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.
Carlyle Senior Care of Aiken runs 86 certified beds under for-profit LLC ownership, and its staffing is genuinely its strong point, 4.10 nurse hours per resident day, roughly 6% above the national average. Weekend coverage dips about 8% below weekday levels, and turnover sits at 44.3%, slightly better than the national 45.8%. Where the picture darkens is inspections and care quality: both CMS ratings sit at 1 out of 5, with 11 deficiencies on the current record, including 2 at harm or jeopardy level and 3 tied to abuse. That's a lot of serious findings for a home this size, and it points to problems that adequate staffing hours alone haven't prevented.
C M Tucker Jr Nursing Care Center in Columbia runs on state government ownership and a big staff, 5.20 nurse hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level. What that staffing buys is a spotty record: 24 deficiencies on file, seven serious enough to put residents in harm's way, three tied to abuse, and four fines totaling $244,929. The last inspection was in May 2025, so the picture is current. High direct-care hours coexist here with repeated, sometimes dangerous, compliance failures, a split worth weighing carefully if you're choosing a place for someone.
Life Care Center of Hilton Head runs about 3.69 nursing hours per resident day, roughly 5% under the national average, and weekend staffing drops around 14% below its own weekday level. Staff turnover sits at 56.3%, well above the 45.8% national figure, that's more than half the nursing staff leaving in a year. The current inspection record shows 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $8,281. Its most recent inspection was July 17, 2025. Quality measure scores look strong, but the inspection history and staffing pattern tell a different story.
Mccormick Post Acute runs 120 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.11 nurse hours per resident day, roughly 19 percent under the national average, with weekends about 11 percent thinner than weekdays. That thin coverage shows up in the inspection record, a one-star health inspection rating, 21 deficiencies including three at harm or jeopardy level and two tied to abuse, plus $77,101 in fines across two penalties. Staff turnover sits at 40.9 percent, a bit better than the 45.8 percent national figure, and the quality measure rating is strong at five stars, but those measures lean on resident assessments rather than day-to-day care capacity. The most recent inspection was May 2025, so the picture is current.
Martha Franks Baptist Retirement Center sits in Laurens, and the numbers tell a mixed story worth sorting through. Nurse staffing runs 4.24 hours per resident day, roughly 10% above the national average, and weekend coverage holds up reasonably well even if it dips about 13% below weekdays. Staff turnover at 41.1% is slightly better than the national 45.8%, so people aren't fleeing. Where it gets harder: 11 deficiencies on the current record, including one at the harm level and two tied to abuse, with a $12,735 fine. The last inspection was September 2025. Good daily care hours, but a compliance record that needs a close look.
Senior Care Of Marion runs 95 certified beds under for-profit LLC ownership, and the numbers worth knowing sit in its inspection record: 15 deficiencies, two of them serious enough to reach harm or jeopardy, and two tied to abuse. Turnover runs at 54.7%, well above the 45.8% national average, which matters because it means the people caring for residents keep changing. CMS gave it 2 out of 5 stars on both health inspections and quality measures. A recent inspection in September 2025 didn't undo any of that, and two fines totaling $24,054 are on file. If you're considering this one, ask directly about staffing stability and how those abuse-related findings were resolved.
Spearfish Canyon Healthcare runs 105 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.37 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop another 13 percent below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover of 58.8 percent against a 45.8 percent national figure means caregivers are cycling through steadily, which matters more than any single star rating. The inspection record backs that up: 21 deficiencies, including four tied to abuse and one at the harm level, with a $9,718 fine. The most recent inspection was August 2025, so the record is current, not stale.
Good Samaritan Society Sioux Falls Center runs 98 certified beds as a nonprofit, and its staffing sits at 3.58 nurse hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 12% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is 44.2%, a hair under the national 45.8%, so retention here isn't the problem. The inspection record is: 18 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus one fine of $11,261. The most recent inspection was September 5, 2025.
The staffing numbers at United Living Community look strong at first glance, 4.78 nurse hours per resident day, well above the national average, and CMS agrees, giving it 4 out of 5 staffing stars. But weekends run about 12% leaner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Turnover sits at 50%, higher than the national 45.8%, meaning the people providing that care are often new. The inspection record is where things get concerning: 22 deficiencies, including 2 at the harm level and 5 abuse-related, plus $33,027 in fines. That combination is what pulls the overall picture down to a C.
Centerville Care and Rehab runs 42 certified beds under corporate ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends thin out further, running about 18% below the home's own weekday coverage, which matters when you're thinking about who's on hand on a Saturday night.
The inspection record shows 19 deficiencies, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $55,059 has been levied. Staff turnover comes in at 43.9%, slightly better than the national 45.8%, and the most recent inspection was May 2025. The staffing and quality measure ratings both land at 2 out of 5.
