LISTS, RANKINGS & DATA

The Worst Nursing Homes in the United States

Discover the most concerning nursing homes in the United States, identified for their substandard care, regulatory violations, and overall poor performance.

The Worst Nursing Homes in the United States, Ranked by Weighted Health Inspection Score

Name Score / Abuse Overall Rating
Lyndon Woods Care and Rehab, LLC
LOUISVILLE,KY
1,610
1:
Aspen Point Health and Rehabilitation
SAINT CHARLES,MO
1,128
1:
Watseka Rehab and Hlth Care Ctr
WATSEKA,IL
999
1:
Charlwell House Health and Rehabilitation
NORWOOD,MA
962
1:
Mountain View Health Services
OGDEN,UT
823
2:
Everett Center
EVERETT,WA
811
No Data
Royal Oaks Care Center
KEWANEE,IL
778
1:
Chicago Ridge Snf
CHICAGO RIDGE,IL
776
1:
Pine Acres Rehabilitation and Care Center
WEST DES MOINES,IA
764
1:
El Paso Health Care Center
EL PASO,IL
753
No Data
Mission Point Nsg and Phy Rehab Ctr of Beverly Hills
BEVERLY HILLS,MI
751
1:
Groves Center
LAKE WALES,FL
733
2:
Pines Nursing and Rehab
EASTON,MD
729
1:
Viviant Healthcare of Murfreesboro
MURFREESBORO,TN
720
1:
Park Place Healthcare and Rehab
OKLAHOMA CITY,OK
716
1:
Ahc Lewis County
HOHENWALD,TN
712
1:
Siesta Key Health and Rehabilitation Center
SARASOTA,FL
699
No Data
Paradigm at Woodwind Lakes
HOUSTON,TX
698
1:
Madison Health and Rehabilitation Center
MADISON,WI
693
1:
Aperion Care Peoria Heights
PEORIA HEIGHTS,IL
692
No Data
North Village Park
MOBERLY,MO
687
1:
Gulf Shores Care Center
PORT SAINT JOE,FL
672
1:
Accolade Healthcare of Savoy
SAVOY,IL
655
1:
Henrico Health and Rehabilitation Center
HIGHLAND SPRINGS,VA
654
1:
Adviniacare Newburyport
NEWBURYPORT,MA
646
1:
Clifton Oaks Care and Rehab Center, LLC
LOUISVILLE,KY
644
1:
Mission Point Nsg and Phy Rehab Ctr of Ishpeming
ISHPEMING,MI
638
1:
Seneca Place
LOUISVILLE,KY
631
1:
Oakmont Healthcare and Rehabilitation Center of Hu
HUMBLE,TX
621
1:
Spring Creek Healthcare Center
SALT LAKE CITY,UT
620
1:
Midtown Center For Health and Rehabilitation
MEMPHIS,TN
619
1:
Oasis at Austin
AUSTIN,TX
617
No Data
Brentwood Terrace Healthcare and Rehabilitation
PARIS,TX
612
1:
Bloomington Rehabilitation and Hcc
BLOOMINGTON,IL
611
1:
Wonder City Rehabilitation and Nursing Center
HOPEWELL,VA
605
1:
Paris Healthcare Center
PARIS,TX
599
1:
Cornerstone Rehab and Hc
PEORIA HEIGHTS,IL
597
1:
New Jersey Veterans Memorial Home Menlo
EDISON,NJ
597
2:
Landmark of Louisville Rehabilitation and Nursing
LOUISVILLE,KY
596
1:
Silver Springs Health Care Center
GLENDALE,WI
595
1:
Parkview Healthcare
KANSAS CITY,MO
594
1:
The Bristol Care Center
TAMPA,FL
590
1:
Aventura at Terrace View
OLYPHANT,PA
585
No Data
Sterling Manor
MAPLE SHADE,NJ
585
1:
Avant Rehabilitation and Care Center
TRENTON,NJ
584
1:
Harmony West Des Moines
WEST DES MOINES,IA
580
1:
Riverview Nursing and Rehabilitation
BOERNE,TX
575
No Data
South Ogden Post Acute
OGDEN,UT
570
No Data
Remarkable Healthcare of Fort Worth
FORT WORTH,TX
565
No Data
Rio Hondo Subacute and Nursing Center
MONTEBELLO,CA
565
1:

Homes with the abuse icon () in the table have been identified by CMS as either being nursing homes where abuse has been reported or where abuse is likely based on multiple inspection reports.

