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

Nurse hours

3.18 /day

Staff turnover

—

Serious cites

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Harrison Nursing and Rehabilitation Center runs on thin staffing. At 3.18 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly 11% below what the home manages on weekdays, meaning the thinnest coverage lands when backup is hardest to find. The inspection record backs that up: 39 deficiencies, six of them serious enough to threaten resident harm, plus five fines totaling $34,409. All three CMS ratings, health inspections, quality measures, staffing, come in at one star out of five. Corporate-owned and certified for 54 beds, its most recent inspection was April 2, 2026.

Nurse hours

2.82 /day

Staff turnover

69%

Serious cites

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Riverdell Care Center runs about 2.82 nurse hours per resident each day, roughly 27% below the national average of 3.86, and weekend coverage drops another 16% below its own weekday level. Staff turnover sits at 69.4% against a national average of 45.8%, so the people around your family member change often. The good news: inspectors gave it four stars and found no abuse or harm-level deficiencies, though 10 total issues remain on the record, with the most recent inspection in December 2024. The quality measure rating tells a different story from the inspection score, and that gap between a clean-ish inspection and thin, unstable staffing is what the numbers actually show.

Nurse hours

3.20 /day

Staff turnover

75%

Serious cites

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Brent B Tinnin Manor runs 60 beds in Ellington under individual for-profit ownership, and the staffing numbers are the place to start. At 3.20 nurse hours per resident day, it sits about 17% under the national average, and weekends drop roughly 23% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 74.5% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 33 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and the most recent survey was March 2025.

Nurse hours

3.36 /day

Staff turnover

78%

Serious cites

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Eldon Nursing & Rehab runs on 3.36 nurse hours per resident per day, roughly 13% under the national average, and weekends dip about 16% below what the home staffs on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, and it's hard to keep anyone long-term: annual turnover is 77.6% against a national 45.8%, meaning most of the people caring for residents are new to the building. The record shows 32 deficiencies, including 4 at harm or jeopardy level and 5 abuse-related, with three fines totaling $79,671. Inspectors were last in on February 26, 2026. Individual for-profit ownership.

Nurse hours

2.48 /day

Staff turnover

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Serious cites

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Carrie Elligson Gietner Health Care Center runs 130 certified beds in Saint Louis, and the numbers behind its record aren't reassuring. Nurse staffing sits at 2.48 hours per resident day, roughly 36% under the national average of 3.86, and weekends run about 13% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The inspection history carries 55 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, along with two CMS fines totaling $92,561. The most recent inspection was in June 2024. Corporate for-profit ownership and a one-star inspection and staffing rating round out a picture worth weighing carefully against other options.

Nurse hours

2.73 /day

Staff turnover

73%

Serious cites

0

St Joe Manor runs 155 certified beds in Bonne Terre under for-profit LLC ownership, and its most recent inspection in February 2025 produced 28 deficiencies, none at the harm level, but one tied to abuse, which is the kind of citation families should ask about directly. Staffing tells a starker story than the inspection record: the home earns just 1 of 5 stars for staffing, and annual turnover hits 73.3% against a national average of 45.8%, meaning roughly three of every four employees leave within a year. High turnover at that scale usually shows up as inconsistent caregivers and less experienced hands on the floor. Worth weighing carefully against the quality measure rating of 1 out of 5.

Nurse hours

2.96 /day

Staff turnover

62%

Serious cites

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Bluebird Wellness and Rehabilitation runs on 2.96 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 18% below what the home itself staffs Monday through Friday. Turnover sits at 62.3% against a national 45.8%, so the aides and nurses present on any given shift are often new to the building. The inspection record backs up the numbers: 84 deficiencies, eight of them serious enough to put residents in harm’s way and four tied to abuse, plus a $234,836 fine. CMS gave its lowest marks to both staffing and health inspections. At 188 beds under for-profit LLC ownership, this is a home where the people providing care are stretched thin and frequently replaced.

Nurse hours

2.87 /day

Staff turnover

73%

Serious cites

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Heritage Manor runs on 2.87 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 16% below what the home staffs on weekdays. Turnover sits at 72.7% 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 30 deficiencies, including two at the harm level and one tied to abuse, with $30,133 in fines and a November 2025 inspection. Federal ratings put staffing and quality measures both at one star.

Nurse hours

2.84 /day

Staff turnover

90%

Serious cites

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Rock Creek runs on 2.84 nursing hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 15% below its own weekday staffing. That thin coverage shows up in turnover: 90.3% of staff left over the past year, double the national rate of 45.8%. The current record carries 36 deficiencies, two serious enough to involve harm or jeopardy, plus $82,579 in fines across two events. Inspectors last visited in August 2025. Corporate-owned and Medicare-certified for 120 beds, the home scores 1 out of 5 on CMS staffing and 2 on health inspections, while its quality measure rating sits at 3.

Nurse hours

3.71 /day

Staff turnover

97%

Serious cites

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The Rio at Mission Trails runs 124 beds under hospital district ownership in San Antonio, and its nurse staffing sits just under the national average, 3.71 hours per resident day against 3.86. That small gap is not the real story. Weekend staffing drops roughly 16% below its own weekday level, and annual turnover hits 97.2%, more than double the national rate of 45.8%, meaning the aides and nurses at your mother's bedside are, statistically, almost certain to be new within the year. On inspections, the home carries 32 deficiencies, three at harm or jeopardy level and four abuse-related, with two fines totaling $153,825.

