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.
Wilson Care and Rehab runs 3.68 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 11% below its own weekday staffing. Turnover sits at 65.1% against a national average of 45.8%, which means the aides and nurses your family member sees are cycling through faster than at most homes. The 28 deficiencies on record aren't the alarming kind, none at harm level, none tied to abuse, and the last inspection was recent, December 2025. But with 40 beds, for-profit LLC ownership, and middling marks on both quality measures and staffing, this is a home where the numbers say adequate, not strong.
Belleville Healthcare and Rehabilitation Center runs about 3.09 nurse staffing hours per resident per day, roughly 20 percent under the national average of 3.86, and weekends drop another 13 percent below its own weekday levels, which matters when families visit less and problems go unnoticed. Staff turnover sits at 50.9 percent against a national 45.8 percent, so the people caring for residents keep changing. Its record shows 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $33,616 in CMS fines. The most recent inspection was September 16, 2025. This is a for-profit corporation-owned home where all three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5.
Hilltop Lodge runs on thinner nurse coverage than most homes in the country, 3.42 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday level, which is when families tend to visit and notice. The inspection record is the bigger concern: 43 deficiencies, including six tied to abuse and two serious enough to put residents in harm's way, with $28,937 in fines behind them. Annual turnover sits slightly above the national rate. The most recent inspection was in January 2026, so the findings are current, not stale. For-profit, LLC-owned, 90 beds. If you're considering this one, ask directly what changed since that inspection.
Arma Operator runs 45 beds under for-profit LLC ownership, and its most recent inspection in December 2024 landed a 4-out-of-5 health inspection rating, that part holds up. The trouble sits elsewhere. Nurse staffing runs 3.54 hours per resident day, roughly 8% under the national average, and weekends dip another 8% below its own weekday coverage. Staff turnover of 41.2% is slightly better than the 45.8% national figure but still means a lot of churn. Sixteen deficiencies sit on the current record, including 2 at harm or jeopardy level and 2 tied to abuse, with one fine of $14,069. Quality measures scored 2 out of 5.
Spring Hill Care and Rehab runs 45 beds under for-profit LLC ownership, and the numbers worth knowing are the staffing ones. Nurse coverage sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends drop about 4 percent below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is the harder fact: 80 percent a year against a national average near 46 percent, meaning most of the people caring for residents are new to the building. Inspections in June 2025 turned up 36 deficiencies, including one at the harm level and four tied to abuse, with a $21,645 fine on record.
Madisonville Health and Rehabilitation runs 94 certified beds as a for-profit corporation, and its staffing sits around 3.09 nurse hours per resident day, roughly 20% under the national average of 3.86. Weekends drop about 10% below the home's own weekday coverage, so the thinnest shifts are the ones families often visit. Annual turnover is 48.7%, a bit above the 45.8% national figure, which means caregivers cycle through faster than average. The current record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was May 1, 2025, so the picture is fairly recent. Federal ratings land at 3 out of 5 for inspections and 2 out of 5 each for quality measures and staffing.
Fulton Nursing and Rehabilitation runs on 2.82 nurse hours per resident per day, roughly 27% under the national average of 3.86, and weekends drop about 14% below what the home staffs on weekdays. That thin coverage shows up in its staffing rating, which sits at the bottom of CMS's five-point scale, while its quality measure rating lands at two stars. Turnover is 45.9%, essentially identical to the national figure, so this isn't a retention crisis, it's a coverage problem. Nine deficiencies sit on the current record with none at harm or jeopardy level and none abuse-related, and the most recent inspection was in May 2025.
Somerset Nursing and Rehabilitation runs 123 certified beds under for-profit LLC ownership, and its staffing sits at 3.73 nurse hours per resident day, a bit under the national average of 3.86. That gap is small, but weekends drop about 11% below the home's own weekday coverage, and CMS gave staffing a single star. Turnover is 45.7%, essentially identical to the national figure, so that's not the differentiator here. The inspection record is: 19 deficiencies, four of them at harm or jeopardy level, three tied to abuse, with the last inspection in June 2025. Two-star marks on health inspections and quality measures round it out. Families weighing this one should ask directly about weekend nurse coverage and how the abuse-related findings were resolved.
The nurse staffing number at Mt. Sterling Health & Rehab, 3.85 hours per resident day, lands almost exactly on the national average. That's about where the good news ends. Staff turnover runs 50%, well above the typical 45.8%, and weekend coverage drops about 8% below what the home staffs on weekdays, so the hours that look adequate on paper thin out when families are most likely to visit. The health inspection record shows a 1-out-of-5 star rating with 26 deficiencies, including one at the harm level and two tied to abuse. One fine totaling $13,520 is on file. The most recent inspection, in March 2026, is current, but the findings behind it aren't reassuring.
Green Acres runs lean on nursing hours, 3.25 per resident day against a national average of 3.86, and weekends dip about 15% below what the home itself staffs during the week. That thinner weekend coverage matters most when families visit and when residents need help. Annual turnover sits at 51.5%, above the 45.8% national figure, so many of the aides and nurses you meet may be relatively new. The good news: 11 deficiencies on the current record, none involving harm or abuse, and the last inspection was recent, in August 2025. It's a for-profit limited liability company with 60 beds, so ask who owns it now and how long the director of nursing has been there.
