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
Sandia Ridge Center is a for-profit home in Albuquerque with 140 certified beds and a staffing picture that runs thinner than average, about 3.33 nurse hours per resident day against a national 3.86, with weekends roughly 12% below its own weekday levels. Annual turnover sits at 51%, above the national 45.8%, so the aides and nurses your relative sees may not be the same ones a year from now.
What stands out more is the record: 57 deficiencies, six at harm or jeopardy level, six abuse-related, and a $114,001 fine. CMS has placed it in the Special Focus Facility program. The last inspection was January 2023, which means the public picture may be well behind whatever is actually happening on the floor today.
Las Palomas Center carries 91 deficiencies on its current record, including seven that put residents in immediate harm or jeopardy and eight tied to abuse. That's why CMS placed it in the Special Focus Facility program, a designation reserved for the homes with the worst inspection histories. The health inspection rating sits at 1 out of 5, and the last full inspection was July 19, 2024. Staffing runs about 9% below the national average at 3.51 nurse hours per resident day, weekends drop roughly 14% below the home's own weekday levels, and annual turnover hits 67.9% against a national 45.8%. Three fines total $374,766. The quality measure score of 4 out of 5 stands out against everything else, but self-reported clinical data can look better than the day-to-day reality a low inspection rating reflects.
Casa Real runs 118 certified beds in Santa Fe under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.63 hours per resident day against a 3.86 national average, and weekends drop roughly 12% below its own weekday coverage, so the thinnest shifts land when families often can't be there. Staff turnover is 61.9% against a 45.8% national average, meaning most of the people caring for residents this year likely won't be there next year. Its current record carries 93 deficiencies, 7 at harm or jeopardy level, with 2 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Three fines totaling $153,051 round out the picture.
Skies Healthcare & Rehabilitation Center runs 120 certified beds in Albuquerque under for-profit LLC ownership, and the numbers split in a way families should look at closely. The quality measure star sits at 4 out of 5, meaning the home's own reported data on things like pain and mobility looks good. But staffing is 1 out of 5, well below what CMS expects, and health inspections also come in at 1 out of 5, with 81 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. A single fine of $30,409 is on file, and the last inspection was January 8, 2026. Good self-reported outcomes mean little if there aren't enough hands on deck.
Las Cruces Village runs 3.67 nurse hours per resident day, roughly 5% under the national average, and weekend coverage drops about 10% below what it manages on weekdays. That thin margin matters because staff turnover is 64.6% a year, well above the 45.8% national figure, so the people providing most of the care are still relatively new. The inspection record shows 83 deficiencies, seven of them abuse-related, and CMS gave the health inspection domain its lowest rating; quality measures scored well, but that's largely a charting exercise. A recent June 2025 inspection means the findings are current, not stale. As a for-profit LLC with 94 beds, the numbers point to a building where care quality depends heavily on who happens to be on shift.
Hudson Hill runs 315 beds in Yonkers, and the numbers show a home stretched thin. Nurse staffing sits at 3.08 hours per resident day, roughly 20 percent under the national average, with weekends even leaner than weekdays, that's when call bells tend to go unanswered. The inspection record is the bigger worry: 50 deficiencies, three of them serious enough to put residents in harm's way and seven tied to abuse. A single fine of $56,044 is on file, and the last inspection was in December 2024. Turnover at 29.3 percent is actually better than the national figure, so the problem isn't keeping staff, it's having enough of them, and a record that keeps flagging the same risks.
Waterview Heights runs 229 beds in Rochester under for-profit partnership ownership, and the numbers here deserve real attention. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so the hours when families visit aren't the hours when coverage is strongest. Staff turnover hits 67% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
The record shows 86 deficiencies, 24 of them at harm or jeopardy level, with four tied to abuse. CMS has fined the home three times for $804,844 total and placed it in the Special Focus Facility program, which is reserved for the country's most troubled homes.
Humboldt House is a 173-bed for-profit home in Buffalo, and its record is one families should read carefully. The staffing numbers are the clearest issue: 3.04 nurse hours per resident per day, about a fifth below the national average, with weekends running thinner still, and turnover near 60 percent, well above the 45.8 percent typical nationally. On inspections, it holds 44 deficiencies, three of them at harm or jeopardy level and eight involving abuse, plus $270,858 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. A strong quality-measure score doesn't offset that inspection history.
Van Duyn is one of the largest nursing homes in New York, and its record carries real weight: 91 deficiencies, 17 of them serious enough to put residents at risk of harm, plus nine tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems, and fines total just under $620,000. Nurse staffing sits slightly under the national average at 3.72 hours per resident day, and weekends run about 12 percent thinner than weekdays, when families often visit. Staff turnover, at 42.7 percent, is actually a touch better than average. Its most recent inspection was in December 2025.
Verrazano Nursing and Post-Acute Center runs on 2.68 nurse hours per resident per day, roughly a third less than the national average, and weekend coverage drops about 10% below its own weekday level. Staff turnover sits at 58.3%, well above the 45.8% national figure, so the people caring for residents are changing often. The current record shows 17 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus 13 fines totaling $130,902. Inspectors were last on site in March 2025. Corporate-owned and 120 beds, this is a home where the inspection and quality scores look steadier than the daily staffing picture underneath them.
