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.
Grandview runs 4.00 nurse hours per resident day, a bit above the national average, so the raw staffing number looks fine at first glance. The problem is who's actually there from one week to the next: turnover is 64.1% against a national 45.8%, and weekends run roughly 10% thinner than weekdays. On top of that, CMS has cited 71 deficiencies, six at harm or jeopardy level and 17 abuse-related, with $485,942 in fines across five penalties, and the home sits in the Special Focus Facility program. That program is reserved for the country's most persistently troubled homes, and a 2025-07-24 inspection keeps it current rather than resolved.
Arden Care Center runs 271 beds under for-profit LLC ownership, and the numbers are hard to dress up. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national figure, and it thins out further on weekends. Turnover at 38.1% is actually better than average, but it isn't enough to offset 94 deficiencies on the current record, 4 at harm or jeopardy level, 21 tied to abuse, plus three fines totaling $101,228. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was February 2025.
Noble Horizons runs a tale of two report cards. Its staffing numbers look strong on paper, 3.74 nurse hours per resident day, close to the national average, with a five-star CMS staffing rating. Turnover sits at 35.5%, well below the national 45.8%, which suggests people stay. But the inspection record is where things fall apart: 51 deficiencies on file, five of them at the harm or jeopardy level and four tied to abuse. Three fines totaling $62,302 have been levied, and the most recent inspection, in February 2026, wasn't long ago. Weekend coverage runs about 9% thinner than weekdays. A nonprofit corporation owns the 91-bed home. Strong retention can't offset that many serious findings.
Bickford Health Care Center in Windsor Locks has a staffing rating of one out of five stars, and the health inspection record is the same, one star. That's not a snapshot problem: the home carries 100 deficiencies, five of them serious enough to cause harm or put residents in immediate jeopardy, and ten tied to abuse. Federal fines total $122,338 across three penalties, and CMS has placed the home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes. The quality measure rating sits at three stars, but strong clinical numbers can't offset a staffing shortfall and an inspection history this deep. If you're considering this home, ask directly what's changed since the January 2026 inspection.
Encore At Parkside has 53 deficiencies on its current record, three of them at the harm or jeopardy level and two tied to abuse. That's the number that matters most here, because CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The inspection star rating sits at 1 out of 5, and the last survey was in January 2026. Nurse staffing runs 3.51 hours per resident day, about 9% under the national average, with weekends roughly 14% thinner than weekdays. Staff turnover is 38.9%, better than the 45.8% national figure, and ownership changed within the past year.
Wilmington Nursing & Rehabilitation Center carries 101 deficiencies on its current record, and the ones that matter most are hard to look past: 12 at the harm or jeopardy level, 5 tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and three fines total $408,742. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends run roughly 11% leaner than weekdays. The one number that runs the other way is turnover at 31% against a 45.8% national average. Its last inspection was December 2025.
Pike Creek runs 177 certified beds under individual for-profit ownership, and its staffing sits at 3.88 nurse hours per resident day, barely a hair above the national average of 3.86. That thin margin matters less than what happens on weekends, when coverage drops roughly 8% below the home's own weekday levels, and turnover runs at 45.3%, almost exactly the national rate. The real problems show up in inspections: a 1-out-of-5 health inspection rating, 97 deficiencies on the current record including 6 at harm or jeopardy level and 8 tied to abuse, plus $484,596 in fines across two penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems.
State-run and sitting in Smyrna, this home has 175 certified beds and a nursing staff that's roughly two and a half times the national average, 10.25 hours per resident day against 3.86. Turnover runs 17.5%, well under the national 45.8%, though weekend coverage dips about 17% below its own weekday level. Those numbers sit alongside a harder fact: 11 deficiencies on the current record, three of them serious enough to put residents at risk of harm, plus two fines totaling $59,947, and CMS has placed the home in its Special Focus Facility program. The last inspection was January 9, 2026.
New Castle Health and Rehabilitation Center holds 120 certified beds and is run by a for-profit corporation. Staffing sits at 3.82 nurse hours per resident day, just under the national average, and weekends run about 10 percent lighter than weekdays, a gap families often notice when they visit on Saturdays and Sundays. The inspection record is where the trouble concentrates: 47 deficiencies, including 3 at harm or jeopardy level and 7 tied to abuse, with $47,300 in fines and placement in CMS's Special Focus Facility program. Turnover, at 45.6 percent, is essentially the national norm, so the problem isn't retention, it's what inspections keep finding.
Cadia Rehabilitation Broadmeadow runs 120 certified beds in Middletown under for-profit LLC ownership, and its staffing sits right at the national mark, 3.88 nurse hours per resident day against 3.86, with weekend coverage dropping roughly 8% below weekday levels and turnover at 44.9%, slightly better than the 45.8% national figure. That's respectable on paper. What the paper also shows is a health inspection rating of 1 out of 5, 41 deficiencies on the current record, five of them at harm or jeopardy level and six tied to abuse allegations, plus $79,126 in fines across two penalties. CMS has placed it in the Special Focus Facility program, and the most recent inspection closed January 30, 2026.
