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

Nurse hours

3.73 /day

Staff turnover

65%

Serious cites

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Creekside Center runs 139 beds in Madison under for-profit LLC ownership, and the numbers pull in two directions. Nurse staffing sits at 3.73 hours per resident day, slightly under the national figure of 3.86, but weekends drop about 18% below the home's own weekday coverage, that's the gap families notice when they visit on a Sunday. Staff turnover is the harder fact: 64.9% a year against a national average of 45.8%, meaning roughly two-thirds of the nursing staff leaves annually. Inspections look solid (4 of 5 stars, 8 deficiencies, none at harm level, last visit July 2023), and quality measures score high, but steady caregivers matter more than a good survey day.

Nurse hours

3.64 /day

Staff turnover

65%

Serious cites

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Alameda Oaks runs 146 beds in Corpus Christi under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.64 nurse hours per resident day, about 6% under the national average, with weekends dropping roughly 15% below its own weekday levels. That thin coverage shows up in a 64.6% annual turnover rate, well above the 45.8% national figure, and a two-out-of-five CMS staffing rating. Inspectors last visited in August 2025 and found 34 deficiencies on the current record, including one at the harm level and three tied to abuse, plus a $14,901 fine. Quality measures score well, but consistent staffing is the harder problem here.

Nurse hours

3.21 /day

Staff turnover

56%

Serious cites

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Berkshire Health & Rehabilitation Center runs 180 certified beds in Vinton, and the numbers tell a mixed story. The clinical quality measures look strong, 5 out of 5 stars on CMS's quality rating, and its last health inspection, in June 2024, produced 28 deficiencies with none at the harm or jeopardy level and no abuse citations. Where it slips is staffing: 3.21 nurse hours per resident day, roughly 17% under the national average, and coverage thins out further on weekends. Annual turnover hits 56.1%, well above the national 45.8%, which means the people caring for residents are often new to the building. For a family weighing a move here, the care standards seem solid; the open question is whether there are consistently enough hands on shift.

Nurse hours

2.98 /day

Staff turnover

53%

Serious cites

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Ansted Center runs on 2.98 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops about 15% below what the home staffs on weekdays. That shortfall matters more given 53.2% annual turnover, higher than the 45.8% national figure, meaning aides and nurses are cycling out faster than residents can get familiar care. The inspection record shows 41 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse. One fine totaling $16,448 has been levied. Federal ratings sit at 2 out of 5 for both health inspections and staffing, with quality measures at 3. Family should ask directly how the home covers weekends and what's changed since the March 2026 inspection.

Nurse hours

3.72 /day

Staff turnover

38%

Serious cites

0

Avina Of Fond Du Lac runs 50 beds under individual for-profit ownership, and its staffing sits at 3.72 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 15% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 37.8% is actually better than the 45.8% national figure, which matters given how much continuity affects daily care. The inspection record is the harder read: 29 deficiencies, including one at harm or jeopardy level and five tied to abuse, plus a $7,446 fine. The most recent inspection was in July 2025, so the picture is current rather than stale.

Nurse hours

3.94 /day

Staff turnover

—

Serious cites

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San Mateo Medical Center's skilled nursing unit runs on county money and county rules, and the staffing numbers show it: 3.94 nurse hours per resident day, a hair above the national average, with a 4-out-of-5 staffing rating from CMS. Weekend coverage drops about 8% from weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The trouble sits elsewhere. Fifty-six deficiencies on the current record, ten of them serious enough to cite harm or jeopardy, ten tied to abuse, against a 1-out-of-5 inspection rating, two fines totaling $104,000, and a survey completed in July 2025. Good staffing can't offset that inspection history.

Nurse hours

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Staff turnover

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Serious cites

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Mountain Manor is a 47-bed for-profit in Carmichael, and the number that stands out is staffing: the federal data puts it at one star, the lowest tier, well below what CMS considers adequate for a building this size. That shortfall sits behind a C grade, and it's the piece families should weigh hardest, since daily care depends on who's actually on the floor. The inspection record shows 53 deficiencies, none of them at harm or jeopardy level and none abuse-related, though three fines totaling $38,855 have been issued. State surveyors were last in on April 24, 2025, so the record is recent, and quality measures land at three stars, middle of the pack. Ask about direct-care hours per resident before you visit.

