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

Nurse hours

4.57 /day

Staff turnover

47%

Serious cites

0

Care And Rehab - Boscobel runs a 50-bed, for-profit home in Grant County, and its staffing is the strongest thing it has going: 4.57 nurse hours per resident day, roughly 18% above the national average. Weekend coverage dips about 12% below its own weekday level, so the weekday numbers are better than what a Saturday looks like. Turnover sits at 47.4%, a touch above the national 45.8%. The current record shows three deficiencies, one at harm or jeopardy level, and a single fine of $157,729, real money, tied to real findings. Its last inspection was August 2025. Quality measure scores are weak, which is worth asking about directly.

Nurse hours

4.81 /day

Staff turnover

55%

Serious cites

0

Luther Manor runs 4.81 nurse hours per resident day, roughly a quarter above the national average of 3.86, and CMS gives it four stars for staffing. That's the good news, and it's real. The rest is harder. Fifty deficiencies sit on the current record, seven of them at harm or jeopardy level and twelve abuse-related, with six fines totaling $170,666. Staff turnover is 55.2% against a national 45.8%, and weekend coverage drops about 10% below its own weekday level. The last inspection, in December 2025, produced a one-star health inspection rating. The nonprofit owner is a corporation, not a family operation. Strong hours on paper aren't reaching residents the way the numbers suggest they should.

Nurse hours

4.00 /day

Staff turnover

77%

Serious cites

0

Oak Park Place of Janesville runs 35 certified beds under corporate ownership, and the staffing picture is mixed in a way that matters. Total nurse coverage sits at 4.00 hours per resident day, a bit above the national average, but weekends drop roughly 11% below the home's own weekday levels, and annual turnover hits 76.7% against a national figure of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is the bigger concern: 33 deficiencies, three serious enough to involve harm or jeopardy, and two tied to abuse, with the most recent inspection in June 2025.

Nurse hours

3.36 /day

Staff turnover

31%

Serious cites

0

Renaissance Rehabilitation runs on a government hospital district's license in Italy, Texas, with 74 certified beds. The inspection record is the standout: a five-star federal rating, 11 deficiencies on file and none of them at the harm or jeopardy level, with the most recent survey done in September 2025. Staffing tells a different story. At 3.36 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, weekends run roughly a tenth thinner than weekdays, and the government's staffing rating lands at two stars. Turnover, though, is genuinely low at 31.1 percent against a 45.8 percent national figure. Quality measures rate two stars.

Nurse hours

— /day

Staff turnover

100%

Serious cites

0

The Rosebud home is a for-profit corporation with 85 certified beds, and its inspection record looks solid on paper, a 4 out of 5 on health inspections and a perfect 5 on quality measures, with the most recent survey done in January 2026. The problem sits in staffing: a 1 out of 5, paired with 100% annual turnover against a national average near 46%. That means the entire workforce, roughly speaking, turns over every year, which is hard on residents who rely on familiar faces. Ten deficiencies on the current record, one serious enough to cause harm, and a $13,804 fine round out the picture. Good outcomes in the data, but a workforce that can't stay put.

Nurse hours

3.42 /day

Staff turnover

98%

Serious cites

0

Avalon Place Kirbyville runs on thin staffing: 3.42 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. The bigger red flag is turnover, 97.8% annually, meaning the whole nursing workforce essentially turns over every year, more than double the national rate. Inspections look solid on paper (4 stars, most recent visit December 2025), but the record carries 17 deficiencies, including one at harm level and one abuse-related, plus $9,113 in fines. Government hospital-district ownership hasn't translated into stable caregivers. Families should ask hard questions about who's actually on the floor, especially Saturdays and Sundays, and how often the staff you meet will still be there in six months.

Nurse hours

3.23 /day

Staff turnover

70%

Serious cites

0

Care Inn Of La Grange runs on thin staffing. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 12% below its own weekday levels, so the hours when families visit most are often the leanest. That shows up in the one-star staffing rating, and in turnover: 70% of staff leave each year against a national rate near 46%, meaning many of the people caring for residents are still learning the building. The good news is the clinical picture. A five-star quality measure rating and a clean inspection record, 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last survey in March 2026. Government hospital district ownership adds some stability. The tradeoff is real: strong outcomes, strained hands.

Nurse hours

3.26 /day

Staff turnover

92%

Serious cites

0

Rockwall Nursing Care Center runs 192 beds under corporate ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86, with weekends dipping about 9% below its own weekday levels. That thin coverage shows up in the workforce itself: annual turnover is 92.4%, more than double the 45.8% national figure, which means the people caring for residents are constantly changing. Inspectors have cited 45 deficiencies on the current record, including 4 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $66,755. The last inspection was January 16, 2025, so the record is recent.

Nurse hours

4.79 /day

Staff turnover

54%

Serious cites

0

Nurse staffing at Golden Villa runs about 24% above the national average, which sounds like the headline until you notice weekends drop roughly 29% below the home's own weekday level, coverage you can count on Monday may not be there Saturday. Staff turnover sits at 54.3% against a national 45.8%, and the inspection record shows 42 deficiencies, five of them at harm or jeopardy level, plus one abuse-related finding and $122,216 in fines. The quality measure score looks good, but that reflects resident care metrics, not whether the building is run safely. A for-profit individual owner, a recent June 2025 inspection, and a two-star health inspection rating round out the picture.

Nurse hours

3.20 /day

Staff turnover

56%

Serious cites

0

The Laurenwood Nursing and Rehabilitation runs 103 certified beds in Duncanville under corporate ownership, and its staffing is the part that stands out. At 3.20 nurse hours per resident day, it sits about 17% below the national average, and weekend coverage drops roughly 8% below its own weekday levels, so the thinnest shifts are the ones families tend to visit. Annual turnover of 55.6% runs well above the 45.8% national figure, meaning the aides and nurses you meet may not be there long. The 22 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with $38,522 in fines. Strong quality-measure scores don't offset that pattern.

