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.
Sylan Shores runs on 3.00 nursing hours per resident day, roughly 22% under the national average of 3.86, and weekends drop about 14% below what it manages during the week. That thin coverage shows up in the numbers: a 69.5% annual turnover rate against a national 45.8%, and 16 deficiencies on the current record, including one at the harm level and two tied to abuse. The last inspection was July 2025, so the findings are recent rather than stale. Government hospital-district ownership doesn't change what the staffing star says. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.
Five Points runs a 120-bed for-profit operation in DeSoto, and the staffing numbers are the first thing to look at. At 3.03 nurse hours per resident day, it's about a fifth below the national average, and weekends drop another 13% under its own weekday coverage, that's when problems tend to surface. The bigger concern is a 91% annual turnover rate, roughly double the national figure, which means the people caring for your relative are likely new and still learning the building. Twenty-eight deficiencies sit on the current record, including two at harm or jeopardy level and one tied to abuse. Inspectors were last there in May 2025.
Avir At Tierra Este runs on 3.05 nurse hours per resident per day, about 21% under the national average, and weekends drop roughly 7% below its own weekday staffing. That thin coverage shows up in a 56.9% annual turnover rate, well above the 45.8% national figure, and in a one-star CMS staffing rating. Inspectors have cited 65 deficiencies, three at harm or jeopardy level and two tied to abuse, with eight fines totaling $53,957; the last inspection was September 2025. This for-profit LLC home holds 120 certified beds, and its one-star health inspection rating sits against a three-star quality measure score.
Athens Post Acute runs about 3.48 nurse hours per resident day, roughly 10 percent under the national average, and weekend coverage drops another 19 percent below its own weekday schedule. Staff turnover sits at 58.5 percent against a national 45.8, which means more than half the nursing staff leaves each year. Inspections are a bright spot: a 4-out-of-5 health inspection rating with no deficiencies at the harm level and nothing abuse-related, though 16 deficiencies and ten fines totaling $61,744 sit on the record. The quality measure and staffing ratings both land at 2 out of 5. For-profit, limited liability ownership. If you tour, ask how they cover weekends and how long the current director of nursing has been in place.
Montezuma Health And Rehabilitation runs a hundred beds as a nonprofit, and its inspection history is genuinely the strongest part of the picture, a recent January 2026 survey and a four-out-of-five inspection rating. The trouble sits elsewhere. Nurse staffing of 3.39 hours per resident day falls roughly 12% under the national average, weekends dip about 16% below the home's own weekday coverage, and turnover among nursing staff hits 61.4% against a national 45.8%. Nine deficiencies are on record, two of them serious enough to involve harm or jeopardy, with $15,593 in fines across three penalties. Quality measures sit at one out of five stars, a sign the day-to-day care experience doesn't match the clean inspection sheet.
Countryside Post Acute runs 62 beds in Buchanan, and the staffing numbers are the first thing to notice: 3.08 nurse hours per resident day against a national average of 3.86. Weekends drop about 12% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. The federal inspection record shows 18 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and CMS has fined the home once for $4,068. Its most recent inspection was in August 2025, so the record is current. Quality measures and health inspection each sit at two stars, staffing at one.
La Bella Of Woodstock runs on 2.83 nurse hours per resident day, about 27% under the national average, and weekends drop roughly 12% below its own weekday staffing. The inspection record is the bigger issue: 87 deficiencies, 13 of them serious enough to put residents at risk of harm, plus 29 abuse-related citations and seven fines totaling just under $600,000. A 1-star inspection rating and 1-star staffing rating sit alongside a 3-star quality measure score, which mostly reflects how well the home documents care, not how much of it residents actually get. The most recent inspection was June 2025, so the record is current, not stale.
Piatt County Nursing Home is county-owned, and its 4.15 nurse hours per resident day sit about 7% above the national average, but that average hides a weekend drop of roughly 17%, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Turnover runs 56.1% against a national 45.8%, and the record carries 32 deficiencies, six of them at harm or jeopardy level and four tied to abuse, plus three fines totaling $182,948. The last inspection was June 2025. Staffing and quality measures both score low, and the inspection history is where the real weight sits.
Nature Trail Health And Rehab runs about 3.33 nursing hours per resident day, roughly 14% under the national average, and weekends drop another 17% below its own weekday staffing. That thin coverage sits behind 28 deficiencies on the current record, including three at the harm or jeopardy level and two tied to abuse, along with one fine of $28,620. Inspectors were last in the building in December 2025, and the health inspection rating came back at 4 out of 5, so the state's most recent look wasn't the problem. Staff turnover is 49.2%, above the national 45.8%, which matters in a building this size.
Regency Care Center runs about 3.15 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends are thinner still, about 14% below its own weekday staffing. The inspection record is heavy: 49 deficiencies, three of them at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse, and a $78,497 fine. The most recent inspection was in April 2025. Ownership is a for-profit limited liability company, with 101 certified beds. Federal staffing and health inspection ratings both sit at one star out of five.
