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 Grand Rehabilitation and Nrsg At Guilderland runs on 2.91 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about another 15% below its own weekday level. Staff turnover sits at 56.1%, well above the 45.8% national figure, and CMS has flagged the home for its Special Focus Facility program after 56 deficiencies, including one at the harm level and two tied to abuse. A $40,937 fine and a one-star inspection rating round out a record that's been on CMS's watch list since at least its March 2025 inspection. If you're considering this one, ask hard questions about weekend coverage and who's actually on the floor.
Hertford Rehabilitation and Healthcare Center runs on thin nursing coverage. At 3.06 nurse hours per resident per day, it sits about 21 percent below the national average, and weekends dip another 17 percent below its own weekday levels, so the thinnest shifts get even thinner when families tend to visit. Staff turnover tells a similar story: 74.1 percent annually against a national 45.8 percent, meaning most of the people caring for your relative are likely new to the building. The current inspection record carries 39 deficiencies, three at harm or jeopardy level and one abuse-related, with the last visit in June 2025. The for-profit LLC ownership structure doesn't change any of those numbers, but it's the context they sit in.
Trotwood Health & Rehab is a 67-bed for-profit home in Dayton, and its record reflects serious, ongoing problems. Nurse staffing sits at 3.28 hours per resident day, roughly 15% below the national average, and weekends run even leaner. Staff turnover is the number that should stop you cold: about 89% annually, nearly double the national rate. On inspections, CMS gives this home 1 out of 5 stars, with 85 deficiencies on record, four at the harm level and seven tied to abuse. It's in the Special Focus Facility program, carries a $77,000 fine, and was last inspected in July 2024.
Blue Ridge Rehabilitation and Nursing runs on leaner staffing than most homes in the country, 3.13 nurse hours per resident day against a national average of 3.86, and it gets thinner on weekends, when hours drop about 16% below the home's own weekday levels. That's a real gap when you're counting on someone to answer a call light on a Saturday. The inspection record is heavier than you'd want: 58 deficiencies, two of them serious enough to put residents at risk of harm, two tied to abuse, and $50,436 in fines across seven penalties. Staff turnover sits at 56.8%, well above the 45.8% national figure, so the faces change often. Corporate-owned and for-profit, this one last saw a health inspection in August 2024.
Kemp Care Center runs on 2.88 nurse hours per resident day, about a quarter below the national average, and weekends dip roughly 16% below what the home staffs on weekdays. That thin coverage sits behind a 95.4% annual turnover rate, more than double the national figure, so the aides and nurses at the bedside are, statistically, mostly new. Inspectors have cited 41 deficiencies, three of them at harm or jeopardy level and seven tied to abuse, with $256,260 in fines on record. A 5/5 quality measure score and a recent July 2025 inspection don't offset a 1/5 staffing rating from CMS. For-profit corporate ownership; ask specifically how weekends and evenings are covered before you decide.
Paradigm At The Prairies runs on 2.42 nurse hours per resident day, roughly 37 percent under the national average, and weekends drop about another 15 percent below what the home itself staffs on weekdays. That thin coverage sits alongside 25 deficiencies on the current record, four of them serious enough to involve harm or jeopardy and three tied to abuse. Staff turnover lands at 51.4 percent, above the national figure. The most recent inspection was April 2025, and three fines totaling $62,430 have accumulated. For-profit individual ownership, 150 certified beds, and one out of five stars from CMS on both staffing and health inspections.
Perimeter Rehabilitation Suites By Harborview in Atlanta carries a record that should give any family pause. The 240-bed for-profit home has 60 deficiencies on file, including five at the harm or jeopardy level and eight tied to abuse, plus a single CMS fine of $201,403. It's one of a small number of homes the federal government places in its Special Focus Facility program, a designation reserved for the worst performers. Staffing sits at 3.75 nurse hours per resident day, slightly under the national average, and drops about 22% on weekends. Annual turnover of 55.4% runs well above the 45.8% national figure, meaning the people caring for residents are often brand new to the job.
Calhoun Crossing runs on 3.08 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage slips about 8% below its own weekday level. Staff turnover sits at 52.7% against a national 45.8%, which means the aides and nurses who know your mother's routines are often the ones walking out. Its record shows 34 deficiencies, four serious enough to cause harm or jeopardy and four tied to abuse, plus seven fines totaling $107,867. The last inspection was March 2026. State surveyors rated staffing and quality measures 1 out of 5 stars each.
Bonterra runs on 2.96 nursing hours per resident per day, roughly a quarter below what's typical nationally, and weekends dip another 9% below its own weekday numbers. That thin coverage sits behind a one-star staffing rating, and with 60% of staff leaving each year versus about 46% nationally, you're looking at a building that's constantly replacing the people who know your family member. The inspection record shows 37 deficiencies, including 7 serious enough to put residents in harm's way and 3 tied to abuse, with five fines totaling $48,039. Ownership is a for-profit partnership, and the most recent inspection closed April 30, 2026.
