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.
Belleview Care Center runs 90 certified beds in Saint Joseph under for-profit corporate ownership, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day, it sits about 12% below the national average of 3.86, and weekends dip roughly 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 59.8% against a national 45.8% means the aides and nurses your relative sees are cycling out faster than usual, which matters for anyone who needs consistent hands-on care. Add a two-out-of-five inspection rating, 53 deficiencies on the current record (two at harm level, six abuse-related), and $31,330 in fines across two actions, and the picture is a home that has struggled on multiple fronts at once.
Spring River runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop another 13 percent below its own weekday levels. That thin coverage shows up in the inspection record: 67 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, plus $111,643 in federal fines. Staff turnover sits at 60.5 percent against a national 45.8 percent, so the people providing care keep changing. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes. The most recent inspection was December 12, 2024.
Campbell Hall Rehabilitation Center is a for-profit home with 134 beds, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.03 hours per resident day, roughly a fifth below the national average, and weekends run about 11% thinner than weekdays, which matters if your family visits on a Saturday or Sunday. Its inspection history shows 67 deficiencies, including three at the harm or jeopardy level and five related to abuse, with 22 fines totaling $190,505. Staff turnover runs 48.5%, above the national figure, and CMS has placed the home in its Special Focus Facility program. All three of its CMS star ratings sit at one out of five.
Autumn Care of Waynesville runs on thinner staffing than most homes: 3.43 nurse hours per resident day against a national average of 3.86, with weekends falling about 11% below its own weekday level. That gap matters, because turnover sits at 69.8%, well above the 45.8% national figure, meaning the aides and nurses on those shifts are frequently new to the building. The inspection record is heavier still: 25 deficiencies, five of them at harm or jeopardy level and five abuse-related, with a $107,387 fine and a May 2025 inspection. This is a for-profit limited liability company, and the pattern across staffing and enforcement is consistent.
Copperfield Health & Rehabilitation runs 120 beds in Concord under corporate ownership, and the numbers there are hard to dress up. Nurse staffing sits at 3.18 hours per resident day against a national average of 3.86, and weekends drop about 11% below what the home manages on weekdays, meaning the thinnest coverage lands exactly when families tend to visit. Staff turnover of 64.1% compounds that: most of the people caring for your relative this year likely won't be there next year. The inspection record shows 21 deficiencies, seven at harm or jeopardy level and six tied to abuse, with $158,405 in fines across three penalties and a survey as recent as February 2026.
Glenbridge runs on thinner nurse staffing than most homes, 3.53 hours per resident day against a national average of 3.86, and it gets thinner on weekends, when coverage drops about 12% below its own weekday level. Annual turnover sits at 60.6%, well above the 45.8% national figure, so the people caring for residents are often new to the building. The inspection record shows 41 deficiencies, including one at the harm or jeopardy level and one abuse-related, with three fines totaling $32,349. The most recent inspection was in March 2026. For-profit, limited liability ownership. If you're considering this one, ask specifically about weekend nurse coverage and how they've addressed the abuse-related finding.
Smithfield Manor runs 160 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gaps aren't random, they follow a pattern. Staff turnover of 64.3% is well above the 45.8% national figure, which matters because caregivers who leave take familiarity with your family member with them.
Then there's the inspection history: 21 deficiencies on the current record, four at harm or jeopardy level, two tied to abuse. Three fines add up to $263,607. That combination, thin weekend coverage, heavy turnover, and serious cited deficiencies, is what a family should weigh before deciding.
The Carrolton Of Dunn runs on 2.88 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 11% below its own weekday staffing. That thin coverage shows up in a 61% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses around your family member change constantly. The inspection record is worse: 37 deficiencies, four serious enough to cause harm or jeopardy, three tied to abuse, plus $54,999 in fines across three penalties. Ownership is a for-profit LLC, and the most recent inspection was November 2025. With a 1/5 staffing rating and 1/5 health inspection rating, the numbers here point to a home struggling on the basics.
Oak Hills Living Center runs 160 beds in Jones under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.67 hours per resident per day, about 5% under the national average, and weekend coverage drops roughly 39% below what the home provides on weekdays, so the hours your family member gets depend heavily on which day it is. Staff turnover is 82.8% against a national 45.8%, meaning most of the people providing care are new to the building.
The current inspection record shows 37 deficiencies, five of them at the level where harm or jeopardy occurred, twelve tied to abuse. CMS has fined the home three times for a combined $137,412 and placed it in the Special Focus Facility program, which CMS reserves for homes with a persistent record of poor care.
Champion City is a 187-bed for-profit home in Pittsburgh, and the federal numbers paint a rough picture from every angle. Staff turnover runs at 60.7 percent a year, well above the national average of 45.8, and its staffing, quality, and health inspection ratings each sit at the lowest mark CMS gives. The current record carries 90 deficiencies, including 2 at the harm or jeopardy level and 11 tied to abuse. CMS has placed it in the Special Focus Facility program, which the agency reserves for the homes with the most persistent problems. Its last inspection was March 27, 2026, and there's one fine on record, totaling $7,656.