Nurse hours

2.71 /day

Staff turnover

57%

Serious cites

0

Focused Care At Huntsville runs on 2.71 nursing hours per resident per day, roughly 30% under the national average of 3.86, and weekends drop about 15% below its own weekday level. That thin staffing shows up in the numbers: a 1/5 CMS staffing rating and 56.8% annual turnover, well above the 45.8% national figure. The 21 deficiencies on record include 4 abuse-related citations, though none rose to harm or jeopardy, and the last inspection was May 2025. Quality measures score 5/5, but with 88 beds under for-profit partnership ownership, ask direct questions about who's actually on the floor nights and weekends.

Nurse hours

4.24 /day

Staff turnover

—

Serious cites

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Sage Park Austin runs 46 beds under a for-profit partnership, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. That's the good news, and it's real. But weekends run about 13% thinner than weekdays, and the quality measure rating is 2 out of 5, so the care people actually receive doesn't track with the hours on paper. Twelve deficiencies sit on the current record, two of them serious enough to cause harm or jeopardy, plus one fine of $99,713. The last inspection was May 2025, so the picture is recent.

Nurse hours

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Staff turnover

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Matlock Place runs on 2.99 nursing hours per resident day, about a quarter below the national average, and the weekend shift is even thinner than its weekdays. That staffing sits alongside a 54.6% annual turnover rate, higher than the 45.8% national figure, which means the people caring for residents are, more often than not, new to the building. The current record carries 47 deficiencies, five of them at the level where harm or immediate jeopardy was found, and five tied to abuse. Three fines totaling $26,006 are on file, with the most recent inspection in May 2025. The quality measure score sits mid-range, but the inspection and staffing numbers tell the more troubling story.

Nurse hours

3.55 /day

Staff turnover

55%

Serious cites

0

Sorrento runs 112 certified beds in San Antonio under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.55 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 16% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover at 55.2% runs nearly ten points above the national rate, meaning the people providing that care are frequently new. Inspections closed in August 2025 with 50 deficiencies on record, two tied to abuse, though none reached harm or jeopardy level. The five-star quality measure score reflects reported clinical outcomes, not the hands available to deliver them.

Nurse hours

2.36 /day

Staff turnover

22%

Serious cites

0

Clarendon Nursing Home runs lean on nursing staff, 2.36 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday coverage. That thin floor is the real story behind its staffing grade. Turnover at 22.2% is genuinely low compared to the 45.8% national average, so the people who are there tend to stay, which matters for continuity. But the record shows 23 deficiencies, including one at the harm level and two tied to abuse, plus a $7,551 fine. Its last inspection was January 2026, and the health inspection rating sits at 4 of 5. Ownership is corporate, for-profit.

Nurse hours

3.19 /day

Staff turnover

—

Serious cites

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Lafayette Nursing Home runs 63 certified beds in Chambers County under individual for-profit ownership. The staffing numbers are the first thing a family should sit with: 3.19 nurse hours per resident day, roughly 17% under the national average, with weekend coverage dropping about 23% below its own weekday level. Then there's the inspection record, 13 deficiencies, three of them serious enough to reach harm or jeopardy, with the most recent state visit back in September 2022. The four-star health inspection rating looks reassuring until you pair it with a one-star staffing rating and a one-star quality measure rating. Worth asking what has changed since that 2022 survey, and who covers weekends.

Nurse hours

4.00 /day

Staff turnover

58%

Serious cites

0

St. Martin's In The Pines has a staffing edge on paper, 4.00 nurse hours per resident day, slightly above the national average, but that edge doesn't hold up on weekends, when coverage drops about 8% below its own weekday level. More striking is the turnover: 58.2% of staff leave each year against a national average of 45.8%, meaning the people providing that care keep changing. The inspection record is where this home has real trouble: 13 deficiencies, one serious enough to reach harm or jeopardy level, and nothing inspected since October 2019. A church-affiliated nonprofit with 128 beds and a single-star health inspection record carries risk a family should weigh carefully.

