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

Nurse hours

3.46 /day

Staff turnover

66%

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Westwood Health And Rehab runs 85 certified beds in Springdale under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and it thins out further on weekends, about 24% below the home's own weekday level. Annual turnover hits 66.3%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. The inspection record is the bigger concern: 19 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $13,871 fine. The most recent inspection was January 31, 2025, so that record is fairly fresh rather than aging off the books. Strong quality measure scores don't offset a staffing pattern this stretched and a deficiency list this serious.

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The staffing number is what stands out here. Pasadena Park Healthcare and Wellness Center holds a 1-out-of-5 staffing rating, well below average, even as its inspection and quality measures sit at 3 out of 5. That gap matters more than the overall picture: California requires more direct care hours than most states, so falling short on staffing is a real signal at a 99-bed for-profit home. The record shows 53 deficiencies, none at the harm level, but two tied to abuse. Inspectors last visited in May 2024. With a limited liability company running the place, ask direct questions about who's on the floor overnight and how complaints get handled.

Nurse hours

3.33 /day

Staff turnover

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Berthoud Care And Rehabilitation is a 76-bed for-profit home in Larimer County, and its record is split down the middle. The health inspection side is genuinely strong, a 5-star rating with no deficiencies at the harm or jeopardy level, and a clean inspection as recently as June 2024. What pulls the overall picture down is staffing: 3.33 nurse hours per resident day sits about 14% under the national average, and weekends run roughly 14% below the home's own weekday levels, which is when families tend to visit and notice. Sixteen total deficiencies on record, one tied to abuse, plus a 2-star staffing rating, mean the people caring for residents are stretched thinner than at the average American nursing home.

Nurse hours

3.38 /day

Staff turnover

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Bayside Health and Rehabilitation Center is a 120-bed for-profit home in Pensacola, and its inspection record is genuinely strong, a 5-out-of-5 health inspection rating with just six deficiencies on file, none of them causing harm or involving abuse, and the most recent survey done in May 2025. Staffing is where the picture changes. At 3.38 nurse hours per resident day, it runs about 12 percent below the national average of 3.86, and weekend coverage dips roughly 9 percent below what the home staffs on weekdays. Quality measures land in the middle at 3 out of 5. So you're looking at a home that inspects clean but runs lean on daily nursing hours.

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Westwood passed its most recent inspection in April 2025 with only three deficiencies on the books, none of them serious enough to harm a resident. That clean record is the strongest thing going for this 60-bed for-profit home. The problem is staffing: CMS rates it 1 out of 5 stars, well below what most Florida nursing homes post, and that's with a quality measure score sitting in the middle. Fewer aides and nurses on the floor means slower answers to call lights and less help at meals, which matters more as residents get frailer. A good inspection tells you the building is run lawfully. It doesn't tell you whether someone will come when your mother presses the button.

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Bay Breeze Senior Living and Rehabilitation Center sits on 120 certified beds in Gulf Breeze, under corporate for-profit ownership. The inspection record is the strongest part of the picture: a recent May 2025 survey with seven total deficiencies, none rising to harm or jeopardy, and nothing abuse-related. Staffing is the weak spot, though, the federal staffing rating lands at just one star out of five, well below what you'd want for a building this size. That gap between a solid inspection history and thin staffing numbers is the tension worth asking about directly: what the day-to-day coverage actually looks like on evenings and weekends, and how quickly call lights get answered when the census is full.

Nurse hours

4.67 /day

Staff turnover

52%

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Douglas Jacobson State Veterans Nursing Home runs on state government ownership in Port Charlotte with 120 certified beds, and its nurse staffing sits at 4.67 hours per resident day, roughly 21% above the national average. But look past that headline number and the picture gets uneven: weekend staffing drops about 15% below its own weekday level, so coverage depends on which day your family member needs help. The current inspection record carries 20 deficiencies, five of them at harm or jeopardy level and five abuse-related, with seven fines totaling $139,435 and a September 2024 inspection. Annual turnover of 52.1% tops the national 45.8% average, meaning the people providing that generous staffing are often new to the building.

Nurse hours

3.27 /day

Staff turnover

33%

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Pruitthealth - Peake runs 122 beds in Macon under for-profit LLC ownership, and its staffing numbers are the main thing to know. At 3.27 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly another 15% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover is a genuine bright spot at 33%, well under the 45.8% national figure, which suggests a steadier crew than many peers. The inspection record shows 7 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related; the last survey was in May 2026. Quality measures score well, but staffing is where the concern lives.

Nurse hours

3.31 /day

Staff turnover

58%

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The inspection record here is actually pretty solid, a 4-star health inspection rating, most recent survey in September 2025, and no abuse deficiencies on file. Where it gets thin is the day-to-day staffing. At 3.31 nurse hours per resident, this home runs about 14% below the national average, and weekends dip roughly 17% below its own weekday levels, which is when families tend to notice. Staff turnover sits at 58.2% against a national 45.8%, so the people providing that care are cycling through faster than average. Twelve deficiencies, two of them serious enough to reach harm or jeopardy level, plus $16,530 in fines, round out the picture: safe enough on paper, but you'd want to ask about weekend coverage and how long aides tend to stay.

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Avenues At Quad Cities runs 63 certified beds in Silvis under corporate for-profit ownership, and staffing is where it struggles most, the federal staffing star sits at the lowest tier, meaning direct-care hours per resident fall well below what CMS expects. The inspection record backs that up: 27 deficiencies, four of them serious enough to cause actual harm or put residents in jeopardy, though none involved abuse. Quality measures land mid-range at 3 stars, and the most recent inspection came in September 2024, so the findings are fairly current rather than stale. If you're weighing this one, ask specifically how nurse aide coverage looks on evenings and weekends, since thin staffing is usually where the harm-level citations originate.

