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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 1861–1880 of 4,510, best-graded first.

B

80.5/100

Dogwood Village Of Orange County Health And Rehab

Orange, VA · Orange County

CMS 4/5 164 beds Government Medicaid
Nurse hours
4.03 /day
Staff turnover
—
Serious cites
0

Dogwood Village is county-owned, which matters for how it's run. Total nurse staffing sits at 4.03 hours per resident day, just above the national average of 3.86, but weekends drop about 10% below its own weekday level, and CMS gives the staffing domain only 2 of 5 stars despite that overall number. The current record shows 19 health deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in March 2025. Quality measures score 5 of 5, a real strength, while the 3 of 5 inspection rating reflects a longer-than-ideal deficiency list even without serious harm. Families should ask how weekend coverage actually looks on the floor.

B

80.5/100

Minnie Hamilton Health Care

Grantsville, WV · Calhoun County

CMS 4/5 24 beds Non-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
—
Serious cites
0

Minnie Hamilton Health Care is a small nonprofit home in Grantsville, just 24 certified beds, and its nurse staffing runs about 12% above the national average, which matters most in a county where the next option may be a long drive. But weekends dip roughly 15% below what the home staffs on weekdays, and 30 deficiencies sit on the current record, including three at the harm level and four tied to abuse. The last inspection was in August 2025. Read the inspection report yourself, especially those harm and abuse findings, before you decide how much that above-average weekday coverage is worth to you.

B

80.5/100

Majestic Care Of Lakin

West Columbia, WV · Mason County

CMS 3/5 136 beds For-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
—
Serious cites
0

Majestic Care of Lakin runs on state government ownership in Mason County, and its nurse staffing sits at 4.99 hours per resident day, roughly 29% above the national average, though weekends drop about 27% below what the home staffs on weekdays. That weekday strength is real, but the inspection record is where the trouble shows: 38 deficiencies on file, three of them serious enough to involve harm or jeopardy, three tied to abuse, and one fine of $45,694. The most recent inspection was March 12, 2025. Strong staffing numbers and a clean quality measure score don't erase a citation history like that, and the weekend dip means coverage isn't as consistent as the average suggests.

B

80.5/100

Modoc Medical Center D/P Snf

Alturas, CA · Modoc County

CMS 5/5 84 beds For-profit Medicaid
Nurse hours
6.09 /day
Staff turnover
44%
Serious cites
0

A for-profit corporation runs Modoc Medical Center's skilled nursing unit in Alturas, and it puts more nursing hours on the floor than most homes in the country, 6.09 per resident day against a national average of 3.86. That staffing cushion matters, though weekends thin out by roughly 18% compared to weekdays, so coverage isn't perfectly even across the week. The inspection record is clean where it counts: 18 deficiencies on file but none at the harm or jeopardy level, and the last survey came in April 2025, so the picture is current. Two abuse-related citations are worth asking about directly. Turnover sits at 44.1%, essentially the national rate, meaning the staff you meet may not be the staff there next year.

B

80.5/100

Treemont Health Care Center

Houston, TX · Harris County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
—
Serious cites
0

Treemont Health Care Center runs 4.36 nurse hours per resident day, about 13% above the national average, though weekend staffing dips roughly 9% below its own weekday level. The inspection record shows 12 deficiencies, none at the harm or jeopardy level, with one abuse-related finding and a survey dated September 2024. State inspectors gave it 4 out of 5 stars, and quality measures scored 5 out of 5, but the staffing star rating sits at just 2 out of 5 under CMS's own formula despite that above-average raw number. The limited liability for-profit owner and that staffing split are worth asking about directly before you decide.

B

80.5/100

Trucare Living Centers-Columbus

Columbus, TX · Colorado County

CMS 5/5 104 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
46%
Serious cites
0

Trucare Living Centers-Columbus runs on thinner nurse coverage than most homes, 3.41 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below what the building staffs on weekdays. Turnover sits at 46.4%, basically level with the national figure, so the staffing picture is more about how many hands are on deck than about churn. What keeps this home out of trouble is its inspection record: a clean five-star health inspection rating, ten deficiencies on file with none at the harm level and none tied to abuse, and the most recent state visit in February 2025. For-profit corporate ownership. The tradeoff here is real, strong oversight and quality marks, lean daily staffing.

