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

Nurse hours

3.34 /day

Staff turnover

35%

Serious cites

0

Lakehouse Healthcare runs 260 beds in Minneapolis under for-profit LLC ownership, and its inspection record is the first thing to know: 81 deficiencies on file, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection in August 2025. Staffing is genuinely better than most homes on retention, 34.5% annual turnover beats the national 45.8%, but total nurse hours come in around 3.34 per resident day, roughly 13% under the national average, and weekends run about 8% thinner than weekdays. That combination, a stable workforce stretched too thin against a heavy citation history, is what sits behind the grade.

Nurse hours

3.57 /day

Staff turnover

36%

Serious cites

0

The Estates at Roseville runs 140 certified beds under corporate for-profit ownership, and its last health inspection was in May 2025. That inspection record carries 27 deficiencies, none flagged at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Nurse staffing sits at 3.57 hours per resident day, roughly 8 percent under the national figure, and weekends run about 4 percent thinner than weekdays. Staff turnover is 35.6 percent, below the 45.8 percent national average, which suggests people tend to stay. So you have solid quality and staffing ratings sitting alongside a middling inspection history and a fairly long deficiency list.

Nurse hours

3.97 /day

Staff turnover

61%

Serious cites

0

Madonna Towers of Rochester runs a nonprofit home with 62 beds, and its nurse staffing sits a hair above the national average, 3.97 hours per resident day against 3.86. That margin shrinks on weekends, when coverage drops roughly 12% below its own weekday levels, so the hours aren't spread evenly across the week. The bigger flag is turnover: 60.5% of staff leaving annually, well past the 45.8% national figure. Inspections look solid on paper, with a 4-star health rating and a recent April 2026 survey, but the record carries 14 deficiencies, one serious enough to involve harm or jeopardy, plus a $10,196 fine. Good survey scores and steady churn can coexist; ask how they hold onto aides.

Nurse hours

3.21 /day

Staff turnover

48%

Serious cites

0

The Villas At St Paul runs about 3.21 nurse hours per resident day, roughly 17% under the national average, and weekend coverage drops another 10% below its own weekday level. That's a for-profit partnership operating 105 certified beds, with staff turnover at 48.1%, a bit above the 45.8% national figure. Inspectors were last in on April 3, 2025, and the home carries 36 deficiencies, none at harm or jeopardy level, though three are abuse-related. Its last inspection is recent, which counts for something, and the staffing star rating holds at 4/5 despite the below-average total hours. So the picture is mixed: adequate on paper in some categories, thinner on direct care hours and weekend consistency than the numbers first suggest.

Nurse hours

3.61 /day

Staff turnover

53%

Serious cites

0

Little Falls Care Center runs a nonprofit home with 64 certified beds, and its staffing numbers tell a mixed story. Nurses provide 3.61 hours per resident day, about 6% under the national average, and weekend coverage drops roughly 7% below what the home staffs on weekdays. Annual turnover sits at 52.6%, well above the 45.8% national figure, so aides and nurses are cycling through regularly. The inspection record is the harder part: 41 deficiencies, including one at the harm level and three tied to abuse, from an April 2024 visit. Quality measures land mid-range, and the staffing star rating looks better than the day-to-day consistency suggests.

Nurse hours

3.90 /day

Staff turnover

47%

Serious cites

0

Edenbrook Of St Cloud runs 77 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86. That thin margin matters more when you look at weekends, which run about 13% below the home's own weekday level. Staff turnover is 46.9%, a touch worse than the 45.8% national figure. The current inspection record shows 33 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related. The last full inspection was June 26, 2025, so the picture is reasonably current. State surveyors rated health inspections and quality measures each 3 out of 5.

Nurse hours

7.14 /day

Staff turnover

62%

Serious cites

0

Minnewaska Community Health Services runs on unusually heavy nurse staffing, 7.14 hours per resident day against a national average near 3.86, and that shows up in its four-star staffing rating. The catch is who's providing it: turnover sits at 61.5%, well above the 45.8% norm, and weekend coverage dips about 9% below weekday levels, so the hours aren't always delivered by familiar faces. On inspections, the record is thinner: 18 deficiencies, two serious enough to reach harm or jeopardy, and roughly $25,000 in fines. The last survey came in April 2026. This church-affiliated nonprofit has real direct-care muscle, but consistency and regulatory follow-through are where it wobbles.

