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

Nurse hours

3.72 /day

Staff turnover

55%

Serious cites

0

Brush Hill runs 3.72 nurse hours per resident day, about 4% under the national average, and weekends dip roughly 8% below its own weekday staffing. Turnover sits at 54.5% against a national 45.8%, so the people showing up are often new. The record shows 60 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, plus two fines totaling $196,683. State inspectors were last in on November 21, 2025. A limited liability company operates the 160-bed home for profit, and CMS gave it 2 of 5 stars on both health inspections and quality measures. Ask about weekend coverage and how they screen staff.

Nurse hours

3.22 /day

Staff turnover

42%

Serious cites

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Blackstone Valley runs lean on nursing hours, 3.22 per resident day against a national average of 3.86, roughly 17% below, and weekends drop another 11% beneath its own weekday coverage. Turnover sits at 41.7%, a bit better than the 45.8% national figure, though with 123 beds and individual for-profit ownership, that still means a lot of new faces. The 28 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was April 29, 2025, so the paperwork is current. Quality measure scores sit at 2 of 5, which tends to reflect how residents are actually doing day to day rather than how the building looks on a tour.

Nurse hours

3.85 /day

Staff turnover

37%

Serious cites

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Williamstown Commons runs 180 certified beds under nonprofit ownership, and its nurse staffing sits right at the national average, 3.85 hours per resident day against 3.86 nationwide. Weekends drop about 12% below its own weekday levels, so coverage thins when families tend to visit. Turnover is 37.4%, better than the 45.8% national figure, which matters for consistency of care. The inspection record shows 19 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was March 2026, and CMS gives it middle marks across staffing and health inspections, with a 2/5 on quality measures weighing the overall picture down.

Nurse hours

3.00 /day

Staff turnover

55%

Serious cites

0

Poet's Seat Healthcare Center runs on 3.00 nurse staffing hours per resident day, about 22% under the national average of 3.86, and weekends dip roughly 6% below its own weekday level. That thin coverage helps explain the one-out-of-five staffing rating from CMS, and it sits next to 54.7% annual turnover against a national average of 45.8%, meaning the aides and nurses at the bedside keep changing. The inspection record shows 43 deficiencies, three serious enough to cause harm or jeopardy, one tied to abuse, plus a $5,541 fine. The five-star quality measure score reflects how residents' conditions are tracked, not how many hands are free to help. The last inspection was May 2025.

Nurse hours

3.23 /day

Staff turnover

50%

Serious cites

0

Fairhaven runs on thinner nurse staffing than most homes in the country, 3.23 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, which is when families often notice call bells going unanswered longer. Turnover sits at 49.5%, above the national 45.8%, meaning roughly half the nursing staff leaves each year. On inspections, the record shows 43 deficiencies, including one at the harm level and two tied to abuse, with one fine of $15,030; the most recent inspection was September 2025. The for-profit LLC structure doesn't tell you how care feels day to day, but combined with a 2-out-of-5 on health inspections, quality measures, and staffing alike, the pattern here is consistent rather than a one-time slip.

Nurse hours

3.73 /day

Staff turnover

38%

Serious cites

0

Regalcare At Quincy runs 71 beds under for-profit LLC ownership, and its inspection record is the main thing to know: 29 deficiencies on the current record, including one at the harm or jeopardy level, with a single fine of $10,773. A one-star health inspection rating backs that up, and the last inspection came in April 2025, so this isn't a stale file. Staffing sits at 3.73 hours per resident day, about 3% under the national average, and weekends run roughly 12% thinner than weekdays. Turnover of 38.3% is better than the 45.8% national figure, which helps, but it doesn't offset the inspection history. If you're considering this home, ask directly how the harm-level deficiency was resolved and what weekend coverage looks like.

Nurse hours

3.29 /day

Staff turnover

91%

Serious cites

0

Cardigan Nursing & Rehabilitation Center runs on thin staffing. At 3.29 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly 7% below its own weekday numbers, a gap families often feel on Saturday and Sunday. The bigger red flag is turnover: 90.6% of staff leaving annually, double the national rate, which means your mother's aide this month may be gone by spring. Inspections are recent (March 2025) and the record shows 15 deficiencies, none at harm level but one abuse-related, which deserves a direct question. The 5/5 quality measure score reflects clinical outcomes, not daily caregiving. Ask about weekend coverage and how they retain aides.

