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

Nurse hours

3.54 /day

Staff turnover

52%

Serious cites

0

Lake Country runs lean on nurse staffing, 3.54 hours per resident day against a national average of 3.86, and weekends drop roughly another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 51.8%, meaning more than half the nursing staff leaves within a year, well above the 45.8% national figure, and that churn shows up in the record: 42 deficiencies, including four at the harm or jeopardy level and five tied to abuse. Two fines total $120,868. The most recent inspection was August 27, 2025, so the picture is current, not stale.

Nurse hours

3.78 /day

Staff turnover

28%

Serious cites

0

Valley Healthcare Center runs 87 beds in Bakersfield under for-profit LLC ownership, and its staffing sits just under the national average, 3.78 nurse hours per resident day, with weekends about 9% thinner than weekdays. That modest shortfall isn't the real story. The inspection record is: a 1-out-of-5 health inspection rating, 78 deficiencies on file, including 3 at harm or jeopardy level and 4 tied to abuse. Five fines total $99,934. One thing cuts the other way, 28% annual turnover is well below the 45.8% national figure, so workers tend to stay. But stable staff haven't translated into safe care here, and the last inspection was January 2026. Ask about those abuse deficiencies specifically before you visit.

Nurse hours

3.92 /day

Staff turnover

43%

Serious cites

0

Arbor Post Acute runs 144 beds in Chico as a for-profit corporation. Its nurse staffing sits just barely above the national average, and weekend coverage dips about 7% below its own weekday level, so the thinnest shifts are the ones when families tend to visit. Turnover lands at 42.5%, a touch better than the 45.8% national figure. The inspection record is the real story here: 94 deficiencies, including 4 at harm or jeopardy level and 11 tied to abuse. Two fines total $61,825, and the most recent inspection was January 24, 2025. A four-out-of-five quality measure score doesn't offset a one-out-of-five on health inspections, those 94 findings describe care that was actually delivered, not how residents were assessed.

Nurse hours

4.32 /day

Staff turnover

39%

Serious cites

0

Pioneers Memorial runs on a government hospital district budget, and the staffing shows it: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39%, better than the 45.8% typical elsewhere. Weekends thin out about 10% from weekday coverage, which is worth asking about if your family visits then. The problem sits on the inspection side. Sixty-seven deficiencies on the current record, four serious enough to involve harm or jeopardy, and a $52,435 fine. A January 2025 inspection is recent, so this reflects present conditions rather than old history. Good staffing can't fully offset that many citations.

Nurse hours

5.07 /day

Staff turnover

50%

Serious cites

0

Newport Subacute runs 139 beds in Costa Mesa under corporate for-profit ownership, and its staffing numbers look strong on paper: 5.07 nurse hours per resident day, roughly 31% above the national average. But that same CMS data gives it a one-star staffing rating, and turnover sits at 50.4%, higher than the national 45.8%. The inspection record is the harder read, 120 deficiencies, two at harm or jeopardy level, 13 abuse-related, and a one-star health inspection rating, with the last survey in August 2025. Weekend coverage also dips about 6% below its weekday level. High hours can coexist with thin stability, and the abuse-related findings are the part worth asking about directly.

Nurse hours

2.96 /day

Staff turnover

36%

Serious cites

0

Focused Care At Beechnut carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a pattern of persistent problems. Its record shows 27 deficiencies, 11 of them serious enough to cause harm or put residents in jeopardy, plus four fines totaling $90,403. Nurse staffing runs about 2.96 hours per resident day, roughly a quarter below the national average, and weekends drop further. Turnover at 36.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as having enough hands on shift.

Nurse hours

3.27 /day

Staff turnover

68%

Serious cites

0

Seymour Rehabilitation and Healthcare is run by a hospital district, and its inspection record is genuinely strong, a recent April 2025 survey with no deficiencies at the harm or jeopardy level and none related to abuse. The trouble sits elsewhere. Nurse staffing runs about 3.27 hours per resident day, roughly 15% under the national average, and weekend coverage dips below its own weekday level. Annual turnover of 67.9% means most of the people caring for residents are relatively new, against a national rate near 46%. Twenty deficiencies sit on the current record, none serious. Good inspections paired with thin, churning staff is the whole story here.

