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

Nurse hours

3.63 /day

Staff turnover

59%

Serious cites

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Aaron Manor runs about 3.63 nurse hours per resident per day, roughly 6% under the national average, and weekend coverage drops about 15% below its own weekday level, so the hours thin out exactly when families tend to visit. Staff turnover sits at 58.5% against a national 45.8%, meaning more than half the nursing staff left within a year. The good news is real: a 4-star health inspection rating, a 5-star quality measure rating, and 14 deficiencies on record with none at the harm level and nothing abuse-related, last inspected in October 2024. For-profit LLC ownership with 140 beds. Solid care quality on paper, but the staffing pattern is where I'd focus your questions.

Nurse hours

2.70 /day

Staff turnover

23%

Serious cites

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Staten Island Care Center runs lean on nursing hours, 2.70 per resident day against a national average of 3.86, roughly 30% below, and weekends dip about 5% under its own weekday levels. What stands out is the retention: 23.3% turnover versus 45.8% nationally, so the aides and nurses who are there tend to stay. Inspections look solid, with a 4/5 health inspection rating and 10 deficiencies on record, none at harm or jeopardy level, though one is abuse-related. Quality measures score 5/5. Put it together and you have a home that keeps its staff and passes inspections but runs thinner on daily bedside hours than most.

Nurse hours

3.28 /day

Staff turnover

25%

Serious cites

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Four Seasons runs 270 beds in Brooklyn under for-profit LLC ownership, and its staffing sits at 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. What stands out in the other direction is retention: 25.3% annual turnover against a national average of 45.8%, meaning the aides and nurses here tend to stay. That stability is earning real marks on quality measures, even as the staffing ratio and 16 outstanding deficiencies, three tied to abuse, none at harm level, pull the other way. The last inspection was March 2026, so the record is recent.

Nurse hours

2.70 /day

Staff turnover

17%

Serious cites

0

Salem Hills runs lean. At 2.70 nurse hours per resident day, it sits roughly 30 percent below the national average of 3.86, and weekends drop another 7 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. What offsets that is unusually low turnover: 17.2 percent against a national average of 45.8 percent, meaning the aides and nurses who are there tend to stay. The record shows 13 deficiencies, none at the harm level and none abuse-related, with the last inspection in May 2024. Quality measures score well, but staffing scores poorly, and that split is what the B reflects.

Nurse hours

2.94 /day

Staff turnover

15%

Serious cites

0

The Atrium Center has 380 beds and gives residents about 2.94 nursing hours a day, roughly a quarter below the national average of 3.86, with weekends running about 9% thinner than weekdays. That staffing shortfall is the main soft spot, and it's why the federal staffing rating sits at 2 out of 5. What's genuinely unusual is turnover: 15.4% against a national average near 46%, meaning the aides and nurses here tend to stay, which matters for consistency of care. Inspections in March 2025 turned up 16 deficiencies, none at harm or jeopardy level, though one was abuse-related. The quality measures rate 5 out of 5, so day-to-day clinical outcomes look strong even if coverage is lean.

Nurse hours

2.83 /day

Staff turnover

32%

Serious cites

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East Haven runs lean on nurse staffing, 2.83 hours per resident day, roughly 27% under the national average of 3.86, and weekends dip about 14% below its own weekday levels, so coverage thins out right when families tend to visit. The 200-bed for-profit home has 23 deficiencies on its current record, including one abuse-related citation, though none rose to harm or jeopardy level, and CMS has fined it five times for $14,819 total. Turnover sits at 32.2%, better than the 45.8% national figure, which suggests some stability in the workforce even as hours per resident lag. Its last inspection was February 2025.

Nurse hours

3.29 /day

Staff turnover

28%

Serious cites

0

Luxor Nursing & Rehabilitation At Mills Pond runs 252 certified beds in St James under for-profit LLC ownership, and its numbers tell two different stories. The good news is care quality and inspection history: a 4/5 on health inspections and a perfect 5/5 on quality measures, with eleven deficiencies on the current record and none of them tied to harm, jeopardy, or abuse, a clean sheet on the things families worry about most. The harder news is staffing, where 3.29 nurse hours per resident day sits about 15% under the national average, weekend coverage dips roughly 5% below weekday levels, and CMS rates staffing just 2/5. Turnover at 28.1% is meaningfully better than the national 45.8%, so the people there tend to stay. If your concern is consistent hands-on availability, especially weekends, that's the trade-off worth weighing.

