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

Nurse hours

3.78 /day

Staff turnover

50%

Serious cites

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Harborview Post Acute runs 113 certified beds in Memphis under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.78 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% runs above the 45.8% national figure, meaning aides and nurses cycle through often. The inspection record is the heavier concern: 23 deficiencies, including one at harm or jeopardy level and two abuse-related, with the last inspection back in April 2022. The quality measure stars look strong, but that's largely self-reported data.

Nurse hours

3.07 /day

Staff turnover

44%

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Monroe Health And Rehabilitation Center runs on 3.07 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 16% below what the home staffs on weekdays. That thinner weekend coverage matters because the inspection record shows 16 deficiencies, three of them abuse-related, though none rose to actual harm or jeopardy. The last inspection was February 2026, so the picture is current. Turnover sits at 43.5%, slightly better than the national 45.8%, and resident quality measures score well even as the staffing and inspection ratings lag. For-profit, LLC-owned, 85 beds, ask about weekend coverage and those abuse-related findings directly.

Nurse hours

4.42 /day

Staff turnover

59%

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Pines Rehab & Health Center runs a 60-bed for-profit partnership in Lyndonville, and the numbers tell a mixed story. Nurse staffing sits at 4.42 hours per resident day, about 14% above the national average, but weekend coverage drops roughly 15% below the home's own weekday level, so care thins out when families tend to visit. Annual turnover of 58.8% is well above the 45.8% national figure, meaning the people at the bedside keep changing. On the plus side, the current record shows six deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in February 2026. Quality measure scores are the weak spot.

Nurse hours

3.58 /day

Staff turnover

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Serious cites

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Fredericksburg Health and Rehab is a 177-bed for-profit run by a limited liability company, and its numbers tell two different stories. The clinical quality measures look strong, but nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends run roughly 10% thinner than weekdays, which matters when families visit and needs don't pause. The inspection record is the bigger concern: 56 deficiencies on file, including one at the harm level and one tied to abuse, with the last full inspection back in October 2023. One fine totaling $9,311 has been issued. If you're considering this home, ask how they cover weekend shifts and what changed after that harm citation.

Nurse hours

3.64 /day

Staff turnover

53%

Serious cites

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Autumn Care of Chesapeake runs 117 beds under limited-liability, for-profit ownership, and the staffing picture is the weak spot. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 52.9% against a 45.8% national figure means the aides and nurses caring for residents are, on average, fairly new to the building. The tradeoff is that quality measures score well and its current record shows 43 deficiencies, none at harm or jeopardy level and none abuse-related, with its last inspection in December 2023.

Nurse hours

3.43 /day

Staff turnover

49%

Serious cites

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Heritage Hall-Blackstone runs 180 certified beds under for-profit LLC ownership, and the staffing numbers are the part I'd pay closest attention to. At 3.43 nurse hours per resident day, it sits roughly 11% under the national average of 3.86, and weekends drop about 18% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.3% tops the national 45.8%, meaning the people caring for your relative are likely to change. Its current record shows 33 deficiencies, none at harm or jeopardy level but two tied to abuse. The last inspection was May 2023, so that picture is getting old.

Nurse hours

3.98 /day

Staff turnover

46%

Serious cites

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Emerald Care is a nonprofit home in Wapato with 82 certified beds, and its staffing sits at 3.98 nurse hours per resident day, a bit above the national average of 3.86, but weekends run roughly 20% below its own weekday coverage, so the care you see on a Tuesday may not match a Sunday. The inspection record carries 23 deficiencies, including one at the harm level and four tied to abuse, plus a $12,735 fine; the last inspection was January 30, 2026. Annual turnover is 46.3%, slightly worse than the 45.8% national figure. Strong quality measure scores don't erase that inspection history.

