4,510 Independent Nursing Homes in the United States

Nurse hours

— /day

Staff turnover

29%

Serious cites

0

Haskell Care Center runs 58 beds under limited-liability, for-profit ownership, and its last inspection was in September 2024. The inspection history is the heaviest part of the picture: 26 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. Fines total $3,422 across a single penalty. Staff turnover sits at 29%, which is better than the national average of 45.8%, so the workforce here is more stable than most. The tension is in the federal star ratings, quality measures come in at 4 out of 5, but staffing is 1 out of 5, meaning the people who stay tend to be consistent while the daily hours of care remain thin.

Nurse hours

3.27 /day

Staff turnover

44%

Serious cites

0

Sunset Estates Of Purcell runs 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage slips about 4% below its own weekday levels. That's a real gap if your family member needs frequent help on Saturdays and Sundays. Turnover sits at 43.8%, a bit better than the 45.8% national figure, and the current record shows 18 deficiencies with none at the harm or jeopardy level and none abuse-related. The last inspection was November 2024, and the health inspection rating came in at 4 out of 5, stronger than its staffing and quality marks. This is a corporation-owned, 69-bed home that inspects well but runs lean on direct care hours.

Nurse hours

4.24 /day

Staff turnover

54%

Serious cites

0

The Wolfe Living Center runs on more nursing hours than most places, 4.24 per resident day against a national average of 3.86, and weekend staffing actually holds slightly above its own weekday levels, which is not typical. The trade-off shows up in turnover: 54.4% of staff leave each year, well above the 45.8% national figure, so the coverage is there but the faces change. Its current record carries 12 deficiencies, including 3 tied to abuse, though none rose to the harm or jeopardy level. Inspectors were last in on April 1, 2025, and the quality measure score sits at 2 out of 5. Church-affiliated nonprofit ownership, 48 beds.

Nurse hours

4.92 /day

Staff turnover

27%

Serious cites

0

Summers Healthcare runs lean in a good way on nurse hours, 4.92 per resident day against a national average of 3.86, and its staff turnover of 27.3% sits well under the national 45.8%, which matters when you want the same faces showing up each week. But staffing dips about 8% on weekends, and the inspection record carries eight deficiencies, including one at the harm level and one tied to abuse, with a $13,627 fine attached. The most recent state visit was September 2024, so the picture is fairly current. A 48-bed for-profit owned by an individual, it looks strongest on retention and weakest on the serious findings.

Nurse hours

5.27 /day

Staff turnover

50%

Serious cites

0

Robison Jewish Health Center in Portland runs 92 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 5.27 hours per resident day, roughly 37% above the national average of 3.86. That's a real margin, though weekend coverage drops about 11% below its own weekday level, and annual turnover of 49.5% runs slightly above the 45.8% national figure. The harder question is the inspection record: 32 deficiencies, three at harm or jeopardy level, one abuse-related, plus two fines totaling $48,520 against a two-star health inspection rating, with the most recent survey in September 2025. Strong staffing and quality scores can coexist with serious compliance problems, here, both are true at once.

Nurse hours

4.40 /day

Staff turnover

48%

Serious cites

0

Buffalo Valley Lutheran Villag runs a solid B, and the staffing numbers explain why. At 4.40 nurse hours per resident day, it's about 14% above the national average of 3.86, that's real coverage, though weekends dip roughly 6% below its own weekday level, so ask about Saturday and Sunday shifts specifically. Turnover sits at 47.5%, just above the national 45.8%, meaning nearly half the nursing staff turns over annually. The 37 deficiencies on record include two abuse-related citations, but none at the harm or jeopardy level, which matters. Inspectors were last on site in September 2025, so the record is fairly current.

Nurse hours

4.56 /day

Staff turnover

65%

Serious cites

0

Wesley Enhanced Living - Doylestown runs 60 certified beds under nonprofit ownership, and the staffing numbers are genuinely strong: 4.56 nurse hours per resident day, roughly 18% above the national average of 3.86. Weekends dip about 7% below its own weekday coverage, which is worth asking about if your family member needs more hands-on help on Saturdays and Sundays. The bigger concern is turnover, 65.3% annually against a national average of 45.8%, meaning most of the people caring for residents in a given year are relatively new. Inspections look solid: five deficiencies on record, none at harm or jeopardy level, none abuse-related, with the most recent survey in March 2026.

