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.
Pine Tree Lodge runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 93.8%, more than double the national figure, which means the aide who knows your mother's routine this month may be gone the next. The current record carries 43 deficiencies, four of them serious enough to endanger residents, plus $244,330 in fines. The hospital district that owns it isn't chasing profit, but that hasn't translated into stable hands-on care.
North Park runs 140 certified beds in McKinney under corporate ownership, and its most recent inspection in June 2025 found 13 deficiencies, none of them causing harm or tied to abuse, which matters. But look at the workforce: 3.05 nursing hours per resident per day, about a fifth below the national average, with weekends even thinner. Turnover sits at 95.6%, more than double the national rate, meaning the staff caring for residents turns over almost completely each year. The 5-star health inspection rating reflects that clean survey, but a 1-star quality measure score and 1-star staffing suggest the day-to-day care is stretched. Families should ask directly how the home keeps consistent caregivers on weekends and evenings.
Wharton Nursing and Rehabilitation Center runs on 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 14% below its own weekday level. That thin margin shows up in the numbers: 18 deficiencies on the current record, four serious enough to put residents in harm's way, one tied to abuse, and two fines totaling $62,525. Staff turnover sits at 65.3% against a national 45.8%, which means the aides and nurses who know your mother's routines are leaving faster than replacements learn them. The hospital district ownership doesn't change what the staffing data says. The last inspection was May 28, 2026.
Advanced Rehabilitation and Healthcare of Athens carries 120 certified beds and is run by a hospital district, which you might expect to mean steadier oversight. The numbers say otherwise. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 8% below the home's own weekday levels. Staff turnover hits 58% against a national 45.8%. The inspection record shows 31 deficiencies, seven at harm or jeopardy level and seven abuse-related, with two fines totaling $210,588, and CMS has placed the home in its Special Focus Facility program. Its last inspection was March 2026. Quality measures score well; staffing and inspections do not.
Paradigm At Westbury runs 148 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits roughly 12% under the national average, weekends dip about 9% below its own weekday levels, and annual turnover hits 61.5% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 42 deficiencies, 7 of them serious enough to involve harm or jeopardy, plus four fines totaling $136,414. A recent May 2026 inspection means the record is current, and what it shows is a home where quality scores look decent but the people doing the daily work keep leaving.
Paradigm At The Oak runs 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage drops another 9% below its own weekday level. That thin coverage shows up in the inspection record: 60 deficiencies, eight of them at the harm or jeopardy level and eight tied to abuse, with four fines totaling $103,606 and a one-star health inspection rating from CMS. Staff turnover sits at 39%, which is actually below the 45.8% national figure, so the problem here isn't retention so much as how few hands are on the floor. The last inspection was April 2026. For-profit corporate ownership.
The Hills runs lean on nursing care: 2.74 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday level. That thin coverage shows up in the numbers CMS tracks, a one-out-of-five staffing rating, 18 deficiencies on the current record including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $29,325. Annual turnover sits at 93.2%, more than double the national rate, meaning the aides and nurses at the bedside are constantly new. The most recent inspection is dated February 26, 2026, so the record is current, not stale. Ownership is a for-profit limited liability company. Decatur families weighing this one should ask directly how the home covers weekend shifts.
Huntington Health Care & Rehabilitation Center runs 112 certified beds under for-profit partnership ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 8% below the home's own weekday level, so coverage thins exactly when families tend to visit. The bigger number is turnover: 94.8% annually against a national average of 45.8%, meaning most of the staff you meet this year likely won't be there next year. The current record shows 40 deficiencies, none at harm or jeopardy level but one abuse-related, with the last inspection in July 2025. Federal stars land at 3 for health inspections, 2 for staffing, and 1 for quality measures.
Decatur Medical Lodge runs on 3.06 nurse hours per resident day, about a fifth below the national average, and weekends dip roughly 13% under its own weekday pace. Staff turnover sits at 71.3% against a 45.8% national figure, so the people caring for residents are leaving faster than they can be replaced. Inspections have logged 29 deficiencies, including one at the harm level and two tied to abuse, with a $14,518 fine on record. The last inspection was April 2026. For-profit ownership through a limited liability company rounds out the picture. Worth asking direct questions about weekend coverage and how quickly shifts get filled.
The Atrium of Bellmead runs on 3.25 nursing hours per resident day, roughly 16% under the national average, and weekends drop about 14% below its own weekday numbers. Staff turnover is the number that should stop you: 95.3% a year against a national average of 45.8%, meaning the aides and nurses at the bedside are largely new faces. Inspections look strong on paper, a recent February 2026 survey and no deficiencies at the harm level, but six deficiencies are on record, two of them abuse-related, and the government's own staffing rating lands at the bottom. Government hospital district ownership doesn't change any of that arithmetic.
