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

Nurse hours

2.61 /day

Staff turnover

71%

Serious cites

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Maple Grove Wellness & Rehabilitation runs 144 beds in Fenton under corporate ownership, and the staffing numbers are the first thing to notice: 2.61 nurse hours per resident per day, roughly a third below the national average, with a staffing star rating of 1 out of 5. Turnover sits at 70.7% against a national average near 46%, and weekend coverage drops about 9% below the home's own weekday level, so the gaps aren't evenly spread across the week. On the inspection side, 53 deficiencies are on the current record, including one at the harm level and one tied to abuse, and the most recent inspection was August 2025.

Nurse hours

2.84 /day

Staff turnover

88%

Serious cites

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Aspire Senior Living New Florence runs on 2.84 nurse hours per resident day, about a quarter below the national average, and it thins out further on weekends, roughly 12% less coverage than its own weekdays. That staffing level earned a 1 out of 5 from CMS, and it shows in the numbers: 87.7% annual turnover, nearly double the national rate, meaning the people caring for your relative are largely new and likely to leave. The current record carries 35 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $28,486 fine. Inspections were recent, in November 2025, with 2 out of 5 on both health inspections and quality measures.

Nurse hours

2.30 /day

Staff turnover

69%

Serious cites

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Estates of Spanish Lake runs on 2.30 nurse hours per resident day, roughly 40% under the national average, and weekend coverage dips about 13% below its own weekday level. The for-profit LLC carries 66 deficiencies on its current record, including 3 at harm or jeopardy level and 11 tied to abuse; two fines total $57,868, and the most recent inspection was April 2025. Staff turnover sits at 68.8% against a national 45.8%, meaning most of the people caring for residents are new to the building. The quality measure star comes in at 4 out of 5, but that number reflects charted outcomes, not the hands available to deliver care.

Nurse hours

2.56 /day

Staff turnover

82%

Serious cites

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Columbia Manor runs on 2.56 nurse hours per resident per day, roughly a third below the national average, and weekend coverage dips about 6% below its own weekday level. That thin staffing shows up in the numbers: 82% annual turnover, more than double the national rate, and a one-star CMS staffing rating. Inspections turned up 29 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the most recent visit was August 2025, so the record is current. The quality measure rating sits at 2 out of 5. For-profit, limited liability ownership. Ask about direct-care staffing on evenings and weekends before you decide.

Nurse hours

2.56 /day

Staff turnover

56%

Serious cites

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Indian Hills Manor runs on 2.56 nursing hours per resident per day, roughly a third below the national average of 3.86, and staffing thins out further on weekends, dropping about 9% below its own weekday level. That shortfall shows up in turnover: 55.6% of staff left over the past year, well above the 45.8% national figure, so residents see a revolving door of caregivers. The current record carries 30 deficiencies, including one at the harm or jeopardy level and one abuse-related, and the last inspection in March 2025 produced a one-star health inspection rating to go with one-star marks for staffing and quality measures. It's a for-profit limited liability company, which tells you where the margin gets protected.

Nurse hours

3.57 /day

Staff turnover

61%

Serious cites

0

Emerald Nursing & Rehab Columbus runs 145 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.57 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays. Turnover is the bigger flag: 60.9% of staff leaving annually against a national 45.8% means caregivers are constantly new, which matters most for residents who need consistent hands. The current record shows 22 deficiencies, two tied to abuse, though none reached harm or jeopardy level. A recent August 2025 inspection is a plus, but quality and staffing measures both land at the bottom.

Nurse hours

3.24 /day

Staff turnover

84%

Serious cites

0

Holmes Lake runs on 3.24 nurse staffing hours per resident day, and that's roughly 16 percent under the national average of 3.86. Weekends dip even lower, about 11 percent under the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 84 percent against a national 45.8, meaning most of the people caring for your relative are new or on their way out. The inspection record shows 24 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in April 2026. Corporate for-profit ownership rounds out the picture.

Nurse hours

2.86 /day

Staff turnover

76%

Serious cites

0

Adept Nursing & Rehab Of Grand Island runs on 2.86 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips even further below its own weekday level. That thin margin matters more when you consider that 76.1% of staff turned over in a year, well above the 45.8% national rate, so the people providing that care are often new to the building. The current inspection record shows 32 deficiencies, including one at the harm level and three tied to abuse, with a $16,801 fine and a May 2025 inspection. The federal ratings land at one star for health inspections and one for staffing.

Nurse hours

3.02 /day

Staff turnover

73%

Serious cites

0

Nurse staffing at this Williamsville home runs 3.02 hours per resident day, roughly 22% under the national average, and weekends drop about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 72.7% sits well above the 45.8% national figure, meaning the aides and nurses caring for residents are, more often than not, new to the building. The current record carries 45 deficiencies, including one at the harm-or-jeopardy level and three tied to abuse, plus a $37,138 fine and a December 2024 inspection. For-profit LLC ownership, 142 beds.

Nurse hours

2.69 /day

Staff turnover

58%

Serious cites

0

Houghton Rehabilitation & Nursing Center runs about 2.69 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekend coverage dips another 13% below what it manages on weekdays. Staff turnover sits at 57.7%, well above the 45.8% national figure, which means the people caring for residents are changing often. Its current record shows 21 deficiencies, including one at the harm or jeopardy level and three tied to abuse, along with a $65,052 fine. The last inspection was in May 2025, so the picture is recent. This is a for-profit limited liability company, 100 beds, with two-out-of-five stars on health inspections, quality measures, and staffing alike.

