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.
Adviniacare Orchard in East Providence runs 166 beds under corporate ownership, and its staffing picture is genuinely mixed. Total nurse hours come to 4.20 per resident day, about 9% above the national average, yet weekends drop roughly 16% below the home's own weekday coverage, and CMS rates staffing at just one star. Turnover sits at 20.2%, well under the national 45.8%, so the people who are there tend to stay. The trouble is compliance: 58 deficiencies on the current record, 11 of them at harm or jeopardy level, two abuse-related, and $103,744 in fines across five penalties. CMS has placed the home in its Special Focus Facility program, and the most recent inspection was June 26, 2025.
The nurse staffing number at this Coventry home looks fine on paper, 4.09 hours per resident day, about 6% above the national average, but that average hides a weekend drop of roughly 9% from weekday levels, and it sits alongside a 71.8% annual turnover rate, well above the 45.8% national figure. The inspection record is the harder read: 69 deficiencies on file, 17 of them serious enough to involve harm or jeopardy, plus two tied to abuse, and eight CMS fines totaling $370,011. Federal regulators have placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Greenville Operations runs 131 beds as a for-profit LLC, and its inspection record is the thing that stands out: 51 deficiencies, seven of them serious enough to cause harm or jeopardy, and seven tied to abuse. CMS has placed it in the Special Focus Facility program, and four fines total $336,776. Staffing is a mixed picture, 3.62 nurse hours per resident day trails the national average, weekends run thinner than weekdays, but turnover at 34.9% is actually better than the 45.8% typical elsewhere. The most recent inspection was March 2026, so the record is current. When a home's inspection rating sits at the bottom while its staffing holds up, the problem usually isn't how many people are on the floor, it's what happens when they're there.
Adviniacare Oakland Grove runs 178 beds in Woonsocket under corporate for-profit ownership, and its staffing sits about 10% under the national average at 3.49 nurse hours per resident day, with weekends dipping roughly 8% below its own weekday levels. Turnover is where it beats the pack, 36.5% against a national 45.8%, which matters, since consistent caregivers tend to know residents' routines.
The inspection record is the harder read. Forty-three deficiencies are on file, six of them serious enough to involve harm or jeopardy, seven tied to abuse. Four fines total $111,098, and the most recent inspection was November 25, 2025.
If you're considering this home, ask about weekend coverage and how they've addressed those harm-level findings.
Berkshire Place runs 220 certified beds in Providence under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.47 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover runs 47%, slightly above the national figure, which means less continuity for residents who need consistent caregivers. The inspection record is heavier: 38 deficiencies, six at harm or jeopardy level, four tied to abuse, and 11 fines totaling just under $60,000. Its last inspection was September 2025. All three CMS star categories land at 2 out of 5.
Adviniacare Summit Commons is a for-profit LLC with 165 certified beds, and its record shows why CMS placed it in the Special Focus Facility program. Inspectors have logged 63 deficiencies, ten of them serious enough to cause harm or jeopardy, with five tied to abuse, plus eight fines totaling $395,990. The health inspection and quality measure ratings both sit at one star, though staffing earns four, and turnover at 33.6% actually beats the national 45.8%. Still, 3.46 nurse hours per resident day runs about 11% under the national average, and weekends drop roughly 9% below the home's own weekday coverage. The most recent inspection was March 13, 2025.
Magnolia Manor - Inman runs 2.90 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends drop about 9% below its own weekday level. Staff turnover sits at 62.2% versus 45.8% nationally, so the people providing that care are leaving faster than usual. Twenty-five deficiencies appear on the current record, six at harm or jeopardy level and five abuse-related, with six fines totaling $94,778. CMS has placed the home in its Special Focus Facility program, and the most recent inspection closed out in August 2025.
Achieve Rehabilitation and Nursing Center runs 181 beds in Anderson under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.94 nurse hours per resident day against a national average of 3.86, with weekends about 14% thinner than weekdays. Annual turnover of 62.7% means most of the people caring for your family member are new, and nearly two-thirds of the staff left last year. The inspection record shows 33 deficiencies, four at harm or jeopardy level and two tied to abuse, plus $73,538 in fines and a place in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious problems.
Heartland Health Care Center - Greenville East carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Ten deficiencies are on the current record, four of them at the harm or jeopardy level, and the home has paid one fine of $19,105. Staffing runs about 3.07 nurse hours per resident day, roughly 20 percent under the national average, and weekends are thinner still, about 20 percent below its own weekday levels, with turnover at 51.8 percent. The five-star quality measure score looks strong, but that number comes largely from resident assessments the home reports itself, so weigh it against the inspection findings.
Ridgeland Nursing Center runs on 2.76 nurse hours per resident per day, roughly 28% under the national average of 3.86, and weekend coverage drops about 14% below what it manages on weekdays. That thin bench shows in the turnover number: 71.1% of staff leave each year against a national 45.8%, meaning the people caring for residents are, more often than not, new to the building.
The inspection record backs that up, a 1-out-of-5 health inspection rating, 24 deficiencies on file including 2 at harm or jeopardy level and 4 tied to abuse. A recent May 2025 inspection at least means the picture is current. For-profit, LLC-owned, with quality measures scoring midrange while staffing sits at the bottom.
