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

Nurse hours

4.42 /day

Staff turnover

47%

Serious cites

0

Avalon Healthcare - Tacoma runs 81 certified beds under for-profit LLC ownership, and its nurse staffing of 4.42 hours per resident day sits about 15% above the national average of 3.86, a real strength, though weekend coverage drops roughly 17% below its own weekday level. Staff turnover lands at 47.1%, slightly above the national 45.8%. What pulls this home down is its inspection record: a 1-out-of-5 health inspection rating, 82 total deficiencies, including one at the harm or jeopardy level and two abuse-related, along with a single fine of $24,814. The most recent inspection was July 30, 2025. The numbers point to a home that staffs well on paper but has struggled to keep residents safe.

Nurse hours

3.87 /day

Staff turnover

51%

Serious cites

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Life Care Center of Kirkland runs 190 beds under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average, so there's no cushion there. Weekends drop about 21% below weekday coverage, which matters when residents need help on a Saturday. Staff turnover is 50.5% against a 45.8% national rate, and the inspection record shows 61 deficiencies, including 3 at harm or jeopardy level and 11 tied to abuse. Two fines total $53,560. The last inspection was November 2025, so the record is current.

Nurse hours

3.24 /day

Staff turnover

32%

Serious cites

0

Hilltop Center runs lean on the floor: 3.24 nurse hours per resident day, about 16% under the national average, and weekends drop roughly 19% below its own weekday numbers. That thin coverage is what sits behind its two-out-of-five staffing rating, even though the home keeps staff longer than most, turnover of 31.9% beats the 45.8% national figure. The record shows 30 deficiencies, two at harm or jeopardy level and one abuse-related, plus a $22,562 fine. Its quality measures score well and inspections came in average, but with 120 beds and a January 2026 inspection, the question worth asking is how that weekday-to-weekend staffing gap gets covered.

Nurse hours

4.27 /day

Staff turnover

—

Serious cites

0

St. Ann Health and Rehabilitation Center runs 50 certified beds in Milwaukee under corporate for-profit ownership. Its total nurse staffing sits at 4.27 hours per resident day, roughly 11% above the national average, but weekend coverage drops about 9% below its own weekday level, so the help you get may depend on which day you visit. The current record shows 21 deficiencies, none at the harm or jeopardy level but one tied to abuse, and a 4-out-of-5 health inspection rating from a March 2026 survey. The staffing star rating of 2 suggests the federal formula weighs turnover and mix, not just raw hours.

Nurse hours

4.24 /day

Staff turnover

—

Serious cites

0

Delano District Skilled Nursing Facility has 141 certified beds and enough nursing hours to beat the national average by roughly 10%, but that staffing edge comes with a catch: weekends run about 12% thinner than weekdays, and the health inspection record is where the real trouble sits. Sixty-eight deficiencies on the current record, two of them at harm or jeopardy level and a dozen tied to abuse, with two fines totaling $17,966. The last inspection was February 2025, so the picture is recent rather than stale. Nonprofit corporate ownership doesn't change what those inspection numbers say. Quality and staffing measures land mid-range, but the enforcement history is the part a family should weigh hardest.

Nurse hours

5.33 /day

Staff turnover

55%

Serious cites

0

Ridgeview runs on a lean 45 beds in San Diego, and the staffing numbers are the real story here: 5.33 nurse hours per resident day, roughly 38% above the national average. That's a meaningful cushion, though weekends dip about 16% below the home's own weekday coverage, so ask how that gap gets filled. Turnover sits at 55.1%, nearly ten points above the national rate, which matters because consistent caregivers know residents. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with six fines totaling $33,238 and a recent June 2025 survey. For-profit individual ownership is worth asking about directly.

