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 Care Center is a 120-bed for-profit home in Ripley, and the staffing numbers are the first thing I'd want you to see. At 3.03 nurse hours per resident day, it runs about 21% below the national average, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 50.5%, above the 45.8% national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor inspections. That record includes 59 deficiencies, one at the harm level and two tied to abuse, plus a $34,496 fine. The most recent inspection was February 2025.
Brightwood Center runs 115 certified beds in Follansbee under corporate for-profit ownership, and the staffing numbers are the first thing to look at. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly another 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 60.4% against a national 45.8% means the aides and nurses caring for your relative are often new to the building. CMS has placed this home in its Special Focus Facility program, and the inspection record shows why: 50 deficiencies, three at harm or jeopardy level, three abuse-related, and a $65,274 fine.
Summers Healthcare Center runs 3.07 nurse hours per resident day, about a fifth below the national average of 3.86, with weekends dipping roughly 11% below its own weekday staffing. That thin coverage sits behind a one-star inspection record carrying 62 deficiencies, four of them at harm or jeopardy level and one tied to abuse, plus $179,295 in fines. The federal government has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. Turnover at 43.5% is slightly better than average, but it doesn't offset what inspections found.
Bluestone Health and Rehabilitation is a 60-bed for-profit home in Bluefield, and the numbers here deserve your full attention before you tour. Nurse staffing sits at 2.98 hours per resident per day, roughly a quarter below the national average, and weekends run about 12 percent thinner than weekdays, so the coverage gap widens exactly when families tend to visit. The inspection record is the harder problem: 77 deficiencies on file, including four at the harm or jeopardy level and four tied to abuse, with two fines totaling $76,979. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Majestic Care Of Hopemont has 98 certified beds and runs a for-profit corporate operation, and its staffing numbers are the hard part to square. Total nurse staffing sits at 4.37 hours per resident day, above the national average of 3.86, but weekend coverage drops about 6% below its own weekday level, and annual turnover is 94.8% against a national average of 45.8%. So the hours are there on paper, but the people filling them keep leaving. The inspection record shows 52 deficiencies, including 5 at harm or jeopardy level and 6 abuse-related, with a $57,116 fine and a February 2026 inspection. CMS rated staffing 1 out of 5 and health inspections 1 out of 5.
Maplewood Center has real staffing muscle, 5.12 nurse hours per resident day sits about a third above the national average, but the inspection record is where the story turns. Eighty-one deficiencies on the current record, eleven of them at harm or jeopardy level and ten tied to abuse, with $352,483 in fines across four penalties. That's a lot of serious findings for a 150-bed nonprofit, and a 1-out-of-5 health inspection rating reflects it.
Turnover runs 52.1% against a national 45.8%, so even the strong staffing numbers come with constant churn, and weekend coverage drops about 9% below weekdays. The most recent inspection was May 2025, so the record is current.
The Jewish Home and Care Center in Milwaukee runs about 5.01 nurse staffing hours per resident day, roughly 30% above the national average, yet weekend coverage dips about 12% below its own weekday levels. Staff turnover sits at 52.4%, higher than the 45.8% national figure. What tempers that staffing picture is the record: 33 deficiencies on file, seven at the harm or jeopardy level and two tied to abuse, with one $8,959 fine. CMS has placed this home in its Special Focus Facility program, and its most recent inspection came April 6, 2026. A nonprofit operator and strong weekday hours don't erase a harm-level deficiency pattern.
Ingleside Manor runs 74 deficiencies on its current record, six of them serious enough to cause harm or jeopardy and six tied to abuse. That record, plus four fines totaling nearly $200,000, is why CMS placed this Mount Horeb nonprofit in its Special Focus Facility program, a designation reserved for the country's worst-performing homes. The staffing numbers look better than they are: 4.15 nurse hours per resident day sits about 7% above the national average, but weekend coverage drops roughly 13% below the home's own weekday level, and annual turnover of 80.6% is nearly double the national rate. Inspectors were last on site October 13, 2025.
Amethyst Health Of Wausau carries six deficiencies classified at the harm or jeopardy level, six tied to abuse, and forty-five total on its current record, that's an unusually heavy inspection load, and it's why CMS has placed the home in its Special Focus Facility program. Staffing looks decent on paper at 4.17 nurse hours per resident day, about 8% above the national average, but weekend coverage drops roughly 9% below the home's own weekday level, and annual turnover sits at 62.2% against a national average of 45.8%. Six fines totaling $100,976 round out the picture. The most recent inspection was September 4, 2025, so the record is current. A for-profit limited liability company owns the 80-bed home.
The nurse staffing here runs about 3.65 hours per resident day against a national average of 3.86, so it's understaffed on paper before you get to weekends, which dip roughly 10% below the facility's own weekday level. Annual turnover sits at 60.3% compared to 45.8% nationally, meaning more than half the nursing staff leaves each year. Fifty-five deficiencies sit on the current record, ten of them at the harm or jeopardy level and twelve abuse-related, with six fines totaling $182,024, and CMS has placed Evansville Manor in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. A 4/5 quality measure rating doesn't offset a 1/5 inspection rating.