Mt Zion Health & Rehab runs on thinner nursing coverage than most homes in the country, 3.22 nurse hours per resident day against a national average of 3.86, and weekends get even leaner, dropping roughly 12% below its own weekday staffing. That strain shows up in the workforce itself: 56.3% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record backs it up, with 51 deficiencies on file, including three at the level that put residents in harm's way and seven tied to abuse, plus a $47,700 fine. State surveyors last visited in February 2024.
Mason City Area Nursing Home runs on 3.18 nurse hours per resident per day, roughly 18% under the national average, with weekends about 9% thinner than its own weekdays. Staff turnover sits at 47.7%, slightly worse than the 45.8% national figure. The inspection record shows 17 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus a $157,310 fine, all on a nonprofit's watch. CMS rates staffing and quality measures 1 out of 5 stars each, with inspections at 3. The most recent survey was December 4, 2024. Families weighing this home should ask how weekend coverage and recent turnover affect daily care.
Bria Of Godfrey runs on 3.25 nurse hours per resident per day, about 16 percent under the national average, and weekends drop another 13 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. Annual turnover sits at 77.4 percent against a national 45.8 percent, so the aides and nurses caring for residents are, more often than not, new to the building.
The inspection record backs that up: 44 deficiencies, 13 serious enough to cause harm or jeopardy, three tied to abuse, and five fines totaling $209,961. The last inspection was August 2024, recent enough to reflect current conditions.
Fairview Rehab runs 2.80 nurse hours per resident day, well under the national average of 3.86, roughly a quarter less hands-on time than the typical home. Weekend coverage dips about 4% below its own weekday levels, and more than half the nursing staff turns over each year, above the national rate. Inspectors have cited six deficiencies, two of them serious enough to put a resident in harm's way, with fines reaching $30,972. The most recent inspection was in May 2024. A for-profit limited liability company operates the 76-bed building.
Aperion Care Vincennes runs 170 beds under individual for-profit ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, and weekends run about 10% thinner than weekdays, so the hours when families tend to visit are often the hours with the least coverage. Staff turnover is 65.1% against a national 45.8%, meaning most of the people caring for residents this year likely weren't there last year. The current inspection record carries 65 deficiencies, including two at the harm or jeopardy level and one abuse-related, with the most recent inspection dated March 2026.
The staffing numbers at Edgemont Healthcare are where I'd start. At 2.92 nurse hours per resident per day, it runs about a quarter below the national average, and weekend coverage dips even further below its own weekday level. That matters more than any single inspection finding, because thin staffing tends to be the condition that produces everything else.
The record backs that up: 26 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, plus three abuse-related citations and a $133,225 fine. Annual staff turnover sits at 100 percent, the entire nursing workforce turning over in a year, against a national rate near 46 percent. The most recent inspection was in July 2025, so this is current, not stale.
Chateau Living Center runs 215 certified beds in Kenner under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.04 hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than typical, and weekends run about 12% thinner than the home's own weekdays, so coverage drops exactly when families tend to visit. The inspection history is heavy: 58 deficiencies on the current record, including three at harm or jeopardy level and six tied to abuse, with two fines totaling $159,972 and a survey as recent as July 2025. Staff turnover of 47.5% sits just above the national 45.8%, meaning the people providing that already-lean care are frequently new.
Acadia St. Landry runs on thin coverage: 3.29 nurse hours per resident day against a national average of 3.86, with weekends about 18% lighter than weekdays. Inspectors have cited 45 deficiencies, including four at the harm or jeopardy level and two tied to abuse, and the home carries $268,528 in federal fines. Its most recent inspection was March 11, 2026, so the record is current. The limited liability company that owns it operates for profit, and every CMS rating category, health inspections, quality measures, and staffing, currently sits at one star out of five.
Nathan Richard Health Care Center runs on 1.72 nurse hours per resident per day, less than half the national average of 3.86, and weekend staffing dips slightly further. That thin coverage shows in the numbers: a 68.6% annual turnover rate, well above the 45.8% national figure, and a 1-out-of-5 CMS staffing rating. Its inspection record carries 38 deficiencies, including three at the harm or jeopardy level and two tied to abuse, plus a $69,107 fine. State inspectors last visited in February 2025. For-profit corporate ownership, 68 certified beds, and a two-star inspection and quality history round out the picture.
Grand Manor runs on about 2.00 nurse staffing hours per resident day, roughly half the national average of 3.86, and weekends drop another 20% below its own weekday level. That thin coverage shows up in the record: 46 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, plus a $99,988 fine. Inspectors were last on site September 13, 2024, and the federal ratings sit at 2 for health inspections, 2 for quality measures, and 1 for staffing. The for-profit limited liability company that owns it has kept the building certified, but the numbers describe a home where residents get substantially less nursing time than most places in the country.
Amberwood Estates runs on 0.71 nurse staffing hours per resident day, that's about a fifth of the national average of 3.86, and weekends drop roughly 13% below its own weekday level. Staff turnover sits at 84.5%, well above the national 45.8%, so the people around your family member change often. Inspectors documented 67 deficiencies, six tied to abuse, with $19,760 in fines; the most recent inspection was February 2026. It's a for-profit LLC with 115 beds. If you're considering this one, ask specifically how they cover nursing hours on weekends and how they screen and train staff.