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

Nurse hours

3.90 /day

Staff turnover

33%

Serious cites

0

Onaga Operator runs 45 certified beds as a for-profit LLC, and its nurse staffing sits at 3.90 hours per resident day, just barely over the national average of 3.86, roughly a 1% edge. The bigger staffing concern is weekends, which run about 15% below what the home covers on weekdays. Turnover comes in at 33.3%, notably better than the 45.8% national figure, so workers are staying longer than at the typical home. What drags the record down is inspections: 18 deficiencies, including 4 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $51,274. The most recent inspection was April 30, 2026.

Nurse hours

3.29 /day

Staff turnover

44%

Serious cites

0

Botkin Care and Rehab runs 45 certified beds in Wellington under corporate for-profit ownership, and its clinical record is genuinely strong, a four-out-of-five on health inspections and a perfect quality measure score, with a February 2025 inspection that found 10 deficiencies but nothing rising to harm or jeopardy and no abuse citations. The staffing side tells a different story. At 3.29 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage. Turnover, at 43.9%, is slightly better than the 45.8% national figure. Good care when inspectors look, thinner coverage day to day.

Nurse hours

3.82 /day

Staff turnover

67%

Serious cites

0

Elmhaven East runs 45 beds in Parsons under individual for-profit ownership, and its last health inspection was in April 2025, so the record is current. The staffing picture is mixed: total nurse hours sit just under the national average, but weekend coverage drops about 15% below the home's own weekday level, and annual turnover of 66.7% is well above the 45.8% national figure, that churn matters more than a single day's census. The 32 deficiencies on record include one at the harm level, though none involve abuse. Good quality and staffing star ratings sit alongside that turnover and the harm citation, which is the tension worth understanding here.

Nurse hours

5.67 /day

Staff turnover

48%

Serious cites

0

Cedar Village runs on unusually heavy staffing for a 30-bed nonprofit home, 5.67 nurse hours per resident day, roughly 47 percent above the national average, and that shows up in a five-star staffing rating. Inspections are current and strong at four stars, with 18 deficiencies on record but only one at the harm level and none tied to abuse. The weak spot is quality measures, where it sits at one star, and turnover runs slightly above the national rate at 47.8 percent. Weekend coverage dips about 13 percent below weekday levels, which matters in a building this small, where one call-out changes the whole shift.

Nurse hours

4.99 /day

Staff turnover

38%

Serious cites

0

Williamsburg Health & Rehabilitation Center runs on a for-profit, individually owned model with 125 certified beds, and its strongest number is staffing: 4.99 nurse hours per resident day, roughly 29% above the national average. Weekend coverage dips about 9% below its own weekday level, a gap worth asking about, and annual turnover sits at 38.2%, better than the 45.8% national figure, though still meaning more than a third of staff leaving each year. The inspection record shows 8 deficiencies, none at harm or jeopardy level, but one is abuse-related, which families should ask about directly. Quality measures score 1 out of 5, and the last inspection was December 2025.

Nurse hours

3.65 /day

Staff turnover

37%

Serious cites

0

Parkview runs 228 beds in Paducah under corporate for-profit ownership, and its nurse staffing sits at 3.65 hours per resident day, about 6% under the national average of 3.86. Weekends get thinner still, roughly 14% below the home's own weekday coverage, which matters most when families visit and when problems tend to surface. Turnover is the brighter spot: 37.4% against a national 45.8%, meaning caregivers stick around longer here than at the typical home. The inspection record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $5,519 and a recent April 2026 survey. Quality measures score well; staffing and inspections land mid-range.

Nurse hours

4.46 /day

Staff turnover

34%

Serious cites

0

Hyden Health And Rehabilitation Center runs on unusually strong nurse staffing for a for-profit home, 4.46 hours per resident day, about 16% above the national average, and weekend coverage only dips around 13% below its own weekday level, which is a smaller drop than many places manage. Staff turnover sits at 33.7%, well under the national 45.8%, and its last inspection in October 2024 produced no deficiencies at the harm or jeopardy level and no abuse citations. The tradeoff shows up in the quality measures, which score low, and in ten total deficiencies on record. One fine of $5,346 is modest. The day-to-day care presence looks solid; the clinical outcomes data is where questions remain.

