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
Rock River runs more nurse hours per resident than the typical U.S. nursing home, and its most recent inspection came in December 2025, so the record isn't stale. The problem is what that record contains: 118 deficiencies, including 10 at the level where residents were actually harmed or put in immediate jeopardy, plus 9 tied to abuse. Two fines total $136,384, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the country's poorest performers.
Staffing tells a similar story from the inside. Turnover sits at 70.2% against a national average near 46%, meaning most of the people caring for residents this year likely won't be there next year, and weekend coverage drops about 11% below the home's own weekday level. More hours on paper, but a workforce that keeps emptying out.
Avina Of Pewaukee runs 120 certified beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends dropping about 13 percent below its own weekday level. That thinner coverage matters more when you look at the inspection record, 55 deficiencies, two at harm or jeopardy level, and eight tied to abuse, plus a $95,791 fine. Staff turnover sits at 43.3 percent, slightly better than the national 45.8 percent, but the most recent inspection came in June 2025 and the health inspection rating remains 1 out of 5. Ask about weekend coverage and the abuse-related citations specifically.
Artesia Palms runs 296 beds under for-profit LLC ownership, and its nurse staffing sits at 4.00 hours per resident day, roughly 4% above the national average. That's the one number working in its favor. Everything else on the record pulls the other way: 70 deficiencies, 9 of them serious enough to risk harm or jeopardy, plus 12 tied to abuse. CMS has fined the home six times for a total of $267,056 and placed it in the Special Focus Facility program, the agency's watchlist for the country's most troubled homes. Weekend staffing also drops about 8% below weekday levels. Turnover, at 45.5%, is essentially the national norm, so it explains nothing here. The last inspection was May 29, 2026.
Avir At Hillsboro runs on 3.24 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekends dip about 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 90.4% a year against a national 45.8%, meaning most of the people caring for residents are new to the building. The inspection record carries 39 deficiencies, four at harm or jeopardy level and five tied to abuse, with two fines totaling $106,866; the most recent inspection was December 2025. Ownership is a for-profit corporation, and the quality measure score sits high while inspections and staffing sit at the bottom of the scale.
The Park In Plano runs on about 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekend coverage dips another 14 percent below its own weekday level. Staff turnover sits at 93.2 percent, about double the national figure, which means the aides and nurses in the building are, more often than not, still learning the residents. Inspections tell a different story: a 4 out of 5 federal rating, 36 deficiencies on record with none at the harm level, though two are abuse-related. It's a for-profit limited liability company with 120 beds, last inspected in April 2026. The pattern is a home that passes its surveys while running lean on the people who do the daily work.
Avir At Bradburn runs 3.39 nurse hours per resident per day, about 12% under the national average, and weekend coverage drops roughly 12% below its own weekday level, a pattern families often notice on Saturdays and Sundays. Staff turnover sits at 83.8% against a national average of 45.8%, so the aides and nurses caring for your relative are far more likely than average to be new or on their way out. Inspectors last visited in May 2025 and left 11 deficiencies, including two at the harm or jeopardy level and one tied to abuse, along with a $136,027 fine. Quality measures score well, but the corporation's own inspection and staffing ratings don't.
Central Texas Nursing & Rehabilitation runs 118 certified beds in Ballinger under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day, about 21% under the national average of 3.86. Weekends drop roughly 17% below its own weekday level, so coverage thins exactly when families tend to visit. The inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus one fine of $8,936. A recent May 2025 inspection and a 4-star health inspection rating suggest the survey process is current and not entirely bleak, but a 1-star staffing rating and 2-star quality measures pull hard the other way. Ask about weekend nurse coverage and how the abuse-related findings were resolved.
Red Oak Health and Rehabilitation Center runs 144 certified beds under corporate ownership, and its inspection history is actually its strongest suit, a 4-out-of-5 federal rating there. The problem sits elsewhere. Nurse staffing works out to 2.93 hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below the home's own weekday levels. Annual turnover hits 68.9% against a national 45.8%, meaning most of the aides and nurses your relative would see are relatively new. Sixteen deficiencies sit on the current record, including one at the harm level and one abuse-related, with a single $12,035 fine.
The Hilltop On Main runs lean on nursing staff, 2.83 hours per resident day against a national average of 3.86, with weekends about 15% thinner than weekdays. Half the staff turned over in the past year, and the most recent inspection, in March 2026, left 15 deficiencies on the record, three of them serious enough to involve harm or jeopardy, plus one fine of $29,243. This is a for-profit limited liability company operating 94 certified beds, and its federal ratings sit at 2 for health inspections, 2 for quality measures, and 1 for staffing. If you're weighing this one, ask what specifically was cited at those harm-level deficiencies and how the home plans to hold onto direct-care staff.
Avir At Portland runs 97 certified beds under corporate ownership, and the staffing numbers are the first thing a family should sit with. Nurses provide 3.25 hours of care per resident each day, roughly 16 percent under the national average, and weekend coverage drops about another 10 percent below the home's own weekday level. Annual turnover hits 63.9 percent, well above the 45.8 percent national figure, which means the people caring for your relative are likely to change often.
The inspection record shows 29 deficiencies, including three at the harm or jeopardy level and one tied to abuse, with $119,462 in fines across two penalties. The most recent inspection was September 2025.