Nurse hours

5.24 /day

Staff turnover

—

Serious cites

0

Fair Meadow in Fertile runs a nonprofit home where the nurse staffing works out to 5.24 hours per resident each day, roughly a third more than the national average, though weekends drop about 22% below what the home covers during the week, so the coverage families see on a Saturday may not match a Tuesday. Inspectors were last in on September 10, 2025, and the health inspection rating came back strong, but the record still carries 14 deficiencies, three tied to abuse, none serious enough to reach harm or jeopardy level. The quality measure rating is the weak spot at 2 out of 5, which sits oddly against the generous staffing. Worth asking the director directly about those three abuse citations and how the home staffs weekends.

Nurse hours

3.41 /day

Staff turnover

29%

Serious cites

0

Diversicare Of Meridian runs about 12% below the national average on total nurse staffing, and weekends dip roughly 14% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the genuine bright spot here: 28.9% against a national average of 45.8%, which suggests a more stable crew than most. The inspection record is the real concern. Twenty-two deficiencies on file, three serious enough to reach harm or jeopardy, one tied to abuse, and a $12,735 fine, with the most recent inspection in May 2025. For-profit ownership under a limited liability company, 120 beds. Ask about weekend coverage and how those harm-level findings were resolved.

Nurse hours

3.46 /day

Staff turnover

35%

Serious cites

0

Diversicare Of Moss Point runs 160 beds as a for-profit LLC, and its strongest number is staffing: 3.46 nurse hours per resident day, about 10% under the national average of 3.86, with weekend coverage dipping roughly 11% below its own weekdays. Turnover sits at 34.6%, better than the 45.8% national figure, which matters for consistency of care. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, though inspection and quality measure ratings both land at 2 out of 5 stars. The last inspection was 2026-04-22. What's behind the B is steady, modest staffing and clean harm-level history against weaker inspection and quality results.

Nurse hours

4.19 /day

Staff turnover

45%

Serious cites

0

Pine Crest Guest Home runs about 4.19 nurse hours per resident per day, roughly 9% above the national average, but that staffing thins out on weekends, dropping about 28% below its own weekday levels. Turnover sits at 44.8%, essentially even with the national figure, so continuity isn't the concern here. The bigger issue is the inspection record: eight deficiencies on file, two serious enough to involve harm or jeopardy, one tied to abuse, and $15,945 in fines across two penalties. The most recent inspection was in December 2024, so the picture is fairly current. A for-profit limited liability company operates the 55-bed home. Strong weekday staffing, real gaps on weekends, and a troubling deficiency history, that combination is what a family should weigh.

Nurse hours

3.07 /day

Staff turnover

15%

Serious cites

0

Worth County Convalescent Center runs on a county budget with 50 beds, and the staffing math cuts both ways. At 3.07 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, and weekends dip another 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. What offsets that is remarkable stability: 15% annual turnover against a national rate near 46% means the people showing up know the residents and stay. The record isn't spotless, 17 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and the last inspection was February 2026. Quality measures score low; inspections middling. Ask about weekend coverage specifically.

Nurse hours

4.14 /day

Staff turnover

47%

Serious cites

0

Heisinger Bluffs Healthcare Western Campus runs on 4.14 nurse hours per resident day, roughly 7% above the national average of 3.86, which is the main reason its staffing rating lands at 4 out of 5. The catch is weekends: coverage drops about 9% below what the home staffs on weekdays, so the hours aren't spread evenly across the week. Turnover sits at 46.8%, essentially level with the national 45.8%, and the home carries 24 deficiencies on its current record, none at the harm or jeopardy level, one abuse-related. Its last inspection was October 18, 2024, and the 4/5 health inspection rating suggests that survey went reasonably well.

Nurse hours

3.72 /day

Staff turnover

55%

Serious cites

0

Arrowhead Senior Living in Osage Beach runs on thinner staffing than most homes nationally, about 3.72 nurse hours per resident day against a 3.86 average, and weekends drop roughly 13% below its own weekday levels, so families should ask who's actually on the floor Saturday and Sunday. Turnover sits at 54.7%, well above the 45.8% national figure, which matters because caregivers who leave take familiarity with your parent with them. The inspection record is genuinely strong: a 5-star health inspection rating, 14 deficiencies with none at the harm level, and a recent October 2024 survey. One abuse-related deficiency is on the record, though, so ask directly how it was resolved.

