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

Nurse hours

2.77 /day

Staff turnover

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Serious cites

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Harbor Health & Rehab runs 106 certified beds as a nonprofit, but the numbers show a home stretched thin on the floor. Nurse staffing sits at 2.77 hours per resident day, roughly 28% under the national average of 3.86, and weekends drop about 10% below its own weekday coverage, so the thinnest shifts are also the least supervised. The inspection record is the heaviest weight here: 69 deficiencies, three of them serious enough to put residents in harm's way, plus two fines totaling $29,230. Quality measures score well, but that's the one bright spot against staffing and inspection ratings that sit at the bottom of the scale.

Nurse hours

4.52 /day

Staff turnover

57%

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Auburn Village runs 111 certified beds under corporate ownership, and its nurse staffing sits at 4.52 hours per resident day, roughly 17% above the national average of 3.86. That's a real cushion, but weekends drop about 20% below the home's own weekday level, so the coverage your family member gets depends heavily on which day you visit. The bigger concern is turnover at 57.1%, well above the 45.8% national figure, which means caregivers change often. Inspectors were last in on June 17, 2025, and the record shows 12 deficiencies, one tied to abuse, none reached harm or jeopardy, but it's a flag worth asking about directly.

Nurse hours

5.67 /day

Staff turnover

37%

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Mississippi Valley runs 5.67 nurse hours per resident day, roughly 47% above the national average of 3.86, and its 36.8% turnover sits below the national 45.8%. Those are real strengths. The rest of the record is harder to read. State inspectors cited 25 deficiencies, four of them at harm or jeopardy level and two tied to abuse, with $19,663 in fines across two penalties. Quality measures score 2 out of 5, and weekends run about 21% thinner than weekdays, so the staffing cushion doesn't hold steady across the week. The last inspection was April 2025. A for-profit LLC operates the 83-bed home. Strong hours, but a deficiency record that includes harm and abuse findings is what families should weigh hardest.

Nurse hours

4.14 /day

Staff turnover

69%

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Osage Nursing & Rehabilitation Center runs 53 certified beds under corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average. That sounds fine until you notice weekends drop about 17% below the home's own weekday coverage, and annual turnover hits 69.1% against a national average of 45.8%, meaning most of the people caring for your family member are relatively new. The current deficiency record shows 25 citations, none at the harm or jeopardy level and none abuse-related, but 25 is still a lot to work through. Inspectors last visited in September 2024. Ask about weekend coverage, who actually supervises on Saturdays, and how they retain aides.

Nurse hours

3.53 /day

Staff turnover

54%

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Metcalfe Nursing and Rehabilitation Center runs on thinner nurse coverage than most homes nationally, 3.53 hours per resident day against a 3.86 average, and weekends drop roughly 18% below what it staffs on weekdays, which is when gaps tend to show up. Staff turnover sits at 54.3%, well above the 45.8% national figure, so familiar faces are not a given. Its last health inspection was October 2022, and the record carries 14 deficiencies, none flagged for harm or abuse. As a nonprofit, it answers to a board rather than shareholders, but that structure hasn't translated into stronger staffing or quality scores here.

Nurse hours

3.43 /day

Staff turnover

48%

Serious cites

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Heartland Villa runs lean on nurses. At 3.43 hours per resident per day, it's about 11% under the national average of 3.86, and weekends dip roughly 17% below the home's own weekday staffing. That thin coverage is what drives the one-star staffing rating, and 47.8% annual turnover, slightly worse than the 45.8% national figure, means the aides and nurses on the floor keep changing. The other numbers tell a more mixed story. The home's inspection record shows just 2 deficiencies, though one was serious enough to reach harm or jeopardy level, with $8,788 in fines and a January 2026 inspection. Quality measures score well. For a 45-bed for-profit run by a limited liability company, the real question is whether the weekend staffing gap is one your family can live with.

