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.
Stonebridge Adams Street runs 120 beds under corporate ownership in Jefferson City, and the numbers that stand out most are about people, how many there are and how long they stay. Nurse staffing sits at 3.72 hours per resident day, a bit under the national average, and drops roughly 23% on weekends compared to weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Annual turnover hits 72% against a national 45.8%, meaning most of the aides and nurses working with residents will be gone within a year. Inspections turned up 41 deficiencies, including one at the harm level and two tied to abuse, with a $38,656 fine on record and the last visit in December 2024.
Morningstar runs 120 beds in Oswego County, and the staffing picture is thin, 3.19 nurse hours per resident day against a national average of 3.86, with weekends dropping about 18% below its own weekday levels. That means care gets thinnest exactly when families are most likely to visit. Annual turnover sits at 53.3%, well above the 45.8% national figure, so the people providing that care keep changing. The inspection record backs this up: 33 deficiencies, two serious enough to involve harm or jeopardy, and $122,464 in fines across two penalties, with the most recent inspection in May 2025. For-profit corporate ownership rounds out the picture.
Hudson Elms runs on 3.17 nursing hours per resident day, roughly 18% under the national average, and weekend coverage drops another 15% below its own weekday level. Staff turnover sits at 76.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago.
The inspection record backs that up: 45 deficiencies, including two at the harm or jeopardy level and six tied to abuse, with the last inspection in June 2023. Corporate ownership and one $17,610 fine round out the picture. Quality measure scores look strong on paper, but that's family-reported data, and it's hard to see how it holds up when the floor staff keeps changing.
The Villa at Marymount runs 130 beds in Garfield Heights under for-profit LLC ownership, and its state inspection history is the part I'd weigh hardest. Twenty-six deficiencies sit on the current record, four of them serious enough to involve actual harm or jeopardy to residents, plus one tied to abuse. Two fines total $83,603. Staffing averages 4.03 nurse hours per resident day, a bit above the national figure, but weekends drop roughly 16% below the home's own weekday coverage. Annual turnover is 63.1% against a national average near 46%, meaning most of the people caring for your family member are new. The last inspection was March 2025. If you're considering this one, ask specifically how weekends and evenings are staffed.
Pauls Valley Care Center runs 71 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.87 nurse hours per resident day against a national average of 3.86. That's roughly a quarter less direct nursing time than the typical home, and weekends drop another 7% below its own weekday level, so the thinnest coverage lands when families tend to visit. Fifteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, with a single fine of $50,778. The last inspection was in December 2025, so the record is recent. Quality measures rate 2 out of 5 and staffing 1 out of 5, this is a home where the care hours, not the inspection history, are the real concern.
Heritage Hall Dillwyn runs on thin staffing. At 2.95 nurse hours per resident per day, it sits about 24 percent under the national average of 3.86, and weekends dip roughly 17 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 55.2 percent outpaces the national 45.8 percent, meaning aides and nurses cycle through often. The current record shows 25 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last inspection was March 2024. A four-star inspection rating and a two-star quality measure score sit alongside that one-star staffing picture; the state surveyors have generally been satisfied, but the day-to-day floor coverage is where the concern lives.
Parkside Care in Union Gap runs 88 certified beds under for-profit LLC ownership, and its record is one of the heaviest in the county. Sixty-three deficiencies sit on the current record, four at harm or jeopardy level, two tied to abuse, with four fines totaling $205,277. Those numbers line up with inspection and quality ratings of 1 out of 5 each. Staffing looks adequate on paper at 3.88 hours per resident day, barely above the national average, but weekends run about 14 percent thinner than weekdays, and that rating still comes in at 2 out of 5. The last inspection was March 2026, so this is a current picture, not an old one.
Chi Franciscan Villa runs 90 beds in South Milwaukee, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.46 hours per resident day, about 10 percent under the national average, and weekends drop roughly 16 percent below what the home itself staffs on weekdays, while half the nursing staff turned over in a year. The inspection history carries more weight than the staffing shortfall: 65 deficiencies on the current record, including 10 at the harm or jeopardy level and 11 tied to abuse, plus four fines totaling $208,607. Its last inspection was May 29, 2026.
Apex Secure Care Brownfield runs on 2.27 nurse staffing hours per resident day, roughly 41% under the national average of 3.86, and weekends drop about 17% below its own weekday levels. Staff turnover sits at 55.8% against a national 45.8%, so the people who remain are stretched thin and constantly changing. The inspection record shows 39 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $27,738 in fines across two penalties. Its most recent inspection was April 14, 2026, and the health inspection rating of 2 out of 5 reflects what surveyors found. A 4-out-of-5 quality measure score does not offset a 1-out-of-5 staffing rating.
Deerings runs on thin staffing, and the numbers show it. At 2.71 nurse hours per resident day, it sits about 30% under the national average of 3.86, and weekends drop roughly another 18% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover is 97.9%, more than double the national 45.8%, meaning the aides and nurses caring for residents are largely new or on their way out. Inspections look better: a 4/5 health inspection rating and a recent March 2025 visit, but the record still holds 30 deficiencies, including one at the harm level and three tied to abuse, plus $8,278 in fines. Good quality scores can't offset that kind of churn.
