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
Graham Healthcare runs 80 certified beds under corporate ownership, and its staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national figure of 3.86. That shortfall widens on weekends, when coverage drops about 9% below the home's own weekday level. The bigger concern is turnover: 70% of staff leave annually, well above the 45.8% national average, which means residents see a rotating cast of caregivers. The inspection record shows 16 deficiencies, including one at the harm level and three tied to abuse. The last inspection was March 5, 2026. Quality measures land mid-range, but the staffing churn and deficiency history are what pull the overall picture down.
Lexington Health Care Center runs on thinner staffing than most homes, about 3.50 nurse hours per resident each day, roughly 9% under the national average, with weekends dipping further below its own weekday level. Turnover tells a similar story: 63.4% of nursing staff leave within a year, well above the 45.8% national figure, which means unfamiliar faces are often the ones providing care. The inspection record is heavier than most, with 40 deficiencies logged, including two at the harm level and five tied to abuse. Ownership is for-profit and LLC-operated. The quality measure score looks good on paper, but it sits alongside a staffing rating and inspection history that raise harder questions than that one number answers.
Alamance Health Care Center runs 180 certified beds in Burlington under corporate, for-profit ownership, and the numbers split in two directions. Nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 9% below the home's own weekday levels, while staff turnover at 47.2% edges past the national rate. The inspection record is where the real weight sits: 27 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating and another 1 for staffing. Quality measures score 4 out of 5, but that contrast is worth sitting with before you decide.
Wilora Lake runs on thinner staffing than most homes you'd compare it to, about 3.17 nurse hours per resident each day against a national average of 3.86, and weekends drop roughly 12% below what the home itself staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when fewer hands are on the floor. Annual turnover sits at 66.2%, well above the 45.8% national figure, so the people caring for your relative are changing often. The record shows 14 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy. Its quality measure scores look strong, but those reflect resident outcomes, not the daily coverage behind them.
Dahlia Gardens runs 90 certified beds under for-profit LLC ownership, and its staff retention is genuinely better than most, 32.4% annual turnover against a national average of 45.8%. That stability matters, because the staffing star rating still comes in at just 1 out of 5, meaning the people who stay aren't necessarily enough of them. The inspection record shows 34 deficiencies, five tied to abuse, though none rose to harm or jeopardy level, and the most recent state visit was December 2025. Quality measures sit at 2 out of 5. If you're weighing this one, ask directly how they plan to address the abuse-related findings and what daily direct-care hours actually look like on the floor.
Liberty Commons runs leaner than the typical American nursing home, 3.44 nurse hours per resident day against a national 3.86, and it thins out further on weekends, dropping roughly 9% below its own weekday coverage. That staffing pattern shows up in the numbers: a 2-out-of-5 CMS staffing rating and 50.5% annual turnover, meaning about half the nursing workforce leaves each year.
The inspection record is heavier still. Thirty-seven deficiencies on the current record, three serious enough to involve harm or jeopardy, plus two fines totaling $15,593. A 2-out-of-5 health inspection rating and a November 2025 inspection round out the picture.
You're looking at a 100-bed corporate-owned home where the care hours are below average, the staff keeps changing, and regulators have documented repeated problems. Worth asking hard questions before choosing it.
Huntersville Health & Rehabilitation runs 90 beds under corporate ownership, and its staffing sits right at the national mark, 3.91 nurse hours per resident day against 3.86 nationally, a difference of about one percent. That thin margin matters more when you look at weekends, which run roughly 11% below the home's own weekday coverage, and at turnover: half the nursing staff leaves each year, compared with 45.8% nationally.
The inspection record is where the real weight sits. Fourteen deficiencies are on file, three of them at harm or jeopardy level and three tied to abuse. The last inspection came in June 2026, and the health inspection rating lands at 2 out of 5. Strong quality scores don't offset that pattern.
Edith Lane Of Cincinnati runs 167 certified beds as a for-profit corporation, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, so the thinnest shifts get even thinner. The inspection record is the harder read: 72 deficiencies currently on file, three at harm or jeopardy level and six tied to abuse, plus two fines totaling $159,338. Its last inspection was April 2025, so the record is recent, not stale. Quality measures score well, but that's a narrow slice of the picture, staffing and survey results are where families should focus when weighing this one.
King David runs 355 certified beds in Beachwood under for-profit LLC ownership, and its staffing numbers are a mixed picture. Total nurse coverage of 4.88 hours per resident day sits about 26% above the national average, but weekends run roughly 21% leaner than weekdays, and annual turnover hits 63.5% against a national 45.8%, so coverage depends heavily on who's still there. The inspection record is the harder read: a 1-out-of-5 health inspection rating, 64 deficiencies including one at the harm or jeopardy level and six tied to abuse, plus a $10,221 fine. Quality measure scores look strong on paper, but the last inspection closed in September 2025, and the staffing math doesn't erase what surveyors found.
Spring Creek runs 120 certified beds in Green Springs under a for-profit LLC, and its staffing is the number that stands out. At 3.72 nurse hours per resident per day, it sits about 4% under the national average, and weekends drop roughly 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.3% is actually a bit better than the 45.8% national figure, which is the one bright spot. The inspection record is heavier: 31 deficiencies, including one at the harm level and two tied to abuse, plus a $77,618 fine. Its last inspection was February 2024.
