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

Nurse hours

3.52 /day

Staff turnover

53%

Serious cites

0

The Springs At Lafayette runs 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekend coverage drops about 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 52.5%, above the 45.8% national figure, which means a good share of the people caring for residents are still learning the building. The inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse; the most recent inspection was September 2025, so that record is relatively fresh. Strong marks on quality measures and inspections are doing real work here, but the staffing numbers are what hold the overall picture back.

Nurse hours

— /day

Staff turnover

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Serious cites

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On With Life runs 28 certified beds in Ankeny under nonprofit ownership, and its inspection record is about as light as it gets: one deficiency total, none at the level of actual harm or jeopardy, and nothing abuse-related. The state visited in September 2025, so what you're seeing is current, not a stale five-star rating coasting on an old survey. Quality measures come in at 4 out of 5, meaning outcomes are good but not flawless next to the national pool. The honest caveat is size, with 28 beds, a single bad quarter can move the numbers more than it would at a 120-bed building, so read trends rather than one report.

Nurse hours

3.57 /day

Staff turnover

49%

Serious cites

0

Good Samaritan - Estherville runs 62 certified beds as a nonprofit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average, and weekends drop about 16% below what the home itself staffs on weekdays, so care thins out right when families tend to visit. Annual turnover is 49.1%, a few points above the national mark. The current record carries 26 deficiencies, none at harm or jeopardy level, though two are abuse-related. Inspections were last done in January 2026, and both the health inspection and quality measure ratings come in at 2 out of 5, while staffing earns 4.

Nurse hours

3.10 /day

Staff turnover

53%

Serious cites

0

West Ridge Specialty Care runs on thinner nurse coverage than most homes, 3.10 hours per resident day against a national average of 3.86, and weekends drop about 17% below what the building staffs during the week. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover sits at 53.2%, well above the 45.8% national figure, so many of the people caring for residents are still learning the building. The current record shows 13 deficiencies, none at the harm level, though two are abuse-related, and the last full inspection was in July 2024. It's a nonprofit home with 78 beds, and its quality measure scores run low even as staffing earns a higher mark. Worth asking about weekend coverage and the abuse citations directly.

Nurse hours

3.47 /day

Staff turnover

53%

Serious cites

0

Accura Healthcare of Knoxville runs 60 beds under corporate ownership, and its nurse staffing sits about 10% under the national average, roughly 3.47 hours per resident day against 3.86 nationally. Weekends are the bigger gap: coverage drops about 19% below the home's own weekday levels, and annual turnover hits 53.2% versus 45.8% nationally, so familiar faces are harder to count on. The inspection record carries 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $16,153. The most recent inspection was February 19, 2026, so the picture is current rather than stale. Ask about weekend staffing and how the abuse-related findings were resolved before deciding.

Nurse hours

3.15 /day

Staff turnover

59%

Serious cites

0

Careage Hills runs 44 certified beds in Cherokee under individual for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 59.3%, well above the 45.8% national figure. The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated March 5, 2026. Federal ratings split on this home: staffing scores well at 4 of 5, quality measures land at 3, but health inspections come in at 2 of 5.

Nurse hours

3.00 /day

Staff turnover

—

Serious cites

0

Sunny Hill Care Center runs 57 beds in Tama under for-profit LLC ownership, and its nursing hours come in at 3.00 per resident day, roughly 22% under the national average of 3.86. Weekends drop about another 10% below the home's own weekday staffing. The inspection record is the real concern: 14 deficiencies currently on file, four of them serious enough to involve harm or jeopardy, and three tied to abuse. Two fines total $24,756, and the most recent inspection was March 5, 2026. Quality and staffing measures both sit mid-range at three stars, but the health inspection rating of one star reflects what those deficiency counts show.

