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
Yellowstone River runs on 3.15 nurse hours per resident per day, about 18% below the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays. That matters because turnover sits at 71.8% against a national average of 45.8%, most of the people caring for residents are new, and the ones on duty Saturday and Sunday are stretched thinnest. The current record carries 58 deficiencies, six serious enough to endanger residents, four tied to abuse, plus $99,463 in fines. The last inspection was August 2025. For-profit, individually owned, 160 beds. Ask about weekend coverage and how long aides have actually worked there.
Meridian Center runs 199 certified beds in High Point under for-profit limited liability ownership, and the numbers there deserve a hard look before you consider it. Nurse staffing sits at 2.95 hours per resident day, roughly a quarter below the national average, and weekends drop about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 56.6% against a national 45.8%, meaning more than half the nursing workforce turns over in a year, and CMS gives the home one star each for staffing and health inspections. The current record shows 29 deficiencies, four at harm or jeopardy level, two tied to abuse, plus five fines totaling $88,566.
Greenville Health and Rehabilitation Center runs on thinner staffing than most homes you'd compare it to, 3.40 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That gap matters more when you see turnover at 66.4%, well above the 45.8% national figure, because residents lose familiar caregivers often. Its inspection record carries 41 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse, and two fines totaling $64,002. The 1-out-of-5 inspection and staffing ratings reflect those numbers directly. The last state visit was June 11, 2025, so the record is current, not stale. For-profit corporate ownership is the backdrop here, not the whole story.
River Bend runs on 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekends drop about 9 percent below what it manages on weekdays. The bigger warning sign is turnover: 86.4 percent of staff left over the past year, nearly double the national rate, which means the people caring for your relative are likely new to the building and still learning it. On the current record are 52 deficiencies, seven serious enough to involve harm or jeopardy, 11 tied to abuse, and six fines totaling $147,579. Ownership is a for-profit limited liability company, which tells you where the margin pressure comes from.
Marietta Heights runs nurse staffing at 4.16 hours per resident day, roughly 8% above the national average, so the raw coverage number looks fine on paper. But weekends drop about 20% below its own weekday levels, and annual turnover sits at 70.8% against a national 45.8%, meaning the people providing that care are cycling through fast. The record shows 132 deficiencies, 13 of them at harm or jeopardy level and 8 abuse-related, plus $439,979 in CMS fines across four events. That combination landed it in the Special Focus Facility program. If you're considering this home, ask specifically how weekend coverage is staffed and what's changed since the March 2026 inspection.
Riverside Health Services runs 56 certified beds in Arkoma under for-profit LLC ownership, and its nurse staffing comes in at 5.08 hours per resident day, roughly a third above the national average. That sounds like good news until you notice weekends run about 12% thinner than weekdays, and annual turnover sits at 58.5%, well past the 45.8% national figure. The current inspection record is more concerning still: 14 deficiencies, three of them serious enough to cause harm or jeopardy, one tied to abuse, and two fines adding up to $115,170. CMS scored its most recent inspection, from February 2025, at 2 of 5 stars. High raw staffing hours paired with that much turnover and that many serious findings is the tension worth weighing.
Jersey Shore Skilled Nursing and Rehabilitation runs 120 beds under corporate ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average, and weekends dip another 6% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Staff turnover is 73.2% against a national 45.8%, so the people providing that care are largely new to the building and to each other. Inspectors have cited 61 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with $46,196 in fines. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5.
Ridgeview runs a 111-bed for-profit home in Shenandoah, and the numbers there deserve a hard look before you tour. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends run about 5% thinner than weekdays, so coverage is already stretched and gets thinner when it matters. The bigger red flag is turnover: 84.9% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, unlikely to still be there in a year. The inspection record shows 73 deficiencies, including 4 tied to abuse and 2 serious enough to put residents in harm's way, with $333,638 in fines.
Castle Hills Rehabilitation and Care Center is a for-profit, limited liability operation with 143 certified beds in San Antonio. Nurse staffing runs about 2.96 hours per resident per day, roughly 23 percent below the national average, and weekends fall about 15 percent under its own weekday levels. Every CMS star category here lands at 1 out of 5: health inspections, quality measures, and staffing. The deficiency record shows 72 citations, eight of them at harm or jeopardy level and two tied to abuse, with four fines totaling $112,386 and a recent inspection on September 12, 2025. That combination of thin staffing, low inspection scores, and serious deficiencies is what any family should weigh before choosing this home.
Avir At San Antonio runs on 2.63 nurse staffing hours per resident per day, roughly a third below the national average, and weekends drop about 9% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover sits at 60.7%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The inspection record shows 43 deficiencies, including three at the harm or jeopardy level and four tied to abuse, with $29,494 in fines across three penalties. Its most recent inspection was August 30, 2025, and the corporation that owns it holds a for-profit license.
