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.
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.
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.
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.
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.
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.
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.
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.
Buffalo Prairie Center has 66 deficiencies on its record, including two at the harm or jeopardy level and three tied to abuse. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems, and the last inspection in October 2024 was recent enough that this is a current picture, not an old one. The one number that looks fine, 4.03 nurse hours per resident day, slightly above the national average, is undercut by 77.2% annual staff turnover, well above the 45.8% national figure. Ownership is a for-profit limited liability company, and a $92,080 fine is on file. High turnover means the people providing that care keep changing.
Springfield Skilled Care Center runs on 2.96 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 17% below its own weekday coverage. Staff turnover sits at 79% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The inspection record shows 97 deficiencies, including 5 at harm or jeopardy level and 6 tied to abuse, with two fines totaling $189,066. Corporate-owned and Medicare-certified for 120 beds, its last inspection was February 2025. A 1/5 inspection rating and 1/5 staffing rating are the numbers families should weigh hardest here.
Hidden Lake runs on 2.52 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends drop another 4% below its own weekday level. The inspection record shows 83 deficiencies, seven of them serious enough to indicate harm or jeopardy, three tied to abuse, plus $123,610 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care, and ownership changed within the past year. The last inspection was August 2024.
Beth Haven has one genuinely good number: 4.61 total nurse hours per resident day, roughly 19% above the national average of 3.86. That's where the good news stops. CMS has placed this Hannibal home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the inspection record explains why, 81 deficiencies, five of them at harm or jeopardy level, 12 abuse-related, and six fines totaling $70,743. All three CMS star ratings sit at 1 out of 5, and the most recent inspection was February 2025, so this isn't a stale picture. Weekend staffing also dips about 7% below weekday levels. Corporate-owned, 105 beds. Staffing hours alone don't offset an inspection and quality record like this.
Cassville Health Care Center is a 60-bed for-profit home in Barry County, and the federal numbers there are hard to read past. Nurse staffing sits at 2.79 hours per resident day, roughly 28% under the national average of 3.86, and weekends drop about 4% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record shows 82 deficiencies, including 4 at harm or jeopardy level and 8 tied to abuse, with one fine of $123,925. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Its last inspection was October 1, 2024. All three CMS star ratings sit at one out of five.
Willowcreek runs leaner on nursing hours than the typical American nursing home, about 3.48 hours per resident day against a national average near 3.86, and weekends get thinner still, roughly 17% below what the building staffs on weekdays. Nearly 93 deficiencies sit on the current record, seven of them serious enough to involve harm or jeopardy, nine tied to abuse, with three fines totaling $90,333. The federal government has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover of 54.3% runs above the national figure, meaning caregivers cycle through faster than residents can get to know them.
Grove At Kirkwood runs 117 certified beds as a nonprofit corporation, and its total nurse staffing sits at 3.86 hours per resident day, essentially matching the national average, not exceeding it. The problem isn't the raw staffing number; it's that weekends run about 10% below the home's own weekday level, and CMS gives just 1 of 5 stars on staffing overall, plus 2 of 5 on quality measures and 1 of 5 on health inspections. That inspection record includes 52 deficiencies, six at harm or jeopardy level, one abuse-related, and a single $172,400 fine. The last inspection was May 2024, so the picture isn't stale.
If you're looking at Estates of Perryville, the numbers behind its federal record are worth your time. The home has 156 certified beds and a for-profit LLC owner, and its nurse staffing comes in at 2.10 hours per resident day, roughly 46% below the national average, with weekend coverage dropping about 18% below its own weekday levels. Annual turnover sits at 61.4%, well above the 45.8% national figure. On the current record: 45 deficiencies, six at harm or jeopardy level, six abuse-related, and three fines totaling $303,763. All three CMS star ratings land at 1 out of 5, and the last inspection was March 11, 2026.
St. Peters Rehab and Healthcare Center carries a record that families should look at closely before deciding. The home is in CMS's Special Focus Facility program, a designation reserved for nursing homes with a persistent pattern of poor inspections, and the numbers behind that status are hard to read any other way: 101 deficiencies on the current record, six of them at the harm or jeopardy level, three tied to abuse, and four fines totaling $168,026. Staffing sits about 14% under the national average, weekends run roughly 18% thinner than weekdays, and annual turnover hits 67% against a 45.8% national figure, meaning the aides and nurses who do stay are often new.
