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.
Elderwood At Waverly runs 200 certified beds in Tioga County under for-profit individual ownership, and the numbers behind its record deserve a close look. Nurse staffing sits at 2.66 hours per resident day, roughly 31% under the national average of 3.86, and weekends drop about 18% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover of 67.5% against a 45.8% national average means the aides and nurses caring for residents are frequently new. The current inspection record carries 26 deficiencies, including two at the harm or jeopardy level and two abuse-related, plus $120,884 in fines.
Mountain View runs 187 certified beds under limited-liability, for-profit ownership, and the staffing numbers are where things get uncomfortable. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekend coverage drops roughly 15% below its own weekday level, so the thinnest shifts are also the least supervised. Staff turnover is 95.9% against a national figure of 45.8%, meaning nearly the entire nursing workforce cycles out annually. On the current record: 68 deficiencies, five of them serious enough to put residents in harm's way, seven tied to abuse, and three fines totaling $127,645. The most recent inspection was March 2026, recent enough that these problems are current, not historical.
Watertown Health Care Center runs on 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home itself staffs Monday through Friday. That thin coverage sits behind a staffing rating of 1 out of 5, with 73.6% of nursing staff turning over annually against a national 45.8%, meaning the people caring for your family member are, more often than not, new to the building. Inspections paint a similar picture: 69 deficiencies on the current record, 10 serious enough to put residents in harm's way, five tied to abuse, and $278,229 in fines across five penalties. The last inspection was November 2024.
Woodway Nursing & Rehab in Houston runs on thinner staffing than most homes, with weekend coverage dropping further below its own weekday levels. The bigger red flag is turnover: 85.3% of nursing staff leaving annually, nearly double the national rate.
That churn shows up in the inspection record, 60 deficiencies, 18 serious enough to endanger residents, three tied to abuse, and four fines totaling more than $303,000. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. Inspectors were last on site in June 2025. For-profit, limited-liability ownership. Families considering this home should ask hard questions about who's actually on the floor nights and weekends.
If you're considering Cascades At Galveston for someone you love, the numbers here are hard to get past. The home runs 2.74 nursing hours per resident per day, roughly a third below the national average, and weekends drop about 23% below its own weekday staffing. Annual turnover sits at 70.7% against a national average of 45.8%, so the people caring for residents are cycling out fast.
The inspection record shows 41 deficiencies, nine at harm or jeopardy level and one abuse-related, with four fines totaling $241,516. 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 May 2025.
Nurse Care of Buckhead is a 220-bed for-profit home in Atlanta that sits in CMS's Special Focus Facility program, the agency's watchlist for homes with a persistent record of poor care. The inspection history explains why: 80 deficiencies on the current record, including four at the harm or jeopardy level and eight tied to abuse. Its last inspection was June 9, 2025.
Staffing is thin in a way that matters day to day. At 3.57 nurse hours per resident, it runs about 8% under the national average, and weekends drop roughly 13% below its own weekday level. Annual turnover of 67.8% means most of the people caring for residents are new to the building and still learning it.
Evercare Of Collinsville runs on 2.73 nurse hours per resident day, roughly a quarter less than the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage has to carry a resident population of up to 94, and more than two-thirds of the nursing staff turned over in a year, well above the national rate. The inspection record shows 49 deficiencies, including 10 at the harm or jeopardy level and 7 tied to abuse; the most recent inspection was in November 2024. Three fines total $419,192. A for-profit corporation owns it. When staffing is this far under the national mark and the harm-level findings stack up, those fines start to look less like bad luck and more like a pattern.
If you're considering The Haven of Paris for a family member, the numbers are worth sitting with. The home runs 3.15 nurse staffing hours per resident day, roughly 19% under the national average of 3.86, and weekend coverage dips about 6% below its own weekday level, so care is thinnest exactly when families tend to visit. Turnover sits at 62.5% against a national 45.8%, meaning most of the aides and nurses working there this year likely won't be there next year. The inspection record is heavy: 104 deficiencies, 14 of them serious enough to put residents in harm or jeopardy, 18 tied to abuse. Nine fines totaling $497,318.
Nurse staffing at La Bella of Mascoutah runs about 3.65 hours per resident per day, roughly 5% under the national average, and it thins out further on weekends, about 14% below its own weekday level. The bigger issue is who stays: annual turnover hits 78.8% against a national average of 45.8%, meaning most of the aides and nurses caring for your relative this year likely won't be there next year. That churn shows up in the inspection record: 36 deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and three fines totaling $128,006. The most recent inspection was December 2025.
Evercare At Edwardsville runs on 2.88 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 8% below what it manages on weekdays. That thin staffing sits behind a 1-out-of-5 CMS staffing rating, and turnover is 67.5% against a national average of 45.8%, most of the people caring for residents here were not doing it a year ago. The current record shows 37 deficiencies, 11 at harm or jeopardy level and 7 tied to abuse, with five fines totaling $423,998 and a February 2025 inspection. A for-profit corporation operates the 120-bed building.
