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.
Excelcare At Lewes runs 179 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.89 hours per resident day, just barely above the national average of 3.86, though weekends run about 5% lighter than weekdays, worth asking about if your family visits then. The bigger concern is the inspection record: 46 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, with two fines totaling $106,560. Staff turnover of 45.7% is essentially the national average. The last inspection was February 2026. Quality measures score well, but the inspection history is what's dragging this home's overall picture down.
Ocean Grove Post Acute runs 181 beds under for-profit LLC ownership, and its inspection history is the weak spot: 71 deficiencies on the current record, including 4 abuse-related citations, though none rose to actual harm or jeopardy. That record earned a 2 out of 5 on CMS health inspections. Staffing tells a different story, 3.69 nurse hours per resident day sits about 4% under the national average, and weekends drop roughly 9% below the home's own weekday levels, so coverage thins when families tend to visit. Turnover at 36.1% is meaningfully better than the 45.8% national figure, which matters for consistency of care. The last inspection was July 2025, so the picture is current.
Kutz Rehabilitation And Nursing has real staffing depth, 5.15 nurse hours per resident day, about a third more than the national average, and that's the strongest thing it has going for it. But the compliance record is heavy: 61 deficiencies, four of them at harm or jeopardy level and nine tied to abuse, plus two fines totaling $168,019. Staff turnover sits at 75.3% against a national 45.8%, meaning most of the people providing that generous staffing are new or on their way out, and weekend coverage drops about 17% below weekday levels. The 1-out-of-5 inspection rating fits that picture. Ask about the abuse findings and who's actually on the floor on Saturdays.
Gilpin Hall runs on a nonprofit model with 96 beds, and its staffing is the clearest strength here: 4.95 nurse hours per resident day, about 28% above the national average, with a 5/5 staffing rating and turnover at 27.8% versus 45.8% nationally. Weekend coverage dips roughly 9% below weekday levels, which matters if your visits or care concerns cluster around Saturdays and Sundays. The harder question is the inspection record, 23 deficiencies on file, 7 of them abuse-related, none at the harm or jeopardy level, and the most recent inspection was August 2025. Strong staffing and a thin inspection history can coexist; ask what those abuse citations involved before deciding.
The Delaware Veterans Home runs on unusually heavy nurse staffing, 7.08 hours per resident day, roughly 83% above the national figure, and its quality measure and staffing ratings both come back at the top of CMS's scale. That's the case for the place. The case against sits in the inspection record: 21 deficiencies, two of them serious enough to involve harm or jeopardy, three tied to abuse, and $118,757 in fines across two penalties. Staff turnover runs 54%, above the national average, and weekend coverage drops about 11% from weekday levels. The most recent inspection was March 2026. Strong day-to-day care numbers, a troubled survey history, and a workforce that keeps changing.
Newark Manor runs on a for-profit, individually owned model, and its staffing is the strongest part of the picture: 4.27 nurse hours per resident day, about 11% above the national average, which is why it earns top marks on that measure alone. The catch is that weekends run roughly 13% thinner than weekdays, so coverage can shift depending on when you visit. Turnover sits at 32.8%, lower than the national 45.8%, which suggests a relatively stable crew. But the health inspection record is weaker, 26 deficiencies, including three tied to abuse and two at the harm level, with the last inspection in January 2024. Good staffing, real compliance problems.
Deanwood Rehabilitation and Wellness Center is a 296-bed for-profit home where the staffing numbers look strong on paper, 4.06 nurse hours per resident day, about 5% above the national average, and turnover sits at 31%, well below the 45.8% national figure. But the inspection record tells a different story: 111 deficiencies on file, including six at the harm or jeopardy level and eight tied to abuse, plus two fines totaling $106,947. The last full inspection was in April 2022, so that record is years old. Weekend staffing also runs about 8% below its own weekday level, meaning coverage thins out exactly when families tend to visit.
Capitol City Rehab runs 360 beds under for-profit ownership, and its staffing numbers are genuinely better than average: 4.20 nurse hours per resident day against a national 3.86. But look at what inspections have turned up. The current record carries 163 deficiencies, 13 of them serious enough to put residents in harm's way, plus 16 abuse-related citations and $384,200 in fines across four penalties. The last inspection was in March 2023, so that record has had time to stand. Staff turnover sits at 46.2%, slightly worse than the national 45.8%, and weekend coverage drops about 7% below weekdays, the shifts when families often can't visit. Good hours on paper, rough record in practice.
South Heritage runs about 17% below the national average on nurse staffing, 3.19 hours per resident day against 3.86, and weekend coverage dips another 3% beneath its own weekday levels, so the thinnest shifts come when families tend to visit. Staff turnover sits at 52.4%, well above the national 45.8%, meaning nearly half the nursing team turns over in a year. On inspections, the record shows 31 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $145,109 in fines. The most recent inspection was February 2025.
Madison Pointe runs about 3.65 nurse hours per resident each day, roughly 5% under the national average, and weekends dip another 7% below its own weekday staffing. Turnover sits at 35.1%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The concerns show up elsewhere: 18 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $33,413 fine. The last inspection was April 2024. Quality measures score well, but the inspection history and thin weekend coverage are the things I'd ask about directly.
