Open Care Data

Federal update · August 2026

Nursing Home Rating Changes: August 2026 Federal Update

In the August 2026 federal update, 1036 nursing homes in the U.S. changed their overall Medicare rating (530 lower, 506 higher), 60 were added to the federal Special Focus watch list, and 115 were newly flagged with the federal abuse indicator. These are factual changes in the U.S. federal (CMS) data, comparing the August 2026 release with July 2026.

Read the August 2026 roundup: what changed and why →

530
Rating downgraded
506
Rating improved
60
Added to watch list
115
Newly abuse-flagged

Newly added to the federal watch list 60 facilities

SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Stanford Crossing
Stanford, KY
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Tlc Care Center
Henderson, NV
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Adel Acres
Adel, IA
SFF candidate
Grove At Kirkwood, The
Kirkwood, MO
SFF candidate
Villas At Bryn Mawr Llc
Minneapolis, MN
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Avir At Arden Wood
Houston, TX
SFF candidate
SFF candidate
Avir At Cowhorn Creek
Texarkana, TX
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Avenue At Lyndhurst
Lyndhurst, OH
SFF candidate
SFF candidate
Harborview Thomasville
Thomasville, GA
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Sandpiper Post Acute
Mount Pleasant, SC
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Hyde Park Healthcare Center
Los Angeles, CA
SFF candidate
Noble Horizons
Salisbury, CT
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Avir At Overton
Overton, TX
SFF candidate
Good Shepherd Village
Springfield, OH
SFF candidate
SFF candidate
SFF candidate

The Special Focus Facility program flags nursing homes with a persistent pattern of serious quality problems.

Newly flagged with the federal abuse indicator 115

Aventura At The Bay
Saint Petersburg, FL
Abuse indicator added
Abuse indicator added
Abuse indicator added
Bria Of Woodriver
Wood River, IL
Abuse indicator added
Symphony Maple Crest
Belvidere, IL
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Maquoketa Care Center
Maquoketa, IA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Avantara Pierre
Pierre, SD
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Westwood Post Acute Care
Los Angeles, CA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Rouse Warren County Home
Youngsville, PA
Abuse indicator added
Abuse indicator added
Elevate Care Northbrook
Northbrook, IL
Abuse indicator added
Abuse indicator added
Avantara Lincoln Park
Chicago, IL
Abuse indicator added
Abuse indicator added
The Haven On The River
Grayville, IL
Abuse indicator added
Abuse indicator added
Rehab Of Kansas City South
Kansas City, MO
Abuse indicator added
Abuse indicator added
Oregon Veterans Home
The Dalles, OR
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Edenbrook Of Yeadon
Yeadon, PA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Haven Of Globe
Globe, AZ
Abuse indicator added
Maple Healthcare Center
Los Angeles, CA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Sierra Vista
Highland, CA
Abuse indicator added
Cambridge Care Center
Lakewood, CO
Abuse indicator added
Abuse indicator added
Abuse indicator added
Bella Terra Bloomingdale
Bloomingdale, IL
Abuse indicator added
Chalet Living & Rehab
Chicago, IL
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Oakland Manor
Oakland, IA
Abuse indicator added
Regency Care Center
Norwalk, IA
Abuse indicator added
Abuse indicator added
Nexus At Mascoutah
Mascoutah, IL
Abuse indicator added
Abuse indicator added
Robin Run Health Center
Indianapolis, IN
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Davis Health Care Center
Wilmington, NC
Abuse indicator added
Abuse indicator added
Abuse indicator added
Sandpiper Post Acute
Mount Pleasant, SC
Abuse indicator added
Avantara Arrowhead
Rapid City, SD
Abuse indicator added
Abuse indicator added
Paradigm At The Creek
Wharton, TX
Abuse indicator added
Abuse indicator added
Abuse indicator added
Palomino Place
Mesquite, TX
Abuse indicator added
Abuse indicator added
Delta Oaks Post Acute
Stockton, CA
Abuse indicator added
Roseville Care Center
Roseville, CA
Abuse indicator added
Abuse indicator added
Bridgeview Post Acute
Yuba City, CA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Sherwood Oaks Post Acute
Thousand Oaks, CA
Abuse indicator added
Gordon Lane Care Center
Fullerton, CA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Luther Acres Manor
Lititz, PA
Abuse indicator added
Chapel Manor
Philadelphia, PA
Abuse indicator added
Graduate Post Acute
Philadelphia, PA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Arbor Post Acute
Chico, CA
Abuse indicator added