Maryville Living Center runs 3.19 nurse hours per resident day against a national average of 3.86, and weekends drop another 11% below its own weekday level, so the hours your family member gets on a Saturday are thinner than the weekday number suggests. Staff turnover is 68.9% against a national 45.8%, meaning roughly two of every three caregivers left within a year. The current record carries 42 deficiencies, including five at the harm or jeopardy level and five tied to abuse. Fines total $22,337, and the last inspection was June 19, 2025.
Country View Nursing runs on 3.25 nurse staffing hours per resident day, about 16% under the national average, and weekend coverage drops roughly another 10% below its own weekday level. That thin bench turns over constantly, 82.6% annual staff turnover against a national average near 46%, which matters more in a 60-bed home where residents see the same few faces. The inspection record backs up the concern: 70 deficiencies, including 9 at harm or jeopardy level and 3 tied to abuse, with $192,533 in federal fines. All three CMS ratings, health inspections, quality measures, staffing, sit at the bottom. For-profit, limited liability ownership, last inspected January 2026.
Rest Haven runs on 1.72 nurse hours per resident per day, less than half the national figure of 3.86, and weekends drop about 22% below what the home itself staffs during the week. Turnover sits at 68.5% against a national 45.8%. Inspectors logged 38 deficiencies, two of them harm-level and two abuse-related, with a $24,850 fine. That's a lot of record for an 86-bed for-profit building.
Crestwood runs on 2.62 nursing hours per resident per day, roughly a third below the national average, and weekends drop another 12% under its own weekday level. That thin coverage shows up in the numbers families can verify: a 1-star health inspection rating, 81 deficiencies on record, 8 of them serious enough to threaten harm, and 25 tied to abuse. Annual turnover sits at 64.6%, well past the 45.8% national figure, meaning the aides and nurses around your relative are likely new to the building. Two fines totaling $146,887 are on file from the state's last visit in June 2024, and the limited liability company that owns this 150-bed home answers to no one above it.
Athene Nursing and Rehabilitation runs 282 certified beds in Town and Country under for-profit LLC ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover runs 61.2% against a national 45.8%, meaning the aides and nurses caring for residents are, more often than not, new to the building. The inspection record shows 111 deficiencies, including four at harm or jeopardy level and nine tied to abuse, with eight fines totaling $145,782. The most recent inspection was January 13, 2026, so the record is current, not old.
Lawson Manor runs on about 3.02 nurse hours per resident per day, roughly 22 percent under the national average, and weekends drop another 9 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 73.6 percent against a national 45.8, meaning most of the people caring for your relative are new to the building. The current record carries 62 deficiencies, three serious enough to involve harm or jeopardy and six tied to abuse, plus a $51,856 fine. Ownership is for-profit, through a limited liability company, and the last inspection was June 9, 2025.
Marshfield Care Center sits at 74 certified beds under for-profit LLC ownership, and the numbers on its current record are worth reading closely. Nurse staffing averages 2.87 hours per resident day, roughly a quarter below the national average, and weekends run about 14% thinner than weekdays, so coverage is at its lightest exactly when families tend to visit. Annual turnover of 69.8% means most of the people caring for your relative likely won't be there a year from now, against a national rate near 46%. The inspection history adds 45 deficiencies, including one at harm or jeopardy level and nine tied to abuse, with the most recent survey in August 2024. All three CMS star ratings sit at two or below.
Edgewood Manor is a for-profit LLC home in Raytown with 91 certified beds, and the numbers that matter most here are the staffing ones. At 2.61 nurse hours per resident per day, it runs roughly a third below the national average of 3.86, weekends dip even further, and 70% of staff turned over in a year, well above the 45.8% norm. Its inspection record carries 72 deficiencies, including 6 at harm or jeopardy level and 10 tied to abuse, plus two fines totaling $84,557. The last inspection was October 2024. Quality measures score mid-range, but thin, churning staffing and that deficiency history are what families should weigh.
Windsor Estates of St Charles runs on thin staffing: 3.53 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. That shortfall shows up in the workforce itself, 71.4% annual turnover, well above the 45.8% national figure, meaning most of the people caring for residents weren't there a year ago. The inspection record is heavier still: 77 deficiencies, 13 involving harm or jeopardy, 4 tied to abuse, and 8 fines totaling $229,906. The last inspection was in March 2024. This is a for-profit limited liability company, and the numbers suggest care that has been under-resourced and under-scrutinized for a while.
