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
Accel At Longmont is a five-bed for-profit home, and its record is one of the roughest you'll see. Inspectors have cited 57 deficiencies, seven of them serious enough to cause harm or put residents in immediate jeopardy, plus two tied to abuse; fines total $175,956 across five penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Nurse staffing runs about 2.97 hours per resident day, roughly 23% under the national average, and weekends drop further. The inspection done in September 2025 gave it the lowest possible rating. With that few beds, there's little margin for the staffing gaps.
Autumn Lake Healthcare at Windsor runs 108 certified beds under corporate ownership, and the staffing numbers are the first thing that stand out. At 3.34 nurse hours per resident day, it sits about 14 percent under the national average of 3.86, and weekends dip roughly 6 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover lands at 50.6 percent against a national 45.8 percent, which means the aides and nurses caring for your relative are likely to change often over a year. On inspections, the record shows 53 deficiencies, including one at the harm level and six tied to abuse, plus $190,822 in fines across two penalties. The most recent inspection was March 11, 2026.
New London Sub-Acute And Nursing carries 83 deficiencies on its current record, and the ones that matter most are serious: 10 at the harm or jeopardy level and 11 tied to abuse. That record, plus six fines totaling $92,590, put the Waterford home in CMS's Special Focus Facility program, a designation reserved for the country's poorest performers. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 9% thinner than weekdays. Annual turnover of 42.6% is slightly better than the national figure, and the most recent inspection was in March 2025. The company is a for-profit limited liability company.
Grandview runs 4.00 nurse hours per resident day, a bit above the national average, so the raw staffing number looks fine at first glance. The problem is who's actually there from one week to the next: turnover is 64.1% against a national 45.8%, and weekends run roughly 10% thinner than weekdays. On top of that, CMS has cited 71 deficiencies, six at harm or jeopardy level and 17 abuse-related, with $485,942 in fines across five penalties, and the home sits in the Special Focus Facility program. That program is reserved for the country's most persistently troubled homes, and a 2025-07-24 inspection keeps it current rather than resolved.
Arden Care Center runs 271 beds under for-profit LLC ownership, and the numbers are hard to dress up. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national figure, and it thins out further on weekends. Turnover at 38.1% is actually better than average, but it isn't enough to offset 94 deficiencies on the current record, 4 at harm or jeopardy level, 21 tied to abuse, plus three fines totaling $101,228. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was February 2025.
Encore At Parkside has 53 deficiencies on its current record, three of them at the harm or jeopardy level and two tied to abuse. That's the number that matters most here, because CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The inspection star rating sits at 1 out of 5, and the last survey was in January 2026. Nurse staffing runs 3.51 hours per resident day, about 9% under the national average, with weekends roughly 14% thinner than weekdays. Staff turnover is 38.9%, better than the 45.8% national figure, and ownership changed within the past year.
Wilmington Nursing & Rehabilitation Center carries 101 deficiencies on its current record, and the ones that matter most are hard to look past: 12 at the harm or jeopardy level, 5 tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and three fines total $408,742. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends run roughly 11% leaner than weekdays. The one number that runs the other way is turnover at 31% against a 45.8% national average. Its last inspection was December 2025.
Pike Creek runs 177 certified beds under individual for-profit ownership, and its staffing sits at 3.88 nurse hours per resident day, barely a hair above the national average of 3.86. That thin margin matters less than what happens on weekends, when coverage drops roughly 8% below the home's own weekday levels, and turnover runs at 45.3%, almost exactly the national rate. The real problems show up in inspections: a 1-out-of-5 health inspection rating, 97 deficiencies on the current record including 6 at harm or jeopardy level and 8 tied to abuse, plus $484,596 in fines across two penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems.
New Castle Health and Rehabilitation Center holds 120 certified beds and is run by a for-profit corporation. Staffing sits at 3.82 nurse hours per resident day, just under the national average, and weekends run about 10 percent lighter than weekdays, a gap families often notice when they visit on Saturdays and Sundays. The inspection record is where the trouble concentrates: 47 deficiencies, including 3 at harm or jeopardy level and 7 tied to abuse, with $47,300 in fines and placement in CMS's Special Focus Facility program. Turnover, at 45.6 percent, is essentially the national norm, so the problem isn't retention, it's what inspections keep finding.
Cadia Rehabilitation Broadmeadow runs 120 certified beds in Middletown under for-profit LLC ownership, and its staffing sits right at the national mark, 3.88 nurse hours per resident day against 3.86, with weekend coverage dropping roughly 8% below weekday levels and turnover at 44.9%, slightly better than the 45.8% national figure. That's respectable on paper. What the paper also shows is a health inspection rating of 1 out of 5, 41 deficiencies on the current record, five of them at harm or jeopardy level and six tied to abuse allegations, plus $79,126 in fines across two penalties. CMS has placed it in the Special Focus Facility program, and the most recent inspection closed January 30, 2026.
