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.
Medallion Post Acute Rehabilitation runs on 3.25 nurse hours per resident per day, roughly 16% under the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows in the numbers: a 55.6% annual turnover rate, well above the 45.8% national figure, and 25 deficiencies on the current record, seven serious enough to involve harm or jeopardy, one abuse-related. Four fines total $86,723. The last inspection was August 2024, so the record is fairly recent. This is a for-profit LLC with 60 beds, and the pattern across staffing, turnover, and inspection history is consistent rather than isolated.
Nurse staffing at The Woods at Sparta runs 3.00 hours per resident day, about 22 percent under the national average, and weekends drop roughly another 22 percent below the home's own weekday coverage. That thin margin shows up in the numbers: 21 deficiencies on the current record, including two at the harm or jeopardy level and one tied to abuse, plus two fines totaling $13,325. Staff turnover sits at 51.5 percent against a national 45.8 percent, so the people providing care keep changing. The last inspection was December 11, 2025, and the federal ratings land at 2 stars for health inspections and 1 star each for quality measures and staffing. It's a for-profit corporation operating 71 certified beds. If you're considering this one, ask directly how they cover weekends and what's changed since that December inspection.
Nexus At Berwyn runs 145 certified beds under corporate ownership, and the numbers that matter most here are the ones families can't easily see. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Staff turnover is 57 percent, well above the 45.8 percent national figure, so the people providing care keep changing.
The inspection record is where things get serious: 52 deficiencies, including 9 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $428,544. That's a lot of documented trouble for one building.
Alpine Care Of Zion runs 244 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly 26 percent under the national average of 3.86. Weekends drop about 17 percent below its own weekday levels, and annual turnover of 48.2 percent runs slightly above the national figure of 45.8 percent, so the aide or nurse your relative sees most often may not be there next year. The current record lists 44 deficiencies, three at harm or jeopardy level and two abuse-related, along with three fines totaling $72,394. The most recent inspection was August 2025, so the picture is current, not stale.
Axiom Healthcare of Rosiclare runs 62 certified beds under corporate ownership, and the staffing picture is the first thing worth knowing: 3.65 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 19% below what the home staffs on weekdays. Turnover at 42.1% is slightly better than the national figure, which helps, but it doesn't offset a record with 33 deficiencies, three at harm or jeopardy level, two tied to abuse, and $132,266 in fines across two penalties. The most recent inspection closed in December 2025, so the findings are current rather than stale. Quality measures score low, and staffing scores lowest of all.
Carter Nursing and Rehabilitation runs 120 beds in Grayson under corporate ownership, and the numbers behind its federal record are worth knowing before you visit. Nurse staffing sits at 3.21 hours per resident day against a national average of 3.86, weekend coverage drops about 21% below its own weekday level, and annual turnover hits 68.5%, well above the 45.8% national figure. Inspections tell a similar story: 18 deficiencies on the current record, four of them at harm or jeopardy level and five abuse-related, with three fines totaling $105,165. That record, combined with a one-star inspection and staffing rating, is what drives the low overall grade. Ask direct questions about who's on the floor on weekends and how the abuse findings were resolved.
Christian Heights runs on 3.24 nurse hours per resident per day, roughly 16 percent under the national average, and weekends drop about a fifth below its own weekday staffing. That thin coverage is compounded by 62.5 percent annual turnover, well above the 45.8 percent national figure, so the aides and nurses around your family member are frequently new. Federal inspectors cited five deficiencies on the current record, including one at the harm level and one related to abuse. CMS gives this for-profit LLC-owned home one star for staffing and one for quality measures, with three for health inspections after a March 2026 visit. Ask directly how weekends are covered and what changed since that abuse citation.
Jefferson Healthcare Center runs 222 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing that stands out: 3.13 nurse hours per resident day against a national average of 3.86, with weekends running roughly 17% thinner than weekdays. That shortfall shows up in the turnover rate too, 62.4% of staff leaving annually, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. The inspection record carries 41 deficiencies, 5 of them abuse-related, though none reached the harm or jeopardy level. A 2/5 inspection rating, 1/5 on quality measures, and last inspection in April 2026 round out a picture worth discussing directly with the administrator.
Nurse staffing at Legacy runs 2.95 hours per resident day against a national average of 3.86, and weekends drop about 18% below what the home staffs on weekdays. That thin coverage matters more when you look at the inspection record: 49 deficiencies, five of them at harm or jeopardy level and seven tied to abuse, with $245,413 in fines across three penalties. Turnover sits at 36.5%, better than the 45.8% national figure, though steady retention can't offset a floor that's short-staffed to begin with. The last inspection was January 29, 2026, so the record is current. It's a 151-bed for-profit LLC.
Grand Cove runs on thinner staffing than most homes nationally, 3.57 nurse hours per resident day against a 3.86 average, and weekends drop about 22% below what the home itself manages Monday through Friday. Turnover sits at 58.6%, well above the 45.8% national figure, so the people showing up are often new. The inspection record shows 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $29,042 in fines. Its quality measure star is 1 out of 5 and staffing 2 out of 5, though the last inspection was recent, in June 2025. Corporate-owned, 109 beds.
