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.
Lexington Health Care Center runs on thinner staffing than most homes, about 3.50 nurse hours per resident each day, roughly 9% under the national average, with weekends dipping further below its own weekday level. Turnover tells a similar story: 63.4% of nursing staff leave within a year, well above the 45.8% national figure, which means unfamiliar faces are often the ones providing care. The inspection record is heavier than most, with 40 deficiencies logged, including two at the harm level and five tied to abuse. Ownership is for-profit and LLC-operated. The quality measure score looks good on paper, but it sits alongside a staffing rating and inspection history that raise harder questions than that one number answers.
Alamance Health Care Center runs 180 certified beds in Burlington under corporate, for-profit ownership, and the numbers split in two directions. Nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 9% below the home's own weekday levels, while staff turnover at 47.2% edges past the national rate. The inspection record is where the real weight sits: 27 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating and another 1 for staffing. Quality measures score 4 out of 5, but that contrast is worth sitting with before you decide.
Wilora Lake runs on thinner staffing than most homes you'd compare it to, about 3.17 nurse hours per resident each day against a national average of 3.86, and weekends drop roughly 12% below what the home itself staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when fewer hands are on the floor. Annual turnover sits at 66.2%, well above the 45.8% national figure, so the people caring for your relative are changing often. The record shows 14 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy. Its quality measure scores look strong, but those reflect resident outcomes, not the daily coverage behind them.
Dahlia Gardens runs 90 certified beds under for-profit LLC ownership, and its staff retention is genuinely better than most, 32.4% annual turnover against a national average of 45.8%. That stability matters, because the staffing star rating still comes in at just 1 out of 5, meaning the people who stay aren't necessarily enough of them. The inspection record shows 34 deficiencies, five tied to abuse, though none rose to harm or jeopardy level, and the most recent state visit was December 2025. Quality measures sit at 2 out of 5. If you're weighing this one, ask directly how they plan to address the abuse-related findings and what daily direct-care hours actually look like on the floor.
Liberty Commons runs leaner than the typical American nursing home, 3.44 nurse hours per resident day against a national 3.86, and it thins out further on weekends, dropping roughly 9% below its own weekday coverage. That staffing pattern shows up in the numbers: a 2-out-of-5 CMS staffing rating and 50.5% annual turnover, meaning about half the nursing workforce leaves each year.
The inspection record is heavier still. Thirty-seven deficiencies on the current record, three serious enough to involve harm or jeopardy, plus two fines totaling $15,593. A 2-out-of-5 health inspection rating and a November 2025 inspection round out the picture.
You're looking at a 100-bed corporate-owned home where the care hours are below average, the staff keeps changing, and regulators have documented repeated problems. Worth asking hard questions before choosing it.
Trinity Grove is church-affiliated and nonprofit, and its staffing is genuinely strong, 4.37 nurse hours per resident day sits about 13% above the national average, earning top marks on that measure. The trouble shows up everywhere else. Inspectors cited 15 deficiencies, four serious enough to put residents in harm's way and five tied to abuse, and the home has paid $102,910 across four fines. Weekend staffing drops roughly 12% below its own weekday level, which is when families often visit and notice less coverage. Turnover of 45.5% is essentially the national norm, so experience isn't accumulating here. The last inspection was September 2025. Good ratios, a troubling citation record, that gap is what families should weigh.
Huntersville Health & Rehabilitation runs 90 beds under corporate ownership, and its staffing sits right at the national mark, 3.91 nurse hours per resident day against 3.86 nationally, a difference of about one percent. That thin margin matters more when you look at weekends, which run roughly 11% below the home's own weekday coverage, and at turnover: half the nursing staff leaves each year, compared with 45.8% nationally.
The inspection record is where the real weight sits. Fourteen deficiencies are on file, three of them at harm or jeopardy level and three tied to abuse. The last inspection came in June 2026, and the health inspection rating lands at 2 out of 5. Strong quality scores don't offset that pattern.
Western Horizons Care Center has 31 certified beds and runs on 4.75 nurse staffing hours per resident day, about 23% above the national average of 3.86, a real point in its favor, though weekend coverage drops roughly 15% below its own weekday level. The staffing star rating sits at 3/5, but the clinical and inspection record is where things get serious: 35 deficiencies on the current record, including 5 at the harm or jeopardy level and 3 abuse-related, plus three CMS fines totaling $62,703. The most recent inspection was September 4, 2025. It's a nonprofit corporation, and the quality measure rating comes in at 1/5. Stronger-than-average staffing is not offsetting the harm-level findings and fine history here.
The county-owned home in Mcville runs 35 beds and staffs above the national average, 4.07 nurse hours per resident day versus 3.86, which is the strongest thing in its file. But that staffing thins out on weekends, dropping roughly 15% below its own weekday level, and turnover sits at 51.2% against a national 45.8%, so the people providing that care keep changing. The inspection record is the real concern: 15 deficiencies, six tied to abuse and one serious enough to put a resident in harm's way, plus a $36,855 fine. The most recent inspection was April 2025. Good daily coverage, a troubling paper trail.
