Nursing Home Care

10 Worst Nursing Homes in the U.S.

In the United States, nursing homes are inspected regularly (about once per year) by The Centers for Medicare &amp Medicaid Services (CMS). Most facilities are in compliance with the laws that govern them, although the average nursing facility still receives six to seven violations, according to CMS. Facilities are asked to correct violations. If serious violations are not corrected, the facility can be barred from being a provider to Medicare and Medicaid patients. Before this serious step is taken, the CMS places facilities on a list of designated facilities. These designated facilities are called Special Focus Facilities (SFF), and after being placed on the list of SFFs, receive twice the number of usual inspections (typically two inspections per year). In 2007, the Centers for Medicare &amp Medicaid Services (CMS) took the unprecedented step of publishing a list of nursing homes that had failed to improve the quality of the care that they provided to their residents.

The CMS report reminds consumers that it’s impossible to gauge a facility just by written information. It is crucial to visit the facility to determine if it is going to meet your needs, or the needs of a loved one.

There are numerous facilities on the list, all divided into categories of:

  • New Additions — These facilities did not exhibit egregious performance on inspections, they just haven’t had enough time to show that they do a good job.
  • Not Improved — These facilities did not improve after having another inspection after being designated an SFF. Our list below of the 10 worst nursing homes in the U.S. draws solely from this list, as they have had the opportunity to improve, but haven’t.
  • Improving — These facilities have shown improvement in subsequent inspections following their designation as an SFF.
  • Recently Graduated — These facilities have shown sustained improvement over 12 months following their designation as an SFF.
  • No longer in Medicare or Medicaid — These facilities were either dismissed from offering government-offered nursing care because of low quality of care, or they voluntarily left the program. While this list might represent the worst facilities, they are not on our list below because they no longer provide care for the Medicare or Medicaid program.

The criteria for narrowing down the facilities that appeared on the “Not Improved” portion of the list, since there were more than 10 of them, was to select those facilities that have been an SFF for the longest amount of time and have had the most time to improve but haven’t.

The 10 Worst Nursing Homes in the United States:

1) The Pueblo Care and Rehab — Pueblo, Colorado

The Pueblo Care and Rehab facility has been designated an SFF for 32 months. The facility is not located in a hospital, and is owned by a for-profit corporation.

2) Legend Rehabilitation and Nursing Center — Gardner, Massachusetts.

The Legend Rehabilitation and Nursing Center has also been designated an SFF for 32 months. The facility is not located in a hospital, and is owned by a for-profit corporation.

3) Westview of Derby — Derby, Kansas

Westview of Derby has been designated an SFF for 29 months. The facility is not located in a hospital, and is owned by a for-profit corporation.

4) Idaho Falls Care and Rehab — Idaho Falls, Idaho

Idaho Falls Care and Rehab has been designated an SFF for 25 months. The facility is not located in a hospital, and is owned by a for-profit corporation.

5) Kindred Transitional Care And Rehabilitation-Tucson — Tucson, Arizona

Kindred Transitional Care And Rehabilitation-Tucson has been designated an SFF for 18 months. The facility is not located in a hospital, and is owned by a for-profit individual.

6) Bluegrass Care And Rehabilitation Center — Lexington, Kentucky

Bluegrass Care And Rehabilitation Center has been designated an SFF for 17 months. The facility is not located in a hospital, and is owned by a for-profit corporation.

7) Libertywood Nursing Center — Thomasville, North Carolina

Libertywood Nursing Center has been designated an SFF for 17 months as well. The facility is not located in a hospital, and is owned by a for-profit individual.

8) Palm Terrace Of St. Petersburg — St. Petersburg, Florida

Palm Terrace Of St. Petersburg has been designated an SFF for 15 months. The facility is not located in a hospital, and is owned by a for-profit corporation.

9) Topeka Community Healthcare — Topeka, Kansas
Topeka Community Healthcare has been designated an SFF for 15 months as well. The facility is not located in a hospital and is owned by a for-profit corporation.

10) Alamitos West Healthcare Center — Los Alamitos, California

Alamitos West Healthcare Center has been designated an SFF for 14 months. The facility is not located in a hospital and is owned by a for-profit partnership.