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

Nurse hours

2.91 /day

Staff turnover

67%

Serious cites

0

Four Corners Regional Care Center runs on 2.91 nursing hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 12% below what it manages on weekdays. With 67.4% of staff turning over each year, well above the 45.8% national figure, that thin coverage is coming from a constantly changing workforce. The county runs the place, and its inspection record shows 26 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $68,471. The last inspection was in January 2025, so the record is current. Quality scores look decent, but staffing is where the risk sits.

Nurse hours

2.99 /day

Staff turnover

82%

Serious cites

0

Oakhurst runs on about 3 hours of nursing care per resident per day, roughly a quarter below the national average, and it gets thinner on weekends. That shows up in the staffing star rating, which sits at the lowest tier. The bigger red flag is turnover: more than eight in ten staff left over the past year, against a national rate nearer 46%. Inspections produced 60 deficiencies, including nine tied to abuse and four serious enough to put residents in harm's way. State regulators fined the home once, for $18,590. The last inspection was in February 2024. If you're considering this one, ask how they're keeping consistent caregivers on the floor.

Nurse hours

3.00 /day

Staff turnover

64%

Serious cites

0

Pocahontas Center runs on 3.00 nurse staffing hours per resident per day, roughly 22% under the national average of 3.86, and weekends drop about 14% below its own weekday level. Annual turnover sits at 63.8% against a national 45.8%. The inspection record shows 55 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, with three fines totaling $193,892. A 4/5 quality measure score stands out against a 1/5 staffing rating and 1/5 inspection rating, the quality number reflects resident assessments, not the hands available to deliver care. For-profit corporate ownership. Last inspection: November 5, 2025.

Nurse hours

3.85 /day

Staff turnover

67%

Serious cites

0

Madison Health and Rehabilitation Center runs 83 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends drop about 12% below its own weekday coverage. The bigger concern is retention: annual turnover hits 66.7% against a national 45.8%, meaning nearly seven in ten staff left within the year. CMS has cited 57 deficiencies, nine at harm or jeopardy level and two tied to abuse, with four fines totaling $289,198. Federal regulators have placed the home in the Special Focus Facility program, reserved for the most persistently troubled nursing homes.

Nurse hours

— /day

Staff turnover

64%

Serious cites

0

Montello Care Center has real staffing depth, 4.71 nurse hours per resident day, about 22% above the national average, but that's roughly where the good news ends. The home carries 67 deficiencies on its current record, including 4 at the harm or jeopardy level and 16 tied to abuse, and CMS has fined it three times for a total of $163,039. Staff turnover sits at 64% against a national average near 46%, and weekend coverage drops about 10% below weekday levels, so the hours on paper may not hold steady when families visit. A one-star health inspection rating and a December 2025 inspection round out the picture.

Nurse hours

3.47 /day

Staff turnover

63%

Serious cites

0

Sabine Heights runs on thin staffing: 3.47 nurse hours per resident day, about 10% under the national average, and weekends drop roughly 9% below its own weekday levels. Turnover sits at 63.1% against a 45.8% national figure, meaning most of the people caring for residents are still learning the building. The current inspection record shows 42 deficiencies, including 10 at the harm or jeopardy level and 2 tied to abuse, with six fines totaling $287,581. This is a 150-bed for-profit corporate home whose last inspection was January 7, 2026, and whose CMS staffing and health inspection ratings both sit at one star out of five.

Nurse hours

3.29 /day

Staff turnover

94%

Serious cites

0

Pine Tree Lodge runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 93.8%, more than double the national figure, which means the aide who knows your mother's routine this month may be gone the next. The current record carries 43 deficiencies, four of them serious enough to endanger residents, plus $244,330 in fines. The hospital district that owns it isn't chasing profit, but that hasn't translated into stable hands-on care.

Nurse hours

3.05 /day

Staff turnover

96%

Serious cites

0

North Park runs 140 certified beds in McKinney under corporate ownership, and its most recent inspection in June 2025 found 13 deficiencies, none of them causing harm or tied to abuse, which matters. But look at the workforce: 3.05 nursing hours per resident per day, about a fifth below the national average, with weekends even thinner. Turnover sits at 95.6%, more than double the national rate, meaning the staff caring for residents turns over almost completely each year. The 5-star health inspection rating reflects that clean survey, but a 1-star quality measure score and 1-star staffing suggest the day-to-day care is stretched. Families should ask directly how the home keeps consistent caregivers on weekends and evenings.

Nurse hours

3.06 /day

Staff turnover

65%

Serious cites

0

Wharton Nursing and Rehabilitation Center runs on 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 14% below its own weekday level. That thin margin shows up in the numbers: 18 deficiencies on the current record, four serious enough to put residents in harm's way, one tied to abuse, and two fines totaling $62,525. Staff turnover sits at 65.3% against a national 45.8%, which means the aides and nurses who know your mother's routines are leaving faster than replacements learn them. The hospital district ownership doesn't change what the staffing data says. The last inspection was May 28, 2026.

Nurse hours

3.39 /day

Staff turnover

62%

Serious cites

0

Paradigm At Westbury runs 148 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits roughly 12% under the national average, weekends dip about 9% below its own weekday levels, and annual turnover hits 61.5% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 42 deficiencies, 7 of them serious enough to involve harm or jeopardy, plus four fines totaling $136,414. A recent May 2026 inspection means the record is current, and what it shows is a home where quality scores look decent but the people doing the daily work keep leaving.

