NursingHomeGrade

Lowest-Rated Nursing Homes in the United States

The 100 lowest-rated nursing homes nationally. These facilities warrant careful review. A low NursingHomeGrade Score does not mean a facility provides poor care in every respect — but it signals that families should examine inspection records, staffing, and deficiency history closely.

⚠ A low score indicates significant concerns in one or more areas: staffing, inspection violations, or quality measures. Visit each facility page for the full deficiency record and comparison data.

Rankings

# Facility Location Grade Score RN Hours Deficiencies
1 Tuskegee Airmen Texas State Veterans Home FORT WORTH, TX F 0 N/A N/A
2 Five Points Nursing & Rehabilitation of College St College Station, TX F 0 0.35 22
3 Avir at Kerrville Kerrville, TX F 0 0.20 32
4 TRINITY REHABILITATION & HEALTHCARE CENTER TRINITY, TX F 0 0.38 33
5 LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA WAXAHACHIE, TX F 0 0.37 12
6 Epic Nursing & Rehabilitation Corsicana, TX F 0 0.17 16
7 RIVER HILLS HEALTH AND REHABILITATION CENTER KERRVILLE, TX F 0 0.14 18
8 Wells LTC Nursing & Rehabilitation Wells, TX F 0 N/A 14
9 Lampstand Nursing and Rehabilitation Bryan, TX F 0 N/A 11
10 Winfield Rehab & Nursing Crockett, TX F 0 0.07 16
11 Paradigm at the Oak Schulenburg, TX F 0 0.27 25
12 Gracy Woods Nursing Center Austin, TX F 0 0.18 9
13 Benbrook Nursing & Rehabilitation Center Benbrook, TX F 0 0.11 25
14 San Rafael Nursing and Rehabiliation Corpus Chrisit, TX F 0 0.15 24
15 Twin Pines Nursing and Rehabilitation Victoria, TX F 0 0.19 15
16 Harmony Care at Beaumont Beaumont, TX F 0 0.25 28
17 PLEASANTON NORTH NURSING AND REHABILITATION PLEASANTON, TX F 0 0.36 19
18 Woodland Park Nursing & Rehab Shepherd, TX F 0 0.22 18
19 REUNION PLAZA SENIOR CARE AND REHABILITATION CENTE TEXARKANA, TX F 0 0.39 22
20 South Dallas Nursing & Rehabilitation Dallas, TX F 0 0.05 23
21 Whispering Pines Lodge Longview, TX F 0 0.33 29
22 Woodland Springs Nursing Center Waco, TX F 0 0.31 15
23 Harmony Care at Golfcrest Houston, TX F 0 0.31 16
24 Crestway Nursing & Rehabilitation SAN ANTONIO, TX F 0 0.29 28
25 Coral Rehabilitation and Nursing of Arlington Arlington, TX F 0 0.36 30
26 Paradigm at Woodwind Lakes Houston, TX F 0 0.51 11
27 GREENVILLE HEALTH & REHABILITATION CENTER GREENVILLE, TX F 0 0.34 30
28 San Antonio West Nursing and Rehabilitation San Antonio, TX F 0 0.30 34
29 SANTA MONICA REHABILITATION CENTER SANTA MONICA, CA F 0 0.26 52
30 VILLA DEL RIO BELL GARDENS, CA F 0 0.23 34
31 ARTESIA PALMS CARE CENTER ARTESIA, CA F 0 0.31 19
32 RIVERSIDE POSTACUTE CARE RIVERSIDE, CA F 0 0.37 35
33 ARVIN POST ACUTE ARVIN, CA F 0 N/A 18
34 MAJESTIC MOUNTAIN CARE CENTER OAKHURST, CA F 0 0.33 22
35 Wyoming Veterans' Skilled Nursing Facility Buffalo, WY F 0 N/A 9
36 AMETHYST HEALTH OF BROWN DEER MILWAUKEE, WI F 0 0.48 25
37 ARIA OF BROOKFIELD BROOKFIELD, WI F 0 0.44 27
38 Bayshore Nursing & Rehab GLENDALE, WI F 0 0.34 68
39 BEAVER DAM HEALTH CARE CENTER BEAVER DAM, WI F 0 0.35 21
40 Rock River Nursing & Rehab FORT ATKINSON, WI F 0 N/A 11
41 FAIRMONT REHABILITATION AND HEALTHCARE CENTER LLC FAIRMONT, WV F 0 0.31 24
42 CEDAR RIDGE CENTER SISSONVILLE, WV F 0 0.54 29
43 Parkside Care UNION GAP, WA F 0 N/A 22
44 AUBURN POST ACUTE AUBURN, WA F 0 0.69 21
45 KINGS DAUGHTERS COMMUNITY HEALTH & REHAB STAUNTON, VA F 0 0.20 13
46 Woodstock Valley Health and Rehabilitation WOODSTOCK, VA F 0 0.15 70
47 COURTLAND REHABILITATION AND HEALTHCARE CENTER COURTLAND, VA F 0 0.41 22
48 Ghent Health and Rehabilitation NORFOLK, VA F 0 0.28 21
