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.
Rancho Rehab And Healthcare Center runs on about 3.30 nurse staffing hours per resident day, roughly 15 percent under the national average, and weekends drop another 15 percent below its own weekday levels. Staff turnover sits at 78.3 percent, well above the 45.8 percent national figure, so the people providing care keep changing. The current inspection record carries 52 deficiencies, three of them at the harm or jeopardy level and three abuse-related, with $28,060 in fines and a March 2025 inspection behind it. For-profit operation under an LLC, 120 certified beds. Families should ask directly who's on duty on weekends and how long the current director of nursing has been in place.
Aspire Senior Living New Florence runs on 2.84 nurse hours per resident day, about a quarter below the national average, and it thins out further on weekends, roughly 12% less coverage than its own weekdays. That staffing level earned a 1 out of 5 from CMS, and it shows in the numbers: 87.7% annual turnover, nearly double the national rate, meaning the people caring for your relative are largely new and likely to leave. The current record carries 35 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $28,486 fine. Inspections were recent, in November 2025, with 2 out of 5 on both health inspections and quality measures.
Estates of Spanish Lake runs on 2.30 nurse hours per resident day, roughly 40% under the national average, and weekend coverage dips about 13% below its own weekday level. The for-profit LLC carries 66 deficiencies on its current record, including 3 at harm or jeopardy level and 11 tied to abuse; two fines total $57,868, and the most recent inspection was April 2025. Staff turnover sits at 68.8% against a national 45.8%, meaning most of the people caring for residents are new to the building. The quality measure star comes in at 4 out of 5, but that number reflects charted outcomes, not the hands available to deliver care.
Columbia Manor runs on 2.56 nurse hours per resident per day, roughly a third below the national average, and weekend coverage dips about 6% below its own weekday level. That thin staffing shows up in the numbers: 82% annual turnover, more than double the national rate, and a one-star CMS staffing rating. Inspections turned up 29 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the most recent visit was August 2025, so the record is current. The quality measure rating sits at 2 out of 5. For-profit, limited liability ownership. Ask about direct-care staffing on evenings and weekends before you decide.
Emerald Nursing & Rehabilitation Mercy runs 174 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, roughly 15% below, and weekends drop about 13% below the home's own weekday levels, while annual turnover hits 64.8% against a 45.8% national figure. The inspection history is the heavier weight: 71 deficiencies on the current record, six at harm or jeopardy level, one abuse-related, and $61,867 in fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Indian Hills Manor runs on 2.56 nursing hours per resident per day, roughly a third below the national average of 3.86, and staffing thins out further on weekends, dropping about 9% below its own weekday level. That shortfall shows up in turnover: 55.6% of staff left over the past year, well above the 45.8% national figure, so residents see a revolving door of caregivers. The current record carries 30 deficiencies, including one at the harm or jeopardy level and one abuse-related, and the last inspection in March 2025 produced a one-star health inspection rating to go with one-star marks for staffing and quality measures. It's a for-profit limited liability company, which tells you where the margin gets protected.
Emerald Nursing & Rehab Columbus runs 145 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.57 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays. Turnover is the bigger flag: 60.9% of staff leaving annually against a national 45.8% means caregivers are constantly new, which matters most for residents who need consistent hands. The current record shows 22 deficiencies, two tied to abuse, though none reached harm or jeopardy level. A recent August 2025 inspection is a plus, but quality and staffing measures both land at the bottom.
Adept Nursing & Rehab Of Sutherland is a 60-bed for-profit home in Lincoln County, and the numbers behind its record are worth understanding before you visit. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and weekends run about 14% thinner than weekdays, which matters because that's when many families actually show up. Staff turnover is the harder number: 69.5% of the nursing team leaves within a year, against a national average of 45.8%.
The inspection record is where things get serious. Thirty-nine deficiencies are on file, three at the harm or jeopardy level, two tied to abuse, with $51,637 in fines. CMS has placed the home in its Special Focus Facility program, and a March 2026 inspection is the most recent look regulators have taken.
Holmes Lake runs on 3.24 nurse staffing hours per resident day, and that's roughly 16 percent under the national average of 3.86. Weekends dip even lower, about 11 percent under the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 84 percent against a national 45.8, meaning most of the people caring for your relative are new or on their way out. The inspection record shows 24 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in April 2026. Corporate for-profit ownership rounds out the picture.
Adept Nursing & Rehab Of Grand Island runs on 2.86 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips even further below its own weekday level. That thin margin matters more when you consider that 76.1% of staff turned over in a year, well above the 45.8% national rate, so the people providing that care are often new to the building. The current inspection record shows 32 deficiencies, including one at the harm level and three tied to abuse, with a $16,801 fine and a May 2025 inspection. The federal ratings land at one star for health inspections and one for staffing.
