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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 1801–1820 of 4,510, best-graded first.

B

81/100

Eventide Heartland

Devils Lake, ND · Ramsey County

CMS 4/5 78 beds Non-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
53%
Serious cites
0

Eventide Heartland runs a nonprofit shop in Devils Lake with 78 beds, and the staffing numbers are the strongest part of the picture, 4.28 nurse hours per resident day, roughly 11% above the national average, which is why it earns a 5 out of 5 on CMS's staffing measure. Two things complicate that: weekend coverage drops about 9% below its own weekday levels, and annual turnover sits at 52.9%, higher than the 45.8% national figure, so the people providing those hours keep changing. The current inspection record shows 23 deficiencies, one of them abuse-related, though none rose to harm or jeopardy. State inspectors last visited in May 2026.

B

81/100

Anna Maria Of Aurora

Aurora, OH · Portage County

CMS 4/5 98 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
26%
Serious cites
0

Anna Maria Of Aurora runs on 4.32 nurse hours per resident day, roughly 12% above the national average, and its staff turnover of 25.9% sits well under the 45.8% national figure, that stability matters more than a snapshot of raw hours. Weekend coverage dips about 12% below its own weekday levels, so families should ask how that gap gets managed. The current record carries 14 deficiencies, including one at the harm or jeopardy level and one abuse-related, which is the number to press administrators on. The last inspection was December 22, 2025, and its quality measures score well while inspections land mid-range.

B

81/100

Health Center At The Renaissance

Olmsted Twp, OH · Cuyahoga County

CMS 4/5 85 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
51%
Serious cites
0

The Health Center at the Renaissance is run by a nonprofit corporation and holds 85 certified beds in Olmsted Township. Its nurse staffing sits at 4.30 hours per resident day, about 11% above the national average, and it earns 4 out of 5 stars on all three CMS measures: health inspections, quality, and staffing. Weekend coverage dips roughly 9% below weekday levels, though. The record shows 9 deficiencies, one at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated October 6, 2025. Annual turnover runs 51.4%, higher than the 45.8% national figure, which means aides and nurses cycle through faster than average even with the strong staffing numbers.

B

81/100

Westover Retirement Community

Hamilton, OH · Butler County

CMS 5/5 53 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
51%
Serious cites
0

Westover Retirement Community runs a nonprofit home in Hamilton with 53 certified beds, and its nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average of 3.86. That extra coverage shows up on the federal staffing star rating, which sits at 4 out of 5, though weekend hours drop about 9% below what the home staffs on weekdays. The inspection record is the strongest part: a 5-star health inspection rating, last survey dated February 2026, and 9 deficiencies on file with none at the harm or jeopardy level and none abuse-related. The caution is turnover, 50.8% against a national 45.8%.

B

81/100

Perry Green Valley Nursing Center, Llc

Perry, OK · Noble County

CMS 3/5 112 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
41%
Serious cites
0

Perry Green Valley runs a little better staffed than the typical American nursing home, 3.99 nurse hours per resident day against a national average of 3.86, and its 40.9% turnover is lower than the 45.8% norm, which suggests people stick around longer here than at many places. The trade-off shows up in inspections: 11 deficiencies on the current record, one serious enough to involve harm or jeopardy, and a fine of $8,278. Weekend coverage also dips about 7% below weekday levels, so ask how that plays out on a Saturday. The most recent inspection was November 2024, so the picture is reasonably current.

B

81/100

St Joseph's Manor

Meadowbrook, PA · Montgomery County

CMS 4/5 296 beds Non-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
36%
Serious cites
0

St. Joseph's Manor runs about 296 certified beds in Meadowbrook, and the nurse staffing number that matters here is 4.03 hours per resident day, roughly 4% above the national average of 3.86. That's not a small edge when you consider how much of a resident's day is shaped by how many hands are actually available. Weekend coverage does drop about 12% below its own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 36.3%, better than the national 45.8%, so the people caring for residents tend to stay. The current record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in January 2026.

B

81/100

Pinecrest Manor

St Marys, PA · Elk County

CMS 4/5 138 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
—
Serious cites
0

Pinecrest Manor runs 138 certified beds as a nonprofit corporation, and its inspection record is the strongest part of the story: ten deficiencies on file, none at the harm or jeopardy level, none tied to abuse, with a survey completed January 30, 2026. Nurse staffing sits at 3.82 hours per resident day, roughly one percent under the national average of 3.86, and the bigger gap is internal, weekends run about sixteen percent leaner than weekdays, which matters if your family visits or calls on Saturdays and Sundays. The staffing and inspection ratings both land at four stars, quality measures at three, so what you're looking at is a home that's kept its record clean rather than one that's thrown extra hands on the floor.

