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

Nurse hours

3.24 /day

Staff turnover

94%

Serious cites

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Texoma Healthcare Center runs 179 certified beds in Sherman under corporate for-profit ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.24 hours per resident per 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. Annual turnover is 93.7 percent, more than double the national rate of 45.8 percent, which means the aides and nurses caring for residents are, on average, not there for long. The inspection record shows 36 deficiencies, including two at harm or jeopardy level and one tied to abuse, with $16,441 in fines. The last inspection was March 19, 2026; the health and quality ratings each land at 3 out of 5, staffing at 1.

Nurse hours

2.70 /day

Staff turnover

86%

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0

Longmeadow Healthcare Center runs on 2.70 nurse hours per resident day, roughly 30% under the national average of 3.86, and weekends drop about 17% below its own weekday staffing. That thin coverage shows up in the numbers: 85.9% annual turnover, nearly double the national rate, plus 35 deficiencies on record, eight serious enough to cause harm or jeopardy and five tied to abuse, with $50,595 in fines across three penalties. The 120-bed for-profit home, owned by a limited liability company, was last inspected May 6, 2025, and its health inspection score sits at the bottom of CMS's scale. Ask about weekend nurse coverage and how they've corrected the abuse-related findings before you decide.

Nurse hours

2.84 /day

Staff turnover

—

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Lytle Nursing Home runs about 2.84 nurse staffing hours per resident day, roughly a quarter below the national average, and the weekend gap makes that thin coverage thinner. The inspection record shows 43 deficiencies, including two at harm or jeopardy level and one abuse-related citation, plus a $55,904 federal fine, and weekend staffing drops about 8% below its own weekday level. A 1-out-of-5 staffing rating alongside 2-out-of-5 marks for inspections and quality measures tells you the shortfalls show up across the board, not in one bad survey. With the most recent inspection in July 2025, the record is current, and it's a for-profit limited liability company.

Nurse hours

2.82 /day

Staff turnover

80%

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0

The Oaks At Radford Hills runs a 116-bed for-profit operation in Abilene, and the numbers that matter most here are staffing and turnover. Nurses provide 2.82 hours of care per resident per day against a national average of 3.86, and weekend coverage drops roughly another 17% below the home's own weekday level. Staff turnover sits at 79.7%, more than seven in ten workers leaving annually, compared with 45.8% nationally. On the inspection side, the record shows 53 deficiencies, four at harm or jeopardy level and four tied to abuse, with $163,651 in fines across two penalties. The most recent inspection was March 2026. Low staffing and high turnover tend to matter more day to day than a favorable quality-measure score.

Nurse hours

3.35 /day

Staff turnover

—

Serious cites

0

Castle Pines runs 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in the federal ratings: one star for staffing, two for quality measures, three on health inspections. The current record carries 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, along with three fines totaling $53,155. The last inspection was May 2025, so the picture is recent. Corporate-owned and certified for 120 beds, this is a home where the numbers point to a persistent staffing gap rather than a one-time slip.

Nurse hours

3.10 /day

Staff turnover

63%

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Piggott Healthcare & Senior Living runs 105 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.10 hours per resident day, roughly 20 percent under the national average of 3.86, and weekends run about 11 percent leaner than weekdays, so the hours when families tend to visit are also the thinnest. Staff turnover is 63.3 percent against a national average of 45.8 percent, meaning most of the people caring for residents in any given year weren't there the year before. The current inspection record shows 28 deficiencies, including one at the harm level and three tied to abuse, with a $12,649 fine and a September 2025 inspection. All three CMS star ratings, health inspections, quality measures, and staffing, sit at one out of five.

