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
Presidential Post-Acute runs 99 beds in Marion under corporate for-profit ownership, and its staffing numbers are the first thing to notice: 3.01 nurse hours per resident day, roughly 22% under the national average of 3.86. Weekends drop about 12% below the home's own weekday level, and turnover sits at 48.8% against a national 45.8%, both worth asking about directly. The inspection record shows 17 deficiencies, two at harm or jeopardy level and one abuse-related, with a 2/5 health inspection rating and a 2/5 staffing rating. Quality measures score better at 4/5, and the most recent inspection was March 2026. Ask how the abuse deficiency was resolved and what weekend coverage looks like.
Arbors At Milford runs 4.56 nurse hours per resident day, about 18% above the national average of 3.86, which is the strongest thing this home has going for it. The catch is consistency: weekend staffing drops roughly 13% below its own weekday level, and 53.1% of nursing staff turned over in a year versus 45.8% nationally, so the people providing that care keep changing. Its inspection record carries 47 deficiencies, 7 of them at the harm or jeopardy level and 4 abuse-related, along with four fines totaling $117,782. Corporate-owned and 90 beds, it was last inspected March 12, 2026. Strong hours on paper, thin coverage on weekends, and a serious deficiency history.
Windsor Lane runs on a for-profit LLC model with 89 certified beds, and its staffing is genuinely better than most: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39.8% compared to 45.8% nationally. That's a real strength, though weekends dip about 8% below the home's own weekday coverage. The trouble sits in inspections. A 2-out-of-5 health inspection rating and 42 deficiencies on record, one at harm or jeopardy level, seven abuse-related, tell you the day-to-day care environment has drawn repeated federal citations, most recently in July 2024. Strong quality scores and solid staffing numbers are offset by that inspection history, which is what pulls the overall picture down to average.
Grafton Oaks runs on 3.39 nurse hours per resident per day, roughly 12 percent under the national average, and weekend coverage slips about 8 percent below its own weekday level. Staff turnover sits at 68.9 percent against a national average of 45.8, most of the people caring for your relative likely weren't there a year ago. The inspection record carries 16 deficiencies, including one at the harm level and one tied to abuse, and the last inspection was February 2026. The 5/5 quality measure rating reflects charted clinical measures, but staffing is where this home is thinnest, and that gap is what a family should weigh when deciding.
Nurse staffing at Arbors At Stow sits at 3.90 hours per resident day, barely above the national average of 3.86, and weekends run about 11% thinner than weekdays. More telling is the turnover: 53.8% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious, 43 deficiencies, five at harm or jeopardy level, eight involving abuse, and four fines totaling $252,801, with the most recent inspection dated March 2026. A 5/5 quality measure rating stands in odd contrast to a 1/5 inspection rating, but quality measures come from self-reported data, while inspections and fines come from what surveyors actually found.
Majestic Care Of Clyde, a for-profit LLC home with 74 beds, runs lean on nursing staff, 3.11 hours per resident day against a national average of 3.86. Weekends dip about 13% below its own weekday numbers, and annual turnover sits at 52.5%, well above the 45.8% national figure. Its inspection record shows 50 deficiencies, none flagged at harm or jeopardy level, though 11 are abuse-related, and the last state visit was in November 2024. Despite the strong quality measure rating, the low staffing and inspection history are what pull its overall standing down.
Wyant Woods runs 180 certified beds as a for-profit corporation, and its 3.01 nurse staffing hours per resident day land about 22 percent under the national average of 3.86, with weekends dipping roughly 8 percent below its own weekday levels. Turnover sits at 40.9 percent, slightly better than the national 45.8 percent, so the issue here isn't retention as much as raw hours per resident. The inspection record carries 61 deficiencies, including 3 at harm or jeopardy level and 9 abuse-related, plus $153,317 in fines across 2 penalties, and CMS scored its last inspection 1 out of 5 in April 2025. Its quality measure rating is 5 out of 5, which can reflect charted outcomes more than day-to-day coverage.
Washington Square runs on thin nursing coverage: 3.18 direct care hours per resident per day against a national average near 3.86, with weekends about a tenth leaner than weekdays. Turnover sits right at the national mark, so the problem isn't churn so much as how few hands are on deck at any given time. The inspection record is where the real trouble shows, 63 deficiencies on file, four serious enough to put residents in harm's way, seven tied to abuse, and nearly $47,000 in fines. CMS has placed the home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. Family members should visit unannounced, at different times of day, and watch how many aides are actually on the floor.
Wellspring Health Center runs 54 beds in Cincinnati under for-profit LLC ownership, and its nurse staffing sits at 3.67 hours per resident day, about 5% under the national average, with weekends running roughly 10% thinner than weekdays. That gap matters because staffing is thinner exactly when families tend to visit and when backup is hardest to call in. Staff turnover is 58.1% against a national 45.8%, and the inspection record shows 32 deficiencies, two of them serious enough to cause harm or jeopardy. The last inspection was in December 2025, so it's current, and there's one fine on record for $110,468. Quality measures look strong; the inspection and turnover numbers are the ones worth asking about directly.