B

81/100

Allied Services Center City Skilled Nursing

Wilkes Barre, PA · Luzerne County

CMS 3/5 92 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
43%
Serious cites
0

Allied Services Center City Skilled Nursing is a 92-bed nonprofit in Wilkes Barre, and its staffing is the strongest part of the picture: 4.17 nurse hours per resident day, roughly 8% above the national average, which earns it a 4 out of 5 from CMS on staffing. Turnover sits at 42.7%, slightly better than the national 45.8%, though weekends run about 8% leaner than weekdays. Twenty deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in November 2025. Health inspection and quality measures both land at 3 out of 5.

B

81/100

Millennium Institute For Advance Nursing Care Inc

Rio Piedras, PR · San Juan County

CMS 5/5 35 beds For-profit
Nurse hours
4.41 /day
Staff turnover
46%
Serious cites
0

Millennium Institute For Advance Nursing Care runs 35 certified beds in Rio Piedras under corporate for-profit ownership, and the direct-care staffing here is genuinely above average, 4.41 nurse hours per resident day against a national figure of 3.86. The catch is consistency: weekends run roughly 15 percent thinner than weekdays, so the coverage your relative gets depends on the day of the week. Staff turnover sits at 45.8 percent, almost exactly the national rate, meaning nearly half the workforce changes over in a year. Inspections are current as of March 2026 and the health inspection record is strong, but 19 deficiencies are logged against the home, none of them at harm or jeopardy level and none abuse-related.

B

81/100

Sun Dial Manor

Bristol, SD · Day County

CMS 3/5 37 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
56%
Serious cites
0

Sun Dial Manor runs a nonprofit operation with 37 beds in Bristol, and the nurse staffing numbers are genuinely strong, 4.08 hours per resident day, about 6% above the national average, which is what earns the top staffing rating. But weekend coverage drops roughly 11% below the home's own weekday level, so care thins out when families tend to visit. Turnover sits at 55.6% against a national 45.8%, and 21 deficiencies on record include 2 at the harm level and 4 tied to abuse. With a 2-star inspection rating and $24,528 in fines, the people are clearly present, the question is whether consistency and oversight hold up.

B

81/100

Avera Oahe Manor

Gettysburg, SD · Potter County

CMS 2/5 53 beds Non-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
44%
Serious cites
0

Avera Oahe Manor runs on 3.50 nurse hours per resident day, about 9 percent under the national average of 3.86, and weekends drop roughly 13 percent below what the home staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when there's simply less help on the floor. Turnover sits at 43.8 percent, slightly better than the national 45.8 percent, and the home carries nine deficiencies, none at the harm level and none related to abuse. The last inspection was July 31, 2025. The nonprofit ownership is a steadying factor, but staffing is the weak spot here, worth asking about directly before you decide.

B

81/100

Tennova Newport Convalescent Center

Newport, TN · Cocke County

CMS 4/5 56 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
37%
Serious cites
0

Tennova Newport Convalescent Center runs 56 certified beds in Cocke County, and its last full health inspection came in March 2023, with seven deficiencies on record, none of them at the harm or jeopardy level, and none related to abuse. That inspection history is a real strength. The staffing picture is more mixed: at 3.37 nurse hours per resident day, this home sits roughly 13 percent under the national average of 3.86, and weekend coverage dips about 10 percent below its own weekday levels. Turnover, though, runs 36.6 percent against a national average near 46 percent, so the people who are there tend to stay. For-profit corporate ownership.

B

81/100

Washington Care Center

Seattle, WA · King County

CMS 3/5 165 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
41%
Serious cites
0

Washington Care Center runs 165 beds under for-profit LLC ownership in Seattle, and its inspection record is the part that stands out: 59 deficiencies on file, three of them serious enough to reach harm or jeopardy level, plus one abuse-related finding. Three CMS fines totaling $58,704 back that up. Staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national average, and weekends drop about 12% below the home's own weekday coverage. Turnover is 41.1%, which is actually better than the 45.8% national figure. The most recent inspection was December 16, 2025, so the record is current. Quality and staffing measures score well; the inspection history is where the concerns concentrate.

B

81/100

Cashmere Post Acute

Cashmere, WA · Chelan County

CMS 3/5 95 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
37%
Serious cites
0

Cashmere Post Acute runs 95 beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 13% below the home's own weekday coverage, so the thinnest shifts fall when families tend to visit. Turnover is the brighter spot at 37.2%, better than the 45.8% national figure. The inspection record is where questions pile up: 49 deficiencies, including nine tied to abuse and one at the harm level, plus a $15,340 fine. The most recent inspection was April 2026, and the health and quality stars both land at 3 of 5.