Nurse hours

3.97 /day

Staff turnover

65%

Serious cites

0

Medilodge Of Grand Rapids runs 55 beds under corporate ownership, and its staffing sits just above the national average at 3.97 hours per resident day. That margin is thin, and weekends drop about 13% below the home's own weekday level. More telling is the 64.7% annual turnover, well above the 45.8% national figure, which means the people caring for residents are frequently new or on their way out. The inspection record carries 68 deficiencies, including 6 at the harm or jeopardy level and 3 tied to abuse. Three fines total $57,658. The most recent inspection was June 4, 2025. Quality measure scores look strong, but that strength sits on top of a staffing and compliance picture that raises real questions.

Nurse hours

3.97 /day

Staff turnover

62%

Serious cites

0

Adira's staffing works out to about 3.97 nurse hours per resident day, a bit above the national average, but that number hides a drop of roughly 13% on weekends, the stretch when families often can't visit and problems go unnoticed. More troubling is the 61.8% annual turnover, well above the national 45.8%, which means the people caring for your relative are frequently new and still learning the building. Inspections in January 2026 turned up 57 deficiencies, three serious enough to involve harm or jeopardy, and three tied to abuse, bringing a $34,100 fine. The corporation that owns it runs this as a for-profit operation.

Nurse hours

3.00 /day

Staff turnover

44%

Serious cites

0

The Laurels of Hudsonville runs on 3.00 nurse staffing hours per resident day, about 22% under the national average of 3.86, and weekends drop roughly 8% below its own weekday levels. That thin coverage sits behind 32 deficiencies on the current record, including 3 at the harm or jeopardy level and 2 tied to abuse, with one fine of $31,005. Staff turnover of 44.4% is essentially in line with the national 45.8%, so retention isn't the outlier here, staffing hours are. The most recent inspection was August 7, 2025, and its health inspection rating is 2 out of 5.

Nurse hours

3.66 /day

Staff turnover

65%

Serious cites

0

The Villa At The Bay runs on thin staffing: 3.66 nurse hours per resident day, under the national average, with weekends noticeably lighter than weekdays. That's the kind of gap families feel on a Sunday afternoon when call lights go unanswered. The bigger warning sign is 64.7% annual turnover, well above the national rate, meaning the aide who knows your mother may not be there next month. The inspection record is the heaviest concern: 59 deficiencies, four at harm or jeopardy level, three tied to abuse, and $241,488 in fines. Notably, resident outcome measures score well here, so the care itself may be sound when delivered, but the safety and consistency problems are real, recent (last inspected May 2025), and worth asking about directly.

Nurse hours

3.50 /day

Staff turnover

40%

Serious cites

0

Life Care Center of Plainwell runs 119 certified beds under corporate ownership, and the staffing picture is mixed. Nurse coverage sits at 3.50 hours per resident day, about 9% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover of 40.2% is actually better than the 45.8% national figure, which matters for consistency. What pulls this home down is its inspection record: 85 deficiencies, six at harm or jeopardy level, 13 abuse-related, and two fines totaling $171,837, with the most recent inspection in December 2025. Turnover looks fine on paper; the enforcement history does not.

Nurse hours

4.33 /day

Staff turnover

46%

Serious cites

0

Gladwin Pines runs a for-profit limited liability operation with 84 certified beds, and its nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, which is why CMS gives it a 4-out-of-5 staffing star. That's a real strength. But the inspection record tells a harder story: 30 deficiencies on the current record, five of them at the harm or jeopardy level and three tied to abuse. Three CMS fines total $144,208. Staff turnover sits at 45.5%, essentially the national average, and weekend staffing dips about 6% below weekday levels. The last inspection was September 11, 2025, so the record is recent.

