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

Nurse hours

5.26 /day

Staff turnover

43%

Serious cites

0

Riverview runs 203 beds in Detroit under limited-liability, for-profit ownership, and its recent inspection history is mostly clean, 19 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A 4-out-of-5 inspection rating and an April 2025 visit mean the state's picture of the place is fairly current, and staffing sits well above average at 5.26 nurse hours per resident day, with weekend coverage dipping about 13% below weekdays. Where the numbers get harder to read is quality: 1 out of 5 stars on CMS quality measures, against 3 for staffing. Turnover at 42.5% is slightly better than the 45.8% national figure, but at that rate, aides still cycle through regularly enough that families should ask who's actually on the floor.

Nurse hours

3.80 /day

Staff turnover

68%

Serious cites

0

Windemere Park's recent inspection history is its strongest card, a four-star health inspection rating with 24 deficiencies on record and none at the harm or jeopardy level, though two abuse-related citations are worth asking about directly. Staffing is where the picture gets thinner. At 3.80 nurse hours per resident day, it sits just under the national average, and weekends run about 11% below its own weekday coverage. The bigger number is turnover: 67.9% against a national average of 45.8%, meaning most of the people caring for your relative this year likely won't be there next year. That churn matters more than a star rating when you're thinking about consistency of daily care.

Nurse hours

4.81 /day

Staff turnover

51%

Serious cites

0

Guardian Angels Care Center is a 120-bed nonprofit in Elk River, and the numbers pull in two directions. Nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average, though weekends run about 10% thinner than weekdays. Turnover is 51%, higher than the 45.8% national figure. On the inspection side, the record holds 18 deficiencies, four of them at the harm or jeopardy level and one abuse-related, with four fines totaling $98,353 and a 2-out-of-5 health inspection rating. Quality measures land at 3. Staffing volume is the strong point here; the inspection history is what a family should ask about directly.

Nurse hours

3.37 /day

Staff turnover

26%

Serious cites

0

The Estates at St Louis Park runs a nonprofit shop with 145 beds, and its staff tends to stick around, turnover of 25.5% is well under the national 45.8%. That stability is real, and so is the fact that weekend coverage dips about 8% below weekday levels. But 47 deficiencies on the current record, including three at the harm level and three tied to abuse, along with $107,139 in fines, suggest the day-to-day care has problems that steady staffing hasn't solved. The state inspected most recently in August 2025, and the issues it found landed in the middle of CMS's range on both health inspections and quality measures. Families weighing this one should ask directly how the home is addressing those harm and abuse findings.

Nurse hours

4.22 /day

Staff turnover

52%

Serious cites

0

Luther Haven is church-affiliated and nonprofit, and its nurse staffing runs about 9% above the national average, 4.22 hours per resident day against 3.86. Weekends dip roughly 10% below its own weekday level, so coverage thins out when families tend to visit. The harder numbers are on the inspection side: 29 deficiencies on the current record, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $101,268. Staff turnover sits at 51.6%, above the 45.8% national average. The most recent inspection was August 2025, so the record is current. Strong hours on paper, but a citation history that raises real questions.

Nurse hours

4.15 /day

Staff turnover

51%

Serious cites

0

Cerenity Marian in Saint Paul runs a nonprofit shop with 90 beds, and the staffing numbers look strong on paper, 4.15 nurse hours per resident day, roughly 7% above the national average, and weekends only dip about 12% below its own weekdays, which is better than many homes manage. The trouble sits elsewhere. Staff turnover is 50.9%, well past the 45.8% national figure, so the people delivering that care keep leaving, and CMS has cited 16 deficiencies on the current record, including two at harm or jeopardy level and one tied to abuse, with $130,913 in fines. The last inspection was recent, March 2026, so that record is current, not stale.

