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The 100 Best-Graded Nursing Homes in America

Ranked by ElderGrade score, a composite of inspection citations weighted by the harm they caused, case-mix-adjusted nurse staffing, RN cover, weekend consistency, staff turnover, resident outcomes and enforcement history. Homes carrying an abuse flag, Special Focus status or an immediate-jeopardy citation are capped and cannot appear near the top, however well they staff. Full method.

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  1. #1
    A

    100/100

    Goodwin House Alexandria

    Alexandria, VA · Alexandria City County

    CMS 5/580 bedsNon-profitMedicaid
    Nurse hours
    5.34 /day
    Staff turnover
    18%
    Serious cites
    0

    Goodwin House Alexandria runs on 5.34 nursing hours per resident per day, about 38% above the national average, and that staffing holds up on weekends, roughly 5% below its own weekday level, which is a smaller drop than many homes show. Annual turnover sits at 17.8% against a national average near 46%, so the people caring for residents tend to stay. The current inspection record shows 14 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in April 2023. This is a church-related nonprofit with 80 certified beds, and the pattern across staffing, retention, and inspection history is unusually steady.

  2. #2
    A

    100/100

    Transitional Sub-Acute Unit

    Wyomissing, PA · Berks County

    CMS 5/550 bedsNon-profit
    Nurse hours
    5.56 /day
    Staff turnover
    25%
    Serious cites
    0

    The numbers here are hard to argue with: 5.56 nurse hours per resident per day, roughly 44 percent above the national average, and a 25.3 percent turnover rate against a national figure near 46 percent, meaning staff tend to stay, which matters more than almost anything for daily consistency. Weekend coverage dips only about 4 percent below weekdays, so care doesn't thin out when families are least likely to visit. On the regulatory side, the record is clean: zero deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent inspection in August 2025. A five-star rating across health inspections, quality measures, and staffing, under nonprofit ownership, is a rare combination.

  3. #3
    A

    100/100

    Hrh Transitional Care Unit(A D/B/A Entity Of Hrhs)

    Meadowbrook, PA · Montgomery County

    CMS 5/521 bedsNon-profit
    Nurse hours
    6.29 /day
    Staff turnover
    21%
    Serious cites
    0

    The numbers at Hrh Transitional Care Unit in Meadowbrook are hard to argue with. Nurse staffing runs about 6.29 hours per resident day, roughly 63% above the national average, and turnover sits at 20.8%, well under half the national rate of 45.8%, which matters because consistent caregivers tend to know their residents. Inspections back it up: a 5/5 health inspection rating, three total deficiencies on record with none at the harm level and none abuse-related, and a recent survey from February 2026. It's a 21-bed nonprofit unit, so it's small, and the weekend staffing dip of about 3% below its own weekday level is minor. Nothing here looks like a red flag; the record reads like a home that staffs well and keeps its paperwork clean.

  4. #4
    A

    100/100

    Parker At Somerset, Inc

    Somerset, NJ · Somerset County

    CMS 5/5120 bedsNon-profitMedicaid
    Nurse hours
    6.07 /day
    Staff turnover
    18%
    Serious cites
    0

    Parker At Somerset runs on 6.07 nurse hours per resident per day, which is roughly 57% above the national average of 3.86. Weekend coverage dips about 5% below its own weekday level, but that's a small gap compared to most homes. Staff turnover sits at 17.7% against a national average of 45.8%, meaning the people caring for residents tend to stick around, and the five deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related. The last inspection was in April 2025, so the picture is recent, and as a nonprofit it isn't answering to shareholders.

  5. #5
    A

    100/100

    Campion Health & Wellness, Inc

    Weston, MA · Middlesex County

    CMS 5/570 bedsNon-profitMedicaid
    Nurse hours
    6.80 /day
    Staff turnover
    31%
    Serious cites
    0

    Campion Health & Wellness runs on 6.80 nurse staffing hours per resident day, roughly 76% above the national average of 3.86, a gap that shows up on weekends too, where hours dip only about 5% below the weekday pace. Staff turnover sits at 30.8% against a national average of 45.8%, and the home carries a single deficiency on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in May 2025. It's a 70-bed nonprofit affiliated with a church, and its CMS stars come back 5/5 across health inspections, quality measures, and staffing. One family review so far, and it's a 5/5.

  6. #6
    A

    100/100

    Hill Top House

    Bucklin, KS · Ford County

    CMS 5/529 bedsGovernmentMedicaid
    Nurse hours
    4.38 /day
    Staff turnover
    29%
    Serious cites
    0

    Hill Top House runs on a government hospital district budget in Bucklin, and the numbers suggest the money goes to people. Nurse staffing sits at 4.38 hours per resident day, about 13% above the national average, and weekends only dip roughly 5% below weekday levels, a small gap by nursing home standards. Staff turnover is 29%, well under the national 45.8%, so the aides and nurses here tend to stay. The tradeoff shows up in inspections: 15 deficiencies on record, one serious enough to reach harm or jeopardy level, and a middling 3 out of 5 inspection rating, though the last survey was recent, in November 2024, with nothing abuse-related. With 29 beds, it stays small enough that consistency matters more than scale.

  7. #7
    A

    100/100

    Deerfield Health Care Center

    Urbandale, IA · Polk County

    CMS 5/530 bedsNon-profit
    Nurse hours
    5.31 /day
    Staff turnover
    26%
    Serious cites
    0

    Deerfield Health Care Center is a 30-bed nonprofit home in Urbandale, church-affiliated, and the numbers behind it are unusually steady. Nurse staffing runs 5.31 hours per resident day, roughly 38% above the national average, and weekends hold within about 2% of weekday coverage, a gap that sinks plenty of homes. Staff turnover sits at 25.8% against a national average of 45.8%, which matters because aides who stay know the residents. The inspection record shows three deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey completed March 27, 2025. At 30 beds, this is a small enough building that consistent staffing and low turnover show up directly in daily care.

  8. #8
    A

    100/100

    Mclean Health Center

    Simsbury, CT · Capitol County

    CMS 5/572 bedsNon-profitMedicaid
    Nurse hours
    5.12 /day
    Staff turnover
    27%
    Serious cites
    0

    Mclean Health Center runs on 5.12 nurse hours per resident per day, roughly a third more than the national average of 3.86, and its weekend coverage holds close to weekday levels. Staff turnover sits at 26.6% against a national average near 46%, which matters for how well aides know the residents in a 72-bed nonprofit home. The tradeoff is a longer deficiency record: 14 citations on file, one serious enough to involve harm or jeopardy, though none abuse-related. Its last inspection was April 2025, and CMS gives it top marks for staffing and quality measures, with a 4 out of 5 on health inspections.

  9. #9
    A

    99/100

    The Legacy At Willow Bend

    Plano, TX · Collin County

    CMS 5/560 bedsNon-profitMedicaid
    Nurse hours
    5.58 /day
    Staff turnover
    27%
    Serious cites
    0

    The Legacy At Willow Bend runs on about 5.58 nurse hours per resident day, roughly 45% more staffing than the typical American nursing home. That's the kind of margin that shows up in daily care, and it's backed by a 26.7% annual staff turnover rate, well below the 45.8% national figure, meaning fewer unfamiliar faces. The trade-off: 16 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy level. The most recent inspection was in December 2025, so the picture is current. Weekend staffing dips about 8% below its own weekday level, a small but real gap. Nonprofit ownership, strong inspection and quality ratings, and no harm-level findings round out the record.

  10. #10
    A

    99/100

    The Methodist Hospital Snf

    Houston, TX · Harris County

    CMS 5/525 bedsNon-profit
    Nurse hours
    10.85 /day
    Staff turnover
    25%
    Serious cites
    0

    The Methodist Hospital SNF runs 25 certified beds on a church-affiliated nonprofit model, and the staffing numbers reflect that: 10.85 nurse hours per resident day against a national average of 3.86. That's not a rounding error, it's roughly triple the typical home, with weekend coverage dipping only about 7% below its own weekday level, so care doesn't thin out when families visit. Staff turnover sits at 25% versus 45.8% nationally, meaning aides and nurses here tend to stay. The current record shows two deficiencies, neither at harm level and none abuse-related, with an inspection dated August 2025. Small, stable, and recently reviewed.

  11. #11
    A

    99/100

    Laredo Medical Center

    Laredo, TX · Webb County

    CMS 5/518 bedsFor-profit
    Nurse hours
    6.27 /day
    Staff turnover
    30%
    Serious cites
    0

    The numbers at Laredo Medical Center are unusually clean for an 18-bed for-profit home. Nurse staffing sits at 6.27 hours per resident day, roughly 62% above the national average, and the staff turnover rate of 30% beats the national figure of 45.8%. Only two deficiencies show on the current record, neither at the harm level and none abuse-related, following an inspection in December 2025. The one soft spot is weekends, when staffing runs about 12% below the home's own weekday level. That's a common pattern, but with this few beds it's worth asking how coverage holds up on a Saturday.

  12. #12
    A

    99/100

    Veterans Home Of California - Fresno

    Fresno, CA · Fresno County

    CMS 5/5120 bedsGovernmentMedicaid
    Nurse hours
    6.03 /day
    Staff turnover
    28%
    Serious cites
    0

    The Fresno Veterans Home is state-run and staffed at 6.03 nurse hours per resident day, roughly 56% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on a Sunday. Staff turnover sits at 28.3% against a national average near 46%, which matters for whether you see the same faces month to month. The record shows 29 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 30, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 4 or 5 out of 5.

