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

Nurse hours

4.24 /day

Staff turnover

34%

Serious cites

0

California Home For The Aged has one of those rare staffing pictures where nothing looks thin. At 4.24 nurse hours per resident day, it runs about 10% above the national average, and weekend coverage barely dips, roughly 5% off its own weekday level, which is small compared to most homes. Turnover sits at 33.9%, well under the 45.8% national figure, and a non-profit owner tends to hold staff longer. The catch is the inspection record: 35 deficiencies, including one at harm or jeopardy level and one abuse-related, though the most recent inspection was March 2025, so that count may not reflect current conditions.

Nurse hours

4.21 /day

Staff turnover

22%

Serious cites

0

Nurse staffing here runs about 4.21 hours per resident day, roughly 9% above the national average, and weekends dip only slightly below weekdays, a sign the schedule holds up rather than thinning out. Staff turnover sits at 21.5%, less than half the national rate of 45.8%, which matters for residents who value seeing the same faces. The record shows 30 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was September 11, 2025. It's a for-profit limited liability company with 99 certified beds, drawing 4s on both health inspections and quality measures and a 5 on staffing.

Nurse hours

3.75 /day

Staff turnover

32%

Serious cites

0

Red Bluff Health Care Center runs 58 certified beds under corporate ownership, and its staffing sits slightly under the national average at 3.75 nurse hours per resident day. That's a modest gap, and weekends dip only about 1% below weekdays, so coverage stays fairly even. What stands out more is turnover: 32.1% against a national average of 45.8%, meaning this home retains caregivers better than most. The tradeoff shows up in its inspection record, 26 deficiencies, one abuse-related, and 10 fines totaling $47,637, though none reached harm or jeopardy level, and the most recent inspection was January 2026. Strong quality and staffing marks sit alongside that compliance history.

Nurse hours

3.94 /day

Staff turnover

38%

Serious cites

0

Pilgrim Manor in Cromwell runs on a nonprofit model with 60 certified beds, and the staffing numbers are the first thing worth noting: 3.94 nurse hours per resident day, slightly above the national average, with weekends dipping about 7% below its own weekday levels. Staff turnover sits at 37.7%, which is meaningfully better than the 45.8% national figure, people tend to stay here longer than at the typical home. The current inspection record shows 16 deficiencies, including one at the harm level and four abuse-related, plus a single fine of $12,048. That's a mixed picture, but the last inspection was recent, in April 2024, and the quality and staffing ratings both come in at the top of the scale.

Nurse hours

4.07 /day

Staff turnover

22%

Serious cites

0

Bradley Home Infirmary/Pavilion runs 30 certified beds in Meriden under nonprofit ownership, and its staffing is the clearest strength: 4.07 nurse hours per resident day, a bit above the national average, with a 5/5 staffing rating. Turnover sits at 22.2%, less than half the national figure, which matters for residents who need consistent caregivers, though weekend coverage drops about 13% from weekday levels. The record isn't spotless: 18 deficiencies, one serious enough to involve harm or jeopardy, plus a $12,735 fine. Its last inspection was March 2025, and both health inspection and quality measure ratings came in at 4/5.

Nurse hours

6.48 /day

Staff turnover

26%

Serious cites

0

Sibley Mem Hosp Renaissance runs on a nurse staffing level that's genuinely hard to find: 6.48 hours per resident day, roughly 68% above the national average, with a five-star staffing rating and turnover at 26% against a national 45.8%. But the inspection record complicates that picture, 34 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with the last full inspection in January 2023. Weekend coverage also dips about 12% below the home's own weekday level. So you're looking at a small, nonprofit-affiliated home that invests heavily in staff but carries a real compliance history worth asking about directly before you decide.

Nurse hours

4.65 /day

Staff turnover

34%

Serious cites

0

The Preserve runs on a nonprofit model with 75 certified beds, and the numbers suggest it's a place that takes staffing seriously. At 4.65 nurse hours per resident day, it sits about 20% above the national average of 3.86, a meaningful cushion, though weekend coverage dips roughly 11% below its own weekday levels, so families should ask how that plays out on Saturdays and Sundays. Staff turnover lands at 33.8%, well under the national 45.8%, which matters for continuity of care. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection and a survey as recent as October 2025. Nothing here reads as a red flag.

