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.
Summit Ridge runs leaner than most homes, 3.37 nursing hours per resident day against a national average of 3.86, and weekends get even thinner, with about 12% less coverage than weekdays. That staffing pattern likely explains the middle-of-the-road marks on health inspections and quality measures, though the home keeps turnover well below the national rate and earns a 4-star staffing rating despite the low hours. The record shows 27 deficiencies, including two at harm or jeopardy level and five tied to abuse, plus $34,646 in fines, and ownership changed within the past year.
Powell Valley Care Center runs on a hospital-district model, and the staffing reflects it: 5.08 nurse hours per resident day, roughly a third more than the national average, with turnover at 24.2% against a national 45.8%. That consistency matters, though weekend coverage dips about 8% below weekdays. The trouble sits elsewhere. Two of the six deficiencies on record are serious enough to involve harm or jeopardy, and two are abuse-related, which is why the health inspection rating lands at 2 out of 5. Quality measures score 1 out of 5. Two fines totaling $29,120, and the last inspection was January 31, 2025. Staffing is the strength; the care record is the concern.
Goshen Healthcare Community runs 103 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The 45.8% annual turnover matches the national figure, but the inspection record is the heavier concern: 25 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $29,617 fine. The most recent inspection was July 24, 2025. If you're weighing this one, ask specifically how the abuse-related findings were resolved and what weekend coverage actually looks like.
Mountain View is state-run, which is unusual, most Wyoming homes aren't, and that ownership shows up in a mixed record. The inspection side is where the trouble sits: 21 deficiencies on the current record, six of them at harm or jeopardy level, and six tied to abuse. One fine of $50,980 has been levied. That's a lot of serious findings for a 40-bed home, and it explains the two-star inspection rating. The quality measures look better at four stars, so resident care metrics aren't the weak spot. The last inspection was January 2025, so the record is recent. If you're considering this one, ask directly what changed after those harm-level findings, that's the question that matters here, not the quality score.
The state-run veterans' home in Buffalo is unusually well staffed, 7.88 nurse hours per resident day, roughly double the national average of 3.86, and weekends only dip about 14% below its own weekday level, which is modest for a nursing home. That helps explain the four-out-of-five staffing rating. The trouble is on the inspection side: 16 deficiencies on the current record, including one at the harm level and two abuse-related, and the health inspection rating sits at two out of five. The most recent survey was in January 2026. Strong staffing hasn't translated into a clean regulatory record here, and the abuse citations are the kind of thing families should ask about directly.
Seneca District Hospital's skilled nursing unit is small, 16 beds, and it's run by the hospital district, not a chain. The staffing numbers genuinely stand out: 6.07 nurse hours per resident day, well above the national average, and weekends only dip about 14% from weekday levels, which is better than many homes manage. Turnover, though, sits at 48.1%, slightly worse than average. And the inspection record is the real concern: 14 deficiencies on file, including 2 at the harm level and 3 tied to abuse, with one $11,408 fine. The last inspection was in December 2025. Strong daily coverage, but a recent survey history that warrants questions before you decide.
Valley View Care Center runs 53 beds in Delano under corporate for-profit ownership, and its staffing is genuinely above average: 4.60 nurse hours per resident day against a national norm of 3.86. Weekend coverage dips about 12% below weekday levels, though, and turnover sits at 35.4%, better than the 45.8% national figure, but still a third of the staff leaving each year. The inspection record is where the concern concentrates: 67 deficiencies on file, including one at the harm level and six tied to abuse, with the most recent inspection in December 2025. Staffing holds up reasonably well here; the survey history is the part worth pressing the administrator on.
Las Flores Convalescent Hospital has real staffing depth, 4.30 nurse hours per resident day, roughly 11% above the national average, and turnover at 31.7% beats the 45.8% national figure, which matters for continuity of care. But the inspection record is where this home falls apart: 82 deficiencies on file, including 5 at harm or jeopardy level and 9 tied to abuse, plus four fines totaling $107,406. A 4-out-of-5 staffing rating next to a 1-out-of-5 inspection rating tells you the people are there but the systems around them aren't holding. Weekend coverage drops about 17% below weekday levels, so care thins out exactly when families tend to visit. The most recent inspection was May 2026.
White Blossom Care Center runs 153 beds in San Jose under for-profit LLC ownership, and its headline staffing number, 4.03 nurse hours per resident day, sits only about 4% above the national average. That thin margin doesn't hold up on weekends, when coverage drops roughly 11% below the home's own weekday level, and annual turnover of 54.3% runs well past the national 45.8%. The inspection record is where the real weight sits: 49 deficiencies, two at harm or jeopardy level, one tied to abuse, and $97,997 in fines, with the most recent inspection dated March 2026. Strong quality-measure scores don't offset a record that heavy.
Fidelity Health Care sits in El Monte with 90 certified beds, run by a for-profit limited liability company. What stands out first is the nursing staff: 4.19 hours per resident day, roughly 9% above the national average, with a 5-out-of-5 staffing rating from CMS. Turnover is the real bright spot, 14.3% a year, far below the national 45.8%, which means the people caring for residents tend to stay. Weekend coverage dips about 7% below the home's own weekday level, so ask how that plays out on Saturdays and Sundays. The concern is inspections: a 2-out-of-5 health inspection rating, 44 deficiencies on the current record, including four abuse-related citations, none at the harm level. The state inspected most recently in April 2025, so the record is current.