  13. #13
    A

    99/100

    Creekview Skilled Nursing

    Pleasanton, CA · Alameda County

    CMS 5/573 bedsFor-profit
    Nurse hours
    5.05 /day
    Staff turnover
    31%
    Serious cites
    0

    Creekview runs about 5.05 nurse hours per resident per day, roughly a third more than the national average of 3.86, and its staff turnover of 31.3% is well below the 45.8% national figure, a combination that usually shows up as consistent care rather than revolving faces. State inspectors visited in February 2025 and logged 12 deficiencies, none at the level of actual harm and none related to abuse, so what's on the record reads as paperwork and process issues rather than resident safety. Weekend coverage dips about 9% below weekdays, worth asking about if your family tends to visit Saturday or Sunday.

  14. #14
    A

    99/100

    Baywood Court Health Center

    Castro Valley, CA · Alameda County

    CMS 5/556 bedsNon-profitMedicaid
    Nurse hours
    4.88 /day
    Staff turnover
    31%
    Serious cites
    0

    Baywood Court runs about 4.88 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 10% below its own weekday levels, so ask how that plays out on a Sunday. Staff turnover sits at 30.8%, well under the national 45.8%, that kind of retention usually means caregivers who know the residents. The inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with the last visit in October 2024. As a nonprofit with top marks across inspection, quality, and staffing, this is a consistently strong home.

  15. #15
    A

    99/100

    Vi At Palo Alto

    Palo Alto, CA · Santa Clara County

    CMS 5/544 bedsFor-profit
    Nurse hours
    6.10 /day
    Staff turnover
    20%
    Serious cites
    0

    Vi At Palo Alto runs on unusually heavy staffing for a nursing home, 6.10 nurse hours per resident day, about 58% above the national average, and its staff tend to stay, with turnover at 20.3% against a national 45.8%. Weekend coverage dips roughly 11% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The tradeoff shows up in its inspection record: 19 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, and the most recent inspection was January 2026. Ownership is for-profit through a limited liability company. The staffing and quality numbers are strong; the deficiency count is the piece to press them on.

  16. #16
    A

    99/100

    Glenbrook

    Carlsbad, CA · San Diego County

    CMS 5/594 bedsFor-profit
    Nurse hours
    5.23 /day
    Staff turnover
    31%
    Serious cites
    0

    Glenbrook runs 5.23 nurse hours per resident day, roughly a third more than the national average, and its staff turnover sits at 30.9% against a national 45.8%, a meaningful difference when you consider how much continuity affects daily care. Weekend staffing dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The record isn't clean: 24 deficiencies, one at the harm or jeopardy level, one abuse-related, and a $9,311 fine. Inspectors were last in during September 2025, so the picture is current. For-profit, LLC-owned, 94 beds.

  17. #17
    A

    99/100

    Vi At La Jolla Village

    San Diego, CA · San Diego County

    CMS 5/560 bedsFor-profit
    Nurse hours
    5.24 /day
    Staff turnover
    26%
    Serious cites
    0

    Vi At La Jolla Village runs a 60-bed for-profit operation in San Diego, and its staffing is the standout: 5.24 nurse hours per resident day, roughly 36% above the national average, with weekends dipping only about 8% below its own weekday level. Turnover sits at 25.6% against a national 45.8%, and the home holds 5-star marks on health inspections, quality measures, and staffing alike. The record isn't spotless, 15 deficiencies, two tied to abuse, but none rose to harm or jeopardy, and the most recent inspection closed in August 2025. For families weighing a smaller home with unusually steady nursing coverage, the numbers here are worth a closer look.

  18. #18
    A

    99/100

    Torrance Memorial Med Ctr Snf/Dp

    Torrance, CA · Los Angeles County

    CMS 5/540 bedsNon-profitMedicaid
    Nurse hours
    8.46 /day
    Staff turnover
    22%
    Serious cites
    0

    Torrance Memorial Med Ctr Snf/Dp runs on unusually heavy staffing: 8.46 nurse hours per resident per day, more than double the national average of 3.86. That number holds up on weekends too, dipping only about 7% below its own weekday level, and staff turnover sits at 21.9% against a national average of 45.8%, people tend to stay. The home carries 28 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was in March 2026. As a nonprofit with 40 certified beds, it pairs a clean federal record with staffing most homes can't match.

  19. #19
    A

    99/100

    Health Care Ctr At The Forum At Rancho San Antonio

    Cupertino, CA · Santa Clara County

    CMS 4/548 bedsNon-profit
    Nurse hours
    5.75 /day
    Staff turnover
    29%
    Serious cites
    0

    The Health Care Center at The Forum at Rancho San Antonio runs on unusually heavy staffing for a 48-bed nonprofit home, 5.75 nurse hours per resident day, roughly half again the national figure. Weekend coverage dips about 8% below weekday levels, but turnover sits at 28.8% against a national average near 46%, so the people caring for residents tend to stay. The tradeoff shows up in inspections: 36 deficiencies on the current record, one tied to abuse, though none reached harm or jeopardy. The last survey was in January 2026. Strong quality and staffing marks sit alongside middling inspection results, worth asking about that abuse citation directly.

  20. #20
    A

    99/100

    Spring Lake Village

    Santa Rosa, CA · Sonoma County

    CMS 5/570 bedsNon-profit
    Nurse hours
    5.54 /day
    Staff turnover
    22%
    Serious cites
    0

    Spring Lake Village runs a genuine nonprofit operation in Santa Rosa with 70 certified beds, and the staffing numbers show it: 5.54 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 12% from weekday levels. Annual turnover sits at 22.1%, roughly half the national rate of 45.8%, which suggests caregivers are staying long enough to know the residents. The health inspection record holds 26 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Inspectors were last on site January 22, 2026, and the federal ratings land at 4 out of 5 for health inspections and 5 out of 5 on both quality measures and staffing.

  21. #21
    A

    99/100

    Wi Veterans Hm Ainsworth Hall

    King, WI · Waupaca County

    CMS 5/5198 bedsGovernmentMedicaid
    Nurse hours
    5.82 /day
    Staff turnover
    27%
    Serious cites
    0

    The state runs this 198-bed home in Waupaca County, and the staffing numbers show it: 5.82 nurse hours per resident per day, roughly half again the national average of 3.86. Weekend coverage dips about 11% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Turnover sits at 26.9%, well under the 45.8% national figure, so the people caring for residents tend to stay. Fifteen deficiencies appear on the current record with none at the harm level, one tied to abuse, and the most recent inspection was in March 2025.

  22. #22
    A

    99/100

    Heron's Key

    Gig Harbor, WA · Pierce County

    CMS 5/530 bedsNon-profit
    Nurse hours
    5.75 /day
    Staff turnover
    30%
    Serious cites
    0

    Heron's Key sits in Gig Harbor with just 30 certified beds, and the staffing numbers are the first thing worth noting: 5.75 nurse hours per resident day, roughly half again the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is common but still worth asking about. Annual turnover of 29.6% runs well under the 45.8% national figure, so the people caring for residents tend to stay. Inspections tell a mixed story, 19 deficiencies on record, one serious enough to involve harm or jeopardy, and a single $15,015 fine. The last inspection was February 2026, so the picture is current.

  23. #23
    A

    99/100

    Briarwood At Timber Ridge

    Issaquah, WA · King County

    CMS 5/545 bedsFor-profitMedicaid
    Nurse hours
    4.64 /day
    Staff turnover
    29%
    Serious cites
    0

    Briarwood At Timber Ridge runs 4.64 nurse hours per resident per day, roughly a fifth more than the national average, and its staff turnover sits at 28.6 percent against a national 45.8, meaning the people caring for your relative are more likely to still be there next year than at a typical home. Weekend coverage dips about 12 percent below weekdays, so ask how that plays out on a Sunday. The inspection record shows 19 deficiencies, none at the harm level and none abuse-related, with the most recent visit in December 2025. For a 45-bed for-profit, that combination of low turnover and steady survey history is what stands out.

  24. #24
    A

    99/100

    Rappahannock Westminster Canterbury

    Irvington, VA · Lancaster County

    CMS 5/542 bedsNon-profitMedicaid
    Nurse hours
    4.92 /day
    Staff turnover
    26%
    Serious cites
    0

    Rappahannock Westminster Canterbury runs about 4.92 nurse hours per resident day, which is roughly 28% above the national average, and its staff turnover sits at 25.6% against a national 45.8%, that combination is why the numbers look strong here. Weekend staffing does dip about 13% below its weekday level, so ask how that plays out on Saturdays and Sundays. The current record shows 14 deficiencies, one of them at the harm or jeopardy level, with no abuse citations; the last inspection was August 2023, so the picture may be older than you'd like. A 42-bed nonprofit home with that staffing edge and relatively stable workforce is worth a visit, but bring questions about that harm-level finding and what's changed since.

  25. #25
    A

    99/100

    Mervyn Sharp Bennion Central Utah Veterans Home

    Payson, UT · Utah County

    CMS 5/5108 bedsGovernmentMedicaid
    Nurse hours
    5.69 /day
    Staff turnover
    34%
    Serious cites
    0

    The state-run veterans home in Payson runs nurse staffing at 5.69 hours per resident day, roughly 47% above the national figure, with weekend coverage dipping about 9% below its own weekday levels. Staff turnover of 33.7% sits well under the national 45.8%, which matters for continuity in a memory-care-heavy population. Against that, the current record carries 13 deficiencies, including one at the harm or jeopardy level and one tied to abuse, and the most recent inspection was April 2026. Strong marks across CMS's health, quality, and staffing domains coexist here with real citations, so read the inspection details rather than the star averages.

