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.
Waters Of Covington carries 119 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average, weekends drop about 7% below its own weekday levels, and annual turnover runs 48.6% against a national 45.8%. Its current record holds 38 deficiencies, four at harm or jeopardy level and three abuse-related, with two fines totaling $319,878. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was December 15, 2025, so the findings are recent.
Castleton Health Care Center runs on thin staffing. At 3.28 nurse hours per resident day, it sits about 15% under the national average, with weekends roughly 10% lighter than weekdays. Annual turnover hits 67.8% against a national 45.8%, so the people caring for your relative are often new and still learning the building.
The inspection record is the harder problem: 59 deficiencies, two serious enough to involve harm or jeopardy, six tied to abuse, and CMS has placed this corporate-owned Indianapolis home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. A recent September 2025 inspection means the state is watching closely, but the pattern behind those numbers is what matters.
Core Of Dale is a 52-bed county-run home in Spencer County, and the numbers behind its record are worth reading closely. Nurse staffing sits at 2.99 hours per resident day, roughly 22% under the national average, and weekends run about 13% thinner than the home's own weekdays, so the thinnest coverage lands when families tend to visit. The deficiency record shows 31 citations, including 2 at the harm or jeopardy level and 6 tied to abuse, with two CMS fines totaling $86,444. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Its most recent inspection was April 7, 2026.
Newburgh Health and Rehab runs 114 certified beds under corporate for-profit ownership, and the staffing picture is genuinely mixed. Total nurse coverage sits at 4.31 hours per resident day, roughly 12% above the national average, but weekends drop about 15% below the home's own weekday level, and annual turnover hits 51.5% against a national 45.8%. That combination, decent average hours, thinner weekends, half the staff leaving each year, matters more than the headline number. The inspection record is the harder read: 34 deficiencies on file, one abuse-related, and a 1-out-of-5 health inspection rating, even though quality measures score 4 out of 5 and the last inspection was recent, in April 2026. Ask about weekend coverage and what's changed since that survey before deciding.
Majestic Care of Deming Park is a for-profit, LLC-run home in Terre Haute with 86 certified beds, and its record carries serious weight: 28 deficiencies, three of them at the harm or jeopardy level, and three tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Nurse staffing sits at 3.41 hours per resident day, about 12% under the national average, and weekend coverage drops roughly 19% below its own weekday levels. Staff turnover runs 55.4% against a 45.8% national figure. The quality measure stars look strong, but that score reflects resident assessments, not the inspection and staffing problems documented here.
Cardinal Care Strategies has enough aides and nurses on paper, 4.27 hours per resident day, roughly 11% above the national average, but those hours are spread across a workforce that nearly completely turns over each year. At 98.7% turnover, almost every caregiver you meet in January is gone by the next, and weekends run about 7% thinner than weekdays. The inspection record is where the trouble concentrates: 57 deficiencies currently on file, three serious enough to endanger residents, and 18 tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The most recent inspection, in January 2026, produced a health rating of 1 out of 5, matching its quality score.
The Waters of Scottsburg runs 99 beds under for-profit LLC ownership, and its staffing sits at 3.32 nurse hours per resident day, about 14% under the national average of 3.86, with weekends running roughly 5% thinner than weekdays. Annual turnover of 50.8% tops the national 45.8%, so the people caring for residents are, on average, fairly new to the building. The inspection record is where it gets serious: 70 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, plus a $31,352 fine, a one-star health inspection rating, and placement in CMS's Special Focus Facility program. The most recent inspection was April 13, 2026.
Robin Run has more direct nursing hours per resident than most homes, 4.27 versus a national average of 3.86, but those hours thin out on weekends, and the staff itself turns over at 66.2% a year against a national 45.8%. That churn matters more than the raw staffing number, because it's the same people who are supposed to know your parent's routine. The inspection record is the bigger problem: 60 deficiencies on file, four serious enough to put a resident in harm's way, two tied to abuse, and CMS has placed the home in its Special Focus Facility program, the list reserved for the country's most persistently troubled homes. A recent inspection in September 2025 doesn't erase that pattern. Its quality-measure scores look good on paper; the deficiency history says look closer.
The Waters of Tipton carries 44 deficiencies on its current record, and five of those rose to the level where inspectors found actual harm or jeopardy, plus four tied to abuse. That combination is why CMS put this home in its Special Focus Facility program, a status reserved for the small share of nursing homes with a pattern of serious, repeated problems. Staffing sits at 3.46 nurse hours per resident day, roughly 10% under the national figure, and weekends run about 12% thinner than weekdays, which matters when residents need help on a Saturday. Turnover at 36.8% is actually better than average, so the trouble isn't retention. With 150 beds and two fines totaling $20,494, ask hard questions before you tour.