Sunset Manor runs a genuinely strong bedside staffing line, 5.10 nurse hours per resident day, roughly a third more than the national norm, and that's the one number here that works in families' favor. But weekends dip about 16% below the home's own weekday coverage, and the same staff is turning over at 70.4% a year against a national 45.8%, so the people delivering that care keep changing. Inspectors cited 17 deficiencies on the current record, four at harm or jeopardy level and five tied to abuse, with $40,596 in fines, and the most recent inspection closed out in late December 2025. Nonprofit ownership hasn't kept the compliance record clean.
Diamond Care Center runs on thin coverage, 2.44 nurse staffing hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. CMS gives that staffing a 1 out of 5, and the health inspection record matches: 25 deficiencies, including two at the harm level and one tied to abuse, plus $69,512 in fines. Annual turnover sits at 54.5%, well above the national 45.8%, which makes it harder to hold onto the staff who know these 36 residents. The quality measure star of 4 out of 5 shows some care processes are being tracked well, and the last inspection was September 2025. But staffing and compliance are where families usually feel the difference day to day.
Bethany Home in Brandon has plenty of hands on deck, 4.66 nurse hours per resident day, roughly a fifth more than the national average, and that staffing shows up in its four-out-of-five staffing rating. But the numbers stop looking good there. State inspectors have cited 27 deficiencies on the current record, four of them at the level where residents were actually harmed or put in jeopardy, and four tied to abuse. The health inspection and quality ratings both sit at the bottom of the scale, and the home has paid three fines totaling $51,350. Weekend coverage runs about 14 percent thinner than weekdays, and 54 percent of staff turned over last year, above the national rate.
Nhc Healthcare, Springfield runs 107 certified beds under for-profit LLC ownership, and its last inspection was December 3, 2025, recent enough that the record reflects current conditions. Those conditions include 14 deficiencies, three of them abuse-related and two at the harm or jeopardy level, plus a $122,070 federal fine. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, weekends run roughly 9% leaner than weekdays, and annual turnover is 54.6% against a national 45.8%. The five-star quality measure rating stands out against a one-star inspection rating, but quality measures are self-reported resident data, not an outside surveyor's findings. Staffing earns three stars.
Highlands Health And Rehabilitation Center runs 180 beds in Memphis under corporate for-profit ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends run about 12% thinner than weekdays, and annual turnover is 53.6% against a national 45.8%. That combination shows up in the federal stars: 2 out of 5 for staffing and 2 for health inspections, with 16 deficiencies on the current record, one serious enough to reach harm or jeopardy level. No abuse citations, and quality measures score a middling 3. The last inspection was August 2022, so the record you're reading is more than a year old.
Wexford House runs 174 beds in Kingsport, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. Weekends drop about 11% below the home's own weekday numbers, and annual turnover hits 65% against a national 45.8%, so the aides and nurses you'd see most often are changing faster than average. The current record lists 15 deficiencies, including two tied to abuse, though none rose to the harm or jeopardy level, and the last inspection was in June 2025. Quality measures score mid-range while staffing lands at the bottom of CMS's scale, which is where the C comes from.
Tri State Health and Rehabilitation Center runs 116 certified beds as a for-profit corporation, and its current inspection record carries 15 deficiencies, five of them serious enough to involve harm or jeopardy, plus two tied to abuse. The health inspection rating sits at 1 out of 5, and two fines totaling $14,852 are on file, with the most recent inspection dated December 2025. Nurse staffing comes in at 3.44 hours per resident day, roughly 11% under the national average, and weekends run about 15% thinner than weekdays. Staff turnover is 38.5%, which is lower than the 45.8% national figure, a genuine bright spot. If you're weighing this one, ask hard questions about how those harm-level findings were resolved.
Life Care Center of Athens runs on a corporate for-profit model with 128 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.54 hours per resident day, about 8 percent under the national average, and weekends drop roughly another 10 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than most, at 29.4 percent against a national 45.8 percent, which suggests some stability in who's actually at the bedside. What pulls the record down is inspections: a one-star health inspection rating, 16 deficiencies on file including one at harm level and three tied to abuse. The last inspection was March 28, 2026.
The ownership is a for-profit limited liability company, and its 165 beds are staffed at 3.36 nurse hours per resident day, roughly 13 percent under the national average, with weekends dropping about 18 percent below its own weekday coverage. That thinner weekend schedule matters because the inspection record shows 14 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus $20,050 in fines. The quality measure score is strong and turnover sits well below the national rate, so there are real strengths here, but the recent October 2024 inspection and the harm-level findings are what a family should ask about directly before deciding.
Grandview Post Acute runs 120 certified beds in Cookeville under corporate ownership, and its staffing numbers are genuinely above average, 4.42 nurse hours per resident day against a national 3.86. That's worth something. But turnover sits at 54.4% versus 45.8% nationally, and weekend coverage drops about 8% below its own weekday level, so the people providing that care keep changing.
The inspection record is where things get harder to explain away: 37 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in May 2025. CMS rated health inspections and quality measures both 1 out of 5, staffing 2 out of 5. Above-average hours don't offset that pattern on their own.