  26. #26
    A

    99/100

    Hendrick Skilled Nursing Facility

    Abilene, TX · Taylor County

    CMS 5/520 bedsNon-profit
    Nurse hours
    9.65 /day
    Staff turnover
    34%
    Serious cites
    0

    Hendrick Skilled Nursing Facility is a small nonprofit home in Abilene, just 20 certified beds, and the staffing numbers are the first thing that stands out. At 9.65 nurse hours per resident day, it runs roughly two and a half times the national average, and even with weekends dipping about 12% below its own weekday level, that floor stays unusually high. Staff turnover sits at 34.3%, well under the national 45.8%. The inspection record is current as of December 2025, with eight deficiencies on file but none at the harm level and none abuse-related. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five.

  27. #27
    A

    99/100

    Menno Haven Rehabilitation Center

    Chambersburg, PA · Franklin County

    CMS 5/544 bedsNon-profit
    Nurse hours
    5.76 /day
    Staff turnover
    28%
    Serious cites
    0

    Menno Haven runs about 5.76 nursing hours per resident each day, roughly half again the national average of 3.86, and its weekend coverage dips only about 10% below weekday levels. Staff turnover sits at 28.3% against a national 45.8%, which matters over time, familiar aides tend to notice small changes sooner. The inspection record shows 13 deficiencies, none of them at the harm or jeopardy level and none abuse-related, with the most recent visit in August 2025. As a nonprofit, it answers to a board rather than shareholders. Nothing here reads like a place cutting corners on direct care.

  28. #28
    A

    99/100

    Health Center At The Hill At Whitemarsh, The

    Lafayette Hill, PA · Montgomery County

    CMS 5/560 bedsNon-profit
    Nurse hours
    5.37 /day
    Staff turnover
    31%
    Serious cites
    0

    Nurse staffing at the Hill at Whitemarsh runs 5.37 hours per resident day, roughly 39 percent above the national average, and weekends dip only about 9 percent below its own weekday level, a modest slide, not the sharp drop many homes show. Staff turnover sits at 31.1 percent against a national 45.8 percent, meaning fewer caregivers are cycling out the door. The current inspection record holds a single deficiency, none at the harm level and none abuse-related, with the most recent survey completed in December 2025. For a 60-bed nonprofit in Lafayette Hill, those three numbers, staffing depth, retention, and a nearly clean inspection history, tell you where the consistency comes from.

  29. #29
    A

    99/100

    Upmc Magee-Womens Hospital Tcu

    Pittsburgh, PA · Allegheny County

    CMS 5/520 bedsNon-profit
    Nurse hours
    6.41 /day
    Staff turnover
    26%
    Serious cites
    0

    Upmc Magee-Womens Hospital Tcu runs just 20 certified beds, which tends to mean staff actually know the residents. The numbers back that up: 6.41 nurse staffing hours per resident day, roughly 66% above the national average, and a 25.8% turnover rate that's well below the 45.8% national figure. Weekend staffing dips about 7% from weekday levels, a modest drop rather than a cliff. Ten deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in late 2025. As a nonprofit, it answers to a mission rather than shareholders.

  30. #30
    A

    99/100

    Lehigh Valley Hospital Tsu

    Allentown, PA · Lehigh County

    CMS 5/552 bedsNon-profit
    Nurse hours
    6.46 /day
    Staff turnover
    15%
    Serious cites
    0

    Lehigh Valley Hospital Tsu runs on unusually heavy staffing, 6.46 nurse hours per resident day, roughly two-thirds more than the national average, and its workers tend to stay, with turnover at 14.9% against a national 45.8%. Weekend coverage dips about 15% below weekday levels, but the floor stays well above what most homes provide. The caution sits in the inspection record: two deficiencies, one serious enough to involve harm or jeopardy, and the most recent survey dates to May 2026, so that record is getting stale. A nonprofit hospital-based unit with strong quality scores and a thin but not clean regulatory history, worth asking what that harm-level finding involved and when surveyors are due back.

  31. #31
    A

    99/100

    Hcc At White Horse Village

    Newtown Square, PA · Delaware County

    CMS 5/555 bedsNon-profit
    Nurse hours
    5.04 /day
    Staff turnover
    23%
    Serious cites
    0

    Hcc At White Horse Village sits in Newtown Square with 55 certified beds under nonprofit ownership, and the staffing numbers are the story here. At 5.04 nurse hours per resident day, it runs about 31 percent above the national average of 3.86, that's real coverage, not a rounding error. Weekend staffing dips roughly 7 percent below its own weekday level, which is worth knowing if your visits skew toward Saturdays and Sundays. Annual turnover of 23.3 percent sits well under the national 45.8 percent, so the same faces tend to stay. Three deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026.

  32. #32
    A

    99/100

    Willowbrooke Court Skilled Care Center At Brittany

    Lansdale, PA · Montgomery County

    CMS 5/592 bedsNon-profitMedicaid
    Nurse hours
    4.21 /day
    Staff turnover
    29%
    Serious cites
    0

    Willowbrooke Court runs on 4.21 nurse hours per resident day, roughly 9% above the national average, and weekend coverage dips only modestly below its own weekday level, a gap far smaller than what many homes show. Staff turnover sits at 29.4% against a national 45.8%, which matters because consistent caregivers know residents' routines and catch changes early. The current record holds three deficiencies, none at the harm level and none abuse-related, with an inspection completed in July 2025. As a nonprofit, it answers to a board rather than shareholders. Every one of those signals points the same direction, which is rare, homes often look strong in one area and thin in another.

  33. #33
    A

    99/100

    Waverly Heights

    Gladwyne, PA · Montgomery County

    CMS 5/531 bedsNon-profit
    Nurse hours
    7.52 /day
    Staff turnover
    17%
    Serious cites
    0

    Waverly Heights runs on a nonprofit model with 31 certified beds, and the numbers behind its record are worth a closer look. Nurse staffing sits at 7.52 hours per resident day, roughly double the national average of 3.86, and weekend coverage holds within about 5% of weekday levels, so families visiting on Saturdays and Sundays aren't walking into a thinner floor. Staff turnover is 16.7%, well under the national 45.8%, which matters because consistent caregivers know the residents. Six deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated February 2026. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

  34. #34
    A

    99/100

    Lebanon Valley Brethren Home

    Palmyra, PA · Lebanon County

    CMS 5/588 bedsNon-profitMedicaid
    Nurse hours
    5.10 /day
    Staff turnover
    26%
    Serious cites
    0

    Staffing here runs about 5.1 nurse hours per resident per day, roughly a third above the national average, and that holds up on weekends too, weekend coverage dips only about 10% from weekday levels, which is smaller than what many homes show. Annual turnover sits at 26.1% against a national average near 46%, so the people caring for residents tend to stay. The inspection record is thin in the best way: one deficiency total, none involving harm or abuse, from a visit dated February 2026. Put the staffing, retention, and inspection history together and you get a home that looks steady rather than lucky.

  35. #35
    A

    99/100

    Wooster Community Hospital Snf

    Wooster, OH · Wayne County

    CMS 5/522 bedsGovernment
    Nurse hours
    7.08 /day
    Staff turnover
    29%
    Serious cites
    0

    Wooster Community Hospital's skilled nursing unit runs on 7.08 nurse hours per resident day, roughly 83% above the national average of 3.86, and its staff turnover sits at 28.6% against a national 45.8%, meaning the people caring for residents tend to stay. Weekend coverage dips about 9% below weekday levels, a gap worth asking about if your family visits mainly on Saturdays. The inspection record is clean where it counts: three deficiencies total, none at the harm level, none abuse-related, with the most recent survey in January 2024. City-owned and small at 22 beds, it pairs that staffing with 5/5 ratings across health inspections, quality measures, and staffing.

  36. #36
    A

    99/100

    Deupree Cottages

    Cincinnati, OH · Hamilton County

    CMS 5/524 bedsNon-profitMedicaid
    Nurse hours
    5.39 /day
    Staff turnover
    16%
    Serious cites
    0

    Deupree Cottages runs on a small scale, 24 certified beds under nonprofit ownership, and the staffing numbers reflect that attention. At 5.39 nurse hours per resident day, it sits roughly 40% above the national average of 3.86, and weekend coverage stays within about 10% of its weekday level, so care doesn't thin out when families tend to visit. Staff turnover tells its own story: 15.8% against a national 45.8% means aides and nurses are staying put, which matters for residents who depend on familiar faces. Thirteen deficiencies on record with none at the harm level and none abuse-related, plus a July 2025 inspection, round out a picture of a home that's both well-staffed and recently reviewed.

  37. #37
    A

    99/100

    Mcv Health Care Facilities, Inc

    Mason, OH · Warren County

    CMS 5/573 bedsNon-profitMedicaid
    Nurse hours
    5.60 /day
    Staff turnover
    29%
    Serious cites
    0

    Mcv Health Care Facilities runs on church-affiliated nonprofit ownership, and the numbers reflect that stability. Nurse staffing sits at 5.60 hours per resident day, roughly 45% above the national average of 3.86, and weekend coverage dips only about 12% below weekday levels, a gap that's smaller than what many homes show. Staff turnover is 29.3%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. The inspection record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in November 2023. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

  38. #38
    A

    99/100

    River Landing At Sandy Ridge

    Colfax, NC · Guilford County

    CMS 5/560 bedsNon-profitMedicaid
    Nurse hours
    5.52 /day
    Staff turnover
    30%
    Serious cites
    0

    River Landing at Sandy Ridge runs about 5.52 nurse hours per resident each day, roughly 43% above what nursing homes nationally average. Weekends dip about 11% below its own weekday staffing, so coverage isn't perfectly flat, but the baseline is high enough that the drop doesn't erase the advantage. Staff turnover sits at 29.5% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record is clean where it counts: three deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in January 2026. Under nonprofit ownership, that combination, strong hours, stable staff, no harm-level findings, is doing the work here.

