Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Merry Wood Lodge runs 3.24 nurse hours per resident day, about 16% under the national average, and weekends dip roughly 11% below its own weekday staffing. That shortfall matters because the home carries 17 deficiencies, 6 of them at the harm or jeopardy level and 4 related to abuse, plus a single fine of $182,968. Annual turnover sits at 51.9%. CMS has placed it in the Special Focus Facility program, and its last inspection was September 2024.
Magnolia Ridge runs 4.49 nurse hours per resident day, about 16% above the national average, and that number looks good on paper until you notice weekends drop roughly 20% below the home's own weekday staffing. Annual turnover sits at 63.2% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is where it gets serious: 43 deficiencies, 19 of them at harm or jeopardy level, 6 abuse-related, and one $392,125 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Walker Rehabilitation Center is a for-profit home in Carbon Hill with 59 certified beds, and the numbers behind its record are worth walking through. Federal inspectors have cited 18 deficiencies, seven of them involving actual harm or jeopardy to residents and four tied to abuse, with a single fine reaching $235,127. Staff turnover sits at 68.8% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Nurse staffing runs slightly under the national average and drops about 22% on weekends. CMS has placed this home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes, and its most recent inspection was November 30, 2024.
Cumberland Health and Rehab is a 100-bed nonprofit home in Bridgeport, and its numbers pull in two directions. The care side looks strong on paper: a 5/5 staffing star rating, a 5/5 quality measure rating, and turnover at 35.6%, well below the national average of 45.8%. But the inspection record is where the story turns. Eighteen deficiencies, six of them serious enough to cause harm or jeopardy, one tied to abuse, plus a $238,745 fine and a spot in CMS's Special Focus Facility program. Total nurse staffing sits slightly under the national average, and weekends run about 12% thinner than weekdays. That last inspection was June 2024, so the record is current.
Haven Of Sedona runs on 2.91 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 17% below its own weekday staffing. Annual turnover sits at 50.7% against a national 45.8%, so even the hours that exist are often delivered by people still learning the building. Inspectors have cited 50 deficiencies, nine tied to abuse, and CMS keeps the home in its Special Focus Facility program, a designation reserved for the small share of homes with a pattern of serious problems, though none of the current citations reached harm or jeopardy. The 5/5 quality measure score and April 2026 inspection are the strong points; staffing and enforcement history are not.
Sandstone of Tucson Rehab Centre runs 240 certified beds under for-profit LLC ownership, and its staffing sits at 3.76 nurse hours per resident day, about 3% under the national average of 3.86. Weekends dip roughly 7% below its own weekday levels, and turnover runs 46.4%, slightly above the national 45.8%. What stands out most is the inspection record: 63 deficiencies, including 2 at harm or jeopardy level and 27 tied to abuse, with $55,090 in fines across two penalties. That history is what drives the one-star health inspection rating, even though the quality measure score sits at the top and staffing rates well. The last inspection was April 2026. Ask about the abuse-related citations directly before deciding.
Rehab At Scottsdale Village Square has real staffing depth, 5.02 nurse hours per resident day, roughly 30% above the national average, and turnover at 38.4% is better than the 45.8% norm. Weekend coverage dips only slightly, about 6% under weekdays. But the compliance record is where this home separates from the pack: 68 deficiencies, including four at the harm or jeopardy level and 35 tied to abuse. Eleven fines add up to $199,344, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. The most recent inspection was August 2025. Good staffing numbers can coexist with a troubled record; here, they do.
Sunview runs a split record. Nurse staffing sits at 4.47 hours per resident day, about 16% above the national average, and turnover of 41.2% is slightly better than the typical home. Those are real strengths, and the 5/5 quality measure rating reflects them. But the inspection side tells a different story: 19 deficiencies on record, 2 at harm or jeopardy level, 5 abuse-related, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. Weekend staffing drops roughly 15% below weekday levels, which matters when falls and emergencies don't wait for Monday. The last inspection was September 2024.
Murfreesboro Rehab and Nursing is a 66-bed for-profit home in Pike County, and the numbers that stand out are the inspection ones. Twenty-two deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, are what put it in CMS's Special Focus Facility program, a status reserved for homes with a persistent pattern of serious problems. Its staffing sits at 3.68 nurse hours per resident day, about 5% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage is weakest when families tend to visit. The last inspection was in January 2026, so the record is recent rather than stale.
California Post-Acute Care in Lynwood carries one of the heaviest deficiency records you'll see: 144 total, including 11 tied to abuse and two serious enough to put residents in immediate harm's way. Every CMS rating category lands at one star, inspections, quality measures, staffing, so there's no strong area offsetting the weak ones.
Being named a Special Focus Facility means federal regulators have singled this home out for closer monitoring, a step they reserve for the worst performers. The last inspection was in May 2026, and a $33,120 fine is on record. With 130 beds, that's a lot of residents in a building the government is actively watching.
Bay Crest Care Center is an 80-bed for-profit home in Torrance, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but it drops roughly 8% on weekends, so care can thin out exactly when families tend to show up. Staff turnover of 56.4% runs well above the national 45.8%, meaning the people caring for your relative are likely to change often. On the inspection side, CMS counts 124 deficiencies, five of them at the harm or jeopardy level and five abuse-related, with four fines totaling $124,336. The home is currently in CMS's Special Focus Facility program.
Rancho Seco Care Center has a staffing edge on paper, 4.16 nurse hours per resident day, roughly 8% above the national average, but weekends run about 10% thinner than its own weekdays, so the coverage a family sees on a Tuesday isn't what they get on a Sunday. Turnover sits at 43.7%, slightly better than the national 45.8%, which suggests some stability in who's actually on the floor. What overrides all of that is the record: 72 deficiencies, including 3 at harm or jeopardy level and 16 abuse-related, plus two fines totaling $490,205 and placement in CMS's Special Focus Facility program. The most recent inspection was January 8, 2026.
Four Seasons Healthcare & Wellness Center runs 201 beds in North Hollywood under for-profit LLC ownership, and the numbers tell two different stories. Resident care measures look decent, but the inspection record is where this home falls apart: 141 deficiencies on file, including 9 tied to abuse and 4 serious enough to put residents in harm's way, plus $87,215 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. Staffing sits at 4.23 hours per resident day, about 9% above the national average, though weekends drop roughly 9% below the home's own weekday levels. The most recent inspection was April 2025.
Griffith Park Healthcare Center runs 3.94 nurse hours per resident day, a bit above the national average, and its 42.9% turnover is slightly better than typical. But weekend staffing drops about 8% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger issue sits in the inspection record: 96 deficiencies currently on file, including 10 abuse-related citations and 3 at the harm or jeopardy level, with $63,605 in fines across three penalties. A 1-out-of-5 inspection rating alongside a 4-out-of-5 quality measure rating suggests the clinical scores look better than the day-to-day compliance picture. The most recent inspection was December 15, 2025.
Burbank Healthcare & Rehab is a 188-bed for-profit run by a limited liability company, and the numbers pull in opposite directions. Nurse staffing is genuinely better than most homes, about 4.06 hours per resident day, roughly 5% above the national average, and its 41% turnover is slightly better than the 45.8% national figure, though weekend coverage drops about 6% below its own weekday level. What outweighs all of that is the inspection record: 142 deficiencies, four at harm or jeopardy level, twelve abuse-related, two fines totaling $31,803, and a current place in CMS's Special Focus Facility program, with the last inspection in March 2026. Staffing can be adequate and the care still unsafe. That's the tension here.
Inland Valley runs 221 beds in Pomona under for-profit LLC ownership, and its staffing numbers are genuinely better than most: 4.60 nurse hours per resident day, roughly 19% above the national average, with weekend coverage holding within about 4% of weekdays. Turnover sits at 27.8%, well under the 45.8% national figure. The problem is everything else. That staffing hasn't translated into safe care, 197 deficiencies on the current record, seven of them at harm or jeopardy level and six tied to abuse, plus four fines totaling $204,818. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the most recent inspection was August 2025. Good ratios can't offset a record like that.
Nurse staffing at Hyde Park Healthcare Center runs about 4.35 hours per resident day, roughly 13% above the national average of 3.86, but that's the one number here that looks good. The rest is harder: 64.6% annual turnover against a 45.8% national average means nearly two-thirds of the nursing staff left within a year, and weekend coverage drops about 9% below the home's own weekday level. On the current record are 91 deficiencies, including 4 at the harm or jeopardy level and 10 related to abuse, plus five fines totaling $264,318. A 1-out-of-5 inspection rating and a 2-out-of-5 on quality measures rounds it out.
Poudre Canyon Rehabilitation and Nursing is a for-profit LLC in Fort Collins with 83 certified beds, and its staffing is the first thing you should look at. At 2.65 nurse hours per resident day, it runs roughly 31% below the national average of 3.86, weekend coverage slips about 5% below its own weekdays, and annual turnover is 60.5% against a national 45.8%, so not only are there fewer hands, people keep leaving. That shows in the inspection record: 37 deficiencies on file, six of them carrying harm or jeopardy, seven tied to abuse, and $48,308 in fines across two penalties. The most recent inspection was January 22, 2025. Quality measures score well, but the staffing and inspection numbers are what I'd ask about directly.
