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.
Beltline Healthcare Center runs 120 beds in Garland, and the numbers there are hard to dress up. Nurse staffing sits at 3.07 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 93.9% a year, more than double the national figure, which means the aide who knows your mother this month may be gone by next. Inspectors have cited 24 deficiencies, four of them serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, with a $32,006 fine on record. The last inspection was November 2024.
Avir At Arlington runs 114 beds under limited-liability, for-profit ownership, and the numbers worth your attention are on the staffing side. Nurse hours come to 3.36 per resident per day against a national average of 3.86, and weekends drop roughly 13% below the home's own weekday coverage, meaning the thinnest shifts land when families tend to visit. Staff turnover sits at 66.7% against a national 45.8%, so aides and nurses cycle through quickly. The inspection record shows 27 deficiencies, three serious enough to put residents at risk of harm, and one fine of $121,953. A recent inspection in February 2026 keeps that record current rather than stale.
Terrell Healthcare Center runs 94 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.52 nurse hours per resident day against a national average of 3.86, with weekends running about 10% leaner than weekdays already are. Turnover sits at 50.8%, above the 45.8% national figure, so the people caring for residents keep changing. The deficiency record is harder to look past: 93 total, 11 of them serious enough to put residents in harm's way, 6 tied to abuse. CMS has fined this home three times for $339,046 combined and placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. If you're considering it, ask directly what's changed since the April 2026 inspection.
Avir At Caldwell runs on thin coverage. At 3.12 nurse hours per resident day, it sits roughly 19 percent under the national average of 3.86, and weekend staffing drops about 9 percent below its own weekday level, so the thinnest shifts get even thinner. The bigger red flag is turnover: 94.3 percent annually against a national average of 45.8 percent means the staff caring for your family member is, statistically, mostly new. Inspections tell a similar story, 30 deficiencies on record, two serious enough to involve harm or jeopardy, a one-star health inspection rating, and one fine of $10,036. The last inspection was January 8, 2026. Corporate-owned, 112 beds. Worth asking hard questions before you sign anything.
Gracy Woods is for-profit, corporate-owned, 118 beds, and sitting in CMS's Special Focus Facility program, the designation reserved for homes with a persistent record of serious problems. The numbers back that up: 64 deficiencies on the current record, 10 of them at harm or jeopardy level, five abuse-related, and four fines totaling $222,188. Staffing runs slightly under the national average at 3.79 hours per resident day, but the bigger issue is consistency, weekends drop about 16% below the home's own weekday level, and turnover sits at 54.5% against a 45.8% national figure. When roughly half the staff leaves in a year, care routines fray. The most recent inspection was June 2026, so the record is current.
Shady Acres runs 26 deficiencies on its current record, and seven of those are serious enough to involve actual harm or jeopardy. Six are abuse-related. That combination, plus four fines totaling $144,358, is what put this 84-bed for-profit home into CMS's Special Focus Facility program, a status reserved for the homes the government watches most closely. Staffing hours look adequate on paper at 3.87 per resident day, roughly matching the national average, but weekends run about 14% thinner than weekdays, so coverage depends on when you visit. Annual turnover sits at 40%, a bit better than the 45.8% national figure, though the inspection and staffing star ratings both come in at 1 out of 5.
Paradigm At Katy has 125 certified beds and a for-profit LLC owner. Its nurse staffing comes in at 4.41 hours per resident day, roughly 14% above the national average, but the workforce behind those hours is unstable: annual turnover runs 91.1% against a national 45.8%, and weekends already sit about 6% below weekday coverage. The inspection record is the harder problem, 51 deficiencies on file, 7 of them serious enough to involve harm or jeopardy and 2 tied to abuse, with $241,445 in fines across 5 penalties and a health inspection star rating of 1 out of 5. Quality measures score 4 out of 5, but that sits alongside a 1 out of 5 staffing rating despite the above-average hours.
The Plaza At Richardson runs on 3.02 nurse hours per resident per day, about a fifth below the national average, which is thin enough that the 1-out-of-5 staffing rating is no surprise. Turnover tells the bigger story: 95.3% of nursing staff left over the past year, roughly double the national rate, so the people caring for your relative are likely new to the building and still learning it. The 39 deficiencies on record include two tied to abuse, though none rose to the level of actual harm, and the most recent inspection was in June 2025. Weekend coverage also dips below its own weekday level.
Wells LTC Nursing & Rehabilitation has a staffing story that looks better than most, 4.82 nurse hours per resident day, roughly a quarter above the national average, but the rest of the record undercuts it. The home carries 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Staff turnover sits at 52%, higher than the 45.8% national figure, and weekend coverage runs about 7% thinner than weekdays. Three fines totaling $34,428 are on record, with the last inspection in December 2025.
Misty Willow runs 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The inspection record is the harder problem: 30 deficiencies, 8 of them at harm or jeopardy level, 3 tied to abuse, and $79,412 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care, and its health inspection rating sits at 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Deerbrook runs on about 3.35 nursing hours per resident per day, roughly 13 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That thin coverage shows up in the inspection record: 35 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $196,911 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover sits at 60.7 percent against a 45.8 percent national average, so the people providing care keep changing. The 4/5 quality measure score reflects reported clinical data; the 1/5 inspection and staffing ratings reflect what surveyors actually found.
