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

Nurse hours

3.71 /day

Staff turnover

48%

Serious cites

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Adviniacare At Provincetown runs 41 beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, which matters when you're the family member calling on a Sunday. Turnover is 48.1%, above the national 45.8%. The inspection record shows 37 deficiencies, including three at harm or jeopardy level and one abuse-related, with a single fine of $11,782 and a health inspection rating of 2 out of 5. The most recent inspection was March 2025, so the picture is current. Quality measures score 3 out of 5.

Nurse hours

3.64 /day

Staff turnover

46%

Serious cites

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Care One At Millbury runs 154 beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 8% below its own weekday level, so the coverage you see on a Tuesday isn't what you get on a Sunday. Turnover is 45.7%, essentially the national average, so that's not the outlier here. The inspection record is: 37 deficiencies, five at harm or jeopardy level, three fines totaling $95,138, and a 1-out-of-5 health inspection rating as of the April 2025 survey. Quality measures score well at 4/5, but that's resident care data, not the building's safety record.

Nurse hours

3.58 /day

Staff turnover

91%

Serious cites

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Optalis Health & Rehabilitation of Bloomfield Hills runs 159 certified beds as a for-profit partnership, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends run about 10% thinner than weekdays, so coverage tightens exactly when families tend to visit. Staff turnover is the bigger problem: 91.2%, double the national rate. Inspectors have cited 79 deficiencies, including three at the harm or jeopardy level and five abuse-related, with one fine of $45,935 on record. If you're considering this home, ask how they're holding onto caregivers.

Nurse hours

4.49 /day

Staff turnover

66%

Serious cites

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Burcham Hills runs on more nursing hours than most places, about 4.49 per resident per day against a national average near 3.86, but those hours thin out on weekends and the staff doing them turn over at 65.9% a year, well above the 45.8% norm. The inspection record is where the trouble concentrates: 53 deficiencies, seven serious enough to put residents in harm's way, five tied to abuse, and a $37,557 fine, with the most recent look coming in May 2025. A nonprofit corporation owns the 133-bed building. Strong bedside hours can't outweigh that kind of citation history, especially when the people providing the care keep leaving.

Nurse hours

3.24 /day

Staff turnover

46%

Serious cites

0

Optalis Health And Rehabilitation Of Kingsford runs 107 certified beds under for-profit LLC ownership, and nurse staffing sits at 3.24 hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 11% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover is 45.5%, essentially matching the national 45.8%, so that's not the issue here. The inspection record is: 58 deficiencies, four at harm or jeopardy level, and $130,734 in fines across four penalties, with the most recent inspection in June 2025. Quality measures score well, but the health inspection side is where the trouble concentrates.

Nurse hours

3.37 /day

Staff turnover

57%

Serious cites

0

The Villa At Silverbell Estates runs 3.37 nurse hours per resident day, roughly 13% under the national average, and weekend coverage slips about 9% below its own weekday levels. Annual staff turnover sits at 57.4% against a national 45.8%, meaning more than half the nursing staff leaves each year. Its inspection record carries 46 deficiencies, including four at the harm or jeopardy level and five tied to abuse, with one fine of $36,030 and a most recent inspection on May 5, 2026. The quality measure stars look strong, but those reflect resident assessments, not the staffing and inspection problems underneath.

Nurse hours

3.87 /day

Staff turnover

56%

Serious cites

0

Woodward Hills runs 190 beds as a for-profit corporation, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86, with weekends about 14% thinner than weekdays. The bigger concern is its inspection record: 63 deficiencies, five at the harm or jeopardy level and six tied to abuse, with two fines totaling $56,072 and a one-out-of-five health inspection rating. Staff turnover is 55.9%, well above the 45.8% national average, though its quality measure rating is a perfect five. That gap between how residents' care is measured and how the building is actually run is worth asking about directly.

Nurse hours

3.56 /day

Staff turnover

58%

Serious cites

0

Bayshore Residence and Rehabilitation Center runs 140 beds in Duluth under for-profit LLC ownership, and the staffing numbers tell two stories. Its 3.56 nurse hours per resident day sit about 8% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover hits 58% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the harder part: 37 deficiencies, three at harm or jeopardy level, two tied to abuse, and $132,398 in fines, all from an April 2025 inspection. On paper the staffing star looks strong, but the same record shows real problems.

Nurse hours

3.78 /day

Staff turnover

72%

Serious cites

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The Estates at Rush City runs 41 beds under for-profit partnership ownership, and its staffing sits slightly under the national average at 3.78 nurse hours per resident day, close enough to typical, but weekends drop about 10% below its own weekday coverage, which is when problems tend to surface. The bigger number is turnover: 72% of staff leave each year against a national rate near 46%, meaning nearly three-quarters of the people caring for residents are new to the building annually. Its inspection record shows 21 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was in January 2026. Quality measure scores land at 1 out of 5 stars.

Nurse hours

3.47 /day

Staff turnover

49%

Serious cites

0

The Emeralds At Grand Rapids runs 3.47 nursing hours per resident day, about 10 percent under the national average of 3.86, and weekends drop roughly 8 percent below its own weekday staffing. That thinner coverage matters more given a turnover rate of 48.9 percent, above the 45.8 percent national figure, and a CMS health inspection rating of 1 out of 5. The record shows 58 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with fines of $38,522 across three penalties. The most recent inspection was March 2025. For-profit corporate ownership, and families should ask directly how the home covers weekends and what's changed since that inspection.

