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.
Transitions Healthcare Washington Pa runs 120 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.54 nurse hours per resident day against a national average of 3.86, with weekends running about 9% thinner than weekdays. Annual turnover sits at 47.3%, slightly above the national 45.8%, and CMS gives staffing just 1 out of 5 stars even as quality measures score 4 out of 5. The inspection record shows 19 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection dated March 25, 2026. Ownership, turnover, and thin weekend coverage are the pieces worth weighing before you decide.
Willows of Presbyterian Senior has 193 certified beds and solid nurse staffing on paper, 3.88 hours per resident day, essentially matching the national average, with a 4-star staffing rating. But that coverage thins on weekends, dropping roughly 11% below weekday levels, and turnover sits at 45.5%. The real problem is the inspection record: 56 deficiencies, including four at the harm or jeopardy level and six tied to abuse, plus three fines totaling $132,149. A 1-star health inspection rating against a 3-star quality measure score tells you the care concerns here aren't about numbers on a page, they're about what surveyors actually found.
Riverside Health & Rehab Center runs 119 certified beds in Mckeesport, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.42 hours per resident per day, roughly 11 percent under the national average, and weekends drop about 7 percent below the home's own weekday levels. That means the thinnest coverage lands when families tend to visit. Annual turnover sits at 56.5 percent against a national 45.8 percent, so the people providing that care keep changing. The inspection record shows 50 deficiencies, including one at harm or jeopardy level and four tied to abuse, with $35,138 in fines and a January 2026 inspection. Ask about weekend nurse coverage and how they screen staff before you decide.
South Hills Post Acute runs on thin staffing. At 3.18 nurse hours per resident per day, it sits about 18 percent under the national average, and weekends drop roughly another 10 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover tells a related story: 63.4 percent of nursing staff leaving annually against a 45.8 percent national figure, which means the people caring for residents are often new to the building. The inspection record is genuinely decent, 20 deficiencies, none at harm or jeopardy level, none abuse-related, and a recent survey, but good surveys don't staff a night shift. For-profit LLC ownership, 160 beds, and a staffing picture that's the clear weak point here.
Sena Kean runs about 3.44 nurse hours per resident per day, roughly 11% under the national average, with weekends dipping another 13% below its own weekday levels. That thin coverage is the main reason its staffing rating sits at 1 out of 5, and it's hard to separate from a 64.6% annual turnover rate, well above the 45.8% national figure. The health inspection record shows 21 deficiencies, including two at harm or jeopardy level and one abuse-related, with a 2/5 inspection rating despite a recent April 2026 survey. Quality measures score well at 4/5, but that reflects resident outcomes, not the hands available to deliver care.
Sugar Creek Care Center runs on 3.09 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 10% below its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5. Turnover is 46.9%, slightly above the national 45.8%, meaning nearly half the nursing staff leaves each year. The 34 deficiencies on record include none flagged for harm or abuse, and the most recent inspection was August 2025, so the home isn't hiding serious safety problems. It's a for-profit LLC with 148 beds where the main question is whether there are enough hands on duty.
Fair Acres is one of the largest county-run homes in Pennsylvania, with 778 beds, and its staff retention is genuinely unusual: turnover of 21.5% sits far below the national rate of 45.8%, meaning the people who work here tend to stay. The problem is how few of them there are per resident, 2.79 nursing hours per resident day against a national average of 3.86, and weekend coverage drops roughly 7% below its own weekday level. Inspectors cited eight deficiencies on the current record, including one at the harm level and one abuse-related, with the most recent inspection dated February 2026. Low turnover helps, but it doesn't stretch thin staffing.
Peters Township Post Acute runs about 3.24 nurse hours per resident per day, roughly 16 percent under the national average, and weekends dip another 13 percent below its own weekday levels. That thin coverage shows up in the staffing picture: 61 percent annual turnover against a national 45.8 percent, and 19 deficiencies on the current record, including one at the harm level and two tied to abuse. The 5/5 quality measure score reflects how residents' conditions are tracked, but it sits alongside the staffing and inspection numbers rather than cancelling them out. A December 2025 inspection is recent, and the for-profit corporate owner means decisions about hours and retention get made well above the building.
Sunnyview runs 220 beds in Butler under for-profit LLC ownership, and its 3.01 nurse hours per resident day sit well under the national figure of 3.86, roughly a fifth less hands-on time than average, with weekends thinner still. Turnover at 43.3% is near the national mark, so the problem isn't retention so much as how few staff hours the building puts on the floor. What stands out most is the inspection record: 93 deficiencies, four serious enough to endanger residents, eight tied to abuse, plus one fine of $30,011 and a place in CMS's Special Focus Facility program. That program exists for homes with a pattern of persistent problems, and a July 2025 inspection hasn't changed the picture.
Montgomeryville Skilled Nursing and Rehabilitation runs 155 certified beds as a for-profit corporation, and its staffing is the number to sit with. At 3.66 nurse hours per resident day, it's about 5% under the national average, and weekends drop roughly 17% below its own weekday level, so the coverage your relative gets on a Saturday won't match a Tuesday. Annual turnover of 81.8% against a national 45.8% means the aides and nurses cycling through are still learning the hall. The 40 deficiencies on record include none flagged for harm or abuse, and its last inspection was recent enough to mean something. Low staffing plus heavy churn is the story here.
