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.
Laurel Ridge Center runs 61 beds in Uniontown under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.29 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and weekends drop another 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 55.2% tops the national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 13 deficiencies, including one at harm or jeopardy level and three tied to abuse. CMS rated quality measures 1 out of 5 and staffing 2 out of 5, with a June 2025 inspection.
St. Francis Center runs 273 beds in Darby, and the numbers tell two different stories. Inspectors have been through recently, July 2025, and found 23 deficiencies, none of them serious enough to harm a resident and none related to abuse, which is why the health inspection rating sits at 4 out of 5. Staffing is the weak point. At 3.39 nurse hours per resident day, this home runs about 12 percent below the national average, and weekends drop another 8 percent below its own weekday levels. Annual turnover of 58.4 percent is well above the 45.8 percent national figure, so the people providing that care are cycling through quickly.
Inners Creek runs 202 certified beds in Dallastown under corporate ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, and it thins out further on weekends, dropping about 7 percent below the home's own weekday level. Staff turnover is 54 percent a year against a national 45.8 percent, meaning more than half the caregivers are new to their jobs within twelve months. On the inspection side, the current record shows 62 deficiencies, including 2 at the harm level and 4 tied to abuse, with two fines totaling $47,031. The most recent inspection was October 25, 2024.
Woodhaven runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and it thins out further on weekends, dropping about 9% below its own weekday staffing. That shortfall shows up in retention too: 55.6% of staff left over the past year, well above the 45.8% national figure, which means new faces are constantly learning the building. The inspection record is the bigger concern. Fifty deficiencies are open right now, one of them serious enough to involve actual harm and another tied to abuse, plus a $37,480 fine. For a family weighing this place, those are the numbers worth pressing the administrator on directly.
Aristacare At East Falls runs 5.50 nurse hours per resident day, well above the national average, but the weekend gap and a 58.6% turnover rate suggest those hours aren't reliably staffed by the same people. The inspection record is the bigger concern: 79 deficiencies, including three at harm or jeopardy level and four tied to abuse, with two fines totaling $57,568. A 1/5 inspection rating and a 1/5 staffing rating, despite the raw hours, point to real gaps between what's scheduled and what families actually experience.
Elk River Health & Nursing Center runs about 3.70 nursing hours per resident per day, a bit under the national average, and weekends drop roughly 13% below its own weekday staffing. That thin weekend coverage matters more when you consider turnover: nearly 70% of staff left last year, against a national average near 46%, and CMS gives the home its lowest mark on staffing. Inspections look better, a four-star health inspection rating, with nine deficiencies on record and none at the harm level, though one is abuse-related. The last inspection was July 30, 2025. Quality measures sit at two stars. Nonprofit ownership doesn't change the arithmetic: consistent hands are the hard part here.
Northbrooke Post Acute runs on 3.54 nurse staffing hours per resident day, roughly 8% under the national average, and weekends dip about 10% below what the home itself does on weekdays. That thin coverage is hard to separate from a 73.9% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses at the bedside are frequently new. The current record carries 32 deficiencies, none flagged at the harm or jeopardy level and none abuse-related, and the last full inspection was in April 2025. Inspections, quality measures, and staffing each land at or below the middle of CMS's five-star scale, with staffing at the bottom. A for-profit corporation owns the 120 certified beds.
Ennis Care Center runs on thin staffing: 3.23 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below what the home itself manages Monday through Friday. That shortfall shows up in turnover too, 58.2% of staff leave each year, well above the 45.8% national rate, which means caregivers are constantly new to residents who need consistency. The inspection record backs this up: 21 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and $187,220 in fines across three penalties. Corporate ownership is for-profit. The most recent inspection was March 2025, so the picture is current, not stale, and it's a hard one.
Heritage at Longview runs 140 certified beds under corporate ownership, and its nurse staffing sits at 2.81 hours per resident each day, roughly 27 percent under the national average of 3.86. Weekends are thinner still, about 21 percent below what the home staffs on weekdays. The inspection record shows 26 deficiencies, including two at the level where harm or jeopardy occurred, one tied to abuse, and $81,752 in fines across two penalties. Its last inspection was June 5, 2024, so that record is recent. Staffing carries the lowest federal mark at 1 out of 5 stars, while inspections and quality measures each land at 3. The gap between those quality scores and the day-to-day staffing numbers is the thing worth asking about directly.
Heritage at Turner Park runs 146 beds in Grand Prairie under for-profit LLC ownership, and the numbers that stand out most are about the people doing the work. Nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average, with weekends dipping about 10 percent below the home's own weekday levels, and annual turnover hitting 94.1 percent against a national rate near 46 percent. That churn means aides and nurses are constantly being replaced. The inspection record shows 17 deficiencies, three of them at harm or jeopardy level and one abuse-related, plus three fines totaling $31,873. The most recent inspection was July 31, 2025, so the record is current.
