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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 1901–1920 of 4,510, best-graded first.

B

80/100

Clarkfield Care Center

Clarkfield, MN · Yellow Medcine County

CMS 4/5 30 beds Non-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
49%
Serious cites
0

Clarkfield Care Center runs 30 certified beds as a nonprofit, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average of 3.86. That edge narrows on weekends, when coverage drops about 8% below the home's own weekday level, so the weekday-to-weekend difference is worth asking about directly. Staff turnover lands at 48.6%, a few points above the national 45.8%, meaning nearly half the nursing staff turns over in a year. The current record shows nine deficiencies, none at the harm or jeopardy level and none abuse-related, with a recent inspection in April 2026 and four stars each on health inspections and staffing.

B

80/100

Gower Convalescent Center, Inc

Gower, MO · Clinton County

CMS 3/5 82 beds Non-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
17%
Serious cites
0

Gower Convalescent Center runs on a non-profit model with 82 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, and weekends dip roughly 11% below what the home staffs on weekdays, so families should ask who's actually on the floor on Saturdays and Sundays. What stands out is retention: 17.4% annual turnover against a national average near 46%, which suggests a stable crew that knows the residents. The tradeoff shows up in care quality, where CMS rates the home 2 out of 5, and the record carries 24 deficiencies, including 2 tied to abuse, though none reached harm or jeopardy.

B

80/100

Montana Veterans Home N H

Columbia Falls, MT · Flathead County

CMS 5/5 105 beds Government Medicaid
Nurse hours
5.68 /day
Staff turnover
43%
Serious cites
0

The Montana Veterans Home in Columbia Falls runs lean on turnover but heavy on care hours: 5.68 nurse staffing hours per resident day, roughly 47% above the national average, and its aide and nurse retention beats the typical U.S. facility. Weekends dip about 8% from weekday coverage, so families should ask who's on shift Saturday and Sunday. The trouble sits elsewhere. Fifteen deficiencies are on the current record, including one at the harm level and six tied to abuse, plus a single fine of $93,899. The last full inspection was July 2024, and the state runs the place. Strong staffing, real quality concerns, both are true here.

B

80/100

Community Memorial Health Center

Burwell, NE · Garfield County

CMS 2/5 64 beds Non-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
24%
Serious cites
0

Community Memorial Health Center runs on a non-profit model in Burwell, and its staffing is the strongest part of the picture: 3.98 nurse hours per resident day, just above the national average, with a 4-out-of-5 staffing rating. Turnover sits at 24.3%, roughly half the national rate, which matters for consistency of care. Weekends run about 14% leaner than weekdays, so ask how that plays out on Saturdays. The weaker spot is inspections, a 2-out-of-5 health inspection rating, 32 deficiencies on record, including two tied to abuse, though none reached harm or jeopardy level. The most recent inspection was February 2026, so the record is current.

B

80/100

Bethany Home, Inc

Minden, NE · Kearney County

CMS 2/5 64 beds Non-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
40%
Serious cites
0

Bethany Home runs on unusually strong staffing for a 64-bed nonprofit, 4.21 nurse hours per resident day, about 9% above the national average, and turnover at 40% sits below the 45.8% national figure. Weekends thin out roughly 13% against its own weekday coverage, so ask how that gap gets managed. The inspection record is the harder part: 19 deficiencies, none at harm or jeopardy level, but one tied to abuse, and just a 2-star health inspection rating with a 1-star quality measure score. June 2025 was the last full look. The people providing care appear to be the strength here; the paper trail is what a family should press on.

B

80/100

Hillcrest Country Estates-Cottages

Papillion, NE · Sarpy County

CMS 2/5 48 beds For-profit Medicaid
Nurse hours
4.77 /day
Staff turnover
69%
Serious cites
0

The staffing numbers look good on paper, 4.77 nurse hours per resident day, roughly a quarter above the national average, and the federal staffing rating backs that up. But 68.7% of staff turned over in a year against a national average near 46%, which means those hours are often delivered by people still learning the building, and weekend coverage drops about 11% below weekday levels. The inspection record shows 22 deficiencies with two tied to abuse, though none rose to actual harm or jeopardy, and the last state visit was April 2025. A for-profit LLC operation with that much churn is worth asking about directly.

