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

Nurse hours

3.40 /day

Staff turnover

56%

Serious cites

0

Avir at North Richland Hills runs lean on nursing staff, 3.40 hours per resident per day against a national average of 3.86, with weekends about 10% thinner than weekdays, so the gap shows up most when families tend to visit. Staff turnover sits at 56.3%, well above the 45.8% national figure, and the current inspection record carries 24 deficiencies, three of them serious enough to put a resident in harm's way, plus two tied to abuse. A $195,946 fine is on file. The quality measure rating of 4/5 looks better than the staffing picture, which the federal government scores at 2/5. The most recent inspection was April 2025, so the record is current.

Nurse hours

3.26 /day

Staff turnover

45%

Serious cites

0

Cypress Healthcare and Rehabilitation Center runs 174 certified beds in San Marcos under individual for-profit ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average, with weekend coverage about 10 percent thinner than its own weekdays. Turnover lands near the national figure at 44.9 percent, so the bigger concerns are elsewhere: 41 deficiencies on the current record, nine of them serious enough to cause harm or jeopardy, four tied to abuse, and $236,732 in fines across four penalties. The most recent inspection closed in April 2025. Quality measures score well, but that single star on health inspections and the thin weekend staffing are what a family should weigh.

Nurse hours

3.11 /day

Staff turnover

63%

Serious cites

0

Sandy Lake Rehabilitation And Care Center runs about 3.11 nursing hours per resident day, roughly 19% under the national average of 3.86, and weekends dip another 12% below its own weekday numbers. That thinner coverage matters more given a 63.2% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses on the floor keep changing. Inspections paint a similar picture: 37 deficiencies on record, three serious enough to involve harm or jeopardy, one tied to abuse, and two fines totaling $23,677. The last inspection was August 19, 2025, so the record is current. The family-facing quality scores look decent; the staffing and safety record is where the concern sits.

Nurse hours

3.18 /day

Staff turnover

41%

Serious cites

0

Brodie Ranch runs on 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends are about 13% thinner than its own weekdays. For a 120-bed home that is a real gap, and it shows up in the staffing star rating, which sits at 2 out of 5. The inspection record is heavier than that number alone suggests: 31 deficiencies, three of them at harm or jeopardy level, three abuse-related, and $61,059 in fines across three events. Last inspection was March 26, 2025. Turnover at 40.9% is actually below the national 45.8%, and the 4/5 quality measure rating is the strongest thing here. Government hospital district ownership doesn't change what the numbers say about daily coverage.

Nurse hours

2.83 /day

Staff turnover

51%

Serious cites

0

Southpark Meadows runs lean on nurses, 2.83 hours per resident day, roughly a quarter below the national average, and weekends dip even further, about 10% under its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at the lowest tier, and in turnover: just over half the nursing staff leaves each year, above the national rate of 45.8%. The record isn't purely negative. State inspectors last visited in December 2025 and cited 22 deficiencies, three serious enough to risk harm, though none involved abuse, and fines total $10,998. Quality measures score well, but with a nonprofit owner and this staffing pattern, the daily care depends heavily on who's still on the floor.

Nurse hours

3.18 /day

Staff turnover

56%

Serious cites

0

Oak Village Healthcare runs on thin staffing. At 3.18 nurse hours per resident per day, it sits about 18% under the national average, and weekends drop roughly 11% below what the home itself manages on weekdays. Annual turnover of 56.4% is well above the 45.8% national figure, so the people around your family member change often. What keeps it from being worse is the inspection record: a 5/5 health inspection rating, six deficiencies on file with none at the harm level and none abuse-related, and the most recent inspection in April 2025. The tradeoff is clear enough, a clean survey history, but not a lot of hands on deck, especially on Saturdays and Sundays.

Nurse hours

3.21 /day

Staff turnover

35%

Serious cites

0

Laredo Nursing and Rehabilitation Center runs 120 beds under individual for-profit ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average, with weekends about 15 percent thinner than its own weekdays. Turnover is actually better than average at 34.9 percent, so the problem isn't churn so much as how few hands are scheduled on any given shift. What should concern you most is the inspection record: 27 deficiencies, six serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $93,962. The most recent inspection was March 2026. Low staffing plus that many serious findings is a pattern worth asking about directly before you decide.

