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.
| # | Facility | Location | Grade | Score | RN Hours | Deficiencies |
|---|---|---|---|---|---|---|
| 1 | AVENTURA AT TERRACE VIEW | PECKVILLE, PA | F | 0 | N/A | 32 |
| 2 | FORREST MANOR NURSING CENTER | DEWEY, OK | F | 0 | N/A | 23 |
| 3 | Premier Living and Rehab Center | Lake Waccamaw, NC | F | 0 | N/A | 20 |
| 4 | Mescalero Care Center | Mescalero, NM | F | 0 | N/A | 33 |
| 5 | BENTLEYS EXTENDED CARE | OVERLAND, MO | F | 0 | N/A | 25 |
| 6 | Pine Bluff Transitional Care | Pine Bluff, AR | F | 0 | N/A | 39 |
| 7 | BLUE MOUNTAIN CARE CENTER | PRAIRIE CITY, OR | F | 3 | N/A | 18 |
| 8 | Wewoka Healthcare Center | Wewoka, OK | F | 4 | 0.10 | 20 |
| 9 | BRIDGEWOOD HEALTH CARE CENTER | KANSAS CITY, MO | F | 4 | 0.09 | 38 |
| 10 | AMBERWOOD ESTATES NURSING AND REHABILITATION | SAINT LOUIS, MO | F | 4 | 0.09 | 20 |
| 11 | NORTH VILLAGE PARK | MOBERLY, MO | F | 4 | 0.09 | 55 |
| 12 | CHATEAU LIVING CENTER | KENNER, LA | F | 4 | 0.10 | 25 |
| 13 | Parkside Care | UNION GAP, WA | F | 5 | N/A | 22 |
| 14 | Elderwood at Burlington | Burlington, VT | F | 5 | N/A | 20 |
| 15 | CUSTER CARE AND REHAB CENTER | CUSTER, SD | F | 5 | N/A | 20 |
| 16 | WECARE AT MONROEVILLE REHABILITATION AND NSG CTR | MONROEVILLE, PA | F | 5 | N/A | 27 |
| 17 | Carver Living Center | Durham, NC | F | 5 | N/A | 20 |
| 18 | BELOVED HEALTH AND REHABILITATION CENTER | HANNIBAL, MO | F | 5 | N/A | 50 |
| 19 | LINCOLN COUNTY NURSING & REHAB | TROY, MO | F | 5 | 0.13 | 55 |
| 20 | AVENIR AT MARK TWAIN | BRIDGETON, MO | F | 5 | N/A | 29 |
| 21 | St. Helena Parish Nursing Home | Greensburg, LA | F | 5 | N/A | 17 |
| 22 | Center Point Health Care and Rehab | BATON ROUGE, LA | F | 5 | N/A | 24 |
| 23 | KEARNY COUNTY HOSPITAL LTCU | LAKIN, KS | F | 5 | N/A | 33 |
| 24 | THUNDERBOLT CARE CENTER LLC | SAVANNAH, GA | F | 5 | N/A | 28 |
| 25 | Larchwood Inn | GRAND JUNCTION, CO | F | 5 | N/A | 21 |
| 26 | FOOTHILL REGIONAL MEDICAL CENTER D/P SNF | TUSTIN, CA | F | 6 | N/A | 16 |
| 27 | ARBOR HILLS CARE & REHAB CENTER | FERGUSON, MO | F | 6 | 0.13 | 33 |
| 28 | Evangeline Oaks Guest House | Carencro, LA | F | 6 | 0.14 | 22 |
| 29 | CRESTWOOD HEALTH CARE CENTER, LLC | FLORISSANT, MO | F | 7 | 0.16 | 20 |
| 30 | LINCOLNSHIRE HEALTH & REHABILITATION CENTER | MERRILLVILLE, IN | F | 7 | N/A | 19 |
| 31 | IMBODEN CREEK SENIOR LIVING | DECATUR, IL | F | 7 | 0.15 | 25 |
| 32 | ARVIN POST ACUTE | ARVIN, CA | F | 8 | N/A | 18 |
| 33 | BROOKING PARK | CHESTERFIELD, MO | F | 8 | N/A | 18 |
