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
Parkway Health and Rehabilitation Center runs about 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday coverage. That thin staffing shows up in the CMS staffing rating of 2 out of 5, even though the quality measure score sits at 4. The inspection record is the bigger concern: 19 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $67,587 fine. Turnover at 38.9% is actually better than the 45.8% national figure, and the last inspection was recent, so the record reflects current conditions rather than old problems.
Signature Healthcare of Clarksville runs 120 beds as a for-profit limited liability company, and its latest inspection in May 2025 left seven deficiencies on the record, one serious enough to cause harm or jeopardy, another tied to abuse. The $63,105 fine reflects that. Staffing sits at 3.88 nurse hours per resident day, essentially even with the national average of 3.86, but weekends drop about 22% below the home's own weekday level, and turnover runs 76% against a national 45.8%. CMS gives it two stars each for health inspections and staffing, three for quality measures. The people who stay here the longest are leaving fastest, and coverage thins out exactly when families tend to visit.
Avir At Kaufman runs about 3.07 nurse hours per resident day, roughly a fifth under the national average, and weekends dip another 16% below its own weekday staffing. That thin coverage shows up in the numbers: 59.5% annual turnover against a national 45.8%, and a staffing star rating of just 1 out of 5. The inspection record carries 41 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $8,021. A recent January 2026 inspection and a 4/5 quality measure score suggest some clinical care is tracked, but the for-profit limited liability ownership has not bought enough hands on the floor.
Lancashire Post Acute runs lean on the floor: 2.55 nurse hours per resident day against a national average of 3.86, and weekends drop another 16% below its own weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 61.6%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The 5/5 quality measure score reflects good clinical documentation, but 28 deficiencies on record, three at harm level, two tied to abuse, and a $40,290 fine tell a different story. The last full inspection was February 2026. This for-profit LLC's numbers point to a home where the paperwork looks better than the staffing does.
Edenbrook Lakeside runs 145 beds in Milwaukee, and the staffing numbers are the first thing I'd look at. At 3.43 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 34 deficiencies, three at harm or jeopardy level, one abuse-related, and $138,434 in fines across two cases, with the last inspection in October 2024. Turnover at 41.4% is actually a bit better than average, which suggests the problem isn't retention so much as how many hands are on deck.
The staffing numbers look decent on paper, 4.24 nurse hours per resident day, about 10% above the national average, but that's where the good news mostly stops. Weekend coverage drops roughly 7% below the home's own weekday level, and a 1-out-of-5 inspection rating with 139 deficiencies on record, including 12 tied to abuse and four at harm or jeopardy level, tells you regulators have found serious problems repeatedly. Four fines totaling $151,463 back that up. This is a 231-bed for-profit run by a limited liability company, and its last inspection was in July 2025. Quality measures score middle-of-the-road, so the clinical picture isn't the concern, the oversight history is.
Oasis Nursing & Rehabilitation Center runs 130 certified beds in El Paso under corporate ownership, and its last inspection wrapped up in April 2025 with no harm-level or abuse-related deficiencies on the books. That's the good news. The staffing picture is where things get shaky: 3.40 nurse hours per resident day sits about 12% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover hit 94.8%, more than double the national rate. So you have a home that scores well on quality measures and inspection history, but with a workforce cycling through fast enough that consistent care is hard to guarantee. Ask how they cover weekends before you decide.
San Saba Nursing & Rehabilitation runs on 2.26 nursing hours per resident per day, roughly 41 percent below the national average, and the staff it does have turns over at more than double the typical rate. Weekends are thinner still, about 17 percent leaner than weekdays. What keeps this home from looking worse on paper is its inspection record: three deficiencies, none involving harm or abuse, and a clean five-star history on health inspections and quality measures as recently as the end of 2025. That gap matters. The clinical care being documented looks steady, but the people delivering it keep leaving, and there simply aren't enough of them.
Bellway runs lean on the floor: 2.87 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than most homes. Weekends dip even further below its own weekday levels, and nearly half the staff turns over each year, so the people caring for your relative may often be new. Twelve deficiencies sit on the current record, including one at the harm level and three tied to abuse, with a $203,450 fine. The last inspection was July 2024. Ownership is a for-profit corporation, and the staffing and health inspection ratings both land at 2 out of 5.
The Springs Of Red Oak runs 80 certified beds in Hot Springs under corporate for-profit ownership, and its staffing sits at 3.68 nurse hours per resident day, about 5% under the national average, with weekends running roughly 8% lighter than its own weekdays. That thin coverage gets harder to defend when you see turnover at 78.3% against a national 45.8%; most of the people caring for your relative are new, and the ones who stay are spread thin. The inspection record shows 18 deficiencies, including one at harm or jeopardy level and one tied to abuse, plus a $14,935 fine. The most recent inspection was May 2026, so the picture is current.
