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.
Ruston Nursing and Rehabilitation Center is a for-profit, LLC-owned home with 157 certified beds, and the numbers behind its record are worth a slow read. Nurse staffing sits at 3.63 hours per resident per day, about 6% under the national average, and weekends run roughly 18% lighter than weekdays, so coverage thins out exactly when families tend to visit. Staff turnover is 52.8%, well above the 45.8% national figure, and the current inspection record carries 25 deficiencies, four at harm or jeopardy level and three abuse-related, plus $36,891 in fines. The most recent inspection was April 16, 2025.
Shreveport Manor runs 127 beds as a for-profit partnership, and the numbers that stand out most are on the staffing side. At 2.76 nurse hours per resident day, it sits roughly 29% under the national average of 3.86, weekend coverage drops about 16% below its own weekday levels, and annual turnover hits 61.8% against a national 45.8%. Those aren't small gaps. The inspection record is steadier, 23 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related, and the most recent survey was in August 2025. Quality measures land mid-range at 3 stars. What you're looking at is a home that isn't cited for serious harm but consistently staffs thinner than average, with a workforce that turns over faster than most.
Alpine Skilled Nursing runs 144 beds in Ruston under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.15 nurse hours per resident day, roughly 18 percent under the national average, with weekends about 16 percent thinner than weekdays. That thin coverage shows up in the CMS staffing rating, which sits at the lowest mark, and the quality measure rating matches it. Turnover is a relative bright spot at 35.6 percent against a 45.8 percent national figure, and the 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related. The last inspection was January 13, 2026.
The Broadway Nursing and Rehabilitation Center runs 126 certified beds as a nonprofit corporation in Lockport, and its staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average, with weekends about 16% thinner than weekdays. The inspection record is the bigger concern: 23 deficiencies currently on file, two of them at the harm or jeopardy level and two abuse-related, plus two fines totaling $29,126. Staff turnover at 44.7% is essentially at the national average, so retention isn't the outlier here. The quality measure rating of 1 out of 5 is where the clinical picture looks weakest, and that's separate from the staffing and inspection scores.
The Grove At Carvalho runs on 3.42 nurse hours per resident day, about 12% under the national average, and weekend coverage dips roughly 5% below what it manages on weekdays. Its inspection history is the bigger concern: 47 deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, plus seven fines totaling $39,082. A corporation owns the 112-bed home, and the staffing and quality measure ratings both sit at the low end of CMS's scale. The most recent inspection was in April 2026, so the record is current rather than stale, meaning those 47 findings reflect conditions regulators saw recently, not problems already resolved.
Courtyards Comm Living Center runs 66 certified beds in Fulton under individual for-profit ownership, and the numbers tell a split story. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends drop roughly 15% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover hits 50.8%, well above the 45.8% national figure. The bigger concern is the inspection record: 39 deficiencies, 11 at harm or jeopardy level, four abuse-related, and three fines totaling $117,659. The most recent inspection was May 2025. Strong staffing ratings don't offset that many serious findings.
Myrtles Nursing Center runs 98 beds in Columbia under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 69.5% is well above the national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Eighteen deficiencies sit on the current record, none at harm level, though one is abuse-related. The last inspection was October 2024. Quality measures score 1 out of 5, the weakest area in its federal profile.
Stonebridge Florissant runs on thin staffing. At 3.28 nurse hours per resident day, it sits roughly 15 percent under the national average, and weekends drop another 18 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover tells a related story: 75.9 percent of staff leave within a year, well above the 45.8 percent national figure, which means unfamiliar faces and constant retraining.
The inspection record is current, dated August 2025, with 37 deficiencies but none flagged at harm or jeopardy level, and none abuse-related. That's a meaningful distinction. Still, a 1-out-of-5 staffing rating with that churn rate is the number to weigh hardest when you tour.
The Manor in Poplar Bluff runs about 4.10 nurse hours per resident day, roughly 6% above the national average, but that cushion thins on weekends when staffing drops about 18% below its own weekday level. Annual turnover sits at 61.9% against a national average of 45.8%, so a large share of the people providing that care are new or on their way out.
The current record shows 26 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was April 2025. State inspectors rated health inspection at 4 of 5 stars, but quality measures came in at 1 of 5.
Ash Grove Healthcare Facility runs on thinner staffing than most homes you'll compare it to, about 3.20 nurse hours per resident day against a national average near 3.86, with weekends dropping roughly 16% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when residents still need the same hands. Annual turnover of 63.6% is well above the 45.8% national figure, so the people providing that care are changing often. The inspection record is genuinely decent: a 4-out-of-5 health inspection rating, no deficiencies at the harm or jeopardy level, and a current survey from January 2025. But 16 deficiencies including two abuse-related citations, and a 1-out-of-5 quality measure rating, mean the day-to-day clinical picture doesn't match the strong inspection score.