The Eleanor Nursing Care Center runs on 2.67 nurse staffing hours per resident day, roughly a third below the national average, and weekends are thinner still. Its inspection record is the real story: 83 deficiencies, including one at the harm level and five tied to abuse, plus a $132,957 fine. Those numbers put it in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Turnover at 30.2% is actually better than the national average, which suggests the trouble here isn't a churning workforce so much as too few hands on the floor and a long history of failed inspections.
Livingston Hills is a for-profit home in Columbia County with 120 certified beds, and the numbers behind its record deserve a close look. Nurse staffing sits at 1.85 hours per resident day, roughly half the national average of 3.86, and weekend coverage drops about 16% below its own weekday level, while annual turnover runs 52.9% against a national 45.8%. Its inspection history is heavy: 73 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, plus an $89,794 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Sunset Nursing and Rehabilitation Center is a 120-bed for-profit home in Boonville, and the number that should give you pause is 27 deficiencies on its current record, four of them serious enough to involve actual harm or jeopardy, and four tied to abuse. That's why CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. Nurse staffing sits at 3.45 hours per resident per day, about 11% under the national average, and weekends run roughly 10% thinner than weekdays. Staff turnover is 39.6%, which is actually better than the 45.8% national figure. The most recent inspection was June 27, 2025, and CMS has fined the home $56,261.
The Grand Rehabilitation and Nursing at Utica holds 220 certified beds and a for-profit corporate owner, but the record is what stands out. Fifty-two deficiencies, including three at the level of actual harm or jeopardy and two tied to abuse, plus $132,759 in fines, have landed it in CMS's Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Its one-star health inspection rating and two-star quality measures reflect that history, and staffing sits at 3.18 hours per resident day, roughly 18% under the national average, with weekends thinner still. One bright spot: turnover at 25.8% is well below the national 45.8%, suggesting a more stable core of workers than many peers.
Grand Manor runs on thin staffing: 2.80 nurse hours per resident per day against a national average of 3.86, a gap of roughly 27%, and weekends drop about 16% below the home's own weekday level. That's the backdrop for 61 deficiencies on the current record, including 9 at harm or jeopardy level and 5 tied to abuse, plus four CMS fines totaling $563,175. The federal Special Focus Facility designation means regulators have flagged this home for sustained poor performance, and the most recent inspection was December 9, 2025. Turnover, at 40.3%, actually sits below the national average of 45.8%, one number that isn't working against it.
Affinity Skilled Living runs 280 beds in Oakdale under for-profit LLC ownership, and its record is genuinely mixed. The health inspection side is the weak spot: 29 deficiencies on file, three of them at harm or jeopardy level and two tied to abuse, with an $82,500 fine and a one-out-of-five inspection rating. Staffing sits at 3.73 nurse hours per resident day, a bit under the national average, and weekends run about 12 percent below weekdays, though turnover at 32.1 percent is better than the 45.8 percent norm. Resident outcome measures look strong on paper. Read the inspection history carefully before deciding.
Blumenthal Health and Rehabilitation Center is a for-profit LLC home in Greensboro with 134 certified beds, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekends running about 12% thinner than weekdays, and an 82% annual turnover rate means the aides and nurses caring for residents are, more often than not, new to the building. Its inspection history shows 70 deficiencies, seven at harm or jeopardy level and three abuse-related, plus three fines totaling $210,325, and CMS has placed it in the Special Focus Facility program. The most recent inspection was September 13, 2025.
Premier Living And Rehab Center is a for-profit home in Lake Waccamaw with 127 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average, and weekends dip about 9% below its own weekday levels, right when families often visit. The inspection history carries 56 deficiencies, eight of them at harm or jeopardy level and three tied to abuse, with two fines totaling $383,791. CMS has placed it in the Special Focus Facility program, meaning federal regulators flag it for sustained poor performance. If you're weighing this one, ask pointed questions about the abuse citations and weekend coverage.
Surry Community Health Center By Harborview runs about 120 beds under corporate ownership, and the staffing numbers are the first thing I'd flag: 3.09 nurse hours per resident day against a national average of 3.86, with weekends running roughly 9% thinner than weekdays. Turnover at 36.6% is better than the 45.8% national figure, so that's a genuine bright spot. The inspection record is where it gets harder to explain away, 33 deficiencies on file, nine of them serious enough to involve harm or jeopardy, eight tied to abuse, and a $145,262 fine. The last inspection was June 2025. If you're considering this home, ask about those abuse-related findings directly.
Mary Gran Nursing Center runs 27 deficiencies on its current record, five of them serious enough to reach harm or jeopardy level, plus one tied to abuse. That's a lot of citations for a 212-bed for-profit home, and the most recent inspection only dates to August 2025, so this isn't old history. Nurse staffing sits at 3.29 hours per resident day against a national average of 3.86, weekends drop roughly 10% below the home's own weekday coverage, and annual turnover hits 51.3% versus 45.8% nationally. The pattern is consistent: thin coverage that thins further on weekends, with a workforce turning over faster than most.
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?