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.
Hickory Creek At New Castle runs 36 certified beds as a nonprofit, and the numbers families tend to ask about first are the ones worth sitting with. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends dipping about 8% below the home's own weekday level, the staffing star rating lands at 1 out of 5. Turnover is the sharper number: 69.4% annually against a national average of 45.8%, meaning most of the people caring for your family member may not be there in a year. The current record shows 16 deficiencies, none at harm or jeopardy level, but three tied to abuse. Its last inspection was May 29, 2026.
The numbers out of Fort Dodge Health and Rehabilitation describe a 65-bed for-profit home where nurse staffing runs about 3.18 hours per resident day, roughly 18% under the national average, and drops another 14% on weekends, when families often visit and needs don't pause. Staff turnover sits at 48.8%, above the national figure, and the inspection record shows 48 deficiencies, six of them serious enough to put residents at risk of harm, two tied to abuse, with $166,043 in fines across two penalties. The most recent inspection was in February 2026, so that record is current. A 1-out-of-5 health inspection rating and 2s for staffing and quality measures aren't isolated problems, they line up with what the underlying numbers already show.
Westwood Specialty Care is a nonprofit home with 85 beds in Sioux City, and the numbers families tend to ask about first are the inspection ones. Its record carries 79 deficiencies, including two at the harm level and one tied to abuse, plus two fines totaling $181,086, and the most recent inspection was in April 2026, so this isn't a stale file. Staffing sits at 3.20 nurse hours per resident day, roughly 17 percent under the national average, with weekends running about 13 percent thinner than weekdays and turnover at 49.3 percent. Ownership being nonprofit doesn't offset any of that on its own.
Diversicare Of Sedgwick runs on 2.96 nurse hours per resident per day, about a quarter below the national average, and weekend staffing drops roughly another 10% under its own weekday level. That thin coverage shows up in the inspection record: 32 deficiencies, two involving actual harm or jeopardy, one tied to abuse, and a $51,670 fine. Staff turnover hits 78% against a national 45.8%, meaning most of the people caring for residents are new to the building. The last inspection was May 2025, so the record is current rather than stale. For-profit ownership through a limited liability company. The quality measure score is decent; the staffing and inspection scores are not, and staffing is what you'd actually feel day to day.
El Dorado Care and Rehab runs 50 certified beds under for-profit limited liability ownership, and its staffing tells the clearest story here. At 3.73 nurse hours per resident day, it sits slightly under the national average, and weekends drop about 14% below its own weekday coverage. The bigger concern is turnover: 83% of staff leave annually, against a national average near 46%, that kind of churn makes consistent care hard to maintain. Its record shows 34 deficiencies, including one at the harm level and two tied to abuse. Health inspection and staffing each earned 2 of 5 stars from CMS, with quality measures at 3. The most recent inspection was in April 2026.
Wurtland Nursing and Rehabilitation runs 126 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.51 nurse hours per resident day sits about 9% under the national average, weekend coverage drops roughly 14% below its own weekday level, and annual turnover hits 50% against a 45.8% national figure. Inspections back that up. Twenty-four deficiencies sit on the current record, eight serious enough to involve harm or jeopardy, and one fine of $69,908 has been levied. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating tell you regulators and the payroll data agree. The most recent inspection, in March 2026, is the record to ask about directly.
Twin Oaks runs lean on nursing staff, 3.23 hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday coverage. That kind of dip matters, because fewer nurses on Saturday and Sunday is when problems tend to go unnoticed. The inspection record is heavier than most: 42 deficiencies, including 12 flagged as abuse-related, though none rose to the level of actual harm or jeopardy. Staff turnover sits at 45.3%, almost exactly the national figure, so retention isn't the issue here, the numbers suggest the home simply isn't staffing at the level its 148 residents need, and its recent August 2025 inspection kept the health rating at 2 out of 5.
Camelot Leisure Living runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends drop roughly 12% below its own weekday staffing. Annual turnover sits at 60.9% against a national 45.8%, meaning most of the aides and nurses your family would see are relatively new. The inspection record shows 40 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $47,067 fine and a 1-out-of-5 health inspection rating. A corporate-owned home of 91 beds with that citation history and that much churn is worth a careful visit before you decide anything.
Creekside runs 80 beds in Hagerstown under for-profit LLC ownership, and the staffing numbers are the first thing you should look at. At 3.29 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 64.7% means most of the people caring for your relative are new, and against a 45.8% national rate that's a lot of churn. The inspection record is worse: 104 deficiencies, six at harm or jeopardy level, twelve abuse-related, two fines totaling $111,536, and CMS has placed it in the Special Focus Facility program.
Colony Center For Health And Rehabilitation is a 92-bed for-profit home in Abington, and the numbers here are worth sitting with before you tour. Nurse staffing runs 3.52 hours per resident day, roughly 9% below the national average, and weekends drop about 11% below the home's own weekday level, so coverage thins out exactly when families tend to visit. The inspection record shows 52 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, plus 2 fines totaling $25,593. Staff turnover sits at 50%, above the 45.8% national figure, which matters because consistent caregivers know residents. CMS rated its last inspection 1 out of 5 stars, with quality measures also at 1.
