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.
Autumn Care of Suffolk runs 110 certified beds under individual for-profit ownership, and the staffing picture is the place to start. At 3.44 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekend coverage drops roughly another 9% below its own weekday level. That thin coverage shows up in the staffing star rating and in a 66% annual turnover rate, well above the 45.8% national figure, meaning aides and nurses cycle through quickly. The inspection record carries 52 deficiencies, including two at the harm level and two tied to abuse. Quality measures score well, but the last inspection was September 2024, and a strong quality score doesn't offset persistent short-staffing. Ask about weekend coverage and turnover directly.
Crescent Health Care runs 85 beds in Yakima under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 11% below what the home staffs during the week, so coverage gets thinnest exactly when families tend to visit. Turnover at 42.9% is slightly better than the national rate, which is one genuine bright spot.
The inspection record is where things get harder to dismiss: 47 deficiencies on file, including 5 at the harm level and 8 tied to abuse, plus four fines totaling $245,834. The most recent inspection was December 5, 2025, so the record is current. If you're considering this home, ask directly how those abuse-related citations were resolved.
Snohomish Health and Rehabilitation of Cascadia runs 91 beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.78 nurse hours per resident day. That small gap hides a bigger one: weekend coverage drops about 10% below its own weekday level, and annual turnover is 56% against a national 45.8%. The inspection record is where things get serious, 65 deficiencies, 7 at harm or jeopardy level, 8 abuse-related, and $195,291 in fines across three penalties. A 5/5 quality measure score can coexist with a 1/5 inspection rating because they measure different things, but the harm-level findings and abuse citations are the numbers a family should weigh hardest.
Linden Grove runs 130 beds in Puyallup under for-profit LLC ownership, and the inspection record is the first thing you should know about: 104 deficiencies on file, five of them serious enough to put residents in harm or jeopardy, plus eleven tied to abuse. Six fines add up to $193,178. Staffing sits at 3.64 nurse hours per resident day, about 6% under the national average, and weekends drop roughly 12% below what the home itself provides on weekdays. Annual turnover is 60.2% against a 45.8% national figure, which means the aide who knows your mother's routine this month may be gone next quarter. The most recent inspection was January 14, 2026.
Holbrook Healthcare Center is a 120-bed for-profit home in Buckhannon, and its inspection record is the first thing to know: 42 deficiencies on the current record, four of them serious enough to involve harm or jeopardy, and six tied to abuse. Federal fines total $79,108. Nurse staffing sits at 3.35 hours per resident day, about 13% under the national average, and weekends run roughly 12% thinner than weekdays, that matters when a fall or infection happens on a Sunday. One genuinely bright spot: turnover is 32.9%, well below the national 45.8%, suggesting a steadier workforce than many homes its size. The most recent inspection was July 29, 2025.
Willows Center runs 3.34 nurse hours per resident day, roughly 13% under the national average of 3.86, and weekends drop another 14% below its own weekday numbers, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 49.4%, above the 45.8% national figure, meaning nearly half the people caring for residents in a given year are new to the building. The inspection record shows 72 deficiencies, three tied to abuse, with a 1-out-of-5 health inspection rating and the same for staffing; the last survey was December 2025. A for-profit limited liability company operates its 97 certified beds.
Glasgow Hills Of Journey runs 112 certified beds under corporate ownership, and the numbers that matter most here are the ones families rarely see until something goes wrong. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and it thins out further on weekends, about 9% below the home's own weekday level. Staff turnover is 69.1%, well above the 45.8% national figure, which means the people caring for your relative are frequently new or already leaving.
The inspection record is the heavier concern: 94 deficiencies, including 5 at harm or jeopardy level and 10 tied to abuse, with a $72,444 fine and a June 2025 inspection. A 5/5 quality measure score sits alongside a 1/5 inspection rating and a 1/5 staffing rating.
Williams Bay Health Services runs about 11% leaner on nurse staffing than the national average, 3.43 hours per resident day against 3.86, and weekends dip roughly 8% below what the home itself staffs on weekdays. Turnover sits at 58.8%, well above the 45.8% national figure, so the people caring for residents change often. Its record shows 12 deficiencies, including one at the harm or jeopardy level and three tied to abuse, which is a serious pattern for a 50-bed home. The last inspection was in March 2025, so the picture is current rather than stale. For-profit corporate ownership rounds out the profile.
Burlington Health and Rehabilitation Center runs 123 beds under for-profit LLC ownership, and the numbers worth your attention are the staffing and inspection record. Nurse staffing sits at 3.58 hours per resident day against a national average of 3.86, and weekends dip about 7% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover of 62.6% is well above the 45.8% national figure, meaning caregivers cycle through quickly. The inspection history is the heavier concern: 95 deficiencies on the current record, 15 tied to abuse and 8 serious enough to put residents in harm's way, with two fines totaling $371,858 and a fresh August 2025 inspection.