Sycamore Heights runs 96 beds in Louisville under for-profit LLC ownership, and the numbers that stand out most are on the staffing side. At 3.25 nurse hours per resident day, it sits roughly 16% under the national average, and weekends dip about 12% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Annual turnover of 60.7% is well above the 45.8% national figure, which means the people caring for your relative are likely to change often. Its inspection record shows 23 deficiencies, four serious enough to involve harm or jeopardy, plus two fines totaling $21,879. The most recent inspection was February 2026, so that record is current.
Countryside Center runs a 53-bed for-profit operation in Carlisle County, and its staffing is the first thing to look at. Nurses provide 3.16 hours per resident per day, roughly 18% under the national average, and weekends drop about 13% below its own weekday numbers. Turnover sits at 46.8%, a touch above the national figure. On the plus side, the health inspection record is strong, four stars, eight deficiencies with none at harm or jeopardy level and no abuse findings, last inspected in February 2026. Quality measures and staffing both score two stars, which tells you where the tradeoffs land: a clean inspection history paired with thin day-to-day coverage.
Lexington Premier runs 120 certified beds under for-profit LLC ownership, and the staffing numbers tell you a lot. At 3.54 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends dip roughly 5% below its own weekdays, so coverage thins out exactly when families tend to visit. Turnover is 53.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 42 deficiencies, seven of them serious enough to involve harm or jeopardy, plus one abuse-related citation and a $240,331 fine. Last inspection: August 2025.
Grace Nursing Home runs on 3.20 nurse hours per resident day, about 17% under the national average of 3.86, and weekends drop roughly 14% below what the home itself staffs during the week. Turnover sits at 46%, right in line with the national figure, so the concern here isn't churn so much as raw coverage. The record shows 36 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, plus $48,357 in fines across two penalties. A December 2025 inspection is recent, which helps, but with 128 beds and corporate for-profit ownership, ask specifically how they cover weekends and what changed after those harm-level findings.
Kaplan Healthcare Center runs on 3.28 nurse staffing hours per resident day, about 15% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels. The 28 deficiencies on its current record include two at the harm or jeopardy level and one tied to abuse, with $34,508 in fines across two penalties. Staff turnover sits at 47.7%, slightly above the national figure, and the last inspection was December 3, 2025. Ownership is corporate for-profit. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. That combination of thin weekend coverage, high turnover, and serious deficiency findings is what drives the low grade.
Gonzales Healthcare Center runs 120 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.57 nurse hours per resident day, about 7 percent under the national average, with weekends dipping roughly 11 percent below its own weekday levels. Turnover sits at 43.5 percent, slightly better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record is. Fifty-one deficiencies are on file, three of them at harm or jeopardy level and 22 abuse-related, with two fines totaling $92,032 and the most recent inspection dated May 2025. A 1-out-of-5 health inspection rating alongside a 2-out-of-5 quality measure rating tells you where the trouble concentrates.
St. Jude's runs a decent number of nurse hours per resident, 4.14 a day, about 7% above the national average, so on paper there are people around. But that staff turns over at 72.1% a year against a national average near 46%, which means the faces change constantly and weekends run about 10% thinner than weekdays. The inspection record is where it gets harder to explain away: 53 deficiencies, seven of them serious enough to put residents in harm's way, eight tied to abuse, and six fines totaling $389,089. The most recent inspection was in January 2026, so the picture is current. Nonprofit ownership hasn't translated into a cleaner record here.
The Oaks Care Center in Pineville runs lean on nursing staff, 3.25 hours per resident day against a national average of 3.86, with weekends about 7% thinner than weekdays. Turnover sits at 49.5%, above the 45.8% national figure, and the 14 deficiencies on record include one abuse-related finding but nothing flagged at harm or jeopardy level. Its inspection history is genuinely strong, though: a 5/5 health inspection rating and a visit as recent as January 2026. The tension between clean inspections and thin day-to-day staffing is worth weighing, ask how many nurses are actually on the floor on a Saturday.
Ouachita Healthcare and Rehabilitation Center runs 167 certified beds in Monroe under for-profit limited liability ownership, and its staffing is the weak spot. At 3.33 nurse hours per resident per day, it sits about 14 percent under the national average of 3.86, and weekends drop roughly 13 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 42.2 percent is slightly better than the 45.8 percent national figure, and the 26 deficiencies on record include one abuse-related citation but none flagged at harm or jeopardy level. A single fine of $31,844 and a recent April 2026 inspection round out the picture.
Landmark of Rayne runs 130 certified beds under for-profit LLC ownership, and its staffing numbers tell the real story. Total nurse coverage sits at 3.98 hours per resident day, modestly above the national average of 3.86, but weekends drop about 26% below the home's own weekday level, so the care you'd observe on a Tuesday isn't what a Saturday looks like. Staff turnover is 70.5% against a national 45.8%, meaning most of the people caring for residents are relatively new. Inspections in April 2025 produced 26 deficiencies, none at harm level but one abuse-related, and CMS gave 2 out of 5 stars across health inspections, quality measures, and staffing alike.