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.
Chapters Living Of Council Bluffs has real staffing strength, 4.88 nurse hours per resident day, well above the national average, though weekends run thinner than weekdays. The inspection record tells a different story: 68 deficiencies, including nine tied to abuse and one serious enough to put residents in harm's way, plus a $163,800 fine. That combination landed it in CMS's Special Focus Facility program, which is reserved for the country's most troubled homes. A recent inspection in January 2026 means the state is watching closely. For families weighing this one, the question isn't whether aides are present, it's what those inspections keep finding.
Garden View Care Center is a 50-bed for-profit home in Shenandoah, and the numbers here deserve a hard look. Staff turnover runs at 55.3% a year against a national average of 45.8%, and the home carries 93 deficiencies on its current record, including 10 serious enough to involve harm or jeopardy to residents and 10 tied to abuse. Three CMS fines add up to $168,858, and the agency has placed Garden View in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. The most recent inspection was December 8, 2025. If you're considering this home for someone you love, ask the administrator directly what's changed since that inspection and how they're keeping residents safe.
Adel Acres is a 50-bed for-profit home in Dallas County, and the numbers there split in two directions. The care itself measures well, a 4 out of 5 on quality measures, but the staffing behind that care runs thin: 3.02 nurse hours per resident day, roughly 22 percent under the national average, and weekends drop about 19 percent below the home's own weekday level. Inspections tell the harder story. The current record carries 44 deficiencies, five serious enough to involve harm or jeopardy, three tied to abuse, plus one fine of $16,544. The last inspection was in April 2025. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.
Royal Oaks is a 115-bed for-profit home in Urbandale that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The inspection record backs that up: 71 deficiencies, seven serious enough to put residents in harm's way, two tied to abuse, and three fines totaling $122,945. Staffing runs about 6% under the national average, and the gap widens on weekends, when coverage drops roughly 9% below its own weekday level. Turnover sits at 66.7%, well above the 45.8% national figure, so the people caring for residents are constantly changing. If you're considering this one, ask hard questions about what's changed since the May 2025 inspection.
Northbrook Healthcare and Rehabilitation Center runs 130 certified beds under for-profit LLC ownership, and the numbers worth your attention start with staffing. At 3.14 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop about 11% below its own weekday levels, with annual turnover at 56.8% against a national 45.8%. Inspections tell a harder story: a 1-out-of-5 health inspection rating, 53 deficiencies on the current record, three at harm or jeopardy level, two tied to abuse, and one fine totaling $38,787. The most recent inspection was August 2025. Quality measures rate mid-range, but staffing and inspection history are where the concerns concentrate.
Prestige Care Center of Fairfield runs on 3.33 nurse hours per resident per day, about 14 percent under the national average, and weekends dip roughly 8 percent below its own weekdays. Turnover sits at 66.2 percent against a national 45.8, most of the people caring for your relative this year probably won't be there next year. The inspection record is the harder problem: 65 deficiencies, five serious enough to put residents in harm's way, eight tied to abuse, and $106,751 in fines. A recent June 2025 inspection doesn't erase that history. For-profit ownership through a limited liability company means decisions here answer to a bottom line, not a community board.
Life Care Center of Andover runs 154 certified beds under for-profit LLC ownership, and the numbers that matter most here aren't the quality measures, a 4-out-of-5 there, but the inspection record underneath them. CMS has flagged 58 deficiencies on the current record, including eight serious enough to cite harm or jeopardy and three tied to abuse. Seven fines total $113,851, and the home sits in CMS's Special Focus Facility program, a designation reserved for the small share of homes with persistent serious problems. Staffing runs 3.75 hours per resident day, just under the national average, and drops about 12% on weekends. Turnover is 51.9%, higher than the 45.8% national figure.
Smoky Hill Rehabilitation Center is a 90-bed for-profit in Salina, and the numbers behind its record deserve a close look. Nurse staffing runs about 16% under the national average, weekends dip roughly 11% below its own weekdays, and annual turnover sits at 94.1% against a national 45.8%, meaning the people caring for residents are, more often than not, on their way out. The inspection history is heavy: 64 deficiencies, 11 at harm or jeopardy level, four abuse-related, five fines totaling $147,090, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Its most recent inspection was April 2025.
Good Samaritan Society - Liberal runs a non-profit home with 45 certified beds, and the staffing numbers are genuinely strong: 4.07 nurse hours per resident per day, about 5% above the national average, with turnover at 32.6% versus 45.8% nationally. Weekend coverage dips roughly 15% below weekday levels, which matters when a resident needs help on a Saturday.
Where it falls apart is inspections. CMS rates the health inspection side 1 out of 5, with 32 deficiencies on record, 7 at the harm or jeopardy level and 3 tied to abuse, plus four fines totaling $94,784. The home sits in CMS's Special Focus Facility program, reserved for the country's most persistently troubled homes, and its last inspection was July 2024. Good staff, serious safety problems.
Rossville Healthcare and Rehabilitation Center is a for-profit LLC home with 81 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.28 hours per resident day, roughly 15 percent under the national average, and weekends run about 4 percent thinner than weekdays, meaning coverage is lightest exactly when backup is scarcest. Its 52.1 percent annual turnover tops the national rate of 45.8 percent, so the people providing that thinner care are also cycling out the door. On the inspection side, 53 deficiencies sit on the current record, including 5 at the harm or jeopardy level and 4 tied to abuse, with three fines totaling $60,639. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care.
