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
Orchard Gardens runs on 2.63 nurse hours per resident per day, roughly a third less than the national average, and weekend coverage drops about 9% below what it manages during the week. Turnover sits at 66.1% against a 45.8% national figure, so the people around your relative are frequently people who just arrived. The current inspection record lists 50 deficiencies, including three at the harm level and three tied to abuse, with two fines totaling $26,795 and a one-star inspection rating from CMS. The last inspection was April 2025. Its limited liability ownership structure means the company behind it is the entity accountable for all of this.
Clearwater Nursing & Rehabilitation Center runs 55 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.31 hours per resident day against a national average of 3.86, weekends run about 14% thinner than weekdays, and annual turnover hits 70% where the national figure is 45.8%. Its current inspection record carries 63 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, plus three fines totaling $214,803. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. If you're considering this one, ask hard questions and look closely at the most recent inspection, dated June 2026.
Nicholasville Nursing and Rehabilitation runs on thin staffing. At 3.19 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover tells its own story: 83.1% a year, nearly double the 45.8% national figure, meaning most of the people caring for residents are new to the building. The state's most recent inspection, in August 2025, left 25 deficiencies on record, one tied to abuse; none rose to the level of immediate harm. Federal ratings land at 2 out of 5 for health inspections and quality measures, and 1 out of 5 for staffing.
Adira Medical Resort runs on 3.41 nurse hours per resident day, about 12% under the national average, and weekends dip roughly 13% below its own weekday numbers. The bigger problem is who's still there to work: turnover hits 86.7%, nearly double the national rate of 45.8%, which means most of the staff who cared for your relative last year are gone this year. Inspectors have logged 36 deficiencies, two serious enough to involve harm or jeopardy, and the most recent visit was January 2026. For-profit LLC ownership hasn't been fined much, $8,281 total, but that's cold comfort when the staffing numbers look like this.
Oc Reading Center is a for-profit LLC home with 123 beds, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 5% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover is 57.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record carries 52 deficiencies, including 4 at harm or jeopardy level and 3 tied to abuse, plus a $54,360 fine. The most recent inspection was December 31, 2025.
Jefferson City Manor Care Center runs about 3.62 nurse hours per resident per day, roughly 6% under the national average, and weekends dip another 7% below its own weekday staffing. The bigger issue is turnover: 85.4% of nursing staff left over the past year, nearly double the national rate of 45.8%. Inspectors have cited 40 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine of $8,340. The most recent inspection was in May 2025. Federal ratings put quality measures and staffing at one star each, with inspections at three.
Maple Grove Wellness & Rehabilitation runs 144 beds in Fenton under corporate ownership, and the staffing numbers are the first thing to notice: 2.61 nurse hours per resident per day, roughly a third below the national average, with a staffing star rating of 1 out of 5. Turnover sits at 70.7% against a national average near 46%, and weekend coverage drops about 9% below the home's own weekday level, so the gaps aren't evenly spread across the week. On the inspection side, 53 deficiencies are on the current record, including one at the harm level and one tied to abuse, and the most recent inspection was August 2025.
Rancho Rehab And Healthcare Center runs on about 3.30 nurse staffing hours per resident day, roughly 15 percent under the national average, and weekends drop another 15 percent below its own weekday levels. Staff turnover sits at 78.3 percent, well above the 45.8 percent national figure, so the people providing care keep changing. The current inspection record carries 52 deficiencies, three of them at the harm or jeopardy level and three abuse-related, with $28,060 in fines and a March 2025 inspection behind it. For-profit operation under an LLC, 120 certified beds. Families should ask directly who's on duty on weekends and how long the current director of nursing has been in place.
Aspire Senior Living New Florence runs on 2.84 nurse hours per resident day, about a quarter below the national average, and it thins out further on weekends, roughly 12% less coverage than its own weekdays. That staffing level earned a 1 out of 5 from CMS, and it shows in the numbers: 87.7% annual turnover, nearly double the national rate, meaning the people caring for your relative are largely new and likely to leave. The current record carries 35 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $28,486 fine. Inspections were recent, in November 2025, with 2 out of 5 on both health inspections and quality measures.
Estates of Spanish Lake runs on 2.30 nurse hours per resident day, roughly 40% under the national average, and weekend coverage dips about 13% below its own weekday level. The for-profit LLC carries 66 deficiencies on its current record, including 3 at harm or jeopardy level and 11 tied to abuse; two fines total $57,868, and the most recent inspection was April 2025. Staff turnover sits at 68.8% against a national 45.8%, meaning most of the people caring for residents are new to the building. The quality measure star comes in at 4 out of 5, but that number reflects charted outcomes, not the hands available to deliver care.
