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.
Country Village Care runs 3.53 nurse hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday staffing. That gap matters because the health inspection record is where this home struggles most, 18 deficiencies on file, four of them serious enough to cite harm or jeopardy, plus two fines totaling $61,425. Staff turnover sits at 56% versus 45.8% nationally, which means more than half the nursing staff leaves each year. It's government-owned, run by a hospital district, and its last inspection was October 2024. Nothing here suggests abuse; the problems are staffing consistency and a pattern of serious inspection findings.
Traymore Nursing Center runs on thinner staffing than most homes its size. At 3.44 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 14% below what the home itself staffs on weekdays. Turnover is 54.9%, well above the 45.8% national figure, so the people providing care keep changing.
The inspection record is mixed. Eleven deficiencies, three of them at the level where residents were actually harmed or put in jeopardy, plus two fines totaling $30,113. The most recent inspection was July 2025, so the picture is current.
What stands out is the gap: inspectors rated the care environment 4 out of 5, yet the staffing rating is 1 out of 5. Good survey results are hard to sustain when there aren't enough consistent hands on the floor.
Harmony Care At Stamford runs on a thin staffing margin, and that's the main thing to know. Nurses give residents about 3.69 hours of care per day, roughly 5% under the national average, and weekend coverage drops nearly 29% below what the home staffs on weekdays. Turnover sits at 65.6%, well above the 45.8% national figure, so the people showing up are often new. Inspections look better: a 4-star health inspection rating, no deficiencies at the harm level, though 19 total deficiencies include 2 tied to abuse, and one fine of $36,875 is on record. The most recent inspection was April 30, 2025, and this for-profit partnership is licensed for 112 beds.
Edgemere Estates runs 138 beds in El Paso under corporate ownership, and the staffing numbers are where I'd start. At 3.34 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly 14 percent below its own weekday level, so the coverage you see midweek isn't what your family member gets on a Saturday. Turnover is 52.6 percent against a national 45.8. The inspection record carries 67 deficiencies, including four at harm or jeopardy level and five tied to abuse, with three fines totaling $49,292. The last inspection was April 30, 2025. Quality measures score well; staffing and inspections don't.
Birchwood runs 3.11 nurse hours per resident day, roughly a fifth under the national average, and weekends drop about 12% below its own weekday levels. Annual turnover is 93.6% against a national average near 46%, meaning most of last year's caregivers are gone. Inspections, though, are a different story: a 5/5 health inspection rating with 13 deficiencies on record, none causing harm or involving abuse, and the last visit was June 2025. Cooper's home is clean on paper but thin on the floor, and a C reflects that split.
Lakeridge Nu runs on thin nursing coverage, 2.97 nurse hours per resident day against a national average of 3.86, and weekends dip below even that. Staff turnover sits at 61.5% while the national figure is 45.8%, which means the aides and nurses your family member sees are cycling out faster than at most homes. The inspection record shows 31 deficiencies, including one at the harm level and one tied to abuse, plus a $30,561 fine. Ownership is for-profit corporate. The most recent inspection was in March 2026, so the picture is current.
Mexia Ltc Nursing And Rehab runs 66 certified beds under corporate for-profit ownership, and its nurses put in 4.11 hours per resident day, about 6% above the national average. That staffing edge comes with a catch: weekends run roughly 12% thinner than weekdays, and annual turnover sits at 61.9% against a national 45.8%, so the faces change often. The inspection history is recent, December 2025, and 16 deficiencies are on record, including one at the harm level and one tied to abuse, plus a single $19,822 fine. Quality measure scores land at the bottom of CMS's scale while inspections sit near the top, a split worth asking about directly.
Focused Care At Crane runs light on nursing staff, 3.16 hours per resident day against a national average of 3.86, with weekends about 14 percent thinner than weekdays. That earned a 1-out-of-5 staffing rating from CMS, and turnover sits at 47.3 percent, slightly above the national rate of 45.8 percent. The inspection record shows 33 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $42,357 fine. A 4-out-of-5 quality measure rating and a June 2025 inspection suggest some things are being tracked, but the staffing numbers and the deficiency history are what a family should weigh hardest here.
Ridgmar Medical Lodge runs on 3.27 nurse hours per resident day, about 15% under the national average, and weekends dip another 13% below its own weekday coverage. That thin staffing shows up in the numbers: 52.7% annual turnover, meaning more than half the nursing staff leaves each year. The inspection record carries 32 deficiencies, including four at the harm or jeopardy level and four tied to abuse, with three fines totaling $29,598. The hospital district owns the building, so it isn't a chain cutting corners for profit, but ownership type doesn't change what families have to weigh here. Quality measures score well; staffing and inspections don't. If you're considering it, ask specifically how weekends are covered.
Fairfield Nursing & Rehabilitation Center is run by a hospital district, and its inspectors clearly find little to fault: a five-star health inspection record, 10 deficiencies with none rising to harm or jeopardy, and a visit as recent as December 2025. Where the numbers turn is staffing. At 3.09 nurse hours per resident day, this home sits about 20% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level. Turnover tells the same story, 96.7% annually against a national 45.8%, meaning nearly the whole nursing staff cycles through in a year. Good inspections, thin and unstable coverage.
