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
Heardmont Health And Rehabilitation is a for-profit LLC home in Elberton with 60 certified beds, and its record is one of the more serious in the federal data. Twenty-eight deficiencies are on file, seven of them at the harm or jeopardy level and three tied to abuse, which is why CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average, and weekends run about 20% thinner than weekdays. Annual turnover of 48.9% tops the national rate, and the single fine on record is $170,259. The most recent inspection was November 18, 2025.
Nexus At Palos runs 207 beds in Palos Hills under for-profit LLC ownership, and its staffing looks fine on paper, 4.13 nurse hours per resident day, about 7% above the national average. But that average hides a lot: weekend staffing drops roughly 21% below its own weekday level, and annual turnover sits at 54.8% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the bigger problem. Eighty-seven deficiencies, 21 of them at harm or jeopardy level, 8 tied to abuse, and nine fines totaling $431,708. The most recent inspection was May 2025.
Silvis Center runs 120 beds under LLC ownership, and the staffing numbers are where the trouble starts: 3.42 nurse hours per resident day against a national average of 3.86, with weekends about 10% thinner than weekdays. The inspection record backs that up, 28 deficiencies logged, four of them serious enough to put residents in harm's way, plus one tied to abuse, and $42,856 in fines across two penalties. Its last inspection was in March 2025, so the picture is current rather than stale. All three CMS ratings, health inspections, quality measures, and staffing, sit at the bottom of the scale. If you're weighing this placement, ask what's changed since that inspection.
Arcadia Care Peoria Heights runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage dips about 6% below its own weekday pace. Staff turnover sits at 52.1%, above the national figure, which matters for a building where 70 deficiencies sit on the current record, including five at the harm level and 13 tied to abuse. Three CMS fines total $259,968, and the home is in the Special Focus Facility program, a designation reserved for the lowest performers. The most recent inspection was January 2026. For-profit ownership through a limited liability company rounds out the picture.
Prairie Oasis runs 3.26 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 18% below its own weekday staffing. The inspection record backs that up: 67 deficiencies, 12 of them at harm or jeopardy level, 13 abuse-related, and six fines totaling $302,164. Turnover sits at 44.1%, marginally better than the 45.8% national figure but hardly a bright spot given everything else. All three CMS star ratings, health inspections, quality measures, staffing, come in at 1 out of 5, and the last inspection was September 12, 2025. This is a for-profit, individually owned home where the numbers point the same direction.
La Bella Of Rochelle runs on 2.43 nurse hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 13% under its own weekday level. The inspection record is heavy: 87 deficiencies, 13 of them at harm or jeopardy level, 10 tied to abuse, and eight fines totaling $434,100. The last inspection was March 5, 2025. This is a for-profit corporate home with 74 certified beds, and its federal ratings sit at one star for health inspections, one for staffing, and two for quality measures. When staffing is this thin and the deficiency count this high, the pattern tends to show up in daily care, not just on paper.
Sycamore Care Strategies runs 56 beds in Loogootee under for-profit LLC ownership, and the numbers there are hard to dress up. Nurse staffing sits at 2.76 hours per resident day, roughly 28% under the national average of 3.86, and weekends drop another 6% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level, plus four fines totaling $30,921; the most recent inspection was March 2025. Both the health inspection and quality measure ratings sit at 1 out of 5 stars. Nothing here is abuse-related, but staffing and inspection results are the two things to weigh hardest.
Legacy Nursing and Rehabilitation of Winnsboro runs 150 certified beds as a for-profit LLC, and the numbers tell a story of thin coverage and high churn. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but weekends drop about 17 percent below the home's own weekday level, meaning the days families visit most are the days with the least help. Staff turnover of 65.3 percent is well above the 45.8 percent national figure, and with 28 deficiencies on record, including three at harm or jeopardy level and two tied to abuse, plus $168,036 in fines, there's a pattern worth asking about before you tour.
The Grand Rehabilitation and Nursing at Barnwell carries 236 certified beds and a for-profit partnership structure, with 69 deficiencies on its current record, including two at the harm or jeopardy level and six tied to abuse. That record is why CMS placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems, and the $160,303 in fines across three actions reflects it. Nurse staffing sits at 2.54 hours per resident day, roughly a third below the national average, and weekends run about 23% lighter than weekdays, a gap that matters most when families visit. Turnover of 42.5% is slightly better than the national figure, but stability at the top doesn't offset what inspections keep finding.
The Grand Rehabilitation and Nursing at Rome runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average, and weekend coverage drops another 18% below its own weekday levels. Its inspection record carries 38 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $76,542 in fines and a 1-out-of-5 rating on all three CMS measures. Staff turnover sits at 40.8%, a bit better than the 45.8% national figure, so the problem here looks less like constant churn than like thin staffing and a serious inspection history that has not been resolved.
