Marblehead, MA · Essex County
★★★★★CMS 5/565 bedsFor-profitMedicaid
- Nurse hours
- 3.84 /day
- Staff turnover
- 53%
- Serious cites
- 0
Lafayette Rehabilitation & Skilled Nursing runs 65 certified beds in Marblehead under for-profit LLC ownership, and its inspection record is the strongest thing it has going: a 5-star health inspection rating, nine total deficiencies on file, and none of them at the harm or jeopardy level. The staffing picture is more mixed. At 3.84 nurse hours per resident day it sits just under the national average of 3.86, and weekend coverage dips about 1% below its own weekday level. The number worth asking about is turnover: 53.1% of staff leaving annually against a national average of 45.8%. Quality measures score 2 out of 5. A recent inspection in August 2025 helps.
Lancaster, PA · Lancaster County
★★☆☆☆CMS 2/5124 bedsFor-profitMedicaid
- Nurse hours
- 3.35 /day
- Staff turnover
- 49%
- Serious cites
- 0
Rose City Nursing And Rehab At Lancaster runs 124 beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see: 3.35 nurse hours per resident day against a national average of 3.86, with weekends dipping about 6% below its own weekday levels. Turnover is 49.4%, higher than the 45.8% national figure, so the people caring for residents change often. The inspection record is the bigger concern, 47 deficiencies, three at harm or jeopardy level, three tied to abuse, and one $85,790 fine. A recent inspection in May 2026 means the record is current, not old. Strong quality-measure scores don't outweigh a one-star health inspection history like this.
Westland, MI · Wayne County
★★★★☆CMS 4/5127 bedsFor-profitMedicaid
- Nurse hours
- 3.15 /day
- Staff turnover
- 50%
- Serious cites
- 0
Cherry Hill runs 3.15 nurse hours per resident day, roughly 18 percent under the national average of 3.86, and weekends drop another 7 percent below its own weekday staffing. Turnover sits near 49.5 percent, a few points above the national figure. The inspection record is the bright spot: 27 deficiencies but none at harm or jeopardy level, and the last visit was January 2026. One abuse-related citation is on the books. For-profit LLC ownership, 127 beds. Families should ask how the weekend shift is actually covered and what that abuse deficiency involved.
Lowell, MA · Middlesex County
★★☆☆☆CMS 2/5169 bedsFor-profitMedicaid
- Nurse hours
- 3.23 /day
- Staff turnover
- 50%
- Serious cites
- 0
Fairhaven runs on thinner nurse staffing than most homes in the country, 3.23 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, which is when families often notice call bells going unanswered longer. Turnover sits at 49.5%, above the national 45.8%, meaning roughly half the nursing staff leaves each year. On inspections, the record shows 43 deficiencies, including one at the harm level and two tied to abuse, with one fine of $15,030; the most recent inspection was September 2025.
The for-profit LLC structure doesn't tell you how care feels day to day, but combined with a 2-out-of-5 on health inspections, quality measures, and staffing alike, the pattern here is consistent rather than a one-time slip.
Philadelphia, PA · Philadelphia County
★★☆☆☆CMS 2/594 bedsFor-profitMedicaid
- Nurse hours
- 2.86 /day
- Staff turnover
- 45%
- Serious cites
- 0
Liberty Center runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 14% below its own weekday pace. That thin coverage shows up in its staffing rating, which sits at the bottom of CMS's scale, and in a record of 41 deficiencies, one serious enough to cause harm, three tied to abuse. Staff turnover, at 45.2%, is basically the national norm, so the problem isn't retention so much as how few hours actually reach the floor. The quality measure score looks strong, but that's built from reported clinical data, not the inspection findings from June 2025.
Holland, PA · Bucks County
★★☆☆☆CMS 2/566 bedsFor-profit
- Nurse hours
- 4.01 /day
- Staff turnover
- 72%
- Serious cites
- 0
The Holland Center runs 66 beds in Bucks County under corporate ownership, and the headline number is staffing: 4.01 nurse hours per resident day, about 4% above the national average. That's real, but it comes with churn, 71.7% annual turnover against a national 45.8%, meaning most of the people caring for your relative are new to the building. Weekends run about 7% leaner than weekdays. On inspections, the record shows 45 deficiencies, including two at harm or jeopardy level and two tied to abuse, with a $36,186 fine and a 2-out-of-5 inspection rating. Quality measures score well at 4/5, but the survey history is the part I'd ask about directly on a tour.
Reading, PA · Berks County
★☆☆☆☆CMS 1/5124 bedsFor-profitMedicaid
- Nurse hours
- 3.08 /day
- Staff turnover
- 47%
- Serious cites
- 0
Fairlane Gardens is a for-profit LLC home in Reading with 124 certified beds, and the numbers tell two different stories. On the clinical side, its quality measure rating is strong at 4 out of 5, but staffing sits at 3.08 nurse hours per resident day, roughly 20% under the national average, and weekends run about 9% leaner than weekdays, so coverage thins out exactly when families tend to visit. Inspections are the bigger concern: a 1-star health inspection rating, 15 deficiencies on record including one at the harm or jeopardy level, and a single $156,310 fine. Turnover at 46.7% is essentially in line with the national 45.8%, so that alone isn't the problem. The last inspection was August 2025.
