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.
Highland Pines is run by a hospital district, and its 171 beds get 3.70 nursing hours per resident day, about 4% under the national average, with weekends running roughly 16% lighter than weekdays. Staff turnover sits at 46.2%, right at the national figure, so this isn't a retention crisis; it's thin coverage that thins further when you're most likely to visit. The inspection record is the harder read: 48 deficiencies, including one at harm or jeopardy level and four tied to abuse, with a $17,629 fine and a survey completed January 14, 2026. Two stars on health inspections and one on staffing tell you where the weight lands.
Park Manor of McKinney is owned by a hospital district, and its clinical quality scores look decent, four out of five stars on CMS's quality measures. The problem is the people doing the work. Nurse staffing sits at 3.25 hours per resident per day, about 16 percent under the national average, and weekends run roughly 19 percent thinner than weekdays, so your mother's Sunday care isn't the same as her Tuesday care. Staff turnover is 62.4 percent against a national 45.8 percent, meaning most of the aides who know her will be gone within a year. Eighteen deficiencies sit on the current record, two serious enough to involve harm, with one fine of $29,426.
Fair Park runs about 2.97 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 20% beneath its own weekday level. That thin coverage is the big number here: staff turnover sits at 91.8% against a national average near 46%, so nearly the entire nursing staff turns over in a year. The current record shows 29 deficiencies, none at harm level but two tied to abuse, and the last inspection was in May 2025. For-profit corporate ownership and a 1-out-of-5 CMS staffing rating back up what the hours already suggest, ask who's actually on the floor on a Sunday.
San Rafael runs on 3.08 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage shows up in the record: 59 deficiencies, including six at the harm or jeopardy level and five tied to abuse, with four fines totaling $80,132. Turnover at 38.2% is actually better than the 45.8% national average, and the hospital district ownership means public accountability rather than a private operator. But a one-star inspection rating and a March 2025 inspection leave little room to argue the care is well-supervised. If you're considering this one, ask specifically how weekends are covered and how abuse allegations get handled.
Park Place runs lean on the people who actually deliver care. At 3.41 nurse hours per resident day, it sits about 12 percent under the national average, and weekends drop roughly another 18 percent below its own weekday coverage. The staffing picture gets harder when you look at turnover: 63.8 percent of staff left last year, against a national rate near 46 percent, meaning the aides and nurses caring for your relative are, statistically, likely to be new to the building. The government's own inspectors rated staffing and health inspections each 1 out of 5, and the record shows 32 deficiencies, three of them serious enough to put residents in harm's way and three tied to abuse. Two fines total $287,159. Texas corporate ownership, 120 beds, last inspected May 2025.
Park View is a 74-bed hospital-district home in Muleshoe, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.49 hours per resident per day, about 10% under the national average, and it thins out further on weekends, roughly 15% below the home's own weekday level. Annual turnover runs 66.7% against a national 45.8%, meaning most of the people caring for residents are relatively new.
Inspections tell the harder story: 26 deficiencies on the current record, including 2 at harm or jeopardy level and 4 abuse-related, with one fine of $21,645. The most recent inspection was January 15, 2026.
The Chateau Waco, a 123-bed hospital-district home, has a staffing problem that runs deeper than its 3.48 nurse hours per resident day, roughly 10% under the national average. Weekend coverage drops about 15% below the home's own weekday level, and 73.6% of staff left over the past year, well above the 45.8% national rate. On inspections, the record shows 33 deficiencies, six at harm or jeopardy level and one abuse-related, with four fines totaling $72,056 and a one-star health inspection rating. The quality measure score of four stars stands out against a one-star staffing rating, which tells you the clinical numbers look better on paper than the floor coverage suggests.
Colonial Rehabilitation and Nursing is an 80-bed for-profit home in Colorado Springs, and the numbers tell a fairly consistent story. Nurse staffing runs about 3.08 hours per resident day, roughly a fifth below the national average, and weekends dip below its own weekday levels, which matters most for residents who need help when families are away. The 61.5% annual turnover means most of the people caring for your relative likely won't be there a year from now.
Its inspection record shows 39 deficiencies, including three at the harm or jeopardy level and five tied to abuse, plus one fine of $24,453. The last inspection was July 2025, so that record is current, not stale.
Mystic Healthcare & Rehabilitation Center runs 100 certified beds under for-profit LLC ownership, and the numbers here deserve a careful look before you decide anything. Nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average, and it thins out further on weekends, running about 7% below the home's own weekday level. Staff turnover hits 58.8% against a national average of 45.8%, meaning well over half the nursing team leaves each year. The current inspection record carries 41 deficiencies, including 3 at the harm or jeopardy level and 6 tied to abuse, with two fines totaling $38,860. The most recent inspection was January 14, 2026.
Bridgewalk on Harden runs about 10% leaner on nursing hours than the national average, and weekends drop roughly 8% below its own weekday level, so the coverage gap widens when families tend to visit. Annual turnover of 63.3% sits well above the 45.8% national figure, meaning the staff who are there are often new. That context matters for a home with 17 deficiencies on its current record, including two at the harm level and one abuse-related, plus three fines totaling $181,400. Its last inspection was January 2024. Corporate-owned, 120 beds.
