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

Nurse hours

3.23 /day

Staff turnover

92%

Serious cites

0

Avantara Milbank runs on thin staffing even before the weekends hit. At 3.23 nurse hours per resident day, it sits roughly 16% under the national average, and weekend coverage drops another 9% below its own weekday level, so the thinnest shifts are also the least supervised. The bigger warning sign is turnover: 91.5% annually, double the national rate, meaning most of the people caring for residents weren't there a year ago. Its inspection record shows 30 deficiencies, including 8 at harm or jeopardy level and 5 tied to abuse, plus three fines totaling $55,361. The most recent inspection was March 2025. For-profit corporate ownership, 55 beds, and a pattern of problems that keep recurring rather than resolving.

Nurse hours

4.95 /day

Staff turnover

67%

Serious cites

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Cedar Creek Post Acute runs 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and weekend staffing holds within about 1% of weekday coverage. That's the good news, and it's real. The rest of the picture is harder. Staff turnover sits at 67% against a national average of 45.8%, meaning most of the people providing that above-average coverage are new to the building. The current record shows 33 deficiencies, 11 of them at harm or jeopardy level and 4 abuse-related, plus a $211,244 fine. Federal inspectors gave one star for health inspections and two each for quality measures and staffing. The most recent inspection was July 30, 2025.

Nurse hours

3.33 /day

Staff turnover

66%

Serious cites

0

Town And Country runs on thinner nursing coverage than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale, and in an annual turnover rate of 65.9% compared with 45.8% nationally: roughly two of every three caregivers left within the year. The inspection record carries 57 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $150,922 in fines. A 4/5 quality measure score and a May 2025 inspection are the brighter spots, but they sit alongside a 2/5 inspection rating and government hospital-district ownership.

Nurse hours

3.12 /day

Staff turnover

46%

Serious cites

0

Arlington Residence and Rehabilitation Center runs 118 certified beds under corporate ownership, and the staffing numbers tell you a lot before you even get to inspections. At 3.12 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends dip another 8 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 46 percent, roughly in line with the national 45.8. The inspection record is where it gets heavier: 57 deficiencies, including 4 at harm or jeopardy level and 6 tied to abuse, plus six fines totaling $111,622. Its most recent inspection was February 2025.

Nurse hours

2.69 /day

Staff turnover

56%

Serious cites

0

Deer Creek runs about 30% below the national average on nurse staffing, 2.69 hours per resident day against 3.86, and weekends dip another 13% below its own weekday level. That thin coverage shows up on the inspection side too: 35 deficiencies on the current record, 6 of them at the harm or jeopardy level, plus 2 abuse-related findings and $75,581 in fines across 4 citations. Staff turnover sits at 56.1%, well above the 45.8% national figure, which matters most when residents need consistent hands on deck. The last inspection was recent, so the picture is current, and the ownership is a for-profit corporation.

Nurse hours

3.38 /day

Staff turnover

66%

Serious cites

0

Guggenheimer Health and Rehab Center runs 130 beds in Lynchburg under for-profit LLC ownership, and the numbers split sharply depending on where you look. The quality measure score is strong, but nurse staffing sits at 3.38 hours per resident day against a national average of 3.86, and weekends drop about 9% below the home's own weekday level. Turnover tells the harder story: 65.6% of staff leave annually, well above the 45.8% national figure. Inspections back that up, a 1-out-of-5 health inspection rating and 54 deficiencies on the current record, one serious enough to involve harm or jeopardy, plus a $76,681 fine. The most recent inspection was October 2024. Strong clinical metrics on paper don't offset thin, unstable staffing.

Nurse hours

3.04 /day

Staff turnover

70%

Serious cites

0

Forest Hill runs on 3.04 nurse hours per resident per day, about a fifth less than the national average of 3.86, and weekends drop roughly 9 percent below its own weekday staffing. Turnover sits at 69.6 percent against a national 45.8 percent, meaning most of the aides and nurses who know your family member may not be there in a year. The current record carries 95 deficiencies, including 3 at the harm or jeopardy level and 9 tied to abuse, with one fine of $80,132 and an inspection from February 2025. Resident outcome measures look strong here, but the staffing and inspection numbers are where the risk lives.

