ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

10,881 For-Profit Nursing Homes in the United States

10,881 of the 14,697 Medicare-certified nursing homes in the United States (74%) are for-profit, and all are listed below. They average 3.69 nursing hours per resident per day, 0.17 hours below the 3.86 for every home in the United States. Nurse staff turnover runs 47.2%, 1.4 points higher than the 45.8% across all homes there. Acacia Health Center in Phoenix grades highest at A (99 out of 100).

How for-profit 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

3.69

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

47.2%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

71.5/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C
D

1,229 grade A, 5,100 grade B, 3,594 grade C, 930 grade D, 1 grade F

The best-graded for-profit home in the United States is Acacia Health Center in Phoenix, AZ — grade A, 99/100.

Every for-profit nursing home in the United States

Showing 4101–4120 of 10,881, best-graded first.

B

75.5/100

The Orchards At Lapeer

Lapeer, MI · Lapeer County

CMS 2/5 87 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
—
Serious cites
0

The Orchards At Lapeer runs on a thin staffing margin: 3.22 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday level. That squeeze shows up in the federal stars, where staffing and health inspections both sit at 1 out of 5. The inspection record carries 47 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related. One bright spot: the quality measure rating is 5 out of 5, and the most recent inspection was in March 2026, so the record is current rather than stale. The gap between that quality score and everything else is worth asking about on a tour.

B

75.5/100

Louisville Healthcare Llc

Louisville, MS · Winston County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
42%
Serious cites
0

Louisville Healthcare runs 4.63 nurse hours per resident day, about 20% above the national average, and its staff turnover of 41.9% is a bit better than typical. The catch is weekends, when staffing drops roughly 22% below its own weekday level, the period when families often visit and problems surface. Inspectors cited 13 deficiencies, two serious enough to put residents at risk of harm, and the quality measure rating sits at 1 out of 5. A single fine of $8,788 isn't huge, but combined with the inspection record, it suggests a home where adequate weekday staffing is doing battle with uneven care.

B

75.5/100

Heritage Hall Nursing Center

Centralia, MO · Boone County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
63%
Serious cites
0

Heritage Hall runs about 3.26 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekend coverage drops another 20% below its own weekday levels. Staff turnover sits at 62.8% against a national 45.8%, so aides and nurses are cycling through faster than at the typical home. What keeps this one from sinking is its inspection record: nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent survey in August 2025 and four-star marks across health inspections, quality measures, and staffing. It's a corporation-owned, 60-bed building that looks solid on paper but asks a lot of a thin, churning workforce.

B

75.5/100

Heritage Nursing Center - Skilled Nursing By Ameri

Kennett, MO · Dunklin County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
40%
Serious cites
0

Heritage Nursing Center runs 3.93 nurse hours per resident day, a touch above the national average of 3.86, and its 40.4% turnover beats the 45.8% norm, both signs of a stable floor. Weekends are the soft spot: staffing drops roughly 18% below its own weekday level, so coverage thins when families tend to visit. The inspection record shows 11 deficiencies with none at harm level, though one is abuse-related, and the last survey was February 2026. Quality measure scores sit at 2 of 5 stars, which suggests the clinical outcomes data isn't keeping pace with the staffing picture.

B

75.5/100

Monroe City Manor Care Center

Monroe City, MO · Marion County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
37%
Serious cites
0

Monroe City Manor runs 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 36.8% sits well below the national 45.8%, people tend to stay here. Weekends thin out, though, dropping about 16% below weekday coverage, and the quality measure rating comes in at just 1 out of 5, which is the number worth asking about. Inspections in August 2025 turned up 10 deficiencies, one serious enough to involve harm or jeopardy, plus a $24,408 fine. The staffing is genuinely solid; the clinical outcomes and that one harm-level finding are where the concerns live.

B

75.5/100

Wedgwood Gardens Care Center

Freehold, NJ · Monmouth County

CMS 4/5 151 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
36%
Serious cites
0

Wedgwood Gardens runs lean on nursing hours, 2.99 per resident day against a national average of 3.86, roughly a fifth below what Medicare considers typical. Weekends thin out further, dropping about 18% from the home's own weekday staffing, so a Saturday shift looks noticeably different from a Tuesday one. Retention is a genuine bright spot: 35.8% turnover beats the 45.8% national figure, meaning caregivers here tend to stay longer than at the average home. The tradeoff shows up on the health inspection side, where 11 deficiencies include one serious enough to trigger a harm or jeopardy finding. That single citation carries more weight than the count suggests, and it's worth asking management directly what happened and what changed since the March 2025 survey.

