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
Portageville Health Care Center has kept its health inspection record clean enough to earn four stars there, and its most recent survey was in May 2025. But the staffing picture is where things get shaky, CMS gives it one star, and annual turnover runs at 61.5%, well above the 45.8% national average. That churn matters more than any single inspection when you're thinking about who's actually at the bedside day to day. The facility also carries 25 deficiencies, one of them abuse-related, and a single fine of $240,603 on record. Nothing in the file points to immediate jeopardy, but the combination of thin staffing and high turnover is the real story here.
Wilshire at Lakewood runs 170 beds in Lee's Summit under limited-liability ownership, and its inspection history is the strongest part of the picture, a recent survey, a four-star health inspection rating, and no repeat of serious problems since. Staffing is where the trouble sits: 3.43 nurse hours per resident day, roughly 11% under the national average, with weekends about 12% thinner than weekdays. Turnover hits 66.5% against a national 45.8%, meaning most of the people caring for your family member are new to the building. The 34 deficiencies on record include one at harm level and two tied to abuse, which is worth asking about directly before you decide.
Creve Coeur Manor runs on 2.47 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops further below its own weekday level. Staff turnover sits at 74.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record carries 66 deficiencies, including one at the harm level and one abuse-related, with a single fine of $9,440. It's a for-profit limited liability company, 149 beds, last inspected November 2024.
Pioneer Care and Rehabilitation in Dillon is a for-profit limited liability company with 87 certified beds, and the numbers behind its record deserve a close look. The home has 53 deficiencies on file, including five at the harm or jeopardy level and four tied to abuse, along with six fines totaling $140,630. Its health inspection rating sits at 1 out of 5, and last May's inspection is recent. Nurse staffing runs 3.69 hours per resident day, about 4% under the national average, with weekends roughly 13% below its own weekday level. Annual staff turnover is 85.3% against a national average of 45.8%, a rate that makes consistent care hard to sustain.
Dwellside Care and Rehab runs 162 certified beds in Cherry Hill under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.48 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends drop roughly 11% below its own weekday level, so the coverage gets thinnest exactly when families tend to visit. Annual turnover of 67.9% against a 45.8% national average means the aides and nurses caring for your relative are likely to change often. On top of that: 45 deficiencies on the current record, including 4 at harm or jeopardy level and 3 tied to abuse, with $154,466 in fines. The last inspection was May 2025.
Carthage Center runs about 3.25 nursing hours per resident day, roughly 16% under the national average, and its weekends dip about 26% below its own weekday coverage, so the aide or nurse available Monday may not be there Saturday. Staff turnover sits at 68.6% against a national 45.8%, which means more than two-thirds of the nursing staff turned over in a year. The 31 deficiencies on record include none flagged for harm or abuse, and the last inspection was in September 2024. The quality measure score is high, but that reflects charted care, not the hands on the floor.
Davidson Health & Rehab Center runs on 3.50 nursing hours per resident day, about 9% under the national average, and weekend staffing drops roughly 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 72% against a national 45.8%, which means the people caring for your relative are often brand new. The current inspection record carries 43 deficiencies, including six at harm or jeopardy level and two abuse-related, plus $54,389 in fines across three penalties. Its last inspection was August 2025, so the record is recent. Corporate ownership, a one-star inspection rating, and one-star staffing tell the same story.
Elevate Health and Rehabilitation runs 3.25 nursing hours per resident per day, roughly 16% under the national average, and weekends drop about 10% below its own weekday levels. Turnover sits at 72.8% against a national 45.8%, so the people providing care keep changing. Inspection history is the harder problem: 30 deficiencies on the current record, six at harm or jeopardy level and one abuse-related, plus three fines totaling $174,346. The September 2025 inspection is recent, and the one-star inspection and staffing ratings reflect what surveyors found. Quality measures score well, but that's a narrow slice of the picture.
Redwood Health & Rehab runs 116 beds in Charlotte under for-profit limited liability ownership, and the staffing numbers are the main thing to know. At 3.43 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly another 5% below its own weekday level. Turnover is 55.6% against a national 45.8%, so aides and nurses are cycling through faster than usual. The current inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with two fines totaling $7,742 and a survey dated May 2026. Quality and staffing measures both land at 2 out of 5 stars.
Smoky Ridge runs on thinner nursing coverage than most homes, 3.08 nurse hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday levels. That staffing pattern sits behind a CMS staffing rating of 3, but the inspection record is the bigger concern: 21 deficiencies, including one at the harm level and two tied to abuse. Add a $59,631 fine and a 51.6% annual turnover rate that outpaces the national figure of 45.8%, and you get a home where consistency is hard to maintain. The most recent inspection was in March 2025, so the picture is current.
