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

Nurse hours

4.35 /day

Staff turnover

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Serious cites

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Pine Grove runs 4.35 nurse hours per resident day, about 13% above the national average, though weekends drop roughly 12% below what the home staffs during the week. The 49 deficiencies on its current record include four tied to abuse; none rose to actual harm or jeopardy. Its last inspection was in March 2026, so the record is recent rather than stale. Quality measures score 5 out of 5, while inspection and staffing each land at 3, and the home is a for-profit partnership with 75 certified beds. The staffing number is real, but the weekend dip and the abuse citations are worth asking about directly.

Nurse hours

4.16 /day

Staff turnover

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Serious cites

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Oakland Healthcare & Wellness Center runs 98 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, which is worth asking about if your family tends to visit or call on Saturdays and Sundays. The current record shows 27 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated January 15, 2026. CMS gives it 4 stars for health inspections, 5 for quality measures, and 3 for staffing.

Nurse hours

4.21 /day

Staff turnover

33%

Serious cites

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Friendship Manor runs about 4.21 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 33.3% sits well below the national 45.8%, meaning the people caring for residents tend to stick around. Weekends run about 16% leaner than weekdays, which is common but worth asking about. The tradeoff shows up in its record: 29 deficiencies and four fines totaling $297,367, though none of those deficiencies rose to the level of actual harm or jeopardy, and one was abuse-related. Inspectors were last on site in July 2025.

Nurse hours

6.08 /day

Staff turnover

28%

Serious cites

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W Frank Wells runs a genuinely strong floor. At 6.08 nurse hours per resident day, it beats the national average by more than half, and its staff turnover of 27.9% sits well under the 45.8% norm, people stay here. Weekends thin out about 24% from weekday coverage, which is normal but worth knowing if your visits fall on a Saturday. What pulls the record down is inspections: 16 deficiencies on file, four of them serious enough to risk harm or jeopardy, four tied to abuse, and one fine of $26,320 from a December 2024 survey. The staffing is the argument for this place; the inspection history is the argument for asking hard questions before you commit.

Nurse hours

3.91 /day

Staff turnover

47%

Serious cites

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Marion And Bernard L Samson Nursing Center runs a nonprofit home with 180 beds in Saint Petersburg, and its staffing sits just above the national average at 3.91 hours per resident day. That edge is thin, though, and weekends tell a different story, coverage drops roughly 16% below the home's own weekday levels, which is when falls and missed care tend to happen. Turnover runs 47.4%, slightly worse than the 45.8% national figure, so the faces change often. On paper the clinical quality scores look strong, but the inspection record is the weak spot: 17 deficiencies, one tied to abuse, and a March 2024 inspection that already feels dated. Nothing on the current record rose to harm or jeopardy level, which matters.

Nurse hours

3.70 /day

Staff turnover

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Serious cites

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Westminster Towers is a 120-bed nonprofit in Orlando, and its numbers pull in two directions. The clinical quality measures look strong, but the inspection record is where families should focus: 22 deficiencies on file, including one at the harm or jeopardy level and one abuse-related citation, with two fines totaling just over $22,000. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, and it thins out further on weekends, running roughly 8% below the home's own weekday level. The last inspection was in March 2025, so the picture is current.

Nurse hours

4.15 /day

Staff turnover

45%

Serious cites

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Royal Care of Avon Park runs a for-profit operation with 90 certified beds, and the staffing numbers are better than they look at first glance, 4.15 nurse hours per resident day sits about 7% above the national average, though weekends drop roughly 16% below the home's own weekday coverage. Turnover lands at 45.4%, basically in line with the national figure. The real concern is the inspection record: 26 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus two fines totaling $17,342. That history is what drags the health inspection rating down to 1 out of 5, even as the quality measure score sits at the top of the scale.

