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

Nurse hours

3.15 /day

Staff turnover

59%

Serious cites

0

Harbor Point Skilled Nursing runs 129 certified beds in Texas City under for-profit LLC ownership, and its inspection record is genuinely decent, a 4-out-of-5 health inspection star, ten deficiencies on file with none at the harm or jeopardy level, and a survey as recent as April 2026. The problem sits elsewhere. Nurse staffing comes to 3.15 hours per resident day, roughly 19% under the national average, and weekends drop another 14% below the home's own weekday coverage. Annual turnover of 59.3% against a 45.8% national rate means the aides and nurses at the bedside keep changing. One abuse-related deficiency also appears on the record.

Nurse hours

3.09 /day

Staff turnover

45%

Serious cites

0

Cascades At Jacinto Rehab runs 148 certified beds in Houston under for-profit LLC ownership, and its staffing is the part I'd want you to sit with. At 3.09 nurse hours per resident per day, it sits about 20% under the national average of 3.86, and weekends drop roughly 11% below its own weekday level, so coverage thins exactly when families tend to visit. Turnover at 44.8% is basically in line with the national 45.8%, so that's not the outlier here; the raw hours are. The current inspection record shows 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with three fines totaling $64,326. CMS gave it 1 out of 5 stars for staffing and 2 for health inspections, and the last inspection was February 2026.

Nurse hours

3.47 /day

Staff turnover

59%

Serious cites

0

Avir At Cisco gets top marks on health inspections, a 5 out of 5, and its last survey was recent, in August 2025. But that inspection record still carries 18 deficiencies, including one tied to abuse, though none rose to the level of actual harm or jeopardy. The bigger concern is staffing: a 1 out of 5 star rating, with 58.5% annual turnover against a national average of 45.8%. Quality measures land in the middle at 3 out of 5. This is a for-profit limited liability company with 80 certified beds. Strong surveys, thin and churning staff, that combination is worth asking about directly before you decide.

Nurse hours

3.20 /day

Staff turnover

41%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Alice runs on 3.20 nurse hours per resident per day, roughly 17 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5, even as the quality measure score reaches 4 out of 5. The inspection record is the harder read: 25 deficiencies, three at harm or jeopardy level and two abuse-related, across three fines totaling $31,463, with the last inspection dated April 2026. Turnover at 41.4 percent is slightly better than the 45.8 percent national figure, and hospital district ownership means public accountability.

Nurse hours

2.74 /day

Staff turnover

23%

Serious cites

0

Windsor Mission Oaks runs lean on direct care: 2.74 nurse hours per resident day, roughly 29% under the national average, with weekends dropping about 19% below its own weekday staffing. That thin coverage sits behind 37 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Retention is the bright spot, 23.2% turnover against a national 45.8% means far fewer unfamiliar faces than at a typical home. But a June 2025 inspection, a $10,842 fine, and a nonprofit owner don't offset what the staffing numbers say about daily coverage.

Nurse hours

3.22 /day

Staff turnover

40%

Serious cites

0

Windsor Las Palmas runs a five-star health inspection record with no deficiencies at the harm level and nothing abuse-related, which is genuinely the hard part of this business. The tradeoff shows up in staffing: 3.22 nurse hours per resident day against a national average of 3.86, and weekends run about 10 percent thinner than weekdays. Turnover sits at 40.3 percent, a bit better than the 45.8 percent norm, so the workforce is comparatively stable even if it's spread thin. One fine totaling $38,393 is on record, and the last inspection was in March 2025. Good care when inspectors look, leaner coverage the rest of the time.

Nurse hours

3.46 /day

Staff turnover

45%

Serious cites

0

North Star Ranch runs 3.46 nurse hours per resident day, about 10% under the national average of 3.86, and weekends dip roughly 6% below its own weekday staffing. That thinner coverage sits behind a 2-out-of-5 staffing rating, while turnover of 45.2% is essentially at the national figure of 45.8%. The inspection record is where this home separates from the pack: 61 deficiencies, including 5 at the harm or jeopardy level and 4 abuse-related, with two fines totaling $278,005. Its last inspection was April 24, 2025, so that record is recent. Quality measure scores look strong at 5 out of 5, but that stands against a 1-out-of-5 health inspection rating at a 65-bed for-profit.

Nurse hours

2.70 /day

Staff turnover

41%

Serious cites

0

Care Choice of Boerne runs 74 certified beds under corporate for-profit ownership, and the number that stands out is nurse staffing: 2.70 hours per resident per day, roughly 30% under the national average of 3.86. That shortfall shows up on weekends too, when coverage drops about 12% below the home's own weekday level. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. The current inspection record carries 30 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $33,937. The most recent inspection was February 14, 2026. If you're weighing this one, ask directly how they cover weekends and what changed since those abuse-related findings.

Nurse hours

3.04 /day

Staff turnover

36%

Serious cites

0

The Courtyard Rehabilitation and Healthcare Center runs about 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 14% below its own weekday level, the kind of gap that shows up when a resident needs help on a Saturday night. Staff turnover sits at 36.1%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with one fine of $17,635; the most recent inspection was in September 2025. For-profit corporate ownership, 56 beds, and a four-star inspection history are the tradeoffs against that thin daily staffing.

Nurse hours

3.31 /day

Staff turnover

69%

Serious cites

0

Avir At Commerce runs on thinner nursing coverage than most homes, about 3.31 nurse hours per resident each day against a national figure near 3.86, with weekends dipping roughly another 10% below its own weekday level. Staff turnover sits at 69.2%, well above the 45.8% national average, so the people around your family member change often. The inspection record shows 42 deficiencies, none flagged at the harm or jeopardy level and none abuse-related, and the most recent look came in February 2026. Quality measures score well here, but staffing and inspections are where the gaps show. It's a federal-government-operated home, which is unusual, and worth asking about directly when you visit.