The Lodge At Red Rocks carries 64 deficiencies on its current record, and 8 of those reached harm or jeopardy level. Seven are abuse-related. That's the kind of pattern that put this home in CMS's Special Focus Facility program, and the inspection history backs it up, 1 out of 5 stars on health inspections, with four fines totaling $144,259. Staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average, and weekends drop about 12% below the home's own weekday coverage. Ownership is a for-profit limited liability company. The quality measure rating is 3 out of 5, but that's the one bright spot in an otherwise rough picture.
Creekside Village runs on thin staffing and a troubling inspection record. Nurses provide about 3.47 hours of care per resident per day, roughly 10% under the national average, and weekend coverage drops another 12% below the home's own weekday level. Staff turnover sits at 74.4%, well above the 45.8% national figure, so the people caring for your family member are likely new, still learning the building, or already halfway out the door. The current record shows 53 deficiencies, nine tied to abuse and eight serious enough to put residents in harm's way, plus five fines totaling $48,875. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
New London Sub-Acute And Nursing carries 83 deficiencies on its current record, and the ones that matter most are serious: 10 at the harm or jeopardy level and 11 tied to abuse. That record, plus six fines totaling $92,590, put the Waterford home in CMS's Special Focus Facility program, a designation reserved for the country's poorest performers. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 9% thinner than weekdays. Annual turnover of 42.6% is slightly better than the national figure, and the most recent inspection was in March 2025. The company is a for-profit limited liability company.
Grandview runs 4.00 nurse hours per resident day, a bit above the national average, so the raw staffing number looks fine at first glance. The problem is who's actually there from one week to the next: turnover is 64.1% against a national 45.8%, and weekends run roughly 10% thinner than weekdays. On top of that, CMS has cited 71 deficiencies, six at harm or jeopardy level and 17 abuse-related, with $485,942 in fines across five penalties, and the home sits in the Special Focus Facility program. That program is reserved for the country's most persistently troubled homes, and a 2025-07-24 inspection keeps it current rather than resolved.
Arden Care Center runs 271 beds under for-profit LLC ownership, and the numbers are hard to dress up. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national figure, and it thins out further on weekends. Turnover at 38.1% is actually better than average, but it isn't enough to offset 94 deficiencies on the current record, 4 at harm or jeopardy level, 21 tied to abuse, plus three fines totaling $101,228. 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 February 2025.
Cobalt Lodge runs on 1.77 nurse staffing hours per resident per day, and the national average is 3.86, so it's working with roughly half the direct care you'd see elsewhere. Weekend coverage drops about 15% below its own weekday level, which matters because that's when families often visit and when problems tend to surface. Staff turnover sits at 72.2% against a 45.8% national figure, meaning most of the people caring for residents are new to the building. The current record holds 50 deficiencies, including 3 at the harm or jeopardy level and 6 tied to abuse, plus a $37,440 fine. CMS has placed it in the Special Focus Facility program, and its last inspection was November 2024.
Bickford Health Care Center in Windsor Locks has a staffing rating of one out of five stars, and the health inspection record is the same, one star. That's not a snapshot problem: the home carries 100 deficiencies, five of them serious enough to cause harm or put residents in immediate jeopardy, and ten tied to abuse. Federal fines total $122,338 across three penalties, and CMS has placed the home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes. The quality measure rating sits at three stars, but strong clinical numbers can't offset a staffing shortfall and an inspection history this deep. If you're considering this home, ask directly what's changed since the January 2026 inspection.
Wilmington Nursing & Rehabilitation Center carries 101 deficiencies on its current record, and the ones that matter most are hard to look past: 12 at the harm or jeopardy level, 5 tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and three fines total $408,742. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends run roughly 11% leaner than weekdays. The one number that runs the other way is turnover at 31% against a 45.8% national average. Its last inspection was December 2025.
The Groves Center runs on thinner staffing than most homes nationally, 3.52 nurse hours per resident day against a 3.86 average, and it gets even thinner on weekends. That matters when you consider the rest of the record: 58.2% annual turnover, well above the 45.8% national figure, which means the people caring for residents are often new and still learning the building. Its inspection history is the real concern. Forty-nine deficiencies sit on the current record, eight serious enough to put residents in harm's way, seven tied to abuse. Two fines totaling $291,478 and a place in Medicare's Special Focus Facility program tell you regulators are watching closely. The most recent inspection was February 2026.
Westside Oaks runs 3.27 nursing hours per resident per day against a national average of 3.86, and weekend coverage drops about 8% below its own weekday levels. That thin staffing sits alongside 24 deficiencies on the current record, eight of them at harm or jeopardy level and four abuse-related, plus a $96,892 fine and placement in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor inspections. Staff turnover is 49.1%, higher than the 45.8% national figure. The five-star quality measure rating comes mostly from resident assessment data, not from the inspection record, and the two are telling different stories here.
Dade City Health and Rehabilitation Center runs 120 beds under for-profit LLC ownership, and the numbers that matter most here are the inspection ones. Fifty-four deficiencies sit on the current record, seven of them at the harm or jeopardy level, with two tied to abuse, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. Five fines total $94,152, and the last inspection was April 25, 2024. Nurse staffing comes in at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 7% thinner than weekdays. Turnover, at 44.3%, is basically average.
Casa Mora runs 240 certified beds in Bradenton under nonprofit ownership, and the first thing you notice in its record is the split between how it's staffed and how it's inspected. Nurse staffing sits at 3.38 hours per resident day, about 12% under the national average, though turnover at 32.1% actually beats the national 45.8%, so aides tend to stay, there just aren't enough of them per resident. The inspection side is where it gets hard: 26 deficiencies on the current record, 7 of them at harm or jeopardy level, plus 3 abuse-related findings, a $73,220 fine, and CMS placing it in the Special Focus Facility program. That program is CMS's watchlist for homes with a persistent pattern of serious problems, it isn't assigned lightly.
Aviata At The Palms runs on 3.25 nurse hours per resident per day, roughly 16 percent under the national average, and weekend coverage slips about 6 percent below its own weekday level. Staff turnover sits at 53.8 percent against a national 45.8 percent, so the people caring for residents keep changing. The inspection record is where the real concern lies: 38 deficiencies, four at harm or jeopardy level, one abuse-related, and a one-star health inspection rating from CMS. Quality measures score well at four stars, but that reflects resident outcomes on paper, not the staffing and safety problems inspectors found. State surveyors last visited in August 2024. This is a for-profit limited liability company, and the pattern here rewards a close look before you decide.
Aviata At North Florida carries 38 deficiencies on its current record, seven of them serious enough to involve harm or jeopardy, and three tied to abuse. That's the number that should stop you. The federal government has placed this Gainesville home in its Special Focus Facility program, a designation reserved for the worst-performing nursing homes, and $241,139 in fines across three actions backs that up. Staffing sits at 3.69 hours per resident day, a bit under the national average, and weekends drop below its own weekday levels. Annual turnover of 60.5% means most of the people caring for residents this year won't be there next year. One star for health inspections, with the last visit in June 2026.
Aviata At Big Bend runs 120 certified beds in Perry under corporate for-profit ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.68 hours per resident per day, under the national average, and weekends drop roughly 13% below the home's own weekday coverage, so the hours when families often visit are the thinnest. Annual turnover of 61.2% is well above the 45.8% national figure, meaning the people caring for your relative are likely new and still learning the building. Most concerning: 18 deficiencies on the current record, four at harm or jeopardy level, four tied to abuse, and $150,655 in fines. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Aventura At The Bay runs 274 certified beds in Saint Petersburg under for-profit LLC ownership, and the numbers behind its record are hard to get around. Nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about 8% below what the home itself manages on weekdays. Staff turnover is 62.1% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago.
The inspection history is heavier still: 62 deficiencies on the current record, seven at harm or jeopardy level, four tied to abuse. CMS has fined this home three times for $466,424 total and placed it in the Special Focus Facility program, the agency's watchlist for the country's most persistently troubled homes.
Concordia Manor runs 39 beds in Saint Petersburg under for-profit ownership, and its staffing sits barely above the national average, about 1%, with weekends roughly 8% thinner than weekdays. That margin disappears fast when turnover hits 73.3% against a national 45.8%, meaning most of the people caring for your relative weren't there a year ago. The inspection record is the real problem: 17 deficiencies, four at harm or jeopardy level, four tied to abuse, one $97,747 fine, and a spot in CMS's Special Focus Facility program. That last designation isn't handed out lightly. The most recent inspection was May 2024, so the picture is current, not stale.
