12,438 Medicaid Nursing Homes With a Clean Record in the United States

Nurse hours

4.18 /day

Staff turnover

27%

Serious cites

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Noxubee County Nursing Home runs a county-owned, 60-bed operation in Macon, and its staffing numbers are the bright spot here. At 4.18 nurse hours per resident day, it sits about 8% above the national average, and turnover of 27.1% is well below the 45.8% typical elsewhere, a sign people tend to stay. Weekends thin out, though, running roughly 17% under weekday levels. The harder read is quality and safety: the last inspection in June 2025 turned up 14 deficiencies, including two at harm or jeopardy level and one tied to abuse. A 1-out-of-5 inspection rating against a 4-out-of-5 staffing rating tells you the care hours are there, but the oversight record isn't.

Nurse hours

6.83 /day

Staff turnover

34%

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James T Champion runs on state government ownership in Meridian, and the staffing numbers are the first thing that stands out: 6.83 nurse hours per resident day, roughly 77% above the national average. That's an unusual level of coverage, and turnover sits at 33.8% against a national 45.8%, so the people providing that care tend to stay. Weekends dip about 15% below the home's own weekday staffing, worth knowing if your visits land on Saturdays or Sundays. The tradeoff shows up in the quality measures, where CMS scores it 1 out of 5, and in 10 deficiencies on the current record, one abuse-related, though none at harm or jeopardy level. The last inspection was February 2026. Strong hands-on staffing, weaker clinical outcomes on paper.

Nurse hours

3.89 /day

Staff turnover

—

Serious cites

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Kingdom Care Senior Living runs 36 certified beds in Fulton under for-profit limited liability ownership, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That thin margin matters because weekend coverage drops about 11% below the home's own weekday levels, so the hours aren't spread evenly across the week. The current record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors last visited in September 2024, and the home's quality measure rating comes in at the top of the scale while its inspection and staffing ratings each land at 4 out of 5.

Nurse hours

5.36 /day

Staff turnover

40%

Serious cites

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Ambassador Health of Lincoln runs 5.36 nurse staffing hours per resident day, roughly 39% above the national average of 3.86, that's the real story here. Weekend staffing dips about 15% below weekday levels, and turnover sits at 40.2%, a bit better than the national 45.8%. Inspections turned up 16 deficiencies, none at the harm or jeopardy level, though one is abuse-related. That's a lot of paperwork-level findings without anyone getting hurt, and the state last visited in November 2024. For-profit corporate ownership, 122 beds, and quality and staffing marks that hold up better than the inspection record does.

Nurse hours

4.32 /day

Staff turnover

44%

Serious cites

0

Schuyler Hospital's long-term care unit runs a nonprofit operation with 120 certified beds, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average. That's a real cushion, though weekends drop about 18% below the home's own weekday levels, so coverage isn't uniform across the week. Staff turnover of 44.4% lands just under the national 45.8%, which is close to typical rather than a standout. The inspection record shows 19 deficiencies, none at harm or jeopardy level, but two tied to abuse, worth asking about directly. The last inspection was in March 2024, so the picture is reasonably current.

Nurse hours

3.92 /day

Staff turnover

—

Serious cites

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Saint Joseph Of The Pines runs 3.92 nurse hours per resident day, a hair above the national average and enough to earn three stars for staffing, decent, not generous. Weekend coverage drops roughly 9% below its own weekday level, so ask how that gap gets filled. The inspection history is the stronger signal: a 4-star health inspection rating, seven deficiencies on record with none at the harm level, and a recent survey from July 2025. One abuse-related deficiency is worth a direct question about what happened and what changed. As a nonprofit, there's no ownership chain pulling money out, which tends to show up in how a building is staffed and maintained over time.

Nurse hours

5.32 /day

Staff turnover

41%

Serious cites

0

Twin Lakes Community runs a nonprofit home with 104 beds in Burlington, and its nurse staffing sits at 5.32 hours per resident day, roughly 38% above the national average of 3.86. Weekends dip about 16% below its own weekday coverage, so your visit timing matters. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The inspection history shows seven deficiencies, four of them abuse-related, though none reached harm or jeopardy level, and one fine totaling $6,152. The last inspection was March 2026, so the record is recent. Strong staffing numbers and a clean harm record coexist here with those four abuse citations, worth asking about directly before deciding.