Nurse hours

2.74 /day

Staff turnover

93%

Serious cites

0

The Hills runs lean on nursing care: 2.74 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday level. That thin coverage shows up in the numbers CMS tracks, a one-out-of-five staffing rating, 18 deficiencies on the current record including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $29,325. Annual turnover sits at 93.2%, more than double the national rate, meaning the aides and nurses at the bedside are constantly new. The most recent inspection is dated February 26, 2026, so the record is current, not stale. Ownership is a for-profit limited liability company. Decatur families weighing this one should ask directly how the home covers weekend shifts.

Nurse hours

3.39 /day

Staff turnover

95%

Serious cites

0

Huntington Health Care & Rehabilitation Center runs 112 certified beds under for-profit partnership ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 8% below the home's own weekday level, so coverage thins exactly when families tend to visit. The bigger number is turnover: 94.8% annually against a national average of 45.8%, meaning most of the staff you meet this year likely won't be there next year. The current record shows 40 deficiencies, none at harm or jeopardy level but one abuse-related, with the last inspection in July 2025. Federal stars land at 3 for health inspections, 2 for staffing, and 1 for quality measures.

Nurse hours

3.06 /day

Staff turnover

71%

Serious cites

0

Decatur Medical Lodge runs on 3.06 nurse hours per resident day, about a fifth below the national average, and weekends dip roughly 13% under its own weekday pace. Staff turnover sits at 71.3% against a 45.8% national figure, so the people caring for residents are leaving faster than they can be replaced. Inspections have logged 29 deficiencies, including one at the harm level and two tied to abuse, with a $14,518 fine on record. The last inspection was April 2026. For-profit ownership through a limited liability company rounds out the picture. Worth asking direct questions about weekend coverage and how quickly shifts get filled.

Nurse hours

3.25 /day

Staff turnover

95%

Serious cites

0

The Atrium of Bellmead runs on 3.25 nursing hours per resident day, roughly 16% under the national average, and weekends drop about 14% below its own weekday numbers. Staff turnover is the number that should stop you: 95.3% a year against a national average of 45.8%, meaning the aides and nurses at the bedside are largely new faces. Inspections look strong on paper, a recent February 2026 survey and no deficiencies at the harm level, but six deficiencies are on record, two of them abuse-related, and the government's own staffing rating lands at the bottom. Government hospital district ownership doesn't change any of that arithmetic.

Nurse hours

3.63 /day

Staff turnover

97%

Serious cites

0

St. Teresa runs on thin staffing, and the numbers show it: 3.63 nurse hours per resident day against a national average of 3.86, with weekends dropping about 11% below its own weekday coverage. That's roughly 97% of staff turning over each year, more than double the national rate, which means caregivers are constantly new to residents who need consistency. The inspection record carries 75 deficiencies, including two at the harm level and seven tied to abuse, with $20,730 in fines. Federal inspectors last visited in September 2025. For-profit individual ownership, 124 beds, and a staffing star rating of 1 out of 5 round out a picture worth weighing carefully against other El Paso options.

Nurse hours

3.82 /day

Staff turnover

62%

Serious cites

0

Ignite Medical Resort Sugar Land runs 90 certified beds and reports 13 deficiencies on its current record, three of them serious enough to involve actual harm or jeopardy. Fines total $155,401 across eight separate penalties, which tells you the problems aren't isolated incidents. Staffing sits slightly under the national average at 3.82 hours per resident day, but the bigger issue is turnover: 62.2% of staff leave each year, well above the 45.8% national rate, and weekend coverage dips below what the home manages on weekdays. The most recent inspection came in December 2025. High turnover with thin weekend staffing is where quality problems tend to surface.

Nurse hours

3.12 /day

Staff turnover

95%

Serious cites

0

La Hacienda De Paz is a 104-bed hospital-district home in Eagle Pass, and the numbers that stand out most are about who's there to care for residents. Nurse staffing runs 3.12 hours per resident day, roughly 19 percent under the national average, and weekends drop about 12 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 95.1 percent against a national 45.8 percent, meaning the aides and nurses you meet may not be there in six months. The inspection record shows 24 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $14,069 fine. Ownership is government, through a hospital district.

Nurse hours

3.60 /day

Staff turnover

60%

Serious cites

0

Avir At Lindale runs on thinner nursing coverage than most homes nationally, 3.60 nurse hours per resident day against a 3.86 average, and weekends dip about 8% below its own weekday level, so the thinnest shifts come when families often visit. Staff turnover sits at 60%, well above the 45.8% national figure, meaning many of the people caring for residents are still new to the building. The inspection record is the sharper concern: 34 deficiencies, 8 of them at harm or jeopardy level and 3 abuse-related, with five fines totaling $754,374 and a February 2026 inspection. Government hospital-district ownership hasn't shielded it from any of that.

Nurse hours

3.34 /day

Staff turnover

58%

Serious cites

0

Savannah Post Acute runs 3.34 nurse hours per resident day, roughly 14% under the national average, and weekends dip about 16% below its own weekday numbers, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 57.6% against a 45.8% national average, meaning more than half the nursing staff turns over in a year. The current record shows 37 deficiencies, none at harm or jeopardy level but three tied to abuse. Inspectors were last on site in May 2025. If you're weighing this one, ask how weekend coverage is actually scheduled and what the abuse-related citations involved.

Nurse hours

3.17 /day

Staff turnover

46%

Serious cites

0

Riverview runs about 284 beds in Savannah, and the numbers show a building stretched thin. Nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average, and weekends drop another 15 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. That shows up in the inspection record: 27 deficiencies, five serious enough to put residents in harm's way, three tied to abuse, and a $92,794 fine. Staff turnover at 45.7 percent is essentially the national rate, so this isn't a retention crisis; it's a coverage one. The most recent inspection was March 2026.