Smp Health - St Raphael runs a church-affiliated nonprofit home with 170 certified beds in Valley City, and its nurse staffing sits at 4.71 hours per resident day, roughly 22% above the national average of 3.86. That staffing cushion shows up in its five-star CMS staffing rating, and turnover runs lower than average too, at 38.5% against 45.8% nationally, though weekend coverage dips about 11% below its own weekday level. The inspection record is solid but not spotless: nine deficiencies, one serious enough to reach harm or jeopardy level, and none tied to abuse. A recent September 2025 inspection and a four-star health inspection rating back that up, while quality measures land at three stars.
Dunseith Com Nursing Home runs on unusually heavy staffing, 5.50 nurse hours per resident day, roughly 42% above the national average, and that's the strongest thing in its file, reflected in a full five stars from CMS on staffing. The problems sit elsewhere. Inspectors have cited 31 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, plus four tied to abuse; the health inspection rating is one star, and two fines total $92,954. Weekend coverage dips about 9% below weekday levels, and turnover runs 56.4% against a national 45.8%. City-owned, 30 beds, inspected most recently in May 2025. Plenty of hands, but the record shows they haven't always kept residents safe.
Ave Maria sits in Jamestown with 100 certified beds and a nonprofit owner, and its staffing is the standout: 4.98 nurse hours per resident day, roughly 29% above the national average, with turnover at 37% versus 45.8% nationally. Weekend coverage dips about 16% below its own weekday level, so the weekday-to-Saturday drop is worth asking about. The inspection record is where the concern lives, 11 deficiencies, 2 at harm or jeopardy level, 5 tied to abuse, and a $6,788 fine, with a 2/5 health inspection rating and 2/5 quality measures. The most recent inspection was December 11, 2025, so the record is current. Ask directly how those abuse-related deficiencies were resolved and what weekend staffing looks like now.
Good Samaritan Society - Bottineau carries a one-star health inspection rating, and the record behind it is heavy: 30 deficiencies, including three at the harm or jeopardy level and four tied to abuse. Federal fines total $110,247 across two penalties. Staffing is the one bright spot on paper, 3.59 nurse hours per resident day, close to the national average of 3.86, but weekend coverage drops roughly a fifth below its own weekday level, and turnover runs at 63.5% against a national 45.8%. That combination matters in a 52-bed home, where losing and replacing staff that often makes consistent care hard to sustain. The most recent inspection was March 2026.
Good Samaritan Society - Oakes runs 46 certified beds with nurse staffing at 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends dip roughly another 10% below its own weekday levels. Half the nursing staff turned over in the past year, a bit above the 45.8% national figure. The record shows 18 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $8,281. Inspectors were last on site January 7, 2026, and the health inspection and quality measure ratings both sit at 2 out of 5, even as the staffing rating reaches 4.
Edith Lane Of Cincinnati runs 167 certified beds as a for-profit corporation, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, so the thinnest shifts get even thinner. The inspection record is the harder read: 72 deficiencies currently on file, three at harm or jeopardy level and six tied to abuse, plus two fines totaling $159,338. Its last inspection was April 2025, so the record is recent, not stale. Quality measures score well, but that's a narrow slice of the picture, staffing and survey results are where families should focus when weighing this one.
King David runs 355 certified beds in Beachwood under for-profit LLC ownership, and its staffing numbers are a mixed picture. Total nurse coverage of 4.88 hours per resident day sits about 26% above the national average, but weekends run roughly 21% leaner than weekdays, and annual turnover hits 63.5% against a national 45.8%, so coverage depends heavily on who's still there. The inspection record is the harder read: a 1-out-of-5 health inspection rating, 64 deficiencies including one at the harm or jeopardy level and six tied to abuse, plus a $10,221 fine. Quality measure scores look strong on paper, but the last inspection closed in September 2025, and the staffing math doesn't erase what surveyors found.
Spring Creek runs 120 certified beds in Green Springs under a for-profit LLC, and its staffing is the number that stands out. At 3.72 nurse hours per resident per day, it sits about 4% under the national average, and weekends drop roughly 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.3% is actually a bit better than the 45.8% national figure, which is the one bright spot. The inspection record is heavier: 31 deficiencies, including one at the harm level and two tied to abuse, plus a $77,618 fine. Its last inspection was February 2024.
Gardens Of North Olmsted runs on thinner nursing coverage than most homes, 3.27 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale.
The inspection record is the bigger concern. The current file holds 56 deficiencies, including six tied to abuse, and the last full inspection was in December 2022, more than two years ago. A for-profit partnership operating 99 beds, this home also sees 58.5% of its nursing staff leave annually, well above the 45.8% national rate. Its quality measure scores look strong, but that data comes from the home's own reporting.
Marion Nursing & Rehab is a for-profit, 99-bed home where the numbers point in different directions. Nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, and weekends run about 10 percent thinner than weekdays, a pattern that matters most when families visit and fewer hands are on the floor. Its 28 deficiencies include one at the harm level and one tied to abuse, alongside a $40,053 fine, and the most recent inspection was in February 2026. Staff turnover of 39.4 percent is actually better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record and low staffing rating are.
Arbors At Gallipolis runs 99 certified beds under for-profit LLC ownership, and its strongest number is staff retention: 26.8% turnover against a national average of 45.8%, which matters because consistent caregivers tend to know residents' routines. The catch is raw staffing hours, at 3.72 per resident day, about 4% under the national average, and weekends dip roughly 13% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Inspections are a bigger concern: 23 deficiencies on the current record, including two at harm or jeopardy level and two tied to abuse, with the most recent inspection in April 2025.