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
Hillside Manor runs on leaner staffing than most homes, 3.18 nurse hours per resident day against a national average of 3.86, with weekends even thinner than weekdays. That shortfall shows up in the CMS staffing rating of 2 out of 5, and 51.9% of staff left over the past year, higher than the 45.8% national figure. The inspection record is the bigger concern: 57 deficiencies on file, two of them serious enough to put residents in harm's way, a 1-out-of-5 health inspection rating, and a spot in Medicare's Special Focus Facility watch list. The quality measure score of 4 out of 5 stands out against all that, but it's built from reported data, not from what inspectors found on their December 2025 visit.
Aperion Care Lincoln is a 47-bed for-profit home in Evansville that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor quality. The inspection history backs that up: 54 deficiencies on the current record, three of them serious enough to cause harm or put residents in jeopardy, plus two abuse-related citations and $53,454 in fines. Staffing sits just under the national average at 3.83 hours per resident day, but the bigger issue is turnover at 65.5%, well above the 45.8% national figure, and weekend coverage that drops about 14% below weekday levels. The last inspection was April 2025.
Brookside Care Strategies runs 42 beds in Muncie, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 2.69 hours per resident day, roughly 30 percent under the national average, and the trouble isn't spread evenly: weekend coverage actually runs about 8 percent above the home's own weekday level, which tells you the weekday floor is the weak spot. The deficiency record is heavy: 54 citations on file, six of them serious enough to involve harm or jeopardy, 15 tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care, and the most recent inspection was May 21, 2026.
Harmony House is a for-profit home in Waterloo with 65 certified beds. The staffing numbers sit just under the national average, but the real problem is turnover: about 61.5% of nursing staff leave each year, against a national average near 46%, and weekend coverage drops roughly 7% below its own weekday level. On inspections, this home has drawn 33 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus one fine totaling $48,825. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Its last inspection was August 6, 2025.
Greater Southside runs on 3.44 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 22% below its own weekday staffing. That thinner coverage adds up over time: 62.3% of staff left last year against a 45.8% national rate, and CMS flags the home as a Special Focus Facility. The inspection record backs that up, 66 deficiencies, including 8 at harm or jeopardy level and 8 tied to abuse, with four fines totaling $166,443. The most recent inspection was June 2025. For a family weighing this one, the staffing and inspection numbers are the ones that matter most.
Azria Health Park Place carries 70 certified beds under for-profit LLC ownership, and the numbers tell a hard story. Three-and-a-half nurse staffing hours per resident day sits about 9% under the national average, and weekends dip roughly 12% below the home's own weekday levels, so the thinnest coverage lands when families are most likely to visit. Staff turnover near 70% runs well above the national 46%, which means the people providing care keep changing. On inspections, the record shows 70 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $36,875 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the most persistently troubled nursing homes.
Northgate Care Center in Waukon carries 20 deficiencies on its current record, and two of those are serious enough to involve actual harm or jeopardy to residents. One is abuse-related, and CMS has placed the home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. A single fine of $71,110 is on record, and the last inspection was March 4, 2026.
Nurse staffing sits at 2.97 hours per resident day, roughly 23% below the national average, and weekends run about 12% thinner than weekdays. Turnover of 34.3% is better than the national 45.8%, so that's not the issue here.
Pine Acres holds 140 certified beds in West Des Moines under for-profit LLC ownership, and the nurse staffing figure, 3.84 hours per resident day, sits roughly even with the national average, though weekends run about 7% thinner than weekdays. The record is where the trouble shows: 85 deficiencies, nine of them at harm or jeopardy level and three abuse-related, plus $353,109 in fines across three CMS actions. Staff turnover is 56.9% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently poor performers. The last inspection was January 8, 2026.
Ivy At Davenport is a for-profit LLC home with 75 beds, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.23 hours per resident per day, about 16% under the national average, and weekends drop roughly another 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover runs 58.8% against a national 45.8%, meaning more than half the caregivers leave within a year. The current inspection record shows 58 deficiencies, including 5 at harm or jeopardy level and 6 abuse-related, with four fines totaling $141,036. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Chapters Living Of Council Bluffs has real staffing strength, 4.88 nurse hours per resident day, well above the national average, though weekends run thinner than weekdays. The inspection record tells a different story: 68 deficiencies, including nine tied to abuse and one serious enough to put residents in harm's way, plus a $163,800 fine. That combination landed it in CMS's Special Focus Facility program, which is reserved for the country's most troubled homes. A recent inspection in January 2026 means the state is watching closely. For families weighing this one, the question isn't whether aides are present, it's what those inspections keep finding.
Garden View Care Center is a 50-bed for-profit home in Shenandoah, and the numbers here deserve a hard look. Staff turnover runs at 55.3% a year against a national average of 45.8%, and the home carries 93 deficiencies on its current record, including 10 serious enough to involve harm or jeopardy to residents and 10 tied to abuse. Three CMS fines add up to $168,858, and the agency has placed Garden View in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. The most recent inspection was December 8, 2025. If you're considering this home for someone you love, ask the administrator directly what's changed since that inspection and how they're keeping residents safe.
