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.
Alameda Hospital D/P SNF runs 5.11 nursing hours per resident day, roughly a third more than the national average, and its quality measure score sits at the top of CMS's scale. That part of the picture looks strong. What pulls it back is stability: annual staff turnover of 86.5% is nearly double the national rate, weekend coverage dips about 9% below weekdays, and the inspection history shows 17 deficiencies, including two tied to abuse, with a 2-out-of-5 inspection rating. County ownership means public accountability, but it doesn't fix a workforce that keeps cycling through. If you're considering this one, ask how they hold staffing steady on weekends and what's changed since September 2024.
North Pointe Care Center is a 161-bed for-profit home in Sacramento, and its numbers pull in different directions. Nurse staffing sits at 3.69 hours per resident day, slightly under the national average, and weekends run about 6% thinner than weekdays, a gap families often feel on Saturday and Sunday. Turnover is 37.7%, actually better than the 45.8% national figure, so the crew is steadier than most. The concern is the inspection record: 68 deficiencies, including 13 tied to abuse and 3 at harm or jeopardy level, with a $24,115 fine and a January 2026 inspection.
Glendora Canyon runs 3.94 nurse hours per resident day, a bit above the national average of 3.86, and its staff turnover of 39.1% actually beats the 45.8% national figure, so the people caring for residents tend to stay longer than is typical. The problem isn't the workforce; it's the record. Seventy-three deficiencies, including one at the harm level and three tied to abuse, with a January 2026 inspection that turned up a one-star health inspection rating. Weekend coverage also dips about 6% below weekday levels. For a for-profit LLC with 120 beds, that inspection history is the thing to ask about directly before deciding.
Kei-Ai Los Angeles Healthcare Center runs 300 beds under for-profit LLC ownership, and the staffing numbers are genuinely better than most: 4.45 nurse hours per resident day, roughly 15% above the national average, with weekend coverage dipping only slightly below weekdays. Turnover sits at 40.1%, under the national figure. The inspection record tells a different story. There are 122 deficiencies on file, including six at the harm or jeopardy level and eight tied to abuse, plus two fines totaling $184,989. A recent inspection in February 2026 hasn't wiped that history clean. Plenty of hands on deck, but a documented pattern of serious problems those hands haven't solved.
Capital Post Acute runs 121 beds in Sacramento under for-profit LLC ownership, and its nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average. Turnover is 38.2%, better than the 45.8% national figure, though weekend coverage drops about 11% below weekday levels, so care may thin out when families visit. What pulls the record down is the inspection side: a 2/5 health inspection rating and 71 deficiencies on file, 11 of them abuse-related, none at the harm level. The most recent inspection was February 2026. Quality measures score well at 4/5, but that paperwork strength doesn't erase 71 citations.
Gramercy Court runs 120 certified beds in Sacramento under for-profit LLC ownership, and its staffing numbers are genuinely strong: 4.16 nurse hours per resident day, roughly 8% above the national average, with weekend staffing dipping about 11% below its own weekday levels. Turnover sits at 43.1%, slightly better than the 45.8% national figure. The trouble is the inspection record, 49 deficiencies, 11 of them abuse-related, and a 2/5 health inspection rating, all as of a December 2025 survey. That's a lot of cited problems for a home this size, and the abuse category is the kind of thing families should ask about directly before touring. Strong staffing and a shaky inspection history can coexist, but they tell different stories.
Meadowood runs 4.13 nurse hours per resident day, about 7% above the national average, but that edge thins out on weekends, when staffing drops roughly 6% below its own weekday level. Turnover sits at 44.9%, essentially the national rate, so the crew is not unusually stable. The trouble is the inspection record: 64 deficiencies, including six at harm or jeopardy level and eight tied to abuse, with $91,067 in fines and a January 2026 inspection that earned one star out of five. Quality measures score five stars, but those are largely self-reported, and corporate ownership gives no reason to expect the pattern to change.
Coalinga Regional Medical Center's skilled nursing unit runs 99 beds under for-profit LLC ownership, and the federal numbers show strain on multiple fronts. Staffing is the weakest area, CMS gives it one star out of five, well below what you'd want for a resident needing daily help. The inspection record carries 40 deficiencies, including four that caused actual harm or put residents in immediate jeopardy and two tied to abuse. That's a serious pattern, not a paperwork problem. The most recent inspection was April 10, 2025, so the findings are current, not stale. Quality measures also sit at two stars. If you're considering this home, ask directly what changed after those harm-level citations and how they're staffing the floor now.
Pioneer House runs 4.13 nurse hours per resident day, which is about 7% above the national average, and turnover at 44.8% is basically in line with the country as a whole. The staffing picture isn't the problem. The current record shows 59 deficiencies, including one at the harm or jeopardy level and seven flagged as abuse-related, and the health inspection rating sits at 2 out of 5. Quality measures score 5 out of 5, so the day-to-day clinical numbers look strong even as the inspection history does not. Weekend staffing drops roughly 11% below its own weekday level, which is worth asking about directly. It's a 50-bed for-profit LLC, last inspected in December 2025.
River Walk Care Center reports 4.14 total nurse hours per resident day, about 7% above the national average of 3.86, but that staffing advantage thins on weekends, when hours drop roughly 10% below the home's own weekday levels. Turnover sits at 47.8%, slightly above the 45.8% national figure, and the limited liability company that owns the 99-bed home carries 51 deficiencies on its current record, including three at the harm or jeopardy level and two tied to abuse, plus $164,778 in fines across three penalties. The last inspection was February 26, 2026, so the record is recent. A 4/5 quality measure score stands out against 2/5 marks for staffing and health inspections.
