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

Nurse hours

3.26 /day

Staff turnover

42%

Serious cites

0

Lakebridge runs on thinner nurse coverage than most homes, 3.26 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday levels, so the thinnest shifts come when families tend to visit. Turnover sits at 41.8%, a bit better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record is genuinely clean: seven deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was July 2023. Owned by an individual for profit. The staffing number is the thing to press on when you tour, ask what a weekend afternoon actually looks like.

Nurse hours

3.49 /day

Staff turnover

22%

Serious cites

0

Union City Health and Rehabilitation runs on thinner nursing coverage than most homes, about 3.49 nurse hours per resident each day, roughly 10% under the national average, and weekend shifts drop another 13% below its own weekday levels. That staffing picture is paired with a one-star health inspection rating from CMS and ten deficiencies on the current record, one of them serious enough to involve harm or jeopardy. On the other hand, turnover sits at 22.4%, well below the national 45.8%, meaning the aides and nurses who are there tend to stay. The one fine on record is modest at $10,348, and the most recent inspection was in August 2025, so the findings are current rather than stale.

Nurse hours

3.46 /day

Staff turnover

53%

Serious cites

0

Okeena runs lean on nursing hours, 3.46 per resident day against a national average of 3.86, and weekends dip roughly 4% below its own weekday coverage. Staff turnover sits at 52.8%, well above the 45.8% national figure, which means familiar faces cycle out faster than average. The inspection record is the brighter spot: 20 deficiencies on file, none at harm or jeopardy level, no abuse citations, and a survey completed in April 2026. The limited liability ownership and for-profit structure are worth knowing, since margins and staffing budgets often travel together. Families weighing this one should ask how the weekend shifts are actually covered, and who specifically will be on the floor overnight.

Nurse hours

3.33 /day

Staff turnover

53%

Serious cites

0

Waters Of Sweetwater runs 90 certified beds under for-profit LLC ownership, and its staffing is the number to sit with: 3.33 nurse hours per resident day against a national average of 3.86, with weekends about 10% thinner than weekdays. Turnover sits at 53.1% versus 45.8% nationally, and CMS gives staffing a single star. The health inspection record carries 19 deficiencies, including two at harm or jeopardy level and one tied to abuse, though the most recent inspection was August 2025. Quality measures score high, but the staffing and inspection numbers are what a family should weigh.

Nurse hours

3.01 /day

Staff turnover

32%

Serious cites

0

Waters Of Bristol runs on a lean crew. At 3.01 nurse hours per resident per day, it sits about 22% under the national average, and weekends drop roughly 11% below its own weekday coverage, a gap families tend to notice on Saturday afternoons. The tradeoff looks favorable elsewhere: staff turnover of 32.4% is well below the national 45.8%, and the home's last inspection, in August 2025, left just three deficiencies on record, none at the harm level and none abuse-related. Ownership is for-profit, through a limited liability company. So you're looking at a place that inspects clean and keeps its people, but asks them to cover more residents per shift than most. Whether that tradeoff works depends on your family member's care needs.

Nurse hours

3.45 /day

Staff turnover

45%

Serious cites

0

Mesa Hills Post Acute runs 166 beds in Brownsville under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% below the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so the thinnest shifts are also the least supervised. The inspection record carries 34 deficiencies, including one at the harm or jeopardy level and five tied to abuse. Staff turnover, at 44.7%, is roughly in line with the national figure of 45.8%, so retention isn't the outlier here, the numbers around it are. The most recent inspection was May 6, 2025, and CMS has assessed one fine totaling $5,734.

Nurse hours

3.41 /day

Staff turnover

50%

Serious cites

0

Creekside Terrace runs about 3.41 nurse hours per resident per day, roughly 12% under the national average, and weekend coverage dips another 10% below its own weekday levels, so the thinnest staffing tends to land when families visit. Staff turnover sits at 50%, above the 45.8% national figure. Inspections are a different story: a 5/5 health inspection rating, and the 16 deficiencies on record include none at the harm or jeopardy level, though one is abuse-related, and the home has paid a single $13,070 fine. The most recent inspection was March 26, 2026. For-profit corporate ownership, 126 certified beds. Strong survey results, lighter day-to-day staffing.

