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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 5581–5600 of 10,881, best-graded first.

B

72/100

Hallmark Healthcare Center

Summerville, SC · Dorchester County

CMS 3/5 88 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
22%
Serious cites
0

Hallmark Healthcare Center runs 88 certified beds in Summerville under corporate for-profit ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. The good news: turnover is 22.2%, well below the 45.8% national figure, meaning the caregivers you meet are more likely to still be there next year. Eighteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026.

B

72/100

Nhc Healthcare, Smithville

Smithville, TN · De Kalb County

CMS 3/5 114 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
42%
Serious cites
0

Nhc Healthcare, Smithville runs 114 certified beds under corporate for-profit ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That gap looks small, but weekends run about 12% thinner than weekdays, which matters when a resident needs help on a Sunday. Staff turnover is 42.2%, a bit better than the 45.8% national figure, not a crisis, but roughly two in five employees still leave each year. The inspection record is where the real weight sits: 10 deficiencies, three at harm or jeopardy level, two tied to abuse, and one fine of $228,511. The most recent inspection was February 2025. Quality measures score well, but quality scores and hands-on care aren't the same thing.

B

72/100

Signature Healthcare Of Putnam County

Cookeville, TN · Putnam County

CMS 2/5 175 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
41%
Serious cites
0

Signature Healthcare of Putnam County runs 175 certified beds under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, about 5% under the national average of 3.86. Weekends drop roughly 15% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 41.4%, a bit better than the 45.8% national figure, which matters for whether you see the same faces month to month. The bigger concern is the 1-out-of-5 health inspection rating, with 14 deficiencies on record, though none reached harm or jeopardy and none were abuse-related. The last inspection was May 2023.

B

72/100

The Waters Of Union City , Llc

Union City, TN · Obion County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
43%
Serious cites
0

The Waters of Union City runs lean on nursing hours: 3.32 per resident day against a national average of 3.86, with weekends about 9 percent thinner than its own weekdays. Staff turnover sits at 42.6 percent, a bit better than the 45.8 percent national figure, so the people who are there tend to stay longer than average. The inspection record is the strongest part of the picture, a recent March 2026 survey, nine deficiencies with none rising to harm or jeopardy, and nothing abuse-related. This is a for-profit limited liability company with 80 beds. The tradeoff is straightforward: consistent care and clean surveys, but fewer hands per resident than most homes.

B

72/100

Franklin Wellness And Rehabilitation Center

Franklin, TN · Williamson County

CMS 2/5 88 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
83%
Serious cites
0

Franklin Wellness and Rehabilitation Center runs 88 certified beds under for-profit LLC ownership, and its numbers split sharply. The health inspection side is the weak spot, 16 deficiencies on record, two of them serious enough to involve harm or jeopardy, and a single fine of $44,469. Staffing sits at 3.56 nurse hours per resident day, about 8% under the national average, with weekends running roughly 11% leaner than weekdays. The turnover figure is the one that should stop you: 83.3% annually against a national average of 45.8%, meaning most of the people caring for residents are new to the building. A recent June 2025 inspection is the one point in its favor.

B

72/100

Agape Rehabilitation & Nursing Center, A Waters Cm

Johnson City, TN · Washington County

CMS 4/5 84 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
54%
Serious cites
0

Agape Rehabilitation & Nursing Center runs on thinner staffing than most homes you'll compare it to, 3.18 nurse hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekdays. That's a real gap when you're thinking about how quickly someone answers a call light. Turnover sits at 54.4%, well above the 45.8% national figure, so the people caring for your family member are cycling through faster than average. On the other side, the home's quality measure score is strong and its last inspection was February 2024, with seven deficiencies on record, none at the harm level, though one is abuse-related. It's licensed for 84 beds and owned by an individual for profit.

B

72/100

The Waters Of Shelbyville, Llc

Shelbyville, TN · Bedford County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
53%
Serious cites
0

The Waters of Shelbyville is a for-profit LLC home with 96 beds, and its numbers pull in two directions. Inspections look solid, a 4/5 star rating, with the last visit in February 2026 and nine deficiencies on record, only one at the harm level and none tied to abuse. Quality measures also score 5/5. Staffing is the problem: 3.14 nurse hours per resident day sits about 19% under the national average, weekends run roughly 15% thinner than weekdays, and turnover hits 52.5% against a national 45.8%. That combination, good care when surveyed, thin coverage day to day, is what keeps this home in the middle of the pack rather than at the top.

