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.
High Plains Post Acute runs about 3.67 nurse hours per resident day, roughly 5% under the national average, and weekend coverage drops another 9% below its own weekday levels. The bigger concern is turnover: 65.7% annually against a national average of 45.8%, meaning most of the people caring for your family member are relatively new. On the last inspection in February 2025, surveyors wrote 33 deficiencies, six serious enough to put residents in harm's way, one involving abuse, with four fines totaling $72,840. The quality measure score looks good on paper, but those numbers come largely from resident assessments, the staffing and inspection record is where the real picture sits.
Leeway, Inc is a 30-bed nonprofit home in New Haven, and the numbers here pull hard in two directions. Its most recent inspection, from late December 2025, found no deficiencies at the harm or jeopardy level and no abuse citations, yet the home carries 23 deficiencies on its current record overall. The bigger concern is staffing: 0.29 nurse hours per resident day sits roughly 92 percent below the national average of 3.86, and every direct-care worker turned over in the past year against a national rate near 46 percent. Weekend coverage runs higher than weekdays, which is unusual, but with a workforce this thin and this transient, that gap between inspection results and daily care is what a family should weigh.
The staffing number looks fine on paper, 3.96 nurse hours per resident day, just above the national average, but that average hides a churn problem. Nearly 68% of staff turned over in a year, against a national rate around 46%, and weekend coverage drops about 7% below weekdays, so the people at the bedside keep changing. The inspection record is the harder read: 67 deficiencies, four serious enough to involve harm or jeopardy, four tied to abuse, and $153,884 in fines. A for-profit limited liability company runs it, and its last inspection was February 2026. Quality measures score well; staffing and inspections do not.
Pinellas Park Fl Opco runs 120 certified beds as a for-profit corporation, and its inspection record is the first thing that stands out: 25 deficiencies on the current record, five of them serious enough to put residents at risk of harm, plus two tied to abuse. The health inspection rating sits at 1 out of 5, and the last full inspection was December 2023. Staff turnover is the other hard number, 67.9% annually against a national average of 45.8%, meaning roughly two-thirds of the workforce cycles out each year. One fine totaling $19,734 is on record. Quality measures rate better at 3 out of 5, but that's a narrow bright spot against the inspection and staffing picture.
Aviata At Seminole runs on 3.37 nurse hours per resident day, roughly 13 percent under the national average, and weekend coverage dips slightly below its own weekday levels. The bigger signal is staffing churn: 71.2 percent annual turnover against a national average of 45.8 percent. That's a lot of new faces for 120 residents, and it shows up in a one-star staffing rating and a one-star health inspection record, 37 deficiencies, three tied to abuse, plus eight fines totaling $35,944, with the last inspection in May 2024. The four-star quality measures suggest some care processes are working. But steady caregivers matter more than charts, and this building struggles to keep them.
Harborview Satilla is a 174-bed corporate-owned home in Waycross, and its record carries some weight. The last inspection, in February 2026, turned up 23 deficiencies, four of them at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse. That inspection star rating sits at 1 out of 5. Staffing is close to the national average on paper, 3.84 hours per resident day against 3.86, but weekends run about 15% thinner than weekdays, and turnover comes in at 44.8%, so the coverage you see during a weekday visit isn't what a resident gets on a Sunday.
Fulton Center runs about 2.92 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 13% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 54.9%, well above the 45.8% national figure, which means the aides and nurses who know your mother may not be there in six months. The record shows 23 deficiencies, five at harm or jeopardy level, plus three abuse-related citations and a $105,368 fine. Quality measures score well; inspections and staffing do not. Ask the administrator directly who covers Saturday nights.
Gibson Health Opco runs 104 beds as a for-profit LLC, and its inspection record is genuinely clean, a five-star health inspection rating, just two deficiencies on file, none causing harm or involving abuse. The staffing side tells a different story. At 3.26 nurse hours per resident day, it sits roughly 16% under the national average, weekends drop another 13% below its own weekday levels, and annual turnover hits 56.5% against a national 45.8%. Quality measures land at two stars. Four fines totaling $14,732 round out the record. A recent inspection in April 2026 means the picture is current. Good inspections, thin and churning staff, worth asking how weekends and evenings actually feel.
Paradise Creek runs 3.36 nurse hours per resident day, about 13% under the national average, and weekends dip another 13% below its own weekday level. That's the pattern families feel: thinner coverage on Saturdays and Sundays. Staff turnover is 70.9% against a national 45.8%, so the people helping your relative are frequently new. The inspection record shows 27 deficiencies, 3 serious enough to cause harm or jeopardy, 2 tied to abuse, and 9 fines totaling $63,834. Its most recent inspection was May 2026, so the record is current. The company is a for-profit LLC, and it has consistently scored low on federal staffing and inspection measures. If you're considering it, ask specifically how weekends are staffed.
