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.
Fair City Health and Rehab runs 121 certified beds in Franklinton under for-profit LLC ownership, and the numbers behind its federal record are worth walking through. Nurse staffing sits at 3.68 hours per resident day against a national average of 3.86, and weekends drop roughly 20% below the home's own weekday coverage. Staff turnover hits 47.5%, slightly above the national rate, while the inspection history shows 26 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Three fines total $198,912, and the most recent inspection was March 18, 2026. If you're weighing this one for someone in your family, those are the facts to bring to a visit.
Highland Place is a 227-bed for-profit home in Shreveport, and the federal record shows problems on every measure CMS tracks. Inspectors have logged 74 deficiencies, including six serious enough to cause harm or place residents in immediate jeopardy and four tied to abuse. Two fines totaling $294,723 have been assessed against the building. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the lowest possible score. The most recent inspection was in July 2025, so this isn't an old file; it reflects what surveyors found within the past year. When a home is this large and this consistently flagged, families should ask direct questions about staffing levels, who supervises residents overnight, and how complaints get handled.
South County Health Care Center runs 1.40 nurse hours per resident per day, which is roughly 64 percent below the national average of 3.86, a gap that shows up most on weekends, when staffing drops about 14 percent below its own weekday level. The current record lists 28 deficiencies, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A recent inspection in August 2025 means the picture is current, not stale. With 153 certified beds under for-profit limited liability ownership, the staffing number is the one worth pressing on: ask how many nurses are actually on the floor on a Saturday.
Overall nurse staffing at The Quarters At Des Peres runs 4.04 hours per resident day, a bit above the national average, but weekends drop about 15% below the home's own weekday levels, so coverage thins out when families tend to visit. Annual turnover hits 68.8% against a national 45.8%, meaning most of the people caring for your relative are likely new to the building. The inspection record is the harder problem: 83 deficiencies, 12 at harm or jeopardy level, two abuse-related, and four fines totaling $334,933, with a 1-out-of-5 health inspection rating.
Clarkson Community Care Center runs on 1.43 nurse staffing hours per resident day, roughly 63% under the national average of 3.86, and weekends drop about 11% below its own weekday level. That thin coverage shows up in the numbers: 24 deficiencies on the current record, including three tied to abuse and one serious enough to reach harm or jeopardy, plus a $15,593 fine. The last inspection was September 3, 2025, so the record is recent. This is a small nonprofit home in Colfax County, but nonprofit status isn't protecting residents here, low staffing and repeat problems are what the federal data actually shows.
Elderwood At Williamsville runs 200 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.71 nurse hours per resident day, it sits below the national average, and weekends drop roughly 23% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover tells a similar story: 72.4% annually against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. The current record shows 22 deficiencies, including one at harm level and four abuse-related, plus a $75,553 fine. Inspectors last visited in January 2025.
The numbers at Mt Pleasant Healthcare and Rehabilitation point to a staffing problem more than anything else. Nurses provide about 3.29 hours of care per resident each day, roughly 15 percent below the national average, and weekends get thinner still, about 15 percent below the home's own weekday coverage. That gap matters because turnover runs at 61 percent, well above the 45.8 percent national figure, meaning the staff who are there keep changing.
The inspection record is mixed: a March 2025 visit, a 3-star health inspection rating, but 10 deficiencies on file, including one at the harm level and two tied to abuse. A for-profit limited liability company owns the 72-bed home, and CMS has fined it once for $7,443.
Laurelwood runs 64 beds in Jackson under corporate ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That number hides a sharper problem: weekend coverage drops about 17% below what the home staffs on weekdays, and 60% of its staff turn over each year against a national rate near 46%. Twenty deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse, with $168,961 in fines across two penalties. The last inspection was January 22, 2026. A family weighing this one should ask directly how weekends are covered and what changed since those abuse findings.
Colonial Health & Rehab Center runs 90 beds in Virginia Beach under corporate ownership, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.52 hours per resident per day against a national average of 3.86, and weekends drop roughly 20% below the home's own weekday levels. Annual turnover sits at 66.7%, well above the 45.8% national figure, so the people caring for your family member are likelier than not to change within the year.
The inspection record is harder to explain away: 61 deficiencies, four at harm or jeopardy level, five tied to abuse. One fine totaling $78,455 is on file. Quality measures score well, but that's self-reported data. The last full inspection was September 2024, so the record is current.
Avina Of Milwaukee runs 108 certified beds under corporate for-profit ownership, and its staffing comes in at 3.97 nurse hours per resident day, modestly ahead of the national average but thinning out on weekends, when coverage drops roughly 17% below its own weekday level. The bigger concern sits in the numbers behind that average: annual turnover of 74% against a national norm near 46%, meaning most of the people caring for residents are relatively new to the building. Its inspection record carries 80 deficiencies, including 16 tied to abuse and 5 serious enough to put residents in harm's way, plus $90,921 in fines and a one-star health inspection rating. The most recent inspection was March 2026.