B

81/100

Colville Tribal Convalescent C

Nespelem, WA · Okanogan County

CMS 3/5 44 beds Government Medicaid
Nurse hours
4.71 /day
Staff turnover
61%
Serious cites
0

Colville Tribal Convalescent C runs a federal facility in Nespelem with 44 certified beds, and the raw staffing number looks strong, 4.71 nurse hours per resident day, roughly 22% above the national average of 3.86. The catch is consistency: weekends drop about 10% below the home's own weekday level, and annual turnover sits at 61% against a national 45.8%, which is a lot of churn for a small census to absorb. Inspections in April 2025 produced a 4-star health rating, but the record holds 19 deficiencies, including one at harm or jeopardy level and one abuse-related, plus a single fine of $8,173.

B

81/100

Grant Rehabilitation And Care Center

Petersburg, WV · Grant County

CMS 3/5 110 beds Government Medicaid
Nurse hours
4.25 /day
Staff turnover
23%
Serious cites
0

Grant Rehabilitation And Care Center runs on county money, and the staffing shows it: 4.25 nurse hours per resident day, roughly 10% above the national average, with a 5/5 CMS staffing rating and turnover at 23.4%, about half the national rate of 45.8%. That stability matters more than most families realize. The caution sits elsewhere. Quality measures score 1/5, and the record carries 42 deficiencies, including five tied to abuse, though none rise to harm or jeopardy level. The last inspection was February 2026, so the picture is current. Weekends run about 9% thinner than weekdays. Read the inspection reports yourself before deciding.

B

81/100

Maryhill Manor

Niagara, WI · Marinette County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
45%
Serious cites
0

Maryhill Manor runs a 50-bed nonprofit home in Niagara, and its nurse staffing lands almost exactly on the national average, with weekends about 7% thinner than weekdays. Turnover sits at 45.3%, a hair under the national figure, so the workforce here is stable by industry standards, not exceptional. What pulls the record down is the inspection side: 17 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse, plus a single $50,606 fine. The most recent inspection was March 25, 2026, so the findings are current rather than stale. Quality measures score well; the survey history is where the risk sits.

B

81/100

Kinnic Health And Rehabilitation Center

River Falls, WI · St. Croix County

CMS 2/5 68 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
37%
Serious cites
0

Kinnic Health and Rehabilitation Center is a 68-bed for-profit home in River Falls, and its numbers land just about where you'd expect a B to come from. Nurse staffing sits at 3.82 hours per resident day, a hair under the national average, and weekends run roughly 9% thinner than weekdays, which is worth asking about if your family tends to visit on Saturdays. The stronger side is retention: 36.8% turnover beats the 45.8% national figure, meaning fewer unfamiliar faces. Inspections are the concern. Twenty-four deficiencies on record, two tied to abuse, and a 2-out-of-5 health inspection rating, though none reached actual harm or jeopardy. The most recent inspection was June 2025, so the picture is current.

B

81/100

Bethany Home

Waupaca, WI · Waupaca County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
74%
Serious cites
0

Bethany Home runs on a corporate for-profit model with 100 certified beds, and the raw staffing number looks good on paper, 4.52 nurse hours per resident day, roughly 17 percent above the national average. But that average hides churn: 73.7 percent of staff turned over in a year, versus about 46 percent nationally, and weekend coverage drops about 11 percent below the home's own weekday level. Inspections tell a mixed story too. Ten deficiencies sit on the current record, including one at the harm level and one tied to abuse, though the most recent inspection was in May 2025 and the quality measure score came back strong.

B

81/100

Eastern Plumas Hospital- Portola Campus Dp/Snf

Portola, CA · Plumas County

CMS 3/5 66 beds Government Medicaid
Nurse hours
4.70 /day
Staff turnover
33%
Serious cites
0

Eastern Plumas Hospital's skilled nursing unit in Portola runs on unusually deep staffing for a small rural hospital district, 4.70 nurse hours per resident day, roughly a fifth more than the national average, with weekend coverage dipping only modestly below weekdays. Turnover sits at 33%, well under the national rate, which matters for consistency of care. The trouble is elsewhere: 21 deficiencies on the current record, four serious enough to put residents in harm's way, three tied to abuse, and $69,450 in fines. Its quality measure score is poor. Staffing is the strength here; the inspection history and clinical outcomes are what a family should press the administrator on.

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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