Columbia Manor runs on 2.56 nurse hours per resident per day, roughly a third below the national average, and weekend coverage dips about 6% below its own weekday level. That thin staffing shows up in the numbers: 82% annual turnover, more than double the national rate, and a one-star CMS staffing rating. Inspections turned up 29 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the most recent visit was August 2025, so the record is current. The quality measure rating sits at 2 out of 5. For-profit, limited liability ownership. Ask about direct-care staffing on evenings and weekends before you decide.
Emerald Nursing & Rehabilitation Mercy runs 174 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, roughly 15% below, and weekends drop about 13% below the home's own weekday levels, while annual turnover hits 64.8% against a 45.8% national figure. The inspection history is the heavier weight: 71 deficiencies on the current record, six at harm or jeopardy level, one abuse-related, and $61,867 in fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Indian Hills Manor runs on 2.56 nursing hours per resident per day, roughly a third below the national average of 3.86, and staffing thins out further on weekends, dropping about 9% below its own weekday level. That shortfall shows up in turnover: 55.6% of staff left over the past year, well above the 45.8% national figure, so residents see a revolving door of caregivers. The current record carries 30 deficiencies, including one at the harm or jeopardy level and one abuse-related, and the last inspection in March 2025 produced a one-star health inspection rating to go with one-star marks for staffing and quality measures. It's a for-profit limited liability company, which tells you where the margin gets protected.
Emerald Nursing & Rehab Columbus runs 145 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.57 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays. Turnover is the bigger flag: 60.9% of staff leaving annually against a national 45.8% means caregivers are constantly new, which matters most for residents who need consistent hands. The current record shows 22 deficiencies, two tied to abuse, though none reached harm or jeopardy level. A recent August 2025 inspection is a plus, but quality and staffing measures both land at the bottom.
Adept Nursing & Rehab Of Sutherland is a 60-bed for-profit home in Lincoln County, and the numbers behind its record are worth understanding before you visit. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and weekends run about 14% thinner than weekdays, which matters because that's when many families actually show up. Staff turnover is the harder number: 69.5% of the nursing team leaves within a year, against a national average of 45.8%.
The inspection record is where things get serious. Thirty-nine deficiencies are on file, three at the harm or jeopardy level, two tied to abuse, with $51,637 in fines. CMS has placed the home in its Special Focus Facility program, and a March 2026 inspection is the most recent look regulators have taken.
Holmes Lake runs on 3.24 nurse staffing hours per resident day, and that's roughly 16 percent under the national average of 3.86. Weekends dip even lower, about 11 percent under the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 84 percent against a national 45.8, meaning most of the people caring for your relative are new or on their way out. The inspection record shows 24 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in April 2026. Corporate for-profit ownership rounds out the picture.
Adept Nursing & Rehab Of Grand Island runs on 2.86 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips even further below its own weekday level. That thin margin matters more when you consider that 76.1% of staff turned over in a year, well above the 45.8% national rate, so the people providing that care are often new to the building. The current inspection record shows 32 deficiencies, including one at the harm level and three tied to abuse, with a $16,801 fine and a May 2025 inspection. The federal ratings land at one star for health inspections and one for staffing.
Nurse staffing at this Williamsville home runs 3.02 hours per resident day, roughly 22% under the national average, and weekends drop about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 72.7% sits well above the 45.8% national figure, meaning the aides and nurses caring for residents are, more often than not, new to the building. The current record carries 45 deficiencies, including one at the harm-or-jeopardy level and three tied to abuse, plus a $37,138 fine and a December 2024 inspection. For-profit LLC ownership, 142 beds.
Houghton Rehabilitation & Nursing Center runs about 2.69 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekend coverage dips another 13% below what it manages on weekdays. Staff turnover sits at 57.7%, well above the 45.8% national figure, which means the people caring for residents are changing often. Its current record shows 21 deficiencies, including one at the harm or jeopardy level and three tied to abuse, along with a $65,052 fine. The last inspection was in May 2025, so the picture is recent. This is a for-profit limited liability company, 100 beds, with two-out-of-five stars on health inspections, quality measures, and staffing alike.
University Place in Charlotte runs 207 beds under corporate ownership, and the numbers suggest a building under real strain. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and it thins out further on weekends, running roughly 9% below its own weekday level. Staff turnover is 59.1% against a national 45.8%, meaning well over half the nursing staff leaves each year.
The inspection record is heavier than that: 35 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and $276,401 in fines across two penalties. The most recent inspection was July 2025, so the picture is current. Families should ask directly about weekend coverage and how the home keeps experienced nurses on the floor.
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?