B

80/100

Heartland Ridge Care Center

Lincoln, NE · Lancaster County

CMS 2/5 47 beds For-profit Medicaid
Nurse hours
5.12 /day
Staff turnover
78%
Serious cites
0

Heartland Ridge runs lean on one thing and heavy on another. Nurse staffing sits at 5.12 hours per resident day, roughly a third more than the national average, and weekends dip only slightly below weekdays, so coverage stays fairly steady. The catch is turnover: 77.6% of staff leave each year, well above the 45.8% norm, which means many of those hours come from people still learning the building. Inspections are the weak spot. Twenty-one deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy, and the last survey was in May 2025. This for-profit LLC is recently inspected and adequately staffed on paper; whether that holds depends on who stays.

B

80/100

Mountain View Care Center

Boulder City, NV · Clark County

CMS 4/5 87 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
47%
Serious cites
0

Mountain View Care Center runs 87 certified beds in Boulder City under for-profit LLC ownership, and the staffing picture is decent on paper: 4.03 nurse hours per resident day, roughly 4% above the national average. Weekends dip about 5% below the home's own weekday numbers, so coverage isn't perfectly level. Turnover sits at 47%, slightly above the 45.8% national figure, not alarming, but worth asking about. The current deficiency record shows 20 citations, none at harm or jeopardy level, though one is abuse-related. One fine totaling $3,174. The last inspection was December 2025, so the record is recent. A 4/5 on health inspections and quality measures, 3/5 on staffing, reflects a home that's solid but not exceptional.

B

80/100

Hanover Hill Health Care Center

Manchester, NH · Hillsborough County

CMS 4/5 124 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
37%
Serious cites
0

Hanover Hill runs on more nursing hours than the typical U.S. home, 4.06 per resident day against a national average of 3.86, and its staff tends to stay longer, with turnover at 36.9% versus roughly 46% nationally. Inspectors did cite eight deficiencies, one serious enough to involve harm or jeopardy, and fined the corporation $8,512; the last visit was in March 2026. Weekend coverage does dip about 12% below weekday levels, so ask how that plays out on a Sunday. For-profit ownership and a mid-range inspection record are worth weighing against the steadier staffing.

B

80/100

Tower Lodge Care Center

Wall, NJ · Monmouth County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
44%
Serious cites
0

Tower Lodge Care Center is a 60-bed for-profit home in Wall, and the numbers tell a mixed story. The state inspection record is solid: eight deficiencies on file, none at the harm or jeopardy level, nothing abuse-related, and a recent survey from September 2024 backs that up. Quality measures look equally strong. Where it slips is staffing. At 3.12 nurse hours per resident day, it's roughly 19% under the national average, and weekends run about 11% lighter than its own weekdays, that's when your family member is most likely to need someone. Turnover at 43.8% is slightly better than the national 45.8%, so workers aren't fleeing, there just aren't enough of them.

B

80/100

Leisure Chateau Rehabilitation

Lakewood, NJ · Ocean County

CMS 5/5 242 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
51%
Serious cites
0

Leisure Chateau runs 242 beds under for-profit LLC ownership, and the staffing numbers are where your attention should go. Nurses provide 3.73 hours per resident per day, a bit under the national average, and weekends drop roughly 10% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover sits at 51.2%, well above the 45.8% national figure, which means aides and nurses are cycling through fairly quickly. The inspection record is more reassuring: 21 deficiencies, none at the harm level, and a recent survey from March 2026. One abuse-related citation is on the books, though, so ask about that directly.

B

80/100

Fountainview Care Center

Lakewood, NJ · Ocean County

CMS 3/5 123 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
43%
Serious cites
0

Fountainview Care Center runs 123 beds in Lakewood, and its inspection record is the first thing to know: 18 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse. Ten fines totaling $48,186 back that up. The most recent inspection was in March 2025, so this isn't a stale record. Staffing sits at 3.38 hours per resident day, roughly 12% under the national average, and weekends run about 12% below its own weekday levels. Turnover at 42.6% is slightly better than the 45.8% national figure, which matters less than the thin daily coverage. Quality measures rate well, but survey findings carry the weight here.

B

80/100

Atrium Post Acute Care Of Wayne

Wayne, NJ · Passaic County

CMS 4/5 209 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
42%
Serious cites
0

Atrium Post Acute Care of Wayne runs 209 certified beds under for-profit LLC ownership, and its nurse staffing sits right at the national average, 3.85 hours per resident day against 3.86 nationally. Weekends dip about 6% below its own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. Staff turnover is 41.8%, a bit better than the 45.8% national figure. What pulls the record down is the inspection side: 23 deficiencies, including one at harm or jeopardy level and two tied to abuse, plus $14,507 in fines. The most recent inspection was February 2025, so the picture is fairly current. Quality measures score well; the survey history is where caution lives.