Austin Wellness & Rehabilitation runs on 2.63 nurse hours per resident each day, roughly a third below the national average of 3.86, and weekend staffing drops another 9% below its own weekday level. That thin coverage sits behind a 1-out-of-5 inspection rating and 62 deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse. Staff turnover is 61.3% against a national 45.8%, meaning the aides and nurses your family member sees may keep changing. Three fines total $166,205, and the last inspection was March 2025. For-profit, individually owned, 120 beds.
Parham Health Care & Rehab Center runs a 180-bed for-profit operation in Henrico County, and the staffing numbers are the first thing that stand out. At 2.93 nurse hours per resident day, it's about a quarter below the national average, and weekends drop another 14% under its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 62.2%, well above the 45.8% national figure, which means the people providing care are often new. The inspection record backs that up: 126 deficiencies, ten at harm or jeopardy level, plus 11 abuse-related findings and two fines totaling $266,181. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Wonder City Rehabilitation and Nursing Center is a 130-bed for-profit home in Hopewell, and the numbers behind its record deserve a hard look. Nurse staffing sits at 2.75 hours per resident per day, roughly 29% below the national average, and it dips about 12% further on weekends, while annual turnover runs 68.4% against a national 45.8%. Its inspection record carries 93 deficiencies, eight at the harm or jeopardy level and ten abuse-related, plus a $26,060 fine, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One inspection star and one staffing star out of five round out a record that hasn't been updated since July 2023.
Portsmouth Health and Rehab runs on 3.24 nursing hours per resident per day, about 16 percent under the national average, and weekends dip roughly 14 percent below its own weekday coverage. Staff turnover sits at 61.5 percent against a national figure near 46 percent, so the people caring for residents are cycling out faster than at a typical home. The inspection record backs up those numbers: 64 deficiencies, six serious enough to cause harm or jeopardy, three tied to abuse, and $134,401 in fines. The last full inspection was in May 2021, which means families are relying on a picture that's several years old. For-profit corporate ownership.
Waters Edge runs 128 certified beds in Kenosha under corporate for-profit ownership, and the numbers here are hard to dress up. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, weekend coverage drops another 11% below its own weekday level, and annual turnover hits 63.2% against a national 45.8%. Those staffing figures match a one-star CMS staffing rating and a one-star health inspection rating. The deficiency record shows 74 total, including 8 at harm or jeopardy level and 7 tied to abuse, along with a $54,055 fine. CMS has placed this home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes. The most recent inspection was September 30, 2025.
Ralls Nursing Home runs on 2.31 nurse hours per resident day, roughly 40% under the national average of 3.86, and weekend coverage drops another 14% below its own weekday levels. That thin staffing sits behind 29 deficiencies on the current record, nine of them at harm or jeopardy level and 13 abuse-related, with five fines totaling $303,179. Annual turnover of 72.4% means most of the aides and nurses working here last year aren't the ones working here now. The last inspection was September 2025, so the record is current, not stale. One bright spot: the quality measure rating is 4 out of 5, but quality scores are largely built from resident assessment data the facility itself reports, and they don't offset a 1-out-of-5 inspection and staffing picture.
Greenhill Villas runs on thin staffing even before the weekend squeeze: 3.10 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday level. That's the kind of gap families notice as slower call-button response. Staff turnover sits at 95.2%, more than double the national 45.8%, so the aide who knows your mother's routine this month may be gone the next. The current record carries 47 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $154,116 in fines across three penalties. The last inspection was June 2025. Corporate-owned, 150 beds.
Forest Park runs on 2.92 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips about 8% below its own weekday level. That thin staffing shows up in a 67.8% annual turnover rate, well above the 45.8% national figure. Its inspection record carries 53 deficiencies, eight at the harm or jeopardy level and four tied to abuse, along with four fines totaling $193,834. The most recent inspection was February 2026. A 4/5 quality measure score sits alongside 1/5 ratings for both staffing and health inspections, worth knowing what that quality number actually measures before weighing it against the rest.
Fall Creek runs on 3.25 nursing hours per resident day, about 16 percent under the national average, with weekends dropping roughly 14 percent below its own weekday staffing. That thin coverage shows up in the numbers: a 65.6 percent annual turnover rate, well above the 45.8 percent national figure, and a one-star CMS staffing rating. Inspectors have cited 21 deficiencies, seven of them serious enough to put residents in harm's way and three tied to abuse, with two fines totaling $48,555. The last inspection was in May 2025. For a 126-bed for-profit home, the pattern across staffing, turnover, and enforcement history is worth weighing carefully before you decide.
Bria Of Woodriver sits at 3.86 nurse hours per resident day, which lands right on the national average, but that number hides a staffing schedule that thins out considerably on weekends, dropping about 16 percent below its own weekday levels. The bigger problem is who's providing that care and for how long: annual turnover runs 78.5 percent, well above the national 45.8 percent, meaning most of the people caring for your family member will be gone within a year. Behind those numbers is a one-star health inspection rating, 64 deficiencies on the current record with 18 at harm or jeopardy level and 7 tied to abuse, and $492,838 in fines across seven penalties. CMS has placed this home in its Special Focus Facility program, a designation reserved for the persistently worst performers.
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?