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.
Waldon Health Care Center runs 205 certified beds in Kenner under corporate for-profit ownership, and its staffing sits about 10% under the national average, roughly 3.48 nurse hours per resident day against 3.86, with weekends running another 8% thinner than its own weekdays. Turnover is 45.1%, essentially level with the national figure, so that's not where the problem lies. What stands out is the record: 38 deficiencies, four of them serious enough to put residents in harm's way, four tied to abuse, and $120,279 in fines across two penalties. Both CMS ratings for health inspections and quality measures sit at the bottom of the scale. The most recent inspection was January 14, 2026, so the picture is current, not stale.
Rosewood Nursing Center runs about 3.34 nursing hours per resident per day, roughly 14% under the national average, and weekends dip another 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 52.2%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. On the current record: 20 deficiencies, three serious enough to involve harm or jeopardy, one tied to abuse, and $47,585 in fines across three penalties. The last inspection was March 4, 2026. For-profit, limited liability ownership, 150 beds.
Town & Country Health & Rehab runs 124 certified beds in Minden under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, a bit under the national average, with weekends running roughly 17% thinner than weekdays. The inspection record is the real problem: 12 deficiencies, two of them at harm or jeopardy level and one abuse-related, plus a single CMS fine that reached $322,647. Staff turnover is 22.6%, well below the national 45.8%, which suggests the workforce here is comparatively stable. So you're looking at a home where the people side holds up, but the state's most recent look, in May 2025, turned up serious findings.
Oak Haven runs 104 beds in Center Point, under corporate for-profit ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, but weekends drop about 14% below what the home itself staffs on weekdays, so coverage thins out when families tend to visit. The bigger concern is the inspection record: 37 deficiencies, five of them serious enough to put residents at risk of harm, and three fines totaling $44,606. Turnover runs 46.8%, slightly above the national figure. The quality measure stars look good on paper, but that score reflects resident assessments, not the state surveyor findings that landed five citations at the harm level.
Luling Living Center runs 117 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.65 hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 16% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. The inspection record is the harder part: 16 deficiencies, two of them serious enough to reach harm or jeopardy level, plus a single fine of $38,465. No abuse-related citations appear. The most recent inspection was March 25, 2026. Quality measures score well, but that one-star health inspection result and the weekend staffing gap are what pull the overall picture down.
Clover Health Care in Auburn runs 109 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.79 hours per resident day, roughly 2% under the national average, and weekends drop about 10% below its own weekday levels, while annual turnover hits 55% against a national 45.8%. What stands out most is the inspection record: 54 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus a spot in CMS's Special Focus Facility program and a 1-star health inspection rating. A recent May 2025 inspection and only $15,317 in fines suggest problems are being watched closely.
River Ridge Center has a staffing edge on paper, 4.05 nurse hours per resident day, about 5% above the national average, but that number comes with a catch. Weekend coverage drops roughly 11% below the home's own weekday level, and annual turnover sits at 59.4% against a national average of 45.8%, so the people delivering that care keep leaving. The inspection record is where the real trouble shows: 27 deficiencies, including one at the harm level and one abuse-related, a $15,334 fine, and a place in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor inspections. The most recent inspection was July 2025.
Market Square Health Care Center runs leaner on weekends than weekdays, about 15% fewer staff hours, even though its overall nurse staffing of 4.60 hours per resident day sits roughly 19% above the national average. That weekday-weekend gap matters, since care doesn't pause on Saturdays. The 39 deficiencies on file include two tied to abuse, though none rose to the level of actual harm or jeopardy, and the last inspection was in March 2025. Staff turnover at 49.4% edges past the national 45.8%, which for a 76-bed for-profit home owned by an individual means retraining costs and unfamiliar faces. Strong quality and staffing marks sit alongside a two-star inspection record.
Oak Grove Center in Waterville carries a 1-star health inspection rating, and the record behind it is heavy: 60 deficiencies, including one at the harm or jeopardy level and two tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Nurse staffing sits at 3.76 hours per resident day, slightly under the national average, and drops about 11% on weekends, when coverage thins. Annual turnover runs 50%, above the 45.8% national figure, meaning caregivers cycle through steadily. Fines total $14,056. The last inspection was March 2025, so the record is current, not stale.
Waterville Center for Health and Rehab has enough nurses on paper, 4.83 hours per resident day, roughly 25% above the national average, but the care record tells a different story. State and federal inspectors have cited 45 deficiencies, including four at the level where residents were actually harmed or put in immediate jeopardy and five tied to abuse. That's why CMS has placed this home in its Special Focus Facility program, the agency's watchlist for the country's most troubled nursing homes, and why a single fine has already reached $83,038. Staff turnover sits at 50.4% against a national average of 45.8%, and weekend coverage drops about 8% below weekday levels. Ownership is a for-profit limited liability company. The most recent inspection was August 28, 2025.
