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

Nurse hours

3.28 /day

Staff turnover

40%

Serious cites

0

Singleton Health Care Center runs about 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends drop another 14% below its own weekday staffing. Turnover sits at 39.6%, a bit better than the 45.8% national figure. The current inspection record shows 24 deficiencies, none at harm or jeopardy level, but three tied to abuse. Inspectors were last in on November 18, 2024, and the health inspection and quality measure ratings both come in at 4 out of 5 stars, with staffing at 3. That mix, solid survey results against thinner daily coverage, is worth weighing when you visit.

Nurse hours

3.38 /day

Staff turnover

28%

Serious cites

0

Pine Grove runs lean on nurse hours, 3.38 per resident per day against a national average of 3.86, and weekends dip about 7% below its own weekday coverage. That's the weak spot, and it's why staffing lands mid-range even though turnover is unusually low at 27.8%, well under the 45.8% national figure. Where it separates itself is on inspections and quality, both top marks, with just one deficiency on record, nothing at harm or jeopardy level, and no abuse citations. A fresh April 2026 inspection means the picture is current, not stale. Corporate for-profit ownership, 67 beds. The tradeoff is simple: fewer hands per resident, but steady ones and a clean regulatory record.

Nurse hours

3.39 /day

Staff turnover

27%

Serious cites

0

Siena Gardens runs leaner on nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends drop roughly another 11% below its own weekday coverage. The tradeoff shows up elsewhere: staff turnover of 27% is well under the 45.8% national figure, suggesting people tend to stay. Inspections are another strong point, with a 5-star health inspection rating and a visit as recent as September 2025. The record does carry 11 deficiencies, none at the harm level, though one is abuse-related, which is worth asking about directly.

Nurse hours

4.20 /day

Staff turnover

45%

Serious cites

0

Gateway Springs Health Campus runs a tight ship on the clinical side. The 53-bed for-profit home logged a 5/5 on its last federal health inspection in January 2024, with five total deficiencies and none rising to harm or jeopardy, a clean record compared to what a lot of Ohio homes carry. Nurse staffing sits at 4.20 hours per resident day against a national average of 3.86, so there's more direct care here than typical, though weekend coverage dips about 12% below the weekday pace. Turnover at 44.6% tracks close to the 45.8% national figure. If you're weighing this one, the inspection history is the strongest signal.

Nurse hours

3.86 /day

Staff turnover

36%

Serious cites

0

Alois Alzheimer's Care Center runs 93 certified beds in Cincinnati under corporate for-profit ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.86 hours per resident day, right at the national average, not above it, though weekends dip about 9% below the home's own weekday coverage, a gap worth asking about if your family visits mainly on Saturdays or Sundays. Staff turnover is 36.1%, noticeably better than the 45.8% national figure, which suggests less churn among the people doing daily care. Eleven deficiencies are on record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in September 2025.

Nurse hours

3.39 /day

Staff turnover

48%

Serious cites

0

Lindsay Nursing & Rehab runs 106 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 5% below the home's own weekday coverage, and annual turnover is 47.8%, a couple points above the national figure. The current inspection record shows 17 deficiencies, none at the harm or jeopardy level, though three are abuse-related. Inspectors were last on site in December 2024. Quality measures score well, staffing and health inspections sit in the middle.

Nurse hours

4.20 /day

Staff turnover

60%

Serious cites

0

Cedarcrest runs 89 beds in Broken Arrow under for-profit partnership ownership, and the staffing numbers are genuinely better than most: 4.20 nurse hours per resident day, roughly 9% above the national average, and weekend coverage holds fairly steady. What pulls the record down is inspection history, 28 deficiencies, seven of them abuse-related, though none rose to harm or jeopardy. Turnover sits at 59.5% against a national 45.8%, meaning nearly six in ten staff left within the year, which matters for how well residents know their caregivers. The most recent inspection was May 2025, so the picture is current. Ask about abuse-prevention policies and how they keep consistent aides on the floor.

Nurse hours

4.03 /day

Staff turnover

33%

Serious cites

0

Community Health Center in Wakita runs on 4.03 nurse hours per resident per day, a bit above the national figure, and its staff tends to stay, 33.3% turnover against a national average near 46%. Weekends thin out by roughly 12%, so the weekday coverage is the stronger part of that picture. The inspection record shows 11 deficiencies, none at the level where harm or jeopardy was cited, though two are abuse-related, which a family should ask about directly. The most recent inspection was in April 2026. Quality measures score lower than staffing here, so ask how the home tracks things like falls and pressure sores, not just how many aides are on the floor.

Nurse hours

4.27 /day

Staff turnover

40%

Serious cites

0

Elk City Nursing and Rehabilitation Center runs 118 certified beds under for-profit partnership ownership, and the staffing picture is genuinely better than most: 4.27 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 13% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The 40% annual turnover sits below the 45.8% national figure. On inspections, the record shows 11 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent inspection was August 2025. Quality measures score lower than staffing and inspections do, so ask what's driving that gap before you decide.

Nurse hours

3.61 /day

Staff turnover

51%

Serious cites

0

Heartsworth runs 3.61 nurse hours per resident day, about 6% under the national average, and weekend coverage dips roughly 4% below its own weekday levels, so the thinnest shifts come when families tend to visit. Annual turnover sits at 51.3%, well above the 45.8% national figure. The current record shows 34 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with a single fine of $16,430. The 2/5 inspection rating reflects that record. State inspectors were last on site September 18, 2025.