Nurse hours

3.04 /day

Staff turnover

61%

Serious cites

0

Farwell Care and Rehabilitation Center runs on thin nursing coverage: 3.04 hours per resident day against a national average of 3.86, and weekends dip about 10% below what the home already provides on weekdays. Staff turnover sits at 60.9% while the national figure is 45.8%, so residents see a lot of new faces. The inspection record shows 31 deficiencies, including two at the harm level and four related to abuse, plus one fine of $13,397; the last inspection was in December 2025. Government hospital district ownership doesn't change what those numbers say about daily staffing and oversight.

Nurse hours

3.50 /day

Staff turnover

54%

Serious cites

0

Woodlake Nursing Center runs about 3.50 nurse hours per resident each day, roughly 9% under the national average, and weekends drop another 12% below its own weekday staffing. That thinner weekend coverage matters because hands-on time is already lean. Annual turnover sits at 54% against a 45.8% national figure, so caregivers cycle through faster than typical. The current inspection record shows 12 deficiencies, two serious enough to involve harm or jeopardy, plus one fine of $20,965. Inspectors were last on site in June 2025. This is a for-profit corporate home with 93 certified beds, and its federal ratings land at 3 out of 5 for health inspections, 2 for quality measures, and 2 for staffing.

Nurse hours

3.29 /day

Staff turnover

50%

Serious cites

0

Crestwood runs about 3.29 nurse hours per resident each day, roughly 15 percent under the national average, and weekends dip another 7 percent below its own weekday coverage. Staff turnover sits at 50 percent, a bit above the national 45.8 percent. On the plus side, its most recent inspection in January 2026 produced a 5-star health inspection rating, with 10 deficiencies on record, none at the harm level, though one is abuse-related, which is worth asking about directly. The quality measure rating of 2 out of 5 is where the tension shows: good inspection results, thinner day-to-day staffing and measured care outcomes. For-profit partnership ownership.

Nurse hours

2.31 /day

Staff turnover

73%

Serious cites

0

Brentwood Place One runs 120 beds in Dallas under corporate ownership, and its inspection record actually looks decent, 4 out of 5 stars, with the most recent survey in April 2026. The trouble sits in staffing: 2.31 nurse hours per resident per day, roughly 40% under the national average, with weekends about 11% thinner than weekdays. Turnover is 73.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. Sixteen deficiencies sit on the current record, including one at the harm level and one tied to abuse. Strong quality scores and a five-star quality measure rating don't erase any of that.

Nurse hours

3.44 /day

Staff turnover

71%

Serious cites

0

Harmony Care At Brookshire is owned by a hospital district, which usually signals some public accountability, but the numbers here don't flatter it. Nurse staffing sits at 3.44 hours per resident per day, roughly 11 percent under the national average, and weekends drop about 11 percent below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. Turnover is the bigger concern: 70.9 percent of staff leaving annually against a national 45.8 percent means caregivers rarely stay long enough to know residents well. Inspections in December 2024 turned up 39 deficiencies, including two at the harm level and one abuse-related, with $25,797 in fines.

Nurse hours

3.06 /day

Staff turnover

43%

Serious cites

0

Avir At Golfcrest runs 200 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.06 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 42.9%, slightly better than the 45.8% national figure, but the inspection record is the harder read: 21 deficiencies, five at harm or jeopardy level, one abuse-related, and $43,799 in fines across three penalties. The last inspection was April 2025. Federal stars put quality measures at 4 out of 5 but staffing and health inspections at 2, a split that says the care processes may look fine on paper while the hands-on coverage and survey history raise real questions.

