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

Nurse hours

3.04 /day

Staff turnover

28%

Serious cites

0

Elkins Crest runs lean on nursing hours, 3.04 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The tradeoff is stability: 27.6% turnover looks good next to the 45.8% national figure, meaning the aides and nurses who are there tend to stay. But the record shows 18 deficiencies, including one at the harm level and one tied to abuse, plus an $8,152 fine. The quality scores look strong and the last inspection was recent, but those harm and abuse findings are the part worth asking about directly.

Nurse hours

4.56 /day

Staff turnover

62%

Serious cites

0

Concordia At Spiritrust Luther Ridge runs 4.56 nurse hours per resident day, well above the national average of 3.86, and that staffing level is the strongest part of its record. Weekends dip about 11% below the home's own weekday coverage, which matters when a resident declines on a Saturday. The problem sits elsewhere: 62.1% annual turnover means most of the people providing that care are new, three abuse-related deficiencies appear on the current record, and one deficiency rose to the harm level. The last inspection was May 2025. Twenty-five deficiencies and a 2-out-of-5 quality measure rating pull against the staffing number.

Nurse hours

3.82 /day

Staff turnover

30%

Serious cites

0

Pawtucket Falls Healthcare Center runs 154 certified beds under for-profit LLC ownership, and its current inspection record carries 45 deficiencies, four at the harm or jeopardy level, two tied to abuse, along with $241,130 in CMS fines across two actions. That inspection history is the sharpest fact here, and the most recent survey, from December 2024, is recent enough to treat as current. Staffing sits at 3.82 nurse hours per resident day, just under the national average of 3.86, with weekends running about 4% lighter than weekdays; turnover of 30.1% is notably better than the 45.8% national figure. Quality measures score well, but the abuse and harm findings are what a family should ask about directly.

Nurse hours

3.45 /day

Staff turnover

37%

Serious cites

0

Stillwater runs 3.45 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 12% below its own weekday staffing. That's the pattern worth asking about: coverage is thinnest exactly when families tend to visit and when backup is hardest to arrange. Turnover sits at 36.9%, better than the 45.8% national figure, so the people who stay tend to stay. The inspection record shows 22 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. A March 2025 inspection is recent, and the 4-star health inspection rating with 3 stars each for staffing and quality measures reflects a home that's generally sound but not generously staffed.

Nurse hours

4.04 /day

Staff turnover

46%

Serious cites

0

Wesley Commons runs a nonprofit operation in Greenwood with 80 certified beds, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average, which is the main reason its staffing rating reaches 4 stars. The catch is weekends, when coverage drops about 12% below what the home staffs on weekdays. Turnover is 45.6%, essentially identical to the national figure, so continuity isn't unusually bad here, just typical. What holds the overall picture back is the inspection record: five deficiencies, one of them serious enough to involve harm or jeopardy, plus a $14,521 fine. No abuse findings appear. The most recent inspection was February 2026, so the record is current.

Nurse hours

3.75 /day

Staff turnover

41%

Serious cites

0

Good Samaritan Society Sioux Falls Village runs 177 certified beds as a nonprofit, and its staffing sits slightly below the national average, 3.75 nurse hours per resident day against 3.86. Weekends drop about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 40.8% is better than the 45.8% national figure, which matters for continuity. The trouble is the inspection record: 43 deficiencies, five at harm or jeopardy level, five abuse-related, and five fines totaling $72,812, with the last inspection in April 2025. A 4/5 staffing star and 3/5 quality measure score don't offset a 1/5 inspection rating when the harm-level findings stack up like that.

Nurse hours

3.73 /day

Staff turnover

52%

Serious cites

0

Bethel Lutheran Home is a 59-bed church-affiliated nonprofit in Madison, and its numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, a bit under the national average, and weekends run roughly 14% thinner than weekdays, so coverage depends on when you visit. Staff turnover is 52.2%, well above the national 45.8%, which matters for whether your parent sees the same faces. The health inspection record is the weak spot: 12 deficiencies, two serious enough to involve harm or jeopardy, and $56,430 in fines across two penalties. A July 2025 inspection is recent, at least. Quality and staffing measures score better than that inspection history suggests.