Nurse hours

3.26 /day

Staff turnover

55%

Serious cites

0

Edenbrook Sheboygan runs on 3.26 nursing hours per resident day, about 16% under the national average, and weekend coverage drops roughly 12% below what the home manages on weekdays. Staff turnover sits at 55.1% against a 45.8% national average, so nearly half the nursing team is new each year, which matters more when you're relying on that team for daily care. The inspection record is where things get serious: 37 deficiencies, four of them at harm or jeopardy level and four tied to abuse, with $202,946 in fines across three penalties. The most recent inspection was April 2025. Corporate-owned, 121 beds.

Nurse hours

3.05 /day

Staff turnover

78%

Serious cites

0

Brush Country runs on 3.05 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 15% below its own weekday level. Turnover sits at 77.8% against a national 45.8%, so the staff you meet is likely to change often. Inspectors have cited 45 deficiencies, three at harm or jeopardy level, with $130,834 in fines across three penalties; the last visit was August 2025. A one-star inspection rating and one-star staffing rating tell the story the quality measure score of three stars can't offset.

Nurse hours

3.24 /day

Staff turnover

98%

Serious cites

0

Cottonwood runs about 3.24 nurse hours per resident per day, roughly 16% under the national average, and weekends dip a bit further below its own weekday numbers. The bigger issue is turnover: 98% annually, more than double the national rate, which means the aides and nurses caring for your relative are constantly new. Twenty-eight deficiencies sit on the current record, though none rose to harm or jeopardy and none involved abuse. A recent inspection in August 2025 is a point in its favor, as is the three-star health inspection rating. But for-profit corporate ownership, a one-star staffing rating, and a two-star quality measure rating all point the same direction: check actual caregiver presence on the shifts you'd visit.

Nurse hours

3.58 /day

Staff turnover

75%

Serious cites

0

Arbor Grace runs 42 deficiencies on its current record, five of them serious enough to put residents in harm's way and three tied to abuse. The $187,096 fine is a single penalty, not a slow accumulation, which tells you something went badly wrong at least once. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends drop another 13% below the home's own weekday levels. Turnover is the number that would worry me most: 75.3% of staff leaving in a year against a national rate near 46%. Kilgore is a 127-bed for-profit, and the last inspection in April 2025 is recent enough to mean the record reflects how things run now.

Nurse hours

3.36 /day

Staff turnover

67%

Serious cites

0

Avir At Arlington runs 114 beds under limited-liability, for-profit ownership, and the numbers worth your attention are on the staffing side. Nurse hours come to 3.36 per resident per day against a national average of 3.86, and weekends drop roughly 13% below the home's own weekday coverage, meaning the thinnest shifts land when families tend to visit. Staff turnover sits at 66.7% against a national 45.8%, so aides and nurses cycle through quickly. The inspection record shows 27 deficiencies, three serious enough to put residents at risk of harm, and one fine of $121,953. A recent inspection in February 2026 keeps that record current rather than stale.

Nurse hours

3.12 /day

Staff turnover

94%

Serious cites

0

Avir At Caldwell runs on thin coverage. At 3.12 nurse hours per resident day, it sits roughly 19 percent under the national average of 3.86, and weekend staffing drops about 9 percent below its own weekday level, so the thinnest shifts get even thinner. The bigger red flag is turnover: 94.3 percent annually against a national average of 45.8 percent means the staff caring for your family member is, statistically, mostly new. Inspections tell a similar story, 30 deficiencies on record, two serious enough to involve harm or jeopardy, a one-star health inspection rating, and one fine of $10,036. The last inspection was January 8, 2026. Corporate-owned, 112 beds. Worth asking hard questions before you sign anything.

