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
Paradise Creek runs 3.36 nurse hours per resident day, about 13% under the national average, and weekends dip another 13% below its own weekday level. That's the pattern families feel: thinner coverage on Saturdays and Sundays. Staff turnover is 70.9% against a national 45.8%, so the people helping your relative are frequently new. The inspection record shows 27 deficiencies, 3 serious enough to cause harm or jeopardy, 2 tied to abuse, and 9 fines totaling $63,834. Its most recent inspection was May 2026, so the record is current. The company is a for-profit LLC, and it has consistently scored low on federal staffing and inspection measures. If you're considering it, ask specifically how weekends are staffed.
Alden Lincoln runs 96 beds on Chicago's North Side, and the numbers that stand out first are the ones about people. Nurse staffing sits at 2.98 hours per resident per day, about a quarter below the national average, and weekends dip roughly 14% below what the home itself provides Monday through Friday. That's the stretch when families often visit and when coverage thins.
The inspection record carries 36 deficiencies, four of them serious enough to put a resident in harm's way and two tied to abuse. The most recent state visit was July 2024, so the picture is current, and one fine totaling $8,512 has been levied.
Staff turnover of 41.3% is slightly better than the 45.8% national figure, not a strong point, but not the worst of it either.
Lakeland Rehab runs 154 beds in Effingham under corporate ownership, and its staffing is the weak spot: 3.39 nurse hours per resident day, roughly 12% under the national average, with weekends about 12% thinner than weekdays. The inspection history is the real concern, 27 deficiencies on record, including 4 at the harm or jeopardy level and 7 tied to abuse, plus three fines totaling $86,553. Turnover at 38.6% is actually better than the national 45.8%, and the 4-star health inspection and July 2025 visit are recent positives. But thin daily staffing against that deficiency record is what pulls this home's overall picture down.
Aperion Care Wilmington runs on 2.15 nursing hours per resident day, roughly 44% under the national average of 3.86, and weekends dip about 10% below its own weekday numbers. That thin coverage shows up in the inspection record: 47 deficiencies, including 5 at harm or jeopardy level and 13 tied to abuse, with four fines totaling $293,067. Turnover sits at 43.3%, slightly better than the 45.8% national figure, but stable-ish staffing doesn't offset a 1-out-of-5 CMS staffing rating or a 2-out-of-5 on health inspections. The most recent inspection was April 2025, so the record is current. For-profit, limited liability ownership.
Accolade Hc Of Paxton On Pells carries a for-profit, limited-liability ownership and a record that should give any family pause before signing. The home has 59 deficiencies on file, including 10 at the harm or jeopardy level and 6 tied to abuse, plus seven fines totaling $153,560, and its most recent health inspection earned a single star out of five. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends about 3% leaner than weekdays. Annual turnover of 48% tops the national 45.8% figure, meaning the people caring for your relative are likely to keep changing. Ask hard questions about that abuse history and what's changed since January 2025.
Pearl of Elk Grove runs 190 beds under corporate ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is where the real weight sits: 56 deficiencies, 10 of them at harm or jeopardy level and 7 tied to abuse, plus five fines totaling $144,133. Staff turnover of 47.3% runs slightly above the national 45.8%. The most recent inspection was December 19, 2025. Quality measures score well; staffing and inspections do not.
The Grove of Northbrook runs lean on nurses, 2.20 hours per resident day against a national average of 3.86, roughly 43% below. Weekend coverage barely dips from its own weekday level, so the thinness is consistent rather than a weekend problem. What stands out in the other direction is turnover: 18.8% against a national 45.8%, meaning the staff who are there tend to stay. Inspections, though, are where this home gets exposed. Nineteen deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $83,860. The most recent inspection was June 2024, so that record is current.
Ryze At The Ridge runs on 2.17 nurse staffing hours per resident day, roughly 44% below the national average of 3.86, a gap that shows up on weekends too, when coverage dips about 4% below its own weekday level. The inspection record is where it gets harder to look past: 50 deficiencies on file, including 6 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $301,750. The last inspection was August 23, 2024. Turnover sits near the national figure at 44.2%, so the problem isn't retention so much as how few hands are scheduled in the first place. For-profit, limited liability ownership.
Pearl of Hillside runs 198 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop another 12% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is where the real weight sits: 52 deficiencies, six of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $131,810. Turnover at 41.1% is slightly better than the 45.8% national figure, but that's the one number working in its favor. The most recent inspection was March 2025.
Alden Estates of Orland Park runs 200 beds under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.65 nurse hours per resident day it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 50.3% runs above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. The inspection record backs that up: 53 deficiencies, seven serious enough to reach harm or jeopardy level, one tied to abuse, and five fines totaling $87,510.
Elevate Care Country Club Hill runs 200 certified beds in Cook County under corporate ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record is the bigger concern: 54 deficiencies, 14 of them serious enough to put residents at harm or jeopardy, six tied to abuse, and seven fines totaling $436,375. Turnover, at 45.1%, is basically average. Quality measures score well, but staffing and inspections don't.