Nurse hours

— /day

Staff turnover

45%

Serious cites

0

Bethany Home Sioux Falls runs on a notably deep nursing bench, 5.40 hours per resident day against a national average of 3.86, and weekend coverage holds within about 11% of weekday levels, so the drop-off many families worry about is modest here. Staff turnover sits at 44.9%, basically in line with the national 45.8%, meaning this isn't a place cycling through workers faster than everyone else. The tradeoff is a record with 12 deficiencies on file, including one abuse-related citation, though none reached harm or jeopardy level, and the most recent inspection came in December 2025. For a 52-bed nonprofit, the numbers point to steady hands on the floor with some paperwork and policy issues still showing up.

Nurse hours

4.61 /day

Staff turnover

30%

Serious cites

0

Eastern Star Home in Redfield runs a tight staffing ship: 4.61 nurse hours per resident day, roughly 19% above the national average, with a 5/5 staffing star and turnover at 30.4%, well below the 45.8% national figure. But staffing isn't the whole picture. The home's quality measure rating sits at 1/5, and its current record shows six deficiencies, two of them serious enough to reach harm or jeopardy level, including one tied to abuse. A single fine of $17,096 appears on file. The most recent inspection was August 7, 2025, so the picture is current. Good hands on deck, shaky clinical outcomes and a harm-level citation are what hold this one back.

Nurse hours

5.66 /day

Staff turnover

56%

Serious cites

0

Memphis Jewish Home runs on 5.66 nurse hours per resident day, roughly 47 percent above the national average of 3.86, and that shows up in its four-star staffing rating. The catch is consistency: weekend coverage drops about 12 percent from weekday levels, and turnover sits at 56.1 percent against a national 45.8 percent, so the people delivering that strong staffing number keep changing. Fourteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related. Its last inspection came in February 2026, and quality measures score two stars against four for health inspections, so the hands-on care is there, but watch how it holds up on weekends and who's still on staff a year from now.

Nurse hours

3.69 /day

Staff turnover

48%

Serious cites

0

Soddy-Daisy Health Care Center runs 134 certified beds under corporate for-profit ownership, and its staffing sits at 3.69 nurse hours per resident day, about 5% under the national figure of 3.86. Weekends drop roughly another 10% below the home's own weekday coverage, and annual turnover is 47.7%, slightly above the 45.8% national average. On inspections, the current record shows 8 deficiencies with none at the harm or jeopardy level and none abuse-related; the last inspection was November 17, 2025. CMS rates staffing 2 out of 5 stars, which lines up with those hours, while the quality measure rating is a stronger 4 out of 5. Ask about weekend nurse coverage and how they keep direct-care staff from cycling out.

Nurse hours

4.25 /day

Staff turnover

—

Serious cites

0

Park Rest Hardin County Health Center runs on county money, and the county's tax base shows up in the numbers. Total nurse staffing sits at 4.25 hours per resident day, about 10% above the national average, but weekends drop roughly 20% below the home's own weekday level, which means care thins out on Saturdays and Sundays. The current record lists 10 deficiencies, none at the level of actual harm or jeopardy, though 2 are abuse-related. That combination, decent weekday coverage, thinner weekends, a clean harm record, and a small cluster of abuse citations, is what keeps this from scoring higher.

Nurse hours

3.95 /day

Staff turnover

55%

Serious cites

0

Brazos Healthcare Center runs 120 certified beds in Lake Jackson under corporate for-profit ownership, and its nurse staffing sits at 3.95 hours per resident day, a bit above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 13% below the home's own weekday level, so the hours families might visit are the hours with the thinnest staff on hand. Annual turnover is 54.8% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated July 2, 2025.