Amethyst Health Of Brown Deer has 86 deficiencies on its current record, and seven of them were serious enough to cause actual harm or put residents in immediate jeopardy, four tied to abuse. It's in CMS's Special Focus Facility program, the federal watchlist for homes with a pattern of persistent problems, and it's carrying $276,756 in fines. Nurse staffing sits at 4.51 hours per resident day, well above the national figure, but that headline number hides a 65.5% annual turnover rate and weekends that run thinner than weekdays. Ownership is for-profit corporate, and the last inspection was February 2026. High staffing hours aren't offsetting what inspectors keep finding here.
Edenbrook Sheboygan runs on 3.26 nursing hours per resident day, about 16% under the national average, and weekend coverage drops roughly 12% below what the home manages on weekdays. Staff turnover sits at 55.1% against a 45.8% national average, so nearly half the nursing team is new each year, which matters more when you're relying on that team for daily care. The inspection record is where things get serious: 37 deficiencies, four of them at harm or jeopardy level and four tied to abuse, with $202,946 in fines across three penalties. The most recent inspection was April 2025. Corporate-owned, 121 beds.
The numbers here split in two directions. Nurse staffing runs 6.03 hours per resident day against a national average of 3.86, which is real coverage, though weekends slip about 8% below the weekday pace and annual turnover sits at 51.4%, higher than the 45.8% national figure, so the people providing that care keep changing. What outweighs the staffing is the record: 46 deficiencies as of the January 2025 inspection, 9 of them at harm or jeopardy level and 14 tied to abuse. Six fines totaling $386,235 sit on file. The state runs this 158-bed home, and the inspection and quality ratings both came back at the bottom of the scale.
The numbers here are hard to dress up. Nurse staffing sits at 3.63 hours per resident day against a national average of 3.86, and weekends run about 9% thinner than weekdays, meaning the shifts where families often visit are the ones with the least coverage. Staff turnover of 64.8% is well above the 45.8% national figure, so the people caring for residents change often. The inspection record shows 125 deficiencies, including 12 at harm or jeopardy level and 11 abuse-related, with $187,064 in fines. CMS has placed this corporate-owned home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
The Legacy Living and Rehabilitation Center is run by the local hospital district and has 160 certified beds. Nurse staffing runs 4.59 hours per resident day, about 19% above the national average, though weekends drop roughly 15% below its own weekday level. The numbers that matter more are elsewhere: 38 deficiencies on the current record, 8 of them at harm or jeopardy level, 11 abuse-related, and $115,597 in CMS fines across four events. Annual turnover is 70.5% against a national 45.8%, meaning most of the staff caring for residents last year are gone. CMS has placed it in the Special Focus Facility program, its most serious watch list. The last inspection was March 13, 2026.
Casper Mountain Rehabilitation and Care Center is a 120-bed for-profit home in Casper, and the numbers are hard to read. Nurse staffing sits at 2.80 hours per resident day, roughly 27% under the national average of 3.86, and weekends run about 13% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 64.8% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record shows 52 deficiencies, including two at the harm level and two tied to abuse, plus a $62,647 fine. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Polaris Rehabilitation and Care Center is a for-profit home in Cheyenne with 105 certified beds, and the numbers tell a story worth paying attention to. Nurse staffing sits at 3.49 hours per resident day, about 10% under the national average, and it drops roughly 15% further on weekends, while annual turnover hits 69% against a national figure of 45.8%. That churn matters at the bedside. The inspection record is the sharper concern: 39 deficiencies, three at harm or jeopardy level, four tied to abuse, and a $62,647 fine. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. The most recent inspection was January 15, 2026.
Big Horn runs on thinner staffing than most homes, about 3.28 nurse hours per resident day against a national average near 3.86, and weekends dip below its own weekday levels. Annual turnover sits at 56.5%, well above the national 45.8%, so the people around your family member keep changing. CMS has flagged the inspection record at its lowest star, with 46 deficiencies on file, three serious enough to cause harm and seven tied to abuse. That record, plus Special Focus Facility status, is what sits behind the failing grade here.
Shepherd of the Valley runs 192 certified beds in Casper under corporate ownership that changed hands within the past year. The numbers that stand out: a one-star health inspection rating, 39 deficiencies on the current record, including seven serious enough to put residents in harm's way and three tied to abuse. Staffing sits at 3.26 nurse hours per resident day, roughly 16 percent under the national average, and weekends run about 18 percent thinner than weekdays. Add 47.4 percent annual turnover and $97,031 in fines across five penalties. When a home changes ownership while carrying that inspection record, families should ask who's actually running the building day to day.
Worland Health and Rehabilitation runs on thin nurse staffing, 3.25 hours per resident day against a national average of 3.86, and weekends dip roughly 9% below what the home manages on weekdays. The inspection record is the bigger concern: fifteen deficiencies, three of them at harm or jeopardy level and five tied to abuse, which is why CMS has placed it in the Special Focus Facility program. A single fine of $6,788 is on file, and the last inspection came in March 2025. For-profit corporate ownership, 87 certified beds. If you're considering this home for someone you love, ask pointed questions about weekend coverage and how the abuse-related findings were corrected.