Nurse hours

3.16 /day

Staff turnover

60%

Serious cites

0

Benedictine Care Community runs 49 beds in Ada under nonprofit ownership, and the numbers say the care side needs a closer look. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekends drop about 12% below what the home staffs on weekdays. Turnover is the bigger flag: 60.4% of staff leave each year against a national average near 46%, which means the people showing up are often new. Inspections back that up, 28 deficiencies on record, two at harm or jeopardy level, two tied to abuse, and one fine of $154,460. The most recent inspection was June 2026, so the picture is current, not stale. Worth asking about staffing plans and how they hold the line on weekends.

Nurse hours

3.17 /day

Staff turnover

56%

Serious cites

0

Middleton Oaks runs 3.17 nurse hours per resident day, about 18% under the national average, and weekend staffing drops roughly 11% below its own weekday level. Turnover sits at 55.8% against a national 45.8%, which means the aides and nurses who know your mother's routines are more likely than not to be gone within a year. Inspectors cited 33 deficiencies, four of them at harm or jeopardy level and four abuse-related, and fined the corporation $10,868 across two penalties. The most recent inspection was March 2025, so the record is current. For-profit corporate ownership, one star on health inspections, two on quality measures, the numbers point the same direction.

Nurse hours

3.48 /day

Staff turnover

53%

Serious cites

0

Lewis & Clark Gardens runs 142 certified beds under for-profit LLC ownership, and its staffing sits around 3.48 nurse hours per resident day, roughly 10% under the national average, with weekends about 13% thinner than weekdays. Turnover is 53.4% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 63 deficiencies, four at harm or jeopardy level, nine abuse-related, and $139,916 in fines across three events, with the last inspection in August 2024. A 1-out-of-5 health inspection rating alongside a 4-out-of-5 staffing rating tells you the hours exist on paper, but the survey history shows what happens in practice.

Nurse hours

3.18 /day

Staff turnover

54%

Serious cites

0

Shady Oaks runs a split operation: its last inspection, in December 2025, came back clean on the things that hurt residents most, thirteen deficiencies on record, but none at the harm level and none tied to abuse. The strain shows up in daily care instead. At 3.18 nurse hours per resident day, staffing sits about 18% under the national average, and weekends drop roughly 15% below the home's own weekday coverage. Annual turnover of 54% runs well past the 45.8% national figure, so the people handing out medications and answering call lights keep changing. For a 120-bed corporate-owned building, the pattern is straightforward: safe on paper, thin on the floor.

Nurse hours

3.00 /day

Staff turnover

57%

Serious cites

0

Parkside Manor runs about 3.00 nurse staffing hours per resident day, roughly 22% below the national average, and weekend coverage dips another 11% below its own weekday levels. Annual turnover sits at 57.1% against a national 45.8%, so the people around your family member change often. The inspection record shows 51 deficiencies, including one at the harm level and two tied to abuse, with the last visit in December 2024. Columbia has other options, and it's worth comparing them on staffing hours and turnover before deciding.

Nurse hours

3.54 /day

Staff turnover

50%

Serious cites

0

The Health Center at Galloway runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average of 3.86, with weekends dipping about 8% below its own weekday levels. That thinner coverage compounds a 50% annual turnover rate, meaning half the nursing staff leaves each year, against a national average closer to 46%. Its current inspection record carries 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $76,958. Quality measures score well, but the health inspection and staffing ratings both sit at 2 out of 5, and that gap between good numbers on paper and thin coverage on the floor is the part worth weighing.

Nurse hours

2.92 /day

Staff turnover

54%

Serious cites

0

King Manor runs lean on the people who actually care for residents. At 2.92 nurse staffing hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends dip about 15% below its own weekday level, so your Sunday afternoon visit may look different from a Tuesday morning. Staff turnover runs 53.8%, higher than the 45.8% national figure, which means the aides and nurses who know your family member are likelier to leave within the year. The 13 deficiencies on record include none at the harm or jeopardy level, and the last inspection was October 2024. Inspection and quality scores hold up; staffing is where the gaps show.

Nurse hours

3.09 /day

Staff turnover

60%

Serious cites

0

Complete Care At Holiday City runs on thinner nursing coverage than most places, 3.09 hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekday numbers. That gap shows up in the federal staffing rating, which sits at the bottom of the scale. Turnover is the other number worth sitting with: 59.7% annually, well above the 45.8% national average, meaning the people caring for residents are often new to the building. Nineteen deficiencies are on the current record, including one at the harm level and one tied to abuse. The five-star quality measure rating reflects how residents are doing on paper, but it doesn't offset thin staffing or a recent inspection finding harm.

Nurse hours

3.27 /day

Staff turnover

53%

Serious cites

0

Family Of Caring At Park Ridge is a 210-bed for-profit home in Bergen County, and the numbers split in two directions. The care side looks decent on paper, four out of five stars on CMS quality measures, but that's where the good news mostly stops. Nurse staffing runs 3.27 hours per resident day, roughly 15% under the national average, and it thins out further on weekends. Staff turnover sits at 52.7%, well above the 45.8% national figure, which means the people showing up to care for residents are often new to the building. Then there's the inspection record: 31 deficiencies, two serious enough to involve harm or jeopardy, and a $133,120 fine. The most recent inspection was January 2025, so this is current, not stale history. Worth asking hard questions before you decide.

Nurse hours

3.18 /day

Staff turnover

51%

Serious cites

0

Casa Maria Healthcare runs about 3.18 nurse hours per resident day against a national average of 3.86, roughly 18 percent thinner, and weekends drop another 11 percent below what the building manages Monday through Friday. Staff turnover sits at 51.3 percent, higher than the 45.8 percent national figure, so the people left on the floor are often the newest. The current inspection record carries 54 deficiencies, five of them serious enough to involve harm or jeopardy, six tied to abuse, and $99,368 in fines across three penalties. The quality-measure score looks strong in isolation, but that is families' ratings of daily care, not proof the building is adequately staffed to deliver it.