Greenhaven runs on a for-profit LLC structure with 148 beds, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average. Weekend coverage dips about 7% below its own weekday levels, and turnover is 33.7%, noticeably better than the 45.8% national rate. The trouble shows up in inspections: 71 deficiencies on record, including one at the harm level and nine tied to abuse, with the most recent inspection dated February 2026. That's a wide gap between how the place is staffed and how it's actually being run day to day. Strong quality scores don't cancel out a harm-level finding or nine abuse citations. Ask to see the plan of correction before you decide anything.
Concord Post Acute runs 190 beds under for-profit LLC ownership, and its staffing picture is genuinely mixed. Total nurse coverage sits at 3.87 hours per resident day, essentially dead even with the national average, while weekend staffing dips about 6% below its own weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The real strength is retention: 28.4% turnover against a national 45.8% means far fewer unfamiliar faces than at most homes. The inspection record is the problem. Thirty-eight deficiencies, four tied to abuse and one serious enough to reach harm or jeopardy level, with the most recent survey in April 2025. A 2/5 inspection rating against 4/5 for staffing and quality measures tells you where the trouble lives.
Noble Care Center runs 99 certified beds in Stockton under for-profit limited liability ownership. Its nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86, and weekends dip about 6% below its own weekday coverage, small gaps that add up over time. What stands out more is the inspection record: a 1-out-of-5 health inspection rating, 88 deficiencies on the current record including one at the harm level and nine tied to abuse, with the last inspection in March 2025. Staff turnover at 32% is actually better than the 45.8% national average, but that's doing less work than it sounds given everything else. Worth asking hard questions before you decide.
Miracle Mile Healthcare Center runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average of 3.86. But weekends drop about 10% below its own weekday levels, and annual turnover hits 53.4% against a national 45.8%, so that headline number doesn't hold steady across the week.
The inspection record is where the real weight sits: 110 deficiencies, including 6 at harm or jeopardy level and 9 tied to abuse. Four fines total $295,952. The most recent inspection was March 2026, so the record is current. CMS rates health inspections 1 out of 5, staffing 2 out of 5, quality measures 3 out of 5.
St. Pauls Health Care Center sits in San Diego with 59 certified beds and a nonprofit corporation behind it. The nurse staffing number is genuinely strong, 4.78 hours per resident day, roughly a quarter above the national average, though weekends dip about 9% below what the home staffs on weekdays. That staffing strength is offset by a 62.5% annual turnover rate, well above the 45.8% national figure, and by 58 deficiencies on the current record, including one at the harm level and three tied to abuse. The most recent inspection was in June 2025. High direct-care hours and a troubling inspection history are both true here at once.
Cedar Pine Post Acute runs 4.10 nurse hours per resident day, a bit above the national average of 3.86, though weekends dip roughly 10% below its own weekday coverage. Staff turnover sits at 35.4%, better than the 45.8% national figure, and the last inspection was recent, in May 2025. The trouble is what those inspections keep finding: 89 deficiencies on the current record, including 7 tied to abuse and 2 serious enough to put residents in harm's way. A single $9,113 fine looks light against that pattern, and under a for-profit corporation, the staffing strength isn't offsetting a 1-out-of-5 inspection rating. Strong quality scores can't carry a home with this citation history.
Valley of the Moon runs a small house, 27 beds, and staffs it well above average, about 5.05 nurse hours per resident day against a national 3.86. That's real coverage, though weekends thin out roughly 11% below the weekday level, and turnover sits at 47.2%, a touch worse than the national 45.8%.
The problem is the inspection record. Twenty-nine deficiencies, three serious enough to put a resident in harm's way, one tied to abuse, and a $13,065 fine. The state's last look was in October 2024.
So you have a home that's well staffed on paper and scores 5/5 on quality measures, but its last two years of inspections tell a messier story. Ask about staffing on Saturdays and what changed since that October visit.
Oroville Hospital Post-Acute Center runs 126 certified beds as a nonprofit, and its nurse staffing sits at 5.44 hours per resident day, roughly 41% above the national average of 3.86. That's a real strength, and it's why staffing earns a mid-tier rating. But look at what the extra hours are covering for: 46 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. Inspections and quality measures each land at the lowest star rating, and the most recent survey came in December 2024. One fine of $45,500 is on file. Weekend staffing also drops about 11% below its own weekday level, so the coverage thins out when families tend to visit.
Desert Springs Post Acute runs 178 beds in Palm Desert under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, but weekends drop roughly 10% below the home's own weekday coverage, and annual turnover hits 49% against a national 45.8%. The health inspection record is where things get serious: 128 deficiencies on file, including 3 at harm or jeopardy level and 13 tied to abuse, with two fines totaling $74,424. Quality measures score well, but staffing and inspection ratings don't match. If you're considering this one, ask pointed questions about weekend coverage and how the abuse-related findings were resolved.
Bruceville Terrace runs on unusually deep staffing for a nonprofit: 5.06 nurse hours per resident day, roughly a third more than the national figure, with weekend coverage dipping only about 9% below its own weekdays. Turnover sits at 18.3% against a national average of 45.8%, so the people caring for residents tend to stay. The trade-off shows up in its inspection record, 33 deficiencies on file, two of them abuse-related, though none reached harm or jeopardy, and the most recent survey dates to May 2026. Quality measures score well above average. What you're looking at is a well-staffed home that still accumulates paperwork-level citations.