Nurse hours

4.25 /day

Staff turnover

29%

Serious cites

0

Courtland Terrace is a 77-bed nonprofit home in Gastonia, and the staffing numbers are the strength here, 4.25 nurse hours per resident day, roughly 10% above the national average, with turnover at 28.9% compared to 45.8% nationally. That retention matters more than any single inspection result, because consistent caregivers know the residents. The trade-off is weekends, when staffing drops about 22% below the home's own weekday level, so ask how that plays out on a Sunday afternoon. Ten deficiencies on record with none at the harm level and none abuse-related, and a 4-star health inspection from a visit in February 2026, suggest a home that runs steady rather than spotless.

Nurse hours

3.99 /day

Staff turnover

25%

Serious cites

0

College Pines runs a leaner, steadier ship than most corporate-owned homes in North Carolina. Nurse staffing sits at 3.99 hours per resident day, just above the national average, and the 24.5% turnover rate is barely half the national figure, that kind of retention usually means residents see the same faces week to week. The catch is weekends, when coverage drops roughly 17% below weekday levels. And while the inspection rating looks strong on paper, the current record carries six deficiencies, two of them serious enough to involve harm or jeopardy, plus $16,801 in fines. Quality measures score well, but those two harm-level findings are what pull the overall picture down to middling.

Nurse hours

4.46 /day

Staff turnover

25%

Serious cites

0

Bellarose runs on more nursing hours than most homes in the country, 4.46 per resident day against a national average of 3.86, and its staff turnover sits at 25%, well under the 45.8% national figure, which matters because familiar caregivers tend to notice small changes sooner. The tradeoff shows up on weekends, when coverage drops about 15% below the home's own weekday level. Its inspection record is clean: two deficiencies total, none involving harm or jeopardy, none abuse-related, with the most recent survey in July 2025 earning a 5-star health inspection rating. Quality measures are middling at 3 stars, so the clinical outcomes data isn't as strong as the staffing and inspection picture.

Nurse hours

4.52 /day

Staff turnover

39%

Serious cites

0

Sanford Hillsboro runs a tight ship on staffing, with 4.52 nurse hours per resident day, roughly 17% above the national average, and a 38.6% turnover rate that beats the national figure of 45.8%. That consistency matters for a 34-bed home where residents see the same faces. But the inspection record tells a different story: 10 deficiencies on file, two serious enough to reach harm or jeopardy level, and $42,488 in fines across two penalties. The health inspection rating sits at 2 out of 5, even though quality measures score 4 and staffing scores 5. The most recent survey was June 26, 2025. The care may be well-staffed, but the state has found real problems worth asking about directly.

Nurse hours

4.74 /day

Staff turnover

51%

Serious cites

0

Elm Crest Manor runs on church-affiliated nonprofit ownership and 62 beds in New Salem, and the staffing numbers are genuinely strong: 4.74 nurse hours per resident day, roughly a quarter above the national average. Weekends dip about 17% below its own weekday coverage, though, and turnover sits at 50.6%, higher than the 45.8% national figure, which matters in a small rural building where replacements are hard to find. The current record shows 10 deficiencies with none at the harm or jeopardy level, but 3 are abuse-related, and the most recent inspection was in January 2026. Consistent survey scores and above-average staffing carry real weight here; the abuse citations and churn are what a family should ask about directly.

Nurse hours

3.79 /day

Staff turnover

—

Serious cites

0

Broadway Living Center runs 101 certified beds under limited-liability, for-profit ownership in Lexington, and its inspection record is the strongest part of the story: a 4-out-of-5 health inspection rating, 15 deficiencies on file, none of them serious enough to reach harm or jeopardy level. The staffing picture is thinner. At 3.79 nurse hours per resident day, it sits a bit under the national average, and weekends run roughly 12% below its own weekday numbers. One abuse-related deficiency is on the record. The most recent inspection was in March 2024, so the findings are relatively current. Good inspections, but the day-to-day coverage, especially on weekends, leaves less margin than you'd want.

