14,697 Nursing Homes in the United States

Nurse hours

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Staff turnover

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Serious cites

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Legacy At Salina runs 45 certified beds under for-profit LLC ownership, and its staffing score comes in at the lowest rung CMS assigns, one out of five stars. That shortage shows up in the inspection record too: 44 deficiencies on file, four of them serious enough to put residents in harm's way and four tied to abuse. Three fines totaling $31,773 round out the picture. The most recent state visit was September 10, 2025, so the findings are current, not stale. Quality measures sit mid-range at three stars, but low staffing plus that many serious citations is the pattern families should weigh when comparing this home to others in the Salina area.

Nurse hours

4.04 /day

Staff turnover

75%

Serious cites

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Signature Healthcare at Jackson Manor runs 4.04 nurse hours per resident day, a bit above the national average, but that cushion thins out on weekends, when staffing drops roughly 17 percent from weekday levels. The bigger issue is turnover: 75 percent of staff left over the past year, well above the 45.8 percent national figure, which means caregivers are constantly new to residents who need consistency. Inspectors cited 16 deficiencies on the current record, including one abuse-related finding, though none rose to harm or jeopardy level, and the last visit was in May 2025. For-profit corporate ownership, a two-star staffing rating, and that churn are what pull the overall picture down.

Nurse hours

3.75 /day

Staff turnover

58%

Serious cites

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Landmark of Baton Rouge runs 144 certified beds as a for-profit limited liability company, and its staffing sits at 3.75 nurse hours per resident day, just under the national average of 3.86. That gap looks small until you see weekends, when hours drop about 21% below the home's own weekday levels. Annual turnover is 57.8%, well above the national 45.8%, which means the people showing up on a Saturday may be newer than you'd expect. The inspection record carries 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit dated February 25, 2026, recent enough to reflect current conditions.

Nurse hours

3.34 /day

Staff turnover

27%

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Chateau Terrebonne runs lean on nursing hours, 3.34 per resident day against a national average of 3.86, and weekends get thinner still, roughly a fifth below what the home staffs on weekdays. That pattern matters for a 197-bed building, because gaps tend to show up on Saturdays and Sundays when families aren't visiting. The good news sits in the inspection record: no deficiencies at the harm level, nothing abuse-related, and a recent survey. Staff turnover is also well below the national figure, which suggests people stay. What holds the rating back is the combination of thin daily coverage and a middling quality measure score, not any single serious finding.

Nurse hours

3.69 /day

Staff turnover

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Larkin Chase Center runs 120 certified beds in Bowie under corporate, for-profit ownership, and its staffing sits at 3.69 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. The inspection record is the heavier concern: 25 deficiencies, including two at harm or jeopardy level and three tied to abuse, with a $127,440 fine and no health inspection since June 2022. Quality measure scores look strong, but those come from resident assessments, not from an inspector walking the building.

Nurse hours

3.67 /day

Staff turnover

46%

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Hathaway Manor runs 142 beds as a nonprofit, and its nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 15% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record is the heavier concern: 49 deficiencies, including 6 at harm or jeopardy level and 6 tied to abuse, with three fines totaling $34,887 and a 2/5 inspection rating. Staff turnover of 45.7% is essentially the national rate, so retention isn't the outlier here, the survey history is. The most recent inspection was January 2025.

Nurse hours

3.74 /day

Staff turnover

53%

Serious cites

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Brighton Post Acute Care runs 78 beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.74 nurse hours per resident day against a national average of 3.86, with weekends running roughly 20% thinner than weekdays. That gap matters because weekends are when residents still need help. Annual turnover sits at 52.9% versus 45.8% nationally, so caregivers cycle through faster than average. The current record shows 31 deficiencies, including one at the harm level and one tied to abuse, plus a single $200,070 fine. Quality measures score well, but the staffing rating doesn't, and the last inspection was November 2025.

Nurse hours

3.89 /day

Staff turnover

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Lb Broen Home in Fergus Falls runs 74 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.89 hours per resident day, just a hair above the 3.86 national average. That thin margin is worth noting, especially since weekend coverage drops about 7% below what the home staffs on weekdays. Its inspection record is the strong point: a 4-out-of-5 star rating with 10 total deficiencies and none at the harm or jeopardy level. But two of those deficiencies are abuse-related, and the quality measure score is only 2 out of 5, which suggests the clinical outcomes data isn't keeping pace with how the building looks on inspection day.

Nurse hours

3.70 /day

Staff turnover

59%

Serious cites

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Perry County Nursing Center runs 60 beds in Richton under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.70 nurse hours per resident day, it sits slightly under the national average of 3.86, and weekends drop roughly 18% below its own weekday coverage. Staff turnover is the bigger flag: 58.5% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The 16 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the last inspection was in May 2025, so the record is current. All three CMS star ratings land at 2 out of 5.

Nurse hours

3.37 /day

Staff turnover

52%

Serious cites

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Aspire Senior Living Advance runs on 3.37 nurse hours per resident day, about 13% under the national average of 3.86, and weekends drop roughly 19% below its own weekday staffing. That thin coverage shows up in the staffing star rating of 2 out of 5, and annual turnover of 51.6% means more than half the nursing staff leaves each year, compared with 45.8% nationally. The inspection record is the bright spot: a 4-out-of-5 health inspection rating with 32 deficiencies, none at harm or jeopardy level, though one is abuse-related. This corporate-owned 55-bed home was inspected recently, in March 2026. Families should ask how the weekend shift is actually covered.

