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.
Bayberry Commons runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends run about 12% thinner than weekdays, so coverage dips when families tend to visit. The current inspection record carries 20 deficiencies, three serious enough to reach harm or jeopardy level and two tied to abuse, plus $51,948 in fines across three penalties. Staff turnover, at 45.6%, is essentially the national norm, and the last inspection was July 2025. Quality measures score 1 out of 5 stars.
Riverview Healthcare Community runs 190 beds in Coventry under for-profit LLC ownership, and its staffing sits at 3.57 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop another 7% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 40.1%, a bit better than the 45.8% national figure, but the inspection record is where things get serious: 31 deficiencies, two at harm or jeopardy level, and one abuse-related, with $63,518 in fines across two penalties. The most recent inspection was April 2, 2026, and CMS rated health inspections and staffing 2 out of 5.
Crystal Lake Rehabilitation And Care Center runs 71 certified beds under for-profit LLC ownership, and the numbers around it deserve a close look. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends drop roughly 13% below the home's own weekday levels, meaning care thins out exactly when families tend to visit. Staff turnover is 57.6% against a national 45.8%, so the people caring for residents are cycling through fast. The inspection record is the hardest part: 60 deficiencies, 8 at harm or jeopardy level, 2 abuse-related, and 15 fines totaling $306,656, with the most recent inspection in April 2025.
Riverside Health And Rehab runs 160 certified beds in Charleston under for-profit LLC ownership, and its nurse staffing sits at 2.72 hours per resident day, roughly 30% under the national average of 3.86, with weekend coverage dipping about 10% below its own weekday level. Turnover is 46.2%, essentially tracking the national figure, so the shortfall isn't about constant churn; it's about how few hands are scheduled. The inspection record shows 21 deficiencies, including three at harm or jeopardy level and one tied to abuse, plus three fines totaling $27,788. The most recent inspection was April 21, 2026. Staffing star rating lands at 1 out of 5.
River Falls Post Acute runs 44 beds in Marietta under for-profit LLC ownership, and the staffing numbers are where the concern sits. At 3.12 nurse hours per resident day, it's roughly 19% under the national average, and weekends drop another 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 59.5% is nearly 14 points above the national rate, meaning the aides and nurses caring for residents are frequently new. Inspections look better: a 4/5 health inspection rating, last survey in April 2026, 9 deficiencies with one at harm level and none abuse-related, plus a single $8,824 fine. The quality measures also rate 4/5. The gap between how care is documented and how consistently it's staffed is what pulls the overall picture down.
Nurse staffing at Huntsville Post-Acute runs 3.36 hours per resident day, about 13 percent under the national average, and weekends drop roughly 9 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 61.1 percent sits well above the 45.8 percent national figure, meaning many of the aides and nurses you meet may be new to the building. The current inspection record carries 28 deficiencies, four at harm or jeopardy level and one abuse-related, with a single $9,062 fine. Three straight two-star ratings on health inspections, quality measures, and staffing tell a consistent story rather than a fluke.
The Waters of Cheatham runs 80 certified beds in Ashland City under for-profit LLC ownership, and its staffing is the number that stands out: 3.09 nurse hours per resident day, roughly 20% under the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, and annual turnover hit 67.5% against a national 45.8%, meaning most of the people caring for your family member are relatively new to the building. The inspection record carries 24 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level, and CMS fined the home twice for a total of $6,350. Its last inspection was March 26, 2026, so the record is current. Resident outcome measures score well; direct care hours per resident do not.
Nurse staffing at Waters of Memphis runs about 12% under the national average, and weekends get thinner still, roughly 13% below what the home staffs on weekdays. That gap matters, because care doesn't pause on Saturdays. Annual turnover sits near 60%, well above the 46% national figure, so the people at the bedside keep changing. The current record shows 13 deficiencies, four tied to abuse, though none rose to the level of actual harm or jeopardy; the last full inspection was in September 2023, and one fine totaling $5,293 has been levied. Quality measures score well, but staffing and inspections tell the more grounded story about daily conditions here.
Fort Worth Wellness & Rehabilitation runs on 2.80 nurse hours per resident day, roughly 27% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage is the main thing behind its one-star staffing rating, and it shows up alongside 19 deficiencies on the current record, including one at the harm level, plus a single fine of $122,336. The inspection history sits at two stars, most recently surveyed July 17, 2025, so nothing here is stale. Turnover of 46.7% is close to the national 45.8%, but with this staffing level, even average churn means less continuity for residents.
Heritage Convalescent Center runs 116 certified beds in Amarillo under corporate for-profit ownership, and its overall nurse staffing sits at 4.00 hours per resident day, modestly above the national average. That top-line number hides a couple of things worth knowing, though. Weekend staffing drops roughly 13% below its own weekday level, and annual turnover lands at 57% against a national rate of 45.8%, so the people covering those shifts are changing often. The current record shows 27 deficiencies, none at the harm or jeopardy level but one tied to abuse, and the last inspection was in December 2025. Federal ratings put staffing at 1 out of 5 stars and quality measures at 2.