Nurse hours

3.77 /day

Staff turnover

33%

Serious cites

0

Life Care Center of Elkhorn runs 135 certified beds under corporate ownership, and its staffing sits just under the national average at 3.77 nurse hours per resident day. Weekends drop about 14% below the home's own weekday coverage, which matters when residents need help on a Saturday. Turnover is genuinely better than average at 33.3%, so the people who stay tend to stay. The trouble is the inspection record. A one-star health inspection rating sits behind 39 deficiencies, including 8 tied to abuse and 2 serious enough to put residents in harm's way, plus a $26,397 fine. The most recent inspection was December 8, 2025. Good staffing numbers and a strong quality measure score don't offset that pattern, ask hard questions about supervision and how incidents get reported.

Nurse hours

3.96 /day

Staff turnover

49%

Serious cites

0

Crest View Care Center in Chadron runs a for-profit operation under an LLC, and its staffing numbers are the one clear bright spot: 3.96 nurse hours per resident day, slightly above the national average. But look past that, and the inspection record is rough, 35 deficiencies on file, including one at the harm level and four tied to abuse, with a 1-out-of-5 health inspection rating. Weekend staffing also drops about 8% below its own weekday coverage, and turnover sits at 48.5%, higher than the national 45.8%. An inspection date of December 2025 means the record is current, not stale. Strong floor staffing is real, but it's carrying a lot of weight here.

Nurse hours

4.40 /day

Staff turnover

47%

Serious cites

0

Oakland Heights is city-owned, which is unusual, and it runs on 4.40 nurse hours per resident day, roughly 14% above the national average. Weekends dip about 15% below its own weekday staffing, so coverage thins out on Saturdays and Sundays. Turnover sits at 46.8%, essentially the national rate, meaning you'll likely see new faces over a long stay. The inspection record is the strong part: three deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey in June 2025. Quality measures are where it lags, scoring 2 of 5 stars, worth asking what specifically is dragging that down before you decide.

Nurse hours

4.41 /day

Staff turnover

67%

Serious cites

0

Eventide Prairie Commons runs a tight operation on nurse hours, 4.41 per resident day, roughly 14% above the national average, but that staffing comes at a cost in continuity, with 67.4% annual turnover against a national figure near 46%. The inspection record is the bigger concern: 15 deficiencies, one serious enough to reach harm or jeopardy level, and a $10,296 fine, all from a May 2025 survey that left the home with a single star for health inspections even as its quality measures score 4 out of 5. Weekend coverage dips about 5% below weekday levels, which matters most when something goes wrong on a Saturday.

Nurse hours

3.75 /day

Staff turnover

49%

Serious cites

0

Premier Health & Rehabilitation Center Of Lv runs 100 certified beds under for-profit LLC ownership, and its federal ratings are genuinely solid, four stars each for health inspections, quality measures, and staffing. The staffing picture is where it gets more mixed. At 3.75 nurse hours per resident day, it sits just under the national average of 3.86, and weekend coverage drops about 12% below its own weekday level, a gap that matters when families visit on Saturdays and Sundays. Annual turnover of 48.9% runs above the national 45.8%. The current record shows 25 deficiencies, including one at the harm level and two abuse-related, plus a single fine of $29,395. Last inspection: August 2025.

Nurse hours

4.93 /day

Staff turnover

51%

Serious cites

0

Coos County Nursing Home in Berlin runs on county money, and the staffing reflects that: 4.93 nurse hours per resident day, roughly 28% above the national figure. Weekends drop about 14% below its own weekday level, so coverage thins out on Saturdays and Sundays. Turnover sits at 50.9%, higher than the 45.8% national average, meaning a good share of the people caring for residents are still learning the building. Inspections tell a mixed story, 11 deficiencies on record, none at the harm level, but three tied to abuse, with the last survey in February 2026. The county's investment in direct care is real; the consistency and safety record are where the gaps show.