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
Santa Monica Rehabilitation Center has 170 deficiencies on its current record, including 18 tied to abuse and seven at the level where residents were actually harmed or put in immediate jeopardy. That record, plus four fines totaling $156,799, is why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the worst sustained inspection histories. Staffing looks decent on paper at 4.02 nurse hours per resident day, slightly above the national average, but weekends run about 11% thinner than weekdays and turnover sits at 55.8% against a 45.8% national rate. High turnover and a one-star inspection rating mean the people caring for residents are often new and the oversight has been failing.
Mesa Glen runs a for-profit operation with 96 certified beds, and 144 deficiencies sit on its current record, a number worth pausing on, since 18 of those are abuse-related and three rose to the level of actual harm or jeopardy. Federal inspectors have flagged the Glendora home as a Special Focus Facility, a designation reserved for the small share of nursing homes with a pattern of persistent problems; two fines totaling $103,080 are also on file. Nurse staffing averages 4.11 hours per resident day, which beats the national figure, but turnover sits at 63.2 percent and weekend coverage drops about 8 percent below weekdays, so the hours look better on paper than they likely feel on a Sunday.
Brush Country runs on 3.05 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 15% below its own weekday level. Turnover sits at 77.8% against a national 45.8%, so the staff you meet is likely to change often. Inspectors have cited 45 deficiencies, three at harm or jeopardy level, with $130,834 in fines across three penalties; the last visit was August 2025. A one-star inspection rating and one-star staffing rating tell the story the quality measure score of three stars can't offset.
Cottonwood runs about 3.24 nurse hours per resident per day, roughly 16% under the national average, and weekends dip a bit further below its own weekday numbers. The bigger issue is turnover: 98% annually, more than double the national rate, which means the aides and nurses caring for your relative are constantly new. Twenty-eight deficiencies sit on the current record, though none rose to harm or jeopardy and none involved abuse. A recent inspection in August 2025 is a point in its favor, as is the three-star health inspection rating. But for-profit corporate ownership, a one-star staffing rating, and a two-star quality measure rating all point the same direction: check actual caregiver presence on the shifts you'd visit.
South Dallas Nursing & Rehabilitation runs on 2.23 nurse staffing hours per resident day, roughly 42 percent under the national average, and weekend coverage drops another 13 percent below its own weekday level. That thin margin shows up in the inspection record: 61 deficiencies, five at harm or jeopardy level, six tied to abuse, and two fines totaling $272,139. Staff turnover sits at 50 percent, above the 45.8 percent national figure. The limited liability ownership means profits and liability stay with the company. A 4/5 on quality measures doesn't outweigh a 1/5 on both staffing and health inspections, the people providing daily care are stretched, and the state has documented what happens when they are.
Harmony Care At Giddings holds a federal Special Focus Facility designation, and the inspection record shows why: 48 deficiencies on file, including 9 at the harm or jeopardy level and 7 tied to abuse. Five fines total $237,415. Its health inspection rating sits at 1 out of 5 stars, and the most recent inspection was July 17, 2025. Ownership is a for-profit partnership. The one bright spot is quality measures at 4 stars, but that stands apart from how the home is actually run day to day. Nurse staffing averages 3.99 hours per resident day, only slightly above the national 3.86, and weekends run about 8% thinner than weekdays, worth asking about directly, since that's when families often visit.
The numbers at Williamsburg Village in Desoto tell a split story: residents get good clinical outcomes on paper, but the day-to-day care and oversight don't hold up. Nurse staffing runs 2.81 hours per resident day, about 27% under the national average, and weekend coverage drops roughly 13% below its own weekday level, thinner help exactly when families can't be there. Behind that sit 79 deficiencies, nine serious enough to put residents in harm's way and ten tied to abuse, plus $195,541 in fines and a spot in CMS's Special Focus Facility program. Ownership is for-profit corporate, and turnover sits slightly better than average.
Avir At Arden Wood runs 174 certified beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average, with weekends about 12% thinner than its own weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, 12 of them at harm or jeopardy level, 2 abuse-related, and $130,388 in fines across two events, with the most recent inspection dated May 2026. The one clear strength is retention, where 25.6% turnover beats the 45.8% national figure, so the staff who are there tend to stay. Whether that offsets the survey history is the question a family has to weigh.
Arbor Grace runs 42 deficiencies on its current record, five of them serious enough to put residents in harm's way and three tied to abuse. The $187,096 fine is a single penalty, not a slow accumulation, which tells you something went badly wrong at least once. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends drop another 13% below the home's own weekday levels. Turnover is the number that would worry me most: 75.3% of staff leaving in a year against a national rate near 46%. Kilgore is a 127-bed for-profit, and the last inspection in April 2025 is recent enough to mean the record reflects how things run now.
Beltline Healthcare Center runs 120 beds in Garland, and the numbers there are hard to dress up. Nurse staffing sits at 3.07 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 93.9% a year, more than double the national figure, which means the aide who knows your mother this month may be gone by next. Inspectors have cited 24 deficiencies, four of them serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, with a $32,006 fine on record. The last inspection was November 2024.
