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
Avir At Jefferson runs 116 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.29 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and weekends drop about 14% below its own weekday level, meaning the thinnest coverage lands when families are most likely to visit.
Turnover tells a similar story: 58.8% annually against a national 45.8%, so more than half the nursing staff left within a year. Behind that churn sits an inspection record with 44 deficiencies, including two at the harm level and one tied to abuse, plus $16,498 in fines. The most recent inspection was December 2025. Three 2-out-of-5 stars across health, quality, and staffing round it out.
Sixty-one deficiencies sit on Focused Care At Linden's record, seven of them serious enough to involve harm or jeopardy, and four tied to abuse. Federal inspectors wrote four fines totaling $391,545. The company runs this 131-bed home for profit, and the health inspection rating is one out of five stars.
Staffing is the other trouble spot: 2.61 nurse hours per resident day, well under the national average of 3.86, with weekends about 12% thinner than weekdays. Turnover runs 53.6% a year against a 45.8% national figure, so caregivers keep cycling out. The quality measure score of four stars reflects charted clinical care, but that's measured on paper, the inspection record and thin staffing describe what happens on the floor.
Heritage Trails is a 122-bed for-profit home in Cleburne, and its inspection history is genuinely decent, four out of five stars, with a survey done in August 2025. The staffing is where it comes apart. At 2.76 nurse hours per resident day, it runs about 28% under the national average, and weekend coverage drops roughly 13% below its own weekday level, which matters most when families visit and problems tend to surface. Turnover sits at 53.2%, higher than the 45.8% national figure. Twelve deficiencies are on the current record, three of them at the harm level and one tied to abuse, with seven fines totaling $67,124.
The Heights At Medical Center runs on 3.00 nurse hours per resident day, roughly 22% under the national average, and its own weekend coverage drops another 10% below weekdays. Staff turnover sits at 56.3%, well above the 45.8% national figure, so the people left covering those shifts are often new. Inspectors cited 44 deficiencies, three of them serious enough to put residents in harm's way, and fined the home twice for $22,052 combined. A for-profit LLC operates the 134-bed building, and its last inspection was August 2025. Resident outcome measures look better than the staffing does, but the hands-on care numbers are what families feel day to day.
Focused Care At Midland runs about 2.95 nursing hours per resident each day, roughly a quarter below the national average of 3.86, and weekends dip another 13% under its own weekday numbers. That thin coverage shows up on the record: 45 deficiencies, one serious enough to reach harm or jeopardy level, with a $9,281 fine and a June 2025 inspection. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure, though the CMS star ratings land at 2 out of 5 across health inspections, quality measures, and staffing. For-profit corporate ownership and 106 beds. Ask about weekend coverage specifically, and request the plan of correction for that harm-level finding.
Twilight Home in Corsicana runs about 3.30 nurse hours per resident per day, roughly 14% under the national average, and weekends dip another 12% below its own weekday staffing. The bigger problem is turnover: 94.9% of staff leave each year, more than double the national rate, so the people providing that already-thin care are constantly new. Inspections look strong on paper, a 4 out of 5 star rating, with the most recent visit in May 2025, but the record still carries 10 deficiencies, one of them serious enough to involve harm or jeopardy, plus a $12,795 fine. CMS rates the staffing domain 1 out of 5 stars, and that's the number that matters most day to day.
Winnie L Nursing & Rehabilitation runs on thin staffing and high turnover, and both numbers are worth sitting with. Nurses provide 3.27 hours per resident day against a national average of 3.86, and weekends drop about 13% below what the home manages on weekdays. Staff turnover sits at 87.5%, nearly double the national rate, which means the people caring for residents are constantly new. The inspection record shows 34 deficiencies, five serious enough to involve harm or jeopardy, plus one abuse-related finding and $51,479 in fines; the last inspection was May 2025. Ownership is a for-profit corporation. Quality measure scores look strong, but that's the part of the record least connected to how the building is actually run day to day.
Huebner Creek runs on thin nursing coverage. At 2.52 nurse hours per resident day, it sits about 35% under the national average of 3.86, and weekends drop roughly 24% below what the home already staffs on weekdays. That matters when you're thinking about who answers a call light on a Saturday.
The inspection record is heavier than the staffing picture alone would suggest: 54 deficiencies, including one at the harm or jeopardy level and two tied to abuse. The last inspection was March 2026, so the findings are recent, not stale. A single fine of $14,327 is on file. Limited liability ownership, 146 beds, and quality measures that rate better than the staffing and inspection scores, a gap worth asking about directly.
Wesley Woods in Waco runs 120 certified beds under corporate ownership, and the staffing numbers tell a story worth paying attention to. Nurses provide 3.51 hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 7% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover hits 56.3%, well above the 45.8% national figure, which means fewer familiar faces and more training burden. The current inspection record carries 26 deficiencies, including three at the harm or jeopardy level and one abuse-related finding. All three CMS star ratings, health inspections, quality measures, staffing, sit at 2 out of 5.
Villa Toscana At Cypress Woods runs on 3.30 nurse hours per resident day, roughly 14 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. The bigger problem is turnover: 91.4 percent of staff leave within a year, double the national rate, which means whoever is at the bedside is often new to the building. Inspectors have cited 39 deficiencies on the current record, including four at the harm level and four related to abuse, with $37,827 in fines across three penalties. The 4/5 quality measure score reflects resident care measures, not the safety record or the thin staffing that surrounds it.
