Open Care Data

Federal update · July 2026

Nursing Home Rating Changes: July 2026 Federal Update

In the July 2026 federal update, 3419 nursing homes in the U.S. changed their overall Medicare rating (1835 lower, 1584 higher), 55 were added to the federal Special Focus watch list, and 107 were newly flagged with the federal abuse indicator. These are factual changes in the U.S. federal (CMS) data, comparing the July 2026 release with June 2026.

Read the July 2026 roundup: what changed and why →

1835
Rating downgraded
1584
Rating improved
55
Added to watch list
107
Newly abuse-flagged

Newly added to the federal watch list 55 facilities

Cascadia Of Nampa
Nampa, ID
SFF candidate
Arcadia Care Toulon
Toulon, IL
SFF candidate
SFF candidate
SFF candidate
Clifton Heights
Louisville, KY
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Encore At Parkside
Newark, DE
SFF candidate
Grand Lake Villa
Grove, OK
SFF candidate
SFF candidate
SFF candidate
Courville At Manchester
Manchester, NH
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Melrose Healthcare
Melrose, MA
SFF candidate
SFF candidate
SFF candidate
Special Focus Facility
Avantara Watertown
Watertown, SD
SFF candidate
SFF candidate
La Bella Of Danville
Danville, IL
SFF candidate
Cascades At Galveston
Galveston, TX
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Oakland Manor
Oakland, IA
SFF candidate
SFF candidate
SFF candidate
SFF candidate
SFF candidate
Johns Island Post Acute
Johns Island, SC
SFF candidate
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 107

Nexus At Alton
Alton, IL
Abuse indicator added
Abuse indicator added
Trailpoint Village
South Bend, IN
Abuse indicator added
Abuse indicator added
Haven Of Camp Verde
Camp Verde, AZ
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Grand Lake Villa
Grove, OK
Abuse indicator added
Abuse indicator added
Abuse indicator added
Avir At New Braunfels
New Braunfels, TX
Abuse indicator added
Avir At Athens
Athens, TX
Abuse indicator added
Abuse indicator added
Aviata At South Daytona
South Daytona, FL
Abuse indicator added
Abuse indicator added
Medilodge Of Southfield
Southfield, MI
Abuse indicator added
Abuse indicator added
Waverly Gardens
North Oaks, MN
Abuse indicator added
Pine View Manor Inc
Stanberry, MO
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Rosewood Center
Grafton, WV
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
Medilodge Of Marshall
Marshall, MI
Abuse indicator added
Abuse indicator added
Abuse indicator added
Bentleys Extended Care
Overland, MO
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
American Village
Indianapolis, IN
Abuse indicator added
Abuse indicator added
Pioneer Trace Group Llc
Flemingsburg, KY
Abuse indicator added
Abuse indicator added
Abuse indicator added
Vincentian Home
Pittsburgh, PA
Abuse indicator added
Canterbury Place
Pittsburgh, PA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Avantara Watertown
Watertown, SD
Abuse indicator added
Abuse indicator added
Mineral Point Health Services
Mineral Point, WI
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Avir At Mineola
Mineola, TX
Abuse indicator added
Abuse indicator added
Haven Of Phoenix
Phoenix, AZ
Abuse indicator added
Abuse indicator added
Arden Park Post Acute
Sacramento, CA
Abuse indicator added
Sunland Post Acute
Sunland, CA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Calvert County Nursing Ctr.
Prince Frederick, MD
Abuse indicator added
Abuse indicator added
Abuse indicator added
Kith Haven
Flint, MI
Abuse indicator added
Cura Of Melrose
Melrose, MN
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Embassy Rehab And Care Center
Sergeant Bluff, IA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Johns Island Post Acute
Johns Island, SC
Abuse indicator added
Abuse indicator added
Mountain View Post Acute
Ellensburg, WA
Abuse indicator added
Abuse indicator added
Concord Post Acute
Concord, CA
Abuse indicator added
Haven Of Sedona
Sedona, AZ
Abuse indicator added
Abuse indicator added
Hampton Post Acute
Stockton, CA
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Maple Valley Nursing Home
Maple Valley, MI
Abuse indicator added
Stewartville Care Center
Stewartville, MN
Abuse indicator added
Windsor Estates Of St Charles
Saint Charles, MO
Abuse indicator added
Abuse indicator added
Sandstone Spring Valley
Las Vegas, NV
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Pine Lodge
Beckley, WV
Abuse indicator added
Abuse indicator added
Abuse indicator added

