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

Nurse hours

3.46 /day

Staff turnover

41%

Serious cites

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Century Center runs lean on nursing hours: 3.46 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage. Turnover sits at 40.5%, better than the 45.8% national figure, so the staff it does have tends to stay. The inspection record is the strongest part of the picture, a clean five-star health inspection rating, ten deficiencies on file with none at the harm or jeopardy level and none abuse-related, and a survey as recent as February 2026. For-profit, LLC-owned, 88 beds. The tradeoff here is straightforward: fewer hands per resident than average, but stable staffing and a well-kept compliance record.

Nurse hours

3.78 /day

Staff turnover

45%

Serious cites

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Tuskawilla runs a bit lean on nurse staffing, 3.78 hours per resident day against a national average of 3.86, and weekends drop about 11% below what the home staffs during the week, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover sits at 45.1%, essentially in line with the national rate of 45.8%, which tells you this isn't a retention outlier in either direction. The inspection record is the strong part: a 5/5 health inspection rating, five total deficiencies with none at the harm or jeopardy level, and a June 2024 survey. One abuse-related deficiency is on the books, though, and it's worth asking about directly.

Nurse hours

3.74 /day

Staff turnover

42%

Serious cites

0

Fountains Rehabilitation At Mill Cove runs 84 beds under for-profit LLC ownership, and its staffing sits at 3.74 nurse hours per resident day, just under the national 3.86 average, with weekends about 11% leaner than weekdays. Turnover comes in at 41.6%, actually better than the 45.8% national figure, which matters more than it sounds in a building this size. The inspection record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent survey was in February 2026, so the picture is current. A 4/5 on quality measures and 4/5 on staffing carry the profile; the 3/5 inspection rating is where the 15 findings show up.

Nurse hours

3.94 /day

Staff turnover

48%

Serious cites

0

Cross City Nursing and Rehabilitation runs 60 beds under corporate ownership, and its strongest signal is quality measurement, where it earns the top federal rating. Nurse staffing sits at 3.94 hours per resident day, slightly above the national average, though weekends dip about 6% below its own weekday level and turnover runs just over the national rate at 47.8%. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in September 2025. Taken together, this reads as a home that measures well on clinical outcomes and keeps serious problems off its record, while the moderate staffing rating and steady churn are the quieter things to ask about directly.

Nurse hours

3.61 /day

Staff turnover

37%

Serious cites

0

Jackson Gardens runs leaner than most, 3.61 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday staffing. The trade-off shows up in a 37.2% turnover rate, which is meaningfully better than the 45.8% typical elsewhere. On its current record are 12 deficiencies, none at the harm or jeopardy level and none tied to abuse, and the last inspection was in May 2026, so the picture is relatively fresh. The five-star quality measure score stands out, though quality measures and direct care hours don't always tell the same story. It's a for-profit limited liability company operating 120 certified beds in Miami-Dade County.

Nurse hours

5.57 /day

Staff turnover

24%

Serious cites

0

Alexander "Sandy" Nininger State Veterans Nursing runs on unusually strong staffing for a Florida home: 5.57 nurse hours per resident day, roughly 44% above the national average, with weekend coverage dipping only about 10% below weekdays. Turnover sits at 24.4%, well under the 45.8% national figure, which suggests a stable crew rather than a revolving door. The trade-off shows up in oversight. Inspections turned up 23 deficiencies, one serious enough to reach harm or jeopardy level, and a $38,659 fine. The most recent inspection was January 2025, so the record is current. Strong hands on deck, but the state has found real problems worth asking about directly.

Nurse hours

3.71 /day

Staff turnover

49%

Serious cites

0

Life Care Center of Pensacola holds a five-star record on both health inspections and quality measures, with just three deficiencies on file and none tied to harm or abuse, a clean sheet that's genuinely hard to come by. Its inspection in September 2025 was recent, so what's on the record reflects current conditions rather than a stale snapshot. The softer spot is staffing: 3.71 nurse hours per resident day sits about 4% under the national average, weekend coverage drops roughly 12% below the home's own weekday level, and turnover runs 49.2% against a national 45.8%. That combination, strong oversight, thinner hands on weekends, is worth asking about directly.