Providence Living Center runs 2.46 nurse staffing hours per resident day against a national average of 3.86, roughly a third less hands-on care than the typical home. Weekend coverage drops another 12% below its own weekday level, and 71% of staff turned over in a year, well above the 45.8% national figure. On inspections, this for-profit home carries 35 deficiencies, two of them serious enough to put residents in harm's way, plus a $22,925 fine, with its last inspection in December 2025. The quality measure score sits at 3 out of 5 stars, but staffing and inspection results both land at 1, a split worth understanding before you visit.
The Shepherd's Center is small, 28 beds, and it's a nonprofit, but that hasn't kept it out of trouble. CMS has it in the Special Focus Facility program, which is reserved for homes with a pattern of serious problems, and the inspection record backs that up: 26 deficiencies, three of them at harm or jeopardy level, three abuse-related, plus a $13,627 fine. Staffing tells two stories. The federal formula gives it top marks, yet the actual hours per resident land about 19% under the national average, and weekends run thinner still. Turnover sits at 58.1%.
Kearny County Hospital Ltcu is a 40-bed county-owned home in Lakin, and the federal numbers are hard to read past. Inspectors have cited 43 deficiencies on the current record, two of them serious enough to put residents in harm's way, and the staffing rating sits at the bottom of CMS's scale, well below what the government considers adequate. The result: 8 fines totaling $69,565, and a place in the Special Focus Facility program, which CMS reserves for the homes with the most persistent problems. The last inspection was in October 2024, so that record is current, not stale. County ownership here doesn't translate into better care. If you're considering this home, ask what's changed since that inspection.
Barbourville Health and Rehabilitation Center runs 135 certified beds under corporate ownership, and the inspection record is the part that stands out. Nineteen deficiencies are on file, seven of them serious enough to involve harm or jeopardy, plus two tied to abuse, and a single CMS fine of $87,077 came out of that history. Staffing sits at 3.73 hours per resident day, slightly under the national figure, with weekends about 11% leaner than weekdays. Annual turnover of 55.6% is well above the 45.8% national average, meaning the aides and nurses caring for your relative are likely to change often. The most recent inspection was in August 2025.
Lyndon Crossing runs on thinner staffing than most homes, and the gap is worse than it looks: weekends drop about 9% below its own weekday levels, right when families tend to visit. The bigger warning sign is turnover, nearly two-thirds of nursing staff leave each year, well above the national rate. Then there's the record itself: 50 deficiencies, 13 of them serious enough to put residents in harm's way, and 6 tied to abuse. Federal regulators have flagged this Louisville home for the Special Focus Facility program, a designation reserved for the worst performers. Inspectors were last there in July 2025. If you're considering this place, ask hard questions and visit unannounced on a weekend.
Salyersville Nursing and Rehabilitation Center is a for-profit corporate home in Magoffin County with 142 certified beds, and the numbers behind its record are hard to get past. Its 39 deficiencies include 18 at the harm or jeopardy level and 6 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Two fines total $447,485. Staffing looks adequate at 4.03 hours per resident day, slightly above the national average, but weekend coverage drops about 10% below weekday levels, and turnover runs 52.9% against a national 45.8%. The last inspection was May 2025.
Stanford Crossing runs 128 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, and weekends drop about 8% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover is 53%, well above the 45.8% national figure. The inspection history is the heavier concern: 22 deficiencies on the current record, 11 of them at harm or jeopardy level, plus two fines totaling $26,685. Its most recent inspection was December 8, 2025. No abuse deficiencies appear in the record.
Bourbon Heights sits in Paris, Kentucky, licensed for 99 beds and run as a nonprofit. The staffing numbers look strong on paper, 4.74 nurse hours per resident day, well above the national average, but that average comes with a catch: weekend coverage drops about 13% below weekday levels, and nearly 58% of staff turned over in the past year. The inspection record is the real concern. Twenty-nine deficiencies on file, eleven of them serious enough to put residents in harm's way, three tied to abuse, plus two fines totaling nearly $58,000. CMS has placed this home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Spring View runs on 3.34 nurse hours per resident day, about 13 percent under the national average, and weekends dip slightly below its own weekday staffing. That thinner coverage matters more here because the inspection record is heavy: 14 deficiencies, four of them at harm or jeopardy level, two tied to abuse, plus three fines totaling $17,346. Staff turnover sits at 50 percent against a 45.8 percent national figure, so caregivers are cycling through steadily. A corporation owns the 71-bed building, and its last inspection was August 2025, so the record is current rather than stale. The quality and staffing measures both come in at two stars, with the health inspection piece at one, worth asking about before you tour.
Chestnut Ridge runs 3.40 nurse hours per resident day, about 12% under the national average, and weekends drop roughly 9% below its own weekdays, so coverage thins out exactly when families tend to visit. Staff turnover sits at 61.3% against a national 45.8%, meaning more than half the nursing staff leaves each year. Those numbers sit behind the federal findings: 36 deficiencies, seven serious enough to cause harm, two tied to abuse, and a single $306,141 fine. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the last inspection was August 2023.