Gilmer Nursing And Rehabilitation runs on thin staffing: 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further, about 12 percent under its own weekday level, when backup is scarcest. The inspection record is heavier than that number alone suggests: 62 deficiencies on file, nine serious enough to reach harm or jeopardy, four tied to abuse, and three fines totaling $218,053. A for-profit limited liability company operates the 93-bed home, and its last inspection was March 2026. Quality measures score mid-range, but the health inspection and staffing ratings both sit at the bottom of the scale.
Merry Wood Lodge runs 3.24 nurse hours per resident day, about 16% under the national average, and weekends dip roughly 11% below its own weekday staffing. That shortfall matters because the home carries 17 deficiencies, 6 of them at the harm or jeopardy level and 4 related to abuse, plus a single fine of $182,968. Annual turnover sits at 51.9%. CMS has placed it in the Special Focus Facility program, and its last inspection was September 2024.
Magnolia Ridge runs 4.49 nurse hours per resident day, about 16% above the national average, and that number looks good on paper until you notice weekends drop roughly 20% below the home's own weekday staffing. Annual turnover sits at 63.2% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is where it gets serious: 43 deficiencies, 19 of them at harm or jeopardy level, 6 abuse-related, and one $392,125 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Falkville Rehabilitation and Healthcare Center is a 116-bed for-profit home in Morgan County, and the inspection record is the part that should give you pause. CMS has cited 33 deficiencies on its current record, 14 of them at the harm or jeopardy level and 7 tied to abuse, enough that the agency has placed the home in its Special Focus Facility program, which is reserved for the worst performers in the country. Two fines total $146,615. Staffing sits slightly under the national average at 3.79 hours per resident day, but the bigger issue is consistency: weekends run about 13% thinner than weekdays, and turnover is 55.2% against a national 45.8%. A September 2025 inspection is recent, but recent isn't the same as clean.
Cumberland Health and Rehab is a 100-bed nonprofit home in Bridgeport, and its numbers pull in two directions. The care side looks strong on paper: a 5/5 staffing star rating, a 5/5 quality measure rating, and turnover at 35.6%, well below the national average of 45.8%. But the inspection record is where the story turns. Eighteen deficiencies, six of them serious enough to cause harm or jeopardy, one tied to abuse, plus a $238,745 fine and a spot in CMS's Special Focus Facility program. Total nurse staffing sits slightly under the national average, and weekends run about 12% thinner than weekdays. That last inspection was June 2024, so the record is current.
Knollwood Healthcare runs 71 certified beds in Mobile under for-profit limited liability ownership, and the numbers behind its record are hard to read any other way. Nurse staffing sits at 3.42 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below the home's own weekday level, so the thinnest coverage lands when families visit most. Staff turnover of 74.2% means most of the people caring for residents this year likely won't be there next year. Forty-six deficiencies are on the current record, twelve at harm or jeopardy level and ten abuse-related, with four CMS fines totaling $318,070. CMS has placed it in the Special Focus Facility program, its last inspection was September 11, 2025, and you should ask pointed questions before considering it.
Haven Of Sedona runs on 2.91 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 17% below its own weekday staffing. Annual turnover sits at 50.7% against a national 45.8%, so even the hours that exist are often delivered by people still learning the building. Inspectors have cited 50 deficiencies, nine tied to abuse, and CMS keeps the home in its Special Focus Facility program, a designation reserved for the small share of homes with a pattern of serious problems, though none of the current citations reached harm or jeopardy. The 5/5 quality measure score and April 2026 inspection are the strong points; staffing and enforcement history are not.
Sandstone of Tucson Rehab Centre runs 240 certified beds under for-profit LLC ownership, and its staffing sits at 3.76 nurse hours per resident day, about 3% under the national average of 3.86. Weekends dip roughly 7% below its own weekday levels, and turnover runs 46.4%, slightly above the national 45.8%. What stands out most is the inspection record: 63 deficiencies, including 2 at harm or jeopardy level and 27 tied to abuse, with $55,090 in fines across two penalties. That history is what drives the one-star health inspection rating, even though the quality measure score sits at the top and staffing rates well. The last inspection was April 2026. Ask about the abuse-related citations directly before deciding.
Rehab At Scottsdale Village Square has real staffing depth, 5.02 nurse hours per resident day, roughly 30% above the national average, and turnover at 38.4% is better than the 45.8% norm. Weekend coverage dips only slightly, about 6% under weekdays. But the compliance record is where this home separates from the pack: 68 deficiencies, including four at the harm or jeopardy level and 35 tied to abuse. Eleven fines add up to $199,344, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. The most recent inspection was August 2025. Good staffing numbers can coexist with a troubled record; here, they do.
Dr Guy Gorman Sr Care Home has enough nurses on paper, 4.09 hours per resident day, a bit more than the national average, but the weekend dip of about 17% means the coverage isn't steady across the week. The inspection record is the real problem: 64 deficiencies, three of them serious enough to put residents in harm's way, eight tied to abuse, and $127,634 in fines. Being placed in the Special Focus Facility program means CMS has flagged this home for closer monitoring than most. That combination of thin weekend staffing and a long, serious deficiency history is what's driving the low grade, not the raw staffing number.