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.
Sunny View runs a 57-bed for-profit home in Warwick, and the numbers worth your attention are the staffing and the inspection record. Nurse coverage sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly 6% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is the bigger signal: 69.9% of staff leaving annually against a national 45.8% means caregivers rarely stay long enough to know your relative.
The current record carries 30 deficiencies, five serious enough to involve harm or jeopardy and one tied to abuse, plus three fines totaling $90,716. The last inspection was April 30, 2026. Ask what's changed since.
St Andrews Operator runs 108 certified beds in Columbia under individual for-profit ownership, and the numbers behind its F grade are worth walking through. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends run about 11% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover of 79.3% is nearly double the national rate, meaning most of the people caring for residents are new to the building. The current record carries 40 deficiencies, including 4 at harm or jeopardy level and 8 tied to abuse, plus $52,910 in fines. Its last inspection was July 2025, so the picture is recent.
The Physical Rehabilitation and Wellness Center of Spa carries 27 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, that's a heavy citation load, and it's the main reason its inspection rating sits at the bottom of CMS's scale. Staffing runs thin here too: 3.23 nurse hours per resident day, roughly 16 percent under the national average, with weekends about 9 percent lighter than weekdays and turnover at 60.8 percent against a national 45.8. A for-profit LLC with 120 beds, this home was last inspected on January 16, 2026. Quality measures score better than its staffing and inspection numbers, but the pattern of low hours, high turnover, and repeated deficiencies tells the story.
Midtown Center runs 180 beds in Memphis under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.54 nurse hours per resident day, it sits roughly 8% under the national average, and weekends dip about 13% below its own weekday levels, so care gets thinnest exactly when families are most likely to visit. Annual turnover of 63.6% is well above the 45.8% national figure, meaning nearly two-thirds of the nursing staff leaves each year. On inspections, the record carries 18 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus a $188,379 fine.
Signature Health of Portland runs 112 certified beds under corporate ownership, and the staffing numbers are where the trouble starts: 3.69 nurse hours per resident day sits below the national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage. Turnover tells a harder story than the hours alone, 67.9% of staff leaving annually against a 45.8% national rate means aides and nurses are cycling through constantly, which matters most for residents who need consistent hands. The inspection record backs that up: 24 deficiencies, including 9 at harm or jeopardy level and 3 abuse-related, with five fines totaling $171,234 and a health inspection rating of 1 out of 5. That combination, thin weekend coverage, high turnover, serious deficiencies, is what a family should weigh before choosing here.
Lauderdale Community Living Center runs on 2.99 nurse hours per resident day, roughly a fifth below the national average, and weekends dip another 12 percent below its own weekday staffing. That thin coverage shows up in the numbers: a one-star inspection rating, 30 deficiencies on record including two at the harm level and one tied to abuse, plus $43,644 in fines. Staff turnover sits at 52.8 percent against a national 45.8, so more than half the workforce leaves each year. It's a for-profit limited liability company with 71 certified beds, and its last inspection was August 2025.
Signature Healthcare of Erin runs 164 certified beds under a for-profit LLC, with nurse staffing at 3.70 hours per resident day, about 4% under the national average, and weekends roughly 14% thinner than weekdays, when families often visit. Turnover sits at 47.7%, a couple points above the national figure, so the aides and nurses caringly assigned here may not be the same faces from one month to the next.
The inspection record carries more weight than any single number: nine deficiencies, four serious enough to involve harm or jeopardy, plus one abuse-related finding, and a $147,898 fine. The most recent inspection was March 2026.
Avir At New Braunfels runs 154 certified beds under for-profit LLC ownership that changed hands within the last year. Nurse staffing sits at 3.36 hours per resident day, roughly 13% below the national average, and weekends dip about 10% below its own weekday levels, meaning coverage is thinnest exactly when families tend to visit. The bigger concern is the inspection record: 53 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $163,819. Staff turnover of 73.7% is well above the 45.8% national average, so the people caring for residents are constantly changing.
Ivy Creek runs 162 certified beds in Waco under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.21 nurse hours per resident day, it sits about 17% under the national average, weekend coverage drops another 11% below its own weekday level, and 64.7% annual turnover means the aides and nurses in the building keep changing, a rate well above the 45.8% norm. The inspection record shows 15 deficiencies, including three at the harm or jeopardy level and two tied to abuse, with $149,039 in fines and a survey as recent as July 2025. Quality and health inspection scores land mid-range, so the real story is thin, unstable staffing layered over a record that has already flagged harm.
Pleasant Springs Healthcare Center runs about 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips another 14% under its own weekday levels. The bigger red flag is turnover: 95.9% annually, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, almost certain to be new to the building within a year. Its inspection record shows 54 deficiencies, including three at the harm level and two tied to abuse, plus $70,837 in fines across four penalties. The most recent inspection was February 2025. Ownership is corporate for-profit. With 90 beds, that combination of thin staffing, constant churn, and a serious deficiency history is what a family should weigh carefully before choosing this home.
