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.
Aviata At Santa Barbara is a 120-bed for-profit home in Cape Coral, and the number that should stop you is this: 27 deficiencies on its current record, six of them serious enough to put residents in harm's way, two tied to abuse. That's why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the worst inspection histories in the country. The 1-out-of-5 inspection rating reflects that, and the six fines totaling $111,543 tell the same story. Staffing sits at 3.38 hours per resident day, roughly 12% under the national average, with weekends running about 9% thinner than weekdays. Turnover, at 34.8%, is actually better than the 45.8% national figure, the one genuine bright spot.
Aviata At Big Bend runs 120 certified beds in Perry under corporate for-profit ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.68 hours per resident per day, under the national average, and weekends drop roughly 13% below the home's own weekday coverage, so the hours when families often visit are the thinnest. Annual turnover of 61.2% is well above the 45.8% national figure, meaning the people caring for your relative are likely new and still learning the building. Most concerning: 18 deficiencies on the current record, four at harm or jeopardy level, four tied to abuse, and $150,655 in fines. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Gulf Coast Village runs a nonprofit shop with 85 beds in Cape Coral, and the raw nursing hours look good, 4.93 per resident per day, about 28% above the national average. Weekend staffing dips roughly 7% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover sits at 53.6%, well past the 45.8% national figure, and that churn shows up in a record with 21 deficiencies, five at harm or jeopardy level and one tied to abuse. CMS has placed it in the Special Focus Facility program and fined it three times, totaling $37,092. Its most recent inspection was 2026-05-07, so the picture is current rather than stale.
Aventura At The Bay runs 274 certified beds in Saint Petersburg under for-profit LLC ownership, and the numbers behind its record are hard to get around. Nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about 8% below what the home itself manages on weekdays. Staff turnover is 62.1% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago.
The inspection history is heavier still: 62 deficiencies on the current record, seven at harm or jeopardy level, four tied to abuse. CMS has fined this home three times for $466,424 total and placed it in the Special Focus Facility program, the agency's watchlist for the country's most persistently troubled homes.
Concordia Manor runs 39 beds in Saint Petersburg under for-profit ownership, and its staffing sits barely above the national average, about 1%, with weekends roughly 8% thinner than weekdays. That margin disappears fast when turnover hits 73.3% against a national 45.8%, meaning most of the people caring for your relative weren't there a year ago. The inspection record is the real problem: 17 deficiencies, four at harm or jeopardy level, four tied to abuse, one $97,747 fine, and a spot in CMS's Special Focus Facility program. That last designation isn't handed out lightly. The most recent inspection was May 2024, so the picture is current, not stale.
The numbers at Gardens Nursing and Rehab Center don't tell one story, they tell two. Staffing looks strong on paper: 3.79 nurse hours per resident day, close to the national average, with a 5-star staffing rating and turnover at 26.9% compared to 45.8% nationally. But resident care tells another story. CMS has flagged 61 deficiencies, including five at the harm level and three abuse-related, plus $264,517 in fines. The home sits in the Special Focus Facility program.
That gap between staffing scores and inspection results is the whole picture here. Federal regulators have flagged serious problems but the staffing numbers look stable. If you're considering this home, ask about those abuse-related findings directly.
Ansley Cove is a 39-bed for-profit home in Maitland, and the numbers behind its grade are worth walking through slowly. Staffing sits at the lowest federal rating, and turnover runs at 59%, well above the 45.8% national average, which means the people caring for your family member are cycling out faster than they can learn the job. The inspection record is the heavier problem: 37 deficiencies, 7 of them at harm or jeopardy level, 5 tied to abuse, and $197,672 in fines across four citations. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Its last inspection was July 2025, so the picture is current, not old.
Aviata At Bryan Dairy runs 158 certified beds under for-profit LLC ownership, and its 3.37 total nurse staffing hours per resident day falls about 13 percent under the national average of 3.86. Weekends dip roughly 6 percent below its own weekday levels, and annual turnover sits at 54.5 percent against a national 45.8 percent. The inspection record is where things get serious: 41 deficiencies logged, four of them at harm or jeopardy level and two tied to abuse, with five fines totaling $45,660. CMS rated the last health inspection one out of five stars, though its quality measure score came in at four. Worth asking the administrator directly how they're addressing the harm-level findings and weekend coverage gaps.
Archbold Living Camilla is owned by Mitchell County, and that government status hasn't shielded it from scrutiny: CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The inspection record backs that up, 39 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a one-star health inspection rating. Staffing tells a different story, at four stars, though the 3.16 nurse hours per resident day still falls about 18% under the national average, with weekends running about 12% thinner than weekdays. Turnover sits at 48.7%, above the national rate.
Douglasville Center For Nursing And Healing runs 246 certified beds under for-profit LLC ownership, and the numbers here deserve a close look. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 8% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. Staff turnover hits 58.1% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 40 deficiencies, including 4 at harm or jeopardy level and 5 abuse-related, with three fines totaling $13,787 and a June 2025 inspection. Ask about weekend coverage and how they retain aides before deciding.