Nurse hours

3.23 /day

Staff turnover

23%

Serious cites

0

Sayville Nursing and Rehabilitation Center runs on thinner nurse staffing than most homes, 3.23 hours per resident day against a national average of 3.86, and weekends dip further below its own weekday levels. That's a real gap, and it explains the low staffing score even though the home scores well on inspections and quality measures, with no deficiencies at the harm or jeopardy level. What stands out is retention: 22.5% turnover versus a national 45.8%, meaning the staff who are there tend to stay. A for-profit LLC with 180 beds and a clean harm record is worth a look, but ask directly how the weekend shifts are covered.

Nurse hours

3.12 /day

Staff turnover

22%

Serious cites

0

Ten Broeck Commons runs 258 beds in Lake Katrine under individual for-profit ownership, and its staffing is the number to sit with. At 3.12 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends drop roughly another 15 percent below its own weekday levels, worth asking about if your family visits or needs help mostly on Saturdays and Sundays. Turnover is the bright spot: 22 percent against a national 45.8 means aides and nurses tend to stay. Sixteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with an inspection dated January 12, 2026.

Nurse hours

3.19 /day

Staff turnover

30%

Serious cites

0

Union Plaza Care Center runs 280 certified beds in Flushing under corporate for-profit ownership, and the numbers pull in two directions. The nurses give each resident about 3.19 hours of care per day, roughly 17 percent below the national average of 3.86, and weekends run about 9 percent thinner than weekdays, so coverage depends on when you visit. Against that, turnover sits at 29.5 percent versus 45.8 percent nationally, meaning the staff who are there tend to stay. Nine deficiencies show on the current record with none at the harm level, though two are abuse-related, and the last inspection was August 2024.

Nurse hours

4.48 /day

Staff turnover

54%

Serious cites

0

Canterbury Woods runs on a solid staffing base, 4.48 nurse hours per resident day against a national average of 3.86, and its most recent inspection in January 2025 backs that up with no deficiencies at the harm or jeopardy level. The catch is what's in the record: nine deficiencies total, three of them abuse-related, and a quality measure score of one out of five stars despite the four-star inspection and staffing marks. Staff turnover sits at 54.4%, well above the 45.8% national figure, and weekend coverage dips about 12% below weekday levels. Church-affiliated nonprofit ownership at 50 beds suggests a smaller, mission-driven operation, but the abuse citations and turnover are worth asking about directly.

Nurse hours

3.33 /day

Staff turnover

26%

Serious cites

0

Garden Care Center runs on thin staffing, and the numbers show it: 3.33 nurse hours per resident day, about 14 percent under the national average, with weekends dropping roughly another 13 percent below its own weekday levels. The tradeoff is unusual stability, 26.2 percent turnover against a national 45.8, so the aides and nurses who are there tend to stay. Inspections landed at 4 stars and quality measures at 5, but the current record carries 19 deficiencies, including one at the harm or jeopardy level and one tied to abuse. A recent March 2026 inspection means that record is fresh. For-profit partnership ownership, 150 beds. Worth asking how the weekend floor actually gets covered.

Nurse hours

4.03 /day

Staff turnover

—

Serious cites

0

The New York Center for Rehabilitation & Nursing in Astoria runs 280 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating, just three deficiencies on the current record, and none of them at the harm or jeopardy level. The catch is staffing: 4.03 nurse hours per resident day sits about 4% above the national average, but the home only earns three stars there, and weekend coverage drops roughly 15% below its own weekday level. One abuse-related deficiency also appears in the record. Overall nursing hours look fine on paper; the thinner weekend shifts and that abuse citation are what keep this from being a clean bill of health.