Adel Acres is a 50-bed for-profit home in Dallas County, and the numbers there split in two directions. The care itself measures well, a 4 out of 5 on quality measures, but the staffing behind that care runs thin: 3.02 nurse hours per resident day, roughly 22 percent under the national average, and weekends drop about 19 percent below the home's own weekday level. Inspections tell the harder story. The current record carries 44 deficiencies, five serious enough to involve harm or jeopardy, three tied to abuse, plus one fine of $16,544. The last inspection was in April 2025. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.
Royal Oaks is a 115-bed for-profit home in Urbandale that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The inspection record backs that up: 71 deficiencies, seven serious enough to put residents in harm's way, two tied to abuse, and three fines totaling $122,945. Staffing runs about 6% under the national average, and the gap widens on weekends, when coverage drops roughly 9% below its own weekday level. Turnover sits at 66.7%, well above the 45.8% national figure, so the people caring for residents are constantly changing. If you're considering this one, ask hard questions about what's changed since the May 2025 inspection.
Northbrook Healthcare and Rehabilitation Center runs 130 certified beds under for-profit LLC ownership, and the numbers worth your attention start with staffing. At 3.14 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop about 11% below its own weekday levels, with annual turnover at 56.8% against a national 45.8%. Inspections tell a harder story: a 1-out-of-5 health inspection rating, 53 deficiencies on the current record, three at harm or jeopardy level, two tied to abuse, and one fine totaling $38,787. The most recent inspection was August 2025. Quality measures rate mid-range, but staffing and inspection history are where the concerns concentrate.
Prestige Care Center of Fairfield runs on 3.33 nurse hours per resident per day, about 14 percent under the national average, and weekends dip roughly 8 percent below its own weekdays. Turnover sits at 66.2 percent against a national 45.8, most of the people caring for your relative this year probably won't be there next year. The inspection record is the harder problem: 65 deficiencies, five serious enough to put residents in harm's way, eight tied to abuse, and $106,751 in fines. A recent June 2025 inspection doesn't erase that history. For-profit ownership through a limited liability company means decisions here answer to a bottom line, not a community board.
Life Care Center of Andover runs 154 certified beds under for-profit LLC ownership, and the numbers that matter most here aren't the quality measures, a 4-out-of-5 there, but the inspection record underneath them. CMS has flagged 58 deficiencies on the current record, including eight serious enough to cite harm or jeopardy and three tied to abuse. Seven fines total $113,851, and the home sits in CMS's Special Focus Facility program, a designation reserved for the small share of homes with persistent serious problems. Staffing runs 3.75 hours per resident day, just under the national average, and drops about 12% on weekends. Turnover is 51.9%, higher than the 45.8% national figure.
Smoky Hill Rehabilitation Center is a 90-bed for-profit in Salina, and the numbers behind its record deserve a close look. Nurse staffing runs about 16% under the national average, weekends dip roughly 11% below its own weekdays, and annual turnover sits at 94.1% against a national 45.8%, meaning the people caring for residents are, more often than not, on their way out. The inspection history is heavy: 64 deficiencies, 11 at harm or jeopardy level, four abuse-related, five fines totaling $147,090, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Its most recent inspection was April 2025.
Rossville Healthcare and Rehabilitation Center is a for-profit LLC home with 81 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.28 hours per resident day, roughly 15 percent under the national average, and weekends run about 4 percent thinner than weekdays, meaning coverage is lightest exactly when backup is scarcest. Its 52.1 percent annual turnover tops the national rate of 45.8 percent, so the people providing that thinner care are also cycling out the door. On the inspection side, 53 deficiencies sit on the current record, including 5 at the harm or jeopardy level and 4 tied to abuse, with three fines totaling $60,639. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care.
Providence Living Center runs 2.46 nurse staffing hours per resident day against a national average of 3.86, roughly a third less hands-on care than the typical home. Weekend coverage drops another 12% below its own weekday level, and 71% of staff turned over in a year, well above the 45.8% national figure. On inspections, this for-profit home carries 35 deficiencies, two of them serious enough to put residents in harm's way, plus a $22,925 fine, with its last inspection in December 2025. The quality measure score sits at 3 out of 5 stars, but staffing and inspection results both land at 1, a split worth understanding before you visit.
Barbourville Health and Rehabilitation Center runs 135 certified beds under corporate ownership, and the inspection record is the part that stands out. Nineteen deficiencies are on file, seven of them serious enough to involve harm or jeopardy, plus two tied to abuse, and a single CMS fine of $87,077 came out of that history. Staffing sits at 3.73 hours per resident day, slightly under the national figure, with weekends about 11% leaner than weekdays. Annual turnover of 55.6% is well above the 45.8% national average, meaning the aides and nurses caring for your relative are likely to change often. The most recent inspection was in August 2025.
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?