Majestic Care of Goshen runs 186 beds under for-profit LLC ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average, and weekends drop about 19 percent below what the home staffs on weekdays, so the coverage gap widens exactly when families tend to visit. Staff turnover at 56.1 percent runs well above the 45.8 percent national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The inspection record is the heaviest weight: 77 deficiencies, 9 tied to abuse and 2 at harm or jeopardy level, with the most recent inspection in January 2025. The quality measure score looks better, but it sits on top of a staffing and compliance picture that doesn't hold up.
Hillside Manor runs on leaner staffing than most homes, 3.18 nurse hours per resident day against a national average of 3.86, with weekends even thinner than weekdays. That shortfall shows up in the CMS staffing rating of 2 out of 5, and 51.9% of staff left over the past year, higher than the 45.8% national figure. The inspection record is the bigger concern: 57 deficiencies on file, two of them serious enough to put residents in harm's way, a 1-out-of-5 health inspection rating, and a spot in Medicare's Special Focus Facility watch list. The quality measure score of 4 out of 5 stands out against all that, but it's built from reported data, not from what inspectors found on their December 2025 visit.
Aperion Care Lincoln is a 47-bed for-profit home in Evansville that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor quality. The inspection history backs that up: 54 deficiencies on the current record, three of them serious enough to cause harm or put residents in jeopardy, plus two abuse-related citations and $53,454 in fines. Staffing sits just under the national average at 3.83 hours per resident day, but the bigger issue is turnover at 65.5%, well above the 45.8% national figure, and weekend coverage that drops about 14% below weekday levels. The last inspection was April 2025.
Brookside Care Strategies runs 42 beds in Muncie, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 2.69 hours per resident day, roughly 30 percent under the national average, and the trouble isn't spread evenly: weekend coverage actually runs about 8 percent above the home's own weekday level, which tells you the weekday floor is the weak spot. The deficiency record is heavy: 54 citations on file, six of them serious enough to involve harm or jeopardy, 15 tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care, and the most recent inspection was May 21, 2026.
Harmony House is a for-profit home in Waterloo with 65 certified beds. The staffing numbers sit just under the national average, but the real problem is turnover: about 61.5% of nursing staff leave each year, against a national average near 46%, and weekend coverage drops roughly 7% below its own weekday level. On inspections, this home has drawn 33 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus one fine totaling $48,825. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Its last inspection was August 6, 2025.
Greater Southside runs on 3.44 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 22% below its own weekday staffing. That thinner coverage adds up over time: 62.3% of staff left last year against a 45.8% national rate, and CMS flags the home as a Special Focus Facility. The inspection record backs that up, 66 deficiencies, including 8 at harm or jeopardy level and 8 tied to abuse, with four fines totaling $166,443. The most recent inspection was June 2025. For a family weighing this one, the staffing and inspection numbers are the ones that matter most.
Azria Health Park Place carries 70 certified beds under for-profit LLC ownership, and the numbers tell a hard story. Three-and-a-half nurse staffing hours per resident day sits about 9% under the national average, and weekends dip roughly 12% below the home's own weekday levels, so the thinnest coverage lands when families are most likely to visit. Staff turnover near 70% runs well above the national 46%, which means the people providing care keep changing. On inspections, the record shows 70 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $36,875 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the most persistently troubled nursing homes.
Northgate Care Center in Waukon carries 20 deficiencies on its current record, and two of those are serious enough to involve actual harm or jeopardy to residents. One is abuse-related, and CMS has placed the home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. A single fine of $71,110 is on record, and the last inspection was March 4, 2026.
Nurse staffing sits at 2.97 hours per resident day, roughly 23% below the national average, and weekends run about 12% thinner than weekdays. Turnover of 34.3% is better than the national 45.8%, so that's not the issue here.
Pine Acres holds 140 certified beds in West Des Moines under for-profit LLC ownership, and the nurse staffing figure, 3.84 hours per resident day, sits roughly even with the national average, though weekends run about 7% thinner than weekdays. The record is where the trouble shows: 85 deficiencies, nine of them at harm or jeopardy level and three abuse-related, plus $353,109 in fines across three CMS actions. Staff turnover is 56.9% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently poor performers. The last inspection was January 8, 2026.
Ivy At Davenport is a for-profit LLC home with 75 beds, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.23 hours per resident per day, about 16% under the national average, and weekends drop roughly another 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover runs 58.8% against a national 45.8%, meaning more than half the caregivers leave within a year. The current inspection record shows 58 deficiencies, including 5 at harm or jeopardy level and 6 abuse-related, with four fines totaling $141,036. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Bishop Drumm is run by a church-affiliated nonprofit, and its staffing numbers tell two stories. Nurse hours sit at 3.64 per resident day, about 6% under the national average, and weekends drop roughly 13% below its own weekday coverage. Turnover is the bright spot: 34.9% against a national 45.8%, which suggests people stay. But the inspection record is where this home falls apart, 77 deficiencies, 9 of them at harm or jeopardy level, four fines totaling $258,177, and a place in CMS's Special Focus Facility program, reserved for the country's most troubled homes. A July 2025 inspection is recent, so the picture isn't stale.