  39. #39
    A

    99/100

    Carolina Village Inc

    Hendersonville, NC · Henderson County

    CMS 5/558 bedsNon-profit
    Nurse hours
    6.25 /day
    Staff turnover
    22%
    Serious cites
    0

    Carolina Village in Hendersonville runs on 6.25 nurse staffing hours per resident day, roughly 62 percent above the national average, and weekend coverage holds within about 12 percent of its weekday level. Staff turnover sits at 22.2 percent against a national average of 45.8 percent, meaning aides and nurses tend to stay. The nonprofit's record shows three deficiencies total, none at the harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. All three CMS star ratings land at 5 out of 5. For a 58-bed home, the numbers describe steady hands and low churn rather than anything flashy.

  40. #40
    A

    99/100

    Helen Hayes Hospital T C U

    West Haverstraw, NY · Rockland County

    CMS 5/524 bedsGovernment
    Nurse hours
    7.22 /day
    Staff turnover
    33%
    Serious cites
    0

    Helen Hayes Hospital's transitional care unit in West Haverstraw runs on unusually heavy staffing, 7.22 nurse hours per resident day, roughly 87% above the national figure, and that shows up in the weekend numbers too, which dip about 14% below weekdays but stay high in absolute terms. Staff turnover sits at 33.3%, noticeably below the 45.8% national average, which matters for consistency of care. Its inspection record is clean: two deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in March 2025. State-run ownership adds a layer of public accountability. For 24 beds, that combination of nurse hours and low deficiency counts is the whole story.

  41. #41
    A

    99/100

    John T Mather Memorial Hosp T C U

    Port Jefferson, NY · Suffolk County

    CMS 5/516 bedsFor-profitMedicaid
    Nurse hours
    7.99 /day
    Staff turnover
    3%
    Serious cites
    0

    John T Mather Memorial's transitional care unit runs on 7.99 nurse hours per resident day, more than double the national figure of 3.86, and its 3.4% turnover is almost unheard of next to the 45.8% national average, meaning the people caring for your family member mostly stay put. Weekend staffing dips about 11% from its own weekday level, worth asking about if you're planning visits then. Twelve deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2025. It's a small for-profit unit, 16 beds, tucked inside a hospital.

  42. #42
    A

    99/100

    Childrens Specialized Hospital Toms River

    Toms River, NJ · Ocean County

    CMS 5/526 bedsNon-profitMedicaid
    Nurse hours
    6.72 /day
    Staff turnover
    30%
    Serious cites
    0

    Childrens Specialized Hospital Toms River runs 26 certified beds in Ocean County as a nonprofit, and its nurse staffing sits at 6.72 hours per resident day, roughly 74% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, but with a base that high, even the lighter days stay well-staffed. Turnover is 30.3%, noticeably lower than the national 45.8%, which suggests a stable crew rather than a rotating door. Its inspection record shows 7 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent visit was September 2024. The quality and staffing star ratings are both perfect fives.

  43. #43
    A

    99/100

    Cheshire Home

    Florham Park, NJ · Morris County

    CMS 5/535 bedsNon-profitMedicaid
    Nurse hours
    7.73 /day
    Staff turnover
    28%
    Serious cites
    0

    Cheshire Home runs 35 certified beds in Florham Park under nonprofit ownership, and the staffing number is the first thing that stands out: 7.73 nurse hours per resident day, roughly double the national average. Weekend coverage dips about 10% below its own weekday level, which is worth asking about, but the base is high enough that even the dip stays well above typical. Staff turnover sits at 28.1%, meaningfully below the 45.8% national figure, so the people caring for residents tend to stick around. Fifteen deficiencies appear on the current record with none at the harm level, though two are abuse-related and worth reading directly. Morris County families comparing options should note the inspection was recent, January 2026.

  44. #44
    A

    99/100

    Applewood Village, Inc

    Freehold, NJ · Monmouth County

    CMS 5/560 bedsNon-profitMedicaid
    Nurse hours
    5.73 /day
    Staff turnover
    23%
    Serious cites
    0

    Applewood Village is small, 60 beds, and it runs on a nonprofit model, which often shows up in the numbers. Nurse staffing sits at 5.73 hours per resident day, roughly 48% above the national average, and weekend coverage dips only about 6% below weekday levels, so the care doesn't thin out much on Saturdays and Sundays. Annual turnover is 22.8%, about half the national rate of 45.8%, meaning the people caring for residents tend to stay. On the inspection side, two deficiencies on record, neither at the harm level and none abuse-related, with the most recent inspection dated March 2026. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

  45. #45
    A

    99/100

    Willowbrooke Court Skilled Care At Evergreens

    Moorestown, NJ · Burlington County

    CMS 5/517 bedsNon-profit
    Nurse hours
    5.31 /day
    Staff turnover
    18%
    Serious cites
    0

    Willowbrooke Court runs on a small 17-bed unit, and the staffing numbers back up what that size allows: 5.31 nurse hours per resident day, roughly a third more than the national average. Turnover sits at 18.2% against a national 45.8%, so the people caring for residents tend to stay. Weekend coverage dips about 14% below weekdays, which is worth asking about if your family visits mainly on Saturdays or Sundays. Six deficiencies on record, none at harm or jeopardy level, though one is abuse-related. The last inspection was September 2025, and it's a nonprofit.

  46. #46
    A

    99/100

    Harmony Manor Skilled Nursing Facility

    Winnemucca, NV · Humboldt County

    CMS 5/542 bedsGovernmentMedicaid
    Nurse hours
    6.14 /day
    Staff turnover
    33%
    Serious cites
    0

    Harmony Manor runs on unusually heavy staffing for a 42-bed hospital-district home, 6.14 nurse hours per resident day, roughly 59% above the national average, and the weekend dip of about 12% still leaves it well ahead of most places. Turnover sits at 32.7% against a national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in its record: 24 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was April 2026, and it scores 4s and 5s across inspection, quality, and staffing measures.

  47. #47
    A

    99/100

    Newport House

    Omaha, NE · Douglas County

    CMS 5/596 bedsNon-profitMedicaid
    Nurse hours
    5.07 /day
    Staff turnover
    33%
    Serious cites
    0

    Newport House runs 5.07 nurse hours per resident day, roughly a third more hands-on care than the national average, and its weekend hours dip only about 11% below weekday levels, smaller than what many homes see. Staff turnover sits at 32.8% against a national 45.8%, so the people caring for residents tend to stick around. The inspection record shows nine deficiencies with none at the harm level, though one is abuse-related, and the last survey was recent, in January 2026. Quality and staffing both score at the top of CMS's five-star scale while inspections land at three, which fits a nonprofit home that invests heavily in daily care.

  48. #48
    A

    99/100

    Lutheran Convalescent Home

    Webster Groves, MO · St. Louis County

    CMS 5/5251 bedsFor-profitMedicaid
    Nurse hours
    4.82 /day
    Staff turnover
    32%
    Serious cites
    0

    Lutheran Convalescent Home runs 4.82 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its staff tends to stay, 31.5% turnover against a 45.8% national figure. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record shows nine deficiencies, none at the harm level, though one is abuse-related, and the last full inspection was in November 2024. For a 251-bed for-profit home, that combination of heavy staffing and low turnover is the main thing separating it from the pack.

  49. #49
    A

    99/100

    Trinity Care Center

    Farmington, MN · Dakota County

    CMS 5/590 bedsNon-profitMedicaid
    Nurse hours
    5.11 /day
    Staff turnover
    20%
    Serious cites
    0

    Trinity Care Center in Farmington runs on a nonprofit model, and its staffing reflects that: 5.11 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage slips about 11% below its own weekday level, which is common but worth asking about if you're planning visits or worrying about Saturday care. Turnover sits at 19.8% against a national average near 46%, that stability matters, because familiar staff notice changes in residents. The inspection record isn't spotless: 14 deficiencies, two serious enough to involve harm or jeopardy, though none related to abuse, and the most recent inspection was April 30, 2026. The quality and staffing measures both score at the top of CMS's scale, which is where much of the strength here comes from.

  50. #50
    A

    99/100

    Fairview University Trans Serv

    Minneapolis, MN · Hennepin County

    CMS 5/528 bedsNon-profitMedicaid
    Nurse hours
    9.19 /day
    Staff turnover
    30%
    Serious cites
    0

    Fairview University Trans Serv runs 28 certified beds in Minneapolis under nonprofit ownership, and the numbers behind it are unusually clean. Nurse staffing sits at 9.19 hours per resident day, roughly two and a half times the national average of 3.86, and weekend coverage only slips about 7% below weekday levels, so care doesn't thin out when families tend to visit. Staff turnover is 30%, well under the 45.8% national figure, which suggests people stay. The current record carries zero deficiencies, none at the harm level, no abuse citations, and the last inspection was November 2024, so nothing on file is stale. For a small nonprofit, that combination is rare.

