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.
Castle Hills Rehabilitation and Care Center is a for-profit, limited liability operation with 143 certified beds in San Antonio. Nurse staffing runs about 2.96 hours per resident per day, roughly 23 percent below the national average, and weekends fall about 15 percent under its own weekday levels. Every CMS star category here lands at 1 out of 5: health inspections, quality measures, and staffing. The deficiency record shows 72 citations, eight of them at harm or jeopardy level and two tied to abuse, with four fines totaling $112,386 and a recent inspection on September 12, 2025. That combination of thin staffing, low inspection scores, and serious deficiencies is what any family should weigh before choosing this home.
Avir At San Antonio runs on 2.63 nurse staffing hours per resident per day, roughly a third below the national average, and weekends drop about 9% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover sits at 60.7%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The inspection record shows 43 deficiencies, including three at the harm or jeopardy level and four tied to abuse, with $29,494 in fines across three penalties. Its most recent inspection was August 30, 2025, and the corporation that owns it holds a for-profit license.
Austin Wellness & Rehabilitation runs on 2.63 nurse hours per resident each day, roughly a third below the national average of 3.86, and weekend staffing drops another 9% below its own weekday level. That thin coverage sits behind a 1-out-of-5 inspection rating and 62 deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse. Staff turnover is 61.3% against a national 45.8%, meaning the aides and nurses your family member sees may keep changing. Three fines total $166,205, and the last inspection was March 2025. For-profit, individually owned, 120 beds.
Parham Health Care & Rehab Center runs a 180-bed for-profit operation in Henrico County, and the staffing numbers are the first thing that stand out. At 2.93 nurse hours per resident day, it's about a quarter below the national average, and weekends drop another 14% under its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 62.2%, well above the 45.8% national figure, which means the people providing care are often new. The inspection record backs that up: 126 deficiencies, ten at harm or jeopardy level, plus 11 abuse-related findings and two fines totaling $266,181. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Wonder City Rehabilitation and Nursing Center is a 130-bed for-profit home in Hopewell, and the numbers behind its record deserve a hard look. Nurse staffing sits at 2.75 hours per resident per day, roughly 29% below the national average, and it dips about 12% further on weekends, while annual turnover runs 68.4% against a national 45.8%. Its inspection record carries 93 deficiencies, eight at the harm or jeopardy level and ten abuse-related, plus a $26,060 fine, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One inspection star and one staffing star out of five round out a record that hasn't been updated since July 2023.
Portsmouth Health and Rehab runs on 3.24 nursing hours per resident per day, about 16 percent under the national average, and weekends dip roughly 14 percent below its own weekday coverage. Staff turnover sits at 61.5 percent against a national figure near 46 percent, so the people caring for residents are cycling out faster than at a typical home. The inspection record backs up those numbers: 64 deficiencies, six serious enough to cause harm or jeopardy, three tied to abuse, and $134,401 in fines. The last full inspection was in May 2021, which means families are relying on a picture that's several years old. For-profit corporate ownership.
Waters Edge runs 128 certified beds in Kenosha under corporate for-profit ownership, and the numbers here are hard to dress up. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, weekend coverage drops another 11% below its own weekday level, and annual turnover hits 63.2% against a national 45.8%. Those staffing figures match a one-star CMS staffing rating and a one-star health inspection rating. The deficiency record shows 74 total, including 8 at harm or jeopardy level and 7 tied to abuse, along with a $54,055 fine. CMS has placed this home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes. The most recent inspection was September 30, 2025.
Ralls Nursing Home runs on 2.31 nurse hours per resident day, roughly 40% under the national average of 3.86, and weekend coverage drops another 14% below its own weekday levels. That thin staffing sits behind 29 deficiencies on the current record, nine of them at harm or jeopardy level and 13 abuse-related, with five fines totaling $303,179. Annual turnover of 72.4% means most of the aides and nurses working here last year aren't the ones working here now. The last inspection was September 2025, so the record is current, not stale. One bright spot: the quality measure rating is 4 out of 5, but quality scores are largely built from resident assessment data the facility itself reports, and they don't offset a 1-out-of-5 inspection and staffing picture.
Greenhill Villas runs on thin staffing even before the weekend squeeze: 3.10 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday level. That's the kind of gap families notice as slower call-button response. Staff turnover sits at 95.2%, more than double the national 45.8%, so the aide who knows your mother's routine this month may be gone the next. The current record carries 47 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $154,116 in fines across three penalties. The last inspection was June 2025. Corporate-owned, 150 beds.
Forest Park runs on 2.92 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips about 8% below its own weekday level. That thin staffing shows up in a 67.8% annual turnover rate, well above the 45.8% national figure. Its inspection record carries 53 deficiencies, eight at the harm or jeopardy level and four tied to abuse, along with four fines totaling $193,834. The most recent inspection was February 2026. A 4/5 quality measure score sits alongside 1/5 ratings for both staffing and health inspections, worth knowing what that quality number actually measures before weighing it against the rest.
