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.
Arcadia Care Jacksonville runs on 2.67 nurse hours per resident per day, roughly a third below the national average, and weekends drop even further below its own weekday numbers. That thin coverage shows up in the inspection record: 39 deficiencies, three of them at the harm or jeopardy level, including two tied to abuse, and $84,491 in fines. Staff turnover sits at 50.9%, higher than the 45.8% national figure, which means caregivers are leaving faster than residents can get to know them. The last inspection was in November 2024, so the picture is current. Corporate-owned and 113 beds, this is a home where the numbers themselves tell you to ask hard questions before trusting the care.
Aperion Care International runs 218 beds on the South Side, and the staffing numbers are where the trouble starts: 3.14 nurse hours per resident day, roughly 19% under the national average, with weekends about 12% thinner than weekdays. A 48.1% annual turnover rate sits slightly above the national figure of 45.8%, which means the people providing that already-lean care are frequently new. The inspection record is heavy, 71 deficiencies, eight at harm or jeopardy level, seven tied to abuse, and five fines totaling $106,504. State inspectors last visited in May 2024. With a for-profit limited liability company at the helm, the pattern suggests a building where corners get trimmed at the bedside.
Helia Healthcare Of Energy runs 98 certified beds as a for-profit corporation, and the nurse staffing number is the first thing I'd flag: 2.88 hours per resident day, roughly a quarter below the national average of 3.86. Weekend coverage dips about 6% under its own weekday level, and annual turnover sits at 61.3% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 64 deficiencies, 11 at harm or jeopardy level, 8 abuse-related, and 7 fines totaling $293,967. With a 1-out-of-5 inspection rating and the most recent survey dated January 2026, ask hard questions before touring.
Chesterton Manor runs on thin staffing. At 3.22 nurse hours per resident per day, it sits about 17% under the national average, and weekends drop roughly 11% below what the home already provides on weekdays. That gap matters most when a resident needs help between Friday night and Monday morning.
Turnover tells a related story: 69.4% of staff left over the past year, against a national average of 45.8%. When two of every three caregivers are new or leaving, consistency is hard to build. The inspection record shows 33 deficiencies, including one tied to abuse. State inspectors last visited in March 2025, and the federal star ratings come back low across staffing, quality measures, and health inspections.
Harvest Acres runs thin on nurses, 3.47 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level. That's a problem in a 35-bed building, where there's no cushion when someone calls in. Turnover sits at 70.4%, well above the 45.8% national figure, so the people around your family member keep changing. The inspection record is the harder read: 50 deficiencies, six serious enough to involve harm or jeopardy, three tied to abuse, and a $136,500 fine. The most recent inspection was in December 2025, so the record is current, not stale. A for-profit LLC operates it.
Tanglewood runs on 2.78 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about another 10% from that already thin level. Staff turnover sits at 71.2% against a national 45.8%, so the people left are often the newest ones. The inspection record shows 45 deficiencies, three serious enough to cause harm, two tied to abuse, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the small share of homes with a pattern of poor inspections. Two fines total $227,440. The quality star rating looks better, but that's mostly self-reported data; the staffing and inspection scores reflect what surveyors actually found.
Carmel Manor has enough nurses on paper, about 4.03 hours per resident day, a bit above the national average, but that's the only number here that isn't alarming. Staff turnover sits at 79% against a national average near 46%, meaning most of the people caring for residents this year likely won't be there next year, and weekend coverage drops about 7% below weekday levels. The inspection record is worse: 38 deficiencies, 11 serious enough to put residents in harm's way, and 5 tied to abuse, with $305,116 in fines and a place in CMS's Special Focus Facility program. That program exists for homes with a persistent pattern of poor care, not a single bad survey.
Henson Park runs a 90-bed for-profit operation in Danville, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.10 hours per resident day, roughly a fifth under the national average, and weekends drop about 11% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover of 51.6% tops the national rate, meaning more than half the nursing staff leaves each year. On inspections: 30 deficiencies, 12 serious enough to involve harm or jeopardy, 5 tied to abuse, and 19 fines totaling $364,900. The most recent inspection was July 2025.
Pioneer Trace runs 92 certified beds in Flemingsburg under for-profit LLC ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average. Weekends are thinner still, about 14% below what the home staffs on weekdays, right when families often visit. The inspection record is the harder part: 12 deficiencies, three serious enough to reach harm or jeopardy level, and two tied to abuse. Three fines total $27,493. Staff turnover, at 40.3%, is actually a little better than the 45.8% national figure, so retention isn't the main problem here. The most recent inspection was January 8, 2026.
St Joseph Of Harahan runs about 2.94 nurse hours per resident each day, roughly a quarter below the national average of 3.86, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: 45 deficiencies on the current record, including one at the harm level and six tied to abuse, with $210,837 in fines across two penalties. Ownership is a for-profit limited liability company, staff turnover sits at 44%, and the last inspection was March 2026. With 206 beds, the quality and staffing ratings both land at one star out of five.
