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

Nurse hours

3.81 /day

Staff turnover

54%

Serious cites

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Lakeside Rehabilitation and Care Center is a 100-bed for-profit home in Coeur d'Alene, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but weekends run about 16% thinner than weekdays, and turnover hits 54.2% against a national 45.8%, meaning the people caring for your family member are both stretched and frequently changing. The inspection history is the bigger concern: 43 deficiencies on the current record, including 2 at harm or jeopardy level and 4 abuse-related, with $220,832 in fines. The last inspection was August 2025. Ownership is corporate, for profit. Ask hard questions before choosing this one.

Nurse hours

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Staff turnover

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St. Anthony's has been cited 56 times on its current record, and nine of those deficiencies put residents in immediate harm or jeopardy, seven involved abuse. The state fined the home four times, totaling $557,075, and the most recent inspection in February 2025 shows the problems are ongoing, not historical. On all three federal measures, health inspections, quality measures, and staffing, CMS scored the home 1 out of 5. It's a for-profit limited liability company with 130 certified beds. When a home carries this many harm-level and abuse citations alongside maximum fines, the pattern points to resident safety, not paperwork, as the core failure. Families considering placement here should ask the administrator directly what has changed since that February inspection.

Nurse hours

3.24 /day

Staff turnover

50%

Serious cites

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Elevate Care South Holland runs 171 certified beds, and the staffing numbers are the place to start. At 3.24 nurse hours per resident day, it sits about 16% under the national figure of 3.86, and weekends dip another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the nursing staff turned over in a year, above the 45.8% national rate. The inspection record carries 45 deficiencies, 10 of them at harm or jeopardy level and 2 involving abuse, with six fines totaling $240,240. The last state visit was December 13, 2024. For-profit, individually owned.

Nurse hours

3.68 /day

Staff turnover

48%

Serious cites

0

Fair City Health and Rehab runs 121 certified beds in Franklinton under for-profit LLC ownership, and the numbers behind its federal record are worth walking through. Nurse staffing sits at 3.68 hours per resident day against a national average of 3.86, and weekends drop roughly 20% below the home's own weekday coverage. Staff turnover hits 47.5%, slightly above the national rate, while the inspection history shows 26 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Three fines total $198,912, and the most recent inspection was March 18, 2026. If you're weighing this one for someone in your family, those are the facts to bring to a visit.

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Staff turnover

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Highland Place is a 227-bed for-profit home in Shreveport, and the federal record shows problems on every measure CMS tracks. Inspectors have logged 74 deficiencies, including six serious enough to cause harm or place residents in immediate jeopardy and four tied to abuse. Two fines totaling $294,723 have been assessed against the building. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the lowest possible score. The most recent inspection was in July 2025, so this isn't an old file; it reflects what surveyors found within the past year. When a home is this large and this consistently flagged, families should ask direct questions about staffing levels, who supervises residents overnight, and how complaints get handled.

Nurse hours

4.04 /day

Staff turnover

69%

Serious cites

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Overall nurse staffing at The Quarters At Des Peres runs 4.04 hours per resident day, a bit above the national average, but weekends drop about 15% below the home's own weekday levels, so coverage thins out when families tend to visit. Annual turnover hits 68.8% against a national 45.8%, meaning most of the people caring for your relative are likely new to the building. The inspection record is the harder problem: 83 deficiencies, 12 at harm or jeopardy level, two abuse-related, and four fines totaling $334,933, with a 1-out-of-5 health inspection rating.

Nurse hours

1.43 /day

Staff turnover

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Serious cites

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Clarkson Community Care Center runs on 1.43 nurse staffing hours per resident day, roughly 63% under the national average of 3.86, and weekends drop about 11% below its own weekday level. That thin coverage shows up in the numbers: 24 deficiencies on the current record, including three tied to abuse and one serious enough to reach harm or jeopardy, plus a $15,593 fine. The last inspection was September 3, 2025, so the record is recent. This is a small nonprofit home in Colfax County, but nonprofit status isn't protecting residents here, low staffing and repeat problems are what the federal data actually shows.

Nurse hours

3.71 /day

Staff turnover

72%

Serious cites

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Elderwood At Williamsville runs 200 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.71 nurse hours per resident day, it sits below the national average, and weekends drop roughly 23% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover tells a similar story: 72.4% annually against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. The current record shows 22 deficiencies, including one at harm level and four abuse-related, plus a $75,553 fine. Inspectors last visited in January 2025.

Nurse hours

3.29 /day

Staff turnover

61%

Serious cites

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The numbers at Mt Pleasant Healthcare and Rehabilitation point to a staffing problem more than anything else. Nurses provide about 3.29 hours of care per resident each day, roughly 15 percent below the national average, and weekends get thinner still, about 15 percent below the home's own weekday coverage. That gap matters because turnover runs at 61 percent, well above the 45.8 percent national figure, meaning the staff who are there keep changing. The inspection record is mixed: a March 2025 visit, a 3-star health inspection rating, but 10 deficiencies on file, including one at the harm level and two tied to abuse. A for-profit limited liability company owns the 72-bed home, and CMS has fined it once for $7,443.

Nurse hours

3.82 /day

Staff turnover

60%

Serious cites

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Laurelwood runs 64 beds in Jackson under corporate ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That number hides a sharper problem: weekend coverage drops about 17% below what the home staffs on weekdays, and 60% of its staff turn over each year against a national rate near 46%. Twenty deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse, with $168,961 in fines across two penalties. The last inspection was January 22, 2026. A family weighing this one should ask directly how weekends are covered and what changed since those abuse findings.

