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

Nurse hours

3.32 /day

Staff turnover

29%

Serious cites

0

The Waters of Roan Highlands runs lean on direct care: 3.32 nurse hours per resident day, roughly 14 percent under the national average, and weekends get thinner still, dropping another 14 percent below the home's own weekday level. That gap is what pulls its staffing rating down to 2 out of 5. What offsets it is a clean inspection record, zero deficiencies on the current books, none at harm level, none abuse-related, with a survey completed in May 2026, and quality measures scoring 5 out of 5. Staff turnover sits at 29.2 percent, well below the 45.8 percent national figure, so the people who are there tend to stay.

Nurse hours

4.00 /day

Staff turnover

53%

Serious cites

0

Nhc Healthcare, Tullahoma runs 90 certified beds under for-profit LLC ownership, and the nurse staffing number lands at 4.00 hours per resident day, about 4% above the national average of 3.86. That margin narrows on weekends, when coverage drops roughly 13% below the home's own weekday level. Staff turnover sits at 52.6%, noticeably higher than the 45.8% national figure, so continuity of caregivers is a fair question to raise. The current inspection record shows 13 deficiencies, none at harm or jeopardy level, though one is abuse-related. The last inspection was June 11, 2025, so the picture is recent. CMS rates staffing and quality measures 4 out of 5, health inspections 3.

Nurse hours

3.55 /day

Staff turnover

26%

Serious cites

0

Grand Terrace runs a tight ship on the clinical side, perfect marks on both health inspections and quality measures, with 14 deficiencies on record and none of them rising to harm or jeopardy. That's a clean inspection history, and the state visited recently enough that the findings are current. The staffing picture is where it gets uneven: 3.55 nurse hours per resident day sits about 8% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so care thins out when families tend to visit. Turnover at 25.8% is well below the national 45.8%, which suggests a stable crew. Corporate-owned, and that one abuse-related deficiency is worth asking about directly.

Nurse hours

3.34 /day

Staff turnover

34%

Serious cites

0

Heritage Park is a hospital-district home in Austin with 197 beds, and the numbers pull in opposite directions. Its quality measure score is perfect, but the health inspection side is where the trouble sits: 49 deficiencies on the current record, including five at the harm or jeopardy level and three tied to abuse, with $56,007 in fines across five penalties and a February 2026 inspection that keeps those findings current. Nurse staffing runs 3.34 hours per resident day, about 13 percent under the national average, and weekends drop roughly 14 percent below the home's own weekday coverage. Turnover is 33.6 percent, which actually beats the 45.8 percent national figure, one real bright spot, though steady staff can't offset inspection findings this serious.

Nurse hours

3.01 /day

Staff turnover

37%

Serious cites

0

Avir At Corpus Christi runs on 3.01 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 11% below its own weekday level. That thin staffing shows up in its 2/5 staffing rating, and the inspection record carries 25 deficiencies, including one at the harm level and three tied to abuse. Turnover is 36.5%, actually better than the 45.8% national figure, and the 5/5 quality measure rating suggests clinical metrics look strong. But with a for-profit LLC structure, a recent September 2025 inspection, and a $14,069 fine on record, the numbers point to a home where the care numbers and the people delivering them don't quite match up.

Nurse hours

3.29 /day

Staff turnover

27%

Serious cites

0

Pearsall Nursing and Rehabilitation Center runs 150 certified beds under nonprofit corporate ownership, and its strongest numbers are in inspections and quality measures, both rated 4 out of 5 by CMS, with the most recent inspection completed in May 2025. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse, though one fine totaling $14,255 has been assessed. Where the home gives ground is staffing: 3.29 nurse hours per resident day sits roughly 15% under the national average, and weekends run about 11% thinner than its own weekdays. Staff turnover, at 27.2%, is well below the national 45.8%, people tend to stay here.

