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.
Clark-Lindsey Village runs a small 25-bed unit, and its nurse staffing is genuinely strong, 6.56 hours per resident day, roughly 70% above the national average, with a weekend dip of only about 8% versus weekdays. The trouble sits elsewhere. Its inspection record shows 32 deficiencies, including four at the harm or jeopardy level and seven tied to abuse, plus three fines totaling $129,850, and its last inspection was February 2025. Staffing can look good on paper while a building still accumulates serious, harm-level citations; here the quality and inspection ratings both sit at 2 out of 5. As a nonprofit, it answers to a board rather than shareholders, but that doesn't erase what those deficiencies describe.
Westminster Village runs a five-star staffing operation, 4.20 nurse hours per resident day, roughly 9% above the national average, and its 36.5% turnover beats the 45.8% national figure, meaning the people caring for residents tend to stick around. Weekends thin out about 14% below weekday levels, a gap worth asking about. The concerns sit elsewhere: 28 deficiencies on the current record, including 2 at harm or jeopardy level and 3 abuse-related, with one fine of $12,149. A 3/5 inspection rating and a last visit in April 2024 round that out. Strong staffing, real compliance problems, that's the tradeoff here.
Goldwater Care Toluca runs 104 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record carries 28 deficiencies, including two at harm or jeopardy level and three tied to abuse; the last inspection was September 26, 2025. Staff turnover at 43.4% is slightly better than the 45.8% national figure, and the quality measure rating is strong, but the staffing rating is 1 out of 5, that gap between reported care quality and actual daily coverage is the thing to ask about directly.
Irving Park Living & Rehab runs 117 beds on Chicago's northwest side, and the staffing math is the first thing worth knowing: 3.41 nurse hours per resident day, about 12% under the national average, with weekends running roughly 15% lighter than weekdays. That thin coverage shows up in the inspection record, 52 deficiencies, four of them at harm or jeopardy level and five tied to abuse, from a January 2025 visit. Turnover at 38.6% actually beats the national rate, so the problem isn't retention. It's how few hands are scheduled. One fine of $10,358 is on file.
The Avenues at Royal Oak carries 74 deficiencies on its current record, and 13 of those rose to the level of actual harm or jeopardy, 19 are abuse-related. That pattern is serious enough that CMS has placed the 200-bed for-profit home in Kewanee in its Special Focus Facility program, and inspections through September 2025 keep turning up problems. Nurse staffing runs 3.03 hours per resident day, roughly 22 percent below the national average, and weekends are thinner still. One thing does stand out in the home's favor: turnover at 24.6 percent is well under the national 45.8 percent, so the people who are there tend to stay. The concern is how few of them there are.
Goldwater Care Princeton runs on a for-profit LLC model with 92 certified beds, and its staffing is the number that stands out: 2.75 nurse hours per resident day, roughly 29% below the national average of 3.86. Weekends drop about 5% below the home's own weekday coverage, and turnover sits at 42.4%, a touch better than the 45.8% norm. Inspections are recent, from August 2025, and the home carries 30 deficiencies with none at harm or jeopardy level, though two are abuse-related. Quality measures land mid-range, and the health inspection record is comparatively strong. The tension is straightforward: solid survey results and average retention alongside thin daily staffing, which is what families feel most in day-to-day care.
Arc At Dwight is a for-profit, LLC-owned home with 92 certified beds in Livingston County, and the staffing numbers are the first thing worth knowing. At 2.66 nurse hours per resident day, it runs roughly 31 percent under the national average of 3.86, and weekend coverage drops about 5 percent below its own weekday level. Turnover sits at 42.3 percent, slightly better than the national 45.8. The health inspection record shows 17 deficiencies, six of them abuse-related, though none reached harm or jeopardy level; the most recent inspection was April 18, 2025. Quality measures score well, but the staffing and inspection picture is what pulls this home's overall standing down to average.
Alden Terrace of McHenry runs 316 certified beds, and the nurse staffing number is where the trouble starts: 2.77 hours per resident day, roughly 28% under the national average of 3.86. Weekends drop about 9% below the home's own weekday level, and annual turnover sits at 49.3% against a national 45.8%, so the aides and nurses cycling through are stretched thin and often new. The inspection record backs that up: 49 deficiencies, four serious enough to cite harm or jeopardy, seven tied to abuse, and one fine of $11,170. The state surveyors last walked in March 2025, so the record is fairly current. Quality measures score well; staffing does not.
Hammond-Henry runs a tight ship on staffing, 3.76 nurse hours per resident day, close to the national mark, and turnover at 40% actually beats the typical 45.8%. The catch is weekends, when coverage drops about 11% below weekday levels, and a health inspection record that's harder to defend: eight deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $75,020 fine. That September 2024 inspection is recent enough to still carry weight. The quality and staffing scores look strong on paper, but the survey history is where the real risk sits. For a 38-bed home, that's a lot of regulatory attention. Ask about weekend coverage and what changed since last fall.
Oregon Living and Rehabilitation Center is a for-profit limited liability operation with 104 certified beds, and its federal staffing rating sits at the bottom of the scale, one out of five stars. That staffing picture matters given the record: 39 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse. The quality measure rating is two stars, and the last inspection was September 11, 2025, so the findings are current rather than stale. If you're weighing this home for someone you care about, the staffing number and the abuse-related deficiencies are the two things worth asking the administrator about directly before making a decision.
