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

Nurse hours

4.73 /day

Staff turnover

56%

Serious cites

0

Royal Terrace Healthcare runs 4.73 nurse hours per resident day, about 23% above the national average, and its quality measure scores come in at the top of CMS's five-star scale. Those are real strengths, and they're why this Duarte home lands where it does. The friction sits elsewhere: staff turnover runs 55.6% against a 45.8% national figure, weekends are about 12% thinner than weekdays, and the current record carries 38 deficiencies, two tied to abuse, though none at the harm or jeopardy level. A for-profit LLC operation with 58 beds and a May 2026 inspection. The clinical numbers look better than the workforce numbers. Ask about weekend coverage and how long the current director of nursing has been there.

Nurse hours

6.45 /day

Staff turnover

26%

Serious cites

0

Mission Care Center runs 6.45 nurse hours per resident day, well above the 3.86 national figure, and its 26.1% turnover sits far below the 45.8% average, a stable crew by nursing home standards. Inspections back that up: a clean 5/5 health rating, no deficiencies at harm or jeopardy level, nothing abuse-related among the 20 on record, and a survey done as recently as May 2026. The catch is CMS's own staffing star, just 2/5, which suggests the hours aren't distributed as evenly as the total implies, weekend coverage dips about 8% below weekdays. For-profit, limited liability ownership, 40 beds.

Nurse hours

4.17 /day

Staff turnover

30%

Serious cites

0

Pasadena Grove runs 4.17 nurse hours per resident day, about 8% over the national average, and its staff turnover sits at 29.7%, well below the 45.8% national figure. That stability matters, though weekend coverage dips roughly 11% below weekday levels. The inspection record is where the picture darkens: 75 deficiencies on file, including one at the harm level and eight tied to abuse. The last inspection was April 2026. Ownership is a for-profit LLC, and there's one fine totaling $4,233. Strong staffing numbers and a clean fine record don't cancel out an inspection history with abuse citations in it. Ask about those directly.

Nurse hours

4.56 /day

Staff turnover

46%

Serious cites

0

Angels Nursing Health Center sits in Los Angeles with 49 certified beds under for-profit LLC ownership. Nurse staffing runs 4.56 hours per resident day, roughly 18% above the national average of 3.86, and weekends dip about 8% below its own weekday levels. Turnover is 45.9%, essentially identical to the national 45.8%. The CMS star ratings look strong, 4 for health inspections, 5 for quality measures, 4 for staffing, and the last inspection was recent, May 2025. But the record shows 42 deficiencies, including four at harm or jeopardy level and one abuse-related, plus two fines totaling $71,566. Those numbers sit alongside the good staffing and recent survey, and they're what pull the overall picture down.

Nurse hours

4.31 /day

Staff turnover

—

Serious cites

0

Nurse staffing at Valley Oaks runs 4.31 hours per resident day, about 12% above the national average of 3.86, which is the main reason it holds up well on paper. Weekends run roughly 17% thinner than weekdays there, so if you're touring, ask who's actually on the floor on a Sunday. Inspections in February 2026 turned up 32 deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. The county's for-profit LLC ownership is common for this size. Staffing and quality measures both rate 4 out of 5, and the record is recent enough that you're looking at current conditions, not a stale snapshot.

Nurse hours

4.27 /day

Staff turnover

41%

Serious cites

0

Villa Del Sol Post Acute runs 99 certified beds in Bellflower under for-profit LLC ownership, and the staffing picture is genuinely better than average: 4.27 nurse hours per resident day against a national 3.86, with turnover at 40.9% versus the typical 45.8%. That said, weekend coverage drops about 10% below the home's own weekday level, so care may look different on a Saturday. The bigger concern sits with the current inspection record: 75 deficiencies, three tied to abuse, and a 2/5 health inspection rating. None of those deficiencies reached the harm or jeopardy level, and the most recent inspection was May 2026, so the record is current, but the volume is hard to ignore.

Nurse hours

4.09 /day

Staff turnover

40%

Serious cites

0

The Meadows on Sunset Post Acute runs 159 beds in Los Angeles under for-profit LLC ownership, and its staffing sits at 4.09 nurse hours per resident day, roughly 6% above the national average, though weekends dip about 10% below its own weekday levels. Turnover lands at 39.8%, better than the 45.8% national figure. What drags the picture down is the inspection record: a 1-out-of-5 health inspection rating, 106 deficiencies on file, three at harm or jeopardy level, and two tied to abuse, plus one fine of $21,681. The most recent inspection was April 2026. Strong quality measures and decent staffing can't offset that many serious findings.

Nurse hours

4.07 /day

Staff turnover

33%

Serious cites

0

Rose Villa runs 4.07 nurse hours per resident day, about 5% above the national average, and its staff turnover of 32.7% is well below the national 45.8%, meaning the people caring for your family member are more likely to still be there next year than at a typical home. Weekend staffing drops about 13% from weekday levels, which is worth asking about. The 50 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy, and the last inspection was April 2025. At 53 beds under corporate ownership, it's small enough that management changes could affect daily life quickly.

Nurse hours

3.91 /day

Staff turnover

40%

Serious cites

0

Laguna Hills Health and Rehabilitation Center runs 208 certified beds under corporate for-profit ownership, and its staffing sits just barely above the national average at 3.91 nurse hours per resident day. That margin is thin, and weekend coverage drops about 7% below the home's own weekday level, so the hours aren't spread evenly across the week. Turnover at 39.7% is better than the 45.8% national figure, which matters for consistency of care. The real trouble is the inspection record: 145 deficiencies, including eight tied to abuse and one at the harm or jeopardy level, with the most recent inspection in August 2025. Quality measures look strong on paper, but a record like that is hard to overlook.

Nurse hours

4.33 /day

Staff turnover

40%

Serious cites

0

College Oak runs on 4.33 nurse hours per resident per day, roughly 12% above the national average, and its weekend staffing only dips about 9% below weekdays, a smaller drop than many homes show. Turnover sits at 40%, better than the 45.8% national figure. The caution signs are in the inspection record: 25 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $9,814. The most recent inspection was April 2026, so the findings are current, not stale. For-profit, limited liability ownership. The staffing is genuinely solid; the question is whether that care holds up when inspectors look closely.

Nurse hours

4.50 /day

Staff turnover

42%

Serious cites

0

Extended Care Hospital Of Riverside runs 99 certified beds under for-profit LLC ownership, and the staffing number is the first thing worth noting: 4.50 nurse hours per resident day against a national average of 3.86. That's real coverage, though weekends dip about 12% below the home's own weekday level, so the weekday picture is stronger than Saturday and Sunday. Staff turnover sits at 41.5%, slightly better than the 45.8% national figure, meaningful in a field where retention is hard. The current inspection record shows 38 deficiencies, none at harm or jeopardy level, but two tied to abuse, which families should ask about directly. The last inspection was February 2026, so the record is recent.

Nurse hours

4.06 /day

Staff turnover

36%

Serious cites

0

Pacific Gardens runs on 4.06 nurse hours per resident day, a bit above the national average, and its staff turnover of 35.9% is meaningfully lower than the 45.8% norm, people tend to stay. Weekend coverage thins out about 8% from weekday levels, worth knowing if your visits fall on Saturdays. The harder question is the inspection record: 48 deficiencies, including two at harm or jeopardy level and one tied to abuse, with a $30,654 fine and a 2-out-of-5 health inspection rating. Quality measures score 5 out of 5, but those come from resident assessments, not from surveyors walking the building. It's a for-profit LLC with 188 beds. Ask about the abuse deficiency and what changed since.

Nurse hours

3.98 /day

Staff turnover

49%

Serious cites

0

Orchard Post Acute runs about 99 beds in Fresno under for-profit LLC ownership, and its nurse staffing sits slightly above the national average, roughly 3.98 hours per resident day. That margin narrows on weekends, when coverage drops about 10% below the home's own weekday level, and annual turnover at 48.8% runs a few points above the national figure. The inspection record is the heavier part of the story: 44 deficiencies on file, including one abuse-related citation, though none rose to the harm or jeopardy level. State inspectors last visited in May 2025. Quality measure scores look strong; the inspection side is where the numbers get harder to explain.

Nurse hours

3.93 /day

Staff turnover

56%

Serious cites

0

Hanford Post Acute runs 124 beds under limited-liability, for-profit ownership, and its numbers pull in two directions. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, but it dips roughly 6% on weekends, and annual turnover of 55.7% runs well past the 45.8% national figure, so the people at the bedside change often. The bigger concern is the inspection record: 41 deficiencies, one serious enough to involve harm or jeopardy, with the most recent survey in January 2025. On the plus side, residents' quality measures score at the top of the federal scale, which suggests the day-to-day care itself is landing well even as the operational and compliance side lags.

Nurse hours

5.50 /day

Staff turnover

27%

Serious cites

0

Community Extended Care Hospital Of Montclair runs 140 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noting: 5.50 nurse hours per resident day, roughly 42% above the national average of 3.86. Weekend staffing dips about 8% below its own weekday level, so coverage thins out somewhat on Saturdays and Sundays. Annual turnover sits at 26.5% against a national 45.8%, meaning this workforce is notably more stable than most. The record shows 19 deficiencies, but none at the harm or jeopardy level and none abuse-related. A five-star health inspection rating and a February 2026 inspection date round out a picture of a home that's been checked recently and came through cleanly where it matters most.

Nurse hours

3.97 /day

Staff turnover

28%

Serious cites

0

Vista Post Acute runs 71 beds in Hayward under for-profit LLC ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.97 hours per resident day, slightly above the national average, and weekend coverage drops about 12% from weekday levels, worth asking about if your family visits primarily on Saturdays and Sundays. The standout figure is turnover: 28% against a national average near 46%, meaning the people caring for residents are more likely to still be there next year. Inspections in January 2025 turned up 28 deficiencies, but none caused harm or jeopardy and none involved abuse.

Nurse hours

4.52 /day

Staff turnover

35%

Serious cites

0

Rosewood Post Acute runs about 4.52 nurse hours per resident each day, roughly 17% above the national average, and its 35.3% turnover is well below the typical 45.8%, so there's real consistency in the staff who are there. Weekends dip only slightly, about 5% off weekday coverage. What pulls the picture down is the inspection side: 27 deficiencies on the current record, five tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection is dated May 2026. The quality measure rating sits at 4 out of 5 while health inspections come in at 2. It's a for-profit corporate home where the day-to-day staffing looks steadier than the paper trail.

Nurse hours

4.18 /day

Staff turnover

74%

Serious cites

0

The Royal Home is small, 19 certified beds, and it's staffed better than most: 4.18 nurse hours per resident day, about 8% over the national average. Weekends dip roughly 9% below its own weekday level, so coverage thins out then. The bigger number to sit with is turnover: 73.9% of nursing staff leaving annually, against a national average of 45.8%. That churn matters more at a 19-bed home, where there's no big team to absorb it. Its record shows 31 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in December 2025, recent enough. Quality measures score well; the inspection history is middling. You're looking at a well-staffed, recently inspected home with a retention problem.

Nurse hours

6.26 /day

Staff turnover

10%

Serious cites

0

Nurse staffing at Crestwood Manor runs 6.26 hours per resident per day, about 62 percent above the national average, and the staff tends to stay, 9.8 percent annual turnover against a national figure near 46 percent. Weekend coverage dips roughly 7 percent below weekday levels, which is a normal pattern but worth asking about if your family visits mostly on Saturdays. The inspection record is more mixed: 34 deficiencies, four of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent inspection came in April 2025. For a 190-bed corporate-owned home, the care hours and retention are doing the heavy lifting here.

Nurse hours

3.60 /day

Staff turnover

41%

Serious cites

0

Highland Park Rehabilitation & Care Center runs 110 certified beds in Aurora under for-profit LLC ownership, and its staffing sits at 3.60 nurse hours per resident day, about 7% under the national average of 3.86. Weekends run roughly 11% leaner than weekdays, so coverage thins out right when families tend to visit. Turnover is 40.7%, which is actually better than the 45.8% national figure, so the same faces are more likely to stay. Inspections in December 2024 turned up 22 deficiencies, including one at the harm level and two tied to abuse, which is worth asking about directly. The quality measures look strong; the inspection record is where the questions live.