Nurse hours

3.67 /day

Staff turnover

33%

Serious cites

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Miami Springs Nursing And Rehabilitation Center runs 269 beds under for-profit LLC ownership, and its staffing sits at 3.67 hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so ask how that plays out on a Sunday afternoon. The stronger numbers: staff turnover is 33.3% against a national 45.8%, meaning less churn than most homes, and inspectors logged 24 deficiencies with none at harm or jeopardy level and nothing abuse-related. The last inspection was May 2025, so the record is current. Quality and staffing each earned 4 of 5 stars from CMS; health inspection came in at 3.

Nurse hours

4.02 /day

Staff turnover

43%

Serious cites

0

Blue Heron runs about 4% more nursing hours per resident day than the national average, and its staff turnover sits slightly below average too, both signs of a fairly stable floor. The catch is weekends, when coverage drops roughly 11% off its own weekday pace. Sixteen deficiencies appear on the current record, though none rose to harm or jeopardy and none involved abuse; the last inspection was July 2025. Quality measures score well, staffing holds up, and inspections land in the middle. It's a for-profit LLC with 141 beds, so ask how the weekend shift is actually covered before you decide.

Nurse hours

4.14 /day

Staff turnover

30%

Serious cites

0

Maluhia is state-run, and its 4.14 nurse hours per resident day sit about 7% above the national average, but weekends run roughly 26% thinner than weekdays, which matters if your family visits then. Staff turnover is 29.6%, well below the 45.8% national figure, so the people caring for your relative are more likely to still be there next year. The record isn't spotless: 20 deficiencies, one at harm level, two tied to abuse, plus a single $8,278 fine. The most recent inspection was July 2025. Strong marks across all three CMS categories, real but limited findings underneath.

Nurse hours

4.64 /day

Staff turnover

60%

Serious cites

0

Yukio Okutsu State Veterans Home runs on a state government budget, which shows in the staffing: 4.64 nurse hours per resident day, roughly 20% above the national average. Weekends dip about 12% below its own weekday levels, so coverage isn't perfectly even. The trouble sits in the inspection record, 39 deficiencies, three serious enough to reach harm or jeopardy level, plus one fine of $13,049. Staff turnover of 60.3% is well above the 45.8% national figure, which matters for a 95-bed home where residents rely on consistent caregivers. Quality measures score well, but the last inspection was November 2024, and the deficiency count is the number families should ask about directly.

Nurse hours

4.17 /day

Staff turnover

30%

Serious cites

0

Hale Kupuna Heritage Home runs on strong staffing, 4.17 nurse hours per resident day, roughly 8% above the national average, and that's the main reason it earns top marks on CMS's staffing measure. Turnover sits at 29.5%, well below the national 45.8%, so the people caring for residents tend to stay. The tradeoff shows up in its record: 25 deficiencies, including one at the harm level and three tied to abuse, plus a $16,350 fine. Weekend staffing also drops about 11% from weekday levels, which is worth asking about. Its last inspection was March 2026, so the picture is current.

Nurse hours

4.63 /day

Staff turnover

—

Serious cites

0

Power County Skilled Nursing Facility is a small, government-run home, a hospital district operation with just 21 certified beds in American Falls. The staffing numbers are its strongest card: 4.63 nurse hours per resident day, roughly 20% above the national average, though weekend coverage drops about 17% below its own weekday level, so care may thin out on Saturdays and Sundays. The inspection record is where the concern sits. Forty deficiencies on the current record is a lot for a home this size, even with none at the harm level and none abuse-related. The most recent inspection was June 9, 2026, so the findings are fresh.

Nurse hours

5.31 /day

Staff turnover

50%

Serious cites

0

Memorial Care Center runs on a nonprofit model with 82 certified beds, and the staffing numbers are the first thing worth noticing: 5.31 nurse hours per resident day, roughly 37% above the national average. That's a real cushion, and it shows up in the four-out-of-five staffing star. Weekend coverage dips about 11% below weekday levels, which isn't unusual but is worth asking about. Turnover sits at 49.5%, slightly above the national 45.8%. The inspection record is clean, four deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent inspection was in March 2026. Quality measures came in at three stars, the softest spot in the profile.