Nurse hours

3.73 /day

Staff turnover

55%

Serious cites

0

Medilodge of West Bloomfield is a for-profit, 140-bed home in Oakland County where the direct-care numbers tell a harder story than the quality measures do. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and it drops about 14% on weekends, the stretch when families are most likely to visit and least likely to find coverage. Staff turnover runs 54.5% a year, nearly nine points above the national figure, so the people caring for residents keep changing. The inspection record is the real weight here: 54 deficiencies, three at harm or jeopardy level and three tied to abuse, plus a $62,790 fine and a one-star health inspection rating from CMS.

Nurse hours

3.53 /day

Staff turnover

50%

Serious cites

0

Shelby Health and Rehabilitation Center runs 212 beds in Shelby Township under corporate for-profit ownership, and its staffing is the number that jumps out: 3.53 nurse hours per resident day against a national average of 3.86, with weekends another 11% thinner than weekdays. Half the nursing staff turned over in a year, above the 45.8% national figure. The inspection record shows 37 deficiencies, four serious enough to involve harm or jeopardy, and one fine of $41,847, though the most recent inspection came in April 2026. Resident care measures score well, but thin and churning staffing is what families actually feel day to day. Worth asking how weekends are covered before you decide.

Nurse hours

3.74 /day

Staff turnover

46%

Serious cites

0

Westgate runs 65 beds in Ironwood under corporate ownership, and its staffing sits just under the national average at 3.74 nurse hours per resident day, close, but weekends drop roughly 13% below its own weekday coverage, which is when gaps tend to show up. Turnover lands at 45.9%, essentially matching the national rate, so this isn't a retention outlier. What stands out is the inspection record: 21 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus $59,566 in fines across three penalties. The last inspection was December 2025. Quality measures score poorly while staffing scores well, worth asking about the abuse-related findings directly.

Nurse hours

— /day

Staff turnover

—

Serious cites

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Special Tree Neurocare Center runs just four certified beds in Romulus, which makes it about as small as a Medicare-certified nursing home gets. Its last inspection came in August 2025 and turned up two deficiencies, neither of which involved actual harm or jeopardy to a resident, and none tied to abuse. That's a clean enough record to earn four stars on health inspections. What holds it back from the top tier is the for-profit corporate ownership and whatever sits underneath the score, with only four beds, there's very little staffing data to judge against the national average, so the picture is thin. A short record at a small home can mean fewer chances to find problems, not necessarily fewer problems.

Nurse hours

4.47 /day

Staff turnover

41%

Serious cites

0

Good Samaritan Society - Windom has the staff to do the work: 4.47 nurse hours per resident day, about 16 percent above the national average, and a 40.7 percent turnover rate that's better than the typical home. Those numbers earn a 4 out of 5 staffing rating. The trouble is what inspections keep finding. The current record shows 35 deficiencies, three of them abuse-related and one serious enough to put a resident in harm's way, plus a single $194,680 fine. CMS rates the inspection and quality domains just 1 out of 5 each, and the last full inspection was February 2026. Staffing can't offset a record like that, no matter how good the hours look.

Nurse hours

3.29 /day

Staff turnover

43%

Serious cites

0

Delta Rehabilitation and Healthcare Center runs 75 certified beds in Cleveland under for-profit limited liability ownership. Nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, and weekends dip about 8% below the home's own weekday coverage, worth knowing if your family visits or calls on Saturdays and Sundays. Turnover lands at 43.1%, a touch better than the 45.8% national figure. The current record shows 14 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated July 31, 2025. Quality measures score 2 out of 5 stars, softer than its inspection and staffing marks, so ask what specifically drives that gap.

Nurse hours

3.57 /day

Staff turnover

45%

Serious cites

0

The Windsor Place runs about 3.57 nurse hours per resident day, roughly 8% under the national average, and weekend coverage drops another 15% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 45%, right in line with the national figure, so that's not the problem here. The inspection record is: 26 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and $50,947 in fines across three penalties. The most recent inspection was October 2024. Ownership is a for-profit corporation. The staffing hours look better on paper than the inspection history does, and a 140-bed building with that many serious findings is worth asking about directly.