Legacy Nursing and Rehabilitation of Morgan City runs 88 certified beds as a for-profit corporation, and the staffing numbers are the first thing to look at: 3.34 nurse hours per resident day, roughly 13% under the national average, with weekend coverage dropping about 20% below its own weekday levels. Turnover sits at 50.7%, above the 45.8% national figure, which matters when aides and nurses are the people actually in the building. The inspection record is heavier than you'd want, 33 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $109,359 in fines. The most recent inspection was August 2025, so the picture is fairly current, not stale.
Golden Age runs 175 beds in Denham Springs under limited liability ownership, and the numbers show where the strain sits. Nurse staffing of 3.31 hours per resident day trails the national average by roughly 14%, weekend coverage drops about 17% below its own weekday level, and annual turnover of 52.4% means more than half the nursing staff leaves each year. The current record holds 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus $8,044 in fines. Federal quality and staffing measures both sit at one star, though the health inspection rating is a three and the most recent survey came in March 2026.
The Guest House Care Center runs on 2.89 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 17 percent below what it manages during the week. Staff turnover sits at 55.4 percent, nearly ten points above the national figure, so residents see a rotating cast of caregivers. Inspectors wrote up 26 deficiencies on the current record, two serious enough to put residents in harm's way and one involving abuse, with $33,001 in fines across three penalties. Ownership is corporate and for-profit, and the last inspection was April 30, 2025. The federal staffing rating of 1 out of 5 reflects what those hours look like at the bedside.
Oak Woods Home for the Elderly runs on 0.80 nurse staffing hours per resident day, about a fifth of the national average of 3.86, and weekends drop roughly 30% below its own weekday level, so coverage thins out exactly when families tend to visit. The current record shows 19 deficiencies, one of them abuse-related, though none rose to the harm or jeopardy level, and the last inspection was recent enough that the picture is current. Two fines totaling $18,349 have been assessed. For a 119-bed nonprofit, the direct-care hours are the concern worth pressing on when you call.
Vantage Health & Rehab of New Bedford runs on 2.45 nurse hours per resident per day, roughly a third below the national average, and weekends are thinner still, about 23% less coverage than weekdays. Staff turnover sits near 70%, well above the 45.8% national figure, which means the people caring for residents are often new and still learning the building. The record shows 31 deficiencies, including one at the harm level and three tied to abuse, plus a $9,318 fine. Ownership is for-profit through a limited liability company, and the most recent inspection was in February 2026. Low staffing, high turnover, and a serious deficiency record usually travel together.
Marshall Nursing and Rehabilitation Community runs on 3.34 nursing hours per resident day, about 13 percent under the national average, and weekend coverage dips roughly 15 percent below its own weekday level, so the thinnest staffing lands when families tend to visit. Annual turnover sits at 53.6 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. Inspectors have cited 77 deficiencies on the current record, including three at harm or jeopardy level and five tied to abuse, with two fines totaling $105,860. The most recent inspection was September 2025. The Calhoun County home is for-profit, LLC-owned, and holds 60 certified beds.
Medilodge of Munising runs 3.37 nursing hours per resident day, roughly 13 percent under the national figure, and weekends dip about 15 percent below its own weekday coverage. Staff turnover sits at 57.6 percent against a national 45.8 percent. The inspection record is the heavier problem: 64 deficiencies, including five at the harm or jeopardy level and six tied to abuse, with one fine of $84,659 and a one-star health inspection rating. The most recent inspection was January 7, 2026. For-profit LLC ownership. A CMS staffing rating of three stars doesn't offset that inspection history when you're weighing where a family member will actually live.
Pleasant Hills runs 100 certified beds in Jackson under corporate for-profit ownership, and the numbers show a building under real strain. Nurse staffing sits just under the national average, but weekends drop about 18% below its own weekday level, meaning the coverage families count on Saturday and Sunday is thinner than what the home staffs during the week. Turnover is the bigger signal: 55.3% annually against a 45.8% national average, so nearly six in ten caregivers are leaving each year. That churn shows up in the inspection record, too, 24 deficiencies, four serious enough to put residents in harm's way, two tied to abuse, and four fines totaling $147,937.
St Sophia runs 240 beds in Florissant under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 2.86 nurse hours per resident per day against a national average of 3.86, with weekends about 16% thinner than weekdays. Turnover sits at 68.4%, roughly two-thirds of the nursing staff leaving in a year, well above the 45.8% norm, so the people caring for your relative are frequently new. The inspection record shows 87 deficiencies, including four at the harm level and three tied to abuse, with $69,203 in fines and a January 2025 inspection. Resident quality measures score well, but that's the one bright spot in an otherwise strained picture.
Country Villa runs 148 certified beds in Creve Coeur, and the staffing numbers are where the trouble shows. At 2.99 nurse hours per resident day, it sits roughly 23% under the national average of 3.86, and weekends drop about 18% below its own weekday coverage. Annual turnover hits 66% against a national 45.8%, so the people filling those shifts change often. The 21 deficiencies on record include one at the harm level, though none involve abuse. A recent June 2025 inspection and a four-star health inspection rating suggest the care environment itself has been watched closely. Ownership is for-profit corporate. If you're weighing this one, ask specifically how weekends and evenings are staffed.