Villa Maria Nursing Center runs 212 certified beds in North Miami as a nonprofit, and its 23.6% annual staff turnover is roughly half the national rate, that kind of retention usually means a steadier crew than most homes manage. Nurse staffing sits at 3.77 hours per resident day, about 2% under the national average, and weekends dip another 7% below its own weekday levels, so coverage thins out when families tend to visit. The inspection record is the trouble spot: 23 deficiencies, three at harm or jeopardy level, one abuse-related, and $161,110 in fines, with the most recent inspection in July 2025. Ask about those harm-level findings specifically.
Sunrise Point runs a hundred beds in Rockledge, and the staffing numbers look fine on paper, 4.18 nurse hours per resident day, roughly 8% above the national average. But weekends drop about 8% below its own weekday level, and turnover sits at 57.3% against a national 45.8%, so the people delivering that care keep changing.
The inspection record is the real problem: 16 deficiencies, seven at harm or jeopardy level, three tied to abuse, and $275,722 in fines across three events. The most recent inspection was August 2024, and CMS gave the health inspection side one star out of five.
St. Augustine Health and Rehabilitation Center sits in a for-profit LLC's hands with 120 certified beds, and its numbers pull in different directions. Nurse staffing runs 3.89 hours per resident day, slightly above the national average, and the 32.4% turnover is meaningfully better than the 45.8% national figure, but weekends drop about 11% below the home's own weekday levels. The real problem is the inspection record: 16 deficiencies, two at harm or jeopardy level, one abuse-related, with a one-star health inspection rating and the last review in September 2024. Strong staffing can't offset that kind of survey history, which is what drags the overall picture down to a middling grade.
Lake Haven runs on thin staffing. At 3.56 nurse hours per resident day, it sits roughly 8 percent under the national average, and weekends drop another 6 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the bigger signal: 62.4 percent of nursing staff leave within a year, against a national average near 46 percent. That churn shows up in the inspection record, where 29 deficiencies include 6 at harm or jeopardy level and 5 tied to abuse, drawing $281,689 in fines. The last inspection was October 2024. Corporate ownership and a one-star health inspection rating round out a picture worth weighing carefully.
Vivo Healthcare University runs about 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends dip another 5% below its own weekday coverage. Turnover is the sharper number: 69.3% of staff leave each year against a national average of 45.8%, which means the people caring for your relative are often new to the building. The current record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with a 3/5 inspection rating. Ownership is for-profit corporate, and the last inspection was November 2024. Quality measures score 5/5, so the clinical outcomes look strong on paper even though staffing depth and retention lag.
Ambassador Healthcare at College Park runs 107 beds in Fort Myers under corporate for-profit ownership, and the staffing numbers are the first thing worth knowing: 3.57 nurse hours per resident day, roughly 7% under the national average, with weekends about 8% thinner than weekdays. Turnover sits at 40.8%, a bit better than the national 45.8%, so the problem isn't retention so much as how few hours each resident actually gets. The inspection record is heavier, 40 deficiencies, five at harm or jeopardy level, five tied to abuse, and $96,105 in fines across two penalties. The most recent inspection is dated April 2026. Quality measures score well, but that sits on top of a staffing and compliance picture families should ask hard questions about.
Aviata At The Bay runs 150 certified beds in Tampa under for-profit LLC ownership, and the staffing numbers tell a familiar story: 3.30 nurse hours per resident day, about 14% under the national average of 3.86, with weekends running roughly 5% leaner than weekdays. Annual turnover sits at 51.1%, above the 45.8% national figure. The inspection record is where things get serious, 36 deficiencies on file, including 6 at harm or jeopardy level and 3 tied to abuse, plus 11 fines totaling $169,790. Its last health inspection was June 28, 2024, and the 1-star inspection rating reflects that history. Quality measures score well, but a strong quality score doesn't offset harm-level findings and thin coverage.
Woodside is a for-profit LLC home in Naples with 120 beds, and its numbers tell a split story. The health inspection record is the weak spot: 35 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, most recently inspected May 2025. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national 3.86 average, and weekends drop another 9% below its own weekday levels. Turnover is 66.7% against a national 45.8%, two of every three staff leaving in a year. Quality measures score well, but that reflects resident outcomes, not the care environment itself. One $56,166 fine is on record.
Naples Health And Rehabilitation Center is a 120-bed for-profit home in Collier County, and the inspection record is where the trouble sits. Forty-five deficiencies on the current record, eight of them at the harm or jeopardy level and three tied to abuse, with $172,682 in fines across three events. CMS has placed it in the Special Focus Facility program, which it reserves for homes with a persistent pattern of serious problems. Nurse staffing runs 3.65 hours per resident day, about 6% under the national average, and weekends drop roughly 7% below its own weekday levels. Annual turnover of 43% is slightly better than the 45.8% national figure, and the quality measure star is 4 of 5, but that inspection history is the part that matters most.
Aviata At Englewood runs 120 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 6% below the home's own weekday levels. Staff turnover hits 48.8%, higher than the 45.8% national figure, which matters because residents see fewer familiar faces.
The inspection record is the bigger concern: 13 deficiencies, including two at the harm or jeopardy level and two tied to abuse. That June 2025 inspection is recent, so the findings reflect current conditions rather than old problems. With 2 out of 5 stars on both health inspections and quality measures, families should ask pointed questions about the abuse-related citations and how the home has responded.