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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 61 to 80 of 10,881, best-graded first.

A

95/100

Green House Homes At Mirasol, The

Loveland, CO · Larimer County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
5.02 /day
Staff turnover
35%
Serious cites
0

Green House Homes at Mirasol runs on 5.02 nurse hours per resident day, roughly 30% above the national average, and its staff turnover of 35% sits well under the 45.8% national figure. Weekend staffing dips about 7% below weekday levels, so ask how that plays out on Saturdays. The home carries 16 deficiencies, but none at the harm or jeopardy level and none abuse-related, with three fines totaling $7,544, a modest total. Its last inspection was March 2025, so the record is current. Ownership is a for-profit limited liability company, which is worth knowing when you review the numbers yourself.

A

95/100

Nottingham Health And Rehabilitation

Olathe, KS · Johnson County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
4.74 /day
Staff turnover
34%
Serious cites
0

Nottingham Health and Rehabilitation runs 4.74 nurse hours per resident day, about 23% above the national average of 3.86, and its staff turnover sits at 34.3%, well under the 45.8% national figure, meaning the people caring for residents tend to stay. The 14 deficiencies on record include none at the harm level and none related to abuse, and the last inspection was April 8, 2026. Weekend staffing dips about 11% below its weekday level, which is common but worth asking about if you're planning visits on Saturdays or Sundays. For-profit individual ownership, 80 beds. The numbers here hold up.

A

95/100

Bedford Court Healthcare Cent.

Silver Spring, MD · Montgomery County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
19%
Serious cites
0

Bedford Court runs on unusually steady staffing for a for-profit home: 5.06 nurse hours per resident day, roughly a third more than the national average, and turnover sits at 19.1 percent against a national 45.8, that retention matters more than any single inspection score, since consistent caregivers know the residents. Weekends dip about 9 percent below weekday coverage, worth asking about if your family visits then. The 28 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was March 2026. Quality measures score 5/5 and inspections 4/5, which lines up with what the staffing numbers suggest.

A

95/100

Care One At Holyoke

Holyoke, MA · Hampden County

CMS 5/5164 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
25%
Serious cites
0

Care One At Holyoke runs 164 beds under for-profit LLC ownership, and its last health inspection came through in September 2025 with ten deficiencies on record, none at the harm or jeopardy level, none tied to abuse. Nurse staffing sits at 3.62 hours per resident day, about 6 percent under the national average of 3.86, and weekends dip roughly 13 percent below the home's own weekday coverage. What stands out is retention: annual turnover of 25.4 percent is well below the 45.8 percent national figure, meaning the aides and nurses here tend to stay. Inspections, quality measures, and staffing each earned top CMS marks, so the thin margins on hours per resident are the main thing worth watching, not the care record itself.

A

95/100

Siena Skilled Nursing & Rehabilitation Center

Auburn, CA · Placer County

CMS 5/5107 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
35%
Serious cites
0

Siena runs on better-than-average nurse coverage, 4.03 hours per resident day against a national 3.86, and its 34.8% turnover sits well under the 45.8% national figure, meaning the people around your relative tend to stick around. The catch is weekends, when staffing drops about 11% below the home's own weekday level, so afternoons and evenings Saturday and Sunday can feel thinner. Inspections in August 2025 turned up 18 deficiencies, none causing harm and one tied to abuse, with a single $4,194 fine on record. For-profit LLC ownership is worth knowing, though the inspection history is recent and light on serious findings.

A

94.5/100

Fowler Health Care

Fowler, CO · Otero County

CMS 5/545 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
31%
Serious cites
0

Fowler Health Care runs on 4.00 nurse hours per resident day, a bit above the national average of 3.86, and its recent inspection handed it four of five stars. The staffing picture holds up elsewhere too: 31.4% turnover is well below the 45.8% national figure, and both quality and staffing measures earned five stars. What tempers that is the 14 deficiencies on the current record, none at harm or jeopardy level, but two tied to abuse, which families should ask about directly. Weekend staffing also dips roughly 19% below weekday levels. The last inspection was April 2026, so the record is current.

A

94.5/100

Center At Eden Hill, Llc

Dover, DE · Kent County

CMS 5/580 bedsFor-profit
Nurse hours
5.35 /day
Staff turnover
25%
Serious cites
0

The Center at Eden Hill runs 80 certified beds in Dover under individual for-profit ownership, and the staffing numbers are the first thing worth noticing: 5.35 nurse hours per resident day, roughly 39% above the national average of 3.86. Weekend coverage drops about 16% from its own weekday level, so ask how that gap gets covered. Annual turnover sits at 25%, well under the national 45.8%, which suggests a staff that mostly stays put. The inspection record shows 24 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Its last inspection was June 2024, and CMS rates it 4 of 5 on health inspections and 5 of 5 on both quality measures and staffing.

