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.
Maple City runs on 3.01 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 22% under its own weekday numbers, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 57.3% against a national 45.8%, meaning more than half the nursing staff turns over in a year. The current record carries 25 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $62,207 fine, and the last inspection was August 2024. All three CMS ratings, health inspections, quality measures, and staffing, sit at one star.
Bishop Rehabilitation and Nursing Center is a 440-bed for-profit home in Syracuse, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.52 hours per resident per day, roughly 9% under the national average, and weekends drop about 18% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Staff turnover runs 55.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. Its current inspection record carries 51 deficiencies, 12 at harm or jeopardy level and one abuse-related, with two fines totaling $699,602 and a May 2025 inspection.
Ontario Center runs on 3.02 nurse hours per resident per day, well under the 3.86 national average, and weekends drop about 22% below its own weekday staffing. That thin coverage sits alongside 80.6% annual turnover, meaning most of the people caring for residents weren't there a year ago. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections, and the record backs that up: 41 deficiencies, including three at the harm level and two tied to abuse, plus a $117,878 fine. One star on health inspections and one on staffing, with a state survey completed in January 2025.
Oak Hollow Of Sumter Rehabilitation Center runs 96 certified beds under corporate for-profit ownership, and the numbers here are hard to dress up. Nurse staffing sits at 3.30 hours per resident day against a national average of 3.86, roughly 15% lighter, and it thins further on weekends, dropping about 18% below the home's own weekday coverage. Turnover tells its own story: 66% of staff leave annually, well above the 45.8% national figure, so the people caring for your family member are often new to the building. Inspections have logged 29 deficiencies, four at harm or jeopardy level and one tied to abuse, with five fines totaling $63,303. The most recent inspection was May 2026.
Smoky Mountain Health and Rehabilitation Center runs on thin staffing, 3.45 nurse hours per resident day, roughly 11% under the national average, and it gets noticeably thinner on weekends, dropping about 17% below its own weekday level. That matters most when a resident needs help on a Saturday. Staff turnover sits at 70.1%, well above the 45.8% national average, so the people caring for your relative are often new and still learning the building. The inspection record shows 16 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, with $61,180 in fines and a survey from January 2024. A for-profit LLC operates it. Ask direct questions about weekend coverage and how they've addressed the abuse findings.
Avir At Rose Trail carries a record that should give any family pause. The Tyler home runs 3.04 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 16% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 69.6% against a national 45.8%, meaning most of the people caring for your relative will likely be gone within the year.
The inspection record is worse: 59 deficiencies, 10 of them at the harm or jeopardy level and 10 tied to abuse, with $442,321 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for the country's most troubled homes.
Virginia Beach Healthcare and Rehab Center runs on thinner nurse staffing than most homes, 3.42 hours per resident day against a national average of 3.86, and weekends drop about 19% below its own weekday levels, which matters when families visit and needs don't pause. Staff turnover sits at 65.9%, well above the 45.8% national figure, so the people caring for residents are cycling through quickly. Its inspection record shows 96 deficiencies, including four at the harm or jeopardy level and seven tied to abuse, with one fine of $131,313 on file and a fresh inspection in October 2024. The quality measure score looks strong on paper, but that number sits on top of a for-profit LLC structure with a one-star inspection and staffing rating.
Bradley Estates runs 198 beds on Milwaukee's north side, and the numbers behind its record are hard to explain away. State inspectors have cited 155 deficiencies, 14 of them serious enough to put residents in immediate harm, and 22 tied to abuse, that volume doesn't come from paperwork slip-ups. Staff turnover sits at 70%, well above the 45.8% national figure, and weekend coverage drops about 17% below what the building manages on weekdays, which matters because that's when families visit and problems surface. Four fines total $305,374, and the federal government has placed the home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes.
Estates Healthcare and Rehabilitation Center runs 141 beds in Fort Worth under corporate for-profit ownership, and the numbers that stand out most are its inspection record and its staffing. Nurses provide about 3.08 hours of care per resident per day, roughly 20% below the national average, and weekend coverage drops about 16% below what the home staffs on weekdays. Staff turnover sits at 86.7%, nearly double the national rate of 45.8%.
That instability shows up in the record: 53 deficiencies, 11 of them serious enough to involve harm or jeopardy to residents, and 8 tied to abuse. Eight fines total $159,833. One bright spot is the quality measure rating at 4/5, but with a 1/5 inspection rating and a 1/5 staffing rating, families should ask hard questions before choosing this home.
Paradigm At Woodwind Lakes runs 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekend coverage drops about 12% below its own weekday level. Staff turnover sits at 58.3% against a national 45.8%, so the people providing that thin coverage are also leaving fast. The inspection record shows 44 deficiencies, 12 of them at harm or jeopardy level and 3 abuse-related, with two CMS fines totaling $89,541. This for-profit LLC is in the Special Focus Facility program, meaning federal regulators watch it more closely than most. The most recent inspection was January 9, 2026.
