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.
Bluebonnet Point Wellness runs on 2.80 nurse hours per resident day, roughly 27% under the national average, and weekends drop about 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 97.8% against a national 45.8%, meaning nearly the entire nursing workforce cycles out each year. The current record shows 34 deficiencies, six serious enough to cause harm or jeopardy and one tied to abuse, with five fines totaling $181,947. Inspectors last visited in August 2025. With 119 certified beds under corporate for-profit ownership, ask specifically who is on duty nights and weekends before you decide.
Pinewood Health and Rehabilitation runs 2.79 nursing hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday numbers, so coverage is thinnest exactly when families tend to visit. The 63% annual turnover means most of the aides working there this year likely won't be there next year, which matters more than any single rating. On the federal record, there are 50 deficiencies, 11 serious enough to involve harm or jeopardy, five tied to abuse, and $210,094 in fines. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The most recent inspection was February 19, 2025.
Troy Victorian runs 2.96 nurse staffing hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what the home itself staffs on weekdays. Staff turnover sits at 57.4%, more than half the nursing staff leaving in a year, which matters even more at a place where CMS has flagged 11 abuse-related deficiencies. The home carries 73 deficiencies on its current record, three serious enough to cause harm, plus $269,574 in fines, and CMS has placed it in the Special Focus Facility program, reserved for the worst performers in the country. If you're considering this one for someone you love, ask what the turnover and weekend coverage look like on the specific unit and shift you're considering.
Nexus Pavilion At Belleville runs 180 beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.24 hours per resident day against a national average of 3.86, weekend coverage drops about 15% below its own weekday level, and annual turnover hits 70.4%, well above the 45.8% national figure. That thin, churning workforce shows up in the inspection record: 75 deficiencies, 25 at harm or jeopardy level, 17 abuse-related, and seven fines totaling $821,641. CMS has placed it in the Special Focus Facility program, reserved for the poorest performers. Its last inspection was March 14, 2025.
Maryville Living Center runs 3.19 nurse hours per resident day against a national average of 3.86, and weekends drop another 11% below its own weekday level, so the hours your family member gets on a Saturday are thinner than the weekday number suggests. Staff turnover is 68.9% against a national 45.8%, meaning roughly two of every three caregivers left within a year. The current record carries 42 deficiencies, including five at the harm or jeopardy level and five tied to abuse. Fines total $22,337, and the last inspection was June 19, 2025.
Gallaway Health and Rehab runs on 2.94 nurse hours per resident day, about a quarter below the national average, and weekends drop roughly 15% below what the home staffs on weekdays. Nearly two-thirds of its nurses left over the past year, well above the 45.8% national rate, which means care is often delivered by people still learning the building. Its record shows 21 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $78,741 fine. The last inspection was June 2022, so that record is largely unverified since then. A for-profit LLC operates the 104-bed home out of Fayette County.
Greenview runs on 2.86 nurse hours per resident day, well under the 3.86 national average, and weekends drop about 9% below what the home already provides on weekdays. Nearly 70% of nursing staff turned over in a year, against a 45.8% national figure, with a for-profit LLC operating the 128 beds. The current inspection record carries 45 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, and the home has been fined five times for $73,108 total. Its last inspection was March 19, 2025.
Metropolis Rehab & Hcc runs on 3.48 nurse hours per resident per day, roughly 10% under the national average, and weekend coverage drops about 15% below what it manages on weekdays. Staff turnover sits at 55.3% against a national 45.8%, so the aides and nurses cycling through have less time to learn residents' routines. The inspection record is the harder part: 58 deficiencies, 16 of them serious enough to put residents in harm's way, five tied to abuse, and $361,369 in fines across five penalties. Federal ratings put the home at one star for health inspections, quality measures, and staffing alike. A for-profit corporation owns it, and the most recent inspection was May 2025.
St. Peters Rehab and Healthcare Center carries a record that families should look at closely before deciding. The home is in CMS's Special Focus Facility program, a designation reserved for nursing homes with a persistent pattern of poor inspections, and the numbers behind that status are hard to read any other way: 101 deficiencies on the current record, six of them at the harm or jeopardy level, three tied to abuse, and four fines totaling $168,026. Staffing sits about 14% under the national average, weekends run roughly 18% thinner than weekdays, and annual turnover hits 67% against a 45.8% national figure, meaning the aides and nurses who do stay are often new.
Kimes runs on 3.11 nursing hours per resident per day, roughly a fifth below the national average, and the weekend gap makes it thinner still, about 16% less staff on Saturdays and Sundays than during the week. The bigger red flag is turnover at 87.2%, nearly double the national figure, which means the people caring for residents are, more often than not, new to the building. The current inspection record shows 51 deficiencies, including three tied to abuse and one serious enough to cause harm or jeopardy, and the last inspection was in October 2024. A one-star inspection rating and two-star quality measures reflect a home that has struggled on multiple fronts, not just one bad survey.