Nurse hours

3.47 /day

Staff turnover

23%

Serious cites

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Clarkston Health and Rehab of Cascadia runs 90 certified beds under for-profit LLC ownership, and the staffing picture is mixed. At 3.47 nurse hours per resident day it sits about 10% under the national average of 3.86, and weekends drop roughly 16% below its own weekday coverage, so care thins out exactly when families tend to visit. What stands out more is retention: 22.5% annual turnover against a national average of 45.8% means this building keeps its nurses far better than most. The trouble is the inspection record, 53 deficiencies, 2 at harm or jeopardy level, 7 abuse-related, and a $32,711 fine, with the most recent look in August 2025. Strong quality scores and weak inspection history rarely tell the same story.

Nurse hours

3.93 /day

Staff turnover

33%

Serious cites

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Americana Health and Rehabilitation runs 74 certified beds in Longview, and its nurse staffing sits just above the national average, 3.93 hours per resident day against 3.86. That margin is thin, and weekends dip roughly 15% below the home's own weekday coverage, so the question of when you visit matters. Staff turnover is 33.3%, well below the 45.8% national figure, which suggests people tend to stay. The trade-offs show up elsewhere: 20 deficiencies on record, one at harm or jeopardy level and two tied to abuse, plus a 2/5 quality measure rating against 4/5 for inspections and staffing. Ownership is for-profit corporate, and the most recent inspection was November 2025.

Nurse hours

3.37 /day

Staff turnover

40%

Serious cites

0

Seneca Trail runs 3.37 nursing hours per resident day, roughly 13 percent under the national average, and weekends drop about 16 percent below its own weekday staffing. That thinner coverage shows up in the inspection record: 38 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $9,949 fine. Turnover at 40.3 percent is actually a little better than the 45.8 percent national figure, so the problem looks less like retention and more like how many hands are scheduled at once. The 5/5 quality measure score stands out against a 2/5 on both staffing and health inspections, which is worth asking about directly.

Nurse hours

3.90 /day

Staff turnover

60%

Serious cites

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Wood Aven's 3.90 nurse hours per resident day barely clears the national average of 3.86, roughly one percent, so its four-star staffing rating rests on thin ground. The bigger concern is turnover at 60.2%, well above the 45.8% national figure, and weekend staffing that drops about 16% below weekday levels, which matters most when families visit and residents need consistency. The inspection record shows 17 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey dated April 1, 2026. Quality measures score well, but a for-profit limited liability company with that turnover and those abuse-related findings is worth asking hard questions about before deciding.

Nurse hours

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Staff turnover

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Good Shepherd Health Care Center of Santa Monica is a 48-bed for-profit home where the clinical outcomes look strong but the hands-on care doesn't match. Its quality measure rating sits at the top of the scale, yet staffing lands at the very bottom, meaning the numbers families care about most, like how often residents are bathed or helped to the bathroom, depend on a thin crew. The inspection record backs that up: 48 deficiencies, including one causing actual harm and two tied to abuse, with a $8,424 fine and a February 2026 inspection that's recent enough to still reflect current conditions. A corporation owns it, so decisions about staffing levels get made somewhere other than Santa Monica.

Nurse hours

6.62 /day

Staff turnover

63%

Serious cites

0

The staffing numbers at Bear Valley are genuinely unusual, 6.62 nurse hours per resident per day is roughly 71% above what the typical American nursing home provides, and that shows up in the four-out-of-five staffing rating. But weekends drop about 18% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. There's a real tension in the rest of the record. The inspection rating is strong and the most recent visit was in May 2025, yet 29 deficiencies sit on the current record, one of them serious enough to involve harm or jeopardy. Staff turnover is 63%, well above the national 45.8%, with only 21 beds under hospital district ownership, that churn is worth asking about directly.

