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.
Avir At Keeneland runs on thin staffing. At 2.59 nurse hours per resident day, it sits about a third below the national average of 3.86, and weekends dip roughly 4% under its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 78.1% means most of the people caring for residents weren't there a year ago, against a national rate near 46%. Inspections look strong on paper: a 5/5 health inspection rating, 13 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent visit was December 2024. But quality measures score 2/5 and staffing 1/5, and that gap between a clean inspection record and day-to-day coverage is what holds the overall picture down.
Knopp Nursing & Rehab Center runs on noticeably thinner nurse coverage than most homes, 3.09 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday level. That shortfall matters more when you consider the staff turnover of 62.5%, well above the 45.8% national figure, meaning the people providing that care are frequently new or on their way out. The record backs it up: 34 deficiencies, two serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $32,094. With a for-profit corporate owner and the most recent inspection in January 2026, this is a home where the numbers themselves tell the story.
Bridgeport Medical Lodge runs 152 certified beds under corporate for-profit ownership, and its staffing sits at 3.35 nurse hours per resident day, roughly 13% under the national average. Weekends drop another 12% below its own weekday levels, and 57.3% of staff turned over in the past year against a 45.8% national rate. The inspection record holds 13 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $24,704 in fines across two penalties. CMS gave it 2 stars for health inspections, 2 for quality measures, and 1 for staffing. The most recent inspection was February 26, 2026.
Parkview Manor runs lean on nurse staffing, 3.19 hours per resident day, well under the national average, and weekends get thinner still, dropping about 8% below its own weekday level. The bigger red flag is turnover: 92.9% of staff left over the past year, roughly double the national rate, which means the people caring for residents are constantly new and unfamiliar. On the inspection side, 19 deficiencies sit on the current record, including one at the harm level and two tied to abuse, with a $15,920 fine and a survey from August 2024. For-profit individual ownership runs the place, and the federal star ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.
Avir At Arbor Terrace runs 126 certified beds in San Angelo, and the staffing numbers are where I'd start. At 3.05 nurse hours per resident day, it sits about 21% under the national average of 3.86, weekends dip roughly 7% below its own weekdays, and turnover hits 75.3% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 38 deficiencies, three at harm or jeopardy level, one abuse-related, and $121,840 in fines across three events. A 2/5 inspection rating and 3/5 on quality measures don't offset a 1/5 staffing score. Ask about weekend coverage and how they hold staff before you tour.
Mineola Gardens runs on thin coverage. At 3.16 nurse hours per resident day, it sits about 18% under the national average, and weekends dip slightly below its own weekday numbers, the sort of gap where a fall or an infection can go unnoticed longer than it should. The bigger flag is turnover: 88.9% annually, roughly double the national rate, meaning most of the people caring for your relative will be gone within the year.
The inspection record backs that up. Twenty-two deficiencies on file, four involving actual harm or jeopardy, six tied to abuse, and three fines totaling $50,527. State inspectors last visited in July 2025 and rated health inspections 2 out of 5. Its quality measure score looks good on paper, but that's family-reported data, the staffing and inspection numbers are the ones to weigh here.
Premier Health Care Center runs on 2.21 nurse hours per resident per day, roughly 43 percent under the national average of 3.86, and weekend coverage dips about 13 percent below its own weekday staffing. Annual turnover sits at 59.1 percent against a national 45.8 percent, so the aides and nurses your relative sees are often new. Inspectors cited 23 deficiencies on the current record, one serious enough to involve harm or jeopardy, with a $14,069 fine attached; the last visit was March 5, 2025. This is a for-profit, individually owned 50-bed home. In plain terms, the people are stretched thin relative to what residents need.
The Heights of League City runs on thin nursing coverage: 3.38 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. Staff turnover sits at 69.7%, well above the 45.8% national figure, so the people caring for residents are frequently new to the building. The inspection record backs this up: 28 deficiencies, nine at harm or jeopardy level, six fines totaling $144,668. A hospital district owns it, which might suggest stability, but the numbers here tell a different story.
Mesquite Post Acute Care runs on thin nursing coverage, 2.94 nurse hours per resident per day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. That shortfall shows up in a licensed staff turnover rate of 79.7%, well above the 45.8% national figure, and in a staffing rating of 1 out of 5. The inspection record is the heavier concern: 41 deficiencies, including 9 tied to abuse and 5 at the harm or jeopardy level, plus three fines totaling $132,185. Ownership is for-profit, through a limited liability company, and the most recent inspection was May 21, 2026. Quality measures score mid-range at 3 out of 5, but that sits alongside a 1-out-of-5 inspection rating.
Accel At College Station runs on 3.18 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 13 percent below its own weekday level. That thin coverage shows up in turnover: 67 percent of staff leave annually, against a national 45.8 percent. Inspections tell a harder story, 49 deficiencies on the current record, 10 of them at harm or jeopardy level, one abuse-related, and five fines totaling $137,611, with the most recent inspection in May 2025. The quality measure score looks strong, but that reflects charted care, not the staffing and inspection record underneath it.
