4,510 Independent Nursing Homes in the United States

Nurse hours

3.38 /day

Staff turnover

33%

Serious cites

0

Kern Valley Healthcare District Dp Snf runs 74 beds in Lake Isabella, and it's a hospital-district operation, so it's government-owned rather than part of a chain. Nurse staffing sits at 3.38 hours per resident day, about 12% under the national average, and weekends drop roughly 8% below what the home staffs on weekdays. Turnover is 32.6%, which is actually well below the 45.8% national figure, a genuine bright spot. The harder numbers are the 32 deficiencies on record, two of them at harm or jeopardy level and two abuse-related, plus $31,581 in fines across two penalties. Its last inspection was April 2026. Quality measures score well; staffing and inspections are where the concerns stack up.

Nurse hours

4.72 /day

Staff turnover

48%

Serious cites

0

Glenhaven Healthcare runs 52 beds in Glendale under for-profit LLC ownership, and its nurse staffing sits at 4.72 hours per resident day, roughly 22% above the national average of 3.86. That's a real margin, though weekends drop about 12% below its own weekday levels, so coverage isn't evenly spread across the week. The inspection record is where the picture gets harder to read. There are 37 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse, plus a single fine of $18,070. Annual staff turnover runs 48.3%, slightly above the 45.8% national figure. The last inspection was January 9, 2026, so the record is current. Quality measures score well; the trouble sits in the survey history.

Nurse hours

4.82 /day

Staff turnover

63%

Serious cites

0

Tuscany Village sits in Pearland with 132 certified beds, individually owned for profit, and its most recent inspection was August 2025. The staffing numbers are genuinely strong on paper: 4.82 nurse hours per resident day, roughly 25% above the national average of 3.86, which helps explain the four-star staffing rating. But 63.1% annual turnover means a large share of the people providing that care are new or on their way out, and weekend coverage drops about 8% below the home's own weekday level. Seven deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus one fine of $14,069. Good hours, unsettled workforce.

Nurse hours

3.83 /day

Staff turnover

50%

Serious cites

0

Allegiant Wellness runs a tight inspection record, a recent July 2025 survey and 11 deficiencies on file, none of them serious enough to reach harm or jeopardy, and nothing abuse-related. The nursing side is where it gets more ordinary: 3.83 nurse hours per resident day sits just under the national average, and weekends drop about 10% below the home's own weekday coverage. Staff turnover lands at 50%, running a few points above the national rate, which is the kind of churn families notice in who's actually at the bedside from month to month. The quality and staffing ratings hold at 4 stars each. For-profit, LLC-owned, 60 beds, small enough that you can ask direct questions about weekend coverage and how long the current crew has been there.

Nurse hours

5.83 /day

Staff turnover

26%

Serious cites

0

Ware Memorial runs about 5.83 nurse staffing hours per resident day, roughly half again the national average, and that shows up as a five-star staffing rating. Weekend coverage dips only mildly below weekdays, and turnover at 25.5% is well under the 45.8% national figure, so the people caring for residents tend to stay. The caution side is inspections: 27 deficiencies on the current record, two of them serious enough to risk harm and one tied to abuse, plus a single $81,894 fine. A February 2026 inspection is recent enough to reflect current conditions. Nonprofit ownership. Staffing is this home's strength; the inspection history is what holds the grade back.

Nurse hours

4.89 /day

Staff turnover

31%

Serious cites

0

Wood-Lawn Heights runs on strong staffing: 4.89 nurse hours per resident day, roughly 27% above the national average, and the 5/5 staffing rating reflects that. Turnover sits at 30.8% against a national 45.8%, which matters because consistent caregivers tend to know residents' routines. Weekend coverage dips about 17% below weekday levels, so ask how that plays out on Saturdays and Sundays. The concerning part is quality measures, where the home scores 1/5. Thirteen deficiencies are on record, two at harm or jeopardy level, though none are abuse-related, and fines total $12,695. The most recent inspection was August 2025. As a nonprofit, it isn't answering to shareholders, but ask directly what's behind those two serious deficiencies and the low quality scores.

