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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

Showing 8681–8700 of 10,881, best-graded first.

C

63/100

Cypress Valley Center For Nursing And Rehabilitati

Reidsville, NC · Rockingham County

CMS 1/5 110 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
54%
Serious cites
0

Cypress Valley runs lean on nursing hours, 2.86 per resident day against a national average of 3.86, roughly a quarter less care time than typical. Weekend coverage dips slightly below its own weekday level, and more than half the nursing staff turned over in the past year, well above the national rate. On inspections, the Reidsville home carries 27 deficiencies, including two at the harm or jeopardy level and two tied to abuse; the most recent survey was in June 2025. The corporate owner operates it for profit, and one fine totaling $9,770 sits on record. Bottom line: staffing and inspection history here both sit below average.

C

63/100

Warren Hills Nursing Center

Warrenton, NC · Warren County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
56%
Serious cites
0

Warren Hills runs 3.55 nurse hours per resident per day, about 8% under the national average, and weekend staffing drops roughly another 10% below its own weekday level. Staff turnover sits at 55.9% against a national 45.8%, so the aides and nurses your relative sees may not be there in six months. The current record carries 17 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was February 2026. Corporate-owned, 140 beds, with staffing and quality measure ratings both at 2 out of 5. The care here isn't unsafe on paper, it's thin, and thin staffing is what families end up feeling.

C

63/100

Juniper Gardens Center For Nursing And Rehabilitat

Gastonia, NC · Gaston County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
62%
Serious cites
0

Juniper Gardens runs about 3.34 nurse hours per resident day, roughly 14% under the national average, and weekend coverage drops another 12% below its own weekday level. That thin margin matters more when turnover sits at 62.2% against a national 45.8%, meaning nearly two-thirds of staff left within the year. The inspection record shows 17 deficiencies, three serious enough to reach harm or jeopardy, plus two fines totaling $16,801. Ownership changed hands within the last 12 months, and the most recent inspection was November 2025. With 50 beds and a for-profit corporate owner, the numbers point to a home where consistent daily care is the open question.

C

63/100

The Greens At Hendersonville

Hendersonville, NC · Henderson County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
70%
Serious cites
0

The Greens at Hendersonville runs 3.35 nursing hours per resident day, roughly 13% under the national average, and weekend coverage drops about 8% below its own weekday level, so the thinnest shifts land exactly when families tend to visit. Staff turnover sits at 69.9% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. On inspections, the record shows 34 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $106,208. Corporate-owned and operating on a for-profit basis, this home keeps a 120-bed census. The most recent inspection was January 16, 2026.

C

63/100

Northampton Nursing And Rehabilitation Center

Jackson, NC · Northampton County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
59%
Serious cites
0

Northampton Nursing and Rehabilitation Center runs on thinner staffing than most homes its size. At 3.24 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 4% below its own weekday levels, so the quietest shifts are the leanest. Turnover tells a related story: 59.1% of staff left over the year, against 45.8% nationally, meaning caregivers are cycling through faster than residents can get to know them. The good news sits on the inspection side, a 4-out-of-5 health inspection rating, nine deficiencies on record, none at harm or jeopardy level, and no abuse findings. The last inspection was April 2026.

C

63/100

The Graybrier Nursing And Retirement Center

Trinity, NC · Randolph County

CMS 3/5 128 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
61%
Serious cites
0

The Graybrier runs a 128-bed for-profit home in Trinity, and its nurse staffing sits at 4.16 hours per resident day, about 8% above the national average. That cushion matters, but it thins on weekends, when coverage drops roughly 7% below the home's own weekday level. The bigger concern is turnover: 60.7% of nursing staff leave each year, against a national average of 45.8%. High churn means unfamiliar faces, and that shows up in the record. Eight deficiencies are on file, one serious enough to involve harm or jeopardy, plus one fine of $8,512. Inspectors were last out in January 2026, and the quality measures score low even though the inspection history reads reasonably well.

C

63/100

Liberty Healthcare Services Of Golden Years Nursin

Falcon, NC · Cumberland County

CMS 4/5 58 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
61%
Serious cites
0

Liberty Healthcare Services of Golden Years Nursing runs 58 beds in Falcon under corporate for-profit ownership, and its inspection record is genuinely clean, a five-star health inspection rating, seven deficiencies total with none at the harm or jeopardy level, and no abuse citations. The trouble sits in daily staffing. At 3.37 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly another 10 percent below its own weekday numbers. With turnover at 60.9 percent against a national 45.8, aides and nurses are cycling through faster than most homes. Inspections tell you what surveyors found on one day; staffing numbers tell you what most days probably look like.