Wheaton Franciscan's Terrace at St. Francis carries 80 deficiencies on its current record, and 11 of those rise to the level of actual harm or jeopardy. Seven are abuse-related. That is not a paperwork problem, it is a pattern that inspectors keep finding. The health inspection rating of 1 out of 5 reflects it, and the $219,651 in fines across four separate actions shows regulators have penalized it more than once. Staffing sits slightly under the national average, but the bigger issue is retention: 81.6% turnover means most of the people caring for residents this year will not be there next year, and weekends already run thinner than weekdays.
Geneva Lake Manor runs a nonprofit shop with 60 beds, and the raw nursing hours look decent at 4.32 per resident day, about 12% above the national average. Look closer and the picture changes: weekend staffing drops roughly 13% below its own weekday level, and annual turnover sits at 70.9% against a national 45.8%, which means the people covering those hours are often new. The inspection record is where it gets serious, a 1-out-of-5 health inspection rating, 73 deficiencies on file, five at harm or jeopardy level, six tied to abuse, and two fines totaling $130,720. The last inspection was March 2025. Ask about weekend coverage and turnover before you visit.
Greenville Health & Rehabilitation Center runs 120 certified beds under corporate ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends drop about 8% below what the home staffs on weekdays, so coverage thins out exactly when families tend to show up. Half the staff turned over in the past year, above the 45.8% national rate.
The inspection history is heavier: 68 deficiencies on the current record, including 5 at the harm or jeopardy level and 10 tied to abuse. Five fines total $96,065, and the last inspection was March 27, 2024.
Avir At Gonzales runs on 2.65 nursing hours per resident day, roughly a third below the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in the federal staffing rating: 1 out of 5. Annual turnover sits at 61.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 39 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last survey was July 2025, so that picture is current. A for-profit corporation owns the 80-bed home. Inspection and quality scores land mid-range; the staffing numbers are where the concern sits.
Avir At Burleson runs a 120-bed for-profit building in Johnson County, and the split in its record is worth understanding before you tour. Inspectors have found this place in good shape, a 4-out-of-5 health inspection rating, 19 deficiencies on the current record with none reaching harm or jeopardy level and nothing abuse-related, and a survey as recent as November 2025.
The staffing side tells a different story. At 2.87 nurse hours per resident day, it sits roughly 26 percent under the national average of 3.86, and weekend coverage drops about 11 percent below its own weekday level. Annual turnover of 56.4 percent runs well above the 45.8 percent national figure. Good inspections, thin coverage, ask how they staff weekends.
Harmony Care At Golfcrest runs on 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in the inspection record: 23 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and $71,472 in fines across three penalties. Staff turnover sits at 51.5%, well above the 45.8% national figure, which matters for a 120-bed for-profit where familiarity with residents is part of the safety net. The most recent inspection was July 2025, so the record is current. Ask the administrator what specifically has changed since then.
Greenbrier runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% under its own weekday level. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale. Annual turnover of 96.6%, more than double the national figure, means the people caring for residents are constantly new. Its current record carries 28 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was March 2026. For-profit corporate ownership rounds out the picture. Ask about actual weekend coverage and how long aides tend to stay.
Avir At Heritage Oaks runs 159 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.21 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 67.2% against a national 45.8% means many of the people caring for residents are still learning the building. The current record carries 28 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last inspection was in May 2026.
Lake Village runs on 3.07 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 18% below what the home staffs on weekdays. That thin coverage shows up in the inspection record: 33 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a $24,585 fine and a two-out-of-five health inspection rating. The four-out-of-five quality measure score reflects resident care metrics, but it sits alongside a one-out-of-five staffing rating, and the most recent inspection was in May 2026. For-profit corporate ownership out of Lewisville.
Avir At Adams runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop about 12% below its own weekday coverage. That thin margin shows up in the numbers that matter most: a 66.2% annual turnover rate against a 45.8% national figure, meaning most of the people caring for your relative are new to the building. The current record carries 46 deficiencies, five at harm or jeopardy level and three tied to abuse, plus $24,819 in fines. The most recent inspection was June 19, 2025. For-profit corporate ownership, 118 certified beds, and a staffing rating that matches what those hours suggest.
Stonebridge Health Rehab runs 116 beds in Austin under for-profit LLC ownership, and its staffing sits about 15% under the national average at 3.28 nurse hours per resident day, with weekends roughly 10% thinner than weekdays. That thin coverage is the main story here. The current inspection record carries 20 deficiencies, two serious enough to involve harm or jeopardy, plus $39,258 in fines across two penalties. Turnover, at 35.3%, actually beats the national 45.8%, so retention isn't the problem, hours are. The most recent inspection was April 2026. If you're weighing this one, ask how they staff weekends and what those two harm-level citations involved.