La Bella Of Caseyville runs on 3.03 nursing hours per resident day, roughly a fifth below the national average, and weekends dip even lower than its own weekdays. That thin coverage shows up in the numbers: a one-star staffing rating, a one-star quality measure rating, and 55.3% annual turnover, meaning more than half the nursing staff leaves each year. The inspection record is heavier than that staffing picture alone would suggest, 40 deficiencies, 7 serious enough to put residents in harm's way, 6 tied to abuse, and $222,663 in fines across three actions, with the most recent inspection in June 2025. This is a for-profit LLC with 150 beds, and families should ask directly how the home covers weekends and what changed since those abuse findings.
Evervella Of Swansea runs on 3.03 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips even further below its own weekday pace. That thin margin shows up in the workforce itself: nearly three-quarters of staff turned over in a year, against a national rate closer to 46%. The inspection record carries 32 deficiencies, including three at the harm or jeopardy level and one tied to abuse, plus 23 fines totaling $155,317. The last inspection was recent, in September 2025, and quality measures sit at 2 out of 5 stars. If you're weighing this one, ask directly how they hold weekend staffing and what's changed since that abuse finding.
Charleston Rehab And Nursing runs on 3.14 nurse hours per resident day, roughly 19 percent under the national average, and weekend staffing drops about 11 percent below its own weekday level. That thin coverage sits alongside a 72.4 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses at the bedside keep changing. The inspection record is the heavier problem: 71 deficiencies, five of them at harm or jeopardy level and 14 tied to abuse, with two fines totaling $75,785 and a 1-out-of-5 inspection rating. For-profit corporate ownership, 139 beds, and a last inspection in September 2024. If you're considering this one, ask hard questions before you sign anything.
The Haven of Bement runs on 3.25 nurse hours per resident day, roughly 16% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in the inspection record: 56 deficiencies, five of them at harm or jeopardy level, eight tied to abuse, and $71,790 in CMS fines. Annual turnover sits at 66.7%, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar caregivers. The last inspection was March 13, 2026, and every CMS star category, health inspections, quality measures, staffing, came back at one out of five. It's a for-profit limited liability company with 60 certified beds.
Integrity Hc Of Anna runs about 2.63 nurse hours per resident day against a national average of 3.86, roughly a third less hands-on care than typical, with weekends running about 13% leaner than weekdays. Turnover sits at 67.7% against a national 45.8%, meaning most of the staff you'd meet likely weren't there a year ago. The inspection record is heavy: 53 deficiencies, 10 of them at harm or jeopardy level and two tied to abuse, plus five fines totaling $352,749. The most recent inspection was August 2025, so the record is current rather than stale. For a 70-bed for-profit home, the numbers point to thin coverage and repeated compliance failures rather than isolated bad luck.
Regency Care runs 99 beds in Springfield under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.96 nurse hours per resident per day, roughly a quarter below the national average, with weekends dropping another 12% below its own weekday staffing. Turnover sits at 57.3% against a national 45.8%, which means the aides and nurses your family member sees are cycling through constantly. The inspection record backs this up, 38 deficiencies, six at harm or jeopardy level, three tied to abuse, and $210,507 in fines across four events. The most recent inspection was March 2025, so the record is current. CMS rates it 1 out of 5 on both staffing and quality measures.
Clinton Healthcare runs 120 beds under corporate ownership, and the numbers that stand out most are on the staffing side. Nurses give 3.57 hours per resident per day against a national average of 3.86, weekends drop roughly 12% below the home's own weekday level, and annual turnover sits at 82.2%, nearly double the 45.8% national figure. On the inspection record, 31 deficiencies are logged, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $83,041. The last inspection was September 5, 2024. Ownership and consistency of care are the things to press on when you call.
Country View Nursing runs on 3.25 nurse staffing hours per resident day, about 16% under the national average, and weekend coverage drops roughly another 10% below its own weekday level. That thin bench turns over constantly, 82.6% annual staff turnover against a national average near 46%, which matters more in a 60-bed home where residents see the same few faces. The inspection record backs up the concern: 70 deficiencies, including 9 at harm or jeopardy level and 3 tied to abuse, with $192,533 in federal fines. All three CMS ratings, health inspections, quality measures, staffing, sit at the bottom. For-profit, limited liability ownership, last inspected January 2026.
Windsor Rehabilitation and Healthcare Center runs on 3.10 nurse hours per resident day, about a fifth below the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. Staff turnover sits at 79.3%, more than seven in ten workers leaving annually against a national rate near 46%, while 52 deficiencies sit on the current record, including five at the harm or jeopardy level and seven tied to abuse. Two fines total just under $250,000, and the last inspection was January 2026. Corporate-owned and running lean on direct care, this is a home where you'd want to visit unannounced, on a weekend, and ask who is actually on the floor.
Avir At San Augustine runs on thin staffing: 3.54 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 7% below its own weekday levels. That's a real problem when turnover hits 82%, nearly double the national 45.8%, because new hires cycle through faster than they can learn residents' needs. The inspection history backs this up: 20 deficiencies on the current record, including 3 at harm or jeopardy level and 3 tied to abuse, with $102,752 in fines across three penalties. A 4/5 inspection rating and recent May 2026 survey suggest the home can pass a walkthrough, but a 1/5 staffing score and 2/5 quality measures tell you what day-to-day care actually looks like.