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.
Advanced Care Of St Joseph runs 180 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 2.48 total nurse hours per resident day, roughly 36% under the national average of 3.86, with weekend coverage about 11% thinner than its own weekdays. Annual turnover sits at 51.7% against a national 45.8%, so the people who do show up are cycling through. The current record carries 45 deficiencies, including one at harm or jeopardy level and two abuse-related, plus a $29,803 fine; the last inspection was July 3, 2025. Its quality measure stars look strong, but that measure leans on charted care, not on how many hands are actually in the building.
St Joseph Manor runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.50 hours per resident day, about 9% under the national average of 3.86. Weekends dip roughly 15% below its own weekday level, and annual turnover is 50.8% against a national 45.8%, so the staff you meet on a Saturday may be newer and fewer than the ones you meet midweek.
The record shows 57 deficiencies, including 5 at harm or jeopardy level and 2 tied to abuse, plus one fine of $10,414. The last inspection was March 21, 2025. CMS rates staffing and health inspections 2 out of 5 each, with quality measures at 3.
Worth asking the administrator directly how those harm-level findings were corrected and what weekend coverage actually looks like now.
Rosewood runs below the national average on nurse staffing, 3.51 hours per resident day against 3.86, and weekend coverage dips about 5% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 59.8% against a national average of 45.8%, meaning roughly six in ten caregivers left within the year. The inspection record is heavy: 58 deficiencies, five involving harm or jeopardy, six tied to abuse, and three fines totaling $47,917. Two stars for health inspections and two for staffing tell you where the problems concentrate, and ownership is a for-profit limited liability company.
Laverna Manor runs more nursing hours per resident than the typical American home, 4.28 a day against a national average of 3.86, but weekends dip about 7% below its own weekday coverage, so the care your relative gets on a Saturday may look thinner than what's promised. That staffing comes at a price: 57.1% of staff turned over in a year, well above the 45.8% national figure, which means new faces learning the routines again and again. The inspection record is the harder problem, 58 deficiencies, three serious enough to involve harm or jeopardy, and five tied to abuse, with $75,282 in fines. Quality scores look strong, but they can't offset that.
Kingswood Senior Living runs 86 certified beds as a nonprofit, and its nurse staffing comes in at 4.03 hours per resident day, about 4% above the national average of 3.86. That's the strongest part of the picture. Weekends dip roughly 6% below weekday coverage, and annual turnover sits at 55.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 38 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. One fine on file, $14,069, with the last inspection in June 2025. Quality measure scores land at 2 out of 5 stars, which is worth asking about directly.
Morningside Center is county-owned, which usually buys some stability, but the numbers here tell a mixed story. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover runs 50.7%, above the 45.8% national figure, meaning the people at the bedside keep changing. The record shows 16 deficiencies, including one at harm-or-jeopardy level and one abuse-related, and the most recent inspection was January 2025. Quality measures score poorly; staffing scores well on paper.
Abbey Senior Health runs on a for-profit LLC model with 55 beds in O'Fallon, and its strongest signal by far is nurse staffing: 4.74 hours per resident day, roughly 23% above the national average, which is why CMS hands it five stars there. Turnover of 35.6% also beats the 45.8% national figure. The trouble sits elsewhere. Inspections in October 2024 turned up 28 deficiencies, including one at the harm level and three tied to abuse. Quality measures score two stars, inspections two. Weekends run about 13% thinner than weekdays. The people caring for residents appear to be there in numbers, what the record flags is what happens around them.
Aurora Health and Rehabilitation runs 116 certified beds in Rolla under corporate for-profit ownership, and the staffing numbers are where the trouble shows. At 3.34 nurse hours per resident day, it sits about 14% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover of 73.4% is well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The current inspection record lists 48 deficiencies, one involving harm or jeopardy and seven tied to abuse, plus four fines totaling $46,544. Quality measures look better than the hands-on care.
Clara Manor runs 90 certified beds in Kansas City under corporate ownership, and the staffing numbers are where things get uncomfortable, a one-star staffing rating means nurse hours sit below what CMS considers adequate for this resident population. The inspection record backs that up: 89 deficiencies, including six at the level where residents were actually harmed or put in immediate jeopardy, and twelve tied to abuse. A four-star quality measure rating looks better on paper, but those scores come from resident assessments the facility largely reports itself, and they don't cancel out a one-star inspection history. The most recent survey was October 2025, so the record is current, not stale. For a family weighing this placement, the staffing and abuse findings deserve direct questions before anything else.
Benefis Senior Services - Eastview runs a nonprofit operation with 64 certified beds in Great Falls, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average, which is the strongest number here. But weekends run about 9% thinner than weekdays, and annual turnover hits 53.4%, well past the national 45.8%, so that staffing edge depends on a workforce that keeps changing. The inspection record is the real drag: 40 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus two fines totaling $99,129, with the most recent inspection in June 2025. High direct-care hours and a troubled enforcement history can both be true at once.
If you're weighing Sheridan Memorial for a family member, the staffing number is the first thing to understand: 6.10 nurse hours per resident per day, roughly 58% above the national average of 3.86. That's a real difference in daily attention. Weekends dip about 13% below the home's own weekday level, so coverage isn't perfectly even.