Nurse hours

3.52 /day

Staff turnover

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Serious cites

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Baptist Homes of Shelbina is county-owned, which in Missouri often means tight budgets, and the numbers here show the strain. Nurse staffing sits at 3.52 hours per resident day against a national average of 3.86, so aides and nurses have less time per resident than most homes, though weekend coverage actually runs slightly above its own weekday level, which is unusual and worth noting. What stands out more is the inspection record: 35 deficiencies currently on file, three of them at the harm or jeopardy level and two tied to abuse, with a $20,695 fine and a survey as recent as July 2025. Ask about the abuse-related citations specifically before you decide anything.

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Staff turnover

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Salem Memorial District Hospital runs a small 18-bed unit, and its recent inspection record is genuinely solid, four stars on health inspections, no deficiencies at the harm level, nothing abuse-related, and a survey as recent as October 2025. The problem sits in staffing, which CMS rates at just one star. That's a meaningful gap: a home can pass inspections and still leave residents waiting too long for help with meals, toileting, or medication. The 12 deficiencies and 13 fines totaling $106,623 also suggest recurring compliance issues despite the decent inspection score, and nonprofit ownership doesn't change the math. Ask about actual direct-care hours per resident per day, and how often the unit relies on agency or on-call staff.

Nurse hours

3.24 /day

Staff turnover

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Serious cites

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Benefis Senior Services - Westview runs 34 certified beds in Great Falls, and the numbers there are worth a close look before you decide anything. Nurse staffing sits at 3.24 hours per resident per day, roughly 16% under the national average of 3.86, and weekend coverage barely dips below its own weekday level, so the shortfall is steady rather than occasional. The inspection record shows 18 deficiencies, two of them serious enough to involve harm or jeopardy and two tied to abuse, with one fine of $13,865 and a survey completed in May 2025. It's a nonprofit operation, which doesn't change what the staffing and survey figures show.

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Staff turnover

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Westfield Quality Care of Aurora is a 64-bed for-profit home in Hamilton County, and its record shows real strain on the care side. The most recent inspection, in April 2025, turned up 22 deficiencies, including one involving actual harm or jeopardy to a resident and two tied to abuse, and there's a $41,980 fine on the books. Staffing sits well below the national average, and the inspection history isn't clean either. The quality measures come in around average, which suggests some of the day-to-day clinical care is being tracked and met. But when you're weighing a move here, the abuse findings and the harm-level citation are the things to ask about directly, in person, before deciding.

Nurse hours

2.98 /day

Staff turnover

62%

Serious cites

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Premier Genesee Center in Batavia runs 160 certified beds as a for-profit partnership, and the numbers tell a mixed story. Nurse staffing sits at 2.98 hours per resident day, about 23% under the national average of 3.86, and weekend coverage drops roughly 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 62.4% against a national 45.8%, meaning well over half the nursing workforce turns over in a year. The inspection record shows 20 deficiencies, including one at harm or jeopardy level and four tied to abuse, though the most recent inspection was April 2025.

Nurse hours

3.21 /day

Staff turnover

27%

Serious cites

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Concourse Rehabilitation runs 240 beds in the Bronx under corporate ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national figure of 3.86. Weekends thin out further, about 16% below the home's own weekday coverage, which matters when families can't visit and needs don't pause. The inspection record shows 13 deficiencies, including one at the harm level and two tied to abuse, with a $10,592 fine and a survey completed in April 2024. Staff turnover of 26.7% is actually well below the 45.8% national average, so retention isn't the weak spot here, coverage and compliance are.

Nurse hours

3.55 /day

Staff turnover

60%

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Highlands Living Center is a 122-bed nonprofit in Pittsford, and its staffing sits about 8% under the national average at 3.55 nurse hours per resident day. Weekends run roughly 15% thinner than weekdays, so coverage depends on when you visit. Annual turnover of 60.3% is well above the 45.8% norm, meaning the people caring for residents change often. The current record shows 19 deficiencies, three tied to abuse, though none reached harm or jeopardy level. State inspectors were last in on February 19, 2025, and all three CMS star ratings, health inspections, quality measures, and staffing, landed at 2 out of 5. Ask about weekend coverage and how they screen and supervise staff.

Nurse hours

3.24 /day

Staff turnover

69%

Serious cites

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Autumn Care of Salisbury runs 97 beds under corporate ownership, and its nurse staffing sits at 3.24 hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 68.6%, well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The record shows 21 deficiencies, including one at the harm level and three tied to abuse. Its quality measure rating is strong, but that reflects charted clinical outcomes, not the day-to-day staffing picture.

Nurse hours

3.61 /day

Staff turnover

57%

Serious cites

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Life Care Center of Hendersonville runs 80 certified beds under a for-profit LLC, and the numbers tell a mixed story. Nurse staffing sits at 3.61 hours per resident day, about 7% under the national average, and weekends drop roughly 19% below the home's own weekday level, so care thins out precisely when families tend to visit. Staff turnover is 56.5%, well above the 45.8% national figure, which means familiar faces are hard to keep. The health inspection side carries 32 deficiencies, one serious enough to reach harm or jeopardy level, plus two fines totaling $40,986; the last inspection was August 2025. Quality measures score well, but staffing and inspection results are where the concerns sit.

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Staff turnover

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Four Seasons Health Care in Forman runs 25 beds under nonprofit ownership, and its last inspection on February 19, 2026 turned up 29 deficiencies, two of them serious enough to cause harm or put residents in immediate jeopardy, plus one tied to abuse. The staffing picture is thin even by rural North Dakota standards, and three fines totaling $115,484 have accumulated on the current record. What keeps the quality measure rating afloat is clinical performance on paper, things like hospitalization and medication metrics, but strong outcomes data can't offset a building where the hands-on care and the oversight have both raised red flags. If you're considering this one, ask directly what changed after February.