Foundation Skilled Nursing in Fresno runs 59 beds under limited liability ownership, and the numbers behind its record deserve a close look before you consider it. Nurse staffing sits at 3.74 hours per resident day, roughly 3% under the national average, and weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. The inspection history is the heavier concern: 51 deficiencies on file, four of them at harm or jeopardy level and four abuse-related, with two fines totaling $96,763. Its most recent inspection was December 2025, so the record is current, not stale. Between the harm-level findings and thin weekend staffing, this is a home to question closely.
Advanced Center For Nursing & Rehabilitation runs 226 certified beds in New Haven under corporate ownership, and the inspection record is where the trouble sits: a one-star health inspection rating, 72 deficiencies on the current record, three of them serious enough to cause harm or put residents in jeopardy, and six tied to abuse. A single $72,450 fine is also on file. Staffing sits slightly under the national average at 3.78 hours per resident day, and weekends run about 19% thinner than weekdays, so coverage is lightest when families tend to visit. Turnover, at 34.4%, is actually better than the national 45.8%, one of the few numbers here working in the home's favor. The most recent inspection was January 2025.
Pruitthealth - Lilburn runs 152 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 3.02 nurse hours per resident day against a national average of 3.86, roughly 22% below. Weekends drop about 15% below the home's own weekday coverage, and turnover sits at 48.9%. The inspection record is heavy, 23 deficiencies, three at harm or jeopardy level, three abuse-related, plus a $59,423 fine. Quality measures score well, but that's the one bright spot against a 1/5 inspection rating and a 1/5 staffing rating. A recent May 2025 inspection means the record is current, not stale. If you're considering this home, ask directly how they cover weekends and what's changed since that inspection.
Arrowhead Post Acute runs 115 certified beds in Jonesboro as a for-profit LLC, and its nurse staffing sits at 3.07 hours per resident day, roughly 21% under the national average of 3.86. Weekends get thinner still, with staffing about 9% below the home's own weekday level, so the coverage gap shows up most when families tend to visit. The current record carries 32 deficiencies, none flagged at harm or jeopardy level and none abuse-related, and the most recent inspection was June 12, 2025. Federal ratings put health inspections and quality measures at 2 out of 5 stars each, with staffing at 1. Those numbers together explain the middling grade better than any single figure does.
Pine Crest runs on about 2.48 nurse hours per resident day, roughly a third below the national average, and weekends drop another 18% under its own weekday level. Nine of the 53 deficiencies on record sit at harm or jeopardy level, and there are ten abuse-related citations plus four fines totaling nearly $120,000. The one bright spot is turnover, 30.3% against a national 45.8%, so the staff who are there tend to stay. But with a 1-star inspection rating and a 199-bed for-profit partnership, the numbers suggest a building where the care depends heavily on which shift your relative happens to get.
Aperion Care Wesley runs 108 beds on Chicago's South Side under corporate for-profit ownership, and the numbers show a building stretched thin on the people side. Nurse staffing sits at 3.74 hours per resident day, slightly under the national average, but the bigger issue is consistency: weekends run about 16% leaner than weekdays, and annual turnover hits 56.7% against a national 45.8%. Inspectors have logged 48 deficiencies, three serious enough to put residents in harm's way, with $63,832 in fines and a January 2025 inspection. The quality measure score looks strong, but that reflects charted care, not the staffing that delivers it.
Axiom Healthcare of Flora runs 99 certified beds under corporate ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86. Weekends thin out further, dropping about 21% below the home's own weekday levels, and staff turnover lands near 43.6%, slightly better than the 45.8% national figure.
What stands out more is the inspection record: 23 deficiencies on file, including two at the harm or jeopardy level and five tied to abuse, plus $9,110 in fines. The last inspection came in October 2024, and the quality measure rating sits at 1 out of 5. A 4-star health inspection rating looks decent on its own, but it doesn't erase that deficiency list.
Alden Town Manor runs 249 beds in Cicero, and the staffing numbers are the first thing I'd want you to see. At 3.21 nurse hours per resident day, it sits roughly 17% under the national average, and weekends drop about 16% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record backs that up: 49 deficiencies, nine of them at the harm or jeopardy level, nine tied to abuse, and six fines totaling $270,515. Turnover at 40.3% is a little better than the national 45.8%, but that's the one number here working in its favor.
Eastside Health and Rehabilitation Center runs on thinner staffing than most homes its size, 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below what the building manages on weekdays. That's a real gap for a 92-bed for-profit, and it shows up in a federal staffing rating of 1 out of 5. The inspection history is mixed: a recent visit in June 2025 and a 4-star inspection rating, but 14 deficiencies on record, including two at the harm level and two tied to abuse. Quality measures sit at 2 stars. Ownership is corporate, for-profit.
Hillview Senior Living & Rehab runs about 2.85 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 10% below its own weekday coverage, that thin margin is where the staffing picture gets its lowest marks. The good news sits on the inspection side: six deficiencies on record, none causing harm or involving abuse, and a survey completed in June 2025, so the home's last look from regulators is recent and clean. What pulls the overall picture down is the split between how the place is run and how residents are actually doing, state inspectors found little to fault, but the clinical quality measures and the day-to-day staffing numbers tell a quieter story worth asking about directly.
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?