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.
Mulberry Health & Rehabilitation runs 157 certified beds in Franklin, and its current record carries 35 deficiencies, five of them at the harm or jeopardy level and five tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and its health inspection rating sits at 1 out of 5. Nurse staffing runs slightly under the national average, and weekends dip about 10 percent below the home's own weekday levels. Annual turnover is 67.9 percent against a national average of 45.8 percent, meaning most of the people caring for residents are new to the building. The last inspection was June 15, 2023.
Antioch Tn Opco has a split record that's worth reading carefully. The clinical quality numbers look good on paper, but the staffing rating sits at the bottom of the federal scale, meaning residents are getting too few hours of direct care per day compared to what CMS expects. Inspectors have cited 28 deficiencies, ten of them serious enough to put residents in harm's way, and three tied to abuse. The federal government has placed this home in its Special Focus Facility program, a designation reserved for the small share of homes with a pattern of persistent problems, and fines totaling $293,189 back that up. Ownership is a for-profit corporation, and the last full inspection was in August 2023.
Spring Gate runs 206 beds in Memphis under for-profit LLC ownership, and its last inspection was in October 2024. The raw staffing number looks fine, 3.95 nurse hours per resident day, just above the national average, but that figure hides two problems: weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 67.5% against a national 45.8%, meaning most of the people providing that care are new or on their way out. The inspection record is where it gets serious: 37 deficiencies, three at harm or jeopardy level, two tied to abuse, and $128,974 in fines. Quality measures score well, but a 1-star inspection rating and 2-star staffing tell you where to look first.
Church Hill Post-Acute and Rehabilitation Center carries 35 deficiencies on its current record, and 12 of those rose to the level of actual harm or jeopardy, a count that should stop you before anything else. Six are abuse-related, and CMS has placed the home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends run about 12% below the home's own weekday level. Staff turnover is 52.4%, well above the 45.8% national figure. One fine on record totals $250,780. The last inspection was February 12, 2026.
Rocky Top Care Center has the staffing most families hope for, 4.02 nurse hours per resident day, a bit above the national average, and its quality measure scores look strong on paper. But the inspection record tells a different story: 28 deficiencies, four of them serious enough to put residents in harm's way and five tied to abuse. Turnover sits at 45.7%, which sounds average until you realize that's roughly half the nursing staff leaving every year, and weekend coverage drops about 10% below weekday levels. CMS has placed this for-profit home in its Special Focus Facility program and fined it $86,768. Inspectors were last on site in March 2026.
Nursing aides and nurses here give each resident about 2.96 hours of care a day, and the national average is 3.86, so this home runs roughly a quarter leaner than most. That shortfall shows up worse on weekends, when staffing drops about 15% below its own weekday level, and nearly six in ten staff left over the past year against a national rate closer to 46%. The inspection record is the harder read: 35 deficiencies, seven serious enough to put residents in harm's way, three tied to abuse, and one $205,329 fine. CMS flags it as a Special Focus Facility, meaning it's on a watch list for homes with a pattern of poor care. Its last inspection was September 2023.
Eaton Creek Post Acute has more direct-care nursing hours than most homes, 5.04 per resident day against a national average of 3.86, and it holds that level through the weekend, which many places don't. The problems sit elsewhere. Thirty-five deficiencies are on the current record, twelve of them serious enough to put residents in harm's way and five tied to abuse, with $122,242 in federal fines across three cases. Staff turnover runs 52.9% a year, above the 45.8% norm, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistent poor performers. The last inspection was August 30, 2023.
Rainbow Rehab And Healthcare runs 115 certified beds in Bartlett under for-profit limited liability ownership. Nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average, and weekends drop about 17 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 43.7 percent, slightly better than the national 45.8 percent, and the current record shows seven deficiencies with none at harm or jeopardy level and no abuse findings. What stands out is timing: the last inspection was June 30, 2022, meaning the two-year-old findings behind that 2/5 inspection rating may not reflect how the building runs today.
Beech Tree runs 3.29 nursing hours per resident per day, roughly 15% under the national average, with weekends even thinner than weekdays. The inspection record is the harder problem: 23 deficiencies, eight of them at harm or jeopardy level and five tied to abuse, plus a $138,802 fine. That combination landed it in CMS's Special Focus Facility program, a designation reserved for the homes regulators watch most closely. Staff turnover, at 44.7%, is actually a hair better than average, so the trouble looks less like a retention crisis than a home that hasn't fixed the practices inspectors keep flagging since its April 2024 visit.
Cedar Creek Post Acute runs 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and weekend staffing holds within about 1% of weekday coverage. That's the good news, and it's real. The rest of the picture is harder. Staff turnover sits at 67% against a national average of 45.8%, meaning most of the people providing that above-average coverage are new to the building. The current record shows 33 deficiencies, 11 of them at harm or jeopardy level and 4 abuse-related, plus a $211,244 fine. Federal inspectors gave one star for health inspections and two each for quality measures and staffing. The most recent inspection was July 30, 2025.
