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.
Eastview runs lean on nurses: 3.30 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays. The inspection record shows 60 deficiencies, including five at the harm level and 13 tied to abuse, plus four fines totaling $139,731, the state last inspected in November 2024. Turnover at 43.2% is slightly better than average, so the problem isn't retention so much as how few hands are scheduled. This is a for-profit limited liability company with 63 certified beds, and the staffing and quality scores both sit at the bottom of CMS's scale.
Parkview Manor runs on 2.80 nurse staffing hours per resident day, roughly 27% under the national average of 3.86, and weekends run about 8% thinner than weekdays. The inspection record shows 46 deficiencies, including six at the harm or jeopardy level and seven tied to abuse, with one fine totaling $93,473 and a last inspection dated August 2025. This is a for-profit corporation operating 62 certified beds, and the numbers behind each CMS rating, one star for health inspections, one for staffing, two for quality measures, point the same direction.
Holton Health Care Center runs on 2.82 nursing hours per resident per day, well under the national figure of 3.86, and weekend coverage dips about 9% below what the home staffs on weekdays. Its inspection record shows 60 deficiencies, seven of them serious enough to involve harm or jeopardy, three tied to abuse, and four fines totaling $201,614, with a CMS inspection in August 2025 and a spot in the federal Special Focus Facility program, which flags homes with a persistent pattern of poor care. For-profit ownership under a limited liability company means the people who set the budget aren't the ones on the floor at 2 a.m.
Harrison Nursing and Rehabilitation Center runs on thin staffing. At 3.18 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly 11% below what the home manages on weekdays, meaning the thinnest coverage lands when backup is hardest to find. The inspection record backs that up: 39 deficiencies, six of them serious enough to threaten resident harm, plus five fines totaling $34,409. All three CMS ratings, health inspections, quality measures, staffing, come in at one star out of five. Corporate-owned and certified for 54 beds, its most recent inspection was April 2, 2026.
White Oak Post Acute Care in Baton Rouge carries 84 deficiencies on its current record, ten of them serious enough to involve actual harm or jeopardy, and five tied to abuse. CMS has fined the home five times for a total of $616,151, and it currently sits in the Special Focus Facility program, the agency's watchlist for the homes with the most persistent problems. Staffing runs 3.33 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below the home's own weekday level. Annual turnover hits 68.7%, well above the 45.8% national figure. For-profit, LLC-owned, 176 beds, inspected most recently in December 2025.
Legacy Nursing At St. Christina runs 140 certified beds in Pineville under for-profit LLC ownership, and the staffing numbers tell the story before anything else does. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly 20% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record backs that up: 61 deficiencies, seven at harm or jeopardy level, eleven tied to abuse, and five fines totaling $646,937. Staff turnover of 48.1% edges past the national 45.8%. All three CMS star ratings, health inspections, quality measures, staffing, sit at one out of five, with the most recent inspection dated February 2026.
Riverdell Care Center runs about 2.82 nurse hours per resident each day, roughly 27% below the national average of 3.86, and weekend coverage drops another 16% below its own weekday level. Staff turnover sits at 69.4% against a national average of 45.8%, so the people around your family member change often. The good news: inspectors gave it four stars and found no abuse or harm-level deficiencies, though 10 total issues remain on the record, with the most recent inspection in December 2024. The quality measure rating tells a different story from the inspection score, and that gap between a clean-ish inspection and thin, unstable staffing is what the numbers actually show.
Truman Lake Manor runs on thin staffing, and the numbers show it. At 2.77 nurse hours per resident each day, it sits about 28% under the national average of 3.86, and weekends drop roughly 17% below its own weekday level, so care is already leaner when families tend to visit. Turnover tells a similar story: 67.7% of staff leave within a year, against a national 45.8%, which means unfamiliar faces and less continuity for residents.
The inspection record is heavier than most. Forty-four deficiencies are on file, including two at the harm or jeopardy level and eight tied to abuse. The last inspection was in March 2024, and the quality measure rating sits at the lowest mark.
Brent B Tinnin Manor runs 60 beds in Ellington under individual for-profit ownership, and the staffing numbers are the place to start. At 3.20 nurse hours per resident day, it sits about 17% under the national average, and weekends drop roughly 23% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 74.5% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 33 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and the most recent survey was March 2025.
Eldon Nursing & Rehab runs on 3.36 nurse hours per resident per day, roughly 13% under the national average, and weekends dip about 16% below what the home staffs on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, and it's hard to keep anyone long-term: annual turnover is 77.6% against a national 45.8%, meaning most of the people caring for residents are new to the building. The record shows 32 deficiencies, including 4 at harm or jeopardy level and 5 abuse-related, with three fines totaling $79,671. Inspectors were last in on February 26, 2026. Individual for-profit ownership.