Harborview Health Center Of Augusta runs on thinner staffing than most homes, 3.52 nurse hours per resident day against a national average of 3.86, and the gaps show up on weekends, when coverage dips slightly below its own weekday level. The bigger concern is turnover: 63.8% of staff leave each year, well above the 45.8% national figure, which makes consistent care hard to sustain. Its inspection record carries 24 deficiencies, one serious enough to reach the harm level, and the most recent inspection was June 2025. Quality measures score 1 out of 5 and inspections 2 out of 5, so the pattern across staffing, state surveys, and clinical outcomes all points the same direction.
Nurse staffing at Altamaha Healthcare Center runs 2.78 hours per resident per day, roughly 28% under the national average of 3.86, and weekends dip about 6% below the home's own weekday levels. That thin coverage shows up in the federal stars: one out of five for staffing, one for health inspections, two for quality measures. The inspection record carries 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $4,017 and the most recent inspection dated August 9, 2025. Annual turnover sits at 50%, above the 45.8% national figure, at a 62-bed for-profit corporate home.
Buchanan Healthcare Center runs 60 beds under corporate ownership, and its biggest problem shows up in the staffing numbers. At 2.89 nurse hours per resident each day, it sits about a quarter below the national average of 3.86, and turnover runs at 74.5%, well past the 45.8% typical elsewhere. Weekend coverage dips slightly below its own weekday level, so there's no surge to catch up.
The good news: 15 deficiencies on record, but none at the harm level and none abuse-related, and the last inspection was in March 2025. So the care isn't dangerous on paper, it's thin. Quality and staffing star ratings both sit at 1/5, which tells you the shortfalls are consistent, not one bad month.
Avantara Joliet runs 154 certified beds under for-profit LLC ownership, and its staffing is the number that stands out most: 3.71 nurse hours per resident day, a bit under the national average, with weekends running about 5% lighter than weekdays. Annual turnover sits at 70% against a national 45.8%, which means the people caring for your relative are, more often than not, new to the building. The inspection record shows 40 deficiencies, six serious enough to involve harm or jeopardy, plus three fines totaling $33,535. The most recent inspection was December 24, 2025. Nothing here is abuse-related, but a staffing rating of 1 out of 5 alongside that turnover rate tells you where the strain lives.
Aliya Of Oak Lawn runs 191 beds under for-profit LLC ownership, and the numbers tell a hard story. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average of 3.86, and weekend coverage dips roughly 3% below its own weekday level, meaning help is thinnest exactly when families tend to visit. Staff turnover is 62% against a national average of 45.8%. On the inspection side, CMS records 81 deficiencies, 16 at harm or jeopardy level and 13 abuse-related, with three fines totaling $299,044; the most recent inspection was January 16, 2025. Quality measure scores look strong, but that's the one bright spot in an otherwise difficult picture.
Aperion Care Lakeshore runs 313 beds on Chicago's South Side, and the numbers that matter most here are the ones about hands on residents. At 2.45 nurse hours per resident day, staffing sits roughly 37% under the national average, and weekends run about 11% thinner than the home's own weekdays. Turnover is genuinely low at 22.2%, well under the national 45.8%, but steady staff can't offset a schedule this thin. The inspection record is the harder read: 96 deficiencies, 8 at harm or jeopardy level, 7 abuse-related, and $249,799 in fines across five penalties. The last inspection was February 2025. If you're considering this one, ask specifically how many nurses are on the floor on a Saturday night.
Doctors Nursing & Rehab Center runs 120 beds in Salem under for-profit LLC ownership, and the numbers paint a rough picture. Nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends dip about 4 percent below what the home already provides on weekdays. Staff turnover is 53.3 percent against a national average of 45.8 percent, so more than half the nursing team turns over in a year.
The inspection record is where things get serious: 35 deficiencies, five at harm or jeopardy level, eight tied to abuse, and three fines totaling $107,564. The most recent inspection was March 13, 2026. If you're considering this home, ask directly what's changed since then.
Ambassador Nursing & Rehab Center runs on 2.58 nurse hours per resident per day, roughly a third below the national average, and weekend coverage drops about 8% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 20.2%, well under the national 45.8%, which means the staff who are there tend to stay. The record is where the trouble shows: 62 deficiencies, 5 at harm or jeopardy level, 8 abuse-related, and $134,388 in fines. A 190-bed for-profit LLC in Chicago, inspected most recently in August 2025, with middling marks on health, quality, and staffing. Ask about weekend coverage and how those abuse citations were resolved.
Southgate runs 140 beds under corporate ownership, and the staffing numbers tell a mixed story: 3.75 nurse hours per resident day sits just under the national average of 3.86, and weekends drop about 11% below the home's own weekday levels. The bigger concern is turnover at 58.4%, well above the 45.8% national figure, that's a lot of unfamiliar faces cycling through. On the inspection side, the record shows 33 deficiencies, four at harm or jeopardy level, two tied to abuse, and $20,170 in fines, with the most recent inspection in April 2025. The quality measure rating of 1 out of 5 is the weakest of its three CMS scores, while staffing earned 3.
Highland Health Care Center runs on thin staffing: 3.31 nurse hours per resident day, about 14% under the national average, with weekends even leaner than weekdays. That's the number behind its one-star staffing rating, and it matters more than the four-star quality measure score, which reflects a narrower set of clinical metrics.
The inspection record is where the real weight sits. Twenty-six deficiencies, four of them serious enough to put residents in harm's way, three tied to abuse, and a $35,875 fine. The most recent state visit was in September 2024, so the picture is current, not stale.
Ownership is a for-profit limited liability company, and turnover runs at 66.7% against a national 45.8%. That churn makes consistent care hard to sustain.