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.
Rocky River Gardens runs on 3.21 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends drop another 14 percent below its own weekdays. That thin coverage shows up in the numbers: a one-star CMS staffing rating, 58.7 percent annual turnover against a national 45.8 percent, and a one-star health inspection rating backed by 44 deficiencies on record, five of them at harm or jeopardy level and three tied to abuse. The $68,068 in fines across three actions and an April 2024 inspection round out a pattern that's hard to read kindly. Its five-star quality measure score stands alone against all of it.
Stillwater runs 3.56 nurse hours per resident day, about 8% under the national average, and weekend staffing barely dips below its own weekday numbers, that part is steady. The bigger issue is retention: 66.1% of nursing staff turned over in a year, well above the 45.8% national figure, and CMS gives the home just one star for staffing. Its current record carries 25 deficiencies, none at harm or jeopardy level but one abuse-related, with the most recent inspection dated April 2026. Quality measures score well and inspections land mid-range, which is why the overall picture comes out average despite the thin staffing and churn.
Als Woodstock runs 42 beds in Woodstock under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends running about 5% thinner than weekdays. Turnover sits at 59.5% against a national 45.8%, which means the aide helping your mother today is more likely than not to be gone within the year. The health inspection record shows 38 deficiencies, including one at the harm level and one abuse-related, plus seven fines totaling $42,094; the last inspection was October 31, 2024. Resident care measures score well, but that's paperwork versus the floor.
The nurse staffing number here is the first thing I'd look at. At 3.43 hours per resident day, it runs about 11% under the national average, and weekends drop roughly 9% below the home's own weekday level, so coverage is thinnest when families tend to visit. Annual turnover of 67.3% sits well above the 45.8% national figure, which means the people caring for your relative are often new to the building. Inspections tell a similar story: 32 deficiencies on record, including one at the harm level and four tied to abuse, plus a $183,316 fine. The last inspection was September 2023, so that record has had time to age without a fresh look.
Rae Ann Suburban runs 95 beds in Westlake under for-profit LLC ownership, and the staffing numbers are the first thing you'd notice. At 3.39 nurse hours per resident day, it sits about 12% under the national average, and weekends drop another 14% below its own weekdays, so the coverage your family member gets on a Saturday looks different from a Tuesday. Annual turnover of 75% is well above the 45.8% national figure, meaning familiar faces cycle out fast. Its health inspection rating is 1 out of 5, with 37 deficiencies on record, including one at the harm level and three tied to abuse; a $10,065 fine was levied, and the last inspection was June 2025.
The Pavilion at Stow runs about 51 beds under corporate ownership, and its staffing is the number that stands out: 3.16 nurse hours per resident per day, roughly 18% under the national average of 3.86, with weekends dipping another 7% below its own weekday level. That thin coverage shows up in the 1-out-of-5 staffing rating. Turnover sits at 72.1% against a national 45.8%, so the aides and nurses cycling through are often new. Inspections last happened in August 2023, and the record carries 27 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy. Health and quality measures both land mid-range at 3 stars, which suggests care isn't falling apart, but the workforce behind it keeps changing.
Glendora Health Care Center runs about 49 beds in Wooster, and its nurse staffing sits at 3.34 hours per resident per day, roughly 13% under the national average, with weekends a bit thinner than weekdays. The bigger concern is turnover: 67.6% of staff leave annually, against a national average of 45.8%, which means the people caring for residents are often new and still learning the building. Inspections back that up. The home has 38 deficiencies on its current record, including four tied to abuse and one at the harm or jeopardy level, plus a $17,080 fine. Federal inspectors last visited in September 2024.
Altercare Zanesville runs 99 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.65 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 51.3% against a 45.8% national average, meaning more than half the nursing staff leaves each year. The inspection record is heavy: 48 deficiencies, four at harm or jeopardy level, two tied to abuse, and $198,156 in fines. The most recent inspection was May 2025.
Thunder Care and Rehabilitation runs 154 certified beds in Moore, and the staffing numbers are the first thing to notice: 3.06 nurse hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday level. Turnover sits at 58.9%, well above the 45.8% national figure. The inspection record is heavier still, 42 deficiencies, four at harm or jeopardy level, eight tied to abuse, and one fine of $30,137. CMS has placed this for-profit, individually owned home in its Special Focus Facility program, and the most recent inspection was April 24, 2025.
Drumright Nursing Home carries 31 deficiencies on its current record, and four of those rose to the level of actual harm or jeopardy to residents, with three tied to abuse. Inspectors were last in the building in September 2025, so this isn't a stale picture. The fine history backs it up: three penalties totaling just over $102,000. Turnover runs at 78.1% a year against a national average near 46%, which means the aides and nurses caring for your family member are, more often than not, new and still learning the building. All three CMS ratings, inspections, quality measures, staffing, sit at the lowest possible mark. For-profit, limited liability ownership. If you're considering this one, ask hard questions before signing anything.
