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

Nurse hours

2.57 /day

Staff turnover

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Serious cites

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Pecan Tree runs on 2.57 nursing hours per resident day, roughly a third below the national average of 3.86, and weekends drop about 23% below what it manages on weekdays. That thin coverage sits behind a one-star staffing rating, and the inspection record is heavier still: 30 deficiencies, two of them serious enough to put residents in harm's way, plus two tied to abuse. The last full inspection was February 2026, so the findings are recent, not stale. Cooke County Hospital District owns the place, which means public ownership here hasn't translated into public accountability on care. One fine totaling $16,595 rounds out the record. If you're considering this home, ask directly how they staff weekends and what changed after those abuse citations.

Nurse hours

3.25 /day

Staff turnover

64%

Serious cites

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Avir At Portland runs 97 certified beds under corporate ownership, and the staffing numbers are the first thing a family should sit with. Nurses provide 3.25 hours of care per resident each day, roughly 16 percent under the national average, and weekend coverage drops about another 10 percent below the home's own weekday level. Annual turnover hits 63.9 percent, well above the 45.8 percent national figure, which means the people caring for your relative are likely to change often. The inspection record shows 29 deficiencies, including three at the harm or jeopardy level and one tied to abuse, with $119,462 in fines across two penalties. The most recent inspection was September 2025.

Nurse hours

2.95 /day

Staff turnover

97%

Serious cites

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Kerens Care Center runs on 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday levels. The bigger issue is turnover: 97.3% of staff leave annually, against a national average of 45.8%, which means the people caring for your family member are, more often than not, brand new. Fifteen deficiencies sit on the current record, two serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection was April 2025, so the picture is fairly current. Corporate-owned, 70 beds, and staffing is where the trouble concentrates.

Nurse hours

3.08 /day

Staff turnover

72%

Serious cites

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Five Points of Pflugerville runs on 3.08 nurse hours per resident per day, roughly a fifth under the national average, and it leans harder on weekdays than weekends, weekend coverage drops another 12% below its own weekday level. Staff turnover sits at 71.6% against a national 45.8%, so nearly three in four caregivers left over the past year, which matters more when the staffing rating is 1 out of 5. The current inspection record carries 41 deficiencies, 8 of them at harm or jeopardy level and 2 abuse-related, with five fines totaling $59,449; the last survey was March 19, 2025. Quality measures score well, but that's the one bright spot.

Nurse hours

3.26 /day

Staff turnover

68%

Serious cites

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Avir At Cowhorn Creek runs 76 certified beds under hospital-district ownership, and the staffing numbers are where the trouble starts: 3.26 nurse hours per resident day against a national average of 3.86, with weekends running about 10 percent thinner than weekdays. Turnover sits at 68.2 percent, well above the 45.8 percent national figure, so residents see a lot of new faces. The inspection record shows 65 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with one $30,105 fine and a survey date of February 2026. Quality measures score mid-range, but staffing and inspections both land at one star, and that combination is what drives the grade down.

Nurse hours

3.53 /day

Staff turnover

67%

Serious cites

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Avir At Citizens Trail runs 114 certified beds under for-profit LLC ownership in Texarkana, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below the home's own weekday level, meaning coverage thins out exactly when families tend to visit. Annual turnover of 66.7% is well above the national 45.8%, so the people caring for residents keep changing. The current inspection record shows 52 deficiencies, including 7 at the harm or jeopardy level and 5 abuse-related, with two fines totaling $120,751 and the most recent inspection dated November 2025.

Nurse hours

3.36 /day

Staff turnover

88%

Serious cites

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University Rehabilitation Center runs 146 certified beds in Denton under for-profit limited liability ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits roughly 13% under the national average of 3.86, weekend coverage dips about 11% below its own weekday level, and annual turnover of 88.2% means most of the people caring for residents are new to the building, nearly double the national rate of 45.8%. The inspection record backs that up: 38 deficiencies, five of them serious enough to put residents in harm's way, one tied to abuse, plus two fines totaling $33,117. A 1-out-of-5 staffing rating and 2-out-of-5 on inspections tell the story plainly.