Elevate Care Windsor Park is a 240-bed for-profit home on Chicago's southwest side, and the number that stands out is nurse staffing: 2.97 hours per resident day, roughly 23% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so coverage gets lightest exactly when families tend to visit. Turnover sits at 42.1%, a bit better than the national 45.8%, but that's cold comfort next to 72 deficiencies on the current record, 8 at harm or jeopardy level and 3 abuse-related, plus four fines totaling $84,764. The last inspection was April 3, 2026, and the health inspection rating is 2 out of 5. Ask about weekday-to-weekend staffing and how abuse-related issues were resolved.
Loft Rehab of Rock Springs carries 94 deficiencies on its current record, six of them serious enough to involve actual harm or jeopardy, and eight tied to abuse. Those aren't paperwork problems. The health inspection rating sits at 1 out of 5, and the staffing rating matches it, 2.85 nurse hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time. Weekend coverage drops another 11% below the home's own weekday numbers. Turnover at 43.7% is marginally better than the 45.8% national figure, which is the only number here that isn't working against it. A $17,870 fine and a March 2025 inspection round out the picture.
Berkeley Nursing & Rehab Center runs on 2.53 nursing hours per resident per day, roughly a third below the national average, and weekends dip another 10% under its own weekday staffing. For a 72-bed home, that thin margin matters, 35 deficiencies sit on the current record, four of them serious enough to involve harm or jeopardy, plus one tied to abuse, and CMS has issued 25 fines totaling $252,245. The ownership is for-profit and individually held, and turnover at 39.6% actually beats the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was April 2025, and the health inspection rating of 4/5 is genuinely decent, it's the staffing side that drags everything down.
Monmouth Rehab and Nursing is a 58-bed for-profit home in Warren County, and the numbers that matter most here are the inspection ones. Its current record carries 48 deficiencies, including 7 at the harm or jeopardy level and 6 tied to abuse, a pattern serious enough that CMS has issued 4 fines totaling $233,350, with the most recent inspection dated March 20, 2026. Staffing sits at 3.33 nurse hours per resident day, roughly 14 percent under the national average, and weekends run about 9 percent thinner than weekdays. Annual turnover, at 45.5 percent, is essentially the national rate.
Pinckneyville Nursing & Rehab is a for-profit, LLC-owned home with 60 certified beds in Perry County. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends run about 13% thinner than weekdays, so coverage tends to dip right when families are most likely to visit. Annual turnover hits 50%, above the 45.8% national figure. Inspectors last visited in April 2025 and cited 19 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with $100,864 in fines on record. The 4/5 inspection rating doesn't carry the rest: the 1/5 quality measure score is the deeper concern.
Allison Pointe runs 159 certified beds on Indianapolis's east side, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, and weekends dip about 10 percent below what the home itself staffs during the week, so coverage thins out exactly when families tend to visit. Annual turnover of 58.1 percent runs well above the 45.8 percent national figure, meaning the people caring for residents are often new to the building.
The inspection history is heavy: 69 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. A $56,381 fine is on file, and the most recent inspection was February 25, 2026, recent enough to reflect how the home operates now.
Lincolnshire runs 3.26 nurse hours per resident day, about 16% under the national average, and weekends drop roughly 18% below its own weekday staffing. That thin coverage lines up with the federal staffing rating of 1 out of 5, and the health inspection rating is also 1 out of 5, the current record shows 57 deficiencies, though none reached harm or jeopardy level and none involved abuse. One fine totaling $3,418 has been levied. The last inspection was November 24, 2025, so the record is recent. Quality measures score better, at 3 out of 5, which suggests the clinical metrics tracked by CMS look steadier than the day-to-day staffing and inspection picture.
Stone Cottage Care Center runs 41 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.80 hours per resident day, just under the national average, with weekends running about 6% thinner than weekdays. The bigger issue is consistency: turnover hits 53.8% against a 45.8% national rate, meaning nearly six in ten caregivers left over the year. Its inspection record shows 69 deficiencies, including three at harm or jeopardy level and seven tied to abuse, with one fine totaling $18,682 and a survey as recent as September 2025. State inspectors and quality measures both land at the bottom of CMS's five-star scale; staffing is the relative bright spot at three stars.
Merriam Gardens runs on 3.01 nurse staffing hours per resident day, roughly 22 percent under the national average of 3.86, and weekends dip another 8 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 50 percent against a national 45.8 percent. The 36 deficiencies on record include nothing flagged at harm or jeopardy level and no abuse citations, which matters, but ten fines totaling $74,562 and a two-star inspection rating suggest the problems are persistent rather than isolated. The last inspection was October 2024, so the record is reasonably current. For-profit, limited liability ownership. Ask about weekday-to-weekend staffing patterns and how they hold onto aides.
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?