Nurse hours

3.68 /day

Staff turnover

39%

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Mountain Manor Of Paintsville runs 126 certified beds under for-profit LLC ownership, and the nurse staffing number comes in at 3.68 hours per resident day, about 5% under the national average of 3.86. Weekends are thinner still, roughly 18% below the home's own weekday coverage. Turnover sits at 39.4%, which is actually better than the 45.8% national figure, so that's one number working in its favor. Inspections are recent (July 2025) with 17 deficiencies on record, none at harm or jeopardy level, though two are abuse-related. CMS gives it 2 stars each for health inspections and staffing, and 1 star on quality measures, a split record worth asking about directly.

Nurse hours

3.36 /day

Staff turnover

37%

Serious cites

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The Oaks of Houma runs lean on nurse staffing, 3.36 hours per resident day against a national average of 3.86, with weekends dropping roughly 20% below its own weekday coverage. That pattern matters because care needs don't take Saturdays off. Staff turnover sits at 36.6%, better than the 45.8% national figure, and the inspection record is clean of harm-level deficiencies across 13 total findings, though three are abuse-related. This is a for-profit limited liability company with 120 certified beds, inspected recently in March 2026. The 1-out-of-5 quality measure rating is the number worth asking about directly, it reflects how residents' clinical outcomes track over time, not how the building looks on a tour.

Nurse hours

3.11 /day

Staff turnover

59%

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St. Bernard Nursing & Rehab runs 127 certified beds in New Orleans under for-profit LLC ownership, and the staffing numbers are the first thing worth understanding. At 3.11 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop another 19% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 58.8% against a national 45.8% means the aides and nurses caring for residents are, statistically, often new to the building. The current inspection record carries 44 deficiencies, seven of them abuse-related and none flagged at harm or jeopardy level. Last inspection: June 2025.

Nurse hours

4.03 /day

Staff turnover

50%

Serious cites

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Landmark Nursing & Rehabilitation Center of West Monroe runs 140 certified beds under for-profit LLC ownership, and it does put more nursing hours into each resident's day than the typical American home, 4.03 versus 3.86. But weekends thin out about 16% below its own weekday staffing, and half the staff turns over every year, a bit worse than the 45.8% national figure. The current record carries 20 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $20,869 in fines. Its quality measure rating sits at 1 out of 5. A March 2026 inspection is recent enough to reflect the building as it stands now.

Nurse hours

3.52 /day

Staff turnover

44%

Serious cites

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The Summit runs 130 certified beds in Alexandria under for-profit LLC ownership, and its staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 16% below its own weekday coverage, which matters when residents need help on a Saturday night. Staff turnover at 43.8% is slightly better than the national 45.8%, though that's a low bar. What stands out more is the inspection record: 25 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse. CMS rated health inspections 2 out of 5, quality measures 1 out of 5, and staffing 2 out of 5. One fine totaling $14,287 is on file, and the most recent inspection came April 8, 2026.

Nurse hours

3.34 /day

Staff turnover

49%

Serious cites

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Mary Goss Nursing Home runs 91 certified beds in Monroe, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.34 hours per resident day, roughly 13 percent under the national figure, and weekend coverage drops about 21 percent below what the home staffs on weekdays, so families visiting Saturday or Sunday may see a thinner floor. Annual turnover of 49 percent tops the national average, meaning nearly half the nursing staff leaves each year. The inspection record shows 34 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with ten fines totaling $88,800. Its last inspection was in August 2025, and all three CMS star ratings sit at 2 out of 5.

Nurse hours

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Staff turnover

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Bayou Vista's inspection history looks decent on paper, a recent survey in August 2025 and a four-star health inspection rating. But twenty deficiencies on the current record, including two at the harm level and two tied to abuse, tell a more complicated story than that star suggests. The bigger issue is staffing: one star, the lowest CMS gives, and with 92 beds to cover, that shortfall affects daily care more than any inspection score. Quality measures sit at two stars, and the home has paid $16,267 across two fines. For-profit ownership under an LLC means margins matter here, and the numbers suggest where they're being protected. Ask about direct-care hours per resident before you decide.

