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.
Avir At Houston runs 148 certified beds as a for-profit corporation, and the numbers that matter most here are thin. Nurse staffing sits at 2.79 hours per resident day against a national average of 3.86, roughly 28% below, and weekends drop about 19% below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. The inspection record carries 35 deficiencies, six of them serious enough to involve harm or jeopardy, plus four fines totaling $178,352. The most recent inspection was May 8, 2026. Federal quality measures score well, but that sits against a 1/5 staffing rating and a 1/5 inspection rating. If you're weighing this one, ask specifically how weekend coverage is handled.
Rockdale Estates runs about 2.7 nursing hours per resident each day, roughly 30% under the national average of 3.86, and weekends dip even lower. That thin coverage shows up against a one-star quality measure rating and 13 deficiencies on the current record, including one at the harm or jeopardy level, plus a single fine of $8,018. The inspection history is the bright spot: four stars and a recent April 2025 survey. Turnover at 42.6% is actually a bit better than the national 45.8%, so the problem isn't churn, it's how few hands are scheduled per resident, especially on weekends.
Avir At Sherman runs on 3.06 nurse hours per resident per day, roughly a fifth below the national figure, and weekends drop about 9% below what the home staffs on weekdays. That shortfall shows up in the numbers that matter: the federal staffing rating sits at 1 out of 5, with annual turnover at 87.1% against a national rate near 46%. Thirty-three deficiencies appear on the current record, three tied to abuse, though none reached harm or jeopardy. The last inspection was June 2025, and quality measures actually score well. A for-profit LLC runs the 132-bed home, so ask directly how they hold onto aides and who covers weekends.
Castro County Nursing & Rehabilitation runs on thin staffing: 2.93 nurse hours per resident day, roughly a quarter below the national average, and weekends dip even lower than its own weekdays. Turnover sits at 52.2%, so the people around your relative are frequently new. The inspection record backs up the concern, 53 deficiencies, four serious enough to involve harm or jeopardy, eight related to abuse, plus a $47,932 fine. The quality measure star rating is decent at 4/5, yet staffing earned just 1/5 and inspections 2/5 under CMS. The most recent inspection was May 2025, so this picture is current. This for-profit LLC has real problems filling shifts, and that shows up in the record.
Millbrook runs on thin staffing: 3.08 nurse hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level. The people who do show up don't stay, 69.7% turnover versus 45.8% nationally means most of the staff you'd meet today likely won't be there next year. Inspectors cited 22 deficiencies, one serious enough to involve harm or jeopardy, and fined the home $13,565; the most recent inspection was in February 2025. A for-profit limited liability company owns the place. The quality measures look better than the staffing numbers, but good scores on paper don't change how few hands are on the floor.
Avir At Dallas runs 136 beds under for-profit LLC ownership, and its inspection record is the first thing to notice: 29 deficiencies on file, two of them serious enough to cause harm or jeopardy, plus one abuse-related finding and an $8,018 fine. Staffing is the other trouble spot, 3.28 nurse hours per resident day sits about 15% under the national average, weekends run roughly 14% lighter than weekdays, and turnover hits 75.7% against a national 45.8%, so the people caring for your family member are likely new and often stretched thin. The most recent inspection was July 2025, so the picture is current.
Legend Oaks North runs 3.17 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 15% below what the home manages Monday through Friday. That thin coverage sits alongside 24 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. Federal inspectors also logged a $41,890 fine, and the most recent inspection is dated April 2026. Throw in for-profit LLC ownership and a 1/5 staffing star rating, and the pattern is consistent: this is a home regulators have cited repeatedly, with staffing that leaves little margin when something goes wrong.
The Heights of Tyler runs 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekend coverage dips about 12 percent below what it manages on weekdays. That thin margin sits behind a staffing rating of 1 out of 5 even though the home's last inspection in February 2026 produced a 4-star health inspection result. Turnover adds another layer: 56.1 percent of staff leave annually, well above the 45.8 percent national figure. The current record lists 21 deficiencies, one involving harm or jeopardy and one abuse-related, plus a $14,276 fine. Ownership is for-profit partnership. The inspection picture looks better than the day-to-day staffing reality.
Avir At Schertz runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 12% below its own weekday level. Staff turnover sits at 79.4% against a national average of 45.8%, so the people caring for residents change constantly. The inspection record shows 65 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $39,676 in fines and a most recent inspection dated February 27, 2026. Ownership is a for-profit limited liability company. The quality measure score looks strong on paper, but that number rests on a staffing and inspection picture that is far weaker.
San Gabriel Rehabilitation and Care Center runs 142 beds in Round Rock under for-profit LLC ownership. Nurse staffing sits at 3.18 hours per resident day, roughly 18% under the national average, and weekends run thinner still, about 7% below what the home staffs on weekdays. Turnover is 55.1%, close to ten points above the national rate, which means the aides and nurses your family member sees may keep changing.