Truman Lake Manor runs on thin staffing, and the numbers show it. At 2.77 nurse hours per resident each day, it sits about 28% under the national average of 3.86, and weekends drop roughly 17% below its own weekday level, so care is already leaner when families tend to visit. Turnover tells a similar story: 67.7% of staff leave within a year, against a national 45.8%, which means unfamiliar faces and less continuity for residents.
The inspection record is heavier than most. Forty-four deficiencies are on file, including two at the harm or jeopardy level and eight tied to abuse. The last inspection was in March 2024, and the quality measure rating sits at the lowest mark.
Belleview Care Center runs 90 certified beds in Saint Joseph under for-profit corporate ownership, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day, it sits about 12% below the national average of 3.86, and weekends dip roughly 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 59.8% against a national 45.8% means the aides and nurses your relative sees are cycling out faster than usual, which matters for anyone who needs consistent hands-on care. Add a two-out-of-five inspection rating, 53 deficiencies on the current record (two at harm level, six abuse-related), and $31,330 in fines across two actions, and the picture is a home that has struggled on multiple fronts at once.
Grand River Health Care is a 60-bed for-profit home in Chillicothe, and the numbers are hard to dress up. Nurse staffing sits at 2.84 hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time than the typical facility, and weekends run slightly thinner than weekdays on top of that. Staff turnover is 81.3%, nearly double the national rate, which means the people caring for residents are, more often than not, new.
The inspection record reflects that instability: 60 deficiencies on file, including 11 tied to abuse and four serious enough to put residents in harm's way, with $68,226 in fines. The last state visit was February 2025. One star each for health inspections and staffing tells you where the problems concentrate.
Rancho Rehab And Healthcare Center runs on about 3.30 nurse staffing hours per resident day, roughly 15 percent under the national average, and weekends drop another 15 percent below its own weekday levels. Staff turnover sits at 78.3 percent, well above the 45.8 percent national figure, so the people providing care keep changing. The current inspection record carries 52 deficiencies, three of them at the harm or jeopardy level and three abuse-related, with $28,060 in fines and a March 2025 inspection behind it. For-profit operation under an LLC, 120 certified beds. Families should ask directly who's on duty on weekends and how long the current director of nursing has been in place.
South County Health Care Center runs 1.40 nurse hours per resident per day, which is roughly 64 percent below the national average of 3.86, a gap that shows up most on weekends, when staffing drops about 14 percent below its own weekday level. The current record lists 28 deficiencies, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A recent inspection in August 2025 means the picture is current, not stale. With 153 certified beds under for-profit limited liability ownership, the staffing number is the one worth pressing on: ask how many nurses are actually on the floor on a Saturday.
Normandy Nursing Center runs on 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 12 percent below its own weekday staffing. That shortfall shows up in the numbers: 38 deficiencies on the current record, including 2 at the harm or jeopardy level and 3 tied to abuse, with staff turnover at 56.3 percent against a national 45.8 percent. The last inspection was in May 2025, so the record is recent, not stale. A for-profit corporation owns the 116-bed home.
The Rehabilitation Center of Independence runs on 2.68 nurse hours per resident per day, roughly 31% under the national average of 3.86, and weekend coverage drops about 13% below its own weekday level. Staff turnover sits at 73.7% against a national 45.8%, so the people around your relative change often. Its current record carries 56 deficiencies, including five at the harm or jeopardy level and two tied to abuse, plus a $71,208 fine.
The 5/5 quality measure score looks good, but that's self-reported data, and the 1/5 staffing rating and 2/5 inspection rating come from what surveyors actually found. Ask about weekday-to-weekend coverage before you decide.
Beauvais Rehab runs 184 beds in St. Louis under for-profit LLC ownership, and the staffing numbers tell the clearest story: 3.24 nurse hours per resident day against a national average of 3.86, with weekends dipping about 15% below its own weekday coverage. That thin margin shows up in who's actually there on a Sunday. Staff turnover sits at 64.1%, well above the 45.8% national figure, and the inspection record carries 66 deficiencies, including five at harm or jeopardy level and four tied to abuse, plus a $64,695 fine. The most recent inspection was March 2025, so the record is current rather than stale. A 1-out-of-5 staffing rating and 2s on inspections and quality measures describe a home where the gaps are consistent, not isolated.
