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.
Willow Care runs about 3.67 nursing hours per resident per day, roughly 5% under the national average, and weekends drop about 17% below its own weekday staffing. That gap matters more than the headline number, because weekends are when families often visit and when fewer eyes are on residents. Annual turnover sits at 58.6%, well above the 45.8% national figure, which means the aides and nurses caring for people here are, more often than not, relatively new to the building.
The inspection record is the bright spot: a 4-out-of-5 health inspection rating, 16 deficiencies on file, and none of them at the harm or jeopardy level, with nothing abuse-related. The last inspection was January 8, 2026. Quality measures, though, score 1 out of 5, and that's the split worth asking about on a tour.
Life Care Center of Bridgeton runs on thin nursing coverage. At 3.32 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly another 15% below its own weekday levels. Staff turnover is the bigger tell: 68.2% annually, well above the 45.8% national figure, which means caregivers are constantly new to residents. The inspection record backs that up, 58 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus one fine of $21,801. The last inspection was February 2025, so the record is current. Ownership is for-profit, a limited liability company. Quality measures look decent; staffing is where the problems concentrate.
Hunter Acres Caring Center runs 120 certified beds in Sikeston under individual for-profit ownership, and the staffing numbers are where the trouble shows. At 3.42 nurse hours per resident day, it sits about 11 percent under the national average, and weekends drop roughly 20 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Half the staff turned over in the past year, above the 45.8 percent national figure. Inspections look decent on paper (4 of 5 stars, most recent in August 2025), but the record carries 24 deficiencies, including one at harm level and two tied to abuse, plus a $10,023 fine. Quality measures earned 2 stars, staffing just 1.
New Haven Care Center runs a tight ship on inspections, a perfect five-star health inspection rating and a recent March 2025 survey with 13 deficiencies, none of them causing harm or involving abuse. That's a real strength. The staffing picture is different. At 3.09 nurse hours per resident day, it sits roughly 20 percent under the national average, and weekends drop about 16 percent below its own weekday coverage, so care can thin out exactly when families tend to visit. Turnover at 38.2 percent is better than the national 45.8 percent, meaning workers stay longer than most places. Low quality-measure scores (1/5) round out the concern.
Oak Park Care Center runs 120 beds under corporate ownership, and its numbers tell a mixed story. The health inspection and quality measure ratings both sit at 4 out of 5, and the most recent inspection in August 2024 turned up no abuse citations, but there are 39 deficiencies on record, one of them serious enough to cause harm or jeopardy. Staffing is where the cracks show: 3.80 nurse hours per resident day, just under the national average, with weekend coverage dropping roughly 16% below weekdays. Annual turnover of 55.4% is nearly ten points above the national rate, which means the people caring for residents are frequently new. Plenty of homes in worse shape, but the thin weekend staffing and constant churn are worth asking about directly.
St. Joseph's runs on 3.44 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 16% below its own weekday staffing. That thin coverage shows up in the numbers that matter: 65% annual turnover against a national 45.8%, plus 30 deficiencies on the current record, two of them abuse-related. The last inspection was March 2026, so the record is recent rather than stale. A for-profit limited liability company owns the 83-bed home, and its one-star health inspection rating sits alongside two-star marks for staffing and quality measures. No deficiencies rose to harm or jeopardy level, which is worth noting, but the pattern of low staffing and high turnover is the thing to ask about directly.
Northfield Retirement Communities Care Center runs 66 certified beds as a nonprofit corporation, and its overall nurse staffing of 3.88 hours per resident day sits roughly 1% above the national average of 3.86. That headline number looks fine until you notice weekends run about 16% thinner than weekdays, and annual turnover hits 65.8% against a national 45.8%, meaning most of the people caring for residents are relatively new to the building. The current record carries 28 deficiencies, three tied to abuse, with the last inspection in May 2025. CMS gives the home one star each for health inspections and staffing, two for quality measures.
Wingfield runs about 3.02 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop another 15% below its own weekday coverage. That thinner weekend schedule matters most when families visit and when fewer supervisors are on the floor. The inspection record shows 42 deficiencies, including three at the harm level and five tied to abuse, with one fine of $75,670, and the last inspection was February 2026. Staff turnover of 45.3% sits essentially at the national rate, so continuity isn't the standout problem here, the short staffing and the inspection history are.
Massena Rehabilitation & Nursing Center runs 160 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.41 total nurse hours per resident day, roughly 12% under the national average, with weekends dropping about 18% below its own weekday levels. Annual turnover sits at 61.2% against a national 45.8%. The current record shows 41 deficiencies, one at harm or jeopardy level and none abuse-related, plus three fines totaling $33,387. Its last inspection was August 15, 2025. A 1-out-of-5 health inspection rating and 2-out-of-5 quality measures round out a picture of a home where consistent nurse coverage has been the persistent problem.
Haven Manor runs on 1.67 nurse staffing hours per resident per day, which is roughly 57% below the national average of 3.86. Weekends are thinner still, with staffing about 18% lower than the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover of 27.3% is actually better than the national 45.8%, meaning the staff who are there tend to stay, there just aren't enough of them. The current record shows 19 deficiencies, none at harm or jeopardy level, but four tied to abuse, and the last inspection was in November 2023. For-profit, limited liability ownership, 240 beds.
