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

Nurse hours

3.36 /day

Staff turnover

27%

Serious cites

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Charlwell House runs on about 3.36 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip another 8 percent below its own weekday levels. What stands out is the inspection record: 63 deficiencies, four of them serious enough to cause harm or jeopardy, plus one tied to abuse, and the health inspection rating sits at 2 out of 5. Turnover is genuinely low, 27 percent against a national 45.8, and staffing earns 4 stars despite the thin hours. It's a for-profit LLC with 124 beds, last inspected in May 2025. The quality measure score of 1 out of 5 is the piece families should ask about directly.

Nurse hours

3.58 /day

Staff turnover

50%

Serious cites

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Care One At Northampton runs 125 certified beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see: 3.58 nurse hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday levels. That thinner weekend coverage matters, because that's often when families visit and when problems surface. Annual turnover hits 50%, above the 45.8% national figure, so the people caring for residents change over fairly often. The inspection record shows 21 deficiencies, three serious enough to reach harm or jeopardy level and one tied to abuse, plus two fines totaling $39,819. Its quality measure rating is strong, but that reflects charted care, not the staffing and inspection problems underneath.

Nurse hours

3.87 /day

Staff turnover

44%

Serious cites

0

North Adams Commons runs a nonprofit home with 119 beds, and the health inspection record is the strongest part of the picture, a five-star rating there, with the most recent inspection in December 2025 and 14 deficiencies on file, none of them causing harm or involving abuse. Staffing is a different story: 3.87 nurse hours per resident day sits essentially at the national average of 3.86, and the two-star staffing rating reflects that. Weekend coverage drops about 14% below weekday levels, and turnover runs 44%, just under the national 45.8%. Quality measures land at three stars. So what you have is a clean inspection history paired with staffing that's merely average and thins out on weekends.

Nurse hours

3.91 /day

Staff turnover

38%

Serious cites

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Windsor Nursing & Retirement Home runs 120 certified beds in South Yarmouth under nonprofit ownership, and its staffing sits just barely above the national average at 3.91 nurse hours per resident day. Turnover is genuinely better than most, 37.7% against a national 45.8%, but weekends run about 14% thinner than weekdays, so care can feel different depending on when you visit. The inspection record is where it gets concerning: 24 deficiencies, including one at the harm level, and a $12,386 fine. Quality measures score 1 out of 5 even as staffing earns 4, and the last inspection was March 2026. Ask about that harm-level citation and weekend coverage specifically.

Nurse hours

3.95 /day

Staff turnover

36%

Serious cites

0

Woburn Rehabilitation and Nursing Center runs 140 beds under corporate ownership, and its staffing sits just above the national average at 3.95 nurse hours per resident day. That margin is thin, and weekends dip about 11% below the home's own weekday coverage, so the care you'd see on a Saturday may look lighter than what the weekday number suggests. Staff turnover of 36.1% is meaningfully better than the 45.8% national average, which matters for consistency. The inspection record is the harder read: 34 deficiencies on file, including one at the harm level and two tied to abuse, plus a $8,512 fine. The last inspection was in January 2025.

Nurse hours

3.67 /day

Staff turnover

52%

Serious cites

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Craneville runs on thinner staffing than most homes, and the gap widens on weekends. At 3.67 nurse hours per resident day, it sits about 5% under the national average of 3.86, and weekend coverage drops roughly 12% below what the home provides Monday through Friday. Annual turnover of 52.3% is higher than the 45.8% national figure, which means aides and nurses cycle through faster than average, worth asking how that affects who's actually on the floor. The health inspection side looks better: a 4-out-of-5 rating with no deficiencies at the harm or jeopardy level and nothing abuse-related on a record of 18 total. Its last inspection was in April 2025.

Nurse hours

3.13 /day

Staff turnover

42%

Serious cites

0

Royal Nursing Center runs 121 beds in Falmouth under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover lands at 41.5%, a bit better than the 45.8% national figure, and the inspection record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $8,278. Its last inspection was December 2025, so the record is recent. Quality measures score well; staffing and inspections are where the gaps sit.

