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
Woodland Convalescent Center runs lean on nursing hours: 3.10 per resident day, roughly a fifth below the national average, and weekends drop another 22% below its own weekday coverage. That thin schedule matters more given what inspectors have logged, 21 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse, with $31,793 in fines across two penalties. The last inspection was June 20, 2025, so the record is recent. The health and quality measure ratings sit mid-range, but the staffing rating is the outlier at one star. For-profit corporate ownership. If you're weighing this one, ask how they cover weekends and what changed after those abuse findings.
Autumn Lake Healthcare At Crystal Springs runs 84 certified beds in Elkins under corporate ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, weekends run about 10% thinner than weekdays, and annual turnover hits 74.1% against a national 45.8%, meaning most of the people caring for your family member in any given year are new to the building.
The inspection record backs that up: 71 deficiencies on file, five of them abuse-related, with the most recent state visit in March 2025. Staffing scored lowest of the three federal ratings, and quality measures landed near the bottom too. Worth asking hard questions about who's on the floor on a Sunday.
Maple Ridge runs 80 beds under corporate ownership, and its staffing sits about 7% under the national average at 3.58 nurse hours per resident day. Weekends drop roughly 8% below its own weekday coverage, so the thinnest shifts land when families often visit. Turnover at 40.8% is actually better than the 45.8% national figure, which matters for consistency of care. The harder numbers are the 31 deficiencies on record, including two at harm or jeopardy level and two abuse-related, plus a $14,433 fine. The most recent inspection was April 30, 2025, so the record is current, not stale.
Mercy Health Services runs 60 certified beds in Milwaukee under corporate ownership, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.73 hours per resident day, a bit under the national average, and weekends drop about 12% below what the home staffs on weekdays. Turnover is the bigger concern: 62.3% of staff left over the past year, against a national average of 45.8%. Inspections in May 2025 turned up 32 deficiencies, including two at the harm level and eight related to abuse, with $47,753 in fines on record. CMS rates the home 2 out of 5 on both staffing and quality measures, and 3 on inspections.
Sunflower Park Health Care runs 3.24 nurse hours per resident day, roughly 16 percent under the national average, and weekends dip about 15 percent below its own weekday coverage. That thin staffing sits atop 100 percent annual turnover, every nurse replaced over a year, against a national rate near 46 percent. Inspectors cited 52 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, with $190,538 in fines. The quality measure score looks strong, but it reflects charted care, not the hands available to deliver it. The most recent inspection was January 7, 2026.
Cypress Woods runs lean on nurses, 2.65 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage. That thin floor shows up in the numbers: annual turnover of 64.2% means most of the people caring for your family member are newer than the average aide elsewhere, and CMS itself rates staffing at just one star out of five.
The counterweight is inspection history. Twenty deficiencies on record, one serious enough to involve harm or jeopardy, and a single $22,104 fine, but a four-star health inspection rating and a recent survey from January 2025. This is a for-profit limited liability company where the care, when it happens, has generally satisfied state inspectors, even as the daily staffing margin stays slim. Ask about weekend coverage specifically.
Focused Care At Webster runs a 120-bed for-profit operation in Harris County, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.56 hours per resident day, about 8% under the national average, and it thins out further on weekends. Annual turnover hits 66.3% against a national 45.8%, so you're looking at a building where two out of three caregivers left within the year.
The inspection record backs that up: 32 deficiencies on file, three at harm or jeopardy level, five tied to abuse, and $34,665 in fines across two penalties. The last inspection was January 30, 2025. Quality measure scores look strong, but that's largely charting, the direct-care hours and the harm-level findings are what a family will actually feel.
Georgia Manor runs on thin staffing, and the numbers show it: 3.01 nurse hours per resident day, roughly a fifth below the national average, with weekends dropping another 14% beneath its own weekday levels. Nearly every employee leaves within a year, turnover sits at 97.7% against a national average of 45.8%, so the people caring for residents are, more often than not, new to the building. The inspection record adds weight: 37 deficiencies, including one at the harm level and three tied to abuse, plus an $8,031 fine. A recent inspection date helps, but it doesn't erase a staffing pattern where continuity is nearly absent.
Matagorda Nursing & Rehabilitation Center runs a 100-bed for-profit operation in Bay City, and the staffing numbers are where the trouble shows. At 3.50 nurse hours per resident per day, it sits about 9% under the national average, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 87.8% is nearly double the national rate, meaning the people providing most of the daily care are, statistically, on their way out. Twelve deficiencies sit on the current record, one serious enough to involve harm or jeopardy, along with a $16,555 fine. A May 2025 inspection is recent, so the picture isn't stale.
Park Manor Of Cypress Station runs on thin nursing coverage: 3.09 hours per resident per day against a national average of 3.86, and weekends dip about 14% below its own weekday level. That staffing shortfall shows up in a 61% annual turnover rate, well above the 45.8% national figure, and in a one-out-of-five CMS staffing star. The inspection record is harder to look past: 27 deficiencies, seven at harm or jeopardy level, three tied to abuse, and $29,517 in fines, with the most recent inspection dated June 2025. Owned by a for-profit limited liability company, its quality measure star of four out of five stands out against everything else, though strong chart numbers don't change what happens on the floor.