Nurse hours

3.90 /day

Staff turnover

65%

Serious cites

0

Parkview Julian runs 3.90 nurse hours per resident day, which barely edges out the national average of 3.86, and weekend staffing drops about 5% below its own weekday level. The bigger concern is turnover: 65.3% of staff leave each year, well above the 45.8% national figure, and CMS rates staffing at just one star. Inspections tell a harder story, 81 deficiencies on record, including 2 at harm or jeopardy level and 4 tied to abuse, with a $59,560 fine. The last inspection was December 2025. This is a for-profit LLC, and families should ask directly how it plans to keep consistent, trained aides on the floor.

Nurse hours

2.84 /day

Staff turnover

57%

Serious cites

0

Nurse staffing at Lake City Center runs 2.84 hours per resident day, roughly 27 percent under the national average, and weekends drop about 9 percent below its own weekday level. Turning over more than half its nursing staff in a year, 56.6 percent against a national 45.8, makes consistency harder to maintain. The building carries 21 deficiencies on its current record, none reaching harm or jeopardy and none abuse-related, and its last inspection was April 19, 2026. A 242-bed for-profit LLC, it earned 1 of 5 stars from CMS on both staffing and quality measures, 2 of 5 on health inspections. That combination of thin coverage and high turnover is what families should weigh.

Nurse hours

1.44 /day

Staff turnover

47%

Serious cites

0

Avenora Elmhurst runs on 1.44 nursing hours per resident day, roughly a third of the national figure and the kind of number that shows up on weekends too, when coverage drops another 5 percent below its own weekday level. The inspection record backs that up: 36 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $216,044 in fines across four separate penalties. Staff turnover sits at 46.9 percent, right about where the national average is, so this isn't a retention crisis, it's a staffing-level one, in a for-profit building that state inspectors last visited in October 2024 and rated one star.

Nurse hours

3.38 /day

Staff turnover

58%

Serious cites

0

Quincy Healthcare & Sr Living runs 89 certified beds under for-profit LLC ownership, and the numbers worth knowing are the staffing ones. Nurses provide 3.38 hours per resident day, about 12% under the national average, and weekends drop roughly 13% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 57.6% sits well above the 45.8% national figure. The current inspection record carries 39 deficiencies, four of them at harm or jeopardy level, plus three fines totaling $61,926. The last inspection was July 9, 2025. Ownership and staffing together explain more here than any single rating.

Nurse hours

2.77 /day

Staff turnover

45%

Serious cites

0

Hillside runs lean on nursing hours, 2.77 per resident day against a national average of 3.86, roughly 28% below, and weekends dip even further below its own weekday levels. The inspection record shows 35 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, with $158,570 in fines across three penalties; the last inspection was in May 2026. Ownership is for-profit through a limited liability company, and staff turnover sits at 44.7%, essentially matching the national rate rather than improving on it. Quality measure and staffing ratings both land at the low end, and the health inspection rating is middling at best.

Nurse hours

2.92 /day

Staff turnover

49%

Serious cites

0

Mount Vernon Countryside Manor runs on 2.92 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even lower than its own weekday levels. The staffing star rating sits at 1 out of 5, and turnover runs 49.4% against a national 45.8%, nearly half the nursing staff cycling out in a year. On inspections, the record shows 22 deficiencies, four at harm or jeopardy level and three tied to abuse, with $126,387 in fines across four penalties. The most recent inspection was January 2025. For-profit corporate ownership. If you're weighing this one, ask hard questions about weekend coverage and how they've corrected the abuse-related findings.

Nurse hours

2.86 /day

Staff turnover

36%

Serious cites

0

Bria Of River Oaks runs 309 beds in Burnham, and the number that should give you pause is 2.86 nursing hours per resident per day, roughly a quarter below the national average, with weekends thinner still. Turnover sits at 35.6%, which is actually better than average, so the problem isn't a churning workforce; it's that there don't appear to be enough hands scheduled. The inspection record is heavy: 38 deficiencies, 13 of them at harm or jeopardy level, seven tied to abuse, and eight fines totaling $270,248. Its last inspection was July 2024. For-profit corporate ownership. Ask about weekend coverage and the abuse plan before you tour.

