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.
Country Club Center I runs 72 beds in Dover under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.78 nurse hours per resident day it sits just under the national average, but weekends drop about 14% below its own weekday levels, and turnover hits 83.8% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is worse: 90 deficiencies, six at harm or jeopardy level, eight abuse-related, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently poor performers. Three fines totaling $31,371 are on file.
Warren Nursing & Rehab runs a for-profit limited liability operation with 107 certified beds, and the raw staffing numbers look solid at first glance, 5.32 nurse hours per resident day, well above the national average of 3.86. But weekends dip about 17% below the home's own weekday coverage, and annual turnover sits at 53.2% against a national 45.8%, meaning the aides and nurses caring for residents are cycling through fast. The bigger problem is the inspection record: 61 deficiencies on file, five of them serious enough to put residents in harm's way, four fines totaling $26,448, and a spot in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Medina Center runs 3.18 nurse hours per resident day, roughly 18 percent under the national figure, and weekends drop about 14 percent below its own weekday staffing. Annual turnover sits at 72.1 percent against a national average of 45.8, so the people providing care change often. The record shows 100 deficiencies, four at harm or jeopardy level and eight abuse-related, plus $136,807 in fines, and CMS has placed the home in its Special Focus Facility program. Its quality measure stars look strong, but that measure reflects resident health outcomes rather than the inspection and staffing problems underneath them. An inspection in February 2025 is the most recent.
Aventura At Assumption Village runs on thinner nurse coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and it gets worse on weekends, when staffing drops roughly 9% below its own weekday level. Annual turnover sits at 52.5%, well above the 45.8% national figure, so the people caring for residents keep changing. The current record lists 49 deficiencies, three of them serious enough to involve harm or jeopardy, though none are abuse-related; a single fine of $14,680 is on file. The most recent inspection was December 19, 2024. For-profit corporate ownership out of North Lima, 150 beds. The quality measure score looks good on paper, but that's a survey-based number, not a staffing one.
Continuing Healthcare Of Cuyahoga Falls runs 98 beds under for-profit LLC ownership, and the staffing numbers are what stands out first: 3.46 nurse hours per resident day against a national average of 3.86, with weekends running about 7% thinner than weekdays. That gap matters when you're deciding which day to visit. The inspection record is heavier still, 93 deficiencies, two at harm or jeopardy level, seven tied to abuse, and four fines totaling $178,725. Annual turnover sits at 77.1% against a national 45.8%, meaning the aide who knows your mother this month may not be there the next. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
The Merriman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekend coverage drops about 12% below its own weekday levels. Staff turnover sits at 64.9% against a national 45.8%, so the people caring for residents are, more often than not, new to the building. Its inspection record carries 65 deficiencies, three of them at the harm or jeopardy level and six tied to abuse; two fines total $134,475, with the most recent inspection in January 2025. A 4/5 on quality measures doesn't offset a 1/5 on staffing and 1/5 on inspections. The corporate owners profit while the floor stays thin.
If you're weighing Franciscan Care Center Sylvania for someone you love, the staffing numbers deserve your attention first. Nurses provide about 3.18 hours of care per resident per day, roughly 18 percent under the national average, and weekends drop about 11 percent below the home's own weekday levels. Nearly 80 percent of staff turned over in a year, against a national rate near 46 percent, and CMS gives staffing one star out of five.
The inspection record is heavier still: 94 deficiencies currently on file, including 3 at the harm or jeopardy level and 4 tied to abuse. One fine totals $337,580, and CMS has placed this for-profit corporate home in its Special Focus Facility program, reserved for the country's poorest performers. The most recent inspection was June 13, 2024. Strong quality-measure scores don't offset what surveyors keep finding.
Sapphire Rehabilitation and Care Center is a 113-bed for-profit home in Columbus, and the federal numbers are not kind. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and it thins out further on weekends. The bigger problem is turnover: 78.6% annually, against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
Its inspection record shows 87 deficiencies, including 8 at the harm or jeopardy level and 4 tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and fines total $337,273. The quality measure score looks decent, but that's generated from resident assessment data, and it doesn't outweigh a documented staffing and safety record like this.
Canfield Healthcare Center runs 90 beds in Youngstown under corporate ownership, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident per day against a national average of 3.86, with weekends running about 12% thinner than weekdays already are. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters because that's roughly half the workforce cycling out in a year.
The inspection record is where things get serious. Fifty-four deficiencies, four at harm or jeopardy level, seven tied to abuse, and $211,331 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the poorest performers. The 4/5 quality measure rating reflects resident assessments; the 1/5 on both inspections and staffing tells you what those numbers don't.
Addison Heights runs on 3.28 nurse staffing hours per resident day, roughly 15% under the national average, and weekends drop about 14% below its own weekday levels. Turnover sits at 69.5% against a national 45.8%. Those numbers have consequences: 78 deficiencies on record, including one at harm or jeopardy level and five tied to abuse, and CMS has placed the home in its Special Focus Facility program. The 5/5 quality measure score stands out against 1/5 staffing and inspection ratings, a split worth asking about directly. The last inspection was September 15, 2025.
