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

Nurse hours

3.32 /day

Staff turnover

36%

Serious cites

0

Montcare At Bethesda runs lean on direct care: 3.32 nurse hours per resident day, roughly 14 percent below the national average, and weekends dip about 6 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover sits at 35.8 percent, better than the 45.8 percent national figure, which suggests some stability in the workforce even if raw hours are thin. The inspection record shows 28 deficiencies, none at the harm level and none abuse-related, with the most recent survey dated February 2026, recent enough to trust. Quality measures score well. The weak spot is staffing volume, not safety or clinical outcomes.

Nurse hours

3.81 /day

Staff turnover

38%

Serious cites

0

Doctors Community Rehabilitation And Patient Care runs 130 certified beds in Lanham under for-profit partnership ownership, and its nurse staffing sits at 3.81 hours per resident day, just under the national figure of 3.86. That gap is small, but weekend coverage runs about 11% thinner than the home's own weekdays, so care can feel different depending on when you visit. Staff turnover of 37.9% is actually better than the 45.8% national average, which matters for consistency. The inspection record is the harder part: 48 deficiencies, including one at the harm level and four tied to abuse, plus a $16,331 fine. The most recent inspection was December 2025.

Nurse hours

4.15 /day

Staff turnover

43%

Serious cites

0

Stella Maris runs a 390-bed nonprofit home in Timonium, and its staffing is the strongest card it holds, 4.15 nurse hours per resident day, roughly 7% above the national average, with turnover at 42.9% against a national 45.8%. Weekends thin out about 10% below weekday coverage, so ask how that gap gets covered. The weaker side shows up in inspections: a 2-out-of-5 health inspection rating and 47 deficiencies on the current record, six of them abuse-related, though none rose to harm or jeopardy. The last inspection was July 2025, so the record is recent. Quality measures also sit at 2 out of 5.

Nurse hours

3.90 /day

Staff turnover

36%

Serious cites

0

The Village At Rockville runs a solid nonprofit operation with staffing that just edges past the national average, 3.90 nurse hours per resident day against 3.86 nationally, and turnover at 35.9% is meaningfully lower than the 45.8% average, which matters for consistency of care. Weekend coverage dips about 5% below its own weekday levels, a gap worth asking about. The concern sits in the inspection history: 40 deficiencies on record, including 2 at harm or jeopardy level and 4 tied to abuse, plus one fine of $17,345. The most recent inspection was March 2026. Strong quality and staffing marks coexist with a deficiency record that deserves a closer look before you decide.

Nurse hours

3.48 /day

Staff turnover

53%

Serious cites

0

Autumn Lake Healthcare at Bradford Oaks runs 180 beds under corporate ownership in Clinton, and its inspection record has real strengths, a four-star health inspection rating and a perfect five on quality measures, with the most recent survey from February 2025. Where it slips is staffing: 3.48 nurse hours per resident day sits about 10% under the national average, weekends run roughly 9% lighter than weekdays, and turnover hits 52.7% against a national 45.8%. That combination, thin coverage plus more than half the staff leaving each year, matters more than the quality scores when you're thinking about daily care. The 34 deficiencies on record, including one at the harm level and five tied to abuse, are worth asking the administrator about directly.

Nurse hours

3.79 /day

Staff turnover

53%

Serious cites

0

Atlee Hill runs 60 beds in Westminster under for-profit LLC ownership, and its last health inspection was recent enough to be worth noticing. The record isn't clean: 67 deficiencies, including three tied to abuse and one at the level where actual harm or jeopardy occurred, plus a $14,888 fine. Staffing sits at 3.79 hours per resident day, a bit under the national average, and weekends run about 7% thinner than weekdays. Turnover is the number that would nag at me, 53.2%, against a national norm of 45.8%, meaning more than half the nursing staff leaves within a year. CMS rates the quality measures well and staffing decently, but the inspection history and churn tell a more mixed story.

Nurse hours

3.58 /day

Staff turnover

36%

Serious cites

0

Foremost at Sharon runs 66 beds under for-profit LLC ownership, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 35.8%, which is actually better than the 45.8% national figure, meaning workers here tend to stay longer than at the typical home. The tradeoff shows up in inspections: 32 deficiencies on the current record, two serious enough to reach harm or jeopardy level, one fine of $26,232, and a June 2025 inspection. No abuse citations. The clinical quality measures score well; the survey history is where the concern lives.

