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.
Atrium Health Care Center runs on thin nursing coverage, 2.54 hours per resident day against a national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. That gap matters because direct care is what residents actually feel. The inspection record backs it up: 54 deficiencies, 8 serious enough to involve harm or jeopardy, 17 tied to abuse, plus two fines totaling $163,637. Turnover at 25.3% is better than the 45.8% national figure, which is a real point in its favor for continuity of care. But a for-profit LLC with a 1-out-of-5 staffing rating leaves little cushion when someone calls in sick on a Saturday.
If you're weighing Newman Rehab & Health Care Ctr, the staffing numbers deserve your attention first. Nurses provide about 3.16 hours of care per resident each day, roughly 18 percent below the national average, and weekends run about 24 percent lighter than weekdays, so the coverage you see on a Tuesday isn't what a Saturday looks like. Annual turnover sits at 73 percent against a national 45.8, meaning most of the people caring for your family member are relatively new. The current record carries 39 deficiencies, including one at the harm level and three tied to abuse, plus a $10,517 fine. The last inspection was September 2024. The five-star quality measure score reflects reported care outcomes; the one-star staffing score reflects what's actually on the floor.
Rock River Health Care runs on thin nursing coverage, 2.69 hours per resident per day against a national average of 3.86, roughly 30 percent below. Weekends drop another 19 percent under its own weekday level, so the thinnest shifts land when families tend to visit. The 45 deficiencies on record, including five at harm or jeopardy level and two tied to abuse, sit alongside four fines totaling $95,885. Staff turnover at 30.6 percent actually beats the national 45.8 percent, which suggests the problem isn't retention so much as how few nurses are scheduled. Inspectors were last in on December 10, 2025, and all three CMS star ratings, health inspection, quality measures, and staffing, come in at 2 out of 5.
Nurse staffing here runs about 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop another 4 percent below the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. The record shows 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse. A 2/5 health inspection rating and a 2/5 quality measure rating sit behind the staffing figure. Ownership is a for-profit limited liability company. The last inspection was March 3, 2026. If you're weighing this one, ask specifically how the abuse deficiency was resolved and what nurse coverage looks like on Saturday and Sunday.
Moweaqua Rehab & Hcc carries 76 deficiencies on its current record, and 8 of those rose to the level of actual harm or jeopardy, 4 tied to abuse. That's a lot of serious findings for a 70-bed home, and it's why the health inspection rating sits at 1 out of 5 stars. The single fine on file runs $146,900, which tells you regulators treated at least one problem as significant. Staffing is also rated 1 star, so the people caring for residents are stretched thin relative to what CMS expects. Quality measures land at 3 stars, but that's the one bright spot in an otherwise rough picture. The last inspection was November 2024, so this record is recent, not stale.
Paoli Health And Living Community is county-owned, with 109 certified beds in Orange County. Nurse staffing runs 3.26 hours per resident day, about 16% under the national average, and weekends drop roughly 18% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 58% against a national 45.8%, meaning more than half the nursing staff leaves each year.
The inspection record is the heavier problem: 28 deficiencies, two at harm or jeopardy level and two abuse-related, with $28,138 in fines. The last inspection was April 11, 2025. Quality measures score well, but one star on health inspections and two on staffing tell you where the trouble actually lives.
Grandview Healthcare Center is a 40-bed for-profit home in Dayton, and the numbers that stand out most are its staffing and quality measure ratings, both at 1 out of 5 stars. Staff turnover runs at 52 percent a year, meaning more than half the workforce turns over annually, compared with a national average closer to 46 percent. The inspection record shows 12 deficiencies, one of them serious enough to reach the harm or jeopardy level, and a single fine of $33,598. The last inspection was in December 2025. A 40-bed home with that much turnover and a harm-level deficiency is worth asking hard questions about before you decide.
Accura Healthcare of Creston runs 31 certified beds under for-profit limited liability ownership, and the numbers worth your attention are the staffing ones. Nurse coverage sits at 3.80 hours per resident day, a bit under the national average, and it thins out on weekends, roughly 18% below the home's own weekday level. Annual turnover of 68.4% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 33 deficiencies, including two at the harm level and one tied to abuse, with a $16,801 fine and a May 2025 inspection. State surveyors rated health inspections and quality measures 2 out of 5.
Spencer Post Acute Rehabilitation Center runs 82 certified beds as a for-profit corporation, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 45 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $24,706 in fines across two penalties. Its last inspection was August 14, 2025, and all three CMS star ratings, health inspection, quality measures, and staffing, sit at 2 out of 5.
Matthews Memorial runs 124 certified beds in Alexandria under for-profit LLC ownership, and the staffing numbers are the first thing to look at. Total nurse coverage sits at 3.78 hours per resident day, just under the national average, but weekends drop roughly 17% below what the home staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 59.2% is well above the national 45.8%, meaning you'll likely see unfamiliar faces. The current record shows 33 deficiencies, including one at the harm level and one abuse-related, plus a $36,140 fine. Last inspection was December 2025. Ask about weekend coverage and how they've addressed the abuse finding.
