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
Majestic Care of Connersville runs 113 certified beds under corporate ownership, and the staffing numbers are the real story here. At 3.72 nurse hours per resident day, it trails the national average of 3.86, and weekends drop roughly 19% below its own weekday level, that's when coverage thins out most. The inspection record backs up the concern: 34 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse. The last inspection was August 2025, so the findings are recent. Quality measures score well, but staffing and inspection results tell the more important part of this home's story.
Cloverleaf of Knightsville runs 102 certified beds under individual for-profit ownership, and its federal staffing numbers sit roughly 20% under the national average, 3.09 nurse hours per resident day against 3.86 nationally, with weekends another 10% lighter than weekdays. Annual turnover of 53.7% tops the 45.8% national figure, which matters more when fewer people are already on the floor. The inspection record is the stronger side: zero deficiencies at the harm or jeopardy level, none abuse-related, and a February 2026 survey that's still recent, though 21 total deficiencies add up. Quality and staffing measures both land at two stars, so ask about weekday versus weekend coverage before deciding.
Waters of Dunkirk runs 46 beds under corporate ownership, and its last inspection in March 2025 turned up 10 deficiencies, including one at the harm level and two tied to abuse. That inspection history is why its health inspection rating sits at 1 out of 5. Staffing tells a mixed story: 3.37 nurse hours per resident day is about 13% under the national average, and weekends run roughly 11% lighter than weekdays. The 25.8% turnover rate is well below the 45.8% national figure, so aides tend to stay. Quality measures score 5 out of 5. Ask about weekend coverage and how the abuse deficiencies were resolved before deciding.
Miller's Merry Manor in Walkerton runs 107 certified beds under corporate, for-profit ownership, and its staffing sits right at the middle of the pack, 3.89 nurse hours per resident day, barely a percentage point above the national average of 3.86. That number looks fine until you notice weekends drop about 10% below the home's own weekday coverage, which matters most when families visit and residents need help. Turnover runs 41.8%, a bit better than the 45.8% national figure, so there's some stability in the workforce. The real concern is the inspection record: 16 deficiencies, including one at the harm level and three tied to abuse, with a health inspection rating of 2 out of 5. The last inspection was December 2025, so the findings are recent.
Aperion Care Marion runs a mixed picture. The 70-bed for-profit home on Grant County's west side logs 4.00 nurse hours per resident day, a bit above the 3.86 national average, though weekends drop about 12% below its own weekday staffing and annual turnover hits 56.7% against a 45.8% national norm, meaning the people around your relative keep changing. The bigger concerns are on record: 52 deficiencies, one at harm or jeopardy level, five tied to abuse, with a health inspection rating of 1 out of 5. That last inspection was April 2026, so the findings are recent rather than historical. Quality measures score well; the inspection record and turnover do not. Ask specifically how abuse-related issues were resolved.
Harmony Waterloo runs 88 certified beds under for-profit LLC ownership, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average, and weekends dip about 10 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection history is the bigger concern: 21 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $95,440 has been issued, and turnover runs 48.8 percent. The most recent inspection was January 14, 2026.
Harmony Dubuque runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, and weekends dip about 8% below what the home itself staffs on weekdays. That gap matters most when a resident needs help on a Saturday, and it's harder to absorb when more than seven in ten workers leave over a year, well above the 45.8% national rate. On inspections the home has drawn a two-star rating, with 33 deficiencies on record, three serious enough to cause harm and one tied to abuse, plus two fines totaling $19,371. Its last inspection was January 14, 2026.
Embassy Rehab and Care Center runs 60 certified beds in Sergeant Bluff under for-profit LLC ownership, and the staffing picture is mixed. Nurses provide 3.51 hours per resident day, about 9% under the national average of 3.86, and weekends drop roughly 18% below the home's own weekday coverage. Annual turnover sits at 54.2%, well above the 45.8% national figure. Inspections tell the heavier story: 27 deficiencies on the current record, four of them abuse-related, though none rose to harm or jeopardy level, and the health inspection rating lands at 2 out of 5. A recent inspection date of May 2026 means the record is current, not stale.
Casa De Paz runs about 2.79 nurse hours per resident day, roughly 28% under the national average of 3.86, and weekends drop another 25% below its own weekday staffing. That thin coverage shows up in the numbers: a 2/5 CMS staffing rating, 60.3% annual turnover against a national 45.8%, and 36 deficiencies on record, including two tied to abuse. No deficiencies were flagged at the harm or jeopardy level, and the 4/5 quality measure rating suggests some clinical measures are being met. But with a for-profit LLC structure, a recent April 2026 inspection, and a 2/5 health inspection rating, the staffing pattern is the thing to ask about directly before deciding.
Oakland Manor runs on 3.05 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 15% below what it manages during the week. That thin staffing sits alongside a one-star health inspection rating and 68 deficiencies on the current record, including three at the harm or jeopardy level and 11 tied to abuse. Federal regulators have placed it in the Special Focus Facility program, the toughest track CMS uses, and the home carries a $15,593 fine. Ownership is for-profit through a limited liability company. The last inspection was January 8, 2026.
Heritage Care and Rehabilitation Center runs 71 certified beds in Mason City under corporate for-profit ownership. The staffing numbers are where the concern sits: 3.33 total nurse hours per resident day, roughly 14 percent below the national average of 3.86, and weekends drop about 17 percent below the home's own weekday staffing. That thin coverage lines up with a 1-out-of-5 CMS staffing rating.