Bluebonnet Nursing and Rehabilitation runs 120 beds in Karnes County under corporate ownership, and the staffing numbers are the first thing to notice. At 3.40 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 23% below its own weekday level, which matters if your family visits on a Saturday. Turnover is the harder number: 91.4% of staff leave each year against a national average of 45.8%, so the people caring for your relative are likely new to the building and still learning it. The current inspection record shows 39 deficiencies, five of them at the harm or jeopardy level, with $125,523 in fines across five penalties. The last inspection was August 2025.
Nurse staffing at Marine Creek works out to 3.47 hours per resident per day, roughly 10 percent under the national average, and weekends drop about 18 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 94.1 percent a year against a national average near 46 percent, meaning most of the people caring for residents are new to the building and still learning it. The current inspection record carries 44 deficiencies, including 6 at the harm or jeopardy level and 5 tied to abuse. Three fines totaling $23,621 are on file, and the most recent inspection was September 18, 2025.
If your family is looking at Sienna Nursing and Rehabilitation in Odessa, the staffing numbers are what you need to sit with. Nurses provide 2.91 hours of care per resident each day, about a quarter below the national average, and weekends run thinner than weekdays. Turnover is the number that should worry you most: 92.3% of staff leave or are replaced annually, roughly double the national rate, meaning the aide who knows your mother's routines today is probably gone within a year. The record shows 28 deficiencies, four of them serious enough to put residents at real risk, plus one abuse-related finding and a $241,722 fine. The state last inspected in January 2025.
Apple Rehab Avon runs 60 beds, and the nurse staffing number is the first thing worth your attention: 3.31 hours per resident per day, roughly 14 percent under the national average. Weekends dip about 6 percent below the home's own weekday coverage, and turnover sits at 55.2 percent against a national average of 45.8 percent, so the aides and nurses cycling through are both fewer and less likely to still be there next year.
The inspection record shows 46 deficiencies, seven tied to abuse, none rising to harm or jeopardy, plus one $78,309 fine. The most recent inspection was in November 2025, so it's current. Nothing here is catastrophic on paper, but thin staffing and heavy turnover are the conditions that make bad days possible.
Bell Minor Home runs on 3.13 nurse staffing hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about another 10% below its own weekday level. That thin coverage shows up in the numbers that matter: a one-out-of-five staffing rating, 31 deficiencies on the current record, five of them at harm or jeopardy level, and one tied to abuse. Staff turnover sits at 82.1% against a national average of 45.8%, meaning most of the people caring for residents are new to the building and still learning it. Two fines totaling $74,979 are on file, and the last inspection was May 6, 2026. A for-profit partnership owns it. Ask about weekend coverage and how long aides have actually worked there before you decide.
Richland Nursing & Rehab runs on 2.85 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin coverage shows up elsewhere: 64.3% annual turnover, meaning most of the people caring for residents this year likely won't be there next year. Federal inspectors have cited 47 deficiencies, 14 of them at a level that caused or risked actual harm, plus five tied to abuse. Ten fines total $401,602. Ownership is a for-profit corporation, and the last inspection was February 2025. If you're considering this one, ask hard questions about who's actually on the floor at 2 a.m. on a Sunday.
Pittsfield Manor runs on a corporate for-profit model, and the numbers show where that pressure lands. Nurse staffing sits at 3.84 hours per resident day, technically just under the national average, but weekends drop about 7% below the home's own weekday levels, and annual turnover hits 63.7% against a national 45.8%. That churn matters more than the headline staffing figure suggests.
The inspection record is the harder problem: 41 deficiencies, including five at harm or jeopardy level and seven tied to abuse. Four fines total $212,564, and the most recent inspection was December 2024. All three CMS star ratings, health inspection, quality measures, and staffing, land at one or two out of five.
Evercare At University runs on 2.93 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops further from there. Staff turnover sits at 63.2% against a national 45.8%, so the people caring for residents are constantly changing. The inspection record is heavy: 68 deficiencies, 15 of them serious enough to put residents at risk of harm, 10 tied to abuse, and $398,905 in fines across eight citations. A for-profit corporation operates the 118-bed building, which was last inspected in February 2025. Families weighing this one against others in Madison County should ask directly how the home plans to fix its staffing and abuse record.
Tonganoxie Terrace runs on 3.00 nurse hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 68.6% versus 45.8% nationally, meaning most of the people caring for your relative likely weren't there a year ago. The current record shows 56 deficiencies, two at harm or jeopardy level and two abuse-related, plus $47,317 in fines. Its last inspection was January 29, 2026. This is a for-profit limited liability company with a 90-bed census. Every CMS star category sits at 1 out of 5.
Auburn Nursing and Rehabilitation Center runs on 3.06 nurse hours per resident per day, about a fifth below the national average, and weekends drop roughly another 10% under its own weekday level. Staff turnover sits at 86.5% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The current record carries 19 deficiencies, two of them serious enough to indicate harm or jeopardy, plus $24,850 in fines. All three CMS star ratings, health inspections, quality measures, staffing, sit at 1 out of 5. Ownership changed within the past year, and the most recent inspection was September 12, 2025.