Nurse hours

4.52 /day

Staff turnover

—

Serious cites

0

Gracelen Care Center has real staffing strength: 4.52 nurse hours per resident day, roughly 17% above the national average of 3.86, which is the kind of number that shows up in daily care. But that strength sits against a troubling inspection record. Fifty-eight deficiencies, ten at harm or jeopardy level and nine abuse-related, with a 1-out-of-5 health inspection rating and a recent July 2025 inspection. Weekend staffing also drops about 9% below weekday levels. Ownership is for-profit corporate. The quality measure rating of 4/5 looks good on paper, but the abuse and harm findings are the ones families should weigh most heavily when deciding.

Nurse hours

5.68 /day

Staff turnover

65%

Serious cites

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Presbyterian Home Of South Carolina-Columbia runs small, just 22 certified beds in Lexington, and it's corporate-owned for profit. The staffing numbers are the headline: 5.68 nurse hours per resident day, roughly half again the national average of 3.86, though weekends dip about 15% below its own weekday pace. Turnover sits at 65% against a national 45.8%, which means the people delivering that strong coverage keep changing. Seven deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with an inspection as recent as June 2025. Quality and staffing each earned 4 of 5 stars from CMS, inspections 3.

Nurse hours

3.85 /day

Staff turnover

33%

Serious cites

0

Wakonda Heritage Manor runs on staffing that lands right at the national average, 3.85 nurse hours per resident day against 3.86 nationwide, and weekend coverage dips about 19% below what the home provides on weekdays, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover sits at 33.3%, well under the 45.8% national figure, which matters for residents who benefit from seeing the same faces. The inspection record is decent but not clean: eight deficiencies, including one at the harm level and one tied to abuse, plus a $12,675 fine. The most recent inspection was in May 2026.

Nurse hours

4.71 /day

Staff turnover

53%

Serious cites

0

Adamsplace runs 4.71 nurse hours per resident day, about 22% above the national average, and that staffing shows up in its four-out-of-five staffing rating. But weekends drop roughly 20% below its own weekday level, and annual turnover sits at 52.5% against a national 45.8%, meaning the people covering those shifts keep changing. The health inspection side is weaker: a two-out-of-five rating, nine deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy. Its last inspection was in December 2025. A five-out-of-five quality measure rating reflects resident care outcomes, but the inspection record and churn are the parts worth asking about directly.

Nurse hours

4.18 /day

Staff turnover

51%

Serious cites

0

Alderwood Manor runs a for-profit partnership with 85 beds in Spokane, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average of 3.86. That headline number has a soft spot, though: weekends drop about 22% below the home's own weekday staffing, and annual turnover is 51.4%, higher than the 45.8% national figure. The stronger concern is the record itself. Fifty-nine deficiencies, including three at harm or jeopardy level and four tied to abuse, with a February 2026 inspection date and a 2-out-of-5 health inspection rating. Quality measures look strong at 5 out of 5, but that paperwork score doesn't erase what surveyors actually found.

Nurse hours

5.23 /day

Staff turnover

43%

Serious cites

0

Woodside Lutheran Home runs a strong staffing operation, 5.23 nurse hours per resident day is well above what most homes provide, and the weekend dip of about 16% is smaller than what you'll see at plenty of places. Turnover sits just under the national figure, and the inspection record is clean: two deficiencies, neither at the harm level, with a visit as recent as September 2025. The one soft spot is the quality measure rating, which at 2 out of 5 suggests the clinical outcomes data isn't keeping pace with everything else. If you're weighing this one, ask specifically about falls, pressure sores, and antipsychotic use, that's where the gap tends to show up.

Nurse hours

4.47 /day

Staff turnover

22%

Serious cites

0

Shields Nursing Center in El Cerrito runs on a for-profit corporate model with 45 certified beds, and its staffing is the standout fact here: 4.47 nurse hours per resident day, roughly 16 percent above the national average, and turnover sits at 22.2 percent against a national 45.8 percent. That retention matters more than the raw hours, since consistent caregivers tend to know residents' routines. Weekend coverage does drop about 18 percent below its own weekday level, so ask how that plays out on Saturdays and Sundays. The 27 deficiencies on record carry no harm or jeopardy findings and none are abuse-related, and the last inspection was in June 2025, so the record is current.