Rushville Nursing & Rehab Center runs on thinner nursing coverage than most homes, 3.11 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 17% below its own weekday staffing. That gap shows up in the federal staffing star rating, which sits at the lowest rung even as the inspection rating reaches 4 out of 5. The 24 deficiencies on record include two at harm or jeopardy level and one tied to abuse, and staff turnover at 46.8% edges just past the national figure. For-profit, LLC-owned, 96 beds, last inspected in April 2025.
Mclean County Nursing Home is county-owned, which usually means slower decision-making but also no private-equity pressure to cut corners. The staffing numbers back that up: 4.07 nurse hours per resident day, about 5% above the national average, though weekends drop roughly 19% below weekday coverage. Turnover sits at 41.1%, a bit better than the 45.8% national figure. What pulls the record down is the inspection side, 31 deficiencies on file, five of them abuse-related, and a 2/5 health inspection rating, even with no harm-level citations. The last full inspection was in August 2025, so the record is current. Good daily staffing, thinner weekends, and a paper trail that needs watching.
Medina Nursing Center sits on the high side for nurse coverage, 4.27 hours per resident per day, roughly 11% above the national average, but that staffing thins out on weekends, dropping about 12% below its own weekday level. Turnover is the bigger concern: 53.1% of staff leave each year, against a national average of 45.8%, so the people providing that care keep changing. The inspection record is where this home really struggles: 31 deficiencies, five serious enough to put residents in harm's way, eight tied to abuse, and four fines totaling $69,289, with the most recent inspection in April 2025. Corporate ownership, and the numbers behind them, warrant a close look.
Winning Wheels runs 88 certified beds in Prophetstown under nonprofit ownership, and the staffing numbers are the first thing to notice: 3.78 nurse hours per resident day, slightly under the national average, with weekends running about 6% thinner than weekdays. That leaner weekend coverage matters because turnover sits at 50.6%, higher than the 45.8% national figure, meaning the aides and nurses at the bedside keep changing.
The inspection record is the heavier concern, 54 deficiencies on file, including 5 at the harm or jeopardy level and 10 tied to abuse. A single fine of $12,258 and a July 2025 inspection round out the picture. Ask about weekend coverage, staff retention, and how those abuse-related findings were resolved.
Alden Estates Of Barrington runs a for-profit shop with 150 beds, and its turnover number is the standout: 26.5% against a national average of 45.8%, meaning far fewer aides and nurses are walking out the door than is typical. Staffing sits at 4.13 hours per resident day, about 7% above the national figure, though weekends drop roughly 15% below the home's own weekday level, so coverage thins out when families tend to visit. The inspection record shows 17 deficiencies, four serious enough to reach harm or jeopardy level, and one fine of $18,395, with the last state visit in September 2024.
Seminary Manor runs about 4.25 nursing hours per resident per day, roughly 10% above the national average, and its 42.4% turnover is slightly better than the 45.8% typical elsewhere. That staffing picture is the strongest part of the story here. The inspection record is the problem: 23 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus one $41,300 fine, and the most recent inspection was in May 2025. Weekend staffing also drops about 11% below weekday levels, which matters for families who visit or need help on Saturdays and Sundays. It's a nonprofit corporation with 121 certified beds.
Aviston Countryside Manor runs on 2.87 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops further from there. Staff turnover sits at 52.9%, well above the national figure, which means the people caring for residents are often new to the building. The current record shows 16 deficiencies, including one at the harm level and two tied to abuse; the last inspection was June 2024. Ownership is for-profit corporate, and CMS rates staffing and health inspections at 2 out of 5 stars each. Quality measures score better at 3, but the staffing and inspection numbers are the ones worth weighing before you decide.
Bella Terra Bloomingdale is a for-profit, LLC-owned home with 166 beds in DuPage County, and its staffing is the number that stands out. At 3.53 nurse hours per resident day, it runs about 9% under the national average, and weekend coverage dips another 6% below its own weekday level, a pattern families often notice when they visit on Saturdays and Sundays. Annual turnover of 49.5% sits above the national 45.8%, so the staff caring for your relative may change often. The current record shows 43 deficiencies, four at the harm level and none abuse-related, with one fine of $10,358 and an inspection in February 2025.
Centralia Manor runs a nonprofit home with 120 beds, and its staffing is genuinely above average, 4.48 nurse hours per resident day against a national 3.86. Weekend coverage dips about 17% below weekdays, though turnover at 26.4% beats the national 45.8%, meaning aides tend to stick around.
The trouble sits on the inspection side. Thirty deficiencies on the current record, seven of them serious enough to put residents in harm's way, four tied to abuse. Five fines totaling $231,200. The last inspection was July 2025, and the health inspection rating came back 1 out of 5. Good staffing and low turnover are real strengths, but the enforcement history is what a family should weigh hardest here.
Pavilion On Main Street runs 2.98 nurse hours per resident day, roughly a quarter below the national 3.86, and weekends dip another 9% under its own weekday levels, so coverage thins exactly when families tend to visit. Turnover at 34.7% is better than the 45.8% national figure, which matters for consistency of care, but the inspection record carries 29 deficiencies, four of them serious enough to involve harm or jeopardy, plus $122,009 in fines across two penalties. A 2/5 on health inspections and 2/5 on staffing, with the most recent survey in August 2025, tells you the state has been finding problems recently. This is a for-profit, individually owned home where the staffing numbers are the thing to ask about directly.