Overall rating downgraded 1835, showing top 250

5 → 1 ★
4 → 1 ★
5 → 2 ★
Antlers Manor
Antlers, OK
4 → 1 ★
Briar Hill Rest Home
Florence, MS
5 → 2 ★
Circleville Post-Acute
Circleville, OH
5 → 2 ★
City View Post Acute
San Francisco, CA
5 → 2 ★
Edgefield Post-Acute
Edgefield, SC
5 → 2 ★
Grand Lake Villa
Grove, OK
5 → 2 ★
5 → 2 ★
4 → 1 ★
4 → 1 ★
4 → 1 ★
San Remo
Richardson, TX
5 → 2 ★
Scioto Pointe
Columbus, OH
4 → 1 ★
4 → 1 ★
5 → 2 ★
4 → 1 ★
Aliya Of Homewood
Homewood, IL
4 → 2 ★
5 → 3 ★
Altercare Of Mayfield Village, Inc
Mayfield Village, OH
5 → 3 ★
5 → 3 ★
Arc At Chillicothe
Chillicothe, IL
4 → 2 ★
3 → 1 ★
3 → 1 ★
3 → 1 ★
Avir At Bandera
Bandera, TX
3 → 1 ★
3 → 1 ★
Andrew Residence
Minneapolis, MN
4 → 2 ★
Appleton Area Health
Appleton, MN
5 → 3 ★
Autumn Care Of Marshville
Marshville, NC
3 → 1 ★
Avir At Golfcrest
Houston, TX
4 → 2 ★
3 → 1 ★
4 → 2 ★
3 → 1 ★
Brookview Health Care Center
Chambersburg, PA
4 → 2 ★
5 → 3 ★
Brio Of Johnston, Llc
Johnston, IA
5 → 3 ★
3 → 1 ★
Concord Post Acute
Concord, CA
4 → 2 ★
5 → 3 ★
3 → 1 ★
5 → 3 ★
4 → 2 ★
4 → 2 ★
5 → 3 ★
Egle Nursing Home
Lonaconing, MD
3 → 1 ★
3 → 1 ★
Fairview Manor
Fairview, PA
3 → 1 ★
4 → 2 ★
5 → 3 ★
4 → 2 ★
5 → 3 ★
4 → 2 ★
Gables Care Center
Hopedale, OH
4 → 2 ★
3 → 1 ★
3 → 1 ★
5 → 3 ★
Groveton Nursing Home
Groveton, TX
5 → 3 ★
3 → 1 ★
3 → 1 ★
5 → 3 ★
3 → 1 ★
3 → 1 ★
5 → 3 ★
4 → 2 ★
4 → 2 ★
3 → 1 ★
4 → 2 ★
Indianspring Of Oakley
Cincinnati, OH
4 → 2 ★
4 → 2 ★
Laurel View Village
Davidsville, PA
5 → 3 ★
4 → 2 ★
5 → 3 ★
4 → 2 ★
Liberty Commons
North Chatham, MA
5 → 3 ★
Little Neck Care Center
Little Neck, NY
4 → 2 ★
5 → 3 ★
5 → 3 ★
Medina Bsd Opco Llc
Medina, OH
4 → 2 ★
Mineral Point Health Services
Mineral Point, WI
4 → 2 ★
4 → 2 ★
4 → 2 ★
Midtown Manor
Salt Lake City, UT
3 → 1 ★
Milwaukee Catholic Home
Milwaukee, WI
5 → 3 ★
Mission Nursing Home
Plymouth, MN
3 → 1 ★
4 → 2 ★
4 → 2 ★
Newaldaya Lifescapes
Cedar Falls, IA
4 → 2 ★
5 → 3 ★
4 → 2 ★
4 → 2 ★
5 → 3 ★
4 → 2 ★
Park Manor Ltd
Park Falls, WI
5 → 3 ★
Parker Post Acute
Parker, CO
4 → 2 ★
4 → 2 ★
Pine View Manor Inc
Stanberry, MO
3 → 1 ★
Piqua Manor
Piqua, OH
5 → 3 ★
3 → 1 ★
3 → 1 ★
Riviera Healthcare Center
Pico Rivera, CA
3 → 1 ★
3 → 1 ★
4 → 2 ★
3 → 1 ★
Sandstone Heights
Little River, KS
3 → 1 ★
4 → 2 ★
3 → 1 ★
3 → 1 ★
Senior Citizens Home
Henderson, NC
3 → 1 ★
Simpson Memorial Home
West Liberty, IA
5 → 3 ★
Stonehenge Of Cedar City
Cedar City, UT
4 → 2 ★
4 → 2 ★
Three Meadows Post Acute
Perrysburg, OH
3 → 1 ★
5 → 3 ★