Macgregor Downs runs 152 beds in Greenville under corporate ownership, and the numbers show a building stretched thinner than most. Nurse staffing sits at 3.39 hours per resident day against a national average of 3.86, and weekends drop roughly 19% below what the home itself staffs on weekdays, so the coverage gap families notice on a Saturday isn't imagined. Annual turnover of 50% means half the nursing staff leaves each year, above the 45.8% national figure, and the current inspection record carries 25 deficiencies, including one at harm or jeopardy level and two tied to abuse. One fine totaling $10,023 is on file.
Pruitthealth-Carolina Point runs on thinner nurse staffing than most homes in the country, 3.23 hours per resident day against a national average of 3.86, and weekends get leaner still, dropping roughly 18% below what the building staffs on weekdays. Turnover sits at 57.8%, well above the 45.8% national figure, so the people who remain are stretched and the ones who leave take institutional knowledge with them. The inspection record backs that up: 18 deficiencies on file, two serious enough to involve harm or jeopardy, two tied to abuse, and $52,901 in fines across two penalties. Quality measures score well, but a 1-out-of-5 staffing rating and a recent February 2026 inspection tell you where the risk actually lives.
Aventura At Shiloh Springs runs on 3.07 nurse hours per resident per day, roughly 20% under the national average of 3.86, and weekend coverage drops about 8% below its own weekday level. That thin staffing shows up in its one-star CMS staffing rating even as residents' clinical measures earn five stars. The inspection record is heavier: 59 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a two-star health inspection rating. This for-profit corporation's 84-bed home was last inspected January 8, 2026, so the record is current, not stale. Ask about weekend nurse coverage and how the abuse-related findings were resolved.
Calera Manor runs on 2.26 nurse hours per resident day, roughly 42 percent under the national average of 3.86, and weekends drop about 16 percent below its own weekday staffing. That thin coverage, the federal staffing rating lands at 1 out of 5, is the backdrop for 24 deficiencies on the current record, four of them abuse-related, though none reached harm or jeopardy level. Turnover sits at 42.2 percent, a bit better than the 45.8 percent national figure. A for-profit limited liability company operates the 82-bed home, which was last inspected in June 2025. A 3-out-of-5 inspection rating and 2-out-of-5 on quality measures round out a picture where daily staffing is the main question.
Gracedale is a county-run home with 688 beds, and the numbers behind its record are worth understanding before you visit. Staffing sits at 3.68 hours per resident day, roughly 5% under the national average, and weekends drop about 12% below what the home provides on weekdays, so the coverage your family member gets on a Saturday looks different from a Tuesday. The inspection history is the bigger concern: 22 deficiencies on the current record, six at harm or jeopardy level, three tied to abuse, and $122,572 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of serious problems. A 1-out-of-5 inspection rating reflects that pattern, not a single bad day.
Ryder Memorial Hospital Inc runs 62 certified beds as a nonprofit corporation in Humacao, Puerto Rico, and the staffing numbers are the first thing that stand out. At 3.07 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 25% below its own weekday levels, so the hours are thin to begin with and thinner when families tend to visit. Annual turnover of 69.2% against a 45.8% national average suggests a workforce that doesn't stay long. Its last inspection was recent, March 2025, with 41 deficiencies on record, none at harm or jeopardy level and none abuse-related.
Carlyle Senior Care of Blackville runs 85 certified beds under corporate, for-profit ownership, and the numbers worth knowing start with its inspection record: 16 deficiencies on file, 3 of them serious enough to involve harm or jeopardy, plus 2 tied to abuse. Three fines totaling $58,881 have followed. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly 16% below the home's own weekday level, so coverage thins out right when families tend to visit. Staff turnover at 43.9% is slightly better than the 45.8% national figure, and the most recent inspection was March 31, 2026.
Avantara Pierre runs a 65-bed for-profit home in Hughes County, and the staffing numbers are the first thing to notice: 2.81 nurse hours per resident day, roughly 27% under the national average of 3.86. Weekends thin out further, about 19% below the home's own weekday coverage. Turnover sits at 40.5%, better than the 45.8% national figure, so the people who stay seem to stay. The trouble is the record: 33 deficiencies, three of them at harm or jeopardy level, one tied to abuse, and a $22,048 fine. Inspectors were last in on April 2, 2025.
Avantara Clark City runs 35 beds in Clark, and the raw staffing number looks better than it is: 4.17 nurse hours per resident day sits about 8% above the national average, but weekend coverage drops roughly 16% below the home's own weekday level, so the hours aren't spread evenly across the week. Staff turnover of 42.4% is slightly better than the 45.8% national figure, though the CMS staffing rating still lands at 2 out of 5. Inspectors gave a 4 out of 5 health inspection rating and visited recently, in January 2026, but the record carries 7 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $11,057 fine.
Good Samaritan Society Tyndall runs 68 certified beds as a nonprofit, and its last health inspection was in January 2025. The record shows 10 deficiencies, three of them serious enough to put residents in harm or jeopardy, plus three fines totaling nearly $45,000. Nurse staffing sits at 3.58 hours per resident per day, about 7% under the national average, and weekends run roughly 15% lighter than weekdays. Staff turnover is the number that would worry me most, 58.5% a year, well above the 45.8% national rate. Quality measure scores came in at 2 out of 5 stars.