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

Nurse hours

3.10 /day

Staff turnover

58%

Serious cites

0

Booker T. Washington Skilled Nursing and Rehab runs about 3.10 nurse hours per resident each day, roughly a fifth below the national average of 3.86, and weekends dip another 9% below its own weekday pace. That thin coverage shows up in the staffing star rating and in turnover: 57.6% of staff left over the past year, against a national average near 46%. The good news sits in the inspection record, 18 deficiencies on file, none at harm or jeopardy level, none abuse-related, and a survey as recent as April 2025. So the care environment itself hasn't drawn serious citations; the question this home raises is whether the people on shift have enough time.

Nurse hours

3.12 /day

Staff turnover

42%

Serious cites

0

Berlin Nursing and Rehabilitation Center runs 165 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the harder problem: 71 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $237,402. Turnover at 41.8% is slightly better than the 45.8% national figure, which is the one number here that isn't working against it. The most recent inspection was July 2025, so the record is current.

Nurse hours

3.42 /day

Staff turnover

50%

Serious cites

0

Fall River Healthcare runs 176 certified beds under for-profit LLC ownership, and the staffing numbers tell a story worth pausing on. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends dip roughly 9% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 49.7% tops the national figure, meaning the people providing care are frequently new. The inspection record is the harder part: 52 deficiencies, 10 at harm or jeopardy level, 7 tied to abuse, and four fines totaling $385,062. The most recent inspection was December 2025.

Nurse hours

3.18 /day

Staff turnover

63%

Serious cites

0

Coastal Health and Rehabilitation Center runs 180 certified beds in Gulfport under for-profit LLC ownership, and the numbers behind its federal record deserve a close look. Nurse staffing sits at 3.18 hours per resident day against a national average of 3.86, and weekends run about a tenth thinner than weekdays, so coverage is stretched exactly when families tend to visit. Turnover compounds that: 63.2% of staff leaving annually, well above the 45.8% national figure. The inspection record is heavier still, 42 deficiencies, seven at harm or jeopardy level, three tied to abuse, plus five fines totaling $76,258. A 1-out-of-5 inspection rating and a recent August 2025 survey mean the problems aren't historical. Ask hard questions before considering this one.

Nurse hours

3.12 /day

Staff turnover

63%

Serious cites

0

Lebanon North runs 180 beds under individual for-profit ownership, and the staffing numbers are the first thing I'd want you to see: 3.12 nurse hours per resident day, roughly 19% under the national average, with weekends dipping about 13% below its own weekday level. That thin coverage shows up in the inspection record too, 62 deficiencies, nine of them serious enough to put residents in harm's way, nine tied to abuse, and a $24,801 fine. Staff turnover of 62.5% is well above the 45.8% national figure, so the people caring for residents are often new. The last inspection was May 2024. Before you consider this one, ask the administrator what's changed since then.

Nurse hours

2.72 /day

Staff turnover

60%

Serious cites

0

Belleview Valley runs on 2.72 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even further below its own weekday staffing. That thin coverage sits alongside a 60.3% annual turnover rate, well above the 45.8% national figure, so the people providing care change often. The inspection record is the harder part: 74 deficiencies, including 8 at the harm or jeopardy level and 8 tied to abuse, plus three CMS fines totaling $260,352. CMS has placed the home in its Special Focus Facility program, which is reserved for the most persistently troubled homes. The most recent inspection was December 8, 2025.

Nurse hours

3.49 /day

Staff turnover

93%

Serious cites

0

Maywood Terrace runs on thinner staffing than most homes, about 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 9% below what the building manages on weekdays. The turnover number is the one that should stop you: 92.6% of staff leaving annually, when the typical U.S. nursing home sits near 45.8%. That kind of churn usually means caregivers who know your mother's routine aren't there long enough to learn it. The inspection record backs up the concern: 54 deficiencies, including one at the harm level and one abuse-related, with a 2/5 inspection rating and 1/5 on both quality measures and staffing. It's for-profit, LLC-owned, last inspected July 2024.

