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.
Cedars Health Center runs on unusually thin staffing margins in one direction and comfortable ones in another: 4.86 nurse hours per resident day against a national average of 3.86, but weekends drop roughly 10% below what the home itself staffs Monday through Friday. Turnover sits at 48.8%, a few points above the national figure, meaning nearly half the nursing staff cycles out annually. The inspection record is where the trouble shows: 17 deficiencies, one serious enough to reach harm or jeopardy, two tied to abuse, and a $16,153 fine. The most recent inspection was November 2025, so the picture is current, and it is mixed, strong daily coverage undercut by a citation history that a family should ask about directly.
Madison County Nursing Home in Canton runs on county money, and its staffing is the strongest thing it has going: 4.34 nurse hours per resident day, roughly 12 percent above the national average, with a 4-out-of-5 CMS staffing rating and turnover at 39.6 percent, better than the 45.8 percent national figure. But weekends run about 17 percent thinner than weekdays, and the care record is shakier than the payroll: a 2-out-of-5 inspection rating, 14 deficiencies including 2 at harm or jeopardy level and 3 tied to abuse, plus one $8,278 fine. The most recent inspection was April 30, 2026. Good coverage, uneven follow-through, worth asking about weekend shifts and those abuse findings directly.
Reginald P White Nursing Facility in Meridian runs on unusually heavy staffing for a 70-bed home, 7.04 nurse hours per resident day, roughly double the national figure, though weekends drop about 22% below its own weekday coverage. The tradeoff shows up elsewhere: a 2/5 health inspection rating with 15 deficiencies on record, four of them at the harm or jeopardy level and four tied to abuse, plus a 51.4% turnover rate that runs above the national average. State-owned and last inspected in May 2025, it carries $10,364 in fines. Strong hands-on coverage, but the record raises real questions.
Highland Rehabilitation & Health Care Center runs 162 certified beds in Kansas City under for-profit LLC ownership, and its staffing is the clearest problem: 3.01 nurse hours per resident day against a national average of 3.86, roughly 22 percent below. Weekend coverage drops another 9 percent under its own weekday level, and annual turnover sits at 49 percent. The current inspection record shows 34 deficiencies, including 4 at harm or jeopardy level and 4 abuse-related, with $48,935 in fines across two penalties. A recent February 2025 inspection means the picture is current, not stale. The 5/5 quality measure score stands out against 2/5 for both staffing and health inspections, worth asking what's behind that gap.
Osage Beach Rehabilitation runs 94 beds as a for-profit corporation, and its nurse staffing sits just under the national average, 3.83 hours per resident day against 3.86. That gap is small, but weekends run about 16 percent leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover is 38.7 percent, actually better than the 45.8 percent national figure, which matters for continuity of care. What pulls the record down is the inspection history: 31 deficiencies, four at harm or jeopardy level, one tied to abuse, and a $107,324 fine. The most recent inspection was February 2025. Ask about weekend staffing and the abuse-related finding before you decide.
Ascend At Aurora runs 125 certified beds under corporate ownership, and the numbers split in two directions. Nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average, but weekends drop about 13% below the home's own weekday levels, and turnover runs 54.4% against a national 45.8%. The inspection record is where it gets harder: 49 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus a $46,940 fine. Ownership changed within the past year, and the last inspection was April 2024. Ask about weekend coverage and what the new owners have fixed since taking over.
Hermitage Nursing & Rehab runs 2.84 nursing hours per resident per day against a national average of 3.86, roughly a quarter less hands-on care than typical. Weekends dip about 19% below the home's own weekday staffing, so a Saturday shift looks thinner than a Tuesday, and 53.8% of staff turned over last year versus 45.8% nationally. The 22 deficiencies on record include two at harm or jeopardy level and four tied to abuse; one fine totals $78,550, with the last inspection in December 2025. The five-star quality measure score reflects charted care items, but the two-star inspection and staffing ratings describe the conditions underneath it.
Colonial Springs runs on thinner staffing than most homes its size, 3.27 nurse hours per resident day against a national average of 3.86, and weekends get about 15% less coverage than weekdays. That matters because nursing home needs don't pause on Saturdays. The 24 deficiencies on record include two tied to abuse, though none rose to the level of actual harm or jeopardy, and the most recent inspection was December 2024, so the picture is current. Turnover sits at 46.5%, right around the national figure. Quality measures are where the home scores worst, at 1 out of 5 stars, which suggests residents aren't faring as well on clinical outcomes as the inspection history alone would indicate.
Truman Healthcare & Rehabilitation Center runs 109 certified beds in Lamar under corporate for-profit ownership, and the numbers here pull in different directions. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 47.1% edges past the national 45.8%. The current record carries 47 deficiencies, nine of them abuse-related, with the most recent inspection in April 2025. CMS rated staffing 4 out of 5 but health inspections and quality measures both 1 out of 5, a gap worth asking about directly.
Garden View Care Center runs 80 certified beds in O'Fallon under corporate for-profit ownership, and its staffing is genuinely above average: 4.67 nurse hours per resident day against a national figure of 3.86. That advantage softens on weekends, when hours drop roughly 13 percent below the home's own weekday level. The harder numbers are elsewhere. Staff turnover sits at 62.1 percent, well above the 45.8 percent national average, and the current record carries 44 deficiencies, including one at the harm level and eight tied to abuse. State inspectors were last in on January 16, 2025, and fines total $3,145. Strong daily coverage, a thin margin on weekends, and a long inspection record.