A

94.5/100

Riverside Care Center

Miami, FL · Miami-Dade County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
4.84 /day
Staff turnover
33%
Serious cites
0

Riverside Care Center runs on more nursing hours than most homes in the country, 4.84 per resident per day against a national average of 3.86, roughly a quarter more hands-on time. Weekend coverage dips about 16% below weekdays, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 32.5%, meaningfully lower than the 45.8% national figure, so the people caring for residents tend to stay. The inspection record is clean where it matters: six deficiencies total, none causing harm and none tied to abuse, with the most recent survey in March 2025. For-profit ownership by an individual operator is the one thing to keep an eye on, but the numbers here hold up.

A

94.5/100

Community First Medical Center

Chicago, IL · Cook County

CMS 5/566 bedsFor-profit
Nurse hours
7.62 /day
Staff turnover
31%
Serious cites
0

Community First Medical Center sits on Chicago's north side with 66 certified beds and a for-profit individual owner. The staffing numbers stand out: 7.62 nurse hours per resident day, roughly double the national average, though weekend coverage drops about 16% below its own weekday level. Staff turnover of 31.3% beats the 45.8% national figure. The inspection record is mixed but not alarming. Twenty deficiencies on file, none at the harm or jeopardy level, with one abuse-related citation. The last inspection was August 2024, so the record is reasonably current. CMS gives it four stars for health inspections and quality measures, five for staffing. What the numbers describe is a small home that invests heavily in nursing hours and retains staff better than most, while carrying a moderate deficiency load and a slight weekend gap worth asking about directly.

A

94.5/100

Medilodge Of Sterling

Sterling, MI · Arenac County

CMS 5/539 bedsFor-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
26%
Serious cites
0

Medilodge Of Sterling runs 4.66 total nurse hours per resident day, roughly 21% above the national average of 3.86, and its staff turnover sits at 25.6% against a national figure near 46%, meaning the people caring for residents here tend to stay. The tradeoff shows up on weekends, when staffing drops about a fifth below its own weekday levels, so coverage is thinner on Saturdays and Sundays. Inspectors have logged 19 deficiencies, none of them causing harm or involving abuse, and the last visit was in September 2025. A for-profit corporate owner, 39 beds, and a recent clean inspection history with stable staffing behind it.

A

94.5/100

Ohio Living Cape May

Wilmington, OH · Clinton County

CMS 5/523 bedsFor-profitMedicaid
Nurse hours
4.89 /day
Staff turnover
23%
Serious cites
0

Ohio Living Cape May runs a small house in Wilmington, 23 certified beds, nonprofit-owned, and the staffing numbers are the first thing that stands out. At 4.89 nurse hours per resident day, it sits roughly 27% above the national average of 3.86, and its annual turnover of 22.7% is about half the national rate. Weekend coverage does dip about 17% below its own weekday level, which is worth asking about directly. The inspection record shows 11 deficiencies, none at the harm or jeopardy level, one abuse-related; the most recent inspection was June 2023, so the record is getting stale. A 4/5 on health inspections with 5/5 on quality and staffing measures is a solid profile for a home this size.

A

94.5/100

Garden Terrace Healthcare Center Of Federal Way

Federal Way, WA · King County

CMS 5/570 bedsFor-profit
Nurse hours
5.45 /day
Staff turnover
31%
Serious cites
0

Garden Terrace runs about 5.45 nurse hours per resident per day, roughly 41% above the national average, and its staff turnover sits well below the norm, 31.3% against 45.8% nationally. That combination usually points to a home that can hold onto caregivers and keep enough of them on the floor. Weekends thin out somewhat, running about 16% below weekday levels, and the record carries 46 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The last inspection was June 2025, so the picture is recent. A for-profit limited liability company operates its 70 certified beds.

A

94.5/100

Advanced Health Care Of Sacramento

Sacramento, CA · Sacramento County

CMS 5/540 bedsFor-profit
Nurse hours
6.06 /day
Staff turnover
30%
Serious cites
0

Advanced Health Care Of Sacramento runs on unusually thin turnover for a for-profit LLC, 30.2% against a 45.8% national average, which suggests people stay. Nurse staffing sits at 6.06 hours per resident day, roughly 57% above the 3.86 national figure, though weekends drop about 21% below the home's own weekday level, so coverage isn't perfectly even across the week. The inspection record shows 26 deficiencies with none at harm or jeopardy level and nothing abuse-related, and the most recent survey came in July 2025, so the picture is current. At 40 beds, it's small enough that staffing swings matter more than they would in a larger building.