Ansley Cove is a 39-bed for-profit home in Maitland, and the numbers behind its grade are worth walking through slowly. Staffing sits at the lowest federal rating, and turnover runs at 59%, well above the 45.8% national average, which means the people caring for your family member are cycling out faster than they can learn the job. The inspection record is the heavier problem: 37 deficiencies, 7 of them at harm or jeopardy level, 5 tied to abuse, and $197,672 in fines across four citations. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Its last inspection was July 2025, so the picture is current, not old.
Aviata At Bryan Dairy runs 158 certified beds under for-profit LLC ownership, and its 3.37 total nurse staffing hours per resident day falls about 13 percent under the national average of 3.86. Weekends dip roughly 6 percent below its own weekday levels, and annual turnover sits at 54.5 percent against a national 45.8 percent. The inspection record is where things get serious: 41 deficiencies logged, four of them at harm or jeopardy level and two tied to abuse, with five fines totaling $45,660. CMS rated the last health inspection one out of five stars, though its quality measure score came in at four. Worth asking the administrator directly how they're addressing the harm-level findings and weekend coverage gaps.
Archbold Living Camilla is owned by Mitchell County, and that government status hasn't shielded it from scrutiny: CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The inspection record backs that up, 39 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a one-star health inspection rating. Staffing tells a different story, at four stars, though the 3.16 nurse hours per resident day still falls about 18% under the national average, with weekends running about 12% thinner than weekdays. Turnover sits at 48.7%, above the national rate.
Douglasville Center For Nursing And Healing runs 246 certified beds under for-profit LLC ownership, and the numbers here deserve a close look. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 8% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. Staff turnover hits 58.1% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 40 deficiencies, including 4 at harm or jeopardy level and 5 abuse-related, with three fines totaling $13,787 and a June 2025 inspection. Ask about weekend coverage and how they retain aides before deciding.
Crestview runs 388 certified beds on 2.71 nursing hours per resident day, roughly 30% under the national average of 3.86. Weekends drop another 11% below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.2% against a national 45.8%, meaning more than half the nursing staff leaves each year, and the ones who stay are stretched thin. The inspection record shows 22 deficiencies, including three at harm or jeopardy level and six tied to abuse. CMS has placed the home in its Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems. Its last inspection was June 5, 2025.
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.
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.
Timber Springs runs on 3.27 nursing hours per resident day, about 15% under the national average, and weekends drop another 15% below what it already provides on weekdays. Inspectors have cited 67 deficiencies, including six tied to abuse and five serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the worst inspection records. Two fines totaling $30,654 sit on the books, with the most recent inspection in September 2025. The quality measure score looks strong, but that's built on self-reported data, and the staffing and inspection numbers are what families actually live with.
Karcher Post Acute runs 3.98 nurse hours per resident day, slightly above the national average, and its 43.9% turnover is a touch better than typical. Those numbers aren't the problem. The problem is 39 deficiencies on the current record, including four at the harm level and five tied to abuse, plus three fines totaling $31,057. CMS has placed this for-profit home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems, and its health inspection rating sits at 1 out of 5. Staffing looks adequate on paper, but weekend coverage drops about 11% below weekday levels, and a recent inspection hasn't resolved the pattern.
Fondulac runs on 2.89 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. That thin coverage sits behind a one-star CMS staffing rating and a one-star inspection rating, with 65 deficiencies on the current record, six serious enough to reach harm or jeopardy level, six tied to abuse. Two fines total $146,601, and the most recent inspection was August 2024, so that record reflects where things stood then. Ownership is for-profit corporate, and the quality measure rating of three stars doesn't offset what the inspection and staffing numbers show.
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.
Arcadia Care Watseka runs 123 beds in Iroquois County under for-profit LLC ownership, and the staffing numbers are thin: 3.40 nurse hours per resident day, roughly 12% under the national average, with weekends about 10% below its own weekdays. Turnover sits at 55.4% against a 45.8% national rate, so the people caring for residents keep changing. The current record shows 74 deficiencies, 9 at harm or jeopardy level and 19 abuse-related, plus five fines totaling $421,200. CMS has placed it in the Special Focus Facility program, and the most recent inspection was February 2026. If you're considering this one, ask hard questions about who's actually on the floor nights and weekends.
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.
Fair Havens runs 154 beds in Decatur under for-profit LLC ownership, and the numbers that matter most here are the ones CMS flags hardest. Its health inspection rating sits at 1 out of 5, with 93 deficiencies on the current record, 9 of them at harm or jeopardy level and 17 tied to abuse. Four fines total $277,416, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Nurse staffing runs just below the national average at 3.73 hours per resident day, weekends drop about 15% below weekdays, and turnover hits 51.9% against a 45.8% national figure. The December 2025 inspection is recent.
Claridge Healthcare Center is a 231-bed for-profit home in Lake Bluff, and its record with CMS is about as bad as it gets. Seventy deficiencies on the current inspection record, seven of them at the level where a resident was actually harmed or put in immediate jeopardy, and twelve tied to abuse. Staffing sits at one out of five stars, well below what CMS expects for a building this size, and the quality measure score is barely better at two. Three fines totaling more than $241,000, and CMS has placed it in the Special Focus Facility program, the designation reserved for the poorest performers in the country. The most recent inspection was June 6, 2024. When you tour, ask directly how they're addressing the abuse findings and what staffing looks like on nights and weekends.
Arcadia Care Toulon runs on 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even lower than its own weekdays. That thin coverage sits alongside 75 deficiencies on the current record, including 8 at the harm or jeopardy level and 12 tied to abuse, plus four fines totaling $379,356. The state's most recent inspection dates to March 2026, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. Staff turnover, at 45.1%, is about average, so the problem isn't retention; it's how few hands are on deck and what inspectors keep finding when they show up.
Bria Of Woodriver sits at 3.86 nurse hours per resident day, which lands right on the national average, but that number hides a staffing schedule that thins out considerably on weekends, dropping about 16 percent below its own weekday levels. The bigger problem is who's providing that care and for how long: annual turnover runs 78.5 percent, well above the national 45.8 percent, meaning most of the people caring for your family member will be gone within a year. Behind those numbers is a one-star health inspection rating, 64 deficiencies on the current record with 18 at harm or jeopardy level and 7 tied to abuse, and $492,838 in fines across seven penalties. CMS has placed this home in its Special Focus Facility program, a designation reserved for the persistently worst performers.
Landmark of Itasca runs 144 beds under for-profit partnership ownership, and the staffing numbers explain a lot. At 2.91 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly another 11 percent below its own weekday levels, so the thinnest coverage lands when families visit and emergencies often happen. Turnover is the one bright spot: 27 percent against a national 45.8 percent, meaning aides and nurses tend to stay. But stability hasn't translated into safe care. The home carries 89 deficiencies, nine involving harm or jeopardy and twelve tied to abuse, plus six fines totaling $441,611. CMS placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes, and its most recent inspection was May 2025.
La Bella Of Danville carries 139 deficiencies on its current federal record, 14 of them serious enough to involve actual harm or jeopardy, plus 25 flagged as abuse-related. Those aren't paperwork problems, that's a pattern regulators noticed, which is why CMS put this home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Nine fines totaling $433,572 back that up.
Staffing is the other half of the story. At 2.60 nurse hours per resident day, this 200-bed for-profit home runs about a third below the national average, and weekends dip roughly 10% below its own weekday levels. Turnover sits at 48.2%, slightly worse than the 45.8% national figure. The quality measure score looks good on paper, but that's self-reported data, the inspection record and the thin staffing are what families should weigh.
Morgan Park Healthcare runs 294 beds on Chicago's far South Side, and the numbers behind its federal record are worth walking through slowly. Nurse staffing sits at 2.75 hours per resident per day against a national average of 3.86, roughly 29% thinner, and weekends drop about 17% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. The inspection history is heavier still: 123 deficiencies on the current record, 15 of them at harm or jeopardy level, 18 tied to abuse, and eight fines totaling $631,885. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover of 50.3% runs above the 45.8% national figure. Its last inspection was October 4, 2024.
Arcadia Care Havana runs on thinner nursing coverage than most homes in the country, 3.17 nurse hours per resident day against a national average of 3.86, and weekends drop even further below its own weekday level. That shortfall shows up in the numbers: a 57.4% annual turnover rate, well above the national 45.8%, and 95 deficiencies on the current record, 12 of them serious enough to put residents in harm's way and 19 tied to abuse. Three fines totaling $412,962 have accumulated, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The last inspection was March 21, 2025.
Arcadia Care Peoria Heights runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage dips about 6% below its own weekday pace. Staff turnover sits at 52.1%, above the national figure, which matters for a building where 70 deficiencies sit on the current record, including five at the harm level and 13 tied to abuse. Three CMS fines total $259,968, and the home is in the Special Focus Facility program, a designation reserved for the lowest performers. The most recent inspection was January 2026. For-profit ownership through a limited liability company rounds out the picture.
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.
Pleasant Meadows runs about 18% below the national average on nurse staffing, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover sits near 59% against a national 45.8%, meaning the aides and nurses around your relative are likely to keep changing. The inspection record is where it gets hardest to explain away: 89 deficiencies, 14 serious enough to involve harm or jeopardy, and 14 tied to abuse. Five fines total $400,084. The quality star says 4, but that score comes from resident assessments, not from whether the building is adequately staffed or kept in compliance.
