Ramsay heads to Pennsylvania's Ms. Jean's Southern Cuisine.

The episode was rated 7.46 from 125 votes.

Chef Ramsay heads to Mama Maria's in Brooklyn. This Italian restaurant and pizzeria was passed down from mother to son more than 25 years ago, but has proven to be more of a burden than a family gem. The owner is exhausted from trying to make ends meet for his family, which in turn has taken a toll on the staff, food and overall performance of the restaurant. Chef Ramsay is disgusted to find 12 freezers filled with rancid and inedible pre-made meals and he reaches his breaking point when one diner needs an ambulance after eating a defrosted piece of seafood. When Chef Ramsay levels with this owner, he leaves him in tears. Find out if Ramsay's push was enough to wake this owner and save his family and restaurant.

The episode was rated 7.52 from 127 votes.

A well-liked, retired couple ask Ramsay to help their son, who has taken over their restaurant, Nino's, in Long Beach, Calif.

The episode was rated 7.53 from 93 votes.

Ramsay heads back to Cafe Hon, Chierello and Leones to see if the owners heeded his advice.

The episode was rated 7.54 from 84 votes.

Chef Ramsay heads to Chappy's, a Cajun-style restaurant in the heart of Nashville where he meets owners John (Chappy) and Starr. The couple's original restaurant in Mississippi was destroyed in Hurricane Katrina, forcing them to move. However, since opening in Nashville, Chappy's hasn't found the same loyal customer base they once had. Find out if Chef Ramsay can help turn this restaurant around.

The episode was rated 7.61 from 95 votes.

Ramsay visits Mill Street Bistro in Ohio to try to turn the eatery around; the restaurant's owner acts like a dictator and has trouble listening to others' viewpoints.

The episode was rated 7.64 from 89 votes.

Chef Ramsay confronts the stubborn owner of the Olde Hitching Post in Massachusetts, who refuses to let his daughter and eatery co-owner have any control.

The episode was rated 7.69 from 113 votes.

In the last episode of "Kitchen Nightmares," Chef Ramsay traveled to Boston's North End to visit La Galleria 33, a restaurant run by sisters Rita and Lisa. He quickly discovered the establishment to be fraught with issues. Rita smokes and Lisa drinks on the job, and their unprofessional behavior has lost them the respect of their staff. The food, which is prepared by Rita's ex-husband Doug, is horrific. Chef Ramsay finds it to be frozen, bland and evidently made without passion. As the dramatic conclusion to the saga begins, Chef Ramsay has a heart-to-heart talk with the siblings, imploring them to strive for excellence. Rita concedes that they have to fix their problems, but Lisa asks to be left alone. The sisters tell Chef Ramsay that the staff doesn't respond to them, and he begs them to stop tiptoeing around the issues. In an attempt to give the proprietors some focus, Chef Ramsay asks them both to make a list of all the things that bother them the most that they want to change. The next morning, he gathers the owners and staff so that the sisters can share their agenda of issues. Rita kicks off the meeting by saying they would like the employees to stop treating La Galleria as if it were a competition to see who can do the least. Most of the workers, except Sarah the waitress, admit to being lazy.

The episode was rated 7.71 from 102 votes.

Ramsay travels to Sam's Mediterranean Kabob Room in Monrovia, Calif., where the owner has only been able to keep his own children on as employees.

The episode was rated 7.71 from 119 votes.

Chef Ramsay heads to Seattle to help Peter make some much-needed changes to his Greek restaurant, Yanni's.

The episode was rated 7.73 from 97 votes.

Ramsay tries to help a bickering brother and sister whose Beaver, Pa., restaurant Levanti's is failing.

The episode was rated 7.79 from 100 votes.

Chef Ramsay is in for a challenge when he heads to Everett, WA, to visit the Prohibition Grille. Professional belly dancer-turned-restaurant owner Rishi is struggling to keep her business afloat and is in desperate need of help. As a result of her lack of prior restaurant experience, Rishi leaves control of the kitchen in the hands of her head chef, who is constantly preoccupied and gives little focus to the restaurant. Constant complaints from customers have Rishi worried, but will she take Chef Ramsay’s advice?

The episode was rated 7.86 from 114 votes.

Chef Ramsay goes to Boston's North End to pay a visit to La Galleria 33, opened in 2006 by sisters Rita and Lisa. The two siblings grew up in the Italian neighborhood and worked at their father's very successful restaurant, L'Osteria, which was established in 1985. They branched out and opened their own establishment only 100 feet away, hoping to feed off their father's success. But the customers never came. The sisters blame everything from the weather to the tablecloths to the font on the menu. They don't know how to fix their problems because they don't know how to identify them. The employees, however, know exactly what is wrong - Lisa and Rita. They say the sisters treat people badly and talk unprofessionally. Plus Lisa drinks on the job and Rita smokes in the restaurant. They have slipped into complacency about the failing business, but their parents stand to lose everything if La Galleria fails. When Chef Ramsay arrives, he's confused by the restaurant's name, dated décor and proximity to their parents' eatery. He also discovers there is an issue with smoking and drinking on the job. Lisa and Rita in turn complain to him about the poor service and the lazy employees. As the icing on the cake, Rita admits that the head chef is her ex-husband, which causes a lot of tension.

The episode was rated 7.86 from 132 votes.

Chef Ramsay continues his work at the Mill Street Bistro Bar in Ohio, trying to get the obstinate owner to make a major attitude adjustment.

The episode was rated 7.89 from 88 votes.

Ramsay travels to Scottsdale, Ariz., to help the owners of Amy's Baking Company.

The episode was rated 8.34 from 146 votes.