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.
Sunview runs a split record. Nurse staffing sits at 4.47 hours per resident day, about 16% above the national average, and turnover of 41.2% is slightly better than the typical home. Those are real strengths, and the 5/5 quality measure rating reflects them. But the inspection side tells a different story: 19 deficiencies on record, 2 at harm or jeopardy level, 5 abuse-related, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. Weekend staffing drops roughly 15% below weekday levels, which matters when falls and emergencies don't wait for Monday. The last inspection was September 2024.
Palm Valley Post Acute runs 180 certified beds in Goodyear under corporate ownership, and the staffing numbers are more mixed than they first look. Total nurse hours sit slightly above the national average, and turnover at 41.1% is actually below the norm, but weekend coverage drops about 6% from weekday levels.
The inspection record is where the picture darkens. Forty-eight deficiencies are on file, including 19 tied to abuse and six serious enough to put residents in harm or jeopardy, which is why CMS has placed this home in its Special Focus Facility program. That designation isn't routine, it flags homes with a persistent pattern of poor care. One fine totaling $82,607 is also on record.
Concordia Nursing & Rehab is a 102-bed for-profit home in Bella Vista, and the number that should stop you is 37 deficiencies on its current record, seven of them serious enough to cause harm or put residents in jeopardy. That's why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the worst inspection histories. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, and weekends run roughly 6% thinner than weekdays. The two fines on record total $123,918. A May 2025 inspection is recent, so the picture isn't stale, it's current.
Dermott City Nursing Home is city-owned and holds 70 certified beds in Chicot County. On its latest inspection, dated February 27, 2025, surveyors cited 27 deficiencies, two of which rose to the level of actual harm or jeopardy to residents. There are two fines on record totaling $31,889. CMS gives the home one star out of five in all three categories, health inspections, quality measures, and staffing, meaning it sits below the national average on each. No abuse-related deficiencies appear on the current record, which is worth noting. But a government-run home with that many citations, harm-level findings, and bottom-tier staffing marks is one to ask hard questions about before you consider it.
Meadowview Healthcare and Rehab is a for-profit limited liability company home in Huntsville with 105 certified beds, and the inspection record is the first thing to know: 53 deficiencies, seven of them at harm or jeopardy level, five tied to abuse, and $18,446 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections. Staffing runs 3.25 nurse hours per resident day against a national average of 3.86, and weekends drop about 16% below the home's own weekday levels. The 5/5 quality measure score reflects resident assessment data, but it sits alongside a 1/5 inspection rating and 2/5 staffing. If you're considering this one, ask directly what changed since the May 2026 inspection.
Pine Bluff Transitional Care runs 177 certified beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average, and it thins out further on weekends, about 14% below its own weekday level, while annual turnover hits 63.7% against a national 45.8%. The inspection record shows 72 deficiencies, including two at harm or jeopardy level and five tied to abuse, with six fines totaling $97,971. CMS has placed the home in its Special Focus Facility program, and the most recent inspection was April 9, 2026.
Pink Bud Home For The Golden Years has real staffing depth, 4.81 nurse hours per resident day, about a quarter above the national average, and that's the one clear strength here. The rest of the picture is harder. State inspectors have cited 17 deficiencies, including two at the harm or jeopardy level and three tied to abuse, and the federal government has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled nursing homes. Staff turnover runs slightly above the national rate, weekend coverage drops about 18% below weekday levels, and a $28,561 fine sits on the record. The most recent inspection was May 2025.
Murfreesboro Rehab and Nursing is a 66-bed for-profit home in Pike County, and the numbers that stand out are the inspection ones. Twenty-two deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, are what put it in CMS's Special Focus Facility program, a status reserved for homes with a persistent pattern of serious problems. Its staffing sits at 3.68 nurse hours per resident day, about 5% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage is weakest when families tend to visit. The last inspection was in January 2026, so the record is recent rather than stale.
California Post-Acute Care in Lynwood carries one of the heaviest deficiency records you'll see: 144 total, including 11 tied to abuse and two serious enough to put residents in immediate harm's way. Every CMS rating category lands at one star, inspections, quality measures, staffing, so there's no strong area offsetting the weak ones.
Being named a Special Focus Facility means federal regulators have singled this home out for closer monitoring, a step they reserve for the worst performers. The last inspection was in May 2026, and a $33,120 fine is on record. With 130 beds, that's a lot of residents in a building the government is actively watching.
Greenfield Care Center Of Fairfield runs 90 certified beds under for-profit limited liability ownership, and its nurse staffing of 4.71 hours per resident day sits about 22% above the national average of 3.86, so there are real people on the floor most days. The catch is that weekends run roughly 10% leaner than weekdays, and annual turnover of 48.6% tops the national 45.8%, meaning the staff you meet in March may not be there by fall. The current record carries 78 deficiencies, eight at harm or jeopardy level and four abuse-related, plus four CMS fines totaling $455,702. Federal regulators have placed it in the Special Focus Facility program, and its last inspection was March 12, 2026.