Nurse hours

4.41 /day

Staff turnover

91%

Serious cites

0

Paradigm At Katy has 125 certified beds and a for-profit LLC owner. Its nurse staffing comes in at 4.41 hours per resident day, roughly 14% above the national average, but the workforce behind those hours is unstable: annual turnover runs 91.1% against a national 45.8%, and weekends already sit about 6% below weekday coverage. The inspection record is the harder problem, 51 deficiencies on file, 7 of them serious enough to involve harm or jeopardy and 2 tied to abuse, with $241,445 in fines across 5 penalties and a health inspection star rating of 1 out of 5. Quality measures score 4 out of 5, but that sits alongside a 1 out of 5 staffing rating despite the above-average hours.

Nurse hours

3.02 /day

Staff turnover

95%

Serious cites

0

The Plaza At Richardson runs on 3.02 nurse hours per resident per day, about a fifth below the national average, which is thin enough that the 1-out-of-5 staffing rating is no surprise. Turnover tells the bigger story: 95.3% of nursing staff left over the past year, roughly double the national rate, so the people caring for your relative are likely new to the building and still learning it. The 39 deficiencies on record include two tied to abuse, though none rose to the level of actual harm, and the most recent inspection was in June 2025. Weekend coverage also dips below its own weekday level.

Nurse hours

3.13 /day

Staff turnover

68%

Serious cites

0

Legend Oaks Healthcare and Rehabilitation - Fort W runs 132 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average. Weekends drop about 13% below its own weekday coverage, and annual turnover hits 67.8% against a national 45.8%, so the people providing care keep changing. The current inspection record shows 23 deficiencies, five at harm or jeopardy level, one abuse-related, with five fines totaling $65,583. Quality measures score well, but staffing and inspection results tell the harder story: thin coverage, high churn, and recent serious findings at a home where families should ask direct questions about who is on the floor at night and on weekends.

Nurse hours

3.19 /day

Staff turnover

97%

Serious cites

0

Mission Ridge runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 9% below its own weekday numbers. That's thin coverage even before you factor in turnover near 97%, more than double the national rate, meaning most of the people caring for your family member probably weren't there a year ago. The inspection record backs this up: 25 deficiencies, three of them serious enough to put residents in harm's way, one abuse-related, and $37,698 in fines. A for-profit LLC in Refugio County, 90 beds, last inspected February 2026. The quality measures look average on paper, but staffing is where this home falls apart.

Nurse hours

3.25 /day

Staff turnover

56%

Serious cites

0

Medallion Post Acute Rehabilitation runs on 3.25 nurse hours per resident per day, roughly 16% under the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows in the numbers: a 55.6% annual turnover rate, well above the 45.8% national figure, and 25 deficiencies on the current record, seven serious enough to involve harm or jeopardy, one abuse-related. Four fines total $86,723. The last inspection was August 2024, so the record is fairly recent. This is a for-profit LLC with 60 beds, and the pattern across staffing, turnover, and inspection history is consistent rather than isolated.

Nurse hours

3.00 /day

Staff turnover

52%

Serious cites

0

Nurse staffing at The Woods at Sparta runs 3.00 hours per resident day, about 22 percent under the national average, and weekends drop roughly another 22 percent below the home's own weekday coverage. That thin margin shows up in the numbers: 21 deficiencies on the current record, including two at the harm or jeopardy level and one tied to abuse, plus two fines totaling $13,325. Staff turnover sits at 51.5 percent against a national 45.8 percent, so the people providing care keep changing. The last inspection was December 11, 2025, and the federal ratings land at 2 stars for health inspections and 1 star each for quality measures and staffing. It's a for-profit corporation operating 71 certified beds. If you're considering this one, ask directly how they cover weekends and what's changed since that December inspection.

Nurse hours

3.25 /day

Staff turnover

57%

Serious cites

0

Nexus At Berwyn runs 145 certified beds under corporate ownership, and the numbers that matter most here are the ones families can't easily see. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Staff turnover is 57 percent, well above the 45.8 percent national figure, so the people providing care keep changing. The inspection record is where things get serious: 52 deficiencies, including 9 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $428,544. That's a lot of documented trouble for one building.