Valley Oaks Care Center
East Liverpool, OH
5 → 3 ★
Villa Siena
Mountain View, CA
3 → 1 ★
3 → 1 ★
Villa St Vincent
Crookston, MN
3 → 1 ★
5 → 3 ★
Westland House
Monterey, CA
5 → 3 ★
White River Healthcare
Calico Rock, AR
3 → 1 ★
Wilkes Regional Medical Ctr Sn
North Wilkesboro, NC
4 → 2 ★
Windsor Gardens
Lancaster, TX
4 → 2 ★
3 → 1 ★
5 → 3 ★
3 → 1 ★
3 → 2 ★
5 → 4 ★
2 → 1 ★
5 → 4 ★
Actors Fund Home
Englewood, NJ
5 → 4 ★
Adams County Manor
West Union, OH
4 → 3 ★
Advanced Care Of St Joseph
Saint Joseph, MO
2 → 1 ★
5 → 4 ★
Adviniacare At Northbridge
Northbridge, MA
4 → 3 ★
Adviniacare Newburyport
Newburyport, MA
3 → 2 ★
2 → 1 ★
Alameda Care Center
Burbank, CA
2 → 1 ★
5 → 4 ★
Alden Park Strathmoor
Rockford, IL
2 → 1 ★
2 → 1 ★
Alexandria Care Center
Los Angeles, CA
2 → 1 ★
2 → 1 ★
Aliya Of Oak Lawn
Oak Lawn, IL
2 → 1 ★
2 → 1 ★
Allure Of Lake Storey
Galesburg, IL
5 → 4 ★
Allure Of Prophetstown
Prophetstown, IL
2 → 1 ★
2 → 1 ★
5 → 4 ★
2 → 1 ★
Als Mount Vernon Inc
Mount Vernon, OH
4 → 3 ★
Als Woodstock Inc
Woodstock, OH
2 → 1 ★
4 → 3 ★
2 → 1 ★
Amberwood Care Centre
Rockford, IL
4 → 3 ★
Amberwoods Of Farmington
Farmington, CT
4 → 3 ★
American Village
Indianapolis, IN
4 → 3 ★
3 → 2 ★
Anberry Post Acute
Merced, CA
3 → 2 ★
Anderson, The
Cincinnati, OH
2 → 1 ★
Aperion Care Elgin
Elgin, IL
4 → 3 ★
Aperion Care Midlothian
Midlothian, IL
2 → 1 ★
Aperion Care Wesley
Chicago, IL
2 → 1 ★
Aperion Care Westchester
Westchester, IL
3 → 2 ★
Apple Rehab Coccomo
Meriden, CT
2 → 1 ★
3 → 2 ★
Arbor Glen Care Center
Glendora, CA
2 → 1 ★
Arbor Grove Village
Greensburg, IN
3 → 2 ★
Arbors At Pomeroy
Pomeroy, OH
2 → 1 ★
Arbors At Streetsboro
Streetsboro, OH
2 → 1 ★
Arbrook Plaza
Arlington, TX
4 → 3 ★
Arc At Normal
Normal, IL
2 → 1 ★
Arcadia Care Morris
Morris, IL
2 → 1 ★
5 → 4 ★
2 → 1 ★
5 → 4 ★
Aspen Health And Wellness
Overland Park, KS
2 → 1 ★
4 → 3 ★
3 → 2 ★
2 → 1 ★
2 → 1 ★
2 → 1 ★
2 → 1 ★
5 → 4 ★
Atlas Post Acute
Pueblo, CO
4 → 3 ★
Auburn Village
Auburn, IN
4 → 3 ★
3 → 2 ★
5 → 4 ★
2 → 1 ★
5 → 4 ★
3 → 2 ★
4 → 3 ★
5 → 4 ★
3 → 2 ★
3 → 2 ★
Avantara Libertyville
Libertyville, IL
4 → 3 ★
Avantara Long Grove
Long Grove, IL
5 → 4 ★
Avantara Milbank
Milbank, SD
2 → 1 ★
Avantara Mountain View
Rapid City, SD
3 → 2 ★
3 → 2 ★
Aventura At Walton Hills
Walton Hills, OH
3 → 2 ★
Aventura At West Park
Cincinnati, OH
2 → 1 ★
Aventura Rehab And Nursing Center
North Miami Beach, FL
4 → 3 ★
Aviata At Bradenton
Bradenton, FL
3 → 2 ★
Aviata At Grand Oaks
Palm Coast, FL
3 → 2 ★

