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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 4141–4160 of 10,881, best-graded first.

B

75.5/100

Monroe Health And Rehabilitation Center

Madisonville, TN · Monroe County

CMS 3/5 85 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
44%
Serious cites
0

Monroe Health And Rehabilitation Center runs on 3.07 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 16% below what the home staffs on weekdays. That thinner weekend coverage matters because the inspection record shows 16 deficiencies, three of them abuse-related, though none rose to actual harm or jeopardy. The last inspection was February 2026, so the picture is current. Turnover sits at 43.5%, slightly better than the national 45.8%, and resident quality measures score well even as the staffing and inspection ratings lag. For-profit, LLC-owned, 85 beds, ask about weekend coverage and those abuse-related findings directly.

B

75.5/100

Oakbend Medical Center

Rosenberg, TX · Fort Bend County

CMS 4/5 36 beds For-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Oak Bend Medical Center in Richmond is a small nonprofit home, 36 beds, and its inspection record is genuinely strong: a five-star health inspection rating, five deficiencies on file with none at the harm level and nothing abuse-related, and a survey completed in May 2025. Quality measures also come in at five stars. The problem sits in staffing, which CMS rates at just one star, the lowest tier, meaning nurse coverage here is well below what the federal formula expects for a building this size. That gap is what pulls the overall picture down despite the clean surveys. Three fines totaling $17,560 are also on record. If you tour, ask directly about direct-care hours per resident per day and how often shifts run short.

B

75.5/100

Pines Rehab & Health Center

Lyndonville, VT · Caledonia County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
59%
Serious cites
0

Pines Rehab & Health Center runs a 60-bed for-profit partnership in Lyndonville, and the numbers tell a mixed story. Nurse staffing sits at 4.42 hours per resident day, about 14% above the national average, but weekend coverage drops roughly 15% below the home's own weekday level, so care thins out when families tend to visit. Annual turnover of 58.8% is well above the 45.8% national figure, meaning the people at the bedside keep changing. On the plus side, the current record shows six deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in February 2026. Quality measure scores are the weak spot.

B

75.5/100

Fredericksburg Health And Rehab

Fredericksburg, VA · Spotsylvania County

CMS 2/5 177 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
—
Serious cites
0

Fredericksburg Health and Rehab is a 177-bed for-profit run by a limited liability company, and its numbers tell two different stories. The clinical quality measures look strong, but nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends run roughly 10% thinner than weekdays, which matters when families visit and needs don't pause. The inspection record is the bigger concern: 56 deficiencies on file, including one at the harm level and one tied to abuse, with the last full inspection back in October 2023. One fine totaling $9,311 has been issued. If you're considering this home, ask how they cover weekend shifts and what changed after that harm citation.

B

75.5/100

Autumn Care Of Chesapeake

Chesapeake, VA · Chesapeake City County

CMS 3/5 117 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
53%
Serious cites
0

Autumn Care of Chesapeake runs 117 beds under limited-liability, for-profit ownership, and the staffing picture is the weak spot. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 52.9% against a 45.8% national figure means the aides and nurses caring for residents are, on average, fairly new to the building. The tradeoff is that quality measures score well and its current record shows 43 deficiencies, none at harm or jeopardy level and none abuse-related, with its last inspection in December 2023.

B

75.5/100

Heritage Hall-Blackstone

Blackstone, VA · Nottoway County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
49%
Serious cites
0

Heritage Hall-Blackstone runs 180 certified beds under for-profit LLC ownership, and the staffing numbers are the part I'd pay closest attention to. At 3.43 nurse hours per resident day, it sits roughly 11% under the national average of 3.86, and weekends drop about 18% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.3% tops the national 45.8%, meaning the people caring for your relative are likely to change. Its current record shows 33 deficiencies, none at harm or jeopardy level but two tied to abuse. The last inspection was May 2023, so that picture is getting old.

B

75.5/100

Clarkston Health And Rehab Of Cascadia

Clarkston, WA · Asotin County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
23%
Serious cites
0

Clarkston Health and Rehab of Cascadia runs 90 certified beds under for-profit LLC ownership, and the staffing picture is mixed. At 3.47 nurse hours per resident day it sits about 10% under the national average of 3.86, and weekends drop roughly 16% below its own weekday coverage, so care thins out exactly when families tend to visit. What stands out more is retention: 22.5% annual turnover against a national average of 45.8% means this building keeps its nurses far better than most. The trouble is the inspection record, 53 deficiencies, 2 at harm or jeopardy level, 7 abuse-related, and a $32,711 fine, with the most recent look in August 2025. Strong quality scores and weak inspection history rarely tell the same story.