Nurse hours

3.53 /day

Staff turnover

57%

Serious cites

0

Avir At Jacksboro runs on thinner nurse coverage than most homes, 3.53 hours per resident per day against a national average of 3.86, with weekends about 9% leaner than weekdays. That staffing level earned the home two stars from CMS, and it comes alongside a 57.1% annual turnover rate, well above the 45.8% national figure. Turnover that high means aides and nurses are constantly new to residents and to each other, which matters most on weekends when the schedule is thinnest. The inspection record is recent, January 2026, and includes 19 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involved abuse. A single fine of $23,813 is on file. Quality measures score well, but strong chart numbers don't staff a night shift.

Nurse hours

3.29 /day

Staff turnover

23%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Harlingen runs on a non-profit corporate model with 154 certified beds, and its inspection record is solid, a 4/5 health inspection rating with a recent June 2025 survey and no deficiencies at the harm or jeopardy level. That's meaningful. But the staffing picture is thinner than it looks: 3.29 nurse hours per resident day sits roughly 15% below the national average, weekends run about 11% below the home's own weekday coverage, and CMS gives it just 2/5 for staffing. The one abuse-related deficiency on record is worth asking about directly. Turnover at 23.1% is notably better than the national 45.8%, which suggests some stability in the workforce even if raw hours are low.

Nurse hours

3.76 /day

Staff turnover

43%

Serious cites

0

Life Care Center Of Plano runs on 3.76 nurse hours per resident day, a bit under the national average, and weekends drop about 11% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover sits at 42.5%, slightly better than the typical home but hardly stable. The inspection record shows 21 deficiencies, one of them serious enough to put a resident in harm's way, and a single fine of $8,281, with the most recent state visit in April 2025. What lifts this home is its quality measures, where it scores at the top of the federal scale, the day-to-day care metrics look strong even as the safety and staffing picture stays merely adequate.

Nurse hours

4.83 /day

Staff turnover

—

Serious cites

0

Hansford Manor runs on a thin staffing margin, the federal data puts it at one star, well below what you'd want for a 60-bed home, and that's the number I'd weigh hardest. The quality measure score is also low at two stars, which tracks with a building that may not be moving residents toward better outcomes. On the other hand, inspections look solid: four stars, ten deficiencies on record, none at the level where someone was harmed or put in immediate danger, and none tied to abuse. The last survey was in September 2025, so the picture is current. Government hospital-district ownership can mean steadier funding than a for-profit chain, but it doesn't fix a direct-care hours problem.

Nurse hours

4.06 /day

Staff turnover

47%

Serious cites

0

Sunshine Terrace is run by a hospital district, which usually brings some stability, but the numbers here tell a different story. The health inspection rating sits at the bottom of the scale, and the record shows 29 deficiencies, including two that put residents in immediate harm and four tied to abuse, that's a lot to carry, and it points to problems that show up in practice, not just on paper. Staffing is also rated 1 out of 5, and turnover runs slightly above the national average at 47.2%, so the people caring for residents are cycling through quickly. The most recent inspection was in April 2026, so the picture is current.

Nurse hours

3.28 /day

Staff turnover

28%

Serious cites

0

Shore Health & Rehab runs lean on nursing hours, 3.28 per resident day, roughly 15% under the national average, and weekends dip about 9% below its own weekday coverage. That thin staffing is the main thing pulling its profile down. The flip side: turnover sits at 28.1% against a national 45.8%, so the aides and nurses who are there tend to stay, which matters for residents who need consistent faces. Its inspection record shows 34 deficiencies but none at harm or jeopardy level and nothing abuse-related, with the last survey in July 2024. Quality measures score well; staffing is where it lags.

Nurse hours

3.42 /day

Staff turnover

25%

Serious cites

0

Belmont Bay runs lean on nursing hours, 3.42 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 54 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $12,834; the last inspection was June 2024. Staff turnover of 25.3% is well below the national 45.8%, so the people caring for residents tend to stay. The quality measures look strong on paper while the inspection and staffing ratings sit at two stars each.

