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 15
2 Five Points Nursing & Rehabilitation of College St College Station, TX F 0 0.32 16
3 Trinity Rehabilitation & Healthcare Center Trinity, TX F 0 N/A 36
4 Fall Creek Rehabilitation and Healthcare Center Humble, TX F 0 0.11 8
5 West Rest Haven West, TX F 0 0.18 20
6 Matlock Place Health & Rehabilitation Center Arlington, TX F 0 N/A 17
7 RIVER HILLS HEALTH AND REHABILITATION CENTER KERRVILLE, TX F 0 0.23 22
8 Vidor Health & Rehabilitation Center Vidor, TX F 0 0.13 17
9 Wells LTC Nursing & Rehabilitation Wells, TX F 0 0.20 17
10 Lampstand Nursing and Rehabilitation Bryan, TX F 0 0.45 23
11 Paradigm at the Oak Schulenburg, TX F 0 0.30 22
12 Vintage Health Care Center Denton, TX F 0 0.39 20
13 Benbrook Nursing & Rehabilitation Center Benbrook, TX F 0 0.12 31
14 Avir at Golfcrest Houston, TX F 0 0.39 14
15 Williamsburg Village Healthcare Campus Desoto, TX F 0 0.17 37
16 Beaumont Nursing and Rehabilitation Beaumont, TX F 0 0.25 13
17 Harmony Care at Beaumont Beaumont, TX F 0 0.24 17
18 Avir at Adams TEMPLE, TX F 0 0.26 21
19 Woodland Park Nursing & Rehab Shepherd, TX F 0 0.16 16
20 South Dallas Nursing & Rehabilitation Dallas, TX F 0 0.08 24
21 Navasota Nursing & Rehabilitation Navasota, TX F 0 0.27 21
22 Whispering Pines Lodge Longview, TX F 0 0.43 25
23 Bluebonnet Nursing & Rehabilitation Karnes City, TX F 0 0.30 19
24 Sabine Heights Nursing and Rehabilitation Center Port Arthur, TX F 0 0.26 18
25 Focused Care at Sherman Sherman, TX F 0 0.21 17
26 Woodway Nursing & Rehab Houston, TX F 0 0.44 12
27 Greenville Health & Rehabilitation Center GREENVILLE, TX F 0 0.25 27
28 San Antonio West Nursing and Rehabilitation San Antonio, TX F 0 0.33 35
29 VILLA DEL RIO BELL GARDENS, CA F 0 0.22 35
30 RIVERSIDE POSTACUTE CARE RIVERSIDE, CA F 0 0.27 35
31 LAS FLORES CONVALESCENT HOSPITAL GARDENA, CA F 0 0.36 17
32 Shepherd of the Valley Rehabilitation and Wellness Casper, WY F 0 0.62 16
33 Montello Care Center Montello, WI F 0 N/A 24
34 Autumn Lake Healthcare at Greenfield MILWAUKEE, WI F 0 0.85 29
35 Aria of Brookfield BROOKFIELD, WI F 0 0.45 31
36 Lindengrove Menomonee Falls MENOMONEE FALLS, WI F 0 0.59 40
37 Bayshore Nursing & Rehab GLENDALE, WI F 0 N/A 43
38 CEDAR RIDGE CENTER SISSONVILLE, WV F 0 0.56 23
39 MORGANTOWN HEIGHTS OF JOURNEY MORGANTOWN, WV F 0 0.36 22
40 KINGS DAUGHTERS COMMUNITY HEALTH & REHAB STAUNTON, VA F 0 0.35 30
41 NEWPORT NEWS NURSING & REHAB NEWPORT NEWS, VA F 0 0.30 27
42 Pheasant Ridge Nursing and Rehabilitation ROANOKE, VA F 0 0.64 29
43 Woodstock Valley Health and Rehabilitation WOODSTOCK, VA F 0 0.34 70
44 THE JEFFERSON ARLINGTON, VA F 0 N/A 42
45 HENRICO HEALTH & REHABILITATION CENTER HIGHLAND SPRINGS, VA F 0 0.58 17
46 PORTSMOUTH HEALTH AND REHAB PORTSMOUTH, VA F 0 0.36 20
47 WONDER CITY REHABILITATION AND NURSING CENTER HOPEWELL, VA F 0 0.20 59
48 Parham Health Care & Rehab Center RICHMOND, VA F 0 0.34 89
49 HARRISONBURG HLTH & REHAB CNTR HARRISONBURG, VA F 0 0.28 31
50 Springfield Health & Rehab Springfield, VT F 0 0.67 18
51 DFW Nursing & Rehab Fort Worth, TX F 0 0.48 22
