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.
Colonial Oaks is owned by a limited liability company and carries 21 deficiencies on its current record, three of them serious enough to involve harm or jeopardy, plus three tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends. Annual turnover runs 72.5 percent against a national 45.8 percent. A $66,170 fine is on record, and the last inspection was June 5, 2025. With 120 certified beds, that staffing and turnover picture matters across every shift.
Oc Milford Gardens runs on 3.37 nurse hours per resident day, about 13 percent under the national average, and weekend coverage dips further below its own weekday level. Staff turnover sits at 81.4 percent against a national figure near 46 percent, so most of the people caring for residents are new or on their way out. The current inspection record carries 27 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, plus a $148,051 fine. The most recent inspection was in early March 2026, so the record is recent, not stale.
Hadley Pointe runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage sits behind a record of 48 deficiencies, four at harm or jeopardy level and seven abuse-related, plus two fines totaling $85,596, with CMS placing the home in its Special Focus Facility program. Annual turnover of 70% is well above the 45.8% national average. The 154-bed for-profit corporation changed ownership within the past year, and the most recent inspection was January 17, 2025, with staffing and health inspection each landing a single star.
Butler Rehab runs 98 certified beds as a for-profit LLC, and its staffing sits at 3.36 nurse hours per resident day, about 13% under the national average of 3.86, with weekends running another 13% below its own weekday levels. Turnover tells a harder story: 73.6% of nursing staff leave annually, against a national average near 46%, which means roughly three of every four caregivers are new to the building each year. Its current record carries 33 deficiencies, three tied to abuse, with the most recent inspection dated February 2026. The low quality-measure score reflects how residents are actually doing day to day, not just paperwork.
Fountain Care At Sunset Hills runs 166 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop another 6% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to be there. Annual turnover is 79.8%, against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record shows 78 deficiencies, six at harm or jeopardy level and 13 abuse-related, with four fines totaling $119,588 and a survey completed in April 2025.
Carriage Square runs on thinner staffing than most homes its size, 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday coverage, which matters when a resident needs help on a Sunday. More striking is the churn: 77% annual turnover, well above the 45.8% national figure, so the people caring for your family member are frequently new. The inspection record backs that up. Fifty-six deficiencies, including two at harm or jeopardy level and five tied to abuse, with a $48,685 fine and a March 2025 inspection. A for-profit limited liability company operates it. Worth asking the administrator directly what's changed since then.
Golden Years Center for Rehab and Healthcare sits in Harrisonville with 128 certified beds and a corporate owner. The numbers that stand out aren't flattering: nurse staffing runs about 6% under the national average, weekends dip roughly 10% below the home's own weekday coverage, and annual turnover hits 70.6% against a national 45.8%, meaning most of the people caring for residents are new or on their way out. The inspection record is heavier still: 74 deficiencies, four at harm or jeopardy level, two tied to abuse, and a $166,800 fine. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, with the most recent inspection dated January 30, 2026.
Edgewood Manor is a for-profit LLC home in Raytown with 91 certified beds, and the numbers that matter most here are the staffing ones. At 2.61 nurse hours per resident per day, it runs roughly a third below the national average of 3.86, weekends dip even further, and 70% of staff turned over in a year, well above the 45.8% norm. Its inspection record carries 72 deficiencies, including 6 at harm or jeopardy level and 10 tied to abuse, plus two fines totaling $84,557. The last inspection was October 2024. Quality measures score mid-range, but thin, churning staffing and that deficiency history are what families should weigh.
Windsor Estates of St Charles runs on thin staffing: 3.53 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. That shortfall shows up in the workforce itself, 71.4% annual turnover, well above the 45.8% national figure, meaning most of the people caring for residents weren't there a year ago. The inspection record is heavier still: 77 deficiencies, 13 involving harm or jeopardy, 4 tied to abuse, and 8 fines totaling $229,906. The last inspection was in March 2024. This is a for-profit limited liability company, and the numbers suggest care that has been under-resourced and under-scrutinized for a while.
Lakeview runs lean on nursing hours, 3.13 per resident per day, about 19% under the national average, and weekends are thinner still, roughly 12% below its own weekday staffing. That shortfall shows up in turnover: 57.5% of staff left over the year, well above the 45.8% national rate, and CMS gives the home one star each for staffing and quality measures, even though its inspection rating sits at four. The record carries 32 deficiencies, including one at the harm level and two tied to abuse, plus a $49,335 fine. A recent inspection date doesn't erase what's underneath it.