Axiom Gardens Of Nashville is a for-profit partnership home with 120 beds, and the numbers behind it are hard to read past. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average, and it thins out further on weekends, dropping roughly 13% below the home's own weekday level, so the coverage gaps aren't just theoretical. Staff turnover is 63.6% a year against a national average of 45.8%, which means the people doing the work keep changing. The current record shows 53 deficiencies, 13 at harm or jeopardy level and 11 abuse-related, plus $541,045 in fines across three cases. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Goldwater Care Clinton runs on 3.34 nurse hours per resident per day, about 14% under the national average, and weekends drop roughly another 10% below its own weekday levels. Staff turnover sits near 70%, well above the 45.8% national figure. The inspection record is the harder problem: 116 deficiencies, 8 of them at harm or jeopardy level, 11 tied to abuse, and $286,544 in fines. CMS has placed it in the Special Focus Facility program, a designation reserved for the country's poorest performers, and the last inspection, on February 18, 2026, produced ratings of one star across health inspections, quality measures, and staffing.
El Paso Rehabilitation and Health Care Center carries 73 deficiencies on its current record, including 15 tied to abuse and three serious enough to put residents in immediate harm's way. That record, plus $227,266 in CMS fines and placement in the federal Special Focus Facility program, tells you regulators are watching this building closely. Nurse staffing sits at 2.91 hours per resident day, roughly a quarter below the national average, and weekends drop another 17 percent below the home's own weekday levels. Staff turnover runs 58.2 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. The most recent inspection was January 10, 2025.
Munster Med-Inn is county-run and large, 225 certified beds, but its current record is one of the heaviest in the CMS system. Inspectors have cited 57 deficiencies, five of them at a level where residents were actually harmed or put in immediate jeopardy, and three tied to abuse. That combination is why CMS has placed the home in its Special Focus Facility program, the agency's watchlist for the country's most persistently troubled nursing homes. Nurse staffing runs about 11% below the national average, and weekends drop roughly 18% below the home's own weekday levels, meaning coverage thins exactly when families tend to visit. The most recent inspection, in January 2026, is recent enough that this isn't a stale picture.
Brownsburg Health Care Center runs 160 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.55 nurse hours per resident day, it sits about 8% under the national average, weekend coverage drops roughly 11% below its own weekday level, and nearly 60% of staff turned over in a year against a national rate near 46%. Inspectors have cited 44 deficiencies, including one at the harm level and four tied to abuse, with a $31,540 fine on record. CMS has placed the home in its Special Focus Facility program, and its last inspection was January 13, 2026. Families should ask directly how the home is fixing staffing and oversight.
Waters Of Covington carries 119 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average, weekends drop about 7% below its own weekday levels, and annual turnover runs 48.6% against a national 45.8%. Its current record holds 38 deficiencies, four at harm or jeopardy level and three abuse-related, with two fines totaling $319,878. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was December 15, 2025, so the findings are recent.
Castleton Health Care Center runs on thin staffing. At 3.28 nurse hours per resident day, it sits about 15% under the national average, with weekends roughly 10% lighter than weekdays. Annual turnover hits 67.8% against a national 45.8%, so the people caring for your relative are often new and still learning the building.
The inspection record is the harder problem: 59 deficiencies, two serious enough to involve harm or jeopardy, six tied to abuse, and CMS has placed this corporate-owned Indianapolis home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. A recent September 2025 inspection means the state is watching closely, but the pattern behind those numbers is what matters.
Majestic Care of Deming Park is a for-profit, LLC-run home in Terre Haute with 86 certified beds, and its record carries serious weight: 28 deficiencies, three of them at the harm or jeopardy level, and three tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Nurse staffing sits at 3.41 hours per resident day, about 12% under the national average, and weekend coverage drops roughly 19% below its own weekday levels. Staff turnover runs 55.4% against a 45.8% national figure. The quality measure stars look strong, but that score reflects resident assessments, not the inspection and staffing problems documented here.
Cardinal Care Strategies has enough aides and nurses on paper, 4.27 hours per resident day, roughly 11% above the national average, but those hours are spread across a workforce that nearly completely turns over each year. At 98.7% turnover, almost every caregiver you meet in January is gone by the next, and weekends run about 7% thinner than weekdays. The inspection record is where the trouble concentrates: 57 deficiencies currently on file, three serious enough to endanger residents, and 18 tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The most recent inspection, in January 2026, produced a health rating of 1 out of 5, matching its quality score.
The Waters of Scottsburg runs 99 beds under for-profit LLC ownership, and its staffing sits at 3.32 nurse hours per resident day, about 14% under the national average of 3.86, with weekends running roughly 5% thinner than weekdays. Annual turnover of 50.8% tops the national 45.8%, so the people caring for residents are, on average, fairly new to the building. The inspection record is where it gets serious: 70 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, plus a $31,352 fine, a one-star health inspection rating, and placement in CMS's Special Focus Facility program. The most recent inspection was April 13, 2026.
Robin Run has more direct nursing hours per resident than most homes, 4.27 versus a national average of 3.86, but those hours thin out on weekends, and the staff itself turns over at 66.2% a year against a national 45.8%. That churn matters more than the raw staffing number, because it's the same people who are supposed to know your parent's routine. The inspection record is the bigger problem: 60 deficiencies on file, four serious enough to put a resident in harm's way, two tied to abuse, and CMS has placed the home in its Special Focus Facility program, the list reserved for the country's most persistently troubled homes. A recent inspection in September 2025 doesn't erase that pattern. Its quality-measure scores look good on paper; the deficiency history says look closer.
Majestic Care of Goshen runs 186 beds under for-profit LLC ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average, and weekends drop about 19 percent below what the home staffs on weekdays, so the coverage gap widens exactly when families tend to visit. Staff turnover at 56.1 percent runs well above the 45.8 percent national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The inspection record is the heaviest weight: 77 deficiencies, 9 tied to abuse and 2 at harm or jeopardy level, with the most recent inspection in January 2025. The quality measure score looks better, but it sits on top of a staffing and compliance picture that doesn't hold up.
Brookside Care Strategies runs 42 beds in Muncie, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 2.69 hours per resident day, roughly 30 percent under the national average, and the trouble isn't spread evenly: weekend coverage actually runs about 8 percent above the home's own weekday level, which tells you the weekday floor is the weak spot. The deficiency record is heavy: 54 citations on file, six of them serious enough to involve harm or jeopardy, 15 tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care, and the most recent inspection was May 21, 2026.
Greater Southside runs on 3.44 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 22% below its own weekday staffing. That thinner coverage adds up over time: 62.3% of staff left last year against a 45.8% national rate, and CMS flags the home as a Special Focus Facility. The inspection record backs that up, 66 deficiencies, including 8 at harm or jeopardy level and 8 tied to abuse, with four fines totaling $166,443. The most recent inspection was June 2025. For a family weighing this one, the staffing and inspection numbers are the ones that matter most.
Pine Acres holds 140 certified beds in West Des Moines under for-profit LLC ownership, and the nurse staffing figure, 3.84 hours per resident day, sits roughly even with the national average, though weekends run about 7% thinner than weekdays. The record is where the trouble shows: 85 deficiencies, nine of them at harm or jeopardy level and three abuse-related, plus $353,109 in fines across three CMS actions. Staff turnover is 56.9% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently poor performers. The last inspection was January 8, 2026.
Garden View Care Center is a 50-bed for-profit home in Shenandoah, and the numbers here deserve a hard look. Staff turnover runs at 55.3% a year against a national average of 45.8%, and the home carries 93 deficiencies on its current record, including 10 serious enough to involve harm or jeopardy to residents and 10 tied to abuse. Three CMS fines add up to $168,858, and the agency has placed Garden View in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. The most recent inspection was December 8, 2025. If you're considering this home for someone you love, ask the administrator directly what's changed since that inspection and how they're keeping residents safe.
Life Care Center of Andover runs 154 certified beds under for-profit LLC ownership, and the numbers that matter most here aren't the quality measures, a 4-out-of-5 there, but the inspection record underneath them. CMS has flagged 58 deficiencies on the current record, including eight serious enough to cite harm or jeopardy and three tied to abuse. Seven fines total $113,851, and the home sits in CMS's Special Focus Facility program, a designation reserved for the small share of homes with persistent serious problems. Staffing runs 3.75 hours per resident day, just under the national average, and drops about 12% on weekends. Turnover is 51.9%, higher than the 45.8% national figure.
Smoky Hill Rehabilitation Center is a 90-bed for-profit in Salina, and the numbers behind its record deserve a close look. Nurse staffing runs about 16% under the national average, weekends dip roughly 11% below its own weekdays, and annual turnover sits at 94.1% against a national 45.8%, meaning the people caring for residents are, more often than not, on their way out. The inspection history is heavy: 64 deficiencies, 11 at harm or jeopardy level, four abuse-related, five fines totaling $147,090, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Its most recent inspection was April 2025.