Nurse hours

3.24 /day

Staff turnover

32%

Serious cites

0

Palma Real runs lean on direct care: 3.24 nurse hours per resident day, roughly 16 percent under the national figure, with weekends dipping about 16 percent below its own weekday staffing. That thin coverage is the main reason its staffing rating sits low even though turnover, at 31.9 percent, beats the national 45.8 percent and suggests a relatively stable crew. The record shows 15 deficiencies with none at harm level, one tied to abuse, and a recent April 2025 inspection. Quality measures and inspections score well; staffing is where the numbers pull the overall picture down, so ask how afternoons and weekends are actually covered before deciding.

Nurse hours

3.19 /day

Staff turnover

21%

Serious cites

0

Paradigm At The Brazos runs lean on nurse staffing, 3.19 hours per resident day against a national average of 3.86, with weekends about 15% thinner than weekdays. That's the number to weigh against the home's otherwise strong record: a five-star inspection rating and a five-star quality measure score, with six deficiencies on file and none at the harm or jeopardy level, though one is abuse-related. Staff turnover sits at 21.4%, well below the 45.8% national figure, which matters for consistency of care. The last inspection was recent, in August 2025. If your family member needs steady hands on weekends, ask how the floor is covered then.

Nurse hours

2.95 /day

Staff turnover

37%

Serious cites

0

Del Rio Nursing and Rehabilitation Center is run by a hospital district, and its inspection record is strong, four stars, with the most recent survey in May 2025. Quality measures also score five stars. The tradeoff sits in direct care: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends run about 19% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. Eighteen deficiencies are on file, including one at the harm level and two tied to abuse, plus an $8,018 fine. Turnover, at 36.7%, is better than the national 45.8%, which suggests a steadier crew than most.

Nurse hours

3.63 /day

Staff turnover

54%

Serious cites

0

Bronte Health and Rehab Center runs on thinner nursing coverage than most homes in the country, 3.63 hours per resident day against a national average of 3.86, with weekends dipping roughly 18% below its own weekday levels. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. The hospital district ownership is a point in its favor, and a 4-star health inspection rating reflects real strength in how the place is run day to day. But 23 deficiencies on the current record, including one at the harm level and three tied to abuse, is a lot to carry, and 54.3% annual turnover means the staff who know your parent may not be there next year.

Nurse hours

3.79 /day

Staff turnover

—

Serious cites

0

Legacy Estate Long Term Care runs 100 certified beds in Comanche, owned by a hospital district rather than a for-profit chain. Its last inspection was July 2025, and the record shows three deficiencies with none at the harm level and nothing abuse-related, which is a fairly clean sheet. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, worth asking about if your family member needs help most on Saturdays and Sundays. Quality measures come in lower than the inspection and staffing ratings suggest.

Nurse hours

4.50 /day

Staff turnover

56%

Serious cites

0

Talladega Healthcare Center runs 234 certified beds under corporate ownership, and the staffing numbers are its strongest card: 4.50 nurse hours per resident per day, roughly 17% above the national average of 3.86. That advantage narrows on weekends, when hours drop about 13% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 56.1% against a national 45.8%, so caregivers change over more often than average. The inspection record shows 9 deficiencies with none at the harm level and none abuse-related, but the last full inspection was March 2022, so the picture is more than three years old.

Nurse hours

3.23 /day

Staff turnover

49%

Serious cites

0

Mcguffey Health & Rehabilitation Center runs 209 certified beds in Gadsden under corporate for-profit ownership, and its inspection record is genuinely clean, seven deficiencies on the books, none at the harm or jeopardy level and none abuse-related. The staffing picture is more mixed than the four-star CMS staffing rating suggests: 3.23 total nurse hours per resident day sits about 16 percent under the national average of 3.86, and weekend coverage drops roughly 13 percent below the home's own weekday level. Staff turnover lands at 49.4 percent against a national 45.8 percent. One thing worth asking about directly: the last inspection was May 2021, so the record you're reading is several years old.

