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

Nurse hours

4.04 /day

Staff turnover

29%

Serious cites

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Nottingham Village runs 121 beds under corporate ownership in Northumberland, and its staffing is the strongest part of the picture, 4.04 nurse hours per resident day, about 5% above the national average, with turnover at 28.6% against a national 45.8%. That retention matters, since consistent caregivers tend to know residents' routines. Weekends are the soft spot: staffing drops roughly 10% below its own weekday level. The inspection record is where the concerns sit, 31 deficiencies, one at harm or jeopardy level and two abuse-related, with one fine of $8,018 and a survey completed in November 2025. Families should ask directly how weekend coverage is handled and what changed after those abuse findings.

Nurse hours

4.23 /day

Staff turnover

19%

Serious cites

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Wesley Enhanced Living Main Line sits in Media with 60 certified beds and a nonprofit owner. The staffing numbers are the real story here: 4.23 nurse hours per resident day, roughly 9% above the national average, and turnover at 19.4% is unusually low against a national rate of 45.8%. Weekend coverage dips about 5% from weekday levels, which is a gap worth asking about directly. What holds the record back is the inspection side. Four deficiencies on file, one serious enough to reach harm or jeopardy level, and a single fine totaling $151,457. The last inspection was March 2026. Strong, stable staffing paired with a costly serious deficiency and middling inspection and quality ratings, that mix is what the grade reflects.

Nurse hours

4.37 /day

Staff turnover

47%

Serious cites

0

Thornwald Home is a church-affiliated nonprofit in Carlisle with 83 certified beds, and its staffing is the clearest strength here: 4.37 nurse hours per resident day, about 13% above the national average of 3.86. Weekend coverage dips roughly 6% below its own weekday level, and turnover sits at 47.4%, slightly worse than the 45.8% national figure. Inspections are another story, 16 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse, plus a single fine of $9,110. The most recent inspection was December 11, 2025, so the record is current. Solid daily staffing, but the deficiency history is what a family should ask about directly.

Nurse hours

3.56 /day

Staff turnover

39%

Serious cites

0

Townview runs about 3.56 nurse hours per resident per day, roughly 8% under the national average, and weekends drop further, about 6% below its own weekday staffing. Turnover sits at 38.8%, better than the 45.8% national figure, so the same faces are more likely to stick around, though the current record carries 16 deficiencies, including four tied to abuse and one serious enough to put a resident in harm's way. Inspectors last visited in October 2024. The staffing star comes in at 4 out of 5, but state inspectors gave it 3s on health inspections and quality measures.

Nurse hours

3.34 /day

Staff turnover

45%

Serious cites

0

Sanatoga Center runs 130 beds in Pottstown under corporate ownership, and its last inspection was recent, July 2025, with 13 deficiencies on record, none of them rising to harm or jeopardy and none abuse-related. That's a decent inspection picture, and the four-star ratings on health inspections and quality measures back it up. Where the numbers get thinner is staffing: 3.34 nurse hours per resident day sits about 13% under the national average, and weekends drop roughly 11% below the home's own weekday level. Turnover of 45.2% is essentially the national rate, so continuity isn't unusually bad or good. The staffing rating of three stars tells you CMS sees the same gap the raw hours do.

Nurse hours

3.69 /day

Staff turnover

56%

Serious cites

0

Transitions Healthcare Allens Cove runs 3.69 nurse hours per resident day, a bit under the national figure, and weekend coverage drops about 8% below what the home staffs on weekdays. Turnover sits at 56.3%, well above the national 45.8%, that's more than half the nursing staff leaving in a year, which matters for how well residents' routines and preferences get known. The 34 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level, and the last inspection was recent, in March 2026. Families should ask how the home covers weekends and what it's doing to hold onto aides.