Nurse hours

4.94 /day

Staff turnover

47%

Serious cites

0

Burgess Square runs on unusually heavy staffing for a for-profit partnership home, 4.94 nurse hours per resident day against a national average of 3.86. That's real coverage, though weekends dip about 7% below the home's own weekday level, so the number on paper isn't identical every day of the week. The inspection record is where the picture gets less comfortable. Thirty deficiencies, including three at harm or jeopardy level and two tied to abuse, with the most recent inspection in December 2025. Turnover at 46.6% sits just above the national figure, meaning the staff providing that strong coverage is cycling through fairly quickly. Families weighing this one should ask directly how the harm-level findings were resolved.

Nurse hours

4.13 /day

Staff turnover

35%

Serious cites

0

The Village at Victory Lakes runs a nonprofit home in Lindenhurst with 120 certified beds, and its staffing is the strongest thing going for it, 4.13 nurse hours per resident day, about 7% above the national average, with weekend coverage dipping roughly 10% below its own weekday level. Turnover sits at 34.8%, meaningfully better than the 45.8% national figure, so the people caring for residents tend to stick around. The trouble is the inspection record: 27 deficiencies, six of them serious enough to reach harm or jeopardy, and five fines totaling $389,691. Quality and staffing measures both rate well, but the last inspection in March 2026 and the weight of those health citations pull the overall picture down.

Nurse hours

4.82 /day

Staff turnover

35%

Serious cites

0

Prairieview Lutheran Home runs on a non-profit model with 90 certified beds in Danforth, and its staffing is the strongest part of the picture: 4.82 nurse hours per resident day, roughly a quarter above the national average, with a 5/5 staffing star and turnover at 34.5% against a national 45.8%. Weekends dip about 9% below weekday coverage, which is worth asking about. The trouble sits in inspections. A 2/5 health inspection star, 28 total deficiencies, five at harm or jeopardy level, two abuse-related, and four fines totaling $89,042, with the most recent inspection in November 2024. Good staffing doesn't erase a record like that, and it's the inspection history that drags this home down.

Nurse hours

4.29 /day

Staff turnover

48%

Serious cites

0

Brickyard Healthcare - Brookview has 136 certified beds on Indianapolis's east side, and it's run by a for-profit corporation. Nurse staffing sits at 4.29 hours per resident day, roughly 11% above the national average, which is a real point in its favor, but the coverage thins out on weekends, dropping about 7% below its own weekday level. Staff turnover runs 48.2%, a bit above the national figure, and the inspection record shows 25 deficiencies, including one at the harm level and two tied to abuse, with a $12,740 fine. Its most recent inspection was in January 2026. The quality measure score looks strong, but that sits against a weaker inspection history.

Nurse hours

3.71 /day

Staff turnover

49%

Serious cites

0

Life Care Center Of Lagrange runs about 3.71 nurse hours per resident each day, roughly 4% under the national average, and weekend coverage drops another 8% below what the home staffs on weekdays. Annual turnover sits at 49.1%, a few points above the national figure, so the aides and nurses your family sees may change fairly often. The record itself is cleaner than average: nine deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. A for-profit corporation owns the 87-bed building. Quality and health inspection scores are strong; staffing is the softer spot, especially on weekends.

Nurse hours

3.26 /day

Staff turnover

45%

Serious cites

0

Rawlins House is county-owned, which is unusual in Indiana, and its inspection record is stronger than most: a recent December 2025 survey, twelve deficiencies with none at the harm level. The catch is staffing. At 3.26 nurse hours per resident day, it runs roughly 15% under the national average, and weekends dip about 9% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover sits at 44.8%, essentially the national rate. One abuse-related deficiency is on the books. Quality measures score well, but that data comes from the building's own reporting. If you're considering it, ask how the weekend shift is actually covered.