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.
Rosewood at Tybee Island carries a federal Special Focus Facility designation, which CMS reserves for the homes with the most persistent problems. The inspection record backs that up: 25 deficiencies, five of them at a level where residents were actually harmed or put in immediate jeopardy, and two tied to abuse. Staffing sits at 2.76 nurse hours per resident per day against a national average of 3.86, and it thins out further on weekends, dropping about 13% below the home's own weekday level. Turnover runs 78.4% a year, well above the 45.8% norm, so the people caring for your family member are likely new and likely leaving soon. One fine on record totals $200,733.
Washington Senior Living runs 122 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 19% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 67.5% is well above the 45.8% national figure, which means the people providing care keep changing. The inspection record backs that up: 64 deficiencies, 18 tied to abuse and 2 serious enough to reach harm or jeopardy, plus a $230,097 fine. The most recent inspection was December 2024.
Evercare Of Breese runs 112 certified beds under a for-profit LLC, and the staffing numbers are the first thing to notice: 2.70 total nurse hours per resident day against a national average of 3.86, roughly 30% below. Weekend coverage drops about another 10% below its own weekday level, so the thinnest shifts get thinner. The inspection record carries 13 deficiencies, 5 of them at harm or jeopardy level, with 5 fines totaling $177,557. Quality measures scored 1 out of 5 stars. The last inspection was January 31, 2025, so the record is recent, not stale. Five harm-level findings and a staffing shortfall that size are the two facts worth weighing hardest.
Bria of Elmwood Park carries one of the heaviest regulatory loads in Cook County. Its record shows 100 deficiencies, including 26 that put residents in immediate harm or jeopardy and 16 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the small share of homes with a pattern of persistent problems. Fines total $616,979 across 10 penalties. Nurse staffing sits slightly under the national average, and weekends run about 16% thinner than weekdays, with 48.5% annual turnover. All three CMS star ratings, inspections, quality measures, staffing, sit at the lowest tier, and the most recent inspection was February 2025.
Chicago Ridge SNF runs 231 beds on 2.26 nurse hours per resident day, roughly 41 percent under the national average of 3.86, and weekends drop about 17 percent below its own weekday coverage. The inspection record is heavy: 119 deficiencies, 24 of them at harm or jeopardy level and 19 abuse-related, plus five fines totaling $883,180. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Staff turnover sits at 46.8 percent, slightly above the 45.8 percent national figure, and its last inspection was September 27, 2024. It's a for-profit limited liability company, and all three CMS star ratings, health inspections, quality measures, and staffing, come in at 1 out of 5.
La Bella Of Aurora runs 2.93 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, and weekends drop about 13% below its own weekday level. The inspection record is the bigger problem: 36 deficiencies, five of them serious enough to put residents in harm's way, one tied to abuse, and $274,921 in fines across three events. That April 2025 inspection was recent, so this isn't a stale file. It's a 68-bed for-profit LLC, the kind of operation where low staffing and repeated citations tend to reinforce each other rather than resolve.
Kenwood Vlge Nrsg And Rhb Ctr carries a record that should give any family pause. The home has been cited for 72 deficiencies, including 8 at the harm or jeopardy level and 10 tied to abuse, findings severe enough to trigger three federal fines totaling $236,838. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekend coverage drops another 17% below its own weekday level, meaning care thins out exactly when families often visit. Turnover is near the national norm, so the problem isn't churn, it's depth of coverage and a long, serious inspection history.
Nurse staffing at Integrity Hc Of Marion sits at 3.36 hours per resident day, about 13 percent under the national average, and weekends run roughly 16 percent leaner than weekdays. Staff turnover is 53.4 percent against a national 45.8 percent, so the people providing care keep changing. The current inspection record carries 56 deficiencies, including 7 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $468,729. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 1 out of 5. The most recent inspection was June 16, 2025.
Axiom Healthcare of Harrisburg runs 68 certified beds under corporate ownership, and the numbers behind its federal record are hard to read charitably. Nurse staffing sits at 3.48 hours per resident day against a national average of 3.86, and weekends drop roughly 22% below what the home itself staffs on weekdays, so the thinnest coverage lands when families are most likely to visit. Annual turnover of 51.5% outpaces the already-high national rate of 45.8%, meaning more than half the nursing staff leaves each year. The inspection history shows 25 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with a $92,920 fine and a March 2025 inspection.
Center Home Hispanic Elderly in Chicago carries 77 deficiencies on its current record, 13 of them serious enough to involve harm or jeopardy, and seven tied to abuse. That's not a paperwork problem. On the staffing side, nurses provide 2.86 hours per resident per day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, so coverage gaps widen exactly when families tend to visit. Staff turnover sits at 45.8 percent, matching the national rate, which means the churn here isn't unusual, but it compounds thin hours. Eight fines totaling $428,860 and a January 2026 inspection round out a record where the pattern is consistent across every measure.