B

75.5/100

Americana Health And Rehabilitation

Longview, WA · Cowlitz County

CMS 4/5 74 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
33%
Serious cites
0

Americana Health and Rehabilitation runs 74 certified beds in Longview, and its nurse staffing sits just above the national average, 3.93 hours per resident day against 3.86. That margin is thin, and weekends dip roughly 15% below the home's own weekday coverage, so the question of when you visit matters. Staff turnover is 33.3%, well below the 45.8% national figure, which suggests people tend to stay. The trade-offs show up elsewhere: 20 deficiencies on record, one at harm or jeopardy level and two tied to abuse, plus a 2/5 quality measure rating against 4/5 for inspections and staffing. Ownership is for-profit corporate, and the most recent inspection was November 2025.

B

75.5/100

Seneca Trail Healthcare Center

Lewisburg, WV · Greenbrier County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
40%
Serious cites
0

Seneca Trail runs 3.37 nursing hours per resident day, roughly 13 percent under the national average, and weekends drop about 16 percent below its own weekday staffing. That thinner coverage shows up in the inspection record: 38 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $9,949 fine. Turnover at 40.3 percent is actually a little better than the 45.8 percent national figure, so the problem looks less like retention and more like how many hands are scheduled at once. The 5/5 quality measure score stands out against a 2/5 on both staffing and health inspections, which is worth asking about directly.

B

75.5/100

Wood Aven Health And Rehabilitation

Wausau, WI · Marathon County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
60%
Serious cites
0

Wood Aven's 3.90 nurse hours per resident day barely clears the national average of 3.86, roughly one percent, so its four-star staffing rating rests on thin ground. The bigger concern is turnover at 60.2%, well above the 45.8% national figure, and weekend staffing that drops about 16% below weekday levels, which matters most when families visit and residents need consistency. The inspection record shows 17 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey dated April 1, 2026. Quality measures score well, but a for-profit limited liability company with that turnover and those abuse-related findings is worth asking hard questions about before deciding.

B

75.5/100

Good Shepherd Health Care Center Of Santa Monica

Santa Monica, CA · Los Angeles County

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

Good Shepherd Health Care Center of Santa Monica is a 48-bed for-profit home where the clinical outcomes look strong but the hands-on care doesn't match. Its quality measure rating sits at the top of the scale, yet staffing lands at the very bottom, meaning the numbers families care about most, like how often residents are bathed or helped to the bathroom, depend on a thin crew. The inspection record backs that up: 48 deficiencies, including one causing actual harm and two tied to abuse, with a $8,424 fine and a February 2026 inspection that's recent enough to still reflect current conditions. A corporation owns it, so decisions about staffing levels get made somewhere other than Santa Monica.

B

75.5/100

Childrens Hc Org No Ca -Pediatric Hospital D/P Snf

Campbell, CA · Santa Clara County

CMS 5/5 27 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Childrens Hc Org No Ca is a small pediatric skilled nursing unit in Campbell, 27 beds, run by a for-profit limited liability company. Its last inspection, in July 2024, turned up 16 deficiencies, but none rose to the level of actual harm or jeopardy, and none involved abuse, the kind of paperwork and process findings that show up at plenty of otherwise solid homes. One fine on record, $3,145, is modest. Where this home separates itself is staffing and clinical measures, both of which score at the top of CMS's five-star scale. For a family weighing a pediatric placement, that combination, recent inspection, no harm-level findings, strong quality numbers, is worth a closer look than the deficiency count alone suggests.

B

75.5/100

Southern California Hosp At Culver City D/P Snf

Culver City, CA · Los Angeles County

CMS 2/5 21 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Southern California Hosp At Culver City D/P SNF runs just 21 certified beds as a for-profit LLC, and its staffing score sits at the bottom of the federal scale, families should expect thin coverage here. The inspection record backs that up: 33 deficiencies, three of them serious enough to cause harm, plus two tied to abuse. That's a lot for a home this small, and it suggests problems aren't isolated. The quality measure score looks strong on paper, but those numbers come from resident assessments, not from how the place is actually run day to day. A recent February 2026 inspection means the record is current, not stale.

