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
Archer Heights Healthcare runs 249 certified beds on Chicago's Southwest Side, and the staffing numbers tell you a lot: 2.43 nurse hours per resident per day, roughly 37% under the national average, with weekends about 13% thinner than weekdays. Turnover sits at 53.5%, well above the 45.8% national figure, so the people left are often covering for the ones who left. The inspection record is the harder problem, 124 deficiencies, 18 at harm or jeopardy level, 16 tied to abuse, and five fines totaling $596,515. A 4/5 on quality measures can coexist with all of that because those measures come from resident assessments, not from how the place is actually run.
La Bella At Clifton runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below what the home itself staffs on weekdays. That thin coverage sits behind a one-star CMS staffing rating. The inspection record is heavy: 53 deficiencies, five at harm or jeopardy level, six tied to abuse, and four fines totaling $146,139. The last inspection was May 2025, so the picture is current. Ownership is a for-profit LLC. Turnover at 37.7% is actually below the national average, which means the problem isn't retention so much as how few hours each resident gets.
Sharon Health Care Willows runs 218 certified beds under corporate ownership, and its staffing is the first thing that stands out: 2.88 nurse hours per resident per day, roughly a quarter below the national average. Weekends are thinner still, about 11% below the home's own weekday coverage, and nearly half the nursing staff turned over last year. The inspection record backs that up, 44 deficiencies, four serious enough to involve harm or jeopardy, and 16 tied to abuse. The most recent inspection was October 2024, so the picture is current, not stale. When you tour, ask how they cover weekends and what's changed since those abuse citations.
Majestic Care of South Bend runs on thinner nursing coverage than most homes, 3.32 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 8% below its own weekday levels. That matters more when you consider the 68.4% annual turnover, well above the 45.8% national figure, so the people providing care are frequently new. The inspection record is the bigger concern: 52 deficiencies, three of them at harm or jeopardy level, three tied to abuse, and $116,322 in fines. A single most-recent inspection in August 2025 produced a 1-star health inspection rating. The quality measure score looks better than the rest, but staffing and compliance are where this home struggles most.
Nurse staffing at Signature Healthcare Of Terre Haute runs 3.94 hours per resident day, just above the national average, but that number hides a gap: weekends are about 13% thinner than weekdays. It's a for-profit corporation with 54.9% annual turnover, well above the 45.8% national figure, and the current record holds 49 deficiencies, including 3 at the harm or jeopardy level and 7 tied to abuse. Two fines total $66,207, and the last inspection was March 2026. A 176-bed building with that kind of record and a 1-out-of-5 inspection rating is worth a hard look before you decide.
The numbers out of Fort Dodge Health and Rehabilitation describe a 65-bed for-profit home where nurse staffing runs about 3.18 hours per resident day, roughly 18% under the national average, and drops another 14% on weekends, when families often visit and needs don't pause. Staff turnover sits at 48.8%, above the national figure, and the inspection record shows 48 deficiencies, six of them serious enough to put residents at risk of harm, two tied to abuse, with $166,043 in fines across two penalties. The most recent inspection was in February 2026, so that record is current. A 1-out-of-5 health inspection rating and 2s for staffing and quality measures aren't isolated problems, they line up with what the underlying numbers already show.
Diversicare Of Sedgwick runs on 2.96 nurse hours per resident per day, about a quarter below the national average, and weekend staffing drops roughly another 10% under its own weekday level. That thin coverage shows up in the inspection record: 32 deficiencies, two involving actual harm or jeopardy, one tied to abuse, and a $51,670 fine. Staff turnover hits 78% against a national 45.8%, meaning most of the people caring for residents are new to the building. The last inspection was May 2025, so the record is current rather than stale. For-profit ownership through a limited liability company. The quality measure score is decent; the staffing and inspection scores are not, and staffing is what you'd actually feel day to day.
El Dorado Care and Rehab runs 50 certified beds under for-profit limited liability ownership, and its staffing tells the clearest story here. At 3.73 nurse hours per resident day, it sits slightly under the national average, and weekends drop about 14% below its own weekday coverage. The bigger concern is turnover: 83% of staff leave annually, against a national average near 46%, that kind of churn makes consistent care hard to maintain. Its record shows 34 deficiencies, including one at the harm level and two tied to abuse. Health inspection and staffing each earned 2 of 5 stars from CMS, with quality measures at 3. The most recent inspection was in April 2026.
Wurtland Nursing and Rehabilitation runs 126 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.51 nurse hours per resident day sits about 9% under the national average, weekend coverage drops roughly 14% below its own weekday level, and annual turnover hits 50% against a 45.8% national figure. Inspections back that up. Twenty-four deficiencies sit on the current record, eight serious enough to involve harm or jeopardy, and one fine of $69,908 has been levied. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating tell you regulators and the payroll data agree. The most recent inspection, in March 2026, is the record to ask about directly.
