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.
Grand Plains Skilled Nursing By Americare in Pratt runs on 4.17 nurse hours per resident day, about 8% above the national average, so the raw staffing number looks fine. The trouble is how it holds up: weekend staffing drops roughly 18% below the home's own weekday level, and annual turnover sits at 64.2% against a national average of 45.8%. That's a lot of new faces cycling through a 60-bed building. The current inspection record carries 17 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $14,352 and a survey from March 2025. Ownership is a for-profit limited liability company. All three CMS star ratings, health inspection, quality measures, staffing, come in at 2 out of 5.
Logan County Senior Living runs 30 beds as a nonprofit, and the direct-care hours are genuinely better than most, 4.19 per resident day against a national average of 3.86. Weekend coverage dips modestly below its own weekday pace, which is typical but worth watching at a home this small. What pulls the record down is the inspection side: 25 deficiencies on file, six of them serious enough to involve harm or jeopardy, three tied to abuse, and four fines totaling $98,346. Staff turnover sits right at the national average, so retention isn't the problem here, oversight and compliance appear to be. Ask about the abuse citations and what changed since the February 2026 survey.
Attica Long Term Care runs on thin margins, and you can see it in the numbers. The hospital district that owns it staffs nurses at 3.95 hours per resident day, just above the national average, and those hours thin out on weekends, roughly 12% below what the home itself manages Monday through Friday. Turnover sits at 36.2%, better than the national 45.8%, so the people who stay tend to stay.
The problem is the record. Eighteen deficiencies, two serious enough to put residents at risk of harm, and one tied to abuse. The health inspection rating reflects that. Quality measures land in the middle. If you're weighing this one, the staffing is genuinely a strength, but ask hard questions about those harm-level findings and who's supervising on Saturdays.
Parkwood runs on 3.04 nurse hours per resident day, roughly a fifth under the national average, and weekends drop about 11% below what it manages during the week. That thin coverage shows up in the numbers: a one-star staffing rating, 54.2% annual turnover against a national 45.8%, and 25 deficiencies on record, seven serious enough to involve harm or jeopardy, four tied to abuse. Ownership is for-profit and individual, and the last inspection was January 8, 2026. The quality measure rating of three stars suggests some clinical benchmarks land where they should, but that's a narrow bright spot against staffing, inspection history, and the $10,209 in fines.
Tradewater Pointe runs a lean operation in Dawson Springs, with 4.86 nurse hours per resident day, roughly 26% above the national average, and its most recent inspection in March 2026 found six deficiencies, none at the harm or jeopardy level. The catch is who's delivering that care over time: annual turnover sits at 70.5% against a national average of 45.8%, and weekend staffing drops about 14% below weekday levels, so the faces and the coverage both thin out regularly. One abuse-related deficiency also shows up on the record. Ownership is a for-profit limited liability company, and the quality measure star rating sits at 1 out of 5 despite a 4 out of 5 on inspections, worth asking about before you decide.
Staffing is the strongest part of the picture at Christian Health Center Corbin: 4.12 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 41.1%, a bit better than the 45.8% national figure. The trouble is the inspection record. Seven deficiencies are on file, three at the harm or jeopardy level and three tied to abuse, plus a single $181,590 fine. The most recent inspection was March 2025, so the record is current, not old. Quality and staffing measures score well; the health inspection side, where a 1-out-of-5 rating reflects those harm-level findings, is what pulls the overall picture down.
Shady Lawn runs about 3.46 nurse hours per resident per day, roughly 10% under the national average of 3.86, and weekends dip another 8% below its own weekday numbers, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 50%, a bit above the 45.8% national figure, so continuity of caregivers may be a real question. The inspection record is genuinely strong: eight deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was July 2025. The tradeoff is in quality measures, which come in low despite that clean inspection history, a split worth understanding before you decide.
Madison Health and Rehabilitation Center runs 92 certified beds in Richmond under corporate for-profit ownership, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.56 hours per resident per day, roughly 8% under the national average, and weekends drop about 9% below what the home staffs on weekdays. Annual turnover is 51.6% against a national 45.8%, so aides and nurses are cycling through steadily.
The inspection record shows 12 deficiencies, two of them serious enough to cite harm or jeopardy, though none abuse-related. CMS rates the home 2 out of 5 on health inspections and 1 out of 5 on both quality measures and staffing. The most recent inspection was July 2025, so the picture is current.
South Shore Nursing and Rehabilitation runs 60 certified beds under for-profit LLC ownership, and its staffing numbers sit below where you'd want them. Total nurse coverage is about 3.58 hours per resident day, roughly 7% under the national average, and weekends drop another 13% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover is 52.5%, well above the 45.8% national figure, which matters because unfamiliar aides can miss subtle changes. The inspection record is genuinely decent: a four-star health inspection rating with 12 deficiencies and none at harm or jeopardy level, though one is abuse-related. Quality measures and staffing both come in at two stars. The most recent inspection was July 2025.
Irvine Nursing and Rehabilitation Center runs 86 certified beds under for-profit LLC ownership, and the numbers show a home doing the basics without much cushion. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 13% below its own weekday coverage, that's when families tend to notice. Staff turnover of 47.3% edges past the national rate of 45.8%, meaning aides and nurses cycle through faster than average. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in February 2025. Nothing here reads as dangerous; it reads as thin.