Kerens Care Center runs on 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday levels. The bigger issue is turnover: 97.3% of staff leave annually, against a national average of 45.8%, which means the people caring for your family member are, more often than not, brand new. Fifteen deficiencies sit on the current record, two serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection was April 2025, so the picture is fairly current. Corporate-owned, 70 beds, and staffing is where the trouble concentrates.
Avir At Citizens Trail runs 114 certified beds under for-profit LLC ownership in Texarkana, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below the home's own weekday level, meaning coverage thins out exactly when families tend to visit. Annual turnover of 66.7% is well above the national 45.8%, so the people caring for residents keep changing. The current inspection record shows 52 deficiencies, including 7 at the harm or jeopardy level and 5 abuse-related, with two fines totaling $120,751 and the most recent inspection dated November 2025.
University Rehabilitation Center runs 146 certified beds in Denton under for-profit limited liability ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits roughly 13% under the national average of 3.86, weekend coverage dips about 11% below its own weekday level, and annual turnover of 88.2% means most of the people caring for residents are new to the building, nearly double the national rate of 45.8%. The inspection record backs that up: 38 deficiencies, five of them serious enough to put residents in harm's way, one tied to abuse, plus two fines totaling $33,117. A 1-out-of-5 staffing rating and 2-out-of-5 on inspections tell the story plainly.
Cimarron Place runs on thin staffing. At 3.19 nurse hours per resident per day, it sits about 17% under the national average, and weekends drop roughly another 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 65.6% against a 45.8% national average means aides and nurses cycle through quickly, which matters for anyone who needs consistent hands-on care. The inspection history is mixed: a recent June 2025 survey and a four-star health inspection rating, but 19 deficiencies on record including one at the harm level and one abuse-related, plus two fines totaling $19,143. Limited liability ownership, 120 beds. Worth asking about weekend coverage and how long direct-care staff typically stay.
Town East Rehabilitation and Healthcare Center runs 130 certified beds in Mesquite under individual for-profit ownership, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day it sits about 12% under the national average, weekends drop roughly another 10% below its own weekdays, and annual turnover of 70.8% means most of the people caring for your family member will be gone within a year, against a national rate of 45.8%. The inspection record backs that up: 35 deficiencies, three serious enough to put residents in harm's way, one tied to abuse, plus two fines totaling $25,673. The 4/5 quality measure score is the bright spot, but quality measures are self-reported, and staffing is what actually delivers care.
Focused Care At Cedar Bayou carries 23 deficiencies on its current record, and 9 of those reached harm or jeopardy level, one tied to abuse. That's the kind of inspection history that put this for-profit, limited-liability home into CMS's Special Focus Facility program, a designation reserved for the homes regulators watch most closely. The health inspection rating sits at 1 out of 5, and the last full look came in February 2024. Staffing tells its own story: 3.01 nurse hours per resident day, about 22% under the national average, with weekends running roughly 7% thinner than weekdays. Turnover is 47.2%, slightly above the national 45.8%. Four fines total $99,485. The 4/5 quality measure rating reflects resident assessments, but it doesn't offset what inspections and staffing show.
Avir At Bandera runs on about 2.40 nurse staffing hours per resident day, roughly 38 percent under the national average of 3.86, and weekend coverage drops about 10 percent below its own weekday level. That thin staffing shows up in a 56.7 percent annual turnover rate, well above the 45.8 percent national figure, and in CMS's staffing rating of one star out of five even as its quality measure score sits at four. The inspection record is the harder problem: 20 deficiencies, two at harm or jeopardy level, one abuse-related, plus $100,293 in fines across two penalties. A for-profit corporation operates the 118-bed home. Two stars on health inspections, and that May 2026 inspection is recent.
Ganado Nursing and Rehabilitation Center runs on 3.03 nurse staffing hours per resident day, about 21 percent under the national average of 3.86, and weekends drop roughly another 20 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $8,422. State inspectors were last in on February 25, 2026, and the federal ratings land at one star for staffing, two for quality measures, and three for health inspections. It's a 91-bed for-profit corporation, and the staffing number is the one worth asking about directly.
Avir At Orem runs lean on nursing staff, 2.97 hours per resident day against a national average of 3.86, with weekends about 11% thinner than weekdays. That gap shows up in the numbers: 61% annual turnover, well above the 45.8% national figure, and a staffing rating of 2 out of 5. The inspection record isn't clean either, with 21 deficiencies including one at the harm level and one abuse-related, and a $34,418 fine. The 4/5 health inspection rating and recent April 2025 survey suggest the home was in decent shape at its last look, and ownership changed within the past year, worth asking what that transition has meant for day-to-day care.
The numbers at West Houston Rehabilitation don't leave much room for interpretation. Nurse staffing sits at 3.26 hours per resident day against a national average of 3.86, and it thins out further on weekends, dropping roughly 15% below the home's own weekday level, so the stretch when families often visit is when coverage is lightest. On the inspection side, the record shows 30 deficiencies, including 7 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling just over $205,000 and a survey as recent as January 2025. Staff turnover, at 43.1%, is actually a touch better than the national rate, which suggests the problems here aren't mainly about keeping people, they're about how the place is run.
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?