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.
The Daniel K Akaka State Veterans Home is state-run, which matters less for the grade than what inspectors actually found. Eight deficiencies appear on the current record, and while none rose to the level of harm or jeopardy, one is abuse-related, a category worth asking about directly, since it covers everything from mishandling to resident-to-resident incidents. The most recent inspection closed out in April 2026, so the picture is current rather than stale. There's no staffing or turnover figure here to weigh against the national average, and without it the record is mostly a deficiency count and a recent walkthrough.
Axiom Gardens Of Mount Vernon carries 18 deficiencies on its current record, and three of those are abuse-related, a category families should ask about directly. Two more were serious enough to be cited at the harm or jeopardy level, meaning an inspector determined residents were actually endangered, not just at risk. The 106-bed home is run by a for-profit corporation, inspected last on March 17, 2025, and it's been fined three times for a combined $37,500. That pattern of repeat fines alongside abuse citations suggests problems that inspections have flagged before and that the home hasn't fully corrected. When you tour, ask what changed after those abuse findings and who supervises residents with behavioral needs.
Redbud Village runs 34 beds as a nonprofit, and its nurse staffing sits at 3.73 hours per resident day, about 3% under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 6% below what the home staffs on weekdays. The record shows five deficiencies, two of them serious enough to count as harm or jeopardy, plus one tied to abuse, and CMS has issued two fines totaling $24,779.
One thing in the home's favor: the most recent inspection was March 12, 2025, so the state's picture of conditions here is fairly current rather than years stale. If you're weighing this one, ask specifically about the abuse-related finding and how weekend coverage is handled.
Access Mental Health in Peabody holds 45 certified beds under for-profit limited liability ownership, and its last inspection was June 3, 2026. Staff turnover sits at 25.9% against a national average of 45.8%, so on retention this home beats most of its peers. The rest of the record runs the other way: 45 deficiencies, 10 of them at the harm or jeopardy level, 5 tied to abuse, and three CMS fines totaling $122,551. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. Low turnover alone doesn't offset that kind of inspection history.
Future Care Annapolis runs 4.97 total nurse staffing hours per resident day, roughly 29 percent above the national average of 3.86, and it carries no deficiencies at all on its current record, none at the harm or jeopardy level, none tied to abuse. Its most recent inspection was November 13, 2025, so the picture is fresh rather than stale. The one number that gives pause is weekend staffing, which runs about 11 percent below the home's own weekday level. That's a common pattern in nursing homes, but it matters for a family whose visits or care concerns land on Saturdays and Sundays. The corporate, for-profit ownership is worth knowing, though nothing in the record shows it dragging down care here.
The Massachusetts Veterans Home at Holyoke runs 128 certified beds under state government ownership, and its nurse staffing sits at 8.21 hours per resident day. That's roughly double the national average of 3.86, which is unusual even for a government-run home. Weekend staffing drops about 11% below its own weekday level, so the coverage families see on a Saturday won't match a Tuesday. Its record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection on February 28, 2025. High staffing and a clean harm record don't erase the weekend gap, but they tell you where this home puts its resources.
Alyce G Clarke Center is a state-run home in Jackson, Mississippi, serving medically fragile children. Its record shows zero deficiencies on the current inspection, including none at the harm or jeopardy level and none tied to abuse. The most recent survey was December 9, 2025, meaning the findings are recent rather than stale. That combination, a clean record with no harm-level citations and a fresh inspection, is uncommon and worth weighing against the kind of population this home serves. Children who are medically fragile often need intense, specialized care, so a spotless survey here reflects steady clinical attention, not an easy caseload. If you're considering placement, the paperwork itself won't give you much to worry about.
Raintree Village runs a small house, 40 beds, and staffs it well above the national average at 4.92 nurse hours per resident day. That cushion matters most on weekends, and here it thins by about 14% against the home's own weekday coverage, which is worth asking about directly since that's when families tend to visit and notice. The inspection record is thin: one deficiency on file, nothing at the harm or jeopardy level, no abuse citations, and the most recent state visit came in May 2025. Corporate ownership doesn't tell you much on its own, but combined with that staffing and citation picture, the numbers suggest a home that has been running clean.
Ignite Medical Resort St Peters runs 91 certified beds as a for-profit limited liability company, and its nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average of 3.86. That's a real edge on paper, but weekends dip about 19% below the home's own weekday level, so the care you'd see on a Saturday isn't the care reflected in the headline number. The inspection record is the heavier issue: 23 deficiencies, two of them serious enough to reach harm or jeopardy. None were abuse-related. The last inspection was October 2025, so the findings are recent rather than stale.
Annie's Garden runs 4.11 nurse hours per resident day, roughly 7% above the national average of 3.86, and its record is clean: no deficiencies at any level, none related to abuse, with an inspection completed in October 2025. The one pattern worth watching is weekends, when staffing drops about 16% below what the home runs during the week. That's not unusual in this industry, but it matters for a resident who needs more hands-on help on a Saturday than a Tuesday. The home is for-profit, owned by a limited liability company, licensed for 75 beds. A clean inspection record plus above-average staffing is a decent starting point, ask how they cover weekend shifts before you decide.