Twin Oaks runs lean on nursing staff, 3.23 hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday coverage. That kind of dip matters, because fewer nurses on Saturday and Sunday is when problems tend to go unnoticed. The inspection record is heavier than most: 42 deficiencies, including 12 flagged as abuse-related, though none rose to the level of actual harm or jeopardy. Staff turnover sits at 45.3%, almost exactly the national figure, so retention isn't the issue here, the numbers suggest the home simply isn't staffing at the level its 148 residents need, and its recent August 2025 inspection kept the health rating at 2 out of 5.
Camelot Leisure Living runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends drop roughly 12% below its own weekday staffing. Annual turnover sits at 60.9% against a national 45.8%, meaning most of the aides and nurses your family would see are relatively new. The inspection record shows 40 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $47,067 fine and a 1-out-of-5 health inspection rating. A corporate-owned home of 91 beds with that citation history and that much churn is worth a careful visit before you decide anything.
Creekside runs 80 beds in Hagerstown under for-profit LLC ownership, and the staffing numbers are the first thing you should look at. At 3.29 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 64.7% means most of the people caring for your relative are new, and against a 45.8% national rate that's a lot of churn. The inspection record is worse: 104 deficiencies, six at harm or jeopardy level, twelve abuse-related, two fines totaling $111,536, and CMS has placed it in the Special Focus Facility program.
Colony Center For Health And Rehabilitation is a 92-bed for-profit home in Abington, and the numbers here are worth sitting with before you tour. Nurse staffing runs 3.52 hours per resident day, roughly 9% below the national average, and weekends drop about 11% below the home's own weekday level, so coverage thins out exactly when families tend to visit. The inspection record shows 52 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, plus 2 fines totaling $25,593. Staff turnover sits at 50%, above the 45.8% national figure, which matters because consistent caregivers know residents. CMS rated its last inspection 1 out of 5 stars, with quality measures also at 1.
Grand Trace runs on 3.30 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday numbers. Staff turnover sits at 58.8% against a national 45.8%, so nearly three in five workers leave within a year. Its record shows 39 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus $48,153 in fines across two penalties, with the most recent inspection in March 2025. The federal star ratings land at one out of five for both health inspections and quality measures, and two for staffing. This is a for-profit limited liability company operating 96 certified beds.
Pine Forest runs 4.87 nurse hours per resident per day, well above the national figure of 3.86, but that average hides a lot, since weekends drop roughly 27% below its own weekday coverage. Staff turnover sits at 63% against a national 45.8%, meaning the people providing that care are often new or on their way out. The inspection record is the harder problem: 41 deficiencies, 11 of them at harm or jeopardy level and 5 tied to abuse, plus six fines totaling $136,799. The most recent inspection was June 2025, so this is a current picture, not history. For-profit, limited liability ownership.
Delmar Gardens On The Green runs 120 certified beds in Chesterfield under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 4.38 hours per resident day, roughly 13% above the national average, though weekends run about 4% thinner than weekdays and annual turnover hits 57.7% against a national 45.8%, meaning the people providing that above-average care are cycling through fast. The clinical record is harder to defend: 30 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $46,589. A recent October 2024 inspection gives you current information, but a 1/5 quality measure rating alongside that deficiency count suggests the extra staffing hours aren't translating into measured outcomes.
Kirksville Manor Care Center runs 119 certified beds under corporate for-profit ownership, and the numbers here are hard to read. Nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average, but that average hides a real drop on weekends, when coverage falls about 15% below the home's own weekday level. Meanwhile, annual turnover is 57.4%, well above the 45.8% national figure, so the people providing that care keep changing. The inspection record shows 54 deficiencies, seven at harm or jeopardy level, one tied to abuse, and $250,823 in fines across two penalties.
Gainesville Nursing runs 99 certified beds under corporate for-profit ownership, and its staffing is the number that stands out: 2.63 nurse hours per resident per day, roughly a third below the national average of 3.86. Weekend coverage drops about 12% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover sits at 48.6%, a bit above the national 45.8%. The inspection side looks strong on the surface, 4 of 5 stars, last survey in September 2024, but the record carries 25 deficiencies, six of them abuse-related, none flagged at harm or jeopardy level. Quality measures come in at 1 of 5 stars, which is where the gap between paperwork and daily care tends to show up.
Westchester House runs 159 beds in Chesterfield under corporate ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, with weekends about 9 percent thinner than weekdays. On top of that, 69 percent of its nursing staff turns over in a year against a national rate near 46 percent, so the people providing hands-on care are constantly changing. The inspection record shows 43 deficiencies, including two at the harm level and three tied to abuse, with one fine of $83,824 and a health inspection rating of 2 out of 5. Its quality measure score is a bright spot at 4 out of 5, but quality numbers rest on the staffing that produces them.
River City Living Community has 50 deficiencies on its current record, including three at the harm or jeopardy level and nine tied to abuse. That's the part that matters most. Staffing sits at 3.87 hours per resident day, essentially identical to the national average of 3.86, but weekends run about 6% below the home's own weekday level, and annual turnover is 73.1%, well above the 45.8% national figure. The last inspection was October 2024, and there's one fine on record totaling $237,995. For-profit corporate ownership rounds out the picture. The staffing number looks fine on paper, but a 73% turnover rate suggests the people providing care keep changing.
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?