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.
Louisburg Healthcare runs 92 beds under for-profit LLC ownership, and the staffing numbers are where it shows most. At 3.16 nurse hours per resident day, it sits roughly 18 percent under the national average, and weekends drop another 17 percent below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 51.3 percent runs above the national 45.8 percent, so the people providing that care keep changing.
The inspection record is heavier still: 26 deficiencies, two serious enough to involve harm or jeopardy, and $153,104 in fines across three penalties. A March 2025 inspection is recent, so the picture isn't stale. Resident outcomes score well on quality measures; the staffing and inspection side is what's dragging this down.
Charlotte Health & Rehabilitation Center runs 3.58 nurse staffing hours per resident per day, about 7% under the national average, and weekends drop roughly 17% below its own weekday levels. Annual turnover sits at 52.5%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record shows 36 deficiencies, including 8 at the harm or jeopardy level and 3 tied to abuse, with four fines totaling $132,506. The last inspection was January 28, 2026. For-profit, limited liability ownership, 90 beds. When harm-level findings, abuse citations, thin weekend coverage, and heavy turnover all show up at one address, that pattern is what families should weigh.
Minot Health and Rehab runs a for-profit operation under a limited liability company, and the numbers show real strain. Nurse staffing sits at 4.01 hours per resident day, a bit above the national average, but weekends drop roughly 17% below weekday levels, and annual turnover hits 88.1% against a national average of 45.8%, meaning the aides and nurses caring for your relative are very likely new to the building. The current record carries 23 deficiencies, four serious enough to involve harm or jeopardy and four tied to abuse, with three fines totaling $39,212. The last inspection was June 10, 2025.
Hillsboro Health and Rehab runs on 2.11 nurse staffing hours per resident day, roughly 45% under the national average of 3.86, and weekend coverage drops about 9% below what it manages on weekdays. The inspection record backs up what those numbers suggest: 19 deficiencies, three of them serious enough to put residents in harm's way, three tied to abuse, plus a $119,308 fine. Its last full inspection was October 2023, so that record has had time to stand. The quality measure score looks better on paper, but measures are largely self-reported, and no quality number outweighs that little direct care time.
Astoria Skilled Nursing And Rehabilitation runs 83 beds in Canton under corporate ownership, and the numbers that stand out are the ones about people. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national figure, and it thins out further on weekends, about 15% below the home's own weekday level. Staff turnover is 63.1%, well above the 45.8% national average, which means the aides and nurses your family member sees are frequently new. The health inspection record shows 48 deficiencies, including five at the harm level and four tied to abuse, with $147,894 in fines. The quality measure score looks strong, but that's built on charted data, not on how the place is actually run day to day.
Forest City Nursing and Rehab Center is a 132-bed for-profit home in Susquehanna County, and the numbers point to staffing strain. At 3.21 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, meaning the thinnest coverage comes when families tend to visit. That staffing shortfall shows up in the inspection record too: 19 deficiencies, one serious enough to reach harm or jeopardy level, plus a $21,405 fine. The most recent inspection was February 2025, so the picture is current. There's no abuse finding on file, which matters. But with both staffing and quality measures at the bottom of CMS's scale, this is a home worth asking hard questions about before committing.
Good Samaritan Society De Smet runs 46 beds as a nonprofit, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average. Weekends are thinner still, about a fifth below its own weekday coverage. The bigger concern is the record: 17 deficiencies, four of them at harm or jeopardy level and two tied to abuse, plus $27,989 in fines. Staff turnover hits 64.4% against a national 45.8%, meaning nearly two-thirds of the workforce leaves each year. Inspectors were last on site in May 2025. A nonprofit mission doesn't automatically produce steady hands on deck, and here the numbers say it hasn't.
Firesteel Healthcare Center runs about 10% below the national average for nurse staffing, at 3.47 hours per resident day, and weekends get thinner still, roughly 15% lighter than the home's own weekdays. The 55% annual turnover rate means more than half the nursing staff leaves within a year, well above the 45.8% national figure. The inspection record is the bigger concern: 33 deficiencies on file, eight serious enough to put residents at risk of harm, one tied to abuse, and $153,308 in fines across six penalties. Ownership is a for-profit limited liability company. The most recent inspection was April 25, 2025, so the picture is current. Ask about weekend coverage and how they've addressed the abuse-related finding.
Quality Center for Rehabilitation and Healing is a 280-bed for-profit home in Lebanon, and the numbers there deserve a careful look before you decide anything. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, and weekend coverage drops about 17% below what the home staffs on weekdays, which matters because that's often when families visit and when problems surface. The inspection record shows 19 deficiencies, including one at the harm level and one tied to abuse, plus a $13,305 fine; the last full inspection was in August 2023. Staff turnover, at 45.3%, is essentially average.