Nurse hours

3.24 /day

Staff turnover

26%

Serious cites

0

Hopkins Center is a 288-bed for-profit home in Brooklyn where the inspection record is genuinely strong, 14 deficiencies on file, none of them harm-level or abuse-related, and a clean five-star inspection rating from CMS as of April 2024. The staffing story is the opposite: 3.24 nurse hours per resident day sits about 16% under the national average, and weekends run roughly 8% thinner than weekdays, which matters most when families visit and needs pile up. Turnover at 26% is well below the national 45.8%, so the aides and nurses who are there tend to stay. Fewer hands, but steadier ones, that's the tradeoff worth weighing.

Nurse hours

4.84 /day

Staff turnover

40%

Serious cites

0

Westchester Manor runs about 4.84 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 39.5% sits below the national 45.8%, that combination usually means people stay long enough to know the residents. The catch is on the inspection side: seven deficiencies on the current record, including one at the harm level and one tied to abuse, plus an $8,018 fine. Weekend staffing dips only slightly, so coverage doesn't fall off a cliff on Saturdays. The most recent inspection closed in July 2025, so the record is current rather than stale. Strong staffing, a thinner quality-measure score, and a mixed survey history, worth asking about those two serious deficiencies directly.

Nurse hours

3.34 /day

Staff turnover

22%

Serious cites

0

Alpine Health and Rehabilitation of Asheboro runs 238 certified beds under individual for-profit ownership, and its inspection record is unusually clean, a single deficiency on the current record, none at the harm or jeopardy level, with the most recent visit in April 2025. That lone citation is abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.34 total nurse hours per resident day sits about 13% under the national average, weekend coverage drops roughly 12% below its own weekdays, and the federal staffing rating lands at 2 out of 5. Turnover is the bright spot at 22.2%, well below the 45.8% national figure, so the people who are there tend to stay.

Nurse hours

3.52 /day

Staff turnover

27%

Serious cites

0

Fair Haven Of Forest City runs a 100-bed for-profit operation, and its inspection record is the strongest part of the story: a four-star health inspection rating, six total deficiencies, none at the harm or jeopardy level, and nothing abuse-related. The tradeoff shows up in daily care. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends run about 8% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Staff turnover of 27% is well below the 45.8% national figure, which suggests a steadier workforce than most. Quality measures, at two stars, are the weak point. The last inspection was April 2026.

Nurse hours

3.61 /day

Staff turnover

37%

Serious cites

0

Ashton Health And Rehabilitation runs 134 certified beds in Guilford County under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, five total deficiencies, one of them at the harm or jeopardy level, and nothing abuse-related. Staffing is where it slips. At 3.61 nurse hours per resident day it sits about 6% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing star rating is 2 out of 5. Turnover at 36.5% actually beats the national 45.8%, which matters for consistency of care, though it doesn't fix the thin weekend hours. One fine of $8,788 is on record, and the last inspection was July 2025.

Nurse hours

4.11 /day

Staff turnover

58%

Serious cites

0

Marian Manor runs a nonprofit shop with 54 beds in Glen Ullin, and the staffing hours look decent on paper, about 4.11 per resident day, roughly 6% above the national average. But weekends dip about 14% below its own weekday coverage, and turnover sits at 57.8% against a national 45.8%, so the people giving that care keep changing. The inspection record is where it gets harder to explain away: 15 deficiencies, two at harm or jeopardy level, one tied to abuse, and a $22,835 fine. The last inspection was June 2026, so this isn't stale history. Quality measures score well, but the survey findings and the churn behind them are what pull the overall picture down.

Nurse hours

4.16 /day

Staff turnover

53%

Serious cites

0

Eventide Jamestown runs a nonprofit home with 79 certified beds, and its nurse staffing sits at 4.16 hours per resident day, about 8% above the national average. That's the strongest part of the picture, and it's why staffing earns 4 stars. But the same numbers show weekend coverage dropping roughly 8% below weekday levels, and annual turnover of 52.6% is higher than the 45.8% national average, so consistent hands aren't guaranteed. The inspection record shows 16 deficiencies, 2 of them at harm or jeopardy level, with the most recent inspection in May 2025. Quality measures come in at 2 stars, which is where the home looks weakest.