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.
Oak Ridge runs 142 certified beds in Taylor under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.30 nurse hours per resident day, it sits roughly 14% under the national average of 3.86, and weekends dip about 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 45%, basically level with the national figure, so that's not the differentiator here. The inspection record is: 65 deficiencies, six at harm or jeopardy level, nine abuse-related, and two fines totaling $104,143. CMS scored its last inspection on February 6, 2026, one star, with staffing also one star.
Nurse staffing at Royal Middletown runs 3.21 hours per resident day, about 17% under the national average, and weekends dip roughly 8% below the home's own weekday levels. Turnover sits at 62.5% against a national average of 45.8%, so the people providing care change often. The current inspection record carries 26 deficiencies, four tied to abuse and two serious enough to put residents in harm's way, along with one fine of $30,590. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. This for-profit partnership was last inspected on April 30, 2026, and its record is thin where it matters most.
Elmhurst Rehabilitation and Healthcare Center runs 206 beds in Providence under for-profit LLC ownership, and the numbers show strain. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. The inspection record carries 51 deficiencies, including 7 at harm or jeopardy level and one tied to abuse, with four fines totaling $167,593; the most recent look came in January 2026, and CMS rated all three of its star categories at 2 out of 5. Staff turnover, at 42.8%, is actually slightly better than the 45.8% national figure, one of the few spots where this home doesn't lag.
Brookview runs on 3.00 nurse hours per resident day, about 22% under the national average, and weekends drop roughly another 12% below its own weekday staffing. That thin coverage shows up in the inspection record: 14 deficiencies, 4 serious enough to put residents in harm's way, 3 tied to abuse, and $42,599 in fines. Staff turnover sits at 49%, slightly worse than the 45.8% national figure, so the people providing care keep changing. The last inspection was January 8, 2026, meaning the record is current, not old news. This is a for-profit LLC with 132 certified beds, and the pattern across staffing, turnover, and serious deficiencies is consistent rather than a one-time slip.
Sumter East runs 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday numbers. Staff turnover sits at 44.2%, close to the national figure, so the problem isn't retention so much as how few hands are on deck. The inspection record is harder to look past: 32 deficiencies, three at harm or jeopardy level, four tied to abuse, and five fines totaling $33,097, with the last inspection in March 2026. For a 176-bed for-profit run by an LLC, the staffing and inspection numbers together tell you where the risk sits.
Good Samaritan Society Canistota runs 3.23 nurse hours per resident day, about 16% under the national average of 3.86, and weekend coverage drops roughly another 11% below its own weekday levels. That staffing pattern sits alongside a 68% annual turnover rate, well above the 45.8% national figure, which means the people providing care are changing over faster than average. The current inspection record shows 17 deficiencies, two serious enough to reach harm or jeopardy level, though none involve abuse, and one fine of $9,009. The most recent inspection was in March 2026, so the record is current rather than stale.
Willow Branch runs lean on nursing staff, 3.30 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, which is when families often notice. The 48.6% annual turnover means nearly half the nursing staff leaves each year, so the people caring for your relative may not be the ones who were there six months ago. The current inspection record shows 11 deficiencies, three serious enough to involve harm or jeopardy, though none were abuse-related. The most recent inspection was April 30, 2025, so it's fairly current. Ownership is a for-profit limited liability company. Worth asking the administrator directly how they cover weekend shifts and what they're doing about retention before you decide.
Andersonville Tn Opco runs 103 certified beds as a for-profit LLC, and its recent inspection history is genuinely solid, a four-star health inspection rating, only seven deficiencies on record, none of them causing harm or involving abuse, and an inspection as recent as December 2025. The problem sits elsewhere: nurse staffing at 3.28 hours per resident day trails the national average by roughly 15%, weekends run about 8% thinner than weekdays, and annual turnover hits 61.4% against a national figure near 46%. Quality measures land at two stars. A clean survey record matters, but it can't fully offset thin coverage and a workforce that keeps cycling out.
The Waters of Springfield runs on thin nurse coverage, 2.90 hours per resident day against a national average of 3.86, and weekends dip about 11 percent below its own weekdays, so the thinnest shifts are the ones families visit. Staff turnover sits at 63 percent, well above the 45.8 percent national figure, which means the people caring for your relative are often new and still learning the building. Inspectors cited 20 deficiencies, including two at the harm level and four tied to abuse, with $35,552 in fines; the most recent inspection was in May 2025. The quality measure score looks strong on paper, but that reflects charted clinical data, not day-to-day staffing or the inspection record.
Brookhaven runs on thin staffing: 3.15 nurse hours per resident day against a national average of 3.86, with weekends about 9% leaner than weekdays. Turnover sits at 75.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is the bigger concern, 48 deficiencies, including four at harm or jeopardy level and two tied to abuse, with three fines totaling $24,739 and a survey as recent as July 2025. That combination of low staffing, high turnover, and repeat serious findings is what drives the low marks across all three CMS categories.