| 34 | FOUR SEASONS LIVING CENTER | SEDALIA, MO | F | 8 | 0.08 | 17 |
| 35 | Harvest Manor Healthcare and Rehabilitation Center | Denham Springs, LA | F | 8 | 0.16 | 19 |
| 36 | EAGLE LAKE NURSING AND REHAB CARE CENTER | SAINT PETERSBURG, FL | F | 8 | N/A | 15 |
| 37 | APPLE REHAB ROCKY HILL | ROCKY HILL, CT | F | 8 | N/A | 15 |
| 38 | PORTSMOUTH HEALTH AND REHAB | PORTSMOUTH, VA | F | 9 | 0.22 | 20 |
| 39 | Avir at San Antonio | San Antonio, TX | F | 9 | 0.09 | 24 |
| 40 | NORTHAMPTON COUNTY-GRACEDALE | NAZARETH, PA | F | 9 | N/A | 14 |
| 41 | LEBANON NORTH NURSING & REHAB | LEBANON, MO | F | 9 | 0.17 | 19 |
| 42 | FOREST HILL MANOR | FORT KENT, ME | F | 9 | N/A | 14 |
| 43 | Spencer Post Acute Rehabilitation Center | Spencer, IA | F | 9 | N/A | 14 |
| 44 | CRESTPARK DEWITT, LLC | DE WITT, AR | F | 9 | N/A | 14 |
| 45 | Benbrook Nursing & Rehabilitation Center | Benbrook, TX | F | 10 | 0.11 | 25 |
| 46 | BAYSIDE OF POQUOSON HEALTH AND REHAB | POQUOSON, VA | F | 10 | N/A | 22 |
| 47 | LONGVIEW HILL NURSING AND REHABILITATION CENTER | LONGVIEW, TX | F | 10 | N/A | 21 |
| 48 | Valley Grande Manor | Weslaco, TX | F | 10 | 0.12 | 23 |
| 49 | LEGENDARY HEALTH CARE CENTER | MARSHALL, MO | F | 10 | 0.22 | 21 |
| 50 | BETH HAVEN NURSING HOME | HANNIBAL, MO | F | 10 | 0.23 | 30 |
| 51 | Good Samaritan Society - Windom | WINDOM, MN | F | 10 | N/A | 22 |
| 52 | Heritage Manor | CHISHOLM, MN | F | 10 | N/A | 17 |
| 53 | Heritage Healthcare of Hammond | HAMMOND, LA | F | 10 | 0.13 | 17 |
| 54 | Great Plains Post Acute | WICHITA, KS | F | 10 | N/A | 23 |
| 55 | Chapters Living of Council Bluffs | Council Bluffs, IA | F | 10 | N/A | 27 |
| 56 | Accura Healthcare of Carroll | Carroll, IA | F | 10 | N/A | 23 |
| 57 | CASA OF HOBART | HOBART, IN | F | 10 | N/A | 25 |
| 58 | DYER NURSING AND REHABILITATION CENTER | DYER, IN | F | 10 | N/A | 25 |
| 59 | Timbercreek Rehab and Health Care Center | PEKIN, IL | F | 10 | 0.23 | 23 |
| 60 | NURSE CARE OF BUCKHEAD | ATLANTA, GA | F | 10 | 0.24 | 41 |
| 61 | HARBOURWOOD POST-ACUTE AND REHABILITATION CENTER | CLEARWATER, FL | F | 10 | N/A | 24 |
| 62 | CHERRY BROOK HEALTH CARE CENTER | CANTON, CT | F | 10 | N/A | 21 |
| 63 | CRESCENT CITY CARE CENTER | CRESCENT CITY, CA | F | 10 | 0.24 | 30 |
| 64 | Harmony Care at Beaumont | Beaumont, TX | F | 11 | 0.25 | 28 |
| 65 | MEMORY CARE CENTER AT EMERALD | CLAREMORE, OK | F | 11 | 0.16 | 21 |
| 66 | GROTON COMMUNITY HEALTH CARE CTR RES CARE FAC | GROTON, NY | F | 11 | N/A | 16 |
| 67 | Santa Fe Care Center | Santa Fe, NM | F | 11 | 0.00 | 16 |
