was in January 2025. Staff turnover sits at 48.9%, a bit above the national figure of 45.8%, so a good share of the people caring for residents are still fairly new. As a nonprofit hospital-based home with 80 beds, it holds four stars each for inspections, quality measures, and staffing.

B

81/100

Haym Solomon Home For The Aged

Brooklyn, NY · Kings County

CMS 5/5 240 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
22%
Serious cites
0

Haym Solomon Home For The Aged runs 4.14 nursing hours per resident day, roughly 7% above the national average, and weekend coverage dips only slightly below its own weekday numbers. Staff turnover sits at 22.1%, about half the national rate of 45.8%, which matters for continuity of care. The tradeoffs show up in the record: 16 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,512. Inspections were last done in November 2024, so the picture is current. The for-profit partnership structure hasn't translated into thin staffing here, though the harm-level citation is the detail worth asking about directly.

B

81/100

Father Baker Manor

Orchard Park, NY · Erie County

CMS 5/5 160 beds Non-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
46%
Serious cites
0

Father Baker Manor runs a tight ship on inspections, eight deficiencies on record, none of them causing harm, and a five-star health inspection rating with a visit as recent as November 2024. The staffing picture is more ordinary than it looks: 3.89 nurse hours per resident day sits barely above the national average, weekend coverage drops about 13% from weekdays, and turnover at 46.3% roughly matches the national rate. Five of those eight deficiencies are abuse-related, which is worth asking about directly. Nonprofit ownership and a single $21,645 fine round out a record that's solid on paper but not without questions.

B

81/100

Friends Homes At Guilford

Greensboro, NC · Guilford County

CMS 5/5 69 beds Non-profit Medicaid
Nurse hours
5.07 /day
Staff turnover
45%
Serious cites
0

Friends Homes At Guilford runs on a nonprofit model with 69 certified beds, and the staffing numbers stand out: 5.07 nurse hours per resident day, roughly 31% above the national average of 3.86. Weekend coverage dips about 11% below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 45.3%, essentially matching the national rate of 45.8%. Inspections tell a clean story, a 5/5 health inspection rating, just two deficiencies on record, none at the harm level and none abuse-related, with the last visit in January 2026. The quality measure score of 2/5 is the outlier here, so ask what specific clinical measures are pulling that down.

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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