Milan Health Care Center runs on 2.01 nurse staffing hours per resident day, roughly half the national figure of 3.86, and weekends drop about 11% below its own weekday level. That thin coverage shows up in the numbers: a one-star CMS staffing rating, a one-star inspection rating, and 45 deficiencies on the current record, including two at the harm or jeopardy level and eight tied to abuse. Staff turnover sits at 58.8% against a national 45.8%, so the people providing that care keep changing. Inspectors were last in on March 5, 2025, and one fine of $49,897 stands against the home. Corporate-owned, 100 beds, quality measures rated mid-pack, the staffing and inspection picture is where the concern lives.
Blue Springs Wellness & Rehabilitation runs on 2.69 nurse hours per resident day, roughly 30% under the national average, with weekends about 12% thinner than weekdays. That staffing shortfall sits alongside a 68.9% annual turnover rate, well above the national 45.8%, and a one-out-of-five CMS staffing rating. The inspection record shows 66 deficiencies, including three at harm or jeopardy level and one tied to abuse, with $116,230 in fines and a March 2025 inspection. The five-star quality measure rating reflects resident assessment data, not the hands available to deliver care.
Eastview Manor runs on 2.12 nurse staffing hours per resident day, roughly 45% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday level. That thin margin shows up in the inspection record: 106 deficiencies, eight serious enough to put residents in harm's or jeopardy's way, and 11 tied to abuse. The health inspection rating sits at 1 out of 5 stars, and two fines total $163,472 against a for-profit limited liability company. Turnover runs 48.1%, a bit above the national 45.8%. The quality measure score is 4 stars, but that's built from reporting, not from enough hands on the floor.
Bentleys Extended Care is a 72-bed for-profit home in Overland, and the inspection record is the first thing you should look at. The current file shows 67 deficiencies, including 10 at the level where residents were actually harmed or put in immediate jeopardy, and three tied to abuse. That is a lot of serious findings for a building this size, and the staffing rating sits at the bottom of CMS's scale, so the people working there are stretched thin against what the government expects. A single fine of $28,969 and a last inspection in October 2024 round out the picture.
Ozark Care & Rehab Center runs on 2.90 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend staffing drops about 9% below its own weekday level. That thin coverage shows up in the federal ratings: one out of five stars for staffing, two for health inspections. The current record carries 39 deficiencies, including 3 at the harm or jeopardy level and 8 tied to abuse, plus two fines totaling $48,557. Inspectors last visited in December 2024. The quality measure score of three stars is the one bright spot, but it doesn't offset what the staffing and inspection numbers say about daily care.
Fulton Manor runs on thin staffing: 2.60 nurse hours per resident per day against a national average of 3.86, and weekends drop about 13% below what the home manages on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Staff turnover sits at 85.9%, nearly double the national rate, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 49 deficiencies, six tied to abuse, with the most recent survey in January 2025. The corporate owner operates for profit. Taken together, the numbers describe a home where care depends heavily on a workforce that keeps changing.
Nick's Health Care Center runs on 2.55 nurse hours per resident day, roughly a third below the national average of 3.86, and weekend coverage drops further below its own weekday level. That thin margin shows up in the numbers: 64.4% annual staff turnover against a national 45.8%, and a one-out-of-five CMS staffing rating. The inspection record carries 30 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with $21,922 in fines across two penalties. The most recent inspection was in October 2025, so the picture is current, not stale. A 70-bed for-profit limited liability company in Plattsburg, it's worth asking direct questions about direct-care staffing on weekends before you decide.
Rehab Of Kansas City South runs about 3.10 nurse hours per resident each day, roughly 20% under the national average of 3.86, and weekends are about 17% thinner than its own weekdays. That staffing shortfall shows up in other numbers: 59.5% of staff left over the past year against a 45.8% national rate, and CMS gives staffing a single star out of five. The inspection record carries 45 deficiencies, including two tied to abuse, though none reached harm or jeopardy, and the last survey was in February 2025. This is a for-profit LLC with 100 certified beds, a two-star inspection rating, and a three-star quality measure score.