Overall rating downgraded 530, showing top 250

Caraday Of Houston
Houston, TX
5 → 1 ★
5 → 1 ★
5 → 2 ★
5 → 2 ★
Baptist Village, Inc.
Waycross, GA
5 → 2 ★
4 → 1 ★
Farmington Village Nrsg
Farmington, IL
5 → 2 ★
4 → 1 ★
5 → 2 ★
Holton Manor
Elkhorn, WI
5 → 2 ★
5 → 2 ★
5 → 2 ★
The Atrium Of Bellmead
Bellmead, TX
4 → 1 ★
4 → 2 ★
Battle Mountain General Hospital
Battle Mountain, NV
3 → 1 ★
3 → 1 ★
Bethany Home Sioux Falls
Sioux Falls, SD
5 → 3 ★
Bridgeview Post Acute
Yuba City, CA
4 → 2 ★
British Home, The
Brookfield, IL
5 → 3 ★
3 → 1 ★
5 → 3 ★
Cambridge Care Center
Lakewood, CO
5 → 3 ★
Carmel Home
Owensboro, KY
4 → 2 ★
3 → 1 ★
Copper Ridge Health Care
West Jordan, UT
5 → 3 ★
Excel Care At The Pines
Atlantic City, NJ
4 → 2 ★
3 → 1 ★
5 → 3 ★
5 → 3 ★
5 → 3 ★
5 → 3 ★
Ingleside At Rock Creek
Washington, DC
5 → 3 ★
John Clarke Senior Living
Middletown, RI
4 → 2 ★
Kula Hospital
Kula, HI
4 → 2 ★
4 → 2 ★
Lb Broen Home
Fergus Falls, MN
4 → 2 ★
Luther Acres Manor
Lititz, PA
3 → 1 ★
5 → 3 ★
Lexington Country Place
Lexington, KY
3 → 1 ★
3 → 1 ★
5 → 3 ★
5 → 3 ★
4 → 2 ★
4 → 2 ★
Maquoketa Care Center
Maquoketa, IA
4 → 2 ★
4 → 2 ★
5 → 3 ★
5 → 3 ★
New London Specialty Care
New London, IA
4 → 2 ★
Oregon Veterans Home
The Dalles, OR
5 → 3 ★
3 → 1 ★
4 → 2 ★
3 → 1 ★
Rouse Warren County Home
Youngsville, PA
3 → 1 ★
3 → 1 ★
3 → 1 ★
4 → 2 ★
3 → 1 ★
Sherwood Oaks Post Acute
Thousand Oaks, CA
5 → 3 ★
3 → 1 ★
The Chesapeake
Newport News, VA
5 → 3 ★
5 → 3 ★
Valley Center
South Charleston, WV
4 → 2 ★
3 → 1 ★
5 → 3 ★
Westgate
Joplin, MO
4 → 2 ★
Williams Bay Health Services
Williams Bay, WI
3 → 1 ★
3 → 1 ★
Wisteria Gardens
Pearl, MS
5 → 3 ★
4 → 2 ★
5 → 3 ★
5 → 3 ★
4 → 2 ★
4 → 3 ★
Adams County Manor
West Union, OH
3 → 2 ★
5 → 4 ★
2 → 1 ★
Adviniacare At Provincetown
Provincetown, MA
2 → 1 ★
3 → 2 ★
2 → 1 ★
Aliya Of Crestwood
Crestwood, IL
2 → 1 ★
Aliya Of Highwood
Highwood, IL
5 → 4 ★
2 → 1 ★
4 → 3 ★
4 → 3 ★
4 → 3 ★
4 → 3 ★
Amberwood Manor
New Philadelphia, OH
4 → 3 ★
Aperion Care Monroe
Bloomington, IN
2 → 1 ★
3 → 2 ★
Arc At Bradley
Bradley, IL
2 → 1 ★
Aristacare At Cedar Oaks
South Plainfield, NJ
3 → 2 ★
Ashland Post Acute
Ashland, OR
2 → 1 ★
4 → 3 ★
3 → 2 ★
3 → 2 ★
Autumn Court
Ottawa, OH
5 → 4 ★
5 → 4 ★
3 → 2 ★
4 → 3 ★
Avantara Lake Zurich
Lake Zurich, IL
5 → 4 ★
3 → 2 ★
Avenue At North Ridgeville
North Ridgeville, OH
3 → 2 ★
Avir At Jacksboro
Jacksboro, TX
5 → 4 ★
Avir At Keeneland
Weatherford, TX
4 → 3 ★
2 → 1 ★
2 → 1 ★
2 → 1 ★
3 → 2 ★
2 → 1 ★
2 → 1 ★
Arbor Village
