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
Signature Healthcare of Erin runs 164 certified beds under a for-profit LLC, with nurse staffing at 3.70 hours per resident day, about 4% under the national average, and weekends roughly 14% thinner than weekdays, when families often visit. Turnover sits at 47.7%, a couple points above the national figure, so the aides and nurses caringly assigned here may not be the same faces from one month to the next.
The inspection record carries more weight than any single number: nine deficiencies, four serious enough to involve harm or jeopardy, plus one abuse-related finding, and a $147,898 fine. The most recent inspection was March 2026.
Avir At New Braunfels runs 154 certified beds under for-profit LLC ownership that changed hands within the last year. Nurse staffing sits at 3.36 hours per resident day, roughly 13% below the national average, and weekends dip about 10% below its own weekday levels, meaning coverage is thinnest exactly when families tend to visit. The bigger concern is the inspection record: 53 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $163,819. Staff turnover of 73.7% is well above the 45.8% national average, so the people caring for residents are constantly changing.
Ivy Creek runs 162 certified beds in Waco under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.21 nurse hours per resident day, it sits about 17% under the national average, weekend coverage drops another 11% below its own weekday level, and 64.7% annual turnover means the aides and nurses in the building keep changing, a rate well above the 45.8% norm. The inspection record shows 15 deficiencies, including three at the harm or jeopardy level and two tied to abuse, with $149,039 in fines and a survey as recent as July 2025. Quality and health inspection scores land mid-range, so the real story is thin, unstable staffing layered over a record that has already flagged harm.
Pleasant Springs Healthcare Center runs about 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips another 14% under its own weekday levels. The bigger red flag is turnover: 95.9% annually, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, almost certain to be new to the building within a year. Its inspection record shows 54 deficiencies, including three at the harm level and two tied to abuse, plus $70,837 in fines across four penalties. The most recent inspection was February 2025. Ownership is corporate for-profit. With 90 beds, that combination of thin staffing, constant churn, and a serious deficiency history is what a family should weigh carefully before choosing this home.
Windcrest Nursing and Rehabilitation runs 180 certified beds under corporate ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, with weekends running about 6% thinner than its own weekdays. Turnover is 59.4% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 38 deficiencies, five at harm or jeopardy level and seven tied to abuse, plus four fines totaling $199,073. Quality measures rate well, but that's a narrow bright spot next to thin staffing and a 2/5 inspection rating.
Landmark of Amarillo Rehabilitation and Nursing runs 99 certified beds under for-profit LLC ownership, and the inspection history is the place to start. The home carries 24 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse. Two CMS fines total $160,948. That's a lot of enforcement activity for a building this size.
Staffing is the other pressure point. At 3.43 nurse hours per resident day, it sits about 11% under the national average, weekends drop roughly 13% below its own weekday levels, and annual turnover hits 97.6%, more than double the national figure of 45.8%. That churn makes consistent care hard to sustain.
The most recent inspection was January 15, 2025.
Interlochen runs lean on the floor, and the numbers show it. Nurses give residents about 3.36 hours of care a day, roughly 13% under the national average, and weekends drop another 14% below the home's own weekday pace, so the thinnest coverage lands right when families tend to visit. On top of that, nearly everyone on staff left in the past year: 95.9% turnover against a national figure under half that, which means the people caring for residents are constantly new to the building. Its record carries 31 deficiencies, 6 serious enough to involve harm or jeopardy, 4 tied to abuse, and $54,137 in fines. An April 2025 inspection is recent, but the pattern behind it isn't reassuring.
Lake Lodge runs on 3.26 nurse hours per resident day, roughly sixteen percent under the national average, and weekends dip about eight percent below its own weekday staffing. That thin coverage shows up in a 93 percent annual turnover rate, double the national figure, meaning the aides and nurses at your mother's bedside are, statistically, likely to be gone within a year. The current record carries 33 deficiencies, five serious enough to cause harm or jeopardy and six tied to abuse, with $47,621 in fines across three cases. A January 2026 inspection is recent, at least, but a for-profit LLC with that staffing level and that churn is worth visiting unannounced, on a weekend, before you decide.
University Park Nursing and Rehabilitation runs on 2.97 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below its own weekday staffing. The bigger warning sign is turnover: 86.9% of nursing staff left over the past year, nearly double the national rate of 45.8%, meaning the people at the bedside are constantly changing. Inspections look better than that picture, 23 deficiencies, none causing harm or involving abuse, and a recent June 2025 survey earned four stars. If you're considering this one, ask how they hold staffing steady on weekends and how they keep experienced nurses from walking out the door.
Elderwood At Burlington runs 150 certified beds under for-profit LLC ownership, and the numbers that stand out most are on the workforce side. Nurse staffing sits at 3.80 hours per resident day, just under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 67.9% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 70 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus a $220,961 fine, all with a March 2026 inspection date that's recent enough to matter.