Nurse hours

4.33 /day

Staff turnover

68%

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Community Nursing and Rehabilitation Center is county-owned and carries 115 certified beds on Indianapolis's east side. The raw staffing number looks decent, 4.33 nurse hours per resident day, about 12% above the national average, but weekends run roughly 20% below its own weekday level, and annual turnover sits at 67.7% against a national 45.8%. Inspectors have logged 37 deficiencies, including one at the harm or jeopardy level and three tied to abuse; the health inspection rating is 1 out of 5, while resident outcome measures score 5 out of 5. One fine totaling $12,735 is on record, and the most recent inspection closed in April 2026. The county's answer to understaffing is overtime and turnover, not more hires.

Nurse hours

3.49 /day

Staff turnover

57%

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Altenheim Health & Living Community is county-owned and holds 87 certified beds, and its recent inspection history is genuinely solid, a 4 out of 5 on health inspections, a perfect 5 on quality measures, and 11 deficiencies on record with none rising to harm or jeopardy and nothing abuse-related. The problem sits in the staffing column. At 3.49 nurse hours per resident day, this home runs about 10% under the national average, and weekends drop roughly 20% below its own weekday levels, meaning care thins out exactly when families tend to visit. Annual turnover of 57.3% against a 45.8% national average suggests a workforce that isn't sticking around. A last inspection in June 2025 means the record is current.

Nurse hours

3.41 /day

Staff turnover

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Envive of River City runs 71 certified beds in Evansville under for-profit LLC ownership, and its nursing hours land at 3.41 per resident day, roughly 12 percent under the national average of 3.86. Weekends dip about 8 percent below the home's own weekday staffing, so coverage thins exactly when families tend to visit. The inspection record shows 41 deficiencies, two tied to abuse, though none at the harm or jeopardy level. Last inspection came January 7, 2026. Quality measures score well, but staffing and health inspection ratings both sit at the low end, and that split is worth asking about directly before you decide.

Nurse hours

3.60 /day

Staff turnover

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Envive of Muncie runs 60 certified beds under corporate for-profit ownership, and its staffing picture is the main thing to know: 3.60 total nurse hours per resident day, roughly 7% under the national average of 3.86, with weekends running about 11% thinner than its own weekdays. That pattern shows up in the federal staffing rating of 1 out of 5 even though quality measures score 4 out of 5. The inspection record carries 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated March 31, 2026. Staffing is where the gaps sit; the care-quality numbers and the absence of serious deficiencies are what keep the overall picture from being worse.

Nurse hours

4.15 /day

Staff turnover

27%

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Grandview Healthcare Center runs 72 certified beds in Oelwein under for-profit limited liability ownership, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage drops about 15% below its own weekday levels, so the weekday numbers aren't the whole picture. Staff turnover is 27%, well under the national 45.8%, which matters for whether caregivers actually know the residents. The inspection record shows 12 deficiencies, none at harm or jeopardy level, but one is abuse-related. Its last inspection was April 2026, so the record is recent. Quality measure scores run low while inspection scores run high, worth asking about specific care outcomes.

Nurse hours

3.14 /day

Staff turnover

38%

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Accura Healthcare of Newton East runs 54 beds under for-profit LLC ownership, and its staffing sits at 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, actually better than the 45.8% national figure, which makes the thin hours look more like a budget decision than a retention problem. The inspection record is the harder part: 39 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $19,744 fine. The most recent inspection was February 2026.

Nurse hours

4.20 /day

Staff turnover

51%

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Medicalodges Iola runs a for-profit, limited-liability operation with 45 certified beds in Allen County, and its staffing is genuinely a bright spot: 4.20 nurse hours per resident day, roughly 9% above the national average. That's the good news, and it matters. But the same numbers show weekend staffing drops about 16% below weekday levels, and annual turnover sits at 51.1%, higher than the 45.8% national figure. The inspection record is the harder part: 41 deficiencies on file, five of them serious enough to involve harm or jeopardy, three tied to abuse, plus two fines totaling $42,224. The most recent inspection was July 2025, so the record is current, not stale.

Nurse hours

3.77 /day

Staff turnover

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Lincoln Care and Rehab runs 45 beds in Wichita under corporate ownership, and its inspection record is the part that stands out: 43 deficiencies logged, two of them serious enough to put residents in harm or jeopardy, plus one tied to abuse. Three fines add up to $40,104. The last full inspection was October 2023, so that record has had time to age without a fresh look. Staffing sits slightly under the national average at 3.77 hours per resident day, and weekends run about 13% thinner than weekdays, worth asking about if your family member needs help on Saturdays and Sundays.

Nurse hours

2.04 /day

Staff turnover

44%

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Brighton Place North runs 2.04 nurse staffing hours per resident day, roughly 47% under the national average of 3.86, and weekends drop about a quarter below its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5, even as the home's quality measure score hits 5 out of 5, a gap worth noticing, since quality scores reflect resident outcomes while staffing reflects daily presence. The inspection record shows 19 deficiencies, none at harm level but one abuse-related, plus three fines totaling $9,408; the last inspection was October 2025. Turnover at 43.8% is close to the national 45.8%. With 34 beds and corporate for-profit ownership, this is a small home where staffing is the real question.

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Home Of The Innocents is a 76-bed nonprofit in Louisville with a recent inspection, September 13, 2025, so the record is current. What that record shows is mixed: ten deficiencies, including two at the harm or jeopardy level and four tied to abuse. Its inspection star rating sits at 2 out of 5, while quality measures come in at 3. Roughly one in five of those deficiencies involves actual harm or abuse concerns, which is the kind of thing worth asking the administrator about directly. The nonprofit structure and fresher inspection help, but the harm-level findings are the part I would not gloss over when you call.