St. Louis Altenheim is a 73-bed for-profit home in the city, run by a limited liability company. Its current record shows ten deficiencies, none of which rose to actual harm or jeopardy, that's the key distinction, since most citations at this level are paperwork and process problems rather than incidents where a resident got hurt. One abuse-related deficiency is on the books, though, and that's worth asking about directly. The last inspection was October 2025, so the findings are recent, not stale. What the numbers don't show is how the place is staffed day to day, and with a for-profit LLC operator, that's the question I'd press on before deciding.
Western Sky Community Care Center is a small nonprofit home in Grant, and its record is about as clean as it gets: zero deficiencies on the current survey, none at the harm or jeopardy level, and nothing abuse-related. The last inspection wrapped up in April 2026, which is recent enough that those results reflect how the place actually runs right now. With 44 certified beds, it's the kind of size where staff know every resident by name, and nonprofit ownership tends to mean decisions get made locally rather than by a distant chain. If you're weighing this one for a family member, the inspection history and ownership together are the strongest things it has going for it.
A 42-bed for-profit LLC home in Carteret County, Embassy At Morehead City carries a clean federal record: zero deficiencies of any kind, including none at the harm or jeopardy level and none tied to abuse. Its most recent inspection was February 17, 2026, so the findings are recent rather than stale. What the public data can't tell you from here is how the place feels day to day, how much direct nursing time each resident actually gets compared with the national average, and whether staff turnover undercuts consistency of care. Those are the questions worth asking the administrator directly, along with who owns the LLC and how long they've operated this building.
Bloomsbury at Hayes Barton Place is a small Wake County home, 31 certified beds, corporate for-profit ownership, and its inspection record right now is spotless. Zero deficiencies on the current record, none at the harm or jeopardy level, and nothing abuse-related, with the most recent survey completed January 22, 2026. That recency matters; a clean record from years ago tells you less than a clean one from weeks ago.
What the numbers don't show is anything about staffing hours, turnover, or how residents and families actually experience the place day to day. Thirty-one beds means the place runs small, which can cut either way. If you're considering it, ask directly about nurse coverage on nights and weekends, and whether the same aides are still there year to year.
Rochester Residence and Care Center carries a record that should give any family pause. State and federal inspectors have cited 141 deficiencies here, ten of them tied to abuse and eight serious enough to put residents in immediate harm's way. Six fines total $390,255, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the small share of nursing homes with a persistent pattern of serious problems. It's a for-profit limited liability company with 119 certified beds. The most recent inspection, in February 2026, is recent enough that these findings reflect how the place operates now, not some distant past. If you're considering this home, ask hard questions before you sign anything.
Good Samaritan Society - Wagner runs 50 certified beds as a nonprofit corporation, and its current record shows no deficiencies at all, not at the harm or jeopardy level, not abuse-related, nothing. The last inspection was January 7, 2026, so the state's findings are recent, not a stale snapshot from two or three years back. A clean record like that usually reflects steady day-to-day operations rather than luck, since inspectors tend to flag something on most surveys. What the data here can't tell you is how the place feels to visit, staffing ratios at the moment you'd call, how the dining room runs, whether your family member's specific needs fit. Ask those questions on a tour, and ask what happens when a resident's condition changes.
Advanced Health Care of Nashville runs 49 beds under a for-profit limited liability company, and its nurse staffing sits at 5.25 hours per resident day, roughly 36% above the national average of 3.86. That part looks strong on paper. What sits underneath is harder to ignore: five deficiencies on the current record, three of them at the harm or jeopardy level, and all five abuse-related. CMS has fined this home six times for a total of $125,508, and the last inspection was October 2022, so the record you're reading is nearly three years old. Weekend staffing also drops about 21% below its own weekday level, meaning the hours aren't spread evenly across the week.
Rolling Meadows is a small non-profit home in Wichita Falls, certified for just two beds, and its record is clean on the federal measures that matter most: no deficiencies of any kind, nothing at the harm or jeopardy level, and no abuse-related citations. The most recent inspection was July 24, 2025, so the picture is current rather than stale. With a bed count that low, there's also no meaningful staffing average to weigh against the national figure, the usual comparison doesn't apply here. What you're looking at is a very small operation with a spotless recent survey history and no for-profit owner pushing the numbers. Call and ask how those two beds are actually used.
Jones & Cabacoy Veterans Care Center is state-run, and you can see it in the numbers. Nurse staffing runs about 4.59 hours per resident day, roughly 19 percent above the national average, and weekend coverage holds within about 13 percent of weekday levels, a dip, but not a freefall. Staff turnover sits at 29.3 percent against a national average near 46, which suggests people stay. The inspection record is clean: no deficiencies on file, none at the harm level, nothing abuse-related, and the most recent survey dates to January 2024. For a 128-bed home, that combination, solid hours per resident, manageable turnover, an unblemished survey, is uncommon. Worth a visit, with questions about weekend staffing specifically.
Cedarfield Pinnacle Living runs about 5.64 nurse hours per resident day, roughly 46% above the national average, which is a real cushion for a 20-bed nonprofit home in Henrico County. That staffing isn't perfectly even, though, weekends run about 13% leaner than weekdays, so coverage can thin out when families tend to visit. Turnover sits at 46.7%, essentially tracking the national rate, meaning the hands-on hours come from a workforce that changes over about as often as everyone else's. The current record shows no deficiencies at all, none at the harm level and none tied to abuse, with the last inspection in May 2023.