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

Nurse hours

3.37 /day

Staff turnover

52%

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Aspire Senior Living Advance runs on 3.37 nurse hours per resident day, about 13% under the national average of 3.86, and weekends drop roughly 19% below its own weekday staffing. That thin coverage shows up in the staffing star rating of 2 out of 5, and annual turnover of 51.6% means more than half the nursing staff leaves each year, compared with 45.8% nationally. The inspection record is the bright spot: a 4-out-of-5 health inspection rating with 32 deficiencies, none at harm or jeopardy level, though one is abuse-related. This corporate-owned 55-bed home was inspected recently, in March 2026. Families should ask how the weekend shift is actually covered.

Nurse hours

3.52 /day

Staff turnover

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Baptist Homes of Shelbina is county-owned, which in Missouri often means tight budgets, and the numbers here show the strain. Nurse staffing sits at 3.52 hours per resident day against a national average of 3.86, so aides and nurses have less time per resident than most homes, though weekend coverage actually runs slightly above its own weekday level, which is unusual and worth noting. What stands out more is the inspection record: 35 deficiencies currently on file, three of them at the harm or jeopardy level and two tied to abuse, with a $20,695 fine and a survey as recent as July 2025. Ask about the abuse-related citations specifically before you decide anything.

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Salem Memorial District Hospital runs a small 18-bed unit, and its recent inspection record is genuinely solid, four stars on health inspections, no deficiencies at the harm level, nothing abuse-related, and a survey as recent as October 2025. The problem sits in staffing, which CMS rates at just one star. That's a meaningful gap: a home can pass inspections and still leave residents waiting too long for help with meals, toileting, or medication. The 12 deficiencies and 13 fines totaling $106,623 also suggest recurring compliance issues despite the decent inspection score, and nonprofit ownership doesn't change the math. Ask about actual direct-care hours per resident per day, and how often the unit relies on agency or on-call staff.

Nurse hours

3.24 /day

Staff turnover

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Benefis Senior Services - Westview runs 34 certified beds in Great Falls, and the numbers there are worth a close look before you decide anything. Nurse staffing sits at 3.24 hours per resident per day, roughly 16% under the national average of 3.86, and weekend coverage barely dips below its own weekday level, so the shortfall is steady rather than occasional. The inspection record shows 18 deficiencies, two of them serious enough to involve harm or jeopardy and two tied to abuse, with one fine of $13,865 and a survey completed in May 2025. It's a nonprofit operation, which doesn't change what the staffing and survey figures show.

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Staff turnover

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Westfield Quality Care of Aurora is a 64-bed for-profit home in Hamilton County, and its record shows real strain on the care side. The most recent inspection, in April 2025, turned up 22 deficiencies, including one involving actual harm or jeopardy to a resident and two tied to abuse, and there's a $41,980 fine on the books. Staffing sits well below the national average, and the inspection history isn't clean either. The quality measures come in around average, which suggests some of the day-to-day clinical care is being tracked and met. But when you're weighing a move here, the abuse findings and the harm-level citation are the things to ask about directly, in person, before deciding.

Nurse hours

2.98 /day

Staff turnover

62%

Serious cites

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Premier Genesee Center in Batavia runs 160 certified beds as a for-profit partnership, and the numbers tell a mixed story. Nurse staffing sits at 2.98 hours per resident day, about 23% under the national average of 3.86, and weekend coverage drops roughly 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 62.4% against a national 45.8%, meaning well over half the nursing workforce turns over in a year. The inspection record shows 20 deficiencies, including one at harm or jeopardy level and four tied to abuse, though the most recent inspection was April 2025.

Nurse hours

3.21 /day

Staff turnover

27%

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Concourse Rehabilitation runs 240 beds in the Bronx under corporate ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national figure of 3.86. Weekends thin out further, about 16% below the home's own weekday coverage, which matters when families can't visit and needs don't pause. The inspection record shows 13 deficiencies, including one at the harm level and two tied to abuse, with a $10,592 fine and a survey completed in April 2024. Staff turnover of 26.7% is actually well below the 45.8% national average, so retention isn't the weak spot here, coverage and compliance are.