B

80/100

Preakness Healthcare Center

Wayne, NJ · Passaic County

CMS 2/5 406 beds Government Medicaid
Nurse hours
4.01 /day
Staff turnover
24%
Serious cites
0

Preakness Healthcare Center is county-owned and holds 406 beds, which makes it one of the larger homes in Passaic County. The staffing numbers are genuinely strong: 4.01 nurse hours per resident day, above the national average, and a 23.7% turnover rate that's roughly half the national figure, stable crews tend to know their residents. The problem is on the other side of the ledger. Thirty-five deficiencies on the current record, including one at the harm level and four tied to abuse, with a one-star health inspection rating. Weekend staffing also dips about 7% below its weekday level. Fines total $15,646, and the most recent inspection was January 2025. Ask about those abuse-related citations directly before you decide.

B

80/100

Mosholu Parkway Nursing & Rehabilitation Center

Bronx, NY · Bronx County

CMS 3/5 122 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
44%
Serious cites
0

Mosholu Parkway runs 122 beds under corporate ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average. Weekend coverage dips about 14% below its own weekday numbers, so the thinnest shifts land when families tend to visit. Turnover is 44.2%, close to the national figure, meaning aides and nurses cycle through at roughly the usual rate. What stands out is the inspection record: a 1-out-of-5 health inspection rating, 25 deficiencies, 7 of them abuse-related, none rising to harm or jeopardy. The 5-out-of-5 quality measure score reflects clinical metrics, not the survey findings. The last inspection was August 2024.

B

80/100

Windsor Park Rehab & Nursing Center

Queens Village, NY · Queens County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
19%
Serious cites
0

Windsor Park runs a 70-bed for-profit home in Queens Village, and the numbers pull in two directions. Nurse staffing sits at 4.04 hours per resident day, about 5% above the national average, and annual turnover of 19.4% is unusually low against a national rate near 46%, that kind of retention usually means aides and nurses stay long enough to know the residents. Weekends run about 10% leaner than weekdays, so care thins out on Saturdays and Sundays. The inspection record is where it gets hard to ignore: 14 deficiencies, five of them at harm or jeopardy level, four tied to abuse, and one fine of $306,240.

B

80/100

Ross Center For Nursing And Rehabilitation

Brentwood, NY · Suffolk County

CMS 3/5 135 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
28%
Serious cites
0

Ross Center runs 135 certified beds in Brentwood under for-profit LLC ownership, and its staffing sits about 11% under the national average at 3.42 nurse hours per resident per day. Weekends drop roughly another 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 27.9% against a national 45.8%, meaning the aides and nurses here tend to stay. The tradeoff shows up in oversight, 26 deficiencies on the current record, three tied to abuse, with the most recent inspection in January 2026 and a 2/5 health inspection rating. Quality measures score 5/5, but those come from resident assessments, not from how the place is actually run day to day.

B

80/100

Daleview Care Center

East Farmingdale, NY · Nassau County

CMS 4/5 142 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
33%
Serious cites
0

Daleview Care Center is a 142-bed for-profit home in East Farmingdale, and its numbers tell a mixed story. Nurse staffing runs about 3.64 hours per resident day, roughly 6% under the national average, with weekends around 10% thinner than weekdays, a gap that matters when families visit and needs don't pause. Turnover sits at 33.1%, notably better than the 45.8% national figure, so the people who are there tend to stay. The current record shows 22 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last inspection was in early 2025. Strong quality measures and a middling inspection history sit alongside thin staffing.

B

80/100

Central Island Healthcare

Plainview, NY · Nassau County

CMS 4/5 202 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
27%
Serious cites
0

Central Island Healthcare runs 202 beds in Plainview under for-profit LLC ownership, and its staffing sits at 3.63 nurse hours per resident day, about 6% under the national average of 3.86. Weekends dip roughly 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 26.8% against a national 45.8%, meaning aides and nurses here tend to stay. Inspections in June 2025 turned up 18 deficiencies, none at harm or jeopardy level, though two were abuse-related. Resident outcome measures score well; the inspection record is more mixed.

B

80/100

Park Gardens Rehabilitation & Nursing Center Llc

Riverdale, NY · Bronx County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
22%
Serious cites
0

Park Gardens runs lean on nursing hours, 3.02 per resident day against a national average of 3.86, roughly a fifth below. Weekends are thinner still, about 9% under its own weekday level, which matters most when families visit and emergencies tend to surface. What offsets that is consistency: turnover sits at 21.9%, less than half the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Eighteen deficiencies on record with none at harm level, one abuse-related, and a February 2026 inspection mean the state looked recently and found problems worth writing down, though nothing that rose to immediate jeopardy.

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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