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.
Wells Nursing Home runs on thinner staffing than most places: 3.23 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 19% below what the home itself staffs on weekdays. That pattern matters, because falls and infections don't take Saturdays off. The inspection record shows 16 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $8,512 and a survey completed in September 2024. Quality measures score mid-range, but the staffing picture and the harm-level findings are the parts worth asking about directly.
Warren Center runs about 3.27 nurse hours per resident day, roughly 15% under the national average, and weekends dip another 10% below its own weekday levels. Staff turnover is 71.1%, well above the 45.8% national figure. That combination shows up in the inspection record: 36 deficiencies, including one at the harm level and three tied to abuse, with a $9,318 fine. The quality measure score tells a different story, but quality measures are largely self-reported, while inspections are not. One thing worth noting: the most recent inspection is dated April 2026, so the 36-deficiency count may not yet reflect whatever surveyors found that day.
Raleigh Rehabilitation Center runs 157 certified beds under for-profit LLC ownership, and its staffing numbers are the soft spot: 3.63 nurse hours per resident day against a national average of 3.86, with weekends running about 11% leaner than weekdays. Annual turnover of 59.7% sits well above the 45.8% national figure, so the people at the bedside change often. The inspection record shows 19 deficiencies, three of them serious enough to involve harm or jeopardy, plus two fines totaling $69,112. A recent March 2026 inspection and a 4/5 quality measure rating work in its favor, but the limited staffing depth and high turnover are what families should ask hard questions about.
The Carrolton of Williamston runs on noticeably thin staffing: 2.70 nurse hours per resident per day, roughly 30% below the national average of 3.86, and weekends drop another 10% below its own weekday levels. That gap shows up in the inspection record, where 48 deficiencies include two at the harm or jeopardy level, along with a $45,102 fine. The one number in its favor is turnover at 33.3%, better than the national 45.8%, so workers tend to stay even though there aren't enough of them. A for-profit corporation owns the 154-bed home, and its most recent inspection was in July 2025.
Cypress Valley runs lean on nursing hours, 2.86 per resident day against a national average of 3.86, roughly a quarter less care time than typical. Weekend coverage dips slightly below its own weekday level, and more than half the nursing staff turned over in the past year, well above the national rate. On inspections, the Reidsville home carries 27 deficiencies, including two at the harm or jeopardy level and two tied to abuse; the most recent survey was in June 2025. The corporate owner operates it for profit, and one fine totaling $9,770 sits on record. Bottom line: staffing and inspection history here both sit below average.
Warren Hills runs 3.55 nurse hours per resident per day, about 8% under the national average, and weekend staffing drops roughly another 10% below its own weekday level. Staff turnover sits at 55.9% against a national 45.8%, so the aides and nurses your relative sees may not be there in six months. The current record carries 17 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was February 2026. Corporate-owned, 140 beds, with staffing and quality measure ratings both at 2 out of 5. The care here isn't unsafe on paper, it's thin, and thin staffing is what families end up feeling.
Juniper Gardens runs about 3.34 nurse hours per resident day, roughly 14% under the national average, and weekend coverage drops another 12% below its own weekday level. That thin margin matters more when turnover sits at 62.2% against a national 45.8%, meaning nearly two-thirds of staff left within the year. The inspection record shows 17 deficiencies, three serious enough to reach harm or jeopardy, plus two fines totaling $16,801. Ownership changed hands within the last 12 months, and the most recent inspection was November 2025. With 50 beds and a for-profit corporate owner, the numbers point to a home where consistent daily care is the open question.
The Greens at Hendersonville runs 3.35 nursing hours per resident day, roughly 13% under the national average, and weekend coverage drops about 8% below its own weekday level, so the thinnest shifts land exactly when families tend to visit. Staff turnover sits at 69.9% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. On inspections, the record shows 34 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $106,208. Corporate-owned and operating on a for-profit basis, this home keeps a 120-bed census. The most recent inspection was January 16, 2026.
Northampton Nursing and Rehabilitation Center runs on thinner staffing than most homes its size. At 3.24 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 4% below its own weekday levels, so the quietest shifts are the leanest. Turnover tells a related story: 59.1% of staff left over the year, against 45.8% nationally, meaning caregivers are cycling through faster than residents can get to know them. The good news sits on the inspection side, a 4-out-of-5 health inspection rating, nine deficiencies on record, none at harm or jeopardy level, and no abuse findings. The last inspection was April 2026.
The Graybrier runs a 128-bed for-profit home in Trinity, and its nurse staffing sits at 4.16 hours per resident day, about 8% above the national average. That cushion matters, but it thins on weekends, when coverage drops roughly 7% below the home's own weekday level.