Nurse hours

3.60 /day

Staff turnover

59%

Serious cites

0

University Place in Charlotte runs 207 beds under corporate ownership, and the numbers suggest a building under real strain. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and it thins out further on weekends, running roughly 9% below its own weekday level. Staff turnover is 59.1% against a national 45.8%, meaning well over half the nursing staff leaves each year. The inspection record is heavier than that: 35 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and $276,401 in fines across two penalties. The most recent inspection was July 2025, so the picture is current. Families should ask directly about weekend coverage and how the home keeps experienced nurses on the floor.

Nurse hours

3.11 /day

Staff turnover

74%

Serious cites

0

Orchard Valley runs lean on nurses: 3.11 hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level. The bigger concern is continuity, 73.5% annual turnover means most of the people caring for your relative likely won't be there in a year. Its record shows 46 deficiencies, including one at the harm level and three tied to abuse, along with a $16,452 fine, and the most recent inspection was February 2026. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the low end.

Nurse hours

3.48 /day

Staff turnover

80%

Serious cites

0

Brunswick Rehabilitation And Healthcare Center runs 90 certified beds in Bolivia under for-profit LLC ownership, and the numbers raise real questions. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekend coverage drops about 7% below its own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 80.2%, well above the 45.8% norm, which means the people caring for residents are constantly changing. Its inspection record shows 38 deficiencies, including 2 at the harm level and 3 tied to abuse, plus a $94,140 fine. The most recent inspection was May 2026. Ask hard questions here before deciding.

Nurse hours

3.02 /day

Staff turnover

70%

Serious cites

0

Liberty Nursing Center of Colerain runs on 3.02 nurse hours per resident day, roughly 22 percent under the national figure of 3.86, and weekends drop about 12 percent from its own weekday level. Turnover sits at 70.4 percent against a national average of 45.8, so the aides and nurses cycling through are largely new to the building. The inspection record shows 45 deficiencies, three involving harm or jeopardy and two tied to abuse, with the most recent inspection in February 2025. It's a 93-bed for-profit run by a corporation, and the low marks on all three CMS ratings reflect conditions that staffing and turnover numbers alone would predict.

Nurse hours

3.64 /day

Staff turnover

72%

Serious cites

0

Harmar Village runs on thin nurse coverage, 3.64 hours per resident day, roughly 6% under the national average, with weekends about 13% leaner than weekdays, exactly when families tend to visit and notice. The bigger red flag is the workforce itself: 71.8% annual turnover against a 45.8% national average means most caregivers you meet this year probably won't be there next year. Its record shows 119 deficiencies, including five at harm or jeopardy level and ten tied to abuse, plus six fines totaling $75,890. Ownership is a for-profit limited liability company, and the most recent inspection was April 2026.

Nurse hours

2.88 /day

Staff turnover

65%

Serious cites

0

Forest Acres runs lean on nurses, 2.88 hours per resident day against a national average of 3.86, roughly a quarter below what CMS considers typical, and weekends drop about 7% further from its own weekday levels. That thin coverage shows up in the numbers: 64.9% of staff left over the past year, versus 45.8% nationally, and the current record carries 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse. A single $82,018 fine and a May 2025 inspection round out the picture at this for-profit, limited-liability home. The quality measure rating looks good on paper, but staffing is what families actually feel day to day.

Nurse hours

3.12 /day

Staff turnover

61%

Serious cites

0

Lake Emory runs about 3.12 nursing hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage dips below its own weekday level. Staff turnover sits at 60.5% against a national 45.8%, which means more than half the nursing staff turns over in a year. The current inspection record shows 14 deficiencies, three serious enough to cause harm, four related to abuse, and two fines totaling $13,627. Ownership is corporate for-profit. A recent August 2025 inspection keeps the record current, but the staffing shortfall, high turnover, and harm-level findings together describe a home where care is thin.

Nurse hours

3.12 /day

Staff turnover

57%

Serious cites

0

Avantara Saint Cloud runs a 78-bed for-profit home in Rapid City under an LLC, and the numbers raise real questions. Nurse staffing sits at 3.12 hours per resident day, about 19% under the national average of 3.86, and weekends drop roughly another 9% below the home's own weekday coverage, so the thinnest shifts land when families often visit. Staff turnover is 57.3% against a national 45.8%, meaning more than half the nursing team turns over in a year. On the current record: 17 deficiencies, three at harm or jeopardy level, two tied to abuse, and $24,751 in fines. The most recent inspection was January 2026.

Nurse hours

3.63 /day

Staff turnover

68%

Serious cites

0

Holston Rehabilitation and Care Center runs 204 beds in Kingsport, and the staffing numbers are where I'd start. At 3.63 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover is 68.1%, well above the 45.8% national figure, which usually means less continuity for residents. The current record shows 23 deficiencies, including one at the harm level and two abuse-related, plus a $16,720 fine. Inspections were recent, in November 2025, and the health, quality, and staffing ratings all land at two stars or lower.

Nurse hours

3.41 /day

Staff turnover

77%

Serious cites

0

West Hills runs a nonprofit home with 194 beds, and its inspection record is genuinely good, 4 out of 5 stars, last surveyed in November 2024, with 10 deficiencies on file, only 2 of them serious enough to cause harm. The problem sits elsewhere. Nurse staffing comes in around 3.41 hours per resident day, roughly 12% under the national average, and weekends run about 11% lighter than weekdays. Staff turnover is the number that should worry you most: 77%, against a national average near 46%. That's a lot of unfamiliar faces coming through the door. Quality measures score 2 out of 5, which suggests the day-to-day care isn't matching the clean inspection sheet.