B

80/100

Utuqqanaat Inaat

Kotzebue, AK · Northwest Arctic County

CMS 3/5 18 beds Non-profit Medicaid
Nurse hours
7.61 /day
Staff turnover
74%
Serious cites
0

Utuqqanaat Inaat runs on a remarkably high level of nursing hours, 7.61 per resident day, roughly double the national average, and that shows up in its top staffing rating. Weekends dip only slightly below weekdays, so coverage stays fairly steady. The tradeoff is retention: turnover sits near 74%, well above the national figure, meaning many of the people providing that care are still new to the building. Inspections look clean on the serious end, eight deficiencies, none causing harm and none tied to abuse, with the most recent visit in late 2025 and a strong inspection rating. Nonprofit ownership, small size, and heavy staffing define this home; the churn is the thing to ask about.

B

80/100

Thousand Oaks Post Acute, Llc

Thousand Oaks, CA · Ventura County

CMS 3/5 123 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
40%
Serious cites
0

Thousand Oaks Post Acute runs on more nursing hours than most homes nationally, 4.10 per resident day against a 3.86 average, and its weekend coverage only dips about 10% below weekdays, which matters when families visit and needs don't pause for the calendar. Staff turnover sits at 39.6%, better than the 45.8% national figure, though still meaning roughly two in five caregivers changed over the year. The record isn't spotless: 37 deficiencies, including one at the harm level and one tied to abuse, plus a $20,703 fine. Its last inspection was April 2025, so the picture is recent. A for-profit LLC with solid staffing and mid-tier compliance issues is what you're weighing.

B

80/100

The Rowland

Covina, CA · Los Angeles County

CMS 2/5 126 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
14%
Serious cites
0

The Rowland runs on thin nursing coverage, 3.60 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. Turnover is strikingly low at 14% compared with the 45.8% national figure, so the people who are there tend to stay, though the inspection record is where the problems pile up: 69 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $30,421 fine. The most recent inspection was May 2025, so the record is current, and the quality measure score of 4 out of 5 stands in sharp contrast to the health inspection score of 1.

B

80/100

Guardian Care And Rehabilitation Center

Manteca, CA · San Joaquin County

CMS 2/5 176 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
32%
Serious cites
0

Guardian Care runs 176 beds in Manteca under corporate ownership, and its staffing is the one clear strength here: 3.96 nurse hours per resident day, slightly above the national average, with turnover at 31.7% against a national figure near 46%. Retention like that matters, though weekend coverage drops about 7% below weekday levels, so timing affects what you get. The inspection record is where the picture darkens, 64 deficiencies on file, including one at the harm level and five tied to abuse, with a 2-star health inspection rating. A recent August 2025 inspection means the record is current, not stale. Ask about those abuse deficiencies specifically before you decide.

B

80/100

Civita Care Center At Salmon Brook

Glastonbury, CT · Capitol County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
32%
Serious cites
0

Civita Care Center At Salmon Brook runs 130 certified beds under for-profit LLC ownership, and the staffing picture is its strong point: 4.21 nurse hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 7% below weekdays. Turnover sits at 31.8%, noticeably better than the 45.8% national figure. The trouble is the inspection record, a 1-out-of-5 health inspection rating, 81 deficiencies on file, including 10 abuse-related and 2 at the harm or jeopardy level, plus $24,164 in fines across two penalties. The most recent inspection was June 25, 2025. Good staffing and a clean quality measure score can't offset a history that heavy, so weigh that record carefully before deciding.

B

80/100

Ark Healthcare & Rehabilitation At Governors House

Simsbury, CT · Capitol County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
41%
Serious cites
0

Governors House runs 70 beds in Simsbury under for-profit LLC ownership, and its staffing sits at 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 40.7%, better than the 45.8% national figure, which matters because consistent caregivers know residents. Inspections look strong on the surface: 4 of 5 stars, most recent visit in December 2025. But the record carries 36 deficiencies, including one at harm level and four tied to abuse, a combination worth asking about directly before you decide.

B

80/100

Havencare At Hancock Hall

Danbury, CT · Western Ct County

CMS 5/5 96 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
45%
Serious cites
0

Havencare At Hancock Hall earns strong marks where inspections and care outcomes are measured, perfect 5/5 ratings on both, with no deficiencies at the harm or jeopardy level and a clean inspection as recent as May 2025. The catch is staffing. At 3.64 nurse hours per resident day, it runs about 6% under the national average, weekends dip roughly 8% below its own weekday coverage, and turnover sits near 45%. The 17 total deficiencies include two abuse-related findings, worth asking about directly. For-profit corporate ownership means you'll want to press on how consistently the floor is covered, especially Saturdays and Sundays.