  51. #51
    A

    99/100

    Holland Home Breton Rehabilitation & Living Centre

    Grand Rapids, MI · Kent County

    CMS 5/558 bedsNon-profitMedicaid
    Nurse hours
    5.14 /day
    Staff turnover
    28%
    Serious cites
    0

    Nurse staffing at Holland Home Breton runs about 33% above the national average, and the weekend drop is only around 6%, small enough that care doesn't change much on Saturdays and Sundays. Staff turnover sits at 28.1% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record shows six deficiencies, none at the harm level and none related to abuse; the last state visit was in March 2025, so the picture is recent rather than stale. Three straight five-star ratings from CMS, health inspections, quality measures, and staffing, back that up. As a nonprofit, this is a home that has kept its numbers steady across every category the federal government tracks.

  52. #52
    A

    99/100

    Marquette County Medical Care Facility

    Ishpeming, MI · Marquette County

    CMS 5/5140 bedsGovernmentMedicaid
    Nurse hours
    5.06 /day
    Staff turnover
    24%
    Serious cites
    0

    Nurse staffing here runs about 5.06 hours per resident day, roughly 31% above the national average of 3.86, and weekends dip only about 10% below the home's own weekday level. Staff turnover sits at 23.8% against a national average near 46%, which matters over time because familiar caregivers tend to notice changes sooner. The tradeoff is in the inspection record: 8 deficiencies, 3 of them serious enough to involve harm or jeopardy, though none abuse-related, with the most recent inspection in May 2025. County-owned facilities often run leaner on frills and steadier on staffing, and the numbers here follow that pattern.

  53. #53
    A

    99/100

    Friendship Village

    Kalamazoo, MI · Kalamazoo County

    CMS 5/557 bedsNon-profit
    Nurse hours
    5.91 /day
    Staff turnover
    20%
    Serious cites
    0

    Friendship Village runs 5.91 nursing hours per resident day, roughly half again the national figure of 3.86, and its weekend coverage dips only about 13% below weekday levels, a gap that tends to matter when a Friday afternoon problem stretches into Sunday. Staff turnover sits at 20% against a national average near 46%, which usually means familiar faces and less retraining churn. The 16 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection landed in April 2026. As a nonprofit with 57 certified beds, it's small enough that census changes hit staffing ratios quickly.

  54. #54
    A

    99/100

    Tuscola County Medical Care Facility

    Caro, MI · Tuscola County

    CMS 5/5159 bedsGovernmentMedicaid
    Nurse hours
    5.95 /day
    Staff turnover
    25%
    Serious cites
    0

    Tuscola County Medical Care Facility runs on a county government budget out of Caro, and the staffing numbers show it: 5.95 nurse hours per resident day, roughly 54% above the national average of 3.86. Turnover sits at 24.5% against a national 45.8%, meaning aides and nurses tend to stay. Weekends run about 14% leaner than weekdays, which is worth asking about if your relative needs help at predictable times. The tradeoff is inspections, 23 deficiencies on the current record, one at harm or jeopardy level, though none abuse-related, and the most recent survey was December 2025. Quality and staffing measures both score well; the health inspection side is the softer spot.

  55. #55
    A

    99/100

    Mary's Meadow At Providence Place

    Holyoke, MA · Hampden County

    CMS 5/540 bedsNon-profitMedicaid
    Nurse hours
    5.28 /day
    Staff turnover
    27%
    Serious cites
    0

    Mary's Meadow runs on 5.28 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, turnover of 27.1% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your visits land on Saturdays or Sundays. The inspection record shows 10 deficiencies with none at the harm level and none tied to abuse, and the most recent state visit was in August 2025. As a church-affiliated nonprofit with 40 beds, it answers to a mission rather than shareholders, and the numbers above suggest that shows up in how it's run.

  56. #56
    A

    99/100

    Edenwald

    Towson, MD · Baltimore County

    CMS 5/570 bedsFor-profit
    Nurse hours
    4.95 /day
    Staff turnover
    25%
    Serious cites
    0

    Edenwald runs on a level of nurse staffing that most homes in Maryland don't come close to, 4.95 hours per resident day against a national average of 3.86. Turnover sits at 25% when the national figure is nearly double that, which matters because steady staff know the residents. Weekend coverage does thin out, roughly 13% below weekday, so ask how that plays out on a Saturday. The inspection record is recent and clean at the harm level, though four of the twelve deficiencies are abuse-related, worth a direct question about what happened and what changed. For-profit corporate ownership, 70 beds.

  57. #57
    A

    99/100

    Ingleside At King Farm

    Rockville, MD · Montgomery County

    CMS 5/545 bedsNon-profitMedicaid
    Nurse hours
    5.28 /day
    Staff turnover
    15%
    Serious cites
    0

    Ingleside At King Farm runs on a rare amount of nursing attention: 5.28 hours per resident day, roughly a third more than the national figure, and it holds that level fairly steady through the weekend. Staff turnover is the striking number, under 15% a year against a national average near 46%, which matters because familiar caregivers tend to notice changes sooner. The non-profit owner has kept a clean harm record: 19 deficiencies on file, none at the level of harm or jeopardy, though two are abuse-related and worth asking about directly. The last inspection was in March 2026, so the picture is current.

  58. #58
    A

    99/100

    Transitional Care Services At Mercy Medical Center

    Baltimore, MD · Baltimore City County

    CMS 5/535 bedsNon-profitMedicaid
    Nurse hours
    6.21 /day
    Staff turnover
    20%
    Serious cites
    0

    Nurse staffing at this 35-bed nonprofit home runs 6.21 hours per resident day, about 61 percent above the national average of 3.86, so there's more hands-on time per resident than at most places. Weekend coverage dips roughly 10 percent below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 20 percent against a national average near 46 percent, meaning aides and nurses tend to stay. Eighteen deficiencies appear on the current record, one abuse-related, but none at the harm or jeopardy level, and the most recent inspection was November 2025.

  59. #59
    A

    99/100

    Roland Park Place

    Baltimore, MD · Baltimore City County

    CMS 5/516 bedsNon-profit
    Nurse hours
    6.94 /day
    Staff turnover
    27%
    Serious cites
    0

    Roland Park Place runs 16 certified beds as a nonprofit, and the staffing is the first thing that stands out: about 6.94 nurse hours per resident per day, roughly 80% above the national average. Weekend coverage dips only about 6% below its own weekday levels, and staff turnover sits at 27.3% against a national average near 46%, so the same caregivers are more likely to still be there next year. The tradeoff is paper: 18 deficiencies on the current record, two of them abuse-related, though none rose to the harm or jeopardy level, and the last inspection was in May 2025.

  60. #60
    A

    99/100

    Nazareth Home

    Louisville, KY · Jefferson County

    CMS 5/5118 bedsFor-profitMedicaid
    Nurse hours
    5.43 /day
    Staff turnover
    30%
    Serious cites
    0

    Nazareth Home runs 5.43 nurse staffing hours per resident day, roughly 41 percent above the national average of 3.86, and its weekend hours dip only about 11 percent below its own weekday levels, a modest drop for a nursing home. Staff turnover sits at 29.5 percent against a national average near 46 percent, and the current record shows no deficiencies at all: none at the harm or jeopardy level, none abuse-related, with the most recent inspection completed April 17, 2025. As a nonprofit corporation with 118 certified beds, it pairs that clean record with top marks across health inspections, quality measures, and staffing. For families weighing a move, the numbers describe steady hands and a well-kept building.

  61. #61
    A

    99/100

    Bethel Health Care Center

    North Newton, KS · Harvey County

    CMS 5/565 bedsNon-profitMedicaid
    Nurse hours
    4.91 /day
    Staff turnover
    31%
    Serious cites
    0

    Bethel Health Care Center runs on 4.91 nurse hours per resident per day, roughly a quarter more staffing than the typical American nursing home. That time holds up reasonably well on weekends, dipping about 14% below its own weekday level, and only 31.3% of staff left last year against a national average near 46%. The inspection record is clean where it counts: five deficiencies total, none involving harm or jeopardy and none tied to abuse, with the most recent survey in December 2024. Three straight five-star ratings across health inspections, quality measures, and staffing, run by a nonprofit corporation, describe a home that is well-staffed, stable, and currently in good standing.

  62. #62
    A

    99/100

    Iowa Veterans Home

    Marshalltown, IA · Marshall County

    CMS 5/5702 bedsGovernmentMedicaid
    Nurse hours
    4.74 /day
    Staff turnover
    25%
    Serious cites
    0

    The Iowa Veterans Home in Marshalltown runs 702 certified beds as a state government operation, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.74 hours per resident day, about 23 percent above the national average of 3.86, and weekend coverage dips only about 14 percent below its own weekday level, a gap that's common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 24.7 percent against a national average of 45.8 percent, meaning caregivers here tend to stay. The home carries just two deficiencies on its current record, neither at the harm level and none abuse-related, with its last inspection dated April 16, 2026.

  63. #63
    A

    99/100

    St Francis Manor

    Grinnell, IA · Poweshiek County

    CMS 5/578 bedsNon-profitMedicaid
    Nurse hours
    4.85 /day
    Staff turnover
    28%
    Serious cites
    0

    St Francis Manor runs on unusually deep staffing for a nursing home, 4.85 nurse hours per resident day, roughly a quarter above the national average, and its weekend coverage drops only about 12% from weekdays, which is a smaller dip than many homes show. Staff turnover sits at 27.6% against a national 45.8%, so the people caring for residents tend to stay. The inspection record is thin: two deficiencies total, none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. The most recent inspection was in May 2026. As a nonprofit, there's no owner extracting a margin.