Nurse hours

3.32 /day

Staff turnover

46%

Serious cites

0

Victoria Gardens of Frisco runs 118 certified beds under corporate ownership, and its nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip even further, about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 46.3 percent, essentially tracking the national rate. Inspections look strong on paper, with a recent May 2025 survey, yet the record still carries 15 deficiencies, two at harm or jeopardy level and one tied to abuse, plus two fines totaling $23,546. High marks from CMS on inspection and quality measures coexist here with weak staffing scores and real, recent citations.

Nurse hours

3.22 /day

Staff turnover

65%

Serious cites

0

Cherokee Trails is owned by the local hospital district, and that public ownership hasn't translated into strong staffing. At 3.22 nurse hours per resident day, it sits roughly 16% under the national average, and weekends drop about 13% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover is 65.3%, well above the 45.8% national figure, and the inspection record shows 43 deficiencies, including six at harm or jeopardy level and four tied to abuse, with $85,329 in fines. The quality measure score looks good on paper, but that's largely self-reported data. The recent inspection date means the record is current, not old.

Nurse hours

3.20 /day

Staff turnover

67%

Serious cites

0

Avir At Pecos runs on 3.20 nurse hours per resident day, roughly 17 percent below the national average of 3.86, and weekend coverage dips about 8 percent below its own weekday level. Staff turnover sits at 66.7 percent against a national 45.8 percent, two-thirds of the nursing staff leaving in a year is a lot of new faces for residents to adjust to. The current record shows 22 deficiencies, none at the harm level, though one is abuse-related. Inspectors last visited in March 2025. Quality measures score well; staffing is where the numbers fall short, and ownership is a for-profit corporation.

Nurse hours

3.10 /day

Staff turnover

52%

Serious cites

0

Avir At Grapevine runs on about 3.10 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in a 1-out-of-5 staffing rating and a 51.9% annual turnover rate, meaning more than half the nursing staff leaves each year. The inspection record is heavy: 40 deficiencies, four serious enough to cause harm or jeopardy, five tied to abuse, and two fines totaling $29,614. Its quality measure score is perfect, but that reflects charted care, not hands on the floor. The last inspection was November 2025, so the record is current.

Nurse hours

3.71 /day

Staff turnover

75%

Serious cites

0

Woodway runs leaner than the typical nursing home on nurse staffing, 3.71 hours per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 14 percent below what the home staffs on weekdays. The bigger concern is who's left to do the work: annual turnover of 74.5 percent means most of the aides and nurses caring for residents today probably won't be there a year from now, and that churn sits well above the 45.8 percent national figure. Inspectors have cited 15 deficiencies, five involving harm or jeopardy and seven tied to abuse, with two fines totaling $14,846.

Nurse hours

3.00 /day

Staff turnover

54%

Serious cites

0

The Garrison center runs 3.00 nursing hours per resident per day, about a fifth below the national average, and weekend coverage drops roughly 11% below its own weekday level, thin staffing that gets thinner when families tend to visit. Inspectors have logged 42 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $37,020 in fines across three penalties. Staff turnover sits at 53.8%, above the 45.8% national figure. The hospital district ownership and recent June 2026 inspection don't offset a record that includes abuse findings alongside persistent short staffing.

Nurse hours

2.87 /day

Staff turnover

51%

Serious cites

0

Village Creek runs about 2.87 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip another 10% below its own weekday coverage. That thin staffing shows up in a 51.4% annual turnover rate, higher than the 45.8% national figure. The inspection record isn't clean either: 19 deficiencies, two at harm or jeopardy level, one tied to abuse, and $19,009 in fines across two events. A recent August 2025 inspection and decent marks on health inspections and quality measures don't offset a staffing level that sits well under what most homes provide.

Nurse hours

— /day

Staff turnover

85%

Serious cites

0

Park Plaza runs 90 certified beds in San Angelo under corporate for-profit ownership, and its most recent inspection in March 2025 left 28 deficiencies on the record, none at the harm level, but one tied to abuse. That's a lot of paperwork findings for a single survey, even without immediate jeopardy attached. The bigger issue sits in the staffing numbers: a 1-out-of-5 CMS staffing rating and 85% annual turnover, nearly double the national rate of about 46%. High turnover means the aide helping your mother today may be gone in a few months. Inspections and quality measures both scored 4 out of 5, so care planning looks solid on paper, but consistent staffing is what actually delivers it.

Nurse hours

3.72 /day

Staff turnover

58%

Serious cites

0

Pine Ridge runs about 3.72 nurse hours per resident day, roughly 4% under the national average, and weekends dip about 10% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 58.1% against a national average of 45.8%, meaning more than half the nursing staff turns over in a year. On paper, the recent inspection (March 2025) went well enough for a 4-star health inspection rating, and none of the 16 deficiencies on record rose to harm or jeopardy. But two are abuse-related, and for-profit partnership ownership with that kind of churn is worth asking about directly.

Nurse hours

3.42 /day

Staff turnover

92%

Serious cites

0

Cedar Manor runs about 166 beds in San Angelo under corporate for-profit ownership, and the numbers that stand out most are staffing and turnover. Nurses give 3.42 hours of care per resident per day, roughly 11 percent below the national average, and weekends drop another 7 percent below the home's own weekday level. Annual staff turnover sits at 92.3 percent, double the national rate of 45.8 percent, which means the people caring for your family member are, statistically, likely to be gone within a year. The current inspection record shows 22 deficiencies, none at harm or jeopardy level, and the last survey was in December 2024. CMS rates staffing 2 out of 5; inspection and quality measures each come in at 3.