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.
Northern Cardinal runs a 120-bed for-profit home, and the staffing numbers are where the trouble starts: 3.20 nurse hours per resident day, roughly 17 percent under the national average, with weekends dipping about 15 percent below its own weekday levels. That thin coverage has been unstable too, annual turnover hits 75.7 percent against a national average of 45.8 percent, meaning most of the people caring for residents are new and still learning the building. Inspectors handed down 45 deficiencies on the current record, including one at the harm level and two related to abuse, and the last full inspection was in April 2023, so that record has had time to age without a fresh look.
Westport Rehabilitation and Nursing Center runs 225 beds in Henrico County under for-profit LLC ownership, and its staffing sits at 3.19 nurse hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about another 10% below its own weekday levels, and more than half the staff turned over in the past year, against a national rate nearer 46%. The inspection record is the harder read: 126 deficiencies, seven tied to abuse, and two serious enough to reach harm or jeopardy, with $63,670 in fines. CMS scored it one out of five on both health inspections and staffing. The last survey was November 2024, so the picture is current, not stale.
Shalom Gardens runs 101 beds in Henrico County under corporate ownership, and the staffing numbers are the first thing worth knowing. At 3.72 nurse hours per resident day, it sits just under the national average, but weekends drop roughly 14% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. A 65.8% annual turnover rate means most of the people caring for your relative are new, still learning the building, or already halfway out the door. The inspection record is heavier than that: 49 deficiencies, three involving harm or jeopardy, five tied to abuse, and a 2-out-of-5 health inspection rating. One fine on record, $12,177.
Cortland Acres runs 94 certified beds in Thomas under corporate ownership, and the staffing picture is the first thing to know: a one-star staffing rating, with 59.8% of staff turning over annually against a national average of 45.8%. That churn shows up in the inspection record too, 31 deficiencies on file, two serious enough to reach harm or jeopardy level, and a single fine of $32,057. The last inspection was March 12, 2025, so the record is current rather than stale. Quality measures rate better at three stars, which suggests some clinical care is tracking adequately, but the low staffing and inspection scores are the numbers a family should weigh hardest when deciding whether this home can reliably deliver day-to-day care.
Fairmont Rehabilitation and Healthcare Center runs on 2.76 nurse staffing hours per resident day, roughly a quarter less than the national average, and weekend coverage drops further below its own weekday level. That thin staffing sits alongside a 68.3% annual turnover rate, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The inspection record is where it gets serious: 77 deficiencies on file, three at the harm or jeopardy level and seven tied to abuse, with a $17,959 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems. Family considering this one should ask hard questions.
The numbers at Resolve At West Allis Respiratory And Rehab don't tell one story, they tell two, and they don't agree. Total nurse staffing runs 4.93 hours per resident day, roughly 28% above the national average, which sounds like plenty of hands on deck. But weekend staffing drops about 14% below its own weekday level, so the coverage families see on a Tuesday isn't what shows up on a Saturday. Turnover sits at 58.8% against a national 45.8%, meaning a large share of that staff is new and still learning the building. Then there's the record: 61 deficiencies, four at harm or jeopardy level, eight tied to abuse, and a $130,322 fine, with the most recent inspection dated April 2026.
Complete Care At Kensington runs 3.53 nurse hours per resident day, roughly 9% under the national average, and weekends drop about 11% below its own weekday staffing. That thinner weekend coverage matters in a 150-bed building, and it shows up in the numbers: staff turnover sits at 55.8% against a national 45.8%, and CMS gives staffing its lowest mark. The inspection record is heavier than most, 32 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and a $66,632 fine. Ownership is for-profit, through a limited liability company. The current record was last reviewed in April 2026.
Rock River runs more nurse hours per resident than the typical U.S. nursing home, and its most recent inspection came in December 2025, so the record isn't stale. The problem is what that record contains: 118 deficiencies, including 10 at the level where residents were actually harmed or put in immediate jeopardy, plus 9 tied to abuse. Two fines total $136,384, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the country's poorest performers.
Staffing tells a similar story from the inside. Turnover sits at 70.2% against a national average near 46%, meaning most of the people caring for residents this year likely won't be there next year, and weekend coverage drops about 11% below the home's own weekday level. More hours on paper, but a workforce that keeps emptying out.
Marquardt Memorial Manor runs 3.22 nurse staffing hours per resident day, about 16% under the national average, and weekends drop roughly 8% below its own weekday level. Turnover sits at 45.2%, essentially the national rate, so the problem here isn't retention, it's how thin the coverage is day to day. The inspection record shows 44 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with one fine of $26,706 and a survey dated February 2026. All three CMS star ratings land at 2 out of 5. For a 140-bed nonprofit in Watertown, the numbers describe a home with real quality and safety problems, not just a staffing squeeze.
Avina Of Pewaukee runs 120 certified beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends dropping about 13 percent below its own weekday level. That thinner coverage matters more when you look at the inspection record, 55 deficiencies, two at harm or jeopardy level, and eight tied to abuse, plus a $95,791 fine. Staff turnover sits at 43.3 percent, slightly better than the national 45.8 percent, but the most recent inspection came in June 2025 and the health inspection rating remains 1 out of 5. Ask about weekend coverage and the abuse-related citations specifically.
