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.
Rock Creek runs on 2.84 nursing hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 15% below its own weekday staffing. That thin coverage shows up in turnover: 90.3% of staff left over the past year, double the national rate of 45.8%. The current record carries 36 deficiencies, two serious enough to involve harm or jeopardy, plus $82,579 in fines across two events. Inspectors last visited in August 2025. Corporate-owned and Medicare-certified for 120 beds, the home scores 1 out of 5 on CMS staffing and 2 on health inspections, while its quality measure rating sits at 3.
The Rio at Mission Trails runs 124 beds under hospital district ownership in San Antonio, and its nurse staffing sits just under the national average, 3.71 hours per resident day against 3.86. That small gap is not the real story. Weekend staffing drops roughly 16% below its own weekday level, and annual turnover hits 97.2%, more than double the national rate of 45.8%, meaning the aides and nurses at your mother's bedside are, statistically, almost certain to be new within the year. On inspections, the home carries 32 deficiencies, three at harm or jeopardy level and four abuse-related, with two fines totaling $153,825.
Crescent City Care Center runs on thinner nursing coverage than most homes in the country, 3.53 nurse hours per resident day against a national average of 3.86, and it thins out further on weekends. Keeping nurses is the bigger problem: turnover sits near 69%, well above the 45.8% national figure, and the federal staffing rating reflects it at 1 out of 5. The inspection record is heavier still: 69 deficiencies on file, including three at the harm level and four tied to abuse, with two fines totaling $205,566. CMS has placed this for-profit, limited-liability home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. If you're considering it, ask what's changed since the June 2024 inspection.
Pine Knoll Path of Journey runs 122 beds in Carrollton under for-profit LLC ownership, and its inspection record is genuinely clean, 11 deficiencies on file, none at harm or jeopardy level, none abuse-related, and a survey as recent as April 2025. The problem is the floor. Nurses give 3.18 hours per resident per day against a national average of 3.86, and weekends drop roughly 12% below what the home staffs on weekdays. Every single nursing position turned over last year, 100%, compared with about 45.8% nationally. A recent inspection tells you what a surveyor saw that day; it doesn't tell you who's left to answer a call light on a Sunday evening.
Jesup Ridge of Journey LLC runs 72 certified beds as a for-profit corporation, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.38 hours per resident day, about 13% under the national average, and weekends drop roughly 14% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover is 58.8% against a national average of 45.8%, meaning more than half the caregiver workforce turns over in a year. The current inspection record carries 21 deficiencies, four at harm or jeopardy level and three abuse-related, plus a $45,968 fine. The most recent inspection was May 30, 2025.
Tybee Island Trails of Journey runs 50 certified beds under for-profit LLC ownership, and its nurse staffing sits at 1.74 hours per resident day, roughly 55% under the national average of 3.86. Weekends drop about 30% below its own weekday coverage, so the thinnest shifts are also the least supervised. Staff turnover is 69.2% against a national 45.8%, meaning most of the people caring for residents are relatively new to the building.
The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated January 30, 2026. CMS rates staffing 1 out of 5 stars, health inspections and quality measures each 2 out of 5. If you're considering this home, ask directly how weekend coverage is staffed and how abuse allegations get reported and resolved.
Gold City Health And Rehab runs 102 certified beds in Dahlonega under for-profit limited liability ownership, and the numbers from its current CMS record tell a fairly consistent story. Nurse staffing sits at 2.76 hours per resident day against a national average of 3.86, and weekend coverage dips about 7% below its own weekday level, so care is thinnest exactly when families tend to visit. Staff turnover is 61.4%, well above the 45.8% national figure, and the home carries 23 deficiencies, five of them abuse-related, plus a $52,548 fine. Its last inspection was September 28, 2025, so the record is recent. Ask about direct-care hours on weekends before you decide.
Crystal Pines runs 110 beds in Crystal Lake under corporate ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.15 hours per resident day, roughly 18 percent under the national average, and it thins out further on weekends, so coverage is lightest exactly when families tend to visit. Staff turnover is 55.7 percent against a national 45.8, meaning more than half the nursing crew turns over in a year. The inspection history shows 47 deficiencies, seven at harm or jeopardy level and six tied to abuse, plus five fines totaling $152,720; the most recent inspection was June 2024. Ask about weekend coverage and how they've addressed the abuse-related findings before you decide.
Shelbyville Manor runs a nonprofit operation with 109 certified beds, and its nurse staffing sits at 4.28 hours per resident day, about 11% above the national average of 3.86. That's the strongest number here. The rest is harder to swallow: weekend staffing drops roughly 8% below its own weekday level, and annual turnover hits 60% against a national average of 45.8%, so the people providing that care are cycling through fast.
The inspection record is the real concern. Forty-three deficiencies are on file, six of them at the harm or jeopardy level and six abuse-related, with two fines totaling $77,985 and a May 2025 inspection that rated 2 out of 5 stars. Quality measures came in at 1 out of 5.
La Bella Of Cahokia runs 150 beds and carries 63 deficiencies on its current record, 15 of them serious enough to cause harm or jeopardy and 18 tied to abuse. It's a for-profit partnership and one of the homes CMS has flagged for its Special Focus Facility program, which is reserved for the country's most persistent poor performers. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends run thinner still. Staff turnover is 48.9%, with three fines totaling $702,001. Inspectors last visited in April 2024. If you're considering this one, ask hard questions and visit unannounced.