Gem Tcu has 75 certified beds in Pasadena and runs a for-profit operation under an LLC. Total nurse staffing comes in at 4.47 hours per resident day, roughly 16% above the national average, but that number looks less steady when you see weekends run about 12% below weekdays, and annual turnover hits 59.7% against a national average of 45.8%. More than half the nursing staff leaves each year. The inspection record is where this home really struggles: 87 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, drawing a $27,808 fine. CMS rated its last inspection 1 out of 5 stars, and that inspection was recent, November 2025.
Staff turnover at Columbine West runs about double the national rate, 95.7% versus 45.8%. That means the aides and nurses caring for your family member are, more likely than not, new to the building and still learning it. The inspection record backs up that instability: 17 deficiencies on file, including two serious enough to put a resident in harm's way and two tied to abuse. Two fines totaling $26,891 have been levied, and the last full inspection was April 2024. For-profit corporate ownership and 100 beds round out the picture. The quality measure score looks fine on paper, but quality measures are self-reported, and they sit uneasily next to that inspection history.
Highline Post Acute runs 125 beds in Denver under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, about 19% under the national average of 3.86. Weekends dip roughly 7% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is 43.3%, slightly better than the 45.8% national figure. The inspection record is the harder read: 36 deficiencies, five at harm or jeopardy level, one abuse-related, and $92,284 in fines across four penalties. The last inspection was August 15, 2024. Quality measures score mid-range, but the health inspection side is where the problems concentrate.
High Plains Post Acute runs about 3.67 nurse hours per resident day, roughly 5% under the national average, and weekend coverage drops another 9% below its own weekday levels. The bigger concern is turnover: 65.7% annually against a national average of 45.8%, meaning most of the people caring for your family member are relatively new. On the last inspection in February 2025, surveyors wrote 33 deficiencies, six serious enough to put residents in harm's way, one involving abuse, with four fines totaling $72,840. The quality measure score looks good on paper, but those numbers come largely from resident assessments, the staffing and inspection record is where the real picture sits.
The staffing number looks fine on paper, 3.96 nurse hours per resident day, just above the national average, but that average hides a churn problem. Nearly 68% of staff turned over in a year, against a national rate around 46%, and weekend coverage drops about 7% below weekdays, so the people at the bedside keep changing. The inspection record is the harder read: 67 deficiencies, four serious enough to involve harm or jeopardy, four tied to abuse, and $153,884 in fines. A for-profit limited liability company runs it, and its last inspection was February 2026. Quality measures score well; staffing and inspections do not.
Pinellas Park Fl Opco runs 120 certified beds as a for-profit corporation, and its inspection record is the first thing that stands out: 25 deficiencies on the current record, five of them serious enough to put residents at risk of harm, plus two tied to abuse. The health inspection rating sits at 1 out of 5, and the last full inspection was December 2023. Staff turnover is the other hard number, 67.9% annually against a national average of 45.8%, meaning roughly two-thirds of the workforce cycles out each year. One fine totaling $19,734 is on record. Quality measures rate better at 3 out of 5, but that's a narrow bright spot against the inspection and staffing picture.
Aviata At Seminole runs on 3.37 nurse hours per resident day, roughly 13 percent under the national average, and weekend coverage dips slightly below its own weekday levels. The bigger signal is staffing churn: 71.2 percent annual turnover against a national average of 45.8 percent. That's a lot of new faces for 120 residents, and it shows up in a one-star staffing rating and a one-star health inspection record, 37 deficiencies, three tied to abuse, plus eight fines totaling $35,944, with the last inspection in May 2024. The four-star quality measures suggest some care processes are working. But steady caregivers matter more than charts, and this building struggles to keep them.
Harborview Satilla is a 174-bed corporate-owned home in Waycross, and its record carries some weight. The last inspection, in February 2026, turned up 23 deficiencies, four of them at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse. That inspection star rating sits at 1 out of 5. Staffing is close to the national average on paper, 3.84 hours per resident day against 3.86, but weekends run about 15% thinner than weekdays, and turnover comes in at 44.8%, so the coverage you see during a weekday visit isn't what a resident gets on a Sunday.
Fulton Center runs about 2.92 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 13% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 54.9%, well above the 45.8% national figure, which means the aides and nurses who know your mother may not be there in six months. The record shows 23 deficiencies, five at harm or jeopardy level, plus three abuse-related citations and a $105,368 fine. Quality measures score well; inspections and staffing do not. Ask the administrator directly who covers Saturday nights.
Gibson Health Opco runs 104 beds as a for-profit LLC, and its inspection record is genuinely clean, a five-star health inspection rating, just two deficiencies on file, none causing harm or involving abuse. The staffing side tells a different story. At 3.26 nurse hours per resident day, it sits roughly 16% under the national average, weekends drop another 13% below its own weekday levels, and annual turnover hits 56.5% against a national 45.8%. Quality measures land at two stars. Four fines totaling $14,732 round out the record. A recent inspection in April 2026 means the picture is current. Good inspections, thin and churning staff, worth asking how weekends and evenings actually feel.
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?