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 Five Points Nursing & Rehabilitation of College St College Station, TX F 0 0.32 22
2 Avir at Kerrville Kerrville, TX F 0 0.40 38
3 Trinity Rehabilitation & Healthcare Center Trinity, TX F 0 N/A 36
4 West Rest Haven West, TX F 0 0.18 20
5 Matlock Place Health & Rehabilitation Center Arlington, TX F 0 N/A 23
6 Maverick Nursing and Rehabilitation Center Eagle Pass, TX F 0 0.34 18
7 RIVER HILLS HEALTH AND REHABILITATION CENTER KERRVILLE, TX F 0 0.23 22
8 Wells LTC Nursing & Rehabilitation Wells, TX F 0 0.20 17
9 Lampstand Nursing and Rehabilitation Bryan, TX F 0 0.45 22
10 Paradigm at the Oak Schulenburg, TX F 0 0.30 22
11 Vintage Health Care Center Denton, TX F 0 0.39 20
12 Gracy Woods Nursing Center Austin, TX F 0 0.18 14
13 Benbrook Nursing & Rehabilitation Center Benbrook, TX F 0 0.12 27
14 Gilmer Nursing & Rehabilitation GILMER, TX F 0 0.17 25
15 San Rafael Nursing and Rehabilitation Center Corpus Christi, TX F 0 0.14 19
16 Harmony Care at Beaumont Beaumont, TX F 0 0.24 19
17 Avir at Adams TEMPLE, TX F 0 0.26 20
18 Woodland Park Nursing & Rehab Shepherd, TX F 0 0.16 16
19 Reunion Plaza Senior Care and Rehabilitation Cente Texarkana, TX F 0 0.49 27
20 South Dallas Nursing & Rehabilitation Dallas, TX F 0 0.08 23
21 Navasota Nursing & Rehabilitation Navasota, TX F 0 0.27 20
22 Whispering Pines Lodge Longview, TX F 0 0.43 25
23 Bluebonnet Nursing & Rehabilitation Karnes City, TX F 0 0.30 21
24 Sabine Heights Nursing and Rehabilitation Center Port Arthur, TX F 0 0.26 19
25 Woodway Nursing & Rehab Houston, TX F 0 0.44 11
26 Greenville Health & Rehabilitation Center GREENVILLE, TX F 0 0.25 32
27 San Antonio West Nursing and Rehabilitation San Antonio, TX F 0 0.33 36
28 INTERCOMMUNITY CARE CENTER LONG BEACH, CA F 0 0.17 29
29 SANTA MONICA REHABILITATION CENTER SANTA MONICA, CA F 0 0.44 47
30 VILLA DEL RIO BELL GARDENS, CA F 0 0.22 38
31 RIVERSIDE POSTACUTE CARE RIVERSIDE, CA F 0 0.27 38
32 ARVIN POST ACUTE ARVIN, CA F 0 0.21 16
33 Montello Care Center Montello, WI F 0 N/A 25
34 Greendale Park Nursing and Rehab Greendale, WI F 0 0.58 30
35 Autumn Lake Healthcare at Greenfield MILWAUKEE, WI F 0 0.85 29
36 Aria of Brookfield BROOKFIELD, WI F 0 0.45 23
37 Watertown Health Care Center Watertown, WI F 0 0.42 43
38 Waters Edge Health and Rehabilitation Center KENOSHA, WI F 0 0.60 31
39 CEDAR RIDGE CENTER SISSONVILLE, WV F 0 0.56 24
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 Woodstock Valley Health and Rehabilitation WOODSTOCK, VA F 0 0.34 70
43 THE JEFFERSON ARLINGTON, VA F 0 N/A 42
44 SEVEN HILLS REHABILITATION AND NURSING LYNCHBURG, VA F 0 0.46 39
45 PORTSMOUTH HEALTH AND REHAB PORTSMOUTH, VA F 0 0.36 20
46 WONDER CITY REHABILITATION AND NURSING CENTER HOPEWELL, VA F 0 0.20 59
47 Parham Health Care & Rehab Center RICHMOND, VA F 0 0.34 89
48 HARRISONBURG HLTH & REHAB CNTR HARRISONBURG, VA F 0 0.28 30
49 Barre Gardens Nursing and Rehab, LLC Barre, VT F 0 0.55 18
50 Springfield Health & Rehab Springfield, VT F 0 0.67 18