B

75.5/100

Clyde Nursing Center

Clyde, TX · Callahan County

CMS 5/5 48 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
38%
Serious cites
0

Clyde Nursing Center runs a tight ship on inspections, a five-star health inspection rating, with the most recent visit in April 2025 turning up seven deficiencies, none of them causing harm or involving abuse. Where it slips is staffing: 3.19 nurse hours per resident day, roughly 17 percent under the national average, and weekends run about a fifth thinner than weekdays. That gap matters more than the raw number, since care doesn't pause on Saturdays. The one bright spot is retention, 38.2 percent turnover beats the national 45.8 percent, so the aides who are there tend to stay. For a 48-bed for-profit home, the pattern is familiar: solid care when inspected, stretched coverage day to day.

B

75.5/100

La Bahia Nursing & Rehabilitation

Goliad, TX · Goliad County

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

La Bahia runs a lean nursing floor: 2.95 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. The inspection record is strong on paper, a recent February 2026 survey, no deficiencies at the harm or jeopardy level, but 22 total deficiencies sit on the books, two of them abuse-related, and staffing carries just 2 out of 5 stars from CMS. Quality measures score the maximum, which reflects how well residents are being tracked and treated on paper, not how many hands are on the floor at 2 a.m. on a Saturday.

B

75.5/100

Treasure Hills Healthcare And Rehabilitation Cente

Harlingen, TX · Cameron County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
38%
Serious cites
0

Treasure Hills runs leaner on nursing hours than the typical American nursing home, about 3.59 hours per resident per day against a national average near 3.86. Weekends are where that gap widens most: staffing drops roughly 16% below the home's own weekday level, so Saturday and Sunday coverage looks noticeably thinner than midweek. Turnover sits at 37.7%, which is actually better than the 45.8% national figure, meaning the crew it does have sticks around longer than most. The inspection record is mixed, a recent December 2025 survey, no deficiencies flagged at harm or jeopardy level, but 24 total findings and five tied to abuse. Corporate-owned, 120 beds.

B

75.5/100

Goldthwaite Health & Rehab Center

Goldthwaite, TX · Mills County

CMS 2/5 94 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
40%
Serious cites
0

Goldthwaite Health & Rehab runs on a limited liability company that operates for profit, and the numbers show where the pressure lands. Nurse staffing sits at 2.80 hours per resident day, roughly 28 percent under the national average, and weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 39.5 percent is better than the national 45.8 percent, which matters for continuity, but the inspection record carries 19 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus a $32,545 fine. The most recent inspection was May 2026.

B

75.5/100

Legend Oaks Healthcare And Rehabilitation - Ennis

Ennis, TX · Ellis County

CMS 5/5 124 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
36%
Serious cites
0

Legend Oaks in Ennis is run by the local hospital district and holds a five-star health inspection rating, which tells you the building itself is well-kept and the last inspection, in February 2025, went well. The trouble sits in the day-to-day staffing: 3.18 nurse hours per resident, roughly 18% under the national average, with weekends about 20% thinner than weekdays. That's a real gap when a resident needs help. Turnover is 36%, better than the national 45.8%, so the aides who are there tend to stay. Thirteen deficiencies on record, one at harm level, and a single $13,275 fine. Good oversight, thin coverage.

B

75.5/100

Park Manor Of The Woodlands

The Woodlands, TX · Montgomery County

CMS 4/5 124 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

Park Manor Of The Woodlands runs 124 certified beds under corporate for-profit ownership, and the numbers here are mostly steady. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, though weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.6%, slightly better than the national rate, and the home's 12 deficiencies include none at the harm or jeopardy level and none related to abuse. Its last inspection was in November 2025, so the record is recent. Nothing here screams trouble; the main thing to watch is whether weekend coverage holds up.

B

75.5/100

Heritage House At Paris Rehab & Nursing

Paris, TX · Lamar County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
46%
Serious cites
0

Heritage House runs about 3.40 nurse hours per resident day, roughly 12% under the national average, and weekend coverage drops another 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. The 46 deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, sit alongside a 2-out-of-5 inspection rating, though the quality measure score of 4 suggests the clinical numbers they report look better than the inspection history does. Turnover at 46.3% is essentially the national rate, meaning staffing churn isn't unusually bad here, just the raw hours that fall short.

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.

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