Nurse hours

4.19 /day

Staff turnover

38%

Serious cites

0

Valley View runs 4.19 nursing hours per resident day, roughly 9% more than the national average, and its staff turnover of 38% sits below the 45.8% national figure, both signs of a stable floor. Weekends thin out, though, running about 13% lighter than weekdays, so ask how coverage holds up on a Sunday. The record shows 59 deficiencies, none at harm or jeopardy level, but two tied to abuse, and the last inspection was March 2026. With 136 beds under for-profit LLC ownership, the staffing is the stronger story here; the inspection history is the one worth reading closely.

Nurse hours

4.07 /day

Staff turnover

54%

Serious cites

0

Avamere Rehabilitation at Park West runs 137 beds as a for-profit limited liability company, and its staffing numbers look decent on paper, 4.07 nurse hours per resident day, a bit above the national average. But look closer and the picture shifts: weekends run roughly 9% thinner than weekdays, and annual turnover hits 53.5% against a national 45.8%, meaning the people caring for residents keep changing. The inspection record is where the real concern sits. CMS gives the health inspection side 2 out of 5 stars, with 58 deficiencies on file, including two at the harm level and two tied to abuse. A $29,820 fine and a July 2025 inspection round out the record. Quality and staffing stars read well, but those don't offset what surveyors actually found.

Nurse hours

2.95 /day

Staff turnover

31%

Serious cites

0

Salem Center runs 2.95 nursing hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. That shortfall shows up in the staffing star rating, which sits at 2 out of 5, while the quality measure rating is a 5, the clinical outcomes look good even though the day-to-day coverage is thin. Turnover is 31%, better than the 45.8% national figure, so the aides and nurses who are there tend to stay. The 37 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in June 2025. For-profit corporate ownership, 112 beds.

Nurse hours

3.44 /day

Staff turnover

39%

Serious cites

0

Bridgeport Healthcare Center runs on thinner nursing coverage than most homes nationally, 3.44 hours per resident day against a 3.86 average, and weekends drop roughly 13% below what the home itself staffs on weekdays. That matters for a 60-bed building where a fall or an infection doesn't wait for Monday. Turnover sits at 39.3%, better than the 45.8% national figure, so the same faces tend to stay. The record shows 24 deficiencies, including one at harm level and one tied to abuse, with a single $8,021 fine; inspectors were last in on April 9, 2026. Quality scores look strong, but the staffing star tells the harder story.

Nurse hours

4.80 /day

Staff turnover

47%

Serious cites

0

Riverside in La Crosse is a nonprofit home with 123 beds, and its staffing is the standout: 4.80 nurse hours per resident day, roughly a quarter above the national average, which earns a top federal rating on that measure. Weekends dip about 9% below weekdays, so coverage isn't perfectly even. Turnover sits at 47.4%, just over the national figure. The tension shows up in the inspection record, 13 deficiencies, including one at the harm level and one abuse-related, plus a $21,645 fine, though the most recent inspection was January 2026 and the health inspection rating is 4 out of 5. Quality measures rate 1 out of 5, the weakest piece. Strong hands-on staffing, mixed follow-through on care quality and past compliance.

Nurse hours

3.27 /day

Staff turnover

29%

Serious cites

0

St Francis Health Services runs 34 beds in Milwaukee, and the numbers tell a mixed story. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86, and weekends dip about 4% below the home's own weekday level. The inspection record shows 15 deficiencies, including one at the harm level and two tied to abuse. On the other side, staff turnover is 28.6%, well below the national 45.8%, which suggests people stay. The last inspection was recent, February 2026, and the for-profit corporate owner holds middle ratings across health, quality, and staffing.

Nurse hours

4.38 /day

Staff turnover

63%

Serious cites

0

Complete Care At Glendale West runs a for-profit LLC operation with 94 certified beds, and its nurse staffing sits at 4.38 hours per resident day, about 13% above the national average. That's the strongest thing going for it, though weekends dip roughly 8% below the home's own weekday levels, and annual turnover of 62.9% is well above the 45.8% national figure, meaning the people providing that care keep changing. Inspections are another matter: 38 deficiencies on the current record, including two at harm or jeopardy level and one abuse-related, with a $11,180 fine and a 2/5 health inspection rating. The state last visited in May 2025. Strong quality scores don't erase a citation record like that.