Nurse hours

3.23 /day

Staff turnover

50%

Serious cites

0

Avalon Springs runs a 100-bed for-profit operation, and its staffing numbers sit below what you'd typically see elsewhere, 3.23 nurse hours per resident day against a national average of 3.86. Weekend coverage dips further, about 12% under its own weekday levels, which matters if your visits tend to fall on Saturdays and Sundays. Annual turnover hits 50%, slightly above the national figure, so you may see unfamiliar faces across shifts. The positives are real: five deficiencies on record, none involving harm or abuse, and a recent inspection. Quality and inspection scores hold up; staffing is the softer spot. Worth asking how they cover weekends before you decide.

Nurse hours

3.30 /day

Staff turnover

31%

Serious cites

0

Northampton Post Acute runs lean on bedside staffing, 3.30 nurse hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday levels. That thin coverage is the main thing pulling its numbers down. What offsets it: turnover sits at 31.4%, well under the 45.8% national figure, so the aides and nurses who are there tend to stay. The home also scores 5/5 on CMS quality measures and 4/5 on health inspections, with 15 deficiencies on record and none involving harm, jeopardy, or abuse. For-profit, LLC-owned, 180 beds, inspected in May 2026. The pattern is a well-run building stretched a bit thin on staff hours.

Nurse hours

3.67 /day

Staff turnover

38%

Serious cites

0

Quality Life Services - Westmont runs 41 beds in Johnstown under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national average, with weekends about 13% thinner than weekdays. Staff turnover of 38.2% actually beats the national 45.8%, so the people who stay tend to stay, even if there aren't quite enough of them. The record shows 31 deficiencies, none at harm or jeopardy level, though four are abuse-related, which is worth asking about directly. Inspectors were last on site in March 2026. All three CMS star ratings land at 3 out of 5.

Nurse hours

3.89 /day

Staff turnover

44%

Serious cites

0

Warren Center runs 63 certified beds under for-profit LLC ownership, and its staffing sits right at the national mark, 3.89 nurse hours per resident day against 3.86 nationwide. That's basically even, though weekends dip about 8% below its own weekday coverage, which is worth asking about if your family member needs care on Saturdays and Sundays. The inspection record is the stronger piece here: 21 deficiencies logged, but none at the harm or jeopardy level and nothing abuse-related, with the last state visit in September 2025. Staff turnover of 44.2% is slightly better than the 45.8% national average, so the team isn't bleeding people faster than typical. Nothing here is alarming, but nothing stands out as exceptional either.

Nurse hours

3.99 /day

Staff turnover

39%

Serious cites

0

Mount St Rita Health Centre runs about 3.99 nurse hours per resident day, a bit above the national average, and its weekend staffing holds within roughly 8% of weekday levels. Staff turnover sits at 39%, lower than the 45.8% national figure. The trouble is the inspection record: 27 deficiencies, three at harm or jeopardy level and one abuse-related, with five fines totaling $274,749. The most recent inspection was December 2025, so the findings are current. Stronger staffing and steadier retention are real positives here, but the harm-level citations and the fine total are what pull the overall picture down to a middling grade. Ask about the abuse-related deficiency and the plan to fix it.

Nurse hours

3.88 /day

Staff turnover

36%

Serious cites

0

St Antoine runs 260 beds as a nonprofit, and its staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86. The catch is weekends, when hours drop about 13% below the home's own weekday level. Turnover at 35.9% is meaningfully better than the 45.8% national figure, which matters for continuity of care. What pulls the record down is inspection history: 22 deficiencies on file, five at harm or jeopardy level and two tied to abuse, plus three fines totaling $38,519. The most recent inspection was January 30, 2026, so the picture is current, not stale. Strong staffing numbers, but the harm-level findings are the part a family should ask about directly.

Nurse hours

3.25 /day

Staff turnover

49%

Serious cites

0

Inman Healthcare runs 40 certified beds under for-profit LLC ownership, and its staffing sits at 3.25 nurse hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 3% below its own weekday levels, and annual turnover reaches 48.6%, a bit above the 45.8% national figure. The current inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed April 3, 2025. Federal ratings place quality measures at 5 out of 5 and staffing at 4 out of 5, though the health inspection rating lands at 3. For a family weighing this home, the quality scores look strong while the hands-on hours per resident sit below what you'd find across the country.