Nurse hours

3.44 /day

Staff turnover

31%

Serious cites

0

The Villas At Robbinsdale runs on thinner nurse staffing than most homes, 3.44 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover at 30.9% is better than the 45.8% national figure, which matters for continuity of care. What pulls the record down is inspections: 40 deficiencies, two of them at harm or jeopardy level and two tied to abuse, with $104,974 in fines and a one-star health inspection rating. The most recent inspection was April 2025.

Nurse hours

3.55 /day

Staff turnover

54%

Serious cites

0

Hillcrest runs 3.55 nurse hours per resident day, roughly 8% under the national average, and weekends drop about 11% below its own weekday staffing. That thinner weekend coverage matters because the record shows 41 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a $17,345 fine and an inspection from June 2024. Turnover sits at 54.1% against a national 45.8%, so aides and nurses are cycling out faster than usual. The corporation that owns the 95-bed home is for-profit. Two out of five on inspections and two out of five on quality measures, with staffing the relative bright spot at three, describes a building where the clinical basics get done but the margin for error is narrow.

Nurse hours

— /day

Staff turnover

40%

Serious cites

0

Tuff Memorial Home runs 48 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.95 hours per resident day, a bit above the national average of 3.86. Weekends dip about 18% below its own weekday coverage, which is worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover is 39.5%, better than the 45.8% national figure, so aides and nurses tend to stick around longer here than at the typical home. The inspection record shows 6 deficiencies, none at harm or jeopardy level and none abuse-related, with 12 fines totaling $44,434 across its history.

Nurse hours

3.37 /day

Staff turnover

24%

Serious cites

0

Parkview Manor is a city-owned home in Ellsworth with 37 beds, and its nurse staffing sits about 13% under the national average at 3.37 hours per resident day, though weekends dip only 8% below its own weekdays, which is steadier than many places manage. Turnover is the standout: 24% against a national average near 46%, meaning the people caring for residents tend to stay. The tradeoff shows up in the clinical picture. Twenty-one deficiencies are on record, none at harm or jeopardy level and none abuse-related, but the inspection rating sits at 2 out of 5 and quality measures at just 1 out of 5.

Nurse hours

3.70 /day

Staff turnover

52%

Serious cites

0

Good Samaritan Society - Pipestone runs 82 certified beds as a nonprofit, and its strongest number is staffing: 3.70 nurse hours per resident day, about 4% under the national average of 3.86. That's a modest gap, but weekends drop roughly 14% below the home's own weekday coverage, and turnover sits at 51.7% against a national 45.8%, so the people around residents keep changing. The current inspection record shows 14 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $17,345. Quality measures score 2 out of 5, which lines up with that record. A May 2025 inspection means the picture is recent, at least.

Nurse hours

— /day

Staff turnover

56%

Serious cites

0

Meadows On Fairview runs 14 certified beds as a nonprofit corporation, which usually means a tight operation where everyone knows everyone. The health inspection record is genuinely strong: five stars, three deficiencies on file, none rising to harm or jeopardy, no abuse citations, and a survey completed in June 2026. The weak spot is staffing. One star, with annual turnover at 56.3 percent against a national average of 45.8 percent. In a building that small, that much churn means the person helping your mother at dinner may be new this month and gone the next. The quality measure rating holds at four stars, so outcomes look decent on paper. Whether they hold up in practice depends on who's actually on the floor each shift.

Nurse hours

2.53 /day

Staff turnover

58%

Serious cites

0

Hayes Residence runs on 2.53 nurse staffing hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 57.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. Its last inspection was in June 2025, and the record carries 17 deficiencies, two of them serious enough to reach harm or jeopardy level. No abuse citations appear, and the quality measure rating is average, but a for-profit home with that staffing gap, that turnover, and two harm-level findings at its most recent survey is worth a close look before you decide.