About the Worst Nursing Homes Lists

Every month we rank all of the skilled nursing facilities in the United States. The rankings for nursing homes are based on extensive metrics that are provided by The Centers for Medicare & Medicaid (“CMS”). The metrics include the CMS 5-Star Rating System which rates skilled nursing facilities using a rating system of five stars, where one star is the lowest and five stars is the highest rating. The rating system also rates nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurses).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Data. CMS provides four numerical metrics related to the most recent health inspection surveys. These values, also known as “cycle scores”, are a distillation of detailed surveys conducted by a team of inspectors over a multi-day period. A score of each of the three most recent periods is provided along with a weighted score which is a combination of the three periods weighted towards the more recent periods. CMS estimates that more than 400,000 data points are used to calculate the four health inspection scores.
  • Nursing Hour Statistics. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursings, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”) and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores which can be used to evaluate the facility.

While this may seem like a lot of information,it has some drawbacks. The most significant problem is that when CMS calculates its 5-Star Rating, it does so based in part on state-level rather than national level data. Specifically, the health inspection star rating, which is the basis for the overall rating, is based on how a skilled nursing facility performs within the state not nationally. The top 10 percent of nursing homes with the lowest weighted health inspection score are given a 5-star rating. What qualifies for this cut varies from state to state (take a look at this cut-rate analysis by state).

What has also become problematic is that the frequency of nursing home inspections has declined since the beginning of the Covid pandemic. Inspections should be performed at least once every 12 months. CMS admits that in "rare cases" this could slip to 15 months, but our analysis suggests that the lag time between inspections is longer. This report shows that the lap time is now just under 500 days (or more than 16 months). There are also now hundreds of skilled nursing homes that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data these homes have not been inspected since 2018!

The rating system is also biased against new nursing homes. An overall rating is not awarded until a nursing home has gone through two annual inspections meaning that at least two years and likely more time passes before we can use the 5-Star system with a nursing home.

While the cut-points for the health inspection ratings may change from month to month, the rating for a given skilled nursing facility is held constant until there is a change in the weighted health inspection score for that nursing home.

The Worst Nursing Homes in Each State

The table below shows the number of low ranking nursing homes in each state and the number of nursing homes that have been cited for abuse in each state. Click on a state to see the Ten Worst Nursing Homes in Each State.

State Count of Nursing Homes with 1-Star Count of Nursing Homes with Abuse Flag
AK 2 0
AL 46 2
AR 41 1
AZ 18 13
CA 159 116
CO 43 31
CT 39 33
DC 2 5
DE 5 3
FL 109 53
GA 114 21
GU 1 0
HI 3 1
IA 98 23
ID 11 8
IL 219 181
IN 102 40
KS 73 31
KY 64 19
LA 112 33
MA 81 18
MD 48 22
ME 16 2
MI 70 46
MN 65 10
MO 174 58
MS 62 22
MT 16 11
NC 128 41
ND 12 1
NE 43 3
NH 14 1
NJ 42 10
NM 17 7
NV 15 14
NY 146 16
OH 194 47
OK 80 9
OR 30 18
PA 162 61
PR 1 0
RI 16 10
SC 46 17
SD 28 3
TN 85 28
TX 388 114
UT 14 13
VA 85 17
VT 9 5
WA 34 22
WI 71 24
WV 44 6
WY 9 10

Healthcare Search Options

Make informed decisions about your healthcare options

Our site is designed to help you find the information you need quickly and easily, no matter what type of healthcare provider you're looking for. We provide a wealth of statistics and data that can help you make informed decisions about your healthcare options.

SEARCH OUR DATABASES

Home healthcare

Nursing Homes

Owners & Operators

Dialysis

Hospitals

Doctor Groups

Doctors

Hospice

Request a Report

Custom Database Reports

We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.

We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.