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.
The Estates of St. Louis runs on 2.49 nurse hours per resident per day, about 35% under the national average, and weekend coverage drops roughly a fifth below its own weekday level. Staff turnover sits at 65.6%, well above the 45.8% national rate, which means the people caring for residents are constantly changing. Its inspection record shows 60 deficiencies, including two at the harm or jeopardy level and eight tied to abuse, plus a $66,640 fine. The quality measure score looks good on paper, but that's largely self-reported data, and it doesn't offset a one-star inspection history or thin staffing on weekends.
The Grand Rehabilitation and Nursing at Mohawk runs on 3.07 nurse hours per resident per day, about a fifth below the national average, and weekends drop roughly 15% below its own weekday staffing. That thin coverage shows up in the numbers: a 50.9% annual turnover rate, above the national 45.8%, and 34 deficiencies on the current record, three of them serious enough to cite harm or jeopardy. Federal inspectors were last in the building on June 30, 2025, and the home carries one fine totaling $17,604. All three CMS ratings, health inspections, quality measures, and staffing, sit at one out of five, which is about as low as the scale goes.
Blossom Health Care Center runs on 3.42 nursing hours per resident day, about 11% under the national average, and weekends drop roughly 21% below what the home staffs on weekdays. That thin coverage shows up in the numbers: 67.9% annual turnover, well above the 45.8% national rate, so the aides and nurses at the bedside keep changing. Inspectors cited 36 deficiencies on the current record, four tied to abuse, though none rose to actual harm or jeopardy. The last visit was October 2024. With 80 beds and corporate for-profit ownership, this is a home where you should ask directly how they cover weekends and how long their current staff have actually been there.
Hudson Park runs on 2.85 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 15% below what the building already staffs on weekdays. That thin coverage sits behind a 59.3% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. Inspectors cited 40 deficiencies, including five tied to abuse, and the last visit was June 2024; CMS gives the home one star each for health inspections and quality measures. For-profit, limited liability ownership rounds out the picture.
Oxford Health and Rehabilitation Center runs 160 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.05 nurse hours per resident day, it sits roughly 21% under the national average of 3.86, and weekends drop about 19% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 60.4% against a national 45.8% means the people caring for your relative are, more often than not, new to the building. Seventeen deficiencies sit on the current record, one tied to abuse, with the most recent inspection in November 2025. All three CMS star ratings, health inspection, quality measures, staffing, come in at the low end.
The Arc At Cincinnati runs 3.56 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday coverage, so the thinnest shifts are when families tend to visit. Annual turnover hits 58.3% compared to 45.8% nationally, meaning many of the people caring for residents are still learning the building. The current inspection record carries 85 deficiencies, including 7 at harm or jeopardy level and 8 tied to abuse, with $233,690 in federal fines. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was December 2025.
Divine Rehabilitation And Nursing At Toledo runs 93 certified beds as a for-profit corporation, and the staffing numbers don't keep pace with what residents need. Nurse staffing sits at 3.77 hours per resident day, just under the national average, but weekends drop about 10% below the home's own weekday level, so the thinnest coverage lands when families often visit. The bigger problem is turnover: 70.5% annually against a national 45.8% means most of the people caring for your relative are new or on their way out.
The inspection record is worse. CMS counts 107 deficiencies, including 9 at harm or jeopardy level and 10 abuse-related, plus $72,324 in fines. The home is in CMS's Special Focus Facility program, which is reserved for the country's most persistently troubled homes. Its last inspection was March 5, 2026.
Texoma Healthcare Center runs 179 certified beds in Sherman under corporate for-profit ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.24 hours per resident per 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. Annual turnover is 93.7 percent, more than double the national rate of 45.8 percent, which means the aides and nurses caring for residents are, on average, not there for long. The inspection record shows 36 deficiencies, including two at harm or jeopardy level and one tied to abuse, with $16,441 in fines. The last inspection was March 19, 2026; the health and quality ratings each land at 3 out of 5, staffing at 1.
Colville Health and Rehabilitation of Cascadia carries a federal Special Focus Facility designation, which CMS reserves for homes with a persistent record of poor care. The current inspection history backs that up: 54 deficiencies, six of them at the level where a resident was actually harmed or put in immediate jeopardy, and five tied to abuse. Staffing runs about 11% below the national average, and weekends drop roughly 22% below the home's own weekday coverage. With turnover at 67% against a national 45.8%, the people at the bedside keep changing. Two fines totaling $68,351 are on record, and the most recent inspection was in May 2025. For-profit corporate ownership. If you're considering this one, ask hard questions.
Longmeadow Healthcare Center runs on 2.70 nurse hours per resident day, roughly 30% under the national average of 3.86, and weekends drop about 17% below its own weekday staffing. That thin coverage shows up in the numbers: 85.9% annual turnover, nearly double the national rate, plus 35 deficiencies on record, eight serious enough to cause harm or jeopardy and five tied to abuse, with $50,595 in fines across three penalties. The 120-bed for-profit home, owned by a limited liability company, was last inspected May 6, 2025, and its health inspection score sits at the bottom of CMS's scale. Ask about weekend nurse coverage and how they've corrected the abuse-related findings before you decide.
