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
The Haven of St. Elmo runs on thin staffing, 3.03 nurse hours per resident day against a national average of 3.86, and weekends dip roughly another 10% below its own weekday coverage. That shortfall is the main reason its CMS staffing rating sits at 1 out of 5, and it shows up in the inspection record too: 25 deficiencies, two serious enough to reach harm or jeopardy, three tied to abuse, plus a $14,015 fine. Turnover of 47.6% runs slightly above the national figure, and the most recent inspection was in May 2025. The quality measure score lands at 2 out of 5, so clinical outcomes aren't offsetting the staffing picture. It's a 60-bed for-profit home, and families should ask hard questions about who's actually on the floor nights and weekends.
Goldwater Care Gibson City runs on thinner nurse coverage than most homes, 3.37 hours per resident day against a national average of 3.86, with weekends dipping even further below its own weekday level. Staff turnover sits at 51.7%, meaning more than half the nursing team leaves within a year, which makes consistent care hard to maintain. The inspection record backs that up: 79 deficiencies, seven serious enough to put residents in harm's way and 15 tied to abuse, plus five fines totaling $84,595. Corporate for-profit ownership, and the most recent inspection was March 2025. If you're considering this one, ask directly how they're fixing staffing and what's changed since those findings.
Little Village runs on 2.37 nurse hours per resident day, roughly 39% under the national average, and weekends drop about 27% below what the home itself staffs on weekdays. That thin coverage sits behind a record of 51 deficiencies, nine of them at harm or jeopardy level and 11 tied to abuse, plus a $54,464 fine and a December 2024 inspection. Turnover, at 33.3%, is actually better than the 45.8% national figure, so the problem here isn't retention, it's how few hands are scheduled against a for-profit, limited-liability operation where federal ratings land at 2/5 for inspections and 1/5 for both quality measures and staffing.
Goldwater Care Roseville runs 99 certified beds under for-profit LLC ownership, and the numbers that stand out are the inspection record and the nurse staffing. State inspectors cited 39 deficiencies on the current record, four of them at a level where residents were actually harmed or put in jeopardy, plus three tied to abuse, a heavy load that explains the one-star health inspection rating. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, with weekends about 7 percent thinner than weekdays. Staff turnover of 46.7 percent runs slightly above the 45.8 percent national figure, meaning the aides and nurses at the bedside keep changing. A March 2025 inspection is recent enough that this record reflects current conditions.
Pleasant Meadows runs about 18% below the national average on nurse staffing, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover sits near 59% against a national 45.8%, meaning the aides and nurses around your relative are likely to keep changing. The inspection record is where it gets hardest to explain away: 89 deficiencies, 14 serious enough to involve harm or jeopardy, and 14 tied to abuse. Five fines total $400,084. The quality star says 4, but that score comes from resident assessments, not from whether the building is adequately staffed or kept in compliance.
Axiom Gardens Of Nashville is a for-profit partnership home with 120 beds, and the numbers behind it are hard to read past. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average, and it thins out further on weekends, dropping roughly 13% below the home's own weekday level, so the coverage gaps aren't just theoretical. Staff turnover is 63.6% a year against a national average of 45.8%, which means the people doing the work keep changing. The current record shows 53 deficiencies, 13 at harm or jeopardy level and 11 abuse-related, plus $541,045 in fines across three cases. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Grove Health & Rehab Center in Jacksonville runs 175 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.57 hours per resident per day, roughly 8% under the national average, and it thins out further on weekends, dropping about 12% below the home's own weekday levels. Annual turnover hits 50.7%, well above the 45.8% national figure, so the people providing care keep changing.
The inspection record shows 31 deficiencies, eight of them serious enough to involve harm or jeopardy, three tied to abuse. Three fines total $76,577. The most recent inspection was in August 2025, so the picture is current, and CMS rates health inspections, staffing, and quality measures at 1, 1, and 2 stars respectively.
Cisne Rehabilitation and Health Care Center runs 35 beds in Wayne County under corporate for-profit ownership, and its inspection record is the main thing to know: 27 deficiencies on file, six of them serious enough to cause harm or jeopardy, three tied to abuse. Three fines add up to $87,202. Staffing hours land at 3.87 per resident day, right on the national average of 3.86, but weekend coverage drops about 11% below the home's own weekday levels, and turnover sits at 45.5%, essentially the same as the national rate. CMS gave all three of its star ratings a 2 out of 5. The most recent inspection was June 6, 2025.
Sandwich Living & Rehab Center runs short on nursing hours, about 3.34 per resident per day, roughly 14% under the national average, and weekend coverage dips another 8% below its own weekday levels. That thin staffing shows up against a 56.3% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new or on their way out. The inspection record is the harder read: 71 deficiencies on file, 12 serious enough to cause harm or jeopardy, 10 tied to abuse, and five fines totaling $285,025. One star each for staffing and health inspections, with a state survey as recent as December 2024.
Brownsburg Health Care Center runs 160 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.55 nurse hours per resident day, it sits about 8% under the national average, weekend coverage drops roughly 11% below its own weekday level, and nearly 60% of staff turned over in a year against a national rate near 46%. Inspectors have cited 44 deficiencies, including one at the harm level and four tied to abuse, with a $31,540 fine on record. CMS has placed the home in its Special Focus Facility program, and its last inspection was January 13, 2026. Families should ask directly how the home is fixing staffing and oversight.
