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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 5641–5660 of 10,881, best-graded first.

B

72/100

The Ellison John Transitional Care Center

Lancaster, CA · Los Angeles County

CMS 1/5 170 beds For-profit Medicaid
Nurse hours
4.93 /day
Staff turnover
38%
Serious cites
0

The Ellison John Transitional Care Center runs 170 certified beds in Lancaster under individual for-profit ownership, and its nurse staffing sits at 4.93 hours per resident day, roughly 28% above the 3.86 national average. Weekend coverage dips about 9% below its own weekday levels, but annual turnover of 38.1% is lower than the 45.8% national figure, so the floor is not churning as badly as many places do. Where this home draws real concern is its inspection record: a 1-out-of-5 health inspection rating, 115 deficiencies logged, five of them at harm or jeopardy level and six tied to abuse. Three fines total $205,171, with the most recent inspection on February 28, 2025.

B

72/100

Shadelands Post Acute

Walnut Creek, CA · Contra Costa County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
45%
Serious cites
0

Shadelands Post Acute runs 59 beds in Walnut Creek under for-profit LLC ownership, and its nurse staffing sits at 4.31 hours per resident day, roughly 12% above the national average. That average hides a pattern worth knowing: weekends run about 12% leaner than weekdays, so the weekday coverage you might observe isn't what your family member gets on a Saturday. Staff turnover of 45.2% is essentially the national rate, meaning nearly half the workforce turns over in a year. The inspection record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026.

B

72/100

Crowell Nursing Center

Crowell, TX · Foard County

CMS 4/5 67 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
44%
Serious cites
0

Crowell Nursing Center runs on thin staffing: 2.97 nurse hours per resident per day, roughly a quarter below the national average, with weekends about 12 percent lighter than weekdays. That gap is worth asking about directly, since it's the kind of thing families notice on a Sunday afternoon. The inspection record is cleaner than that number might suggest, a recent April 2026 survey and no deficiencies at the harm or jeopardy level, though three of the 15 total deficiencies are abuse-related, which deserves a pointed question about what happened and what changed. Turnover sits at 43.9 percent, essentially at the national average. Corporate-owned, 67 beds, and quality measures score well even as staffing drags.

B

72/100

Great Plains Nursing And Rehabilitation

Dumas, TX · Moore County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
—
Serious cites
0

Great Plains Nursing and Rehabilitation runs a tight ship on inspections, a five-star health inspection rating and just seven deficiencies on record, none of them causing harm and none tied to abuse. That's a clean paper trail, and the most recent survey was in May 2025, so it's current. Where the home gives ground is staffing: 3.55 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 18% below its own weekday coverage. The quality measure rating sits at three stars, middling. For a 120-bed for-profit LLC, the pattern is clear enough, good care when inspectors look, thinner coverage when they don't, especially on Saturdays and Sundays. Ask how they staff weekends before you decide.

B

72/100

Woodville Health And Rehabilitation Center

Woodville, TX · Tyler County

CMS 4/5 89 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
44%
Serious cites
0

Woodville Health and Rehabilitation Center runs 89 certified beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average, with weekends running about 12 percent leaner than weekdays, a pattern families often notice when they visit on Saturdays and Sundays. Turnover lands at 44.4 percent, essentially in line with the national figure. The inspection record is the strongest part: a clean four-star health inspection score, 22 deficiencies but none at the harm or jeopardy level. That one abuse-related citation is worth asking about directly.

B

72/100

Pampa Nursing Center

Pampa, TX · Gray County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
47%
Serious cites
0

Pampa Nursing Center runs 88 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.05 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 46.9%, close to the 45.8% national figure, so retention isn't the problem here, raw hours are. The inspection record is genuinely decent: 21 deficiencies, none at harm or jeopardy level, one abuse-related, and a single fine of $4,085, with the most recent inspection in July 2025. Ask about weekday versus weekend nurse coverage before you decide.

B

72/100

West Oaks Nursing & Rehabilitation

Houston, TX · Harris County

CMS 4/5 136 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
25%
Serious cites
0

West Oaks runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, and weekends dip about 15% below what the home staffs on weekdays, so a Saturday or Sunday shift may feel thinner than a Tuesday. What works in its favor is stability: turnover sits at 24.7%, well under the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. Its inspection record is current as of January 2025, with 11 deficiencies and none tied to harm, jeopardy, or abuse. Corporate-owned and 136 beds; a decent record, but ask about weekend coverage.

