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

Nurse hours

3.31 /day

Staff turnover

49%

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Morning Breeze runs lean on nursing hours, 3.31 per resident per day against a national average of 3.86, and weekends dip about 16% below what the home staffs on weekdays. Annual turnover sits at 49.1%, a bit above the 45.8% national figure, so the people who are there keep changing. The good news is the inspection record: 10 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was in August 2025. A nonprofit corporation owns the 64-bed building. What you have is a home that's stayed out of serious trouble and scores well on quality measures, but whose day-to-day staffing is thin enough that weekend coverage is the thing to ask about directly.

Nurse hours

3.77 /day

Staff turnover

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Spring Mill Health Campus runs 3.77 total nurse hours per resident day, a bit under the national average, and weekends drop roughly 12% below its own weekday staffing. That's the pattern behind its staffing rating of 1 out of 5. The inspection record shows 38 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in December 2025. Quality measures come in at 2 out of 5, and the home is a nonprofit corporation with 64 certified beds. The consistent story here is thin daily staffing, especially on weekends, rather than a record of serious harm.

Nurse hours

3.22 /day

Staff turnover

50%

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Accura Healthcare Of Onawa runs 46 beds under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag: 3.22 nurse hours per resident day, roughly 16 percent under the national average, with weekend coverage dropping about 19 percent below its own weekday level. That matters because 50 percent of staff turned over in the past year, above the 45.8 percent national figure, so the people providing that care keep changing. The inspection record shows 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in May 2025. CMS gave middling marks across its three categories, which tells you this home isn't failing outright but isn't steady either.

Nurse hours

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Staff turnover

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On With Life Long Term Care is small, 40 certified beds run by a nonprofit corporation, and its inspection record is genuinely strong: a five-star health inspection rating, seven total deficiencies, and none of them at the harm or jeopardy level or tied to abuse. That's the part families worry about most, and it's clean. The weaker signal sits in the quality measures, where it rates two stars, so the day-to-day clinical outcomes the federal data tracks don't look as good as the survey history. The most recent inspection was December 31, 2025, so the picture is current. A small nonprofit with a spotless harm record is worth a visit; ask specifically about the quality measures before deciding.

Nurse hours

3.45 /day

Staff turnover

54%

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Accura Healthcare of Pleasantville runs 46 certified beds as a for-profit corporation, and the staffing numbers are the first thing I'd flag: 3.45 nurse hours per resident day, roughly 11% under the national average, with weekends dipping about 15% below its own weekday coverage. Annual turnover sits at 53.7%, well above the 45.8% national figure, so the people caring for your family member are cycling through quickly. The inspection history is the heavier concern, 45 deficiencies on record, three at harm or jeopardy level and four tied to abuse, plus a $28,724 fine. That record earned a one-star health inspection rating, and the most recent survey was April 2026.

Nurse hours

3.38 /day

Staff turnover

46%

Serious cites

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Estherville Community Care Center runs 46 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage drops about 16% below the home's own weekday level, a gap that matters when a resident needs help on a Saturday. The current inspection record carries 22 deficiencies, including one at the harm or jeopardy level and four flagged as abuse-related; the last inspection was September 25, 2025. Staff turnover is 46.2%, essentially matching the national 45.8%, so retention here isn't the outlier, the inspection findings and weekend thinness are what stand out.

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Staff turnover

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Carmel Home is a small place, 18 certified beds, run by a nonprofit corporation, and that size shapes what the inspection record looks like. Three deficiencies on the current record with none at the harm or jeopardy level and nothing abuse-related is a thin record, and the most recent inspection came in April 2025, so what you're seeing is recent. What pulls the picture down is the money: four fines totaling $40,173 against a home this small. Ask what those fines were for and when they were issued, because the totals don't match the mild inspection findings. Staffing relative to the national average is the other thing to press on, along with how a nonprofit board this size handles turnover.

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Staff turnover

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Western State is state-run, and the inspection record backs that up: 12 deficiencies on the current record, but none at harm or jeopardy level and nothing abuse-related, with a survey completed December 10, 2025. That's a home getting walked through recently and coming out without serious tags. The weaker number is quality measures at 2 out of 5, which tells you the clinical side, things like falls, weight loss, or antipsychotic use, isn't tracking as well as the inspection side. Staffing is where this home separates from the national average, and it's the main reason the overall picture lands where it does. Ask to see the last survey report and current staffing levels before you visit.

Nurse hours

3.98 /day

Staff turnover

65%

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Nurse staffing at this 165-bed for-profit home runs 3.98 hours per resident day, slightly above the national average of 3.86, but weekends drop roughly 17% below its own weekday level, so coverage thins out exactly when families tend to visit. The bigger issue is the inspection record: 28 deficiencies, five serious enough to put residents in harm's way, and two fines totaling $182,488, all as of a May 2025 visit. Staff turnover sits at 64.7% against a national 45.8%, meaning nearly two-thirds of the caregiver workforce turns over each year. Strong quality-measure scores don't offset that kind of churn and oversight history.

Nurse hours

3.37 /day

Staff turnover

46%

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Heritage Manor Of Houma runs 120 certified beds as a for-profit LLC, and its recent inspection history is genuinely strong, 18 deficiencies on record, none at the harm level, none abuse-related, with a 4/5 inspection rating and a visit as recent as July 2025. The trouble sits elsewhere. Nurse staffing comes in at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 19% below the home's own weekday coverage. Annual turnover of 46.2% edges just past the national rate. A 1/5 quality measure rating suggests the clinical outcomes aren't matching what the clean inspections imply, and staffing at 2/5 tells the same story.