Avantara Evergreen Park runs 242 certified beds under for-profit LLC ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and weekends drop about 8% below what the home itself provides on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover of 61.4% against a 45.8% national average means most of the people caring for residents are relatively new. On inspections, CMS rates the home 2 out of 5, with 58 deficiencies on the current record, 10 at harm or jeopardy level and 4 abuse-related, plus eight fines totaling $292,244 and a May 2025 inspection.
Paul House & Health Cr Ctr runs 110 certified beds on Chicago's Near West Side, and the staffing numbers are where the trouble starts. Nurses provide 3.77 hours per resident day, slightly under the 3.86 national average, but weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Staff turnover sits at 64.2% against a 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. Add 59 deficiencies on the current record, three serious enough to involve harm or jeopardy, plus $107,115 in fines, and the recent June 2025 inspection reads less like a fresh start than a long-running pattern.
Sunrise Skilled Nur & Rehab runs about 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends drop another 14% below its own weekday level. Staff turnover sits at 56.8% against a national 45.8%, so the people caring for your family member are changing often. The current record carries 24 deficiencies, including 3 at the harm or jeopardy level and 4 abuse-related, plus two fines totaling $256,825. It's a for-profit limited liability company, last inspected July 2024. The low staffing rating reflects what that turnover and thin coverage actually mean day to day.
Evercare of Swansea runs on thin staffing. At 2.98 nurse hours per resident day, it sits about 23% under the national average of 3.86, and weekends drop roughly 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 60.3%, well above the 45.8% national figure, meaning the aides and nurses around your relative are likely to change often. The inspection record is heavy: 70 deficiencies, nine at harm or jeopardy level, eleven abuse-related, and three fines totaling $285,149, with the most recent inspection in October 2024. For-profit individual ownership. If you're considering this one, ask hard questions about weekend coverage and who's actually on the floor.
Barry Healthcare & Sr Living runs 76 certified beds under corporate for-profit ownership, and the numbers worth knowing are the staffing and inspection ones. Nurses provide 3.14 hours per resident per day, roughly 19% under the national average of 3.86, and weekends dip another 8% below what the home manages on weekdays. Turnover sits at 45.8%, right at the national figure. The current record carries 21 deficiencies, four of them serious enough to involve harm or jeopardy and two tied to abuse, plus two fines totaling $71,275. Its last inspection was January 16, 2026. CMS rates quality measures and staffing at one star each, with three stars for health inspections.
Nurse staffing at Arc at Bradley runs 2.74 hours per resident day, roughly 29 percent under the national average of 3.86, and it thins out further on weekends. That shortage shows up in the numbers that matter: 38 deficiencies on the current record, five serious enough to put residents in harm's way, one tied to abuse, and $24,622 in fines across two cases. Staff turnover sits at 60.3 percent against a national average of 45.8 percent, so the people providing care keep changing. The last inspection was in May 2024, and the 1-out-of-5 staffing rating alongside a 2-out-of-5 quality rating tells you where the trouble concentrates.
Ryze At Homewood runs 259 certified beds out of a for-profit LLC, and the nurse staffing line is where the trouble starts: 2.49 hours per resident day, roughly 36% below the national average of 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 62.4% against a national 45.8%, so even the hours that exist are often worked by someone new. The inspection record backs that up, 73 deficiencies, 15 at harm or jeopardy level, six abuse-related, and $502,525 in fines across 10 citations, with the last inspection in December 2024. Quality measures score mid-range, but that's the one bright spot in an otherwise thin picture.
Colby Operator, LLC runs a 40-bed for-profit partnership home, and the numbers around its staff are the first thing to notice. Its 3.86 nurse hours per resident day lands right at the national average, but weekends run about 13 percent thinner than weekdays, and annual turnover sits at 65.3 percent against a national 45.8, that's a lot of churn for a small building. The inspection record shows 26 deficiencies, including one at the harm level and one abuse-related, plus a $40,381 fine; the most recent inspection was June 2025. Quality and staffing measures both come back at one star out of five.
Bonner Springs Nursing & Rehab Center runs on 2.84 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 12% below its own weekday level. That thin coverage sits behind a 1-out-of-5 rating on staffing, and the workforce numbers explain why: 82.4% annual turnover, nearly double the national rate. Inspectors cited 59 deficiencies on the current record, four serious enough to put residents in harm's way, three tied to abuse, with $39,696 in fines. The last inspection was April 2025. This is a small for-profit LLC home with a 1-out-of-5 record on all three CMS measures, staffing, health inspections, and quality.
Medicalodges Paola runs on 1.90 nurse staffing hours per resident per day, roughly half the national figure, and weekends drop about 12% below what the home already provides on weekdays. Annual turnover sits at 55.6% against a national average of 45.8%, so the staff you meet may not be there in a year. The inspection record shows 27 deficiencies, five of them serious enough to put residents at risk of harm, two tied to abuse. Kansas inspectors cited the home most recently in July 2025, and three fines totaling $78,225 sit on the books. Its three CMS star ratings, health inspections, quality measures, staffing, all land at two out of five.