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

Nurse hours

3.15 /day

Staff turnover

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Serious cites

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Concho Health & Rehabilitation Center runs on 3.15 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop another 8 percent below its own weekday coverage. Inspectors visited recently, in July 2025, and found 14 deficiencies on the current record, none rising to harm or jeopardy, but one tied to abuse, which families should ask about directly. The staffing star comes in at 1 out of 5 while quality measures sit at 2, even as the inspection star reads 5. Hospital district ownership doesn't change the math: thin daily coverage is the pattern here, and it's what pulls the overall picture down.

Nurse hours

4.06 /day

Staff turnover

78%

Serious cites

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Union House Nursing Home in Glover runs on thin margins when it comes to people. The 4.06 nurse hours per resident day looks better than average on paper, but weekends drop about 18% below weekday coverage, and turnover sits at 77.6%, far above the 45.8% national figure. That churn matters more than the headline staffing number. Its current record carries 27 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse. Two fines total $18,418. The last inspection was February 2026. A for-profit LLC owns the 44-bed home. Staffing stars look strong; inspection and quality scores don't match. Ask about weekend coverage and how abuse-related findings were resolved.

Nurse hours

3.36 /day

Staff turnover

45%

Serious cites

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Rocky Mount Health & Rehab runs 180 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86. Weekends drop about 16 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover, at 45.1 percent, is essentially the national rate. The current inspection record shows 18 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $30,297. Inspectors were last on site in March 2025. The quality measure stars look strong, but that score rests on charted clinical data, not on how many hands are actually available at 3 a.m.

Nurse hours

3.12 /day

Staff turnover

55%

Serious cites

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Canterbury Center runs on thin staffing. At 3.12 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop about 16% below what the home manages Monday through Friday. More than half the nursing staff turned over in a year, 55.2%, against a national 45.8%, which means the people doing the hands-on work keep changing. The inspection record backs that up: 73 deficiencies, including 2 at the harm level and 5 tied to abuse. Its last inspection was in March 2025. Quality measures score well, but scores on paper don't staff a night shift. Ask about weekday versus weekend coverage before you visit.

Nurse hours

3.60 /day

Staff turnover

38%

Serious cites

0

Avina On Division runs 50 beds under limited-liability ownership, and its inspection record is the part that should worry you most: 42 deficiencies on file, three of them serious enough to put residents in harm's way. The one-star health inspection rating reflects that. Staffing is a mixed picture, 3.60 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 18% below the home's own weekday coverage, which is when families often notice fewer hands available. Turnover at 37.5% actually beats the national 45.8%, so the workers who stay seem to stay. A May 2025 inspection means the record is recent, not stale.

Nurse hours

3.32 /day

Staff turnover

53%

Serious cites

0

Prairie Acres runs on a hospital district's budget in Friona, and the numbers show a home that inspects well but staffs thin. Its last inspection came back in mid-2025 with a four-star health rating, yet the record still carries 16 deficiencies, including one that put a resident in harm's way and two tied to abuse. Nurse coverage sits at 3.32 hours per resident day, roughly 14% under the national figure, and weekends drop about 19% below the home's own weekday staffing. With turnover at 52.5%, well above the 45.8% national average, consistent caregivers are hard to keep. One fine of $10,033 rounds out the picture.

Nurse hours

3.18 /day

Staff turnover

—

Serious cites

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Legacy At Corsicana runs on 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends dip about 12% below its own weekday coverage. That thin staffing shows up in the CMS staffing rating, 1 out of 5, even though the inspection record is perfect at 5 out of 5 with the most recent survey just completed in February 2026. Nine deficiencies sit on the current record, none at harm or jeopardy level, but two are abuse-related, which families should ask about directly. Quality measures land at 2 out of 5. The corporate for-profit owner runs 148 beds; ask how nurse coverage holds up on Saturday nights.

Nurse hours

3.03 /day

Staff turnover

51%

Serious cites

0

Focused Care of Gilmer runs 3.03 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends drop another 17% below its own weekday level, and 51% of staff turned over in a year, so the aides working Saturday may be new to the building. The current record carries 40 deficiencies, including four tied to abuse and two serious enough to put residents in harm's way, plus a $23,520 fine. Its quality measure rating looks good, but that reflects charted care, not the inspection record. For-profit corporate ownership, 112 beds, and an inspection that already happened in February 2026 round out the picture.

Nurse hours

3.32 /day

Staff turnover

—

Serious cites

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Beaumont Nursing and Rehabilitation runs 120 certified beds under corporate for-profit ownership, and the numbers split in an unusual direction. Nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86, and weekend coverage drops about 8 percent below its own weekday level, so the thinnest shifts land when families tend to visit. The current inspection record carries 23 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse; two fines total $275,992. The most recent inspection was June 11, 2025. Quality measures score well, but a staffing rating of 1 out of 5 and that deficiency history are what a family should weigh before choosing.

Nurse hours

3.26 /day

Staff turnover

42%

Serious cites

0

Falcon Lake runs lean on nursing hours, 3.26 per resident day against a national average of 3.86, and weekends drop roughly another 15% below its own weekday coverage. Turnover sits at 41.7%, a bit better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The health inspection side looks solid, with a 4-out-of-5 star rating and a recent August 2025 survey, and none of the 18 deficiencies on record rose to harm or jeopardy, with no abuse citations. Where it slips is quality measures at 1 star, and that gap between clean inspections and weak clinical outcomes is worth asking the administrator about directly.