Gardens Of North Olmsted runs on thinner nursing coverage than most homes, 3.27 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale.
The inspection record is the bigger concern. The current file holds 56 deficiencies, including six tied to abuse, and the last full inspection was in December 2022, more than two years ago. A for-profit partnership operating 99 beds, this home also sees 58.5% of its nursing staff leave annually, well above the 45.8% national rate. Its quality measure scores look strong, but that data comes from the home's own reporting.
Marion Nursing & Rehab is a for-profit, 99-bed home where the numbers point in different directions. Nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, and weekends run about 10 percent thinner than weekdays, a pattern that matters most when families visit and fewer hands are on the floor. Its 28 deficiencies include one at the harm level and one tied to abuse, alongside a $40,053 fine, and the most recent inspection was in February 2026. Staff turnover of 39.4 percent is actually better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record and low staffing rating are.
Arbors At Gallipolis runs 99 certified beds under for-profit LLC ownership, and its strongest number is staff retention: 26.8% turnover against a national average of 45.8%, which matters because consistent caregivers tend to know residents' routines. The catch is raw staffing hours, at 3.72 per resident day, about 4% under the national average, and weekends dip roughly 13% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Inspections are a bigger concern: 23 deficiencies on the current record, including two at harm or jeopardy level and two tied to abuse, with the most recent inspection in April 2025.
Arbors At Delaware runs on about 3.18 nurse staffing hours per resident day, roughly 18 percent under the national average, and weekends dip even further below its own weekday numbers. Annual turnover sits at 62.7 percent against a national average near 46 percent, so the people caring for residents are cycling through fast. The inspection record is heavy: 62 deficiencies, including one at the harm level and two tied to abuse, with a 1-star health inspection rating even though the quality measure score is strong at 5 stars. The most recent inspection was February 2, 2026, so the record is current, not stale.
Grand River Health & Rehab Center runs 80 certified beds in Painesville under corporate for-profit ownership, and its record has some hard edges. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends drop about 10% below the home's own weekday level. Turnover lands near the national rate at 46%, so that's not the outlier here, the inspection history is. Thirty-four deficiencies are on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine totaling $66,420 and a 2-out-of-5 inspection rating. The most recent inspection was May 2025, so the picture is current. Quality measures score well at 4/5, but strong clinical numbers don't offset a thin staffing margin and a serious deficiency pattern.
Welcome Nursing Home in Oberlin runs a for-profit operation with 99 certified beds, and its staffing numbers are genuinely better than most: 4.09 nurse hours per resident per day, about 6% above the national average, with a 4/5 staffing rating to match. Turnover sits at 27.7%, well under the 45.8% national figure, which matters for consistency of care. The catch is inspections. The current record carries 22 deficiencies, including four tied to abuse, though none rose to the harm or jeopardy level. A 2/5 health inspection rating against a 4/5 on quality measures suggests the day-to-day clinical picture looks steadier than the survey history does. Weekend staffing drops roughly 13% below weekday levels, so ask how that plays out on Saturdays and Sundays.
Bethesda Care Center runs 89 certified beds as a nonprofit, and its overall nurse staffing of 4.05 hours per resident day sits about 5% above the national figure. That headline number looks fine until you notice weekends run roughly 14% thinner than weekdays, which matters if your family member needs help on a Saturday.
Staff turnover is the bigger concern: 60% a year against a national average near 46%, meaning most of the people caring for residents are relatively new. Inspections add pressure too, a 2/5 health inspection rating, 26 deficiencies on record including one at the harm level, and a $64,604 fine. The last inspection was May 2024.
Shady Lawn Nursing Home is a for-profit LLC operation in Dalton with 98 certified beds, and the numbers split sharply depending on where you look. The health inspection record is the real problem: 37 deficiencies on file, three of them serious enough to put residents in harm's way, plus five tied to abuse, and a single $40,950 fine. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 6% below what the home itself manages during the week. Turnover at 42.1% is slightly better than the 45.8% national figure, so retention isn't the weak spot here, the inspection history is.
Lost Creek Rehabilitation and Nursing Center runs about 3.11 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 13% below its own weekday pace. That thin coverage shows up in the staffing rating, which CMS puts at one star, and in turnover: 51.2% of staff leave annually against a national figure near 46%. Inspections tell a similar story, 29 deficiencies on the current record, three serious enough to involve harm or jeopardy, three tied to abuse, and $55,088 in fines across two cases. Ownership is for-profit, through a limited liability company. The most recent inspection was June 9, 2025, so the record is current.
Summit Acres runs 95 beds in Caldwell under corporate ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 40.5%, a bit better than the 45.8% national figure. What stands out more is the inspection record: 52 deficiencies, including one at the harm level and nine tied to abuse, with a $16,801 fine and a 2-out-of-5 inspection rating. The 5-out-of-5 quality measure score reflects resident care metrics, not the supervision and safety problems inspectors documented.
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?