Hickory Manor runs 60 beds in Licking under individual for-profit ownership, and the numbers pull in different directions. Nurse staffing sits at 3.70 hours per resident per day, about 4% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so the coverage your family member gets depends heavily on which day it is. Annual turnover is 78.8%, well above the national 45.8%, which means most of the people providing daily care are relatively new to the building. The health inspection rating of 4 out of 5 is genuinely strong, and 29 deficiencies with none at the harm level is not alarming on its face. But a 1 out of 5 on quality measures and recent inspection in January 2025 round out a mixed picture.
Rehab Of Kansas City South runs about 3.10 nurse hours per resident each day, roughly 20% under the national average of 3.86, and weekends are about 17% thinner than its own weekdays. That staffing shortfall shows up in other numbers: 59.5% of staff left over the past year against a 45.8% national rate, and CMS gives staffing a single star out of five. The inspection record carries 45 deficiencies, including two tied to abuse, though none reached harm or jeopardy, and the last survey was in February 2025. This is a for-profit LLC with 100 certified beds, a two-star inspection rating, and a three-star quality measure score.
Pine Grove Manor runs 3.14 nurse hours per resident day, about 19 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday levels. That thin staffing sits alongside a one-star inspection record carrying 34 deficiencies, three of them at harm or jeopardy level and two tied to abuse, plus $31,665 in fines across two penalties. Quality measures score well, but that's family-reported and assessment-based data; the inspection and staffing numbers are what regulators actually observed. The last inspection was March 2026, so the record is current. For-profit corporate ownership, 77 beds, and a staffing picture that leaves little margin when a resident needs more attention than the schedule allows.
Colfax General Ltc runs 34 beds in Springer under for-profit partnership ownership, and its recent inspection history is genuinely strong, a 4-out-of-5 health inspection rating with a survey completed in January 2025. The staffing picture is where it gets harder to feel good about. At 2.60 nurse hours per resident day, this home sits roughly a third below the national average of 3.86, and weekends drop about 19% below its own weekday coverage. Annual turnover of 67.9% is well above the 45.8% national figure. Twenty-six deficiencies sit on the current record, three at harm or jeopardy level and three abuse-related.
Van Rensselaer Manor runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends drop about 16% below its own weekday staffing. Staff turnover sits at 48.3%, a couple points above the national figure, and the inspection record shows 33 deficiencies, including two at the harm or jeopardy level and seven tied to abuse. The most recent inspection was April 1, 2026, so the findings are current rather than dated. County ownership means taxpayers, not a chain, carry the operation. With the quality measure rating at 1 out of 5 and health inspections at 2, the numbers point to a home where residents get less nursing time than average and the state has documented repeated problems. If you're considering it, ask directly how the weekend shifts get covered.
Corning Center runs on thin staffing, and the numbers say so. At 3.20 nurse hours per resident per day, it sits about 17 percent under the national average, and weekends drop roughly 24 percent below its own weekday levels, which matters most when families visit and aides are stretched thinnest. Annual turnover of 64.5 percent is well above the 45.8 percent national figure, so the people caring for your relative are likely to change often. What keeps this home from looking worse on paper is a clean inspection record: 11 deficiencies, none at the harm or jeopardy level, no abuse findings, and a March 2024 inspection. The care seems safe; the question is whether there's enough of it.
Clinton County Nursing Home runs on thinner staffing than most places, 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 24% below its own weekday levels, so coverage is noticeably lighter when families tend to visit. Staff turnover sits at 74.4%, well above the 45.8% national figure, which means the people caring for residents are often new. The current inspection record shows 35 deficiencies, none at harm or jeopardy level but six tied to abuse. The last inspection was July 2023, so that record is getting old. County ownership is stable, but the numbers behind the C grade point to thin, shifting staffing more than anything else.
Elderwood At Liverpool runs 160 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The staffing star rating comes in at 1 out of 5, with quality measures at 2 and health inspections at 3. Its record shows 17 deficiencies, none at harm or jeopardy level and none abuse-related, plus one fine of $56,921. The last inspection was February 2026, so the picture is current.
Elderwood At Hornell passes its health inspections cleanly, a five-star record, just eight deficiencies and none of them causing harm or involving abuse. The trouble is who's left to do the work. At 2.75 nurse hours per resident day, staffing sits roughly 29% under the national average, and it thins out further on weekends. A 63.5% annual turnover rate means most of the aides and nurses on a given shift are relatively new, which matters more when there are fewer of them. One fine of $4,194 is minor. For-profit LLC ownership, 122 beds, last inspected in February 2024. Strong surveys, thin coverage, families should ask pointed questions about evening and weekend staffing specifically.
Elderwood At Cheektowaga runs 3.27 nursing hours per resident day, roughly 15% under the national average, and weekends dip another 15% below its own weekday staffing. That thin coverage shows up in a 63% annual turnover rate, well above the 45.8% national figure, which means the aides and nurses walking into residents' rooms are often new to the building. The current inspection record carries 23 deficiencies, including three tied to abuse, though none rose to harm or jeopardy level. Quality measures look strong at 4 out of 5 stars, but the 2-star health inspection and 2-star staffing ratings, under for-profit LLC ownership, tell a more cautious story.