Nurse hours

6.41 /day

Staff turnover

48%

Serious cites

0

Magnolia Place runs on a nonprofit model with 34 certified beds in Rome, and the staffing numbers stand out, 6.41 nurse hours per resident day, roughly two-thirds above the national average of 3.86. Weekend coverage dips only about 3% below its own weekday level, so care doesn't thin out much when families tend to visit. Turnover sits at 48.3%, a touch above the 45.8% national figure, which is worth asking about directly. Five deficiencies appear on the current record, none at the harm level and none abuse-related, and the most recent inspection came in January 2026.

Nurse hours

5.09 /day

Staff turnover

48%

Serious cites

0

Oahu Care Facility runs on better-than-average nurse coverage, 5.09 hours per resident day, roughly a third more than the national figure of 3.86, and its weekend hours dip only modestly below weekdays. Staff turnover is 47.8%, a touch above the national 45.8%, so the people giving that care turn over somewhat more than elsewhere. What pulls the record down is the inspection history: 37 deficiencies on file, including one at the harm level and one tied to abuse, plus an $8,278 fine. The most recent inspection was November 2025. Strong daily staffing, thinner safety record.

Nurse hours

5.79 /day

Staff turnover

37%

Serious cites

0

Syringa Chalet runs on state government ownership in Blackfoot, and the numbers show a home that's mostly getting the fundamentals right. Nurse staffing sits at 5.79 hours per resident day, roughly half again the national average, and weekend coverage dips only about 9% below weekdays, so care doesn't fall off a cliff on Saturdays and Sundays. Turnover runs 37.3%, better than the 45.8% national figure, which matters because familiar faces tend to know residents' routines. The tradeoff: 22 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and one fine of $13,923. Inspectors were last in on January 22, 2026, so that picture is current.

Nurse hours

4.78 /day

Staff turnover

24%

Serious cites

0

The Klein Center has a lot working in its favor on paper: 4.78 nurse hours per resident day is roughly a quarter more staffing than the national average, and its 23.8% turnover is about half the national rate, which suggests a stable crew. Weekend coverage slips a bit, about 10% below weekdays, so ask how that plays out on Saturdays. The trouble is the inspection record, 14 deficiencies, including two at the harm level and three tied to abuse, plus two fines totaling $65,094. Quality measures score well, but that history is recent, from May 2025.

Nurse hours

3.98 /day

Staff turnover

24%

Serious cites

0

Chautauqua Guest Home #3 in Charles City runs a tight ship. Staffing sits at 3.98 nurse hours per resident day, just above the national average, and the weekend dip is modest at around 8 percent, not the steep drop-off you see at some homes. What stands out most is the 23.8 percent turnover rate, roughly half the national figure, which suggests people actually stay. The inspection record backs that up: six deficiencies on file, none causing harm, none tied to abuse, and the most recent state visit came in July 2025. For-profit corporate ownership, 57 beds, and quality measures scoring well enough to keep this one worth a look.

Nurse hours

3.86 /day

Staff turnover

35%

Serious cites

0

Valley Vue Care Center runs 40 certified beds in Armstrong under for-profit LLC ownership. Nurse staffing sits at 3.86 hours per resident day, essentially right at the national average, not above it, and weekends run about 11% leaner than weekdays, so coverage thins when families tend to visit. Staff turnover of 35% beats the 45.8% national figure, meaning caregivers here tend to stick around longer than at the typical home. Inspections produced 11 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent inspection was March 12, 2026, so the record is current. CMS gives it 4 stars for health inspections, 4 for quality measures, and 5 for staffing.