Nurse hours

4.08 /day

Staff turnover

59%

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Landmark of Lake Charles runs 130 beds under corporate ownership, and its nurse staffing sits at 4.08 hours per resident day, about 6% above the national average. That's the strongest part of the picture, and it earns a 4 out of 5 staffing rating. But weekends drop roughly 20% below the home's own weekday coverage, and annual turnover hits 58.6% against a national 45.8%. Inspections from September 2025 turned up 16 deficiencies, none at harm or jeopardy level and none abuse-related. The quality measure score is 1 out of 5, which is where the overall picture weakens considerably.

Nurse hours

3.52 /day

Staff turnover

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Serious cites

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The Mansion At Brigham carries 66 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse. That's the kind of inspection history that explains a 1-out-of-5 health inspection rating, and it comes with a single CMS fine of $152,988. Staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends run about 7% thinner than the home's own weekdays. Quality measures also score 1 out of 5. This is a for-profit limited liability company with 64 certified beds, last inspected September 17, 2025. If you're considering it, ask directly about the abuse-related deficiency and what changed since.

Nurse hours

2.10 /day

Staff turnover

53%

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Wellspring Lutheran runs on thin staffing. At 2.10 nurse hours per resident day, it sits about 46% below the national average of 3.86, and weekends drop roughly 17% below its own weekday level, so a Saturday shift has even less coverage than the weekday baseline. Annual turnover of 53.3% tops the national 45.8%, meaning aides and nurses cycle through faster than average. The inspection record is genuinely strong: six deficiencies, none at harm or jeopardy level, no abuse findings, and a survey as recent as March 2026. So the care environment has been judged safe on paper, but the day-to-day hours available to deliver that care are the weak point here.

Nurse hours

2.69 /day

Staff turnover

51%

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Court Manor in Bad Axe runs on thin nursing coverage, 2.69 hours per resident per day against a national average of 3.86, and weekends dip about 19% below what the home already provides on weekdays. Staff turnover sits at 50.7%, higher than the 45.8% national figure, so the people caring for residents are changing often. That shows up in the inspection record: 34 deficiencies, two of them serious enough to involve harm or jeopardy, and a two-star health inspection rating. Quality measures score well at four stars, but staffing earns one. For-profit, individually owned, recently inspected in January 2026.

Nurse hours

3.64 /day

Staff turnover

52%

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Medilodge Of Westwood runs 97 beds in Kalamazoo under for-profit LLC ownership, and its current inspection record is the number that stands out: 86 deficiencies, seven of them serious enough to put residents in harm's way and nine tied to abuse. Staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average, and weekends drop about 17% below what the home itself staffs on weekdays. Annual turnover is 52.3%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. The last inspection was June 2025, and CMS has fined the home $65,535 across two actions. Quality measures score better than its inspection history does, but the gap between them is worth asking about directly.

Nurse hours

3.99 /day

Staff turnover

63%

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Mission Point Nursing in Hancock runs a 39-bed for-profit home where the bedside staffing numbers look decent on paper, 3.99 nurse hours per resident day, a bit above the national average, but weekends drop about 16% below its own weekday level, and annual turnover hits 62.7% against a national 45.8%. Those two facts together mean the person caring for your relative on a Sunday is often new and still learning the building. The inspection record is the bigger problem: 52 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $180,775 fine. The most recent inspection was July 2025. Quality measure scores look strong; the direct-care and oversight record does not.

Nurse hours

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Staff turnover

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Cura Of Long Prairie is a 60-bed nonprofit in Todd County, and its inspection record is the strongest thing it has going. Seven deficiencies on the current record, none at the harm level and none abuse-related, with a survey done as recently as June 2026. Nurse staffing runs 4.75 hours per resident day, about 23 percent above the national average, though weekends drop roughly 6 percent below the home's own weekday level. The softer spots are the quality measure star rating, which sits at 2 out of 5, and a staffing star rating of 3 despite those total hours, worth asking about, since hours don't always land where residents feel them.

Nurse hours

4.44 /day

Staff turnover

100%

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Cura Of Sauk Centre runs 60 certified beds as a nonprofit, and its nurse staffing sits at 4.44 hours per resident day, roughly 15% above the national average. That sounds good on paper, but the number hides a problem: weekends run about 16% thinner than weekdays, so coverage depends heavily on when you visit or call. The bigger issue is turnover. Every direct-care position effectively turned over in the past year, versus about 46% nationally, which means your family member's aides are likely new and still learning the building. Thirteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and the most recent inspection was in March 2026. Quality measures scored 2 out of 5.

Nurse hours

2.37 /day

Staff turnover

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Green Lea Senior Living runs 2.37 nurse hours per resident day, roughly 39 percent under the national average of 3.86, with weekends about 6 percent thinner than weekdays, so the thinnest coverage lands when families tend to visit. The inspection record is heavy: 38 deficiencies, two of them at harm or jeopardy level and four tied to abuse, and the most recent inspection in June 2025 didn't clear that. A 4/5 quality measure score sits oddly beside a 1/5 on staffing and a 1/5 on health inspections, which tells you charted care metrics look better than the day-to-day reality of who's actually on the floor. Corporate for-profit ownership, 41 beds.

Nurse hours

3.92 /day

Staff turnover

68%

Serious cites

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Landmark of Collins runs a 60-bed for-profit home in Covington County with a recent inspection on record and no deficiencies at the harm or jeopardy level, that part is genuinely reassuring, and the four-star health inspection rating backs it up. The staffing picture is more mixed. Total nurse hours sit slightly above the national average, but weekend coverage drops about 19% below the home's own weekday level, which matters most when families visit and problems surface. Annual turnover at 67.7% is well above the 45.8% national average, meaning the people caring for residents change often. CMS rates quality measures just 2 out of 5. Clean inspections, but watch the weekends and the revolving door.