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.
Cobalt Lodge runs on 1.77 nurse staffing hours per resident per day, and the national average is 3.86, so it's working with roughly half the direct care you'd see elsewhere. Weekend coverage drops about 15% below its own weekday level, which matters because that's when families often visit and when problems tend to surface. Staff turnover sits at 72.2% against a 45.8% national figure, meaning most of the people caring for residents are new to the building. The current record holds 50 deficiencies, including 3 at the harm or jeopardy level and 6 tied to abuse, plus a $37,440 fine. CMS has placed it in the Special Focus Facility program, and its last inspection was November 2024.
Glenwood Health Center By Harborview runs 225 certified beds in Decatur under for-profit LLC ownership, and the staffing numbers are the first thing to know: 2.75 nurse hours per resident per day against a national average of 3.86, roughly 29% below. That gap widens on weekends, when coverage drops about 11% below the home's own weekday level, and 62.6% annual turnover means the people providing that care are constantly changing. The inspection record includes 40 deficiencies, four at harm or jeopardy level and five related to abuse, plus two fines totaling $13,043. Its most recent inspection was January 3, 2026. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 1 out of 5.
Allure of Knox County reports 4.19 total nurse staffing hours per resident day, which is genuinely above the national average of 3.86, that's the one number here that looks decent. Everything else points the other way. Staff turnover runs 73.9% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year, and weekend coverage dips below its own weekday level. The inspection record carries 41 deficiencies, six of them at harm or jeopardy level and six abuse-related, with $88,229 in fines and a December 2024 inspection. For-profit, limited liability ownership. Ask about turnover and the abuse findings directly before deciding.
Arcadia Care Auburn runs on thinner staffing than most homes its size, 2.77 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what it manages during the week. Annual turnover sits at 54.3%, well above the 45.8% national figure, so the people providing that care are cycling through faster than usual. The inspection record backs up the concern: 33 deficiencies, eight of them serious enough to involve harm or jeopardy, two tied to abuse, and four fines totaling $273,034. Its most recent inspection was in February 2025. A 1-out-of-5 staffing rating and a 1-out-of-5 quality measure rating, in a for-profit corporate home, tell you where the trouble concentrates.
Ryze On The Avenue runs 302 beds on Chicago's South Side, and the numbers behind its record are hard to dress up. Nurse staffing sits at 2.64 hours per resident day, roughly a third below the national average, and weekend coverage barely dips from that already thin weekday level, so there's little sign of extra help when families visit. Nearly three in five staff left over the past year, well above the typical rate. Inspectors have cited 86 deficiencies, seven involving harm or jeopardy and a dozen tied to abuse, with nine fines totaling $192,821. The last inspection was September 2024.
Sullivan Healthcare & Senior Living runs on nurse staffing that's roughly 30% below the national average, 2.70 hours per resident day against 3.86, and weekends drop about 10% below its own weekday level, which is when families tend to visit and notice. Staff turnover sits at 53.4% against a national 45.8%, so the people providing that thinner care are also leaving at a faster clip. The inspection record is where it gets harder to look past: 48 deficiencies, three at the harm or jeopardy level, seven tied to abuse, and one fine of $93,289, with the most recent inspection in August 2025 giving all three CMS ratings, health inspections, quality measures, and staffing, just one star out of five.
The Citadel at Saint Anne Place carries 43 deficiencies on its current record, nine of them serious enough to cause harm or put residents in jeopardy, and $144,440 in federal fines across five citations. That's a heavy enforcement history for a 179-bed nonprofit home, and it's recent, state inspectors were last on site in June 2025. Staffing sits at 3.42 nurse hours per resident day, about 11% under the national figure, and weekends drop roughly 14% below the home's own weekday coverage. Annual turnover of 62.2% means most of the people caring for your relative are new, versus 45.8% nationally. Ask the administrator directly how nine harm-level findings were corrected and what weekend coverage looks like now.
Palm Garden of Mattoon carries a one-star rating in all three CMS categories, health inspections, quality measures, and staffing, which tells you the problems run across the board, not just in one area. The inspection record is the heaviest part: 114 deficiencies, with 13 serious enough to put residents in harm's way and 26 tied to abuse. Staffing sits at 2.66 nurse hours per resident day, roughly a third below the national average, and weekends drop even lower. More than half the nursing staff turned over in a year. Three fines total $351,405. The last inspection was in January 2026. If you're considering this place, ask hard questions about who's actually on the floor.
Warren Barr South Loop runs 210 beds under for-profit LLC ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average, with weekends running about 3% thinner than its own weekdays. That thinness shows up in turnover: 61.5% of staff leave each year, well above the 45.8% national figure. The inspection record carries 65 deficiencies, including 6 at harm or jeopardy level and 3 tied to abuse, plus four fines totaling $240,888. Its last inspection was February 2025, so the record is current, and federal ratings put staffing at 1 out of 5. If you're considering this building, ask specifically who is on the floor on weekends and how they're fixing that turnover.
Central Nursing Home runs 245 beds on Chicago's West Side, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 2.24 hours per resident per day, roughly 42% under the national average of 3.86, and weekends run about 8% thinner than weekdays, so the hours when families visit most are the hours with the least coverage. The inspection record shows 45 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, with three fines totaling $85,800 and a last inspection in August 2024. Staff turnover of 46.5% is close to the national rate, meaning the instability here isn't unusual for the industry, but combined with the low staffing and quality scores, it leaves little margin.