The bigger concern is turnover: 60.7% of nursing staff leave each year, against a national average of 45.8%. High churn means unfamiliar faces, and that shows up in the record. Eight deficiencies are on file, one serious enough to involve harm or jeopardy, plus one fine of $8,512. Inspectors were last out in January 2026, and the quality measures score low even though the inspection history reads reasonably well.
Liberty Healthcare Services of Golden Years Nursing runs 58 beds in Falcon under corporate for-profit ownership, and its inspection record is genuinely clean, a five-star health inspection rating, seven deficiencies total with none at the harm or jeopardy level, and no abuse citations. The trouble sits in daily staffing. At 3.37 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly another 10 percent below its own weekday numbers. With turnover at 60.9 percent against a national 45.8, aides and nurses are cycling through faster than most homes. Inspections tell you what surveyors found on one day; staffing numbers tell you what most days probably look like.
Southpoint runs lean on nursing staff, 3.37 hours per resident day against a national average of 3.86, with weekends dropping about 12% below its own weekday coverage. That thin staffing shows up in the workforce numbers too: 61.6% annual turnover, well above the 45.8% national rate, meaning the people caring for residents are often new or on their way out. The inspection record is the bigger concern. Thirty-eight deficiencies sit on the current record, five serious enough to put residents in harm's way and three tied to abuse. CMS fined the corporation $48,523, and the most recent inspection was April 2025. Corporate-owned, 140 beds. The quality measure score looks fine on paper, but that's reported data, not what inspectors found.
Brantwood runs about 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends drop another 13% below its own weekday levels. Staff turnover sits at 64.3% against a national average of 45.8%, so the people around your family member change often. The inspection history is the stronger part: a recent March 2026 survey, nine deficiencies total, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The nonprofit ownership is a point in its favor. Ask how they cover weekends and what those abuse citations involved.
Westwood runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 80.8% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, with a $15,642 fine and a February 2026 inspection. Quality scores look strong on paper, but that measure draws on resident assessments, not the staffing and compliance problems showing up elsewhere.
Liberty Commons runs on thinner staffing than most homes, about 3.56 nurse hours per resident each day against a national average near 3.86, and weekends drop roughly 9% below its own weekday levels. The bigger warning sign is turnover: 71.2% of staff leave within a year, well above the 45.8% national figure, which means your family member's caregivers are likely to keep changing. Inspections look solid on paper, with six deficiencies on record and none at the harm level, though one is abuse-related. The state last visited in January 2026. Corporate-owned and operating at 122 beds, this is a home where care quality depends heavily on who's on shift that day.
St. Catherine's Living Center runs about 3.41 nursing hours per resident day, roughly 12% under the national average, and weekends dip another 14% below its own weekday coverage. That staffing pattern is worth weighing against a 56.4% annual turnover rate, well above the 45.8% national figure, so the people providing care change often. The inspection record shows seven deficiencies, three at harm or jeopardy level and two tied to abuse, with three fines totaling $56,329 and a survey completed January 28, 2026. As a nonprofit corporation with 49 certified beds, its quality and health inspection ratings both sit at two stars.
Ayden Healthcare of Madeira runs about 3.07 nursing hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 65% against a national 45.8%, so the people showing up are frequently new. The current record carries 80 deficiencies, three of them abuse-related, none flagged at harm or jeopardy level, and the last inspection was in December 2025. The 4/5 quality measure score reflects how residents' conditions are tracked, but with 1/5 on both staffing and health inspections, the daily reality is thin coverage and constant churn.
Carecore At Lima runs on 3.11 nurse hours per resident day, about 19 percent under the national average, and weekends dip roughly 14 percent below its own weekday coverage. That thin margin matters most on Saturdays and Sundays, when families often visit and problems surface.
Staff turnover sits at 62.7 percent against a national average of 45.8 percent, roughly three in five caregivers left over the year. The inspection record shows 55 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse. One fine of $33,534 is on file.
The quality measure score is perfect, which tells you charted outcomes look good. The staffing and inspection scores don't. Ask about weekend coverage and turnover before you decide.
Buckeye Care and Rehabilitation runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, with weekends about 12% leaner than weekdays. That shortage shows up in a 58.6% annual turnover rate, well above the 45.8% norm, and a 1-out-of-5 CMS staffing rating. The 35 deficiencies on record, one involving harm, four tied to abuse, carry a single $20,678 fine and a 2-out-of-5 inspection rating. Strong quality-measure scores don't offset those numbers, especially under for-profit LLC ownership. The most recent inspection was January 8, 2026, so the record is current, not stale.
Shelby Skilled Nursing runs on a thinner staffing line than most homes: 3.27 nurse hours per resident day against a national average of 3.86, with a 1-out-of-5 staffing rating and 65.3% annual turnover, well above the 45.8% typical elsewhere. The good news is that the care processes look solid on paper, with 4s for both inspection and quality measures, and a recent August 2024 survey. But 21 deficiencies sit on the current record, two of them abuse-related, and none rose to the harm level.