If you're considering Epic Nursing & Rehabilitation in Corsicana, the numbers are hard to get around. Nurse staffing sits at 2.89 hours per resident per day, roughly a quarter below the national average, and it thins out further on weekends, not what you want at a 119-bed home. The record shows 45 deficiencies, five of them serious enough to involve harm or jeopardy, eight tied to abuse. Staff turnover runs 54.5%, well above the national figure, which means the people caring for residents are often new. CMS has placed this home in its Special Focus Facility program, reserved for the poorest performers. Two fines totaling $31,233 are on file, with the most recent inspection in February 2025.
Brenham Healthcare Center is a 62-bed for-profit home in Washington County, and the numbers behind its record tell a story worth slowing down for. Nurse staffing sits at 3.56 hours per resident per day, about 8% under the national average, and weekends run roughly 14% thinner than weekdays. The bigger flag is turnover: 95.2% annually, more than double the national rate of 45.8%, which means the people caring for residents are constantly changing. On inspections, CMS has cited 51 deficiencies, 11 at harm or jeopardy level and 7 abuse-related, with five fines totaling $113,796, and the home currently sits in the federal Special Focus Facility program, a designation reserved for the most persistently troubled homes. The last inspection was December 2025.
Legend Oaks Healthcare and Rehabilitation - Fort W runs 132 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average. Weekends drop about 13% below its own weekday coverage, and annual turnover hits 67.8% against a national 45.8%, so the people providing care keep changing. The current inspection record shows 23 deficiencies, five at harm or jeopardy level, one abuse-related, with five fines totaling $65,583. Quality measures score well, but staffing and inspection results tell the harder story: thin coverage, high churn, and recent serious findings at a home where families should ask direct questions about who is on the floor at night and on weekends.
Ignite Medical Resort El Paso runs 60 certified beds under corporate for-profit ownership, and the numbers worth knowing sit in two places. Nurse staffing averages 3.24 hours per resident day against a national average of 3.86, and weekends run about 12% thinner than the home's own weekdays, so the thinnest coverage lands when families tend to visit. The inspection record carries 45 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $67,425 fine. CMS has placed this home in its Special Focus Facility program, a designation reserved for the poorest performers, and the most recent inspection dates to June 2024. Ask about weekend coverage and the correction plan before deciding.
Thrive Rehabilitation of Pearland runs a for-profit shop under limited liability ownership, and its nurse staffing is genuinely high: 5.67 hours per resident day, roughly 47% above the national average of 3.86. That's the one clear strength. The rest of the record reads differently. Staff turnover sits at 68.3% against a national average of 45.8%, so the people providing that care are largely cycling through. Inspections turned up 35 deficiencies, including 5 at the harm or jeopardy level and one tied to abuse, with six fines totaling $61,623. Both the health inspection and quality measure ratings land at 1 out of 5. A recent inspection date doesn't erase a pattern like that.
Trinity Rehabilitation & Healthcare Center in Trinity, Texas, is a 76-bed home run by a hospital district, and the federal numbers on it are grim. The current record shows 66 deficiencies, nine of them at the level where residents were actually harmed or put in immediate jeopardy, and six tied to abuse. On staffing, CMS rates it at the bottom of its scale, while quality measures land below average too. Four fines totaling $275,584 are on file, and the home sits in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Its last inspection was April 15, 2026. That's a lot of documented harm for a building this size.
Terra Bella runs about 3.36 nurse staffing hours per resident day, roughly 13 percent under the national average, and it leans thinner on weekends than weekdays. Staff turnover sits at 61.6 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. On inspections, CMS has cited 44 deficiencies, including 12 at the harm or jeopardy level and 3 tied to abuse, with six fines totaling $181,644 and a spot in the Special Focus Facility program, which CMS reserves for homes with a persistent record of serious problems. The most recent inspection was March 26, 2026.
Mission Ridge runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 9% below its own weekday numbers. That's thin coverage even before you factor in turnover near 97%, more than double the national rate, meaning most of the people caring for your family member probably weren't there a year ago. The inspection record backs this up: 25 deficiencies, three of them serious enough to put residents in harm's way, one abuse-related, and $37,698 in fines. A for-profit LLC in Refugio County, 90 beds, last inspected February 2026. The quality measures look average on paper, but staffing is where this home falls apart.
Lakeside Health and Wellness runs 124 certified beds in Kemp under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. Total nurse staffing sits at 2.66 hours per resident day, roughly a third below the national average, and weekends run thinner still. Annual turnover of 75.4% means most of the people caring for residents weren't there a year ago, compare that to the national rate of about 46%.
Then there's the inspection record: 59 deficiencies, including 8 at the harm or jeopardy level and 10 tied to abuse, with five fines totaling $195,593. The most recent inspection was in January 2026.
The quality measure score is high, but strong numbers on paper don't fix a thin, constantly changing staff.