Livingston Manor Care Center in Chillicothe runs a for-profit corporate operation with 94 certified beds, and its nurse staffing sits at 3.99 hours per resident day, about 3% above the national average of 3.86. That's the strongest number here, though weekends drop roughly 21% below the home's own weekday staffing, and annual turnover hits 61.9% against a national average of 45.8%. The inspection record is where it gets hard to ignore: 54 deficiencies on file, including four at the harm or jeopardy level and nine tied to abuse, plus a $114,365 fine. CMS rated health inspections and quality measures 1 out of 5, with staffing at 4. The most recent inspection was August 21, 2025.
Nurse staffing at The Villa At Blue Ridge runs about 3.10 hours per resident day, roughly a fifth below the national average, and weekends are thinner still, about 12% under its own weekday level. That matters because direct care is what most shapes daily life, and here it's stretched.
The numbers behind the grade tell a clearer story than a letter can. Staff turnover sits at 73.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record, 40 deficiencies, including seven tied to abuse and one at the harm level, was last updated in October 2024, so it's recent, not stale. For-profit, limited-liability ownership. Worth asking hard questions before you decide.
Parkview Healthcare runs on 2.75 nurse hours per resident day, roughly 29% under the national figure of 3.86, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in its record: 96 deficiencies, seven of them serious enough to put residents in harm's way, nine tied to abuse, and $140,021 in fines across four penalties. Washington has placed it in the Special Focus Facility program, reserved for the country's most troubled homes, and its last inspection closed in February 2025. Ownership is a for-profit limited liability company. Turnover, at 44.8%, is about average, which means the instability isn't the story here, the short staffing and inspection history are.
Alpine Breeze runs on 2.40 nurse hours per resident day, roughly 38% under the national average, and weekends drop about 14% below what the home already provides on weekdays. Staff turnover sits at 58.6% against a national 45.8%, so the people giving care keep changing. The inspection record shows 53 deficiencies, including 3 at harm or jeopardy level and 6 abuse-related, with $35,683 in fines across three penalties; the last inspection was August 2025. Quality measures score well, but that's the part of the record families can't easily verify, the staffing and inspection numbers are the ones that describe daily life there.
Carroll House runs on 2.44 nurse hours per resident day, roughly 37% under the national average of 3.86, and weekends drop about 9% below its own weekday levels. That thin coverage sits behind a two-star staffing rating and a two-star inspection record: 26 deficiencies, three tied to abuse, one serious enough to reach harm or jeopardy, plus an $84,890 fine. Staff turnover, at 45.2%, is essentially the national norm, so the problem isn't retention, it's how few hands are scheduled per resident. The most recent inspection was July 2025, and the quality measure rating sits higher than the rest.
Highland Rehabilitation & Health Care Center runs 162 certified beds in Kansas City under for-profit LLC ownership, and its staffing is the clearest problem: 3.01 nurse hours per resident day against a national average of 3.86, roughly 22 percent below. Weekend coverage drops another 9 percent under its own weekday level, and annual turnover sits at 49 percent. The current inspection record shows 34 deficiencies, including 4 at harm or jeopardy level and 4 abuse-related, with $48,935 in fines across two penalties. A recent February 2025 inspection means the picture is current, not stale. The 5/5 quality measure score stands out against 2/5 for both staffing and health inspections, worth asking what's behind that gap.
Osage Beach Rehabilitation runs 94 beds as a for-profit corporation, and its nurse staffing sits just under the national average, 3.83 hours per resident day against 3.86. That gap is small, but weekends run about 16 percent leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover is 38.7 percent, actually better than the 45.8 percent national figure, which matters for continuity of care. What pulls the record down is the inspection history: 31 deficiencies, four at harm or jeopardy level, one tied to abuse, and a $107,324 fine. The most recent inspection was February 2025. Ask about weekend staffing and the abuse-related finding before you decide.
Ascend At Aurora runs 125 certified beds under corporate ownership, and the numbers split in two directions. Nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average, but weekends drop about 13% below the home's own weekday levels, and turnover runs 54.4% against a national 45.8%. The inspection record is where it gets harder: 49 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus a $46,940 fine. Ownership changed within the past year, and the last inspection was April 2024. Ask about weekend coverage and what the new owners have fixed since taking over.
