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.
Roxboro Healthcare & Rehab Center runs 140 certified beds as a for-profit corporation, and the staffing numbers are where your attention should go first. At 3.13 nurse hours per resident day, it sits roughly 19% under the national average of 3.86, and weekends dip about 6% below its own weekday levels. Annual turnover of 58.9% is well above the 45.8% national figure, meaning the people caring for residents change often. Twenty deficiencies are on record, two serious enough to involve harm or jeopardy, with one fine of $56,778. The most recent inspection was December 2025, so the picture is current. Quality measures score well; the hands-on care hours tell a different story.
Capital City Gardens runs 3.33 nurse hours per resident day, about 14 percent under the national average, and weekends drop roughly another 13 percent below its own weekday staffing, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.5 percent against a national 45.8, meaning more than half the nursing staff leaves within a year. The current inspection record shows 37 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with one fine totaling $196,256. Inspectors were last in on April 22, 2026. The quality measure score is high; the staffing and inspection scores are both 1 out of 5.
Highland Square is a for-profit corporation home with 91 beds, and the numbers that stand out most are the ones CMS rates lowest. Nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average, and weekends run about 9% leaner than weekdays, so coverage thins out exactly when families tend to visit. Annual turnover is 61.3%, well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The inspection record shows 57 deficiencies, five at harm or jeopardy level and eight tied to abuse, with $299,782 in fines across five penalties. Its quality measure rating is high, but that's self-reported data, and the last inspection was February 2025.
Hopewell Grove runs on 3.25 nurse hours per resident per day, about 16% under the national figure of 3.86, and weekends drop roughly another 10% below what the building manages Monday through Friday. That thin coverage shows up in the inspection record: 45 deficiencies, three of them serious enough to put residents in harm's way, and a $32,380 fine, all inspected as recently as February 2026. Staff turnover sits at 46.4%, essentially the national rate, so the churn isn't the outlier here, the shortfall in hands-on time is. For-profit corporate ownership, 100 beds, and a one-star inspection history. Ask about weekday-to-weekend staffing before you visit.
Legends Care runs 65 beds in Massillon under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.22 hours per resident day against a national average of 3.86, and weekends drop roughly 13% below the home's own weekday levels. Annual turnover hits 57.8%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is the heavier concern: 72 deficiencies, four at harm or jeopardy level, eleven abuse-related, and $317,114 in fines. A recent inspection in June 2025 means the record is current. Resident care measures look strong, but staffing and compliance don't.
Emerald Care Center Tulsa runs on thinner nurse coverage than most homes in the country, about 3.48 hours per resident per day, roughly 10% under the national average, and weekends drop further below its own weekday staffing. The bigger concern is turnover: 73.6% of staff leaving annually, against a national average near 46%, which means whoever is at the bedside is often new. The inspection record backs that up, 67 deficiencies, two at harm or jeopardy level, three tied to abuse, and ten fines totaling $91,783. A for-profit limited liability company owns it. The most recent inspection was November 2025, so the record is current, not stale.
Jan Frances Care Center runs 132 certified beds in Ada, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.06 hours per resident per day, roughly a fifth under the national average, and weekends drop about 12% below what the home already provides on weekdays. Staff turnover is 56.8%, well above the 45.8% national figure, meaning the people doing the hands-on care keep changing. On the inspection side, the record shows 43 deficiencies, including five at the harm or jeopardy level and four tied to abuse; the most recent inspection was January 9, 2025. A single fine of $13,733 is also on file.
Abbeyville runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends dip another 8% below its own weekday coverage. Staff turnover sits at 55.1% against a national 45.8%, which means the people caring for residents are, more often than not, still learning the building. The current record carries 34 deficiencies, two tied to abuse, though none reached the harm or jeopardy level CMS tracks most closely. A for-profit limited liability company owns the 172 beds, and the most recent inspection was April 2026. Three stars for health inspections, two for quality measures, two for staffing.
Harborview Rehabilitation Care Center in Doylestown runs on thinner staffing than most homes: 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday levels, exactly when families tend to visit. Annual turnover sits at 49%. The bigger concern is the inspection record, 50 deficiencies, two at harm or jeopardy level, one tied to abuse, and $68,903 in fines across three penalties. Federal inspectors last visited in September 2024 and rated health inspections and quality measures 1 out of 5. Corporate ownership, 120 beds. The staffing number is the closest thing to good news here; it's the harm-level findings that should shape your questions.
Nurse staffing at this Phoenixville home runs about 3.16 hours per resident day, roughly 18% under the national average, and weekends dip even lower than weekdays. Annual turnover is 69.5%, meaning most of the people caring for your relative will be gone within a year, against a national rate near 46%. The inspection record shows 32 deficiencies, including two at the level that put residents in actual harm or jeopardy and three tied to abuse. A single fine of $94,695 is on file from an inspection completed in August 2025. Ownership is a for-profit limited liability company, and while its quality measure star sits at 5, that score describes charted care, not whether enough hands are present to deliver it.
