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

Nurse hours

3.45 /day

Staff turnover

43%

Serious cites

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Azria Health Winterset runs 65 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 42.9% is slightly better than the 45.8% national figure, but the inspection record is the bigger concern: 30 deficiencies, one of them serious enough to reach harm or jeopardy level. That March 2026 inspection is recent, and the two-out-of-five ratings on health inspections, quality measures, and staffing all point the same direction.

Nurse hours

3.22 /day

Staff turnover

62%

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Country Lane Manor runs on thin staffing: 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 10 percent below its own weekday levels. That's the kind of gap that shows up as unanswered call lights. Turnover sits at 62.1 percent against a 45.8 percent national figure, so the aides who know your mother's routines keep leaving. The inspection record is the harder read: 57 deficiencies, five serious enough to put residents in harm's way, two tied to abuse, and a $59,150 fine, with the last state visit in August 2025. Ownership is for-profit, through a limited liability company. The quality star rating of 4 out of 5 is real, but it measures a narrow slice of care.

Nurse hours

3.66 /day

Staff turnover

63%

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Oskaloosa Care Center runs 83 certified beds under corporate for-profit ownership, and the numbers raise real questions. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly another 10% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 62.6% against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 30 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus a $45,354 fine. The most recent inspection was June 19, 2025.

Nurse hours

3.01 /day

Staff turnover

65%

Serious cites

0

Legacy On 10Th Avenue runs on 3.01 nurse hours per resident day, roughly 22 percent under the national average, and weekends dip about 10 percent below what the home itself staffs on weekdays. Turnover sits at 65.4 percent against a national 45.8, most of the people caring for your relative will be gone within the year. The inspection record is the heavier problem: 55 deficiencies, three at harm or jeopardy level, two abuse-related, with a 1-out-of-5 inspection rating. That last inspection on March 31, 2026 means the findings are current, not old history.

Nurse hours

3.85 /day

Staff turnover

80%

Serious cites

0

Willow Point runs about 45 beds in Kansas City, and its overall nurse staffing, 3.85 hours per resident day, sits essentially at the national average of 3.86, though weekends drop roughly 14% below its own weekday coverage. The bigger problem is who's giving that care: annual turnover hits 80% against a national 45.8%, so the faces change constantly. The inspection record backs that up, with 57 deficiencies on file, five at harm or jeopardy level and four tied to abuse. Ownership is corporate, for-profit, and the last inspection was October 2024.

Nurse hours

3.26 /day

Staff turnover

63%

Serious cites

0

Westview of Derby runs on thin staffing. At 3.26 nurse hours per resident day, it sits about 16 percent under the national average, and weekends drop roughly 11 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 62.8 percent, against a national 45.8 percent, means the aides and nurses caring for residents are often new to the building. The inspection record is the harder problem: 53 deficiencies, four at harm or jeopardy level, two tied to abuse, and six fines totaling $100,981. That 1-out-of-5 inspection rating sits alongside a 5-out-of-5 quality measure score, a gap worth asking about directly. This for-profit LLC is licensed for 78 beds, with its most recent inspection in March 2025.

Nurse hours

3.19 /day

Staff turnover

65%

Serious cites

0

The numbers at Parkview Health and Rehabilitation Center describe a home stretched thin. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, and weekend coverage drops about 10% below what residents get on weekdays. Staff turnover of 64.7% means most caregivers are relatively new, against a national rate around 46%. The inspection record is the harder read: 52 deficiencies on file, three involving actual harm or jeopardy, eight tied to abuse. One fine so far, $16,834. The last inspection was August 2025, so the record is current rather than stale. This is a for-profit limited liability operation with 58 certified beds. The staffing and inspection scores both land at the bottom of CMS's scale.

Nurse hours

3.49 /day

Staff turnover

57%

Serious cites

0

Florence Park Care Center runs 150 beds under corporate ownership, and the numbers on the direct-care side are thin: 3.49 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 11% below its own weekday staffing. That gap matters because weekends are when families often visit and when residents still need help. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people providing care keep changing. The current inspection record shows 21 deficiencies, two serious enough to reach harm or jeopardy level. One bright spot: the most recent inspection was January 15, 2026, so the state has looked at this building recently.

Nurse hours

3.17 /day

Staff turnover

40%

Serious cites

0

Green River Trails runs lean on nursing hours: 3.17 per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday staffing. That thin coverage is the main thing behind its middling scores on staffing and quality measures, even though the health inspection side came back strong at 4 out of 5. Turnover sits at 40.2%, a bit better than the 45.8% national figure, and the home carries eight deficiencies with none at the harm level and none abuse-related. Two fines total $12,645, and the last inspection was June 5, 2025. It's a for-profit corporation operating 118 certified beds.

Nurse hours

3.73 /day

Staff turnover

70%

Serious cites

0

Valhalla Post Acute runs 162 beds in Louisville under for-profit LLC ownership, and the direct-care hours don't quite keep up: 3.73 per resident day against a national average of 3.86, with weekends roughly 12% thinner than weekdays. The bigger signal is churn, 69.8% annual staff turnover, well above the 45.8% national figure, which makes consistent care hard to sustain no matter how the schedule looks on paper. Inspectors have logged 17 deficiencies, four at harm or jeopardy level and one abuse-related, with two fines totaling $17,963 and a survey as recent as March 2026. Resident outcome measures score well; the staffing and inspection records are what pull the overall picture down.

