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.
Mary Gran Nursing Center runs 27 deficiencies on its current record, five of them serious enough to reach harm or jeopardy level, plus one tied to abuse. That's a lot of citations for a 212-bed for-profit home, and the most recent inspection only dates to August 2025, so this isn't old history. Nurse staffing sits at 3.29 hours per resident day against a national average of 3.86, weekends drop roughly 10% below the home's own weekday coverage, and annual turnover hits 51.3% versus 45.8% nationally. The pattern is consistent: thin coverage that thins further on weekends, with a workforce turning over faster than most.
Valley Nursing and Rehabilitation Center runs 183 certified beds in Taylorsville under corporate for-profit ownership, and its headline staffing number looks decent at first: 4.42 nurse hours per resident day, roughly 14 percent above the national average. Look closer and the picture changes. Weekend staffing drops about 9 percent below its own weekday level, so coverage thins exactly when families tend to visit, and annual turnover hits 67.6 percent against a national average of 45.8 percent, meaning most of the aides and nurses caring for residents are relatively new to the building. The inspection record is the harder problem: 28 deficiencies, nine of them serious enough to risk harm, five tied to abuse, and $88,557 in fines across three cases.
Vero Health & Rehab Of Sylva has 53 deficiencies on its current record, 13 of them serious enough to cause harm or put residents in jeopardy, and three tied to abuse. Federal fines total $359,818 across four penalties. The health inspection rating sits at 1 out of 5, and staffing doesn't help: 3.74 nurse hours per resident day, below the national average, with weekend coverage about 9 percent thinner than weekdays. This is a for-profit limited liability company operating 106 certified beds in Jackson County, and its last inspection was August 14, 2025. When a home carries that many harm-level findings, the question isn't whether the numbers look bad, it's whether you can get straight answers about what changed since.
Clayton Rehabilitation and Healthcare Center runs on thinner nurse staffing than most homes in the country, about 3.11 hours per resident day against a national average near 3.86, and weekends get leaner still, roughly 14% below what the building staffs on weekdays. That gap matters because turnover sits at 77.8%, well above the 45.8% national figure, meaning the aides and nurses who do show up are often new to the job and to these residents. The inspection record backs that up: 38 deficiencies on file, two serious enough to put residents in harm's way, and a single fine of $166,075. One star for health inspections and one for staffing, with quality measures landing at three. It's individually owned and for profit.
Tsali Care Center has real strengths on the staffing side, 6.14 nurse hours per resident day is well above the national average, and CMS gives it top marks there. But staffing alone doesn't keep residents safe. The home carries 82 deficiencies on its current record, four of them serious enough to put residents in harm's way, plus one tied to abuse, and it's been fined four times for a total of $157,555. That's why CMS placed it in the Special Focus Facility program, a designation reserved for the country's most troubled homes. Staff turnover sits slightly above the national rate, and weekend coverage dips below weekday levels. The last inspection was in August 2025.
Biltmore Haven runs about 2.93 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop further from there. That thin coverage sits alongside a 71.4% annual turnover rate, well above the 45.8% national figure, so the staff who are there are often new. The inspection record is the harder problem: 50 deficiencies, 7 of them at harm or jeopardy level, 2 tied to abuse, and $189,174 in fines across three penalties. CMS placed this for-profit LLC home in its Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was May 1, 2025.
Rockwell Park runs leaner on nursing hours than the typical American nursing home, about 3.49 per resident day against a national figure near 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. That gap matters, since families often visit Saturday and Sunday. Staff turnover sits at 60.2%, well above the 45.8% national average, so the people caring for residents change often. Its inspection record carries 34 deficiencies, including 8 at harm or jeopardy level and 4 tied to abuse, plus seven CMS fines totaling $338,513. The federal government has placed it in the Special Focus Facility program, its most recent inspection was March 27, 2026, and it's a for-profit corporation.
Fuquay-Varina Health and Rehabilitation Center runs about 3.75 nurse hours per resident day, a bit under the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. That thin weekend margin matters more when turnover sits at 60% against a national rate near 46%, people are cycling through, and the ones on duty Saturday and Sunday are often the newest. The home carries 50 deficiencies on its current record, including two at the harm level and four tied to abuse, plus a $76,047 fine. Its last inspection was in April 2026, and the federal staffing rating sits at the bottom of the scale.
O'Berry Neuro-Medical Treatment Center is a state-run home in Goldsboro with 144 certified beds, and its inspection record is the part that matters most. Twenty-eight deficiencies are on the current record, eight of them at the harm or jeopardy level, and six tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and a $167,242 fine is on file. The last inspection was recent, October 9, 2025, so this isn't a stale record. Quality measures sit around the middle at 3 out of 5. If you're considering this home, ask directly what's changed since that inspection.
Sunset Drive is a 128-bed nonprofit home in Mandan, and the numbers tell a hard story. Nurse staffing sits at 3.57 hours per resident day, about 8% under the national average, and weekends run roughly 10% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The bigger problem is the inspection record: 69 deficiencies, including two at the harm level and eight tied to abuse, plus $42,226 in fines, and CMS has placed the home in its Special Focus Facility program. Staff turnover of 64.5% is well above the 45.8% national figure, meaning caregivers cycle through quickly.