St. Teresa runs on thin staffing, and the numbers show it: 3.63 nurse hours per resident day against a national average of 3.86, with weekends dropping about 11% below its own weekday coverage. That's roughly 97% of staff turning over each year, more than double the national rate, which means caregivers are constantly new to residents who need consistency. The inspection record carries 75 deficiencies, including two at the harm level and seven tied to abuse, with $20,730 in fines. Federal inspectors last visited in September 2025. For-profit individual ownership, 124 beds, and a staffing star rating of 1 out of 5 round out a picture worth weighing carefully against other El Paso options.
Ignite Medical Resort Sugar Land runs 90 certified beds and reports 13 deficiencies on its current record, three of them serious enough to involve actual harm or jeopardy. Fines total $155,401 across eight separate penalties, which tells you the problems aren't isolated incidents. Staffing sits slightly under the national average at 3.82 hours per resident day, but the bigger issue is turnover: 62.2% of staff leave each year, well above the 45.8% national rate, and weekend coverage dips below what the home manages on weekdays. The most recent inspection came in December 2025. High turnover with thin weekend staffing is where quality problems tend to surface.
La Hacienda De Paz is a 104-bed hospital-district home in Eagle Pass, and the numbers that stand out most are about who's there to care for residents. Nurse staffing runs 3.12 hours per resident day, roughly 19 percent under the national average, and weekends drop about 12 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 95.1 percent against a national 45.8 percent, meaning the aides and nurses you meet may not be there in six months. The inspection record shows 24 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $14,069 fine. Ownership is government, through a hospital district.
Avir At Lindale runs on thinner nursing coverage than most homes nationally, 3.60 nurse hours per resident day against a 3.86 average, and weekends dip about 8% below its own weekday level, so the thinnest shifts come when families often visit. Staff turnover sits at 60%, well above the 45.8% national figure, meaning many of the people caring for residents are still new to the building. The inspection record is the sharper concern: 34 deficiencies, 8 of them at harm or jeopardy level and 3 abuse-related, with five fines totaling $754,374 and a February 2026 inspection. Government hospital-district ownership hasn't shielded it from any of that.
Savannah Post Acute runs 3.34 nurse hours per resident day, roughly 14% under the national average, and weekends dip about 16% below its own weekday numbers, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 57.6% against a 45.8% national average, meaning more than half the nursing staff turns over in a year. The current record shows 37 deficiencies, none at harm or jeopardy level but three tied to abuse. Inspectors were last on site in May 2025. If you're weighing this one, ask how weekend coverage is actually scheduled and what the abuse-related citations involved.
Riverview runs about 284 beds in Savannah, and the numbers show a building stretched thin. Nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average, and weekends drop another 15 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. That shows up in the inspection record: 27 deficiencies, five serious enough to put residents in harm's way, three tied to abuse, and a $92,794 fine. Staff turnover at 45.7 percent is essentially the national rate, so this isn't a retention crisis; it's a coverage one. The most recent inspection was March 2026.
Lakeside Rehabilitation and Care Center is a 100-bed for-profit home in Coeur d'Alene, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but weekends run about 16% thinner than weekdays, and turnover hits 54.2% against a national 45.8%, meaning the people caring for your family member are both stretched and frequently changing. The inspection history is the bigger concern: 43 deficiencies on the current record, including 2 at harm or jeopardy level and 4 abuse-related, with $220,832 in fines. The last inspection was August 2025. Ownership is corporate, for profit. Ask hard questions before choosing this one.
St. Anthony's has been cited 56 times on its current record, and nine of those deficiencies put residents in immediate harm or jeopardy, seven involved abuse. The state fined the home four times, totaling $557,075, and the most recent inspection in February 2025 shows the problems are ongoing, not historical. On all three federal measures, health inspections, quality measures, and staffing, CMS scored the home 1 out of 5. It's a for-profit limited liability company with 130 certified beds. When a home carries this many harm-level and abuse citations alongside maximum fines, the pattern points to resident safety, not paperwork, as the core failure. Families considering placement here should ask the administrator directly what has changed since that February inspection.
Bria Of Belleville runs 140 certified beds as a for-profit corporation, and its nurse staffing comes in at 4.27 hours per resident day, roughly 11% above the national average of 3.86. But that headline number hides a gap: weekend staffing drops about 20% below the home's own weekday level, and annual turnover sits at 53.4% against a national 45.8%, so the people providing that care are cycling out faster than average.
The inspection record is where the real weight sits. Sixty-six deficiencies are on file, thirteen of them at the harm or jeopardy level and eight abuse-related, with eight fines totaling $375,242. The last inspection was May 2025, and the health inspection rating is 1 out of 5.
Elevate Care South Holland runs 171 certified beds, and the staffing numbers are the place to start. At 3.24 nurse hours per resident day, it sits about 16% under the national figure of 3.86, and weekends dip another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the nursing staff turned over in a year, above the 45.8% national rate. The inspection record carries 45 deficiencies, 10 of them at harm or jeopardy level and 2 involving abuse, with six fines totaling $240,240. The last state visit was December 13, 2024. For-profit, individually owned.