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
Valley Nursing and Rehabilitation Center runs 183 certified beds in Taylorsville under corporate for-profit ownership, and its headline staffing number looks decent at first: 4.42 nurse hours per resident day, roughly 14 percent above the national average. Look closer and the picture changes. Weekend staffing drops about 9 percent below its own weekday level, so coverage thins exactly when families tend to visit, and annual turnover hits 67.6 percent against a national average of 45.8 percent, meaning most of the aides and nurses caring for residents are relatively new to the building. The inspection record is the harder problem: 28 deficiencies, nine of them serious enough to risk harm, five tied to abuse, and $88,557 in fines across three cases.
Vero Health & Rehab Of Sylva has 53 deficiencies on its current record, 13 of them serious enough to cause harm or put residents in jeopardy, and three tied to abuse. Federal fines total $359,818 across four penalties. The health inspection rating sits at 1 out of 5, and staffing doesn't help: 3.74 nurse hours per resident day, below the national average, with weekend coverage about 9 percent thinner than weekdays. This is a for-profit limited liability company operating 106 certified beds in Jackson County, and its last inspection was August 14, 2025. When a home carries that many harm-level findings, the question isn't whether the numbers look bad, it's whether you can get straight answers about what changed since.
Clayton Rehabilitation and Healthcare Center runs on thinner nurse staffing than most homes in the country, about 3.11 hours per resident day against a national average near 3.86, and weekends get leaner still, roughly 14% below what the building staffs on weekdays. That gap matters because turnover sits at 77.8%, well above the 45.8% national figure, meaning the aides and nurses who do show up are often new to the job and to these residents. The inspection record backs that up: 38 deficiencies on file, two serious enough to put residents in harm's way, and a single fine of $166,075. One star for health inspections and one for staffing, with quality measures landing at three. It's individually owned and for profit.
Biltmore Haven runs about 2.93 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop further from there. That thin coverage sits alongside a 71.4% annual turnover rate, well above the 45.8% national figure, so the staff who are there are often new. The inspection record is the harder problem: 50 deficiencies, 7 of them at harm or jeopardy level, 2 tied to abuse, and $189,174 in fines across three penalties. CMS placed this for-profit LLC home in its Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was May 1, 2025.
Rockwell Park runs leaner on nursing hours than the typical American nursing home, about 3.49 per resident day against a national figure near 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. That gap matters, since families often visit Saturday and Sunday. Staff turnover sits at 60.2%, well above the 45.8% national average, so the people caring for residents change often. Its inspection record carries 34 deficiencies, including 8 at harm or jeopardy level and 4 tied to abuse, plus seven CMS fines totaling $338,513. The federal government has placed it in the Special Focus Facility program, its most recent inspection was March 27, 2026, and it's a for-profit corporation.
Fuquay-Varina Health and Rehabilitation Center runs about 3.75 nurse hours per resident day, a bit under the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. That thin weekend margin matters more when turnover sits at 60% against a national rate near 46%, people are cycling through, and the ones on duty Saturday and Sunday are often the newest. The home carries 50 deficiencies on its current record, including two at the harm level and four tied to abuse, plus a $76,047 fine. Its last inspection was in April 2026, and the federal staffing rating sits at the bottom of the scale.
Highland Oaks is a for-profit home in Morgan County with 99 certified beds, and the numbers tell a split story. The quality measures CMS tracks look strong, but the inspection record is another matter: 105 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, and six tied to abuse. That inspection history is why CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Staffing sits about 5% under the national average, weekend coverage drops roughly 10% below weekday levels, and nearly half the nursing staff turns over each year.
Suburban Healthcare and Rehabilitation runs 150 beds in North Randall under for-profit LLC ownership, and the numbers that stand out most are on the staffing side. At 3.33 nurse hours per resident day, it sits roughly 14% under the national average, with weekends about 7% below its own weekday level. Annual turnover is 58.3% against a national 45.8%, so the people caring for residents change often.
The inspection record is heavier still: 67 deficiencies, six at harm or jeopardy level and one abuse-related, plus four fines totaling $94,587. The most recent inspection was March 2024. Quality measures look better than the rest of the picture, but they measure care outcomes, not whether enough consistent staff are present to deliver it.
Luxe Rehabilitation and Care Center is a 172-bed for-profit home in Lancaster, and the federal numbers paint a rough picture. Nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national average of 3.86, with weekends running roughly 7 percent thinner than weekdays. Staff turnover is 49.2 percent, higher than the 45.8 percent national figure. What stands out most is the inspection record: 99 deficiencies, 6 at harm or jeopardy level, and 11 tied to abuse, which is why CMS has placed it in the Special Focus Facility program. A 5/5 quality measure score doesn't offset a 1/5 inspection rating and a 1/5 staffing rating, and $70,768 in fines backs that up.
Gardens of Mayfield Village runs 99 beds as a for-profit corporation, and the numbers that matter most here are staffing and oversight. Nurses provide 3.22 hours per resident day, roughly 17% under the national average, weekends run about 7% thinner than weekdays, and 71.2% of staff turn over in a year against a national 45.8%, so the people delivering care keep changing. The inspection record shows 106 deficiencies, five at harm or jeopardy level and six tied to abuse, with $155,225 in fines and CMS placing the home in its Special Focus Facility program. The quality measure rating is high, but that's self-reported chart data; the staffing and inspection ratings sit at the bottom.
