Every Medicare- and Medicaid-certified nursing home in the country, graded A–F on its inspection record,
nurse staffing, staff turnover and enforcement history. No home pays to be listed and no grade is for sale.
See how we grade.
Focused Care At Odessa runs about 3.06 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends drop another 17% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The 28 deficiencies on record include one at the harm level and two tied to abuse, with the most recent inspection dated January 2026. A 45.9% turnover rate sits essentially at the national figure, meaning the staff it has turns over about as fast as everywhere else. Ownership is corporate for-profit across 75 certified beds. The federal staffing rating of 1 out of 5 is the number that explains the rest.
Cedar Lake passed its most recent inspection in September 2025 with no deficiencies at the harm level and none tied to abuse, which matters, that's the part families worry about most, and it's clean. Where the home struggles is everyday care capacity. Both its staffing and quality measure ratings sit at the bottom of CMS's five-point scale, meaning resident care hours and clinical outcomes lag what's typical nationally, even though the building holds 90 beds. Eight deficiencies and four fines totaling $27,270 point to recurring paperwork and process problems rather than dangerous conditions. A for-profit limited liability company runs it. The inspection record looks better than the day-to-day staffing numbers, so ask specifically about nurse and aide coverage on evenings and weekends.
Care Nursing & Rehabilitation runs 97 certified beds in Brownwood under corporate for-profit ownership, and its inspection record is genuinely good, a 4-out-of-5 health inspection rating, last survey in March 2025, and 17 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 2.98 nurse hours per resident day, it sits roughly 23 percent under the national average of 3.86, weekends run about 13 percent thinner than weekdays, and CMS gives it just 1 out of 5 stars for staffing. Quality measures land at 3. So: clean inspections, thin coverage. Ask about weekend and evening nurse presence before deciding.
Legend Oaks in Gladewater runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs on weekdays. Turnover sits at 42.6%, a touch better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled to begin with. The inspection record is where it gets harder to explain away: 39 deficiencies, 7 of them at harm or jeopardy level, 8 abuse-related, and six fines totaling $124,559, with the most recent inspection on April 15, 2026. Hospital district ownership doesn't change what those numbers describe.
Bertram Nursing and Rehabilitation runs on a thin nursing margin. At 2.73 hours per resident day, the home sits about 29 percent under the national staffing average, and weekends slip roughly 19 percent below its own weekday level, you can guess when problems tend to surface. The bigger signal is turnover: 95.6 percent of nursing staff leave within a year, against a national rate near half that, which means the people caring for residents are, more often than not, still learning the building. Inspections look strong on paper, including two abuse-related deficiencies and two at harm level, and one $10,135 fine. The pattern is a home that can score well on paper while the workforce underneath it keeps churning.
Midland Medical Lodge runs about 3.13 nurse hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends drop another 17 percent below its own weekday numbers. Staff turnover sits at 46.9 percent, slightly above the national 45.8 percent, so the people around your family member may change often. The inspection record is the stronger side: 17 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. With 125 beds under for-profit partnership ownership, ask specifically how weekend coverage is handled on the unit your relative would live on.
Cordova Health and Rehabilitation runs 114 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average of 3.86. That looks good until you notice weekends drop roughly 25% below the home's own weekday coverage, and annual turnover hits 57.4% against a national 45.8%.
The inspection record is where the real trouble shows. Thirteen deficiencies are on file, including two at the harm or jeopardy level and three tied to abuse. CMS has fined the home once, for $76,242, and the most recent inspection was November 20, 2024. Strong quality and staffing stars don't offset that inspection history, ask direct questions about those abuse deficiencies before you visit.
Nhc Healthcare, Anniston runs 151 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.47 hours per resident day, about 10% under the national average of 3.86. Weekends dip roughly another 10% below its own weekday levels, so coverage gets thinnest exactly when families tend to visit. The current inspection record shows 10 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with one fine of $11,057 and a survey completed in October 2024. Staff turnover is 46%, essentially matching the national rate of 45.8%. Note the split in the federal stars: quality measures earn 4 out of 5, staffing earns 4, but health inspections earn only 2, the direct-care record is where the problems concentrate.
Crowne Health Care of Eufaula runs 180 certified beds under corporate ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekend coverage dropping about 19% below what it manages on weekdays. Turnover is the brighter spot at 34.4%, well under the national 45.8%. The inspection record is where the concerns pile up: 15 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $42,884 fine. That last inspection was November 2022, so the picture is dated. Families weighing this one should ask what's changed since.
Birmingham Nursing and Rehabilitation Center runs 132 certified beds under for-profit LLC ownership, and the numbers show a building stretched thin on the floor. Nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average, and weekends drop about 24% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Staff turnover is 63.2%, well above the 45.8% national figure, so the people caring for your relative are likely to change often. Its inspection record is the harder read: 20 deficiencies, four at harm or jeopardy level, five tied to abuse, plus $74,848 in fines and a June 2024 inspection. Strong quality-measure scores don't offset that.