B

72/100

Timberidge Nursing And Rehabilitation Center

Jasper, TX · Jasper County

CMS 5/5 114 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
46%
Serious cites
0

Timberidge runs a solid ship on the basics. It's a 114-bed for-profit corporate home, and its last inspection in August 2025 came back clean on the things that matter most, ten deficiencies on record, but none at the harm level and none related to abuse, which is a genuinely good sign. Nurse staffing sits at 3.95 hours per resident day, slightly above the national average, though weekends run about 15 percent thinner than weekdays. Turnover lands at 46.3 percent, basically in line with the national rate of 45.8, not a red flag, but not a place that's holding onto its people especially well either. The weaker spot is the quality measure rating, which tells you the day-to-day clinical picture isn't as strong as the inspection record.

B

72/100

Stonecreek Nursing & Rehabilitation

San Augustine, TX · San Augustine County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
36%
Serious cites
0

Stonecreek runs a bit lean on nursing hours, 3.65 per resident day against a national average of 3.86, and weekends are thinner still, roughly 14% below its own weekday coverage. Turnover sits at 35.6%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The inspection record is recent and shows 20 deficiencies, none rising to harm or jeopardy, though two involve abuse. Ownership is corporate, for-profit. What stands out is the split between a strong inspection history and a low quality-measure score, which suggests the day-to-day care process isn't matching how well the building performs when surveyors visit.

B

72/100

The Phoenix Post-Acute

Texas City, TX · Galveston County

CMS 3/5 134 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
34%
Serious cites
0

The Phoenix Post-Acute runs 134 certified beds in Texas City under corporate ownership, and its staffing sits about 5% under the national average at 3.65 nurse hours per resident day. Weekends dip roughly 7% below its own weekday coverage, so the quietest shifts are the thinnest. Turnover is the brighter spot at 34.4%, well under the 45.8% national figure, which suggests some continuity in who's actually at the bedside. The concern is the record itself: 9 deficiencies, 4 of them serious enough to involve harm or jeopardy, and two fines totaling $90,049. Its last inspection was May 2026. Families should ask specifically about those harm-level findings and how weekend coverage gets filled.

B

72/100

Victoria Gardens Of Allen

Allen, TX · Collin County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
54%
Serious cites
0

Victoria Gardens of Allen runs a 120-bed for-profit operation in Collin County, and the numbers tell a mixed story. The health inspection side looks solid, a recent February 2026 survey, 23 deficiencies on record but none at the harm or jeopardy level, and nothing abuse-related. That's a clean record where it counts most. Where it slips is staffing: 3.28 nurse hours per resident day, roughly 15 percent under the national average, and weekends drop another 15 percent below its own weekday schedule. Turnover sits at 54.1 percent against a national 45.8 percent, which means a lot of faces cycling through. Quality measures score well and inspections hold up, but thin coverage and heavy turnover are worth asking about directly.

B

72/100

Avir At Belton

Belton, TX · Bell County

CMS 2/5 114 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
45%
Serious cites
0

Avir At Belton runs about 114 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86, with weekends dipping about 8 percent below its own weekday coverage. Turnover lands at 44.9 percent, essentially matching the national 45.8 percent, so the problem here isn't retention so much as raw hours on the floor. The inspection record is where the real weight sits: 33 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $87,661, with the most recent inspection dated January 8, 2026.

B

72/100

Immanuel's Healthcare

Fort Worth, TX · Tarrant County

CMS 3/5 84 beds For-profit Medicaid
Nurse hours
2.83 /day
Staff turnover
54%
Serious cites
0

Immanuel's Healthcare runs 84 certified beds in Fort Worth under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 2.83 nurse hours per resident day, it sits roughly 27% under the national average of 3.86, weekend coverage drops another 10% below its own weekday level, and turnover hits 53.8% against a national 45.8%. The inspection record shows 16 deficiencies, none at harm or jeopardy level, though three are abuse-related, with the most recent inspection in June 2025. Its quality measure score is perfect and inspections land middle of the pack, but one star on staffing tells you where the strain is. Ask about actual aide coverage on weekends before deciding.