Northgate runs on 3.10 nurse hours per resident per day, about a fifth below the national average, and weekends dip even further. Three in four employees left last year, against a national rate around 46%, which means the people at the bedside keep changing. Inspectors have written 54 deficiencies, including one at the harm level and three tied to abuse, with a $27,710 fine on record from a July 2025 visit. The quality star is high, but that measure leans on self-reported data. Licensed staffing and inspection results are where this home sits at the bottom.
Paradigm At First Colony runs about 3.36 nursing hours per resident per day, roughly 13% under the national average, and weekend coverage drops another 14% below its own weekday levels. That thin margin shows up in the workforce itself: 67% of staff turned over in a year, against a national rate near 46%. The inspection record is harder to explain away, 41 deficiencies, eight serious enough to put residents in harm's way, four tied to abuse, and three fines reaching $211,113. A 150-bed for-profit LLC in Missouri City, recently inspected in January 2026. Whatever the quality measures suggest, the staffing and survey history carry more weight when you're choosing care for someone you love.
Five Points At Lake Highlands runs 280 certified beds in Dallas under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends dip roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 64% 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 is heavier still: 53 deficiencies, five at harm or jeopardy level, one abuse-related, and $58,149 in fines across five penalties. The most recent inspection was March 31, 2026, so the picture is current, not stale.
Four Corners Regional Care Center runs on 2.91 nursing hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 12% below what it manages on weekdays. With 67.4% of staff turning over each year, well above the 45.8% national figure, that thin coverage is coming from a constantly changing workforce. The county runs the place, and its inspection record shows 26 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $68,471. The last inspection was in January 2025, so the record is current. Quality scores look decent, but staffing is where the risk sits.
Oakhurst runs on about 3 hours of nursing care per resident per day, roughly a quarter below the national average, and it gets thinner on weekends. That shows up in the staffing star rating, which sits at the lowest tier. The bigger red flag is turnover: more than eight in ten staff left over the past year, against a national rate nearer 46%. Inspections produced 60 deficiencies, including nine tied to abuse and four serious enough to put residents in harm's way. State regulators fined the home once, for $18,590. The last inspection was in February 2024. If you're considering this one, ask how they're keeping consistent caregivers on the floor.
Kings Daughters Community Health & Rehab runs on 2.67 nurse hours per resident day, roughly 31 percent under the national average, and weekend coverage drops another 12 percent below its own weekday level. Staff turnover sits at 59.6 percent, well above the 45.8 percent national figure, so the people caring for residents are often new and still learning the building. The inspection record shows 81 deficiencies, 12 serious enough to involve harm or jeopardy and 8 tied to abuse. The last full inspection was February 2023, meaning the record is old but not resolved. For-profit LLC ownership, 117 beds, and a staffing rating at the bottom of the CMS scale make this a difficult placement to recommend without a very close in-person visit.
Pocahontas Center runs on 3.00 nurse staffing hours per resident per day, roughly 22% under the national average of 3.86, and weekends drop about 14% below its own weekday level. Annual turnover sits at 63.8% against a national 45.8%. The inspection record shows 55 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, with three fines totaling $193,892. A 4/5 quality measure score stands out against a 1/5 staffing rating and 1/5 inspection rating, the quality number reflects resident assessments, not the hands available to deliver care. For-profit corporate ownership. Last inspection: November 5, 2025.
Madison Health and Rehabilitation Center runs 83 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends drop about 12% below its own weekday coverage. The bigger concern is retention: annual turnover hits 66.7% against a national 45.8%, meaning nearly seven in ten staff left within the year. CMS has cited 57 deficiencies, nine at harm or jeopardy level and two tied to abuse, with four fines totaling $289,198. Federal regulators have placed the home in the Special Focus Facility program, reserved for the most persistently troubled nursing homes.
Montello Care Center has real staffing depth, 4.71 nurse hours per resident day, about 22% above the national average, but that's roughly where the good news ends. The home carries 67 deficiencies on its current record, including 4 at the harm or jeopardy level and 16 tied to abuse, and CMS has fined it three times for a total of $163,039. Staff turnover sits at 64% against a national average near 46%, and weekend coverage drops about 10% below weekday levels, so the hours on paper may not hold steady when families visit. A one-star health inspection rating and a December 2025 inspection round out the picture.
Sabine Heights runs on thin staffing: 3.47 nurse hours per resident day, about 10% under the national average, and weekends drop roughly 9% below its own weekday levels. Turnover sits at 63.1% against a 45.8% national figure, meaning most of the people caring for residents are still learning the building. The current inspection record shows 42 deficiencies, including 10 at the harm or jeopardy level and 2 tied to abuse, with six fines totaling $287,581. This is a 150-bed for-profit corporate home whose last inspection was January 7, 2026, and whose CMS staffing and health inspection ratings both sit at one star out of five.