Nurse hours

3.62 /day

Staff turnover

74%

Serious cites

0

Accel At Willow Bend runs 110 beds in Plano under corporate ownership, and the staffing numbers are where your attention should go first. Nurse coverage sits at 3.62 hours per resident day, about 6% under the national average, weekend shifts drop roughly 17% below weekdays, and annual turnover hits 74.4% against a national 45.8%, that's a lot of new faces rotating through. The inspection record backs it up: 49 deficiencies on file, five serious enough to involve harm or jeopardy and four tied to abuse, with a 2/5 health inspection rating. The 4/5 quality measure score looks better on paper, but quality measures depend on the staff actually there to document them.

Nurse hours

3.41 /day

Staff turnover

66%

Serious cites

0

Trucare Living Centers - Selma runs 128 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 16% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 66.3% is well above the national 45.8%, meaning many of the aides and nurses your relative sees may be fairly new. The current record shows 25 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was February 2026. Quality measures score well; staffing is where this home falls short.

Nurse hours

3.04 /day

Staff turnover

—

Serious cites

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Sedona Trace runs lean on nursing hours, 3.04 per resident day against a national average of 3.86, roughly a fifth below what's typical. That shortfall is the main reason its staffing rating sits at the bottom of CMS's scale, and weekends get thinner still, about 15% under the home's own weekday coverage. Inspections tell a better story: a recent visit in July 2025 and only one harm-level deficiency among 16 total, none tied to abuse, with a single fine of $11,168. So you're looking at a building that generally passes inspection but asks its nurses to cover more residents per shift than most. For a family weighing a move here, the question worth asking is how that weekday-to-weekend staffing dip plays out on the floor.

Nurse hours

3.35 /day

Staff turnover

40%

Serious cites

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Arlington Rehabilitation runs 117 beds in Birmingham under corporate ownership, and its staffing numbers are the first thing to notice. At 3.35 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 12% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover comes in at 40.4%, a bit better than the 45.8% national figure, which helps. The inspection record is genuinely strong: 4 of 5 stars, 11 deficiencies with none at harm level and none abuse-related. But that last inspection was April 2021, and quality measures score 2 of 5. Ask when the next survey is due.

Nurse hours

3.27 /day

Staff turnover

71%

Serious cites

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The Blossoms at Berryville runs a 114-bed for-profit operation, and the staffing numbers are where the trouble shows. At 3.27 nurse hours per resident day, it sits roughly 15% under the national average, and weekends dip about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 70.7% against a 45.8% national rate means aides and nurses are cycling through constantly, which makes consistent care hard. The health inspection record carries 16 deficiencies, one serious enough to reach harm or jeopardy, plus two fines totaling $22,880. Quality measures score well, but that sits on top of a thin, churning staff and a recent, problem-heavy inspection.

Nurse hours

3.95 /day

Staff turnover

74%

Serious cites

0

The Springs of Pinnacle Mountain runs 3.95 nurse hours per resident day, a bit above the national average, but that average hides a problem: weekend staffing drops about 13% below its own weekday coverage. Staff turnover sits at 74%, far above the 45.8% national rate, and that churn shows up in the staffing and quality measure ratings, both 2 out of 5. The health inspection side is genuinely stronger at 4 out of 5, with a recent January 2026 inspection, but the record still carries 15 deficiencies, including one at the harm level and one abuse-related.

Nurse hours

3.39 /day

Staff turnover

46%

Serious cites

0

Yampa Valley Healthcare Center runs 58 certified beds in Craig, and it's owned by a for-profit corporation. The staffing numbers are mixed: 3.39 nurse hours per resident per day lands about 12% under the national average of 3.86, but turnover sits at 45.5%, essentially matching the national rate, and weekend coverage only dips about 3% below weekday levels. So consistent hands, fewer of them. The inspection record is the real concern, 40 deficiencies, 10 serious enough to involve harm or jeopardy, 3 tied to abuse, and $120,965 in fines across three penalties. Combine that with the two-out-of-five inspection and quality ratings and a survey from late 2024, and the pattern is clear.

Nurse hours

3.46 /day

Staff turnover

35%

Serious cites

0

Apple Rehab Watertown runs 110 beds as a for-profit corporation, and its staffing sits at 3.46 nurse hours per resident day, about 10% under the national average of 3.86. Weekends run roughly 10% leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover is 35.2%, better than the 45.8% national figure, meaning the staff who are there tend to stay. The inspection record carries 36 deficiencies, including one at the harm level and six tied to abuse, plus a $25,058 fine. The most recent inspection was March 2026. Quality measures score low even though inspections score well, worth asking about.

Nurse hours

3.88 /day

Staff turnover

38%

Serious cites

0

Ingraham Manor runs 3.88 nurse hours per resident day, which is essentially the national average of 3.86, but look closer and the weekend tells a different story, running about 11% under its own weekday staffing. Turnover sits at 38.1%, meaningfully better than the 45.8% national figure, though a recent ownership change adds uncertainty. The inspection record is the real concern: 17 deficiencies, three serious enough to reach harm or jeopardy level, plus $34,369 in fines across three penalties. Two of five stars on health inspections and quality measures, last surveyed in October 2023, suggests a home where the care floor isn't the problem so much as consistency and follow-through.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Aviata At The Sea in South Pasadena runs 58 certified beds under for-profit LLC ownership, and its inspection record shows 23 deficiencies, including one abuse-related finding. None of those rose to the level of actual harm or jeopardy, which matters, but 15 fines totaling $79,797 is a lot of enforcement activity for a building this size. The last full inspection was February 2023, so the record you're seeing isn't fresh. When you tour, ask what's changed since that inspection and how they've addressed the abuse citation specifically. The fine total alone tells you regulators found repeated problems worth penalizing, not a one-time slip.