23,004
citations involving harm or jeopardy
The citations themselves
Not a star rating — the inspector's own account of what they found, with the A–L severity code attached to each one.
How to read them →A Independent · Never paid by facilities
Every nursing home in America,
graded on the federal record.
14,693 Medicare-certified homes. 418,344 inspection citations. 246,986 ownership records. All of it public, none of it easy to read — until now.
Popular: Los Angeles, Chicago, Cincinnati, Houston
How America's nursing homes grade
Across all 14,646 graded homes
A
1,915
B
4,779
C
4,249
D
2,139
F
1,564
Most directories give almost everyone four stars. We grade on a curve built from the data itself, so a B means something. 47 homes are left ungraded because CMS has not published enough about them — we would rather say so than guess.
Four things other directories will not show you
All of this is public federal data. Most sites bury it behind "speak to an advisor" because the advisor is how they get paid. We are not paid by anyone in this industry, so here it is.
46%
national average nursing turnover
Staff turnover
Half the nursing workforce leaves in a typical year. Continuity is care — and turnover is the number that predicts the rest.
Why it matters →11%
average weekend staffing drop
The weekend gap
Residents are not less frail on a Saturday. We show weekday against weekend hours for every home.
See the detail →246,986
ownership records traced
Who actually owns it
The name over the door rarely sets the staffing budget. Trace every owner, every chain, and how the rest of their homes perform.
Open the tracker →Highest-graded homes in the country
Top scores on inspections, staffing and stability. No placement fees, no sponsored slots.
A
100/100
Goodwin House Alexandria
Alexandria, VA · Alexandria City County
CMS 5/5
80 beds
Non-profit
Medicaid
- Nurse hours
- 5.34 /day
- Staff turnover
- 18%
- Serious cites
- 0
A
100/100
- Nurse hours
- 5.56 /day
- Staff turnover
- 25%
- Serious cites
- 0
A
100/100
Hrh Transitional Care Unit(A D/B/A Entity Of Hrhs)
Meadowbrook, PA · Montgomery County
CMS 5/5
21 beds
Non-profit
- Nurse hours
- 6.29 /day
- Staff turnover
- 21%
- Serious cites
- 0
A
100/100
- Nurse hours
- 6.07 /day
- Staff turnover
- 18%
- Serious cites
- 0
A
100/100
- Nurse hours
- 6.80 /day
- Staff turnover
- 31%
- Serious cites
- 0
A
100/100
- Nurse hours
- 4.38 /day
- Staff turnover
- 29%
- Serious cites
- 1
1 citation(s) involving actual harm or immediate jeopardy
Start with your state
Medicaid rules, inspection standards and staffing levels all vary by state. 53 states and territories covered.
Alabama
224
Alaska
20
Arizona
140
Arkansas
221
California
1,165
Colorado
210
Connecticut
191
Delaware
44
District of Columbia
17
Florida
694
Georgia
356
Guam
1
Hawaii
43
Idaho
80
Illinois
667
Indiana
507
Iowa
388
Kansas
296
Kentucky
267
Louisiana
266
Maine
78
Maryland
221
Massachusetts
341
Michigan
422
Minnesota
338
Mississippi
202
Missouri
487
Montana
60
Nebraska
180
Nevada
66
New Hampshire
73
New Jersey
348
New Mexico
68
New York
594
North Carolina
419
North Dakota
72
Ohio
922
Oklahoma
283
Oregon
128
Pennsylvania
656
Puerto Rico
9
Rhode Island
72
South Carolina
187
South Dakota
96
Tennessee
303
Texas
1,177
Utah
97
Vermont
33
Virginia
289
Washington
193
West Virginia
123
Wisconsin
323
Wyoming
36
Guides for families
Written to be used on the day you need them, not read in theory.
How to Read a Nursing Home Inspection Report
Every citation carries a letter from A to L. That letter tells you more than the star rating does.
Read the guide →
Nurse Staffing: What the Numbers Actually Mean
If you only compare one number between two homes, make it this one.
Read the guide →
Who Pays for Nursing Home Care?
The most expensive misunderstanding in American eldercare, cleared up.
Read the guide →12 Red Flags on a Nursing Home Tour
Take this list with you. The building tells you things the brochure will not.
Read the guide →When the federal record changes, know about it
A short email when CMS publishes a new release — which homes lost a grade, which were newly flagged, and what changed near you. No advertising for facilities, ever.
Where the numbers come from
Every figure on this site comes from the CMS Provider Data Catalog — the same federal files that power Medicare's own Care Compare. We do not survey facilities, we do not accept submissions from them, and we do not publish estimates. Where CMS has not published something, we say so and leave it blank rather than filling the gap.
The current release was processed July 2026.
- Nursing homes
- 14,693
- Inspection citations
- 418,344
- Ownership records
- 246,986
- Flagged homes
- 1,725