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.
Avir At San Angelo runs on 2.99 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 9% below what it manages on weekdays. The inspection record shows 36 deficiencies, seven of them at the level where residents were actually harmed or put in jeopardy, and five tied to abuse. Four fines total $217,215, and the last inspection was March 6, 2025. This is an individually owned for-profit home, and the federal star ratings sit at 1 for health inspections, 1 for staffing, and 2 for quality measures. When staffing is thin, harm-level findings stack up, and fines reach six figures, the pattern is worth taking seriously before you visit.
Berrien Oaks runs about 2.93 nursing hours per resident per day, roughly a quarter below the national average, and weekends are thinner still. Staff turnover sits near 73%, well above the 45.8% national figure, so the people caring for residents change often. The 14 deficiencies on record include none flagged as causing harm and none tied to abuse, and the most recent inspection was in April 2025, so the record is current. Still, all three CMS star ratings land at the low end: two for health inspections, one for quality measures, one for staffing. It's a for-profit LLC with 108 certified beds.
Etowah Landing runs 100 beds in Rome under individual for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. The bigger issue is consistency: weekends drop about 11% below the home's own weekday levels, and annual turnover hits 64.3% against a national average of 45.8%, so the people covering those shifts are often new. Inspectors logged 16 deficiencies on the current record, four of them at the harm or jeopardy level, with one fine totaling $88,205. The most recent inspection was April 2026. Nothing on the record involves abuse, but four harm-level findings plus thin weekend coverage is the pattern worth asking about directly when you tour.
Jasper Point of Journey runs 60 beds in Pickens County under for-profit LLC ownership, and the numbers on the clinical side are thin. Nurses provide 3.21 hours per resident day against a national average of 3.86, and weekends drop about another 10% below what the home already staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 71.7% versus 45.8% nationally, which means most of the aides you meet will likely be gone within a year. Inspectors have logged 29 deficiencies, two of them serious enough to put residents at risk of harm, and cited the home most recently in November 2025. No abuse deficiencies appear on the record.
Blossom Healthcare & Rehabilitation Center runs 143 certified beds in Macon under for-profit LLC ownership, and the numbers describe a home stretched thin. Nurse staffing sits at 3.01 hours per resident day, about 22% under the national average of 3.86, and weekends drop roughly another 11% below the home's own weekday levels. Staff turnover is 70%, well above the 45.8% national figure, meaning the people providing daily care are cycling through fast. On its current record are 23 deficiencies, two tied to abuse; none reached the harm or jeopardy level. Federal ratings put inspection, quality measures, and staffing each at the bottom of the scale, and the last inspection came in January 2026.
Rivaya Care of Des Plaines runs 231 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.34 hours per resident per day, roughly 13 percent under the national average, and weekends drop about 15 percent below what the home itself staffs on weekdays. Turnover is 61.5 percent against a national figure near 46 percent, so more than half the nursing staff leaves within a year.
The inspection history is heavier still: 48 deficiencies on the current record, 12 of them at harm or jeopardy level and 9 tied to abuse, with six fines totaling $297,306. The most recent inspection was December 18, 2025.
If you're considering this home, ask directly how they're fixing staffing and what's changed since that December visit.
Rose Garden Of Pana runs 105 beds as a for-profit, individually owned home, and the staffing numbers are the first thing I'd flag: 2.71 nurse hours per resident day, about 30% under the national average of 3.86. Weekends drop roughly another 12% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The record shows 29 deficiencies, including 3 at harm or jeopardy level and 3 tied to abuse, plus two fines totaling $120,442. Turnover sits at 45%, essentially matching the national rate. The last inspection was February 2026. With a 1/5 staffing rating and 1/5 quality measures against a 3/5 inspection score, the pattern is consistent: this home has real problems, and staffing is where they start.
Loft Rehabilitation & Nursing runs 92 certified beds in Eureka under corporate for-profit ownership, and the numbers that stand out most aren't close calls. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop about 5 percent below its own weekday level. Annual turnover hits 65.1 percent against a national 45.8 percent, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is heavy: 61 deficiencies, 13 at harm or jeopardy level, 11 abuse-related, and four fines totaling $438,940. The last inspection was August 2024. A 4/5 quality measure score doesn't offset a 1/5 on both health inspections and staffing.
Marigold Rehabilitation and Health Care Center runs 3.00 nurse hours per resident per day, about 22% under the national average of 3.86, and weekends dip another 9% below its own weekday levels. Staff turnover sits at 55.6% against a national 45.8%, so the people caring for residents are cycling out faster than usual. The inspection record shows 40 deficiencies, seven at harm or jeopardy level and nine tied to abuse, with $222,740 in fines across three actions; the last inspection was August 2024. Corporate-owned, 172 beds, and a one-star inspection rating alongside a one-star staffing rating, the quality measure score of three stars is the outlier here, not the pattern.
