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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 1961–1980 of 4,510, best-graded first.

B

80/100

Hereford Nursing & Rehabilitation

Hereford, TX · Deaf Smith County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
33%
Serious cites
0

Hereford Nursing & Rehabilitation runs 120 certified beds under individual for-profit ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average, with weekends running about 13% below its own weekday levels. Turnover is the bright spot: 32.6% against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record shows 14 deficiencies, none at the harm or jeopardy level, though three are abuse-related, which is worth asking about directly. A 4/5 on health inspections and quality measures, plus a recent August 2025 survey, suggests the care itself holds up, the thin weekend coverage is the piece to watch.

B

80/100

St James House Of Baytown

Baytown, TX · Harris County

CMS 5/5 105 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
46%
Serious cites
0

St. James House of Baytown runs 105 certified beds under corporate ownership, and its inspection record is genuinely strong, a 4-out-of-5 health inspection score, with the most recent survey completed in August 2025. The catch is what that record contains: 10 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $14,901. Staffing tells a similar story. Total nurse hours sit right at the national average, but weekend coverage drops about 10% below the home's own weekday level, and turnover runs slightly above the national rate. Quality measures score well; direct care staffing does not. Worth asking about weekend shifts and staff retention before you decide.

B

80/100

Calder Woods

Beaumont, TX · Jefferson County

CMS 3/5 46 beds Non-profit
Nurse hours
5.90 /day
Staff turnover
69%
Serious cites
0

Calder Woods runs on unusually heavy staffing for a nursing home, 5.90 nurse hours per resident day, roughly half again the national figure. That's a real advantage for daily care, and weekend coverage barely dips below weekday levels. The trouble sits elsewhere. Staff turnover is 69.1% against a national 45.8%, so the people delivering that care keep leaving. Inspections turned up 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a $14,069 fine. The last inspection was January 2026, so the record is current. It's a nonprofit home that's well-staffed but leaks workers and carries a meaningful citation load.

B

80/100

Mitchell County Nursing And Rehabilitation Center

Colorado City, TX · Mitchell County

CMS 3/5 54 beds Government Medicaid
Nurse hours
3.28 /day
Staff turnover
35%
Serious cites
0

Mitchell County Nursing and Rehabilitation Center runs on leaner nursing hours than most places, 3.28 per resident day against a national average of 3.86, and weekends get noticeably thinner, with staffing dropping roughly 45% below weekday levels. That pattern matters for families who visit on Saturdays and Sundays. The home is owned by a hospital district, which tends to mean steadier public accountability than a for-profit chain. Staff turnover sits at 35.3%, better than the 45.8% national figure, so the people caring for residents are more likely to stick around. Its inspection record shows 22 deficiencies, none at the harm level, though one is abuse-related, worth asking about directly. The most recent inspection was April 28, 2026, so the picture is current.

B

79.5/100

Plaza Healthcare

Scottsdale, AZ · Maricopa County

CMS 5/5 179 beds For-profit Medicaid
Nurse hours
5.84 /day
Staff turnover
48%
Serious cites
0

Plaza Healthcare in Scottsdale runs 179 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing: 5.84 total nurse hours per resident day, roughly half again the national average of 3.86. That cushion matters, though weekends dip about 16% below the home's own weekday coverage, so the weekday strength isn't perfectly even across the week. Turnover sits at 47.7%, a touch above the 45.8% national figure. The inspection record is clean at the serious end, seven deficiencies total, none at harm or jeopardy level, but two are abuse-related, which is worth asking about directly. State inspectors were last in on May 8, 2026.

B

79.5/100

Lawrence Hall Health & Rehabilitation

Walnut Ridge, AR · Lawrence County

CMS 3/5 110 beds Non-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
47%
Serious cites
0

Lawrence Hall runs on more nursing hours than most places, 4.78 per resident day, roughly a quarter above the national average, and that's where its strengths sit. Weekends thin out, though, running about 22% below the home's own weekday coverage, so a Saturday or Sunday shift won't look like a Tuesday. The 16 deficiencies on record include nothing flagged as harm or jeopardy and nothing abuse-related, and the most recent inspection closed in December 2024. Staff turnover lands at 47.3%, just above the national figure, and the quality measure rating sits at 2 out of 5, worth asking about, since it tracks how residents are actually doing, not just how many hands are on the floor.

B

79.5/100

Centre Avenue Health And Rehab Llc

Fort Collins, CO · Larimer County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
—
Serious cites
0

Centre Avenue Health And Rehab runs 90 certified beds in Fort Collins under for-profit LLC ownership, and its inspection record is genuinely strong, a 5/5 health inspection rating with the most recent survey in October 2024. The catch is staffing: 3.53 nurse hours per resident day sits about 9% under the national average of 3.86, and weekends dip roughly 9% below the home's own weekday levels. Six deficiencies appear on the current record, two of them serious enough to involve harm or jeopardy, though none are abuse-related. Quality measures score 5/5, so care outcomes look good on paper. The tension is real: excellent inspections and outcomes, thinner staffing than average. Ask about weekend coverage before deciding.