Country Club Retirement Center runs on thinner nursing coverage than most homes, 3.38 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly another 10% below its own weekday levels. That staffing picture, plus a two-star inspection rating and 42 deficiencies on record (three at harm or jeopardy level, seven tied to abuse), is where the real story sits. Turnover is 45.5%, essentially matching the national rate, so the problem isn't retention, it's how few hours each resident actually gets. The 2024 inspection is recent enough to reflect current conditions. A four-star quality measure score is the one bright spot, but quality measures come from resident assessments, not from how the place is run day to day.
Cityview runs 146 beds on Cleveland's east side, and the corporate owner's staffing shows it: 3.02 nurse hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. Turnover sits at 48.4%, slightly above the national 45.8%. The inspection record is the harder problem, 55 deficiencies, six at harm or jeopardy level, eight tied to abuse, and $193,120 in fines across five penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with persistent serious problems. The last inspection was November 2022. Resident satisfaction surveys look strong, but that measure doesn't capture whether enough hands are present.
Burlington House runs 122 certified beds under for-profit LLC ownership in Cincinnati, and the staffing numbers are the first thing to look at. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.5% is slightly better than the 45.8% national figure, which helps. The inspection record is the bigger concern: 31 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with the last inspection in May 2024. Quality measure scores look strong, but that record deserves direct questions before you decide.
Versailles Rehabilitation runs on about 3.0 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop further below its own weekday pace. Staff turnover sits at 51.2%, higher than the 45.8% national figure. Inspections look better: the most recent visit in May 2025 produced a 4-star health inspection rating and strong quality measures, but the record still carries 23 deficiencies, including one at the harm level and four tied to abuse. The low staffing star tells you where the risk concentrates, a corporate-owned home where the care depends heavily on who happens to be on the floor.
Saint Joseph Care Center runs 60 beds in Louisville under corporate for-profit ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop another 13% below the home's own weekday coverage, and annual turnover of 54.1% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record shows 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse; that last inspection was January 5, 2026. With a 2-out-of-5 staffing rating and a 2-out-of-5 inspection rating against a 3-out-of-5 on quality measures, the pattern here is thin coverage, heavy turnover, and a recent record that warrants questions.
Aventura At Oakwood Village runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and its weekend shifts dip about 8% below its own weekday coverage, so the thinnest days are the ones families tend to visit. Staff turnover sits at 51.2%, higher than the 45.8% national figure, which means the aides and nurses who know your mother's routines are frequently new. The current deficiency record carries 42 citations, including one at the harm or jeopardy level and eight tied to abuse. Inspectors were last on site in May 2025. The two-star health inspection rating and one-star staffing rating describe a building where the problems are chronic rather than isolated.
Gardens Of Paulding runs 50 certified beds under corporate for-profit ownership, and the numbers worth knowing are on the staffing side. Nurses provide 3.28 hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage drops another 12% below what the home manages on weekdays. Turnover sits at 56.9% against a national 45.8%, which means more than half the nursing staff leaves within a year. Its inspection record shows 32 deficiencies, including one at the harm level and one abuse-related, and the most recent inspection was September 2025. Families should ask directly about weekend staffing and how the home keeps consistent caregivers.
Rae Ann Geneva runs on thin staffing: 3.16 nurse hours per resident day, roughly 18% under the national average, and weekends drop about another 10% below its own weekday levels. That shortfall shows up in the numbers that matter most, a 69.3% annual turnover rate, a one-star CMS staffing rating, and a one-star health inspection rating. The current record carries 35 deficiencies, including one at the harm or jeopardy level and six tied to abuse. Its four-star quality measure rating reflects resident outcome data, but strong outcomes don't offset inspections that found real problems in May 2025, or a workforce where more than two-thirds of staff leave each year.
Vista Care Center of Milan runs 2.64 nurse hours per resident day against a national average of 3.86, roughly a third less hands-on time than the typical home, with weekends staffed about 15% thinner than weekdays. That staffing shortfall sits behind a 2-out-of-5 CMS staffing rating and 50% annual turnover, slightly above the national 45.8%. Meanwhile, 33 deficiencies sit on the current record, including 2 at the harm or jeopardy level and 7 tied to abuse, with the most recent inspection in October 2024. A single $12,834 fine is relatively modest, but the harm-level and abuse findings are the ones worth asking the administrator about directly before you decide.
Crawford Manor is a 50-bed for-profit in Cleveland, and the numbers split in two directions. The quality measures look strong, but everything about how the place is run and inspected tells a different story: a one-star health inspection rating, 47 deficiencies on the current record including three at the harm level and seven tied to abuse, plus two fines totaling $25,366. Staffing sits at 3.79 hours per resident day, slightly under the national average, and it thins out on weekends by roughly 14 percent. Turnover at 42.9 percent is a bit better than the national figure, but that's faint comfort. The last inspection was December 2023, so the record may not reflect what's happening now.
Lincoln Crawford runs 96 beds under for-profit LLC ownership, and its nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, with weekends dropping about 11% below its own weekday coverage. Annual turnover is 55.4% against a national 45.8%, so the staff caring for residents is changing over at a high rate. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse; the most recent inspection was August 2025. Quality measures score well, but that sits against a two-out-of-five inspection rating and thin, uneven 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?