Nurse hours

3.56 /day

Staff turnover

52%

Serious cites

0

Western Hills runs leaner on nursing hours than the typical American nursing home, about 3.56 per resident day against a national average near 3.86, and weekends get thinner still, roughly 12% below its own weekday coverage. Staff turnover sits at 52.1%, well above the 45.8% norm, which matters because new faces cycling through a 158-bed building rarely know residents' routines. The inspection record is the harder read: 29 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus a $62,078 fine. Ownership is a for-profit LLC, and the last full inspection came in May 2025. Quality measures score well, but quality scores are self-reported.

Nurse hours

3.98 /day

Staff turnover

39%

Serious cites

0

Eden Home runs a 122-bed for-profit operation in New Braunfels, and the staffing numbers are its strongest suit: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 38.8%, noticeably better than the 45.8% norm. The catch is that weekends run about 13% leaner than weekdays, so coverage thins out exactly when families tend to visit. What pulls the record down is the inspection side: 28 deficiencies on file, including two at the harm level and two abuse-related, plus a $22,205 fine, with the most recent inspection in March 2026. A two-star health inspection rating against a four-star staffing rating tells you the care hours are there, but the compliance history isn't clean.

Nurse hours

3.59 /day

Staff turnover

49%

Serious cites

0

Park Bend runs below the national average on nurse staffing, and its own weekend hours drop about 13% below weekdays, so the coverage gap widens exactly when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, seven of them at harm or jeopardy level, one abuse-related, and $65,855 in fines across three events. Staff turnover sits at 49.4%, meaning roughly half the nursing team leaves each year, which makes consistent care hard to sustain. What lifts the numbers is the quality measure score, but that reflects resident outcomes on paper, not the hands available each shift. Hospital district ownership doesn't change any of this.

Nurse hours

2.55 /day

Staff turnover

45%

Serious cites

0

Sweetwater Healthcare Center runs on thin staffing. At 2.55 nurse hours per resident per day, it sits about 34% under the national average of 3.86, and weekends are roughly 12% leaner than weekdays, meaning the thinnest coverage lands when families tend to visit. Turnover, at 44.8%, is basically in line with the national figure, so the issue isn't churn so much as how few hands are scheduled at once. On paper the home looks strong elsewhere: four stars each for health inspections and quality measures, with 16 deficiencies on record, none rising to harm or jeopardy and none abuse-related, from an inspection dated March 2026. A for-profit LLC with 79 certified beds, it's a place where the clinical record reads better than the daily coverage.

Nurse hours

3.79 /day

Staff turnover

52%

Serious cites

0

Pecan Creek passed its most recent inspection in April 2025 with six deficiencies on record, none of them causing harm or involving abuse, that's a genuinely clean inspection sheet, and the health inspection rating reflects it. The staffing numbers tell a different story. At 3.79 nurse hours per resident day, it runs slightly under the national average, and weekends drop about 11% below its own weekday coverage. Annual turnover sits at 52.3%, well above the 45.8% national figure, which matters when aides are the people who notice a resident's change in condition first. Quality measures land at 2 out of 5. A for-profit corporation operates the 76-bed home.

Nurse hours

3.07 /day

Staff turnover

41%

Serious cites

0

Rockport Nursing and Rehabilitation Center runs 3.07 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip another 11% below its own weekday level. That thin coverage shows up in its CMS staffing rating and in a record of 18 deficiencies, three of them at the harm or jeopardy level and five tied to abuse. Turnover sits at 41%, actually a bit better than the 45.8% national figure, and the quality measure score is strong at 4 out of 5. The inspection was recent, April 2026. If you're weighing this one, ask how they cover weekends and what's changed since that survey.

