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

Nurse hours

3.52 /day

Staff turnover

57%

Serious cites

0

Midtown Oaks runs 3.52 nurse hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 7% below its own weekday level. Staff turnover sits at 57.4% against a 45.8% national figure, so the aides and nurses cycling through are often new to the building. The inspection record carries 108 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $99,042 and a health inspection rating of 1 out of 5. The most recent inspection was February 27, 2026. A for-profit LLC operates the 120-bed home. If you're considering this one, ask directly how they're fixing weekend staffing and what's changed since that February survey.

Nurse hours

3.22 /day

Staff turnover

65%

Serious cites

0

Smyrna Care Center runs on thin staffing even by industry standards, 3.22 nurse hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday numbers. That gap matters more when you look at turnover: 65% of staff leave each year, well above the 45.8% national figure. The inspection record is the harder read. Thirty deficiencies, six of them serious enough to put residents in harm's way, and one tied to abuse. The last full inspection was February 2020, more than five years ago. Corporate ownership, 125 beds. Families deserve to know all of this before deciding.

Nurse hours

2.71 /day

Staff turnover

94%

Serious cites

0

Granbury Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: a staff turnover rate of 94.2%, where the national figure sits near 46%, meaning most of the people caring for residents this year likely won't be there next year. The home carries 37 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus $37,501 in fines. Inspectors were last out in February 2026, and the health inspection rating sits at 2 out of 5.

Nurse hours

3.23 /day

Staff turnover

62%

Serious cites

0

The numbers here are hard to dress up. Nurse staffing sits at 3.23 hours per resident day, well under the national average of 3.86, and it thins out further on weekends, not the pattern you want when families visit less and oversight is lighter. Staff turnover is the bigger tell: 62.2% against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. Then there's the inspection record, 59 deficiencies, four of them at harm or jeopardy level, twelve tied to abuse, and two fines totaling $108,698. That last inspection was April 2023, so this record has had time to stand.

Nurse hours

3.80 /day

Staff turnover

62%

Serious cites

0

Westwood Center runs 60 certified beds in Bluefield under corporate for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.80 hours per resident day, a bit under the national average, but weekends drop roughly 13% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 61.7% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current inspection record carries 46 deficiencies, six at harm or jeopardy level and one abuse-related, plus three fines totaling $159,612. Its last inspection was August 2024.

Nurse hours

3.10 /day

Staff turnover

66%

Serious cites

0

Rosedale runs on thin nursing coverage: 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below its own weekday level. Turnover compounds it, nearly two-thirds of staff leave each year against a national rate of about 46%, so the people at the bedside keep changing. The inspection record is where the real weight sits: 101 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $73,788 fine. The last full inspection was September 2023, so that record is getting old, which isn't the same as getting better.

Nurse hours

3.12 /day

Staff turnover

70%

Serious cites

0

Trinity Nursing & Rehab Of Granbury runs on 3.12 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 15% below what the home staffs on weekdays. Turnover sits at 69.6% 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 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $66,367 fine. The last inspection was June 4, 2025. For-profit, LLC-owned, 90 beds. If you're considering this one, ask directly how they cover weekends and what's changed since that June inspection.

Nurse hours

3.07 /day

Staff turnover

96%

Serious cites

0

Franklin Heights runs on 3.07 nurse hours per resident per day, roughly a fifth less than the national average, and weekends drop another 14 percent below its own weekday levels. Staff turnover sits at 96.2 percent, more than double the national figure, so the people caring for residents are, statistically, almost all new. The inspection record is heavier: 77 deficiencies, five involving harm or jeopardy, 11 tied to abuse, and two fines totaling $191,503. State inspectors were last on site in July 2025. Ownership is a for-profit partnership. With 132 certified beds, that ratio of direct care to residents, especially on weekends, is the number worth asking about when you visit.

Nurse hours

3.99 /day

Staff turnover

99%

Serious cites

0

Southern Specialty Rehab & Nursing runs 144 beds in Lubbock under corporate ownership, and its staffing numbers look decent at first glance, 3.99 nurse hours per resident day, just above the national average. But that average hides a churn problem: turnover sits at 98.7%, more than double the national rate, meaning the aides and nurses at your mother's bedside are likely new to the building and still learning it. Weekend coverage drops about 6% below weekday levels, so the shifts when families visit least are the thinnest. The inspection record is harder to explain away: 30 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $36,652, with the most recent inspection in June 2026.

Nurse hours

2.88 /day

Staff turnover

94%

Serious cites

0

Vidor Health & Rehabilitation Center runs 144 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 2.88 total nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekend coverage slips about 10% below the home's own weekday level, and annual turnover sits at 93.5% against a national rate near 46%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs up the concern: 37 deficiencies on file, four at harm or jeopardy level, four abuse-related, and two fines totaling $58,904, with a one-star health inspection rating and a one-star staffing rating.

Nurse hours

2.66 /day

Staff turnover

68%

Serious cites

0

The Hillcrest of North Dallas runs on 2.66 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops about 13% below what the home staffs on weekdays. Annual turnover sits at 68.3% against a national 45.8%, so the aides and nurses at the bedside keep changing. Its inspection record shows 44 deficiencies, including 6 at the harm or jeopardy level and 3 tied to abuse, with $221,052 in fines across three penalties and a 1-out-of-5 inspection rating; the most recent survey was July 31, 2025. Ownership is a for-profit corporation. The quality measure stars don't offset what staffing and inspections show.