B

75.5/100

Schenectady Center For Rehabilitation And Nursing

Schenectady, NY · Schenectady County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
52%
Serious cites
0

Schenectady Center runs 240 beds under corporate ownership, and its last health inspection in August 2025 turned up 29 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 15% below the home's own weekday coverage. Annual turnover of 51.8% tops the national 45.8% average, which matters when consistent caregivers are the ones who notice changes first. The five-star quality measure score stands out against a one-star inspection record and two-star staffing, so ask how those clinical numbers hold up when the building is short-staffed.

B

75.5/100

Waterview Nursing Care Center

Flushing, NY · Queens County

CMS 3/5 200 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
31%
Serious cites
0

Waterview Nursing Care Center runs 200 beds in Flushing under corporate ownership, and its staffing numbers are the first thing to look at. At 3.16 nurse hours per resident day, it sits roughly 18 percent under the national average, and weekends drop about 15 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot at 31.1 percent, well under the national 45.8 percent, which suggests the staff who are there tend to stay. The current record shows 19 deficiencies, none at harm or jeopardy level, but four tied to abuse, and the last inspection was December 2024.

B

75.5/100

Roscoe Regional Rehab & Residential H C F

Roscoe, NY · Sullivan County

CMS 2/5 85 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
56%
Serious cites
0

Roscoe Regional Rehab runs 85 certified beds under for-profit LLC ownership, and its staffing tells the clearest story here. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends drop roughly 23% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover of 55.7% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are often new to the building. The inspection record shows 16 deficiencies with none at harm or jeopardy level and none abuse-related, and the last survey was recent, in August 2025.

B

75.5/100

The Hurlbut

Rochester, NY · Monroe County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
51%
Serious cites
0

The Hurlbut runs a 160-bed for-profit home in Rochester, and its nurse staffing sits at 3.34 hours per resident day, roughly 14 percent under the national average. Weekends thin out further, running about 20 percent below its own weekday coverage, so the hours when families tend to visit are also the hours with the fewest nurses on the floor. Staff turnover is 51.2 percent against a national 45.8, meaning more than half the nursing staff turns over each year. Its record shows 13 deficiencies, none at the harm level, one tied to abuse, with the last inspection on July 31, 2025.

B

75.5/100

Absolut Ctr For Nursing & Rehab Endicott L L C

Endicott, NY · Broome County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
55%
Serious cites
0

Absolut Center in Endicott runs 160 certified beds under for-profit LLC ownership, and its numbers are a mixed bag worth reading carefully. Nurse staffing sits at 3.82 hours per resident day, just under the national average, but the bigger issue is weekends, coverage drops roughly 22% below what the home staffs on weekdays, which matters if you're thinking about Saturday or Sunday care. Annual turnover hits 55.2%, well above the 45.8% national figure, so aides and nurses cycle through faster than typical. The inspection record shows 21 deficiencies, none at harm level, though one is abuse-related. Its last full inspection was October 31, 2024, so the record is reasonably current. Quality and staffing measures both score 4 out of 5, while inspections land at 3.

B

75.5/100

Sunnyside Care Center

East Syracuse, NY · Onondaga County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
60%
Serious cites
0

Sunnyside Care Center runs 80 certified beds in East Syracuse under for-profit LLC ownership, and its 3.83 nurse staffing hours per resident day sit just under the national average of 3.86, close enough that the bigger story is how those hours are distributed. Weekend staffing drops roughly 22% below the home's own weekday level, and annual turnover hits 60.4% against a national 45.8%, so families should ask who's actually on the floor on a Saturday. The inspection record carries 26 deficiencies, including two tied to abuse, though none reached harm or jeopardy level; the most recent inspection was September 12, 2025. Quality measures score well, but staffing consistency and turnover are the numbers worth pressing on during a visit.

B

75.5/100

Plattsburgh Rehabilitation And Nursing Center

Plattsburgh, NY · Clinton County

CMS 4/5 89 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
55%
Serious cites
0

Plattsburgh Rehabilitation and Nursing Center runs 89 certified beds under corporate for-profit ownership, and its inspection record shows 21 deficiencies with none rising to actual harm or jeopardy, a meaningful distinction, since most citations here are paperwork and process issues rather than resident injuries. Three abuse-related deficiencies still stand out on that list. Nurse staffing sits at 3.46 hours per resident day, roughly 10 percent under the national average, and weekends drop about 18 percent below the home's own weekday coverage. Annual turnover of 55.1 percent tops the national 45.8 percent, so aides and nurses cycle through faster than average. Its last inspection was October 2024, and CMS gives it four stars each for health inspections, quality measures, and staffing.

