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.
Saint Joseph Care Center runs 60 beds in Louisville under corporate for-profit ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop another 13% below the home's own weekday coverage, and annual turnover of 54.1% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record shows 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse; that last inspection was January 5, 2026. With a 2-out-of-5 staffing rating and a 2-out-of-5 inspection rating against a 3-out-of-5 on quality measures, the pattern here is thin coverage, heavy turnover, and a recent record that warrants questions.
Aventura At Oakwood Village runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and its weekend shifts dip about 8% below its own weekday coverage, so the thinnest days are the ones families tend to visit. Staff turnover sits at 51.2%, higher than the 45.8% national figure, which means the aides and nurses who know your mother's routines are frequently new. The current deficiency record carries 42 citations, including one at the harm or jeopardy level and eight tied to abuse. Inspectors were last on site in May 2025. The two-star health inspection rating and one-star staffing rating describe a building where the problems are chronic rather than isolated.
Gardens Of Paulding runs 50 certified beds under corporate for-profit ownership, and the numbers worth knowing are on the staffing side. Nurses provide 3.28 hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage drops another 12% below what the home manages on weekdays. Turnover sits at 56.9% against a national 45.8%, which means more than half the nursing staff leaves within a year. Its inspection record shows 32 deficiencies, including one at the harm level and one abuse-related, and the most recent inspection was September 2025. Families should ask directly about weekend staffing and how the home keeps consistent caregivers.
Rae Ann Geneva runs on thin staffing: 3.16 nurse hours per resident day, roughly 18% under the national average, and weekends drop about another 10% below its own weekday levels. That shortfall shows up in the numbers that matter most, a 69.3% annual turnover rate, a one-star CMS staffing rating, and a one-star health inspection rating. The current record carries 35 deficiencies, including one at the harm or jeopardy level and six tied to abuse. Its four-star quality measure rating reflects resident outcome data, but strong outcomes don't offset inspections that found real problems in May 2025, or a workforce where more than two-thirds of staff leave each year.
Vista Care Center of Milan runs 2.64 nurse hours per resident day against a national average of 3.86, roughly a third less hands-on time than the typical home, with weekends staffed about 15% thinner than weekdays. That staffing shortfall sits behind a 2-out-of-5 CMS staffing rating and 50% annual turnover, slightly above the national 45.8%. Meanwhile, 33 deficiencies sit on the current record, including 2 at the harm or jeopardy level and 7 tied to abuse, with the most recent inspection in October 2024. A single $12,834 fine is relatively modest, but the harm-level and abuse findings are the ones worth asking the administrator about directly before you decide.
Crawford Manor is a 50-bed for-profit in Cleveland, and the numbers split in two directions. The quality measures look strong, but everything about how the place is run and inspected tells a different story: a one-star health inspection rating, 47 deficiencies on the current record including three at the harm level and seven tied to abuse, plus two fines totaling $25,366. Staffing sits at 3.79 hours per resident day, slightly under the national average, and it thins out on weekends by roughly 14 percent. Turnover at 42.9 percent is a bit better than the national figure, but that's faint comfort. The last inspection was December 2023, so the record may not reflect what's happening now.
Lincoln Crawford runs 96 beds under for-profit LLC ownership, and its nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, with weekends dropping about 11% below its own weekday coverage. Annual turnover is 55.4% against a national 45.8%, so the staff caring for residents is changing over at a high rate. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse; the most recent inspection was August 2025. Quality measures score well, but that sits against a two-out-of-five inspection rating and thin, uneven staffing.
The Sanctuary at Tuttle Crossing has enough nurses on paper, 4.30 hours per resident day, about 11% above the national average, but that cushion thins out on weekends, when staffing drops roughly 14% below its own weekday level. The bigger issue is who stays: annual turnover of 73.1% sits far above the 45.8% national average, meaning many of the aides and nurses you'd meet may not be there next year. Then there's the inspection record, a 1 out of 5 star rating, 39 deficiencies logged, and two tied to abuse, one serious enough to put a resident in harm's way. That history, not the daily hours, is what's driving the grade.
Bella Terrace runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday staffing. Turnover sits at 46.4 percent, basically in line with the national rate, so the shortfall isn't explained by churn alone, it's simply fewer hours per resident. The inspection record shows 58 deficiencies, three of them serious enough to put residents at harm or jeopardy, plus one $86,720 fine; the last inspection was July 2025. Corporate ownership and a one-star staffing rating round out the picture. The five-star quality measure score reflects reported care measures, not the hands available to deliver that care.
St Luke Lutheran Community-Portage Lakes is a 56-bed nonprofit in Akron, and the numbers tell a split story. Nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average, and the weekend gap makes it thinner when families visit most. An 81% annual turnover rate, nearly double the national figure, means the people caring for your relative are likely new and still learning the building. Inspections look better: the last one was in November 2024, and the record shows 24 deficiencies, three tied to abuse and one serious enough to cause harm. High quality-measure scores and a 4-star inspection rating don't cancel out a 1-star staffing picture. Ask directly how they hold shifts together on weekends.