Brunswick Cove runs 175 beds under for-profit LLC ownership, and the numbers on staff are the ones to sit with. Annual turnover hits 74.7% against a national average of 45.8%, and CMS gives staffing its lowest mark, meaning the people who provide daily care are cycling through fast. The health inspection side is steadier, with a 3/5 rating, 21 deficiencies on record and none flagged at harm or jeopardy level, but quality measures land at 1/5 and nine fines total $70,913. The most recent inspection was December 2025, so the record is current. Ownership structure, high turnover, and weak quality scores together explain why this home sits near the bottom of what we grade.
Rock Rest runs lean on staff. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 9% below its own weekday level. That thin coverage shows up in the numbers: 71% annual turnover, well above the 45.8% national figure, so the aides and nurses your family member sees are likely to keep changing. Inspections are the brighter spot, a 4-out-of-5 health inspection rating and a recent April 2025 visit. But 20 deficiencies sit on the current record, three at harm or jeopardy level and two tied to abuse, which is a lot for a 60-bed home.
Village Care of King runs 96 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.58 nurse hours per resident day, it sits under the national average, and weekends drop about 11% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover tells a related story: 77.8% of staff leave annually, well above the 45.8% national rate. The current record carries 15 deficiencies, four at harm or jeopardy level and two abuse-related, plus three fines totaling $110,113. A recent inspection in January 2026 and a 1/5 staffing star confirm the pattern.
Pisgah Manor runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 6% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 59.1% against a national 45.8%, which means CNAs and nurses are cycling out faster than residents can get used to them. The inspection record shows 12 deficiencies, one serious enough to put a resident in harm's way, plus a $59,391 fine. A 2/5 on health inspections and 2/5 on staffing tell you the same story the numbers do.
Liberty Commons runs on 3.17 nurse hours per resident per day, roughly 18% under the national average, and weekends dip about 7% below its own weekday level. That thin staffing shows up in a 70.5% annual turnover rate, well above the 45.8% national figure, so the people caring for your relative are often new. The health inspection record is recent (May 2025) and rated well, but the home carries 36 deficiencies, six at harm or jeopardy level and two abuse-related. A four-star inspection rating and a one-star staffing rating can coexist; here they do, which tells you the problems aren't in paperwork but in daily coverage.
Brunswick Health & Rehab Center runs 100 certified beds in Ash under corporate for-profit ownership, and its nurse staffing sits at 3.47 hours per resident day, about ten percent under the national average of 3.86. Weekend coverage drops another twelve percent below its own weekday level, and turnover runs 55.1 percent against a national 45.8. The current inspection record carries 32 deficiencies, six at harm or jeopardy level and two tied to abuse, with four fines totaling $252,827 and a one-star health inspection rating. Quality and staffing each earned three stars, but the last inspection was April 2026, so the record is recent. Ask about weekend nurse coverage and what's changed since that citation history.
Inniswood runs lean on nursing staff, 3.17 hours per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops about 10% below its own weekday level. That thinness shows up in turnover, too: 59.3% of staff left last year, well above the 45.8% national figure. The inspection record is heavy: 47 deficiencies, five serious enough to involve harm or jeopardy, four tied to abuse, and a $169,562 fine. Ownership is for-profit corporate, and the last full inspection was July 2025. Quality measures score well, but the staffing and inspection numbers are what a family should weigh.
Country Club Retirement Ctr Iv carries a one-star health inspection rating and a one-star staffing rating, and the numbers behind those marks are worth sitting with. State inspectors logged 45 deficiencies, four of them serious enough to involve actual harm or jeopardy, and three tied to abuse. Staff turnover runs at 69.8% a year against a national average of 45.8%, which means the people caring for residents are, more often than not, new to the building. The quality measure score is high, but that reflects charted care, not the hands available to deliver it. A for-profit limited liability company operates the 62-bed home, and its last full inspection was September 2024.
Aurora Manor runs on 3.57 nurse staffing hours per resident day, roughly 8 percent under the national average, and weekend coverage drops about 14 percent below what it manages on weekdays. Staff turnover sits at 66.7 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. Inspectors have cited 25 deficiencies, including two at the harm or jeopardy level and seven tied to abuse, with the most recent visit in January 2026. Corporate ownership and a two-star inspection history round out the picture. If you're considering this one, ask hard questions about abuse-prevention training and who actually staffs the weekend shifts.
Majestic Care Of Point Place runs a for-profit corporate operation with 82 certified beds in Toledo, and the numbers that stand out most are about people, not buildings. Nurses provide about 3.57 hours of care per resident per day against a national average of 3.86, and weekends dip roughly 14% below what the home manages Monday through Friday, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 58.4%, well above the 45.8% national figure, which means the people caring for your relative are cycling out faster than average. The current record carries 41 deficiencies, including one at the harm level and one tied to abuse. That abuse citation and the harm-level finding are the details worth pressing the administrator on 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?