Nurse hours

3.33 /day

Staff turnover

—

Serious cites

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Hawkeye Care Center Dubuque runs about 3.33 nursing hours per resident each day, roughly 14% under the national average of 3.86, and weekend coverage dips slightly below its own weekday staffing. The 80-bed home is owned by a for-profit limited liability company and carries ten deficiencies on its current record, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. Its last inspection was September 18, 2025, and CMS gives it three stars each for health inspections, quality measures, and staffing. That's a home sitting squarely in the middle, decent marks across the board, but staffing hours that fall short of what most residents need.

Nurse hours

3.76 /day

Staff turnover

69%

Serious cites

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Stoneybrook runs about 3.76 nurse hours per resident day, a bit under the national average, and weekends dip roughly 17% below what the home staffs on weekdays. The bigger number is turnover: 69.4% of staff leaving annually against a national average of 45.8%, which matters more than any single inspection score because it shapes who's actually on the floor. Its record shows 32 deficiencies, one serious enough to reach harm or jeopardy, though none tied to abuse. Inspections are recent, and the for-profit corporate owner holds a four-star health inspection rating. Families should ask how the home covers weekend shifts and how long its current aides have worked there.

Nurse hours

3.52 /day

Staff turnover

45%

Serious cites

0

Good Samaritan Society - Hutchinson Village runs 65 certified beds as a nonprofit, and its last inspection was recent, December 3, 2025. The health inspection side looks solid, with a four-star rating, but that record includes 16 deficiencies and one at the level that caused actual harm or jeopardy, plus one tied to abuse. Staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends drop about 15% below the home's own weekday coverage. Turnover of 45.1% tracks just under the national 45.8%, so retention isn't the outlier here, the thin weekend coverage and that harm-level deficiency are what a family should ask about directly.

Nurse hours

4.54 /day

Staff turnover

—

Serious cites

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The Nicol Home runs 4.54 nurse hours per resident day, about 18 percent above the national average, and weekend staffing holds slightly above its own weekday level, a good sign, since coverage often thins out on weekends. That staffing strength sits against a record of 23 deficiencies, though none at the harm or jeopardy level and none abuse-related. The quality measure rating is where the trouble shows: 1 out of 5, meaning resident outcomes like falls, infections, or antipsychotic use lag well behind what the staffing numbers would suggest. A 4 out of 5 on health inspections and a July 2024 visit round it out. The gap between good hands-on hours and poor outcome measures is the story here.

Nurse hours

3.80 /day

Staff turnover

49%

Serious cites

0

Signature Healthcare of Hart County runs 3.80 nurse hours per resident day, a hair under the national average, and weekends drop about 17% below what the home staffs on weekdays. That 2-out-of-5 staffing rating sits in the same building as a 4-out-of-5 inspection rating and a 5-out-of-5 quality measure rating, so the clinical picture and the workforce picture don't match up. Turnover is 48.5%, above the national 45.8%, and the current record carries five deficiencies, one tied to abuse, none at harm or jeopardy level. The last inspection was March 13, 2026. Corporate-owned, 104 beds, the numbers suggest care quality is holding even as the floor staff churns.

Nurse hours

4.25 /day

Staff turnover

48%

Serious cites

0

Highlandspring Of Ft Thomas runs a 140-bed for-profit operation in Campbell County, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average. That cushion matters, though weekends dip about 21% below the home's own weekday coverage, so the weekday numbers aren't the whole story. Turnover is 48.3%, a bit higher than the national 45.8%, and the home carries 9 deficiencies on its current record with none at the harm level and none abuse-related. Its last inspection was February 2026, so the record is recent. Nothing here looks alarming; the staffing edge is real, but the weekend drop and above-average turnover are worth asking about directly.

Nurse hours

3.28 /day

Staff turnover

47%

Serious cites

0

Ormond Nursing & Care Center runs 146 certified beds in Destrehan under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating, last survey in July 2025, and 11 deficiencies on file with none rising to harm or jeopardy. But the care hours are thin: 3.28 nurse staffing hours per resident day against a national average of 3.86, and weekends dip about 16% below the home's own weekday staffing. Annual turnover sits at 47.1%, a touch above the 45.8% national figure. One abuse-related deficiency is on the record, which families should ask about directly. The building passes inspection cleanly; the question is whether enough hands are there between visits.