Nurse hours

3.33 /day

Staff turnover

42%

Serious cites

0

Sunny Acres runs lean on nursing hours, 3.33 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday coverage. That's the main thing pulling its staffing picture down. Where it looks steadier is on the clinical and inspection side: a 4-out-of-5 health inspection rating with a recent May 2025 survey, 23 deficiencies on record but none involving harm or abuse, and a 4-out-of-5 quality measure score. Turnover sits at 41.7%, slightly better than the 45.8% national figure, and it's a for-profit LLC. If your family member needs consistent weekday care, the numbers here are workable; weekend coverage is where I'd ask questions.

Nurse hours

3.59 /day

Staff turnover

39%

Serious cites

0

Andover Forest runs 142 beds in North Andover under corporate ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 14% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 44 deficiencies, five of them serious enough to involve harm or jeopardy, plus three fines totaling $44,265. On the positive side, turnover at 38.9% beats the 45.8% national figure, and the quality measure rating is strong. But a 2/5 inspection score and staffing below average carry real weight.

Nurse hours

3.29 /day

Staff turnover

44%

Serious cites

0

Wachusett Manor runs 3.29 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 10% below its own weekday pace, that staffing pattern is what sits behind its two-star staffing rating. The record shows 42 deficiencies, three of them serious enough to put residents at harm or jeopardy, though none are abuse-related, and the most recent inspection was September 2025. Turnover at 43.5% actually edges the national figure of 45.8%, so retention isn't the weak spot. A for-profit LLC with 96 beds, it earns four stars on quality measures but the direct-care hours are thin where it counts.

Nurse hours

3.59 /day

Staff turnover

53%

Serious cites

0

Westford Nursing and Rehabilitation Center runs 123 certified beds under for-profit LLC ownership, and its staffing picture is the main thing to understand. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 52.5% is well above the 45.8% national figure, meaning aides and nurses cycle through steadily. The health inspection side looks better, with a recent July 2025 survey and a strong inspection rating, but the record still carries 33 deficiencies, including one at harm level and one abuse-related.

Nurse hours

6.11 /day

Staff turnover

96%

Serious cites

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Iosco County Medical Care Facility has real staffing depth, 6.11 nurse hours per resident day, well above the national average, and that's the strongest thing on its record. But nearly every employee who was here a year ago is gone, with turnover at 96.1% against a national norm under 46%. State inspectors have logged 33 deficiencies, three of them serious enough to put residents in harm's way, including one abuse finding, and the most recent inspection closed out just this January. County-owned and 78 beds, the home earns a 4 on staffing but only a 2 on health inspections. High turnover undercuts even good staffing numbers; aides who don't stay long can't learn residents' routines or catch subtle changes in condition.

Nurse hours

3.87 /day

Staff turnover

58%

Serious cites

0

Lake Woods runs about 3.87 nurse hours per resident day, which lands essentially at the national average of 3.86, fine on paper, though weekend staffing drops roughly 10% below its own weekday level, so coverage thins out when families tend to visit. The bigger concern is the inspection record: 43 deficiencies, four at harm or jeopardy level and four abuse-related, with $67,541 in fines across two penalties. Staff turnover sits at 57.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. Ownership is for-profit corporate, and the last inspection was May 2025.

Nurse hours

3.36 /day

Staff turnover

45%

Serious cites

0

Lynwood Manor runs 84 certified beds in Adrian under individual for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86. Weekends thin out further, running about 12 percent below the home's own weekday coverage, so the hours when families tend to visit are often the leanest. Annual turnover lands at 44.8 percent, close to the national 45.8 percent, meaning the staff is fairly stable even if there aren't as many of them. The current record carries 34 deficiencies, including one at the harm level and one tied to abuse, plus a $23,761 fine. The most recent inspection was June 4, 2025.