The current inspection record shows 7 deficiencies, including 1 at the harm or jeopardy level and none tied to abuse. The last inspection was August 14, 2025, so the findings are recent. Quality measures score 2 out of 5. If you're weighing this home against others nearby, the staffing pattern and that harm-level deficiency are the two things worth asking about directly.
Accura Healthcare Of Marshalltown is a for-profit, 84-bed home in Marshall County, and its record is thin in the places that matter most. Nurse staffing runs 3.60 hours per resident day, about 7% under the national average, and drops roughly another 10% on weekends, which is when families often visit and notice. The current inspection record carries 42 deficiencies, including three at the harm or jeopardy level and four tied to abuse, and the latest inspection was March 2026. Staff turnover, at 42.3%, is actually slightly better than the national 45.8%, so the problem isn't retention alone; it's what's happening on the floor and in the survey record.
Accura Healthcare of Cascade sits in a small Dubuque County town with 46 certified beds, run by a for-profit limited liability company. The staffing numbers are the strong point: 4.26 nurse hours per resident day, roughly 10% above the national average, and turnover at 30.6% beats the 45.8% national figure. Weekends run about 11% leaner than weekdays, which is common but worth knowing. The trouble is on the inspection side, where the health inspection rating lands at 2 out of 5. Five deficiencies are on the current record, including one at the harm or jeopardy level and one abuse-related. The last inspection was in May 2025. Good staffing can't fully offset a harm-level finding. Ask what happened and what changed.
Maquoketa Care Center runs 46 beds under for-profit LLC ownership, and its last full inspection was in May 2025, recent enough that the findings are worth reading closely. That record carries six deficiencies, including one at the harm or jeopardy level and one tied to abuse. It's not a long list, but those two categories matter more than the count suggests.
Staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends run about 10% thinner than weekdays. Annual turnover is 50%, a few points above the national 45.8%. Inspections scored well; the day-to-day staffing numbers are where this home looks more ordinary.
Perry Lutheran Homes Eden Acres sits in Dallas County with 57 certified beds and a for-profit LLC owner. The staffing picture is mixed: 3.43 nurse hours per resident day lands about 11% under the national average, and weekends run roughly 15% lighter than weekdays, but turnover at 36.2% beats the national 45.8%, a sign this home can hold onto aides better than most. What stands out is the inspection record: six deficiencies, two at harm or jeopardy level and two tied to abuse, plus a $9,110 fine, with the most recent inspection in June 2025. Those harm-level and abuse findings are the kind regulators treat seriously, and they're the real weight on this home's record.
Tallgrass Healthcare Campus runs 100 beds in Junction City under for-profit partnership ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, with weekends roughly 10% leaner than weekdays. Annual turnover is 49.3%, above the 45.8% national figure, which means a lot of the people providing that care are still learning the building. The inspection record is the part I'd ask about directly: 19 deficiencies, including one at the harm level and one tied to abuse, plus a $21,530 fine, and a health inspection star of 1 out of 5. The quality measure star of 5 shows the clinical numbers can look good, but that contrast is worth understanding before you decide.
Garden Terrace runs a 163-bed for-profit operation where the day-to-day staffing looks decent on paper, 4.05 nurse hours per resident, a bit above the national average, with turnover at 41.7% compared to 45.8% nationally. But weekends drop about 7% below the home's own weekday coverage, and the inspection record is where the picture turns: 49 deficiencies on file, five of them serious enough to put residents in harm's way, three tied to abuse, and six fines totaling $104,116. The last inspection was May 2025, so this isn't stale history. Good staffing numbers and a clean quality measure score can coexist with real problems, and here they do, the state has cited this building repeatedly at the level that matters most.
Aspen Health And Wellness runs 102 certified beds in Overland Park under corporate for-profit ownership, and its inspection record is the part that stands out. CMS has cited 55 deficiencies on the current record, including three at the harm or jeopardy level and one abuse-related, with 18 fines totaling $114,489 and a one-star health inspection rating from the most recent survey on June 26, 2025. Staffing sits at 3.66 nurse hours per resident day, about 5% under the national average, and weekends run roughly 15% below the home's own weekday coverage. Turnover is 55.6% against a national 45.8%, meaning more than half the nursing staff leaves each year, worth asking about directly if you're considering this one.
Diversicare Of Chanute runs 77 beds under corporate for-profit ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below what the home staffs on weekdays, so care gets thinnest exactly when families tend to visit. Annual turnover is 60.4%, well above the 45.8% national figure. The current inspection record carries 41 deficiencies, four of them serious enough to involve harm or jeopardy, plus one tied to abuse, and a $13,397 fine. The most recent inspection was September 2025. If you're weighing this one, ask about weekend coverage and how they keep consistent caregivers.
Parkway Operator runs 45 beds in Edwardsville under for-profit LLC ownership, and its staffing is the number that stands out: 3.43 nurse hours per resident day, roughly 11% under the national average, with weekends about 10% lighter than weekdays. Annual turnover sits at 51.2% against a national 45.8%, so the aides and nurses cycling through are changing faster than typical. The current inspection record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related; the last survey was August 2024. Federal ratings land at three stars for health inspections and quality measures, two for staffing.
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?