Nurse hours

3.76 /day

Staff turnover

47%

Serious cites

0

Avir At Town Creek runs 102 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends thin out about 10% below what the home staffs on weekdays, and annual turnover of 47.1% edges past the national 45.8%, so the people giving care keep changing. The inspection record carries 23 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with two fines totaling $49,065. The most recent inspection was August 2025, so that record is current, not stale.

Nurse hours

3.23 /day

Staff turnover

26%

Serious cites

0

Paradigm At Kountze runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. That thinner weekend schedule matters, since two of the 25 deficiencies on record sit at the harm or jeopardy level and two are abuse-related, with one fine of $16,801. What works in its favor is stability: staff turnover of 25.6% is well below the 45.8% national figure, and the quality measure rating is strong. The inspection on file is recent, from August 2025. A for-profit corporation operates the 60-bed home. The tradeoff is real: consistent caregivers, fewer of them per resident.

Nurse hours

3.54 /day

Staff turnover

54%

Serious cites

0

Monument Healthcare Stonecreek runs on thinner nursing coverage than most homes in the country, 3.54 hours per resident day against a national average of 3.86, with weekends dropping about 12% below its own weekday pace. That gap matters most on Saturdays and Sundays, when families often visit and when fewer eyes are on residents. The home is government-owned through a hospital district and carries a 4/5 inspection rating, but its current record shows 16 deficiencies, including 2 at the harm level and 3 tied to abuse. Staff turnover sits at 53.8%, well above the 45.8% national figure, meaning roughly half the nursing staff leaves each year.

Nurse hours

4.16 /day

Staff turnover

60%

Serious cites

0

Msm Brigham City runs a 41-bed for-profit home where the day-to-day nurse coverage looks solid on paper, 4.16 hours per resident, about 8% above the national average, with weekend staffing holding level with weekdays. The trouble shows up elsewhere. Staff turnover sits at 60% against a national 45.8%, meaning the people delivering that care are cycling out fast. Inspections tell a harder story: 47 deficiencies on the current record, 5 serious enough to involve harm or jeopardy, 8 tied to abuse, and $81,905 in fines across two penalties. A recent December 2025 inspection keeps the record current. Families weighing this home should ask who's actually on the floor night to night, and how the abuse findings were resolved.

Nurse hours

3.83 /day

Staff turnover

43%

Serious cites

0

The Pines at Rutland runs 125 certified beds under for-profit partnership ownership, and its staffing sits just under the national average at 3.83 nurse hours per resident day. That thin margin gets thinner on weekends, when coverage drops roughly 15% below the home's own weekday level, worth asking about if your family visits Saturdays or Sundays. Staff turnover lands at 43%, a touch better than the 45.8% national figure. Inspections came back strong at four stars, and the home was last surveyed in December 2025. The current record shows 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $8,512. No abuse citations appear on record.

Nurse hours

3.88 /day

Staff turnover

37%

Serious cites

0

Rutland Healthcare & Rehabilitation Center runs 103 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.88 hours per resident day, barely above the national figure of 3.86. Weekend coverage drops about 12% below its own weekday level, so the hours thin out when families tend to visit. Turnover at 36.8% is meaningfully better than the 45.8% national average, which matters for continuity of care. But the inspection record includes 11 deficiencies, two at harm or jeopardy level and one abuse-related, plus two fines totaling $32,708. A June 2025 inspection is recent enough to reflect current conditions. Solid staffing numbers, uneven quality picture.

Nurse hours

3.35 /day

Staff turnover

23%

Serious cites

0

Clarksville Health & Rehab runs 168 certified beds under corporate ownership, and its staffing numbers are the weak spot: 3.35 nurse hours per resident day, roughly 13% under the national average, with weekends running about 8% lighter than weekdays. That thin coverage shows up in a 2-out-of-5 staffing rating. What stands out in the other direction is turnover, 23.1%, about half the national rate of 45.8%, so the aides and nurses who are there tend to stay. The inspection record carries 33 deficiencies, two at harm level and two tied to abuse, with one fine of $22,874, and the last full inspection was in late 2022. Quality measures score well, but quality scores reflect resident outcomes, not how much hands-on time residents actually get.