Overall rating improved 1584, showing top 250

1 → 4 ★
Dugan Memorial Home
West Point, MS
2 → 5 ★
2 → 5 ★
Regeis Care Center
Bronx, NY
1 → 4 ★
Royal Meadow View Center
North Reading, MA
1 → 4 ★
Siskin Subacute West
Chattanooga, TN
2 → 5 ★
Woodland Oaks
Ashland, KY
1 → 4 ★
2 → 4 ★
Apple Rehab Watertown
Watertown, CT
2 → 4 ★
Applewood Center
Winchester, NH
3 → 5 ★
2 → 4 ★
2 → 4 ★
2 → 4 ★
3 → 5 ★
3 → 5 ★
2 → 4 ★
Avir At Bellville
Bellville, TX
2 → 4 ★
1 → 3 ★
2 → 4 ★
3 → 5 ★
Avir At Beeville
Beeville, TX
2 → 4 ★
Avir At Mansfield
Mansfield, TX
2 → 4 ★
Avir At North Richland Hills
North Richland Hills, TX
1 → 3 ★
Avir At Town Creek
Palestine, TX
1 → 3 ★
Bay Marina Post Acute
Oakland, CA
1 → 3 ★
Bella Terra Wheeling
Wheeling, IL
2 → 4 ★
Brookdale Skyline
Colorado Springs, CO
3 → 5 ★
3 → 5 ★
2 → 4 ★
2 → 4 ★
Camelot Of Broussard
Broussard, LA
1 → 3 ★
2 → 4 ★
2 → 4 ★
3 → 5 ★
1 → 3 ★
Careone At Wall
Wall, NJ
3 → 5 ★
1 → 3 ★
2 → 4 ★
3 → 5 ★
1 → 3 ★
Evercare Of Granite City
Granite City, IL
1 → 3 ★
2 → 4 ★
Forest Creek Village
Indianapolis, IN
2 → 4 ★
3 → 5 ★
Father Baker Manor
Orchard Park, NY
3 → 5 ★
Fond Du Lac Lutheran Home
Fond Du Lac, WI
1 → 3 ★
Forrest Oakes Healthcare
Albemarle, NC
1 → 3 ★
3 → 5 ★
2 → 4 ★
2 → 4 ★
2 → 4 ★
3 → 5 ★
3 → 5 ★
Heartland
Nashville, TN
3 → 5 ★
3 → 5 ★
Hallmark Healthcare Center
Summerville, SC
1 → 3 ★
2 → 4 ★
2 → 4 ★
1 → 3 ★
2 → 4 ★
James T Champion
Meridian, MS
2 → 4 ★
Jenkin's Living Center
Watertown, SD
1 → 3 ★
Jnh-Jefferson Inn
Whitfield, MS
3 → 5 ★
Johnson County Care Center
Warrensburg, MO
1 → 3 ★
2 → 4 ★
Laurel Court
Alvin, TX
3 → 5 ★
2 → 4 ★
3 → 5 ★
1 → 3 ★
1 → 3 ★
Mill Creek
Silsbee, TX
1 → 3 ★
3 → 5 ★
Missouri Slope
Bismarck, ND
2 → 4 ★
2 → 4 ★
3 → 5 ★
Neurorestorative
Riverton, UT
2 → 4 ★
3 → 5 ★