Momentous Health At Richfield has 72 certified beds and an individual for-profit owner, and the numbers here are hard to get past. Nurse staffing sits at 3.23 hours per resident day against a national average of 3.86, roughly 16% below what residents elsewhere typically receive, while annual turnover hits 64% compared with 45.8% nationally, meaning most of the people providing daily care are new to the building within a year. The deficiency record is the bigger problem: 103 total, including 3 at the harm or jeopardy level and 8 abuse-related. CMS has fined this home $158,534 and placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Country Club Center I runs 72 beds in Dover under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.78 nurse hours per resident day it sits just under the national average, but weekends drop about 14% below its own weekday levels, and turnover hits 83.8% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is worse: 90 deficiencies, six at harm or jeopardy level, eight abuse-related, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently poor performers. Three fines totaling $31,371 are on file.
Warren Nursing & Rehab runs a for-profit limited liability operation with 107 certified beds, and the raw staffing numbers look solid at first glance, 5.32 nurse hours per resident day, well above the national average of 3.86. But weekends dip about 17% below the home's own weekday coverage, and annual turnover sits at 53.2% against a national 45.8%, meaning the aides and nurses caring for residents are cycling through fast. The bigger problem is the inspection record: 61 deficiencies on file, five of them serious enough to put residents in harm's way, four fines totaling $26,448, and a spot in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Medina Center runs 3.18 nurse hours per resident day, roughly 18 percent under the national figure, and weekends drop about 14 percent below its own weekday staffing. Annual turnover sits at 72.1 percent against a national average of 45.8, so the people providing care change often. The record shows 100 deficiencies, four at harm or jeopardy level and eight abuse-related, plus $136,807 in fines, and CMS has placed the home in its Special Focus Facility program. Its quality measure stars look strong, but that measure reflects resident health outcomes rather than the inspection and staffing problems underneath them. An inspection in February 2025 is the most recent.
Aventura At Assumption Village runs on thinner nurse coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and it gets worse on weekends, when staffing drops roughly 9% below its own weekday level. Annual turnover sits at 52.5%, well above the 45.8% national figure, so the people caring for residents keep changing. The current record lists 49 deficiencies, three of them serious enough to involve harm or jeopardy, though none are abuse-related; a single fine of $14,680 is on file. The most recent inspection was December 19, 2024. For-profit corporate ownership out of North Lima, 150 beds. The quality measure score looks good on paper, but that's a survey-based number, not a staffing one.
Continuing Healthcare Of Cuyahoga Falls runs 98 beds under for-profit LLC ownership, and the staffing numbers are what stands out first: 3.46 nurse hours per resident day against a national average of 3.86, with weekends running about 7% thinner than weekdays. That gap matters when you're deciding which day to visit. The inspection record is heavier still, 93 deficiencies, two at harm or jeopardy level, seven tied to abuse, and four fines totaling $178,725. Annual turnover sits at 77.1% against a national 45.8%, meaning the aide who knows your mother this month may not be there the next. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
The Merriman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekend coverage drops about 12% below its own weekday levels. Staff turnover sits at 64.9% against a national 45.8%, so the people caring for residents are, more often than not, new to the building. Its inspection record carries 65 deficiencies, three of them at the harm or jeopardy level and six tied to abuse; two fines total $134,475, with the most recent inspection in January 2025. A 4/5 on quality measures doesn't offset a 1/5 on staffing and 1/5 on inspections. The corporate owners profit while the floor stays thin.
If you're weighing Franciscan Care Center Sylvania for someone you love, the staffing numbers deserve your attention first. Nurses provide about 3.18 hours of care per resident per day, roughly 18 percent under the national average, and weekends drop about 11 percent below the home's own weekday levels. Nearly 80 percent of staff turned over in a year, against a national rate near 46 percent, and CMS gives staffing one star out of five.
The inspection record is heavier still: 94 deficiencies currently on file, including 3 at the harm or jeopardy level and 4 tied to abuse. One fine totals $337,580, and CMS has placed this for-profit corporate home in its Special Focus Facility program, reserved for the country's poorest performers. The most recent inspection was June 13, 2024. Strong quality-measure scores don't offset what surveyors keep finding.
Sapphire Rehabilitation and Care Center is a 113-bed for-profit home in Columbus, and the federal numbers are not kind. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and it thins out further on weekends. The bigger problem is turnover: 78.6% annually, against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
Its inspection record shows 87 deficiencies, including 8 at the harm or jeopardy level and 4 tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and fines total $337,273. The quality measure score looks decent, but that's generated from resident assessment data, and it doesn't outweigh a documented staffing and safety record like this.
Canfield Healthcare Center runs 90 beds in Youngstown under corporate ownership, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident per day against a national average of 3.86, with weekends running about 12% thinner than weekdays already are. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters because that's roughly half the workforce cycling out in a year.
The inspection record is where things get serious. Fifty-four deficiencies, four at harm or jeopardy level, seven tied to abuse, and $211,331 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the poorest performers. The 4/5 quality measure rating reflects resident assessments; the 1/5 on both inspections and staffing tells you what those numbers don't.
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?