Nurse hours

3.37 /day

Staff turnover

54%

Serious cites

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Legacy At Town Creek runs 199 certified beds in Palestine under hospital district ownership, and the numbers raise real questions. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, with weekends about 9 percent thinner than weekdays, meaning your family member gets the least coverage exactly when other help is hardest to find. Staff turnover is 53.8 percent against a national 45.8, so caregivers cycle through quickly. On top of that, the current record shows 38 deficiencies, including 5 at harm or jeopardy level and 5 tied to abuse, with $294,608 in fines. The last inspection was August 2025. Ask about weekend coverage and turnover directly before deciding.

Nurse hours

3.71 /day

Staff turnover

64%

Serious cites

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Corrigan LTC Nursing & Rehabilitation runs 86 certified beds under a hospital district, and the numbers on record are worth a careful look. Nurse staffing sits at 3.71 hours per resident day, a bit under the national average, and it dips further on weekends, roughly 10% below the home's own weekday level. Staff turnover is the bigger concern: 63.6% annually against a national average of 45.8%, meaning a large share of the people caring for residents are relatively new. The inspection record shows 30 deficiencies, four at harm or jeopardy level and seven abuse-related, with $91,839 in fines across four events. The most recent inspection was September 2025, so the picture is current.

Nurse hours

3.19 /day

Staff turnover

66%

Serious cites

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Cimarron Place runs on thin staffing. At 3.19 nurse hours per resident per day, it sits about 17% under the national average, and weekends drop roughly another 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 65.6% against a 45.8% national average means aides and nurses cycle through quickly, which matters for anyone who needs consistent hands-on care. The inspection history is mixed: a recent June 2025 survey and a four-star health inspection rating, but 19 deficiencies on record including one at the harm level and one abuse-related, plus two fines totaling $19,143. Limited liability ownership, 120 beds. Worth asking about weekend coverage and how long direct-care staff typically stay.

Nurse hours

3.26 /day

Staff turnover

93%

Serious cites

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Silver Tree runs on 3.26 nursing hours per resident day, about sixteen percent under the national average, and weekend coverage dips another seven percent below its own weekday level. The number that stands out most is turnover: 93.3 percent of staff left over the past year, against a national rate of 45.8 percent, that's roughly a full replacement of the workforce annually, which makes consistent care hard to build. The record shows 60 deficiencies, four at harm or jeopardy level and two tied to abuse, plus three fines totaling $113,981. Ownership is a hospital district, and the last inspection was June 2026.

Nurse hours

3.40 /day

Staff turnover

73%

Serious cites

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Kingwood Rehabilitation runs 194 beds under hospital district ownership, and the numbers that stand out are staffing and inspection history. Nurses provide 3.40 hours per resident day, about 12% under the national average, and weekends drop roughly 15% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 72.8%, well above the 45.8% national figure, which means the people caring for residents are often new to the building. The current inspection record carries 29 deficiencies, seven involving harm or jeopardy and three tied to abuse, plus a $72,573 fine. The most recent inspection was June 2025.

Nurse hours

3.01 /day

Staff turnover

47%

Serious cites

0

Focused Care At Cedar Bayou carries 23 deficiencies on its current record, and 9 of those reached harm or jeopardy level, one tied to abuse. That's the kind of inspection history that put this for-profit, limited-liability home into CMS's Special Focus Facility program, a designation reserved for the homes regulators watch most closely. The health inspection rating sits at 1 out of 5, and the last full look came in February 2024. Staffing tells its own story: 3.01 nurse hours per resident day, about 22% under the national average, with weekends running roughly 7% thinner than weekdays. Turnover is 47.2%, slightly above the national 45.8%. Four fines total $99,485. The 4/5 quality measure rating reflects resident assessments, but it doesn't offset what inspections and staffing show.