B

79.5/100

Birkwood Village Of Fort Madison

Fort Madison, IA · Lee County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
53%
Serious cites
0

Birkwood Village of Fort Madison runs 80 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.52 hours per resident day, roughly 17% above the national average of 3.86. That's a real strength. The catch is consistency: weekend staffing drops about 17% below its own weekday level, and annual turnover runs 52.5% against a national average of 45.8%. The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $3,145. Its last inspection was in April 2026, so the record is current, not stale.

B

79.5/100

Maple Crest Manor

Fayette, IA · Fayette County

CMS 3/5 46 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
43%
Serious cites
0

Maple Crest Manor runs 46 beds in Fayette under corporate ownership, and its staffing sits essentially at the national mark, 3.85 nurse hours per resident day against 3.86 nationwide. The catch is weekends, when coverage drops about 15% below what the home staffs on weekdays. Staff turnover of 43.2% is a little better than the 45.8% national figure, though still meaning nearly half the workforce turning over in a year. Inspections are current, the most recent in May 2025, and the record shows 8 deficiencies with none at the harm level and none abuse-related. A 4-star inspection rating with no serious findings is the strongest part of this picture.

B

79.5/100

English Valley Nursing Care Center

North English, IA · Iowa County

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

English Valley runs 44 beds in North English under corporate for-profit ownership, and its inspection record is genuinely strong, a single deficiency on the books, though it did rise to the harm level, and nothing abuse-related. The bigger thing to weigh is daily coverage: 3.12 nurse hours per resident, roughly 19% under the national average of 3.86, with weekends running about 7% thinner than weekdays. A five-star health inspection and four-star quality measures suggest the care itself is sound when surveyed, but thin staffing is what families feel on a Tuesday night, not on inspection day. The most recent survey was in January 2026.

B

79.5/100

Gregory Wing Of St Andrews Village

Boothbay Harbor, ME · Lincoln County

CMS 3/5 42 beds Non-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
—
Serious cites
0

Gregory Wing of St Andrews Village runs 42 certified beds as a nonprofit, and its nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average of 3.86. Weekends dip about 8% below its own weekday levels, so coverage tightens when it's hardest to fill shifts. The inspection record shows 27 deficiencies, one of them abuse-related, though none rose to harm or jeopardy; the last survey was in August 2025. Federal ratings put quality measures at 2 out of 5 stars, staffing and health inspections at 3 each. Good weekday staffing, a thinner weekend margin, and a mixed quality picture, worth asking about directly.

B

79.5/100

Coffman Nursing Home

Hagerstown, MD · Washington County

CMS 3/5 59 beds Non-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
41%
Serious cites
0

Coffman Nursing Home runs on a nonprofit model with 59 certified beds in Hagerstown, 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 cushion, though weekends dip about 16% below the home's own weekday levels, so coverage isn't perfectly even across the week. Staff turnover lands at 40.7%, a bit better than the 45.8% national figure. The inspection record is where things get more complicated: 45 deficiencies on file, none flagged at harm or jeopardy level, but three tied to abuse. The last inspection was July 2025. Quality measure scores come in at 2 out of 5 stars, which suggests the clinical outcomes data isn't keeping pace with the staffing picture.

B

79.5/100

Great Lakes Rehabilitation Center

Saginaw, MI · Saginaw County

CMS 2/5 55 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
—
Serious cites
0

Great Lakes Rehabilitation Center runs 55 certified beds in Saginaw under individual for-profit ownership, and its nurse staffing comes in at 4.42 hours per resident day, roughly 14% above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so the weekday numbers aren't quite what a family sees on a Saturday. The inspection record is the harder read: 39 deficiencies, three at harm or jeopardy level, one abuse-related, and a $21,244 fine, with the most recent inspection on January 14, 2026. CMS rates health inspections 2 out of 5 and staffing 2 out of 5, even as quality measures score 4 out of 5. Ask about that gap.

B

79.5/100

Gil-Mor Manor

Morgan, MN · Redwood County

CMS 2/5 35 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
—
Serious cites
0

Gil-Mor Manor runs 4.42 nurse hours per resident day, roughly 14% above the national average, and that shows up in a 4-out-of-5 staffing rating. Weekends dip about 11% below its own weekday levels, so coverage isn't perfectly even. The inspection record is the weaker part: 29 deficiencies on file, including one abuse-related citation, though none rose to harm or jeopardy, and the last survey was in July 2025. Quality measures sit at 2 out of 5. This is a small nonprofit home where the day-to-day nursing presence is a real strength, but the survey history is worth asking about directly before you decide.