McAlester Nursing & Rehab runs on thin staffing margins, the lowest tier on CMS's staffing measure, and that's the number that should worry you most, since aides and nurses are who actually deliver daily care. Turnover sits at 64.4% against a national average of 45.8%, meaning roughly two of every three employees left within the year; that churn shows up as unfamiliar faces and inconsistent care. The current record carries 16 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $17,193 in fines. The last inspection was July 31, 2024, so that record is recent. For-profit, limited liability ownership is worth knowing too.
Chestnut Hill runs 180 certified beds in Wilkes Barre under corporate for-profit ownership, and the numbers that stand out most are on the staffing side. At 3.50 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends dip roughly 11% below its own weekday levels, meaning coverage is thinnest exactly when families tend to visit. Turnover is 61.5% against a national 45.8%, so the aides and nurses caring for your relative are more likely than not to be new to the building within the year. The current record carries 66 deficiencies, four of them abuse-related, though none at the harm level, and the last inspection was February 2026.
Bethlehem South runs 227 certified beds as a for-profit corporation, and its staffing numbers are the clearest thing on the page: 3.30 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That shortfall shows up in CMS's staffing rating of 1 out of 5, and turnover sits at 52.2% versus 45.8% nationally, roughly half the nursing staff cycling through in a year. The inspection record holds 28 deficiencies, none at harm level but three tied to abuse, plus one fine of $27,378. A September 2025 inspection is recent, so the picture is current rather than stale.
Shenandoah Senior Living runs on 3.13 nurse hours per resident per day, roughly 19% under the national average, and weekends drop about 8% below what the home itself staffs during the week. That thinner coverage matters more given the inspection record: 39 deficiencies, including three at the harm level and four tied to abuse, with two fines totaling $76,285. Annual turnover sits at 46.9%, just above the national figure. The most recent inspection was in May 2026. A for-profit limited liability company owns the 119-bed home. Whatever the quality measures suggest, the health inspection history is where the real trouble shows.
Laurel Lakes runs 186 certified beds in Chambersburg under for-profit LLC ownership, and the staffing numbers are the first thing worth knowing. At 3.31 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekend coverage drops roughly 7% below its own weekday level. Staff turnover is 46.6%, close to the national 45.8%. The inspection record is heavier: 40 deficiencies currently on file, three at harm or jeopardy level, two tied to abuse, and a single CMS fine of $211,205. Its last inspection was May 20, 2026. If you're weighing this one, ask specifically about weekend nursing coverage and how the abuse-related findings were resolved.
Birchwood runs 3.34 total nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekend staffing drops another 8% below its own weekday level. Turnover sits at 53.9%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record shows 52 deficiencies, including three at the harm or jeopardy level and three abuse-related, with two fines totaling $123,390; the last inspection was March 2026. It's a for-profit LLC with 121 beds, and its quality measure score stands out against a staffing picture that doesn't.
Cedar Haven is a 324-bed for-profit partnership in Lebanon, and the numbers that matter most here are the staffing and inspection records. Nurses provide about 3.05 hours of care per resident per day against a national average of 3.86, roughly a fifth less, and the home runs even leaner on weekends than it does during the week. That staffing level earns one star from CMS and sits alongside a one-star health inspection rating, with 24 deficiencies on the current record, including two involving harm or jeopardy and two tied to abuse. Fines total $65,692 across two penalties, and the most recent inspection was in November 2024. Turnover, at 40.1%, is actually a bit below the national rate, that's the one figure working in its favor.
Kadima Rehabilitation & Nursing At Latrobe runs 107 certified beds as a for-profit LLC, and the numbers that stand out most are about people, not beds. Annual staff turnover hits 71.4 percent here against a national average of 45.8 percent, that's a building where most of the caregivers you meet this year likely won't be there next year. Federal inspectors have logged 70 deficiencies on the current record, including four serious enough to involve harm or jeopardy and seven tied to abuse. The staffing and health inspection ratings both sit at the lowest mark CMS gives, and the most recent inspection was March 19, 2026. That combination, thin, unstable staffing plus a long paper trail, is what drives the low grade.
Wayne Woodlands Manor runs 117 beds as a nonprofit, and its nurse staffing lands at 3.87 hours per resident day, essentially dead even with the national average, not above it in any meaningful way. Weekends dip about 9% below its own weekday coverage, and turnover sits at 59.5% against a national 45.8%, so nearly six in ten staff left over the year. The inspection record shows 34 deficiencies, three serious enough to reach harm or jeopardy and ten tied to abuse; one fine of $57,330 is on file, with the most recent inspection dated May 2026. Quality measures score 1 out of 5, the weakest area here.
Wyndmoor Hills runs on 3.10 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage slips another 5% below its own weekday levels. That thin staffing sits alongside a one-star inspection rating and 82 deficiencies on the current record, including four at the harm or jeopardy level and four tied to abuse. Staff turnover is 47.7%, a bit above the national 45.8%, and the home has paid three fines totaling $102,309. The most recent inspection was January 10, 2025. Ownership is for-profit, through a limited liability company. Quality measures score better than the rest, but they don't offset what the inspection and staffing numbers show.