Rolette Community Care Center runs on decent nurse hours, 3.94 per resident day, a little above the national average, and weekends dip only about 6% below weekdays, which is steadier than many homes manage. The trouble sits elsewhere: a one-star health inspection rating, 36 deficiencies on the current record including two at the harm level, and $90,017 in fines across two penalties. Staff turnover of 53.6% outpaces the national 45.8%, meaning more than half the nursing staff leaves each year. CMS has placed this nonprofit, 31-bed home in its Special Focus Facility program, the agency's watchlist for homes with a persistent pattern of poor inspections.
The staffing hours at Wedgewood Manor look fine on paper, 3.99 per resident day, a bit above the national average, and that's likely why CMS gives it four stars there. But the numbers behind the numbers matter here: turnover runs 53.5% against a national 45.8%, and weekend coverage drops well below its own weekday level. What CMS found on inspection is worse. Twelve deficiencies on record, three serious enough to put residents in harm's way, three tied to abuse, and a $54,925 fine. A one-star inspection rating and one-star quality measures, plus placement in the Special Focus Facility program, tell you regulators are watching closely.
Good Samaritan Society - Larimore carries the kind of record that makes families ask hard questions. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekends run roughly 8% thinner than weekdays, meaning the coverage gaps show up exactly when backup is hardest to find. Staff turnover of 78.9% is nearly double the national rate, so residents cycle through a lot of unfamiliar faces. On top of that, CMS counts 49 deficiencies, including three at the harm or jeopardy level and two tied to abuse, with $119,935 in fines and placement in the Special Focus Facility program. That program is reserved for homes with a persistent pattern of serious problems.
Souris Valley Care Center is a 46-bed nonprofit home in Velva, and the federal numbers are rough across the board. Nurse staffing sits at 3.42 hours per resident day, about 12% under the national average, and it thins out further on weekends, roughly 13% below the home's own weekday level. Staff turnover runs 63.4%, well above the 45.8% national figure, which means the people caring for residents are, more often than not, new to the building. The inspection record shows 28 deficiencies, five of them at harm or jeopardy level and two tied to abuse. Four fines total $175,053, and CMS has placed the home in its Special Focus Facility program.
Garrison Mem Hosp Nsg Fac runs 4.34 nurse hours per resident day, about 12% above the national average, and that staffing shows up in its four-star staffing rating. The catch is consistency: weekend coverage drops roughly 20% below its own weekday level, and annual turnover sits at 66.7% against a national 45.8%, well over half the nursing staff leaving each year. Its current record carries 24 deficiencies, none at the harm level but one tied to abuse, and the two-star health inspection rating reflects that. Church-affiliated nonprofit ownership on 26 beds. The nurses are there in numbers, but keeping them is the problem.
Highland Oaks is a for-profit home in Morgan County with 99 certified beds, and the numbers tell a split story. The quality measures CMS tracks look strong, but the inspection record is another matter: 105 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, and six tied to abuse. That inspection history is why CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Staffing sits about 5% under the national average, weekend coverage drops roughly 10% below weekday levels, and nearly half the nursing staff turns over each year.
Suburban Healthcare and Rehabilitation runs 150 beds in North Randall under for-profit LLC ownership, and the numbers that stand out most are on the staffing side. At 3.33 nurse hours per resident day, it sits roughly 14% under the national average, with weekends about 7% below its own weekday level. Annual turnover is 58.3% against a national 45.8%, so the people caring for residents change often.
The inspection record is heavier still: 67 deficiencies, six at harm or jeopardy level and one abuse-related, plus four fines totaling $94,587. The most recent inspection was March 2024. Quality measures look better than the rest of the picture, but they measure care outcomes, not whether enough consistent staff are present to deliver it.
Luxe Rehabilitation and Care Center is a 172-bed for-profit home in Lancaster, and the federal numbers paint a rough picture. Nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national average of 3.86, with weekends running roughly 7 percent thinner than weekdays. Staff turnover is 49.2 percent, higher than the 45.8 percent national figure. What stands out most is the inspection record: 99 deficiencies, 6 at harm or jeopardy level, and 11 tied to abuse, which is why CMS has placed it in the Special Focus Facility program. A 5/5 quality measure score doesn't offset a 1/5 inspection rating and a 1/5 staffing rating, and $70,768 in fines backs that up.
Gardens of Mayfield Village runs 99 beds as a for-profit corporation, and the numbers that matter most here are staffing and oversight. Nurses provide 3.22 hours per resident day, roughly 17% under the national average, weekends run about 7% thinner than weekdays, and 71.2% of staff turn over in a year against a national 45.8%, so the people delivering care keep changing. The inspection record shows 106 deficiencies, five at harm or jeopardy level and six tied to abuse, with $155,225 in fines and CMS placing the home in its Special Focus Facility program. The quality measure rating is high, but that's self-reported chart data; the staffing and inspection ratings sit at the bottom.
Momentous Health At Richfield has 72 certified beds and an individual for-profit owner, and the numbers here are hard to get past. Nurse staffing sits at 3.23 hours per resident day against a national average of 3.86, roughly 16% below what residents elsewhere typically receive, while annual turnover hits 64% compared with 45.8% nationally, meaning most of the people providing daily care are new to the building within a year. The deficiency record is the bigger problem: 103 total, including 3 at the harm or jeopardy level and 8 abuse-related. CMS has fined this home $158,534 and placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.