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.
Mountain View Health Services is a 155-bed for-profit in Ogden, and the numbers behind its record are hard to look past. Nurse staffing sits at 3.08 hours per resident per day against a national average of 3.86, and more than half the nursing staff turned over in the past year. The home carries 101 deficiencies on its current record, 22 of them serious enough to involve harm or jeopardy, plus seven tied to abuse. Three CMS fines total $150,781, and the federal government has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes. If you're considering this one, ask what's changed since the January 2026 inspection.
Mission At Alpine Rehabilitation Center is a 52-bed nonprofit home in Pleasant Grove that federal regulators have placed in the Special Focus Facility program, the designation CMS reserves for the homes it considers among the poorest performers in the country. The inspection record explains why: 44 deficiencies, eight serious enough to cause harm or jeopardy, seven tied to abuse, and $125,737 in fines across two actions. Staffing sits at 3.13 nurse hours per resident day, roughly 19% under the national average, with weekends about 12% thinner than weekdays and turnover at 65.1% against a national 45.8%. The quality measure stars look strong, but that's what families see on paper; the staffing and inspection numbers are what happen on the floor.
Provo Rehabilitation and Nursing runs 220 certified beds under corporate ownership, and its staffing sits at 3.88 nurse hours per resident day, essentially the national average, though weekends drop about 11% below its own weekday level. The bigger issue is what inspectors keep finding: 75 deficiencies on the current record, 27 of them at harm or jeopardy level and 12 tied to abuse, with two fines totaling $82,617. Staff turnover hits 54.5% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. A 1/5 inspection rating and a last visit in October 2024 tell you the oversight is ongoing.
Red Cliffs runs 3.46 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday numbers. The bigger problem is who's still there to provide that care: annual turnover hits 73.8%, well above the 45.8% national figure. Inspectors have cited 63 deficiencies, 11 of them at harm or jeopardy level and 9 tied to abuse, with a $153,114 fine and a June 2024 inspection on record. CMS has placed the home in its Special Focus Facility program, a designation reserved for the country's poorest performers. A for-profit LLC operates it.
Monument Healthcare South Salt Lake is a 140-bed hospital-district home that the federal government has flagged for its Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The record backs that up: 57 deficiencies, nine of them serious enough to endanger residents, six tied to abuse, and two fines totaling $36,546. Its last inspection was in June 2025.
Nursing hours come in slightly under the national average, and weekends run about 15% thinner than weekdays, when supervision is already stretched. The quality-measure score looks good on paper, but that number reflects resident assessments, not the day-to-day care and oversight problems regulators keep finding here. Staff turnover sits just above the national rate.
Premier Rehab And Healthcare At Burlington runs 164 certified beds under for-profit LLC ownership, and its nurse staffing averages 4.16 hours per resident day, roughly 8% above the national average of 3.86. That number looks fine until you notice weekends drop about 9% below the home's own weekday level, and annual turnover sits at 70.4% against a national average of 45.8%. The inspection record is where the real weight lands: 34 deficiencies, including 6 at harm or jeopardy level and 7 tied to abuse, plus four fines totaling $137,679. The last inspection was December 17, 2025. Staffing above average, but a churning workforce and a serious deficiency pattern tell the fuller story.
St. Johnsbury Health & Rehab runs a for-profit operation under a limited liability company, and the numbers tell a split story. Nurse staffing averages 4.63 hours per resident day, roughly 20% above the national average, but weekends dip about 13% below weekday levels and annual turnover sits at 74.1% against a national 45.8%, so the coverage looks better on paper than it likely feels day to day.
The inspection record is where things get serious: 71 deficiencies on file, nine at harm or jeopardy level, nine abuse-related, and $314,323 in fines. CMS has placed the home in its Special Focus Facility program, and the most recent inspection was January 28, 2026.
Springfield Health & Rehab runs 102 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.88 hours per resident day, essentially dead even with the national average of 3.86. That parity disappears on weekends, when coverage drops roughly 15 percent below the home's own weekday levels. Annual staff turnover of 69 percent is well above the 45.8 percent national figure, which matters most when you consider that 77 deficiencies sit on the current record, including 18 at the harm or jeopardy level and 9 tied to abuse. Two CMS fines total $354,247, and the home is currently in the Special Focus Facility program.
Thompson House runs lean on inspection results, not on staff. The Brattleboro nonprofit, 43 beds, has averaged 4.95 nurse hours per resident day, roughly 28% above the national figure, yet CMS still gave it a single star for health inspections after seven deficiencies, three serious enough to involve harm or jeopardy, and a $112,499 fine.
Weekend coverage drops about 15% below weekday levels, and turnover sits at 56.1% against a 45.8% national average. Those two numbers matter when the same crew isn't there to catch what a thin weekend shift misses.
Being placed in the Special Focus Facility program means federal regulators are watching this home's correction plan directly. The last inspection was March 2026.
The Villa Rehab runs high on nurse hours, 5.08 per resident day, roughly a third more than the national average, but that staffing thins out on weekends by about 18%, and 61% of staff turned over in the last year against a national rate near 46%. The inspection record is where this home gets into trouble: 24 deficiencies, including four tied to abuse and one serious enough to put residents in immediate harm, plus $37,040 in fines across two penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and its last inspection was July 30, 2025. For-profit, limited liability ownership, 30 beds.