Valley Oaks runs on 3.21 nurse hours per resident day, roughly 17% under the national average of 3.86, and that thin margin holds steady on weekends, so there's no extra coverage when families visit. The bigger strain is turnover: 88.1% of nursing staff left last year, nearly double the national rate of 45.8%. Consistent caregivers are hard to keep when nearly everyone is new. The record isn't alarming on safety, 14 deficiencies, none causing harm, none tied to abuse, and the most recent inspection was March 2026. Quality measures score well, but that staffing number sits at the bottom of CMS's scale, and it's the piece families feel daily.
Wayside Farm runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 11% below its own weekdays. That thin coverage shows up in the inspection record: 19 deficiencies, two at harm or jeopardy level, one tied to abuse, and $165,448 in fines across two penalties. Staff turnover, at 45.3%, is essentially the national rate, so retention isn't the outlier here, daily staffing is. The 4/5 quality measure score reflects resident care measures, but those can look fine while hands-on time lags. The last inspection was August 2024. If you're considering this one, ask directly how many nurses are on the floor on a Saturday.
The Ohio Veterans Home in Sandusky runs on state government ownership, and its staffing numbers are genuinely strong, 4.86 nurse hours per resident per day, about a quarter more than the national average, with staff turnover at 36.2% against a national 45.8%. Weekend coverage dips roughly 9% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. The friction sits in its inspection record: 23 deficiencies on file, including 3 at the harm or jeopardy level and 7 tied to abuse, with the last inspection in January 2024. Strong day-to-day care numbers and a troubled regulatory history can coexist at the same address.
Highland Pointe runs 96 beds in Highland Heights under corporate ownership, and the staffing numbers tell the most immediate story: 3.70 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14 percent below the home's own weekday levels. That thin weekend coverage matters more given a 61.4 percent annual turnover rate, well above the 45.8 percent national figure, familiar faces are hard to keep when the schedule thins out. The inspection record reinforces the concern: 26 deficiencies on file, three serious enough to reach harm or jeopardy level, and one fine totaling $28,276, with the most recent inspection in March 2024. Quality measure scores look strong at 4 out of 5, but that's measured against a staffing picture that's below average and a turnover rate that's high.
Avenue At North Ridgeville runs 3.69 nurse staffing hours per resident day, about 4% under the national average, and weekends drop roughly 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% annual turnover is essentially the national rate, meaning the staff you meet may not be there next year. Inspections tell the harder story: 33 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $68,390 in fines, with the last inspection dating to February 2023. The quality measure score looks strong, but that's built from resident assessments, not from how the place is run day to day.
Grand Lake Villa shows what happens when a building is well-staffed and still can't keep residents safe. Nurse coverage sits at 4.12 hours per resident day, about 7% above the national average, and turnover at 40.6% actually beats the typical American nursing home. That's the good news. The bad news is the inspection record: 15 deficiencies, three serious enough to put residents in harm's way, and six tied to abuse. That combination, plus placement in CMS's Special Focus Facility program, tells you the problems are serious and ongoing. The most recent inspection was April 29, 2026, so the findings are current, not old history. Staffing ratios alone won't protect anyone here.
Pocola Health and Rehab runs 90 certified beds under for-profit LLC ownership, and its staffing sits at 4.07 nurse hours per resident day, roughly 5% above the national average of 3.86. That's the strongest number here, though weekends drop about 13% below the home's own weekday levels, so coverage thins out when families tend to visit. Staff turnover is 50%, higher than the 45.8% national average. The inspection record is where it gets harder to explain away: 28 deficiencies, three at harm or jeopardy level, seven tied to abuse, and one fine of $14,069, with the most recent inspection in July 2025. CMS rates quality measures 1 out of 5 and inspections 2 out of 5.
Brookside Nursing Center runs 140 beds in Madill under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.76 hours per resident day, slightly under the national average, and weekends drop about 8% below what the home staffs on weekdays, so care coverage thins out exactly when families tend to visit. Staff turnover is the bigger concern: 56.7% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year.
The inspection record is where things get serious. Thirteen deficiencies are on file, three at the harm or jeopardy level, plus one abuse-related citation and two fines totaling $39,591. The last inspection was August 2024.
Sand Springs Nursing and Rehabilitation runs 173 certified beds under for-profit LLC ownership, and the numbers that stand out most are about staffing and oversight. Nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86, and weekends dip about 5% below the home's own weekday levels, so coverage is thinnest when families often visit. Annual turnover of 67.6% is well above the 45.8% national figure, which raises real questions about how well aides and nurses know these residents.
The inspection record shows 15 deficiencies, including one at the harm or jeopardy level and one tied to abuse. CMS has fined the home once for $12,740, and the last inspection was February 13, 2026. Ask about that abuse-related finding and what changed afterward.
Heritage Hills Living & Rehabilitation Center runs 81 certified beds in McAlester under individual for-profit ownership, and the numbers that stand out most are on the inspection side: 52 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. That's a lot of findings, and the one-star health inspection rating reflects it. Nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, with turnover at 54.4% against a national 45.8%. Weekend coverage holds level with weekdays, which is something. The last inspection was October 31, 2024, and there's one fine on record totaling $73,288. Ask about the abuse-related findings and how they've been corrected.