Aliya Of Crestwood runs about 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips another 6% below its own weekdays. Staff turnover sits at 65.3%, well above the 45.8% national figure, which means the people caring for residents are often new to the building. Its current record carries 41 deficiencies, five of them at harm or jeopardy level and one abuse-related, plus two fines totaling $80,372; the last inspection was February 2025. The 3-star inspection and quality ratings look passable on their own, but the staffing number is where this one falls apart.
The Odd Fellow-Rebekah Home runs about 3.64 nursing hours per resident day, roughly 6% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage sits alongside a 50.4% annual turnover rate, higher than the 45.8% national figure, so the aides and nurses at the bedside keep changing. Its current record carries 61 deficiencies, including 8 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $244,338. The most recent inspection was November 21, 2025, so the picture is current, not stale, a nonprofit home where the numbers say watch closely before deciding.
Imboden Creek runs about 3.17 nursing hours per resident day, roughly 18% under the national average, and weekend coverage slips another 10% below its own weekday numbers. That thin staffing shows up in the inspection record: 83 deficiencies, seven at harm or jeopardy level, nine abuse-related, and five fines totaling $379,323. Annual turnover sits at 50%, above the national 45.8%, so the people providing care keep changing. The last inspection was January 13, 2026, and the federal government's own ratings give this for-profit corporation one star each for health inspections, quality measures, and staffing, the lowest marks CMS issues on all three.
Bethany Rehab & Hcc runs 90 certified beds in DeKalb, and the numbers behind its recent inspections are worth knowing before you visit. Nurse staffing sits at 3.64 hours per resident day, below the national average, and it thins out further on weekends, dropping about 12% from its own weekday level. Staff turnover is the harder figure, 72.2% annually, well above the national rate, which means the people caring for residents change often. The inspection record shows 68 deficiencies, 13 of them at harm or jeopardy level and three abuse-related, with six fines totaling $365,933. Its last inspection was July 2024. Ask direct questions about consistent weekend coverage and how the home has responded to those findings.
Evercare of Jerseyville runs a for-profit, LLC-owned home of 98 certified beds, and the numbers behind its federal ratings are hard to dress up. Nurse staffing sits at 2.89 hours per resident day, roughly a quarter below the national average, and weekends drop about 14% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Staff turnover is 50.8%, above the national rate, and its current inspection record carries 40 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse. Two fines total $143,408, with the most recent inspection dated December 14, 2025.
Sharon Health Care Elms runs 96 beds in Peoria under corporate ownership, and the numbers behind its federal record aren't kind. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and it thins out further on weekends, about 12% below the home's own weekday level. Staff turnover is 46.2%, essentially matching the national rate, so continuity isn't the outlier here; the shortfall is hours of care.
The inspection history is the heavier problem: 44 deficiencies on the current record, 7 of them at harm or jeopardy level and 3 abuse-related, with four fines totaling $185,971. CMS scored the home 2 out of 5 on health inspections and 1 out of 5 on both quality measures and staffing, with the most recent inspection in October 2024.
The Haven of Farmer City runs on 2.64 nurse hours per resident per day, roughly a third below the national average, and weekends drop about 13% below its own weekday level. That thin coverage shows up in the record: 55 deficiencies, three at harm or jeopardy level, four tied to abuse, and a $122,236 fine. Staff turnover sits at 47.6%, slightly above the national figure, so the people providing that care keep changing. Federal ratings give this home 1 out of 5 on both quality measures and staffing, 2 out of 5 on health inspections, and its most recent inspection was March 2026. Corporate-owned, 56 beds. If you're considering it, ask directly how many nurses are on the floor on a Saturday.
Elkton Nursing and Rehabilitation Center runs on thinner staffing than most homes in the country, 3.16 nurse hours per resident day against a national average of 3.86, and it gets worse on weekends, when coverage drops about 13% below the home's own weekday level. That kind of gap matters most when families visit on Saturdays and Sundays and find fewer hands on deck. Staff turnover sits at 62.5%, well above the 45.8% national figure, so the people caring for residents are cycling out faster than average. The current record shows 13 deficiencies, including one tied to abuse, plus seven fines totaling $30,641. State inspectors were last in the building in July 2025.
Pilgrim Manor runs on about 3.40 nurse hours per resident day, roughly 12% under the national average, and weekends drop another 12% below its own weekday levels. That thin coverage sits behind a staffing rating of 1 out of 5, and it shows up in the workforce itself: 69.3% annual turnover, well above the 45.8% national figure. The inspection record carries 22 deficiencies, six of them serious enough to put residents in harm's way and two tied to abuse, plus three fines totaling $186,253. The most recent inspection was February 25, 2026. This for-profit, limited-liability operation holds a 1-star health inspection rating despite a middling 3-star quality measure score.
Nurse staffing at Life Care Center of Cape Girardeau runs about 8% under the national average, and weekends drop roughly another 12% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover is the harder number to sit with: 68.5% annually against a national average of 45.8%, so most of the people caring for residents are relatively new. The inspection record backs that up, 45 deficiencies, 7 serious enough to put residents at harm or jeopardy, and four fines totaling $149,578. The most recent inspection was in May 2025, so the picture is current, not stale. Ownership is corporate and for-profit.