Nortonville Health Care Center is a 45-bed for-profit home in Jefferson County, and the numbers behind its record are hard to get past. Nurse staffing sits at 3.04 hours per resident day against a national average of 3.86, weekends run about 18% thinner than weekdays, and annual turnover is 80.7%, nearly double the national figure, so the people caring for residents change constantly. The inspection history includes 74 deficiencies, 12 at harm or jeopardy level and 3 abuse-related, with four fines totaling $252,207, and CMS has placed the home in its Special Focus Facility program. That program exists for homes with a persistent pattern of poor care, and the most recent inspection in January 2026 means the record is current, not old.
Clearwater Nursing & Rehabilitation Center runs 55 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.31 hours per resident day against a national average of 3.86, weekends run about 14% thinner than weekdays, and annual turnover hits 70% where the national figure is 45.8%. Its current inspection record carries 63 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, plus three fines totaling $214,803. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. If you're considering this one, ask hard questions and look closely at the most recent inspection, dated June 2026.
Salyersville Nursing and Rehabilitation Center is a for-profit corporate home in Magoffin County with 142 certified beds, and the numbers behind its record are hard to get past. Its 39 deficiencies include 18 at the harm or jeopardy level and 6 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Two fines total $447,485. Staffing looks adequate at 4.03 hours per resident day, slightly above the national average, but weekend coverage drops about 10% below weekday levels, and turnover runs 52.9% against a national 45.8%. The last inspection was May 2025.
Colonial Oaks is owned by a limited liability company and carries 21 deficiencies on its current record, three of them serious enough to involve harm or jeopardy, plus three tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends. Annual turnover runs 72.5 percent against a national 45.8 percent. A $66,170 fine is on record, and the last inspection was June 5, 2025. With 120 certified beds, that staffing and turnover picture matters across every shift.
Bay Harbor runs 305 beds under for-profit LLC ownership, and it's been flagged as a Special Focus Facility, CMS reserves that for homes with a pattern of serious, repeated problems. The inspection record backs that up: 94 deficiencies, three at harm or jeopardy level, 13 tied to abuse, and $111,315 in fines. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekends drop roughly 13% below its own weekday levels. Turnover at 43.1% edges slightly under the national rate, which is faint comfort. Quality scores look strong on paper, but survey findings and staffing are what families actually live with day to day.
Ellicott City Healthcare Center runs 182 certified beds under corporate for-profit ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86, and weekend coverage drops roughly 9% below its own weekday level, so the weakest hours come when families tend to visit. What stands out in the other direction is retention: 27.3% annual turnover against a national 45.8%, meaning the caregivers who are there tend to stay. The trouble is the inspection record, 110 deficiencies, including one at harm or jeopardy level and nine tied to abuse, with a 1/5 health inspection rating even though quality measures score 5/5 and staffing 4/5. That gap between good scores on paper and the state's actual findings is worth asking about directly.
Manokin Nursing and Rehab runs 135 certified beds in Princess Anne under corporate ownership, and the numbers here deserve a careful look. Nurse staffing sits at 3.22 hours per resident day, roughly 17 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage. Turnover at 34.4 percent is actually better than the national 45.8 percent, so the problem isn't retention; it's how many hands are on deck each shift.
The inspection record is where things get serious. Ninety-one deficiencies, including five at the harm or jeopardy level and nine tied to abuse. Two fines total $187,010, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. Given a September 2025 inspection, ask directly what's changed since.
Elkton Nursing and Rehabilitation Center carries a one-star health inspection rating, and the record behind it is heavy: 142 deficiencies, three of them at the level where residents were actually harmed, plus seven tied to abuse. CMS has placed the home in its Special Focus Facility program, which is reserved for the small share of homes with a persistent pattern of serious problems. Staffing sits about 8% under the national average, weekends run roughly 10% thinner than weekdays, and turnover lands at 46.2%, essentially the national rate. Ownership is for-profit, through a limited liability company. Three fines totaling $31,134 are on file, and the most recent inspection was October 9, 2025.
Pine Knoll runs on 3.39 nursing hours per resident per day, roughly 12 percent under the national average, and weekend staffing drops about 5 percent below what it manages on weekdays, so the thinnest coverage lands when families tend to visit and when fewer eyes are watching. The inspection record backs that up: 82 deficiencies, 12 of them serious enough to involve harm or jeopardy, 4 tied to abuse, and $568,747 in federal fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. The most recent inspection was March 2026.
Plymouth Harborside is a 101-bed for-profit home that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The numbers behind that: 58 deficiencies on the current record, 9 of them at the harm or jeopardy level, plus 2 abuse-related citations and six fines totaling $359,529. Staffing sits at 3.56 nurse hours per resident day, about 8% under the national average, and weekends run roughly 12% thinner than weekdays. Annual turnover is 52.1%. Both its health inspection and quality measure ratings come in at 1 out of 5 stars. If you're considering this home, ask pointed questions about the care plan and who's actually on the floor on Saturdays.
Medilodge Of Sault Ste. Marie runs about 3.62 nursing hours per resident per day, roughly 6% under the national average, and weekends drop about 16% below its own weekday numbers. That matters because the home carries 73 deficiencies on its current record, including 8 at the harm or jeopardy level and 12 tied to abuse, plus three fines totaling $65,403. Staff turnover sits at 50.6%, higher than the 45.8% national average. CMS gave it a 1 out of 5 on health inspections and placed it in the Special Focus Facility program; its most recent inspection was February 2026. It's a for-profit limited liability company. The quality measure star is a 4, but the inspection record is where the real story is.
Villa At Beecher Place runs 167 certified beds in Flint under corporate ownership, and its nurse staffing sits at 3.16 hours per resident day, about 18% under the national average of 3.86. Weekends dip roughly 12% below the home's own weekday coverage, and annual turnover hits 53.7% against a national 45.8%. The inspection record is where the real trouble shows: 99 deficiencies, including 10 at the harm or jeopardy level and 7 tied to abuse, plus two fines totaling $210,026. A May 2025 inspection is recent, and the quality measure score is strong, but staffing and compliance numbers tell a harder story.
Optalis Health And Rehabilitation Of Grand Rapids runs 120 beds as a for-profit, individually owned home, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.39 hours per resident day, about 12 percent under the national average, with weekends roughly 10 percent below its own weekday coverage, and annual turnover hits 64.7 percent against a national 45.8. Its current inspection record carries 101 deficiencies, 12 at the harm or jeopardy level and 13 tied to abuse, along with two fines totaling $136,785, and CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems.
Pinnacle Care of Battle Creek runs 82 certified beds as a for-profit partnership, and its nurse staffing sits at 1.78 hours per resident day against a national average of 3.86, roughly half the typical level, with weekends about 3% thinner than weekdays. The inspection record carries 111 deficiencies, including four at harm or jeopardy level and eight tied to abuse, plus two fines totaling $133,946; CMS has placed the home in its Special Focus Facility program, and the most recent inspection was May 12, 2025. Its quality measure stars look strong at 5/5, but that score sits alongside 1/5 marks for health inspections and staffing, which tells you where the real trouble lies.
Villas At Bryn Mawr runs on thin nursing coverage, 2.73 hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekday levels, so the thinnest shifts come when oversight is lightest. The inspection record is the real concern: 61 deficiencies logged, six of them at harm or jeopardy level and three tied to abuse, with two fines totaling $51,980. Staff turnover sits at 29.2%, which is actually better than the 45.8% national average, so the problem isn't retention so much as how many hands are on deck and what inspectors keep finding.
Franklin Restorative Care Center runs on 3.19 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends dip about 7 percent below its own weekday level. That thin margin matters more here because turnover sits at 64.8 percent against a national 45.8 percent, so replacements are constantly learning residents who need consistency. The inspection record is where the trouble concentrates: 37 deficiencies, including one at harm or jeopardy level and four tied to abuse, with the most recent survey in May 2025. Corporate for-profit ownership, 40 beds, and staffing that earns a single star tell you where the pressure points are.
Wabasso Restorative Care Center runs 44 beds under for-profit LLC ownership, and its staffing sits at 3.15 nurse hours per resident day, roughly 18% under the national average, with weekends about 8% thinner than weekdays. Turnover is 37.9%, better than the 45.8% national figure, so the people who stay seem to stay. What pulls the record down is the inspection side: 69 deficiencies on file, including 6 at harm or jeopardy level and 11 tied to abuse, plus a $19,135 fine and a spot in CMS's Special Focus Facility program, which is reserved for the homes with the most persistent problems. The most recent inspection was January 14, 2026.