Artesia Palms runs 296 beds under for-profit LLC ownership, and its nurse staffing sits at 4.00 hours per resident day, roughly 4% above the national average. That's the one number working in its favor. Everything else on the record pulls the other way: 70 deficiencies, 9 of them serious enough to risk harm or jeopardy, plus 12 tied to abuse. CMS has fined the home six times for a total of $267,056 and placed it in the Special Focus Facility program, the agency's watchlist for the country's most troubled homes. Weekend staffing also drops about 8% below weekday levels. Turnover, at 45.5%, is essentially the national norm, so it explains nothing here. The last inspection was May 29, 2026.
Avir At Hillsboro runs on 3.24 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekends dip about 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 90.4% a year against a national 45.8%, meaning most of the people caring for residents are new to the building. The inspection record carries 39 deficiencies, four at harm or jeopardy level and five tied to abuse, with two fines totaling $106,866; the most recent inspection was December 2025. Ownership is a for-profit corporation, and the quality measure score sits high while inspections and staffing sit at the bottom of the scale.
Countryview has 51 deficiencies on its current record, six of them serious enough to put residents in harm's way, and eight tied to abuse. That's an unusual concentration of the worst categories, and the one-star inspection rating reflects it. Staffing sits at 3.13 hours per resident per day, roughly 19% under the national average, with weekends running about 13% thinner than weekdays. The turnover number is the one that would worry me most: 94.4%, about double the national rate, meaning the aides who know your mother are mostly gone within a year. Five fines totaling just under $80,000 round out the record. It's a hospital-district home, inspected recently, in August 2025.
The Park In Plano runs on about 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekend coverage dips another 14 percent below its own weekday level. Staff turnover sits at 93.2 percent, about double the national figure, which means the aides and nurses in the building are, more often than not, still learning the residents. Inspections tell a different story: a 4 out of 5 federal rating, 36 deficiencies on record with none at the harm level, though two are abuse-related. It's a for-profit limited liability company with 120 beds, last inspected in April 2026. The pattern is a home that passes its surveys while running lean on the people who do the daily work.
Avir At Bradburn runs 3.39 nurse hours per resident per day, about 12% under the national average, and weekend coverage drops roughly 12% below its own weekday level, a pattern families often notice on Saturdays and Sundays. Staff turnover sits at 83.8% against a national average of 45.8%, so the aides and nurses caring for your relative are far more likely than average to be new or on their way out. Inspectors last visited in May 2025 and left 11 deficiencies, including two at the harm or jeopardy level and one tied to abuse, along with a $136,027 fine. Quality measures score well, but the corporation's own inspection and staffing ratings don't.
Central Texas Nursing & Rehabilitation runs 118 certified beds in Ballinger under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day, about 21% under the national average of 3.86. Weekends drop roughly 17% below its own weekday level, so coverage thins exactly when families tend to visit. The inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus one fine of $8,936. A recent May 2025 inspection and a 4-star health inspection rating suggest the survey process is current and not entirely bleak, but a 1-star staffing rating and 2-star quality measures pull hard the other way. Ask about weekend nurse coverage and how the abuse-related findings were resolved.
The Manor At Seagoville runs on about 2.97 nurse hours per resident per day, roughly a quarter less than the national average of 3.86, and staffing thins further on weekends, dropping about 13% below its own weekday level. That shortfall shows up in the numbers: 59.1% annual turnover, well above the 45.8% national figure, and 33 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, plus two abuse-related findings and $98,062 in fines. A 2/5 inspection rating and 2/5 staffing rating sit alongside a 4/5 quality measure score, which is worth asking about. This is a for-profit corporate home where the care reported on paper and the hands available to deliver it don't match.
Red Oak Health and Rehabilitation Center runs 144 certified beds under corporate ownership, and its inspection history is actually its strongest suit, a 4-out-of-5 federal rating there. The problem sits elsewhere. Nurse staffing works out to 2.93 hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below the home's own weekday levels. Annual turnover hits 68.9% against a national 45.8%, meaning most of the aides and nurses your relative would see are relatively new. Sixteen deficiencies sit on the current record, including one at the harm level and one abuse-related, with a single $12,035 fine.
The Hilltop On Main runs lean on nursing staff, 2.83 hours per resident day against a national average of 3.86, with weekends about 15% thinner than weekdays. Half the staff turned over in the past year, and the most recent inspection, in March 2026, left 15 deficiencies on the record, three of them serious enough to involve harm or jeopardy, plus one fine of $29,243. This is a for-profit limited liability company operating 94 certified beds, and its federal ratings sit at 2 for health inspections, 2 for quality measures, and 1 for staffing. If you're weighing this one, ask what specifically was cited at those harm-level deficiencies and how the home plans to hold onto direct-care staff.
Pecan Tree runs on 2.57 nursing hours per resident day, roughly a third below the national average of 3.86, and weekends drop about 23% below what it manages on weekdays. That thin coverage sits behind a one-star staffing rating, and the inspection record is heavier still: 30 deficiencies, two of them serious enough to put residents in harm's way, plus two tied to abuse. The last full inspection was February 2026, so the findings are recent, not stale. Cooke County Hospital District owns the place, which means public ownership here hasn't translated into public accountability on care. One fine totaling $16,595 rounds out the record. If you're considering this home, ask directly how they staff weekends and what changed after those abuse citations.