Sapulpa, OK
3 → 2 ★
Aspyre Of Bronzeville
Chicago, IL
2 → 1 ★
Avir At Camp Wood
Camp Wood, TX
2 → 1 ★
Avir At Emerald Hills
North Richland Hills, TX
3 → 2 ★
Avir At Grand Saline
Grand Saline, TX
3 → 2 ★
Avir At Heritage Oaks
Lubbock, TX
2 → 1 ★
Avir At Meadow Creek
San Angelo, TX
2 → 1 ★
Avir At Pecos
Pecos, TX
3 → 2 ★
Balmoral Home
Chicago, IL
3 → 2 ★
Beacon Ridge
Indiana, PA
2 → 1 ★
Beacon Ridge
Sapulpa, OK
2 → 1 ★
Bella Terra Bloomingdale
Bloomingdale, IL
3 → 2 ★
4 → 3 ★
Bentwood Nursing & Rehab
Florissant, MO
2 → 1 ★
5 → 4 ★
5 → 4 ★
3 → 2 ★
Boca Ciega Center
Gulfport, FL
2 → 1 ★
3 → 2 ★
Brighton Place Spring Valley
Spring Valley, CA
3 → 2 ★
5 → 4 ★
2 → 1 ★
4 → 3 ★
Bel Air At Teravista
Round Rock, TX
4 → 3 ★
2 → 1 ★
Bladen East Health And Rehab
Elizabethtown, NC
3 → 2 ★
Bloomfield Care Center
Bloomfield, IA
4 → 3 ★
4 → 3 ★
4 → 3 ★
2 → 1 ★
Carrier Mills Nsg & Rehab Ctr
Carrier Mills, IL
4 → 3 ★
Casa De Las Campanas
San Diego, CA
3 → 2 ★
3 → 2 ★
Century Villa, Inc
Inglewood, CA
2 → 1 ★
Citrus Grove Post Acute
Riverside, CA
4 → 3 ★
2 → 1 ★
3 → 2 ★
4 → 3 ★
5 → 4 ★
5 → 4 ★
3 → 2 ★
2 → 1 ★
4 → 3 ★
3 → 2 ★
3 → 2 ★
4 → 3 ★
5 → 4 ★
Creekside Center
Stockton, CA
3 → 2 ★
Crestpark Forrest City, Llc
Forrest City, AR
3 → 2 ★
Crestwood Manor - 104
Stockton, CA
4 → 3 ★
Cura Of Le Sueur
Le Sueur, MN
3 → 2 ★
Cura Of Long Prairie
Long Prairie, MN
5 → 4 ★
Canterbury Place
Pittsburgh, PA
2 → 1 ★
5 → 4 ★
3 → 2 ★
Casa Coloma Health Care Center
Rancho Cordova, CA
3 → 2 ★
2 → 1 ★
Clinton Place
Clinton, KY
3 → 2 ★
2 → 1 ★
5 → 4 ★
Crescent Manor Care Ctrs
Bennington, VT
3 → 2 ★
3 → 2 ★
2 → 1 ★
2 → 1 ★
Delmar Gardens South
Saint Louis, MO
5 → 4 ★
2 → 1 ★
Davis Health Care Center
Wilmington, NC
2 → 1 ★
3 → 2 ★
Elderwood At Cheektowaga
Cheektowaga, NY
2 → 1 ★
Elevate Care Northbrook
Northbrook, IL
3 → 2 ★
3 → 2 ★
Embassy Of Park Avenue
Meadville, PA
5 → 4 ★
Embassy Of Swanton
Swanton, OH
5 → 4 ★
Encore At Wilmington
Wilmington, DE
4 → 3 ★
3 → 2 ★
5 → 4 ★
5 → 4 ★
Edenbrook Lakeside
Milwaukee, WI
2 → 1 ★
Edmonds Post Acute
Edmonds, WA
2 → 1 ★
3 → 2 ★
3 → 2 ★
3 → 2 ★
2 → 1 ★
Fairview
Groton, CT
5 → 4 ★
2 → 1 ★
5 → 4 ★
2 → 1 ★
Forest Hills Center
Columbus, OH
3 → 2 ★
Fort Sanders Tcu
Knoxville, TN
5 → 4 ★
3 → 2 ★
Fallbrook Commons
Portland, ME
4 → 3 ★
2 → 1 ★
Franciscan Villa
Broken Arrow, OK
3 → 2 ★
4 → 3 ★
Gallatin Rest Home
Bozeman, MT
3 → 2 ★
Garden Grove Post Acute
Garden Grove, CA
5 → 4 ★
2 → 1 ★
2 → 1 ★
Granada Post Acute
Lynwood, CA
4 → 3 ★
4 → 3 ★

