CMS Nursing Home Compare · March 2026
Lowest-Rated Nursing Homes
According to the federal Centers for Medicare & Medicaid Services Nursing Home Compare program, as of the March 2026 release 2,938 U.S. nursing homes (20%) sit at the one-star floor. The 50 below carry the heaviest enforcement records among them - 50 have outstanding federal fines totaling $27.9M.
A one-star overall rating reflects bottom-quintile performance within the home's own state; penalties are cumulative federal enforcement actions, review the full facility record first. See our methodology for sourcing.
- 2,938
- One-star homes nationwide (20%)
- $956K
- Largest single fine record here
- $27.9M
- Combined fines, these 50 homes
- 50
- Of the 50 carry federal fines
Heaviest penalty records
The 50 lowest-rated homes
| # | Facility | Location | Rating | Beds | Total Fines | Penalties |
|---|---|---|---|---|---|---|
| 1 | Autumn Meadows of Cahokia | Cahokia, IL | 150 | $956K | 6 | |
| 2 | Nexus Pavilion at Belleville | Belleville, IL | 180 | $877K | 8 | |
| 3 | Majestic Gardens at Memphis Rehab & Snc | Memphis, TN | 169 | $810K | 11 | |
| 4 | Bria of Cahokia | Cahokia, IL | 133 | $799K | 12 | |
| 5 | Avir at Lindale | Lindale, TX | 122 | $774K | 6 | |
| 6 | Mohawk Meadows | Lafayette, NJ | 159 | $738K | 3 | |
| 7 | Bishop Rehabilitation and Nursing Center | Syracuse, NY | 440 | $700K | 4 | |
| 8 | Legacy Nursing at St. Christina | Pineville, LA | 140 | $656K | 6 | |
| 9 | Springfield Health & Rehab | Springfield, VT | 102 | $637K | 4 | |
| 10 | Elevate Care Country Club Hill | Country Club Hills, IL | 200 | $627K | 9 | |
| 11 | Natchitoches Nursing and Rehabilitation Center, LL | Natchitoches, LA | 98 | $617K | 4 | |
| 12 | River View Rehab Center | Elgin, IL | 203 | $613K | 6 | |
| 13 | Bridgewood Health Care Center | Kansas City, MO | 166 | $611K | 15 | |
| 14 | Chicago Ridge SNF | Chicago Ridge, IL | 231 | $607K | 7 | |
| 15 | Archer Heights Healthcare | Chicago, IL | 249 | $597K | 7 | |
| 16 | La Bella of Woodstock | Woodstock, IL | 115 | $569K | 9 | |
| 17 | Coventry Operations RI LLC DBA Respiratory and Reh | Coventry, RI | 210 | $565K | 8 | |
| 18 | Fall River Healthcare | Fall River, MA | 176 | $558K | 6 | |
| 19 | South Shore Rehabilitation | Chicago, IL | 248 | $557K | 6 | |
| 20 | Bostick Nursing Center | Milledgeville, GA | 280 | $547K | 2 | |
| 21 | White Oak Post Acute Care | Baton Rouge, LA | 176 | $544K | 6 | |
| 22 | Rose Trail Nursing and Rehabilitation Center | Tyler, TX | 172 | $539K | 7 | |
| 23 | Villa Feliciana Chronic Disease | Jackson, LA | 299 | $534K | 6 | |
| 24 | Southpoint Nursing & Rehab Center | Chicago, IL | 228 | $531K | 8 | |
| 25 | Arcadia Care Havana | Havana, IL | 98 | $521K | 4 | |
| 26 | Sunset Rehabilitation and Health Care | Canton, IL | 115 | $518K | 4 | |
| 27 | Whispering Pines Lodge | Longview, TX | 116 | $511K | 6 | |
| 28 | Maplewood Center | West Allis, WI | 150 | $508K | 5 | |
| 29 | Nexus at Alton | Alton, IL | 181 | $507K | 9 | |
| 30 | Gulfport Nursing Center | Pasadena, FL | 126 | $504K | 6 | |
| 31 | Town & Country Health & Rehab | Minden, LA | 124 | $504K | 3 | |
| 32 | Ralls Nursing Home | Ralls, TX | 46 | $502K | 6 | |
| 33 | Trenton Gardens Rehabilitation and Nursing Center | Trenton, NJ | 215 | $500K | 1 | |
| 34 | Little Brook Nursing and Convalescent Home | Califon, NJ | 36 | $495K | 4 | |
| 35 | Pike Creek Nursing & Rehabilitation Center | Wilmington, DE | 177 | $485K | 4 | |
| 36 | Lakeshore Manor Nursing & Rehab | Slidell, LA | 110 | $478K | 6 | |
| 37 | Brandon Woods of New Bedford | New Bedford, MA | 135 | $464K | 1 | |
| 38 | Skyline Heights Nursing and Rehabilitation | Billings, MT | 150 | $461K | 7 | |
| 39 | Plymouth Harborside Healthcare | Plymouth, MA | 101 | $460K | 6 | |
| 40 | Gregory Ridge Health Care Center | Kansas City, MO | 116 | $459K | 6 | |
| 41 | Harvest Manor Healthcare and Rehabilitation Center | Denham Springs, LA | 171 | $454K | 3 | |
| 42 | Aria of Brookfield | Brookfield, WI | 170 | $454K | 7 | |
| 43 | Lakeview Nursing Center | Gulfport, MS | 105 | $450K | 5 | |
| 44 | Salyersville Nursing and Rehabilitation Center | Salyersville, KY | 142 | $447K | 2 | |
| 45 | Avenues at Royal Oak | Kewanee, IL | 200 | $444K | 8 | |
| 46 | Center Home Hispanic Elderly | Chicago, IL | 156 | $442K | 11 | |
| 47 | La Bella of Rochelle | Rochelle, IL | 74 | $441K | 13 | |
| 48 | North Village Park | Moberly, MO | 183 | $440K | 12 | |
| 49 | St. Helena Parish Nursing Home | Greensburg, LA | 72 | $435K | 5 | |
| 50 | Aviata at the Palms | Palm Harbor, FL | 120 | $433K | 1 |
Using this ranking
A low rating plus a heavy penalty record is a signal to dig deeper, not the whole story.
- Open a home to read its specific deficiency citations and enforcement history before judging it. See a facility record
- Compare against the best-rated homes to calibrate what strong performance looks like. Best-rated homes
- Check how the home’s state ranks overall, ratings are curved within each state. States by rating
Ratings and penalties are refreshed quarterly by CMS; an older fine may have been resolved. Confirm current status with the facility and your state survey agency before acting.