Harrington House runs 90 certified beds under corporate for-profit ownership, and the numbers around its nursing staff are worth your attention. Nurse staffing sits at 3.80 hours per resident day, just under the national average, but weekends drop roughly 23% below what the home staffs on weekdays, and annual turnover hits 57.9% against a national rate of 45.8%. Those two figures together mean less consistent coverage, especially when families tend to visit. The inspection record backs that up: 40 deficiencies, one serious enough to involve harm or jeopardy, two tied to abuse, and a $43,891 fine. The most recent inspection was in April 2025, so the picture is current.
Cornerstone runs 95 beds in Corinth under for-profit LLC ownership, and its inspection record is the place to start. The current file carries 33 deficiencies, four of them serious enough to involve harm or jeopardy, plus two tied to abuse. A single CMS fine of $90,844 came out of that history, and the most recent inspection is dated April 2026.
Nurse staffing sits at 3.74 hours per resident day, slightly under the national average of 3.86, and weekends run about 15% thinner than weekdays. Turnover is 55.4% against a national 45.8%. That combination, thin weekend coverage, high churn, and a heavy deficiency load, is what drives the low overall grade, not any one number alone.
Arbor View runs on 2.47 nurse hours per resident per day, roughly a third less than the 3.86 national average, and weekends drop about 15% below its own weekday staffing. With 53.8% annual turnover, more than half the nursing staff leaves each year, which matters when residents need consistent hands. The current record shows 55 deficiencies, including one at the harm level and four fines totaling $29,491, with the most recent inspection in April 2025. Ownership is a for-profit limited liability company. Families comparing options here should ask specifically how the home covers weekend shifts and what it's doing to keep nurses from walking out the door.
Jackson Manor runs a tight ship on inspections, a five-star health inspection rating and a clean record with no deficiencies at the harm level and nothing abuse-related is genuinely hard to find. The problem sits on the staffing side. At 3.35 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly 19 percent below its own weekday numbers. Annual turnover of 64.3 percent is well above the 45.8 percent national figure, which means the people delivering care keep changing. Its quality measure rating is middling too. For-profit, individually owned, 90 beds. If you're considering it, ask how they cover weekend shifts and how long the current director of nursing has been there.
Sikeston Convalescent Center runs 120 certified beds under individual for-profit ownership, and its inspection record looks solid on the surface, a 4-out-of-5 health inspection rating, with the most recent survey completed in April 2026. The staffing numbers tell a different story: 3.85 nurse hours per resident day sits essentially at the national average of 3.86, but weekend coverage drops roughly 17% below the home's own weekday levels, and annual turnover hits 61.2% against a national average of 45.8%. Quality measures score just 1 out of 5. There are 27 deficiencies on record, one at the harm level, and a single fine of $13,627.
Stonebridge Maryland Heights runs 223 beds under corporate ownership, and the numbers suggest a building stretched thin. Nurses provide 3.50 hours of care per resident daily, roughly 9% under the national average, and weekends drop about 16% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Turnover sits at 66.1% against a national 45.8%, meaning most of the people caring for your relative are new and likely to leave. The inspection record shows 46 deficiencies, two tied to abuse, with the most recent state visit in February 2025. Staffing, inspections, and quality measures all land at two stars.
Beauvais Rehab runs 184 beds in St. Louis under for-profit LLC ownership, and the staffing numbers tell the clearest story: 3.24 nurse hours per resident day against a national average of 3.86, with weekends dipping about 15% below its own weekday coverage. That thin margin shows up in who's actually there on a Sunday. Staff turnover sits at 64.1%, well above the 45.8% national figure, and the inspection record carries 66 deficiencies, including five at harm or jeopardy level and four tied to abuse, plus a $64,695 fine. The most recent inspection was March 2025, so the record is current rather than stale. A 1-out-of-5 staffing rating and 2s on inspections and quality measures describe a home where the gaps are consistent, not isolated.
Riverview At The Park runs about 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekend coverage drops another 17% below what it manages on weekdays. Staff turnover sits at 56% against a national rate near 46%, and the home is licensed for 120 beds under individual for-profit ownership. Inspectors visited recently, in September 2025, and found 22 deficiencies on the current record, none rising to actual harm or jeopardy, though one is abuse-related. The five-star inspection rating reflects a clean survey in that narrow sense, but the two-star quality measure score and one-star staffing score tell you where the strain actually lives.
Ridge Crest runs on thinner staffing than most homes you'd compare it to, 3.01 nurse hours per resident day against a national average of 3.86, and weekends dip about 17% below what the building manages during the week. Annual turnover sits at 63.3%, well above the 45.8% national figure. The inspection record shows 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse. State surveyors were last in the building in September 2025, so the picture is current rather than stale. Put those numbers next to a 1-out-of-5 staffing rating and 2s for inspections and quality measures, and you have a home where the shortfalls are consistent across categories, not a single bad stretch.
Community Manor runs on 2.91 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 17% below what it manages on weekdays. Turnover sits at 58.3%, well above the 45.8% norm, which matters because the people most familiar with your relative's routines are the ones most likely to leave. The record isn't alarming on safety: 29 deficiencies, none at harm or jeopardy level, none abuse-related, and a recent June 2025 inspection. But staffing is where the strain shows, and a family should ask directly how many aides are on the floor on a Saturday night.