Emmanuel Center For Nursing runs about 4.52 nurse hours per resident day, roughly 17% above the national average of 3.86, though weekends dip about 10% below its own weekday level. That staffing cushion hasn't translated into a clean inspection record: 42 deficiencies on file, none at harm or jeopardy level, but two tied to abuse, which is the kind of finding families should ask about directly. The last inspection was recent, December 2024, so the picture is current rather than stale. Quality measures score well, inspections don't, and this church-affiliated nonprofit sits somewhere in between, decent hands-on care, a paper trail worth reading closely before you decide.
Highland Hills Post Acute runs 200 certified beds in Pittsburgh under for-profit LLC ownership, and its current record carries 99 deficiencies, two at the harm or jeopardy level and 15 tied to abuse. That volume of citations, with those categories in the mix, is the kind of pattern families ask about directly, and it's worth asking the administrator to walk you through each one. Staffing sits at 3.19 nurse hours per resident day against a national average of 3.86, with weekends running about 11% thinner than weekdays, and turnover at 48.5%. The most recent inspection was December 2025, so the picture is current. Two fines total $27,709.
Lebanon Valley Home runs a tight ship on the numbers that matter most. Nurses deliver 4.68 hours of care per resident each day, roughly a fifth more than the national average, and weekend coverage barely dips below weekday levels. Staff turnover sits at 17.7 percent, well under half the national rate, which means the people caring for residents tend to stick around. The inspection record backs it up: two deficiencies total, none causing harm and none tied to abuse, with the most recent state visit in September 2025. As a nonprofit, it isn't answerable to shareholders. The care hours are there, the staff are stable, and the record is clean.
Patriot Village runs 3.47 total nurse hours per resident day, roughly 10% under the national average, and weekends dip about 6% below its own weekday staffing. Turnover sits at 31%, which is actually better than the 45.8% national figure, so the problem here isn't retention. The current inspection record shows 48 deficiencies, three at harm or jeopardy level and two tied to abuse, with one fine of $132,561 and a January 2026 inspection. A for-profit LLC operating 100 beds with a one-star health inspection rating and a two-star staffing rating, those are the numbers that matter, and they point to a home where the care environment has real problems worth asking about directly.
Rehab & Nursing Ctr Greater Pittsburgh runs 120 beds under corporate for-profit ownership, and its staffing numbers are genuinely better than most: 3.95 nurse hours per resident day against a national average of 3.86, with turnover at 34.8% versus 45.8% nationally. Weekends dip about 8% below weekday coverage, which is common but worth asking about. The problem sits on the inspection side. Seventeen deficiencies are on the current record, five of them serious enough to involve harm or jeopardy, and four tied to abuse. A 2/5 inspection rating with that many harm-level findings is the number that matters most here. The $8,159 fine is modest. Last inspection: November 2025.
Embassy of Hearthside runs 157 beds as a for-profit LLC, and the staffing numbers are where families should start, the federal staffing rating sits at just one star. That's the piece you feel day to day: how long it takes someone to answer a call light, whether there's enough help at meals and overnight. Its inspection record is the other concern. Seventy-seven deficiencies are on file, including three at the harm level and six tied to abuse, with six fines totaling $174,194. The last inspection was February 2026, so the record is current, not stale. Quality measures score well at four stars, but strong chart numbers don't offset thin staffing and a heavy enforcement history.
Quality Life Services - Markleysburg runs 60 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average of 3.86, with weekends dipping about 3% below its own weekday levels. Annual turnover is 54.9%, well above the 45.8% national figure, meaning the people caring for residents are cycling out faster than usual. The 26 deficiencies on the current record, including 4 at harm or jeopardy level and 3 abuse-related, is a lot for a home this size, and the 2/5 inspection and staffing stars reflect it; the 4/5 quality measure score is the one bright spot. A recent July 2025 inspection means the record is current.
Orwigsburg Nursing and Rehabilitation Center runs about 3.39 nurse hours per resident day, roughly 12% under the national average, and weekend coverage dips another 8% below its own weekday levels. Staff turnover sits at 49%, a few points above the national figure, so the people providing that care keep changing. The current record shows 12 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $17,895; there are no abuse findings. A recent inspection in August 2025 and a 4-star health inspection rating suggest the place gets watched closely, though the limited liability ownership and thin staffing numbers are worth asking about directly.
Valley View runs on a nonprofit model with 163 certified beds, and its staffing is the strongest part of the picture: 4.47 nurse hours per resident day, about 16% above the national average, with a 5-star staffing rating to match. Turnover sits at 26.7% against a national average of 45.8%, which matters for whether your family sees the same faces month to month. The tradeoffs are elsewhere, 34 deficiencies on record including 5 abuse-related, though none reached harm or jeopardy, and weekend staffing dips roughly 10% below weekday levels. One fine totaling $11,788 and an April 2026 inspection round out a record that's solid but not spotless.
Providence Rehab and Healthcare Center in Yeadon runs 129 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 7% under the national average of 3.86. Weekends are thinner still, about 15% below the home's own weekday levels, which matters when families can't visit and problems go unnoticed. Turnover lands at 43.4%, slightly better than the 45.8% national figure, so the same faces stick around a bit more than average. The current record shows 27 deficiencies, none at harm or jeopardy level but three tied to abuse, and the most recent inspection was January 14, 2026. CMS rates its health inspection and staffing at 2 out of 5 stars, while quality measures score 5.