Overall rating improved 506, showing top 250

2 → 5 ★
Morrison Nursing Home
Whitefield, NH
1 → 4 ★
2 → 5 ★
1 → 3 ★
Allure Of Prophetstown
Prophetstown, IL
1 → 3 ★
1 → 3 ★
1 → 3 ★
Alta Heights Post Acute
Goodlettsville, TN
2 → 4 ★
3 → 5 ★
2 → 4 ★
Avir At Pittsburg
Pittsburg, TX
2 → 4 ★
Baptist Health & Rehab
Bismarck, ND
2 → 4 ★
1 → 3 ★
Brookview Health Care Center
Chambersburg, PA
2 → 4 ★
Canterbury At Cedar Grove
Cedar Grove, NJ
1 → 3 ★
2 → 4 ★
1 → 3 ★
1 → 3 ★
Deer's Head Center
Salisbury, MD
3 → 5 ★
3 → 5 ★
2 → 4 ★
Forest Hills Of Dc
Washington, DC
3 → 5 ★
1 → 3 ★
Harbour Health Center
Port Charlotte, FL
3 → 5 ★
3 → 5 ★
1 → 3 ★
2 → 4 ★
Kingsburg Center
Kingsburg, CA
1 → 3 ★
3 → 5 ★
2 → 4 ★
3 → 5 ★
2 → 4 ★
Maple Valley Nursing Home
Maple Valley, MI
1 → 3 ★
3 → 5 ★
2 → 4 ★
2 → 4 ★
1 → 3 ★
Pr Snf Operations Llc
Sarasota, FL
2 → 4 ★
3 → 5 ★
Rose Mountain Care Center
New Brunswick, NJ
2 → 4 ★
Rosedale Green
Covington, KY
2 → 4 ★
Rosewood Post Acute
Pleasant Hill, CA
2 → 4 ★
1 → 3 ★
The Shoal
Texas City, TX
3 → 5 ★
The Suites At Jordan River
Collierville, TN
1 → 3 ★
2 → 4 ★
Wellbridge Of Pinckney
Pinckney, MI
3 → 5 ★
3 → 4 ★
4 → 5 ★
Alhambra Post Acute
Martinez, CA
4 → 5 ★
Altercare Of Wadsworth
Wadsworth, OH
3 → 4 ★
Ambassador Healthcare
Centerville, IN
1 → 2 ★
Anberry Post Acute
Merced, CA
2 → 3 ★
Aperion Care Westchester
Westchester, IL
2 → 3 ★
Apple Rehab Saybrook
Old Saybrook, CT
2 → 3 ★
Arbor Glen Care Center
Glendora, CA
1 → 2 ★
Arbors At Pomeroy
Pomeroy, OH
1 → 2 ★
Arista Healthcare
Naperville, IL
4 → 5 ★
4 → 5 ★
3 → 4 ★
1 → 2 ★
2 → 3 ★
1 → 2 ★
Avera Prince Of Peace
Sioux Falls, SD
3 → 4 ★
3 → 4 ★
4 → 5 ★
Avir At Carthage
Carthage, TX
2 → 3 ★
Aviva At Fitzsimons
Aurora, CO
3 → 4 ★
4 → 5 ★
3 → 4 ★
3 → 4 ★
1 → 2 ★
Ahwatukee Post Acute
Phoenix, AZ
2 → 3 ★
3 → 4 ★
Alpine Care Of St. Charles Llc
Saint Charles, IL
2 → 3 ★
1 → 2 ★
Apple Rehab Clipper
Westerly, RI
3 → 4 ★
2 → 3 ★
Aria At Mitchell Manor
West Allis, WI
2 → 3 ★
3 → 4 ★
3 → 4 ★
1 → 2 ★
Avir At Cisco
Cisco, TX
4 → 5 ★
Avir At Richland Hills
Richland Hills, TX
2 → 3 ★
3 → 4 ★
Bedford Post Acute
Bedford, PA
2 → 3 ★
Birchwood Care Home
Minneapolis, MN
4 → 5 ★
2 → 3 ★
4 → 5 ★
4 → 5 ★
Brentwood Place One
Dallas, TX
4 → 5 ★
Brentwood Place Two
Dallas, TX
2 → 3 ★
Bria Of Forest Edge
Chicago, IL
1 → 2 ★
4 → 5 ★
2 → 3 ★
2 → 3 ★
Bennington Health & Rehab
Bennington, VT
1 → 2 ★
Boundary County Nursing Home
Bonners Ferry, ID
3 → 4 ★
4 → 5 ★
1 → 2 ★
Burford Manor