Nurse hours

4.37 /day

Staff turnover

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Serious cites

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Life Care Center of Orlando runs 4.37 nurse hours per resident day, about 13 percent above the national average. That's a real cushion, though weekend coverage dips roughly 12 percent below what the building does on weekdays, which is worth asking about if your family visits mostly Saturdays and Sundays. The record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with a 4-out-of-5 health inspection rating. State inspectors were last in on December 18, 2025, so the findings are recent. Corporate for-profit ownership and a 5-out-of-5 quality measure score round things out. Strong staffing and clean inspections carry more weight here than the raw deficiency count suggests.

Nurse hours

4.36 /day

Staff turnover

39%

Serious cites

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Desoto Health and Rehab runs 78 beds in Arcadia under corporate for-profit ownership, and the staffing picture is genuinely better than average, 4.36 nurse hours per resident day against a national 3.86. Turnover sits at 39.1%, below the 45.8% national figure, which matters for whether your family sees the same faces. Two things pull the other direction. Weekend staffing drops about 16% below the home's own weekday level, so care may thin out exactly when families visit. And the inspection record is weak: a 2/5 health inspection rating, 10 deficiencies with one at harm level, and a $13,520 fine. The quality measure score of 4/5 reflects clinical outcomes, not the survey history.

Nurse hours

4.24 /day

Staff turnover

46%

Serious cites

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Life Care Center of Idaho Falls runs 109 beds under for-profit LLC ownership, and the staffing numbers are the strongest part of its story: 4.24 nurse hours per resident day, roughly 10% above the national average, earning 4 out of 5 stars from CMS. That cushion shrinks on weekends, though, when hours drop about 18% below the facility's own weekday level, and turnover sits at 46.2%, essentially matching the national rate, so continuity isn't a selling point here. The real caution is the inspection record: a 2/5 health inspection rating, 33 deficiencies with one at the harm level, and a $13,247 fine. Quality measures score 5/5, and the last inspection was recent, in March 2026.

Nurse hours

4.23 /day

Staff turnover

45%

Serious cites

0

The Idaho State Veterans Home in Boise runs on remarkably strong nurse staffing, 4.23 hours per resident day, about 10% above the national average, with a CMS staffing rating that reflects it. The trouble shows up elsewhere. State inspectors recorded 27 deficiencies on the current record, including two at the harm level and four tied to abuse, and the health inspection rating sits at 1 out of 5. That gap between staffing strength and inspection problems is the whole story here. Staff also thin out on weekends, dropping roughly 19% below weekday coverage, so care may look different depending on when you visit. Annual turnover, about 45%, is essentially in line with the national average.

Nurse hours

3.79 /day

Staff turnover

35%

Serious cites

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Pearl Of Crystal Lake runs a tight ship on nurse retention: 35.1% turnover beats the national 45.8% by a wide margin, and inspections in March 2025 turned up zero deficiencies at the harm level. The tradeoff shows up in raw hours. At 3.79 nurse staffing hours per resident day, it sits slightly under the national 3.86, and weekends run about 18% thinner than weekdays, a drop families feel when aides are stretched. Thirty-two deficiencies on record, one tied to abuse, and corporate for-profit ownership round out the picture. Strong quality marks and few serious problems, but ask about weekend coverage before you commit.

Nurse hours

4.77 /day

Staff turnover

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Serious cites

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Westminster Village keeps a strong bench of nurses, 4.77 hours per resident day, roughly a quarter more than the national average, though weekends thin out by about 11% compared to weekdays. That staffing cushion hasn't translated into a clean inspection record: 31 deficiencies, one of them serious enough to cause harm, with a survey completed in April 2025. No abuse citations appear anywhere in the file, and the home is nonprofit-owned. Where this sits for you depends on what you weigh: consistent bedside coverage and quality scores around the middle of the pack, against a citation count that's higher than you'd want to see.

