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
Aventura At The Bay runs 274 certified beds in Saint Petersburg under for-profit LLC ownership, and the numbers behind its record are hard to get around. Nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about 8% below what the home itself manages on weekdays. Staff turnover is 62.1% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago.
The inspection history is heavier still: 62 deficiencies on the current record, seven at harm or jeopardy level, four tied to abuse. CMS has fined this home three times for $466,424 total and placed it in the Special Focus Facility program, the agency's watchlist for the country's most persistently troubled homes.
Concordia Manor runs 39 beds in Saint Petersburg under for-profit ownership, and its staffing sits barely above the national average, about 1%, with weekends roughly 8% thinner than weekdays. That margin disappears fast when turnover hits 73.3% against a national 45.8%, meaning most of the people caring for your relative weren't there a year ago. The inspection record is the real problem: 17 deficiencies, four at harm or jeopardy level, four tied to abuse, one $97,747 fine, and a spot in CMS's Special Focus Facility program. That last designation isn't handed out lightly. The most recent inspection was May 2024, so the picture is current, not stale.
The numbers at Gardens Nursing and Rehab Center don't tell one story, they tell two. Staffing looks strong on paper: 3.79 nurse hours per resident day, close to the national average, with a 5-star staffing rating and turnover at 26.9% compared to 45.8% nationally. But resident care tells another story. CMS has flagged 61 deficiencies, including five at the harm level and three abuse-related, plus $264,517 in fines. The home sits in the Special Focus Facility program.
That gap between staffing scores and inspection results is the whole picture here. Federal regulators have flagged serious problems but the staffing numbers look stable. If you're considering this home, ask about those abuse-related findings directly.
Ansley Cove is a 39-bed for-profit home in Maitland, and the numbers behind its grade are worth walking through slowly. Staffing sits at the lowest federal rating, and turnover runs at 59%, well above the 45.8% national average, which means the people caring for your family member are cycling out faster than they can learn the job. The inspection record is the heavier problem: 37 deficiencies, 7 of them at harm or jeopardy level, 5 tied to abuse, and $197,672 in fines across four citations. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Its last inspection was July 2025, so the picture is current, not old.
Aviata At Bryan Dairy runs 158 certified beds under for-profit LLC ownership, and its 3.37 total nurse staffing hours per resident day falls about 13 percent under the national average of 3.86. Weekends dip roughly 6 percent below its own weekday levels, and annual turnover sits at 54.5 percent against a national 45.8 percent. The inspection record is where things get serious: 41 deficiencies logged, four of them at harm or jeopardy level and two tied to abuse, with five fines totaling $45,660. CMS rated the last health inspection one out of five stars, though its quality measure score came in at four. Worth asking the administrator directly how they're addressing the harm-level findings and weekend coverage gaps.
Douglasville Center For Nursing And Healing runs 246 certified beds under for-profit LLC ownership, and the numbers here deserve a close look. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 8% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. Staff turnover hits 58.1% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 40 deficiencies, including 4 at harm or jeopardy level and 5 abuse-related, with three fines totaling $13,787 and a June 2025 inspection. Ask about weekend coverage and how they retain aides before deciding.
Harborview Thomasville runs 68 beds under corporate ownership, and its nurse staffing sits at 3.37 hours per resident day, about 13% under the national average, with weekends roughly 16% thinner than weekdays. Staff turnover of 47.5% edges past the national 45.8%. The inspection record is the bigger concern: 28 deficiencies, five at harm or jeopardy level and three abuse-related, plus three fines totaling $23,074, with the most recent inspection in June 2025. CMS gave it one star for health inspections and two for staffing, though quality measures scored three. If you're weighing this one, those harm-level and abuse-related findings deserve direct questions before anything else.
Hazelhurst Court runs on 2.77 nurse hours per resident day, roughly 28 percent under the national average of 3.86, and weekends are thinner still. The inspection record is the bigger concern: 21 deficiencies, three of them serious enough to put residents in harm's way and one tied to abuse, which is why CMS has placed the home in its Special Focus Facility program. Staff turnover, at 45 percent, sits right about where the national average does, so the problem here isn't retention so much as raw coverage and a documented pattern of care failures. The most recent inspection was March 29, 2026.
Folkston Park runs on 3.02 nursing hours per resident day, roughly a fifth below the national figure of 3.86, and weekends are thinner still. That shortfall shows up in the numbers CMS keeps: 60% annual staff turnover against a 45.8% national average, and 26 deficiencies on the current record, five of them serious enough to involve harm or jeopardy, including one abuse-related finding. The federal government has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. All three CMS star ratings, health inspections, quality measures, and staffing, sit at one out of five. It's currently for-profit corporate-owned, with 92 certified beds.