  64. #64
    A

    99/100

    Highland Oaks

    Elgin, IL · Kane County

    CMS 5/524 bedsNon-profitMedicaid
    Nurse hours
    5.25 /day
    Staff turnover
    28%
    Serious cites
    0

    Highland Oaks runs 24 beds in Elgin under church-related nonprofit ownership, and the staffing numbers show it: 5.25 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 27.5%, well under the 45.8% national figure, which matters for residents who need consistent faces. On record: six deficiencies, none at the harm level, one abuse-related, with the last inspection in August 2024. All three CMS star ratings, health inspections, quality measures, staffing, come in at five.

  65. #65
    A

    99/100

    Promontory Point Rehabilitation

    Ammon, ID · Bonneville County

    CMS 5/550 bedsFor-profit
    Nurse hours
    5.62 /day
    Staff turnover
    21%
    Serious cites
    0

    Promontory Point runs 5.62 nurse hours per resident day, about 46% above the national average of 3.86, and its staff turnover of 21.3% is roughly half the national rate of 45.8%, that combination of more hands and more continuity is rare. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse. Weekend staffing dips about 12% below weekday levels, a normal pattern but worth asking about if your family visits Saturdays and Sundays. The most recent inspection was May 28, 2026, so the findings are current. It's a for-profit LLC with 50 beds, small enough that you can reasonably ask who the director of nursing is and how long they've been there.

  66. #66
    A

    99/100

    Oneida County Hospital & Long Term Care Facility

    Malad, ID · Oneida County

    CMS 5/533 bedsGovernmentMedicaid
    Nurse hours
    5.85 /day
    Staff turnover
    27%
    Serious cites
    0

    Oneida County Hospital & Long Term Care runs on county money in a small Idaho town, and the numbers back up the setup. Nurse staffing sits at 5.85 hours per resident day, roughly half again the national average, and weekend coverage dips only about 10% below its own weekday level, a smaller drop than many homes manage. Staff turnover is 26.8% against a national 45.8%, so the people caring for residents tend to stay. Inspectors found 13 deficiencies, none involving harm or abuse, and the most recent visit was in May 2026. Five stars across inspections, quality measures, and staffing, with 33 certified beds, tells you this is a stable, well-run county operation.

  67. #67
    A

    99/100

    Hi'olani Care Center At Kahala Nui

    Honolulu, HI · Honolulu County

    CMS 5/520 bedsNon-profitMedicaid
    Nurse hours
    6.39 /day
    Staff turnover
    24%
    Serious cites
    0

    Hi'olani Care Center at Kahala Nui is a small nonprofit home, just 20 certified beds, and the staffing numbers are where it stands out. At 6.39 nurse hours per resident day, it runs roughly two-thirds above the national average, and its staff turnover of 23.9% is about half the national rate, which matters because consistent caregivers know their residents. Weekend coverage dips only slightly below weekdays, so care doesn't thin out on Saturdays and Sundays. The trade-off is in inspections: a three-star health inspection rating and 24 deficiencies on the current record, though none at the harm level and none abuse-related. The last state visit was June 2024. Strong staffing and quality scores, a middling inspection history.

  68. #68
    A

    99/100

    Honoka'a Hospital & Skilled Nursing

    Honokaa, HI · Hawaii County

    CMS 5/566 bedsGovernmentMedicaid
    Nurse hours
    5.51 /day
    Staff turnover
    24%
    Serious cites
    0

    Honoka'a Hospital & Skilled Nursing runs on state money and a lot of nursing hours. At 5.51 per resident day, it's staffed about 43 percent above the national average, and weekend coverage only dips around 14 percent from its weekday level, a smaller drop than many homes manage. Turnover sits at 24.4 percent against a national 45.8 percent, so the people caring for residents tend to stay. The 14 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the most recent inspection was in late 2024.

  69. #69
    A

    99/100

    Villa Maria West Skilled Nursing Facility

    Hialeah Gardens, FL · Miami-Dade County

    CMS 5/527 bedsNon-profit
    Nurse hours
    5.23 /day
    Staff turnover
    25%
    Serious cites
    0

    Villa Maria West runs on a nonprofit, church-affiliated model, and the numbers back up what that structure often buys: nurses deliver 5.23 hours per resident day, roughly a third more than the national average, and staff turnover sits at 25% against a national figure near 46%. Ten deficiencies appear on the current record, but none involve harm or jeopardy, and none are abuse-related, which matters more than the raw count. The last inspection was recent, in September 2025, so the picture is current rather than stale. Weekend coverage dips about 12% below weekday levels, a gap worth asking about directly if your family member needs more help on Saturdays and Sundays.

  70. #70
    A

    99/100

    Glenridge On Palmer Ranch Inc.

    Sarasota, FL · Sarasota County

    CMS 5/561 bedsNon-profit
    Nurse hours
    5.05 /day
    Staff turnover
    19%
    Serious cites
    0

    Glenridge on Palmer Ranch runs about 5.05 nurse hours per resident each day, roughly a third more than the national average of 3.86, and its weekend coverage dips only slightly below its own weekday levels. Staff turnover sits at 18.5 percent against a national average near 46 percent, people tend to stay here. The current record shows no deficiencies at all, none at the harm level and none tied to abuse, and the last inspection dates to April 2024. As a nonprofit with 61 beds, it's small enough to know its residents. The three CMS star ratings all come in at the top mark.

  71. #71
    A

    99/100

    Lodge At Cypress Cove, The

    Fort Myers, FL · Lee County

    CMS 5/564 bedsNon-profit
    Nurse hours
    5.72 /day
    Staff turnover
    21%
    Serious cites
    0

    The Lodge at Cypress Cove runs 5.72 nurse hours per resident per day, roughly half again the national figure of 3.86, and its weekend staffing only dips about 11 percent below weekday levels, a gap that trips up plenty of homes. Staff turnover sits at 21.2 percent against a national average of 45.8, meaning most of the people caring for residents here tend to stick around. Five deficiencies on record, none at the harm level and none abuse-related, with an inspection completed in September 2025. As a nonprofit with 64 certified beds, it's small enough that consistency is easier to hold onto, and the numbers suggest it does.

  72. #72
    A

    99/100

    Edward J Healey Rehabilitation And Nursing Center

    Riviera Beach, FL · Palm Beach County

    CMS 5/5120 bedsGovernmentMedicaid
    Nurse hours
    5.56 /day
    Staff turnover
    6%
    Serious cites
    0

    Edward J Healey is county-owned, and that shows up in how it's run: nurse staffing runs 5.56 hours per resident day against a national average of 3.86, and turnover sits at 6.4% while the typical American nursing home churns through nearly half its staff each year. Just two deficiencies sit on the current record, none involving harm or abuse, and the most recent inspection closed out in December 2024. Weekend staffing dips about 9% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The low turnover matters most here, steady, familiar aides usually mean better day-to-day care than any scoreboard can capture.

  73. #73
    A

    99/100

    Waters Edge Health And Rehabilitation

    Palm City, FL · Martin County

    CMS 5/536 bedsFor-profitMedicaid
    Nurse hours
    5.39 /day
    Staff turnover
    17%
    Serious cites
    0

    Waters Edge runs 5.39 nurse hours per resident per day, roughly 40% more than the national average, and its weekend staffing dips only about 7% below weekdays, a small gap compared to many homes. Staff turnover is 16.7%, well under the 45.8% national figure, which matters because consistent caregivers learn residents' routines. The 9 deficiencies on record include none tied to harm or abuse, and the most recent inspection was May 2025, so the picture is current rather than stale. At 36 beds under corporate for-profit ownership, it's small enough that staffing numbers reflect daily reality, not a large building's averages. All three CMS star ratings, health inspections, quality measures, staffing, sit at 5 out of 5.

  74. #74
    A

    99/100

    Village On The Isle

    Venice, FL · Sarasota County

    CMS 5/548 bedsNon-profitMedicaid
    Nurse hours
    5.74 /day
    Staff turnover
    10%
    Serious cites
    0

    Village On The Isle runs 48 certified beds in Venice, and the numbers behind its grade are mostly about people, not paperwork. Nurse staffing sits at 5.74 hours per resident day, roughly half again the national average, and turnover is 9.7% against a national 45.8%, that stability matters more than any single inspection finding. Weekend coverage dips about 8% below weekdays, which is worth asking about directly. Three deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2024. It's a for-profit corporate home, but the staffing and retention figures don't read like one.

  75. #75
    A

    99/100

    Southington Care Center

    Southington, CT · Capitol County

    CMS 5/5130 bedsNon-profitMedicaid
    Nurse hours
    4.72 /day
    Staff turnover
    34%
    Serious cites
    0

    Southington Care Center runs on 4.72 nurse hours per resident day, roughly a fifth more than the national average, and its staff turnover of 33.6% sits well under the 45.8% norm, two signs of a stable, well-resourced floor. Weekend coverage dips about 11% below weekday levels, so ask how that plays out on Saturdays. The record isn't spotless: 14 deficiencies, one tied to abuse, though none rose to harm or jeopardy. A May 2024 inspection and top federal marks across health, quality, and staffing round out the picture.