The Shores of Worthington carries 61 deficiencies on its current record, five of them serious enough to cause harm or put residents in jeopardy, and three tied to abuse. That's the kind of paper trail that lands a home in CMS's Special Focus Facility program, which it is. Staff turnover sits at 57.9% against a national average of 45.8%, more than half the nursing staff leaving in a year, which matters more than the 3.76 daily nurse hours per resident, slightly under the national 3.86. Seven fines totaling $160,691 round out the picture. The last inspection was April 2026. Ownership is a for-profit limited liability company. One star for health inspections, three for quality measures, four for staffing.
Bywood East runs on thin staffing: 2.43 nurse hours per resident per day against a national average of 3.86, and weekends drop about 17% below its own weekday coverage. The inspection record is the bigger concern, 77 deficiencies on file, including 7 at the harm or jeopardy level and 13 tied to abuse, which is why CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. Its quality measure stars look good on paper, but those reflect resident assessments rather than the care environment itself, and a 1-star inspection rating with the most recent survey dated May 2026 tells you regulators keep finding problems. Turnover at 36.8% runs below the national figure, so the issue isn't retention, it's how few staff there are.
Edgewood Health & Rehabilitation has more nursing hours per resident than most homes in the country, 5.36 per day against a national average of 3.86, but that's the strongest thing in its data. The current inspection record carries 47 deficiencies, 16 of them at harm or jeopardy level and 8 involving abuse, with nine fines totaling $123,043. Staff turnover sits at 59.8% versus 45.8% nationally, and weekend coverage drops about 19% below weekday levels. CMS has placed this for-profit, 119-bed home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes. Its last inspection was August 2024.
Courtyard Health and Rehabilitation is a 145-bed for-profit home in McComb that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor inspections. The numbers explain why: 27 deficiencies on the current record, 10 of them serious enough to cause harm or jeopardy, plus 2 tied to abuse. Both its health inspection and quality measure ratings sit at 1 out of 5 stars. Nurse staffing at 3.46 hours per resident day runs about 10% under the national average, weekends drop roughly 9% below its own weekday levels, and turnover sits near 45%. On paper, the staffing is the least of this home's problems.
Sunplex Sub-Acute Center is a 73-bed for-profit home in Ocean Springs, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.39 hours per resident day, about 12% under the national average, and weekends run roughly 11% thinner than weekdays, gaps that matter most when a resident needs help and fewer hands are on the floor. The inspection history is the bigger concern: 41 deficiencies on the current record, 15 of them at harm or jeopardy level and 3 abuse-related, with four fines totaling $305,999. CMS has placed it in the Special Focus Facility program, which it reserves for the homes with the most persistent problems. Staff turnover of 48.3% runs above the national average, meaning caregivers keep leaving.
Bedford Care Center of Picayune runs 120 beds as a for-profit corporation, and its staffing is the one number that holds up: 3.95 nurse hours per resident day, slightly above the national average, though weekends dip about 7% below its own weekday coverage. Almost everything else on the record cuts the other way. State inspectors have cited 26 deficiencies, 12 of them serious enough to put residents in harm's way and 6 involving abuse, with two fines totaling $39,392 and a place in CMS's Special Focus Facility program, an active watchlist, not a past blemish. Staff turnover sits at 49.6% against 45.8% nationally, meaning roughly half the caregivers leave each year. The most recent inspection was December 18, 2025.
North Village Park runs on 1.60 nurse hours per resident per day, roughly 59% below the national average, and weekends drop about 17% below its own weekday numbers. Staff turnover sits near 70%, well above the 45.8% national figure. On its current record: 129 deficiencies, 25 involving harm or jeopardy, 26 abuse-related, and 11 fines totaling $521,334. This is a for-profit LLC of 183 certified beds with a one-star health inspection rating, a one-star staffing rating, and a place in CMS's Special Focus Facility program. Its most recent inspection was December 12, 2025.
Golden Years Center for Rehab and Healthcare sits in Harrisonville with 128 certified beds and a corporate owner. The numbers that stand out aren't flattering: nurse staffing runs about 6% under the national average, weekends dip roughly 10% below the home's own weekday coverage, and annual turnover hits 70.6% against a national 45.8%, meaning most of the people caring for residents are new or on their way out. The inspection record is heavier still: 74 deficiencies, four at harm or jeopardy level, two tied to abuse, and a $166,800 fine. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, with the most recent inspection dated January 30, 2026.
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.
Abode Health and Wellness Center in Independence has more direct-care nursing hours than the typical U.S. nursing home, 4.21 per resident day against a national average of 3.86. That's the one number here that looks reassuring, and it comes with a caveat: weekend staffing drops about 4% below the home's own weekday level.
Everything else on the record is hard to get past. CMS has cited 80 deficiencies, including one at the harm or jeopardy level and nine tied to abuse. Fines total $269,476 across 24 penalties, and the home sits in Medicare's Special Focus Facility program, reserved for the country's most persistently troubled homes. Its last inspection was in February 2025. Staffing hours don't fix an inspection record like that.
Beloved Health and Rehabilitation Center in Hannibal is a for-profit, individually owned home with 111 certified beds, and the numbers behind its record are hard to read past. Nurse staffing runs 2.79 hours per resident day, roughly 28% under the national average, and weekends drop about 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Its inspection history is the bigger concern: 133 deficiencies on the current record, 15 of them serious enough to put residents at risk of harm or jeopardy, 9 tied to abuse, and $279,380 in federal fines across three penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The last inspection was November 27, 2024.
Chariton Park runs on 1.83 nursing hours per resident day, less than half the national average of 3.86, and staffing drops further on weekends. That thin coverage helps explain the 65 deficiencies on its current record, including 8 at the harm or jeopardy level and 10 tied to abuse. The health inspection rating sits at 1 out of 5, and five fines total $126,302. Annual turnover of 53.3% beats the national 45.8%, meaning more than half the staff leaves each year. For-profit ownership through a limited liability company. The most recent inspection was March 2024. The quality measure score of 3 out of 5 stands out against everything else, worth asking what's behind it.
Heritage Care Center runs on 1.85 nurse staffing hours per resident day, roughly half the national average, and weekends drop another 23% below its own weekday level. That thin coverage shows up in the record: 95 deficiencies, 15 of them involving harm or jeopardy to residents, 17 tied to abuse, and six fines totaling $424,748. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents keep changing. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was September 9, 2025. The four-out-of-five quality measure rating rests on a staffing and inspection picture that is among the weakest CMS tracks.
Hillside Health Care Center runs on 2.46 nurse staffing hours per resident day, roughly a third less than the national average, and weekends drop about 15% below what it manages on weekdays. Annual turnover of 60.3% means most of the staff you'd meet are relatively new. The record shows 122 deficiencies, 17 of them at the harm or jeopardy level and 10 tied to abuse, plus $106,588 in federal fines. 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 July 2024. If you're considering this one, ask what specifically has changed since then.
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.
Ellisville Rehabilitation and Nursing runs 210 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.92 hours per resident day, only about 1% above the national average, but weekends drop roughly 12% below its own weekday level, and annual turnover is 71.9% against a national 45.8%, meaning most of the people caring for residents are new to the building.
The inspection record is harder to explain away: 65 deficiencies, 12 at harm or jeopardy level, 12 abuse-related, and $260,092 in fines. CMS has placed it in the Special Focus Facility program, reserved for the country's poorest performers. The last inspection was November 2024.
Bridgewood runs on 2.45 nursing hours per resident per day, roughly a third below the national average, and weekend coverage drops another 9% below its own weekday level, so the thinnest shifts are the ones families visit. Staff turnover sits at 58.3% against a national 45.8%, meaning the people providing that care are frequently new. The inspection record is what stands out most: 125 deficiencies, 26 of them at harm or jeopardy level, 36 tied to abuse, and $973,967 in fines across 13 penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. The most recent inspection was April 28, 2025.
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.
Beartooth Rehabilitation and Nursing in Columbus is on CMS's Special Focus Facility list, which is reserved for homes with a persistent record of serious problems. The inspection history backs that up: 43 deficiencies on the current record, four of them at the harm or jeopardy level and six tied to abuse, with two fines totaling $50,592. Staffing is a mixed picture, a 4-star rating overall, but 2.95 nurse hours per resident day sits about 24% under the national average, and weekends run roughly 9% thinner than weekdays, which matters when something goes wrong on a Sunday. The most recent inspection was February 10, 2026, so the record is current, not stale.
Cascades At Skyview has 48 certified beds and a staffing figure that looks decent on paper, 4.08 nurse hours per resident day, about 6% above the national average. But the weekends run roughly 14% thinner than weekdays, and annual turnover sits at 75.5% against a national norm of 45.8%, so that average is being held up by a workforce that keeps leaving. The inspection record is the bigger problem: 46 deficiencies on file, five of them at harm or jeopardy level and three tied to abuse, with $141,424 in fines and a place in CMS's Special Focus Facility program.
Ormsby Post Acute Rehabilitation runs 120 beds and sits in the federal Special Focus Facility program, the list CMS keeps for homes with a persistent pattern of serious problems. The record backs that up: 98 deficiencies, including one at the harm level and 15 tied to abuse, plus a $60,464 fine. Nurse staffing runs 2.81 hours per resident day, about 27% under the national average of 3.86, and weekends drop roughly another 12% below the home's own weekday coverage. Staff turnover is 58% against a 45.8% national figure. The most recent inspection was March 27, 2025, so the picture is current, not stale.
