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.
Normandy Nursing Center runs on 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 12 percent below its own weekday staffing. That shortfall shows up in the numbers: 38 deficiencies on the current record, including 2 at the harm or jeopardy level and 3 tied to abuse, with staff turnover at 56.3 percent against a national 45.8 percent. The last inspection was in May 2025, so the record is recent, not stale. A for-profit corporation owns the 116-bed home.
Oregon Care Center is a 60-bed for-profit in Holt County, and its numbers pull in two directions. The health inspection side looks solid, a four-star rating, an inspection just this past December, and no deficiencies at the harm or jeopardy level. But staffing is where it gets thin: 3.01 nurse hours per resident day against a national average of 3.86, weekends running about 5% below weekday levels, and annual turnover at 68.8% when the national figure is 45.8%. That churn matters more than almost anything else, because it decides whether the people caring for your family member know them or are meeting them for the first time. There are also two abuse-related deficiencies on the current record, worth asking about directly.
Armour Oaks is a 38-bed nonprofit home in Kansas City, and the staffing numbers are the first thing I'd ask about. At 3.27 nurse hours per resident day, it runs roughly 15% under the national average, and weekends drop about 9% below its own weekday levels. The bigger concern is turnover: two out of three caregivers left last year, against a national rate near 46%. Inspections in August 2025 turned up 35 deficiencies, including one at the harm level and four tied to abuse. Ownership is nonprofit, which sometimes signals stability, but the current record doesn't show it here. I'd ask direct questions about who's actually on the floor on Saturday.
Livingston Health & Rehabilitation Center runs 115 certified beds under corporate ownership, and the staffing numbers are where I'd start. At 3.38 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 3% below its own weekday levels. Turnover is the bigger red flag: 69.6% annually against a national average of 45.8% means more than two-thirds of the nursing staff leaves every year. The inspection record shows 37 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse. A single fine of $17,404 is on file, and the most recent inspection was June 2025.
Atrium Post Acute Care of Wayneview is a 170-bed for-profit in Wayne, and its inspection record is the strongest thing it has going: a four-star health inspection score with 14 deficiencies on file, none at the harm level, though one is abuse-related. The trouble sits elsewhere. Nurse staffing runs 2.98 hours per resident day, roughly 23 percent under the national average, and weekends drop about 14 percent below its own weekday levels. Annual turnover hits 59.1 percent against a national 45.8, meaning more than half the nursing staff leaves each year. Quality measures score 1 out of 5. The beds get checked; the people covering them keep changing.
The Grand Rehabilitation and Nursing at Batavia runs 62 beds under for-profit partnership ownership, and its staffing sits about 5% under the national average at 3.67 nurse hours per resident day. Weekends drop roughly 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Every nursing position turning over in a year, against a national average near 46%, means the people caring for residents keep changing. Its current record shows 18 deficiencies, none at harm or jeopardy level but one abuse-related, with the most recent inspection in February 2025. Quality measure scores come in at the bottom of CMS's scale.
Schaffer Extended Care Center runs about 3.05 nurse hours per resident each day, roughly a fifth below the national average, and weekend coverage drops further below its own weekday levels. Staff turnover sits at 97.8%, more than double the national figure, so the people around your family member are likely to change often. Its record carries 25 deficiencies, including one tied to abuse and one at the harm level, plus a fine, and the last inspection was in May 2025. All three CMS star ratings, inspections, quality measures, staffing, sit at the lowest possible.
Oneida Center runs 120 beds under corporate ownership, and its biggest problem shows up in the staffing numbers. At 3.07 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, weekends drop about 14% below its own weekday levels, and annual turnover hits 56.4% against a national 45.8%. Inspections tell a quieter story: 25 deficiencies on record, but none at the harm or jeopardy level and nothing abuse-related, with the last visit in December 2024. Quality measures look decent at 4 stars, though that can reflect charting as much as care. The daily experience here likely depends on how thin the floor gets.
Lenoir Health and Rehabilitation Center is a 120-bed for-profit in Caldwell County with a staffing picture that doesn't hold up. Nurses provide 3.57 hours per resident day, under the national average, and weekends run roughly 15% thinner than weekdays, so coverage dips right when families tend to visit. Annual turnover sits at 68.7%, well above the national 45.8%, which means the aides and nurses caring for residents are often new to the building.
The inspection record is where the real weight is: 35 deficiencies, three at harm or jeopardy level, five tied to abuse, and four fines totaling $150,174. The most recent inspection was November 2025. Quality measures score well, but strong chart numbers don't offset thin weekend coverage and that deficiency history, worth asking about directly before you decide.
Mill Creek runs on 3.37 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip about 9 percent below its own weekday staffing. That thin coverage sits alongside a 66.7 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses caring for your family member are likely to change often. The current record carries 46 deficiencies, three of them serious enough to put residents at risk of harm, with two fines totaling $29,876. The most recent inspection was April 14, 2025. The for-profit LLC structure doesn't explain all of this, but combined with 1 out of 5 on health inspections, it's worth asking hard questions before moving anyone in.
