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

Nurse hours

4.82 /day

Staff turnover

24%

Serious cites

0

Rosewood Health Facility runs on unusually strong staffing for a 79-bed nonprofit home in Bakersfield, 4.82 nurse hours per resident day, roughly a quarter above the national average, and weekend coverage only dips about 9% below weekdays. Turnover sits at 24.1%, well under the national 45.8%, which matters because consistent caregivers know the residents. The catch is the inspection record: 47 deficiencies, including one at the harm level and one abuse-related, plus a single $8,278 fine. That mix, excellent staffing and quality scores against a long, sometimes serious deficiency history, is why this lands at a solid B rather than higher.

Nurse hours

4.71 /day

Staff turnover

27%

Serious cites

0

Ararat Convalescent Hospital runs a tight, well-staffed ship for a 42-bed nonprofit home in Los Angeles. Nurse staffing sits at 4.71 hours per resident day, roughly 22% above the national average, and only about 27% of staff turned over last year against a national rate near 46%, which matters because consistent caregivers know their residents. The catch is the inspection record: 36 deficiencies, including one at the harm level and one tied to abuse, with a single $10,039 fine. Weekend staffing also dips about 11% below weekday levels, so care can thin out when families visit. Strong bedside numbers, uneven oversight history.

Nurse hours

4.36 /day

Staff turnover

30%

Serious cites

0

Fair Oaks Healthcare Center runs on a genuinely strong staffing model, 4.36 nurse hours per resident day, roughly 13% above the national average, with weekend coverage dipping only modestly below weekdays. Turnover sits at 30.4%, well under the 45.8% national rate, which matters for consistency of care. The trouble is the inspection record: 57 deficiencies, including 2 at the harm level and 4 tied to abuse, with a health inspection rating of just 2 out of 5. Fines are modest at $8,990, and the most recent inspection was February 2026. Strong staffing and quality scores are pulling against a thin inspection history at this for-profit, limited-liability operation.

Nurse hours

3.83 /day

Staff turnover

26%

Serious cites

0

Boulder Creek Post Acute runs 149 beds in Poway under for-profit LLC ownership, and its numbers tell a mixed story worth sorting through. Nurse staffing sits at 3.83 hours per resident day, just under the national average, and weekends dip about 4% below weekdays, so coverage gets thinnest exactly when families tend to visit. The standout figure is turnover: 26.4% against a national average of 45.8%, meaning this building keeps its caregivers far longer than most. Inspections landed at a 3 out of 5, with 59 deficiencies on record, none at harm or jeopardy level but one tied to abuse. The last full inspection was February 2025, so the picture is reasonably current. Strong retention and quality scores are doing real work here; the deficiency count is the counterweight.

Nurse hours

4.05 /day

Staff turnover

33%

Serious cites

0

Villa Rancho Bernardo runs a 299-bed for-profit operation, and the numbers behind its grade are mostly about staffing consistency. Nurse coverage sits at 4.05 hours per resident day, roughly 5% above the national average, and weekends dip only about 6% below weekdays, a smaller drop than many homes show. Staff turnover is 33.3%, well under the 45.8% national figure, which matters for residents who need familiar faces. The tradeoff is a long deficiency record: 37 citations, including 2 tied to abuse, though none rose to harm or jeopardy level. The last inspection was November 2024.

Nurse hours

4.21 /day

Staff turnover

41%

Serious cites

0

Monterey Palms runs about 4.21 nurse hours per resident per day, roughly 9% above the national average, and its staff turnover of 41% sits a little below the national figure of 45.8%. The trade-off shows up on weekends, when staffing drops about 7% below its own weekday level. Its inspection record carries 30 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was January 31, 2025. This is a for-profit limited liability company with 99 certified beds. The staffing and quality measure ratings both land at 4 and 5 out of 5, which is what's carrying the score despite the deficiency count.