Carrie Elligson Gietner Health Care Center runs 130 certified beds in Saint Louis, and the numbers behind its record aren't reassuring. Nurse staffing sits at 2.48 hours per resident day, roughly 36% under the national average of 3.86, and weekends run about 13% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The inspection history carries 55 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, along with two CMS fines totaling $92,561. The most recent inspection was in June 2024. Corporate for-profit ownership and a one-star inspection and staffing rating round out a picture worth weighing carefully against other options.
St Joe Manor runs 155 certified beds in Bonne Terre under for-profit LLC ownership, and its most recent inspection in February 2025 produced 28 deficiencies, none at the harm level, but one tied to abuse, which is the kind of citation families should ask about directly. Staffing tells a starker story than the inspection record: the home earns just 1 of 5 stars for staffing, and annual turnover hits 73.3% against a national average of 45.8%, meaning roughly three of every four employees leave within a year. High turnover at that scale usually shows up as inconsistent caregivers and less experienced hands on the floor. Worth weighing carefully against the quality measure rating of 1 out of 5.
Bluebird Wellness and Rehabilitation runs on 2.96 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 18% below what the home itself staffs Monday through Friday. Turnover sits at 62.3% against a national 45.8%, so the aides and nurses present on any given shift are often new to the building.
The inspection record backs up the numbers: 84 deficiencies, eight of them serious enough to put residents in harm’s way and four tied to abuse, plus a $234,836 fine. CMS gave its lowest marks to both staffing and health inspections. At 188 beds under for-profit LLC ownership, this is a home where the people providing care are stretched thin and frequently replaced.
Emerald Nursing & Rehab Lancaster is a 293-bed for-profit home in Lincoln, and the numbers behind its record are worth knowing before you tour. Nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average, and it drops another 10 percent on weekends when families tend to visit. Staff turnover is 73.5 percent against a national 45.8, most of the people caring for your relative this year likely won't be there next year. The inspection history shows 57 deficiencies, four at harm or jeopardy level, two tied to abuse, and $79,725 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes.
Rich Square Nursing & Rehabilitation Center runs on 3.17 nurse staffing hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home itself staffs during the week. That thin coverage helps explain 27 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, plus a $190,684 fine, all with a health inspection rating of 1 out of 5 and a staffing rating of 1 out of 5. Annual turnover sits at 52.1%, above the 45.8% national figure, meaning nearly half the nursing staff leaves each year. The most recent inspection was July 2, 2025, and no abuse deficiencies are on record.
Continuing Healthcare of Gahanna runs 94 beds under for-profit LLC ownership, and the staffing numbers tell a story on their own: 3.11 nurse hours per resident day against a national average of 3.86, with weekends dipping another 12% below its own weekday levels. That thin coverage sits alongside 111 deficiencies on the current record, including 8 at the harm or jeopardy level and 11 tied to abuse. Staff turnover of 55.8% runs well above the 45.8% national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One fine of $170,581 is on file, and the most recent inspection was April 21, 2026.
Heritage Manor runs on 2.87 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 16% below what the home staffs on weekdays. Turnover sits at 72.7% 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 30 deficiencies, including two at the harm level and one tied to abuse, with $30,133 in fines and a November 2025 inspection. Federal ratings put staffing and quality measures both at one star.
Shelby Oaks Post Acute runs on 3.51 nurse staffing hours per resident day, about 9% under the national average, and weekends drop roughly 17% below what the home staffs during the week. That thin coverage shows up in the numbers: 59.7% annual turnover, against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record is worse, 22 deficiencies, two at harm or jeopardy level, two tied to abuse, and $83,589 in fines. The last inspection was January 8, 2026, so the record is recent, not stale. This is a for-profit LLC with a one-star health inspection rating and a one-star staffing rating.
Coral Rehabilitation and Nursing of Austin runs on 2.82 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 11% below its own weekday level. That thin margin shows up in staffing, where the home sits at the bottom of CMS's scale, and in a 57.6% annual turnover rate, well above the 45.8% national figure. The inspection record is heavier still: 86 deficiencies, 18 of them at harm or jeopardy level and 10 involving abuse, plus five fines totaling $294,911. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The last inspection was September 30, 2025.
Normandy Terrace is a 320-bed for-profit home in San Antonio, and the numbers that stand out are about people. Nurse staffing sits at 3.01 hours per resident day, roughly 22 percent under the national average, and weekends run about 18 percent thinner than weekdays. Staff turnover is 95.8 percent, more than double the national figure, meaning the aides and nurses caring for residents are, in large part, new or on their way out. The inspection record shows 49 deficiencies, six at the harm or jeopardy level and four abuse-related, with five fines totaling $287,359. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating back that up. If you're considering this home, ask hard questions about who's on the floor at night and on weekends.