River Trace carries 31 deficiencies on its current record, four of them serious enough to involve actual harm or jeopardy and two tied to abuse. The health inspection rating sits at one star, and the staffing rating matches it, with 67.1% of staff turning over annually against a national average of 45.8%, that churn matters because it's hard to know your aide when the aide keeps changing. Two fines totaling $32,991 are on file, and the most recent inspection was August 2025. This is a 140-bed for-profit run by a corporation, and the quality measure rating, at two stars, is the strongest number here, which isn't saying much.
Peak Resources-Outer Banks runs 126 certified beds in Nags Head under corporate, for-profit ownership, and its inspection record is genuinely its strongest suit: a 4-out-of-5 health inspection rating, nine deficiencies on the current record with none reaching harm or jeopardy level, and a fresh inspection as of March 2025. The trouble sits in the day-to-day staffing and in the quality measures, where the home scores just 1 out of 5. Nurse staffing averages 3.13 hours per resident day, roughly 19% under the national figure of 3.86, weekend coverage dips about 8% below its own weekday level, and annual turnover hits 56.1% against a national 45.8%. Good inspections, thin staffing, that's the tradeoff to weigh.
Lotus Village in Sparta runs on 3.38 nurse hours per resident day, about 12% under the national average, and weekend coverage dips roughly 7% below its own weekday levels. Staff turnover sits at 53.5%, well above the 45.8% national figure, so the people caring for residents are often new. The inspection record is the real story: 56 deficiencies, 10 of them at the harm or jeopardy level and 4 tied to abuse, plus $315,228 in fines across three penalties. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. That program status reflects sustained problems across multiple inspections, not one bad day.
Senior Citizens Home runs 60 certified beds in Henderson under a for-profit limited liability company, and its last health inspection was in March 2026. The record shows 26 deficiencies, two of them at the harm or jeopardy level, with no abuse citations. Staff turnover sits at 61.9%, well above the 45.8% national average, and CMS rates staffing and quality measures at just one star each. One fine totaling $55,760 is on file.
Staffing at Oak Forest runs 3.83 nurse hours per resident day, roughly in line with the national figure of 3.86, but it thins out on weekends, about 7% below the home's own weekday level. The bigger issue is who's giving that care: annual turnover sits at 61.3% against a 45.8% national average, meaning most of the staff you'd meet this year likely won't be there next year. That churn shows up in the record. Inspectors last visited in June 2025 and found 32 deficiencies, four serious enough to cause harm or put residents in jeopardy, one tied to abuse, drawing $38,527 in fines.
Ayden Court runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends dip about 7% below its own weekday level. That thin coverage sits behind a one-star staffing rating, while the home's 58.4% annual turnover is well above the 45.8% national figure, meaning the people who do show up are often new or on their way out. Inspectors have logged 23 deficiencies, including one at harm level and two abuse-related, and levied three fines totaling $37,700. The most recent inspection was May 2026. A for-profit LLC operates the 82-bed home.
Wesleyan Village runs 3.42 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin coverage is paired with 66% annual turnover against a national 45.8%, so the people at the bedside keep changing. The inspection record is the harder problem: 54 deficiencies, six at harm or jeopardy level, four tied to abuse, and $219,798 in fines across two penalties, with the most recent inspection in February 2025. A five-star quality measure score sits alongside one-star inspection and staffing ratings, which is worth asking about directly, since quality scores depend on the staff actually documenting and delivering care.
Embassy of Woodview runs 95 certified beds in Columbus under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average, and weekends run about 5% thinner than weekdays, with annual turnover at 68.9% against a national 45.8%. The inspection record is heavy: 47 deficiencies, including two at harm or jeopardy level and two tied to abuse, with $151,043 in fines and a May 2025 inspection. Quality measures score well, but that's largely self-reported data, while staffing and inspections come from what surveyors actually found.
East Park Care Center runs on 3.08 nursing hours per resident day, roughly a fifth below the national average, and weekend coverage slips about 9% below what it manages on weekdays. Staff turnover sits at 72.1% against a national rate near 46%, so the people around your family member change often. On its current record: 44 deficiencies, three involving harm or jeopardy, three tied to abuse, and $84,417 in fines across two penalties. The last inspection was in late October 2024. The five-star quality measure score reflects resident assessments, but the one-star inspection and staffing ratings describe what surveyors found and how thin the floor coverage is.
Springfield Nursing & Independent Living runs on 3.10 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. Staff turnover sits at 78.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 50 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus an $85,067 fine. The last inspection was May 2024, so that record is fairly recent. Quality measures score well, but staffing and inspections tell the harder story.