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

Nurse hours

3.39 /day

Staff turnover

54%

Serious cites

0

Good Samaritan Society Howard is a 45-bed nonprofit, and its inspection record is genuinely strong, a recent survey, only four deficiencies, none causing harm. Quality measures score well too. Where it slips is staffing: 3.39 nurse hours per resident day sits about 12% under the national average, and weekend coverage drops roughly 17% below its own weekday levels. Annual turnover of 53.7% is also higher than the 45.8% national figure, meaning caregivers cycle through faster than average. One abuse-related deficiency appears on the record. So the care itself looks careful, but the people delivering it have less time and less continuity than residents at better-staffed homes. Ask how weekends and evenings are covered.

Nurse hours

5.09 /day

Staff turnover

55%

Serious cites

0

Monument Health Sturgis Care Center runs on unusually heavy staffing for a 40-bed nonprofit home, 5.09 nurse hours per resident day, roughly a third above the national average, though weekend coverage drops about 17% from weekday levels, so ask how that gap gets filled. Staff turnover sits at 54.7%, nearly nine points above the national figure, which matters in a building this small where residents see the same few faces daily. The inspection record shows 22 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $26,272 in fines across two penalties. The last inspection was March 2026.

Nurse hours

3.81 /day

Staff turnover

48%

Serious cites

0

Signature Healthcare of Primacy runs 120 beds under for-profit LLC ownership, and the staffing picture is the weak spot. At 3.81 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. Annual turnover of 48.2% also edges past the national 45.8%, so the people caring for residents change often. What lifts it is the inspection record: a 4-star health inspection rating, seven deficiencies on file, none involving harm or jeopardy, and none abuse-related, with the most recent inspection dated March 2026. Quality measures come in strong at 5 stars. If staffing consistency matters most to you, ask how weekends are covered.

Nurse hours

3.43 /day

Staff turnover

35%

Serious cites

0

Mountain City Care & Rehabilitation Center runs 3.43 total nurse hours per resident per day, roughly 11% under the national average, and weekends drop about 16% below its own weekday staffing. That's worth knowing before you visit on a Sunday. The tradeoff is stability: turnover sits at 35.4% against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. The current record shows six deficiencies, none at the harm level and none abuse-related, and its last inspection was April 2026, so the findings are recent rather than stale. A 120-bed for-profit LLC with a five-star inspection history and thinner daily coverage, ask about weekend coverage directly.

Nurse hours

3.65 /day

Staff turnover

41%

Serious cites

0

Hillview Health Center runs on federal ownership, which shapes how it operates. The 76-bed home in Elizabethton scores 4 out of 5 stars on all three CMS measures, health inspections, quality, and staffing, and its record shows 7 deficiencies with none at the harm or jeopardy level and nothing abuse-related. Staffing sits at 3.65 hours per resident day, about 5% under the national average of 3.86, and weekends drop roughly 20% below its own weekday coverage. Turnover is 41.2%, better than the 45.8% national figure. Its last inspection was November 2023, so the record is reasonably current. The weak spot is thin weekend staffing, not safety or quality.

Nurse hours

4.96 /day

Staff turnover

44%

Serious cites

0

Alamo Nursing and Rehabilitation Center runs on 4.96 nurse hours per resident day, roughly 28% above the national average of 3.86, that's the number working in its favor. Weekends dip about 18% below weekday staffing, so ask how coverage holds up on Saturdays and Sundays. Turnover sits at 43.8%, slightly better than the 45.8% national figure, which matters for whether your parent sees the same faces. The inspection history shows 17 deficiencies, one serious enough to reach harm or jeopardy level, and one fine of $12,542; the most recent inspection was March 2026. Corporate for-profit ownership, 121 beds. The staffing is real, but that one harm-level finding is worth asking about directly.