Nurse hours

3.94 /day

Staff turnover

44%

Serious cites

0

Middlesboro Nursing and Rehabilitation sits in Bell County with 95 certified beds and a for-profit corporate owner. The last inspection in September 2024 turned up a single deficiency, none of it at the harm level and nothing abuse-related, which is about as clean a federal record as you'll find. CMS gives it five stars for both inspections and quality measures. The catch is staffing, where two stars reflects a thinner crew than the inspection results would suggest: 3.94 nurse hours per resident day, only slightly above the 3.86 national average, and weekends run roughly 11% leaner than weekdays. Turnover at 44% is a hair under the national 45.8%.

Nurse hours

3.39 /day

Staff turnover

39%

Serious cites

0

Greenville Nursing and Rehabilitation runs a tight ship on inspections, a five-star health inspection rating and seven deficiencies on the current record, none of them serious enough to cause harm or involve abuse. The last state visit was in July 2025. Where it slips is staffing: 3.39 nurse hours per resident day against a national average of 3.86, and weekends run about 11 percent thinner than weekdays. Turnover sits at 39 percent, which is actually better than the 45.8 percent national figure, so the people who stay tend to stay. This is a for-profit, limited-liability operation with 60 beds. Read the pattern honestly: clean inspections, thin coverage.

Nurse hours

3.98 /day

Staff turnover

52%

Serious cites

0

Zachary Manor runs 110 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86. That margin narrows on weekends, when coverage drops roughly 12% below the home's own weekday levels, and annual turnover of 51.8% tops the national 45.8%. The inspection record shows 22 deficiencies, none at harm or jeopardy level, though two are abuse-related, with the most recent inspection dated February 2026. Federal ratings land at three stars for health inspections and quality measures, four for staffing. The staffing number looks solid on paper; the turnover and weekend dip are where that advantage gets tested.

Nurse hours

3.51 /day

Staff turnover

38%

Serious cites

0

Bernice Nursing and Rehabilitation Center runs 126 certified beds under for-profit LLC ownership, and its staffing sits at 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86, with weekends about 15% thinner than weekdays. Turnover is 37.8%, better than the 45.8% national figure, and the quality measure and staffing stars both come in at 4 out of 5. The inspection record is where the trouble concentrates: a 1-star health inspection rating, 32 deficiencies including four at harm or jeopardy level and six tied to abuse, plus two fines totaling $221,159, with the most recent inspection on March 19, 2025. Good numbers on paper don't cancel out what inspectors actually found in the building.

Nurse hours

3.47 /day

Staff turnover

16%

Serious cites

0

Hammond Nursing Home runs lean on nursing hours, 3.47 per resident day, roughly 10% under the national average, and weekends get thinner still, about 10% below what the home staffs on weekdays. What stands out is retention: 16.4% annual turnover against a 45.8% national average means the aides and nurses here mostly stay, which matters more for daily care than a slightly low staffing number. The trade-off shows up in the inspection record: 15 deficiencies, one at harm or jeopardy level, two tied to abuse, and one $8,018 fine. A recent January 2026 inspection and a 4-star health inspection rating suggest those problems aren't currently the whole story.

Nurse hours

4.01 /day

Staff turnover

50%

Serious cites

0

St Mary's D'youville Pavilion runs 210 beds under nonprofit ownership, and the staffing numbers are genuinely better than most: 4.01 nurse hours per resident day against a national average of 3.86, with weekends only about 2% lighter than weekdays. That consistency matters. What pulls the record down is inspection history, 28 deficiencies on file, including one at the harm level and one abuse-related, plus a $22,205 fine and a one-star health inspection rating, though the most recent survey was March 2025. Staff turnover sits at 50%, above the 45.8% national figure. Quality measures score well. The pattern here is a home that's well-staffed on paper but has real compliance problems to ask about directly.