B

79.5/100

Episcopal Church Home The Gardens

Saint Paul, MN · Ramsey County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
5.69 /day
Staff turnover
—
Serious cites
0

The Episcopal Church Home The Gardens carries a nurse staffing level of 5.69 hours per resident day, roughly 47% above the national average of 3.86, a real strength, though weekend coverage dips about 7% below its own weekday numbers. That staffing cushion sits against a less comfortable inspection record: 33 deficiencies on file, including one at the harm level and two tied to abuse, with the most recent inspection dated April 2026. As a nonprofit, it doesn't have a corporate chain pulling money out, but the health inspection rating of 2 out of 5 suggests the care environment hasn't consistently matched what the staffing numbers promise. Families should ask directly about those abuse-related findings and what changed after them.

B

79.5/100

Jefferson County Nursing Home

Fayette, MS · Jefferson County

CMS 3/5 60 beds Government Medicaid
Nurse hours
4.45 /day
Staff turnover
34%
Serious cites
0

Jefferson County Nursing Home is county-owned and runs 60 certified beds in Fayette, and its strongest suit is staffing: 4.45 nurse hours per resident day, about 15% above the national average, with turnover at 34% against a national 45.8%. Weekend coverage drops roughly 18% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. The health inspection record is solid, 4 of 5 stars, last inspected May 2025, but nine deficiencies sit on the current record, two of them abuse-related, and the quality measure rating is just 1 of 5. Ask directly how those abuse citations were resolved and what the low quality scores reflect.

B

79.5/100

Singing River Skilled Nursing Facility

Pascagoula, MS · Jackson County

CMS 4/5 54 beds Government
Nurse hours
8.11 /day
Staff turnover
57%
Serious cites
0

Singing River runs on unusually heavy nurse coverage, 8.11 hours per resident per day, roughly double the national figure, and weekends dip only about a quarter below its own weekday level, which matters because that's when many homes thin out most. But the record carries ten deficiencies, four of them at the level where harm or immediate jeopardy was possible, plus an abuse citation and $31,437 in fines across four events. Staff turnover sits at 57.1%, above the 45.8% national average, so the people delivering that strong daily staffing keep changing. County-owned, inspected in December 2025, with solid marks on inspection, quality, and staffing stars. The gap between those stars and the trouble on the deficiency record is the whole story here.

B

79.5/100

West Vue Nursing And Rehabilitation Center

West Plains, MO · Howell County

CMS 2/5 130 beds Non-profit Medicaid
Nurse hours
5.00 /day
Staff turnover
42%
Serious cites
0

West Vue runs on more direct nursing time than most homes in the country, five hours per resident per day against a national average near four, and its weekend coverage dips only modestly from weekday levels, which matters when families visit and notice who's actually on the floor. Staff turnover sits slightly under the national rate, and the home's last inspection was recent, with sixteen deficiencies on record but none flagged as harm or abuse. The weak spot is the quality measures, where the federal rating is poor, suggesting the day-to-day care numbers don't tell the same story as the staffing. It's a nonprofit with 130 beds, so the mixed picture is worth asking about directly.

B

79.5/100

Lacoba Homes Inc

Monett, MO · Barry County

CMS 5/5 79 beds Non-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
51%
Serious cites
0

Lacoba Homes runs a church-affiliated nonprofit in Monett with 79 beds, and its recent inspection history is the strongest thing it has going: a 5-out-of-5 health inspection rating and a survey completed in January 2026. The staffing picture is more mixed than the raw average suggests. Overall nurse hours come in around 12% above the national figure, but weekends drop roughly 19% below the home's own weekday coverage, and turnover sits at 51.4% against a national 45.8%. Ten deficiencies are on the current record, including one at the harm level and one tied to abuse. Strong inspections, thinner weekend coverage, and steady staff churn, that's the tradeoff to weigh.

B

79.5/100

Golden Age Living Center

Stover, MO · Morgan County

CMS 3/5 61 beds Non-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
51%
Serious cites
0

Golden Age Living Center runs on a nonprofit model with 61 certified beds in Stover, and the inspection record looks clean. Six deficiencies on file, none of them at the harm or jeopardy level, and the state's last visit was January 30, 2025. Staffing sits at 4.52 nurse hours per resident day, roughly 17 percent above the national average of 3.86, a real cushion, though weekends dip about 17 percent below the home's own weekday level, so coverage thins out when families tend to visit. Annual turnover runs 50.7 percent, a bit worse than the 45.8 percent national figure. One abuse-related deficiency is worth asking about directly.

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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