Otterbein North Shore
Lakeside, OH
3 → 5 ★
3 → 5 ★
2 → 4 ★
1 → 3 ★
Pruitthealth-Rockingham
Rockingham, NC
2 → 4 ★
Riveroaks Health Campus
Princeton, IN
2 → 4 ★
3 → 5 ★
2 → 4 ★
1 → 3 ★
2 → 4 ★
1 → 3 ★
Skyview Rehab And Nursing
Wallingford, CT
1 → 3 ★
St Croix Health Center
New Richmond, WI
2 → 4 ★
Sterling Village
Sterling, KS
1 → 3 ★
2 → 4 ★
3 → 5 ★
2 → 4 ★
2 → 4 ★
1 → 3 ★
Stonewall Living Center
Aspermont, TX
2 → 4 ★
1 → 3 ★
1 → 3 ★
2 → 4 ★
The Estates At St Louis Park Llc
Saint Louis Park, MN
1 → 3 ★
3 → 5 ★
Trinity Care Center
Round Rock, TX
1 → 3 ★
1 → 3 ★
3 → 5 ★
Willows Post Acute
Willows, CA
3 → 5 ★
2 → 4 ★
1 → 3 ★
Abington Manor
Clarks Summit, PA
2 → 3 ★
1 → 2 ★
Acc Care Center
Sacramento, CA
4 → 5 ★
2 → 3 ★
3 → 4 ★
4 → 5 ★
3 → 4 ★
2 → 3 ★
Ahva Care Of Winfield
Winfield, IL
3 → 4 ★
1 → 2 ★
1 → 2 ★
3 → 4 ★
3 → 4 ★
2 → 3 ★
3 → 4 ★
1 → 2 ★
2 → 3 ★
Alden Meadow Park Hcc
Clinton, WI
2 → 3 ★
3 → 4 ★
Alden Of Waterford
Aurora, IL
2 → 3 ★
Alden Poplar Creek Rehab & Hcc
Hoffman Estates, IL
4 → 5 ★
4 → 5 ★
2 → 3 ★
Aliya Of Highwood
Highwood, IL
4 → 5 ★
All Saint's Maubert
San Leandro, CA
1 → 2 ★
1 → 2 ★
Allure Of Pinecrest
Mount Morris, IL
1 → 2 ★
1 → 2 ★
2 → 3 ★
Altercare Coshocton Inc.
Coshocton, OH
2 → 3 ★
4 → 5 ★
3 → 4 ★
2 → 3 ★
3 → 4 ★
Alvarado Care Center
Los Angeles, CA
1 → 2 ★
2 → 3 ★
Andbe Home, Inc
Norton, KS
1 → 2 ★
4 → 5 ★
Aperion Care West Chicago
West Chicago, IL
1 → 2 ★
2 → 3 ★
4 → 5 ★
Apple Rehab Middletown
Middletown, CT
2 → 3 ★
Apple Rehab Rocky Hill
Rocky Hill, CT
1 → 2 ★
3 → 4 ★
4 → 5 ★
1 → 2 ★
Arbors At Carroll
Carroll, OH
3 → 4 ★
Arbors At Delaware
Delaware, OH
1 → 2 ★
Aristacare At Cherry Hill
Cherry Hill, NJ
1 → 2 ★
Aristacare At Whiting
Whiting, NJ
2 → 3 ★
3 → 4 ★
4 → 5 ★
4 → 5 ★
2 → 3 ★
1 → 2 ★