Optalis Health and Rehabilitation of Troy runs 160 certified beds under corporate ownership, and its staffing looks adequate on paper, 3.94 nurse hours per resident day, just above the national average. The cracks show in the details: weekend staffing drops roughly 15% below its own weekday level, and 57.5% of staff leave each year, well above the 45.8% national rate. The inspection record is the harder problem. Sixty-seven deficiencies, including 7 at harm or jeopardy level and 8 abuse-related, with five fines totaling $388,982 and a health inspection rating of 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Ruleville Community Care Center has 111 certified beds and runs on a for-profit LLC model. Its staffing looks fine on paper, 3.94 nurse hours per resident day sits slightly above the national average, but weekends drop about 18% below weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. That thin weekend coverage matters more when you look at what's on the record: 29 deficiencies, five at harm or jeopardy level, seven tied to abuse, and two fines totaling $101,474. The last inspection was August 2025. Staff turnover of 52.9% outpaces the national rate, meaning aides and nurses cycle through fast.
Gulfport Care Center runs 90 certified beds under corporate ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.05 hours per resident day, about 5% above the national average, but weekends drop roughly 18% below its own weekday levels, and annual turnover hits 63.6% against a national 45.8%, meaning the people caring for residents are changing constantly.
The inspection record is the bigger concern: 22 deficiencies on file, five of them at harm or jeopardy level and two tied to abuse, with three fines totaling $24,281 and a health inspection rating of 1 out of 5. The last survey was June 5, 2025, so that record is recent. Quality measures also come in at 1 out of 5.
Cedargate Health Care Center runs 108 certified beds in Poplar Bluff under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.75 nurse hours per resident per day, it sits just under the national average of 3.86, and weekends dip about 3% below its own weekday level, meaning the thinnest coverage lands exactly when families tend to visit. State inspectors were last in on May 22, 2025, and the record shows 40 deficiencies, none at the harm or jeopardy level but two tied to abuse. Quality measures score 2 out of 5 stars, staffing just 1. Ask about weekend aide coverage and how the abuse-related findings were resolved.
Adair Village runs 4.01 total nurse hours per resident day, which edges past the national average of 3.86, but that average masks a real drop on weekends, when coverage falls roughly 16% below its own weekday level. Staff turnover sits at 61.5% against a national 45.8%, so the people providing that care are cycling through quickly. The current record carries 34 deficiencies, three at harm or jeopardy level and two tied to abuse, plus $72,950 in fines across two penalties. The last inspection was January 2026, so the picture is recent. Quality and staffing each score 2 out of 5 from CMS; health inspection sits at 3.
Ozark Riverview Manor runs 3.15 nurse hours per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday levels. That staffing pattern, plus 63% annual turnover compared with 45.8% nationally, helps explain the two-out-of-five marks on both staffing and quality measures. The home carries 20 deficiencies, including one at the harm level and one abuse-related, and a $30,319 fine. Its last inspection was in December 2025, so the record is fairly current. As a nonprofit, it isn't chasing a quarterly number, but the numbers here still show thin coverage and a workforce that keeps changing.
Livingston Manor Care Center in Chillicothe runs a for-profit corporate operation with 94 certified beds, and its nurse staffing sits at 3.99 hours per resident day, about 3% above the national average of 3.86. That's the strongest number here, though weekends drop roughly 21% below the home's own weekday staffing, and annual turnover hits 61.9% against a national average of 45.8%. The inspection record is where it gets hard to ignore: 54 deficiencies on file, including four at the harm or jeopardy level and nine tied to abuse, plus a $114,365 fine. CMS rated health inspections and quality measures 1 out of 5, with staffing at 4. The most recent inspection was August 21, 2025.
St Patrick's Home runs on 3.38 nursing hours per resident day, roughly 12% under the national average, and the gap widens on weekends when coverage drops about 19% below its own weekday level. Staff turnover sits near 60%, well above the national figure, which matters because 18 deficiencies are on the current record, including one at the harm level and five tied to abuse. A $51,500 fine and a February 2024 inspection round out the picture. The quality measures look strong and the nonprofit church ownership is stable, but thin staffing and high turnover are the throughline here, the kind of thing that quietly shapes daily care.
Mountain View Manor runs about 17% below the national average for nurse staffing, 3.21 hours per resident day against 3.86, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current record carries 31 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $14,131, with the most recent inspection in April 2025. Ownership is a for-profit limited liability company. The staffing, quality, and inspection ratings all sit at or near the bottom of CMS's five-star scale, which tells you the gaps here aren't isolated to one area.
Oak Grove Manor runs 3.32 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 16% below its own weekday level. That thin schedule is hard to sustain when 68.1% of staff turned over in a year, against a national average of 45.8%, new faces constantly, on a unit that never gets extra hands. Inspectors have logged 71 deficiencies, two involving harm or jeopardy and two tied to abuse, with a $15,593 fine and a July 2025 inspection on record. The quality measure score looks strong, but that reflects charted care, not the staffing that delivers it.