Nurse staffing at this Williamsville home runs 3.02 hours per resident day, roughly 22% under the national average, and weekends drop about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 72.7% sits well above the 45.8% national figure, meaning the aides and nurses caring for residents are, more often than not, new to the building. The current record carries 45 deficiencies, including one at the harm-or-jeopardy level and three tied to abuse, plus a $37,138 fine and a December 2024 inspection. For-profit LLC ownership, 142 beds.
Cuba Memorial's 61-bed nonprofit unit runs on 2.71 nursing hours per resident day, roughly 30 percent below the national average of 3.86, and staffing thins further on weekends, dropping about 15 percent from its own weekday level. That shortfall shows up in the numbers: a 57.4 percent annual turnover rate against a 45.8 percent national average, and CMS scoring staffing and quality measures at 1 out of 5 stars each, even though the health inspection rating sits at 4. The current record carries 15 deficiencies, none at harm or jeopardy level but five tied to abuse. A recent May 2024 inspection is the one clear positive here.
Houghton Rehabilitation & Nursing Center runs about 2.69 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekend coverage dips another 13% below what it manages on weekdays. Staff turnover sits at 57.7%, well above the 45.8% national figure, which means the people caring for residents are changing often. Its current record shows 21 deficiencies, including one at the harm or jeopardy level and three tied to abuse, along with a $65,052 fine. The last inspection was in May 2025, so the picture is recent. This is a for-profit limited liability company, 100 beds, with two-out-of-five stars on health inspections, quality measures, and staffing alike.
University Place in Charlotte runs 207 beds under corporate ownership, and the numbers suggest a building under real strain. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and it thins out further on weekends, running roughly 9% below its own weekday level. Staff turnover is 59.1% against a national 45.8%, meaning well over half the nursing staff leaves each year.
The inspection record is heavier than that: 35 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and $276,401 in fines across two penalties. The most recent inspection was July 2025, so the picture is current. Families should ask directly about weekend coverage and how the home keeps experienced nurses on the floor.
Orchard Valley runs lean on nurses: 3.11 hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level. The bigger concern is continuity, 73.5% annual turnover means most of the people caring for your relative likely won't be there in a year. Its record shows 46 deficiencies, including one at the harm level and three tied to abuse, along with a $16,452 fine, and the most recent inspection was February 2026. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the low end.
Brunswick Rehabilitation And Healthcare Center runs 90 certified beds in Bolivia under for-profit LLC ownership, and the numbers raise real questions. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekend coverage drops about 7% below its own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 80.2%, well above the 45.8% norm, which means the people caring for residents are constantly changing. Its inspection record shows 38 deficiencies, including 2 at the harm level and 3 tied to abuse, plus a $94,140 fine. The most recent inspection was May 2026. Ask hard questions here before deciding.
Community Skilled Healthcare in Warren runs 99 certified beds as a nonprofit corporation, and the numbers are hard to get past. Nurse staffing sits at 3.68 hours per resident per day, about 5% under the national average, and weekends drop roughly 14% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 59.8% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 69 deficiencies, including 3 at harm or jeopardy level and 13 abuse-related, plus $186,582 in fines, and CMS has placed the home in its Special Focus Facility program.
Liberty Nursing Center of Colerain runs on 3.02 nurse hours per resident day, roughly 22 percent under the national figure of 3.86, and weekends drop about 12 percent from its own weekday level. Turnover sits at 70.4 percent against a national average of 45.8, so the aides and nurses cycling through are largely new to the building. The inspection record shows 45 deficiencies, three involving harm or jeopardy and two tied to abuse, with the most recent inspection in February 2025. It's a 93-bed for-profit run by a corporation, and the low marks on all three CMS ratings reflect conditions that staffing and turnover numbers alone would predict.
Bridgeville Rehabilitation & Care Center runs 194 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.39 nurse hours per resident day, about 12% under the national average, with weekends running roughly 7% thinner than weekdays. Turnover sits at 60.5% against a national 45.8%, so residents cycle through a lot of unfamiliar faces. The inspection record is heavier still, 73 deficiencies, four serious enough to reach harm or jeopardy, twelve tied to abuse, and $209,858 in fines across three penalties. A 1-out-of-5 health inspection rating and a recent August 2025 inspection round out the picture.
Grandview Nursing And Rehabilitation in Danville carries one of the heavier regulatory loads in Pennsylvania. The 172-bed for-profit home has 117 deficiencies on its current record, including 8 at the harm or jeopardy level and 5 tied to abuse, and CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of persistent problems. Staffing sits at 3.82 nurse hours per resident day, slightly under the national figure, and drops about 15% on weekends. Turnover runs 50.9% against a 45.8% national average, meaning roughly half the nursing staff leaves each year. Four fines totaling $157,241 round out the record.