B

75.5/100

Pine Haven Home

Philmont, NY · Columbia County

CMS 5/5 128 beds For-profit Medicaid
Nurse hours
2.57 /day
Staff turnover
43%
Serious cites
0

Pine Haven runs on noticeably thin nursing coverage: 2.57 nurse hours per resident day against a national average of 3.86. Weekends are thinner still, roughly 17 percent below the home's own weekday staffing, so the hours when families visit are often the leanest. Turnover sits at 43.2 percent, a bit better than the 45.8 percent national figure, and the record shows 13 deficiencies with none at harm level. The catch is one abuse-related citation, which matters more than the count suggests. Inspections are recent and the quality measures look strong, but the staffing number is the one to weigh hardest.

B

75.5/100

Wellsville Manor Care Center

Wellsville, NY · Allegany County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
42%
Serious cites
0

Wellsville Manor runs 120 beds under corporate ownership, and its last state inspection in June 2024 came back clean at the harm level, no deficiencies there, which matters more than the raw count of 11. Two of those are abuse-related, so ask about those specifically. Nurse staffing sits at 3.66 hours per resident day, a bit under the national 3.86, and weekends run roughly a fifth thinner than weekdays, which is when families tend to visit and notice. Turnover at 42.1% is slightly better than the national 45.8%, but that still means a lot of unfamiliar faces. The inspection history looks strong; the quality measures and weekend coverage are where I'd push for answers.

B

75.5/100

Harris Hill Nursing Facility, L L C

Williamsville, NY · Erie County

CMS 5/5 192 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
53%
Serious cites
0

Harris Hill runs a 192-bed for-profit home in Williamsville with strong inspection and quality scores, 4 and 5 stars from CMS, and no deficiencies at the harm level. That part of the record is genuinely clean. The staffing side tells a different story. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly another 18% below its own weekday levels. Annual turnover of 53.2% runs well above the 45.8% national figure, which matters because consistent caregivers know residents. Fourteen deficiencies are on the current record, one abuse-related. The last inspection was April 21, 2026, so the findings are recent.

B

75.5/100

Adira At Riverside Rehabilitation And Nursing

Yonkers, NY · Westchester County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
25%
Serious cites
0

Adira At Riverside runs 4.24 nurse hours per resident day, roughly 10% above the national average, and its staff turnover of 25% is well below the 45.8% norm, a sign people tend to stay. The catch is the inspection record. Twenty-four deficiencies, two of them serious enough to put residents at risk of harm, drew a single $66,859 fine and a one-star health inspection rating. Quality measures score 5/5, but weekend staffing drops about 16% below weekdays, so care thins out exactly when families visit. Good staffing and low turnover, real trouble on inspections, worth asking what those two harm-level citations involved before deciding.

B

75.5/100

Mountain Ridge Rehabilitation And Healthcare Cente

Black Mountain, NC · Buncombe County

CMS 1/5 97 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
42%
Serious cites
0

Mountain Ridge runs on 3.47 nurse staffing hours per resident day, roughly 10% under the national average, and weekends drop about 16% below what the home staffs on weekdays. The inspection record shows 11 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $16,152; the most recent inspection was May 30, 2025. Staff turnover sits at 42%, a bit better than the 45.8% national figure, and the quality measure rating is strong at 4 out of 5. But a 1-out-of-5 inspection rating and 2-out-of-5 staffing rating carry more weight when you're choosing care.

B

75.5/100

Pruitthealth-Elkin

Elkin, NC · Surry County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
32%
Serious cites
0

Pruitthealth-Elkin runs 100 beds under corporate for-profit ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends thin out further, roughly 15% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is the bright spot: 31.5% against a national 45.8% means aides and nurses tend to stick around longer here than at the typical home. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $15,734, with the most recent state visit in June 2025.

B

75.5/100

Fleshers Fairview Health Care

Fairview, NC · Buncombe County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
46%
Serious cites
0

Fleshers Fairview Health Care runs 106 certified beds in Buncombe County under corporate for-profit ownership, and the staffing numbers look strong on paper, 3.96 nurse hours per resident day, slightly above the national average. But weekends drop about 15% below the home's own weekday coverage, and staff turnover sits at 46.2%, essentially matching the national rate. The real concern is the inspection record: 38 deficiencies, six of them serious enough to put residents in harm's way, plus two abuse-related findings and $61,321 in fines. The most recent inspection was in September 2025, so the record is current, not stale. Strong staffing and a difficult regulatory history are both true here.

Frequently asked questions

How many for-profit nursing homes are there in the United States?
There are 10,881 for-profit Medicare-certified nursing homes in the United States, 74% of the 14,697 nursing homes there.
Are for-profit nursing homes better staffed?
In the United States they average 3.69 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of -0.17 hours. Staff turnover averages 47.2% against 45.8%.
Which for-profit nursing home grades best in the United States?
Acacia Health Center in Phoenix, AZ — grade A, 99 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 10,854 graded for-profit homes in the United States, 1,229 grade A and 931 grade D or F.
Do for-profit nursing homes in the United States accept Medicaid?
10,636 of the 10,881 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist