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

Nurse hours

— /day

Staff turnover

29%

Serious cites

0

Parkview Care Center runs 70 certified beds in Fairfield under individual for-profit ownership. The staffing numbers are the hard part: a one-star staffing rating, despite a 29.4% turnover rate that actually beats the national average of 45.8%. That gap tells you the problem is how many hands are on deck per resident, not whether people stay. Its record shows 32 deficiencies, including one at the harm or jeopardy level and one abuse-related, and the last inspection came in July 2025. Quality measures earn four stars, so the clinical tracking looks better than the day-to-day coverage suggests. Weigh those two against each other before deciding.

Nurse hours

3.07 /day

Staff turnover

33%

Serious cites

0

Oelwein Health Care Center runs 61 certified beds as a for-profit corporation, and its nurse staffing sits at 3.07 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is the brighter spot: 32.5% against a national average of 45.8%, meaning aides and nurses here tend to stay put longer than elsewhere. The current record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated March 26, 2026. Three stars each on health inspections, quality measures, and staffing put this home squarely in the middle.

Nurse hours

3.93 /day

Staff turnover

33%

Serious cites

0

Willow Dale Wellness Village runs 40 certified beds in Battle Creek under corporate for-profit ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family visits mostly on Saturdays and Sundays. Annual turnover of 33.3% is well below the national 45.8%, which suggests people stick around long enough to know the residents. The last inspection came in December 2025 and turned up four deficiencies, none involving harm or abuse.

Nurse hours

3.50 /day

Staff turnover

53%

Serious cites

0

Concord Care Center runs 46 beds in Garner under for-profit LLC ownership, and the inspection record is the strongest part of the picture, the state visited in September 2025 and found 11 deficiencies, none of which rose to harm or jeopardy. The one abuse-related citation is worth asking about directly. Where the home gives ground is staffing: 3.50 nurse hours per resident day sits about 9% under the national average, weekend coverage dips roughly 12% below its own weekday levels, and 53.2% of staff turned over in a year against a 45.8% national rate. That combination, solid surveys, thinner and less stable coverage, is what keeps this from grading higher despite strong quality measure scores.

Nurse hours

4.28 /day

Staff turnover

40%

Serious cites

0

River Hills Village sits at 84 certified beds under for-profit LLC ownership in Keokuk, and the staffing picture is its clearest strength: 4.28 nurse hours per resident day, roughly 11% above the national average. Turnover runs 40%, better than the 45.8% norm, though weekend coverage dips about 7% below weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 8 deficiencies, one serious enough to reach harm or jeopardy level, none abuse-related, with the most recent survey in September 2025. Quality measures score well; the health inspection side is more middle-of-the-road.

Nurse hours

3.27 /day

Staff turnover

38%

Serious cites

0

Karen Acres runs a tight ship on inspections and quality measures, a four-star health inspection record and five stars on clinical quality, with no deficiencies at the harm level and nothing abuse-related. The trade-off sits in daily staffing: 3.27 nurse hours per resident, roughly 15% under the national average, and weekends run about 7% thinner than weekdays. That gap matters most when a resident needs help on a Saturday afternoon. Turnover is the bright spot, 37.5% versus 45.8% nationally, so caregivers tend to stick around, which helps in a 35-bed building where everyone knows everyone. One recent inspection, June 2025, with ten deficiencies on record but none serious.

Nurse hours

3.95 /day

Staff turnover

29%

Serious cites

0

Crestview runs on solid staffing numbers, 3.95 nurse hours per resident day, a bit above the national average, with a 4-out-of-5 staffing rating and turnover at 28.6% compared to the national 45.8%. That stability matters, though weekend coverage dips about 9% below weekday levels, so care on Saturdays and Sundays may look different than midweek. The trouble sits in inspections: 19 deficiencies on the current record, three of them serious enough to put residents at harm or jeopardy, and $25,136 in fines across two penalties. Health inspection rating is 2 out of 5, quality measures 3. That combination, good hands, rough oversight history, is what pulls the overall picture down.

Nurse hours

3.54 /day

Staff turnover

34%

Serious cites

0

The Ambassador Sidney runs about 46 beds under corporate ownership, and its staffing sits roughly 8% under the national average at 3.54 nurse hours per resident day. Weekends thin out further, running about 13% below the home's own weekday coverage. What works in its favor: staff turnover of 34.1% beats the 45.8% national figure, and the inspection record is clean where it counts, 12 deficiencies, none at harm or jeopardy level, none tied to abuse. A recent March 2026 inspection backs that up. The tradeoff is a home that's reliably safe but thinly staffed at times, especially Saturdays and Sundays.

Nurse hours

3.46 /day

Staff turnover

21%

Serious cites

0

Colonial Manors of Columbus Community runs 39 certified beds in Louisa County under corporate for-profit ownership. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average of 3.86, and weekends dip about 8% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The tradeoff shows up in turnover: 21.2% annually against a national average of 45.8%, meaning aides and nurses here tend to stay. Inspections were recent, in July 2025, with 20 deficiencies on record, none at harm or jeopardy level, though one is abuse-related.

Nurse hours

3.94 /day

Staff turnover

45%

Serious cites

0

Wesley On Grand runs on a solid staffing base: 3.94 nurse hours per resident day, a bit above the national average of 3.86. Weekend coverage dips about 5% from weekday levels, and turnover sits at 44.7%, marginally better than the 45.8% national figure. The inspection record is clean where it matters, four deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in June 2025. Quality measures land mid-range. It's a nonprofit home with 80 beds whose strongest asset is a spotless harm-level record and dependable weekday staffing; the trade-offs are thinner weekend coverage and a quality-measure score that won't impress anyone.

Nurse hours

4.54 /day

Staff turnover

49%

Serious cites

0

Kennybrook Village sits in Grimes with 40 certified beds and an individual for-profit owner. The nurse staffing number is the standout: 4.54 hours per resident day, roughly 18% above the national average, which is why CMS gives it 4 stars on staffing. Weekend coverage drops about 12% from weekday levels, so ask how that plays out on Saturdays. Turnover runs 49.1%, a bit above the national 45.8%, not alarming, but worth knowing. Twelve deficiencies are on record, none at harm or jeopardy level and none abuse-related, and the last inspection was January 2026. Inspection and quality measures both sit at 3 stars.

Nurse hours

4.18 /day

Staff turnover

50%

Serious cites

0

The Cottages in Pella runs a nonprofit shop with 100 certified beds, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average, though weekend coverage dips about 7% below its own weekday levels, and half the staff turns over each year against a 45.8% national figure. That mix helps explain a staffing rating of 4 out of 5 and quality measures at 4 out of 5, but the health inspection side tells a harder story: 21 deficiencies on record, including 2 at the harm or jeopardy level and 3 tied to abuse, with $40,054 in fines across two penalties. The most recent inspection was August 25, 2025, so the record is current rather than stale. Good day-to-day care numbers, serious inspection findings.

Nurse hours

3.75 /day

Staff turnover

31%

Serious cites

0

Wheatland runs a tight ship on the things that matter most. The health inspection record is clean, five stars, nine deficiencies on file with none rising to harm or jeopardy, and no abuse citations, and that inspection happened recently, in June 2025. Staff turnover sits at 31%, well under the national average of 45.8%, which suggests people stick around here. The tradeoff is daily coverage: 3.75 nurse hours per resident is a bit under the national 3.86, and weekends drop roughly 14% below weekdays, so a Saturday or Sunday shift may feel thinner than a Tuesday. For-profit corporate ownership, 45 beds, and mid-range quality measures round out the picture. Solid, not spotless.

Nurse hours

3.67 /day

Staff turnover

23%

Serious cites

0

Smith Center Health and Rehab runs a tight ship on staff retention, 22.5% annual turnover is half the national average, which matters more than almost anything else for day-to-day consistency of care. The trade-off is raw staffing hours: 3.67 per resident day sits about 5% under the national average, and weekends drop roughly 12% below the home's own weekday coverage. Inspections look solid, a 4/5 health inspection rating, most recent visit in April 2025, but 14 deficiencies are on record, one serious enough to involve harm or jeopardy, plus a $16,153 fine. For-profit corporate ownership, 45 beds. The retention story is real; the weekend staffing dip is worth asking about directly.

Nurse hours

4.09 /day

Staff turnover

51%

Serious cites

0

Kansas Christian Home runs a church-affiliated nonprofit with 54 beds in Newton, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average, which is the main reason its staffing rating lands at 4 stars. That cushion thins on weekends, when hours drop about 11% below the home's own weekday pace. Annual turnover of 50.9% edges past the national 45.8%, and the inspection record shows 27 deficiencies, including one at the harm level and two tied to abuse. Its last inspection was May 2026, so that record is recent, not stale. Quality and health inspection measures both come in at 3 stars, solid enough, but the deficiency history is the piece worth asking about directly.

Nurse hours

4.29 /day

Staff turnover

63%

Serious cites

0

Salem Home runs a solid non-profit operation in Hillsboro, and the inspection side is genuinely strong, a four-star health inspection rating, last survey in August 2024, and no abuse citations on record. The catch is inside the staffing numbers. Overall nurse hours beat the national average by about 11%, but weekends run roughly 11% thinner than weekdays, and turnover sits at 62.5% against a national 45.8%. That's a lot of churn for a 45-bed home, and it's the kind of thing families feel in consistency of care more than in any rating. Ten deficiencies, one at harm level, isn't alarming, but it's not spotless either.

Nurse hours

7.05 /day

Staff turnover

26%

Serious cites

0

Rockcastle Regional runs a genuinely heavy nursing floor: 7.05 nurse hours per resident day, roughly 83% above the national average, with weekend coverage dipping about 14% below its own weekday level. Staff turnover sits at 26.1%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The inspection record is clean where it counts, four deficiencies, none at harm or jeopardy level, no abuse citations, and the most recent survey was in March 2025. Quality measures score 5/5. The softer spot is staffing stars at 3/5 despite the raw hours, likely reflecting case-mix or weekend consistency rather than thin coverage overall.

Nurse hours

3.79 /day

Staff turnover

31%

Serious cites

0

Garden Park runs a 160-bed for-profit operation in Shreveport, and its nurse staffing sits at 3.79 hours per resident day, a hair under the national average of 3.86. Weekend coverage drops roughly 13% below what the home staffs on weekdays, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot: 30.9% annually against a national 45.8%, meaning caregivers here tend to stick around longer than the typical home. The inspection record shows 15 deficiencies, two tied to abuse, though none rose to actual harm or jeopardy. A September 2025 inspection keeps the record current.

Nurse hours

4.07 /day

Staff turnover

33%

Serious cites

0

Mansfield Nursing Center runs on 4.07 total nurse hours per resident per day, roughly 5% above the national average, and its staff turnover of 33.3% sits well below the 45.8% national figure, both good signs for consistency of care. The catch is weekends, when staffing drops about 14% below the home's own weekday level, so coverage is thinner exactly when families tend to visit. Inspections in August 2025 turned up 15 deficiencies, none rising to harm or jeopardy, though one was abuse-related and worth asking about directly. This is a for-profit LLC with 100 certified beds, and its most recent federal inspection is on the current record.

Nurse hours

4.40 /day

Staff turnover

27%

Serious cites

0

Desoto Retirement & Rehab runs 135 certified beds in Mansfield under for-profit LLC ownership, and its staffing is the strongest card it holds: 4.40 nurse hours per resident day, roughly 14% above the national average, with a 27.3% turnover rate that's well below the 45.8% national figure, a relatively stable crew. Weekends dip about 12% below weekday coverage, which is typical but worth watching. The weaker side shows in two 2/5 ratings, for health inspections and quality measures, on a record of 15 deficiencies, including 2 tied to abuse. None rose to harm or jeopardy level, and the most recent inspection was February 2025.