Lake Orion Nursing Center runs lean on staff. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 65.2% is well above the 45.8% national figure, meaning the people caring for your relative are likely to change often.
The inspection record is the harder read: 22 deficiencies, three at harm or jeopardy level, two tied to abuse, and a $137,640 fine. A May 2025 inspection is recent, at least. Nonprofit ownership doesn't erase any of that. Ask about weekend coverage and turnover directly before deciding.
Grand Trace runs on 3.30 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday numbers. Staff turnover sits at 58.8% against a national 45.8%, so nearly three in five workers leave within a year. Its record shows 39 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus $48,153 in fines across two penalties, with the most recent inspection in March 2025. The federal star ratings land at one out of five for both health inspections and quality measures, and two for staffing. This is a for-profit limited liability company operating 96 certified beds.
Pine Forest runs 4.87 nurse hours per resident per day, well above the national figure of 3.86, but that average hides a lot, since weekends drop roughly 27% below its own weekday coverage. Staff turnover sits at 63% against a national 45.8%, meaning the people providing that care are often new or on their way out. The inspection record is the harder problem: 41 deficiencies, 11 of them at harm or jeopardy level and 5 tied to abuse, plus six fines totaling $136,799. The most recent inspection was June 2025, so this is a current picture, not history. For-profit, limited liability ownership.
Delmar Gardens On The Green runs 120 certified beds in Chesterfield under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 4.38 hours per resident day, roughly 13% above the national average, though weekends run about 4% thinner than weekdays and annual turnover hits 57.7% against a national 45.8%, meaning the people providing that above-average care are cycling through fast. The clinical record is harder to defend: 30 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $46,589. A recent October 2024 inspection gives you current information, but a 1/5 quality measure rating alongside that deficiency count suggests the extra staffing hours aren't translating into measured outcomes.
Kirksville Manor Care Center runs 119 certified beds under corporate for-profit ownership, and the numbers here are hard to read. Nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average, but that average hides a real drop on weekends, when coverage falls about 15% below the home's own weekday level. Meanwhile, annual turnover is 57.4%, well above the 45.8% national figure, so the people providing that care keep changing. The inspection record shows 54 deficiencies, seven at harm or jeopardy level, one tied to abuse, and $250,823 in fines across two penalties.
Gainesville Nursing runs 99 certified beds under corporate for-profit ownership, and its staffing is the number that stands out: 2.63 nurse hours per resident per day, roughly a third below the national average of 3.86. Weekend coverage drops about 12% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover sits at 48.6%, a bit above the national 45.8%. The inspection side looks strong on the surface, 4 of 5 stars, last survey in September 2024, but the record carries 25 deficiencies, six of them abuse-related, none flagged at harm or jeopardy level. Quality measures come in at 1 of 5 stars, which is where the gap between paperwork and daily care tends to show up.
Westchester House runs 159 beds in Chesterfield under corporate ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, with weekends about 9 percent thinner than weekdays. On top of that, 69 percent of its nursing staff turns over in a year against a national rate near 46 percent, so the people providing hands-on care are constantly changing. The inspection record shows 43 deficiencies, including two at the harm level and three tied to abuse, with one fine of $83,824 and a health inspection rating of 2 out of 5. Its quality measure score is a bright spot at 4 out of 5, but quality numbers rest on the staffing that produces them.
River City Living Community has 50 deficiencies on its current record, including three at the harm or jeopardy level and nine tied to abuse. That's the part that matters most. Staffing sits at 3.87 hours per resident day, essentially identical to the national average of 3.86, but weekends run about 6% below the home's own weekday level, and annual turnover is 73.1%, well above the 45.8% national figure. The last inspection was October 2024, and there's one fine on record totaling $237,995. For-profit corporate ownership rounds out the picture. The staffing number looks fine on paper, but a 73% turnover rate suggests the people providing care keep changing.
Portageville Health Care Center has kept its health inspection record clean enough to earn four stars there, and its most recent survey was in May 2025. But the staffing picture is where things get shaky, CMS gives it one star, and annual turnover runs at 61.5%, well above the 45.8% national average. That churn matters more than any single inspection when you're thinking about who's actually at the bedside day to day. The facility also carries 25 deficiencies, one of them abuse-related, and a single fine of $240,603 on record. Nothing in the file points to immediate jeopardy, but the combination of thin staffing and high turnover is the real story here.
Wilshire at Lakewood runs 170 beds in Lee's Summit under limited-liability ownership, and its inspection history is the strongest part of the picture, a recent survey, a four-star health inspection rating, and no repeat of serious problems since. Staffing is where the trouble sits: 3.43 nurse hours per resident day, roughly 11% under the national average, with weekends about 12% thinner than weekdays. Turnover hits 66.5% against a national 45.8%, meaning most of the people caring for your family member are new to the building. The 34 deficiencies on record include one at harm level and two tied to abuse, which is worth asking about directly before you decide.