Nurse hours

3.52 /day

Staff turnover

66%

Serious cites

0

River Crossing runs on thin staffing. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and the gap widens on weekends, roughly 11% below its own weekday level, which is when families tend to visit and notice. Annual turnover of 65.6% against a 45.8% national average means aides and nurses cycle through faster than residents can get used to them, and CMS rates staffing 1 out of 5. The record shows 30 deficiencies, none at harm level but one tied to abuse, with the most recent inspection in January 2025. For-profit, LLC-owned, 120 beds.

Nurse hours

2.78 /day

Staff turnover

64%

Serious cites

0

Seneca Nursing runs 80 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 2.78 nurse hours per resident day against a national average of 3.86, roughly 28% below. Weekend coverage dips another 7% under its own weekday level, and 63.8% of staff left over the past year compared with 45.8% nationally. The current record carries 36 deficiencies, nine of them abuse-related, though none rose to harm or jeopardy level. Inspectors last visited in January 2025, and CMS rated the home 2 out of 5 on health inspections, 1 on quality measures, 1 on staffing. For a family weighing this one, the thin direct-care hours and constant turnover are the things to ask about directly.

Nurse hours

3.01 /day

Staff turnover

69%

Serious cites

0

Oregon Care Center is a 60-bed for-profit in Holt County, and its numbers pull in two directions. The health inspection side looks solid, a four-star rating, an inspection just this past December, and no deficiencies at the harm or jeopardy level. But staffing is where it gets thin: 3.01 nurse hours per resident day against a national average of 3.86, weekends running about 5% below weekday levels, and annual turnover at 68.8% when the national figure is 45.8%. That churn matters more than almost anything else, because it decides whether the people caring for your family member know them or are meeting them for the first time. There are also two abuse-related deficiencies on the current record, worth asking about directly.

Nurse hours

3.27 /day

Staff turnover

67%

Serious cites

0

Armour Oaks is a 38-bed nonprofit home in Kansas City, and the staffing numbers are the first thing I'd ask about. At 3.27 nurse hours per resident day, it runs roughly 15% under the national average, and weekends drop about 9% below its own weekday levels. The bigger concern is turnover: two out of three caregivers left last year, against a national rate near 46%. Inspections in August 2025 turned up 35 deficiencies, including one at the harm level and four tied to abuse. Ownership is nonprofit, which sometimes signals stability, but the current record doesn't show it here. I'd ask direct questions about who's actually on the floor on Saturday.

Nurse hours

3.38 /day

Staff turnover

70%

Serious cites

0

Livingston Health & Rehabilitation Center runs 115 certified beds under corporate ownership, and the staffing numbers are where I'd start. At 3.38 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 3% below its own weekday levels. Turnover is the bigger red flag: 69.6% annually against a national average of 45.8% means more than two-thirds of the nursing staff leaves every year. The inspection record shows 37 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse. A single fine of $17,404 is on file, and the most recent inspection was June 2025.

Nurse hours

2.98 /day

Staff turnover

59%

Serious cites

0

Atrium Post Acute Care of Wayneview is a 170-bed for-profit in Wayne, and its inspection record is the strongest thing it has going: a four-star health inspection score with 14 deficiencies on file, none at the harm level, though one is abuse-related. The trouble sits elsewhere. Nurse staffing runs 2.98 hours per resident day, roughly 23 percent under the national average, and weekends drop about 14 percent below its own weekday levels. Annual turnover hits 59.1 percent against a national 45.8, meaning more than half the nursing staff leaves each year. Quality measures score 1 out of 5. The beds get checked; the people covering them keep changing.

Nurse hours

3.67 /day

Staff turnover

100%

Serious cites

0

The Grand Rehabilitation and Nursing at Batavia runs 62 beds under for-profit partnership ownership, and its staffing sits about 5% under the national average at 3.67 nurse hours per resident day. Weekends drop roughly 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Every nursing position turning over in a year, against a national average near 46%, means the people caring for residents keep changing. Its current record shows 18 deficiencies, none at harm or jeopardy level but one abuse-related, with the most recent inspection in February 2025. Quality measure scores come in at the bottom of CMS's scale.

