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.
Beth Haven has one genuinely good number: 4.61 total nurse hours per resident day, roughly 19% above the national average of 3.86. That's where the good news stops. CMS has placed this Hannibal home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the inspection record explains why, 81 deficiencies, five of them at harm or jeopardy level, 12 abuse-related, and six fines totaling $70,743. All three CMS star ratings sit at 1 out of 5, and the most recent inspection was February 2025, so this isn't a stale picture. Weekend staffing also dips about 7% below weekday levels. Corporate-owned, 105 beds. Staffing hours alone don't offset an inspection and quality record like this.
Abode Health and Wellness Center in Independence has more direct-care nursing hours than the typical U.S. nursing home, 4.21 per resident day against a national average of 3.86. That's the one number here that looks reassuring, and it comes with a caveat: weekend staffing drops about 4% below the home's own weekday level.
Everything else on the record is hard to get past. CMS has cited 80 deficiencies, including one at the harm or jeopardy level and nine tied to abuse. Fines total $269,476 across 24 penalties, and the home sits in Medicare's Special Focus Facility program, reserved for the country's most persistently troubled homes. Its last inspection was in February 2025. Staffing hours don't fix an inspection record like that.
Cassville Health Care Center is a 60-bed for-profit home in Barry County, and the federal numbers there are hard to read past. Nurse staffing sits at 2.79 hours per resident day, roughly 28% under the national average of 3.86, and weekends drop about 4% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record shows 82 deficiencies, including 4 at harm or jeopardy level and 8 tied to abuse, with one fine of $123,925. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Its last inspection was October 1, 2024. All three CMS star ratings sit at one out of five.
Beloved Health and Rehabilitation Center in Hannibal is a for-profit, individually owned home with 111 certified beds, and the numbers behind its record are hard to read past. Nurse staffing runs 2.79 hours per resident day, roughly 28% under the national average, and weekends drop about 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Its inspection history is the bigger concern: 133 deficiencies on the current record, 15 of them serious enough to put residents at risk of harm or jeopardy, 9 tied to abuse, and $279,380 in federal fines across three penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The last inspection was November 27, 2024.
Chariton Park runs on 1.83 nursing hours per resident day, less than half the national average of 3.86, and staffing drops further on weekends. That thin coverage helps explain the 65 deficiencies on its current record, including 8 at the harm or jeopardy level and 10 tied to abuse. The health inspection rating sits at 1 out of 5, and five fines total $126,302. Annual turnover of 53.3% beats the national 45.8%, meaning more than half the staff leaves each year. For-profit ownership through a limited liability company. The most recent inspection was March 2024. The quality measure score of 3 out of 5 stands out against everything else, worth asking what's behind it.
Willowcreek runs leaner on nursing hours than the typical American nursing home, about 3.48 hours per resident day against a national average near 3.86, and weekends get thinner still, roughly 17% below what the building staffs on weekdays. Nearly 93 deficiencies sit on the current record, seven of them serious enough to involve harm or jeopardy, nine tied to abuse, with three fines totaling $90,333. The federal government has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover of 54.3% runs above the national figure, meaning caregivers cycle through faster than residents can get to know them.
Lawrence County Manor reports 0.39 total nurse staffing hours per resident day, roughly a tenth of the national average of 3.86, and weekends run about a third thinner than weekdays already are. Staff turnover sits at 93.3% against a national 45.8%, meaning the people who do show up are largely new. The inspection record shows 32 deficiencies, including one at the harm level and six tied to abuse, with a single fine of $13,762 and a health inspection rating of 1 out of 5. County ownership doesn't change any of that. If you're considering this home, the staffing numbers are the ones to ask about directly.
Grove At Kirkwood runs 117 certified beds as a nonprofit corporation, and its total nurse staffing sits at 3.86 hours per resident day, essentially matching the national average, not exceeding it. The problem isn't the raw staffing number; it's that weekends run about 10% below the home's own weekday level, and CMS gives just 1 of 5 stars on staffing overall, plus 2 of 5 on quality measures and 1 of 5 on health inspections. That inspection record includes 52 deficiencies, six at harm or jeopardy level, one abuse-related, and a single $172,400 fine. The last inspection was May 2024, so the picture isn't stale.
Nodaway Healthcare runs 60 beds in Maryville under for-profit LLC ownership, and the numbers behind its grade point to a building stretched thin on direct care. Nurse staffing sits at 3.09 hours per resident day, roughly a fifth below the national average, and it drops another 13% on weekends, when coverage is already thinnest. Staff turnover tells its own story: 73% of the workforce leaves each year, against a national rate near 46%. That churn shows up in the inspection record too, where 41 deficiencies are logged, including one tied to abuse, alongside a 2-out-of-5 health inspection rating and 1-out-of-5 marks for both quality measures and staffing. The most recent inspection was August 2025.
Kalispell Rehabilitation and Nursing is a for-profit LLC with 140 beds, and its record is one a family should look at closely. The staffing numbers cut both ways: turnover at 38.7% is actually better than the 45.8% national average, but total nurse hours sit at 3.28 per resident day, roughly 15% under the national figure, and weekends run about 10% thinner than weekdays. The inspection history is the harder problem, 82 deficiencies, 10 of them at harm or jeopardy level, nine abuse-related, three fines totaling $114,755, and a spot in CMS's Special Focus Facility program, which is reserved for homes with a pattern of serious, repeated problems. The most recent inspection was March 2026.