Windcrest Nursing and Rehabilitation runs 180 certified beds under corporate ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, with weekends running about 6% thinner than its own weekdays. Turnover is 59.4% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 38 deficiencies, five at harm or jeopardy level and seven tied to abuse, plus four fines totaling $199,073. Quality measures rate well, but that's a narrow bright spot next to thin staffing and a 2/5 inspection rating.
Landmark of Amarillo Rehabilitation and Nursing runs 99 certified beds under for-profit LLC ownership, and the inspection history is the place to start. The home carries 24 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse. Two CMS fines total $160,948. That's a lot of enforcement activity for a building this size.
Staffing is the other pressure point. At 3.43 nurse hours per resident day, it sits about 11% under the national average, weekends drop roughly 13% below its own weekday levels, and annual turnover hits 97.6%, more than double the national figure of 45.8%. That churn makes consistent care hard to sustain.
The most recent inspection was January 15, 2025.
Spindletop Hill runs on 3.26 nurse hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. Annual turnover sits at 60.6 percent against a national 45.8, so the aides and nurses in the building keep changing. The inspection record shows 34 deficiencies, six at harm or jeopardy level and six tied to abuse, with $128,948 in fines across three penalties and a survey as recent as June 2025. The quality measure score looks strong on paper, but that's resident data, not the building's own practices. Nonprofit ownership hasn't shielded this one.
Interlochen runs lean on the floor, and the numbers show it. Nurses give residents about 3.36 hours of care a day, roughly 13% under the national average, and weekends drop another 14% below the home's own weekday pace, so the thinnest coverage lands right when families tend to visit. On top of that, nearly everyone on staff left in the past year: 95.9% turnover against a national figure under half that, which means the people caring for residents are constantly new to the building. Its record carries 31 deficiencies, 6 serious enough to involve harm or jeopardy, 4 tied to abuse, and $54,137 in fines. An April 2025 inspection is recent, but the pattern behind it isn't reassuring.
Lake Lodge runs on 3.26 nurse hours per resident day, roughly sixteen percent under the national average, and weekends dip about eight percent below its own weekday staffing. That thin coverage shows up in a 93 percent annual turnover rate, double the national figure, meaning the aides and nurses at your mother's bedside are, statistically, likely to be gone within a year. The current record carries 33 deficiencies, five serious enough to cause harm or jeopardy and six tied to abuse, with $47,621 in fines across three cases. A January 2026 inspection is recent, at least, but a for-profit LLC with that staffing level and that churn is worth visiting unannounced, on a weekend, before you decide.
University Park Nursing and Rehabilitation runs on 2.97 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below its own weekday staffing. The bigger warning sign is turnover: 86.9% of nursing staff left over the past year, nearly double the national rate of 45.8%, meaning the people at the bedside are constantly changing. Inspections look better than that picture, 23 deficiencies, none causing harm or involving abuse, and a recent June 2025 survey earned four stars. If you're considering this one, ask how they hold staffing steady on weekends and how they keep experienced nurses from walking out the door.
Elderwood At Burlington runs 150 certified beds under for-profit LLC ownership, and the numbers that stand out most are on the workforce side. Nurse staffing sits at 3.80 hours per resident day, just under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 67.9% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 70 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus a $220,961 fine, all with a March 2026 inspection date that's recent enough to matter.
Lynchburg Health & Rehabilitation Center is a 180-bed for-profit run by a limited liability company, and the numbers that stand out most are on the staffing side. Total nurse coverage sits at 3.82 hours per resident day, just under the national average of 3.86, and weekends run about 8% thinner than weekdays, so the quietest shifts are also the leanest. Annual turnover of 68% against a national 45.8% means the aides and nurses showing up are often new to the building. The inspection record is the harder read: 61 deficiencies currently on file, including one at the harm level and one abuse-related, with a 1-out-of-5 health inspection rating. Past problems, and a workforce that keeps churning.
River Edge runs on thinner staffing than most homes you'll compare it to, 2.96 nurse hours per resident per day against a national average of 3.86, and weekends drop about another 10% below its own weekday level. That matters, because the inspection record here is the real story: 41 deficiencies on file, three of them serious enough to put residents in harm's way, four tied to abuse. The last full inspection was in November 2022, so you're looking at a stale snapshot of a home that hasn't been re-verified in a while. Staff turnover sits at 50%, above the 45.8% national figure, and corporate ownership means decisions get made at a distance. Go visit unannounced, ideally on a weekend.
Heritage Hall Tazewell runs about 2.92 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home. Staffing thins out further on weekends, and with 180 beds to cover, that gap shows up where it matters. The inspection record carries 21 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $78,553 from a March 2024 visit. Turnover at 39.1% is actually better than the 45.8% national figure, so the problem isn't retention, it's how few staff each resident gets. For-profit LLC ownership rounds out the picture.