49 WESTWOOD CENTER BLUEFIELD, VA F 0 0.38 18
50 HENRICO HEALTH & REHABILITATION CENTER HIGHLAND SPRINGS, VA F 0 0.35 38
51 PORTSMOUTH HEALTH AND REHAB PORTSMOUTH, VA F 0 0.22 20
52 WONDER CITY REHABILITATION AND NURSING CENTER HOPEWELL, VA F 0 0.28 38
53 Parham Health Care & Rehab Center RICHMOND, VA F 0 0.36 65
54 HARRISONBURG HLTH & REHAB CNTR HARRISONBURG, VA F 0 0.29 42
55 Elderwood at Burlington Burlington, VT F 0 N/A 20
56 Springfield Health & Rehab Springfield, VT F 0 0.73 41
57 Mountain View Health Services Ogden, UT F 0 0.46 42
58 Coral Rehabilitation and Nursing of Austin Austin, TX F 0 0.33 41
59 Kennedy Health & Rehab Lufkin, TX F 0 0.19 26
60 Fallbrook Rehabiliation and Care Center Houston, TX F 0 0.52 24
61 Arbor View Nursing & Rehabilitation KERRVILLE, TX F 0 0.27 29
62 Avir at San Antonio San Antonio, TX F 0 0.09 24
63 LONGVIEW HILL NURSING AND REHABILITATION CENTER LONGVIEW, TX F 0 N/A 21
64 Afton Oaks Nursing and Rehabilitation Center Houston, TX F 0 0.29 26
65 Greenview Nursing and Rehabilitation Waco, TX F 0 0.43 24
66 Valley Grande Manor Weslaco, TX F 0 0.12 23
67 Castle Hills Rehabilitation and Care Center San Antonio, TX F 0 0.35 22
68 Mountain View Health & Rehabilitation El Paso, TX F 0 0.43 27
69 ROSE TRAIL NURSING AND REHABILITATION CENTER TYLER, TX F 0 0.32 23
70 BUENA VIDA NURSING AND REHAB-SAN ANTONIO SAN ANTONIO, TX F 0 0.31 22
71 BEECH TREE HEALTH AND REHABILITATION JELLICO, TN F 0 N/A 17
72 CHURCH HILL POST-ACUTE AND REHABILITATION CENTER CHURCH HILL, TN F 0 0.45 21
73 Antioch TN Opco, LLC ANTIOCH, TN F 0 N/A 17
74 LYONSVIEW HEALTH AND REHABILITATION CENTER KNOXVILLE, TN F 0 0.25 11
75 AVANTARA NORTON SIOUX FALLS, SD F 0 0.58 19
76 Ridgeway Manor Healthcare Center Ridgeway, SC F 0 0.45 8
77 MIDTOWN OAKS HEALTH & REHAB CENTER ALTOONA, PA F 0 0.72 20
78 LeTort Spring Nursing and Rehab LLC CARLISLE, PA F 0 N/A 18
79 ROCHESTER RESIDENCE AND CARE CENTER ROCHESTER, PA F 0 0.85 49
80 CARLISLE SKILLED NURSING AND REHABILITATION CENTER CARLISLE, PA F 0 0.36 19
81 WECARE AT MONROEVILLE REHABILITATION AND NSG CTR MONROEVILLE, PA F 0 N/A 27
82 ACCELA REHAB AND CARE CENTER AT SPRINGFIELD GLENSIDE, PA F 0 0.33 42
83 NORTHAMPTON COUNTY-GRACEDALE NAZARETH, PA F 0 N/A 14
84 AVENTURA AT TERRACE VIEW PECKVILLE, PA F 0 N/A 32
85 Independence Rehab and Nursing PHILADELPHIA, PA F 0 0.31 20
86 GREENFIELD HEALTHCARE AND REHABILITATION CENTER ERIE, PA F 0 0.50 22
87 MOUNTAIN VIEW REHABILITATION AND SENIOR LIVING CTR COAL TOWNSHIP, PA F 0 0.52 32
88 ARISTACARE AT MEADOW SPRINGS PLYMOUTH MEETING, PA F 0 0.50 9
89 FRIENDSHIP HEALTH CENTER PORTLAND, OR F 0 N/A 27
90 FORREST MANOR NURSING CENTER DEWEY, OK F 0 N/A 23
91 Edmond Health Care Center Edmond, OK F 0 0.18 27
92 Willow Park Health Care Center Lawton, OK F 0 0.20 8
93 Wewoka Healthcare Center Wewoka, OK F 0 0.10 20
94 COMMUNITY HEALTH CARE OF GORE GORE, OK F 0 0.23 16
95 Oak Hills Living Center Jones, OK F 0 0.26 18
96 DIVINE REHABILITATION AND NURSING AT TOLEDO TOLEDO, OH F 0 0.57 52
97 CONTINUING HEALTHCARE OF GAHANNA GAHANNA, OH F 0 0.49 44
98 MARIETTA HEIGHTS POST ACUTE MARIETTA, OH F 0 0.52 39
99 ARC AT CINCINNATI CINCINNATI, OH F 0 0.69 40
100 Carver Living Center Durham, NC F 0 N/A 20
See highest-rated → Staffing failures report →

Methodology

Rankings are determined by NursingHomeGrade Score, a 0–100 composite that weights RN staffing compliance (35%), health inspection deficiencies (30%), CMS quality ratings (20%), and staffing consistency (15%). Data is sourced from the CMS Provider Data Catalog and updated regularly.

Learn more about our methodology →