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.
Lakewood Healthcare Center in Downey is a 290-bed for-profit home with 4.15 total nurse staffing hours per resident day, roughly 8% above the national average, but that one bright spot is doing a lot of heavy lifting. The inspection record is where the trouble sits: 124 deficiencies, four at harm or jeopardy level, 16 abuse-related, and three fines totaling $128,597, which is why CMS has placed it in the Special Focus Facility program. Staffing also thins on weekends, dropping about 8% below its own weekday level, and the last inspection was December 18, 2025. If you're considering this home, ask specifically what the abuse-related findings involved and how the facility is addressing them.
Majestic Mountain Care Center runs on 3.48 nurse hours per resident per day, roughly 10% under the national average, and weekend coverage slips a bit further below its own weekday levels. That staffing gap shows up in a 69% annual turnover rate, well above the 45.8% national figure, and a two-star staffing rating. The inspection record is the harder read: 63 deficiencies, six at harm or jeopardy level, five tied to abuse, and $252,683 in fines. CMS has placed this for-profit, LLC-owned home in its Special Focus Facility program, and the most recent inspection was July 2025.
Valley Vista runs 72 beds in North Hollywood under for-profit LLC ownership, and the inspection record is the first thing that stands out: 114 deficiencies, including 2 at the harm or jeopardy level and 14 tied to abuse. The last inspection was this past July, so that record is current, not stale. Staffing looks decent on paper at 4.07 hours per resident day, about 5% above the national average, but weekends run roughly 12% below weekdays, and turnover sits at 60.6% against a national average of 45.8%, meaning the people caring for residents keep changing.
Riverside Postacute Care holds 188 certified beds and runs on nurse staffing that lands at 3.84 hours per resident day, essentially even with the national average, not above it in any meaningful way, and weekends dip about 4% below what the home staffs on weekdays. The bigger issue is who stays: annual turnover hits 61.3% against a national 45.8%, so a large share of the people providing care are new to the building. That instability shows up in the record: 170 deficiencies, five at harm or jeopardy level, 15 tied to abuse, and $76,211 in CMS fines. Federal regulators have placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Antelope Valley Care Center holds 199 certified beds in Lancaster under for-profit LLC ownership, and its record carries real weight: 170 deficiencies, five at harm or jeopardy level and eleven tied to abuse, with $124,690 in fines and a place in CMS's Special Focus Facility program. Staffing sits at 4.11 nurse hours per resident day, about 7% above the national average, but weekends run roughly 10% thinner than weekdays, and the staffing star rating is only 2 of 5. Annual turnover of 44.3% is slightly better than the 45.8% national figure, yet the inspection rating remains 1 of 5 despite a recent survey in August 2025.
Ararat Nursing Facility has real staffing strength, 4.79 nurse hours per resident day, about a quarter above the national average, with turnover at 41.7% that's actually a bit better than the typical home. That's the good news, and it matters. The problem is everything else. A one-star inspection rating, 145 deficiencies on record including 12 at the harm or jeopardy level and 17 tied to abuse, and $469,538 in fines across eight penalties. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a persistent pattern of serious problems. Weekend staffing also drops about 12% below weekdays, so the coverage families see on a Tuesday isn't what they get on a Saturday. Good aides can't offset a record like that.
Maclay Healthcare Center has 141 certified beds in Sylmar, and it's owned by a for-profit limited liability company. Nurse staffing runs about 4.10 hours per resident day, roughly 6% above the national average, with weekend coverage about 9% thinner than weekdays, and staff turnover at 43.5% sits just under the national figure. Those numbers aren't the problem. The inspection record is: 185 deficiencies, 12 at harm or jeopardy level, 23 abuse-related, and $384,678 in fines across seven penalties. CMS has placed this home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Its last inspection was January 16, 2026. Strong quality scores can't offset that inspection history.
Studio City Rehabilitation Center has real staffing strength: 4.60 nurse hours per resident day against a national average of 3.86, with turnover at 29.3% compared to 45.8% nationally. That's a workforce that mostly stays put, and it shows up in the quality measure rating.
The inspection record tells a different story. CMS has this for-profit, 181-bed home in its Special Focus Facility program, the designation reserved for the most persistently troubled homes, with 108 deficiencies on the current record, three at harm or jeopardy level and seven tied to abuse. Two fines totaling $45,604 are on file, and the last inspection was August 2025. Good staffing alone hasn't produced a safe building here.
The Metropolitan State Hospital SNF in Norwalk runs on unusually heavy nurse staffing, 9.80 hours per resident day, roughly two and a half times the national average, and its 22.6% turnover is about half the national rate. Those numbers are real, and they matter. But look at the record: 55 deficiencies, five of them at harm or jeopardy level, ten tied to abuse, and $83,093 in fines. It sits in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems, and its last inspection was December 2025. Weekend coverage drops about 8% below weekdays. Strong staffing alone hasn't translated into safe care here.
Santa Monica Rehabilitation Center has 170 deficiencies on its current record, including 18 tied to abuse and seven at the level where residents were actually harmed or put in immediate jeopardy. That record, plus four fines totaling $156,799, is why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the worst sustained inspection histories. Staffing looks decent on paper at 4.02 nurse hours per resident day, slightly above the national average, but weekends run about 11% thinner than weekdays and turnover sits at 55.8% against a 45.8% national rate. High turnover and a one-star inspection rating mean the people caring for residents are often new and the oversight has been failing.