Nurse hours

3.58 /day

Staff turnover

24%

Serious cites

0

Casa De Ramana runs leaner than the average nursing home on nurse hours, 3.58 per resident day against a national 3.86, and weekends dip roughly 10% below its own weekday staffing. That's worth knowing if your family visits mainly on Saturdays and Sundays. Turnover is the bright spot: 24.1% annually, roughly half the national rate, which suggests a steadier crew than most for-profit LLC homes. Twenty deficiencies sit on the current record, including one at harm or jeopardy level and three tied to abuse, with a single $8,512 fine. The last inspection was November 2024, so the record is fairly current.

Nurse hours

3.69 /day

Staff turnover

32%

Serious cites

0

Alliance Health At West Acres runs on leaner nurse coverage than most homes, 3.69 hours per resident day against a national average of 3.86, and weekends dip roughly 10% below its own weekday numbers, which is worth asking about if your family visits mainly on Saturdays and Sundays. The stronger signals sit elsewhere: a 2025 inspection with no deficiencies at the harm or jeopardy level, and staff turnover at 32.4% compared with 45.8% nationally, meaning caregivers here tend to stay longer than is typical. One abuse-related deficiency does appear on the current record among 16 total. As a nonprofit with 138 beds, it's a mixed picture rather than a clear yes or no.

Nurse hours

3.45 /day

Staff turnover

22%

Serious cites

0

The Rehabilitation & Nursing Center At Everett runs 183 beds under for-profit LLC ownership, and its last health inspection came in August 2025, recent enough that the record reflects current conditions. Inspectors have logged 31 deficiencies, but none at the harm or jeopardy level and none related to abuse, which matters more than the raw count. Where the picture gets mixed is staffing: 3.45 nurse hours per resident day sits about 11% under the national average, and weekends dip roughly 8% below the home's own weekday levels. Turnover, though, is 22.1% against a national 45.8%, unusually stable for this industry. The low quality-measure rating is the piece worth asking about directly.

Nurse hours

3.56 /day

Staff turnover

23%

Serious cites

0

Care One At Randolph runs a 168-bed for-profit operation where the staffing numbers tell a mixed story. Nurses provide 3.56 hours per resident day, roughly 8% under the national average, and weekends dip about 8% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The stronger note is retention: 23.3% turnover sits well below the 45.8% national figure, suggesting a steadier workforce than many peers. The current inspection record is where the concern concentrates: 60 deficiencies, including one at the harm or jeopardy level and one abuse-related, against a one-star health inspection rating and a visit as recent as August 2025. Ownership is a limited liability company.

Nurse hours

3.13 /day

Staff turnover

35%

Serious cites

0

Oceanside runs a 76-bed for-profit home in Rockport, and its inspection history is the strongest card it holds, a 4/5 health inspection rating with the last survey in June 2025 and no deficiencies at the harm or jeopardy level. The catch is staffing: 3.13 nurse hours per resident day is roughly 19% under the national average of 3.86, and weekends drop about 8% below its own weekday levels, which matters when a resident needs help on a Sunday. Turnover at 35.4% actually beats the national 45.8%, so the people who stay tend to stay. One abuse-related deficiency sits on the record, and 30 total deficiencies is not nothing.

Nurse hours

4.45 /day

Staff turnover

29%

Serious cites

0

Alliance Health At Maples runs on about 4.45 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 28.5% sits well below the 45.8% national figure, both signs of a stable, reasonably well-staffed building. Weekend coverage dips about 8% from weekday levels, so ask how that plays out on a Saturday. The tradeoff shows up in its record: 21 deficiencies, including one at the harm level and one abuse-related, plus a $47,886 fine. A September 2025 inspection means the picture is current. As a nonprofit with steady staffing, this is a home where the care floor looks solid but the compliance history deserves your questions.

