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
San Gabriel Rehabilitation and Care Center runs 142 beds in Round Rock under for-profit LLC ownership. Nurse staffing sits at 3.18 hours per resident day, roughly 18% under the national average, and weekends run thinner still, about 7% below what the home staffs on weekdays. Turnover is 55.1%, close to ten points above the national rate, which means the aides and nurses your family member sees may keep changing.
The inspection record is the harder part: 32 deficiencies, three at harm or jeopardy level, six tied to abuse, and $19,393 in fines. CMS gave it one star each for health inspections and staffing. The most recent inspection was July 2025, so the record is current, not stale.
St. Giles runs about 124 beds in El Paso, and the staffing numbers are where the trouble starts. At 3.61 nurse hours per resident day it sits roughly 7% under the national average, and weekend coverage drops another 9% below what it manages on weekdays. The bigger red flag is turnover: 93.9% of staff leave within a year, against a national average near 46%, that's an entirely new workforce roughly every twelve months. The current record carries 44 deficiencies, two tied to abuse, though none reached harm or jeopardy level and the last inspection was recent.
Big Spring Center For Skilled Care runs on thin nursing coverage: 3.43 hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday level. The bigger warning sign is turnover, 91.7% annually, roughly double the national rate, meaning nearly the entire nursing staff cycles through in a year. Inspections look decent on paper with a 4-star rating and a recent visit, but the record still carries 27 deficiencies, including one at the harm level and four tied to abuse, plus an $8,184 fine. Corporate-owned and certified for 120 beds, this is a home where you'd want to ask hard questions about who's actually on the floor at 2 a.m. on a Sunday.
California Nursing & Rehabilitation Center has 81 deficiencies on its current record, including three tied to abuse and two that rose to the level of harm or jeopardy. That's a lot for an 80-bed home, and it lines up with the one-out-of-five inspection rating. Staffing hours look decent on paper at 4.16 per resident day, but weekends run about 9% thinner than weekdays, and the federal staffing rating still lands at two stars. Three fines totaling $82,845 are on file. The last inspection was May 7, 2026, so the record is current. For a for-profit LLC operating in Riverside County, the pattern here is thin coverage when it matters and repeated citations that haven't gone away.
Harmony Park Ridge runs 298 beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17 percent under the national average of 3.86. Weekends dip slightly further below its own weekday levels. The inspection record is the bigger concern: 52 deficiencies, 11 of them at harm or jeopardy level and 10 abuse-related, with five fines totaling $223,201. Federal inspectors last visited in March 2025 and rated health inspections 2 out of 5. For a building this size, that many serious findings points to problems that persist between surveys rather than one bad week.
Pearl Of Joliet runs 214 beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 57 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse; CMS has fined the home four times for $109,368 total. Turnover at 42.6% is slightly better than the 45.8% national figure, which is one of the few numbers here that isn't working against it.
Meadowbrook Manor runs 249 certified beds in Naperville under for-profit LLC ownership, and its nurse staffing sits at 2.85 hours per resident day, roughly 26 percent under the national average of 3.86. Weekends thin out further, running about 17 percent below the home's own weekday level, so coverage is lightest exactly when families tend to visit. The inspection record shows 45 deficiencies, including 5 at harm or jeopardy level and 6 abuse-related, plus a $133,390 fine. Staff turnover of 42.5 percent is slightly better than the 45.8 percent national figure, but that's the one relative bright spot in the numbers. The most recent inspection was January 15, 2026.
Haven Of Champaign runs 60 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 17% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. The inspection history is heavier: 75 deficiencies on the current record, including two at the harm or jeopardy level and five tied to abuse, plus $12,425 in fines. Staff turnover, at 42.6%, actually comes in slightly under the national rate, which suggests the problems here aren't mainly about keeping people.
Serenity Estates At Morris runs on 3.01 nurse staffing hours per resident day, roughly 22% under the national average of 3.86, and weekends dip about 11% below the home's own weekday level. That thin coverage shows up in the CMS staffing star rating of 1 out of 5, and the quality measure score matches it at 1 out of 5. The inspection record carries 44 deficiencies, including one at the harm or jeopardy level, though none are abuse-related, and the last inspection was December 18, 2025. This is a for-profit limited liability company with 142 certified beds, and the health inspection rating of 3 out of 5 is the strongest number on the page.
Meadowbrook Manor in La Grange runs 197 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national average, and weekends drop roughly 18% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Staff turnover is 46.8%, slightly above the national figure, and the home carries 46 deficiencies on its current record, four of them at the harm or jeopardy level, with two fines totaling $57,714. Its last inspection was July 2025, and CMS rates it 2 out of 5 on health inspections, quality measures, and staffing alike.
Hillcrest runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop another 18 percent below its own weekday coverage. Staff turnover sits at 75 percent against a national rate near 46 percent, so the people providing care change often. The inspection record carries 73 deficiencies, including three at the level where residents were actually harmed or put in jeopardy, plus four tied to abuse; two fines total $25,450, and the most recent inspection was March 2026. Ownership is a for-profit limited liability company. The quality measure score looks acceptable, but that reflects charted care, not the staffing and oversight problems the state has repeatedly cited.