Rehab Center Of Cheraw runs 3.03 nurse hours per resident per day, roughly 22 percent under the national average, and weekends are thinner still, about 15 percent below its own weekday staffing. That gap matters because falls, infections, and medication errors don't wait for Monday. The home's record backs up the concern: 13 deficiencies, two serious enough to put residents in harm's way, one tied to abuse, and $64,075 in fines across four penalties. Staff turnover sits at 50.5 percent, above the 45.8 percent national figure, so the people providing care keep changing. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor performance.
Nurse staffing at Johns Island Post Acute works out to 2.85 hours per resident day, roughly a quarter below the national average, and it thins out further on weekends. That matters because the home's record includes 22 deficiencies, five of them serious enough to involve harm or jeopardy, five tied to abuse, plus two fines. The federal government has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems, and its health inspection rating sits at one star. Annual turnover of 52.2% means more than half the nursing staff leaves within a year.
Avantara Milbank runs on thin staffing even before the weekends hit. At 3.23 nurse hours per resident day, it sits roughly 16% under the national average, and weekend coverage drops another 9% below its own weekday level, so the thinnest shifts are also the least supervised. The bigger warning sign is turnover: 91.5% annually, double the national rate, meaning most of the people caring for residents weren't there a year ago. Its inspection record shows 30 deficiencies, including 8 at harm or jeopardy level and 5 tied to abuse, plus three fines totaling $55,361. The most recent inspection was March 2025. For-profit corporate ownership, 55 beds, and a pattern of problems that keep recurring rather than resolving.
Avantara Norton runs 110 certified beds under for-profit limited liability ownership, and its nurse staffing sits right at the national average of 3.86 hours per resident day, essentially no cushion. Weekends drop about 10% below its own weekday coverage, so the thinnest shifts are when families tend to visit. What stands out more is the inspection record: 75 deficiencies, 19 of them at harm or jeopardy level, 5 abuse-related, plus six CMS fines totaling $153,638. Staff turnover is 55.7% against a 45.8% national average, meaning more than half the nursing staff leaves each year. CMS has placed this home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems.
Winner Regional Healthcare Center sits in a small South Dakota town and puts more direct nursing time into each resident than most homes in the country, about five hours a day against a national figure near four. That cushion matters, and it's the main reason inspections look solid, with the most recent visit in December 2024. The trouble is what the numbers show underneath the surface: weekend coverage drops roughly a fifth below its own weekday pace, and more than two-thirds of staff turned over last year, well above the typical rate. Eighteen deficiencies sit on the record, including three tied to abuse and one involving actual harm. Quality scores are weak despite the staffing.
Avantara Watertown is a 51-bed for-profit home, and the numbers that stand out most are on the inspection side. CMS has it in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems, and the current file shows 31 deficiencies, including four at the harm or jeopardy level and three tied to abuse. A single CMS fine of $6,368 sits on the record, and the most recent inspection was April 29, 2026. Nurse staffing runs 3.57 hours per resident day, about 8% under the national average, and weekends drop roughly 20% below the home's own weekday levels. Staff turnover, at 44.2%, is close to the national figure, so retention isn't the outlier here. The inspection record is.
Riverview Healthcare Center is a 63-bed for-profit home in Flandreau, and the numbers behind its record deserve a hard look. Nurse staffing sits at 3.62 hours per resident per day, about 6% under the national average, and it thins out further on weekends, roughly 12% below the home's own weekday levels. Annual turnover runs 66.7% against a national 45.8%, so caregivers are cycling through constantly.
That instability shows up in the inspection record: 35 deficiencies, 14 at harm or jeopardy level, 10 abuse-related, and six fines totaling $176,867. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with persistent serious problems. If you're considering this one, ask pointed questions about what's changed since the February 2025 inspection.
Wilmot Care Center has enough hands on deck, 4.20 nurse staffing hours per resident day, roughly 9% above the national average, but almost everything else on its record is a problem. The home has been flagged as a Special Focus Facility, the CMS watch list for homes with a pattern of serious, repeated deficiencies: 18 total on the current record, two of them at the harm or jeopardy level, plus two fines totaling $28,028. Its last inspection was in March 2025. Staff turnover sits at 60.5% against a national average of 45.8%, and weekend staffing drops about 11% below the home's own weekday level. The staffing is there; the consistency and the compliance record are not.
Medicine Wheel Village sits in Eagle Butte with 50 certified beds and a staffing picture that looks strong on paper, 4.79 nurse hours per resident day, about 24% above the national average, with turnover at 31.4% versus 45.8% nationally. Weekends run roughly 16% leaner than weekdays, so coverage isn't perfectly even. The trouble is what inspections have found: 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $22,636 fine and a place in CMS's Special Focus Facility program. Quality measure scores look good, but a recent inspection and that many citations on record are the numbers that matter most for daily safety.
Lyonsview runs 222 certified beds in Knox County, and the numbers there deserve a hard look before you sign anything. Nurse staffing sits at 3.55 hours per resident per day, roughly 8% under the national figure, and weekends drop about 9% below what the home manages on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover is 59.4% against a 45.8% national average, which means more than half the caregivers you'd meet are likely gone within a year. The current record shows 18 deficiencies, 8 serious enough to involve harm or jeopardy, 4 tied to abuse, and CMS has placed the home in its Special Focus Facility program.