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
Bella Terrace runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday staffing. Turnover sits at 46.4 percent, basically in line with the national rate, so the shortfall isn't explained by churn alone, it's simply fewer hours per resident. The inspection record shows 58 deficiencies, three of them serious enough to put residents at harm or jeopardy, plus one $86,720 fine; the last inspection was July 2025. Corporate ownership and a one-star staffing rating round out the picture. The five-star quality measure score reflects reported care measures, not the hands available to deliver that care.
Valley Oaks runs on 3.21 nurse hours per resident day, roughly 17% under the national average of 3.86, and that thin margin holds steady on weekends, so there's no extra coverage when families visit. The bigger strain is turnover: 88.1% of nursing staff left last year, nearly double the national rate of 45.8%. Consistent caregivers are hard to keep when nearly everyone is new. The record isn't alarming on safety, 14 deficiencies, none causing harm, none tied to abuse, and the most recent inspection was March 2026. Quality measures score well, but that staffing number sits at the bottom of CMS's scale, and it's the piece families feel daily.
Wayside Farm runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 11% below its own weekdays. That thin coverage shows up in the inspection record: 19 deficiencies, two at harm or jeopardy level, one tied to abuse, and $165,448 in fines across two penalties. Staff turnover, at 45.3%, is essentially the national rate, so retention isn't the outlier here, daily staffing is. The 4/5 quality measure score reflects resident care measures, but those can look fine while hands-on time lags. The last inspection was August 2024. If you're considering this one, ask directly how many nurses are on the floor on a Saturday.
Highland Pointe runs 96 beds in Highland Heights under corporate ownership, and the staffing numbers tell the most immediate story: 3.70 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14 percent below the home's own weekday levels. That thin weekend coverage matters more given a 61.4 percent annual turnover rate, well above the 45.8 percent national figure, familiar faces are hard to keep when the schedule thins out. The inspection record reinforces the concern: 26 deficiencies on file, three serious enough to reach harm or jeopardy level, and one fine totaling $28,276, with the most recent inspection in March 2024. Quality measure scores look strong at 4 out of 5, but that's measured against a staffing picture that's below average and a turnover rate that's high.
Avenue At North Ridgeville runs 3.69 nurse staffing hours per resident day, about 4% under the national average, and weekends drop roughly 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% annual turnover is essentially the national rate, meaning the staff you meet may not be there next year. Inspections tell the harder story: 33 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $68,390 in fines, with the last inspection dating to February 2023. The quality measure score looks strong, but that's built from resident assessments, not from how the place is run day to day.
Grand Lake Villa shows what happens when a building is well-staffed and still can't keep residents safe. Nurse coverage sits at 4.12 hours per resident day, about 7% above the national average, and turnover at 40.6% actually beats the typical American nursing home. That's the good news. The bad news is the inspection record: 15 deficiencies, three serious enough to put residents in harm's way, and six tied to abuse. That combination, plus placement in CMS's Special Focus Facility program, tells you the problems are serious and ongoing. The most recent inspection was April 29, 2026, so the findings are current, not old history. Staffing ratios alone won't protect anyone here.
Pocola Health and Rehab runs 90 certified beds under for-profit LLC ownership, and its staffing sits at 4.07 nurse hours per resident day, roughly 5% above the national average of 3.86. That's the strongest number here, though weekends drop about 13% below the home's own weekday levels, so coverage thins out when families tend to visit. Staff turnover is 50%, higher than the 45.8% national average. The inspection record is where it gets harder to explain away: 28 deficiencies, three at harm or jeopardy level, seven tied to abuse, and one fine of $14,069, with the most recent inspection in July 2025. CMS rates quality measures 1 out of 5 and inspections 2 out of 5.
Brookside Nursing Center runs 140 beds in Madill under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.76 hours per resident day, slightly under the national average, and weekends drop about 8% below what the home staffs on weekdays, so care coverage thins out exactly when families tend to visit. Staff turnover is the bigger concern: 56.7% 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. Thirteen deficiencies are on file, three at the harm or jeopardy level, plus one abuse-related citation and two fines totaling $39,591. The last inspection was August 2024.
Sand Springs Nursing and Rehabilitation runs 173 certified beds under for-profit LLC ownership, and the numbers that stand out most are about staffing and oversight. Nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86, and weekends dip about 5% below the home's own weekday levels, so coverage is thinnest when families often visit. Annual turnover of 67.6% is well above the 45.8% national figure, which raises real questions about how well aides and nurses know these residents.
The inspection record shows 15 deficiencies, including one at the harm or jeopardy level and one tied to abuse. CMS has fined the home once for $12,740, and the last inspection was February 13, 2026. Ask about that abuse-related finding and what changed afterward.
Heritage Hills Living & Rehabilitation Center runs 81 certified beds in McAlester under individual for-profit ownership, and the numbers that stand out most are on the inspection side: 52 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. That's a lot of findings, and the one-star health inspection rating reflects it. Nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, with turnover at 54.4% against a national 45.8%. Weekend coverage holds level with weekdays, which is something. The last inspection was October 31, 2024, and there's one fine on record totaling $73,288. Ask about the abuse-related findings and how they've been corrected.
