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
Heritage Park runs 176 certified beds in Roy under for-profit partnership ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.84 hours per resident day, just under the national average, and weekend coverage drops about 12% below its own weekday levels, a gap families often feel on Saturdays and Sundays. Turnover at 46.8% edges past the national rate, meaning caregivers cycle through steadily.
The inspection record is the real concern: 27 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, with a $36,645 fine and a two-star health inspection rating. Quality measures score five stars, but that reflects resident care metrics, not whether the building is safely run day to day.
Spring Creek runs about 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip roughly another 10% below its own weekday coverage. Those two facts matter together, because the hours a resident actually gets are usually the thinnest on Saturdays and Sundays, exactly when families tend to visit and notice.
The staff turnover number is the one I'd sit with: 76.8% annually, well above the 45.8% national figure. High churn means aides and nurses are constantly new to your mother's routine and preferences, and that shows up in the inspection record, 98 deficiencies, 26 of them serious enough to cause harm or put residents in jeopardy, plus six tied to abuse.
Monument Healthcare Brigham City runs 84 certified beds under for-profit LLC ownership, and the inspection record is where families should focus. Twenty deficiencies on the current record, three of them serious enough to cause harm or jeopardy, plus three abuse-related citations and a $15,640 fine, that's a lot of documented trouble for a home this size. Staffing tells a similar story: the federal staffing rating sits at 1 out of 5, meaning nurse hours per resident fall well below what CMS expects. The quality measure score of 5 out of 5 looks strong on paper, but those numbers come from resident assessments, not from how the place is actually run day to day. The most recent inspection was April 16, 2024, so this picture is current. Ask hard questions about direct care hours before considering it.
Monument Healthcare Murray Creek runs 184 certified beds in Millcreek under for-profit LLC ownership, and the numbers pull in two directions. Its quality measure rating is perfect, but that same record carries 50 deficiencies, including three at the harm or jeopardy level and five tied to abuse, plus two fines totaling $120,948, and the most recent inspection was June 2025. Nurse staffing sits just under the national average at 3.82 hours per resident day, and weekends drop about 12% below the home's own weekday levels. Turnover, at 42.2%, is actually a bit better than the 45.8% national figure. The inspection side is the part worth asking hard questions about.
Sandy Health and Rehab runs 141 certified beds under corporate ownership, and the numbers raise real questions. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average, and weekend coverage drops about 14% below what the home staffs on weekdays, which matters most when families visit and emergencies happen. Annual turnover of 69.7% is well above the national 45.8%, so the people caring for your relative are likely to change often. The inspection record is the harder read: 74 deficiencies, 13 at harm or jeopardy level, 5 abuse-related, and three fines totaling $89,798, with the most recent inspection in April 2025. Quality measures score well, but that's a narrow slice of the picture.
Rocky Mountain Care's Cottage On Vine is individually owned for profit, and the numbers show where that leaves residents. Nurse staffing sits at 3.43 hours per resident day, about 11% under the national average, and it thins out further on weekends, roughly 12% below the home's own weekday coverage. Staff turnover is the sharper problem: 70.4% annually, well above the 45.8% national figure, which means caregivers change constantly. The inspection record backs that up, 57 deficiencies, 10 serious enough to reach harm or jeopardy, 9 tied to abuse, and $78,946 in fines across two penalties. Quality scores look strong on paper, but a March 2025 inspection and a 2/5 staffing rating tell the more useful story.
Birchwood Terrace runs 160 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.01 hours per resident day, about 4% above the national average of 3.86. That headline number is doing some work, though: weekends fall roughly 15% below the home's own weekday coverage, and annual turnover hits 56.8% against a national average of 45.8%, so the consistent caregiver you'd hope for is often not the one who shows up.
The inspection record carries 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a single fine of $127,834. The most recent inspection was August 2025. CMS gives it middling marks on health inspections and quality measures but only 2 of 5 stars for staffing.
The staffing numbers here look good on paper, 4.45 nurse hours per resident day, roughly 15% above the national average, but that average hides a problem: weekends run about 14% leaner than weekdays, so care thins out exactly when families tend to visit. Turnover sits at 57.6%, well above the 45.8% national figure, meaning nearly three in five caregivers left within the year. The health inspection side is where it gets more serious: 35 deficiencies on record, including 2 at the harm or jeopardy level and 4 tied to abuse, plus an $87,750 fine. The last inspection was April 8, 2026.
River View On The Appomattox runs 124 certified beds under for-profit partnership ownership, and the staffing numbers are the first thing I'd want you to see. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Annual turnover hits 74.8% against a national 45.8%, so the people caring for your relative are likely to change often. The inspection record is heavier still: 63 deficiencies, two at harm or jeopardy level, four abuse-related, with the last inspection in March 2023.
Petersburg Healthcare Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national figure of 3.86. That gap widens on weekends, when coverage drops about 11% below the home's own weekday level, and annual turnover among nursing staff reaches 57.1% against a national average of 45.8%. The inspection record shows 43 deficiencies, including two at the harm or jeopardy level and seven tied to abuse, with one fine of $26,125. Quality measures score well, but staffing and inspection ratings both land at 2 out of 5.
