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

Nurse hours

3.72 /day

Staff turnover

41%

Serious cites

0

Spring Creek runs 120 certified beds in Green Springs under a for-profit LLC, and its staffing is the number that stands out. At 3.72 nurse hours per resident per day, it sits about 4% under the national average, and weekends drop roughly 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.3% is actually a bit better than the 45.8% national figure, which is the one bright spot. The inspection record is heavier: 31 deficiencies, including one at the harm level and two tied to abuse, plus a $77,618 fine. Its last inspection was February 2024.

Nurse hours

3.27 /day

Staff turnover

59%

Serious cites

0

Gardens Of North Olmsted runs on thinner nursing coverage than most homes, 3.27 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale. The inspection record is the bigger concern. The current file holds 56 deficiencies, including six tied to abuse, and the last full inspection was in December 2022, more than two years ago. A for-profit partnership operating 99 beds, this home also sees 58.5% of its nursing staff leave annually, well above the 45.8% national rate. Its quality measure scores look strong, but that data comes from the home's own reporting.

Nurse hours

3.47 /day

Staff turnover

39%

Serious cites

0

Marion Nursing & Rehab is a for-profit, 99-bed home where the numbers point in different directions. Nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, and weekends run about 10 percent thinner than weekdays, a pattern that matters most when families visit and fewer hands are on the floor. Its 28 deficiencies include one at the harm level and one tied to abuse, alongside a $40,053 fine, and the most recent inspection was in February 2026. Staff turnover of 39.4 percent is actually better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record and low staffing rating are.

Nurse hours

3.55 /day

Staff turnover

46%

Serious cites

0

Grand River Health & Rehab Center runs 80 certified beds in Painesville under corporate for-profit ownership, and its record has some hard edges. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends drop about 10% below the home's own weekday level. Turnover lands near the national rate at 46%, so that's not the outlier here, the inspection history is. Thirty-four deficiencies are on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine totaling $66,420 and a 2-out-of-5 inspection rating. The most recent inspection was May 2025, so the picture is current. Quality measures score well at 4/5, but strong clinical numbers don't offset a thin staffing margin and a serious deficiency pattern.

Nurse hours

4.05 /day

Staff turnover

60%

Serious cites

0

Bethesda Care Center runs 89 certified beds as a nonprofit, and its overall nurse staffing of 4.05 hours per resident day sits about 5% above the national figure. That headline number looks fine until you notice weekends run roughly 14% thinner than weekdays, which matters if your family member needs help on a Saturday. Staff turnover is the bigger concern: 60% a year against a national average near 46%, meaning most of the people caring for residents are relatively new. Inspections add pressure too, a 2/5 health inspection rating, 26 deficiencies on record including one at the harm level, and a $64,604 fine. The last inspection was May 2024.

Nurse hours

3.11 /day

Staff turnover

51%

Serious cites

0

Lost Creek Rehabilitation and Nursing Center runs about 3.11 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 13% below its own weekday pace. That thin coverage shows up in the staffing rating, which CMS puts at one star, and in turnover: 51.2% of staff leave annually against a national figure near 46%. Inspections tell a similar story, 29 deficiencies on the current record, three serious enough to involve harm or jeopardy, three tied to abuse, and $55,088 in fines across two cases. Ownership is for-profit, through a limited liability company. The most recent inspection was June 9, 2025, so the record is current.

Nurse hours

3.01 /day

Staff turnover

49%

Serious cites

0

Presidential Post-Acute runs 99 beds in Marion under corporate for-profit ownership, and its staffing numbers are the first thing to notice: 3.01 nurse hours per resident day, roughly 22% under the national average of 3.86. Weekends drop about 12% below the home's own weekday level, and turnover sits at 48.8% against a national 45.8%, both worth asking about directly. The inspection record shows 17 deficiencies, two at harm or jeopardy level and one abuse-related, with a 2/5 health inspection rating and a 2/5 staffing rating. Quality measures score better at 4/5, and the most recent inspection was March 2026. Ask how the abuse deficiency was resolved and what weekend coverage looks like.

