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.
The New Mexico State Veterans Home in Truth Or Consequences runs 6.02 nursing hours per resident day, roughly 56% above the national average of 3.86, and weekend coverage stays within about 9% of weekday levels. That staffing cushion is doing real work, because the rest of the record is heavy: 65 deficiencies, 7 of them at harm or jeopardy level, 2 abuse-related, plus an $44,226 fine. Annual turnover hits 84.1% against a national 45.8%, meaning most of the people providing that generous staffing are new or on their way out. The last inspection was 2024-12-27, so the picture is current. Strong hours, unsettled workforce, and a long enforcement history, that combination is what drives the low overall grade.
Sunset Villa runs 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends dip about 5% below its own weekday level. That thin margin matters more when turnover sits at 53.4% against a national 45.8%, more than half the nursing staff leaving in a year makes consistent care hard to hold onto. On the record are 55 deficiencies, including 5 at the harm or jeopardy level and 6 tied to abuse, plus two fines totaling $80,968. Its last inspection was April 23, 2026, and the health inspection rating of 2 out of 5 reflects what surveyors found. Strong quality measure scores don't offset staffing and inspection problems.
Fiesta Park runs 3.64 nurse hours per resident day, about 6% under the national figure of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays. Turnover sits at 30.7%, which is actually well under the 45.8% national average, staff tend to stay. What stands out more is the inspection record: 44 deficiencies, three serious enough to put residents in harm's way and two tied to abuse, plus two fines totaling $35,534. The most recent inspection was January 2025, so the picture is current. Quality measures score well; the health inspection side is where the problems concentrate.
Bear Canyon Rehabilitation Center runs 178 beds in Albuquerque under corporate for-profit ownership, and the staffing numbers are where your attention should go first. At 3.69 nurse hours per resident per day, it sits a bit under the national average, and weekends dip about 12% below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover is the bigger tell: 70.3% a year, well above the national 45.8%, meaning the people caring for residents are often new to the building. Its inspection record shows 67 deficiencies, five serious enough to involve harm or jeopardy, and $167,434 in fines across five penalties. A recent inspection in February 2025 means the picture is current, not stale.
The Suites Rio Vista runs 3.50 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly another 9% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover sits at 68.3% against a national 45.8%, which means close to seven in ten caregivers were replaced over the year. Its current record carries 63 deficiencies, including one at the harm or jeopardy level and eight tied to abuse, plus a $17,215 fine. A 4/5 quality measure score can't offset that inspection history or the staffing math behind it.
Artesia Healthcare & Rehabilitation Center runs 65 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends get thinner still, about 22 percent below the home's own weekday coverage, which matters most when families visit and when residents need hands-on help. Turnover is 34 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. Against that, the record shows 50 deficiencies, four tied to abuse, none flagged at harm or jeopardy level, with the most recent inspection dated February 26, 2026. Quality measures score low; staffing and inspections sit mid-range.
The Neighborhood In Rio Rancho runs a nonprofit shop with 72 beds, and the raw nursing hours look generous, 4.83 per resident day against a national average of 3.86, roughly a quarter more hands-on time than most homes. But look at who's providing it: annual turnover sits at 82.3%, nearly double the national figure, and weekend coverage drops about 9% below weekday levels, so that staffing edge is fragile in practice.
The inspection record is where things get concerning. Thirty-eight deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. A 2-out-of-5 inspection rating and a November 2025 survey date back that up.
Spanish Trails runs a for-profit limited liability operation with 134 certified beds, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage drops about 11% below its own weekday level, and annual turnover hits 64.4% against a national 45.8%, so the people around your relative may change often. The current inspection record shows 45 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with two fines totaling $57,519. The most recent inspection was April 25, 2025. Quality measures score well, but staffing and inspection history are where the concerns live.
Laguna Rainbow runs on a nonprofit model in Casa Blanca, and its nurse staffing sits about 19% above the national average, a real edge, with 4.61 hours per resident day. But look closer and the picture splits: weekends run roughly a fifth thinner than weekdays, and turnover hits 70.2%, well past the 45.8% national mark. That churn matters more than the headcount suggests. The inspection record is the heavier concern, 38 deficiencies, six tied to abuse and one serious enough to reach harm or jeopardy, plus a $24,570 fine. The last survey was March 2026. Strong quality scores and steady weekday coverage sit alongside a staffing pattern that thins on weekends and a workforce that keeps turning over.
A Holly Patterson Extended Care is a 589-bed state-run home in Uniondale, and its numbers pull in different directions. Staff turnover sits at 15.7%, well below the 45.8% national average, yet total nurse staffing is 2.79 hours per resident day, roughly 28% under the national figure of 3.86, and weekends run about 14% leaner than weekdays. That gap matters more than the retention number, because steady staff who aren't there in enough numbers still can't cover the floor. The inspection record is the harder problem: 21 deficiencies, six at harm or jeopardy level and four abuse-related, with three fines totaling $141,265. New York State owns it, so there's no corporate chain to blame or petition, the accountability runs to Albany.