Nurse hours

3.18 /day

Staff turnover

100%

Serious cites

0

Pine Knoll Path of Journey runs 122 beds in Carrollton under for-profit LLC ownership, and its inspection record is genuinely clean, 11 deficiencies on file, none at harm or jeopardy level, none abuse-related, and a survey as recent as April 2025. The problem is the floor. Nurses give 3.18 hours per resident per day against a national average of 3.86, and weekends drop roughly 12% below what the home staffs on weekdays. Every single nursing position turned over last year, 100%, compared with about 45.8% nationally. A recent inspection tells you what a surveyor saw that day; it doesn't tell you who's left to answer a call light on a Sunday evening.

Nurse hours

3.38 /day

Staff turnover

59%

Serious cites

0

Jesup Ridge of Journey LLC runs 72 certified beds as a for-profit corporation, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.38 hours per resident day, about 13% under the national average, and weekends drop roughly 14% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover is 58.8% against a national average of 45.8%, meaning more than half the caregiver workforce turns over in a year. The current inspection record carries 21 deficiencies, four at harm or jeopardy level and three abuse-related, plus a $45,968 fine. The most recent inspection was May 30, 2025.

Nurse hours

1.74 /day

Staff turnover

69%

Serious cites

0

Tybee Island Trails of Journey runs 50 certified beds under for-profit LLC ownership, and its nurse staffing sits at 1.74 hours per resident day, roughly 55% under the national average of 3.86. Weekends drop about 30% below its own weekday coverage, so the thinnest shifts are also the least supervised. Staff turnover is 69.2% against a national 45.8%, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated January 30, 2026. CMS rates staffing 1 out of 5 stars, health inspections and quality measures each 2 out of 5. If you're considering this home, ask directly how weekend coverage is staffed and how abuse allegations get reported and resolved.

Nurse hours

2.76 /day

Staff turnover

61%

Serious cites

0

Gold City Health And Rehab runs 102 certified beds in Dahlonega under for-profit limited liability ownership, and the numbers from its current CMS record tell a fairly consistent story. Nurse staffing sits at 2.76 hours per resident day against a national average of 3.86, and weekend coverage dips about 7% below its own weekday level, so care is thinnest exactly when families tend to visit. Staff turnover is 61.4%, well above the 45.8% national figure, and the home carries 23 deficiencies, five of them abuse-related, plus a $52,548 fine. Its last inspection was September 28, 2025, so the record is recent. Ask about direct-care hours on weekends before you decide.

Nurse hours

3.46 /day

Staff turnover

61%

Serious cites

0

Avantara Evergreen Park runs 242 certified beds under for-profit LLC ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and weekends drop about 8% below what the home itself provides on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover of 61.4% against a 45.8% national average means most of the people caring for residents are relatively new. On inspections, CMS rates the home 2 out of 5, with 58 deficiencies on the current record, 10 at harm or jeopardy level and 4 abuse-related, plus eight fines totaling $292,244 and a May 2025 inspection.

Nurse hours

3.77 /day

Staff turnover

64%

Serious cites

0

Paul House & Health Cr Ctr runs 110 certified beds on Chicago's Near West Side, and the staffing numbers are where the trouble starts. Nurses provide 3.77 hours per resident day, slightly under the 3.86 national average, but weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Staff turnover sits at 64.2% against a 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. Add 59 deficiencies on the current record, three serious enough to involve harm or jeopardy, plus $107,115 in fines, and the recent June 2025 inspection reads less like a fresh start than a long-running pattern.

Nurse hours

3.18 /day

Staff turnover

57%

Serious cites

0

Sunrise Skilled Nur & Rehab runs about 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends drop another 14% below its own weekday level. Staff turnover sits at 56.8% against a national 45.8%, so the people caring for your family member are changing often. The current record carries 24 deficiencies, including 3 at the harm or jeopardy level and 4 abuse-related, plus two fines totaling $256,825. It's a for-profit limited liability company, last inspected July 2024. The low staffing rating reflects what that turnover and thin coverage actually mean day to day.

Nurse hours

3.14 /day

Staff turnover

46%

Serious cites

0

Barry Healthcare & Sr Living runs 76 certified beds under corporate for-profit ownership, and the numbers worth knowing are the staffing and inspection ones. Nurses provide 3.14 hours per resident per day, roughly 19% under the national average of 3.86, and weekends dip another 8% below what the home manages on weekdays. Turnover sits at 45.8%, right at the national figure. The current record carries 21 deficiencies, four of them serious enough to involve harm or jeopardy and two tied to abuse, plus two fines totaling $71,275. Its last inspection was January 16, 2026. CMS rates quality measures and staffing at one star each, with three stars for health inspections.

Nurse hours

2.74 /day

Staff turnover

60%

Serious cites

0

Nurse staffing at Arc at Bradley runs 2.74 hours per resident day, roughly 29 percent under the national average of 3.86, and it thins out further on weekends. That shortage shows up in the numbers that matter: 38 deficiencies on the current record, five serious enough to put residents in harm's way, one tied to abuse, and $24,622 in fines across two cases. Staff turnover sits at 60.3 percent against a national average of 45.8 percent, so the people providing care keep changing. The last inspection was in May 2024, and the 1-out-of-5 staffing rating alongside a 2-out-of-5 quality rating tells you where the trouble concentrates.

Nurse hours

3.86 /day

Staff turnover

65%

Serious cites

0

Colby Operator, LLC runs a 40-bed for-profit partnership home, and the numbers around its staff are the first thing to notice. Its 3.86 nurse hours per resident day lands right at the national average, but weekends run about 13 percent thinner than weekdays, and annual turnover sits at 65.3 percent against a national 45.8, that's a lot of churn for a small building. The inspection record shows 26 deficiencies, including one at the harm level and one abuse-related, plus a $40,381 fine; the most recent inspection was June 2025. Quality and staffing measures both come back at one star out of five.