Nurse hours

5.52 /day

Staff turnover

46%

Serious cites

0

Maryville runs 5.52 nursing hours per resident day, about 43% above the national average of 3.86, and that staffing depth is the strongest thing it has going. It shows up in the numbers: a 5/5 staffing rating and a 4/5 quality measure rating. But the inspection record pulls the other way, 23 deficiencies on file, four of them serious enough to involve harm or jeopardy, plus one tied to abuse, and $162,828 in fines across two penalties. Weekend coverage also drops about 9% below weekday levels, and turnover sits at 45.9%, essentially identical to the national rate. The April 2025 inspection is recent, so the 3/5 health inspection rating reflects current conditions, not old history.

Nurse hours

4.50 /day

Staff turnover

42%

Serious cites

0

Avamere Rehabilitation of Lebanon runs on solid staffing numbers, 4.50 nurse hours per resident day, roughly 17% above the national average, with a 4-out-of-5 staffing rating and turnover at 42.3%, slightly better than the national 45.8%. Weekend coverage dips about 10% below weekday levels, but that's a mild gap in context. Where the picture darkens is inspections: 60 deficiencies on the current record, three tied to abuse and one serious enough to trigger a harm-or-jeopardy finding. The single $20,303 fine and a September 2025 inspection make this a recently reviewed home with a troubled compliance history. For-profit, limited-liability ownership rounds it out. Strong care hours, weak oversight record.

Nurse hours

5.15 /day

Staff turnover

48%

Serious cites

0

Avamere Rehabilitation of Clackamas runs 87 certified beds in Gladstone, and it's a for-profit corporation. The staffing numbers are the strongest thing here: 5.15 nurse hours per resident day, roughly a third above the national average, and weekends dip only about 11% below weekdays, which matters because that's when families tend to visit and problems tend to surface. What pulls it down is the inspection record, 16 deficiencies on file, two serious enough to reach harm or jeopardy level, and three fines totaling $175,773. Turnover sits at 47.5%, slightly above the national 45.8%, so the people caring for residents keep changing. The most recent inspection was December 2025, so that record is current.

Nurse hours

4.62 /day

Staff turnover

51%

Serious cites

0

Regency Prineville runs on a fairly strong clinical footing for a 44-bed for-profit home. Nurse staffing sits at 4.62 hours per resident day, roughly 20% above the national average, and the most recent inspection in January 2026 came back clean enough to earn a five-star health inspection rating. The catch is consistency: weekend coverage drops about 14% below weekday levels, and annual turnover of 51.1% runs above the 45.8% national figure, which matters in a building this small. Eight deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related. Solid care when fully staffed, thinner on weekends.

Nurse hours

4.34 /day

Staff turnover

49%

Serious cites

0

Secora Rehabilitation of Cascadia runs a 53-bed for-profit home in Portland, and its staffing is genuinely better than most: 4.34 nurse hours per resident day, roughly 12 percent above the national average, which is what earns it a 4 out of 5 on CMS staffing. That strength carries real weight. But the inspection record is where families should slow down. Forty-seven deficiencies on the current record, including two tied to abuse, with the last inspection in March 2025. Staff turnover sits at 49.2 percent, above the national 45.8, and weekend coverage drops about 10 percent below its own weekday level. So the care hours look solid on paper, yet the people delivering them keep leaving, and the state has found problems repeatedly. Ask specifically how they've addressed the abuse-related citations.

Nurse hours

3.43 /day

Staff turnover

17%

Serious cites

0

Neshaminy Manor is county-owned, and that shows up in the numbers in a good way: only 3 deficiencies on its current record, none at the harm level, none abuse-related, and a recent inspection in February 2026. The trade-off is staffing. At 3.43 nurse hours per resident day, it sits about 11% below the national average of 3.86, and weekends run roughly 11% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. What offsets that is retention: 17% annual turnover against a national average near 46% means familiar faces, which matters for consistent care. Worth asking how they cover weekends.

Nurse hours

3.70 /day

Staff turnover

25%

Serious cites

0

Rosewood Gardens runs a tight ship on the things that matter most. Four deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with a February 2026 inspection that's still fresh, that's a clean paper trail for a 146-bed for-profit. Staff retention is unusually steady at 24.8% turnover against a national average near 46%, so you're less likely to see a rotating cast of unfamiliar aides. The tradeoff is daily coverage: 3.70 nurse hours per resident sits about 4% under the national figure, and weekends dip roughly 6% below the home's own weekday staffing. Ask specifically who's on the floor on Saturday and Sunday afternoons.

Nurse hours

4.24 /day

Staff turnover

53%

Serious cites

0

Zerbe Sisters runs nurse staffing at 4.24 hours per resident day, roughly 10% above the national average, but the margin thins on weekends, when coverage drops about 9% below its own weekday level. Turnover sits at 52.8%, higher than the 45.8% national figure, so the faces around a resident change more often than average. The inspection record shows three deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $10,033; the most recent inspection was in April 2026. Strong staffing and quality scores sit alongside real gaps in consistency and past safety findings.

Nurse hours

3.79 /day

Staff turnover

33%

Serious cites

0

Elk Haven runs on a nonprofit model with 120 certified beds, and its staffing sits at 3.79 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so if you're visiting on a Saturday, expect a thinner floor. Staff turnover is the brighter spot: 32.7% against a national 45.8% means fewer unfamiliar faces than at most homes. On inspections, nine deficiencies are on record, including one at the harm level and two tied to abuse, with a single $8,018 fine. The most recent inspection was May 2026.

Nurse hours

3.63 /day

Staff turnover

26%

Serious cites

0

Germantown Home runs a leaner nursing floor than most: 3.63 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and needs don't pause. Where it stands out is retention, 26.4% annual turnover against a national 45.8% means aides and nurses largely stay, which tends to show up in familiarity and consistency of care. Fourteen deficiencies sit on the record, none at harm or jeopardy level and none abuse-related, and the most recent inspection was in August 2025. As a nonprofit, there's no ownership chain pulling profit out.