B

72/100

West Meade Place

Nashville, TN · Davidson County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
63%
Serious cites
0

West Meade Place runs 120 certified beds as a for-profit partnership, and its overall nurse staffing sits at 3.98 hours per resident day, roughly 3% above the national average of 3.86. That headline number comes with a catch: weekend staffing drops about 12% below its own weekday level, and annual turnover is 62.6% against a national average of 45.8%, so the people providing that care change often. Inspections look steady, a 4/5 health inspection rating, most recently surveyed March 13, 2026, with 17 deficiencies on record, none at harm or jeopardy level but two tied to abuse. The 5/5 quality measure rating reflects resident outcomes; the 2/5 staffing rating reflects what CMS actually thinks of the hours and retention.

B

72/100

Henry County Health And Rehabilitation

Paris, TN · Henry County

CMS 5/5 136 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
48%
Serious cites
0

Henry County Health And Rehabilitation runs 4.53 nurse hours per resident per day, roughly 17% above the national average, so there's more direct care time here than at most homes. The catch is weekends, when staffing drops about 13% below its own weekday level. The health inspection record is clean on the things that matter most: 9 deficiencies total, none at harm or jeopardy level, none abuse-related, and a survey as recent as November 2025. But the quality measure rating sits at 2 out of 5, meaning clinical outcomes like falls, infections, and medication management don't track with that inspection record. Turnover is 47.8%, slightly above the national 45.8%. Corporate-owned, 136 beds.

B

72/100

Lakebridge, A Waters Community, Llc

Johnson City, TN · Washington County

CMS 3/5 109 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
42%
Serious cites
0

Lakebridge runs on thinner nurse coverage than most homes, 3.26 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday levels, so the thinnest shifts come when families tend to visit. Turnover sits at 41.8%, a bit better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record is genuinely clean: seven deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was July 2023. Owned by an individual for profit. The staffing number is the thing to press on when you tour, ask what a weekend afternoon actually looks like.

B

72/100

Union City Health And Rehabilitation

Union City, TN · Obion County

CMS 1/5 115 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
22%
Serious cites
0

Union City Health and Rehabilitation runs on thinner nursing coverage than most homes, about 3.49 nurse hours per resident each day, roughly 10% under the national average, and weekend shifts drop another 13% below its own weekday levels. That staffing picture is paired with a one-star health inspection rating from CMS and ten deficiencies on the current record, one of them serious enough to involve harm or jeopardy. On the other hand, turnover sits at 22.4%, well below the national 45.8%, meaning the aides and nurses who are there tend to stay. The one fine on record is modest at $10,348, and the most recent inspection was in August 2025, so the findings are current rather than stale.

B

72/100

Okeena Health And Rehabilitation Center Llc

Dyersburg, TN · Dyer County

CMS 4/5 130 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
53%
Serious cites
0

Okeena runs lean on nursing hours, 3.46 per resident day against a national average of 3.86, and weekends dip roughly 4% below its own weekday coverage. Staff turnover sits at 52.8%, well above the 45.8% national figure, which means familiar faces cycle out faster than average. The inspection record is the brighter spot: 20 deficiencies on file, none at harm or jeopardy level, no abuse citations, and a survey completed in April 2026. The limited liability ownership and for-profit structure are worth knowing, since margins and staffing budgets often travel together. Families weighing this one should ask how the weekend shifts are actually covered, and who specifically will be on the floor overnight.

B

72/100

Waters Of Sweetwater A Rehabilitation & Nursing

Sweetwater, TN · Monroe County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
53%
Serious cites
0

Waters Of Sweetwater runs 90 certified beds under for-profit LLC ownership, and its staffing is the number to sit with: 3.33 nurse hours per resident day against a national average of 3.86, with weekends about 10% thinner than weekdays. Turnover sits at 53.1% versus 45.8% nationally, and CMS gives staffing a single star. The health inspection record carries 19 deficiencies, including two at harm or jeopardy level and one tied to abuse, though the most recent inspection was August 2025. Quality measures score high, but the staffing and inspection numbers are what a family should weigh.

B

72/100

Waters Of Bristol A Rehabilitation And Nursing

Blountville, TN · Sullivan County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
32%
Serious cites
0

Waters Of Bristol runs on a lean crew. At 3.01 nurse hours per resident per day, it sits about 22% under the national average, and weekends drop roughly 11% below its own weekday coverage, a gap families tend to notice on Saturday afternoons. The tradeoff looks favorable elsewhere: staff turnover of 32.4% is well below the national 45.8%, and the home's last inspection, in August 2025, left just three deficiencies on record, none at the harm level and none abuse-related. Ownership is for-profit, through a limited liability company. So you're looking at a place that inspects clean and keeps its people, but asks them to cover more residents per shift than most. Whether that tradeoff works depends on your family member's care needs.

