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

Nurse hours

3.79 /day

Staff turnover

51%

Serious cites

0

Regency At Shelby Township runs 116 certified beds in Macomb County, and its nurse staffing sits at 3.79 hours per resident day, just under the national average. Weekends tell a sharper story: staffing drops about 16% below the home's own weekday levels, so care thins out exactly when families tend to visit. Annual turnover of 50.8% runs above the national 45.8%, meaning a lot of the people providing care are still learning the building. Inspections look solid on paper, including a November 2025 visit, but the record carries 25 deficiencies, one at harm level and one abuse-related, plus a $15,593 fine. Ask about weekend coverage and how they retain staff.

Nurse hours

4.11 /day

Staff turnover

—

Serious cites

0

The Oaks At Jamestown runs on about 4.11 nurse hours per resident day, roughly 7 percent more than the national average, and its record shows zero deficiencies, no harm-level findings, and no abuse citations, with an inspection completed in August 2025. What pulls the staffing score down to two stars is how that time is distributed: weekends run about 13 percent leaner than weekdays, so the coverage your family member gets on a Saturday isn't what the weekday average suggests. It's a for-profit limited liability company, and the inspection and quality measure ratings both sit at five stars, which tells you the care itself has been clean, the question worth asking is who's actually on the floor on weekends.

Nurse hours

4.08 /day

Staff turnover

43%

Serious cites

0

Good Samaritan Society - International Falls runs a tight ship on staffing, clocking 4.08 nurse hours per resident day, about 6% above the national average, and turnover at 43.3% edges out the national rate of 45.8%. That staffing consistency shows in the top-tier CMS rating for it. Where the picture muddies is weekends: coverage drops roughly 18% below the home's own weekday level, which matters for a 54-bed nonprofit. The inspection record shows 30 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse, and a single fine of $8,190. Quality measures sit lower than staffing at 2 out of 5 stars, suggesting clinical outcomes aren't keeping pace with the hours worked.

Nurse hours

6.18 /day

Staff turnover

—

Serious cites

0

Cura Of Le Sueur runs about 6.18 nurse hours per resident day, roughly 60% above the national average of 3.86, that's a real staffing advantage, and weekends dip only about 11% below its own weekday level. The catch is what inspections found: 27 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Quality measure scores are weak, and the last inspection was February 24, 2026. One fine totaling $8,021 is on file. Strong nurse coverage and a clean record aren't the same thing, and the inspection history here is the part worth asking about directly.

Nurse hours

4.42 /day

Staff turnover

—

Serious cites

0

Gil-Mor Manor runs 4.42 nurse hours per resident day, roughly 14% above the national average, and that shows up in a 4-out-of-5 staffing rating. Weekends dip about 11% below its own weekday levels, so coverage isn't perfectly even. The inspection record is the weaker part: 29 deficiencies on file, including one abuse-related citation, though none rose to harm or jeopardy, and the last survey was in July 2025. Quality measures sit at 2 out of 5. This is a small nonprofit home where the day-to-day nursing presence is a real strength, but the survey history is worth asking about directly before you decide.

Nurse hours

5.69 /day

Staff turnover

—

Serious cites

0

The Episcopal Church Home The Gardens carries a nurse staffing level of 5.69 hours per resident day, roughly 47% above the national average of 3.86, a real strength, though weekend coverage dips about 7% below its own weekday numbers. That staffing cushion sits against a less comfortable inspection record: 33 deficiencies on file, including one at the harm level and two tied to abuse, with the most recent inspection dated April 2026. As a nonprofit, it doesn't have a corporate chain pulling money out, but the health inspection rating of 2 out of 5 suggests the care environment hasn't consistently matched what the staffing numbers promise. Families should ask directly about those abuse-related findings and what changed after them.

Nurse hours

4.45 /day

Staff turnover

34%

Serious cites

0

Jefferson County Nursing Home is county-owned and runs 60 certified beds in Fayette, and its strongest suit is staffing: 4.45 nurse hours per resident day, about 15% above the national average, with turnover at 34% against a national 45.8%. Weekend coverage drops roughly 18% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. The health inspection record is solid, 4 of 5 stars, last inspected May 2025, but nine deficiencies sit on the current record, two of them abuse-related, and the quality measure rating is just 1 of 5. Ask directly how those abuse citations were resolved and what the low quality scores reflect.