Nurse hours

4.26 /day

Staff turnover

26%

Serious cites

0

Methodist Manor in Storm Lake runs on a nonprofit model, and its staffing numbers show it. At 4.26 nurse hours per resident day, it sits about 10% above the national average, and it's one of the few homes where the 5-star staffing rating reflects real retention, 25.7% turnover against a national average of 45.8% is unusually steady. Weekends dip only about 6% below weekday coverage, which matters when you're thinking about who's actually on the floor on a Sunday. The caution is in the inspection record: 21 deficiencies, including one at harm level and one abuse-related, with the most recent survey in April 2026. Strong staffing and quality measures, but the compliance history is worth asking about directly.

Nurse hours

4.19 /day

Staff turnover

31%

Serious cites

0

Calvin Community in Des Moines runs on a nonprofit model with 59 certified beds, and the staffing numbers are its strongest suit: 4.19 nurse hours per resident day, roughly 8% above the national average, with a 5/5 CMS staffing star. Weekend coverage dips about 11% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Turnover sits at 31.3% against a national average of 45.8%, meaning workers tend to stay longer here than at most homes. The tradeoff is a 3/5 inspection star with 12 deficiencies on record, though none involved harm or abuse, and one fine totaling $4,233. The last inspection was in December 2025, so the record is recent.

Nurse hours

4.35 /day

Staff turnover

35%

Serious cites

0

United Presbyterian Home runs 4.35 nurse hours per resident day, about 13 percent above the national average of 3.86. Weekend coverage drops roughly 14 percent from its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 35.1 percent against a national 45.8 percent, which matters for how well aides know your mother's routines. The current record shows 22 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in July 2025. This is a nonprofit with strong staffing and quality marks, but those two serious citations are the reason to read the inspection reports yourself before deciding.

Nurse hours

4.33 /day

Staff turnover

34%

Serious cites

0

West Ridge Care Center runs 60 beds in Cedar Rapids under corporate ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, though weekends dip about 9% below what the home staffs on weekdays. Turnover is 33.9%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record is thin: one deficiency total, none at the harm level, none abuse-related, with the most recent survey dated January 29, 2026. For a for-profit home, that combination of low turnover, above-average staffing, and a nearly clean survey history is not typical.

Nurse hours

5.83 /day

Staff turnover

54%

Serious cites

0

Lawrence Presbyterian Manor runs 40 certified beds as a nonprofit corporation, and its nurse staffing sits at 5.83 hours per resident day, roughly half again what the typical American nursing home provides. Weekend coverage dips only slightly below weekday levels, so care doesn't thin out much when families visit. What pulls against that picture is turnover: 53.7% of staff leave each year, well above the 45.8% national figure, and the home carries 15 deficiencies on its current record, one tied to abuse, though none rose to the level of actual harm or jeopardy. Its last inspection was in February 2026, and CMS rates it 3 of 5 on health inspections but 4 of 5 on both quality measures and staffing.

Nurse hours

5.34 /day

Staff turnover

34%

Serious cites

0

Bethany Home Association runs a lean, well-staffed operation. At 5.34 nurse hours per resident day, it sits about 38% above the national average, and its staff turnover of 34% beats the national 45.8%, people tend to stay. The 20 deficiencies on record sound like a lot until you notice none reached harm or jeopardy level and none involved abuse, so they read more like paperwork and process issues than resident safety problems. Weekend staffing dips roughly 14% below its own weekday level, which is common but worth asking about. A 4-out-of-5 health inspection star and a recent August 2024 survey round out a picture of a nonprofit that's stable and adequately watched.

Nurse hours

4.87 /day

Staff turnover

43%

Serious cites

0

Tallgrass Creek sits in Overland Park with 44 certified beds, run by a for-profit limited liability company. The staffing numbers are the strongest part of the picture: 4.87 total nurse hours per resident day, roughly a quarter above the national average of 3.86, though weekend coverage drops about 12% below its own weekday level. Staff turnover of 43.1% edges just under the national rate of 45.8%. What pulls the record down is the inspection history. Seventeen deficiencies are on file, including one at the harm or jeopardy level and one abuse-related, plus a $7,446 fine. The most recent inspection was February 2026. Strong daily staffing and a five-star health inspection rating sit alongside a deficiency record that includes the most serious category CMS tracks.