Nurse hours

3.84 /day

Staff turnover

54%

Serious cites

0

Lahser Hills runs 127 certified beds in Southfield, and the numbers show a home that's getting the basics done but not much more. Nurse staffing sits at 3.84 hours per resident day, roughly a hair under the national average of 3.86, and weekend coverage drops about 12% below what the building staffs on weekdays. That's the pinch families feel: fewer hands on Saturdays and Sundays, when questions and falls don't wait for Monday. The bigger red flag is turnover. More than half the nursing staff, 53.9%, left over the past year, against a national average of 45.8%. High churn means new faces learning your mother's routines from scratch, and it's the kind of thing that shows up in care quality long before it shows up in a star rating. The current inspection record carries 35 deficiencies, four of them serious enough to involve harm or jeopardy. No abuse citations. One fine on record, $14,898. The most recent inspection was June 5, 2025, so the picture is reasonably current.

Nurse hours

3.32 /day

Staff turnover

40%

Serious cites

0

Optalis Health & Rehabilitation Of Wyoming runs 92 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing worth noticing: 3.32 nurse hours per resident day, roughly 14 percent under the national average, with weekends about 12 percent thinner than weekdays. Turnover sits at 40.3 percent, which is actually better than the 45.8 percent national figure, so the problem isn't retention so much as how few hours reach the floor. The inspection record is where things get serious, 40 deficiencies on file, including three at the harm or jeopardy level and three tied to abuse, with the most recent inspection in January 2026. That combination of thin daily coverage and repeated serious findings is what a family should weigh before deciding.

Nurse hours

4.13 /day

Staff turnover

60%

Serious cites

0

The Manor of Farmington Hills runs 4.13 nurse hours per resident day, about 7% above the national average, and its quality measure rating comes in at the top of the scale. But weekend staffing drops roughly 11% below its own weekday coverage, and nearly 60% of nursing staff turn over each year against a national average closer to 46%. The current inspection record carries 73 deficiencies, nine serious enough to put residents in harm's way, four tied to abuse, and $269,106 in fines across five penalties. Inspectors were last on site in November 2025. A corporation owns it for profit, and the staffing rating lands mid-range, the kind of gap between what a family sees on a tour and what shows up across a full week of coverage.

Nurse hours

3.91 /day

Staff turnover

46%

Serious cites

0

Evergreen Health and Rehabilitation Center runs 172 beds in Southfield under corporate for-profit ownership, and its staffing sits right at the national average, 3.91 nurse hours per resident day against 3.86 nationally. That sounds fine until you notice weekends run about 13% thinner than weekdays, and turnover hits 46%, slightly above the national rate. Where the record gets harder to look past is inspections: 61 deficiencies, five of them at harm or jeopardy level and three tied to abuse, plus a $28,815 fine. The last inspection was September 2025, so this isn't stale history. CMS gives it 2 out of 5 on both health inspections and staffing, despite a perfect 5 on quality measures, a gap worth asking about directly.

Nurse hours

3.69 /day

Staff turnover

49%

Serious cites

0

Fountain Bleu is a for-profit, 108-bed home in Livonia with a recent inspection on record and a mixed set of numbers behind it. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, that's the pattern families notice when they visit on a Saturday. Turnover is 48.5%, slightly above the national 45.8%, so aides and nurses cycle through faster than average. Against that, the home's inspection and quality-measure ratings both come in at 4 out of 5 stars, though the current record carries 16 deficiencies, three of them serious enough to involve harm or jeopardy. One fine totaling $8,985 has been levied. Worth asking about those three.

Nurse hours

3.99 /day

Staff turnover

63%

Serious cites

0

Allegria Village runs 89 certified beds in Dearborn under for-profit LLC ownership, and its nurse staffing sits just above the national average, 3.99 hours per resident day against 3.86. That edge is thin, though, and weekends run about 12% lighter than weekdays, so coverage isn't evenly spread across the week. The bigger concern is turnover: 63.2% annually, well above the 45.8% national figure, which means caregivers cycle through faster than residents can build familiarity with them. On paper, inspections look decent, a 4/5 health inspection rating with the most recent visit in November 2025, but 19 deficiencies are on record, one of them serious enough to reach harm or jeopardy level. No abuse citations appear in the current data.