Nurse hours

3.23 /day

Staff turnover

39%

Serious cites

0

Port Lavaca Nursing and Rehabilitation runs 148 certified beds as a nonprofit corporation, and its inspection record is genuinely clean, 20 deficiencies on file, none of them causing harm or involving abuse, with the most recent state visit in April 2025. The staffing numbers are where it gets thinner. At 3.23 nurse hours per resident day, this home sits about 16 percent below the national average of 3.86, and weekends drop roughly 12 percent below its own weekday coverage. Turnover, at least, runs better than most: 38.6 percent against a national 45.8 percent. So you're looking at a home that treats people safely and keeps its workers longer than average, but runs leaner on daily nursing hours than the typical facility.

Nurse hours

3.36 /day

Staff turnover

57%

Serious cites

0

Rocky Mountain Care - Logan runs 120 certified beds under for-profit LLC ownership, and its staffing tells the story: 3.36 nurse hours per resident day sits about 13 percent under the national average, and weekends drop another 13 percent below its own weekday levels. Annual turnover hits 56.8 percent against a 45.8 percent national figure, so the aides and nurses your family sees may keep changing. The current inspection record carries 24 deficiencies, including three at the harm or jeopardy level and two tied to abuse; the most recent inspection was February 2026, and CMS rated health inspections 2 out of 5. Quality measures scored 5 out of 5, but that's self-reported data, and staffing and safety are what you'll actually witness. Worth asking hard questions before admitting anyone.

Nurse hours

3.74 /day

Staff turnover

48%

Serious cites

0

Saint Albans Healthcare and Rehabilitation Center runs 115 certified beds under corporate ownership, and its staffing sits just under the national mark, 3.74 nurse hours per resident day against 3.86, with weekends about 11% leaner than weekdays. Turnover is 48.2%, a bit above the 45.8% national figure, which matters because familiar caregivers tend to notice changes sooner. The bigger concern is the inspection record: 14 deficiencies, two at harm or jeopardy level, one tied to abuse, and two fines totaling $148,714. That recent February 2026 inspection is why the health inspection rating sits at 2 out of 5, even though staffing scored 4. Ask about the abuse deficiency and what changed since.

Nurse hours

3.01 /day

Staff turnover

48%

Serious cites

0

Lakeside runs 194 beds in Richmond under for-profit LLC ownership, and its staffing numbers are the first thing to look at. At 3.01 nurse hours per resident day, it sits roughly 22 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday level. Turnover is 48.3 percent against a 45.8 percent national average. The inspection record is heavy: 72 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in February 2024. CMS rates staffing and health inspections 1 out of 5, while quality measures score 5. The gap between those ratings is the real story here.

Nurse hours

3.22 /day

Staff turnover

37%

Serious cites

0

Carlin Springs runs lean on the floor: 3.22 nurse hours per resident day, roughly 17% under the national average, and weekends drop about another 10% below its own weekday pace. That thin coverage shows up in the inspection record, which carries 41 deficiencies, two of them serious enough to involve harm or jeopardy, and the last full inspection was back in July 2022. Turnover at 37.3% is actually better than the 45.8% national figure, and the quality measures score well, so this isn't a home where care is falling apart. It's one where you'd want to visit on a Saturday and ask who's actually on the unit.

Nurse hours

3.29 /day

Staff turnover

55%

Serious cites

0

Hillsville Health & Rehab runs a tight ship on inspections, a five-star health inspection rating and only five deficiencies on the current record, just one of them serious enough to reach harm or jeopardy level. No abuse citations at all. The catch is the day-to-day staffing. At 3.29 nurse hours per resident, it sits about 15 percent under the national average, and weekends drop another 15 percent below its own weekday levels. That matters when turnover is 55.1 percent against a national 45.8, nearly six in ten caregivers leaving in a year means the people at the bedside keep changing. The care protocols look sound; whether there are enough consistent hands to carry them out is the real question.

Nurse hours

3.48 /day

Staff turnover

53%

Serious cites

0

Raleigh Court runs 3.48 nurse hours per resident day, about 10 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday level. Staff turnover sits at 53.4 percent against a national 45.8, so the people around your family member change often. The current record shows 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was August 2024. Quality measures look strong, but that reflects resident outcomes, not the staffing and compliance picture underneath them.