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.
Granbury Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: a staff turnover rate of 94.2%, where the national figure sits near 46%, meaning most of the people caring for residents this year likely won't be there next year. The home carries 37 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus $37,501 in fines. Inspectors were last out in February 2026, and the health inspection rating sits at 2 out of 5.
Graham Oaks runs on 2.99 nurse hours per resident per day, roughly a fifth below the national average, and weekends are thinner still, about 14 percent lighter than its own weekdays. That staffing picture comes with a 94.4 percent annual turnover rate, more than double the national figure, meaning the aides and nurses your family member sees are, more likely than not, new to the building within the year. The inspection record shows 21 deficiencies, three serious enough to put residents in harm's way and four tied to abuse, with $34,690 in fines. A for-profit LLC owns it. The most recent inspection was January 2025.
Harrisonburg Health & Rehab Center runs on thin staffing. At 3.17 nurse hours per resident day, it sits about 18 percent below the national average, and weekends drop roughly another 14 percent beneath its own weekday level. That shortfall shows in the numbers: 60 percent annual turnover, well above the 45.8 percent national figure, and a one-out-of-five CMS staffing rating.
The inspection record is heavier still, 75 deficiencies, four at harm or jeopardy level, 10 abuse-related, plus two fines totaling $128,943. The last inspection was May 2022, so the record is old. Federal ownership doesn't change any of this. If you're considering it, ask what's changed since that inspection and how they cover weekends.
The numbers here are hard to dress up. Nurse staffing sits at 3.23 hours per resident day, well under the national average of 3.86, and it thins out further on weekends, not the pattern you want when families visit less and oversight is lighter. Staff turnover is the bigger tell: 62.2% against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago.
Then there's the inspection record, 59 deficiencies, four of them at harm or jeopardy level, twelve tied to abuse, and two fines totaling $108,698. That last inspection was April 2023, so this record has had time to stand.
Westwood Center runs 60 certified beds in Bluefield under corporate for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.80 hours per resident day, a bit under the national average, but weekends drop roughly 13% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 61.7% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current inspection record carries 46 deficiencies, six at harm or jeopardy level and one abuse-related, plus three fines totaling $159,612. Its last inspection was August 2024.
Rosedale runs on thin nursing coverage: 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below its own weekday level. Turnover compounds it, nearly two-thirds of staff leave each year against a national rate of about 46%, so the people at the bedside keep changing. The inspection record is where the real weight sits: 101 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $73,788 fine. The last full inspection was September 2023, so that record is getting old, which isn't the same as getting better.
Woodstock Valley runs on 2.98 nurse hours per resident per day, about a quarter below the national average, and weekends drop another 14% below its own weekday staffing. The current inspection record carries 115 deficiencies, including five at the level where residents were actually harmed or put in immediate jeopardy, plus eight tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the homes with the longest-running patterns of poor care, and the two fines on record total $174,324. Staff turnover at 43.6% is roughly in line with the national average, so the problem isn't churn alone. It's thin coverage layered on repeated, serious inspection failures.
Bayshore Nursing & Rehab runs 112 certified beds in Glendale under for-profit LLC ownership, and the numbers say more about it than any single rating could. Staffing sits at 3.96 nurse hours per resident day, just above the national figure, but weekends drop about 10% below the home's own weekday level, and 56.4% of staff left over the past year against a national rate of 45.8%. The inspection record is where the concern concentrates: 140 deficiencies, 14 at harm or jeopardy level, 15 tied to abuse, and CMS has placed the home in its Special Focus Facility program after a September 2025 inspection. Families deserve to weigh that record carefully.
Trinity Nursing & Rehab Of Granbury runs on 3.12 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 15% below what the home staffs on weekdays. Turnover sits at 69.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $66,367 fine. The last inspection was June 4, 2025. For-profit, LLC-owned, 90 beds. If you're considering this one, ask directly how they cover weekends and what's changed since that June inspection.
Franklin Heights runs on 3.07 nurse hours per resident per day, roughly a fifth less than the national average, and weekends drop another 14 percent below its own weekday levels. Staff turnover sits at 96.2 percent, more than double the national figure, so the people caring for residents are, statistically, almost all new. The inspection record is heavier: 77 deficiencies, five involving harm or jeopardy, 11 tied to abuse, and two fines totaling $191,503. State inspectors were last on site in July 2025. Ownership is a for-profit partnership. With 132 certified beds, that ratio of direct care to residents, especially on weekends, is the number worth asking about when you visit.