Nurse hours

3.74 /day

Staff turnover

57%

Serious cites

0

Cedar Hill runs 150 certified beds in Coraopolis under individual for-profit ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.74 hours per resident day, about 3% under the national average, and weekends drop roughly 9% below the home's own weekday coverage. Staff turnover is the bigger flag: 57.2% annually against a 45.8% national average. The inspection record is where the tension shows. CMS gives the home two stars for health inspections, with 47 deficiencies on file, none at harm or jeopardy level, but four tied to abuse. That contrasts sharply with its five-star quality measures and four-star staffing. The most recent inspection was August 28, 2025, so the record is current. Quality metrics look strong here; the inspection history and turnover are what a family should ask about directly.

Nurse hours

4.14 /day

Staff turnover

43%

Serious cites

0

The Williamsport Home runs 4.14 total nurse staffing hours per resident day, roughly 7% above the national average of 3.86, a real edge, though weekend coverage dips about 11% below its own weekday levels, so the weekday-to-weekend gap is worth asking about directly. Its 31 deficiencies include zero at the harm or jeopardy level, but two abuse-related citations appear on the record, which is the kind of finding you'd want to understand before deciding. Staff turnover sits at 43%, slightly better than the 45.8% national figure, and the last inspection was recent at January 29, 2026. As a nonprofit, it answers to a mission rather than shareholders, which tends to show up in staffing consistency over time.

Nurse hours

3.33 /day

Staff turnover

28%

Serious cites

0

Elmwood runs leaner on nursing hours than most homes, 3.33 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 12% below the home's own weekday coverage. That's the kind of pattern families notice on a Saturday afternoon when call lights take longer to answer. Staff turnover sits at 27.5%, well under the national 45.8%, which means the people caring for residents tend to stick around. Eighteen deficiencies appear on the current record, none at the harm level, though one is abuse-related. A September 2025 inspection is recent, and the 2/5 quality measure rating is the number worth asking about on a tour.

Nurse hours

4.22 /day

Staff turnover

32%

Serious cites

0

Musc Health Chester Nursing Center runs on a nonprofit model with 80 certified beds, and its nurse staffing comes in at 4.22 hours per resident day, roughly 9% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 31.5%, well under the national 45.8%, which suggests people tend to stay. The current record shows 7 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Quality measure scores run lower than the staffing and inspection ratings, so it's worth asking where those gaps show up in daily care.

Nurse hours

4.36 /day

Staff turnover

35%

Serious cites

0

Overton County Health and Rehab Center runs on county government ownership, and the numbers show a home that's mostly steady. Nurse staffing sits at 4.36 hours per resident day, about 13% above the national average, with weekend coverage barely dipping below weekday levels, and turnover at 35.1% is well under the 45.8% national figure, which suggests people stick around. The record is clean where it counts: five deficiencies total, none at the harm level and none tied to abuse, with an inspection as recent as May 2025. The softer spot is quality measures, where the home scores 2 out of 5, so ask what specific conditions are driving that before you decide.

Nurse hours

4.78 /day

Staff turnover

35%

Serious cites

0

Truman W Smith Children's Care Center runs 4.78 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 35% beats the 45.8% national figure. Weekend coverage dips about 14% below weekday levels, though, so care may thin out on Saturdays and Sundays. The home has 13 deficiencies on record, none involving harm or abuse, and it was inspected as recently as November 2025. What pulls the grade down is the staffing star rating of 2 out of 5, even as health inspections and quality measures both score 5.