Nurse hours

4.20 /day

Staff turnover

51%

Serious cites

0

Self Skilled Nursing & Rehab runs 131 certified beds in Hueytown, and the staffing number is the genuine bright spot here, 4.20 nurse hours per resident day, roughly 9% above the national average, and it earns a 4-out-of-5 staffing rating from CMS. Look closer and the picture complicates. Weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 51.1% against a national average of 45.8%. What pulls the overall picture down is the inspection history: a 1-out-of-5 health inspection rating, 20 deficiencies on the current record, and a last inspection date of March 2021, meaning that record is now years old. None of those deficiencies were flagged at the harm or jeopardy level, and none were abuse-related.

Nurse hours

3.23 /day

Staff turnover

53%

Serious cites

0

Bibb Medical Center Nursing Home runs on thinner staffing than most places. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly 12% below what the home itself staffs during the week, so the thinnest coverage lands when families tend to visit. Turnover is 53.1% against a national 45.8%, which means aides and nurses cycle through faster than average. The inspection record shows nine deficiencies, none reaching harm or jeopardy and none abuse-related, though the most recent look was November 2023 and the health inspection star sits at 1 out of 5. County-owned, 131 beds.

Nurse hours

4.07 /day

Staff turnover

54%

Serious cites

0

Canterbury Health Care Facility runs 137 certified beds in Phenix City under corporate for-profit ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 6% above the national average of 3.86. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday levels, and staff turnover runs at 54.2% against a national average of 45.8%, so the people delivering that care are changing often. The current inspection record shows 13 deficiencies, two of them serious enough to reach harm or jeopardy level, with no abuse citations, and the last full inspection was June 2, 2023. Federal ratings put health inspections and quality measures at 2 out of 5 stars each, staffing at 3.

Nurse hours

3.84 /day

Staff turnover

68%

Serious cites

0

Palm Gardens runs about 100 certified beds in Mobile under corporate for-profit ownership, and its last full health inspection was in July 2021, that's a long stretch without a fresh look, which matters because conditions change. The current record shows four deficiencies, none at harm or jeopardy level and none abuse-related, and the inspection history earns a top federal rating. Staffing sits essentially at the national average for total nurse hours, though weekends run roughly 14 percent thinner than weekdays. The real pressure point is turnover: 68.4 percent annually against a national 45.8 percent, meaning most of the people caring for residents are relatively new to the building.

Nurse hours

3.60 /day

Staff turnover

43%

Serious cites

0

Apache Junction Health Center runs 190 certified beds under corporate ownership, and its nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86. Weekend coverage dips only about 1% below weekdays, so the shortfall isn't a weekend problem; it's the baseline. Annual turnover of 42.6% actually comes in slightly better than the national 45.8%, which matters given how much churn affects daily care. What stands out more is the inspection record: 16 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The most recent inspection was February 2025, so that record is current, not stale. Federal quality measures score well here, but the staffing and health inspection ratings tell a more mixed story.

Nurse hours

3.45 /day

Staff turnover

47%

Serious cites

0

The Blossoms at Hot Springs runs 152 certified beds under corporate ownership, and its health inspection record is genuinely strong, a 4 out of 5 from CMS, ten deficiencies on the current record with none at the harm or jeopardy level and nothing abuse-related. Where it gives ground is staffing: 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below the home's own weekday numbers. Annual turnover sits at 47.1%, slightly above the national figure. A December 2024 inspection means the record is recent. Nothing here reads as dangerous, but the margin for error on a bad weekend is thinner than average.

Nurse hours

3.70 /day

Staff turnover

50%

Serious cites

0

The Springs of Waldron runs a 105-bed for-profit operation, and the numbers show a home that inspects cleanly but runs lean on direct care. Its last health inspection came back with 22 deficiencies and none at the harm level, which is a genuinely good sign, and the four-star inspection rating reflects that. Staffing is where the cracks show: 3.70 nurse hours per resident day sits about 4% under the national average, weekends drop roughly 11% below the home's own weekday coverage, and 50% annual turnover tops the 45.8% national figure. The two-star quality measure rating adds another caution flag. Ask about weekend nurse coverage and how long the current director of nursing has been in place.