If you're considering Mount Ascension Transitional Care of Cascadia for someone you love, the federal record is worth sitting with. The Helena home is owned by a for-profit corporation and carries 59 deficiencies, three of them serious enough to put residents in immediate harm, nine tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes, and inspectors were last on site in February 2026. Nurse staffing sits about 13 percent under the national average, weekends run thinner than weekdays, and more than half the nursing staff turned over in a year. Three fines total $94,212.
If you're weighing Whitefish Care and Rehabilitation for someone you love, the staffing numbers are where to start. Nurses give about 3.34 hours of care per resident per day, roughly 13 percent under the national average, and weekends run about 15 percent thinner than weekdays. Annual turnover hits 82.1 percent, nearly double the national rate, so the people providing that care keep changing. The record shows 77 deficiencies, six serious enough to involve harm or jeopardy and six tied to abuse, plus four fines totaling $371,717. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Aspen Meadows runs 90 certified beds in Billings under corporate ownership, and the staffing numbers tell a big part of the story: 3.63 nurse hours per resident day, about 6% under the national average, with weekends running roughly 11% lighter than weekdays. That thin coverage lines up with a 76.2% annual turnover rate, well over the national 45.8%, so the people caring for residents are changing constantly. The inspection record shows 36 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus $115,183 in fines. The most recent inspection was March 26, 2026, and quality measures sit at 1 out of 5 stars.
Beartooth Rehabilitation and Nursing in Columbus is on CMS's Special Focus Facility list, which is reserved for homes with a persistent record of serious problems. The inspection history backs that up: 43 deficiencies on the current record, four of them at the harm or jeopardy level and six tied to abuse, with two fines totaling $50,592. Staffing is a mixed picture, a 4-star rating overall, but 2.95 nurse hours per resident day sits about 24% under the national average, and weekends run roughly 9% thinner than weekdays, which matters when something goes wrong on a Sunday. The most recent inspection was February 10, 2026, so the record is current, not stale.
The Banyan At Montclair holds 175 beds under for-profit LLC ownership, and its staffing runs about 8% above the national average, 4.16 nurse hours per resident day. But that number hides a churn problem: 62.8% annual turnover against a national 45.8%, and weekend coverage drops roughly 7% below weekday levels. The inspection record is the harder read. Sixty-one deficiencies on file, four at harm or jeopardy level, five tied to abuse, plus three CMS fines totaling $141,793. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. A recent December 2025 inspection doesn't reset any of that.
Cascades At Skyview has 48 certified beds and a staffing figure that looks decent on paper, 4.08 nurse hours per resident day, about 6% above the national average. But the weekends run roughly 14% thinner than weekdays, and annual turnover sits at 75.5% against a national norm of 45.8%, so that average is being held up by a workforce that keeps leaving. The inspection record is the bigger problem: 46 deficiencies on file, five of them at harm or jeopardy level and three tied to abuse, with $141,424 in fines and a place in CMS's Special Focus Facility program.
Emerald Nursing & Rehab Legacy Pointe runs 108 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 53.3% against a national 45.8%, which means more than half the staff left within a year. The home carries 29 deficiencies on its current record, including one abuse-related citation, none at the harm level, plus eight fines totaling $56,445. A July 2025 inspection is recent, and the quality measure rating of 3/5 suggests clinical outcomes are middling, not alarming.
Life Care Center of Reno runs 198 beds under corporate ownership, and its staffing sits just a hair above the national average, close enough that the real story is elsewhere. Weekend coverage drops about 19% below weekday levels, which matters when falls and infections don't check the calendar. Turnover is genuinely low at 31.3%, well under the national 45.8%, so caregivers tend to stay. What sinks this home is its inspection record: 55 deficiencies, including two tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the most persistently troubled homes. The quality and staffing stars look fine on paper. The survey history is what a family should actually weigh.
Ormsby Post Acute Rehabilitation runs 120 beds and sits in the federal Special Focus Facility program, the list CMS keeps for homes with a persistent pattern of serious problems. The record backs that up: 98 deficiencies, including one at the harm level and 15 tied to abuse, plus a $60,464 fine. Nurse staffing runs 2.81 hours per resident day, about 27% under the national average of 3.86, and weekends drop roughly another 12% below the home's own weekday coverage. Staff turnover is 58% against a 45.8% national figure. The most recent inspection was March 27, 2025, so the picture is current, not stale.
Tlc Care Center runs 255 beds in Henderson under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, about 9% under the national average of 3.86, with weekends roughly 7% thinner than its own weekdays. Turnover is 38.7%, actually better than the 45.8% national figure, so the concern here isn't retention so much as raw hours on the floor. The bigger signal is the inspection record: 61 deficiencies, including one at the harm level and four tied to abuse, with two fines totaling $20,719. Regardless of the staffing stars, that history of harm-level and abuse citations is what a family should weigh hardest when deciding whether this is the right place.