Nurse hours

3.72 /day

Staff turnover

—

Serious cites

0

Atrium Health Navicent Baldwin is a small nonprofit unit in Milledgeville, just 15 certified beds, and its inspection record is spotless: zero deficiencies on the current record, none at the harm level, none abuse-related, and the last full inspection came in December 2024. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86, though weekend coverage actually runs roughly 7% above its own weekday level, which is unusual. Two fines totaling $8,788 are the only blemish. The CMS star ratings land at five for health inspections, four for quality measures, and four for staffing, a strong profile for a facility this small.

Nurse hours

4.18 /day

Staff turnover

33%

Serious cites

0

Retreat, The runs 4.18 nurse hours per resident day, roughly 8% above the national average, and its staff turnover of 32.7% sits well under the 45.8% national figure, two signs of a stable, adequately covered floor. Weekend staffing dips about 15% below its own weekday level, so ask how that gap gets managed. The inspection record is clean where it counts: six deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2026. Where the numbers narrow is quality measures, which come in at 2 out of 5 stars despite the strong inspection and staffing ratings, worth asking which specific measures are dragging.

Nurse hours

4.41 /day

Staff turnover

33%

Serious cites

0

Palemon Gaskins Mem Nsg Home runs on county money in Ocilla, and the numbers tell a mixed story. Nurses give residents 4.41 hours of care a day, about 14% more than the national average, and staff turnover sits at 33.3%, better than the 45.8% norm, which suggests people stay. That's the good news. The catch: weekend staffing drops roughly 18% below weekday levels, so care thins out when families tend to visit. Fifteen deficiencies sit on the current record, though none involve harm, jeopardy, or abuse, and the last inspection was January 2026. Quality measures and staffing stars both come in low; inspections are middling. The grade lands where a home with real bedside hours but uneven coverage deserves.

Nurse hours

3.83 /day

Staff turnover

43%

Serious cites

0

West Bend runs 157 certified beds as a for-profit corporate home, and its staffing sits just under the national average at 3.83 nurse hours per resident day. The bigger issue is weekends: coverage drops roughly 20% below the home's own weekday level, so the hours you'd rely on can thin out right when they matter. Turnover lands at 43.1%, a touch better than the 45.8% national figure. The current record shows 18 deficiencies, none at harm or jeopardy level, though one is abuse-related. Its last inspection was March 13, 2026, and CMS rated the quality measures 5 out of 5 while staffing came in at 3.

Nurse hours

3.32 /day

Staff turnover

44%

Serious cites

0

Montrose Health Center runs 44 certified beds under corporate ownership, and its roughly 3.32 nurse staffing hours per resident day sit about 14 percent under the national average. Weekends are thinner still, dropping around 19 percent below the home's own weekday numbers, so coverage varies depending on when you visit. The inspection record is the harder read: 15 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $43,079 in fines across two penalties. Last inspection was October 2025, so that picture is current. Turnover at 43.6 percent is slightly better than the national rate, and resident care measures score well, but staffing shortfalls and a heavy deficiency count are what hold this one back.

Nurse hours

3.27 /day

Staff turnover

51%

Serious cites

0

Anamosa Care Center runs a 64-bed for-profit operation in Jones County with a strong inspection history and top marks on quality measures, but the staffing picture is thinner than it should be. Nurses provide about 3.27 hours of care per resident each day, roughly 15% below the national average, and weekends drop another 17% below the home's own weekday level, so coverage gets leanest exactly when families tend to visit. Annual turnover sits at 50.9%, above the national 45.8%, meaning more than half the staff leaves each year. The current record shows eight deficiencies, including one at the harm level and one tied to abuse.

Nurse hours

4.04 /day

Staff turnover

27%

Serious cites

0

Wesley Manor runs on 4.04 nurse hours per resident day, a bit above the national figure, and its staff tends to stay, 27% turnover against a national average near 46%. Weekend coverage dips roughly 15% below weekday levels, so ask how that plays out on Saturdays. The health inspection record is clean where it matters: six deficiencies, none causing harm or jeopardy, none tied to abuse, with an inspection as recent as July 2025. Quality measures score lower than the inspection and staffing marks, which is the tension worth asking about directly. Louisville's Jefferson County has plenty of options; this one's case rests on stable staffing and a sound inspection history, not on its clinical quality numbers.