Mesa Glen runs a for-profit operation with 96 certified beds, and 144 deficiencies sit on its current record, a number worth pausing on, since 18 of those are abuse-related and three rose to the level of actual harm or jeopardy. Federal inspectors have flagged the Glendora home as a Special Focus Facility, a designation reserved for the small share of nursing homes with a pattern of persistent problems; two fines totaling $103,080 are also on file. Nurse staffing averages 4.11 hours per resident day, which beats the national figure, but turnover sits at 63.2 percent and weekend coverage drops about 8 percent below weekdays, so the hours look better on paper than they likely feel on a Sunday.
Viridian Wellness & Rehabilitation runs 204 beds in Arlington under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop about 9% below the home's own weekday level, so care thins out exactly when families tend to show up. Every direct-care position turned over in the past year, against a national average near 46%, which means the aides and nurses on any given shift are often new. The current record carries 101 deficiencies, 11 at harm or jeopardy level and 7 tied to abuse, plus five CMS fines totaling $312,466 and placement in the federal Special Focus Facility program. The last inspection was September 16, 2025.
Brush Country runs on 3.05 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 15% below its own weekday level. Turnover sits at 77.8% against a national 45.8%, so the staff you meet is likely to change often. Inspectors have cited 45 deficiencies, three at harm or jeopardy level, with $130,834 in fines across three penalties; the last visit was August 2025. A one-star inspection rating and one-star staffing rating tell the story the quality measure score of three stars can't offset.
Cottonwood runs about 3.24 nurse hours per resident per day, roughly 16% under the national average, and weekends dip a bit further below its own weekday numbers. The bigger issue is turnover: 98% annually, more than double the national rate, which means the aides and nurses caring for your relative are constantly new. Twenty-eight deficiencies sit on the current record, though none rose to harm or jeopardy and none involved abuse. A recent inspection in August 2025 is a point in its favor, as is the three-star health inspection rating. But for-profit corporate ownership, a one-star staffing rating, and a two-star quality measure rating all point the same direction: check actual caregiver presence on the shifts you'd visit.
South Dallas Nursing & Rehabilitation runs on 2.23 nurse staffing hours per resident day, roughly 42 percent under the national average, and weekend coverage drops another 13 percent below its own weekday level. That thin margin shows up in the inspection record: 61 deficiencies, five at harm or jeopardy level, six tied to abuse, and two fines totaling $272,139. Staff turnover sits at 50 percent, above the 45.8 percent national figure. The limited liability ownership means profits and liability stay with the company. A 4/5 on quality measures doesn't outweigh a 1/5 on both staffing and health inspections, the people providing daily care are stretched, and the state has documented what happens when they are.
Harmony Care At Giddings holds a federal Special Focus Facility designation, and the inspection record shows why: 48 deficiencies on file, including 9 at the harm or jeopardy level and 7 tied to abuse. Five fines total $237,415. Its health inspection rating sits at 1 out of 5 stars, and the most recent inspection was July 17, 2025. Ownership is a for-profit partnership. The one bright spot is quality measures at 4 stars, but that stands apart from how the home is actually run day to day. Nurse staffing averages 3.99 hours per resident day, only slightly above the national 3.86, and weekends run about 8% thinner than weekdays, worth asking about directly, since that's when families often visit.
Harmony Care At Beaumont is run by a hospital district, and it has 98 certified beds. The nurse staffing number looks strong on paper, 4.72 hours per resident day, roughly 22% above the national average, but weekends drop about 14% below the home's own weekday level, so coverage isn't steady across the week. The bigger issue sits in the inspection record: 77 deficiencies, 15 of them at harm or jeopardy level, 14 tied to abuse, plus 10 fines totaling $380,812. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The most recent inspection was April 15, 2026.
The numbers at Williamsburg Village in Desoto tell a split story: residents get good clinical outcomes on paper, but the day-to-day care and oversight don't hold up. Nurse staffing runs 2.81 hours per resident day, about 27% under the national average, and weekend coverage drops roughly 13% below its own weekday level, thinner help exactly when families can't be there. Behind that sit 79 deficiencies, nine serious enough to put residents in harm's way and ten tied to abuse, plus $195,541 in fines and a spot in CMS's Special Focus Facility program. Ownership is for-profit corporate, and turnover sits slightly better than average.
Avir At Arden Wood runs 174 certified beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average, with weekends about 12% thinner than its own weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, 12 of them at harm or jeopardy level, 2 abuse-related, and $130,388 in fines across two events, with the most recent inspection dated May 2026. The one clear strength is retention, where 25.6% turnover beats the 45.8% national figure, so the staff who are there tend to stay. Whether that offsets the survey history is the question a family has to weigh.
Arbor Grace runs 42 deficiencies on its current record, five of them serious enough to put residents in harm's way and three tied to abuse. The $187,096 fine is a single penalty, not a slow accumulation, which tells you something went badly wrong at least once. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends drop another 13% below the home's own weekday levels. Turnover is the number that would worry me most: 75.3% of staff leaving in a year against a national rate near 46%. Kilgore is a 127-bed for-profit, and the last inspection in April 2025 is recent enough to mean the record reflects how things run now.