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
Bayshore Nursing & Rehab runs 112 certified beds in Glendale under for-profit LLC ownership, and the numbers say more about it than any single rating could. Staffing sits at 3.96 nurse hours per resident day, just above the national figure, but weekends drop about 10% below the home's own weekday level, and 56.4% of staff left over the past year against a national rate of 45.8%. The inspection record is where the concern concentrates: 140 deficiencies, 14 at harm or jeopardy level, 15 tied to abuse, and CMS has placed the home in its Special Focus Facility program after a September 2025 inspection. Families deserve to weigh that record carefully.
Franklin Heights runs on 3.07 nurse hours per resident per day, roughly a fifth less than the national average, and weekends drop another 14 percent below its own weekday levels. Staff turnover sits at 96.2 percent, more than double the national figure, so the people caring for residents are, statistically, almost all new. The inspection record is heavier: 77 deficiencies, five involving harm or jeopardy, 11 tied to abuse, and two fines totaling $191,503. State inspectors were last on site in July 2025. Ownership is a for-profit partnership. With 132 certified beds, that ratio of direct care to residents, especially on weekends, is the number worth asking about when you visit.
Southern Specialty Rehab & Nursing runs 144 beds in Lubbock under corporate ownership, and its staffing numbers look decent at first glance, 3.99 nurse hours per resident day, just above the national average. But that average hides a churn problem: turnover sits at 98.7%, more than double the national rate, meaning the aides and nurses at your mother's bedside are likely new to the building and still learning it. Weekend coverage drops about 6% below weekday levels, so the shifts when families visit least are the thinnest. The inspection record is harder to explain away: 30 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $36,652, with the most recent inspection in June 2026.
Vidor Health & Rehabilitation Center runs 144 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 2.88 total nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekend coverage slips about 10% below the home's own weekday level, and annual turnover sits at 93.5% against a national rate near 46%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs up the concern: 37 deficiencies on file, four at harm or jeopardy level, four abuse-related, and two fines totaling $58,904, with a one-star health inspection rating and a one-star staffing rating.
The Hillcrest of North Dallas runs on 2.66 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops about 13% below what the home staffs on weekdays. Annual turnover sits at 68.3% against a national 45.8%, so the aides and nurses at the bedside keep changing. Its inspection record shows 44 deficiencies, including 6 at the harm or jeopardy level and 3 tied to abuse, with $221,052 in fines across three penalties and a 1-out-of-5 inspection rating; the most recent survey was July 31, 2025. Ownership is a for-profit corporation. The quality measure stars don't offset what staffing and inspections show.
The Reserve at Appling runs on 2.98 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 20% below what the home itself staffs on weekdays. That thin coverage sits alongside a 58.5% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses cycling through are often new to the building. Its CMS ratings land at one star for staffing and one for quality measures, with a two-star inspection record, 25 deficiencies, and five fines totaling $19,321. Nothing on the current record rises to harm or jeopardy, and the most recent inspection was in August 2025. A for-profit LLC operation at 100 certified beds.
The numbers here are hard to get around. Forty-two deficiencies on the current record, five of them serious enough to put residents at actual harm, plus $253,955 in fines across four separate penalties, that's a lot of enforcement for a 56-bed building. Staffing sits well below where you'd want it, and the low inspection rating reflects problems that keep showing up rather than getting fixed, which is why CMS put this home in its Special Focus Facility program. That designation means closer federal monitoring and a deadline to improve or lose Medicare funding.
The one piece of good news is that none of the deficiencies are abuse-related. But recent inspections and persistent shortfalls in care and staffing are the real story. If you're considering this home, ask what's changed since February 2026 and get specifics.
St Joseph runs 130 certified beds in Monroe under for-profit partnership ownership, and the numbers that stand out most are on the staffing side. At 3.13 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly another 20% below its own weekday level, so coverage thins out exactly when families tend to visit. Every nursing position turned over last year, against a national rate near 46%. The health inspection rating is 1 out of 5 with 44 deficiencies on record, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was December 11, 2025, so the picture is current.
Cedar Pointe runs on 3.17 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home staffs on weekdays. That thin coverage sits behind a 58.9% annual turnover rate, well above the 45.8% national figure, so the aides and nurses working the floor keep changing. The current record carries 39 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was July 18, 2024, and the for-profit partnership has drawn a 2/5 on health inspections with 1/5 on both quality measures and staffing.
Jefferson Health Care runs 118 beds in Lees Summit under corporate ownership, and the numbers describe a home stretched thin. Nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends running about 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 64.2% against a national 45.8%, meaning most of the people caring for residents this year probably won't be there next year. The inspection record shows 61 deficiencies, including one at the harm level and three tied to abuse, plus $34,459 in fines. That inspection was recent, April 2025, so the picture isn't stale.