Nurse hours

3.55 /day

Staff turnover

60%

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Highlands Living Center is a 122-bed nonprofit in Pittsford, and its staffing sits about 8% under the national average at 3.55 nurse hours per resident day. Weekends run roughly 15% thinner than weekdays, so coverage depends on when you visit. Annual turnover of 60.3% is well above the 45.8% norm, meaning the people caring for residents change often. The current record shows 19 deficiencies, three tied to abuse, though none reached harm or jeopardy level. State inspectors were last in on February 19, 2025, and all three CMS star ratings, health inspections, quality measures, and staffing, landed at 2 out of 5. Ask about weekend coverage and how they screen and supervise staff.

Nurse hours

3.24 /day

Staff turnover

69%

Serious cites

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Autumn Care of Salisbury runs 97 beds under corporate ownership, and its nurse staffing sits at 3.24 hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 68.6%, well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The record shows 21 deficiencies, including one at the harm level and three tied to abuse. Its quality measure rating is strong, but that reflects charted clinical outcomes, not the day-to-day staffing picture.

Nurse hours

3.61 /day

Staff turnover

57%

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Life Care Center of Hendersonville runs 80 certified beds under a for-profit LLC, and the numbers tell a mixed story. Nurse staffing sits at 3.61 hours per resident day, about 7% under the national average, and weekends drop roughly 19% below the home's own weekday level, so care thins out precisely when families tend to visit. Staff turnover is 56.5%, well above the 45.8% national figure, which means familiar faces are hard to keep. The health inspection side carries 32 deficiencies, one serious enough to reach harm or jeopardy level, plus two fines totaling $40,986; the last inspection was August 2025. Quality measures score well, but staffing and inspection results are where the concerns sit.

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Staff turnover

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Four Seasons Health Care in Forman runs 25 beds under nonprofit ownership, and its last inspection on February 19, 2026 turned up 29 deficiencies, two of them serious enough to cause harm or put residents in immediate jeopardy, plus one tied to abuse. The staffing picture is thin even by rural North Dakota standards, and three fines totaling $115,484 have accumulated on the current record. What keeps the quality measure rating afloat is clinical performance on paper, things like hospitalization and medication metrics, but strong outcomes data can't offset a building where the hands-on care and the oversight have both raised red flags. If you're considering this one, ask directly what changed after February.

Nurse hours

3.87 /day

Staff turnover

57%

Serious cites

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The Arc at Trotwood is a for-profit, limited-liability operation with 127 beds in Dayton, and its inspection record is the first thing to notice: 73 deficiencies, including two at the harm or jeopardy level and four tied to abuse. CMS gave it one star for health inspections and one star for staffing, even though its overall nurse staffing of 3.87 hours per resident day sits right at the national average of 3.86. That average hides a gap, weekend staffing runs about 16% below its own weekday level, and annual turnover is 57.4% against a national 45.8%. The quality measure star, 4 out of 5, is the one bright spot. The last inspection was May 2025.

Nurse hours

3.22 /day

Staff turnover

53%

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Garden Park runs 60 beds in Cincinnati under corporate ownership, and its staffing numbers are the first thing to notice: 3.22 nurse hours per resident day against a national average of 3.86, with weekends roughly 17% thinner than weekdays. Annual turnover sits at 53.1%, meaning more than half the nursing staff leaves each year. The inspection record shows why that matters, 52 deficiencies on file, three of them abuse-related, and a one-star health inspection rating despite a five-star quality measure score. Those quality numbers come from resident assessments, which can look strong even when the people documenting them are stretched thin. The last inspection was in August 2025, so the record is current. Worth asking about weekend coverage specifically.

Nurse hours

3.77 /day

Staff turnover

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Gillette Nursing Home in Warren runs 99 certified beds under corporate ownership, and its inspection history is genuinely strong, a five-star health inspection rating with the most recent survey in March 2026. The catch sits in the other numbers. Total nurse staffing lands at 3.77 hours per resident day, slightly under the national average of 3.86, and weekends dip about 4% below the home's own weekday coverage. That shows up in the one-star staffing rating. Fifteen deficiencies are on the current record, none at harm or jeopardy level, but one is abuse-related. Quality measures score two stars, which means the clinical outcomes families actually watch for don't match the clean inspection sheet.