Windward Gardens has enough nurses on paper, 3.96 hours per resident day, a hair above the national average, but that number hides a staffing problem. Turnover runs 76.2% a year against a national average of 45.8%, meaning most of the people providing that care are new to the job, and weekends run about 7% thinner than weekdays. The deficiency record tells its own story: 82 citations on file, three of them abuse-related, and CMS has placed the Camden home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Zero harm-level deficiencies is the one bright spot worth noting.
Pines Nursing and Rehab is a 195-bed for-profit home in Easton, and the inspection record is the first thing you need to know about. CMS has it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, 179 deficiencies on the current record, including four at the harm or jeopardy level and nine tied to abuse. The health inspection star rating sits at 1 out of 5. Staffing runs about 14% below the national average at 3.31 nurse hours per resident day, weekends dip further, and turnover is 48%, above the national figure. One fine of $24,088 is small next to the deficiency count; the September 2025 inspection is recent, at least.
Bay Harbor runs 305 beds under for-profit LLC ownership, and it's been flagged as a Special Focus Facility, CMS reserves that for homes with a pattern of serious, repeated problems. The inspection record backs that up: 94 deficiencies, three at harm or jeopardy level, 13 tied to abuse, and $111,315 in fines. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekends drop roughly 13% below its own weekday levels. Turnover at 43.1% edges slightly under the national rate, which is faint comfort. Quality scores look strong on paper, but survey findings and staffing are what families actually live with day to day.
Ellicott City Healthcare Center runs 182 certified beds under corporate for-profit ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86, and weekend coverage drops roughly 9% below its own weekday level, so the weakest hours come when families tend to visit. What stands out in the other direction is retention: 27.3% annual turnover against a national 45.8%, meaning the caregivers who are there tend to stay. The trouble is the inspection record, 110 deficiencies, including one at harm or jeopardy level and nine tied to abuse, with a 1/5 health inspection rating even though quality measures score 5/5 and staffing 4/5. That gap between good scores on paper and the state's actual findings is worth asking about directly.
Layhill runs 3.46 nurse hours per resident per day, about ten percent under the national average, and weekends drop roughly sixteen percent below its own weekday staffing. The inspection record is the bigger problem: 103 deficiencies, three at harm or jeopardy level and nine tied to abuse, plus two fines totaling $153,596. A recent inspection in February 2026 means that record is current, not old. Turnover at 38.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as thin coverage and a long, serious citation history at this for-profit LLC.
Manokin Nursing and Rehab runs 135 certified beds in Princess Anne under corporate ownership, and the numbers here deserve a careful look. Nurse staffing sits at 3.22 hours per resident day, roughly 17 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage. Turnover at 34.4 percent is actually better than the national 45.8 percent, so the problem isn't retention; it's how many hands are on deck each shift.
The inspection record is where things get serious. Ninety-one deficiencies, including five at the harm or jeopardy level and nine tied to abuse. Two fines total $187,010, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. Given a September 2025 inspection, ask directly what's changed since.
Elkton Nursing and Rehabilitation Center carries a one-star health inspection rating, and the record behind it is heavy: 142 deficiencies, three of them at the level where residents were actually harmed, plus seven tied to abuse. CMS has placed the home in its Special Focus Facility program, which is reserved for the small share of homes with a persistent pattern of serious problems. Staffing sits about 8% under the national average, weekends run roughly 10% thinner than weekdays, and turnover lands at 46.2%, essentially the national rate. Ownership is for-profit, through a limited liability company. Three fines totaling $31,134 are on file, and the most recent inspection was October 9, 2025.
Pine Knoll runs on 3.39 nursing hours per resident per day, roughly 12 percent under the national average, and weekend staffing drops about 5 percent below what it manages on weekdays, so the thinnest coverage lands when families tend to visit and when fewer eyes are watching. The inspection record backs that up: 82 deficiencies, 12 of them serious enough to involve harm or jeopardy, 4 tied to abuse, and $568,747 in federal fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. The most recent inspection was March 2026.
Saugus Center is a for-profit LLC with 80 certified beds, and the numbers that stand out most are on the inspection side. Sixty-six deficiencies sit on its current record, six of them serious enough to cause harm or put residents in jeopardy, plus two tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems, and there's $65,946 in fines across two penalties. Staffing runs about 3.17 nurse hours per resident day, roughly 18% under the national average, though turnover at 30% is actually better than the 45.8% norm. The last inspection was June 2025.
The Gardens At Country runs 86 certified beds in Swansea under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86. Weekend coverage dips about 5 percent below what the home provides on weekdays, so the thinnest shifts get even thinner. The inspection record is the harder read: 58 deficiencies, one tied to abuse, and four fines totaling $24,635, with the most recent inspection in June 2025. All three CMS star categories, health inspections, quality measures, staffing, land at 1 out of 5. If you're weighing this one, ask specifically how weekends and abuse-prevention training are handled.