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.
Marshfield Care Center sits at 74 certified beds under for-profit LLC ownership, and the numbers on its current record are worth reading closely. Nurse staffing averages 2.87 hours per resident day, roughly a quarter below the national average, and weekends run about 14% thinner than weekdays, so coverage is at its lightest exactly when families tend to visit. Annual turnover of 69.8% means most of the people caring for your relative likely won't be there a year from now, against a national rate near 46%. The inspection history adds 45 deficiencies, including one at harm or jeopardy level and nine tied to abuse, with the most recent survey in August 2024. All three CMS star ratings sit at two or below.
Lakeview Post Acute runs 3.97 nurse hours per resident day, which edges past the national average of 3.86, but that number hides a staffing churn problem. Turnover sits at 83.3%, nearly double the national rate, and weekend coverage drops about 11% below weekdays, so the aide who knows your mother on Tuesday may be gone by next month. The inspection record is where it gets hard to ignore: 92 deficiencies, 8 at harm or jeopardy level, 5 tied to abuse, and a $176,501 fine, with the last inspection in October 2024. For-profit LLC ownership, and CMS rates staffing and health inspections 1 out of 5.
Steelville Senior Living runs on thinner staffing than most homes in the country, about 3.31 nurse hours per resident day against a national average of 3.86, and it gets even leaner on weekends, when coverage drops roughly 8% below its own weekday level. Nearly seven in ten staff members left over the past year, well above the 45.8% national rate, which means the people caring for residents are often new and still learning the building. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and a single fine has already reached $87,749. The last inspection was in August 2024.
Piedmont Hills runs 126 certified beds under for-profit limited liability ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.24 hours per resident day against a national average of 3.86, and weekends drop about 6% below what the home already provides on weekdays. Staff turnover is 47.3%, a bit above the national 45.8%. The inspection record shows 52 deficiencies, including 7 at harm or jeopardy level and 4 tied to abuse, with five fines totaling $217,827 and a February 2026 inspection. All three CMS star ratings, health inspections, quality measures, staffing, sit at 1 out of 5.
Deer Park runs 140 certified beds in Nebo under for-profit LLC ownership, and the staffing numbers tell a hard story: 3.41 nurse hours per resident day against a national average of 3.86, with weekends running about 10% thinner than weekdays already. Staff turnover sits at 78.5%, far above the 45.8% national figure, which means the people caring for residents are constantly changing. The inspection record is worse: 39 deficiencies, 10 at harm or jeopardy level, 6 abuse-related, five fines totaling $273,467, and federal placement in the Special Focus Facility program as of the June 2025 inspection. Ask direct questions about who's on duty nights and weekends.
Kirtland Woods of Journey runs on 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend shifts are thinner still. That staffing level comes with a 77.7% annual turnover rate, well over the national 45.8%, meaning the aides and nurses your family member sees are constantly changing. The inspection record is where things get serious: 54 deficiencies, four at harm or jeopardy level, five tied to abuse, and two fines totaling $314,178. It's a for-profit LLC with 177 beds, and its most recent inspection was May 5, 2026. If you're considering this one, ask hard questions about direct-care coverage on evenings and weekends before you decide anything.
Graceland Rehabilitation and Nursing Care Center is a 240-bed for-profit home in Memphis, and the numbers behind its record are worth walking through carefully. Nurse staffing sits at 3.47 hours per resident per day, about 10 percent under the national average, and it thins out further on weekends. That shortfall matters given a 51.6 percent annual turnover rate, meaning the aides and nurses caring for residents are changing constantly. The inspection history is the harder part: 33 deficiencies on the current record, 10 of them at the level where harm or jeopardy to residents occurred, three tied to abuse, plus $342,603 in federal fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and the most recent inspection was May 13, 2025.
Maplewood runs 160 beds in Jackson under for-profit LLC ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day against 3.86 nationally. That number looks fine until you see who's delivering it: turnover runs 66.7% a year, well above the 45.8% national figure, and weekends drop about 11% below the home's own weekday level. Inspections tell a harder story. The current record carries 26 deficiencies, five at harm or jeopardy level and three tied to abuse, with a $93,678 fine and a 2/5 health inspection rating. Quality measures score 1/5.
Premier Rehab And Healthcare At Berlin runs 115 certified beds under for-profit LLC ownership, and the staffing number that looks fine at first glance, 3.91 nurse hours per resident day, barely above the national average of 3.86, hides a rougher reality. Weekend staffing drops about 12% below its own weekday level, and annual turnover sits at 72.9% against a national average of 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is the harder part: 67 deficiencies, 9 serious enough to involve harm or jeopardy, 7 tied to abuse, and $307,847 in fines across three actions. CMS gave it 2 out of 5 stars for health inspections, 2 for staffing, and 1 for quality measures.