Davis, OK
1 → 2 ★
3 → 4 ★
4 → 5 ★
3 → 4 ★
2 → 3 ★
2 → 3 ★
Carecore At Minster
Minster, OH
2 → 3 ★
2 → 3 ★
Cedarwood Plaza
Cleveland Heights, OH
2 → 3 ★
2 → 3 ★
1 → 2 ★
Chapel Manor
Philadelphia, PA
1 → 2 ★
Charming Lakes Rehab
Lakeland, FL
1 → 2 ★
1 → 2 ★
1 → 2 ★
2 → 3 ★
Claru Deville Nursing Center
Fredericktown, MO
2 → 3 ★
Columbia Post Acute
Columbia, MO
4 → 5 ★
2 → 3 ★
2 → 3 ★
4 → 5 ★
2 → 3 ★
1 → 2 ★
3 → 4 ★
1 → 2 ★
Cove's Edge Inc
Damariscotta, ME
3 → 4 ★
Covenant Woods Nursing Home
Mechanicsville, VA
3 → 4 ★
3 → 4 ★
4 → 5 ★
2 → 3 ★
1 → 2 ★
3 → 4 ★
Colfax General Ltc
Springer, NM
4 → 5 ★
1 → 2 ★
3 → 4 ★
3 → 4 ★
2 → 3 ★
Courville At Nashua
Nashua, NH
4 → 5 ★
Covenant Home
New Orleans, LA
3 → 4 ★
2 → 3 ★
4 → 5 ★
4 → 5 ★
1 → 2 ★
1 → 2 ★
2 → 3 ★
1 → 2 ★
Edenbrook Of Yeadon
Yeadon, PA
1 → 2 ★
1 → 2 ★
4 → 5 ★
4 → 5 ★
1 → 2 ★
1 → 2 ★
East Troy Manor
East Troy, WI
1 → 2 ★
Eden Home
New Braunfels, TX
2 → 3 ★
Edenbrook Of Oshkosh
Oshkosh, WI
2 → 3 ★
Elevate Care Des Plaines
Des Plaines, IL
2 → 3 ★
2 → 3 ★
3 → 4 ★
Faith Lutheran Home
Wolf Point, MT
3 → 4 ★
2 → 3 ★
3 → 4 ★
2 → 3 ★
2 → 3 ★
3 → 4 ★
Future Care Homewood
Baltimore, MD
3 → 4 ★
Future Care Irvington
Baltimore, MD
3 → 4 ★
Fellowship Village
Inwood, IA
3 → 4 ★
Fort Bayard Medical Center
Santa Clara, NM
3 → 4 ★
2 → 3 ★
1 → 2 ★
1 → 2 ★
1 → 2 ★
3 → 4 ★
4 → 5 ★
2 → 3 ★
3 → 4 ★
Golden Empire
Grass Valley, CA
3 → 4 ★
Golden Years Of Lake Geneva
Lake Geneva, WI
3 → 4 ★
4 → 5 ★
3 → 4 ★
1 → 2 ★
1 → 2 ★
2 → 3 ★
Grove Manor
Grove City, PA
2 → 3 ★
2 → 3 ★
1 → 2 ★
3 → 4 ★
Hayes Residence
Saint Paul, MN
1 → 2 ★
2 → 3 ★
2 → 3 ★
4 → 5 ★
Hemphill Care Center
Hemphill, TX
1 → 2 ★
3 → 4 ★
Heritage Oaks
Saint Simons Island, GA
3 → 4 ★
Heritage Park Care Center
Carbondale, CO
2 → 3 ★
2 → 3 ★
1 → 2 ★
Hillside Manor
Beaver Dam, WI
1 → 2 ★
Honey Grove Nursing Center
Honey Grove, TX
1 → 2 ★
3 → 4 ★
3 → 4 ★
3 → 4 ★
Harborview Lumberton
Lumberton, NC
2 → 3 ★
Harborview Post Acute
Memphis, TN
2 → 3 ★
Heritage Manor South
Shreveport, LA
3 → 4 ★
Heritage Of Bel Air
Norfolk, NE
4 → 5 ★
4 → 5 ★
Imperial Manor
Imperial, CA
3 → 4 ★
Indiana Veterans Home
West Lafayette, IN
3 → 4 ★

Changes compare the August 2026 U.S. federal (CMS) nursing home release with the July 2026 release. The facts are CMS's; the presentation is Open Care Data's. Ratings and flags can change again in future updates. Open Care Data is not affiliated with CMS, Medicare, or any government agency. How we use this data.