Guggenheimer Health and Rehab Center runs 130 beds in Lynchburg under for-profit LLC ownership, and the numbers split sharply depending on where you look. The quality measure score is strong, but nurse staffing sits at 3.38 hours per resident day against a national average of 3.86, and weekends drop about 9% below the home's own weekday level. Turnover tells the harder story: 65.6% of staff leave annually, well above the 45.8% national figure. Inspections back that up, a 1-out-of-5 health inspection rating and 54 deficiencies on the current record, one serious enough to involve harm or jeopardy, plus a $76,681 fine. The most recent inspection was October 2024. Strong clinical metrics on paper don't offset thin, unstable staffing.
Seven Hills runs lean on nursing staff, 3.30 hours per resident day against a national average of 3.86, and weekends drop about 12 percent below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. The inspection record is the harder read: 83 deficiencies, including 11 tied to abuse and 6 serious enough to put residents in immediate harm, with $235,850 in fines and nothing inspected since August 2023. Annual turnover of 50.6 percent means roughly half the nursing staff leaves each year, so the people caring for your family member are often new and still learning the building. The quality measure score looks decent, but that's self-reported data, and it sits on top of a staffing and oversight picture that is not.
Henrico Health & Rehabilitation Center carries 77 deficiencies on its current record, including 10 at the harm or jeopardy level and 8 tied to abuse. That combination is what put it in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. Staffing sits right at the national average of 3.86 nurse hours per resident day, but weekends run about 14% thinner than weekdays, and turnover is 49.5% against a national 45.8%. Three fines total $260,247. The last inspection was January 15, 2026, so the record is recent. For-profit, limited liability ownership. The numbers describe a home with persistent quality and safety concerns, not a one-time lapse.
Forest Hill runs on 3.04 nurse hours per resident per day, about a fifth less than the national average of 3.86, and weekends drop roughly 9 percent below its own weekday staffing. Turnover sits at 69.6 percent against a national 45.8 percent, meaning most of the aides and nurses who know your family member may not be there in a year. The current record carries 95 deficiencies, including 3 at the harm or jeopardy level and 9 tied to abuse, with one fine of $80,132 and an inspection from February 2025. Resident outcome measures look strong here, but the staffing and inspection numbers are where the risk lives.
Ashland Nursing and Rehabilitation carries a staffing level of 3.02 nurse hours per resident day, roughly 22% under the national average, and weekends run about 12% thinner than its own weekdays. Turnover sits at 57.6% against a national 45.8%, so the aides and nurses who do show up are often new. On its current record: 169 deficiencies, including 2 at the harm level and 14 tied to abuse, plus placement in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. The last inspection was February 2024. For a 190-bed for-profit building, that combination of thin coverage, churning staff, and that many citations is the whole story.
Bremerton Trails Post Acute runs 125 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.45 hours per resident day, roughly 11 percent under the national average, with weekends running another 11 percent leaner than weekdays, and annual turnover of 54.5 percent against a national 45.8 percent means the people providing that care keep changing. The inspection side is where it gets serious: 105 deficiencies on the current record, including five at the harm or jeopardy level and six tied to abuse, plus $174,068 in fines and a place in CMS's Special Focus Facility program. A 1-out-of-5 inspection rating with a November 2025 survey date tells you regulators are watching closely.
Crystal Cove Post Acute runs 96 beds in Lacey under for-profit LLC ownership, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. The numbers back that up: 132 deficiencies on the current record, including 6 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $215,060. Nurse staffing sits at 3.77 hours per resident day, slightly under the national average, and drops about 15% on weekends, when coverage thins out. Staff turnover is the sharper problem, 69.7% a year against a national average of 45.8%, meaning most of the people caring for residents are new to the building.
Spokane Health & Rehabilitation runs 125 certified beds under for-profit LLC ownership, and the staffing numbers tell a story. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. Annual turnover of 64.4% against a national 45.8% means the aides and nurses caring for your family member are, more often than not, new to the building.
The inspection record is the harder truth. Ninety-eight deficiencies, including six at the harm or jeopardy level and eight tied to abuse, with three fines totaling $137,457. CMS has placed this home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes.
Auburn Post Acute is a 96-bed for-profit home in King County, and the number that should stop you is 131 deficiencies on its current record, 11 of them at the level where a resident was actually harmed, 10 tied to abuse. That record, plus $380,862 in fines across six penalties, is why CMS has placed it in the Special Focus Facility program, the agency's watchlist for the homes with the worst inspection histories. Nurse staffing of 3.66 hours per resident day sits just under the national average, and weekends run about 13% thinner than weekdays, so coverage gets lightest when families tend to visit. Staff turnover is roughly average, nothing here suggests the direct-care aides are the problem. The last inspection was January 31, 2025.
Woodard Creek runs 152 beds under for-profit LLC ownership, and its nurse staffing sits barely above the national average, 3.89 hours per resident day against 3.86, while weekends drop roughly 12% below its own weekday levels. The bigger issue is who stays: annual turnover hits 71.8%, well above the 45.8% national figure, and CMS gives staffing just 2 of 5 stars. Its inspection record shows 77 deficiencies, including one at harm or jeopardy level and 13 tied to abuse, with a $12,735 fine and a June 2025 inspection. Quality measures rate 4 of 5 stars, but that's the outlier here, not the pattern.