Avir At Kerrville runs 130 certified beds under for-profit corporate ownership, and the staffing numbers are the first thing I'd flag: 3.37 nurse hours per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday level. That shortfall shows up in turnover too, 64.4% annually, well above the 45.8% national figure, meaning the aides and nurses your family gets to know are likely to change often. The inspection record carries 62 deficiencies, four at harm or jeopardy level and five abuse-related, plus $20,293 in fines across two penalties. CMS rated its health inspection, staffing, and quality measures at 1, 2, and 1 stars respectively, with the most recent inspection dated June 2025.
The Blossoms at Woodland Hills carries 31 deficiencies on its current record, including one at the harm or jeopardy level and one tied to abuse, plus a single CMS fine of $136,696. Staffing sits at 3.26 nurse hours per resident day, roughly 16 percent under the national average, and weekends drop about 19 percent below what the home staffs on weekdays. Annual turnover runs 79.8 percent against a national 45.8 percent, meaning most of the people caring for residents weren't there a year ago. The last inspection was April 2025. For-profit, limited liability ownership. A 1-out-of-5 inspection rating and 2s on staffing and quality measures round out a pattern worth asking about directly.
Park Forest Care Center runs on 2.61 nurse hours per resident day, roughly a third below the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. The inspection record shows 32 deficiencies, including four at the harm or jeopardy level and five tied to abuse, with one fine of $24,840 and a June 2025 inspection. Resident outcome measures and staffing both land at the lowest federal rating. With a for-profit corporate owner, 103 certified beds, and serious findings across care and safety, the numbers here point to a home where you would want to ask hard questions before moving anyone in.
Buckhead Center for Nursing and Healing runs 179 certified beds under for-profit LLC ownership, and the numbers that stand out most are about who's actually there to provide care. Nurse staffing sits at 3.21 hours per resident day, roughly 17 percent below the national average, and it thins out further on weekends, dropping about 15 percent below the home's own weekday levels. Staff turnover hit 73.9 percent, well above the 45.8 percent national figure, which means the people caring for residents are, more often than not, relatively new to the building. The inspection record backs that up: 41 deficiencies, six at harm or jeopardy level, two tied to abuse, and four fines totaling $29,354, with a CMS inspection rating of 1 out of 5.
Aperion Care Forest Park is a 232-bed for-profit home in Cook County with 71 deficiencies on its current record, 12 of those at the harm or jeopardy level, 8 involving abuse. That's an unusually heavy enforcement history, and it shows in the fines: six penalties totaling $387,772. The government's health inspection rating sits at 1 out of 5 stars.
Staffing tells a similar story. At 3.26 nurse hours per resident day, the home runs about 16 percent below the national average, and weekends dip another 16 percent below its own weekdays. Turnover is 38.2 percent, which is actually better than the 45.8 percent national figure, the one number here that isn't a red flag, though it doesn't offset the rest. Its last inspection was in January 2025.
Evercare Of Granite City looks decent on paper in two places: its health inspection and quality measure ratings each sit at four out of five stars, and the last inspection was recent, September 2025. But the staffing number is the one that should worry you. At 2.45 nurse hours per resident per day, this home runs about 37 percent below the national average, weekends dip another 18 percent below its own weekday level, and annual turnover hits 78.3 percent against a national 45.8, meaning most of the people caring for your relative are new, and there are fewer of them on Saturdays and Sundays. Add 21 deficiencies, four of them harm-level and three abuse-related, plus $32,523 in fines, and the inspection stars stop telling the whole story.
Aspyre Of Bronzeville runs 204 beds on Chicago's South Side under corporate ownership, and its nurse staffing sits at 2.58 hours per resident day, roughly a third below the national average of 3.86. Weekends drop about 18% below its own weekday levels, so coverage thins out exactly when families tend to visit.
The inspection record is the part that would worry me most: 59 deficiencies, including 5 at the harm or jeopardy level and 4 tied to abuse. Three fines totaling $107,000, and the last inspection was August 2024. Turnover at 25% is actually better than the 45.8% national average, which matters, but it doesn't offset a 2/5 staffing rating and 2/5 inspection rating. Ask about weekend coverage and the abuse-related citations specifically.
Maison De Lafayette runs 189 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average, and weekends drop about 15% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover of 74.2% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are, more often than not, new to the building. On the current inspection record there are 47 deficiencies, including two at the harm or jeopardy level and two tied to abuse.
Tioga Community Care Center runs 154 certified beds in Pineville under nonprofit ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average of 3.86. That's a real strength. But weekends drop about 17% below the home's own weekday coverage, and annual turnover hits 64.8% against a national 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. The current record carries 21 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Quality measures score 1 out of 5 stars. The most recent inspection was July 23, 2025.
Heritage Healthcare of Hammond runs about 3.16 nurse hours per resident day, roughly 18% under the national average, and weekend coverage drops another 15% below its own weekday level. Staff turnover sits near the national rate, so the problem isn't churn, it's how few hours are on the floor to begin with. On inspections, the record shows 31 deficiencies, one serious enough to involve harm or jeopardy, plus a $13,715 fine and a May 2025 inspection. The quality measure score is the lowest CMS assigns. Limited liability ownership and a for-profit structure don't explain the numbers, but they don't soften them either.