Nurse hours

3.34 /day

Staff turnover

44%

Serious cites

0

Las Colinas Of Westover runs 140 beds on the city's northwest side, and the staffing numbers are where the story starts. At 3.34 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly another 9% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover at 43.9% is slightly better than the 45.8% national figure, which helps, but doesn't offset the thin hours. The inspection record is heavier: 39 deficiencies, four of them serious enough to involve harm or jeopardy, plus two fines totaling $38,630. State surveyors were last in on December 3, 2025. The quality measure scores look good on paper, but those come from resident assessments, not from someone watching the floor at 7 p.m. on a Sunday.

Nurse hours

3.31 /day

Staff turnover

90%

Serious cites

0

Amarillo Center For Skilled Care runs 122 certified beds as a for-profit limited liability company, and its staffing numbers are the first thing to look at. Nurses provide 3.31 hours per resident per day, roughly 14% under the national average of 3.86, and weekend coverage drops about 15% below what the home itself staffs on weekdays. Annual turnover of 89.6% is nearly double the national rate of 45.8%, that's people cycling through constantly, which matters more than any single number. The current record shows 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $21,390 fine. The last inspection was February 2026.

Nurse hours

3.31 /day

Staff turnover

48%

Serious cites

0

The Heights of North Houston runs about 3.31 nurse hours per resident day, roughly 14% under the national average, and weekend coverage dips another 11% below its own weekday level. That thin staffing sits alongside a 48.2% annual turnover rate, slightly above the national 45.8%, and it shows up in the inspection record: 25 deficiencies, three serious enough to involve harm or jeopardy, plus $31,541 in fines across two penalties. A 2/5 inspection rating and a 2/5 staffing rating tell the same story, even though the 4/5 quality measure score looks better on paper, that measure reflects resident care outcomes, not whether enough hands are on deck. The most recent inspection was May 8, 2025.

Nurse hours

3.32 /day

Staff turnover

50%

Serious cites

0

Bridgecrest Rehabilitation Suites runs 130 beds in Houston under corporate ownership, and the staffing numbers are the first thing to notice. At 3.32 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekend coverage drops roughly 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover hits 50% against a national 45.8%, which means the people providing that care are frequently new. The current record carries 20 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $48,802 in fines. The last inspection was June 26, 2025, so that picture is recent. Resident outcome measures look strong; the direct-care hours behind them don't match.

Nurse hours

3.11 /day

Staff turnover

—

Serious cites

0

Mustang Park Therapy and Living Center runs 120 certified beds in Carrollton under corporate, for-profit ownership. Nurse staffing sits at 3.11 hours per resident day against a national average of 3.86, roughly 19% below, and weekends dip another 15% under the home's own weekday numbers, which is usually when families notice. The inspection record is the harder problem: 49 deficiencies, three at harm or jeopardy level, one tied to abuse, plus two fines totaling $18,275. A quality measure score of 4 out of 5 stands out against a 1 out of 5 staffing rating, and the last inspection was April 2026. When survey results and staffing both run thin, the quality numbers rarely tell the whole story.

Nurse hours

3.09 /day

Staff turnover

42%

Serious cites

0

Windsor Quail Valley Post-Acute runs 120 beds in Missouri City under hospital district ownership, and the numbers tell a mixed story. Nursing hours come to 3.09 per resident day, roughly 20 percent under the national average of 3.86, and weekends dip about 11 percent below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover at 41.7 percent is actually a touch better than the 45.8 percent national figure, which matters for continuity. On the record are 15 deficiencies, four of them at harm or jeopardy level and three abuse-related, plus two fines totaling $52,036. The most recent inspection was March 2025. Quality measures score well; staffing and the inspection history are where the concern sits.