  76. #76
    A

    99/100

    Jefferson House

    Newington, CT · Capitol County

    CMS 5/5104 bedsNon-profitMedicaid
    Nurse hours
    5.17 /day
    Staff turnover
    31%
    Serious cites
    0

    Jefferson House runs on 5.17 nurse hours per resident per day, roughly a third more staffing than the typical American nursing home, and the weekend gap is only about 12% below weekdays, modest by industry standards. Staff turnover sits at 31%, well under the 45.8% national figure, which matters because consistent caregivers know residents' routines. The trade-off is a longer deficiency record: 25 citations on file, including two tied to abuse, though none rose to the level of actual harm or jeopardy. State inspectors last visited in January 2025. For a nonprofit home of 104 beds, the money is clearly going into the floor.

  77. #77
    A

    99/100

    Crestwood Treatment Center

    Fremont, CA · Alameda County

    CMS 5/588 bedsFor-profitMedicaid
    Nurse hours
    5.05 /day
    Staff turnover
    12%
    Serious cites
    0

    Crestwood Treatment Center runs on numbers that mostly hold up. Nurse staffing sits at 5.05 hours per resident day, roughly a third above the national average, and the 12.3% turnover rate is far below the typical 45.8%, that kind of stability usually means consistent caregivers who know the residents. Weekend coverage dips about 14% against weekdays, worth asking about. The current record shows 11 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A February 2025 inspection means the findings are recent rather than stale. With a 4/5 on health inspections and 5/5 on quality measures, the picture is of a corporate-owned home in Fremont that performs well above average on most measures, with a single abuse citation to look into directly.

  78. #78
    A

    99/100

    Alameda County Medical Center D/P Snf

    San Leandro, CA · Alameda County

    CMS 5/5109 bedsGovernmentMedicaid
    Nurse hours
    6.40 /day
    Staff turnover
    7%
    Serious cites
    0

    Alameda County Medical Center D/P SNF runs on a government hospital district license with 109 certified beds, and the numbers behind its record are unusually steady. Nurse staffing sits at 6.40 hours per resident day, roughly two-thirds above the national average, and weekend coverage dips only about 7% from weekday levels, a gap that's small compared to what most homes show. Staff turnover is 6.9% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. The 18 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was in August 2024. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

  79. #79
    A

    99/100

    Community Memorial Continuing Care Center

    Ojai, CA · Ventura County

    CMS 5/575 bedsNon-profitMedicaid
    Nurse hours
    5.23 /day
    Staff turnover
    27%
    Serious cites
    0

    Community Memorial Continuing Care Center in Ojai runs on about 5.23 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, 26.7% turnover against a national rate near 46%. The current record shows 15 deficiencies, none of them involving harm or jeopardy and none abuse-related, with the most recent inspection in January 2026. Weekend coverage dips about 7% below weekday levels, which is worth asking about if your family member needs more help on Saturdays and Sundays. This is a nonprofit corporation with 75 certified beds, and the staffing, inspection, and quality measure ratings all sit at the top of CMS's scale.

  80. #80
    A

    99/100

    The Terraces At San Joaquin Gardens Village

    Fresno, CA · Fresno County

    CMS 5/554 bedsNon-profitMedicaid
    Nurse hours
    5.13 /day
    Staff turnover
    30%
    Serious cites
    0

    The Terraces at San Joaquin Gardens Village runs a strong staffing operation, 5.13 nurse hours per resident day, about a third above the national average, with a 5/5 CMS staffing star. Weekend coverage dips roughly 13% below weekday levels, and turnover sits at 30.3%, well under the 45.8% national figure. Quality measures score 5/5, though the 3/5 health inspection rating reflects 31 deficiencies on record, one serious enough to reach harm or jeopardy level; no abuse citations appear. This nonprofit's last inspection was March 21, 2025, so the record is current. The staffing and quality numbers are the real story here.

  81. #81
    A

    99/100

    Canterbury Woods

    Pacific Grove, CA · Monterey County

    CMS 5/524 bedsNon-profit
    Nurse hours
    6.71 /day
    Staff turnover
    19%
    Serious cites
    0

    Canterbury Woods runs 24 certified beds as a nonprofit, and the staffing numbers are the first thing that stands out: 6.71 nurse hours per resident day, roughly 74% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 19.2% against a national 45.8%, so the people caring for residents tend to stay. Inspections in February 2026 produced 26 deficiencies, none at the harm or jeopardy level and none abuse-related, alongside top marks on health inspection, quality measures, and staffing.

  82. #82
    A

    99/100

    Acacia Health Center

    Phoenix, AZ · Maricopa County

    CMS 5/578 bedsFor-profit
    Nurse hours
    5.65 /day
    Staff turnover
    17%
    Serious cites
    0

    Acacia Health Center runs on a level of nurse staffing that most homes don't come close to, 5.65 hours per resident day against a national average of 3.86. That kind of margin matters on nights and weekends, and even though weekend coverage here dips about 10% below its own weekday numbers, it stays well above what's typical elsewhere. Turnover is where this place really separates itself: 16.7% annually, compared to a national average near 46%, which means the people caring for residents tend to stick around and know them. The record is thin, too, three deficiencies, none at the harm level, none abuse-related, with an inspection as recent as December 2025. Corporate ownership, but the numbers read like a home that's actually staffed.

  83. #83
    A

    99/100

    Searhc Sitka Long Term Care

    Sitka, AK · Sitka County

    CMS 5/519 bedsNon-profitMedicaid
    Nurse hours
    7.89 /day
    Staff turnover
    31%
    Serious cites
    0

    Searhc Sitka Long Term Care runs on unusually heavy nurse staffing, 7.89 hours per resident day, roughly double the national figure, and it holds that level up on weekends, when coverage dips only about 7% below its own weekday numbers. That consistency matters in a small 19-bed home, where one absence can strain a whole shift. Staff turnover sits at 31.4%, well under the national 45.8%, so the people caring for residents tend to stay. The current inspection record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with a recent survey date of April 2026. The nonprofit ownership is worth noting too. Nothing here is flashy; the numbers just hold up.

  84. #84
    A

    98/100

    Jeanne Jugan Residence

    Washington, DC · The District County

    CMS 5/540 bedsNon-profitMedicaid
    Nurse hours
    6.49 /day
    Staff turnover
    17%
    Serious cites
    0

    Jeanne Jugan Residence runs on 6.49 nurse hours per resident day, roughly two-thirds more staffing than the typical American nursing home, and its weekend coverage barely dips from weekday levels. Staff turnover sits at 17.1% against a national average near 46%, which means aides and nurses are staying long enough to know the residents. The home carries 11 deficiencies on its current record, none at the harm level and one abuse-related, with a May 2025 inspection behind those numbers. It's a small nonprofit of 40 beds where the inspection, quality, and staffing ratings all land at the top of CMS's scale.

  85. #85
    A

    97.5/100

    War Memorial Hospital

    Berkeley Springs, WV · Morgan County

    CMS 5/516 bedsNon-profitMedicaid
    Nurse hours
    5.76 /day
    Staff turnover
    20%
    Serious cites
    0

    War Memorial Hospital runs a small 16-bed unit in Berkeley Springs, and the numbers hold up well. Nurse staffing sits at 5.76 hours per resident per day, roughly half again the national average, and only about one in five employees leaves each year against a national rate near 46 percent, that kind of stability usually shows up in how residents are cared for. Weekend coverage does dip about 19 percent below weekdays, so ask how that plays out on Saturdays. The current record carries six deficiencies, none at the harm level, though one is abuse-related and worth asking about directly. The last inspection was April 2026, so the picture is recent.

  86. #86
    A

    97.5/100

    The Haven At Brandermill Woods

    Midlothian, VA · Chesterfield County

    CMS 5/560 bedsNon-profitMedicaid
    Nurse hours
    4.85 /day
    Staff turnover
    33%
    Serious cites
    0

    The Haven At Brandermill Woods runs about 4.85 nurse hours per resident per day, roughly a quarter more than the national average, and its staff turnover sits well below the typical American nursing home. Weekend coverage dips about 18 percent from weekday levels, which is common but still worth asking about if your family visits primarily on Saturdays or Sundays. Seven deficiencies appear on the current record, none involving harm or abuse, and the last full inspection was in March 2023. As a nonprofit with a low deficiency count and steady staffing, this is a home where the numbers hold up under scrutiny rather than just looking good on a summary page.

  87. #87
    A

    97.5/100

    Thatcher Brook Rehabilitation & Care Center

    Clearfield, UT · Davis County

    CMS 5/530 bedsFor-profit
    Nurse hours
    5.78 /day
    Staff turnover
    31%
    Serious cites
    0

    Thatcher Brook runs 5.78 nurse hours per resident day, roughly half again the national figure of 3.86, and its staff retention is notably steady, turnover sits at 30.6% against a national 45.8%. Weekend coverage does dip about 20% below the home's own weekday level, so ask how that plays out on a Sunday. The inspection record shows 23 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent survey was July 2025, so the picture is current. For-profit, LLC-owned, 30 beds, small enough that you can press on specifics.

  88. #88
    A

    97.5/100

    Logan Regional Hospital Transitional Care Unit

    Logan, UT · Cache County

    CMS 5/511 bedsNon-profit
    Nurse hours
    9.62 /day
    Staff turnover
    15%
    Serious cites
    0

    Logan Regional's transitional care unit is an 11-bed nonprofit operation attached to a hospital, and the staffing numbers show it: 9.62 nurse hours per resident day, roughly two and a half times the national average. Weekend coverage dips about 15% below its own weekday level, which is worth asking about if a discharge lands on a Saturday. Staff turnover sits at 15%, well under the national 45.8%, so the people caring for your family member tend to stay. The trade-off is two deficiencies on record, one serious enough to involve harm or jeopardy, though nothing abuse-related. The last inspection was January 2026. Small units like this live and die on who's on shift, and here that's mostly a strength.