Coopersburg, PA · Lehigh County
★★☆☆☆CMS 2/5180 bedsFor-profitMedicaid
- Nurse hours
- 3.36 /day
- Staff turnover
- 58%
- Serious cites
- 0
Valley Manor runs 180 beds in Coopersburg under corporate ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average, with weekends about 10 percent thinner than weekdays. Staff turnover is 58.1 percent, well above the 45.8 percent national figure, which means the aides and nurses your relative sees are cycling through faster than average. The current record shows 28 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $8,021. The last inspection was February 26, 2026, so the picture is recent.
Rosemont, PA · Delaware County
★★★☆☆CMS 3/576 bedsFor-profitMedicaid
- Nurse hours
- 3.31 /day
- Staff turnover
- 56%
- Serious cites
- 0
Rosemont Center runs 76 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 5% below its own weekday level, and annual turnover hits 55.7% against a national figure of 45.8%. CMS gives it 2 out of 5 stars for staffing, so the numbers line up with the rating.
The health inspection record carries 32 deficiencies, none at the harm or jeopardy level but one abuse-related. Its last inspection was September 8, 2025, so the record is reasonably current. Quality measures scored 4 out of 5, which is the strongest part of the picture. Staffing and turnover are where this home gives ground.
Wyndmoor, PA · Montgomery County
★☆☆☆☆CMS 1/577 bedsFor-profitMedicaid
- Nurse hours
- 3.10 /day
- Staff turnover
- 48%
- Serious cites
- 0
Wyndmoor Hills runs on 3.10 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage slips another 5% below its own weekday levels. That thin staffing sits alongside a one-star inspection rating and 82 deficiencies on the current record, including four at the harm or jeopardy level and four tied to abuse. Staff turnover is 47.7%, a bit above the national 45.8%, and the home has paid three fines totaling $102,309. The most recent inspection was January 10, 2025. Ownership is for-profit, through a limited liability company. Quality measures score better than the rest, but they don't offset what the inspection and staffing numbers show.
Scottsbluff, NE · Scott Bluff County
★☆☆☆☆CMS 1/5160 bedsFor-profitMedicaid
- Nurse hours
- 3.95 /day
- Staff turnover
- 63%
- Serious cites
- 0
Monument Healthcare and Nursing Center runs 160 certified beds in Scottsbluff under for-profit LLC ownership, and its staffing hours sit just barely above the national average, about 2%, which sounds fine until you notice weekends drop roughly 11% below its own weekday level. Turnover is the bigger problem: 63% annually against a national average of 45.8%, meaning most of the people caring for residents are new or on their way out. The inspection record backs that up: 44 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with two fines totaling $28,182 and a 1-out-of-5 rating on both health inspections and quality measures.
Doylestown, PA · Bucks County
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.50 /day
- Staff turnover
- 49%
- Serious cites
- 0
Harborview Rehabilitation Care Center in Doylestown runs on thinner staffing than most homes: 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday levels, exactly when families tend to visit. Annual turnover sits at 49%. The bigger concern is the inspection record, 50 deficiencies, two at harm or jeopardy level, one tied to abuse, and $68,903 in fines across three penalties. Federal inspectors last visited in September 2024 and rated health inspections and quality measures 1 out of 5. Corporate ownership, 120 beds. The staffing number is the closest thing to good news here; it's the harm-level findings that should shape your questions.
Phoenixville, PA · Chester County
★★☆☆☆CMS 2/5138 bedsFor-profitMedicaid
- Nurse hours
- 3.16 /day
- Staff turnover
- 70%
- Serious cites
- 0
Nurse staffing at this Phoenixville home runs about 3.16 hours per resident day, roughly 18% under the national average, and weekends dip even lower than weekdays. Annual turnover is 69.5%, meaning most of the people caring for your relative will be gone within a year, against a national rate near 46%. The inspection record shows 32 deficiencies, including two at the level that put residents in actual harm or jeopardy and three tied to abuse. A single fine of $94,695 is on file from an inspection completed in August 2025. Ownership is a for-profit limited liability company, and while its quality measure star sits at 5, that score describes charted care, not whether enough hands are present to deliver it.
Forest City, PA · Susquehanna County
★☆☆☆☆CMS 1/5132 bedsFor-profitMedicaid
- Nurse hours
- 3.21 /day
- Staff turnover
- n/a
- Serious cites
- 0
Forest City Nursing and Rehab Center is a 132-bed for-profit home in Susquehanna County, and the numbers point to staffing strain. At 3.21 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, meaning the thinnest coverage comes when families tend to visit. That staffing shortfall shows up in the inspection record too: 19 deficiencies, one serious enough to reach harm or jeopardy level, plus a $21,405 fine. The most recent inspection was February 2025, so the picture is current. There's no abuse finding on file, which matters. But with both staffing and quality measures at the bottom of CMS's scale, this is a home worth asking hard questions about before committing.
Lansdale, PA · Montgomery County
★★☆☆☆CMS 2/5126 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 52%
- Serious cites
- 0
Harborview runs about 14 percent thinner on nurse staffing than the national average, and weekends dip roughly 7 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 51.7 percent against a national 45.8 percent, meaning more than half the nursing staff leaves within a year. The current inspection record carries 62 deficiencies, including three at harm or jeopardy level and four tied to abuse, and the two fines on file total $191,228. The last inspection was in August 2025, so that record is recent. A for-profit LLC operates the 126-bed building.