Nurse hours

3.28 /day

Staff turnover

45%

Serious cites

0

Woodlands Place Rehabilitation Suites runs 133 beds in Denison under corporate ownership, and its staffing is the number that stands out first: 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends running about 9 percent thinner than weekdays. Turnover sits at 44.6 percent, essentially level with the national figure, so the issue isn't retention so much as how few hands are scheduled. The inspection record shows 26 deficiencies, four at harm or jeopardy level and one abuse-related, plus a $109,954 fine, with the most recent inspection dated February 26, 2026. Strong quality measure scores don't cancel out thin weekend coverage and that deficiency history.

Nurse hours

2.98 /day

Staff turnover

45%

Serious cites

0

Brightpointe At Lytle Lake runs on 2.98 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 13% below its own weekday numbers. That shows up in the federal staffing rating, which sits at the bottom. The inspection record is heavier still: 27 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with one fine of $23,733. Turnover at 44.9% is essentially the national rate, so the for-profit operator isn't losing staff faster than average, but it isn't keeping them either. The last full inspection was April 9, 2026, so the findings are recent.

Nurse hours

3.39 /day

Staff turnover

50%

Serious cites

0

Ashton Medical Lodge runs on thinner nursing coverage than most places, 3.39 hours per resident day against a national average of 3.86, with weekends dropping another 12% below its own weekday levels. That shows up in the federal staffing rating, which sits at 1 out of 5, and in a turnover rate of 49.6% that edges past the national figure. The inspection record carries 29 deficiencies, including one at the harm level and three tied to abuse, along with a single $13,397 fine. A February 2025 inspection is recent, and the quality measure rating of 4 suggests some clinical measures look better than the day-to-day staffing picture. Government hospital district ownership doesn't change what the numbers say about coverage.

Nurse hours

3.24 /day

Staff turnover

49%

Serious cites

0

Crimson Heights runs 3.24 nursing hours per resident day, about 16 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday level. That thin margin shows up in a 49 percent annual turnover rate and a staffing star rating of 2 out of 5. The inspection record is the bigger concern: 33 deficiencies, four of them serious enough to put residents in harm's way, and $33,539 in fines, with the most recent state visit in August 2025. Corporate ownership has kept the quality-measure scores high at 5 out of 5, but strong chart numbers don't offset four harm-level findings or a workforce that turns over nearly half its staff each year.

Nurse hours

3.07 /day

Staff turnover

49%

Serious cites

0

Mont Belvieu Rehabilitation & Healthcare Center runs on less nursing time than most homes, about 3.07 hours per resident per day against a national average near 3.86, and weekends dip roughly 10% below what the building manages on weekdays. That thin margin matters more given a 48.8% annual turnover rate and a staffing rating of 1 out of 5. The record shows 40 deficiencies, including five at the harm or jeopardy level and seven tied to abuse, with three fines totaling $41,789. Its last inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are what a family should weigh here.

Nurse hours

3.31 /day

Staff turnover

35%

Serious cites

0

Las Alturas De Penitas runs lean on nursing hours, 3.31 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, so coverage loosens exactly when families tend to visit. The inspection record is the bigger concern: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $166,236. Turnover at 35.1% actually beats the national 45.8%, and the quality measure score is strong, but a 2/5 inspection rating and 2/5 staffing rating carry more weight for daily safety. The most recent inspection was May 2026, so the record is current, not stale.

Nurse hours

3.75 /day

Staff turnover

61%

Serious cites

0

Brown Nursing Home runs 68 certified beds in Alexander City under corporate ownership, and its staffing sits slightly under the national average at 3.75 hours per resident day. The bigger issue is who's still there: annual turnover hits 60.7%, well above the 45.8% norm, and weekends drop roughly 17% below weekday coverage. Inspections look solid otherwise, a 4-star health inspection rating, seven deficiencies on record with none tied to harm, jeopardy, or abuse. But that inspection happened in February 2020, so it's badly dated. Quality measures come in at 2 stars, which suggests the clinical numbers families actually track aren't keeping pace. Plenty of homes look good on paper until you ask when someone last checked.