Jerseyville Nsg & Rehab Center runs on 2.65 nursing hours per resident per day, roughly a third below the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. Annual turnover sits at 64.9% against a national 45.8%, so the people caring for residents are frequently new. The inspection record is where things get serious: 49 deficiencies, 13 of them at harm or jeopardy level, 7 tied to abuse, and seven fines totaling $413,648. Ownership is for-profit, through a limited liability company. Staffing and health inspection scores each land at 1 out of 5 stars, despite a 3 out of 5 on quality measures. If you're considering this home, ask directly how they're addressing the harm-level findings and what weekend coverage actually looks like.
Taylorville Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average of 3.86, and weekend coverage dips about 7% below its own weekday level. The inspection record is heavy: 42 deficiencies, including 8 at the harm or jeopardy level and 6 tied to abuse, with two fines totaling $247,115. Staff turnover sits at 36.4%, better than the 45.8% national figure, so retention isn't the core problem here, the numbers point to thin coverage and a long, serious citation history. The last inspection was August 2025.
Nurse staffing at Effingham Healthcare runs 2.92 hours per resident day against a national average of 3.86, roughly a quarter less time with a caregiver than the typical home. Weekends are thinner still, about 14% below what the building itself staffs on weekdays. Turnover sits at 39.4%, a bit better than the 45.8% national figure, and it's the only number here that reads favorably.
The inspection record is the harder part: 46 deficiencies, seven serious enough to involve harm or jeopardy, five tied to abuse, and three fines totaling $132,532. The last inspection was September 2024, so that record is recent. For-profit corporate ownership, 62 beds.
If you're considering Bria of Cahokia for a family member, the numbers tell a hard story. Nurse staffing sits at 3.25 hours per resident day, about 16 percent under the national average, and drops further on weekends. Staff turnover runs 51 percent, above the national rate, which means the people caring for your relative are likely to keep changing. The inspection record is the part that worries me most: 89 deficiencies, 23 of them serious enough to put residents in harm's way, and 20 tied to abuse. Seven fines totaling just under $687,000 have piled up, with the most recent inspection in April 2025. For-profit, limited liability ownership.
Allure Of Sterling runs 130 beds under corporate ownership, and its staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, so the raw coverage number looks fine until you notice weekends dip about 3% below the home's own weekday level. Turnover is the harder fact: 52.6% of staff leave annually, well above the 45.8% national figure, which means the people showing up are often new. The inspection record carries 39 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus a $118,360 fine. The most recent inspection was December 2025, so the picture is current, not stale.
Arcadia Care Morris runs leaner than most homes, and the numbers show it. Nurse staffing sits at 3.42 hours per resident day against a national average of 3.86, and weekends drop another 5% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the staff turned over in a year, above the 45.8% national figure, which matters because unfamiliar aides miss changes in a resident's condition. Its inspection record carries 37 deficiencies, six serious enough to involve harm or jeopardy, plus $96,340 in fines; the last full inspection was October 2024. A for-profit limited liability company owns the 123-bed building.
Loft Rehab Of Peoria runs 120 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing. Nurse staffing sits at 3.23 hours per resident per day, roughly 16% under the national average, and weekends run about 15% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Staff turnover is 61.5% against a national 45.8%, meaning the people caring for residents are, more often than not, new to the building.
The inspection record is heavier still: 68 deficiencies on file, including 5 at the harm or jeopardy level and 9 tied to abuse, plus three fines totaling $235,553. The most recent inspection was August 2024. Ask about weekend staffing and turnover before you decide.
Nexus At Columbia runs 119 beds under for-profit LLC ownership, and the numbers deserve a close look before you consider it. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends drop about 10% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. Staff turnover is 51.5%, meaning more than half the nursing team leaves in a year, against a national rate near 46%.
The inspection record is the heavier concern: 46 deficiencies, 9 of them serious enough to involve harm or jeopardy, 13 tied to abuse, and seven fines totaling $381,423. The most recent inspection was October 2024.
Arcadia Care Havana runs on thinner nursing coverage than most homes in the country, 3.17 nurse hours per resident day against a national average of 3.86, and weekends drop even further below its own weekday level. That shortfall shows up in the numbers: a 57.4% annual turnover rate, well above the national 45.8%, and 95 deficiencies on the current record, 12 of them serious enough to put residents in harm's way and 19 tied to abuse. Three fines totaling $412,962 have accumulated, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The last inspection was March 21, 2025.
Nexus At Mascoutah runs 55 certified beds and sits about 5% under the national average for nurse staffing hours per resident day, with weekends dropping roughly 12% below its own weekday numbers. The staffing picture gets harder when you look at turnover: 77.6% annually against a national average near 46%, meaning most of the people caring for your relative were hired within the past year or so. Inspectors have cited 42 deficiencies, including 7 at the harm or jeopardy level and 8 tied to abuse, with four fines totaling $73,886; the last visit was August 2024. Ownership is a for-profit partnership.
La Bella Of Edwardsville runs on 2.91 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops about 13% below its own weekday level. That thin staffing shows in the numbers: 71.7% annual turnover, against 45.8% nationally, and 1 out of 5 stars from CMS on staffing. The inspection record carries 40 deficiencies, eight at harm or jeopardy level and five tied to abuse, with $138,697 in fines across five penalties; the last inspection was May 2024. Ownership is for-profit, a limited liability company. The 4-star quality measure rating reflects resident assessment data, not the hands available to deliver care.