Nurse hours

3.95 /day

Staff turnover

17%

Serious cites

0

Mission De La Casa runs on a relatively steady workforce: 16.7% annual turnover against a national average of 45.8%, and nurse staffing at 3.95 hours per resident day, slightly above the national figure of 3.86. Weekend coverage dips about 8% below its own weekday level, but the bigger issue sits on the inspection side. The current record carries 35 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $51,753 fine and a one-star health inspection rating from CMS. Quality and staffing measures both score five stars, and the most recent inspection was August 2025. Strong daily care numbers are real, but the enforcement history is what a family should ask about directly.

Nurse hours

4.81 /day

Staff turnover

31%

Serious cites

0

Royal Oaks Manor-Bradbury Oaks runs on a small 48-bed nonprofit campus, and its staffing is the headline: 4.81 nurse hours per resident day, roughly a quarter more than the national average, with a 5/5 staffing rating to match. Turnover sits at 30.8% against a 45.8% national figure, which suggests people stay. Weekends dip about 8% below weekday coverage, so ask how that plays out on a Sunday. The caution is inspection history: 42 deficiencies on record, two of them at harm or jeopardy level, and a 3/5 inspection rating despite a January 2026 survey.

Nurse hours

3.79 /day

Staff turnover

42%

Serious cites

0

Heritage Park runs lean on direct care: 3.79 nurse hours per resident per day sits just under the national average of 3.86, and weekends drop roughly 13% below its own weekday coverage. Turnover at 42% is better than the 45.8% national figure, which matters for continuity. The inspection history is the harder read, 21 deficiencies on record, including one at the harm level and five tied to abuse. Its most recent inspection was June 2025, so that record is current, not stale.

Nurse hours

4.48 /day

Staff turnover

21%

Serious cites

0

Arroyo Grande Care Center sits in a county with plenty of options, and its numbers hold up well against them. Nurse staffing runs 4.48 hours per resident day, comfortably above the national mark, and the weekend dip is modest enough that care doesn't appear to fall off a cliff every Saturday. Ten deficiencies on record with none at harm or jeopardy level and nothing abuse-related, plus a clean five-star inspection rating and a survey from July 2025, suggest a home that stays on top of its obligations. Staff turnover of 21% is less than half the national rate, which matters more than any single score when you're thinking about who will actually be there month to month.

Nurse hours

4.16 /day

Staff turnover

20%

Serious cites

0

Whittier Nursing and Wellness Center is a 36-bed for-profit in Whittier, and the staffing numbers are the first thing that stands out: 4.16 nurse hours per resident per day, roughly 8% above the national average, and weekend staffing holds steady rather than dropping off. Staff turnover sits at 20% against a national average near 46%, which matters more than almost anything else for whether care stays consistent. The tradeoff is in the inspection record, 29 deficiencies, one serious enough to involve harm or jeopardy, and a $13,627 fine. Inspectors were last there in December 2025, so the record is current. Small home, steady hands on staff, but a deficiency count worth asking about directly.

Nurse hours

3.84 /day

Staff turnover

32%

Serious cites

0

Camden Postacute Care runs 60 beds in Campbell under for-profit LLC ownership, and its nursing hours sit right at the national average, 3.84 per resident day, with weekends dipping only about 3% below weekdays, which is a smaller drop-off than many homes show. The standout number is turnover: 31.6% versus a national average of 45.8%, meaning far fewer aides and nurses are walking out the door each year. On the record side, 41 deficiencies sounds like a lot until you see none reached harm or jeopardy level, though two were abuse-related. State inspectors were last in on May 16, 2025. Quality measures score well; staffing and inspections land in the middle.

Nurse hours

8.71 /day

Staff turnover

5%

Serious cites

0

Sherman Oaks Hospital Snf Dp runs 22 certified beds under corporate for-profit ownership, and its nurse staffing sits at 8.71 hours per resident day, more than double the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, but that's a minor wobble against a turnover rate of 4.5%, which is dramatically lower than the national 45.8% and suggests a stable crew rather than a revolving door. The tradeoff shows up in its record: 33 deficiencies, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A recent April 2025 inspection and solid marks on quality measures round out a home that's clearly well-staffed but not spotless on compliance.