Fletcher Rehabilitation and Healthcare Center runs on staffing that falls well short of what most homes provide, about 3.15 nurse hours per resident each day against a national figure closer to 3.86, with weekends noticeably thinner than weekdays. The bigger warning sign is turnover: roughly 78% of staff left over the past year, far above the 46% typical elsewhere, which means the people caring for residents are often new and still learning the building. Inspectors have cited 43 deficiencies, two involving actual harm and two tied to abuse, and fined the home twice for a combined $62,868. That record, paired with a one-star inspection history, is what drives the grade down.
The Palms runs 204 beds in Corpus Christi under corporate for-profit ownership, and its nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86. Weekends are thinner still, about 18 percent lighter than the home's own weekday coverage, and annual turnover of 51.2 percent means the aides and nurses showing up are often new to the building.
The inspection record is the heavier concern: 60 deficiencies, five serious enough to put residents in harm's way, and 11 tied to abuse. Four fines total $79,987. Federal quality measures land at 1 out of 5 stars, and the most recent inspection came in December 2025, recent enough that this picture reflects how the home operates now, not years ago.
Aria of Waukesha runs on thinner nurse coverage than most homes, about 3.66 hours per resident day against a national average of 3.86, and weekends get noticeably leaner, with staffing dropping roughly 24% below its own weekday pace. That matters when you're deciding how safe a Friday night or Sunday afternoon actually looks. Staff turnover sits at 64.5%, well above the 45.8% national figure, so the people caring for residents are cycling through fast. The current record shows 25 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with the last inspection in February 2026. The quality measure rating of 1 out of 5 reinforces what the inspection and turnover numbers already suggest.
The Lennwood Nursing And Rehabilitation runs 124 certified beds in Dallas under county government ownership, and the staffing numbers are where the trouble starts. At 2.90 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends drop another 17% beneath its own weekday level. Turnover tells a similar story: 68.6% annually, against 45.8% nationally, which means the aides and nurses your relative sees may not be there in six months. The current record shows 24 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse, with two fines totaling $29,969. The last inspection was August 29, 2024.
Oak Ridge Manor runs 114 beds in Brownwood under for-profit LLC ownership, and its inspection record is genuinely decent, a four-star health inspection rating, fifteen deficiencies with none rising to harm or jeopardy, and a survey completed in late December 2025. The problem sits in the staffing column, where the home earns one star. Nurses provide 3.29 hours per resident day against a national average of 3.86, weekends drop about 19% below the home's own weekday coverage, and annual turnover hits 96.4% when the national figure is 45.8%. That's a workforce cycling through nearly completely each year. Two abuse-related deficiencies and a $129,761 fine round out a record where care appears adequate on paper but the people delivering it keep leaving.
Merkel Nursing Center runs on thin coverage. At 3.35 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly a quarter below what the home itself staffs on weekdays. That gap matters, because turnover runs 71.1 percent against a national 45.8, most of the people caring for your family member are new, and many won't stay a year. The inspection record is where the real weight sits: 64 deficiencies, five at harm or jeopardy level, six tied to abuse, and $391,887 in fines. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes.
Avir At San Angelo runs on 2.99 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 9% below what it manages on weekdays. The inspection record shows 36 deficiencies, seven of them at the level where residents were actually harmed or put in jeopardy, and five tied to abuse. Four fines total $217,215, and the last inspection was March 6, 2025. This is an individually owned for-profit home, and the federal star ratings sit at 1 for health inspections, 1 for staffing, and 2 for quality measures. When staffing is thin, harm-level findings stack up, and fines reach six figures, the pattern is worth taking seriously before you visit.
Berrien Oaks runs about 2.93 nursing hours per resident per day, roughly a quarter below the national average, and weekends are thinner still. Staff turnover sits near 73%, well above the 45.8% national figure, so the people caring for residents change often. The 14 deficiencies on record include none flagged as causing harm and none tied to abuse, and the most recent inspection was in April 2025, so the record is current. Still, all three CMS star ratings land at the low end: two for health inspections, one for quality measures, one for staffing. It's a for-profit LLC with 108 certified beds.
Etowah Landing runs 100 beds in Rome under individual for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. The bigger issue is consistency: weekends drop about 11% below the home's own weekday levels, and annual turnover hits 64.3% against a national average of 45.8%, so the people covering those shifts are often new. Inspectors logged 16 deficiencies on the current record, four of them at the harm or jeopardy level, with one fine totaling $88,205. The most recent inspection was April 2026. Nothing on the record involves abuse, but four harm-level findings plus thin weekend coverage is the pattern worth asking about directly when you tour.
Jasper Point of Journey runs 60 beds in Pickens County under for-profit LLC ownership, and the numbers on the clinical side are thin. Nurses provide 3.21 hours per resident day against a national average of 3.86, and weekends drop about another 10% below what the home already staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 71.7% versus 45.8% nationally, which means most of the aides you meet will likely be gone within a year. Inspectors have logged 29 deficiencies, two of them serious enough to put residents at risk of harm, and cited the home most recently in November 2025. No abuse deficiencies appear on the record.
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?