B

72/100

Green Valley Healthcare And Rehabilitation Center

Fort Worth, TX · Tarrant County

CMS 1/5 124 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
28%
Serious cites
0

Green Valley runs 124 beds under corporate ownership, and its inspection history is the hard part: 33 deficiencies on the current record, six of them serious enough to reach harm or jeopardy, plus three fines totaling just under $97,000. The last inspection was in April 2025, so that record is recent, not stale. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, which is when gaps tend to show. One genuine bright spot: turnover is 27.8%, well below the 45.8% national figure, so the people who are there tend to stay.

B

72/100

The Heights On Huebner

San Antonio, TX · Bexar County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
43%
Serious cites
0

The Heights on Huebner runs on thinner staffing than most homes, 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the building staffs on weekdays. The two abuse-related deficiencies on record are worth asking about directly, even though none of the 18 total deficiencies rose to harm or jeopardy level, and the most recent inspection in January 2026 is recent enough to reflect current conditions. Turnover at 42.7% is slightly better than the 45.8% national figure, and inspection and quality measure ratings both came in at 4 out of 5. This for-profit corporate home's weak spot is clearly the day-to-day staffing number, not its survey history.

B

72/100

Wylie Oaks Healthcare And Rehabilitation

Wylie, TX · Dallas County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
33%
Serious cites
0

Wylie Oaks runs about 8% below the national average on nurse staffing, at 3.55 hours per resident day, and weekends dip roughly 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than average at 32.8%, meaning the aides and nurses you meet are more likely to still be there next year. The inspection record is the harder read: 28 deficiencies logged, two at harm or jeopardy level and two tied to abuse, with $58,390 in fines and a two-star health inspection rating. The most recent inspection was June 2025, so that picture is current, not stale.

B

72/100

The Harrison At Heritage

Fort Worth, TX · Tarrant County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
48%
Serious cites
0

The Harrison At Heritage runs on 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about another 12% below its own weekday staffing. That thin coverage sits behind a record of 31 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $65,529. Staff turnover is 47.7%, slightly worse than the 45.8% national figure, and the last inspection was December 2025. Quality measure scores look strong, but the inspection rating and the actual staffing numbers are what a family should weigh here.

B

72/100

Legacies Nursing And Rehabilitation

Hemphill, TX · Sabine County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
48%
Serious cites
0

Legacies Nursing And Rehabilitation runs 90 beds in Hemphill under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating with no deficiencies at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 3.55 nurse hours per resident day, it sits about 8% under the national average, weekend coverage drops roughly 12% below its own weekday level, and turnover at 47.7% edges past the national figure. Twelve deficiencies appear on the current record, none serious. The last inspection was recent, in March 2026. Quality measures land at two stars, so care outcomes documented in the data aren't keeping pace with the clean inspections.

B

72/100

Stonemere Rehabilitation Center

Frisco, TX · Collin County

CMS 4/5 136 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
34%
Serious cites
0

Stonemere runs 136 beds in Frisco under corporate ownership, and its last inspection was in April 2025, recent enough that the record reflects current conditions rather than years-old findings. The 20 deficiencies on file include none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.33 nurse hours per resident day sits about 14% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage dips when families tend to visit. Turnover, at 33.8%, actually beats the national 45.8%, a genuine plus. Inspection history grades well; day-to-day staffing is where the tradeoff shows.

B

72/100

The Shoal

Texas City, TX · Galveston County

CMS 5/5 134 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
52%
Serious cites
0

The Shoal runs 3.68 nurse hours per resident day, about 5% under the national average, and weekend coverage drops roughly 10% below what it manages on weekdays. Staff turnover sits at 52.3% against a national 45.8%, so the people around your family member keep changing. Its record shows 11 deficiencies, including one at the harm level and one tied to abuse, and the last inspection was April 25, 2025. The quality measures look strong, but those come from resident assessments the home reports, while the staffing and inspection ratings, 2 out of 5 each, come from independent review. That gap is worth asking about directly.

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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