Columbus Oaks runs 137 certified beds as a for-profit corporation, and the numbers show strain in a few places. Staff turnover sits at 56.5% against a national average of 45.8%, and the federal staffing and quality ratings both come in at one star out of five. The health inspection record shows 30 deficiencies, two of them serious enough to reach harm or jeopardy level, though none tied to abuse. Fines total $8,412 from a single penalty, and the most recent inspection was July 9, 2025. Nothing here suggests a home in crisis, but the combination of high turnover and low staffing marks is worth asking about directly.
Avir At Houston runs 148 certified beds as a for-profit corporation, and the numbers that matter most here are thin. Nurse staffing sits at 2.79 hours per resident day against a national average of 3.86, roughly 28% below, and weekends drop about 19% below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. The inspection record carries 35 deficiencies, six of them serious enough to involve harm or jeopardy, plus four fines totaling $178,352. The most recent inspection was May 8, 2026. Federal quality measures score well, but that sits against a 1/5 staffing rating and a 1/5 inspection rating. If you're weighing this one, ask specifically how weekend coverage is handled.
Rockdale Estates runs about 2.7 nursing hours per resident each day, roughly 30% under the national average of 3.86, and weekends dip even lower. That thin coverage shows up against a one-star quality measure rating and 13 deficiencies on the current record, including one at the harm or jeopardy level, plus a single fine of $8,018. The inspection history is the bright spot: four stars and a recent April 2025 survey. Turnover at 42.6% is actually a bit better than the national 45.8%, so the problem isn't churn, it's how few hands are scheduled per resident, especially on weekends.
Avir At Sherman runs on 3.06 nurse hours per resident per day, roughly a fifth below the national figure, and weekends drop about 9% below what the home staffs on weekdays. That shortfall shows up in the numbers that matter: the federal staffing rating sits at 1 out of 5, with annual turnover at 87.1% against a national rate near 46%. Thirty-three deficiencies appear on the current record, three tied to abuse, though none reached harm or jeopardy. The last inspection was June 2025, and quality measures actually score well. A for-profit LLC runs the 132-bed home, so ask directly how they hold onto aides and who covers weekends.
Castro County Nursing & Rehabilitation runs on thin staffing: 2.93 nurse hours per resident day, roughly a quarter below the national average, and weekends dip even lower than its own weekdays. Turnover sits at 52.2%, so the people around your relative are frequently new. The inspection record backs up the concern, 53 deficiencies, four serious enough to involve harm or jeopardy, eight related to abuse, plus a $47,932 fine. The quality measure star rating is decent at 4/5, yet staffing earned just 1/5 and inspections 2/5 under CMS. The most recent inspection was May 2025, so this picture is current. This for-profit LLC has real problems filling shifts, and that shows up in the record.
Millbrook runs on thin staffing: 3.08 nurse hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level. The people who do show up don't stay, 69.7% turnover versus 45.8% nationally means most of the staff you'd meet today likely won't be there next year. Inspectors cited 22 deficiencies, one serious enough to involve harm or jeopardy, and fined the home $13,565; the most recent inspection was in February 2025. A for-profit limited liability company owns the place. The quality measures look better than the staffing numbers, but good scores on paper don't change how few hands are on the floor.
Avir At Dallas runs 136 beds under for-profit LLC ownership, and its inspection record is the first thing to notice: 29 deficiencies on file, two of them serious enough to cause harm or jeopardy, plus one abuse-related finding and an $8,018 fine. Staffing is the other trouble spot, 3.28 nurse hours per resident day sits about 15% under the national average, weekends run roughly 14% lighter than weekdays, and turnover hits 75.7% against a national 45.8%, so the people caring for your family member are likely new and often stretched thin. The most recent inspection was July 2025, so the picture is current.
Legend Oaks North runs 3.17 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 15% below what the home manages Monday through Friday. That thin coverage sits alongside 24 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. Federal inspectors also logged a $41,890 fine, and the most recent inspection is dated April 2026. Throw in for-profit LLC ownership and a 1/5 staffing star rating, and the pattern is consistent: this is a home regulators have cited repeatedly, with staffing that leaves little margin when something goes wrong.
The Heights of Tyler runs 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekend coverage dips about 12 percent below what it manages on weekdays. That thin margin sits behind a staffing rating of 1 out of 5 even though the home's last inspection in February 2026 produced a 4-star health inspection result. Turnover adds another layer: 56.1 percent of staff leave annually, well above the 45.8 percent national figure. The current record lists 21 deficiencies, one involving harm or jeopardy and one abuse-related, plus a $14,276 fine. Ownership is for-profit partnership. The inspection picture looks better than the day-to-day staffing reality.
Avir At Schertz runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 12% below its own weekday level. Staff turnover sits at 79.4% against a national average of 45.8%, so the people caring for residents change constantly. The inspection record shows 65 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $39,676 in fines and a most recent inspection dated February 27, 2026. Ownership is a for-profit limited liability company. The quality measure score looks strong on paper, but that number rests on a staffing and inspection picture that is far weaker.
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?