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.
Harvard Gardens runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average, and weekends dip about 8 percent below its own weekday staffing. That thin coverage sits behind a one-star staffing rating and a one-star health inspection rating, with 73 deficiencies on the current record: three at harm or jeopardy level and eight tied to abuse. Six fines add up to $194,149. The five-star quality measure score looks strong on paper, but it's built in part on data the short staffing itself helps generate. Ownership is a for-profit partnership, and the most recent inspection was March 3, 2026. The quality number and the staffing number don't tell the same story.
The Gardens of Fairfax runs on thin staffing. At 3.71 nurse hours per resident day, it sits just under the national average, and weekends drop roughly 17% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover tells the harder story: 68.8% of staff leave each year, well above the 45.8% national figure, so the people caring for residents keep changing.
The inspection record is heavy, 47 deficiencies, including one at the harm level and seven tied to abuse, plus 24 fines totaling $145,170. The most recent inspection was in February 2026, so the record is current. Corporate ownership is a for-profit limited liability company.
Letort Spring runs about 13 percent below the national average on nurse staffing, and weekends dip roughly another 10 percent below its own weekday level, so the hours a resident gets vary by the day. The inspection record is the bigger problem: 59 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and $63,892 in fines across three actions. A recent inspection date doesn't erase that backlog. For-profit LLC ownership, a one-star health inspection rating, and thin weekend coverage together mean you'd want to visit unannounced, on a weekend, and ask directly who's on the floor.
Magnolia Manor - Greenwood runs on 3.25 nurse staffing hours per resident day, roughly 16% under the national average, and weekends drop about 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with two fines totaling $13,075 and a one-star health inspection rating. Staff turnover sits at 47.9%, slightly above the national 45.8%. This is a for-profit limited liability company, 88 beds, last inspected June 2025.
Creekview runs about 3.37 nurse hours per resident each day, roughly 13 percent under the national average, and weekend staffing drops another 16 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 66.7 percent against a national 45.8 percent, meaning most of the people charting care this year likely won't be there next year. The current record shows 23 deficiencies, none at harm or jeopardy level and none abuse-related, but the two-star inspection rating suggests the pattern, not just the count, is what inspectors noticed. Quality measures score well at four stars; that's real, though it rests on a workforce that keeps changing.
Briarwood runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends drop another 15% below its own weekday staffing. Turnover sits at 69% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. Fourteen deficiencies appear on the current record, four of them abuse-related. None rise to harm or jeopardy level, and the most recent inspection was in May 2025, so the picture is current rather than stale. The quality measure rating of 1 out of 5 is the number that should give you pause; staffing at 2 out of 5 and inspections at 3 out of 5 round out a home that isn't failing outright but isn't steady either.
Etowah Health and Rehabilitation runs a 120-bed for-profit operation where nurse staffing sits at 3.22 hours per resident day, about 16% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. The inspection record shows 16 deficiencies, three of them serious enough to involve harm or jeopardy, four tied to abuse, and $21,692 in fines across three penalties. CMS rates it one star each for staffing and quality measures, two for health inspections, with the most recent inspection dated February 25, 2026. Families weighing this one should ask directly how the abuse-related findings were resolved and who covers the floor on weekends.
Vanayer Senior Living runs 91 certified beds in Martin under individual for-profit ownership, and the numbers show a building that's staffed thinner than most. Total nurse coverage sits at 3.49 hours per resident day, roughly 10% under the national figure, and weekends dip about 18% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Half the staff turned over in the past year, above the 45.8% national rate, which matters because new aides don't know residents yet. Nine deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus $8,589 in fines. The last inspection was November 2025, so that record is recent.
AHC McKenzie runs 99 certified beds under corporate for-profit ownership, and its last health inspection in April 2026 came back strong on paper, a 5-star inspection rating with just three deficiencies on record, none of them causing harm. An abuse-related citation does appear in that count, which is worth asking about directly. The staffing side is where the picture changes: 3.24 nurse hours per resident per day sits about 16% under the national average, weekends run roughly 15% thinner than weekdays, and 60% of staff turned over in a year against a national rate near 46%. Consistent coverage is the thing to press on when you visit.
Meadowbrook Healthcare And Rehabilitation Center runs 83 certified beds in Pulaski, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. That gap shows up most on weekends, when coverage drops about 13% below what the home staffs on weekdays. The record itself is fairly clean on safety, 8 deficiencies total, none at the harm level and none tied to abuse, with the last inspection dated February 2026 and a 4-star health inspection rating. Quality measures come in at 2 stars, though, which fits with thin staffing. Corporate for-profit ownership means decisions about direct-care hours get made with margin in mind.