C

63/100

Southpoint Rehabilitation And Healthcare Center

Durham, NC · Durham County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
62%
Serious cites
0

Southpoint runs lean on nursing staff, 3.37 hours per resident day against a national average of 3.86, with weekends dropping about 12% below its own weekday coverage. That thin staffing shows up in the workforce numbers too: 61.6% annual turnover, well above the 45.8% national rate, meaning the people caring for residents are often new or on their way out. The inspection record is the bigger concern. Thirty-eight deficiencies sit on the current record, five serious enough to put residents in harm's way and three tied to abuse. CMS fined the corporation $48,523, and the most recent inspection was April 2025. Corporate-owned, 140 beds. The quality measure score looks fine on paper, but that's reported data, not what inspectors found.

C

63/100

Westwood Health And Rehabilitation

Archdale, NC · Randolph County

CMS 1/5 68 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
81%
Serious cites
0

Westwood runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 80.8% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, with a $15,642 fine and a February 2026 inspection. Quality scores look strong on paper, but that measure draws on resident assessments, not the staffing and compliance problems showing up elsewhere.

C

63/100

Liberty Commons Nursing & Rehabilitation Center Of

Burlington, NC · Alamance County

CMS 4/5 122 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
71%
Serious cites
0

Liberty Commons runs on thinner staffing than most homes, about 3.56 nurse hours per resident each day against a national average near 3.86, and weekends drop roughly 9% below its own weekday levels. The bigger warning sign is turnover: 71.2% of staff leave within a year, well above the 45.8% national figure, which means your family member's caregivers are likely to keep changing. Inspections look solid on paper, with six deficiencies on record and none at the harm level, though one is abuse-related. The state last visited in January 2026. Corporate-owned and operating at 122 beds, this is a home where care quality depends heavily on who's on shift that day.

C

63/100

Ayden Healthcare Of Madeira

Cincinnati, OH · Hamilton County

CMS 1/5 115 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
65%
Serious cites
0

Ayden Healthcare of Madeira runs about 3.07 nursing hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 65% against a national 45.8%, so the people showing up are frequently new. The current record carries 80 deficiencies, three of them abuse-related, none flagged at harm or jeopardy level, and the last inspection was in December 2025. The 4/5 quality measure score reflects how residents' conditions are tracked, but with 1/5 on both staffing and health inspections, the daily reality is thin coverage and constant churn.

C

63/100

Carecore At Lima

Lima, OH · Allen County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
63%
Serious cites
0

Carecore At Lima runs on 3.11 nurse hours per resident day, about 19 percent under the national average, and weekends dip roughly 14 percent below its own weekday coverage. That thin margin matters most on Saturdays and Sundays, when families often visit and problems surface. Staff turnover sits at 62.7 percent against a national average of 45.8 percent, roughly three in five caregivers left over the year. The inspection record shows 55 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse. One fine of $33,534 is on file. The quality measure score is perfect, which tells you charted outcomes look good. The staffing and inspection scores don't. Ask about weekend coverage and turnover before you decide.

C

63/100

Buckeye Care And Rehabilitation

Lancaster, OH · Fairfield County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
59%
Serious cites
0

Buckeye Care and Rehabilitation runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, with weekends about 12% leaner than weekdays. That shortage shows up in a 58.6% annual turnover rate, well above the 45.8% norm, and a 1-out-of-5 CMS staffing rating. The 35 deficiencies on record, one involving harm, four tied to abuse, carry a single $20,678 fine and a 2-out-of-5 inspection rating. Strong quality-measure scores don't offset those numbers, especially under for-profit LLC ownership. The most recent inspection was January 8, 2026, so the record is current, not stale.

C

63/100

Shelby Skilled Nursing And Rehabilitation

Sidney, OH · Shelby County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
65%
Serious cites
0

Shelby Skilled Nursing runs on a thinner staffing line than most homes: 3.27 nurse hours per resident day against a national average of 3.86, with a 1-out-of-5 staffing rating and 65.3% annual turnover, well above the 45.8% typical elsewhere. The good news is that the care processes look solid on paper, with 4s for both inspection and quality measures, and a recent August 2024 survey. But 21 deficiencies sit on the current record, two of them abuse-related, and none rose to the harm level.