The nurse staffing numbers at this 200-bed Brunswick home are where I'd start: 3.04 hours per resident per day against a national average of 3.86, and weekends run about 9% thinner than weekdays, which is when families tend to visit and notice. Annual turnover of 66.4% sits well above the 45.8% national figure, so the people providing care change often. Inspectors have cited 38 deficiencies, six of them at the level where harm or jeopardy to a resident occurred and three tied to abuse, with two fines totaling $16,801 on record. The most recent inspection was July 29, 2025. The quality measure score of 4 out of 5 looks strong on paper, but the staffing and inspection results point a different direction, and that gap is worth asking about directly.
Hale Nani runs 288 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 32.4%, actually better than the 45.8% national figure, which suggests the problem isn't retention. It's the record: 96 deficiencies, one at harm or jeopardy level, eight tied to abuse, and a $27,885 fine. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. The most recent inspection was May 1, 2026.
Avalon Care Center in Honolulu runs on more nurse hours than most places, 4.62 per resident day, roughly a fifth above the national average, and weekend coverage dips only about 10% from its weekday staffing, which is a smaller drop than many homes show. Turnover sits at 40%, below the national 45.8%. The 41 deficiencies on record sound like a lot until you see none are at the harm or jeopardy level and none involve abuse, and its last inspection was recent, in June 2026. This is a for-profit corporate home with strong quality measure scores, steady staffing, and a clean serious-deficiency record, the kind of profile where the numbers hold up under scrutiny.
Ann Pearl runs a nonprofit-style staffing level inside a for-profit corporate structure: 4.01 nurse hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 10% below its own weekday numbers. That staffing strength is doing a lot of work against a much rougher record elsewhere. The current inspection history shows 46 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus a $23,520 fine and a place in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. Turnover sits at 46.2%, essentially the national rate, and the last inspection was February 2025. Strong aides, serious compliance concerns.
Hale Malamalama runs 40 beds in Honolulu under corporate for-profit ownership, and its staffing numbers are genuinely above average, 4.18 nurse hours per resident day against a national 3.86, though weekend coverage dips about 10% below its own weekday level. Turnover sits at 51.2%, higher than the 45.8% national figure. What pulls the picture down is the inspection record: 43 deficiencies, three at harm or jeopardy level and three abuse-related, with $87,032 in fines and a spot in CMS's Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was September 27, 2024. Strong quality scores don't cancel out that history.
Nurse staffing here runs 5.67 hours per resident day, about 47% above the national average of 3.86, which is a real point in its favor, and turnover at 40% is slightly better than the 45.8% norm. But weekends dip roughly 12% below the home's own weekday coverage, so the care you see on a Tuesday isn't guaranteed on a Sunday. The inspection record is the problem: 56 deficiencies, including one at the harm level and three tied to abuse, plus an $89,206 fine, against a 1-out-of-5 health inspection rating. The last inspection was May 2026. Strong staffing can't offset that pattern on its own.
Coeur D Alene Health Of Cascadia runs 117 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. Nurses provide 3.61 hours per resident day, roughly 6% under the national average, and weekends dip about 8% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 66.3% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 35 deficiencies, including one at the harm level and one abuse-related, with two fines totaling $33,815 and a survey dated May 2026.
Silverton Health and Rehabilitation of Cascadia runs 55 certified beds under corporate ownership, and the staffing numbers tell the story: 3.29 nurse hours per resident per day, about 15% under the national average of 3.86, with weekends dipping roughly 16% below its own weekday levels. Annual turnover sits at 51.1% against a national 45.8%. The current record shows 46 deficiencies, three of them at the harm or jeopardy level and two tied to abuse, plus one fine of $41,954. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. The most recent inspection was January 9, 2026.
Cascades At Desert View runs about 3.98 nurse hours per resident day, a bit above the national average, and its 34.1% turnover is better than the 45.8% typical elsewhere. Staffing still earned 2 out of 5 stars from CMS, and weekend coverage drops roughly 12% below the home's own weekday level. The real trouble sits in inspections: 52 deficiencies on the current record, including one at the harm level and two tied to abuse, with a 1-out-of-5 health inspection rating. CMS placed this for-profit limited liability home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The last inspection was May 15, 2026.
Cherry Ridge Of Cascadia runs 40 certified beds in Emmett under for-profit LLC ownership, and its staffing is the number to sit with first: 3.08 nurse hours per resident day, roughly a fifth under the national average of 3.86, with weekends running about 13% leaner than its own weekdays. Turnover sits at 66.7% against a 45.8% national figure, so the people caring for residents keep changing, and CMS rates staffing 1 out of 5. The record shows 30 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection in August 2025 and a 2/5 inspection rating. Quality measures score 4/5, which suggests some clinical care is being tracked well, but ask directly how they hold staffing steady on weekends.
Timber Springs runs on 3.27 nursing hours per resident day, about 15% under the national average, and weekends drop another 15% below what it already provides on weekdays. Inspectors have cited 67 deficiencies, including six tied to abuse and five serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the worst inspection records. Two fines totaling $30,654 sit on the books, with the most recent inspection in September 2025. The quality measure score looks strong, but that's built on self-reported data, and the staffing and inspection numbers are what families actually live with.
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?