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

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This 37-bed pediatric subacute home in Saratoga has strong inspection and quality ratings from CMS, but the 17 deficiencies on its current record deserve a closer look. None of those rose to the level of actual harm or immediate jeopardy, which is genuinely meaningful, but three are abuse-related, a category worth asking about directly, since even non-harm citations in that area can point to gaps in how staff screen, supervise, or report. The last inspection was recent, February 2026, so this is a current picture, not a stale one. A limited liability company operating for profit means you'll want to ask who's actually on-site overnight and how often licensed nurses are present, especially in a pediatric setting.

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Coastal Oaks passed its most recent inspection in June 2025 with nine deficiencies on record, none of them serious enough to cause harm or jeopardy, and no abuse citations at all. That's a clean paper trail by any standard. The two CMS ratings that matter most here, health inspections and quality measures, both sit at the top of the scale. What holds the grade back is the ownership structure: a for-profit limited liability company running 65 beds, which tends to mean tighter margins and less cushion for staffing than you'd see at a nonprofit or a county-run home. Ask what the direct-care hours per resident actually look like on weekends, because that's where for-profit facilities often trim.

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The numbers here tell two different stories. Eskaton Village Care Center keeps residents safe in the ways inspections measure: 41 deficiencies on record but none rising to actual harm or jeopardy, and the most recent inspection was in March 2026. Quality measures earn top marks, meaning low rates of things like pressure ulcers and falls. Where it falls down is staffing, the lowest possible rating, well below what CMS expects for 35 beds. Three abuse-related deficiencies also appear on the record. A nonprofit corporation runs the place, so there's no profit motive pushing the margin. The gap between good outcomes and thin staffing is the thing to ask about directly.

Nurse hours

10.57 /day

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Healdsburg Hospital D/P SNF is a tiny 17-bed unit run by a nonprofit corporation, and its staffing numbers are unusual in both directions. Total nurse staffing sits at 10.57 hours per resident day, roughly 174% above the national average, but the federal staffing star comes in at just 1 out of 5, which tells you the hours on paper may not reflect what CMS considers stable, consistent coverage. Weekend staffing drops about 10% below the facility's own weekday level. The health inspection record is genuinely strong: a 5/5 rating, six deficiencies on file, none at harm or jeopardy level, and no abuse citations. Seven fines totaling $59,634 have accumulated, though, and the last inspection was August 2024.

Nurse hours

8.65 /day

Staff turnover

5%

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Greater El Monte Community Hos runs a small operation, 13 certified beds, and staffs it heavily: 8.65 nursing hours per resident day, more than double the national average. That ratio holds up on weekends, dipping only about 10% from weekday levels rather than collapsing the way it does at many homes. Staff turnover sits at 5% against a national average near 46%, which means the people caring for residents here tend to stay. The inspection record shows 18 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a single fine of $5,698 and a survey completed in November 2025. Corporate for-profit ownership, but the numbers describe steady, well-attended care.

Nurse hours

3.87 /day

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Anaheim Point runs 154 beds in Orange County under for-profit LLC ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. That average comes with a catch: weekends dip about 9% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger concern is the inspection record. CMS gives it 1 out of 5 stars for health inspections, with 85 total deficiencies, including one at the harm or jeopardy level and three tied to abuse. Quality measures score 5 out of 5, and the most recent inspection was March 2025, so the record is current. Strong clinical numbers and a weak inspection history are pulling in opposite directions here.

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Windsor Care Center of Sacramento holds 128 certified beds and is owned by a for-profit limited liability company. Its record shows a sharp split: the quality measure rating is strong at 5 out of 5, but staffing sits at the bottom, 1 out of 5, which matters because daily care depends on having enough hands on deck, not on how well a facility documents clinical metrics. The inspection history is heavier than that staffing score alone would suggest, 52 deficiencies on the current record, including eight tied to abuse and one at the harm or jeopardy level, with the most recent inspection dated December 20, 2024. Ask about direct-care staffing levels and how the abuse-related citations were resolved before you decide.

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Richmond Post Acute Care is a 35-bed for-profit in Contra Costa County, and its record splits in an unusual way. Inspectors have been inside recently, January 2025, and found 22 deficiencies across surveys, but none rose to the level of actual harm or jeopardy, and nothing was abuse-related. The quality measures look strong. The problem is staffing: on that measure this home sits at the bottom of the federal scale, and seven fines totaling $31,405 suggest the paperwork and care-process side has been a recurring issue rather than a one-time lapse. For a family weighing a small home with a decent inspection history, the question worth asking on a tour is who's actually on the floor overnight, and how long they've been there.

Nurse hours

5.21 /day

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Desert Mountain Care Center has 99 certified beds in Indio, run by a for-profit limited liability company. The raw staffing number looks strong, 5.21 nurse hours per resident day, about 35% above the national average, but the federal staffing star tells a different story at 1 out of 5, and weekend coverage runs about 8% below weekday levels, so the hours aren't distributed as evenly as the headline figure suggests. The inspection record carries 46 deficiencies, none at the harm or jeopardy level, though 2 are abuse-related. The most recent inspection was June 26, 2025. Quality measures score 5 out of 5 against 3 out of 5 for health inspections. Families should ask how the abuse deficiencies were resolved and what weekend staffing actually looks like.