Nurse hours

5.13 /day

Staff turnover

38%

Serious cites

0

Dyer Nursing and Rehabilitation Center runs 5.13 total nurse hours per resident day, roughly a third more than the national average of 3.86, and its staff turnover of 38.2% sits below the national 45.8%, both signs of a home that keeps people and staffs them. Weekend hours drop about 24% from weekday levels, worth asking about if your family visits Saturdays or Sundays. The inspection record is clean where it matters: nine deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in August 2025. The weak spot is the quality measure star rating of 1 out of 5, which doesn't square with the staffing picture and is the number to press the administrator on.

Nurse hours

4.40 /day

Staff turnover

28%

Serious cites

0

Jefferson County Nursing Home is county-owned, and that shows up in the staffing numbers: 4.40 nurse hours per resident day, roughly 14% above the national average, with turnover at 28.4% against a national 45.8%. People tend to stay here. Weekend staffing drops about 18% below weekday levels, which is worth asking about if your family member needs more attention on Saturdays and Sundays. The health inspection record is clean where it counts, nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in December 2025. The weak spot is the quality measure rating, which sits near the bottom at 1 out of 5. That gap between good staffing and poor clinical outcomes is the thing to press the administrator on.

Nurse hours

4.88 /day

Staff turnover

51%

Serious cites

0

Harbert Hills Academy N H runs a tight ship on nurse coverage, with 4.88 hours per resident day, roughly a quarter more than the national average, and that staffing earns it four stars. Weekends dip about 17% below weekday levels, so care may feel thinner on Saturdays and Sundays than the weekday numbers suggest. The inspection record is clean where it counts: 13 deficiencies on file, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Staff turnover sits just above the national rate at 50.8%, and quality measures lag at two stars, a gap that suggests the clinical outcomes don't fully match the staffing picture.

Nurse hours

3.51 /day

Staff turnover

—

Serious cites

0

Monument Healthcare Cottonwood Creek runs 77 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86, with weekends about 11% lighter than its own weekdays. The inspection record is where the real concern shows: 28 deficiencies, three of them serious enough to involve harm or jeopardy, plus three abuse-related citations and a $17,940 fine, with the most recent inspection dated April 4, 2024. Quality measure scores look strong on paper, but that contrast with the inspection history and below-average staffing is worth asking about directly before you decide.

Nurse hours

3.46 /day

Staff turnover

54%

Serious cites

0

Copper Ridge runs a 120-bed for-profit operation in West Jordan with a clean recent inspection record, 16 deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the most recent state visit was September 2025. The care quality numbers back that up. Where it gets thinner is staffing: 3.46 nurse hours per resident day, roughly 10 percent under the national average, with weekends running about 18 percent below its own weekday coverage. Turnover sits at 53.9 percent against a 45.8 percent national mark, so you're looking at a home that's doing well on care measures but cycling through caregivers faster than average. Worth asking how they cover weekends and which staff actually stay.

Nurse hours

3.93 /day

Staff turnover

48%

Serious cites

0

Friendship Health and Rehab Center is a 253-bed nonprofit in Roanoke, and its inspection record is genuinely solid, a four-star health inspection rating, with the most recent survey in October 2024 and no deficiencies at the harm or jeopardy level. What's under the surface: 17 total deficiencies on the current record, two of them abuse-related, plus staff turnover at 48.1%, running a bit above the national average of 45.8%. Nurse staffing sits at 3.93 hours per resident day, just above the 3.86 national figure, but weekends run about 18% leaner than weekdays, so coverage can feel different depending on when you visit.

Nurse hours

3.96 /day

Staff turnover

31%

Serious cites

0

Maple Grove runs on 3.96 nurse hours per resident day, a bit above the national average, and its 30.8% turnover is well below the typical 45.8%, that kind of retention usually means the people caring for your family member have been there a while. The catch is weekends, when staffing drops roughly 15% below its own weekday level, so ask how coverage looks on a Saturday. The inspection record shows 14 deficiencies, including one at the harm level and one tied to abuse, with an $8,278 fine and a survey completed in October 2024.