C

63/100

Autumnwood Care Center

Tiffin, OH · Seneca County

CMS 2/5 93 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
46%
Serious cites
0

Autumnwood Care Center in Tiffin runs 93 certified beds under corporate ownership, and the numbers show a home that's getting by rather than standing out. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average, and weekends dip about 12% below its own weekday coverage, the gap families feel when they visit on a Saturday. Turnover is essentially average at 45.5%, but the inspection record is the heavier story: 45 deficiencies, three of them serious enough to put residents at risk of harm. The last state inspection was in April 2026, so the record is current, not stale. Nothing here suggests abuse, but the pattern of low staffing and repeated inspection problems is worth asking about directly before committing.

C

63/100

Hamilton Respiratory And Nursing Center

Hamilton, OH · Butler County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
73%
Serious cites
0

Hamilton Respiratory And Nursing Center runs on 3.23 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 9% below what the home staffs on weekdays. Annual turnover sits at 72.6% against a national figure of 45.8%, so the people providing most of the hands-on care are cycling through faster than the residents can get to know them. Thirty-five deficiencies sit on the current record, including one abuse-related citation, though none rose to the harm or jeopardy level. Ownership is for-profit, through a limited liability company. The clinical quality scores look strong, but that staffing number is where the day-to-day reality lives.

C

63/100

Hillsboro Post Acute

Hillsboro, OH · Highland County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
67%
Serious cites
0

Hillsboro Post Acute is a 99-bed for-profit home in Highland County, and its numbers tell two different stories. The care side looks strong on paper: top marks from CMS on health inspections and quality measures, last inspected in May 2025, with nine deficiencies on record and none involving harm, jeopardy, or abuse. Staffing is where it frays. At 3.17 nurse hours per resident day, it runs about 18 percent under the national average, weekends drop roughly 13 percent below its own weekdays, and annual turnover hits 67.1 percent against a national 45.8. Inspectors can find a well-run building while residents still wait longer for hands-on help, and that gap is what pulls the overall picture down to a middling grade.

C

63/100

Bellbrook Health And Rehab

Bellbrook, OH · Greene County

CMS 2/5 65 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
62%
Serious cites
0

Bellbrook Health and Rehab runs 65 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the headline number suggests. Total nurse hours sit at 3.92 per resident day, barely above the national 3.86, while weekend coverage dips about 4% below weekdays and annual turnover hits 61.5% against a 45.8% national rate. That churn shows up in the federal stars: one out of five for staffing, two for health inspections, despite a five for quality measures. The inspection record carries 37 deficiencies, one abuse-related and none flagged at harm level, plus a single fine of $75,323. The most recent survey closed January 15, 2026, so the record is current, not stale.

C

63/100

St Leonard Hcc

Centerville, OH · Montgomery County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
50%
Serious cites
0

St Leonard HCC runs 150 beds under corporate for-profit ownership, and the numbers show where that pressure lands. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and it thins out further on weekends, about 8% below the home's own weekday coverage. Staff turnover is 50.3%, meaning roughly half the workforce leaves each year, which matters for anyone who needs consistent caregivers. The inspection record is heavier: 40 deficiencies, including three at the harm level and three tied to abuse, plus two fines totaling $89,700. The 2024 inspection is recent enough to be relevant. Quality measures look better than staffing and inspection results, but families should ask directly about those harm-level findings.

C

63/100

Heatherdowns Rehab & Residential Care Center

Toledo, OH · Lucas County

CMS 2/5 84 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
69%
Serious cites
0

Heatherdowns runs on 3.09 nurse hours per resident per day, roughly a fifth less than the national average of 3.86, and weekends drop about 9% below what it manages during the week. That thin coverage is the backdrop for a 68.8% annual turnover rate, well above the 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. The current record lists 54 deficiencies, including two at the harm or jeopardy level and one tied to abuse, following a February 2025 inspection. The 5/5 quality measure score and 2/5 inspection rating sit oddly against those numbers; the staffing rating is 1/5.

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?
Acacia Health Center in Phoenix, AZ — grade A, 99 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 10,854 graded for-profit homes in the United States, 1,229 grade A and 931 grade D or F.
Do for-profit nursing homes in the United States accept Medicaid?
10,636 of the 10,881 are certified to accept Medicaid. See Medicaid and nursing homes.

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