Lynchburg Health & Rehabilitation Center is a 180-bed for-profit run by a limited liability company, and the numbers that stand out most are on the staffing side. Total nurse coverage sits at 3.82 hours per resident day, just under the national average of 3.86, and weekends run about 8% thinner than weekdays, so the quietest shifts are also the leanest. Annual turnover of 68% against a national 45.8% means the aides and nurses showing up are often new to the building. The inspection record is the harder read: 61 deficiencies currently on file, including one at the harm level and one abuse-related, with a 1-out-of-5 health inspection rating. Past problems, and a workforce that keeps churning.
River Edge runs on thinner staffing than most homes you'll compare it to, 2.96 nurse hours per resident per day against a national average of 3.86, and weekends drop about another 10% below its own weekday level. That matters, because the inspection record here is the real story: 41 deficiencies on file, three of them serious enough to put residents in harm's way, four tied to abuse. The last full inspection was in November 2022, so you're looking at a stale snapshot of a home that hasn't been re-verified in a while. Staff turnover sits at 50%, above the 45.8% national figure, and corporate ownership means decisions get made at a distance. Go visit unannounced, ideally on a weekend.
Heritage Hall Tazewell runs about 2.92 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home. Staffing thins out further on weekends, and with 180 beds to cover, that gap shows up where it matters. The inspection record carries 21 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $78,553 from a March 2024 visit. Turnover at 39.1% is actually better than the 45.8% national figure, so the problem isn't retention, it's how few staff each resident gets. For-profit LLC ownership rounds out the picture.
Northern Cardinal runs a 120-bed for-profit home, and the staffing numbers are where the trouble starts: 3.20 nurse hours per resident day, roughly 17 percent under the national average, with weekends dipping about 15 percent below its own weekday levels. That thin coverage has been unstable too, annual turnover hits 75.7 percent against a national average of 45.8 percent, meaning most of the people caring for residents are new and still learning the building. Inspectors handed down 45 deficiencies on the current record, including one at the harm level and two related to abuse, and the last full inspection was in April 2023, so that record has had time to age without a fresh look.
Westport Rehabilitation and Nursing Center runs 225 beds in Henrico County under for-profit LLC ownership, and its staffing sits at 3.19 nurse hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about another 10% below its own weekday levels, and more than half the staff turned over in the past year, against a national rate nearer 46%. The inspection record is the harder read: 126 deficiencies, seven tied to abuse, and two serious enough to reach harm or jeopardy, with $63,670 in fines. CMS scored it one out of five on both health inspections and staffing. The last survey was November 2024, so the picture is current, not stale.
Shalom Gardens runs 101 beds in Henrico County under corporate ownership, and the staffing numbers are the first thing worth knowing. At 3.72 nurse hours per resident day, it sits just under the national average, but weekends drop roughly 14% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. A 65.8% annual turnover rate means most of the people caring for your relative are new, still learning the building, or already halfway out the door. The inspection record is heavier than that: 49 deficiencies, three involving harm or jeopardy, five tied to abuse, and a 2-out-of-5 health inspection rating. One fine on record, $12,177.
Cortland Acres runs 94 certified beds in Thomas under corporate ownership, and the staffing picture is the first thing to know: a one-star staffing rating, with 59.8% of staff turning over annually against a national average of 45.8%. That churn shows up in the inspection record too, 31 deficiencies on file, two serious enough to reach harm or jeopardy level, and a single fine of $32,057. The last inspection was March 12, 2025, so the record is current rather than stale. Quality measures rate better at three stars, which suggests some clinical care is tracking adequately, but the low staffing and inspection scores are the numbers a family should weigh hardest when deciding whether this home can reliably deliver day-to-day care.
Fairmont Rehabilitation and Healthcare Center runs on 2.76 nurse staffing hours per resident day, roughly a quarter less than the national average, and weekend coverage drops further below its own weekday level. That thin staffing sits alongside a 68.3% annual turnover rate, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The inspection record is where it gets serious: 77 deficiencies on file, three at the harm or jeopardy level and seven tied to abuse, with a $17,959 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems. Family considering this one should ask hard questions.
The numbers at Resolve At West Allis Respiratory And Rehab don't tell one story, they tell two, and they don't agree. Total nurse staffing runs 4.93 hours per resident day, roughly 28% above the national average, which sounds like plenty of hands on deck. But weekend staffing drops about 14% below its own weekday level, so the coverage families see on a Tuesday isn't what shows up on a Saturday. Turnover sits at 58.8% against a national 45.8%, meaning a large share of that staff is new and still learning the building. Then there's the record: 61 deficiencies, four at harm or jeopardy level, eight tied to abuse, and a $130,322 fine, with the most recent inspection dated April 2026.
Complete Care At Kensington runs 3.53 nurse hours per resident day, roughly 9% under the national average, and weekends drop about 11% below its own weekday staffing. That thinner weekend coverage matters in a 150-bed building, and it shows up in the numbers: staff turnover sits at 55.8% against a national 45.8%, and CMS gives staffing its lowest mark. The inspection record is heavier than most, 32 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and a $66,632 fine. Ownership is for-profit, through a limited liability company. The current record was last reviewed in April 2026.
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?