Nurse hours

3.18 /day

Staff turnover

46%

Serious cites

0

Washington Square runs on thin nursing coverage: 3.18 direct care hours per resident per day against a national average near 3.86, with weekends about a tenth leaner than weekdays. Turnover sits right at the national mark, so the problem isn't churn so much as how few hands are on deck at any given time. The inspection record is where the real trouble shows, 63 deficiencies on file, four serious enough to put residents in harm's way, seven tied to abuse, and nearly $47,000 in fines. CMS has placed the home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. Family members should visit unannounced, at different times of day, and watch how many aides are actually on the floor.

Nurse hours

3.67 /day

Staff turnover

58%

Serious cites

0

Wellspring Health Center runs 54 beds in Cincinnati under for-profit LLC ownership, and its nurse staffing sits at 3.67 hours per resident day, about 5% under the national average, with weekends running roughly 10% thinner than weekdays. That gap matters because staffing is thinner exactly when families tend to visit and when backup is hardest to call in. Staff turnover is 58.1% against a national 45.8%, and the inspection record shows 32 deficiencies, two of them serious enough to cause harm or jeopardy. The last inspection was in December 2025, so it's current, and there's one fine on record for $110,468. Quality measures look strong; the inspection and turnover numbers are the ones worth asking about directly.

Nurse hours

3.33 /day

Staff turnover

54%

Serious cites

0

Saint Joseph Care Center runs 60 beds in Louisville under corporate for-profit ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop another 13% below the home's own weekday coverage, and annual turnover of 54.1% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record shows 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse; that last inspection was January 5, 2026. With a 2-out-of-5 staffing rating and a 2-out-of-5 inspection rating against a 3-out-of-5 on quality measures, the pattern here is thin coverage, heavy turnover, and a recent record that warrants questions.

Nurse hours

2.98 /day

Staff turnover

51%

Serious cites

0

Aventura At Oakwood Village runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and its weekend shifts dip about 8% below its own weekday coverage, so the thinnest days are the ones families tend to visit. Staff turnover sits at 51.2%, higher than the 45.8% national figure, which means the aides and nurses who know your mother's routines are frequently new. The current deficiency record carries 42 citations, including one at the harm or jeopardy level and eight tied to abuse. Inspectors were last on site in May 2025. The two-star health inspection rating and one-star staffing rating describe a building where the problems are chronic rather than isolated.

Nurse hours

3.28 /day

Staff turnover

57%

Serious cites

0

Gardens Of Paulding runs 50 certified beds under corporate for-profit ownership, and the numbers worth knowing are on the staffing side. Nurses provide 3.28 hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage drops another 12% below what the home manages on weekdays. Turnover sits at 56.9% against a national 45.8%, which means more than half the nursing staff leaves within a year. Its inspection record shows 32 deficiencies, including one at the harm level and one abuse-related, and the most recent inspection was September 2025. Families should ask directly about weekend staffing and how the home keeps consistent caregivers.

Nurse hours

3.16 /day

Staff turnover

69%

Serious cites

0

Rae Ann Geneva runs on thin staffing: 3.16 nurse hours per resident day, roughly 18% under the national average, and weekends drop about another 10% below its own weekday levels. That shortfall shows up in the numbers that matter most, a 69.3% annual turnover rate, a one-star CMS staffing rating, and a one-star health inspection rating. The current record carries 35 deficiencies, including one at the harm or jeopardy level and six tied to abuse. Its four-star quality measure rating reflects resident outcome data, but strong outcomes don't offset inspections that found real problems in May 2025, or a workforce where more than two-thirds of staff leave each year.