Big Spring Care Center runs on 3.35 total nurse hours per resident day, roughly 13% under the national average, and weekends dip another 10% below its own weekday staffing. Annual turnover sits at 76.3%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record shows 37 deficiencies, four of them abuse-related, with the most recent look in January 2025. All three CMS star ratings sit at one out of five. Limited liability ownership with no harm-level citations on file offers little reassurance against numbers like these.
Ellisville Rehabilitation and Nursing runs 210 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.92 hours per resident day, only about 1% above the national average, but weekends drop roughly 12% below its own weekday level, and annual turnover is 71.9% against a national 45.8%, meaning most of the people caring for residents are new to the building.
The inspection record is harder to explain away: 65 deficiencies, 12 at harm or jeopardy level, 12 abuse-related, and $260,092 in fines. CMS has placed it in the Special Focus Facility program, reserved for the country's poorest performers. The last inspection was November 2024.
Yellowstone River runs on 3.15 nurse hours per resident per day, about 18% below the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays. That matters because turnover sits at 71.8% against a national average of 45.8%, most of the people caring for residents are new, and the ones on duty Saturday and Sunday are stretched thinnest. The current record carries 58 deficiencies, six serious enough to endanger residents, four tied to abuse, plus $99,463 in fines. The last inspection was August 2025. For-profit, individually owned, 160 beds. Ask about weekend coverage and how long aides have actually worked there.
Meridian Center runs 199 certified beds in High Point under for-profit limited liability ownership, and the numbers there deserve a hard look before you consider it. Nurse staffing sits at 2.95 hours per resident day, roughly a quarter below the national average, and weekends drop about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 56.6% against a national 45.8%, meaning more than half the nursing workforce turns over in a year, and CMS gives the home one star each for staffing and health inspections. The current record shows 29 deficiencies, four at harm or jeopardy level, two tied to abuse, plus five fines totaling $88,566.
Greenville Health and Rehabilitation Center runs on thinner staffing than most homes you'd compare it to, 3.40 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That gap matters more when you see turnover at 66.4%, well above the 45.8% national figure, because residents lose familiar caregivers often. Its inspection record carries 41 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse, and two fines totaling $64,002. The 1-out-of-5 inspection and staffing ratings reflect those numbers directly. The last state visit was June 11, 2025, so the record is current, not stale. For-profit corporate ownership is the backdrop here, not the whole story.
River Bend runs on 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekends drop about 9 percent below what it manages on weekdays. The bigger warning sign is turnover: 86.4 percent of staff left over the past year, nearly double the national rate, which means the people caring for your relative are likely new to the building and still learning it. On the current record are 52 deficiencies, seven serious enough to involve harm or jeopardy, 11 tied to abuse, and six fines totaling $147,579. Ownership is a for-profit limited liability company, which tells you where the margin pressure comes from.
Marietta Heights runs nurse staffing at 4.16 hours per resident day, roughly 8% above the national average, so the raw coverage number looks fine on paper. But weekends drop about 20% below its own weekday levels, and annual turnover sits at 70.8% against a national 45.8%, meaning the people providing that care are cycling through fast. The record shows 132 deficiencies, 13 of them at harm or jeopardy level and 8 abuse-related, plus $439,979 in CMS fines across four events. That combination landed it in the Special Focus Facility program. If you're considering this home, ask specifically how weekend coverage is staffed and what's changed since the March 2026 inspection.
Riverside Health Services runs 56 certified beds in Arkoma under for-profit LLC ownership, and its nurse staffing comes in at 5.08 hours per resident day, roughly a third above the national average. That sounds like good news until you notice weekends run about 12% thinner than weekdays, and annual turnover sits at 58.5%, well past the 45.8% national figure. The current inspection record is more concerning still: 14 deficiencies, three of them serious enough to cause harm or jeopardy, one tied to abuse, and two fines adding up to $115,170. CMS scored its most recent inspection, from February 2025, at 2 of 5 stars. High raw staffing hours paired with that much turnover and that many serious findings is the tension worth weighing.
Jersey Shore Skilled Nursing and Rehabilitation runs 120 beds under corporate ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average, and weekends dip another 6% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Staff turnover is 73.2% against a national 45.8%, so the people providing that care are largely new to the building and to each other. Inspectors have cited 61 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with $46,196 in fines. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5.
Ridgeview runs a 111-bed for-profit home in Shenandoah, and the numbers there deserve a hard look before you tour. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends run about 5% thinner than weekdays, so coverage is already stretched and gets thinner when it matters. The bigger red flag is turnover: 84.9% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, unlikely to still be there in a year. The inspection record shows 73 deficiencies, including 4 tied to abuse and 2 serious enough to put residents in harm's way, with $333,638 in fines.