Nurse hours

3.75 /day

Staff turnover

—

Serious cites

0

Rayville Nursing And Rehabilitation runs 149 certified beds under for-profit limited liability ownership, and its staffing sits just under the national average at 3.75 nurse hours per resident day. That gap widens on weekends, when hours drop roughly 9% below the home's own weekday level, a pattern families should ask about directly, since needs don't pause on Saturdays. The inspection record looks steadier: 19 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in August 2025. CMS gives the home 4 stars for health inspections but only 2 for staffing, a split worth weighing if daily hands-on care matters most to you.

Nurse hours

3.98 /day

Staff turnover

39%

Serious cites

0

Autumn Leaves runs 3.98 nurse hours per resident day, a bit above the national average of 3.86, and its turnover of 39.1% is better than the 45.8% typical elsewhere. That staffing holds up on paper, though weekends drop roughly 17% below weekday levels, so coverage thin spots are worth asking about. The inspection record is recent and clean where it counts: 17 deficiencies, none at harm or jeopardy level, none abuse-related. What pulls the numbers down is the quality measure side, where the home scores 1 out of 5 despite decent health inspection and staffing ratings. Ask the administrator to walk you through those specific quality measures before you decide.

Nurse hours

3.64 /day

Staff turnover

47%

Serious cites

0

Center Point runs 172 beds under for-profit limited liability ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends drop about 15% below the home's own weekday level, so coverage thins right when families tend to visit. Staff turnover is 46.8%, slightly above the national 45.8%. The inspection record shows 52 deficiencies, none flagged at harm or jeopardy level and none abuse-related; the most recent inspection was May 7, 2025. CMS gives one star for health inspections and two for staffing, with three for quality measures. The deficiency count is high even without serious harm findings, and the staffing pattern explains why.

Nurse hours

3.36 /day

Staff turnover

22%

Serious cites

0

Chateau D'ville runs a 141-bed for-profit home in Donaldsonville with a recent inspection on the books and 18 deficiencies, including one at the harm level and four tied to abuse. Those are real marks, and the single $15,307 fine tells you regulators found something worth citing. What keeps it from sliding further is consistency: perfect marks on health inspections and quality measures, and staff turnover at 21.7 percent, well under half the national rate, which matters for whether your mother sees the same aides week to week. The tradeoff is hands on deck. At 3.36 nurse hours per resident day, it's about 13 percent under the national average, and weekends drop roughly 18 percent below weekdays.

Nurse hours

4.24 /day

Staff turnover

52%

Serious cites

0

Our Lady of Wisdom runs a nonprofit shop with 138 beds, and the nurse staffing number is genuinely above average, 4.24 hours per resident day, about 10% more than the national figure. The catch is consistency: weekends run roughly 17% thinner than weekdays, and annual turnover sits at 51.8%, higher than the 45.8% national rate. The inspection record shows 23 deficiencies, four of them serious enough to reach harm or jeopardy level, one tied to abuse. The last full inspection was June 2025, so the picture is current. Decent care hours and a recent look from regulators, but the weekend dip and that harm-level count are what a family should ask about directly.

Nurse hours

4.19 /day

Staff turnover

43%

Serious cites

0

Bayou Chateau runs 4.19 nurse hours per resident day, about 9% above the national average, and turnover at 43.4% is slightly better than the 45.8% norm. Those are real strengths, and they're why a home with 15 deficiencies and zero harm-level findings can still land respectably. The catch is the weekend drop: staffing falls roughly 18% below weekday levels, so care depends heavily on when you visit. The one-star quality measure rating also suggests the clinical outcomes CMS tracks aren't keeping pace with the hours being paid for. State inspectors were last in on September 17, 2025, and the for-profit corporate owner runs a 104-bed building in a small Avoyelles Parish town.