San Diego Post-Acute Center runs 240 beds in El Cajon under for-profit LLC ownership, and its staffing is the strongest thing it has going: 4.16 nurse hours per resident day, about 8 percent above the national average, with turnover at 36.5 percent, meaningfully better than the 45.8 percent norm. Weekend coverage dips roughly 6 percent below weekdays, which is worth asking about. The inspection record is where the picture darkens. Eighty-seven deficiencies sit on the current record, three of them at harm or jeopardy level and seven tied to abuse, plus two fines totaling $46,495. The most recent inspection was February 27, 2025. Strong daily care numbers do not cancel out that history.
Santa Fe Heights sits in Compton with 99 certified beds and a for-profit LLC owner. The staffing numbers look solid on paper, 3.87 nurse hours per resident day, just a hair above the national average, and turnover at 27.8% is well below the 45.8% national figure. But weekends run about 7% thinner than weekdays, so coverage isn't as steady as the average suggests. What drags this home down is its record: 126 deficiencies, including 17 tied to abuse and 4 serious enough to put residents in harm's way, plus three fines totaling $113,169. The most recent inspection was February 9, 2026.
Bayshire Riverwalk runs on a for-profit corporate model with 120 beds, and its staffing numbers are the strongest thing it has going: 4.51 nurse hours per resident day, roughly 17% above the national average, though weekend coverage drops about 9% below its own weekday level and annual turnover sits at 49%, a bit worse than the 45.8% national figure. The trouble is everything on the inspection side. Sixty-six deficiencies are on the current record, including three at the harm or jeopardy level and five tied to abuse. Two fines total $80,668, and the most recent inspection was December 4, 2025. A 1-out-of-5 health inspection rating against a 4-out-of-5 staffing rating tells you where the risk sits.
Sherwood Oaks Post Acute sits in Thousand Oaks with 99 certified beds, run by a for-profit limited liability company. The nursing hours tell a decent story on paper, 4.27 per resident day, roughly 11 percent above the national average, but weekends dip about 11 percent below the home's own weekday levels, so coverage isn't evenly spread across the week. Staff turnover runs 30.4 percent, noticeably better than the 45.8 percent national figure, which matters for familiarity with residents. Inspectors gave a 4-out-of-5 health inspection rating at the most recent visit in February 2025, with 49 deficiencies on record, none at harm or jeopardy level, though two are abuse-related.
Gordon Lane Care Center runs on 4.14 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 26% sits well under the 45.8% national figure, a real plus for consistency of care. The tradeoff shows up in the inspection history: 101 deficiencies on record, five of them abuse-related, though none at the harm or jeopardy level, and the health inspection rating sits at 2 out of 5. Weekend staffing drops about 8% below its own weekday level, so ask how coverage looks on Saturdays and Sundays. The last inspection was August 2025.
Lawndale Healthcare & Wellness Centre runs 59 certified beds under for-profit, limited-liability ownership, and its nurse staffing sits at 4.73 hours per resident day, roughly 22 percent above the national average of 3.86. That's real coverage on paper. But weekends drop about 14 percent below the home's own weekday level, so the weekday numbers don't tell the whole story. The bigger problem is the inspection record: 68 deficiencies, including 2 at the harm or jeopardy level and 14 tied to abuse, plus two fines totaling $62,004. A 1-out-of-5 health inspection rating against 4-out-of-5 marks for staffing and quality measures is a wide gap, and with the last inspection dated January 2026, the record is recent. Ask about those 14 abuse-related deficiencies directly before you visit.
San Marino Healthcare Center runs on 4.10 nurse hours per resident day, about 6% above the national average, and its staff retention is unusually strong, turnover of 25.5% against a national average near 46%. Weekend coverage dips roughly 12% below weekday levels, so ask how that plays out on Saturdays. The inspection record is the weak spot: 45 deficiencies, 5 tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in January 2026. Quality measures score well and staffing holds up, but the compliance history is heavy for a 59-bed for-profit home.
Pasadena Nursing Center runs 52 beds as a for-profit LLC, and its nurse staffing averages 4.73 hours per resident day, about 22% above the national average of 3.86. That's a real strength, though weekends dip roughly 10% below the home's own weekday levels, and annual turnover sits at 60.7% against a national 45.8%. The inspection record is where the concern lives: 82 deficiencies, one at harm or jeopardy level, and 11 abuse-related, drawing three fines totaling $23,160. Its most recent inspection was in April 2026. High bedside hours paired with heavy turnover and that deficiency history is a mixed picture, worth asking about staff retention and how the abuse-related findings were resolved.
Cherokee Rose runs lean on nurses. At 3.20 hours per resident day, its staffing sits about 17 percent under the national average, and weekends drop roughly another 20 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. That shows up in the staffing star rating, which comes in at 1 out of 5, even as the health inspection rating holds at 4 out of 5. The current record carries 18 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent inspection was March 2026. Quality measures rate 2 out of 5. Corporate-owned, 102 beds. Strong recent inspections, weak day-to-day staffing.
Arbor Lake runs on 3.11 nurse hours per resident per day, roughly 19 percent under the national average, and weekends drop another 11 percent below what the home itself staffs on weekdays. That thin coverage shows up in a 52.7 percent annual turnover rate, with more than half the nursing staff leaving each year. Inspectors cited 33 deficiencies on the current record, three of them serious enough to put residents in harm's way and two tied to abuse. The owner is a for-profit individual, and two fines totaling $14,676 are on file. One bright spot: the quality measures score well above average, and the most recent inspection was July 2025.