Nurse hours

4.65 /day

Staff turnover

31%

Serious cites

0

Arrowhead Healthcare Center runs 58 certified beds in San Bernardino under for-profit LLC ownership. Nurse staffing sits at 4.65 hours per resident day, roughly 20% above the national average, though weekends drop about 14% below the home's own weekday levels. Staff turnover is 30.6%, lower than the 45.8% national figure, which matters for consistency of care. The current record shows 23 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was April 2026. All three CMS star categories, health inspections, quality measures, and staffing, land at 4 out of 5. The picture is a smaller home with solid staffing and a clean harm record.

Nurse hours

8.73 /day

Staff turnover

12%

Serious cites

0

O'Connor Hospital's skilled nursing unit is small, 24 beds, and county-run, which tends to mean steadier staffing than the for-profit average, and the numbers bear that out. Nurse staffing sits at 8.73 hours per resident day, well over twice the national figure, and weekend coverage only dips about 10% below weekdays instead of falling off a cliff. Staff turnover is 11.5% against a national 45.8%, so the people caring for residents largely stay put. The tradeoff is paperwork: 23 deficiencies on the current record, though none rose to harm or jeopardy and none involved abuse, and the last inspection was recent, in August 2025.

Nurse hours

10.60 /day

Staff turnover

29%

Serious cites

0

Pih Health Good Samaritan's skilled nursing unit runs on unusually heavy staffing, 10.60 nurse hours per resident day, roughly two and a half times the national figure. Weekend coverage dips about 11% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 29.3%, better than the 45.8% national average, and the last inspection was recent, in December 2025. The inspection record shows 22 deficiencies with none at the harm level, though one is abuse-related, and the quality measure score is weaker than the staffing and inspection scores. Nonprofit ownership, 28 beds.

Nurse hours

5.19 /day

Staff turnover

40%

Serious cites

0

Shinnery Oaks runs on nurse staffing of 5.19 hours per resident day, about a third more than the national average, and it shows in the metrics: five stars for staffing, five for health inspections, four for quality measures. Weekend coverage dips only modestly below weekdays, so care doesn't thin out as much as it does at many homes. Staff turnover sits at 39.7%, better than the national figure, which matters for whether residents see the same faces. The caution is in the record: ten deficiencies, one serious enough to involve harm or jeopardy, and a $26,120 fine. County-owned, sixty beds, inspected as recently as December 2025.

Nurse hours

5.71 /day

Staff turnover

33%

Serious cites

0

The Legacy Midtown Park in Dallas runs a tight ship on the things that matter most: 5.71 nurse staffing hours per resident day, roughly half again the national average, with weekend coverage dipping only about 9% below weekdays. Staff turnover sits at 33.3% against a national 45.8%, so the people caring for residents tend to stay. Inspections back that up, the most recent, in September 2025, produced six deficiencies, none at harm or jeopardy level, though one was abuse-related. Four fines totaling $27,523 have accumulated on the record. As a nonprofit with 54 beds, it's small enough that problems don't hide easily, and the inspection history suggests few serious ones have.

Nurse hours

3.84 /day

Staff turnover

27%

Serious cites

0

Woodhaven Manor runs on a steady, well-staffed floor: 3.84 nurse hours per resident day sits essentially even with the national average of 3.86, and weekend coverage drops about 24% below its own weekday level, which is worth asking about since that's when families often visit. Turnover at 27.3% is dramatically better than the 45.8% national average, so the people caring for residents tend to stick around. The current record shows a single deficiency, none at harm level, none abuse-related, and the most recent inspection was March 2022, over three years ago as of today, which means that clean record is somewhat dated. A for-profit corporation owns the 75-bed home.

Nurse hours

4.27 /day

Staff turnover

32%

Serious cites

0

Ozark Health runs a nonprofit home in Clinton with 118 certified beds, and the numbers behind it hold up. Nurse staffing sits at 4.27 hours per resident day, about 11% above the national average, and the 31.9% turnover rate is well below the 45.8% national figure, a sign people stay. Weekend staffing drops roughly 18% from weekday levels, so coverage thins out on Saturdays and Sundays. The home has 13 deficiencies on its current record, none rising to harm or jeopardy, though two are abuse-related, which is worth asking about directly. Its last inspection was April 17, 2025, and it earned 4 out of 5 stars on health inspections, quality measures, and staffing.