The inspection record is the harder part: 32 deficiencies, three at harm or jeopardy level, six tied to abuse, and $19,393 in fines. CMS gave it one star each for health inspections and staffing. The most recent inspection was July 2025, so the record is current, not stale.
Magnolia Crossing runs on a government-hospital-district license and 128 beds, and its last inspection wrapped in May 2025 with a four-star health inspection rating, genuinely the strongest number here. The staffing numbers tell a different story. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 58.9% against a 45.8% national figure. Twenty deficiencies sit on record, none at harm level, though three are abuse-related. A strong inspection record is carrying a lot of weight for a building where people keep leaving.
St. Giles runs about 124 beds in El Paso, and the staffing numbers are where the trouble starts. At 3.61 nurse hours per resident day it sits roughly 7% under the national average, and weekend coverage drops another 9% below what it manages on weekdays. The bigger red flag is turnover: 93.9% of staff leave within a year, against a national average near 46%, that's an entirely new workforce roughly every twelve months. The current record carries 44 deficiencies, two tied to abuse, though none reached harm or jeopardy level and the last inspection was recent.
Big Spring Center For Skilled Care runs on thin nursing coverage: 3.43 hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday level. The bigger warning sign is turnover, 91.7% annually, roughly double the national rate, meaning nearly the entire nursing staff cycles through in a year. Inspections look decent on paper with a 4-star rating and a recent visit, but the record still carries 27 deficiencies, including one at the harm level and four tied to abuse, plus an $8,184 fine. Corporate-owned and certified for 120 beds, this is a home where you'd want to ask hard questions about who's actually on the floor at 2 a.m. on a Sunday.
Kent County Nursing Home runs on thinner staffing than most: 3.56 nurse hours per resident day against a national average of 3.86, with weekends dropping about 9% below its own weekday coverage. That matters in a 60-bed county-run home, because turnover sits at 55.1% while the national figure is 45.8%, more than half the nursing staff cycling out in a year. The inspection record is heavier still: 27 deficiencies, four serious enough to reach harm or jeopardy, five tied to abuse, and seven fines adding up to $187,081. The most recent inspection was December 2025. If you're weighing this one, ask about weekend coverage and how they've addressed the abuse findings.
California Nursing & Rehabilitation Center has 81 deficiencies on its current record, including three tied to abuse and two that rose to the level of harm or jeopardy. That's a lot for an 80-bed home, and it lines up with the one-out-of-five inspection rating. Staffing hours look decent on paper at 4.16 per resident day, but weekends run about 9% thinner than weekdays, and the federal staffing rating still lands at two stars. Three fines totaling $82,845 are on file. The last inspection was May 7, 2026, so the record is current. For a for-profit LLC operating in Riverside County, the pattern here is thin coverage when it matters and repeated citations that haven't gone away.
Goldwater Care Marseilles is run by a hospital district, and its record shows real strain. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, and weekends drop about 17 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 52.3 percent, well above the 45.8 percent national figure.
The inspection history is the bigger concern: 59 deficiencies on record, including 8 at the harm or jeopardy level and 5 tied to abuse. Three fines total $227,365, and the most recent inspection was June 14, 2024. Resident outcome measures look better than the staffing picture, but that gap rarely holds up without enough consistent hands on site.
Harmony Park Ridge runs 298 beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17 percent under the national average of 3.86. Weekends dip slightly further below its own weekday levels. The inspection record is the bigger concern: 52 deficiencies, 11 of them at harm or jeopardy level and 10 abuse-related, with five fines totaling $223,201. Federal inspectors last visited in March 2025 and rated health inspections 2 out of 5. For a building this size, that many serious findings points to problems that persist between surveys rather than one bad week.
Pearl Of Joliet runs 214 beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 57 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse; CMS has fined the home four times for $109,368 total. Turnover at 42.6% is slightly better than the 45.8% national figure, which is one of the few numbers here that isn't working against it.
Meadowbrook Manor runs 249 certified beds in Naperville under for-profit LLC ownership, and its nurse staffing sits at 2.85 hours per resident day, roughly 26 percent under the national average of 3.86. Weekends thin out further, running about 17 percent below the home's own weekday level, so coverage is lightest exactly when families tend to visit. The inspection record shows 45 deficiencies, including 5 at harm or jeopardy level and 6 abuse-related, plus a $133,390 fine. Staff turnover of 42.5 percent is slightly better than the 45.8 percent national figure, but that's the one relative bright spot in the numbers. The most recent inspection was January 15, 2026.
Haven Of Champaign runs 60 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 17% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. The inspection history is heavier: 75 deficiencies on the current record, including two at the harm or jeopardy level and five tied to abuse, plus $12,425 in fines. Staff turnover, at 42.6%, actually comes in slightly under the national rate, which suggests the problems here aren't mainly about keeping people.