Nurse hours

3.37 /day

Staff turnover

—

Serious cites

0

Chateau St. James runs on thinner staffing than most homes in the country, 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 19% below what the home itself staffs on weekdays. That gap matters more than any single number, because it's the stretch when families aren't visiting and residents need the most hands-on help. The inspection record is genuinely solid: 20 deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in December 2025. So you're looking at a home that passes its health inspections but runs a limited-liability, for-profit operation with a thin staffing margin. Ask what weekend coverage actually looks like on the unit your relative would live on.

Nurse hours

3.72 /day

Staff turnover

44%

Serious cites

0

New Iberia Manor South runs on thin staffing, 3.72 nurse hours per resident day, under the national average, with weekends about 9% leaner than weekdays. That matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. The inspection record is the bigger concern: 46 deficiencies, including one at the harm level and two tied to abuse, plus a $8,169 fine. A 1-out-of-5 health inspection rating and a matching 1 for quality measures point to problems that show up across surveys, not one bad day. Staff turnover at 44.4% is roughly in line with the national rate, so retention isn't the outlier here. The last inspection was July 2025, so the record is recent.

Nurse hours

3.56 /day

Staff turnover

61%

Serious cites

0

Heritage Manor of Baton Rouge II runs 144 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.56 hours per resident day, under the national average, with weekends running roughly 11% thinner than weekdays, so the coverage gaps show up when families tend to visit. Staff turnover is 60.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. On the inspection side, 33 deficiencies are on record, including six at harm or jeopardy level and seven tied to abuse, with four fines totaling $61,591 and a survey dated March 5, 2026. Ask about weekend coverage and how they keep experienced aides.

Nurse hours

3.36 /day

Staff turnover

56%

Serious cites

0

Deerfield Nursing And Rehabilitation Center runs on thinner staffing than most homes its size, and the numbers show it. Nurses provide about 3.36 hours of care per resident each day, roughly 13% under the national average, and weekends dip about 12% below what the home itself staffs on weekdays, so a Saturday shift is the leanest stretch of the week. Turnover sits at 56.3%, well above the 45.8% national figure, meaning more than half the nursing staff leaves in a year. The inspection record backs that up: 25 deficiencies, one serious enough to involve harm or jeopardy and one abuse-related, plus a $8,281 fine.

Nurse hours

3.14 /day

Staff turnover

48%

Serious cites

0

Mid City Community Nursing and Rehab runs 184 certified beds as a for-profit corporation, and its staffing is the first thing to look at: 3.14 nurse hours per resident day against a national average of 3.86, roughly 19% below. Weekends drop about 13% below its own weekday levels, and turnover sits at 47.7%, a bit above the national 45.8%. The inspection history is the strongest part of the record, a 4-out-of-5 star rating with the most recent survey in April 2026. But there are 22 deficiencies on file, including one at the harm or jeopardy level and three abuse-related, plus a $44,090 fine. Quality measures come in at 2 stars.

Nurse hours

3.57 /day

Staff turnover

64%

Serious cites

0

Eastridge runs on leaner staffing than most homes its size, 3.57 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14% below its own weekday levels. The bigger concern is turnover: 63.6% of staff leave each year, well above the 45.8% national figure, and that churn shows up in a one-star staffing rating. Inspections are a different story. The most recent visit was December 2025, the health inspection rating sits at 4 of 5, and none of the 19 deficiencies on record rose to harm or jeopardy. One was abuse-related, which is worth asking about directly. Quality measures land at 2 of 5.

Nurse hours

3.06 /day

Staff turnover

30%

Serious cites

0

Pointe Coupee Healthcare runs 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 14% below its own weekday staffing. The health inspection side looks steadier at 3 out of 5 stars, but quality measures sit at 1 star, and the record shows 18 deficiencies, two of them serious enough to involve harm or jeopardy, along with one fine of $17,345. Staff turnover is 30%, which is actually well below the 45.8% national figure, so the problem here isn't churn so much as how few hands are on deck at any given time.

Nurse hours

3.58 /day

Staff turnover

53%

Serious cites

0

Solomons Nursing and Rehab Center runs 95 beds under corporate ownership, and the numbers that stand out most are on the inspection side: 32 deficiencies on the current record, including two at the level where residents were actually harmed and three tied to abuse. Federal fines total roughly $226,000 across seven penalties. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and it thins out further on weekends. Annual turnover of 53% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The last inspection was in August 2024. Quality measures score better than the other categories, but the harm-level findings and the money owed are what a family should weigh hardest.

Nurse hours

3.39 /day

Staff turnover

27%

Serious cites

0

Marlborough Hills runs 186 beds under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends dipping about 9% below its own weekday levels. That thin coverage matters more given what inspectors found: 40 deficiencies on the current record, two at harm or jeopardy level and one tied to abuse, plus a $71,202 fine, from a March 2025 inspection. Staff turnover of 27.3% is genuinely lower than the 45.8% national figure, so there's some consistency in the workforce. But a 1/5 health inspection rating and 1/5 quality measure rating against 2/5 for staffing tell you where the trouble concentrates.

Nurse hours

3.02 /day

Staff turnover

44%

Serious cites

0

Twin Oaks Center runs on thin staffing, 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends dip further. That shortfall shows up in its federal ratings: one star each for health inspections and staffing, two for quality measures. The inspection record behind that single star includes 58 deficiencies, four of them serious enough to put residents at risk of harm, and three tied to abuse. The one fine on file is modest at $2,186, but the volume and severity of cited problems matter more. Turnover sits near the national average at 44.3 percent, so that's not the problem here. The last inspection was in June 2025.