Ripley Healthcare and Rehab Center runs 144 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average, which sounds better than it is. Weekend staffing drops about 22% below the home's own weekday level, so the coverage your family member gets on a Saturday looks nothing like a Tuesday. Staff turnover is 45.7%, essentially identical to the national average, meaning nearly half the workforce turns over each year. Eleven deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and CMS has fined the home $66,472. The last inspection was May 2026.
Park Village runs 3.05 nurse hours per resident day against a national average of 3.86, and weekends drop another 15% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record carries 52 deficiencies, eight at harm or jeopardy level and seven tied to abuse, with six fines totaling $221,389. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. Quality measures look strong at 5/5, but that score sits alongside a 1/5 on both inspections and staffing, a split worth asking about directly.
Swan Health At Wichita Falls runs 72 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.24 hours per resident day, about 16% under the national average of 3.86. Weekends dip roughly 6% below the home's own weekday coverage, so the thinnest hours come when families often visit. The record shows 27 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection on March 20, 2025. CMS gives it 4 stars for health inspections but only 1 for staffing and 2 for quality measures. The tension is clear: surveyors found relatively few serious problems, yet the daily staffing numbers and quality metrics are where the weakness lives, especially on weekends.
Riverside Health & Rehab runs 180 beds in Danville under corporate ownership, and its inspection history is genuinely decent, a 4-out-of-5 federal rating with no deficiencies at the harm level. The problem sits elsewhere. Nurse staffing comes in at 2.96 hours per resident day against a national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. Annual turnover of 53% tops the 45.8% national figure, so the people providing most of the hands-on care are cycling through quickly. Twenty-two deficiencies are on the current record, one abuse-related, with the last inspection in September 2023. Ask how they cover weekend shifts before you decide.
Mountain View Post Acute runs 74 certified beds in Ellensburg under corporate ownership, and the numbers that matter most here are the inspection ones. Seventy-two deficiencies sit on its current record, including seven at the harm or jeopardy level and eleven tied to abuse. CMS fined this home five times for a total of $241,528, and its most recent inspection in February 2026 landed at one star. Staffing is thin, too: 3.78 nurse hours per resident day is slightly under the national average, weekend coverage drops about 19% below weekdays, and turnover runs 62.2% against a national 45.8%. The quality measure score doesn't offset any of that.
Ohio Valley Health Care runs 66 certified beds in Parkersburg under corporate for-profit ownership, and its nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 7% below the home's own weekday level, so coverage thins exactly when families tend to visit. The inspection record shows 29 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $21,580 fine. Quality and staffing measures both land at 1 out of 5 stars, though the last inspection was recent, in March 2026. If you're weighing this one, ask directly about weekend nurse coverage and how that abuse citation was resolved.
Novato Healthcare Center has 181 certified beds and enough nurses on weekdays, 3.99 hours per resident day, a touch above the national average. Weekends run about 9% thinner, so ask how that gap gets covered. The real problem sits in its inspection history: 95 deficiencies on the current record, three serious enough to put residents in harm's way and 13 tied to abuse. Two fines total $90,488, and the most recent inspection was November 2025. For-profit, individually owned, with a one-star health inspection rating against a four-star staffing score. Good weekday staffing can't offset that record on its own. Ask to see the plan of correction before you decide anything.
River Oaks runs on a staffing model that doesn't hold. Nearly every employee who worked there a year ago is gone now, turnover sits at 95.6% against a national average of 45.8%, and the staffing star rating reflects it at 1 out of 5. That churn shows up in the record: 37 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with two fines totaling $60,095. The health inspection rating is also 1 star, though the quality measure score of 4 suggests some clinical targets are being met on paper. Ownership is a for-profit limited liability company. The most recent inspection was April 17, 2026.
Hillside Medical Lodge runs on thinner staffing than most homes its size, 3.10 nurse hours per resident day against a national average of 3.86, with weekends dropping about 16% below its own weekday levels. That's the number families should weigh hardest, since it's the one that shapes daily care. Turnover sits at 46.7%, roughly in line with the national figure, and the home changed owners within the past year, which often means new management still settling in. The good news: 13 deficiencies on record with none at harm or jeopardy level and none abuse-related, plus a four-star health inspection rating and a recent December 2025 inspection. Quality measures land at two stars.
Nurse staffing at The Highlands runs 3.32 hours per resident day against a national average of 3.86, roughly 14% lighter, and weekends drop about 11% below the home's own weekday level, so coverage is thinnest exactly when families tend to visit and aides often work short. The inspection record shows 24 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus four abuse-related citations and one fine of $47,726; the most recent inspection was December 30, 2025. This is a for-profit limited liability company with 116 certified beds, and its CMS staffing rating sits at 1 out of 5 while health inspections and quality measures each sit at 2.