Nurse hours

3.52 /day

Staff turnover

67%

Serious cites

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Colonial Health & Rehab Center runs 90 beds in Virginia Beach under corporate ownership, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.52 hours per resident per day against a national average of 3.86, and weekends drop roughly 20% below the home's own weekday levels. Annual turnover sits at 66.7%, well above the 45.8% national figure, so the people caring for your family member are likelier than not to change within the year. The inspection record is harder to explain away: 61 deficiencies, four at harm or jeopardy level, five tied to abuse. One fine totaling $78,455 is on file. Quality measures score well, but that's self-reported data. The last full inspection was September 2024, so the record is current.

Nurse hours

2.99 /day

Staff turnover

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Serious cites

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Gilmer Nursing And Rehabilitation runs on thin staffing: 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further, about 12 percent under its own weekday level, when backup is scarcest. The inspection record is heavier than that number alone suggests: 62 deficiencies on file, nine serious enough to reach harm or jeopardy, four tied to abuse, and three fines totaling $218,053. A for-profit limited liability company operates the 93-bed home, and its last inspection was March 2026. Quality measures score mid-range, but the health inspection and staffing ratings both sit at the bottom of the scale.

Nurse hours

3.61 /day

Staff turnover

66%

Serious cites

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Coeur D Alene Health Of Cascadia runs 117 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. Nurses provide 3.61 hours per resident day, roughly 6% under the national average, and weekends dip about 8% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 66.3% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 35 deficiencies, including one at the harm level and one abuse-related, with two fines totaling $33,815 and a survey dated May 2026.

Nurse hours

3.24 /day

Staff turnover

60%

Serious cites

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Goldwater Care Bloomington runs on 3.24 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 12% below its own weekday staffing. Turnover sits at 59.7% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder problem: 88 deficiencies, 13 of them at harm or jeopardy level and 6 abuse-related, with three fines totaling $234,633 and placement in CMS's Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The most recent inspection was February 2025. If you're considering this home, ask what's changed since then.

Nurse hours

3.35 /day

Staff turnover

66%

Serious cites

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Aperion Care Dekalb runs on 3.35 nurse hours per resident day, about 13 percent under the national average of 3.86, and weekend coverage slips roughly another 10 percent below what it manages on weekdays. Staff turnover is the number that would worry me most: 65.9 percent a year, against a national average near 45.8, so most of the people caring for your relative will likely be gone within twelve months. Behind the 3/5 health inspection rating sit 44 deficiencies, five at harm or jeopardy level and two tied to abuse, plus $43,769 in fines across three penalties. Corporate-owned and for-profit, last inspected July 2024.

Nurse hours

3.34 /day

Staff turnover

60%

Serious cites

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Bria Of Westmont runs 215 certified beds, and the staffing numbers are the first thing to look at. Total nursing hours come to 3.34 per resident per day, roughly 13% under the national average, and weekends dip another 13% below what the home staffs on weekdays. Turnover sits at 60.3% against a national 45.8%, so nearly two of every three caregivers are leaving each year. The inspection record is heavy: 72 deficiencies, nine of them at harm or jeopardy level, one abuse-related, with six fines totaling $151,077 and a 1-out-of-5 inspection rating. The last survey was September 2024. Individual ownership, for-profit. When staffing is thin and turnover is that high, consistency of care is the thing families end up feeling.

Nurse hours

3.51 /day

Staff turnover

63%

Serious cites

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Elevate Care Chicago North runs 312 beds on Chicago's North Side, and the numbers behind its federal record are worth knowing before you tour. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 63.2% means most of the aides and nurses working there last year didn't stay, against a national rate nearer 46%. The inspection record carries 92 deficiencies, including 10 at the harm or jeopardy level and 9 tied to abuse, plus three fines totaling $193,858. Its last inspection was in May 2025.

Nurse hours

3.21 /day

Staff turnover

54%

Serious cites

0

Chateau Nrsg & Rehab Center runs 150 certified beds in Willowbrook under for-profit LLC ownership, and its staffing is the clearest problem: 3.21 nurse hours per resident day, roughly 17% under the national average, with weekends about 11% thinner than weekdays. Turnover sits at 53.8% against a national 45.8%, meaning more than half the nursing staff leaves within a year, that churn makes consistent care hard. The inspection record backs it up: 35 deficiencies, four at harm or jeopardy level and two abuse-related, plus $27,734 in fines and a last inspection in August 2024. CMS rates staffing 1 of 5 stars. If you're considering this home, ask direct questions about who's on the floor on weekends.

Nurse hours

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Staff turnover

64%

Serious cites

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Villa Health Care East runs 109 beds in Sherman under nonprofit ownership, and its staffing sits right at the national average on paper. The problem is consistency: weekends run roughly 12 percent thinner than weekdays, and 63.6 percent of staff turned over in a year against a national rate near 46 percent, so the people giving care keep changing. Inspectors cited 19 deficiencies on the current record, six of them serious enough to involve harm or jeopardy, with $90,998 in fines and a two-star health inspection rating. Its last inspection was August 2024. Quality measures scored one star, the lowest tier.

Nurse hours

3.03 /day

Staff turnover

48%

Serious cites

0

The Haven of St. Elmo runs on thin staffing, 3.03 nurse hours per resident day against a national average of 3.86, and weekends dip roughly another 10% below its own weekday coverage. That shortfall is the main reason its CMS staffing rating sits at 1 out of 5, and it shows up in the inspection record too: 25 deficiencies, two serious enough to reach harm or jeopardy, three tied to abuse, plus a $14,015 fine. Turnover of 47.6% runs slightly above the national figure, and the most recent inspection was in May 2025. The quality measure score lands at 2 out of 5, so clinical outcomes aren't offsetting the staffing picture. It's a 60-bed for-profit home, and families should ask hard questions about who's actually on the floor nights and weekends.