Hermitage Nursing & Rehab runs 2.84 nursing hours per resident per day against a national average of 3.86, roughly a quarter less hands-on care than typical. Weekends dip about 19% below the home's own weekday staffing, so a Saturday shift looks thinner than a Tuesday, and 53.8% of staff turned over last year versus 45.8% nationally. The 22 deficiencies on record include two at harm or jeopardy level and four tied to abuse; one fine totals $78,550, with the last inspection in December 2025. The five-star quality measure score reflects charted care items, but the two-star inspection and staffing ratings describe the conditions underneath it.
Truman Healthcare & Rehabilitation Center runs 109 certified beds in Lamar under corporate for-profit ownership, and the numbers here pull in different directions. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 47.1% edges past the national 45.8%. The current record carries 47 deficiencies, nine of them abuse-related, with the most recent inspection in April 2025. CMS rated staffing 4 out of 5 but health inspections and quality measures both 1 out of 5, a gap worth asking about directly.
Garden View Care Center runs 80 certified beds in O'Fallon under corporate for-profit ownership, and its staffing is genuinely above average: 4.67 nurse hours per resident day against a national figure of 3.86. That advantage softens on weekends, when hours drop roughly 13 percent below the home's own weekday level. The harder numbers are elsewhere. Staff turnover sits at 62.1 percent, well above the 45.8 percent national average, and the current record carries 44 deficiencies, including one at the harm level and eight tied to abuse. State inspectors were last in on January 16, 2025, and fines total $3,145. Strong daily coverage, a thin margin on weekends, and a long inspection record.
Life Care Center of Grandview runs 172 certified beds as a for-profit corporate home, and the staffing numbers are the place to start: 3.53 nurse hours per resident day, about 8% under the national average, with weekends dipping roughly 13% below its own weekday level. Turnover sits at 42.2%, a touch better than the 45.8% national figure. The current record shows 56 deficiencies, including one at the harm level and six tied to abuse. A recent March 2026 inspection and a 2/5 health inspection rating sit alongside a 4/5 quality measure score, which tells you the day-to-day care metrics look stronger than the survey history.
Pin Oaks Living Center runs 124 certified beds in Mexico, Missouri, under corporate for-profit ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national mark, with weekends running about 6% lighter than its own weekdays. Turnover lands at 44.7%, essentially tracking the national rate. The real trouble is the inspection record: 59 deficiencies, five of them at harm or jeopardy level and seven tied to abuse, plus a $26,650 fine and a one-star health inspection rating, though its last survey came in November 2024. A four-star staffing score can't offset that paper trail.
Rocky Ridge Manor runs on thinner nurse coverage than most homes in the country, about 3.07 hours per resident day against a national average near 3.86, and weekends drop roughly 12% below what the building staffs on weekdays. That staffing picture sits alongside 26 deficiencies on the current record, including one at the harm or jeopardy level and nine tied to abuse, with the most recent inspection in September 2024. Annual turnover of 51.2% runs above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Ownership is for-profit and individual. The quality measure score is the lowest CMS gives, and health inspection results land near the bottom too.
Pine View Manor runs on a paradox: staff stick around far better than average, 28.6% turnover against a national 45.8%, yet the CMS staffing rating sits at 1 out of 5, which means the retention isn't buying enough hands per resident. The inspection record is the bigger worry. Eighteen deficiencies, including one at the harm level and two abuse-related, with the most recent survey just completed in May 2025. A 2/5 on health inspections and 2/5 on quality measures round out a picture of a nonprofit home that keeps its people but hasn't kept pace on care.
Seville Care Center in Salem carries 39 deficiencies on its current record, four of them abuse-related, and two fines totaling $17,290. No deficiency rose to the level of actual harm or jeopardy, but the count itself is high, and the abuse citations matter. Staff turnover sits at 59.3% against a national average of 45.8%, which means more than half the workforce left over the year, that's the kind of churn that wears down consistent care. Federal ratings put staffing and quality measures each at one star out of five, with inspections at two. The current owner is a for-profit limited liability company. The last state inspection was January 16, 2025, so the picture is recent.
Aspire Senior Living Warsaw runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average of 3.86. That gap widens on weekends, when coverage drops about 13% below the home's own weekday level, so the thinnest shifts land when families are most likely to visit.
The inspection record carries 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse. One fine totaling $8,824 is on file, and the most recent inspection dates to September 2025. The health inspection and staffing scores both come in at 2 out of 5 stars, while quality measures sit slightly higher at 3. If you're weighing this one, ask directly how weekend coverage is handled and what changed after those abuse-related findings.