The Groves Center runs on thinner staffing than most homes nationally, 3.52 nurse hours per resident day against a 3.86 average, and it gets even thinner on weekends. That matters when you consider the rest of the record: 58.2% annual turnover, well above the 45.8% national figure, which means the people caring for residents are often new and still learning the building. Its inspection history is the real concern. Forty-nine deficiencies sit on the current record, eight serious enough to put residents in harm's way, seven tied to abuse. Two fines totaling $291,478 and a place in Medicare's Special Focus Facility program tell you regulators are watching closely. The most recent inspection was February 2026.
Clearwater Center is a 109-bed nonprofit home that federal regulators have placed in the Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. Its current file shows 22 deficiencies, three of them at the harm or jeopardy level, plus a $76,496 fine, and its health inspection rating sits at 1 out of 5 stars. Staffing tells its own story: 3.10 nurse hours per resident day, roughly 20 percent under the national average, with weekends running about 6 percent thinner than weekdays. Turnover at 40.2 percent is actually a little better than the national 45.8 percent, so the problem isn't retention so much as how few hands are on deck each day.
Westside Oaks runs 3.27 nursing hours per resident per day against a national average of 3.86, and weekend coverage drops about 8% below its own weekday levels. That thin staffing sits alongside 24 deficiencies on the current record, eight of them at harm or jeopardy level and four abuse-related, plus a $96,892 fine and placement in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor inspections. Staff turnover is 49.1%, higher than the 45.8% national figure. The five-star quality measure rating comes mostly from resident assessment data, not from the inspection record, and the two are telling different stories here.
Dade City Health and Rehabilitation Center runs 120 beds under for-profit LLC ownership, and the numbers that matter most here are the inspection ones. Fifty-four deficiencies sit on the current record, seven of them at the harm or jeopardy level, with two tied to abuse, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. Five fines total $94,152, and the last inspection was April 25, 2024. Nurse staffing comes in at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 7% thinner than weekdays. Turnover, at 44.3%, is basically average.
Casa Mora runs 240 certified beds in Bradenton under nonprofit ownership, and the first thing you notice in its record is the split between how it's staffed and how it's inspected. Nurse staffing sits at 3.38 hours per resident day, about 12% under the national average, though turnover at 32.1% actually beats the national 45.8%, so aides tend to stay, there just aren't enough of them per resident. The inspection side is where it gets hard: 26 deficiencies on the current record, 7 of them at harm or jeopardy level, plus 3 abuse-related findings, a $73,220 fine, and CMS placing it in the Special Focus Facility program. That program is CMS's watchlist for homes with a persistent pattern of serious problems, it isn't assigned lightly.
Aviata At The Palms runs on 3.25 nurse hours per resident per day, roughly 16 percent under the national average, and weekend coverage slips about 6 percent below its own weekday level. Staff turnover sits at 53.8 percent against a national 45.8 percent, so the people caring for residents keep changing. The inspection record is where the real concern lies: 38 deficiencies, four at harm or jeopardy level, one abuse-related, and a one-star health inspection rating from CMS. Quality measures score well at four stars, but that reflects resident outcomes on paper, not the staffing and safety problems inspectors found. State surveyors last visited in August 2024. This is a for-profit limited liability company, and the pattern here rewards a close look before you decide.
Aviata At Beneva runs about 3.6 nursing hours per resident per day, roughly 7% under the national average, and weekend coverage drops another 9% below its own weekday level. That thinner weekend staffing matters because the home carries 30 deficiencies on its current record, including six at the harm or jeopardy level and two tied to abuse, with $110,129 in fines across two events. CMS has placed it in the Special Focus Facility program, and the health inspection rating sits at 1 out of 5 despite a 4 out of 5 on quality measures. Staff turnover runs near 50%, above the national figure, so the people at the bedside keep changing even as the paperwork looks better than the building does.
Lake Mariam runs 4.18 nurse hours per resident day, roughly 8% above the national average, but weekends drop about 12% below its own weekday numbers, so the coverage that looks fine on paper thins out when families visit. The bigger problem is the inspection record: 65 deficiencies, seven at harm or jeopardy level, two involving abuse, and $353,123 in fines across four penalties. CMS has placed it in the Special Focus Facility program, which it reserves for homes with a persistent pattern of serious problems. Staff turnover sits at 46.7%, slightly above the 45.8% national average. The quality measure score is strong, but that's built from resident assessment data, not from what inspectors found on January 25, 2024.
Aviata At North Florida carries 38 deficiencies on its current record, seven of them serious enough to involve harm or jeopardy, and three tied to abuse. That's the number that should stop you. The federal government has placed this Gainesville home in its Special Focus Facility program, a designation reserved for the worst-performing nursing homes, and $241,139 in fines across three actions backs that up. Staffing sits at 3.69 hours per resident day, a bit under the national average, and weekends drop below its own weekday levels. Annual turnover of 60.5% means most of the people caring for residents this year won't be there next year. One star for health inspections, with the last visit in June 2026.
Lehigh Acres Healthcare & Rehab Center has enough nurses on paper, about 4.08 hours per resident day, slightly above the national average, but the weekend gap is worth asking about, since staffing drops roughly 13% below its own weekday level. The real trouble is the inspection record: 29 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $132,889 in fines. CMS has placed this for-profit, LLC-owned home in its Special Focus Facility program, meaning federal regulators flag it for sustained poor performance. A recent inspection in June 2025 won't fix years of problems on its own.