The Carlyle at Stonebridge Park runs a 112-bed for-profit building in Southlake, and the staffing numbers are where I'd start. At 3.30 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly another 12% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover is 60.9% against a national 45.8%, which means the aides and nurses who know your mother may not be there in six months. The current record shows 35 deficiencies, including two at harm or jeopardy level and one abuse-related, plus $125,895 in fines. The last inspection was January 2026.
Avir At Veterans Memorial runs 120 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average, with weekends about 10% leaner than weekdays. Annual turnover is 52.8% against a national rate of 45.8%, so aides and nurses are cycling out faster than usual. The inspection record is where the real weight sits: 27 deficiencies, five at harm or jeopardy level, two tied to abuse, and $22,840 in fines, with the most recent inspection dated April 2026. Quality measure scores look strong, but staffing and inspection results pull hard in the other direction.
Midlothian Healthcare Center runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average, with weekends dropping another 11% below its own weekday level. That thin coverage shows up in a 64.1% annual turnover rate, well above the 45.8% national figure, meaning the people caring for your relative are often new and still learning the building. The record carries 17 deficiencies, including 5 at the harm or jeopardy level and 2 tied to abuse, plus four fines totaling $50,830. Its last inspection was December 2024. Before you decide, ask how they're addressing turnover and weekend coverage.
Le Reve runs on 3.06 nurse hours per resident day, roughly a fifth under the national average, and weekend coverage drops about 11% below what it manages on weekdays. Staff turnover sits at 64.7% against a national 45.8%, so the people caring for residents are, more often than not, new, and the health inspection record is where that shows: 26 deficiencies on the current record, six of them at harm or jeopardy level and three tied to abuse. Three fines totaling $120,553. Ownership is corporate and for-profit. One thing the numbers don't capture: CMS scored the quality measures 4 out of 5, which suggests some clinical care is being tracked well even as staffing and inspection results lag badly behind.
Pine Hill Rehabilitation and Wellness Center is a 190-bed for-profit in Birmingham, and the numbers that stand out most are about the people doing the work. Nurse staffing sits at 3.19 hours per resident day, about 17% under the national average, and it drops roughly 18% further on weekends, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 71.9% is well above the national figure of 45.8%, which means aides and nurses cycle through quickly and residents see a lot of unfamiliar faces. The current record carries 16 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. The last full inspection was in March 2024.
The Blossoms At Newport runs on thinner staffing than most homes, 3.70 nurse hours per resident day against a national average of 3.86, and weekends drop about 17% below what the home staffs on weekdays. That matters because nurse turnover sits at 71.6%, well above the 45.8% national figure, meaning the people providing care change often. The inspection record shows 27 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $21,823 in fines across two penalties. Its last inspection was in May 2026, so the record is recent rather than stale. The home is for-profit and LLC-owned. Families should ask how weekend coverage and turnover are handled directly.
Eagle Lake Nursing and Rehab in Saint Petersburg is a 59-bed for-profit home, and its biggest strength is nurse staffing: about 4.29 hours per resident day, roughly 11% above the national average. That's real, but it's not enough to offset everything else. The health inspection rating sits at 1 out of 5, with 49 deficiencies on the current record, six of them serious enough to involve harm or jeopardy, and one abuse-related. Two fines total $312,600, the last inspection was August 2024, and weekend staffing drops about 6% below weekdays. When a home has strong hours but this many inspection problems, the staffing isn't translating into safe care.
Winter Park Care And Rehabilitation reports zero total nurse staffing hours per resident day on its federal record, the national average is 3.86, and its staffing star rating sits at 1 out of 5. The 103-bed, for-profit home carries 33 deficiencies, including two at the harm or jeopardy level and five tied to abuse, plus one fine of $73,968; its last inspection was July 10, 2025, and health inspections earned 2 out of 5 stars. Quality measures scored 4 out of 5, which is the one bright spot, but resident outcomes depend on people being present to deliver care. If you're considering this home, ask directly who is on the floor overnight and on weekends.
Pruitthealth - Macon runs 228 certified beds as a for-profit corporation, and the staffing numbers are where the trouble sits. At 3.49 nurse hours per resident day, it's about 10% under the national average, and weekends drop roughly 16% below its own weekday level, that's when families tend to visit and notice. Turnover at 41.9% is actually a bit better than the 45.8% national figure, but the health inspection and quality measure ratings both sit at 2 out of 5, with staffing at 1. The 25 deficiencies on record include none at harm or jeopardy level and none abuse-related, and the last inspection was May 2025, so the record is current.
Pruitthealth - Swainsboro runs on 3.09 nurse hours per resident per day, roughly 20 percent under the national average, and weekends drop about 16 percent below its own weekday staffing. That thin coverage shows up in the federal ratings: one out of five stars for staffing, two for health inspections, two for quality measures. The current inspection record carries six deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the most recent visit dated April 2026. Turnover sits at 41.8 percent, actually a bit better than the 45.8 percent national figure, which tells you the problem here isn't retention so much as how few hands are scheduled on any given shift.