Highland Manor of Fallon carries a federal Special Focus Facility designation, which CMS reserves for the homes with the most persistent compliance problems. The record backs that up: 79 deficiencies, including two at the harm or jeopardy level and 11 tied to abuse, plus $90,220 in fines. Nurse staffing sits at 3.06 hours per resident day, about 21 percent under the national average, and weekend coverage drops roughly 12 percent below its own weekday level. Staff turnover of 56.3 percent runs well above the 45.8 percent national figure, and the inspection rating is 1 out of 5. The quality measure score of 4 looks good on paper, but it's measuring resident outcomes, not the conditions that produce them.
Caremeridian runs 36 beds in Reno, and the staffing numbers are genuinely high, 7.86 nurse hours per resident day, roughly double the national average. That matters for daily care, though weekend coverage dips about 9% below its own weekday level. The trouble shows up elsewhere: 49 deficiencies on the current record, including one at the harm level and eight tied to abuse, plus a $68,738 fine and a spot in CMS's Special Focus Facility program, which is reserved for the homes with the worst inspection histories. Annual turnover sits at 60.3% against a national 45.8%, so the people delivering that strong staffing keep changing. The most recent inspection was February 2025.
Masonic Village at Burlington runs on a contradiction. The nursing hours are genuinely high, 5.24 per resident day, roughly a third more than the national average, and CMS gives it top marks for staffing. But inspections tell a different story: 14 deficiencies on record, six of them serious enough to endanger residents, three tied to abuse, plus $178,446 in fines and a spot in the federal Special Focus Facility program, which CMS reserves for the worst-performing homes. Turnover sits at 46%, about even with the national rate, and weekend coverage drops roughly 11% below weekday levels. Quality scores look strong at 4 out of 5, but a home with three abuse citations and active federal monitoring has problems that staffing numbers alone don't fix.
The staffing numbers at this Piscataway home look decent on paper, 3.94 nurse hours per resident day, a bit above the national average, but weekends drop about 9% below weekday coverage, and a 1-out-of-5 inspection rating tells you the care isn't matching the payroll. Thirty-seven deficiencies sit on the current record, four of them serious enough to put residents in harm's way and five tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's poorest performers, and the most recent inspection was in December 2024. Ownership is for-profit, through a limited liability company. Staff turnover, at 41.9%, is actually slightly better than average, the problem here isn't retention, it's what's happening on the floor.
Las Palomas Center carries 91 deficiencies on its current record, including seven that put residents in immediate harm or jeopardy and eight tied to abuse. That's why CMS placed it in the Special Focus Facility program, a designation reserved for the homes with the worst inspection histories. The health inspection rating sits at 1 out of 5, and the last full inspection was July 19, 2024. Staffing runs about 9% below the national average at 3.51 nurse hours per resident day, weekends drop roughly 14% below the home's own weekday levels, and annual turnover hits 67.9% against a national 45.8%. Three fines total $374,766. The quality measure score of 4 out of 5 stands out against everything else, but self-reported clinical data can look better than the day-to-day reality a low inspection rating reflects.
Spring River runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop another 13 percent below its own weekday levels. That thin coverage shows up in the inspection record: 67 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, plus $111,643 in federal fines. Staff turnover sits at 60.5 percent against a national 45.8 percent, so the people providing care keep changing. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes. The most recent inspection was December 12, 2024.
Las Cruces Village runs 3.67 nurse hours per resident day, roughly 5% under the national average, and weekend coverage drops about 10% below what it manages on weekdays. That thin margin matters because staff turnover is 64.6% a year, well above the 45.8% national figure, so the people providing most of the care are still relatively new. The inspection record shows 83 deficiencies, seven of them abuse-related, and CMS gave the health inspection domain its lowest rating; quality measures scored well, but that's largely a charting exercise. A recent June 2025 inspection means the findings are current, not stale. As a for-profit LLC with 94 beds, the numbers point to a building where care quality depends heavily on who happens to be on shift.
Humboldt House is a 173-bed for-profit home in Buffalo, and its record is one families should read carefully. The staffing numbers are the clearest issue: 3.04 nurse hours per resident per day, about a fifth below the national average, with weekends running thinner still, and turnover near 60 percent, well above the 45.8 percent typical nationally. On inspections, it holds 44 deficiencies, three of them at harm or jeopardy level and eight involving abuse, plus $270,858 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. A strong quality-measure score doesn't offset that inspection history.
Van Duyn is one of the largest nursing homes in New York, and its record carries real weight: 91 deficiencies, 17 of them serious enough to put residents at risk of harm, plus nine tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems, and fines total just under $620,000. Nurse staffing sits slightly under the national average at 3.72 hours per resident day, and weekends run about 12 percent thinner than weekdays, when families often visit. Staff turnover, at 42.7 percent, is actually a touch better than average. Its most recent inspection was in December 2025.
The Eleanor Nursing Care Center runs on 2.67 nurse staffing hours per resident day, roughly a third below the national average, and weekends are thinner still. Its inspection record is the real story: 83 deficiencies, including one at the harm level and five tied to abuse, plus a $132,957 fine. Those numbers put it in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Turnover at 30.2% is actually better than the national average, which suggests the trouble here isn't a churning workforce so much as too few hands on the floor and a long history of failed inspections.
Sunset Nursing and Rehabilitation Center is a 120-bed for-profit home in Boonville, and the number that should give you pause is 27 deficiencies on its current record, four of them serious enough to involve actual harm or jeopardy, and four tied to abuse. That's why CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. Nurse staffing sits at 3.45 hours per resident per day, about 11% under the national average, and weekends run roughly 10% thinner than weekdays. Staff turnover is 39.6%, which is actually better than the 45.8% national figure. The most recent inspection was June 27, 2025, and CMS has fined the home $56,261.
Campbell Hall Rehabilitation Center is a for-profit home with 134 beds, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.03 hours per resident day, roughly a fifth below the national average, and weekends run about 11% thinner than weekdays, which matters if your family visits on a Saturday or Sunday. Its inspection history shows 67 deficiencies, including three at the harm or jeopardy level and five related to abuse, with 22 fines totaling $190,505. Staff turnover runs 48.5%, above the national figure, and CMS has placed the home in its Special Focus Facility program. All three of its CMS star ratings sit at one out of five.
Grand Manor runs on thin staffing: 2.80 nurse hours per resident per day against a national average of 3.86, a gap of roughly 27%, and weekends drop about 16% below the home's own weekday level. That's the backdrop for 61 deficiencies on the current record, including 9 at harm or jeopardy level and 5 tied to abuse, plus four CMS fines totaling $563,175. The federal Special Focus Facility designation means regulators have flagged this home for sustained poor performance, and the most recent inspection was December 9, 2025. Turnover, at 40.3%, actually sits below the national average of 45.8%, one number that isn't working against it.
Eddy Heritage House runs a nonprofit shop in Troy with 120 certified beds, and the staffing looks solid on paper, 3.90 nurse hours per resident day, just above the national average of 3.86. The catch is weekends, when coverage drops about 13% below the home's own weekday level, and turnover sits at 53% against a national 45.8%.
The inspection record is where this one gets harder to defend: 29 deficiencies on file, including two at harm or jeopardy level and four tied to abuse. That's a 1-star health inspection rating, with the most recent look coming in February 2024. Staffing earns 4 stars, quality measures 2. Families should ask directly how those abuse citations were resolved.
Affinity Skilled Living runs 280 beds in Oakdale under for-profit LLC ownership, and its record is genuinely mixed. The health inspection side is the weak spot: 29 deficiencies on file, three of them at harm or jeopardy level and two tied to abuse, with an $82,500 fine and a one-out-of-five inspection rating. Staffing sits at 3.73 nurse hours per resident day, a bit under the national average, and weekends run about 12 percent below weekdays, though turnover at 32.1 percent is better than the 45.8 percent norm. Resident outcome measures look strong on paper. Read the inspection history carefully before deciding.
Blumenthal Health and Rehabilitation Center is a for-profit LLC home in Greensboro with 134 certified beds, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekends running about 12% thinner than weekdays, and an 82% annual turnover rate means the aides and nurses caring for residents are, more often than not, new to the building. Its inspection history shows 70 deficiencies, seven at harm or jeopardy level and three abuse-related, plus three fines totaling $210,325, and CMS has placed it in the Special Focus Facility program. The most recent inspection was September 13, 2025.
Premier Living And Rehab Center is a for-profit home in Lake Waccamaw with 127 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average, and weekends dip about 9% below its own weekday levels, right when families often visit. The inspection history carries 56 deficiencies, eight of them at harm or jeopardy level and three tied to abuse, with two fines totaling $383,791. CMS has placed it in the Special Focus Facility program, meaning federal regulators flag it for sustained poor performance. If you're weighing this one, ask pointed questions about the abuse citations and weekend coverage.