Life Care Center of Grandview runs 172 certified beds as a for-profit corporate home, and the staffing numbers are the place to start: 3.53 nurse hours per resident day, about 8% under the national average, with weekends dipping roughly 13% below its own weekday level. Turnover sits at 42.2%, a touch better than the 45.8% national figure. The current record shows 56 deficiencies, including one at the harm level and six tied to abuse. A recent March 2026 inspection and a 2/5 health inspection rating sit alongside a 4/5 quality measure score, which tells you the day-to-day care metrics look stronger than the survey history.
Pin Oaks Living Center runs 124 certified beds in Mexico, Missouri, under corporate for-profit ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national mark, with weekends running about 6% lighter than its own weekdays. Turnover lands at 44.7%, essentially tracking the national rate. The real trouble is the inspection record: 59 deficiencies, five of them at harm or jeopardy level and seven tied to abuse, plus a $26,650 fine and a one-star health inspection rating, though its last survey came in November 2024. A four-star staffing score can't offset that paper trail.
St. Genevieve Nursing runs 90 certified beds under corporate ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating, 15 deficiencies with none rising to harm or jeopardy, and a survey completed in November 2024. The trouble sits in direct care. Nurse staffing averages 3.07 hours per resident day, roughly 21% under the national figure of 3.86, and weekends drop about 11% below the home's own weekday level. Annual turnover of 65.9% far exceeds the 45.8% national average, meaning the aides and nurses at the bedside are often new. One abuse-related deficiency is also on the record. Ask specifically how many residents each aide covers on a Saturday, and how long the current director of nursing has been in the job.
Rocky Ridge Manor runs on thinner nurse coverage than most homes in the country, about 3.07 hours per resident day against a national average near 3.86, and weekends drop roughly 12% below what the building staffs on weekdays. That staffing picture sits alongside 26 deficiencies on the current record, including one at the harm or jeopardy level and nine tied to abuse, with the most recent inspection in September 2024. Annual turnover of 51.2% runs above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Ownership is for-profit and individual. The quality measure score is the lowest CMS gives, and health inspection results land near the bottom too.
Pine View Manor runs on a paradox: staff stick around far better than average, 28.6% turnover against a national 45.8%, yet the CMS staffing rating sits at 1 out of 5, which means the retention isn't buying enough hands per resident. The inspection record is the bigger worry. Eighteen deficiencies, including one at the harm level and two abuse-related, with the most recent survey just completed in May 2025. A 2/5 on health inspections and 2/5 on quality measures round out a picture of a nonprofit home that keeps its people but hasn't kept pace on care.
Seville Care Center in Salem carries 39 deficiencies on its current record, four of them abuse-related, and two fines totaling $17,290. No deficiency rose to the level of actual harm or jeopardy, but the count itself is high, and the abuse citations matter. Staff turnover sits at 59.3% against a national average of 45.8%, which means more than half the workforce left over the year, that's the kind of churn that wears down consistent care. Federal ratings put staffing and quality measures each at one star out of five, with inspections at two. The current owner is a for-profit limited liability company. The last state inspection was January 16, 2025, so the picture is recent.
Aspire Senior Living Warsaw runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average of 3.86. That gap widens on weekends, when coverage drops about 13% below the home's own weekday level, so the thinnest shifts land when families are most likely to visit.
The inspection record carries 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse. One fine totaling $8,824 is on file, and the most recent inspection dates to September 2025. The health inspection and staffing scores both come in at 2 out of 5 stars, while quality measures sit slightly higher at 3. If you're weighing this one, ask directly how weekend coverage is handled and what changed after those abuse-related findings.
Village Care Center runs 46 beds in Maryville under corporate ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 13% under the national 3.86 average. Weekends drop about 15% below its own weekday coverage, which matters when a resident needs help on a Sunday. Turnover is 47.1%, slightly above the 45.8% national figure, so the faces around the building change often. The current record shows 28 deficiencies, including one at the harm level and one abuse-related, with the last inspection in March 2025. CMS gives it 2 stars for health inspections but 5 for quality measures, a split worth asking about directly.
Sunnyview runs in Trenton as a county-owned home with 94 certified beds, and its nurse staffing comes in at 4.46 hours per resident day, roughly 16% above the national average of 3.86. That sounds like a strength until you see who's delivering it: annual turnover is 63.9% against a national figure of 45.8%, and weekend coverage drops about 10% below the home's own weekday level. The current record carries 36 deficiencies, including one at the harm level and three tied to abuse, plus a $30,295 fine. State inspectors were last in on September 19, 2025. High hours with high churn and a stack of deficiencies is the pattern here.
Carmel Hills runs on 2.75 nursing hours per resident each day, roughly a quarter less than the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits near 55%, and the federal staffing rating lands at 1 out of 5. The inspection record is heavier still: 82 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $20,787 fine and a 1-star health inspection rating. Quality measures score better at 3 stars, but the most recent inspection was November 2024, so that record is still fresh.