Mineral Wells Nursing & Rehabilitation has a split personality in the federal data. Its last inspection was in April 2025, and it earned a top five-star health inspection rating with twelve deficiencies on record, one of which rose to the harm or jeopardy level and one tied to abuse. Where it struggles is staffing: 3.05 nurse hours per resident day sits about 21 percent under the national average, weekend coverage drops roughly 11 percent below its own weekdays, and annual turnover runs 95.6 percent against a national 45.8. That churn is the number that should worry you most, because it means the people caring for your relative are, more often than not, new to the building.
Paradigm At The Creek runs 120 certified beds in Wharton under for-profit LLC ownership, and the staffing numbers are the first thing to notice. Its 3.23 nurse hours per resident day sit well under the national average, weekend coverage drops further below its own weekday level, and more than half the nursing staff turned over in a year, a rate noticeably above the national figure. The inspection record backs that up: 38 deficiencies, seven serious enough to put residents in harm's way, four tied to abuse, and four fines adding up to just over $52,000. All three CMS star ratings sit at the lowest tier. If you're considering this one, ask hard questions about who's actually on the floor nights and weekends.
If you're considering Oakmont Healthcare And Rehabilitation Center Of Katy, the staffing numbers are what stand out first. Nurses provide 2.91 hours of care per resident per day, roughly a quarter below the national average, and weekend coverage drops about 10% below what the home staffs on weekdays. Annual turnover runs 92.6%, more than double the national rate of 45.8%, meaning most of the people caring for residents are new to the building.
The inspection record shows 23 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a $12,740 fine. The last inspection was November 2024, so the record is reasonably current. Ownership is a for-profit corporation.
Avir At Stephenville runs 102 certified beds and leans on a nursing staff that logs 3.33 hours per resident day, roughly 14% under the national average, with weekends about 13% thinner than its own weekdays. That shortfall shows up in the numbers: 82.3% annual turnover against a national 45.8%, a one-star staffing rating, and 31 deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse. A single fine of $204,614 sits on the books, and the most recent inspection, in July 2025, produced a two-star health inspection result. Ownership is corporate and for-profit, which may help explain the staffing math.
Avir At Western Hills runs on lean nurse staffing: 3.16 hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. That gap shows up in the payroll, 75% of staff turned over in a year, well above the 45.8% national figure, and it's a big reason the staffing rating sits at 1 out of 5 even though quality measures score 4. The inspection record carries 31 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus $16,562 in fines. The most recent inspection was May 2025, so the picture is current, and this corporate-owned home is licensed for 120 beds.
Arlington Heights runs 170 certified beds in Fort Worth, and the numbers that stand out are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends drop about 11% below the home's own weekday level, and annual turnover hits 91.6% when the national figure is 45.8%, which means the aide or nurse your mother sees on Tuesday may not be there by spring. The inspection record shows 43 deficiencies, three at harm or jeopardy level and three abuse-related, with $31,539 in fines and a 2/5 health inspection rating. Ownership is for-profit, individual.
Treemont's staff turnover runs about 94 percent a year, roughly double the national average, which tells you the people caring for residents here are, more often than not, new to the building. That instability shows up in the numbers: 41 deficiencies on the current record, five serious enough to involve harm or jeopardy, six tied to abuse, and four fines totaling $63,262. Federal inspectors last visited in July 2025 and rated the home two stars for health inspections, two for quality measures, and one for staffing. It's a for-profit limited liability company with 130 certified beds.
Santa Fe Health & Rehabilitation Center runs 116 certified beds in Weatherford under for-profit LLC ownership, and its staffing is the number that stands out. At 2.89 nurse hours per resident per day, it's about a quarter below the national average of 3.86, and weekends dip roughly 15% below its own weekday level, which matters when families visit and needs don't pause. Annual turnover of 59.7% runs well above the national 45.8%, so familiar faces are hard to keep. The inspection record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in February 2025. CMS rates its staffing 1 out of 5 stars, while inspections and quality measures each land at 3.
Crescent Manor runs 90 beds in Bennington under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.82 nurse hours per resident day it sits just under the national average, but weekends drop roughly 10% below its own weekday coverage, so the gap widens exactly when families tend to visit. Annual turnover of 70.4% is well above the 45.8% national figure, which means aides and nurses are cycling through constantly. The inspection record shows 25 deficiencies, three at harm or jeopardy level and three tied to abuse. Two fines total $47,258. That's the picture behind the low marks.
Bel Aire Center runs 58 certified beds in Newport under corporate ownership, and the numbers raise real questions about day-to-day care. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, and it thins out further on weekends, roughly 8% below the home's own weekday levels. Staff turnover of 59.3% runs well above the 45.8% national figure, which matters because residents see fewer familiar faces. The inspection record is the heavier concern: 31 deficiencies, four serious enough to cause harm or jeopardy, and four tied to abuse, with two fines totaling $286,973. Quality measures look strong at 4 stars, but that's a narrower slice of the picture than staffing and inspections.