Magnolia Healthcare is a for-profit LLC home with 181 certified beds in Columbia, and its staffing is the number that stands out. At 3.40 nurse hours per resident day, it runs about 12% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover of 72.5% is well above the 45.8% national figure, which means the people caring for your relative are likely to change often. The good news: 18 deficiencies on record, but none at harm or jeopardy level and none abuse-related, and the last inspection was April 2026.
Willow Ridge runs 265 beds in Fort Worth under a for-profit LLC, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident day, roughly a fifth below the national average, with weekends dipping about 13% below its own weekday coverage. The inspection record backs that up, 39 deficiencies in total, 14 at harm or jeopardy level and 5 abuse-related, plus seven fines adding to $321,244. Quality measures score well, but the health inspection and staffing ratings both sit at the bottom of the federal scale, and the most recent survey was July 2025.
Oak Brook Health Care Center in Whitehouse is run by a hospital district, and its inspection record is genuinely strong, a five-star health inspection rating and only four deficiencies on the current record, with one at the harm level and none related to abuse. The problem sits with staffing. At 3.05 nurse hours per resident day, this home runs about 21 percent below the national average, and weekends dip roughly 17 percent below its own weekday coverage. Turnover is 66.4 percent against a national 45.8 percent. That combination, solid inspections, thin and churning staff, is what pulls the overall picture down to average.
Grace Care Center Of Henrietta runs 60 certified beds under for-profit LLC ownership, and the federal numbers are hard to get past. Its staffing rating sits at the lowest tier, meaning nurse hours per resident fall well short of the national average, and the health inspection rating matches it. The deficiency record shows 54 citations, four of them serious enough to put residents in harm or jeopardy, four tied to abuse. Two fines add up to $204,137. The quality measure rating is slightly better at two stars, but that's the outlier here. A July 2025 inspection is recent, so this isn't a stale file, the problems are current.
Regency Health and Rehabilitation Center runs 60 beds in Yorktown under for-profit LLC ownership, and its staffing is the number that stands out. At 3.17 nurse hours per resident day, it sits roughly 18% under the national average of 3.86, and weekends drop about 21% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 68.7% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new. The current record shows 31 deficiencies, none at harm or jeopardy level, but one tied to abuse. Its last inspection was February 2024.
Mountain Laurel runs leaner on nursing hours than most homes in the country, 3.14 per resident day against a national average of 3.86, and weekends are thinner still, roughly 17 percent below what the building staffs Monday through Friday. That gap matters when a resident needs help on a Sunday. Turnover sits at 62.6 percent, well above the 45.8 percent national figure, so the people providing care change often. The inspection record is where this home stands out: 87 deficiencies, eight of them serious enough to put residents in harm's way and three tied to abuse, plus $204,839 in fines across ten penalties. CMS placed it in the Special Focus Facility program, which is reserved for the small share of homes with persistent problems.
Careview Health And Rehab Of Minocqua runs 72 certified beds under individual for-profit ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop about 8 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. The inspection history is heavier: 85 deficiencies on the current record, including 6 at harm or jeopardy level and 12 tied to abuse, with three fines totaling $42,834. Federal inspectors were last in the building on January 27, 2026. If you're weighing this one, ask directly how they staff weekends and what changed since that inspection.
Arvin Post Acute runs 81 beds under a for-profit LLC, and its current record carries 53 deficiencies, three at the harm or jeopardy level, three tied to abuse. Federal fines total $80,498 across two penalties. Nurse staffing sits at 3.73 hours per resident day, roughly 4% under the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays. All three CMS star ratings land at the low end: two stars for health inspections, one for quality measures, one for staffing. The most recent inspection is dated March 26, 2026. For a family weighing this home against others in Kern County, the abuse-related findings and the weekend staffing dip are the two things worth asking about directly.
Paradigm At Sweeny runs on thin staffing. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 16% below what the home already provides on weekdays. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents are cycling through fast. The inspection record backs that up: 21 deficiencies, four serious enough to cause harm or jeopardy, and four tied to abuse. A for-profit LLC operates the 90-bed home, and while its quality measure score looks good, the 1-star inspection and staffing ratings tell the more relevant story. One fine of $11,905 is on record.
Pleasanton North runs on thin staffing: 2.68 nurse hours per resident per day, roughly 31% below the national average of 3.86, and weekends drop another 16% below its own weekday levels. The inspection record is the bigger concern, 47 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with two fines totaling $167,869 and a health inspection rating of 1 out of 5. Turnover at 42.3% is slightly better than the 45.8% national figure, but that's the one number here that isn't working against the home. The most recent inspection was July 2025, so the record is current.
Avir At Camp Wood runs 86 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.77 hours per resident day, roughly 28% under the national average of 3.86. That thin coverage gets thinner on weekends, when staffing drops about 9% below its own weekday level, which matters most when families are visiting and aides are stretched.
The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and one abuse-related citation. CMS has fined the home twice, totaling $86,254, and the most recent inspection was July 31, 2025. Its health inspection rating lands at 3 out of 5, quality measures at 2, and staffing at 1, the numbers point to a home where care is being delivered, but with real strain.