Aspire Transitional Care
Flagstaff, AZ
3 → 4 ★
2 → 3 ★
2 → 3 ★
2 → 3 ★
2 → 3 ★
1 → 2 ★
1 → 2 ★
4 → 5 ★
3 → 4 ★
1 → 2 ★
Avantara Chicago Ridge
Chicago Ridge, IL
3 → 4 ★
Avantara Huron
Huron, SD
1 → 2 ★
2 → 3 ★
Avenue At Broadview Heights
Broadview Heights, OH
2 → 3 ★
Avera Oahe Manor
Gettysburg, SD
1 → 2 ★
2 → 3 ★
Aviara Healthcare Center
Encinitas, CA
3 → 4 ★
1 → 2 ★
4 → 5 ★
Aviata At Palm Bay
Palm Bay, FL
3 → 4 ★
Aviata At Spring Hill
Brooksville, FL
3 → 4 ★
1 → 2 ★
Avir At Corpus Christi
Corpus Christi, TX
3 → 4 ★
Avir At Jacksboro
Jacksboro, TX
4 → 5 ★
Avir At Jefferson
Jefferson, TX
1 → 2 ★
Avir At Monahans
Monahans, TX
2 → 3 ★
Avir At San Augustine
San Augustine, TX
2 → 3 ★
3 → 4 ★
1 → 2 ★
Azria Health Great Bend
Great Bend, KS
1 → 2 ★
1 → 2 ★
2 → 3 ★
1 → 2 ★
3 → 4 ★
4 → 5 ★
Aperion Care Burbank
Burbank, IL
2 → 3 ★
Apple Rehab Guilford
Guilford, CT
1 → 2 ★
2 → 3 ★
Arc At Kankakee
Kankakee, IL
2 → 3 ★
1 → 2 ★
Ashley River Healthcare
Charleston, SC
4 → 5 ★
Aspen Health And Rehab
Broken Arrow, OK
2 → 3 ★
Atherton Baptist Home
Alhambra, CA
4 → 5 ★
Auburn Manor
Chaska, MN
2 → 3 ★
Autumn Care Of Fayetteville
Fayetteville, NC
4 → 5 ★
2 → 3 ★
Autumn Care Of Salisbury
Salisbury, NC
3 → 4 ★
3 → 4 ★
Avir At Arden Wood
Houston, TX
1 → 2 ★
Avir At Center
Center, TX
3 → 4 ★
Avir At Cotulla
Cotulla, TX
3 → 4 ★
Avir At Courtyard
Houston, TX
3 → 4 ★
Avir At El Paso
El Paso, TX
1 → 2 ★
Avir At Enchanted Rock
Fredericksburg, TX
1 → 2 ★
Avir At Grand Saline
Grand Saline, TX
2 → 3 ★
Avir At Irving
Irving, TX
4 → 5 ★
Avir At Magnolia
Luling, TX
1 → 2 ★
Avir At Overton
Overton, TX
1 → 2 ★
Avir At Paris
Paris, TX
4 → 5 ★

Changes compare the July 2026 U.S. federal (CMS) nursing home release with the June 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.