If you're weighing Hopkins Center for someone in your family, the staffing numbers are the first thing to look at. Nurses provide 3.42 hours of care per resident per day, about 11 percent under the national average, and weekends run roughly 8 percent thinner than weekdays, so the coverage gaps land when families tend to visit. Turnover sits at 50 percent, above the national 45.8 percent, meaning many of the people involved in daily care are still learning the building. On inspections, the record shows 49 deficiencies, including 7 at the harm or jeopardy level and 6 tied to abuse, plus six fines totaling $155,155. That history, reviewed again in August 2025, is worth asking about directly.
Edenbrook On Second Ave runs 160 certified beds under for-profit LLC ownership, and the staffing picture is thin: 3.62 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday levels. Turnover sits at 65.6%, well above the 45.8% national figure, which means the people caring for residents change often. The current record shows 43 deficiencies, including one at the harm or jeopardy level and four abuse-related citations, and the last inspection was in May 2026. CMS rates staffing and quality measures at 2 stars each and inspection results at 2, all below the midpoint. Families weighing this home should ask directly about weekend coverage and how the abuse citations were resolved.
Bethlehem North runs on 3.22 nurse hours per resident day, about 16% under the national average of 3.86, and weekends are staffed roughly 11% thinner than weekdays. That thin coverage shows up in the federal staffing rating, which sits at 1 out of 5. Turnover runs 55.9% against a national 45.8%, so aides and nurses cycle through steadily, and 28 deficiencies sit on the current record, including two tied to abuse, though none reached harm or jeopardy level. The most recent inspection was February 2026. It's a 217-bed for-profit corporate home; with 2s for both inspections and quality measures, the numbers don't point to a place running on much margin.
Cranberry Place runs 150 certified beds in Butler County under nonprofit ownership, and its nurse staffing sits right at the national average, about 3.90 hours per resident day. The problem is who's left on weekends, when coverage drops roughly 15% below its own weekday level, and how fast the staff turns over: 66.3% annually against a national 45.8%. That churn shows up in the inspection record, where 87 deficiencies include 9 abuse-related citations and 6 at the harm or jeopardy level, drawing two fines totaling $42,774. The most recent inspection was January 31, 2026, so the record is current. Families weighing this home should ask specifically how weekend coverage and staff retention are being addressed.
Peachtree Centre runs a 151-bed for-profit operation in Gaffney, and the staffing numbers are the first thing a family should sit with. At 3.02 nurse hours per resident day, it's about 22% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit and when backup is hardest to call in. Turnover sits at 64.6% against a national 45.8%, meaning roughly two of every three caregivers are new to the building each year. Eighteen deficiencies are on record, none at harm or jeopardy level and none abuse-related, which matters, but the most recent inspection was May 2026.
Sandpiper Post Acute runs on 3.05 nurse hours per resident day, roughly a fifth less than the national average, and staffing thins out further on weekends. More than half its nurses left over the past year, well above the typical rate. The inspection record is heavier: 47 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and five fines totaling about $85,000. Federal inspectors gave it one star for both staffing and health inspections, though its quality measure score came in at three. A Charleston County family weighing this 176-bed for-profit home should ask hard questions about who's on the floor at 2 a.m. and how abuse concerns were resolved.
Legacy Park runs 176 certified beds in Knox County under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop another 13% below its own weekday level. That thin coverage helps explain a 63.6% annual turnover rate, well above the 45.8% national figure, and a CMS staffing rating of 1 out of 5. The health inspection record shows 32 deficiencies, one serious enough to reach harm or jeopardy level, plus a $74,633 fine. Its last inspection was August 2025, so the record is current. Quality measures score well, but consistent hands-on care is the weaker spot here.
Dyersburg Health and Rehabilitation Center runs 123 certified beds under for-profit LLC ownership, and the staffing numbers are where you'll want to focus. Nurse hours come in at 3.53 per resident per day against a national average of 3.86, and weekends drop about 12% below the home's own weekday coverage, that's the kind of gap families notice when they visit on a Saturday. Turnover sits at 57.1% versus 45.8% nationally, so aides and nurses cycle through faster than average. The inspection record is recent, December 2025, with 18 deficiencies total, 8 at harm or jeopardy level and 2 abuse-related. Quality measures score 2 out of 5, staffing 2 out of 5, while inspections hold at 4.
Vista Hills runs on thin staffing: 3.44 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 15% below what the home manages on weekdays. The bigger problem is retention, 95.8% annual turnover means the aides and nurses caring for residents are, on average, gone within about a year, against a national rate near 46%. Inspectors have cited 72 deficiencies, including five tied to abuse and one at the harm level, and fined the corporate owner $40,465. The quality measure score looks good on paper, but that's family-reported data, and it sits alongside a one-star staffing rating.
Spanish Fork Rehabilitation and Nursing runs on 2.74 nurse staffing hours per resident day, roughly 29% under the national average of 3.86, and weekends dip about 5% below its own weekday level. That thin coverage sits behind a 69.6% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside are often new and still learning the residents. Inspectors last visited in November 2025 and logged 10 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with $69,083 in fines across two cases. State inspectors and quality measures both score well above average, but those snapshots can't offset day-to-day staffing this lean.