Legacy Nursing and Rehabilitation of Franklin runs lean on nursing hours: 3.08 per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday level. That staffing pattern earned a 1 out of 5 from CMS, and the inspection record backs it up, 31 deficiencies, three of them at harm or jeopardy level, six tied to abuse, plus a $176,962 fine. Turnover sits at 46.2%, essentially matching the national rate, so the problem isn't churn so much as how few hands are scheduled. The last inspection was January 7, 2026, recent enough that the findings reflect current conditions, not an old file.
Capitol House runs 132 certified beds in Baton Rouge under corporate for-profit ownership, and its staffing sits at 3.91 nurse hours per resident day, barely above the national average of 3.86, close enough that a single shift change could erase the gap. What stands out more is the churn: 67.2% annual turnover against a national 45.8%, meaning roughly two of every three caregivers leave within a year, and weekend coverage drops about 8% below the home's own weekday levels. Inspectors logged 25 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy. The last inspection was June 2025, so the record is recent.
Tremont runs about 2.95 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends are thinner still, about 9% below its own weekday coverage. Turnover sits at 40.6%, a bit better than the 45.8% national figure, but the staffing star rating is 2 out of 5 against a 4 out of 5 on health inspections, and the quality measure rating is 1 out of 5. There are 21 deficiencies on the current record, none at harm or jeopardy level and none abuse-related, plus two fines totaling $285,936. The last inspection was February 2026. The inspection record looks solid; the daily staffing and quality numbers are where the concerns sit.
Pacific Care Center runs lean on nursing staff, 2.40 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday level. Annual turnover sits at 66.7% versus 45.8% nationally, so the staff you meet on a Tuesday may not be there in six months. Its inspection record is current as of February 2026 and shows 35 deficiencies, none at the harm level but one tied to abuse. The federally reported quality measures rate 1 out of 5 stars, which is worth asking about directly. For-profit LLC ownership out of Franklin County.
Wellsville Health Care Center runs about 2.12 nurse hours per resident day, roughly 45% under the national average of 3.86, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in the numbers: a 1-out-of-5 staffing rating, 62.2% annual turnover against a national 45.8%, and 47 deficiencies on the current record, including six tied to abuse and one at the harm or jeopardy level. Inspectors last visited in May 2025 and the state has fined the for-profit LLC operator $20,642. Families weighing this home should ask directly how many nurses are on the floor on a Saturday night.
Grand River Health Care is a 60-bed for-profit home in Chillicothe, and the numbers are hard to dress up. Nurse staffing sits at 2.84 hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time than the typical facility, and weekends run slightly thinner than weekdays on top of that. Staff turnover is 81.3%, nearly double the national rate, which means the people caring for residents are, more often than not, new.
The inspection record reflects that instability: 60 deficiencies on file, including 11 tied to abuse and four serious enough to put residents in harm's way, with $68,226 in fines. The last state visit was February 2025. One star each for health inspections and staffing tells you where the problems concentrate.
Parkway Health Care Center runs on 2.25 nurse hours per resident per day, roughly 42% under the national average, and weekends drop about 10% below its own weekday level. That thin coverage sits behind a one-star staffing rating. The inspection record is heavier: 98 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, drawing $30,821 in fines. Staff turnover hits 67.4% against a national 45.8%, so the people providing care keep changing. The most recent inspection was October 23, 2024. Corporate-owned, 97 beds.
Bridgewood runs on 2.45 nursing hours per resident per day, roughly a third below the national average, and weekend coverage drops another 9% below its own weekday level, so the thinnest shifts are the ones families visit. Staff turnover sits at 58.3% against a national 45.8%, meaning the people providing that care are frequently new. The inspection record is what stands out most: 125 deficiencies, 26 of them at harm or jeopardy level, 36 tied to abuse, and $973,967 in fines across 13 penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. The most recent inspection was April 28, 2025.
Accura Healthcare of Franklin runs 42 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 2.75 nurse hours per resident day, it's roughly 29% under the national average of 3.86, and weekends dip about 13% below its own weekday coverage, so your family member's care could look thinner on Saturdays and Sundays. Annual turnover sits at 70% against a national 45.8%, which means aides and nurses cycle through faster than most places. The 16 deficiencies on record carry no harm or abuse findings, and the last inspection was March 2025, so the record is current. But a 1-out-of-5 quality measure rating tells you the clinical outcomes aren't strong.
Colonial Park runs on 3.04 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop another 11% below what the home staffs on weekdays. Turnover sits at 50.7%, higher than the 45.8% national figure, so the aides and nurses caring for residents are frequently new to the building. The current inspection record carries 38 deficiencies, including one at the harm level and one abuse-related, plus a $58,988 fine; the last inspection was April 17, 2026. Resident outcomes and staffing both score 1 out of 5 from CMS, with inspections at 2, which tells you where the problems concentrate. This is a for-profit partnership operating 80 beds.