Nurse hours

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Staff turnover

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Childrens Hc Org No Ca is a small pediatric skilled nursing unit in Campbell, 27 beds, run by a for-profit limited liability company. Its last inspection, in July 2024, turned up 16 deficiencies, but none rose to the level of actual harm or jeopardy, and none involved abuse, the kind of paperwork and process findings that show up at plenty of otherwise solid homes. One fine on record, $3,145, is modest. Where this home separates itself is staffing and clinical measures, both of which score at the top of CMS's five-star scale. For a family weighing a pediatric placement, that combination, recent inspection, no harm-level findings, strong quality numbers, is worth a closer look than the deficiency count alone suggests.

Nurse hours

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Staff turnover

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Serious cites

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Southern California Hosp At Culver City D/P SNF runs just 21 certified beds as a for-profit LLC, and its staffing score sits at the bottom of the federal scale, families should expect thin coverage here. The inspection record backs that up: 33 deficiencies, three of them serious enough to cause harm, plus two tied to abuse. That's a lot for a home this small, and it suggests problems aren't isolated. The quality measure score looks strong on paper, but those numbers come from resident assessments, not from how the place is actually run day to day. A recent February 2026 inspection means the record is current, not stale.

Nurse hours

3.19 /day

Staff turnover

38%

Serious cites

0

Clyde Nursing Center runs a tight ship on inspections, a five-star health inspection rating, with the most recent visit in April 2025 turning up seven deficiencies, none of them causing harm or involving abuse. Where it slips is staffing: 3.19 nurse hours per resident day, roughly 17 percent under the national average, and weekends run about a fifth thinner than weekdays. That gap matters more than the raw number, since care doesn't pause on Saturdays. The one bright spot is retention, 38.2 percent turnover beats the national 45.8 percent, so the aides who are there tend to stay. For a 48-bed for-profit home, the pattern is familiar: solid care when inspected, stretched coverage day to day.

Nurse hours

2.95 /day

Staff turnover

—

Serious cites

0

La Bahia runs a lean nursing floor: 2.95 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. The inspection record is strong on paper, a recent February 2026 survey, no deficiencies at the harm or jeopardy level, but 22 total deficiencies sit on the books, two of them abuse-related, and staffing carries just 2 out of 5 stars from CMS. Quality measures score the maximum, which reflects how well residents are being tracked and treated on paper, not how many hands are on the floor at 2 a.m. on a Saturday.

Nurse hours

3.59 /day

Staff turnover

38%

Serious cites

0

Treasure Hills runs leaner on nursing hours than the typical American nursing home, about 3.59 hours per resident per day against a national average near 3.86. Weekends are where that gap widens most: staffing drops roughly 16% below the home's own weekday level, so Saturday and Sunday coverage looks noticeably thinner than midweek. Turnover sits at 37.7%, which is actually better than the 45.8% national figure, meaning the crew it does have sticks around longer than most. The inspection record is mixed, a recent December 2025 survey, no deficiencies flagged at harm or jeopardy level, but 24 total findings and five tied to abuse. Corporate-owned, 120 beds.

Nurse hours

2.80 /day

Staff turnover

40%

Serious cites

0

Goldthwaite Health & Rehab runs on a limited liability company that operates for profit, and the numbers show where the pressure lands. Nurse staffing sits at 2.80 hours per resident day, roughly 28 percent under the national average, and weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 39.5 percent is better than the national 45.8 percent, which matters for continuity, but the inspection record carries 19 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus a $32,545 fine. The most recent inspection was May 2026.

Nurse hours

3.18 /day

Staff turnover

36%

Serious cites

0

Legend Oaks in Ennis is run by the local hospital district and holds a five-star health inspection rating, which tells you the building itself is well-kept and the last inspection, in February 2025, went well. The trouble sits in the day-to-day staffing: 3.18 nurse hours per resident, roughly 18% under the national average, with weekends about 20% thinner than weekdays. That's a real gap when a resident needs help. Turnover is 36%, better than the national 45.8%, so the aides who are there tend to stay. Thirteen deficiencies on record, one at harm level, and a single $13,275 fine. Good oversight, thin coverage.