Alden Lincoln runs 96 beds on Chicago's North Side, and the numbers that stand out first are the ones about people. Nurse staffing sits at 2.98 hours per resident per day, about a quarter below the national average, and weekends dip roughly 14% below what the home itself provides Monday through Friday. That's the stretch when families often visit and when coverage thins.
The inspection record carries 36 deficiencies, four of them serious enough to put a resident in harm's way and two tied to abuse. The most recent state visit was July 2024, so the picture is current, and one fine totaling $8,512 has been levied.
Staff turnover of 41.3% is slightly better than the 45.8% national figure, not a strong point, but not the worst of it either.
Lakeland Rehab runs 154 beds in Effingham under corporate ownership, and its staffing is the weak spot: 3.39 nurse hours per resident day, roughly 12% under the national average, with weekends about 12% thinner than weekdays. The inspection history is the real concern, 27 deficiencies on record, including 4 at the harm or jeopardy level and 7 tied to abuse, plus three fines totaling $86,553. Turnover at 38.6% is actually better than the national 45.8%, and the 4-star health inspection and July 2025 visit are recent positives. But thin daily staffing against that deficiency record is what pulls this home's overall picture down.
Aperion Care Wilmington runs on 2.15 nursing hours per resident day, roughly 44% under the national average of 3.86, and weekends dip about 10% below its own weekday numbers. That thin coverage shows up in the inspection record: 47 deficiencies, including 5 at harm or jeopardy level and 13 tied to abuse, with four fines totaling $293,067. Turnover sits at 43.3%, slightly better than the 45.8% national figure, but stable-ish staffing doesn't offset a 1-out-of-5 CMS staffing rating or a 2-out-of-5 on health inspections. The most recent inspection was April 2025, so the record is current. For-profit, limited liability ownership.
Accolade Hc Of Paxton On Pells carries a for-profit, limited-liability ownership and a record that should give any family pause before signing. The home has 59 deficiencies on file, including 10 at the harm or jeopardy level and 6 tied to abuse, plus seven fines totaling $153,560, and its most recent health inspection earned a single star out of five. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends about 3% leaner than weekdays. Annual turnover of 48% tops the national 45.8% figure, meaning the people caring for your relative are likely to keep changing. Ask hard questions about that abuse history and what's changed since January 2025.
Pearl of Elk Grove runs 190 beds under corporate ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is where the real weight sits: 56 deficiencies, 10 of them at harm or jeopardy level and 7 tied to abuse, plus five fines totaling $144,133. Staff turnover of 47.3% runs slightly above the national 45.8%. The most recent inspection was December 19, 2025. Quality measures score well; staffing and inspections do not.
St. Clara's runs leaner than most homes on the floor: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends dip further below its own weekday numbers. That thin coverage is the core issue behind its low staffing rating, and it's worth asking how the home handles a Saturday night. Turnover is better than average at 34.6%, and there are no abuse deficiencies, which matters. But 19 deficiencies with two at harm level, two fines totaling nearly $71,000, and a February 2025 inspection point to real compliance problems. The nonprofit owner doesn't change what the numbers show.
The Grove of Northbrook runs lean on nurses, 2.20 hours per resident day against a national average of 3.86, roughly 43% below. Weekend coverage barely dips from its own weekday level, so the thinness is consistent rather than a weekend problem. What stands out in the other direction is turnover: 18.8% against a national 45.8%, meaning the staff who are there tend to stay. Inspections, though, are where this home gets exposed. Nineteen deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $83,860. The most recent inspection was June 2024, so that record is current.
Ryze At The Ridge runs on 2.17 nurse staffing hours per resident day, roughly 44% below the national average of 3.86, a gap that shows up on weekends too, when coverage dips about 4% below its own weekday level. The inspection record is where it gets harder to look past: 50 deficiencies on file, including 6 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $301,750. The last inspection was August 23, 2024. Turnover sits near the national figure at 44.2%, so the problem isn't retention so much as how few hands are scheduled in the first place. For-profit, limited liability ownership.
Pearl of Hillside runs 198 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop another 12% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is where the real weight sits: 52 deficiencies, six of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $131,810. Turnover at 41.1% is slightly better than the 45.8% national figure, but that's the one number working in its favor. The most recent inspection was March 2025.
Alden Estates of Orland Park runs 200 beds under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.65 nurse hours per resident day it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 50.3% runs above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. The inspection record backs that up: 53 deficiencies, seven serious enough to reach harm or jeopardy level, one tied to abuse, and five fines totaling $87,510.
Elevate Care Country Club Hill runs 200 certified beds in Cook County under corporate ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record is the bigger concern: 54 deficiencies, 14 of them serious enough to put residents at harm or jeopardy, six tied to abuse, and seven fines totaling $436,375. Turnover, at 45.1%, is basically average. Quality measures score well, but staffing and inspections don't.