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.
Sequoyah Manor is a 162-bed for-profit home in Sallisaw, and the federal numbers on it are rough. The inspection record shows 62 deficiencies, including three at the level where a resident was actually harmed or put in immediate jeopardy, and four tied to abuse. Staffing sits at the lowest tier CMS awards, its payroll hours come in well under what the government considers adequate, and it's one of the relatively few homes the agency has pulled into its Special Focus Facility program, which is reserved for the worst repeat offenders. Two fines totaling $33,270 are on file. The last inspection was December 2024, so this record is recent, not stale.
Ranchwood Nursing Center carries a staffing burden that shows up in the numbers: 3.34 nurse hours per resident day, roughly 13% under the national average, with weekends running about 11% thinner than weekdays. Staff turnover sits at 73.8% against a national 45.8%, meaning most of the people caring for residents are relatively new, and the current record shows 46 deficiencies, four of them at the harm level and four tied to abuse. Two fines total $168,835, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. The last inspection was September 2025.
Community Health Care of Gore runs 70 certified beds under corporate ownership in Sequoyah County, and its staffing numbers come in above the national average, about 4.19 nurse hours per resident day versus 3.86 nationally. That sounds promising until you look at the rest: weekends run roughly 18% thinner than weekdays, which matters when families can't easily visit. The inspection record is the real concern. Forty-six deficiencies, five serious enough to put residents in harm's way, eight tied to abuse. CMS fined the home $23,879 and placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. Its last inspection was March 2025.
Wewoka Healthcare Center runs on 3.33 nurse hours per resident day, about 14 percent under the national average, and weekends drop roughly 6 percent below its own weekday staffing. That thinner coverage lands on a workforce where 77 percent of staff turn over each year, well above the 45.8 percent national figure. The inspection record is the harder part: 73 deficiencies, 11 serious enough to put residents in harm's way, 14 tied to abuse, and $389,250 in federal fines. CMS has placed the home in its Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The most recent inspection was March 5, 2026.
South Pointe runs 375 beds in Oklahoma City under for-profit LLC ownership, and its inspection record is the part that matters most: 56 deficiencies on the current record, four of them serious enough to cause harm or jeopardy, ten tied to abuse. CMS has placed it in the Special Focus Facility program, and fines total $202,060 across three penalties. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, and weekends run roughly 10% thinner than weekdays. Annual turnover of 40.8% is lower than the national 45.8%, which is a genuine bright spot. The quality measure rating is strong, but that data comes from the home's own reporting, the inspection findings are what the state actually observed.
Miami Nursing Center runs 82 certified beds under individual for-profit ownership, and its staffing sits at 3.65 nurse hours per resident day, roughly 5% under the national average of 3.86, with weekends dipping about 6% below its own weekday coverage. Turnover is 42.4%, a bit better than the 45.8% national figure, so the people who stay tend to stay. What stands out is the inspection record: 42 deficiencies, two at harm or jeopardy level and three tied to abuse, plus $33,924 in fines across three penalties. CMS has placed it in the Special Focus Facility program, and its last inspection was August 14, 2025.
First Shamrock Care Center runs on 3.26 nurse hours per resident day, about 16% under the national average, and staffing barely changes on weekends, so the thin coverage you'd see on a Tuesday is roughly what you'd get on a Saturday. Nearly three in four caregivers left over the past year, against a national rate closer to 46%. The inspection record shows 28 deficiencies, including one at the harm level and six tied to abuse, and the most recent inspection was July 2024. Fines total $8,351. Kingfisher families should ask what the abuse-related findings involved and how the home plans to hold onto staff.
Lawton Post Acute & Rehab runs 95 certified beds under for-profit LLC ownership, and its 21 citations on the current record include one at the harm level. That's a lot of findings for a single inspection cycle, and the $99,585 fine attached to the record reflects it. Staffing sits at 3.94 nurse hours per resident day, only about 2% above the national average, and weekends drop roughly 17% below what the home staffs on weekdays, so the coverage families see midweek isn't what shows up Saturday. Annual turnover of 52.7% tops the national 45.8%, meaning more than half the nursing staff leaves each year, which makes consistent care hard to sustain.
Garland Road runs a corporation-owned home of 118 beds in Enid, and the numbers split in a way families should notice. Nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average, with weekends running about 6% thinner than weekdays, and staff turnover lands at 42.2%, slightly better than the 45.8% national figure. The trouble sits in inspections: 33 deficiencies on the current record, including two at the harm or jeopardy level and one tied to abuse, with a one-star health inspection rating. CMS has placed this home in its Special Focus Facility program, meaning the agency itself is tracking it for persistent problems. The most recent inspection was May 6, 2025.
Chickasha Nursing Center is a 60-bed for-profit home where the staffing number is the one to look at first, it sits well below what CMS considers average for a facility this size, and that's the single biggest reason its inspection and quality scores land where they do. The record shows 17 deficiencies from the September 2024 survey, none of them serious enough to reach harm or jeopardy level and none abuse-related, so the problems are more about day-to-day consistency than safety failures. Low staffing at a small rural home usually shows up as slower call-button response and less hands-on time, not necessarily bad intentions. Ask about weekday versus weekend coverage before deciding.