Village Care Center runs 46 beds in Maryville under corporate ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 13% under the national 3.86 average. Weekends drop about 15% below its own weekday coverage, which matters when a resident needs help on a Sunday. Turnover is 47.1%, slightly above the 45.8% national figure, so the faces around the building change often. The current record shows 28 deficiencies, including one at the harm level and one abuse-related, with the last inspection in March 2025. CMS gives it 2 stars for health inspections but 5 for quality measures, a split worth asking about directly.
Sunnyview runs in Trenton as a county-owned home with 94 certified beds, and its nurse staffing comes in at 4.46 hours per resident day, roughly 16% above the national average of 3.86. That sounds like a strength until you see who's delivering it: annual turnover is 63.9% against a national figure of 45.8%, and weekend coverage drops about 10% below the home's own weekday level. The current record carries 36 deficiencies, including one at the harm level and three tied to abuse, plus a $30,295 fine. State inspectors were last in on September 19, 2025. High hours with high churn and a stack of deficiencies is the pattern here.
St Joseph Manor runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.50 hours per resident day, about 9% under the national average of 3.86. Weekends dip roughly 15% below its own weekday level, and annual turnover is 50.8% against a national 45.8%, so the staff you meet on a Saturday may be newer and fewer than the ones you meet midweek.
The record shows 57 deficiencies, including 5 at harm or jeopardy level and 2 tied to abuse, plus one fine of $10,414. The last inspection was March 21, 2025. CMS rates staffing and health inspections 2 out of 5 each, with quality measures at 3.
Worth asking the administrator directly how those harm-level findings were corrected and what weekend coverage actually looks like now.
Rosewood runs below the national average on nurse staffing, 3.51 hours per resident day against 3.86, and weekend coverage dips about 5% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 59.8% against a national average of 45.8%, meaning roughly six in ten caregivers left within the year. The inspection record is heavy: 58 deficiencies, five involving harm or jeopardy, six tied to abuse, and three fines totaling $47,917. Two stars for health inspections and two for staffing tell you where the problems concentrate, and ownership is a for-profit limited liability company.
Laverna Manor runs more nursing hours per resident than the typical American home, 4.28 a day against a national average of 3.86, but weekends dip about 7% below its own weekday coverage, so the care your relative gets on a Saturday may look thinner than what's promised. That staffing comes at a price: 57.1% of staff turned over in a year, well above the 45.8% national figure, which means new faces learning the routines again and again. The inspection record is the harder problem, 58 deficiencies, three serious enough to involve harm or jeopardy, and five tied to abuse, with $75,282 in fines. Quality scores look strong, but they can't offset that.
Morningside Center is county-owned, which usually buys some stability, but the numbers here tell a mixed story. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover runs 50.7%, above the 45.8% national figure, meaning the people at the bedside keep changing. The record shows 16 deficiencies, including one at harm-or-jeopardy level and one abuse-related, and the most recent inspection was January 2025. Quality measures score poorly; staffing scores well on paper.
Abbey Senior Health runs on a for-profit LLC model with 55 beds in O'Fallon, and its strongest signal by far is nurse staffing: 4.74 hours per resident day, roughly 23% above the national average, which is why CMS hands it five stars there. Turnover of 35.6% also beats the 45.8% national figure. The trouble sits elsewhere. Inspections in October 2024 turned up 28 deficiencies, including one at the harm level and three tied to abuse. Quality measures score two stars, inspections two. Weekends run about 13% thinner than weekdays. The people caring for residents appear to be there in numbers, what the record flags is what happens around them.
Clara Manor runs 90 certified beds in Kansas City under corporate ownership, and the staffing numbers are where things get uncomfortable, a one-star staffing rating means nurse hours sit below what CMS considers adequate for this resident population. The inspection record backs that up: 89 deficiencies, including six at the level where residents were actually harmed or put in immediate jeopardy, and twelve tied to abuse. A four-star quality measure rating looks better on paper, but those scores come from resident assessments the facility largely reports itself, and they don't cancel out a one-star inspection history. The most recent survey was October 2025, so the record is current, not stale. For a family weighing this placement, the staffing and abuse findings deserve direct questions before anything else.