Nurse hours

3.40 /day

Staff turnover

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Serious cites

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Oakwood SNF in Middle River runs 130 certified beds under for-profit LLC ownership, and its federal record shows where the trouble sits: 88 deficiencies on file, including two at harm or jeopardy level and seven tied to abuse. The staffing star rating sits at 1 out of 5, meaning nurse hours per resident fall well below what CMS expects, while the quality measure score of 4 shows resident outcomes look better than the staffing numbers would suggest. Inspections are current, with the last visit in March 2026 and $13,270 in fines recorded. The inspection history and thin staffing are the real story here, ask pointed questions about direct care hours and how abuse allegations get handled.

Nurse hours

3.25 /day

Staff turnover

36%

Serious cites

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Egle Nursing Home runs on 3.25 nurse staffing hours per resident day, roughly 16 percent under the national average, and weekends drop about 22 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. The 42 deficiencies on record include four abuse-related citations, though none rose to harm or jeopardy, and the last inspection was in October 2025. Turnover at 35.9 percent is actually better than the 45.8 percent national figure, which suggests some stability in who's showing up. A for-profit corporation operates the 66-bed building, and its federal quality and staffing ratings both sit at one star. Low staffing plus a long deficiency history explains the middling grade.

Nurse hours

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Staff turnover

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Royal Of Fairhaven is a 107-bed for-profit home run by a limited liability company, and staffing is where it struggles most, the federal staffing rating sits at just one star, well below what you'd want to see for a building this size. Inspectors have logged 17 deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, though none involved abuse. One fine totaling $8,648 has been levied. The good news is that the last inspection was recent, in March 2025, and the health inspection rating lands at a middling three stars. Quality measures come in at two stars. If you're considering this home, ask specifically about direct-care staffing levels on evenings and weekends.

Nurse hours

3.49 /day

Staff turnover

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Serious cites

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Quabbin Valley Healthcare runs 142 beds in Athol under for-profit LLC ownership, and the numbers show a home with real strain. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is heavy: 42 deficiencies, including two at the harm or jeopardy level and six tied to abuse, with $62,250 in fines across two penalties. Its last inspection was August 2025, so the record is current. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.

Nurse hours

3.35 /day

Staff turnover

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Serious cites

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The Orchards At Warren runs on 3.35 nursing hours per resident per day, about 13 percent under the national average, and weekends drop roughly 8 percent below its own weekday staffing. That thin coverage tracks with a one-star CMS staffing rating. The home's current record carries 36 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $21,273; its last inspection was in December 2025. State surveyors rated health inspections and quality measures two stars each, so the weak spots aren't isolated to staffing. Corporate for-profit ownership of this 134-bed Macomb County home rounds out the picture.

Nurse hours

2.45 /day

Staff turnover

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Serious cites

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Edgebrook Care Center runs on 2.45 nurse staffing hours per resident day, roughly 37 percent under the national average of 3.86, and the federal staffing rating lands at 1 out of 5 because of it. Weekend coverage tracks about 1 percent above weekdays, so that's not where the gap comes from. The inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse; the health inspection rating sits at 2 out of 5, with the most recent survey done in November 2025. It's a 54-bed nonprofit, and the quality measure rating of 3 shows clinical care isn't failing across the board, the shortfall is hands on deck.

Nurse hours

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Staff turnover

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Clara City Care Center is city-owned and small, 48 beds, which in a lot of towns means everyone knows someone who's stayed there. The federal numbers tell a rougher story. Inspectors have cited 12 deficiencies on the current record, three of them at the harm or jeopardy level, and the most recent inspection was April 2026. Staffing sits well below the national average, and so do the health inspection results, while the quality measures look more ordinary. That split matters: how a place scores on paper for resident outcomes can look fine even when the hands-on care and the survey record don't. One fine, $13,260. Worth asking the administrator directly what's changed since the last visit.