Avir At Longview runs on a hospital district's license with 115 certified beds, and the staffing numbers are the first thing to notice: 3.56 nurse hours per resident day, roughly 8% under the national average, with weekends dropping about 9% below its own weekday level. Staff turnover sits at 73.3% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The inspection record backs that up, 55 deficiencies, 8 of them at harm or jeopardy level, 5 tied to abuse, and two fines totaling $262,731. The most recent inspection was May 2025. If you're considering this one, ask hard questions about who's actually on the floor on a Sunday.
Afton Oaks is a 169-bed for-profit home in Houston that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The numbers back that up: 37 deficiencies on the current record, 16 of them at the harm or jeopardy level and 5 tied to abuse, plus four fines totaling $115,512. Nurse staffing runs about 7% below the national average, and weekends drop roughly 8% below the home's own weekday levels, when residents still need care. Its last inspection was in April 2025. If you're considering this one, ask directly what's changed since CMS flagged it.
Town And Country runs on thinner nursing coverage than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale, and in an annual turnover rate of 65.9% compared with 45.8% nationally: roughly two of every three caregivers left within the year.
The inspection record carries 57 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $150,922 in fines. A 4/5 quality measure score and a May 2025 inspection are the brighter spots, but they sit alongside a 2/5 inspection rating and government hospital-district ownership.
The numbers out of Fallbrook Rehabilitation and Care Center are hard to get past. With 202 beds and government hospital district ownership, it runs 3.33 nursing hours per resident day against a national average of 3.86, weekend coverage drops about 12% below its own weekdays, and nearly 60% of staff turn over each year. A 1/5 staffing rating and 1/5 health inspection rating sit alongside 56 deficiencies, 11 of them at harm or jeopardy level, plus $83,678 in fines and a spot in CMS's Special Focus Facility program. The 3/5 quality measure score doesn't offset what inspectors and payroll records show. The most recent inspection was April 2025, so the record is current.
Kennedy Health & Rehab has been flagged for CMS's Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. The inspection history backs that up: 49 deficiencies on the current record, including 10 at the harm or jeopardy level and 8 tied to abuse. Federal fines total $268,507 across four penalties.
Staffing sits at one star, and so do the health inspection and quality measure ratings, all three below what you'd want to see. This is a 145-bed for-profit home owned by an individual, most recently inspected in June 2025. If you're considering it for someone you love, the pattern here is consistent and serious, not a one-time slip.
Arlington Residence and Rehabilitation Center runs 118 certified beds under corporate ownership, and the staffing numbers tell you a lot before you even get to inspections. At 3.12 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends dip another 8 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 46 percent, roughly in line with the national 45.8. The inspection record is where it gets heavier: 57 deficiencies, including 4 at harm or jeopardy level and 6 tied to abuse, plus six fines totaling $111,622. Its most recent inspection was February 2025.
DFW Nursing & Rehab runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekends drop another 11% below its own weekdays. Staff turnover is unusually low at 17.4%, so the problem isn't churn, it's raw coverage. The inspection record is where the real trouble sits: 62 deficiencies, 13 of them at harm or jeopardy level and 16 abuse-related, plus six fines totaling $317,302. CMS has placed the home in its Special Focus Facility program, a status reserved for the most persistently poor performers, and its last inspection was August 2025. For-profit, limited liability ownership.
Deer Creek runs about 30% below the national average on nurse staffing, 2.69 hours per resident day against 3.86, and weekends dip another 13% below its own weekday level. That thin coverage shows up on the inspection side too: 35 deficiencies on the current record, 6 of them at the harm or jeopardy level, plus 2 abuse-related findings and $75,581 in fines across 4 citations. Staff turnover sits at 56.1%, well above the 45.8% national figure, which matters most when residents need consistent hands on deck. The last inspection was recent, so the picture is current, and the ownership is a for-profit corporation.
Avir At Lubbock runs on 3.39 nursing hours per resident per day, about 12% under the national average, and weekends dip another 6% below its own weekdays, so the thinnest coverage lands when families visit most. Annual turnover sits at 70% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is where it gets serious: 63 deficiencies, 7 at harm or jeopardy level, 10 abuse-related, four fines totaling $69,307, and CMS has placed the home in its Special Focus Facility program. A 4/5 quality measure score can't offset a 1/5 inspection rating and staffing this thin.
San Rafael Health and Rehabilitation runs on county money and 51 beds in Ferron, and its staffing hours land right at the national average, close enough that there's no real cushion. What stands out is the churn: more than half the nursing staff turns over in a year, and weekend coverage drops about 19% below weekday levels. The inspection record is where things get serious. Twenty-seven deficiencies, six of them involving harm or jeopardy, four tied to abuse, plus two fines near $29,000 and a spot in CMS's Special Focus Facility program. Inspectors were last there in November 2024. County ownership doesn't change what those numbers say.