Nurse hours

5.62 /day

Staff turnover

51%

Serious cites

0

Arthur B Hodges Center runs just 20 certified beds in Charleston, and the nurse staffing here is the headline: 5.62 hours per resident day, roughly 46 percent above the national average of 3.86. Weekend coverage dips about 13 percent below its own weekday levels, and turnover sits at 51.4 percent against a national 45.8, so the people caring for residents keep changing even though the hours are there. Inspections look strong, a 5-star health inspection rating, last visit in June 2025, and 16 deficiencies on record with none at the harm or jeopardy level and none abuse-related. The 1-star quality measure rating is the outlier worth asking about directly.

Nurse hours

4.92 /day

Staff turnover

50%

Serious cites

0

Juliette Manor runs about 4.92 nurse hours per resident each day, roughly 27% above the national average, which is why it earns a five-star staffing mark from CMS. That advantage narrows on weekends, when coverage drops about 14% below its own weekday level. The record isn't clean: 13 deficiencies, including one at the harm level and five tied to abuse, alongside a 50% annual turnover rate that runs slightly above the national 45.8%. State inspectors were last in on February 5, 2025. So you have a nonprofit home with strong weekday staffing and recent scrutiny finding real problems, worth asking about directly before you decide.

Nurse hours

4.36 /day

Staff turnover

36%

Serious cites

0

Rolling Hills Rehab Center is county-owned, which usually means steady funding rather than a corporate owner squeezing margins, and the staffing numbers back that up: 4.36 nurse hours per resident day, roughly 13% above the national average, with weekend coverage dipping only about 4% below weekdays. Turnover sits at 35.9%, well under the national 45.8%. The catch is quality and oversight. Two stars on health inspections and two on quality measures, plus 27 deficiencies on the current record, seven tied to abuse, though none reached harm or jeopardy level. The last inspection was February 2025, so the record is recent. Strong hands on deck, uneven results on the floor.

Nurse hours

4.89 /day

Staff turnover

41%

Serious cites

0

Brookside Care Center runs on 4.89 nurse hours per resident day, roughly a quarter more than the national average, which is where its staffing rating comes from. Weekend coverage drops about 10% from weekday levels, so the cushion thins out on Saturdays and Sundays. Turnover sits at 41.4%, a bit better than the 45.8% national figure, and the health inspection rating is solid at 4 out of 5. The record isn't clean, though: nine deficiencies, two of them at the harm or jeopardy level and two tied to abuse. Two fines total $44,970, with the last inspection in November 2024.

Nurse hours

5.51 /day

Staff turnover

44%

Serious cites

0

Oakwood Village East runs lean on problems and heavy on staff, 5.51 nurse hours per resident day, well above the national average, with turnover slightly better than typical. But the inspection record tells a different story: 18 deficiencies logged, including three tied to abuse and one at the harm level, and a single fine of $326,260. That's a serious penalty, not a paperwork slip. Weekend staffing dips about 8% below weekdays, so coverage isn't perfectly even. The most recent inspection was in July 2025, so the record is current. If you're considering this home, ask directly about those abuse-related findings and what changed since.

Nurse hours

4.20 /day

Staff turnover

48%

Serious cites

0

The county runs this 46-bed home in Menomonie, and the inspection record is genuinely strong, five stars, with the most recent survey done in March 2026. Staffing is where it separates itself too: 4.20 nurse hours per resident day, roughly 9% above the national average, with weekends dipping only about 7% below weekdays. The caveats are real, though. Thirteen deficiencies sit on the current record, including one at the harm or jeopardy level and four tied to abuse. Quality measures score just 2 out of 5, and turnover runs 47.5% against a national 45.8%, slightly worse than average, meaning the good staffing numbers take constant work to sustain. So: well-inspected, well-staffed on paper, with a small cluster of serious findings and clinical quality scores that don't match the rest of the picture.

Nurse hours

4.29 /day

Staff turnover

47%

Serious cites

0

Carriage House Manor runs 144 certified beds in Sulphur Springs under individual for-profit ownership. Its 4.29 nurse staffing hours per resident day sit about 11% above the national average of 3.86, and weekends dip roughly 13% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 46.9%, essentially tracking the national 45.8%. The inspection record shows 26 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. CMS gives it 4 stars for health inspections and 4 for staffing, 3 for quality measures.