Salem West Healthcare Center runs 2.88 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends dip another 11% below its own weekdays. Annual turnover sits at 56.1%, well above the 45.8% national figure, so the people left are often the newest. The inspection record is the real problem: 52 deficiencies, two at harm or jeopardy level, five tied to abuse, and a one-star health inspection rating. CMS has placed it in the Special Focus Facility program, its most serious watch list for homes with a pattern of persistent problems. A five-star quality measure score doesn't offset that, especially since those measures lean on self-reported data.
Astoria Place Of Cincinnati runs 97 beds under for-profit LLC ownership, and its staffing sits at 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends about 10 percent thinner than weekdays. Turnover tells its own story: 66.7 percent of staff leave each year, against a national rate near 46 percent. On inspections it holds a 1-out-of-5 star rating, with 72 deficiencies on record, including 4 at the harm or jeopardy level and 13 tied to abuse. Two fines total $147,294, and CMS has placed it in the Special Focus Facility program for homes with a persistent pattern of poor care.
Cridersville Nursing and Rehab is a 50-bed for-profit home in Auglaize County, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.22 hours per resident per day, about 17% under the national average, and weekends run thinner than weekdays. That matters because turnover sits at 78.2%, well above the 45.8% national figure, so the people at the bedside keep changing.
The inspection record is where it gets serious: a 1-out-of-5 health inspection rating, 37 deficiencies, five at the harm or jeopardy level, and two tied to abuse. Three fines totaling $112,610. The quality measure rating looks better, but that's mostly self-reported data. Ask about direct-care staffing on evenings and weekends before you decide anything.
Beeghly Oaks is a for-profit LLC home in Youngstown with 115 certified beds, and the numbers here are hard to dress up. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average, and it thins out further on weekends, when coverage drops about 14% below its own weekday level. Staff turnover runs 55.8% a year against a national 45.8%, so the people caring for residents are changing constantly.
The inspection record is the bigger concern: 87 deficiencies, seven serious enough to involve harm or jeopardy, three tied to abuse, and a $187,369 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems.
Country Lane Gardens runs on thin staffing: 3.14 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays. That shortfall shows up in the numbers, too. Annual turnover sits at 54.7%, well above the 45.8% national figure, and the home's 101 deficiencies include 8 at the harm or jeopardy level and 14 tied to abuse. Four fines total $318,627, CMS has placed it in the Special Focus Facility program, and the most recent inspection was March 5, 2026. A 5/5 quality measure score stands out against 1/5 marks for staffing and health inspections.
Fair Haven Shelby County is a 90-bed county-run home in Sidney with a staffing picture that splits in two directions. Nurses provide 3.65 hours per resident day, about 5% under the national average, and weekends run roughly 5% thinner than weekdays, but turnover sits at 33.3%, well below the 45.8% national figure, which matters for consistency of care.
The inspection record is where the trouble is. CMS rates health inspections 1 out of 5, and the current record carries 56 deficiencies, including one at the harm or jeopardy level and five tied to abuse. The home is in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Bethany Nursing Home runs about 86 beds under for-profit LLC ownership, and its staffing sits modestly above the national average at 4.00 nurse hours per resident day. That edge fades on weekends, when coverage drops roughly 8% below its own weekday level, and nearly half its staff turns over each year, 49.2%, a bit worse than the 45.8% national figure. The inspection record is the real concern: a 1-star health inspection rating, 45 deficiencies on file, including 3 tied to abuse, though none reached harm or jeopardy. A 5-star quality measure score stands out against that. The last inspection was March 2026, so the record is current.
Dublin Post Acute is a for-profit, 120-bed home that federal regulators have placed in the Special Focus Facility program, which is reserved for the small share of nursing homes with a persistent record of serious problems. Its current inspection history shows 82 deficiencies, including six at the harm or jeopardy level and three tied to abuse, along with three fines totaling $197,547. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and weekends run roughly 10% thinner than weekdays. Staff turnover is 54.7%, well above the 45.8% national figure, and the most recent inspection was January 26, 2026.
Stellar Care Center runs on thin margins where it counts. The raw staffing number looks fine on paper, 4.17 nurse hours per resident day, a bit above the national average, but weekends drop about 12% below its own weekday level, and 62.5% of staff turned over last year against a national rate of 45.8%. That churn shows up in a 1-out-of-5 health inspection rating and 106 deficiencies on the current record, three of them at the harm or jeopardy level and three tied to abuse. Two fines total $227,850, and CMS has placed this for-profit LLC in its Special Focus Facility program after a January 2026 inspection.
Avenue At Lyndhurst runs 3.67 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday staffing. That schedule gap matters more when turnover sits at 72.4%, well above the 45.8% national figure, because replacements are constantly learning the floor. The inspection record is the harder problem: 59 deficiencies, including one at harm or jeopardy level and one abuse-related, with a 1-out-of-5 inspection rating despite a recent visit in August 2025. Quality measures score 5 out of 5, but strong clinical numbers don't offset thin weekend coverage and a long list of cited problems. It's for-profit, LLC-owned, 102 beds.