Nurse hours

3.41 /day

Staff turnover

57%

Serious cites

0

St Elizabeth's Place runs about 110 beds under for-profit LLC ownership, and the numbers show a home stretched thinner than most. Nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average, and weekends drop another 10% below what the home itself provides on weekdays, so coverage is at its lightest exactly when families tend to visit. The inspection record is heavy: 25 deficiencies, two of them serious enough to put residents in harm's way, plus one tied to abuse, and $21,828 in fines. Staff turnover of 56.8% is well above the 45.8% national figure, which means caregivers are cycling through. All three CMS ratings, health inspections, quality measures, and staffing, land at two out of five stars.

Nurse hours

4.51 /day

Staff turnover

57%

Serious cites

0

Vacaville Ranch Post Acute runs a for-profit corporation with 87 certified beds, and its staffing numbers land above the national average, 4.51 nurse hours per resident day against 3.86. That cushion thins on weekends, though, when coverage drops roughly 12% below its own weekday pace, and turnover sits at 57.1% versus a national 45.8%, meaning a lot of the people providing that care are new to the building. The current record shows 19 deficiencies, none at harm or jeopardy level but one tied to abuse, plus seven fines totaling $127,689. Its last inspection was August 2025, and inspection history earns 4 of 5 stars. Strong survey results, but the churn and weekend gaps are worth asking about directly.

Nurse hours

4.78 /day

Staff turnover

53%

Serious cites

0

Covina Rehabilitation Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing comes in at 4.78 hours per resident day, roughly a quarter above the national average of 3.86. That's real coverage, though weekends dip about 7% below weekdays, and annual turnover sits at 52.9% against a national 45.8%, so the same faces aren't always there. The inspection record is where the picture darkens. Eighty deficiencies, including two at harm or jeopardy level and four tied to abuse, with three fines totaling $29,228. The last inspection was April 2025. Stronger hours on paper, but a troubled enforcement history worth asking about directly.

Nurse hours

4.90 /day

Staff turnover

43%

Serious cites

0

River Bend Nursing Center has real staffing depth: 4.90 nurse hours per resident day, roughly 27% above the national average of 3.86, and turnover at 43.4% actually edges below the national rate of 45.8%. That combination matters, since consistent hands usually show up in day-to-day care. The trouble sits elsewhere. Forty-seven deficiencies on the current record, two of them serious enough to involve harm or jeopardy, plus a $21,879 fine. Quality measure scores land at 2 out of 5 stars, and the last inspection was August 2025. Weekend staffing also dips about 5% below weekday levels, so coverage isn't perfectly even across the week.

Nurse hours

3.61 /day

Staff turnover

53%

Serious cites

0

Villa Mesa runs 3.61 nurse hours per resident day, about 6 percent under the national average, and weekends drop roughly 7 percent below its own weekday numbers. Staff turnover sits at 53.4 percent, well above the 45.8 percent national figure, so whoever is on the floor is fairly likely to be new. The health inspection side looks strong at 4 out of 5 stars, and its last inspection was recent, in January 2026. But the record carries 20 deficiencies, one of them at the harm level, and the staffing rating comes in at just 1 out of 5. The state inspected this one recently, so the findings are current.

Nurse hours

4.97 /day

Staff turnover

64%

Serious cites

0

Mayers Memorial Hospital sits in Fall River Mills and runs 99 certified beds as a hospital-district operation. Nurse staffing averages 4.97 hours per resident day, roughly 29% above the national figure of 3.86, but weekend coverage drops about 15% below its own weekday level, and annual turnover hits 64.2% against a national 45.8%, that much churn undercuts the staffing advantage over time. The inspection record is where the real weight sits: 36 deficiencies on file, including one at the harm level and 10 tied to abuse, plus a $62,258 fine. The most recent inspection was August 2025.