Nurse hours

4.75 /day

Staff turnover

51%

Serious cites

0

Brewer Center for Health & Rehabilitation runs a for-profit operation with 111 certified beds, and its nurse staffing sits at 4.75 hours per resident day, roughly a quarter above the national average. That's a meaningful cushion, though weekend coverage drops about 10% from weekday levels, so families should ask how that gap gets filled. Staff turnover is 51%, higher than the 45.8% national figure, which matters for continuity of care. On inspections, the home holds a 4-out-of-5 star rating from CMS, and its 30 deficiencies include none at the harm or jeopardy level and none related to abuse. The most recent inspection was April 30, 2026.

Nurse hours

4.34 /day

Staff turnover

27%

Serious cites

0

Ross Manor runs on 4.34 nurse hours per resident per day, about 12% above the national average, and its staff turnover of 27.3% sits well below the 45.8% national figure, a sign people tend to stay. Weekends thin out roughly 9% from weekday coverage, worth knowing if your visits land on Saturdays. The tradeoffs show up elsewhere: 38 deficiencies on the current record, including one at the harm level and three tied to abuse, plus an $8,018 fine. Quality measures rate low even as staffing rates high, and the last inspection was April 2025.

Nurse hours

3.80 /day

Staff turnover

33%

Serious cites

0

Autumn Lake Healthcare at Ballenger Creek in Frederick is a for-profit corporate home with 130 certified beds, and its inspection record is the thing to look at first: 63 deficiencies on file, including 2 at the harm or jeopardy level and 7 tied to abuse. A June 2025 inspection means that record is current, not stale. Staffing sits at 3.80 hours per resident day, just under the national average of 3.86, and weekends run about 8% thinner than weekdays. Turnover is 32.7%, which is meaningfully better than the 45.8% national figure, that's a real strength here. The quality measure rating of 5/5 contrasts sharply with the 1/5 inspection score, so if you're weighing this home, ask pointed questions about the abuse-related findings before anything else.

Nurse hours

3.50 /day

Staff turnover

24%

Serious cites

0

Adelphi Nursing and Rehabilitation Center runs 170 certified beds as a for-profit LLC, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86, with weekends dipping about 12% below its own weekday coverage. Turnover is the bright spot: 23.8% against a national 45.8%, so the aides and nurses who are there tend to stay. The tradeoff shows up in the inspection record: 77 deficiencies, none at harm or jeopardy level but three tied to abuse, and a 2-out-of-5 health inspection rating. Quality measures score 4 out of 5, and the last survey was February 2025.

Nurse hours

3.38 /day

Staff turnover

45%

Serious cites

0

Autumn Lake Healthcare at Catonsville runs 136 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover lands at 44.7%, essentially tracking the national figure of 45.8%. The inspection record carries 79 deficiencies, including four tied to abuse, though none reached harm or jeopardy level; the most recent survey was August 2025, and CMS scores inspections and staffing at 2 out of 5 stars each while quality measures earn 5. The split tells you where to look: ask about weekend coverage and the abuse-related findings directly.

Nurse hours

4.07 /day

Staff turnover

43%

Serious cites

0

Autumn Lake Healthcare At Crofton runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average of 3.86. Weekend coverage drops about 11% below the home's own weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The 42.7% annual turnover rate is slightly better than the 45.8% national figure, which matters for continuity of care. On the record: 37 deficiencies, none at harm or jeopardy level, but four abuse-related citations. The last inspection was September 2025. Quality measures score well; staffing and health inspections land in the middle.

Nurse hours

3.42 /day

Staff turnover

36%

Serious cites

0

Autumn Lake Healthcare At Birch Manor runs about 3.42 nurse hours per resident per day, roughly 11% under the national average of 3.86, and weekends dip another 8% below its own weekday staffing. Turnover sits at 35.9%, better than the 45.8% national figure, though the 85 deficiencies on record, six abuse-related, none at harm or jeopardy level, and a three-star inspection rating suggest the care record has gaps worth asking about directly. The five-star quality measure score and recent June 2025 inspection cut the other way. For-profit, LLC-owned, 118 beds.