Park Place runs 4.14 nurse hours per resident day, which is actually above the national average of 3.86, that number alone would make it look fine. The rest of the record doesn't. Weekend staffing drops roughly 30% below its own weekday level, and annual turnover sits at 88.4% against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. The current record carries 35 deficiencies, five of them at the harm or jeopardy level and five abuse-related, plus six CMS fines totaling $131,280. CMS has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes. The most recent inspection was February 18, 2026.
Corvallis Manor runs 135 certified beds under corporate for-profit ownership, and its nurse staffing of 4.95 hours per resident day sits about 28% above the national average of 3.86, a real strength on paper. But the rest of the record works against it: 88 deficiencies, seven at harm or jeopardy level, five abuse-related, and five CMS fines totaling $345,051. Staff turnover hits 61.6% against a national 45.8%, which means residents cycle through caregivers constantly, and weekends run about 11% leaner than weekdays. CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes, and its most recent inspection was May 11, 2026.
French Prairie runs 4.39 nurse hours per resident day, about 14 percent above the national average, so the raw staffing number looks better than average. The problem is who's delivering it and how long they stay: turnover is 66.3 percent against a national 45.8, weekend coverage drops roughly 7 percent below weekdays, and CMS gives staffing 2 out of 5 stars. Those aren't abstract numbers, they mean you may not see the same aide twice.
The inspection record is the harder part. Sixty deficiencies on file, including three at the harm or jeopardy level and four related to abuse, with $102,802 in fines. CMS has placed this for-profit LLC in its Special Focus Facility program, and the last inspection was April 2025.
South Hills Rehabilitation Center has more nursing hours per resident than most homes in the country, 4.72 versus a national average of 3.86, but that staffing thins out on weekends, dropping roughly 13% below its own weekday level. The bigger issue is who's providing that care: 67.5% of staff turned over in a year, well above the 45.8% national figure, and CMS has placed this for-profit home in its Special Focus Facility program. Its inspection record shows 66 deficiencies, including 9 tied to abuse and 2 serious enough to cause harm, plus $108,108 in fines. A 1-out-of-5 inspection rating and a recent August 2025 visit round out a record worth reading closely before you decide.
Cascade Terrace is a for-profit LLC with 105 beds, and it's staffed better than most: 4.69 nurse hours per resident day against a national average of 3.86. Weekend coverage slips about 7% below its own weekday level, and turnover sits at 47.1%, roughly in line with the national 45.8%. The problem isn't the floor, it's the record. Forty-six deficiencies, including four at harm or jeopardy level and four tied to abuse, plus $185,923 in fines across two cases. That's why CMS placed it in the Special Focus Facility program. The most recent inspection was April 28, 2025. Good staffing can't offset that inspection history on its own.
Saint Helens Post Acute has real staffing depth, 4.21 nurse hours per resident day, about 9% above the national average, but the inspection record undercuts it. Seventy-six deficiencies are on file, two of them at the level where a resident was actually harmed or put in immediate jeopardy, and eleven tied to abuse. CMS has placed the home in its Special Focus Facility program, which only happens when problems persist across surveys rather than showing up once.
Staff turnover sits at 58.5% against a national 45.8%, so the people providing that above-average coverage are cycling out faster than usual, and weekend hours run 7% thinner than weekdays. Two fines totaling $43,525 are also on record. Quality measures look strong at 5/5, but a single star for health inspections tells you where the trouble lives.
Tigard Rehabilitation and Care has one clear strength: nurse staffing runs about 5.08 hours per resident day, roughly a third above the national average, though weekend coverage dips about 7% below its own weekday levels. That staffing isn't holding the rest together. The home carries 44 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse, plus $69,509 in fines across three penalties, and CMS has placed it in the Special Focus Facility program, its lowest inspection rating. Staff turnover sits at 58.6% against a national 45.8%, so the people providing that above-average care keep leaving.
Squirrel Hill Wellness and Rehabilitation Center is a 178-bed for-profit home in Pittsburgh, and the federal numbers behind its record are hard to dress up. Since its last inspection in February 2025, CMS has logged 108 deficiencies, 14 tied to abuse and 5 serious enough to put residents in immediate harm, along with two fines totaling $184,782. It sits in the Special Focus Facility program, the government's list for homes with a pattern of persistent problems. Staffing is the other warning sign: one star, well below what you'd want for 178 residents. Ownership is corporate and for-profit. If you're considering this one, ask directly what's changed since February.
Elan Skilled Nursing and Rehab runs 145 certified beds in Scranton under nonprofit ownership, and its staffing is genuinely a strength, 4.47 nurse hours per resident day, about 16% above the national average. The catch is that weekends run roughly 11% thinner than weekdays, so coverage isn't evenly spread across the week. Turnover sits at 46.8%, essentially the national rate. The bigger concern is the inspection record: 31 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $19,105 fine. That's a lot of findings against a 2-out-of-5 health inspection rating, even with a recent November 2025 inspection. Ask about weekend staffing and how the abuse-related citations were resolved.
Embassy of Saxonburg has a serious compliance problem. Federal inspectors have cited 64 deficiencies, including three that put residents in immediate harm and seven tied to abuse, enough to land it in CMS's Special Focus Facility program, which tracks the worst-performing homes in the country, and to draw $339,073 in fines. Staffing sits about 13% under the national average at 3.36 nurse hours per resident day, and the 52% annual turnover means the aides and nurses working weekends, already 4% leaner than weekdays, are often new. The quality star rating looks decent, but a one-star inspection record with abuse citations on file is the part that matters most.