Manchester Rehab and Healthcare Center is a 137-bed for-profit in Ballwin, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about another 10 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Its current inspection file carries 53 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus a single $197,132 fine. Federal ratings give it one star each for staffing and quality measures and two for health inspections, with the most recent inspection in May 2025.
Lincoln County Nursing & Rehab runs on 2.45 nurse hours per resident day, roughly a third below the national average, and weekends get about 10 percent less attention than weekdays. Staff turnover sits at 74.2 percent against a national 45.8 percent, so the people caring for your relative are likely to be new and soon to be gone. The record shows 115 deficiencies, nine of them serious enough to put residents in harm's way, five tied to abuse, and $235,414 in federal fines. CMS has placed the home in its Special Focus Facility program, which it reserves for the country's most persistently troubled nursing homes. The most recent inspection was May 2024.
Springfield Skilled Care Center runs on 2.96 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 17% below its own weekday coverage. Staff turnover sits at 79% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The inspection record shows 97 deficiencies, including 5 at harm or jeopardy level and 6 tied to abuse, with two fines totaling $189,066. Corporate-owned and Medicare-certified for 120 beds, its last inspection was February 2025. A 1/5 inspection rating and 1/5 staffing rating are the numbers families should weigh hardest here.
Appleton City Manor sits at 60 certified beds under for-profit LLC ownership, and every CMS star category comes back at one out of five, health inspections, quality measures, and staffing alike. The deficiency record tells the story behind those numbers: 63 total, including two at the harm or jeopardy level and four tied to abuse. Two fines totaling $92,020 are on file. Staffing falls short of what CMS expects for a home this size, which matters most when residents need hands-on help. The last inspection was June 27, 2025, so the record is current. Families considering this home should ask directly about the abuse-related findings and what's changed since that inspection.
Cooney Healthcare and Rehabilitation runs 90 certified beds in Helena under for-profit LLC ownership, and the numbers behind its record are hard to read charitably. Nurse staffing sits at 2.63 hours per resident day, roughly a third below the national average, and weekends drop about 15% below what the home itself manages on weekdays. Annual turnover of 77.6% means most of the people caring for residents are relatively new, against a national rate near 46%. The current inspection record carries 76 deficiencies, 11 of them serious enough to involve harm or jeopardy and 10 tied to abuse, with five fines totaling $247,212. CMS has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes.
Twin Oaks runs on thin staffing: 2.97 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 18% below what the home already provides on weekdays. The bigger red flag is turnover, 98% annually, more than double the national figure, meaning the aide or nurse who knows your mother this month is statistically unlikely to be there next year. Its current record carries 34 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, plus a $174,431 fine. A December 2025 inspection is recent, so the picture isn't stale. The corporate owner is for-profit, and the numbers suggest a building where care depends heavily on who happens to be on shift.
Legacy Transitional Care & Rehabilitation runs 186 beds in Atlanta under corporate for-profit ownership, and the staffing numbers are the first thing that stands out: 2.97 nurse hours per resident per day against a national average of 3.86. Weekends drop about 11% below the home's own weekday level, and annual turnover sits at 56.1%, well above the national 45.8%. The inspection record backs up the concern, 41 deficiencies, three at harm or jeopardy level, three abuse-related, and six fines totaling $121,894. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Goldwater Care Danville runs on thin staffing: 3.38 nurse hours per resident day, about 12% under the national average, and weekends drop another 12% below its own weekday levels. Annual turnover sits at 55.7%, roughly ten points above the national figure, so the people left on the floor are often new. The inspection record backs that up, 78 deficiencies, 12 of them at harm or jeopardy level, 8 tied to abuse, and six fines totaling $494,449. 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 April 4, 2025.
Landmark of Oak Lawn runs 143 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average, and weekends dip about 6% below the home's own weekday level. Staff turnover hits 67% against a national average near 46%, while the current inspection record carries 57 deficiencies, nine of them at harm or jeopardy level and eight tied to abuse, plus five fines totaling $308,189. CMS rates the home 1 star on staffing and 2 stars each on health inspections and quality measures, with the most recent inspection dated December 2024. If you're weighing this one, that combination, thin staffing, high turnover, repeat serious deficiencies, deserves hard questions before a move-in.
If you're weighing Sunny Acres for someone in your family, the staffing numbers are the first thing to look at. At 2.96 nurse hours per resident per day, this home runs about a quarter below the national average, and weekends dip even further below its own weekday level. Turnover sits near 65%, meaning most of the people caring for your relative this year likely won't be there next year. The inspection record is heavier: 48 deficiencies, seven of them serious enough to put residents in harm's way, six tied to abuse, and three fines totaling just under $294,000. The state's most recent look came in March 2025.