Nurse hours

3.17 /day

Staff turnover

46%

Serious cites

0

Bella Terrace runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday staffing. Turnover sits at 46.4 percent, basically in line with the national rate, so the shortfall isn't explained by churn alone, it's simply fewer hours per resident. The inspection record shows 58 deficiencies, three of them serious enough to put residents at harm or jeopardy, plus one $86,720 fine; the last inspection was July 2025. Corporate ownership and a one-star staffing rating round out the picture. The five-star quality measure score reflects reported care measures, not the hands available to deliver that care.

Nurse hours

3.15 /day

Staff turnover

81%

Serious cites

0

St Luke Lutheran Community-Portage Lakes is a 56-bed nonprofit in Akron, and the numbers tell a split story. Nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average, and the weekend gap makes it thinner when families visit most. An 81% annual turnover rate, nearly double the national figure, means the people caring for your relative are likely new and still learning the building. Inspections look better: the last one was in November 2024, and the record shows 24 deficiencies, three tied to abuse and one serious enough to cause harm. High quality-measure scores and a 4-star inspection rating don't cancel out a 1-star staffing picture. Ask directly how they hold shifts together on weekends.

Nurse hours

3.21 /day

Staff turnover

88%

Serious cites

0

Valley Oaks runs on 3.21 nurse hours per resident day, roughly 17% under the national average of 3.86, and that thin margin holds steady on weekends, so there's no extra coverage when families visit. The bigger strain is turnover: 88.1% of nursing staff left last year, nearly double the national rate of 45.8%. Consistent caregivers are hard to keep when nearly everyone is new. The record isn't alarming on safety, 14 deficiencies, none causing harm, none tied to abuse, and the most recent inspection was March 2026. Quality measures score well, but that staffing number sits at the bottom of CMS's scale, and it's the piece families feel daily.

Nurse hours

3.04 /day

Staff turnover

45%

Serious cites

0

Wayside Farm runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 11% below its own weekdays. That thin coverage shows up in the inspection record: 19 deficiencies, two at harm or jeopardy level, one tied to abuse, and $165,448 in fines across two penalties. Staff turnover, at 45.3%, is essentially the national rate, so retention isn't the outlier here, daily staffing is. The 4/5 quality measure score reflects resident care measures, but those can look fine while hands-on time lags. The last inspection was August 2024. If you're considering this one, ask directly how many nurses are on the floor on a Saturday.

Nurse hours

3.70 /day

Staff turnover

61%

Serious cites

0

Highland Pointe runs 96 beds in Highland Heights under corporate ownership, and the staffing numbers tell the most immediate story: 3.70 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14 percent below the home's own weekday levels. That thin weekend coverage matters more given a 61.4 percent annual turnover rate, well above the 45.8 percent national figure, familiar faces are hard to keep when the schedule thins out. The inspection record reinforces the concern: 26 deficiencies on file, three serious enough to reach harm or jeopardy level, and one fine totaling $28,276, with the most recent inspection in March 2024. Quality measure scores look strong at 4 out of 5, but that's measured against a staffing picture that's below average and a turnover rate that's high.

Nurse hours

3.69 /day

Staff turnover

47%

Serious cites

0

Avenue At North Ridgeville runs 3.69 nurse staffing hours per resident day, about 4% under the national average, and weekends drop roughly 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% annual turnover is essentially the national rate, meaning the staff you meet may not be there next year. Inspections tell the harder story: 33 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $68,390 in fines, with the last inspection dating to February 2023. The quality measure score looks strong, but that's built from resident assessments, not from how the place is run day to day.

Nurse hours

3.76 /day

Staff turnover

57%

Serious cites

0

Brookside Nursing Center runs 140 beds in Madill under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.76 hours per resident day, slightly under the national average, and weekends drop about 8% below what the home staffs on weekdays, so care coverage thins out exactly when families tend to visit. Staff turnover is the bigger concern: 56.7% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious. Thirteen deficiencies are on file, three at the harm or jeopardy level, plus one abuse-related citation and two fines totaling $39,591. The last inspection was August 2024.