Nurse hours

2.65 /day

Staff turnover

37%

Serious cites

0

Sunset Home is run by the local hospital district, and its 128 beds are staffed at 2.65 nurse hours per resident day, roughly 31% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so if your family visits on a Saturday, expect less coverage than a Tuesday. Turnover sits at 37.2%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Inspectors were last in on May 29, 2025, and found 13 deficiencies, one serious enough to put a resident in harm's way, no abuse citations, and fines total $14,020.

Nurse hours

3.47 /day

Staff turnover

99%

Serious cites

0

St. Joseph Manor runs on thin staffing: 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends about 11% leaner than weekdays. The bigger problem is who's left to fill those shifts, annual turnover of 98.6% means the whole nursing staff essentially turns over every year, against a national rate near 46%. Inspectors have found 39 deficiencies, including two involving harm or jeopardy and two tied to abuse, and the most recent visit was March 2025. Hospital-district ownership doesn't change the math: a 1-out-of-5 inspection rating and 1-out-of-5 staffing rating alongside that turnover is what families should weigh.

Nurse hours

2.94 /day

Staff turnover

63%

Serious cites

0

Diboll Nursing and Rehab runs 82 beds under corporate ownership, and the numbers show a staffing problem more than a quality one. Nurses give 2.94 hours per resident per day, about a quarter below the national average, and weekends drop roughly 8 percent below what the home already provides on weekdays. Annual turnover sits at 63.3 percent against a national 45.8, so a lot of the people providing that care are still learning the building. The health inspection record shows 33 deficiencies, two serious enough to involve harm or jeopardy, though none tied to abuse, and the last inspection was recent. Clinical quality measures rate well; staffing does not.

Nurse hours

3.36 /day

Staff turnover

59%

Serious cites

0

The Villa At Texarkana holds a four-star record on health inspections and quality measures, but its staffing tells a different story. At 3.36 nurse hours per resident day, it runs about 13% under the national average, and weekends dip roughly 11% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 59% sits well above the 45.8% national figure, meaning the people caring for residents are often new. Thirty deficiencies appear on the current record, including one at the harm level and two tied to abuse. A recent March 2026 inspection keeps the oversight current, but steady leadership and enough hands on deck are the harder problems here.

Nurse hours

3.32 /day

Staff turnover

61%

Serious cites

0

Azle Manor runs 142 certified beds under for-profit LLC ownership, and its nursing hours come in around 3.32 per resident day, roughly 14% under the national average. Weekends dip about 13% below the home's own weekday staffing, and annual turnover sits at 61.3% against a national figure near 45.8%, meaning a large share of the people caring for your relative are new to the building. The current inspection record shows 13 deficiencies, five serious enough to involve harm or jeopardy, with four fines totaling $44,548 and a February 2026 inspection. Resident outcome measures score better than the staffing or inspection picture suggests, so the question worth asking on a tour is who's actually on the floor, especially Saturday and Sunday.

Nurse hours

3.32 /day

Staff turnover

71%

Serious cites

0

Legend Oaks runs 3.32 nurse hours per resident day, roughly 14% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage shows up in the staffing rating: 1 out of 5. Annual turnover hits 70.9% against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. Inspections tell a similar story, 20 deficiencies on record, two serious enough to involve harm or jeopardy, and a $39,045 fine. The quality measures look strong at 5 out of 5, but those are self-reported numbers, and the last inspection was June 2025. Ask what changed since.

Nurse hours

5.42 /day

Staff turnover

68%

Serious cites

0

Kendall House runs 40 certified beds as a nonprofit operation, and its most recent inspection in January 2026 earned four stars for health inspections and three for quality measures. The staffing picture is a different story: a one-star rating and 68.1% annual turnover, well above the 45.8% national average, meaning nearly seven in ten staff left within the year. The current record shows 22 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a single fine of $88,390. Turnover that high with a harm-level deficiency is what pulls the overall picture down despite decent inspection scores.