Fall Creek runs on 3.25 nursing hours per resident day, about 16 percent under the national average, with weekends dropping roughly 14 percent below its own weekday staffing. That thin coverage shows up in the numbers: a 65.6 percent annual turnover rate, well above the 45.8 percent national figure, and a one-star CMS staffing rating. Inspectors have cited 21 deficiencies, seven of them serious enough to put residents in harm's way and three tied to abuse, with two fines totaling $48,555. The last inspection was in May 2025. For a 126-bed for-profit home, the pattern across staffing, turnover, and enforcement history is worth weighing carefully before you decide.
Bria Of Woodriver sits at 3.86 nurse hours per resident day, which lands right on the national average, but that number hides a staffing schedule that thins out considerably on weekends, dropping about 16 percent below its own weekday levels. The bigger problem is who's providing that care and for how long: annual turnover runs 78.5 percent, well above the national 45.8 percent, meaning most of the people caring for your family member will be gone within a year. Behind those numbers is a one-star health inspection rating, 64 deficiencies on the current record with 18 at harm or jeopardy level and 7 tied to abuse, and $492,838 in fines across seven penalties. CMS has placed this home in its Special Focus Facility program, a designation reserved for the persistently worst performers.
Onondaga Center runs 82 beds under corporate ownership, and its staffing is the first thing that stands out: 3.25 nurse hours per resident day, roughly 16% under the national average, with weekends about 20% thinner than weekdays. Turnover sits near 70% against a national rate around 46%, so the people caring for residents keep changing.
The inspection record backs that up, 48 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and $191,992 in fines across three penalties. CMS has placed it in the Special Focus Facility program, a designation for homes with a pattern of poor inspections. The most recent inspection was in November 2025.
East Carolina Health and Rehabilitation Center runs 130 certified beds in Greenville, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.65 hours per resident per day, slightly under the national average, and weekends drop roughly 15% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger flag: 76.7% annually against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. That instability shows up in the inspection record too: 45 deficiencies, two at harm or jeopardy level, four abuse-related, and $61,585 in fines.
Good Samaritan Society Miller runs 50 beds in Hand County, and the numbers here deserve a close look before you decide. Nurse staffing sits just under the national average, but weekends run about 15 percent thinner than weekdays, and annual turnover of 70.8 percent means most of the people caring for residents are relatively new, against a national rate nearer 46 percent. The inspection record shows 22 deficiencies, four of them at harm or jeopardy level and two tied to abuse, with $96,127 in fines across two penalties. A recent February 2026 inspection and a 1-out-of-5 quality measure score round out a picture worth asking hard questions about.
Nurse staffing at Chattanooga Health And Rehab Center runs about 3.22 hours per resident day, roughly 17% under the national average, and weekends dip another 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 77.6%, well above the 45.8% national figure, which matters because aides who know residents are the ones who notice changes first. Inspectors cited 22 deficiencies on the current record, none at the harm level and none abuse-related, with one fine of $6,509 and a most recent inspection in August 2025. The limited liability, for-profit owner carries the license.
Buena Vida Nursing and Rehab in San Antonio runs 222 certified beds under hospital district ownership, and federal data shows it struggling on every measure CMS tracks. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 9% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 49 deficiencies, five serious enough to put residents in harm's way, three tied to abuse, and $187,608 in fines. That combination landed it in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Colonial Heights, VA
· Colonial Heights City County
★☆☆☆☆CMS 1/5196 bedsFor-profitMedicaid
Nurse hours
3.00
/day
Staff turnover
69%
Serious cites
0
Abuse icon on record
Colonial Heights Rehabilitation and Nursing Center runs on 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends drop another 15% below what the home staffs on weekdays. Turnover sits at 69.3% against a national 45.8%, so nearly seven in ten caregivers left within a year. The current record shows 89 deficiencies, including 4 at the harm or jeopardy level and 11 tied to abuse, with one fine of $105,289. The last inspection was October 2022. For-profit, LLC-owned, 196 beds. Ask what staffing looks like on a Saturday night before you decide anything.
Morgantown Heights Of Journey runs 100 beds under corporate ownership, and the numbers that stand out most are the ones families can't easily see from a brochure. Nurses provide about 3.09 hours of care per resident per day, roughly 20% below the national average of 3.86, and weekend staffing drops another 15% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 67.3% against a national 45.8%, meaning most of the people caring for your relative are new or on their way out. The current record carries 83 deficiencies, including 3 at the harm level and 8 tied to abuse, with a $148,460 fine. The last inspection was September 2025.
The staffing number at Wyoming Retirement Center is the one to sit with: 0.39 total nurse hours per resident per day, roughly a tenth of the national average of 3.86. Weekends run about 45% thinner than weekdays already are, so certain shifts have very little licensed coverage in a 90-bed building. On the state's watch, its current record shows 18 deficiencies, six of them at harm or jeopardy level and seven tied to abuse, with two fines totaling $41,201 and an inspection from December 2024. State-run ownership doesn't change what those numbers mean for a resident who needs help at 2 a.m.