| 68 | LUTHER MANOR RETIREMENT & NURSING CENTER | HANNIBAL, MO | F | 11 | N/A | 16 |
| 69 | MAPLE GROVE WELLNESS & REHABILITATION | FENTON, MO | F | 11 | 0.13 | 22 |
| 70 | GOLDEN YEARS CENTER FOR REHAB AND HEALTHCARE | HARRISONVILLE, MO | F | 11 | 0.13 | 39 |
| 71 | ACADIA ST LANDRY NURSING & REHABILITATION CENTER | CHURCH POINT, LA | F | 11 | N/A | 13 |
| 72 | Greater Southside Health and Rehabilitation | Des Moines, IA | F | 11 | 0.26 | 27 |
| 73 | LOFT REHAB OF ROCK SPRINGS, THE | DECATUR, IL | F | 11 | 0.25 | 22 |
| 74 | EVERCARE AT UNIVERSITY | EDWARDSVILLE, IL | F | 11 | 0.22 | 19 |
| 75 | AUTUMN MEADOWS OF CAHOKIA | CAHOKIA, IL | F | 11 | 0.27 | 29 |
| 76 | CIVITA CARE CENTER AT DANBURY | DANBURY, CT | F | 11 | N/A | 16 |
| 77 | South Dallas Nursing & Rehabilitation | Dallas, TX | F | 12 | 0.05 | 23 |
| 78 | DELANO DISTRICT SKILLED NURSING FACILITY | DELANO, CA | F | 12 | N/A | 19 |
| 79 | Kennedy Health & Rehab | Lufkin, TX | F | 12 | 0.19 | 26 |
| 80 | The Orchards at Northwest | Detroit, MI | F | 12 | N/A | 19 |
| 81 | MAPLEWOOD CENTER | AMESBURY, MA | F | 12 | 0.28 | 29 |
| 82 | PICKERSGILL RETIREMENT COMMUNITY | TOWSON, MD | F | 12 | N/A | 12 |
| 83 | Legacy Nursing at St. Christina | Pineville, LA | F | 12 | 0.27 | 21 |
| 84 | Colfax Nursing and Rehab, LLC | COLFAX, LA | F | 12 | 0.13 | 16 |
| 85 | Arc at Sangamon Valley | SPRINGFIELD, IL | F | 12 | 0.16 | 30 |
| 86 | PALM GARDEN OF MATTOON | MATTOON, IL | F | 12 | 0.28 | 41 |
| 87 | HILLSBORO REHAB & HCC | HILLSBORO, IL | F | 12 | 0.28 | 28 |
| 88 | Rock River Nursing & Rehab | FORT ATKINSON, WI | F | 13 | N/A | 11 |
| 89 | LeTort Spring Nursing and Rehab LLC | CARLISLE, PA | F | 13 | N/A | 18 |
| 90 | Calera Manor | Calera, OK | F | 13 | 0.10 | 14 |
| 91 | Edmond Health Care Center | Edmond, OK | F | 13 | 0.18 | 27 |
| 92 | HIDDEN LAKE HEALTH CARE CENTER | SAINT LOUIS, MO | F | 13 | 0.31 | 25 |
| 93 | GRAND MANOR HEALTH CARE CENTER | SAINT LOUIS, MO | F | 13 | 0.12 | 18 |
| 94 | BAISCH NURSING CENTER | DE SOTO, MO | F | 13 | N/A | 11 |
| 95 | ESTATES OF PERRYVILLE, LLC, THE | PERRYVILLE, MO | F | 13 | 0.08 | 24 |
| 96 | TROY MANOR | TROY, MO | F | 13 | 0.19 | 20 |
| 97 | CARRIE ELLIGSON GIETNER HEALTH CARE CENTER | SAINT LOUIS, MO | F | 13 | 0.13 | 18 |
| 98 | BERNARD CARE CENTER | SAINT LOUIS, MO | F | 13 | 0.06 | 22 |
| 99 | CASSVILLE HEALTH CARE CENTER | CASSVILLE, MO | F | 13 | 0.31 | 49 |
| 100 | THE WINDSOR PLACE | COLUMBUS, MS | F | 13 | N/A | 11 |
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.