Nurse hours

3.19 /day

Staff turnover

57%

Serious cites

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Eagle Pointe runs on thin staffing, 3.19 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below what the home itself manages on weekdays. That matters most when family visits are scarcest and residents wait longer for help. The 57.1% annual turnover means more than half the nursing staff left within a year, against 45.8% nationally, so the people providing daily care keep changing. Twenty-seven deficiencies sit on the current record, four involving actual harm or jeopardy and six tied to abuse. A recent March 2025 inspection and strong marks on clinical quality measures don't erase those numbers. Ask hard questions about weekend coverage and who's actually on the floor.

Nurse hours

3.16 /day

Staff turnover

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Muskogee Nursing Center runs on 3.16 nurse hours per resident day, roughly 18% under the national average, with weekend staffing about 1% below its own weekday level. The health inspection record is thin: 12 deficiencies, one of them at harm or jeopardy level, plus six fines totaling $59,711. No abuse-related citations appear in the current data. Ownership is for-profit, individual. The last inspection was January 8, 2025, so the record is recent. With 58 certified beds and inspection, quality, and staffing ratings all low, the picture is a home that has drawn repeated regulatory attention, and families should ask directly how the harm-level deficiency was resolved and what nurse coverage looks like on weekends.

Nurse hours

3.13 /day

Staff turnover

56%

Serious cites

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Staffing is the weak spot at Magnolia Manor, Spartanburg. At 3.13 nurse hours per resident day, it runs about 19% under the national average, and weekends drop roughly 15% below what the home staffs during the week, so the thinnest coverage lands when families tend to visit. Annual turnover of 56.4% sits well above the 45.8% national figure, meaning aides and nurses cycle through faster than most places. The inspection record shows 13 deficiencies, including one at the harm level and one tied to abuse, with a $12,054 fine. The most recent inspection was in May 2025. Corporate for-profit ownership, 95 certified beds.

Nurse hours

3.24 /day

Staff turnover

38%

Serious cites

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Pruitthealth-Bamberg runs on 3.24 nurse hours per resident per day, about 16 percent under the national average, and weekends drop roughly 23 percent below its own weekday staffing. That thin weekend coverage matters most when families visit and when problems surface. Turnover sits at 37.7 percent, which is actually better than the 45.8 percent national figure, the steadier crew is a genuine point in its favor. But the inspection record carries 18 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus four fines totaling $34,606. The most recent inspection was May 2025. If you're considering this one, ask directly how weekends are staffed and what changed after those abuse citations.

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Staff turnover

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The Flandreau Santee Sioux Tribe Care Center runs 42 certified beds as a nonprofit, and its last inspection came in August 2025, so you're looking at recent information rather than stale records. The inspection history is the part worth sitting with: ten deficiencies on the current record, three of them serious enough to reach harm or jeopardy level, and one tied to abuse. Three fines totaling $27,967 back that up. Federal ratings put both health inspections and quality measures at three out of five stars, middle of the road. For a home this small, a single serious finding weighs heavily, and three does more so. If you're considering it, ask directly what changed after that abuse-related citation and how the facility corrected the jeopardy-level problems.

Nurse hours

3.44 /day

Staff turnover

57%

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Quince Nursing runs 3.44 nurse hours per resident day, about 11% under the national figure, and staffing thins further on weekends, dropping roughly 16% below its own weekday level. Annual turnover sits at 56.7% against a national 45.8%, so aides and nurses are cycling through steadily. The inspection record carries 19 deficiencies, five at harm or jeopardy level and three tied to abuse, along with a $71,822 fine; the last survey was March 2026. Ownership is for-profit, through a limited liability company. Its quality measure stars look strong on paper, but those come from resident assessments, not from how the place is actually staffed or surveyed, and the staffing and inspection scores sit at the bottom.