Magnolia Wellness Center runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 16% below its own weekday coverage. That thin staffing shows in the numbers that matter: 63.6% annual turnover, 81 deficiencies on the current record, seven of them at harm or jeopardy level, and six tied to abuse. Four fines total $209,790, and the last inspection was February 2024. The four-star quality measure rating reflects resident assessments, not the hands available to act on them; the one-star inspection and staffing ratings come closer to daily reality. A for-profit individual owner with this record is worth asking hard questions about before you decide.
Hidden Lake runs on 2.52 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends drop another 4% below its own weekday level. The inspection record shows 83 deficiencies, seven of them serious enough to indicate harm or jeopardy, three tied to abuse, plus $123,610 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care, and ownership changed within the past year. The last inspection was August 2024.
The Grand Rehabilitation and Nrsg At Guilderland runs on 2.91 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about another 15% below its own weekday level. Staff turnover sits at 56.1%, well above the 45.8% national figure, and CMS has flagged the home for its Special Focus Facility program after 56 deficiencies, including one at the harm level and two tied to abuse. A $40,937 fine and a one-star inspection rating round out a record that's been on CMS's watch list since at least its March 2025 inspection. If you're considering this one, ask hard questions about weekend coverage and who's actually on the floor.
Hertford Rehabilitation and Healthcare Center runs on thin nursing coverage. At 3.06 nurse hours per resident per day, it sits about 21 percent below the national average, and weekends dip another 17 percent below its own weekday levels, so the thinnest shifts get even thinner when families tend to visit. Staff turnover tells a similar story: 74.1 percent annually against a national 45.8 percent, meaning most of the people caring for your relative are likely new to the building. The current inspection record carries 39 deficiencies, three at harm or jeopardy level and one abuse-related, with the last visit in June 2025. The for-profit LLC ownership structure doesn't change any of those numbers, but it's the context they sit in.
Trotwood Health & Rehab is a 67-bed for-profit home in Dayton, and its record reflects serious, ongoing problems. Nurse staffing sits at 3.28 hours per resident day, roughly 15% below the national average, and weekends run even leaner. Staff turnover is the number that should stop you cold: about 89% annually, nearly double the national rate. On inspections, CMS gives this home 1 out of 5 stars, with 85 deficiencies on record, four at the harm level and seven tied to abuse. It's in the Special Focus Facility program, carries a $77,000 fine, and was last inspected in July 2024.
Blue Ridge Rehabilitation and Nursing runs on leaner staffing than most homes in the country, 3.13 nurse hours per resident day against a national average of 3.86, and it gets thinner on weekends, when hours drop about 16% below the home's own weekday levels. That's a real gap when you're counting on someone to answer a call light on a Saturday. The inspection record is heavier than you'd want: 58 deficiencies, two of them serious enough to put residents at risk of harm, two tied to abuse, and $50,436 in fines across seven penalties. Staff turnover sits at 56.8%, well above the 45.8% national figure, so the faces change often. Corporate-owned and for-profit, this one last saw a health inspection in August 2024.
Kemp Care Center runs on 2.88 nurse hours per resident day, about a quarter below the national average, and weekends dip roughly 16% below what the home staffs on weekdays. That thin coverage sits behind a 95.4% annual turnover rate, more than double the national figure, so the aides and nurses at the bedside are, statistically, mostly new. Inspectors have cited 41 deficiencies, three of them at harm or jeopardy level and seven tied to abuse, with $256,260 in fines on record. A 5/5 quality measure score and a recent July 2025 inspection don't offset a 1/5 staffing rating from CMS. For-profit corporate ownership; ask specifically how weekends and evenings are covered before you decide.
Paradigm At The Prairies runs on 2.42 nurse hours per resident day, roughly 37 percent under the national average, and weekends drop about another 15 percent below what the home itself staffs on weekdays. That thin coverage sits alongside 25 deficiencies on the current record, four of them serious enough to involve harm or jeopardy and three tied to abuse. Staff turnover lands at 51.4 percent, above the national figure. The most recent inspection was April 2025, and three fines totaling $62,430 have accumulated. For-profit individual ownership, 150 certified beds, and one out of five stars from CMS on both staffing and health inspections.
Perimeter Rehabilitation Suites By Harborview in Atlanta carries a record that should give any family pause. The 240-bed for-profit home has 60 deficiencies on file, including five at the harm or jeopardy level and eight tied to abuse, plus a single CMS fine of $201,403. It's one of a small number of homes the federal government places in its Special Focus Facility program, a designation reserved for the worst performers. Staffing sits at 3.75 nurse hours per resident day, slightly under the national average, and drops about 22% on weekends. Annual turnover of 55.4% runs well above the 45.8% national figure, meaning the people caring for residents are often brand new to the job.
Calhoun Crossing runs on 3.08 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage slips about 8% below its own weekday level. Staff turnover sits at 52.7% against a national 45.8%, which means the aides and nurses who know your mother's routines are often the ones walking out. Its record shows 34 deficiencies, four serious enough to cause harm or jeopardy and four tied to abuse, plus seven fines totaling $107,867. The last inspection was March 2026. State surveyors rated staffing and quality measures 1 out of 5 stars each.
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?