Lampstand runs 140 beds in Bryan under for-profit LLC ownership, and the staffing numbers are the first thing to sit with. At 3.33 nurse hours per resident day, it's roughly 14% under the national average, and weekends drop about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the harder fact: 97.3% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, almost certain to change within the year. Behind those numbers sit 48 deficiencies on the current record, four of them serious enough to reach harm or jeopardy level, plus $31,460 in fines. The most recent inspection was April 2026.
Roswell Center for Nursing and Healing runs 268 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average, and weekends drop another 13% below what the home already provides on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover is 61.7% against a national 45.8%, meaning most of the people caring for residents are still learning the building. Inspectors have cited 24 deficiencies, five serious enough to put residents at harm or jeopardy, and one fine of $206,486. No abuse citations appear on the current record.
Lakeside runs 3.12 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends are thinner still, about 13% below its own weekday coverage, and 60.6% of staff turned over in a year versus 45.8% nationally, so the people providing that care keep changing. The inspection record shows 38 deficiencies, 11 serious enough to cause harm or jeopardy, 2 tied to abuse, and $199,461 in fines across three penalties. The most recent inspection was March 2025, so the picture is current. A for-profit corporation owns the 95-bed building. Staffing, quality measures, and inspection results each land at the low end of CMS's scale.
Hillsboro Rehab & Hcc runs on 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekend coverage dips about 10% below its own weekday level. Staff turnover sits at 60.8% against a national 45.8%, meaning nearly two of every three caregivers left within a year. Its record shows 67 deficiencies, 15 at harm or jeopardy level and 14 abuse-related, plus three fines totaling $317,250 and a September 2024 inspection. Low staffing, high turnover, and repeat serious findings tend to reinforce each other in a building this size.
Nurse staffing at Arc at Sangamon Valley runs about 25% under the national average, 2.91 hours per resident day against 3.86, and weekends dip roughly 8% below what the home itself provides on weekdays. When aides and nurses leave at a 72.6% annual rate, well above the 45.8% national figure, that thin coverage gets harder to hold steady. The inspection record carries 82 deficiencies, 14 of them at harm or jeopardy level and 13 tied to abuse; federal fines total $583,051 across five penalties, and the most recent inspection was September 2024. Nonprofit ownership hasn't translated into stronger numbers here.
Serenity Estates of Lincolnshire runs on 2.97 nurse hours per resident per day, roughly a quarter below the national figure, and it thins out further on weekends. That staffing picture is hard to separate from a 99% annual turnover rate, meaning the aides and nurses in the building are largely new to it, more than double the churn seen at the typical U.S. home. The inspection record is heavier still: 61 deficiencies, ten serious enough to involve harm or jeopardy, six tied to abuse, and $343,139 in fines across eight penalties. The most recent state visit was April 2025. A for-profit limited liability company operates the 144-bed home.
The Haven On The River runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, with weekends dipping about 7% below its own weekday levels. That matters because turnover sits at 65.9%, well above the national 45.8%, so the people providing care keep changing. The inspection record shows 37 deficiencies, five at harm or jeopardy level and three abuse-related, plus three fines totaling $338,630. The most recent inspection was May 2025, so the picture is current, not old. This is a for-profit limited liability company with 66 certified beds, and the numbers above are what a family should weigh before deciding.
Strafford Care Center runs on thin staffing: 3.16 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday levels. The workforce is churning hard, 82.3 percent annual turnover against a national average of 45.8, which matters because 76 deficiencies sit on the current record, including 14 tied to abuse and one at the harm or jeopardy level. Inspectors were last in on April 21, 2025, and a $52,456 fine stands against the limited-liability company that owns the place. Every CMS rating category here, health inspections, quality measures, staffing, comes in at one out of five. Families weighing this home should start by asking who's actually on the floor on a Saturday.
Gregory Ridge is a 116-bed for-profit home in Kansas City, and the numbers behind its record are hard to argue with. Nurse staffing sits at 2.37 hours per resident day, roughly 39% below the national average, and it thins out further on weekends. Staff turnover runs 68.4% a year against a national average of 45.8%, which means the people caring for residents are, more often than not, new or on their way out.
That instability shows up in the inspection record: 100 deficiencies, 15 of them at harm or jeopardy level, 18 abuse-related, and six fines totaling $708,002. CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Vintage Health Care Center runs on 3.23 nurse hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday staffing. Annual turnover sits at 96.6 percent, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, likely to be new or on their way out. The inspection record backs that up: 57 deficiencies, seven serious enough to put residents in harm's way, one tied to abuse, and four fines totaling $252,370. Federal regulators have placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.