Woodland Oaks runs a 110-bed for-profit operation in Ashland with a clean recent inspection record, five deficiencies on the books, none causing harm or involving abuse, and the state was last out in May 2026. That's the good news. The staffing side is thinner: 3.77 nurse hours per resident day, a bit under the national average, and weekends drop about 12% below what the home staffs on weekdays. Turnover sits at 48.9%, roughly three points above the national figure, which means familiar faces are harder to keep. The inspection score looks strong, but the day-to-day coverage and the 2/5 quality measure rating are where families should focus their questions.
Kensington runs about 3.63 nurse hours per resident day, roughly 6% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in its staffing rating, which sits at the bottom of CMS's scale, and in turnover: nearly 59% of staff leave within a year, well above the 45.8% national figure. The inspection record is cleaner than those numbers might suggest. Twenty-seven deficiencies are on file, but none involved actual harm or jeopardy, and none were abuse-related. State inspectors were last in the building in March 2025. For-profit, limited-liability ownership, 82 beds, in Elizabethtown. The pattern reads as a home that isn't dangerous so much as thinly staffed and constantly retraining.
Haven Nursing Center runs 4.15 nurse hours per resident day, about 8% above the national average of 3.86, but weekends drop roughly 12% below its own weekday staffing, and annual turnover sits at 97.6% against a national average of 45.8%. Essentially the whole staff turns over every year. The 19 deficiencies on record include none at the harm level, though 2 are abuse-related, and the last inspection was May 2025. The quality measure rating is 1 out of 5, which is where the low overall grade comes from. A corporate-owned, 99-bed home in Columbia with decent weekday coverage but real questions about consistency.
Lake Charles Care Center runs 182 certified beds under for-profit LLC ownership, and its staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about 14% below its own weekday level, and turnover hits 51.7% against a national 45.8%.
The inspection record is the bright spot: a 4/5 health inspection rating, last survey in May 2025, with 11 deficiencies on file but none at harm or jeopardy level and none abuse-related. Quality measures tell a different story at 1/5, with staffing at 2/5. So you have a home that passes inspections cleanly while running lean on direct care and posting weaker clinical quality numbers, worth asking about weekend coverage and consistent assignment before you decide.
Colonial Nursing and Rehabilitation Center runs 64 beds in Marksville under for-profit LLC ownership, and the numbers show a building stretched thin. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, and weekends drop roughly 15% below what the home manages on weekdays, so coverage is thinnest exactly when families tend to visit. Staff turnover hits 51.7% against a national 45.8%, meaning more than half the nursing workforce leaves each year. The inspection record carries 21 deficiencies, including two at harm or jeopardy level and five tied to abuse, with $21,752 in fines and a survey as recent as May 2025. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.
Belle Teche runs 150 certified beds as a for-profit LLC, and the numbers tell a mixed story. Nurse staffing sits at 3.90 hours per resident day, barely a percentage point above the national figure, and weekends drop roughly 19% below what the home staffs on weekdays, that gap matters most when families visit and when residents need help. Turnover among nurses runs 47.6%, slightly worse than the national rate, so familiar faces are not a given.
The inspection record is where the real weight sits: 38 deficiencies, including one at the harm level and one tied to abuse. Two out of five stars on health inspections and quality measures, with a May 2025 inspection date that at least means the record is current.
St Frances runs 4.02 nurse hours per resident day, a bit above the national average, so the raw staffing number looks fine. The problems sit underneath it: weekends run about 12% thinner than weekdays, and nearly half the nursing staff turns over each year. Inspectors have logged 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $30,702 in fines across two penalties. The last inspection was April 30, 2025, so the record is recent. The quality measure rating sits at one out of five stars, the lowest CMS gives, which means resident outcomes aren't tracking well regardless of hours logged.
Delta Grande runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays, so the gaps land when families visit most. Annual turnover of 53.2% tops the national figure of 45.8%, meaning the people caring for your relative are often new to the building and each other. The inspection record shows 18 deficiencies, two tied to abuse, though none rose to harm or jeopardy level, and the most recent survey came in April 2026. State inspectors rated the care highly; the quality and staffing measures tell a different story.
Village Health Care At The Glen runs 4.19 nurse hours per resident day, roughly 9% above the national average, which matters more here than the staffing star suggests. Weekend coverage dips about 5% below weekdays, and turnover sits at 33.6%, well under the national 45.8%, so caregivers tend to stick around. The concerning part is the inspection record: 23 deficiencies, including five tied to abuse and one at the harm or jeopardy level, with a $12,735 fine. That's a lot of findings for a nonprofit, and it weighs against the decent staffing.
Nurse staffing at The Oaks runs 4.35 hours per resident day, roughly 13% above the national average, which sounds reassuring until you notice weekends dip about 8% below the home's own weekday levels. Turnover sits at 58.9% against a national average of 45.8%, so the people providing that care are changing often. The inspection record shows 18 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a single fine of $27,005; the last inspection was June 2025. A for-profit limited liability company owns the 125-bed home. Strong weekday staffing is real, but weekends, turnover, and that abuse count are what a family should ask about directly.