Nurse hours

3.76 /day

Staff turnover

—

Serious cites

0

Birmingham Green is county-owned, which usually means steadier funding but also slower movement on staffing. And staffing is where this place shows its soft spot: 3.76 nurse hours per resident day, a bit under the national average, with weekends running about 13% leaner than weekdays. The inspection record is genuinely strong, a 5-out-of-5 health inspection rating, last surveyed in January 2024, though it carries 15 deficiencies, including one at the harm level and one abuse-related, so the history isn't spotless. Quality measures score well at 4 out of 5. The takeaway: excellent survey performance and good clinical metrics, but ask directly about weekend nurse coverage before you decide.

Nurse hours

3.08 /day

Staff turnover

43%

Serious cites

0

Riverside Lifelong Health in Mathews runs lean on nursing hours, 3.08 per resident day against a national average of 3.86, roughly a fifth less hands-on time. Weekends dip about 16% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Turnover sits at 43.2%, a touch better than the 45.8% national figure, and inspections look solid on paper: four out of five stars, last full survey in August 2023. The record isn't spotless, though, twelve deficiencies, four serious enough to reach harm or jeopardy level, and four tied to abuse. A nonprofit corporation owns the 60-bed home. Strong survey scores and below-average staffing can both be true at once.

Nurse hours

4.55 /day

Staff turnover

28%

Serious cites

0

Arlington Health and Rehabilitation runs 4.55 nurse hours per resident day, about 18% above the national average, and its staff turnover of 27.6% is well below the 45.8% national figure, that kind of retention usually means consistent caregivers who know the residents. Weekends thin out by roughly 15%, so ask how coverage holds up on Saturdays and Sundays. The concerning part sits in the inspection record: 38 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $173,496 fine. Ownership is a for-profit limited liability company. The most recent inspection was January 26, 2026, so the record is current. Strong staffing and quality scores don't erase those findings.

Nurse hours

4.24 /day

Staff turnover

36%

Serious cites

0

Elkins Rehabilitation & Care Center runs on a nonprofit model with 111 certified beds, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage drops about 16% below its own weekday level, so care shifts depending on the day. Staff turnover is 36.3%, which is lower than the national 45.8%, meaning fewer unfamiliar faces than at many homes. The inspection history is mixed: 34 deficiencies on record, including one at the harm level and six tied to abuse, plus a single fine of $8,278. The most recent inspection was August 2025, so the record is current.

Nurse hours

4.80 /day

Staff turnover

38%

Serious cites

0

South Lincoln Nursing Center runs on unusually heavy staffing for a 24-bed home, 4.80 nurse hours per resident day, about a quarter above the national average, which is why it earns top marks on that measure alone. The catch is consistency: weekends run roughly a fifth thinner than weekdays, so the coverage your family member gets depends on the calendar. Turnover at 38.1% beats the national 45.8%, though more than a third of staff still left in a year. Inspections are the weak spot, 24 deficiencies on record, four tied to abuse, none rising to actual harm, and a survey as recent as July 2025. Hospital-district ownership means public accountability rather than a chain.

Nurse hours

5.34 /day

Staff turnover

26%

Serious cites

0

Western Convalescent Hospital runs 5.34 nurse hours per resident day, well above the national average, and its 26.1% turnover is far below the typical 45.8%, staff tend to stay. But that staffing cushion drops on weekends, and the inspection record is what pulls the grade down: 80 deficiencies, four tied to abuse, with a health inspection star of 1 out of 5. Ownership is a for-profit LLC. The care hours and stable workforce are real strengths; the survey history is the thing to ask about directly before you decide.

Nurse hours

4.09 /day

Staff turnover

—

Serious cites

0

Desert Springs runs 4.09 nurse hours per resident per day, which is actually about 6% above the national average, but that staffing still earns only 2 out of 5 stars from CMS, and weekend coverage drops roughly 8% below what the home provides on weekdays. The bigger issue sits in the inspection history: 49 deficiencies on the current record, three of them serious enough to reach harm or jeopardy level, plus three tied to abuse and a $66,151 fine. The most recent inspection was September 2025, so this isn't stale paperwork. A for-profit limited liability company operates the 68-bed home. Strong quality measures and above-average staffing hours don't offset that many serious findings.