Nurse hours

4.47 /day

Staff turnover

44%

Serious cites

0

Poplar Springs runs on decent nurse coverage: 4.47 hours per resident day, roughly 16% above the national average, and turnover at 43.8% comes in slightly under the national figure. The catch is weekends, when staffing drops about 17% below what the building manages Monday through Friday. On the record, inspectors logged 20 deficiencies, two tied to abuse, though none rose to harm or jeopardy level; the most recent visit was July 2025. The quality measure rating sits at 1 out of 5, which tends to reflect resident outcomes rather than raw hours worked. A for-profit LLC structure rounds out the picture.

Nurse hours

5.00 /day

Staff turnover

42%

Serious cites

0

West Vue runs on more direct nursing time than most homes in the country, five hours per resident per day against a national average near four, and its weekend coverage dips only modestly from weekday levels, which matters when families visit and notice who's actually on the floor. Staff turnover sits slightly under the national rate, and the home's last inspection was recent, with sixteen deficiencies on record but none flagged as harm or abuse. The weak spot is the quality measures, where the federal rating is poor, suggesting the day-to-day care numbers don't tell the same story as the staffing. It's a nonprofit with 130 beds, so the mixed picture is worth asking about directly.

Nurse hours

4.99 /day

Staff turnover

49%

Serious cites

0

Fountainbleau Lodge runs 33 beds in Cape Girardeau, and its nurse staffing sits at 4.99 hours per resident day, roughly 29% above the national average of 3.86. That's a real margin, though weekends drop about 18% below its own weekday level, so coverage thins out when families tend to visit. Turnover is 48.7%, a bit above the national 45.8%. The inspection record shows 20 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $8,827. The most recent inspection was September 2025, so the picture is fairly current.

Nurse hours

4.32 /day

Staff turnover

51%

Serious cites

0

Lacoba Homes runs a church-affiliated nonprofit in Monett with 79 beds, and its recent inspection history is the strongest thing it has going: a 5-out-of-5 health inspection rating and a survey completed in January 2026. The staffing picture is more mixed than the raw average suggests. Overall nurse hours come in around 12% above the national figure, but weekends drop roughly 19% below the home's own weekday coverage, and turnover sits at 51.4% against a national 45.8%. Ten deficiencies are on the current record, including one at the harm level and one tied to abuse. Strong inspections, thinner weekend coverage, and steady staff churn, that's the tradeoff to weigh.

Nurse hours

4.52 /day

Staff turnover

51%

Serious cites

0

Golden Age Living Center runs on a nonprofit model with 61 certified beds in Stover, and the inspection record looks clean. Six deficiencies on file, none of them at the harm or jeopardy level, and the state's last visit was January 30, 2025. Staffing sits at 4.52 nurse hours per resident day, roughly 17 percent above the national average of 3.86, a real cushion, though weekends dip about 17 percent below the home's own weekday level, so coverage thins out when families tend to visit. Annual turnover runs 50.7 percent, a bit worse than the 45.8 percent national figure. One abuse-related deficiency is worth asking about directly.

Nurse hours

4.03 /day

Staff turnover

60%

Serious cites

0

Continental Care runs a 100-bed for-profit operation in Butte, and the staffing numbers cut both ways. Nurses put in 4.03 hours per resident day, comfortably over the 3.86 national figure, yet weekends drop roughly 16% below the home's own weekday coverage, so the hours look better on paper than they may feel on a Saturday. The bigger concern is retention: 60.2% annual turnover against a 45.8% national average means a lot of unfamiliar faces. Inspectors cited 50 deficiencies on the current record, including two at harm or jeopardy level and one tied to abuse, with a $59,180 fine and a May 2025 inspection.