Nurse hours

3.96 /day

Staff turnover

52%

Serious cites

0

Vineyard Court runs a corporate-owned, 55-bed home in Columbus where the nurse staffing number looks good on paper, 3.96 hours per resident day, slightly above the national average, but weekends drop about 12% below its own weekday level, and turnover sits at 51.7% against a national 45.8%. The inspection record is where the real trouble shows: 25 deficiencies, 10 of them serious enough to cause harm or put residents in jeopardy, 2 tied to abuse, and $78,952 in fines across three penalties. The most recent inspection was in February 2025, so the picture is current. Staffing stars don't offset that kind of citation history.

Nurse hours

4.37 /day

Staff turnover

48%

Serious cites

0

J G Alexander Nursing Center runs on thin margins that show up in different ways. The 4.37 nurse hours per resident day beats the national average by about 13%, and CMS gives staffing its top mark, but weekend coverage drops roughly 28% below weekday levels, so the care you'd see depends on when you visit. Turnover sits at 48.1%, slightly above the national 45.8%, meaning a lot of the people providing that care are still learning the building. Inspections tell a more mixed story: 16 deficiencies on record, three serious enough to involve harm or jeopardy, and $10,868 in fines across two events. The last inspection was April 2026, so the record is current.

Nurse hours

3.89 /day

Staff turnover

62%

Serious cites

0

Dunbar Village Terrace sits right around the national average for nurse staffing, 3.89 hours per resident day against 3.86 nationally, so there's no real cushion there, and weekends run about 13% thinner than weekdays. The bigger number to sit with is turnover: 61.7% annually, well above the 45.8% national average, which means the people caring for residents are changing over faster than at a typical home. Inspections look solid on paper, a 4 out of 5 star rating with the most recent visit in July 2025, but the record shows 10 deficiencies including one at the harm level, plus an $8,021 fine. This is a for-profit partnership, 60 beds.

Nurse hours

3.77 /day

Staff turnover

49%

Serious cites

0

Delmar Gardens of Chesterfield runs 227 certified beds under a for-profit limited liability company, and its staffing sits a bit thin, 3.77 nurse hours per resident day, roughly 2% under the national average, with weekends about 9% lighter than its own weekdays. Annual turnover is 48.8%, above the 45.8% national figure, which means the people caring for residents keep changing. The current record shows 39 deficiencies, including one tied to abuse; none reached harm or jeopardy level, and the most recent inspection was August 2025. Federal ratings land at 3 of 5 for health inspections and 2 of 5 for both quality measures and staffing.

Nurse hours

3.07 /day

Staff turnover

43%

Serious cites

0

Warrenton Manor runs 120 beds in Wright City under corporate ownership, and its nurse staffing sits at 3.07 hours per resident day, roughly a fifth below the national average of 3.86. Weekends drop another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 43.2%, slightly better than the 45.8% national figure, which matters less than the raw hours. The inspection record shows 47 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. State inspectors last visited in March 2025. Quality measure scores rank lowest; staffing scores mid-range.

Nurse hours

3.36 /day

Staff turnover

45%

Serious cites

0

Nixa Nursing & Rehab runs 82 certified beds under corporate ownership, and its last full inspection came back clean at the harm level, nine deficiencies total, none causing injury or jeopardy, though two were abuse-related. Staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average, and weekends dip about 11% below the home's own weekday coverage. Turnover of 45.1% lands right at the national norm, so retention isn't the problem here; raw hours are. The five-star inspection history and four-star staffing rating carry real weight, but a two-star quality measure score and thin weekend coverage are the tradeoffs worth asking about before you decide.

Nurse hours

3.38 /day

Staff turnover

44%

Serious cites

0

Lake Stockton Healthcare Facility runs on thinner nursing hours than most homes, 3.38 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 44.2%, roughly in line with the national rate. The inspection record is strong: a five-star health inspection rating, no deficiencies at the harm level, and the last survey in March 2024. But 17 total deficiencies, including one abuse-related, and a two-star quality measure rating show the clinical picture isn't as clean as the survey history suggests.