Nurse hours

4.45 /day

Staff turnover

41%

Serious cites

0

Lutheran Rehabilitation and Skilled Care Center is a 150-bed nonprofit in Worcester, and its record is clean where it counts: zero deficiencies on the current survey, none at the harm level, none abuse-related, and the most recent inspection was just this past December. Nurse staffing sits at 4.45 hours per resident day, roughly 15 percent above the national average, and the 41.3 percent turnover rate is better than the 45.8 percent typical elsewhere, though weekends run about 16 percent thinner than weekdays, which is the kind of gap families notice on a Sunday. The five-star inspection rating and four on quality measures round out a solid if not spotless picture, with room-level consistency the main thing to watch.

Nurse hours

4.37 /day

Staff turnover

—

Serious cites

0

Belmont Manor runs 4.37 total nurse hours per resident day, roughly 13% above the national figure of 3.86, though weekend coverage drops about 8% below its own weekday level. That staffing cushion is real, but it sits alongside 33 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $13,305 fine. The last inspection was December 31, 2025, so the record is recent. This is a for-profit corporation running 156 beds, and the numbers describe a home where adequate daily coverage hasn't translated into a clean regulatory history.

Nurse hours

5.07 /day

Staff turnover

—

Serious cites

0

Shakopee Friendship Manor runs 60 certified beds under corporate for-profit ownership, and its nurse staffing sits at 5.07 hours per resident day, roughly 31% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 8% below its own weekday level, so care isn't perfectly even across the week. The inspection record is where things get muddier: 15 deficiencies on file, one serious enough to reach harm or jeopardy level, plus a $25,378 fine. No abuse citations, and the most recent inspection was July 2025, so the picture is current. Strong staffing paired with a middling inspection history is the tension here, worth asking about that harm-level citation directly.

Nurse hours

3.86 /day

Staff turnover

—

Serious cites

0

Bertrand Nursing and Rehab Center passes its inspections cleanly, a five-star record with ten deficiencies, none of them serious enough to cause harm, though one is abuse-related. That's a home that generally gets the basics right when surveyors show up, and it was inspected as recently as July 2025. The problem is staffing, where it earns just one star and sits well below what most homes provide. Quality measures land in the middle at three. For-profit corporate ownership rounds out the picture. A strong inspection record matters, but it only reflects what surveyors caught on a given day, thin staffing shows up in the hours between visits, when your family member needs help getting to the bathroom or turning in bed. Ask about the direct-care aide schedule on evenings and weekends before deciding.

Nurse hours

4.11 /day

Staff turnover

46%

Serious cites

0

Hilltop Estates runs 4.11 nurse hours per resident per day, roughly 6% above the national average, and that staffing shows up as its strongest CMS category. The catch is weekends, when coverage drops about 18% below the home's own weekday level, the stretch when families tend to visit and when problems often surface. Turnover sits at 46.4%, essentially matching the national rate, so continuity of caregivers isn't unusually bad or good here. Seven deficiencies on record, none causing harm or jeopardy and none abuse-related, with the last inspection in March 2025. For-profit corporate ownership, 64 beds, middle-of-the-road marks on inspections and quality measures. Solid, not spotless.

Nurse hours

4.67 /day

Staff turnover

—

Serious cites

0

Grafton County Nursing Home is county-owned, and the staffing numbers reflect that: 4.67 total nurse hours per resident day, roughly 21% above the national average. That's the strongest part of the picture. Weekends dip about 5% below its own weekday level, so coverage thins out a bit then. The inspection record is where it gets rockier. Twenty deficiencies are on file, three tied to abuse, though none reached the harm or jeopardy level. Its last inspection was April 2, 2026, so the record is recent. Federal ratings put health inspections and quality measures at 2 out of 5 each, with staffing at 3. If you're weighing this one, ask specifically about those three abuse-related findings and how weekends are covered.

Nurse hours

3.83 /day

Staff turnover

26%

Serious cites

0

Sands Point runs 180 beds in Port Washington under for-profit partnership ownership, and its staffing sits at 3.83 nurse hours per resident day, just under the national average of 3.86. Weekends drop about 15% below its own weekday levels, so coverage thins out when families tend to visit. The turnover picture is genuinely better than most: 26.1% against a national 45.8%, meaning caregivers are more likely to stick around. On inspections, 16 deficiencies are on record with none at harm or jeopardy level, though one is abuse-related. The last inspection was March 2026. Quality measures score 5/5, staffing and inspections both 3/5, a home that's steady on care outcomes but merely average on the floor and in survey history.