Sequoyah Pointe Living Center runs about 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends dip another 4% below its own weekday numbers. Staff turnover sits at 63% against a national 45.8%, which means the people caring for your family member are leaving faster than at a typical home. Inspections look better: the most recent was April 2025, and the 18 deficiencies on record include none at the harm level, though one is abuse-related. That single fine of $52,192 is worth asking about directly. The quality measure rating of 2 out of 5 suggests the clinical outcomes aren't keeping pace with the inspection results.
Nurse staffing at Elmbrook Of Hugo runs about 9% under the national average, and weekends are thinner still, roughly 9% below the home's own weekday coverage. The 18 deficiencies on its current record include three at the harm or jeopardy level and one tied to abuse, with two fines totaling $29,580. Staff turnover, at 42.9%, is actually a little better than the national figure, so the people who stay appear to stay. Inspectors were last in on May 6, 2025, and the health inspection rating sits at 2 out of 5. Before you tour, ask how the harm-level findings were corrected and who is on duty on Saturday nights.
Windsor Hills Nursing Center runs a 112-bed for-profit operation in Oklahoma City, and the inspection record is where the trouble concentrates: 31 deficiencies on file, four of them serious enough to involve actual harm or jeopardy, plus two tied to abuse. Three fines total $55,251. Staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average, and weekends drop about 15% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. The last inspection was September 11, 2025, so the record is recent, not stale. Limited liability ownership doesn't tell you how care feels day to day, but it does mean the entity behind the license is insulated if things go wrong. Ask about weekend coverage and how abuse complaints get resolved.
Elmwood Manor runs 46 beds in Wewoka under for-profit LLC ownership, and its last health inspection in October 2024 left a serious paper trail: 34 deficiencies on the current record, three of them serious enough to cause harm or place residents in jeopardy, and four tied to abuse. That inspection history is why CMS gives the place one star for health inspections even though its staffing and quality measure scores look better on paper.
The staffing picture is mixed rather than reassuring. Nurse coverage sits at 3.80 hours per resident day, just under the national average, but weekend staffing runs roughly 13% below the home's own weekday level, so care thins out exactly when families tend to visit. Annual turnover of 48.8% tops the national rate, meaning the aides and nurses you meet may not be there long.
Tuttle Care Center runs lean on nursing hours, 3.26 per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday coverage. That staffing gap shows up in the federal stars: one out of five for staffing, and one for quality measures, even though the inspection record earned four stars and the most recent visit was in May 2025. Twelve deficiencies sit on the current record, none at harm or jeopardy level, but three are abuse-related, which families should ask about directly. The 50% annual turnover, above the 45.8% national figure, means the aides and nurses around your family member are changing often under this for-profit LLC's ownership.
Heavener Nursing & Rehab runs 84 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 15% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 32 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related; the most recent visit was April 3, 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5. Two harm-level findings alongside below-average staffing is the pattern worth asking about directly.
Gracewood Health & Rehab runs 121 certified beds in Tulsa under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just slightly above the national average of 3.86. That margin shrinks on weekends, when coverage drops about 5% below the home's own weekday levels. The bigger concern is turnover: 76.2% of staff leave annually, well above the 45.8% national figure, which matters for residents who rely on consistent caregivers. Inspections tell a similar story, 25 deficiencies on record, including one at the harm level and one abuse-related, with a 2/5 health inspection rating and a 2/5 quality measure rating. The most recent inspection was April 6, 2026.
South Park East runs 4.00 nurse hours per resident day, about 4% above the national average, but weekends dip roughly 9% below its own weekday staffing, so coverage thins out exactly when families tend to visit. The bigger strain is turnover: 64.3% annually against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. On paper the quality measures look strong, yet the inspection record tells a harder story, 19 deficiencies, including four tied to abuse and one at the harm level, and a $15,480 fine. A for-profit LLC with a recent inspection and that many citations is worth asking about directly.
Fairfax Behavioral Health & Memory Care runs on 3.24 nurse hours per resident day, about 16% under the national average, and weekends dip roughly 21% below its own weekday staffing. That thin coverage shows up in the inspection record: 36 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with $71,440 in fines across two penalties. CMS rated it 2 stars for health inspections, 1 for quality measures, and 2 for staffing. The corporation that owns it has kept the same problems on the books through a July 2025 inspection, which is recent enough to count as current, not past.
Chandler Therapy & Living Center runs a for-profit operation with 76 certified beds, and its nurse staffing sits around 4.22 hours per resident day, roughly 9% above the national average. That's a real strength, though weekend coverage dips about 8% below its own weekday levels. The harder numbers are elsewhere: staff turnover hits 81.4% against a national average near 46%, which means the people caring for residents are constantly changing. The current inspection record carries 54 deficiencies, including 4 at harm or jeopardy level and 5 tied to abuse, plus 17 fines totaling $136,524. The most recent inspection was in December 2025. High staffing and high turnover can coexist, and here they do.
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?