The Groves Center runs on thinner staffing than most homes nationally, 3.52 nurse hours per resident day against a 3.86 average, and it gets even thinner on weekends. That matters when you consider the rest of the record: 58.2% annual turnover, well above the 45.8% national figure, which means the people caring for residents are often new and still learning the building. Its inspection history is the real concern. Forty-nine deficiencies sit on the current record, eight serious enough to put residents in harm's way, seven tied to abuse. Two fines totaling $291,478 and a place in Medicare's Special Focus Facility program tell you regulators are watching closely. The most recent inspection was February 2026.
Westside Oaks runs 3.27 nursing hours per resident per day against a national average of 3.86, and weekend coverage drops about 8% below its own weekday levels. That thin staffing sits alongside 24 deficiencies on the current record, eight of them at harm or jeopardy level and four abuse-related, plus a $96,892 fine and placement in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor inspections. Staff turnover is 49.1%, higher than the 45.8% national figure. The five-star quality measure rating comes mostly from resident assessment data, not from the inspection record, and the two are telling different stories here.
Dade City Health and Rehabilitation Center runs 120 beds under for-profit LLC ownership, and the numbers that matter most here are the inspection ones. Fifty-four deficiencies sit on the current record, seven of them at the harm or jeopardy level, with two tied to abuse, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. Five fines total $94,152, and the last inspection was April 25, 2024. Nurse staffing comes in at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 7% thinner than weekdays. Turnover, at 44.3%, is basically average.
Aviata At The Palms runs on 3.25 nurse hours per resident per day, roughly 16 percent under the national average, and weekend coverage slips about 6 percent below its own weekday level. Staff turnover sits at 53.8 percent against a national 45.8 percent, so the people caring for residents keep changing. The inspection record is where the real concern lies: 38 deficiencies, four at harm or jeopardy level, one abuse-related, and a one-star health inspection rating from CMS. Quality measures score well at four stars, but that reflects resident outcomes on paper, not the staffing and safety problems inspectors found. State surveyors last visited in August 2024. This is a for-profit limited liability company, and the pattern here rewards a close look before you decide.
Aviata At Beneva runs about 3.6 nursing hours per resident per day, roughly 7% under the national average, and weekend coverage drops another 9% below its own weekday level. That thinner weekend staffing matters because the home carries 30 deficiencies on its current record, including six at the harm or jeopardy level and two tied to abuse, with $110,129 in fines across two events. CMS has placed it in the Special Focus Facility program, and the health inspection rating sits at 1 out of 5 despite a 4 out of 5 on quality measures. Staff turnover runs near 50%, above the national figure, so the people at the bedside keep changing even as the paperwork looks better than the building does.
Lake Mariam runs 4.18 nurse hours per resident day, roughly 8% above the national average, but weekends drop about 12% below its own weekday numbers, so the coverage that looks fine on paper thins out when families visit. The bigger problem is the inspection record: 65 deficiencies, seven at harm or jeopardy level, two involving abuse, and $353,123 in fines across four penalties. CMS has placed it in the Special Focus Facility program, which it reserves for homes with a persistent pattern of serious problems. Staff turnover sits at 46.7%, slightly above the 45.8% national average. The quality measure score is strong, but that's built from resident assessment data, not from what inspectors found on January 25, 2024.
Aviata At North Florida carries 38 deficiencies on its current record, seven of them serious enough to involve harm or jeopardy, and three tied to abuse. That's the number that should stop you. The federal government has placed this Gainesville home in its Special Focus Facility program, a designation reserved for the worst-performing nursing homes, and $241,139 in fines across three actions backs that up. Staffing sits at 3.69 hours per resident day, a bit under the national average, and weekends drop below its own weekday levels. Annual turnover of 60.5% means most of the people caring for residents this year won't be there next year. One star for health inspections, with the last visit in June 2026.
Lehigh Acres Healthcare & Rehab Center has enough nurses on paper, about 4.08 hours per resident day, slightly above the national average, but the weekend gap is worth asking about, since staffing drops roughly 13% below its own weekday level. The real trouble is the inspection record: 29 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $132,889 in fines. CMS has placed this for-profit, LLC-owned home in its Special Focus Facility program, meaning federal regulators flag it for sustained poor performance. A recent inspection in June 2025 won't fix years of problems on its own.
Aviata At Santa Barbara is a 120-bed for-profit home in Cape Coral, and the number that should stop you is this: 27 deficiencies on its current record, six of them serious enough to put residents in harm's way, two tied to abuse. That's why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the worst inspection histories in the country. The 1-out-of-5 inspection rating reflects that, and the six fines totaling $111,543 tell the same story. Staffing sits at 3.38 hours per resident day, roughly 12% under the national average, with weekends running about 9% thinner than weekdays. Turnover, at 34.8%, is actually better than the 45.8% national figure, the one genuine bright spot.
Aviata At Big Bend runs 120 certified beds in Perry under corporate for-profit ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.68 hours per resident per day, under the national average, and weekends drop roughly 13% below the home's own weekday coverage, so the hours when families often visit are the thinnest. Annual turnover of 61.2% is well above the 45.8% national figure, meaning the people caring for your relative are likely new and still learning the building. Most concerning: 18 deficiencies on the current record, four at harm or jeopardy level, four tied to abuse, and $150,655 in fines. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
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?