51 Coral Rehabilitation and Nursing of Austin Austin, TX F 0 0.21 36
52 Kennedy Health & Rehab Lufkin, TX F 0 N/A 25
53 Arbor View Nursing & Rehabilitation Kerrville, TX F 0 0.35 24
54 Pebble Creek Nursing Center El Paso, TX F 0 0.45 21
55 Paradigm Northwest Houston, TX F 0 0.23 17
56 Avir at San Antonio San Antonio, TX F 0 0.07 24
57 Paradigm at the Creek Wharton, TX F 0 0.35 18
58 Greenview Nursing and Rehabilitation Waco, TX F 0 0.34 17
59 Valley Grande Manor Weslaco, TX F 0 0.10 29
60 Castle Hills Rehabilitation and Care Center San Antonio, TX F 0 0.59 32
61 Avir at Rose Trail TYLER, TX F 0 0.39 24
62 Brookhaven Nursing and Rehabilitation Center Carrollton, TX F 0 N/A 11
63 Buena Vida Nursing and Rehab-San Antonio SAN ANTONIO, TX F 0 0.27 24
64 Avir at New Braunfels New Braunfels, TX F 0 0.23 26
65 Avir at Beaumont Beaumont, TX F 0 0.14 16
66 Antioch TN Opco, LLC ANTIOCH, TN F 0 N/A 17
67 Sandpiper Post Acute Mount Pleasant, SC F 0 0.29 18
68 Ridgeland Nursing Center Inc Ridgeland, SC F 0 0.28 20
69 CENTRO DE CUIDADO PROLONGADO SAN LUCAS RIO PIEDRAS, PR F 0 N/A 13
70 MONUMENTALPOSTACUTECARE AT WOODSIDE PARK PHILADELPHIA, PA F 0 N/A 17
71 ROCHESTER RESIDENCE AND CARE CENTER ROCHESTER, PA F 0 N/A 36
72 CARLISLE SKILLED NURSING AND REHABILITATION CENTER CARLISLE, PA F 0 0.39 21
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 MOUNT CARMEL SENIOR LIVING COMMUNITY MT CARMEL, PA F 0 0.50 23
76 ARMSTRONG REHABILITATION AND NURSING CENTER KITTANNING, PA F 0 N/A 40
77 EMBASSY OF TUNKHANNOCK TUNKHANNOCK, PA F 0 N/A 21
78 WECARE AT SYCAMORE REHABILITATION AND NURSING CENT MONTOURSVILLE, PA F 0 N/A 34
79 Independence Rehab and Nursing PHILADELPHIA, PA F 0 0.23 29
80 WECARE AT MURRYSVILLE REHAB AND NURSING CENTER MURRYSVILLE, PA F 0 N/A 21
81 WECARE AT SOUTH HILLS REHABILITATION AND NRSG CTR CANONSBURG, PA F 0 0.53 19
82 Bristol Health & Rehab Center BRISTOL, PA F 0 N/A 14
83 KADIMA REHABILITATION & NURSING AT GREENVILLE GREENVILLE, PA F 0 0.30 21
84 INGLIS HOUSE PHILADELPHIA, PA F 0 0.40 25
85 MOUNTAIN VIEW REHABILITATION AND SENIOR LIVING CTR COAL TOWNSHIP, PA F 0 0.47 31
86 SQUIRREL HILL WELLNESS AND REHABILITATION CENTER PITTSBURGH, PA F 0 N/A 47
87 Friendship Rehab and Health BEAVER, PA F 0 0.57 57
88 Park Place Healthcare and Rehab Oklahoma City, OK F 0 0.26 14
89 MEMORY CARE CENTER AT EMERALD CLAREMORE, OK F 0 0.16 21
90 Chickasha Nursing Center, Inc Chickasha, OK F 0 N/A 13
91 FORREST MANOR NURSING CENTER DEWEY, OK F 0 N/A 23
92 Edmond Health Care Center Edmond, OK F 0 0.15 11
93 First Shamrock Care Center Kingfisher, OK F 0 0.14 20
94 Wewoka Healthcare Center Wewoka, OK F 0 0.22 21
95 COMMUNITY HEALTH CARE OF GORE GORE, OK F 0 0.19 20
96 Ranchwood Nursing Center Yukon, OK F 0 0.20 18
97 Sequoyah Manor, LLC Sallisaw, OK F 0 N/A 14
98 Oak Hills Living Center Jones, OK F 0 0.22 17
99 DIVINE REHABILITATION AND NURSING AT TOLEDO TOLEDO, OH F 0 0.55 21
100 CONTINUING HEALTHCARE OF GAHANNA GAHANNA, OH F 0 0.36 22
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 →