Nurse hours

3.05 /day

Staff turnover

98%

Serious cites

0

Schaffer Extended Care Center runs about 3.05 nurse hours per resident each day, roughly a fifth below the national average, and weekend coverage drops further below its own weekday levels. Staff turnover sits at 97.8%, more than double the national figure, so the people around your family member are likely to change often. Its record carries 25 deficiencies, including one tied to abuse and one at the harm level, plus a fine, and the last inspection was in May 2025. All three CMS star ratings, inspections, quality measures, staffing, sit at the lowest possible.

Nurse hours

3.07 /day

Staff turnover

56%

Serious cites

0

Oneida Center runs 120 beds under corporate ownership, and its biggest problem shows up in the staffing numbers. At 3.07 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, weekends drop about 14% below its own weekday levels, and annual turnover hits 56.4% against a national 45.8%. Inspections tell a quieter story: 25 deficiencies on record, but none at the harm or jeopardy level and nothing abuse-related, with the last visit in December 2024. Quality measures look decent at 4 stars, though that can reflect charting as much as care. The daily experience here likely depends on how thin the floor gets.

Nurse hours

3.57 /day

Staff turnover

69%

Serious cites

0

Lenoir Health and Rehabilitation Center is a 120-bed for-profit in Caldwell County with a staffing picture that doesn't hold up. Nurses provide 3.57 hours per resident day, under the national average, and weekends run roughly 15% thinner than weekdays, so coverage dips right when families tend to visit. Annual turnover sits at 68.7%, well above the national 45.8%, which means the aides and nurses caring for residents are often new to the building. The inspection record is where the real weight is: 35 deficiencies, three at harm or jeopardy level, five tied to abuse, and four fines totaling $150,174. The most recent inspection was November 2025. Quality measures score well, but strong chart numbers don't offset thin weekend coverage and that deficiency history, worth asking about directly before you decide.

Nurse hours

3.37 /day

Staff turnover

67%

Serious cites

0

Mill Creek runs on 3.37 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip about 9 percent below its own weekday staffing. That thin coverage sits alongside a 66.7 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses caring for your family member are likely to change often. The current record carries 46 deficiencies, three of them serious enough to put residents at risk of harm, with two fines totaling $29,876. The most recent inspection was April 14, 2025. The for-profit LLC structure doesn't explain all of this, but combined with 1 out of 5 on health inspections, it's worth asking hard questions before moving anyone in.

Nurse hours

— /day

Staff turnover

67%

Serious cites

0

River Trace carries 31 deficiencies on its current record, four of them serious enough to involve actual harm or jeopardy and two tied to abuse. The health inspection rating sits at one star, and the staffing rating matches it, with 67.1% of staff turning over annually against a national average of 45.8%, that churn matters because it's hard to know your aide when the aide keeps changing. Two fines totaling $32,991 are on file, and the most recent inspection was August 2025. This is a 140-bed for-profit run by a corporation, and the quality measure rating, at two stars, is the strongest number here, which isn't saying much.

Nurse hours

3.13 /day

Staff turnover

56%

Serious cites

0

Peak Resources-Outer Banks runs 126 certified beds in Nags Head under corporate, for-profit ownership, and its inspection record is genuinely its strongest suit: a 4-out-of-5 health inspection rating, nine deficiencies on the current record with none reaching harm or jeopardy level, and a fresh inspection as of March 2025. The trouble sits in the day-to-day staffing and in the quality measures, where the home scores just 1 out of 5. Nurse staffing averages 3.13 hours per resident day, roughly 19% under the national figure of 3.86, weekend coverage dips about 8% below its own weekday level, and annual turnover hits 56.1% against a national 45.8%. Good inspections, thin staffing, that's the tradeoff to weigh.