Avir At Petal Hill runs 3.50 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. Its record shows 33 deficiencies, four of them at the harm or jeopardy level and two tied to abuse, with $31,256 in fines across two penalties. Staff turnover sits at 43.9%, a touch better than the 45.8% national figure. All three CMS ratings, health inspection, quality measures, staffing, land at 2 out of 5, and the most recent inspection was March 5, 2026. For a 120-bed for-profit corporate home, the pattern is thin staffing, repeated serious findings, and middle-to-low marks across the board.
Laredo West runs on 3.12 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends drop about 13% below what the home itself staffs on weekdays. Turnover sits at 47.3%, slightly above the national 45.8%. Those numbers sit behind a one-star health inspection rating and a record of 31 deficiencies, three of them at harm or jeopardy level and four tied to abuse, with two fines totaling $49,719. The most recent inspection was April 2025, so the record is current, not stale. Government hospital district ownership doesn't change what the staffing and inspection data show. Families should ask direct questions about weekend coverage and the abuse-related findings before deciding.
Paradigm Northwest runs 148 beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 2.96 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 11% below its own weekday levels, and annual turnover of 52.3% outpaces the national 45.8%, so the aides and nurses your family would see are cycling through steadily. Its inspection record carries 33 deficiencies, five serious enough to involve harm or jeopardy and one tied to abuse, with four fines totaling $51,400. The most recent inspection was December 2025, so that picture is current. CMS rates staffing and health inspections 1 out of 5; quality measures land at 3.
Guadalupe Valley runs 148 certified beds in Seguin under nonprofit ownership, which often signals stability, but the numbers here tell a more mixed story. Nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 48.1%, a bit above the national rate, while the inspection record shows 50 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one $75,450 fine. The most recent inspection, in March 2026, is recent enough to reflect current conditions rather than old ones.
Desoto Nursing & Rehabilitation Center runs about 2.96 nurse hours per resident day, roughly a quarter below the national average of 3.86, and staffing thins out further on weekends. The bigger red flag is turnover: 96.6% of nursing staff leave within a year, against a national rate near 46%, which makes it hard to keep consistent caregivers who know the residents. The 18 deficiencies on record include one at the harm or jeopardy level, and a single fine of $12,740 has been levied. Quality measures look strong at 5/5 stars, but staffing sits at 1/5, and that gap between good outcomes on paper and thin, constantly changing staff is what drives the low overall score.
Crestwood runs on notably thin nursing coverage: 2.95 hours per resident day, roughly a quarter below the national average, and weekends drop about 10% below what the home already provides on weekdays. Inspectors have cited 45 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $10,839 and a health inspection rating of 1 out of 5; the last inspection was January 2024. Staff turnover sits at 59% against a national 45.8%, so the people providing care change often. The quality measure score of 5 out of 5 stands out against all of this, a gap worth asking the administrator about directly.
Brookside runs on thinner staffing than most homes in the country, about 3.09 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops roughly 13 percent below its own weekday level. More than six in ten staff members left over the past year, well above the 45.8 percent national rate, which makes it hard to keep consistent caregivers at the bedside. The inspection record is the bigger concern: 80 deficiencies, including two at the harm level and four tied to abuse, with $146,073 in fines and a one-star health inspection rating. The last inspection was in August 2024.
Grace Pointe Wellness Center runs 154 certified beds in El Paso under corporate for-profit ownership, and the numbers don't line up in the family's favor. Nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average, and weekends drop about 19% below what the home staffs on weekdays, so the coverage your relative gets on a Saturday is thinner than what the inspection record assumes. That record carries 53 deficiencies, including 5 at harm or jeopardy level and 8 tied to abuse, plus two fines totaling $76,770. The quality measure score looks strong, but quality measures are self-reported, and a 1-out-of-5 inspection rating alongside a 1-out-of-5 staffing rating is what the state actually found when it walked through the door in March 2026.
Focused Care At Humble runs 134 certified beds in Harris County under corporate for-profit ownership, and the staffing numbers are where the trouble shows. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly 12% below its own weekday level. Nearly half the staff turned over last year, 49.3% against a national 45.8%. The 17 deficiencies on record include 3 at harm or jeopardy level, with two fines totaling $19,410; the last inspection was in May 2025. Quality measures score well, but thin, churning staffing is the pattern a family should weigh hardest here.
Briarcliff runs on about 3.25 nurse hours per resident per day, roughly 16% under the national average, and the weekend gap is real, weekends come in around 12% below what the building staffs on weekdays. Turnover sits at 53% against a national 45.8%, so nearly half the nursing staff leaves each year. The inspection record shows 46 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with four fines totaling $63,129. The last inspection was May 2026. Ownership is a nonprofit corporation, and with 194 beds, there's plenty of room for the numbers to move. Right now, though, they aren't moving in the right direction.