Prestige Nursing Care & Rehab Center runs 400 certified beds in the Bronx under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86, with weekends about 12% thinner than its own weekdays. Staff turnover is 37.1%, which is actually better than the 45.8% national figure, so retention isn't the weak spot here. The inspection record is: 12 deficiencies, one at harm or jeopardy level, two tied to abuse, and a single fine of $8,788. The most recent inspection was April 16, 2026. CMS gives it 3 stars for health inspections, 3 for staffing, but just 1 for quality measures.
Elderwood At Amherst runs 92 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.80 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 15% below its own weekday coverage, that's when you're most likely to notice a difference. Turnover tells a bigger story: 57.4% annually against a national 45.8%, meaning more than half the nursing staff turns over each year. Twelve deficiencies sit on the current record, including three tied to abuse and one at the harm level, with a $25,262 fine. The most recent inspection was April 2025, so the record is relatively current. Quality measures score well; the inspection and staffing picture is where the concern lives.
New Riverdale Rehab And Nursing runs on 2.58 nurse staffing hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 7% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. The 146-bed for-profit home carries 22 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse, plus a $46,905 fine; its last inspection was March 2025. Staff turnover of 34.4% is better than the 45.8% national figure, and the 5/5 quality measure rating stands out against a 2/5 inspection rating. Ask about weekend coverage and how the abuse deficiencies were resolved.
Alice Hyde runs a tight clinical ship on paper, its quality measure rating sits at 4 out of 5, and the staffing rating matches. But the hours aren't quite there: 3.67 nurse hours per resident day lands about 5% under the national average, and weekends drop roughly another 10% below the home's own weekday coverage. That matters, since turnover is 57.1% against a national 45.8%. The inspection record is the real weight, 19 deficiencies, one at harm or jeopardy level, six tied to abuse. The most recent survey closed in December 2025, so it's current, but a 2-star inspection rating alongside that count tells you the problems are recent enough to still be shaping care.
Aurelia Osborn Fox Memorial Hospital sits in Oneonta with 131 certified beds and a nonprofit owner. Staffing runs slightly under the national average at 3.80 hours per resident day, and weekends drop about 18% below its own weekday levels, so coverage thins out when families tend to visit. The bigger issue is the inspection record: 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating. Turnover at 37.1% actually beats the national 45.8%, which suggests staff stick around. Ask about that harm-level finding and what changed after the April 2025 inspection.
Clove Lakes is a 576-bed for-profit home in Staten Island with a split personality in its federal ratings: top marks on quality measures, but a one-star health inspection record and placement in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, persistent problems. Its current record shows 35 deficiencies, including four at the harm or jeopardy level and six tied to abuse. Nurse staffing runs about 13% below the national average and dips further on weekends. The one number that stands out favorably is turnover, 27.5% against a national average near 46%, meaning the staff it has tend to stay. That's worth asking about on a visit, but it doesn't offset the inspection history.
The Paramount at Somers is a 300-bed for-profit home in Westchester County, and the federal numbers show a wide split between how it's staffed and how its residents are doing. Nurses provide 2.76 hours of care per resident per day, roughly 28 percent below the national average, and weekend staffing drops about 8 percent below its own weekday level. Staff turnover sits at 46.6 percent, a touch above the national average. On paper the quality measures look strong, but the inspection record does not: 44 deficiencies, four at harm or jeopardy level, six tied to abuse, a $46,079 fine, and a one-star inspection rating from a visit in November 2024.
Troy Center for Rehabilitation and Nursing runs 78 certified beds under corporate for-profit ownership, and its inspection record is the biggest thing to know: 38 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Its last health inspection was February 2024, and CMS gives that inspection record a single star out of five. Staffing tells a similar story, 3.72 nurse hours per resident day sits about 4% under the national average, weekend coverage drops roughly 13% below its own weekday level, and annual turnover runs 63.9% against a national 45.8%. Quality measures score well, but they don't offset a troubled inspection history or thin, churning staff.
Steuben Center runs 105 beds in Bath under corporate ownership, and its staffing numbers are the first thing worth noticing. At 3.69 nurse hours per resident day, it sits a bit under the national average, and weekends drop roughly 28% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 59.6% is well above the national 45.8%, meaning the aides and nurses caring for residents are frequently new. The inspection record shows 19 deficiencies, none at harm level and none abuse-related, with the last visit in May 2024. Quality measures score well; staffing is where this home is weakest.
Wesley Health Care Center runs 356 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.00 hours per resident day, about 4% above the national average of 3.86. That margin shrinks on weekends, when coverage drops roughly 17% below the home's own weekday level, so the weekday-to-weekend gap is worth asking about directly. Annual turnover is 46.8%, nearly identical to the national 45.8%. The current record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated November 19, 2024. CMS rates staffing 4 out of 5 and quality measures 3 out of 5, but health inspections just 2 out of 5, the weaker inspection history is the main thing pulling the overall picture down.