B

80/100

Blue Palms Health And Rehabilitation Center Of Del

Deland, FL · Volusia County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
57%
Serious cites
0

Blue Palms runs a 60-bed for-profit home in Deland, and the numbers underneath its grade tell a mixed story. Nurse staffing sits at 3.72 hours per resident day, a bit under the national average of 3.86, and it drops about 11% on weekends, so coverage is thinnest exactly when families tend to visit. Annual turnover of 56.8% is well above the national 45.8%, meaning more than half the staff leaves each year, which matters for residents who rely on familiar faces. The good news: nine deficiencies on record, none at harm level and none abuse-related, with a recent April 2025 inspection and strong marks on quality measures.

B

80/100

Parkside At Budd Terrace Operating Company Llc

Atlanta, GA · De Kalb County

CMS 2/5 250 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
63%
Serious cites
0

Parkside at Budd Terrace runs 250 beds in Atlanta under for-profit LLC ownership, and the staffing picture is genuinely solid on paper, 4.48 nurse hours per resident day, about 16% above the national average, though weekends drop roughly 12% below its own weekday levels. The trouble shows up in turnover: 63.3% annually against a national 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. Inspections tell the harder story: a 1-out-of-5 health inspection rating, 37 deficiencies on record, three tied to abuse, and a survey just completed in April 2026. Strong quality scores and above-average weekday staffing sit alongside that inspection history, which is what makes this home hard to summarize in one word.

B

80/100

Frankfort Terrace

Frankfort, IL · Will County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
1.86 /day
Staff turnover
21%
Serious cites
0

Frankfort Terrace runs on 1.86 nurse hours per resident per day, roughly half the national figure of 3.86, and weekends drop another 14% below its own weekday level. That thin coverage sits behind a staffing star of 3/5. Turnover is genuinely low at 20.8% against a 45.8% national average, so the people who are there tend to stay, but there aren't enough of them. The current record shows 30 deficiencies, including one at harm or jeopardy level and one abuse-related, with an inspection last dated June 2024. Quality measures score 5/5, though strong chart numbers don't change how many hands are available at 2 a.m. or on a Sunday.

B

80/100

Compass Park

Franklin, IN · Johnson County

CMS 5/5 167 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
34%
Serious cites
0

Compass Park runs about 3.62 nurse hours per resident per day, roughly 6% under the national average of 3.86, and weekend coverage drops another 11% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The tradeoff is stability: turnover sits at 33.6% against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. A five-star inspection record with eight deficiencies, none causing harm and none abuse-related, and an inspection as recent as August 2025 backs that up. Quality measures score lower, so read the specifics behind that number rather than the star.

B

80/100

Peabody Retirement Community

North Manchester, IN · Wabash County

CMS 4/5 192 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
54%
Serious cites
0

Peabody Retirement Community runs 4.19 nurse hours per resident day, roughly 8% above the national average, and its quality measure rating sits at the top of CMS's scale. But the current inspection record carries 25 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with $22,071 in fines across two events. Staff turnover is 54.2%, well above the 45.8% national figure, and weekend staffing drops about 7% below the home's own weekday level. A nonprofit corporation operates the 192-bed building, and its last inspection was May 18, 2026. Strong quality scores and above-average staffing are real; so are the survey history and the churn.

B

80/100

George Ade Memorial Health Care Center

Brook, IN · Newton County

CMS 2/5 70 beds Government Medicaid
Nurse hours
3.53 /day
Staff turnover
31%
Serious cites
0

George Ade Memorial runs on county money, and the staffing reflects it: 3.53 nurse hours per resident day, about 9% under the national average, with weekends dipping another 9% below its own weekday level. Turnover is the one clear bright spot at 30.8%, well under the national 45.8%, so the aides and nurses who are there tend to stay. The tradeoff shows up in inspections, 26 deficiencies on the current record, one serious enough to involve harm or jeopardy, though nothing abuse-related, and the last survey was recent enough to trust. Quality measures score well; the hands-on care hours and the inspection history are where the gaps sit.

B

80/100

Adams Woodcrest

Decatur, IN · Adams County

CMS 5/5 143 beds Government Medicaid
Nurse hours
3.36 /day
Staff turnover
44%
Serious cites
0

Adams Woodcrest is county-owned, and that shows in the inspection record: two deficiencies total, none causing harm or jeopardy, none tied to abuse, and a survey completed just this past September. The quality measure and health inspection ratings both sit at the top of CMS's scale, which says a lot about how carefully this place is run day to day. Staffing is the trade-off. At 3.36 nurse hours per resident per day, it runs roughly 13% below the national average, and weekends dip about 12% below its own weekday levels, so coverage thins out when families tend to visit. Turnover, at 44.1%, is marginally better than the national figure.

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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