The staffing numbers at West View look decent on paper, 3.94 nurse hours per resident day, a bit above the national average, but that average hides a problem: weekend coverage drops roughly 9% below weekday levels, and annual turnover runs 59% against a national 45.8%. Consistent hands matter more than the headline figure, and here they aren't staying. The inspection record is the harder read: 26 deficiencies, 8 of them serious enough to involve harm or jeopardy, plus 2 abuse-related findings and $130,764 in fines across 5 penalties. A 1-star health inspection and 1-star quality measure rating, with the most recent inspection just weeks old, tells you regulators keep finding the same problems in a for-profit limited liability operation.
Avantara Arrowhead runs on 3.52 nursing hours per resident day, about 9% under the national average, and weekends dip roughly 7% below its own weekday staffing. That thin coverage sits alongside a 76.1% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses at the bedside are frequently new. The current inspection record shows 37 deficiencies, nine of them serious enough to cause harm or jeopardy, four tied to abuse, and five fines totaling $82,863, with the last inspection in September 2025. For-profit, LLC-owned, 68 beds. The pattern across staffing, turnover, and inspection history is what drives the low marks.
Orchardview runs on thin staffing. At 3.39 nurse hours per resident per day, it sits about 12% under the national average of 3.86, and the weekend numbers don't drop further, so there's no extra coverage cushion when census or acuity spikes. The bigger red flag is turnover: 70.8% annually, against a national average of 45.8%. That's a building where most of the people caring for your relative will be gone within a year.
The inspection record backs that up. Nineteen deficiencies on file, four of them serious enough to involve harm or jeopardy, five tied to abuse. Three fines totaling $94,905. The most recent inspection was January 2025, so the record is current, not stale. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5.
Meridian Care Monte Vista runs 4.74 nurse hours per resident day, roughly a quarter above the national average, but that raw number hides two problems: weekend staffing drops about 15% below its own weekday level, and annual turnover sits at 68.4% against a national 45.8%, meaning most of the people providing that care are new and likely to leave. The inspection record is where it gets harder to defend, 49 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with fines totaling $28,345 and a February 2026 inspection still the most recent. The staffing ratio looks good on paper, but a home where two-thirds of caregivers turn over each year and inspectors keep finding serious problems isn't one where that number translates into steady care.
Cedar Ridge Center runs on 3.22 nurse staffing hours per resident day, roughly 17% under the national average of 3.86, and weekends drop about 23% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 60.4% against a national 45.8%, which means the people caring for your relative are often new to the building. The inspection record shows 100 deficiencies, 10 of them at harm or jeopardy level and 9 abuse-related, plus five CMS fines totaling $149,858. Being placed in the Special Focus Facility program is CMS's own signal that this home needs close watching.
If you're weighing Lakeside for someone you love, the staffing numbers are the place to start. At 3.13 nurse hours per resident day, this for-profit home runs roughly 19% below the national average, and weekends drop about 12% below its own weekday level. Annual turnover sits at 82.2% against a national average of 45.8%, which means the people caring for your family member are likely to change often. The record shows 44 deficiencies, three at harm or jeopardy level and six tied to abuse, with the most recent inspection in April 2025. That's a lot of history for a 93-bed building.
Walker Rehabilitation Center is a for-profit home in Carbon Hill with 59 certified beds, and the numbers behind its record are worth walking through. Federal inspectors have cited 18 deficiencies, seven of them involving actual harm or jeopardy to residents and four tied to abuse, with a single fine reaching $235,127. Staff turnover sits at 68.8% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Nurse staffing runs slightly under the national average and drops about 22% on weekends. CMS has placed this home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes, and its most recent inspection was November 30, 2024.
Arcadia Care Watseka runs 123 beds in Iroquois County under for-profit LLC ownership, and the staffing numbers are thin: 3.40 nurse hours per resident day, roughly 12% under the national average, with weekends about 10% below its own weekdays. Turnover sits at 55.4% against a 45.8% national rate, so the people caring for residents keep changing. The current record shows 74 deficiencies, 9 at harm or jeopardy level and 19 abuse-related, plus five fines totaling $421,200. CMS has placed it in the Special Focus Facility program, and the most recent inspection was February 2026. If you're considering this one, ask hard questions about who's actually on the floor nights and weekends.
Forest City Rehab has 213 beds and a for-profit LLC owner, and the numbers behind its record are hard to read as anything but trouble. Nurse staffing sits at 2.39 hours per resident day, roughly 38% under the national average, and weekends drop about 16% below its own weekday level, so the thinnest coverage happens when families tend to visit. Inspectors have cited 65 deficiencies, including 10 at harm or jeopardy level and 11 tied to abuse, with four fines totaling $192,920. Staff turnover at 41% is actually a touch better than the 45.8% national figure, but that's the lone bright spot in an otherwise rough record, and the most recent inspection closed in November 2025.
Fairfield Senior Living & Rehabilitation runs 104 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.05 nurse hours per resident day, it's about a fifth below the national average of 3.86, and weekend coverage dips even further below its own weekday level. The inspection record is heavier than that gap alone suggests: 45 deficiencies, eight of them serious enough to put residents at harm or jeopardy, four tied to abuse, and eight fines totaling $126,045. The most recent inspection was July 2025, so this is current, not stale. When resident care measures and staffing both sit at the low end, the pattern usually reflects how the building is run day to day.