Chelsea Rehabilitation And Healthcare Center runs 84 certified beds in Goochland under for-profit LLC ownership. Nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average of 3.86, and weekends run about 10% thinner than weekdays, so the coverage families see on a Tuesday isn't what they'd see on a Sunday. Staff turnover, at 45.5%, is essentially the national rate, meaning little continuity from one month to the next. The current record carries 34 deficiencies, including one at harm or jeopardy level and two abuse-related, plus a $10,033 fine. A September 2024 inspection is recent enough to be current. Resident outcome measures score well; the inspection and staffing pictures are where the concern sits.
Staunton Post Acute & Rehabilitation runs 170 beds under corporate ownership, and the numbers that matter most here are the inspection ones. The current record shows 48 deficiencies, including five at the harm or jeopardy level and eight tied to abuse, a serious pattern that lines up with the one-star health inspection rating. It's also been more than two years since the last inspection in June 2023, so that record may not reflect what's happening now. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 10% below its own weekday level. Staff turnover is 54.2%, well above the 45.8% national figure.
Colonnades runs on staffing that most homes can't match, 6.72 nurse hours per resident day against a national average of 3.86, with turnover at 36.4% versus 45.8% nationally. That's a genuinely strong floor, and the staffing and quality stars reflect it. The problem sits elsewhere. Twenty-six deficiencies on the current record, including two at the harm level and four tied to abuse, and a one-star inspection rating, all from a visit in November 2024. Weekend coverage also dips about 10% below what the home provides Monday through Friday. A corporation owns it. Families weighing this one should read the inspection reports themselves before deciding.
The Jefferson runs 31 beds in Arlington, and the numbers behind its record are worth pausing on. Inspectors have cited 63 deficiencies, four of them at the level where a resident was actually harmed or put in jeopardy, and four tied to abuse, with three fines totaling $61,065. Staff turnover sits at 68.3% against a national average of 45.8%, which tracks with its one-star staffing rating, and the most recent inspection was March 2026. What's odd is the quality measure score: five stars, meaning the clinical data the home reports looks good even as its staffing and inspection records don't. Ask what that gap actually reflects before you decide.
Rosemont Health & Rehab Center runs 116 certified beds as a for-profit corporation, and its staffing sits about 10% under the national average at 3.48 nurse hours per resident day, a gap that widens on weekends, when coverage drops roughly 15% below its own weekday level. That thin margin matters more given the inspection record: 32 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with the last full inspection back in September 2022. Turnover is the one clear bright spot at 34.9%, well under the 45.8% national figure, and the quality measure score of 4 out of 5 suggests clinical outcomes hold up. But with a 2 out of 5 staffing rating and a two-year-old inspection, ask about weekend coverage and how the abuse-related findings were resolved.
Ghent Health and Rehabilitation runs 222 beds in Norfolk under for-profit LLC ownership, and its nurse staffing sits at 2.79 hours per resident per day, roughly 28% under the national average of 3.86. Weekends dip about 16% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. The inspection record is the harder number: 69 deficiencies, including 4 tied to abuse and 2 at the level of actual harm or jeopardy, with the most recent inspection dated February 26, 2026. Annual turnover of 50.7% tops the national 45.8% average, meaning a large share of caregivers are still new to the building.
Nassawadox Rehabilitation and Nursing runs 145 certified beds under for-profit limited liability ownership, and its inspection record is the part that should concern you most. Fifty-four deficiencies sit on the current record, five of them at harm or jeopardy level and two tied to abuse, and the last inspection was in May 2022, so that record is several years old now. Nurse staffing comes in at 3.36 hours per resident day, roughly 13% under the national average, with weekends about 8% thinner than weekdays. Staff turnover is lower than average at 32.6%, which is a genuine bright spot. The federal inspection rating of one star is the number that matters most here.
Marcella Post Acute runs 180 beds in Hampton under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.07 nurse hours per resident day, it sits about 21% under the national average, and weekends drop roughly another 18% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 60.2% against a 45.8% national rate means the aides and nurses you meet may not be there in six months.
The inspection record backs that up: 53 deficiencies, one at harm or jeopardy level, one abuse-related, and the last full inspection was in October 2021. Strong quality measure scores don't offset a staffing picture this thin.
Nurse staffing at Lynn Care Center runs 4.11 hours per resident day, a bit above the national average, but the coverage thins out on weekends, dropping about 16% below its own weekday level. Staff turnover sits at 56.6%, meaning more than half the nursing team leaves each year, well above the national 45.8%. The inspection record is where the real concern sits: 59 deficiencies, 4 of them at harm or jeopardy level, 3 related to abuse, and a $38,110 fine. That's a lot of problems for a 120-bed for-profit home, and the 1-out-of-5 inspection rating reflects it. High quality measure scores don't cancel out a record like that.
Pheasant Ridge runs on thinner staffing than most homes you'd compare it to, about 3.27 nurse hours per resident each day against a national average near 3.86, and weekends drop roughly another 12% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families tend to visit and notice. Staff turnover sits at 53.8%, well above the 45.8% national figure, so the people caring for residents change often. The health inspection record shows 32 deficiencies, five of them serious enough to involve harm or jeopardy, though none are abuse-related. A January 2024 inspection is recent, and the 4/5 quality measure score suggests some clinical benchmarks are being met. But low staffing and high turnover weigh heavily against that.
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?