Mary Gran Nursing Center runs 27 deficiencies on its current record, five of them serious enough to reach harm or jeopardy level, plus one tied to abuse. That's a lot of citations for a 212-bed for-profit home, and the most recent inspection only dates to August 2025, so this isn't old history. Nurse staffing sits at 3.29 hours per resident day against a national average of 3.86, weekends drop roughly 10% below the home's own weekday coverage, and annual turnover hits 51.3% versus 45.8% nationally. The pattern is consistent: thin coverage that thins further on weekends, with a workforce turning over faster than most.
Deer Park runs 140 certified beds in Nebo under for-profit LLC ownership, and the staffing numbers tell a hard story: 3.41 nurse hours per resident day against a national average of 3.86, with weekends running about 10% thinner than weekdays already. Staff turnover sits at 78.5%, far above the 45.8% national figure, which means the people caring for residents are constantly changing. The inspection record is worse: 39 deficiencies, 10 at harm or jeopardy level, 6 abuse-related, five fines totaling $273,467, and federal placement in the Special Focus Facility program as of the June 2025 inspection. Ask direct questions about who's on duty nights and weekends.
Sunset Drive is a 128-bed nonprofit home in Mandan, and the numbers tell a hard story. Nurse staffing sits at 3.57 hours per resident day, about 8% under the national average, and weekends run roughly 10% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The bigger problem is the inspection record: 69 deficiencies, including two at the harm level and eight tied to abuse, plus $42,226 in fines, and CMS has placed the home in its Special Focus Facility program. Staff turnover of 64.5% is well above the 45.8% national figure, meaning caregivers cycle through quickly.
Garrison Mem Hosp Nsg Fac runs 4.34 nurse hours per resident day, about 12% above the national average, and that staffing shows up in its four-star staffing rating. The catch is consistency: weekend coverage drops roughly 20% below its own weekday level, and annual turnover sits at 66.7% against a national 45.8%, well over half the nursing staff leaving each year. Its current record carries 24 deficiencies, none at the harm level but one tied to abuse, and the two-star health inspection rating reflects that. Church-affiliated nonprofit ownership on 26 beds. The nurses are there in numbers, but keeping them is the problem.
Highland Oaks is a for-profit home in Morgan County with 99 certified beds, and the numbers tell a split story. The quality measures CMS tracks look strong, but the inspection record is another matter: 105 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, and six tied to abuse. That inspection history is why CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Staffing sits about 5% under the national average, weekend coverage drops roughly 10% below weekday levels, and nearly half the nursing staff turns over each year.
Park Terrace runs on thin staffing even before you look closely: 3.74 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday coverage, which is when families tend to visit and notice. The bigger issue is who's left to provide that care, turnover sits at 65.8%, well above the 45.8% national figure, meaning two out of three staff members cycle out in a year. The inspection record backs that up: 109 deficiencies, six serious enough to cause harm, twelve tied to abuse, and $121,954 in fines. State inspectors were last in on March 20, 2025.
Trotwood Health & Rehab is a 67-bed for-profit home in Dayton, and its record reflects serious, ongoing problems. Nurse staffing sits at 3.28 hours per resident day, roughly 15% below the national average, and weekends run even leaner. Staff turnover is the number that should stop you cold: about 89% annually, nearly double the national rate. On inspections, CMS gives this home 1 out of 5 stars, with 85 deficiencies on record, four at the harm level and seven tied to abuse. It's in the Special Focus Facility program, carries a $77,000 fine, and was last inspected in July 2024.
Community Skilled Healthcare in Warren runs 99 certified beds as a nonprofit corporation, and the numbers are hard to get past. Nurse staffing sits at 3.68 hours per resident per day, about 5% under the national average, and weekends drop roughly 14% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 59.8% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 69 deficiencies, including 3 at harm or jeopardy level and 13 abuse-related, plus $186,582 in fines, and CMS has placed the home in its Special Focus Facility program.
Country Club Center I runs 72 beds in Dover under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.78 nurse hours per resident day it sits just under the national average, but weekends drop about 14% below its own weekday levels, and turnover hits 83.8% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is worse: 90 deficiencies, six at harm or jeopardy level, eight abuse-related, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently poor performers. Three fines totaling $31,371 are on file.
The Merriman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekend coverage drops about 12% below its own weekday levels. Staff turnover sits at 64.9% against a national 45.8%, so the people caring for residents are, more often than not, new to the building. Its inspection record carries 65 deficiencies, three of them at the harm or jeopardy level and six tied to abuse; two fines total $134,475, with the most recent inspection in January 2025. A 4/5 on quality measures doesn't offset a 1/5 on staffing and 1/5 on inspections. The corporate owners profit while the floor stays thin.
Canfield Healthcare Center runs 90 beds in Youngstown under corporate ownership, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident per day against a national average of 3.86, with weekends running about 12% thinner than weekdays already are. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters because that's roughly half the workforce cycling out in a year.
The inspection record is where things get serious. Fifty-four deficiencies, four at harm or jeopardy level, seven tied to abuse, and $211,331 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the poorest performers. The 4/5 quality measure rating reflects resident assessments; the 1/5 on both inspections and staffing tells you what those numbers don't.
Salem West Healthcare Center runs 2.88 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends dip another 11% below its own weekdays. Annual turnover sits at 56.1%, well above the 45.8% national figure, so the people left are often the newest. The inspection record is the real problem: 52 deficiencies, two at harm or jeopardy level, five tied to abuse, and a one-star health inspection rating. CMS has placed it in the Special Focus Facility program, its most serious watch list for homes with a pattern of persistent problems. A five-star quality measure score doesn't offset that, especially since those measures lean on self-reported data.
Country Lane Gardens runs on thin staffing: 3.14 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays. That shortfall shows up in the numbers, too. Annual turnover sits at 54.7%, well above the 45.8% national figure, and the home's 101 deficiencies include 8 at the harm or jeopardy level and 14 tied to abuse. Four fines total $318,627, CMS has placed it in the Special Focus Facility program, and the most recent inspection was March 5, 2026. A 5/5 quality measure score stands out against 1/5 marks for staffing and health inspections.
Divine Rehabilitation And Nursing At Toledo runs 93 certified beds as a for-profit corporation, and the staffing numbers don't keep pace with what residents need. Nurse staffing sits at 3.77 hours per resident day, just under the national average, but weekends drop about 10% below the home's own weekday level, so the thinnest coverage lands when families often visit. The bigger problem is turnover: 70.5% annually against a national 45.8% means most of the people caring for your relative are new or on their way out.
The inspection record is worse. CMS counts 107 deficiencies, including 9 at harm or jeopardy level and 10 abuse-related, plus $72,324 in fines. The home is in CMS's Special Focus Facility program, which is reserved for the country's most persistently troubled homes. Its last inspection was March 5, 2026.
Oak Hills Living Center runs 160 beds in Jones under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.67 hours per resident per day, about 5% under the national average, and weekend coverage drops roughly 39% below what the home provides on weekdays, so the hours your family member gets depend heavily on which day it is. Staff turnover is 82.8% against a national 45.8%, meaning most of the people providing care are new to the building.
The current inspection record shows 37 deficiencies, five of them at the level where harm or jeopardy occurred, twelve tied to abuse. CMS has fined the home three times for a combined $137,412 and placed it in the Special Focus Facility program, which CMS reserves for homes with a persistent record of poor care.
Sequoyah Manor is a 162-bed for-profit home in Sallisaw, and the federal numbers on it are rough. The inspection record shows 62 deficiencies, including three at the level where a resident was actually harmed or put in immediate jeopardy, and four tied to abuse. Staffing sits at the lowest tier CMS awards, its payroll hours come in well under what the government considers adequate, and it's one of the relatively few homes the agency has pulled into its Special Focus Facility program, which is reserved for the worst repeat offenders. Two fines totaling $33,270 are on file. The last inspection was December 2024, so this record is recent, not stale.
Community Health Care of Gore runs 70 certified beds under corporate ownership in Sequoyah County, and its staffing numbers come in above the national average, about 4.19 nurse hours per resident day versus 3.86 nationally. That sounds promising until you look at the rest: weekends run roughly 18% thinner than weekdays, which matters when families can't easily visit. The inspection record is the real concern. Forty-six deficiencies, five serious enough to put residents in harm's way, eight tied to abuse. CMS fined the home $23,879 and placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. Its last inspection was March 2025.
Wewoka Healthcare Center runs on 3.33 nurse hours per resident day, about 14 percent under the national average, and weekends drop roughly 6 percent below its own weekday staffing. That thinner coverage lands on a workforce where 77 percent of staff turn over each year, well above the 45.8 percent national figure. The inspection record is the harder part: 73 deficiencies, 11 serious enough to put residents in harm's way, 14 tied to abuse, and $389,250 in federal fines. CMS has placed the home in its Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The most recent inspection was March 5, 2026.