Southern Specialty Rehab & Nursing runs 144 beds in Lubbock under corporate ownership, and its staffing numbers look decent at first glance, 3.99 nurse hours per resident day, just above the national average. But that average hides a churn problem: turnover sits at 98.7%, more than double the national rate, meaning the aides and nurses at your mother's bedside are likely new to the building and still learning it. Weekend coverage drops about 6% below weekday levels, so the shifts when families visit least are the thinnest. The inspection record is harder to explain away: 30 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $36,652, with the most recent inspection in June 2026.
Vidor Health & Rehabilitation Center runs 144 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 2.88 total nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekend coverage slips about 10% below the home's own weekday level, and annual turnover sits at 93.5% against a national rate near 46%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs up the concern: 37 deficiencies on file, four at harm or jeopardy level, four abuse-related, and two fines totaling $58,904, with a one-star health inspection rating and a one-star staffing rating.
The Hillcrest of North Dallas runs on 2.66 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops about 13% below what the home staffs on weekdays. Annual turnover sits at 68.3% against a national 45.8%, so the aides and nurses at the bedside keep changing. Its inspection record shows 44 deficiencies, including 6 at the harm or jeopardy level and 3 tied to abuse, with $221,052 in fines across three penalties and a 1-out-of-5 inspection rating; the most recent survey was July 31, 2025. Ownership is a for-profit corporation. The quality measure stars don't offset what staffing and inspections show.
The Reserve at Appling runs on 2.98 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 20% below what the home itself staffs on weekdays. That thin coverage sits alongside a 58.5% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses cycling through are often new to the building. Its CMS ratings land at one star for staffing and one for quality measures, with a two-star inspection record, 25 deficiencies, and five fines totaling $19,321. Nothing on the current record rises to harm or jeopardy, and the most recent inspection was in August 2025. A for-profit LLC operation at 100 certified beds.
The numbers here are hard to get around. Forty-two deficiencies on the current record, five of them serious enough to put residents at actual harm, plus $253,955 in fines across four separate penalties, that's a lot of enforcement for a 56-bed building. Staffing sits well below where you'd want it, and the low inspection rating reflects problems that keep showing up rather than getting fixed, which is why CMS put this home in its Special Focus Facility program. That designation means closer federal monitoring and a deadline to improve or lose Medicare funding.
The one piece of good news is that none of the deficiencies are abuse-related. But recent inspections and persistent shortfalls in care and staffing are the real story. If you're considering this home, ask what's changed since February 2026 and get specifics.
St Joseph runs 130 certified beds in Monroe under for-profit partnership ownership, and the numbers that stand out most are on the staffing side. At 3.13 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly another 20% below its own weekday level, so coverage thins out exactly when families tend to visit. Every nursing position turned over last year, against a national rate near 46%. The health inspection rating is 1 out of 5 with 44 deficiencies on record, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was December 11, 2025, so the picture is current.
Cedar Pointe runs on 3.17 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home staffs on weekdays. That thin coverage sits behind a 58.9% annual turnover rate, well above the 45.8% national figure, so the aides and nurses working the floor keep changing. The current record carries 39 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was July 18, 2024, and the for-profit partnership has drawn a 2/5 on health inspections with 1/5 on both quality measures and staffing.
Jefferson Health Care runs 118 beds in Lees Summit under corporate ownership, and the numbers describe a home stretched thin. Nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends running about 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 64.2% against a national 45.8%, meaning most of the people caring for residents this year probably won't be there next year. The inspection record shows 61 deficiencies, including one at the harm level and three tied to abuse, plus $34,459 in fines. That inspection was recent, April 2025, so the picture isn't stale.
Magnolia Wellness Center runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 16% below its own weekday coverage. That thin staffing shows in the numbers that matter: 63.6% annual turnover, 81 deficiencies on the current record, seven of them at harm or jeopardy level, and six tied to abuse. Four fines total $209,790, and the last inspection was February 2024. The four-star quality measure rating reflects resident assessments, not the hands available to act on them; the one-star inspection and staffing ratings come closer to daily reality. A for-profit individual owner with this record is worth asking hard questions about before you decide.
Hidden Lake runs on 2.52 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends drop another 4% below its own weekday level. The inspection record shows 83 deficiencies, seven of them serious enough to indicate harm or jeopardy, three tied to abuse, plus $123,610 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care, and ownership changed within the past year. The last inspection was August 2024.