Plainfield Health Care Center runs 189 beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.22 nurse hours per resident per day, about 17% under the national average, with weekends running roughly 12% lighter than weekdays. Annual turnover sits at 61.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 56 deficiencies, four of them serious enough to put residents in harm's way and six tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. One fine of $31,852 is on record. The last inspection was May 21, 2026.
Great Lakes Healthcare Center runs 134 beds in Dyer under corporate ownership, and the staffing numbers are where I'd start. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends dip roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 51.4% tops the national rate, meaning the aides and nurses caring for your relative are likely to change often. The health inspection record is the other concern: 87 deficiencies, one abuse-related, and CMS has placed the home in its Special Focus Facility program, which is reserved for the country's most persistently troubled homes. The five-star quality measure score reflects charted care, not the inspection or staffing picture.
Waters Of Covington carries 119 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average, weekends drop about 7% below its own weekday levels, and annual turnover runs 48.6% against a national 45.8%. Its current record holds 38 deficiencies, four at harm or jeopardy level and three abuse-related, with two fines totaling $319,878. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was December 15, 2025, so the findings are recent.
Castleton Health Care Center runs on thin staffing. At 3.28 nurse hours per resident day, it sits about 15% under the national average, with weekends roughly 10% lighter than weekdays. Annual turnover hits 67.8% against a national 45.8%, so the people caring for your relative are often new and still learning the building.
The inspection record is the harder problem: 59 deficiencies, two serious enough to involve harm or jeopardy, six tied to abuse, and CMS has placed this corporate-owned Indianapolis home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. A recent September 2025 inspection means the state is watching closely, but the pattern behind those numbers is what matters.
Newburgh Health and Rehab runs 114 certified beds under corporate for-profit ownership, and the staffing picture is genuinely mixed. Total nurse coverage sits at 4.31 hours per resident day, roughly 12% above the national average, but weekends drop about 15% below the home's own weekday level, and annual turnover hits 51.5% against a national 45.8%. That combination, decent average hours, thinner weekends, half the staff leaving each year, matters more than the headline number. The inspection record is the harder read: 34 deficiencies on file, one abuse-related, and a 1-out-of-5 health inspection rating, even though quality measures score 4 out of 5 and the last inspection was recent, in April 2026. Ask about weekend coverage and what's changed since that survey before deciding.
Majestic Care of Deming Park is a for-profit, LLC-run home in Terre Haute with 86 certified beds, and its record carries serious weight: 28 deficiencies, three of them at the harm or jeopardy level, and three tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Nurse staffing sits at 3.41 hours per resident day, about 12% under the national average, and weekend coverage drops roughly 19% below its own weekday levels. Staff turnover runs 55.4% against a 45.8% national figure. The quality measure stars look strong, but that score reflects resident assessments, not the inspection and staffing problems documented here.
Cardinal Care Strategies has enough aides and nurses on paper, 4.27 hours per resident day, roughly 11% above the national average, but those hours are spread across a workforce that nearly completely turns over each year. At 98.7% turnover, almost every caregiver you meet in January is gone by the next, and weekends run about 7% thinner than weekdays. The inspection record is where the trouble concentrates: 57 deficiencies currently on file, three serious enough to endanger residents, and 18 tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The most recent inspection, in January 2026, produced a health rating of 1 out of 5, matching its quality score.
The Waters of Scottsburg runs 99 beds under for-profit LLC ownership, and its staffing sits at 3.32 nurse hours per resident day, about 14% under the national average of 3.86, with weekends running roughly 5% thinner than weekdays. Annual turnover of 50.8% tops the national 45.8%, so the people caring for residents are, on average, fairly new to the building. The inspection record is where it gets serious: 70 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, plus a $31,352 fine, a one-star health inspection rating, and placement in CMS's Special Focus Facility program. The most recent inspection was April 13, 2026.
The Waters of Tipton carries 44 deficiencies on its current record, and five of those rose to the level where inspectors found actual harm or jeopardy, plus four tied to abuse. That combination is why CMS put this home in its Special Focus Facility program, a status reserved for the small share of nursing homes with a pattern of serious, repeated problems. Staffing sits at 3.46 nurse hours per resident day, roughly 10% under the national figure, and weekends run about 12% thinner than weekdays, which matters when residents need help on a Saturday. Turnover at 36.8% is actually better than average, so the trouble isn't retention. With 150 beds and two fines totaling $20,494, ask hard questions before you tour.
Majestic Care of Goshen runs 186 beds under for-profit LLC ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average, and weekends drop about 19 percent below what the home staffs on weekdays, so the coverage gap widens exactly when families tend to visit. Staff turnover at 56.1 percent runs well above the 45.8 percent national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The inspection record is the heaviest weight: 77 deficiencies, 9 tied to abuse and 2 at harm or jeopardy level, with the most recent inspection in January 2025. The quality measure score looks better, but it sits on top of a staffing and compliance picture that doesn't hold up.
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?