The rest of the record is harder to read. Two of the 22 deficiencies on file are at the harm or jeopardy level, five are abuse-related, and one fine totaling $10,358 has been assessed. The last inspection was July 2025, so the picture is current. Staff turnover sits at 60% against a national 45.8%, which matters because consistent caregivers know residents' routines. Strong hours, unsettled oversight.
Wibaux County Nursing Home runs about 2.79 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 20% beneath its own weekday coverage. That thin staffing shows up in the federal ratings: one star each for staffing and health inspections. The inspection record carries 30 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus one fine of $16,985, with the most recent inspection dated April 9, 2026. Turnover sits at 35%, better than the national 45.8%, so the people who stay tend to stay. With 40 certified beds under nonprofit ownership, this is a small rural home where the staffing math and inspection history are the main things to weigh.
Tobacco Root Mountains Care Center is county-owned and runs on unusually heavy staffing, 7.05 nurse hours per resident day, roughly double the national average. That's the strongest thing in its file. The problems sit elsewhere. Inspectors logged 11 deficiencies, two of them at harm or jeopardy level, and four tied to abuse; the most recent inspection was May 21, 2026. Staff turnover runs 72.7% a year against a national 45.8%, meaning most of the people delivering those generous hours are new. Weekend coverage also dips about 10% below weekday levels. High staffing with high churn and abuse findings is a mixed picture, the hours are there, but consistency and safety aren't fully keeping pace.
Park View Haven runs about 4.03 nurse hours per resident day, slightly above the national average, and weekends dip roughly 11% below its own weekday numbers. That's the good news. The trouble sits elsewhere: staff turnover is 72.2% against a 45.8% national average, meaning most of the people caring for residents weren't there a year ago. Its current record carries 13 deficiencies, including one at the harm level and three abuse-related, plus a $34,512 fine. The last inspection was April 2026, so the picture is recent. A 34-bed nonprofit in rural Cedar County can be a genuinely good fit for the right family, but ask hard questions about who's actually on shift, especially weekends.
Emerald Nursing & Rehab Cozad runs on thinner nurse coverage than most homes, 3.50 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday level, so the hours when families visit are often the leanest. Annual turnover of 65.3% sits well above the 45.8% national figure, which matters because aides who know residents are the ones who notice changes first. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. The for-profit LLC structure and a one-star CMS staffing rating point to the same underlying issue: enough bodies to pass, not enough consistency to feel settled.
Adept Nursing & Rehab Of Blue Hill runs on 3.62 nurse hours per resident day, about 6% under the national average, and weekends dip roughly 9% below its own weekday staffing. That thin coverage shows up in the inspection record: 37 deficiencies, including one at the harm level and two tied to abuse, with a single $13,644 fine on file. The inspection that produced those findings is recent, dated April 2025. Annual turnover hits 68.9%, well above the 45.8% national figure, which means caregivers are cycling through quickly. It's a for-profit LLC with 62 certified beds, and the quality measure rating of 3/5 is the one place it looks average.
Jefferson Community Health & Life Gardenside is a 39-bed nonprofit in Fairbury, and its inspection record is genuinely strong, a five-star health inspection rating, with five deficiencies on file and none rising to actual harm or jeopardy. The staffing number is where it falls apart. At 0.14 nurse hours per resident per day, this home reports roughly 96 percent less nursing time than the national average of 3.86, and weekends run about a third thinner than its own weekdays. Annual turnover sits at 53.3 percent against a national 45.8. Two of those five deficiencies are abuse-related, which matters more at a home this small. A clean inspection and almost no reported nursing hours can both be true at once, ask which one reflects daily life there.
Torrey Pines runs 95 beds on the east side of the valley, and the staffing numbers are the strongest part of the picture: 4.16 nurse hours per resident day, roughly 8% above the national average, which earns a 4-out-of-5 staffing rating. Turnover sits at 45.6%, essentially matching the national rate, so this isn't a home bleeding caregivers faster than everyone else. Where it slips is inspections, a 2-out-of-5 health inspection rating, 36 deficiencies on the current record including six tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent survey was in June 2025, so the record is current. Good daily coverage, a thinner compliance history.
Mountain View runs 146 certified beds in Carson City under for-profit LLC ownership, and its nurse staffing sits around 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about another 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 47.6%, slightly above the national 45.8%. The inspection record shows 52 deficiencies, including one at the harm level and seven tied to abuse, with a $25,675 fine. Its last inspection was January 2026. If you're weighing this one, ask directly how they cover weekends and what changed since that January survey.
Gardnerville Health & Rehabilitation Center runs 60 certified beds under for-profit LLC ownership, and the numbers worth knowing are the ones a star rating can hide. Nurse staffing sits at 3.69 hours per resident day, a bit under the national average, and it thins out about 10% on weekends, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Turnover is the bigger flag: 63.6% of staff leave each year against a national average of 45.8%, which means unfamiliar faces at the bedside. The inspection record shows 55 deficiencies, including one at the harm level and six tied to abuse, with the most recent inspection in May 2025.