Nurse hours

3.21 /day

Staff turnover

56%

Serious cites

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College Park Rehabilitation and Care Center runs on 3.21 nurse hours per resident per day, roughly 17% under the national average, and weekends drop about 12% below what the home staffs on weekdays. That thin coverage shows up in the numbers: a 1-out-of-5 staffing rating, 56% annual turnover against a national 45.8%, and 15 deficiencies on the current record, two at the harm or jeopardy level, one abuse-related, plus a $38,675 fine. The last inspection was March 27, 2025. Corporate for-profit ownership, 120 certified beds. Inspections and quality measures each sit at 3 out of 5, so the weaker picture here isn't about care outcomes on paper; it's about whether enough consistent hands are there day to day.

Nurse hours

2.40 /day

Staff turnover

57%

Serious cites

0

Avir At Bandera runs on about 2.40 nurse staffing hours per resident day, roughly 38 percent under the national average of 3.86, and weekend coverage drops about 10 percent below its own weekday level. That thin staffing shows up in a 56.7 percent annual turnover rate, well above the 45.8 percent national figure, and in CMS's staffing rating of one star out of five even as its quality measure score sits at four. The inspection record is the harder problem: 20 deficiencies, two at harm or jeopardy level, one abuse-related, plus $100,293 in fines across two penalties. A for-profit corporation operates the 118-bed home. Two stars on health inspections, and that May 2026 inspection is recent.

Nurse hours

3.03 /day

Staff turnover

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Serious cites

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Ganado Nursing and Rehabilitation Center runs on 3.03 nurse staffing hours per resident day, about 21 percent under the national average of 3.86, and weekends drop roughly another 20 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $8,422. State inspectors were last in on February 25, 2026, and the federal ratings land at one star for staffing, two for quality measures, and three for health inspections. It's a 91-bed for-profit corporation, and the staffing number is the one worth asking about directly.

Nurse hours

3.09 /day

Staff turnover

69%

Serious cites

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Fort Worth Transitional Care Center runs on 3.09 nurse hours per resident day, roughly a fifth less than the national average, and weekend coverage drops about 14% below its own weekday level, so the thinnest staffing lands when families tend to visit. Annual turnover sits at 68.8% against a 45.8% national figure, meaning most of the people caring for your relative are relatively new to the building. The inspection record is the harder problem: 49 deficiencies, four at harm or jeopardy level and three tied to abuse, plus $64,771 in fines, with the most recent inspection dated April 2026. It's a hospital-district facility, and the quality measures score well, but the staffing and inspection numbers don't.

Nurse hours

2.97 /day

Staff turnover

61%

Serious cites

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Avir At Orem runs lean on nursing staff, 2.97 hours per resident day against a national average of 3.86, with weekends about 11% thinner than weekdays. That gap shows up in the numbers: 61% annual turnover, well above the 45.8% national figure, and a staffing rating of 2 out of 5. The inspection record isn't clean either, with 21 deficiencies including one at the harm level and one abuse-related, and a $34,418 fine. The 4/5 health inspection rating and recent April 2025 survey suggest the home was in decent shape at its last look, and ownership changed within the past year, worth asking what that transition has meant for day-to-day care.

Nurse hours

3.26 /day

Staff turnover

43%

Serious cites

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The numbers at West Houston Rehabilitation don't leave much room for interpretation. Nurse staffing sits at 3.26 hours per resident day against a national average of 3.86, and it thins out further on weekends, dropping roughly 15% below the home's own weekday level, so the stretch when families often visit is when coverage is lightest. On the inspection side, the record shows 30 deficiencies, including 7 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling just over $205,000 and a survey as recent as January 2025. Staff turnover, at 43.1%, is actually a touch better than the national rate, which suggests the problems here aren't mainly about keeping people, they're about how the place is run.

Nurse hours

2.99 /day

Staff turnover

93%

Serious cites

0

The Premier Snf Of Alice runs on thin staffing, 2.99 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 15% below its own weekday level. That's the number that matters most here, because 92.5% annual turnover means the people providing that care are constantly being replaced. The 14 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, which is a real distinction, and the last inspection was recent. Corporate ownership and a one-star CMS staffing rating sit alongside a four-star inspection rating. Families weighing this home should ask directly how many CNAs are on the floor on a Saturday night.