A

94/100

Mission View Health Center

San Luis Obispo, CA · San Luis Obispo County

CMS 5/5162 bedsFor-profitMedicaid
Nurse hours
5.31 /day
Staff turnover
39%
Serious cites
0

Mission View Health Center runs on 5.31 nurse hours per resident per day, roughly a third more than the national average, and that staffing holds up fairly well on weekends, about 6% thinner than weekdays, but not the drop-off you see at a lot of places. Staff turnover sits at 38.8%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The inspection record is clean where it counts: 8 deficiencies, none at the harm level and none abuse-related, with the most recent survey in December 2025. It's a for-profit corporate home with 162 beds, and the numbers here are consistent rather than exceptional in any one spot.

A

94/100

Ventura Post Acute

Ventura, CA · Ventura County

CMS 5/571 bedsFor-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
25%
Serious cites
0

Ventura Post Acute runs 4.70 nurse hours per resident day, about 22 percent above the national average, and its staff tends to stay, 25 percent annual turnover against a national 45.8 percent. Weekend coverage dips roughly 9 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in June 2025. It's an individual for-profit with 71 beds, and the quality and staffing ratings both come in at the top of CMS's scale.

A

94/100

Empress Care Center, Llc

San Jose, CA · Santa Clara County

CMS 4/567 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
33%
Serious cites
0

Empress Care Center runs on 4.19 nursing hours per resident day, roughly 8% above the national average, and its weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 32.7%, well under the 45.8% national figure, so the people caring for residents tend to stick around longer than at a typical home. The catch is the inspection record: 44 deficiencies, including one abuse-related finding, though none rose to actual harm or jeopardy, and the last state visit was in April 2025. A five-star quality rating alongside a two-star inspection history is worth asking about directly when you tour.

A

94/100

The Redwoods Post-Acute

San Jose, CA · Santa Clara County

CMS 3/5152 bedsFor-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
31%
Serious cites
0

The Redwoods runs on strong staffing ratios, 4.47 nursing hours per resident day, about 16% above the national figure, and its staff retention is genuinely better than most, with turnover at 30.8% against a national 45.8%. Weekend coverage dips roughly 9% below weekday levels, which is worth asking about if your relative needs consistent weekend care. The concern sits in inspections: a 2-out-of-5 health inspection rating, 55 deficiencies on record including one at the harm level, and a January 2025 survey that's already a year old. Corporate ownership plus that deficiency count means you should read the actual inspection reports before deciding.

A

94/100

Berkley Care Center

Denver, CO · Denver County

CMS 5/5118 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
15%
Serious cites
0

Berkley Manor runs on a fairly lean nurse staffing line, 3.74 hours per resident day, just under the national average, and weekends get thinner still, dropping roughly 9% below what the home staffs on weekdays. What stands out instead is retention: 14.5% annual turnover against a national average near 46%, which means the people caring for residents largely stay put. The inspection record is mixed: 29 deficiencies on file, two of them serious enough to involve harm, plus one fine of $17,160, and the most recent inspection was in February 2026. A for-profit limited liability company owns the 118-bed home.

A

94/100

Neurorestorative Colorado

Littleton, CO · Jefferson County

CMS 4/536 bedsFor-profit
Nurse hours
9.21 /day
Staff turnover
55%
Serious cites
0

Nurse staffing at Neurorestorative Colorado runs 9.21 hours per resident day, roughly two and a half times the national average, and weekend coverage holds nearly level with weekdays. That's the kind of consistency that matters in a 36-bed home, and it's reflected in the four out of five staffing star rating. The inspection record is more mixed. Thirteen deficiencies on file, one serious enough to reach harm or jeopardy level, and a $13,406 fine, though nothing tied to abuse. Quality measures scored five out of five. Worth knowing: this is a for-profit corporate operation and about 55% of staff turn over each year, well above the national 45.8%, high staffing hours only help if the people providing them stick around.

A

94/100

Avalon Health Care Center At Stoneridge

Mystic, CT · Southeastern Ct County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
27%
Serious cites
0

Avalon Health Care Center at Stoneridge runs on more nursing hours than most homes in the country, 4.80 per resident day against a national average of 3.86. That's roughly a quarter more hands-on time, and the staff tends to stay: turnover sits at 27.1% while the national figure is closer to 46%. Weekend coverage does thin out, running about 11% below its own weekday pace, so ask how that plays out on a Sunday afternoon. The inspection record is a mixed picture worth reading carefully. Eight deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single $8,018 fine. The most recent state visit was September 2024. Staffing is clearly the strength here; the survey history is where your questions should go.

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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