Hemphill Care Center runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average, and its weekend staffing barely budges from weekdays, about 1% higher, which is unusual when most homes thin out on Saturdays and Sundays. That thin coverage shows up in the inspection record: 26 deficiencies, nine of them serious enough to put residents in harm's way, and five tied to abuse. Two fines totaling $29,226 round out the file. The last inspection was recent, September 2025, so this isn't stale history. Corporate-owned and operating well under typical staffing levels, this is a home where the numbers themselves tell you to look closely before deciding.
Shady Oak runs lean on staff. At 2.85 nurse hours per resident day, it sits about 26% under the national average, and weekends drop roughly another 15% below its own weekday coverage. Every nursing position turned over in the past year, 100%, against a national figure near 46%, which means the people caring for residents keep changing. Inspectors visited in September 2025 and logged 14 deficiencies, none at the harm level but one tied to abuse. The 5-star inspection rating looks strong on paper, but the 2-star quality and staffing marks tell you where the strain actually lands.
Brooksville Healthcare Center runs 180 certified beds as a nonprofit corporation, and the numbers worth knowing sit in its staffing. At 3.60 nurse hours per resident day, it lands about 7% under the national average of 3.86, and weekend coverage drops roughly another 10% below its own weekday level, so the hours thin out exactly when families tend to visit and emergencies tend to happen. Staff turnover of 55.9% against a national 45.8% means caregivers cycle through faster than residents can build familiarity with them. The inspection record shows 21 deficiencies, four serious enough to reach harm or jeopardy and two tied to abuse, plus one fine of $37,811.
Canton Center runs on county government ownership, and the numbers show where that leaves residents. Nurse staffing sits at 3.06 hours per resident day, roughly a fifth below the national average, and weekends drop another 12% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 59.3%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The current inspection record shows 15 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent survey was in August 2025. Quality measures score low, and staffing is the weakest piece of the federal picture here.
Aliya of Glenwood runs 184 beds in Cook County under for-profit LLC ownership, and its nurse staffing sits right at the root of its problems. At 2.69 hours per resident day, it's about 30% under the national average of 3.86, and weekend coverage dips roughly 5% below its own weekday levels. Staff turnover lands at 48.7%, a few points above the national figure. The inspection record is heavy: 63 deficiencies, 8 at harm or jeopardy level, 6 abuse-related, and seven fines totaling $226,122. Its last inspection was April 2025. If you're weighing this one, ask specifically how they cover weekends and what's changed since those abuse findings.
Briar Place runs on 1.90 nurse hours per resident per day, roughly half the national average of 3.86. Weekends drop about another 10% below its own weekday numbers, and 54.1% of staff turned over last year against a national rate of 45.8%. The inspection record shows 50 deficiencies, nine of them at harm or jeopardy level and nine abuse-related, with five fines totaling $147,914; the last visit was November 2024. For-profit, limited liability ownership, 232 beds, a two-star health inspection rating and one star for staffing. When a building carries that many harm-level findings and that thin a floor staff, families should ask who is actually on the unit overnight and on weekends.
Complete Care at Margate Park runs 310 beds on Chicago's far North Side, and the staffing numbers are the first thing worth knowing: 3.01 nurse hours per resident per day against a national average of 3.86, with weekends running roughly 10% thinner than weekdays. That shortage shows up in the inspection record, 100 deficiencies, nine of them at harm or jeopardy level and 19 tied to abuse, plus five fines totaling $155,687. Annual turnover sits at 47.4%, slightly above the national figure, at a for-profit limited liability company. One thing in the home's favor: it was inspected recently, in late February 2026, so the record you're reading reflects current conditions rather than a stale survey.
The Willows of New Castle runs about 3.75 nurse hours per resident day, a bit under the national average, and weekends dip roughly 13% below its own weekday staffing. That thin coverage shows up in the numbers: a 58.8% annual turnover rate, well above the 45.8% national figure, and CMS giving staffing 1 out of 5 stars. The current record carries 22 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related. A March 2026 inspection is recent, and the 3/5 health inspection rating is the strongest piece here. Quality measures sit at 2/5, and the corporate for-profit owner runs 95 beds.
The Waters of Martinsville runs on thinner staffing than most homes in the country, 3.49 nurse hours per resident day against a national average of 3.86, and it gets worse on weekends, when coverage drops about 10% below its own weekday level. Annual turnover sits at 62.5%, well above the 45.8% national figure, so the people caring for residents are frequently new. Its inspection record carries 34 deficiencies, including two at the harm level and two tied to abuse, plus a $22,165 fine. Ownership is corporate, for-profit, and the most recent inspection was in September 2025.
Brickyard Healthcare's Golden Rule Care Center carries a one-star inspection rating and 45 deficiencies on its current record, including six tied to abuse and four serious enough to put residents in harm's way. That's the part families should sit with, not the fine total of $55,102, which is comparatively small next to the pattern itself. Staffing sits about 16% under the national average, and roughly two-thirds of the nursing staff left over the past year, well above the typical rate, with weekend coverage thinner than weekdays. At 170 beds under corporate ownership, it's a large building running short-handed, and the September 2025 inspection is recent enough to reflect current conditions.