Enterprise Health & Rehabilitation Center runs 257 certified beds as a nonprofit corporation, and its nurse staffing of 5.19 hours per resident day sits well above the national average of 3.86, roughly a third more hands-on care. Weekend coverage, though, drops about 16% below its own weekday level, and annual turnover of 40.5% is only slightly better than the 45.8% national figure. The trouble here isn't the payroll, it's the record: a 1-star inspection rating, 12 deficiencies including 3 at harm or jeopardy level, 3 tied to abuse, and an $85,230 fine. Staffing can't offset that pattern, and a January 2026 inspection makes the findings recent.
Lighthouse runs a solid staffing operation on paper, 4.29 nurse hours per resident day, about eleven percent above the national average, and turnover at 29.7% is well below the 45.8% national figure, suggesting people actually stay. That's the strong part. The concern is oversight: fourteen deficiencies on record, including two at the harm or jeopardy level and two tied to abuse, against a health inspection rating of 2 out of 5. The last inspection was January 2020, so the record is years old and may not reflect current conditions either way. Weekend staffing drops roughly 20% below weekday levels, which matters for a 68-bed for-profit home. Good staffing numbers don't cancel out a thin inspection history.
The Health Center at Research Park runs about 3.46 nurse hours per resident day, roughly 10% under the national average, and weekend coverage falls nearly a fifth below its own weekday level, so the gap between a Tuesday and a Sunday is real. Staff turnover sits at 54.7% against a national 45.8%, which means more than half the nursing staff leaves each year. Its current record carries 20 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus one fine of $69,011; the last inspection was June 2024. Ownership is a for-profit corporation.
Polaris Extended Care runs one of the more lopsided profiles you'll see in Anchorage: nurse staffing at 4.61 hours per resident day sits about 19% above the national average, and CMS gives it 5 out of 5 stars for that. But staffing is only part of the story. The health inspection record is the problem, 82 deficiencies, including 10 at the harm or jeopardy level and 5 tied to abuse, with $231,865 in fines across four penalties. Weekend staffing also drops about 16% below its own weekday level, so the coverage isn't even all week. The most recent inspection was May 2025, so this is current, not old history.
Santa Rosa Care Center runs about 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends dip another 13% below its own weekday levels. Annual turnover sits at 58.2% against a 45.8% national figure, so the staff cycling through the building is changing faster than at the typical home. Its inspection record shows 28 deficiencies, including one at the harm level and 12 tied to abuse, with the most recent inspection in August 2025. The quality measure score comes in strong, but that reflects charted clinical outcomes rather than day-to-day staffing or the survey history behind it.
Desert Terrace runs on leaner nursing hours than most homes, 3.35 per resident day against a national average of 3.86, and weekends drop about 11% below what the building staffs during the week. That matters because turnover sits at 55.4%, well above the 45.8% national figure, so the people covering those thinner weekend shifts are often new. The five-star quality measure rating looks strong on paper, but the inspection record tells a different story: 23 deficiencies, five tied to abuse, and a two-star health inspection score from a visit in late September 2025. None of those deficiencies rose to the level of actual harm, which is worth knowing. Corporate-owned, 108 beds, and a staffing picture that runs below average across the board.
Handmaker Home for the Aging carries a one-star health inspection rating and 51 deficiencies on its current record, including 16 tied to abuse and one at the harm or jeopardy level. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Staffing sits at 3.90 nurse hours per resident day, barely above the national average, but turnover runs 68% against a national 45.8%, and weekend coverage drops about 9% below weekday levels. The five-star quality measure score doesn't offset a record this heavy. If you're considering this Tucson home, ask directly what's changed since the October 2024 inspection.
Desert Haven Care Center is a for-profit LLC home in Phoenix with 115 certified beds, and its federal record is rough. The staffing rating sits at 1 out of 5, well below what CMS expects for this resident census, and the health inspection rating matches it at 1. Twenty-six deficiencies show up on the current record, three of them serious enough to reach harm or jeopardy, and six tied to abuse. Three fines total $100,018. The quality measure score of 3 is the one bright spot, but good clinical numbers don't offset thin staffing and repeat survey problems. The most recent inspection was September 5, 2025, so the record is fresh, what you see is current, not old history.
Casas Adobes runs about 3.97 nurse hours per resident day, a bit above the national average, but weekends drop roughly 13% below its own weekday coverage, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 50.5%, higher than the 45.8% national figure, which matters for whether your parent sees the same aides from month to month. The health inspection record is the real concern: 19 deficiencies, seven of them abuse-related, even though none rose to harm or jeopardy level, and the last inspection was in May 2026. The quality measure stars look strong, but the inspection side is where you'd want to ask hard questions before choosing this 230-bed for-profit home.
Heritage Court Post Acute runs 108 beds in Scottsdale under corporate ownership, and the numbers pull in two directions. Clinical quality measures score near the top, and the April 2025 inspection found no deficiencies at the harm level, but there are 18 deficiencies on record, three tied to abuse, and nurse staffing sits about 14% under the national average at 3.31 hours per resident day. Weekend coverage drops roughly 12% below the home's own weekday level, which matters when families visit and needs don't pause. Annual turnover is 50.7%, above the 45.8% national figure, so the people caring for your relative change often. Ask how they staff weekends and what those abuse deficiencies involved before deciding.