B

72/100

Mesa Hills Post Acute

Brownsville, TX · Cameron County

CMS 2/5 166 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
45%
Serious cites
0

Mesa Hills Post Acute runs 166 beds in Brownsville under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% below the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so the thinnest shifts are also the least supervised. The inspection record carries 34 deficiencies, including one at the harm or jeopardy level and five tied to abuse. Staff turnover, at 44.7%, is roughly in line with the national figure of 45.8%, so retention isn't the outlier here, the numbers around it are. The most recent inspection was May 6, 2025, and CMS has assessed one fine totaling $5,734.

B

72/100

Creekside Terrace Rehabilitation

Belton, TX · Bell County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
50%
Serious cites
0

Creekside Terrace runs about 3.41 nurse hours per resident per day, roughly 12% under the national average, and weekend coverage dips another 10% below its own weekday levels, so the thinnest staffing tends to land when families visit. Staff turnover sits at 50%, above the 45.8% national figure. Inspections are a different story: a 5/5 health inspection rating, and the 16 deficiencies on record include none at the harm or jeopardy level, though one is abuse-related, and the home has paid a single $13,070 fine. The most recent inspection was March 26, 2026. For-profit corporate ownership, 126 certified beds. Strong survey results, lighter day-to-day staffing.

B

72/100

Western Hills Healthcare Residence

Comanche, TX · Comanche County

CMS 2/5 158 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
52%
Serious cites
0

Western Hills runs leaner on nursing hours than the typical American nursing home, about 3.56 per resident day against a national average near 3.86, and weekends get thinner still, roughly 12% below its own weekday coverage. Staff turnover sits at 52.1%, well above the 45.8% norm, which matters because new faces cycling through a 158-bed building rarely know residents' routines. The inspection record is the harder read: 29 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus a $62,078 fine. Ownership is a for-profit LLC, and the last full inspection came in May 2025. Quality measures score well, but quality scores are self-reported.

B

72/100

Eden Home

New Braunfels, TX · Comal County

CMS 3/5 122 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Eden Home runs a 122-bed for-profit operation in New Braunfels, and the staffing numbers are its strongest suit: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 38.8%, noticeably better than the 45.8% norm. The catch is that weekends run about 13% leaner than weekdays, so coverage thins out exactly when families tend to visit. What pulls the record down is the inspection side: 28 deficiencies on file, including two at the harm level and two abuse-related, plus a $22,205 fine, with the most recent inspection in March 2026. A two-star health inspection rating against a four-star staffing rating tells you the care hours are there, but the compliance history isn't clean.

B

72/100

Avir At Sweetwater

Texarkana, TX · Bowie County

CMS 3/5 79 beds For-profit Medicaid
Nurse hours
2.55 /day
Staff turnover
45%
Serious cites
0

Sweetwater Healthcare Center runs on thin staffing. At 2.55 nurse hours per resident per day, it sits about 34% under the national average of 3.86, and weekends are roughly 12% leaner than weekdays, meaning the thinnest coverage lands when families tend to visit. Turnover, at 44.8%, is basically in line with the national figure, so the issue isn't churn so much as how few hands are scheduled at once. On paper the home looks strong elsewhere: four stars each for health inspections and quality measures, with 16 deficiencies on record, none rising to harm or jeopardy and none abuse-related, from an inspection dated March 2026. A for-profit LLC with 79 certified beds, it's a place where the clinical record reads better than the daily coverage.

B

72/100

Pecan Creek Healthcare Center

Hamilton, TX · Hamilton County

CMS 4/5 76 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
52%
Serious cites
0

Pecan Creek passed its most recent inspection in April 2025 with six deficiencies on record, none of them causing harm or involving abuse, that's a genuinely clean inspection sheet, and the health inspection rating reflects it. The staffing numbers tell a different story. At 3.79 nurse hours per resident day, it runs slightly under the national average, and weekends drop about 11% below its own weekday coverage. Annual turnover sits at 52.3%, well above the 45.8% national figure, which matters when aides are the people who notice a resident's change in condition first. Quality measures land at 2 out of 5. A for-profit corporation operates the 76-bed home.

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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