Crystal Heights runs lean on nursing staff, 3.07 hours per resident per day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage. That's a gap families feel on Saturday afternoons, not on a tour. Annual turnover sits at 63.5% versus 45.8% nationally, so the aide who knows your mother may not be there in six months. Sixteen deficiencies are on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was June 2025. A corporate owner took over within the past year and has paid $10,489 in fines. The pattern reads as a building in transition, not crisis.
Pontchartrain Health Care Center is a 182-bed for-profit home in Mandeville, and the numbers are hard to dress up. Nurse staffing sits at 3.55 hours per resident day against a national average of 3.86, and it gets thinner on weekends, dropping about 17% below the home's own weekday level, so the coverage your relative gets on a Saturday is lighter than what the home itself staffs Monday through Friday. Staff turnover is 54.7%, meaning more than half the nursing workforce turns over in a year, well above the 45.8% national figure. The current record carries 45 deficiencies, three at harm or jeopardy level, one abuse-related, plus a $105,898 fine, and CMS has placed the home in its Special Focus Facility program.
Carroll Health and Rehab runs 3.13 nursing hours per resident day, roughly 19 percent under the national average, and weekends drop another 19 percent below its own weekday staffing. The inspection record is the harder part: 49 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with a $37,884 fine and a one-star health inspection rating. Staff turnover sits at 42.1 percent, slightly better than the national 45.8 percent, so retention isn't the main problem here, coverage and compliance are. The most recent inspection was July 28, 2025, so the record is current. For a 120-bed for-profit home owned by an individual, those numbers describe thin staffing and serious findings that a family should ask about directly.
Avoyelles Manor's staffing number is the thing you'd notice first: 0.14 total nurse hours per resident day, which is about 96% below the national average of 3.86. That's not a rounding difference, and the weekend picture is worse, staffing drops roughly 56% below the home's own weekday level. A recent inspection on May 19, 2026 and a clean deficiency record (four total, none at harm or jeopardy level, none abuse-related) work in its favor, and the five-star health inspection rating reflects that. But quality measures sit at three stars and staffing at one, which is what pulls the overall picture down. For-profit corporate ownership. The inspection record is genuinely good; the daily staffing numbers are the reason to ask hard questions before moving someone in.
Lee's Summit Place runs on thin nursing coverage: 2.91 nurse hours per resident per day against a national average of 3.86, and weekends dip roughly 15% below what the home itself staffs on weekdays. That shortfall shows up in the federal staffing rating, which sits at the lowest mark, and in turnover of 73.9%, well above the 45.8% national figure, meaning the aides and nurses around your family member are likely to keep changing. The inspection record is more reassuring: a 4-out-of-5 health inspection rating, with the most recent survey in April 2025 and 30 deficiencies logged, just one of them serious enough to involve harm or jeopardy. No abuse deficiencies appear on the current record.
Tiffany Heights runs on 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 18% below what the home staffs during the week. That thin coverage sits behind a 69% annual turnover rate, well above the 45.8% national figure. Inspectors have cited 29 deficiencies on the current record, two of them abuse-related, though none reached harm or jeopardy level. The last inspection was December 5, 2025. A for-profit limited liability company owns the 60-bed home in Mound City. Quality measures rate mid-range, but staffing and inspection results are where the concerns concentrate.
Finger Lakes Health in Geneva runs 345 certified beds under corporate ownership, and its inspection record shows 26 deficiencies, including a pair serious enough to reach harm or jeopardy level and three tied to abuse. That's a lot to carry, and the two-out-of-five health inspection rating reflects it. The quality measure score sits at the same two stars, so this isn't a case of strong clinical outcomes offsetting weak inspections. The last survey was September 2023, which means the record you're looking at isn't fresh, call and ask what's happened since, and specifically how the abuse-related findings were resolved. With a home this size, staffing consistency matters as much as any single number.
Ellicott Center runs 160 certified beds in Buffalo under for-profit LLC ownership, and the numbers worth knowing start with staffing: 3.48 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 17% below its own weekday coverage. That thinner weekend floor is where gaps tend to show up. Staff turnover sits at 61.3%, well above the 45.8% national figure, which means aides and nurses are cycling through often enough that familiarity with residents is hard to build. On the inspection side, the home carries 33 deficiencies on its current record, including one at the harm or jeopardy level and one abuse-related, plus a $10,868 fine. The last inspection was February 2025, so the record is recent.
Signature Healthcare of Roanoke Rapids runs a 108-bed for-profit home where the staffing numbers are the main thing to know. Nurses provide 3.25 hours of care per resident per day, about 16% under the national average, and weekends drop roughly 17% below the home's own weekday level. Turnover sits at 66.7% against a national 45.8%, which means the people caring for residents are often new. The health inspection record shows 24 deficiencies, one serious enough to reach harm or jeopardy, and federal fines total $9,110. The quality measure stars look strong, but quality scores depend on staff having time to document and follow through. A recent inspection in May 2026 means the record is current, not old.
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?