Nurse hours

3.06 /day

Staff turnover

60%

Serious cites

0

Vandalia Healthcare & Senior Living runs 116 certified beds under for-profit LLC ownership, and its staffing is the number to sit with first: 3.06 nurse hours per resident day against a national average of 3.86, roughly a fifth below, with weekends about 8% thinner than weekdays. Turnover sits at 59.5%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The inspection record backs that up: 35 deficiencies, two at harm or jeopardy level, no abuse findings, and one fine of $14,720, with the most recent survey dated November 20, 2025. Quality and staffing each scored one star out of five; health inspections scored three. Families should ask how the home covers weekends and how long its current staff have actually been there.

Nurse hours

3.43 /day

Staff turnover

55%

Serious cites

0

Aperion Care Hanover runs 125 certified beds under corporate ownership, and the staffing numbers are thin: 3.43 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly 9% below its own weekday coverage. Staff turnover sits at 55.2%, well above the 45.8% national figure, which means the people caring for residents are frequently new to the building. The inspection record is the bigger concern, 57 deficiencies on file, including one at the harm level and four tied to abuse, plus a $53,874 fine. Its most recent inspection was April 2026. If you're weighing this one, ask directly how they've addressed the abuse-related findings.

Nurse hours

4.04 /day

Staff turnover

72%

Serious cites

0

The corporate-owned home on East 6th Street has been cited 42 times on its current record, including four deficiencies where residents were actually harmed and two tied to abuse. Fines total $70,521 across three separate penalties. Staffing looks decent on paper, 4.04 nurse hours per resident day, slightly above the national average, but 72.2% of the staff turned over in a year, well past the 45.8% norm, and weekends run about 10% thinner than weekdays. That combination is hard to sustain. The most recent inspection, in January 2026, didn't fix it; the health and quality ratings both sit at the bottom. For a 45-bed building in Reno County, that's a lot of enforcement for a small census.

Nurse hours

2.63 /day

Staff turnover

66%

Serious cites

0

Orchard Gardens runs on 2.63 nurse hours per resident per day, roughly a third less than the national average, and weekend coverage drops about 9% below what it manages during the week. Turnover sits at 66.1% against a 45.8% national figure, so the people around your relative are frequently people who just arrived. The current inspection record lists 50 deficiencies, including three at the harm level and three tied to abuse, with two fines totaling $26,795 and a one-star inspection rating from CMS. The last inspection was April 2025. Its limited liability ownership structure means the company behind it is the entity accountable for all of this.

Nurse hours

3.19 /day

Staff turnover

83%

Serious cites

0

Nicholasville Nursing and Rehabilitation runs on thin staffing. At 3.19 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover tells its own story: 83.1% a year, nearly double the 45.8% national figure, meaning most of the people caring for residents are new to the building. The state's most recent inspection, in August 2025, left 25 deficiencies on record, one tied to abuse; none rose to the level of immediate harm. Federal ratings land at 2 out of 5 for health inspections and quality measures, and 1 out of 5 for staffing.

Nurse hours

3.60 /day

Staff turnover

57%

Serious cites

0

Oc Reading Center is a for-profit LLC home with 123 beds, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 5% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover is 57.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record carries 52 deficiencies, including 4 at harm or jeopardy level and 3 tied to abuse, plus a $54,360 fine. The most recent inspection was December 31, 2025.

Nurse hours

3.62 /day

Staff turnover

85%

Serious cites

0

Jefferson City Manor Care Center runs about 3.62 nurse hours per resident per day, roughly 6% under the national average, and weekends dip another 7% below its own weekday staffing. The bigger issue is turnover: 85.4% of nursing staff left over the past year, nearly double the national rate of 45.8%. Inspectors have cited 40 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine of $8,340. The most recent inspection was in May 2025. Federal ratings put quality measures and staffing at one star each, with inspections at three.