Nurse hours

3.83 /day

Staff turnover

51%

Serious cites

0

Wisner Care Center runs on city government ownership, which is uncommon and tends to mean stable local ties rather than corporate pressure. The numbers are solid but not spotless: 14 deficiencies on record, none at the harm level, though one is abuse-related, worth asking about directly. Nurse staffing sits at 3.83 hours per resident day, a hair under the national average, and weekend coverage drops roughly 21% below weekdays, which is the kind of gap families notice on Saturdays. Staff turnover at 51.2% runs above the national 45.8%. A March 2025 inspection means the record is current, and the four-star marks across health, quality, and staffing hold up.

Nurse hours

4.74 /day

Staff turnover

45%

Serious cites

0

Coos County Nursing Hospital in West Stewartstown is county-owned and runs on 4.74 nurse hours per resident day, roughly a quarter more staffing than the national average. That shows up in its staffing star rating, though weekends dip about 15% below weekday levels, so coverage isn't perfectly even across the week. Turnover sits at 45.3%, essentially matching the national rate, so this isn't a home bleeding staff. What stands out is the inspection record: three deficiencies, none at the harm level, none abuse-related, and a survey as recent as October 2025. State inspectors clearly found little to flag. The weaker spot is the quality measure rating, which suggests outcomes like falls or antipsychotic use aren't tracking as well as the staffing and inspection picture would imply.

Nurse hours

4.04 /day

Staff turnover

46%

Serious cites

0

North Westchester Restorative Therapy & Nrsg Crt runs 4.04 nurse hours per resident day, a bit above the national average, but weekends drop roughly 17% below its own weekday staffing. The 120-bed home is owned by a for-profit limited liability company, and turnover among nurses sits at 45.6%, essentially the national rate. On its current record are 18 deficiencies, none at the harm or jeopardy level, though two are abuse-related. Its last inspection was August 7, 2024, and CMS gives it 4 out of 5 stars for health inspections and 5 for quality measures, with 3 for staffing.

Nurse hours

4.73 /day

Staff turnover

—

Serious cites

0

Good Shepherd Village runs a tight ship on the numbers that matter most for day-to-day care: nurse staffing at 4.73 hours per resident day, well above the national average, with weekend coverage barely dipping below weekday levels. Inspectors have cited 13 deficiencies on the current record, but none rose to harm or jeopardy, and none involved abuse, a meaningful distinction when you're comparing homes. The trade-off shows up in the quality measure score, which sits low despite the strong inspection and staffing marks. That split usually means the home does well on process and oversight but has room to improve on resident outcomes. Worth asking the administrator which measures are dragging.

Nurse hours

4.99 /day

Staff turnover

—

Serious cites

0

Gem City runs 4.99 nurse hours per resident day, roughly 29% above the national average of 3.86, that's real bedside coverage, though weekends dip about 9% below the home's own weekday level. The catch is inspections: 24 deficiencies on the current record and a 2-star health inspection rating, with the most recent survey dated July 1, 2025. None of those deficiencies rose to harm or jeopardy, and none were abuse-related. Quality measures score 5 stars, but staffing stars sit at 2 despite the high hours, and the home is for-profit, owned by a limited liability company. Strong daily nurse time paired with a long deficiency list is the tension here.

Nurse hours

3.10 /day

Staff turnover

40%

Serious cites

0

Woodside Village runs on 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 16% below its own weekday staffing. Turnover sits at 40.4%, a bit better than the 45.8% national figure, which matters since fewer staff cycling through means more familiar faces. The current record shows 29 deficiencies, none at harm or jeopardy level but four tied to abuse, worth asking about directly. The last inspection was January 30, 2025, so the picture is recent. A for-profit LLC with 75 beds, this is a home where the quality measures look stronger than the staffing numbers.

Nurse hours

3.83 /day

Staff turnover

46%

Serious cites

0

Lanfair Center runs 84 certified beds in Lancaster under corporate for-profit ownership. Nurse staffing sits at 3.83 hours per resident day, essentially level with the national 3.86 but thinner on weekends, when coverage drops about 16% below its own weekday level. Staff turnover is 45.5%, right in line with the 45.8% national figure, neither a red flag nor a strength. The current record shows 23 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection came in May 2025. CMS gives it three stars for health inspections and three for staffing, against a perfect five for quality measures, so the clinical metrics look strong, but the staffing and inspection sides are more workmanlike.