Barre Gardens is a 96-bed for-profit partnership home in Washington County, and the numbers behind its record are hard to read past. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends run about 9% thinner than weekdays, and that staffing is being delivered by an unstable workforce, with annual turnover near 79% against a national average closer to 46%. The inspection record is what stands out most: 53 deficiencies, three at harm or jeopardy level, one abuse-related, and $142,045 in fines, all serious enough that CMS has placed the home in its Special Focus Facility program. Its most recent inspection was June 25, 2025.
Holston Health & Rehabilitation runs 137 beds in Wytheville under corporate ownership, and the staffing numbers are the first thing a family should sit with. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 78% against a national 45.8%, meaning most of the people caring for your relative are likely new. The inspection record backs that up: 68 deficiencies, two at harm or jeopardy level, and a $111,911 fine. No abuse citations. The most recent inspection was May 2025.
Focused Care At Sherman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekends drop about 13% below its own weekday staffing. That thin coverage sits behind a 75% annual turnover rate, well above the national 45.8%, so the people caring for residents are often new to the building. Its current record carries 45 deficiencies, including 7 at harm or jeopardy level and 6 tied to abuse, plus one fine of $82,570, with the most recent inspection in May 2025. The quality measure rating of 3/5 is the one area that looks closer to average, but staffing and inspection ratings both sit at 1/5.
Avir At Weston runs 120 certified beds in Temple under individual for-profit ownership, and the staffing numbers are where the trouble starts. At 3.03 nurse hours per resident day, it sits roughly 21% below the national average of 3.86, and weekend coverage drops about 12% below its own weekday level, so the thinnest shifts get even thinner. Staff turnover hits 83.3% against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record backs that up: 29 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $154,589. The most recent inspection was June 13, 2025.
Arboretum Nursing And Rehabilitation Center Of Win runs on a nurse staffing level that's about a fifth below the national average, and weekends are thinner still, roughly 14% under its own weekday coverage. The bigger issue is the workforce itself: turnover sits at 98.4% a year, more than double the national rate, which tells you the aides and nurses in this building are largely new to it. On the current record are 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, along with two fines totaling $115,663. For a 120-bed for-profit home in Winnie, the pattern is a constant churn of caregivers paired with serious cited problems.
Peach Tree Place runs on 2.65 nurse hours per resident day, about a third less than the national average, and weekend coverage drops roughly 14% below what it manages on weekdays. Staff turnover hits 92% a year, double the national rate, so the people caring for residents are, more often than not, new to the building. The inspection record shows 29 deficiencies, five involving actual harm or jeopardy to residents and five tied to abuse. One fine on file totals $229,570. Ownership is a for-profit corporation, and the most recent state inspection dates to March 2024.
Odin Health and Rehab runs 3.02 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than typical. Weekends drop another 24% below the home's own weekday level, and 61.3% of staff left over the past year, well above the 45.8% national figure. The inspection record shows 53 deficiencies, 12 at harm or jeopardy level and 5 tied to abuse, with three fines totaling $435,072. Ownership is for-profit corporate, and the last inspection was May 2025. Quality measures score mid-range, but staffing and inspections sit at the bottom.
Natchitoches Nursing and Rehabilitation Center runs 98 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and it thins out further on weekends, roughly 16% below its own weekday levels. Staff turnover is 66.7% a year, well above the 45.8% national figure, so the people caring for residents keep changing. On the inspection side, 65 deficiencies are on record, six of them serious enough to involve harm or jeopardy, with four fines totaling $616,611 and a March 2026 inspection. Ownership is a for-profit limited liability company.
Farmerville Nursing and Rehabilitation Center runs on 3.06 nursing hours per resident day, roughly a fifth below the national average, and weekend coverage drops another fifth below its own weekday level. Staff turnover sits at 69.5% against a national 45.8%, meaning most of the aides and nurses caring for residents this year likely won't be there next year. The inspection record shows 30 deficiencies, including one at the level of actual harm or jeopardy and three tied to abuse, with $19,667 in fines and a survey completed in June 2025. For-profit corporate ownership, 117 beds, and low marks across staffing and quality measures round out the picture.
Heritage Care Center runs on 1.85 nurse staffing hours per resident day, roughly half the national average, and weekends drop another 23% below its own weekday level. That thin coverage shows up in the record: 95 deficiencies, 15 of them involving harm or jeopardy to residents, 17 tied to abuse, and six fines totaling $424,748. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents keep changing. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was September 9, 2025. The four-out-of-five quality measure rating rests on a staffing and inspection picture that is among the weakest CMS tracks.
Hillside Health Care Center runs on 2.46 nurse staffing hours per resident day, roughly a third less than the national average, and weekends drop about 15% below what it manages on weekdays. Annual turnover of 60.3% means most of the staff you'd meet are relatively new. The record shows 122 deficiencies, 17 of them at the harm or jeopardy level and 10 tied to abuse, plus $106,588 in federal fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was July 2024. If you're considering this one, ask what specifically has changed since then.