Nurse hours

3.47 /day

Staff turnover

50%

Serious cites

0

Tieszen Memorial Home in Marion runs on thin nurse coverage, 3.47 hours per resident day against a national average of 3.86, and weekends dip about 13% below what the home itself staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when falls and infections don't check the calendar. Half the nursing staff turned over in the past year, above the 45.8% national figure, which means new faces are still learning residents' routines. The inspection record is cleaner: seven deficiencies, none at harm or jeopardy level, though two are abuse-related, and the last survey was December 2024.

Nurse hours

3.91 /day

Staff turnover

52%

Serious cites

0

Pioneer Memorial runs a tight ship on paper: 3.91 nurse hours per resident day, a hair above the national average, and its quality measure and staffing ratings both land at 4 out of 5. But the weekend number matters. Staffing drops about 6% below weekday levels, and with turnover at 52%, well above the national 45.8%, you're looking at a workforce that cycles through fast and thins out on Saturdays and Sundays. The bigger concern sits on the inspection record: three deficiencies, two serious enough to involve harm or jeopardy, and two tied to abuse. A $32,536 fine followed the February 2025 inspection. Nonprofit ownership doesn't erase those findings.

Nurse hours

3.40 /day

Staff turnover

38%

Serious cites

0

Weskota Manor runs lean on daily nursing hours, 3.40 per resident, roughly 12% under the national figure, and weekends dip about 11% below its own weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The tradeoff shows up in retention: 37.5% turnover beats the 45.8% national average, so the aides and nurses here tend to stick around longer than at most homes. Six deficiencies on the current record, none involving harm or abuse, and a January 2026 inspection that came back strong. Two things are true at once: thin staffing, steady caregivers.

Nurse hours

4.25 /day

Staff turnover

38%

Serious cites

0

Kadoka Nursing Home runs a lean 31-bed nonprofit operation in Jackson County, and the staffing numbers are its strongest card: 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 9% below its own weekday level. Turnover sits at 38.2%, better than the 45.8% national figure. The tradeoff shows up in quality measures, where CMS gives it 1 out of 5 stars despite a 4-star inspection rating and no deficiencies at the harm or jeopardy level among its 11 on record. Last inspected April 16, 2025. Strong hands-on care, weaker clinical outcomes on paper, that's the tension worth asking about.

Nurse hours

2.96 /day

Staff turnover

32%

Serious cites

0

The Waters of Clinton runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 10% below its own weekday level. That thin coverage is what CMS's 2-out-of-5 staffing rating reflects, even though the home's quality measure score is perfect and turnover (32.4%) actually beats the national 45.8%. The 14 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was September 2025. So this is a for-profit LLC where outcomes look good on paper and staff tend to stay, but day-to-day hands-on time is well short of average, worth asking how the floor is covered on a Saturday.

Nurse hours

3.68 /day

Staff turnover

41%

Serious cites

0

Life Care Center Of Crossville runs 122 certified beds under for-profit LLC ownership, and its staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. The inspection record shows 17 deficiencies, including one at the harm or jeopardy level and three tied to abuse; the state fined the home $8,824. Turnover at 41.3% is slightly better than the 45.8% national figure, and the quality measure rating is strong, but that harm-level and abuse-related history is what you'd want to press administrators on directly.

Nurse hours

3.75 /day

Staff turnover

24%

Serious cites

0

Lynchburg Nursing Center runs 88 certified beds under for-profit LLC ownership, and the staffing picture is where your attention should go first. Total nurse hours sit at 3.75 per resident day, a bit under the national average, and weekends drop roughly 13% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit and when fewer administrators are around. What offsets that is unusually low turnover at 24.2%, well under the national figure, which suggests the aides and nurses who are there tend to stay. The inspection record is clean where it counts: six deficiencies, none at harm or jeopardy level, none abuse-related, with a recent survey in December 2025. Staffing is the soft spot; consistency is the strength.