Providence St Elizabeth Care Center has real strengths in its staffing: 4.76 nurse hours per resident day, well above the national average, and turnover at 27.8% that's notably lower than the typical home. But that's where the good news largely ends. The health inspection record is poor, 82 deficiencies on file, including four at the harm level and one abuse-related citation, plus two fines totaling over $54,000. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and the most recent inspection was in January 2026. Strong bedside staffing can't offset a documented pattern of serious health and safety failures.
Santa Anita Convalescent Hospital has 391 certified beds and enough nursing hours per resident to clear the national average by about 10%. But that staffing number is the strongest thing in its file. Turnover runs 41.1%, and weekends drop roughly 6% below its own weekday coverage. The inspection record is where it falls apart: 179 deficiencies, 9 of them at harm or jeopardy level and 19 tied to abuse, with CMS fines totaling $234,187. Federal regulators have placed it in the Special Focus Facility program, and the most recent inspection was May 8, 2025. A corporate-owned home with that citation history needs close, specific questions before you consider it.
California Post Acute sits in a tough spot for a family trying to decide. The raw staffing number, 4.03 hours per resident day, actually edges past the national average, but that average hides a lot, weekends run about 5% thinner than weekdays, and nearly half the nursing staff turns over each year, so the people providing care keep changing. What the record shows is harder to look past: 131 deficiencies, 13 of them serious enough to put residents in harm's way, 12 tied to abuse, and four fines totaling more than $215,000. Federal regulators have placed it in the Special Focus Facility program, which is reserved for the country's most troubled homes. The most recent inspection was in July 2025.
Shasta View Care Center has a staffing number that looks good on its face, 4.53 nurse hours per resident day, about 17 percent above the national average. But that number comes with a 69.7 percent annual turnover rate, well above the 45.8 percent national figure, and weekend coverage sits roughly 8 percent below weekdays. The inspection record is where the real trouble shows: 107 deficiencies on file, five at the harm or jeopardy level, 12 abuse-related, plus two fines totaling $189,423. CMS has placed this for-profit LLC home in its Special Focus Facility program, and the most recent inspection was June 2025.
Bay Crest Care Center is an 80-bed for-profit home in Torrance, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but it drops roughly 8% on weekends, so care can thin out exactly when families tend to show up. Staff turnover of 56.4% runs well above the national 45.8%, meaning the people caring for your relative are likely to change often. On the inspection side, CMS counts 124 deficiencies, five of them at the harm or jeopardy level and five abuse-related, with four fines totaling $124,336. The home is currently in CMS's Special Focus Facility program.
Rancho Seco Care Center has a staffing edge on paper, 4.16 nurse hours per resident day, roughly 8% above the national average, but weekends run about 10% thinner than its own weekdays, so the coverage a family sees on a Tuesday isn't what they get on a Sunday. Turnover sits at 43.7%, slightly better than the national 45.8%, which suggests some stability in who's actually on the floor. What overrides all of that is the record: 72 deficiencies, including 3 at harm or jeopardy level and 16 abuse-related, plus two fines totaling $490,205 and placement in CMS's Special Focus Facility program. The most recent inspection was January 8, 2026.
Golden Rose Care Center has 99 certified beds and enough nurses on paper, 4.41 hours per resident day, roughly 14% above the national average, but the inspection record tells a different story. The current file lists 129 deficiencies, including four at the level where residents were actually harmed or put in jeopardy, and ten tied to abuse. State and federal surveyors fined this for-profit corporate home 22 times for a total of $175,941.
Staffing holds up better than most on turnover, at 43.1% against a national 45.8%, though weekend coverage drops about 7% below its own weekday levels. The last inspection was June 5, 2025. A 1-out-of-5 health inspection rating with that many harm-level findings is the number that matters most here.
Sunray Healthcare Center has enough hands on deck, 5.05 nurse hours per resident day, roughly a third above the national average, but that staffing cushion is doing a lot of work against a rough record elsewhere. The home carries 80 deficiencies, including 6 at the harm or jeopardy level and 9 tied to abuse, plus $147,893 in CMS fines across four penalties, and it currently sits in the Special Focus Facility program, which CMS reserves for the homes with the most persistent problems. Staff turnover, at 41.4%, is actually a bit better than the 45.8% national figure, so the trouble isn't retention alone. Ownership is for-profit, through a limited liability company, and the last inspection was April 19, 2026.
Four Seasons Healthcare & Wellness Center runs 201 beds in North Hollywood under for-profit LLC ownership, and the numbers tell two different stories. Resident care measures look decent, but the inspection record is where this home falls apart: 141 deficiencies on file, including 9 tied to abuse and 4 serious enough to put residents in harm's way, plus $87,215 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. Staffing sits at 4.23 hours per resident day, about 9% above the national average, though weekends drop roughly 9% below the home's own weekday levels. The most recent inspection was April 2025.
Avalon Villa Care Center is a 131-bed for-profit home in Los Angeles, and its record is one of the heaviest in the federal system: 132 deficiencies on file, three of them serious enough to put residents in harm's way, and ten tied to abuse. Those numbers, plus $111,937 in fines, are why CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of persistent problems. Nurse staffing sits just under the national average, weekends run about 5% leaner than weekdays, and nearly half the staff turned over last year. The good quality-measure score doesn't offset an inspection record like this.