Avir At Arlington runs 114 beds under limited-liability, for-profit ownership, and the numbers worth your attention are on the staffing side. Nurse hours come to 3.36 per resident per day against a national average of 3.86, and weekends drop roughly 13% below the home's own weekday coverage, meaning the thinnest shifts land when families tend to visit. Staff turnover sits at 66.7% against a national 45.8%, so aides and nurses cycle through quickly. The inspection record shows 27 deficiencies, three serious enough to put residents at risk of harm, and one fine of $121,953. A recent inspection in February 2026 keeps that record current rather than stale.
Terrell Healthcare Center runs 94 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.52 nurse hours per resident day against a national average of 3.86, with weekends running about 10% leaner than weekdays already are. Turnover sits at 50.8%, above the 45.8% national figure, so the people caring for residents keep changing. The deficiency record is harder to look past: 93 total, 11 of them serious enough to put residents in harm's way, 6 tied to abuse. CMS has fined this home three times for $339,046 combined and placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. If you're considering it, ask directly what's changed since the April 2026 inspection.
Avir At Caldwell runs on thin coverage. At 3.12 nurse hours per resident day, it sits roughly 19 percent under the national average of 3.86, and weekend staffing drops about 9 percent below its own weekday level, so the thinnest shifts get even thinner. The bigger red flag is turnover: 94.3 percent annually against a national average of 45.8 percent means the staff caring for your family member is, statistically, mostly new. Inspections tell a similar story, 30 deficiencies on record, two serious enough to involve harm or jeopardy, a one-star health inspection rating, and one fine of $10,036. The last inspection was January 8, 2026. Corporate-owned, 112 beds. Worth asking hard questions before you sign anything.
Gracy Woods is for-profit, corporate-owned, 118 beds, and sitting in CMS's Special Focus Facility program, the designation reserved for homes with a persistent record of serious problems. The numbers back that up: 64 deficiencies on the current record, 10 of them at harm or jeopardy level, five abuse-related, and four fines totaling $222,188. Staffing runs slightly under the national average at 3.79 hours per resident day, but the bigger issue is consistency, weekends drop about 16% below the home's own weekday level, and turnover sits at 54.5% against a 45.8% national figure. When roughly half the staff leaves in a year, care routines fray. The most recent inspection was June 2026, so the record is current.
Shady Acres runs 26 deficiencies on its current record, and seven of those are serious enough to involve actual harm or jeopardy. Six are abuse-related. That combination, plus four fines totaling $144,358, is what put this 84-bed for-profit home into CMS's Special Focus Facility program, a status reserved for the homes the government watches most closely. Staffing hours look adequate on paper at 3.87 per resident day, roughly matching the national average, but weekends run about 14% thinner than weekdays, so coverage depends on when you visit. Annual turnover sits at 40%, a bit better than the 45.8% national figure, though the inspection and staffing star ratings both come in at 1 out of 5.
Paradigm At Katy has 125 certified beds and a for-profit LLC owner. Its nurse staffing comes in at 4.41 hours per resident day, roughly 14% above the national average, but the workforce behind those hours is unstable: annual turnover runs 91.1% against a national 45.8%, and weekends already sit about 6% below weekday coverage. The inspection record is the harder problem, 51 deficiencies on file, 7 of them serious enough to involve harm or jeopardy and 2 tied to abuse, with $241,445 in fines across 5 penalties and a health inspection star rating of 1 out of 5. Quality measures score 4 out of 5, but that sits alongside a 1 out of 5 staffing rating despite the above-average hours.
The Plaza At Richardson runs on 3.02 nurse hours per resident per day, about a fifth below the national average, which is thin enough that the 1-out-of-5 staffing rating is no surprise. Turnover tells the bigger story: 95.3% of nursing staff left over the past year, roughly double the national rate, so the people caring for your relative are likely new to the building and still learning it. The 39 deficiencies on record include two tied to abuse, though none rose to the level of actual harm, and the most recent inspection was in June 2025. Weekend coverage also dips below its own weekday level.
Wells LTC Nursing & Rehabilitation has a staffing story that looks better than most, 4.82 nurse hours per resident day, roughly a quarter above the national average, but the rest of the record undercuts it. The home carries 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Staff turnover sits at 52%, higher than the 45.8% national figure, and weekend coverage runs about 7% thinner than weekdays. Three fines totaling $34,428 are on record, with the last inspection in December 2025.
Misty Willow runs 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The inspection record is the harder problem: 30 deficiencies, 8 of them at harm or jeopardy level, 3 tied to abuse, and $79,412 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care, and its health inspection rating sits at 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Deerbrook runs on about 3.35 nursing hours per resident per day, roughly 13 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That thin coverage shows up in the inspection record: 35 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $196,911 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover sits at 60.7 percent against a 45.8 percent national average, so the people providing care keep changing. The 4/5 quality measure score reflects reported clinical data; the 1/5 inspection and staffing ratings reflect what surveyors actually found.
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?