Nurse hours

2.98 /day

Staff turnover

59%

Serious cites

0

The Reserve at Appling runs on 2.98 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 20% below what the home itself staffs on weekdays. That thin coverage sits alongside a 58.5% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses cycling through are often new to the building. Its CMS ratings land at one star for staffing and one for quality measures, with a two-star inspection record, 25 deficiencies, and five fines totaling $19,321. Nothing on the current record rises to harm or jeopardy, and the most recent inspection was in August 2025. A for-profit LLC operation at 100 certified beds.

Nurse hours

3.13 /day

Staff turnover

100%

Serious cites

0

St Joseph runs 130 certified beds in Monroe under for-profit partnership ownership, and the numbers that stand out most are on the staffing side. At 3.13 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly another 20% below its own weekday level, so coverage thins out exactly when families tend to visit. Every nursing position turned over last year, against a national rate near 46%. The health inspection rating is 1 out of 5 with 44 deficiencies on record, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was December 11, 2025, so the picture is current.

Nurse hours

3.17 /day

Staff turnover

59%

Serious cites

0

Cedar Pointe runs on 3.17 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home staffs on weekdays. That thin coverage sits behind a 58.9% annual turnover rate, well above the 45.8% national figure, so the aides and nurses working the floor keep changing. The current record carries 39 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was July 18, 2024, and the for-profit partnership has drawn a 2/5 on health inspections with 1/5 on both quality measures and staffing.

Nurse hours

3.39 /day

Staff turnover

64%

Serious cites

0

Jefferson Health Care runs 118 beds in Lees Summit under corporate ownership, and the numbers describe a home stretched thin. Nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends running about 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 64.2% against a national 45.8%, meaning most of the people caring for residents this year probably won't be there next year. The inspection record shows 61 deficiencies, including one at the harm level and three tied to abuse, plus $34,459 in fines. That inspection was recent, April 2025, so the picture isn't stale.

Nurse hours

3.14 /day

Staff turnover

64%

Serious cites

0

Magnolia Wellness Center runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 16% below its own weekday coverage. That thin staffing shows in the numbers that matter: 63.6% annual turnover, 81 deficiencies on the current record, seven of them at harm or jeopardy level, and six tied to abuse. Four fines total $209,790, and the last inspection was February 2024. The four-star quality measure rating reflects resident assessments, not the hands available to act on them; the one-star inspection and staffing ratings come closer to daily reality. A for-profit individual owner with this record is worth asking hard questions about before you decide.

Nurse hours

3.06 /day

Staff turnover

74%

Serious cites

0

Hertford Rehabilitation and Healthcare Center runs on thin nursing coverage. At 3.06 nurse hours per resident per day, it sits about 21 percent below the national average, and weekends dip another 17 percent below its own weekday levels, so the thinnest shifts get even thinner when families tend to visit. Staff turnover tells a similar story: 74.1 percent annually against a national 45.8 percent, meaning most of the people caring for your relative are likely new to the building. The current inspection record carries 39 deficiencies, three at harm or jeopardy level and one abuse-related, with the last visit in June 2025. The for-profit LLC ownership structure doesn't change any of those numbers, but it's the context they sit in.

Nurse hours

3.13 /day

Staff turnover

57%

Serious cites

0

Blue Ridge Rehabilitation and Nursing runs on leaner staffing than most homes in the country, 3.13 nurse hours per resident day against a national average of 3.86, and it gets thinner on weekends, when hours drop about 16% below the home's own weekday levels. That's a real gap when you're counting on someone to answer a call light on a Saturday. The inspection record is heavier than you'd want: 58 deficiencies, two of them serious enough to put residents at risk of harm, two tied to abuse, and $50,436 in fines across seven penalties. Staff turnover sits at 56.8%, well above the 45.8% national figure, so the faces change often. Corporate-owned and for-profit, this one last saw a health inspection in August 2024.

Nurse hours

2.88 /day

Staff turnover

95%

Serious cites

0

Kemp Care Center runs on 2.88 nurse hours per resident day, about a quarter below the national average, and weekends dip roughly 16% below what the home staffs on weekdays. That thin coverage sits behind a 95.4% annual turnover rate, more than double the national figure, so the aides and nurses at the bedside are, statistically, mostly new. Inspectors have cited 41 deficiencies, three of them at harm or jeopardy level and seven tied to abuse, with $256,260 in fines on record. A 5/5 quality measure score and a recent July 2025 inspection don't offset a 1/5 staffing rating from CMS. For-profit corporate ownership; ask specifically how weekends and evenings are covered before you decide.

Nurse hours

3.08 /day

Staff turnover

53%

Serious cites

0

Calhoun Crossing runs on 3.08 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage slips about 8% below its own weekday level. Staff turnover sits at 52.7% against a national 45.8%, which means the aides and nurses who know your mother's routines are often the ones walking out. Its record shows 34 deficiencies, four serious enough to cause harm or jeopardy and four tied to abuse, plus seven fines totaling $107,867. The last inspection was March 2026. State surveyors rated staffing and quality measures 1 out of 5 stars each.