Harborview Thomasville runs 68 beds under corporate ownership, and its nurse staffing sits at 3.37 hours per resident day, about 13% under the national average, with weekends roughly 16% thinner than weekdays. Staff turnover of 47.5% edges past the national 45.8%. The inspection record is the bigger concern: 28 deficiencies, five at harm or jeopardy level and three abuse-related, plus three fines totaling $23,074, with the most recent inspection in June 2025. CMS gave it one star for health inspections and two for staffing, though quality measures scored three. If you're weighing this one, those harm-level and abuse-related findings deserve direct questions before anything else.
Crestview runs 388 certified beds on 2.71 nursing hours per resident day, roughly 30% under the national average of 3.86. Weekends drop another 11% below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.2% against a national 45.8%, meaning more than half the nursing staff leaves each year, and the ones who stay are stretched thin. The inspection record shows 22 deficiencies, including three at harm or jeopardy level and six tied to abuse. CMS has placed the home in its Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems. Its last inspection was June 5, 2025.
Hazelhurst Court runs on 2.77 nurse hours per resident day, roughly 28 percent under the national average of 3.86, and weekends are thinner still. The inspection record is the bigger concern: 21 deficiencies, three of them serious enough to put residents in harm's way and one tied to abuse, which is why CMS has placed the home in its Special Focus Facility program. Staff turnover, at 45 percent, sits right about where the national average does, so the problem here isn't retention so much as raw coverage and a documented pattern of care failures. The most recent inspection was March 29, 2026.
Folkston Park runs on 3.02 nursing hours per resident day, roughly a fifth below the national figure of 3.86, and weekends are thinner still. That shortfall shows up in the numbers CMS keeps: 60% annual staff turnover against a 45.8% national average, and 26 deficiencies on the current record, five of them serious enough to involve harm or jeopardy, including one abuse-related finding. The federal government has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. All three CMS star ratings, health inspections, quality measures, and staffing, sit at one out of five. It's currently for-profit corporate-owned, with 92 certified beds.
The nurse staffing numbers at this 200-bed Brunswick home are where I'd start: 3.04 hours per resident per day against a national average of 3.86, and weekends run about 9% thinner than weekdays, which is when families tend to visit and notice. Annual turnover of 66.4% sits well above the 45.8% national figure, so the people providing care change often. Inspectors have cited 38 deficiencies, six of them at the level where harm or jeopardy to a resident occurred and three tied to abuse, with two fines totaling $16,801 on record. The most recent inspection was July 29, 2025. The quality measure score of 4 out of 5 looks strong on paper, but the staffing and inspection results point a different direction, and that gap is worth asking about directly.
Hale Nani runs 288 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 32.4%, actually better than the 45.8% national figure, which suggests the problem isn't retention. It's the record: 96 deficiencies, one at harm or jeopardy level, eight tied to abuse, and a $27,885 fine. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. The most recent inspection was May 1, 2026.
Avalon Care Center in Honolulu runs on more nurse hours than most places, 4.62 per resident day, roughly a fifth above the national average, and weekend coverage dips only about 10% from its weekday staffing, which is a smaller drop than many homes show. Turnover sits at 40%, below the national 45.8%. The 41 deficiencies on record sound like a lot until you see none are at the harm or jeopardy level and none involve abuse, and its last inspection was recent, in June 2026. This is a for-profit corporate home with strong quality measure scores, steady staffing, and a clean serious-deficiency record, the kind of profile where the numbers hold up under scrutiny.
Kuakini Geriatric Care is a 187-bed nonprofit in Honolulu with a serious split in its record. The staffing numbers aren't the problem: 3.43 nurse hours per resident day sits about 11% under the national average, but turnover is 26.1% against a national 45.8%, and CMS gives staffing four stars. The inspection side is where it falls apart, 55 deficiencies on the current record, three at harm or jeopardy level and two tied to abuse, plus $83,236 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Ann Pearl runs a nonprofit-style staffing level inside a for-profit corporate structure: 4.01 nurse hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 10% below its own weekday numbers. That staffing strength is doing a lot of work against a much rougher record elsewhere. The current inspection history shows 46 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus a $23,520 fine and a place in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. Turnover sits at 46.2%, essentially the national rate, and the last inspection was February 2025. Strong aides, serious compliance concerns.
Hale Malamalama runs 40 beds in Honolulu under corporate for-profit ownership, and its staffing numbers are genuinely above average, 4.18 nurse hours per resident day against a national 3.86, though weekend coverage dips about 10% below its own weekday level. Turnover sits at 51.2%, higher than the 45.8% national figure. What pulls the picture down is the inspection record: 43 deficiencies, three at harm or jeopardy level and three abuse-related, with $87,032 in fines and a spot in CMS's Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was September 27, 2024. Strong quality scores don't cancel out that history.