Nurse hours

3.31 /day

Staff turnover

58%

Serious cites

0

Pleasant Manor runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover sits at 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $29,011 in fines across two penalties. Its quality measure score looks strong on paper, but that reflects charted clinical data, not the staffing and safety picture. The most recent inspection was March 2026. For-profit, LLC-owned, 132 beds.

Nurse hours

2.96 /day

Staff turnover

58%

Serious cites

0

Keller Oaks runs on thin staffing. At 2.96 nurse hours per resident per day, it sits well under the national average of 3.86, and weekends drop about 12% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover is 58.3%, noticeably above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. Inspections look better: a May 2025 survey, 19 deficiencies with none at harm or jeopardy level and no abuse findings. The hospital-district ownership is unusual for a Texas nursing home. Clinical quality measures score well; direct care hours don't. That gap is the whole story here.

Nurse hours

3.22 /day

Staff turnover

61%

Serious cites

0

East View Healthcare in Houston runs 125 certified beds under for-profit LLC ownership, and the numbers pull in two directions. Inspections are a genuine strength, the most recent one was in December 2025, and its 11 deficiencies include none at the harm level, though one is abuse-related. The concern is staffing: 3.22 nurse hours per resident day sits about 17% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover of 60.6% means most of the aides and nurses your relative meets will likely be gone within a year. Five-star inspection and quality ratings don't offset a one-star staffing picture when direct care hours are what fill the day.

Nurse hours

2.85 /day

Staff turnover

80%

Serious cites

0

Emory Health And Rehab is a 68-bed hospital-district home in Rains County, and its inspection record is genuinely strong, four out of five stars, with the most recent visit in August 2025 and no abuse deficiencies. The problem sits in the staffing numbers. At 2.85 nurse hours per resident day, it runs about 26% below the national average, and weekends dip another 5% below its own weekday levels. Annual turnover of 80% means most of the aides and nurses on a given shift are relatively new. Twenty-eight deficiencies are on record, one serious enough to cause harm. A hospital district can be a steady owner, but steady ownership doesn't staff the floor.

Nurse hours

3.46 /day

Staff turnover

50%

Serious cites

0

The Colonnades at Reflection Bay is a 180-bed for-profit home in Pearland where the inspection record is the real story: 42 deficiencies on file, eight of them serious enough to involve actual harm or jeopardy, three tied to abuse. Six fines totaling $135,102 back that up, and the most recent inspection was in May 2026, so this isn't old history. Staffing sits at 3.46 nurse hours per resident day, roughly 10% under the national average, and weekends run thinner still. Turnover near 50% means the aides and nurses who know your family member may not be there next month.

Nurse hours

3.78 /day

Staff turnover

51%

Serious cites

0

Spjst Rest Home 1 runs 96 certified beds in Taylor under corporate for-profit ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.78 hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 8% below what the home staffs on weekdays. Annual turnover of 50.6% means about half the nursing staff leaves each year, against a national rate near 46%. The inspection history is the heavier concern: 33 deficiencies on the current record, 7 of them serious enough to involve harm or jeopardy, 4 tied to abuse. Three fines total $122,722. The last inspection was January 16, 2026.

Nurse hours

3.11 /day

Staff turnover

62%

Serious cites

0

Windmill Village runs 3.11 nurse hours per resident per day, about 20% under the national average of 3.86, and weekends dip another 11% below its own weekday levels. Staff turnover is 61.6%, well above the 45.8% national figure, so the people caring for residents change often. The 27 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, which matters. Inspectors last visited in May 2025 and the health inspection rating sits at 3 out of 5. Ownership changed hands in the past year, so current management is still new to this building.

Nurse hours

3.30 /day

Staff turnover

59%

Serious cites

0

Edgewood Rehabilitation and Care Center is a for-profit limited liability company in Mesquite with 142 certified beds, and its numbers tell two different stories. The state health inspection in May 2025 produced 18 deficiencies, none rising to harm or jeopardy, though one was abuse-related, enough to hold a 4 out of 5 inspection rating and a 5 out of 5 on quality measures. Staffing is where the picture dims: 3.30 nurse hours per resident day sits about 15% under the national average, weekend coverage drops roughly 11% below weekdays, and turnover runs 58.8% against a national 45.8%. Strong inspection results and weak staffing don't cancel out, they just tell you where the risk is.

Nurse hours

3.46 /day

Staff turnover

55%

Serious cites

0

The Broadmoor At Creekside Park runs 3.46 nurse hours per resident day, about ten percent under the national average, and weekend coverage dips roughly eight percent below its own weekday level, so the thinnest shifts come when families are most likely to visit. Staff turnover sits at 55.2 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year, and that churn shows up in a two-out-of-five staffing rating and a two-out-of-five health inspection rating. The current record carries 29 deficiencies, four of them at harm or jeopardy level and one abuse-related, plus $52,412 in fines. The five-out-of-five quality measure score reflects charted clinical care, not the inspection or staffing picture.

Nurse hours

3.91 /day

Staff turnover

60%

Serious cites

0

Houston Transitional Care sits in Harris County with 70 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a perfect 5/5 health inspection rating with 16 deficiencies on file, none at the harm level and none abuse-related, and its most recent inspection was June 2024. Staffing is where the picture changes. Total nurse coverage of 3.91 hours per resident day barely edges the national average, weekend staffing dips about 4% below its own weekday levels, and annual turnover of 60% runs well above the 45.8% national figure. CMS scores staffing just 1 out of 5. The clinical quality measure rating holds at 4 out of 5, so care results look better than the workforce stability suggests. Worth asking how they keep that up.