Lytle Nursing Home runs about 2.84 nurse staffing hours per resident day, roughly a quarter below the national average, and the weekend gap makes that thin coverage thinner. The inspection record shows 43 deficiencies, including two at harm or jeopardy level and one abuse-related citation, plus a $55,904 federal fine, and weekend staffing drops about 8% below its own weekday level. A 1-out-of-5 staffing rating alongside 2-out-of-5 marks for inspections and quality measures tells you the shortfalls show up across the board, not in one bad survey. With the most recent inspection in July 2025, the record is current, and it's a for-profit limited liability company.
The Oaks At Radford Hills runs a 116-bed for-profit operation in Abilene, and the numbers that matter most here are staffing and turnover. Nurses provide 2.82 hours of care per resident per day against a national average of 3.86, and weekend coverage drops roughly another 17% below the home's own weekday level. Staff turnover sits at 79.7%, more than seven in ten workers leaving annually, compared with 45.8% nationally. On the inspection side, the record shows 53 deficiencies, four at harm or jeopardy level and four tied to abuse, with $163,651 in fines across two penalties. The most recent inspection was March 2026. Low staffing and high turnover tend to matter more day to day than a favorable quality-measure score.
Castle Pines runs 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in the federal ratings: one star for staffing, two for quality measures, three on health inspections. The current record carries 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, along with three fines totaling $53,155. The last inspection was May 2025, so the picture is recent. Corporate-owned and certified for 120 beds, this is a home where the numbers point to a persistent staffing gap rather than a one-time slip.
Piggott Healthcare & Senior Living runs 105 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.10 hours per resident day, roughly 20 percent under the national average of 3.86, and weekends run about 11 percent leaner than weekdays, so the hours when families tend to visit are also the thinnest. Staff turnover is 63.3 percent against a national average of 45.8 percent, meaning most of the people caring for residents in any given year weren't there the year before. The current inspection record shows 28 deficiencies, including one at the harm level and three tied to abuse, with a $12,649 fine and a September 2025 inspection. All three CMS star ratings, health inspections, quality measures, and staffing, sit at one out of five.
Parkview Julian runs 3.90 nurse hours per resident day, which barely edges out the national average of 3.86, and weekend staffing drops about 5% below its own weekday level. The bigger concern is turnover: 65.3% of staff leave each year, well above the 45.8% national figure, and CMS rates staffing at just one star. Inspections tell a harder story, 81 deficiencies on record, including 2 at harm or jeopardy level and 4 tied to abuse, with a $59,560 fine. The last inspection was December 2025. This is a for-profit LLC, and families should ask directly how it plans to keep consistent, trained aides on the floor.
Carrollton Crossing runs on 3.22 nurse hours per resident day, about 17% under the national average, and weekend coverage drops another 12% below its own weekday level. Staff turnover sits at 100%, roughly double the national figure, meaning the aides and nurses caring for residents are largely new or on their way out. The inspection record shows 28 deficiencies, including one at the harm level and three tied to abuse, with a 2/5 health inspection rating and a 1/5 on quality measures. Fines so far total $3,728, which is modest, but the last inspection was April 2026. Ask about weekend coverage and how long current staff have actually been on the floor.
The numbers at Woodstock Center are hard to dress up. Nurse staffing sits at 3.04 hours per resident per day against a national average of 3.86, and weekends run thinner still, about 8% below the home's own weekday level. Staff turnover is 63.9%, well above the 45.8% national figure, which means the people caring for residents are, more often than not, fairly new to the building.
Its current inspection record carries 20 deficiencies, five of them serious enough to involve harm or jeopardy, and five tied to abuse. CMS gave it 2 out of 5 stars on health inspections and 1 out of 5 on both quality measures and staffing. The most recent inspection was August 2025, so that record is current, not stale.
Nurse staffing at Lake City Center runs 2.84 hours per resident day, roughly 27 percent under the national average, and weekends drop about 9 percent below its own weekday level. Turning over more than half its nursing staff in a year, 56.6 percent against a national 45.8, makes consistency harder to maintain. The building carries 21 deficiencies on its current record, none reaching harm or jeopardy and none abuse-related, and its last inspection was April 19, 2026. A 242-bed for-profit LLC, it earned 1 of 5 stars from CMS on both staffing and quality measures, 2 of 5 on health inspections. That combination of thin coverage and high turnover is what families should weigh.
Avenora Elmhurst runs on 1.44 nursing hours per resident day, roughly a third of the national figure and the kind of number that shows up on weekends too, when coverage drops another 5 percent below its own weekday level. The inspection record backs that up: 36 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $216,044 in fines across four separate penalties. Staff turnover sits at 46.9 percent, right about where the national average is, so this isn't a retention crisis, it's a staffing-level one, in a for-profit building that state inspectors last visited in October 2024 and rated one star.
Aperion Care Oak Lawn runs on thin staffing, about 3.08 nurse hours per resident each day, roughly a fifth below the national average, and weekends drop even further below its own weekday levels. That's a problem when you consider the inspection record: 62 deficiencies, seven of them serious enough to put residents at risk of harm, and 13 tied to abuse. More than half the nursing staff turns over in a year, well above the national rate of 45.8%, which makes consistent care hard to sustain. Federal fines total just over $52,000 across four penalties, and the most recent inspection was in January 2026. For-profit ownership under a limited liability company rounds out a picture where the numbers consistently point the same direction.