Nurse hours

3.82 /day

Staff turnover

46%

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Bishop Care Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops about 16% below the home's own weekday level. Staff turnover is 45.7%, essentially matching the national rate. The current inspection record carries 43 deficiencies, none at the harm or jeopardy level, though seven are abuse-related, which is worth asking about directly. State inspectors last visited in May 2026, so the record is recent. Quality measures score well; the health inspection side is middling.

Nurse hours

3.60 /day

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Homeplace Manor runs 60 beds in Hamlin under for-profit LLC ownership. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 8% thinner than weekdays, so the coverage dip families notice on Saturdays is real. The record shows 39 deficiencies, none at harm or jeopardy level, but four tied to abuse, which is the number to ask about directly. Health inspection and staffing each came in at 2 out of 5 stars; quality measures scored 4. The most recent inspection was December 18, 2025, so the picture is current. Ask the administrator how four abuse-related citations happened and what changed since.

Nurse hours

3.37 /day

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Munday Nursing Center runs on a hospital district's budget, and the numbers show a place that inspects well but staffs thin. Its 3.37 nurse hours per resident day sit about 13% under the national average, and weekends drop roughly 14% below its own weekday coverage, a gap families often feel on Saturday and Sunday. The tradeoff looks deliberate: a clean recent inspection with no harm-level or abuse deficiencies among the 12 on record, plus solid marks on health inspections and quality measures. The weak spot is staffing, and that's the thing to ask about directly, who's on the floor, and when.

Nurse hours

3.89 /day

Staff turnover

45%

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Bangs Nursing and Rehabilitation runs 48 beds in Brown County under for-profit LLC ownership, and its inspection record is the strong point, a five-star health inspection rating with a recent survey in August 2025 and six total deficiencies on file, none of them causing harm or jeopardy. Staffing sits at 3.89 nurse hours per resident day, just barely above the national average, though weekends drop roughly 19% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. Turnover at 44.8% is slightly better than the national rate, and one abuse-related deficiency appears on the record. Quality measures score 2 out of 5, the weakest number here.

Nurse hours

4.15 /day

Staff turnover

40%

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Menard Manor runs on 4.15 nurse hours per resident day, which is roughly 7% above the national average, and its staff turnover of 40% sits below the national 45.8%, both signs of a steadier operation than many. The catch is weekend coverage, which drops about 20% below weekday levels, so care may thin out when families tend to visit. On paper, though, 17 deficiencies with one at the harm level and two abuse-related, a 2/5 quality measure rating, and a fine of $8,018 point to real problems that good staffing alone doesn't erase.

Nurse hours

4.77 /day

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Matador Health And Rehabilitation Center runs about 50 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.77 hours per resident day, roughly 23% above the national average of 3.86. That's a real cushion, though weekends drop about 14% below the home's own weekday levels, so coverage isn't perfectly even across the week. The current record shows 30 deficiencies, none at the harm or jeopardy level, but one is abuse-related. Inspectors were last in on December 3, 2025. The quality measure rating of 2 out of 5 is the soft spot here, clinical outcomes don't track as well as the staffing numbers would suggest.

Nurse hours

2.96 /day

Staff turnover

47%

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Diversicare Of Marion runs 71 certified beds as a for-profit corporation, and the numbers tell a mixed story. The inspection record is genuinely clean, five deficiencies, none at harm or jeopardy level, no abuse findings, and the quality measure score is strong at 5/5. But staffing sits at 1/5, the weakest possible mark, and that's the part families feel day to day. Staff turnover runs 47.4%, slightly above the 45.8% national average, meaning nearly half the workforce churns annually. One more caveat: the last inspection was August 2022, so that record is getting stale. The care quality looks good on paper; the question is whether there are enough consistent hands to deliver it.

Nurse hours

3.15 /day

Staff turnover

46%

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Sabino Canyon Rehabilitation & Care Center runs 112 certified beds in Tucson under for-profit LLC ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average of 3.86. Weekends are thinner still, about 14% below the home's own weekday coverage, and annual turnover lands at 46.3%, right around the national figure. The inspection record shows 13 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey dating to August 2023. Quality measures score well; staffing and inspections sit in the middle. For a family weighing a Tucson placement, the real question is whether the weekday-to-weekend staffing dip matters for the care your relative needs.

Nurse hours

3.17 /day

Staff turnover

53%

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Sandridge Post Acute runs 191 beds in Mesa under corporate ownership, and its nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop another 6% below its own weekday levels, and annual turnover is 52.6% against a national 45.8%, so the aides and nurses you meet may not be there in six months. The current inspection record carries 29 deficiencies, 11 of them abuse-related, though none reached harm or jeopardy. Its quality measures look strong on paper, but staffing and inspections are the weaker numbers, and those are what shape daily life for a resident.

Nurse hours

3.75 /day

Staff turnover

46%

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The Springs Searcy runs 245 certified beds under corporate ownership, and its staffing sits at 3.75 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, and turnover runs 46.4%, a hair above the national 45.8%. The health inspection record shows 18 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related; one fine totaling $12,735 is on file. Its quality measure score is strong, but that two-star inspection rating and the thin weekend staffing are the numbers worth weighing if you're comparing this home to others in the area.

Nurse hours

4.12 /day

Staff turnover

44%

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Manila Healthcare Center runs 84 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage drops about 12% below its own weekday levels, so families should ask how that gap gets covered. Turnover is 43.5%, slightly better than the 45.8% national figure, which suggests a relatively stable crew compared to many homes. The current record shows 14 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated March 19, 2026. Quality measure scores land at 2 out of 5 stars, the weakest part of the profile, while staffing earns 4.