52 Coral Rehabilitation and Nursing of Austin Austin, TX F 0 0.21 36
53 Kennedy Health & Rehab Lufkin, TX F 0 N/A 26
54 Arbor View Nursing & Rehabilitation Kerrville, TX F 0 0.35 29
55 Pebble Creek Nursing Center El Paso, TX F 0 0.45 21
56 Avir at San Antonio San Antonio, TX F 0 0.07 24
57 Greenview Nursing and Rehabilitation Waco, TX F 0 0.34 20
58 Valley Grande Manor Weslaco, TX F 0 0.10 30
59 Texoma Healthcare Center Sherman, TX F 0 0.50 18
60 Castle Hills Rehabilitation and Care Center San Antonio, TX F 0 0.59 31
61 Avir at Rose Trail Tyler, TX F 0 0.39 22
62 Buena Vida Nursing and Rehab-San Antonio San Antonio, TX F 0 0.27 26
63 Avir at New Braunfels New Braunfels, TX F 0 0.23 26
64 Antioch TN Opco, LLC ANTIOCH, TN F 0 N/A 17
65 FIRESTEEL HEALTHCARE CENTER MITCHELL, SD F 0 0.51 16
66 Ridgeland Nursing Center Inc Ridgeland, SC F 0 0.28 20
67 AdviniaCare Orchard, LLC East Providence, RI F 0 N/A 16
68 CENTRO DE CUIDADO PROLONGADO SAN LUCAS RIO PIEDRAS, PR F 0 N/A 13
69 MONUMENTALPOSTACUTECARE AT WOODSIDE PARK PHILADELPHIA, PA F 0 N/A 17
70 CARE PAVILION NURSING AND REHABILITATION CENTER PHILADELPHIA, PA F 0 0.30 40
71 ROCHESTER RESIDENCE AND CARE CENTER ROCHESTER, PA F 0 N/A 38
72 CARLISLE SKILLED NURSING AND REHABILITATION CENTER CARLISLE, PA F 0 0.39 30
73 SPRING HILL REHABILITATION AND NURSING CENTER PITTSBURGH, PA F 0 N/A 78
74 GRANDVIEW NURSING AND REHABILITATION DANVILLE, PA F 0 0.56 25
75 BRIDGEVILLE REHABILITATION & CARE CENTER BRIDGEVILLE, PA F 0 0.60 33
76 FAIRVIEW MANOR FAIRVIEW, PA F 0 0.40 17
77 ARMSTRONG REHABILITATION AND NURSING CENTER KITTANNING, PA F 0 N/A 38
78 EMBASSY OF TUNKHANNOCK TUNKHANNOCK, PA F 0 N/A 21
79 Independence Rehab and Nursing PHILADELPHIA, PA F 0 0.23 32
80 WECARE AT SOUTH HILLS REHABILITATION AND NRSG CTR CANONSBURG, PA F 0 0.53 19
81 Bristol Health & Rehab Center BRISTOL, PA F 0 N/A 14
82 AVENTURA AT PEMBROOKE WEST CHESTER, PA F 0 0.41 23
83 KADIMA REHABILITATION & NURSING AT GREENVILLE GREENVILLE, PA F 0 0.30 21
84 MOUNTAIN VIEW REHABILITATION AND SENIOR LIVING CTR COAL TOWNSHIP, PA F 0 0.47 30
85 SQUIRREL HILL WELLNESS AND REHABILITATION CENTER PITTSBURGH, PA F 0 N/A 48
86 Friendship Rehab and Health BEAVER, PA F 0 0.57 44
87 SOUTH HILLS REHABILITATION CENTER EUGENE, OR F 0 0.47 25
88 Park Place Healthcare and Rehab Oklahoma City, OK F 0 0.26 16
89 FORREST MANOR NURSING CENTER DEWEY, OK F 0 N/A 23
90 First Shamrock Care Center Kingfisher, OK F 0 0.14 15
91 South Pointe Rehabilitation and Care Center Oklahoma City, OK F 0 0.18 21
92 Wewoka Healthcare Center Wewoka, OK F 0 0.22 21
93 COMMUNITY HEALTH CARE OF GORE GORE, OK F 0 0.19 20
94 Ranchwood Nursing Center Yukon, OK F 0 0.20 18
95 Sequoyah Manor, LLC Sallisaw, OK F 0 N/A 14
96 Oak Hills Living Center Jones, OK F 0 0.22 17
97 AVENUE AT BROOKLYN BROOKLYN, OH F 0 0.40 29
98 Adams Lane Healthcare and Rehabilitation Center ZANESVILLE, OH F 0 0.28 20
99 PARK TERRACE REHABILITATION CENTER TOLEDO, OH F 0 0.50 27
100 Lotus Village Center for Nursing and Rehabilitatio Sparta, NC F 0 0.28 17
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 →