Nurse hours

3.59 /day

Staff turnover

30%

Serious cites

0

Vantage At Lowell runs 3.59 nurse hours per resident day, roughly 7 percent under the national average of 3.86, and weekends drop about 9 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot: 29.6 percent against a national 45.8 percent, meaning aides and nurses here tend to stay. The inspection record is the harder read. Fifty-two deficiencies, four at harm or jeopardy level, six tied to abuse, and a $13,497 fine, with the most recent look dated May 2025. This is a for-profit, individually owned home where staff retention is doing real work, but the survey history and thin weekend hours are what a family should ask about directly.

Nurse hours

4.15 /day

Staff turnover

55%

Serious cites

0

Shrewsbury Rehabilitation And Nursing At Southgate runs 99 certified beds under for-profit LLC ownership, and its numbers pull in two different directions. The home reports 4.15 total nurse staffing hours per resident day, about 7% above the national average of 3.86, but weekend staffing drops roughly 9% below its own weekday level, and annual turnover sits at 54.5% against a national average of 45.8%. On the clinical side, the CMS quality measure rating is 5 out of 5, though the staffing rating comes in at 2 out of 5. The current inspection record shows 17 deficiencies, one of them at the harm or jeopardy level, none abuse-related, with a single fine of $7,901 and a last inspection date of March 12, 2026.

Nurse hours

3.48 /day

Staff turnover

55%

Serious cites

0

Royal Wayland Rehabilitation And Nursing Center runs 40 certified beds in Wayland, and the people who inspect it clearly find little to fault, a five-star health inspection rating, with the most recent visit in May 2025 and 19 deficiencies on the current record, just one of them serious enough to involve harm or jeopardy, and no abuse findings. But the numbers on the floor tell a different story. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent below the national average, and it thins further on weekends. Annual turnover of 54.5 percent runs well above the 45.8 percent national figure, which makes it hard to hold onto consistent caregivers even where inspections look strong.

Nurse hours

3.36 /day

Staff turnover

41%

Serious cites

0

Alliance Health At Rosewood runs 3.36 nurse hours per resident day, about 13% under the national average, and weekends drop roughly 12% below its own weekday levels, so the leanest coverage lands when families tend to visit. Turnover sits at 40.7%, which is actually better than the 45.8% national figure. On the record: 25 deficiencies, including one at the harm level and one abuse-related citation, plus a single fine of $8,824. Its last inspection was January 23, 2026, so the picture is current. Nonprofit ownership under a corporation, 135 beds. The quality measure score is the strongest of its three ratings; staffing and inspections are middling.

Nurse hours

3.88 /day

Staff turnover

43%

Serious cites

0

Hoyt runs 128 beds under for-profit LLC ownership, and its staffing sits right at the national average, 3.88 nurse hours per resident day, essentially a rounding difference from 3.86. That average comes with a caveat: weekends run about 7% thinner than weekdays, so coverage isn't evenly spread across the week. Turnover lands at 42.9%, better than the 45.8% national figure but still meaning roughly two in five caregivers leave within a year. The inspection record is where the picture darkens. Thirty-three deficiencies are on file, three of them serious enough to involve actual harm or jeopardy, plus one tied to abuse. A single fine totaling $30,740 has been levied. The last survey was May 2025, so the record is current.

Nurse hours

3.97 /day

Staff turnover

55%

Serious cites

0

Optalis Health And Rehabilitation Of Grosse Pointe runs 80 certified beds in Grosse Pointe Woods, and its overall nurse staffing sits slightly above the national average, but the mix tells a more complicated story. The home earns top marks on quality measures and strong marks on health inspections, with 19 deficiencies on record and none at the harm or jeopardy level, though two are abuse-related, and its last inspection was recent. Staff turnover lands at 55%, well above the 45.8% national figure, and weekend staffing drops about 10% below its own weekday level, which matters when families visit. For-profit corporate ownership rounds out the picture.

Nurse hours

3.68 /day

Staff turnover

40%

Serious cites

0

Durand Senior Care runs 141 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.68 hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the quietest shifts get the thinnest attention. Annual turnover lands at 40%, a bit better than the 45.8% national figure. What pulls the record down is the inspection history: 22 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $53,398 in CMS fines across two events. The most recent inspection was April 30, 2025.