Nurse hours

3.48 /day

Staff turnover

41%

Serious cites

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Bethlehem Woods runs a 90-bed for-profit operation in Fort Wayne, and the numbers show a home that's mostly steady. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends dip about 18% below its own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover lands at 41.4%, a bit better than the 45.8% national figure, which suggests less churn than many peers. Inspections are current as of March 2026 with four deficiencies on record, none involving harm or abuse, and the quality measure rating is strong even though staffing scores lower.

Nurse hours

3.48 /day

Staff turnover

—

Serious cites

0

Regency Park's inspection record is the strongest card here, a four-star health inspection and a five-star quality measure score, both built on a survey done in November 2025 with nine total deficiencies and just one at the harm level. No abuse findings on the record. Where it slips is staffing: 3.48 nurse hours per resident day, about 10% under the national average, with weekends running roughly 13% thinner than weekdays. Forty-six beds under corporate ownership means the numbers aren't hiding much. Ask how the weekend shift is covered, especially on evenings, and who's on call when it isn't.

Nurse hours

3.25 /day

Staff turnover

36%

Serious cites

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Good Samaritan - Manson runs 42 beds as a nonprofit, and its strongest number is staffing stability: turnover at 35.7% sits well under the 45.8% national average, which matters in a small rural home where familiar faces do the work. The catch is raw hours, 3.25 nurse hours per resident day is about 16% under the national average, and weekends drop roughly 20% below its own weekday coverage, so care thins out exactly when families tend to visit. Fourteen deficiencies on the current record include one abuse-related citation, though none rose to harm or jeopardy. The last inspection was May 2025. Quality measures score well; the inspection history is the weaker half of the picture.

Nurse hours

3.73 /day

Staff turnover

55%

Serious cites

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Elkader Care Center runs 40 beds as a for-profit LLC, and its inspection record is genuinely strong, a 4-out-of-5 health inspection rating with a recent survey from December 2025. But look at the direct-care picture: 3.73 nurse hours per resident per day sits slightly under the national average of 3.86, and weekends drop about 17% below the home's own weekday staffing. Annual turnover of 54.5% tops the national 45.8%, which means the people helping your relative bathe and eat are changing often. Four deficiencies are on record, one involving harm or jeopardy and one tied to abuse. Good inspections, thinner hands-on coverage, worth asking about.

Nurse hours

3.98 /day

Staff turnover

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Serious cites

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Osceola Senior Living runs 46 certified beds in Sibley under for-profit LLC ownership, and its nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86. That margin is modest, though, and weekends dip roughly 10% below the home's own weekday coverage, so the daily experience can shift depending on when you visit. The current record shows 6 deficiencies, none at the harm or jeopardy level and none related to abuse. With a 4/5 health inspection rating and a recent inspection dated April 2026, the compliance picture looks stable rather than spotless.

Nurse hours

3.26 /day

Staff turnover

42%

Serious cites

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Diversicare Of Council Grove runs 60 beds under corporate ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends get thinner still, dropping about 17 percent below the home's own weekday coverage, so families should ask how that gap gets filled. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse; the last inspection was August 2024, and CMS scored health inspections 2 out of 5. Turnover lands at 41.7 percent, a bit better than the 45.8 percent national figure. Quality measures scored 4 out of 5, which is where the stronger numbers live.

Nurse hours

4.51 /day

Staff turnover

47%

Serious cites

0

Clay Center Presbyterian Manor runs 30 certified beds as a nonprofit, and its nurse staffing sits at 4.51 hours per resident day, roughly 17 percent above the national average of 3.86. That's a real margin, and it shows in a five-star staffing rating. The catch is weekends, when coverage drops about 17 percent below the home's own weekday level, so a Friday admission and a Sunday shift aren't the same experience. Turnover is 46.7 percent, slightly above the national 45.8 percent, meaning the people caring for your relative are often new. Fourteen deficiencies sit on the current record, though none reached harm or jeopardy and none involved abuse. Its last inspection was August 2024, and the health inspection rating came in at four stars.