  89. #89
    A

    97.5/100

    Gino J Merli Veterans Center

    Scranton, PA · Lackawanna County

    CMS 5/5196 bedsGovernmentMedicaid
    Nurse hours
    5.40 /day
    Staff turnover
    30%
    Serious cites
    0

    Nurse staffing at Gino J Merli Veterans Center runs 5.40 hours per resident day, roughly 40% above the national average, and the state-run home in Scranton holds a 30.1% turnover rate against a national 45.8%. Those numbers matter because consistent hands on deck tend to show up in outcomes. The trade-offs sit elsewhere: weekend staffing drops about 18% below its own weekday level, and the current inspection record carries six deficiencies, including one at the harm or jeopardy level and one abuse-related, with the last inspection dated April 2026. So the picture is a well-staffed, low-turnover home with real quality marks and a handful of serious findings the family should ask about directly.

  90. #90
    A

    97.5/100

    Helen Hayes Hospital R H C F

    West Haverstraw, NY · Rockland County

    CMS 5/525 bedsGovernmentMedicaid
    Nurse hours
    6.81 /day
    Staff turnover
    34%
    Serious cites
    0

    Helen Hayes Hospital runs one of the strongest staffing pictures you'll find: 6.81 nurse hours per resident day, roughly 76% above the national average. Weekend coverage dips about 15% below its own weekday level, which is worth asking about, but the floor stays high. Staff turnover sits at 34.2%, well under the 45.8% national figure, so the people caring for residents tend to stay. The inspection record is clean, one deficiency total, none involving harm or abuse, and the most recent survey was in February 2025. Add state ownership and perfect marks on inspections, quality measures, and staffing, and there's very little here to push back on.

  91. #91
    A

    97.5/100

    Medford Leas

    Medford, NJ · Burlington County

    CMS 5/524 bedsNon-profit
    Nurse hours
    10.92 /day
    Staff turnover
    26%
    Serious cites
    0

    Medford Leas runs a small 24-bed unit as a nonprofit, and the staffing numbers stand out right away: 10.92 nurse hours per resident day is roughly triple the national average of 3.86. Weekends dip about 22% below weekdays, so coverage isn't perfectly even, but turnover sits at 25.9% against a national 45.8%, staff tend to stay. The current record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in February 2025. The quality and staffing ratings are both 5 out of 5, while health inspection sits at 3, which is where most of the imperfection lives.

  92. #92
    A

    97.5/100

    Jnh-Madison Inn

    Whitfield, MS · Rankin County

    CMS 5/563 bedsGovernmentMedicaid
    Nurse hours
    4.89 /day
    Staff turnover
    30%
    Serious cites
    0

    Jnh-Madison Inn is state-owned, which matters here because it's held to public records and public budgets in a way private operators aren't. The numbers back it up: 4.89 nurse hours per resident day against a national average of 3.86, and turnover at 30.3% when the typical home runs closer to 46%. Three deficiencies on the current record, none at harm or jeopardy level, none abuse-related, with an inspection as recent as October 2025. The one soft spot is weekends, when staffing drops about 18% below its own weekday level, worth asking about if your family visits Saturday or Sunday. Otherwise, the record is clean and unusually well-staffed.

  93. #93
    A

    97.5/100

    Bay Bluffs-Emmet County Medical Care Facility

    Harbor Springs, MI · Emmet County

    CMS 4/5120 bedsGovernmentMedicaid
    Nurse hours
    5.14 /day
    Staff turnover
    26%
    Serious cites
    0

    Bay Bluffs runs on county money, and the numbers show what that buys: 5.14 nurse hours per resident day, roughly a third more staffing than the typical American nursing home. Turnover sits at 26.1 percent against a national average near 46 percent, so the people caring for residents tend to stay. Weekend coverage dips about 18 percent below weekday levels, worth asking about if your family visits on Saturdays and Sundays. Inspectors were last in on April 17, 2025, and the record shows nine deficiencies, none of them causing harm or involving abuse. Four- and five-star inspection and quality ratings back that up.

  94. #94
    A

    97.5/100

    Lasell House

    Newton, MA · Middlesex County

    CMS 5/544 bedsNon-profit
    Nurse hours
    4.94 /day
    Staff turnover
    35%
    Serious cites
    0

    Lasell House runs on about 4.94 nursing hours per resident each day, roughly a quarter more than the typical American nursing home, and its staff turnover sits near 34.5%, well under the national 45.8%. Inspectors have cited just two deficiencies, neither involving harm or abuse, and the most recent visit was in September 2025, so the record is both clean and current. The trade-off worth knowing is weekends, when staffing drops about a fifth from its own weekday level. That's common in nursing homes, but it matters most for a small 44-bed nonprofit where there's less slack to absorb an absence.

  95. #95
    A

    97.5/100

    St Elizabeth Edgewood Snf

    Edgewood, KY · Kenton County

    CMS 5/530 bedsNon-profit
    Nurse hours
    6.52 /day
    Staff turnover
    33%
    Serious cites
    0

    St Elizabeth Edgewood runs a small 30-bed home in Kenton County, and the staffing numbers are the story here. At 6.52 nurse hours per resident day, it's giving residents roughly 69% more nursing time than the national average of 3.86, a gap that matters more than most families realize. Turnover sits at 32.7%, well below the national 45.8%, so the people providing that care tend to stick around. Weekend coverage does dip about 18% below its own weekday level, which is worth asking about directly. The record shows 4 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in February 2026.

  96. #96
    A

    97.5/100

    Community Hospital Onaga Ltcu

    St Marys, KS · Pottawatomie County

    CMS 5/526 bedsNon-profitMedicaid
    Nurse hours
    5.73 /day
    Staff turnover
    30%
    Serious cites
    0

    Community Hospital Onaga Ltcu runs about 5.73 nurse hours per resident day, roughly 48% above the national average of 3.86, though weekends dip about 20% below its own weekday staffing. Turnover sits at 30%, well under the 45.8% national figure, and no deficiencies on its current record involve harm, jeopardy, or abuse. This is a small 26-bed nonprofit home in Pottawatomie County with a clean inspection history, last surveyed in October 2024. The staffing cushion and low turnover matter more than the nine total deficiencies, which are all lower-level. For a family weighing care here, the numbers point to consistent coverage and stable workers.

  97. #97
    A

    97.5/100

    Story Medical Senior Care

    Nevada, IA · Story County

    CMS 5/560 bedsGovernmentMedicaid
    Nurse hours
    4.79 /day
    Staff turnover
    29%
    Serious cites
    0

    Story Medical Senior Care runs on county ownership, and the numbers back up what that stability usually buys: 4.79 nurse hours per resident day, roughly a quarter above the national average, with staff turnover at 29.3% against a national 45.8%. Five deficiencies on the current record, none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. Weekend staffing drops about 18% below weekday levels, a common pattern but still a gap you'd want to know about. The last inspection was April 30, 2026, so the record is recent. Quality and staffing measures both sit at the top of CMS's scale.

  98. #98
    A

    97.5/100

    St Augustine Home For The Aged

    Indianapolis, IN · Marion County

    CMS 5/523 bedsNon-profitMedicaid
    Nurse hours
    9.62 /day
    Staff turnover
    17%
    Serious cites
    0

    St. Augustine Home for the Aged is a small nonprofit home in Indianapolis, just 23 certified beds, and its recent inspection history is mostly clean where it counts: 13 deficiencies on record, none of them causing harm or jeopardy, with the last survey completed in July 2025. Two abuse-related citations are worth asking about directly, since those tend to say more about staffing and supervision than paperwork does. The quality measure side is strong, and inspection results sit above average. Where this home gives ground is staffing, which is what holds its overall standing back despite solid clinical numbers. Ask about direct care hours per resident on evenings and weekends.

  99. #99
    A

    97.5/100

    Hale Ola Kino By Arcadia

    Hon, HI · Honolulu County

    CMS 5/532 bedsNon-profitMedicaid
    Nurse hours
    5.51 /day
    Staff turnover
    13%
    Serious cites
    0

    Hale Ola Kino By Arcadia runs on unusually heavy staffing for a 32-bed home: 5.51 nurse hours per resident day, roughly 43% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, which is worth asking about, but the bigger story is retention, 13.2% annual turnover against a national average of 45.8% means aides and nurses tend to stay, and that consistency matters more than almost anything for daily care. The 24 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was February 2025. Corporate for-profit ownership, but the numbers here don't read like a typical corporate building.

  100. #100
    A

    97.5/100

    Community Subacute And Transitional Care Center

    Fresno, CA · Fresno County

    CMS 5/5106 bedsNon-profitMedicaid
    Nurse hours
    9.19 /day
    Staff turnover
    22%
    Serious cites
    0

    Community Subacute and Transitional Care Center runs on 9.19 nurse hours per resident day, roughly two and a half times the national figure, and its weekend coverage dips only about 17% below weekdays, a smaller drop than many homes see. Staff turnover sits at 21.7%, less than half the national rate, which matters because consistent caregivers know their residents. The 13 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was in February 2026. For a 106-bed nonprofit in Fresno, the numbers describe steady, well-attended care rather than any single standout statistic.