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

Nurse hours

2.98 /day

Staff turnover

72%

Serious cites

0

Carecore At Mentor runs on 2.98 nurse hours per resident day, roughly a quarter below the national average, and weekends are thinner still, about 11% below its own weekday staffing. That gap matters because needs don't take weekends off. The workforce itself is unstable: 72.2% annual turnover against a national 45.8%. Inspectors have cited 32 deficiencies, six at harm or jeopardy level, one tied to abuse, and fined the home $35,457. Its last inspection was July 2024. A for-profit LLC operation with one-star ratings on both health inspections and staffing, and the record is recent enough to reflect how it runs now.

Nurse hours

3.36 /day

Staff turnover

69%

Serious cites

0

Majestic Gardens runs 169 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop roughly 11% below its own weekday coverage. Staff turnover hits 68.5%, well above the 45.8% national figure, so caregivers are cycling through constantly. The inspection record is worse: 37 deficiencies on file, including 4 at the harm or jeopardy level and 5 tied to abuse. CMS has levied 9 fines totaling $810,404 and placed the home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. The most recent inspection was September 11, 2025.

Nurse hours

4.14 /day

Staff turnover

78%

Serious cites

0

Greendale Park Nursing and Rehab runs 105 certified beds under for-profit LLC ownership, and the staffing picture is more complicated than the headline number. Total nurse coverage of 4.14 hours per resident day sits about 7% above the national average, but weekends drop roughly 9% below the home's own weekday level, so the coverage families see on a Tuesday isn't what they get on a Saturday. Turnover runs 78% against a national average of 45.8%, meaning the people at the bedside change constantly. The inspection record shows 78 deficiencies, 10 at harm or jeopardy level and 6 abuse-related, with $184,477 in fines across two events and a survey completed January 27, 2026.

Nurse hours

2.75 /day

Staff turnover

64%

Serious cites

0

San Antonio West runs on 2.75 nurse staffing hours per resident day, about 29 percent under the national average, and weekends dip roughly 12 percent below its own weekday levels. Turnover sits at 63.6 percent against a national 45.8, most of the people caring for your family member will be new within a year. The inspection record backs this up: 73 deficiencies, six at harm or jeopardy level, four abuse-related, and $364,695 in fines. Its most recent inspection was April 2026, so the picture is current, and it includes one star each for health inspections and staffing. A for-profit corporation owns the 135-bed building.

Nurse hours

3.57 /day

Staff turnover

100%

Serious cites

0

Crestway runs on thin staffing, 3.57 nurse hours per resident day, about 8% under the national average, and weekends dip another 7% below its own weekday levels. Turnover is the bigger red flag: 100% of nursing staff leaving annually, against a national average near 46%, which means the people caring for your family member are, on average, brand new to the building. The inspection record is heavy, 65 deficiencies, five serious enough to cause harm, three tied to abuse, and five fines totaling nearly $74,000, with the most recent inspection in July 2025. This is a for-profit LLC where every federal staffing and inspection measure sits near the bottom. Worth asking hard questions before admission.

Nurse hours

2.49 /day

Staff turnover

—

Serious cites

0

Navasota Nursing & Rehabilitation runs 2.49 nursing hours per resident per day, roughly 36% under the national average of 3.86, and weekend staffing drops about 18% below its own weekday levels. The current inspection record carries 47 deficiencies, six of them serious enough to put residents in harm's or jeopardy's way, two tied to abuse, with six fines totaling $105,594. All three CMS star ratings, health inspections, quality measures, and staffing, sit at one out of five. Corporate for-profit ownership holds the license on 172 certified beds, and the most recent inspection was June 5, 2025.

Nurse hours

3.01 /day

Staff turnover

65%

Serious cites

0

Reunion Plaza runs on 3.01 nurse hours per resident day, roughly a fifth below the national average, and weekends dip another 14% below its own weekday numbers. Staff turnover sits at 64.5%, well above the 45.8% national figure, which means the people caring for your family member are often new and still learning the building. The inspection record shows 86 deficiencies, seven of them serious enough to put residents in harm's way, plus one tied to abuse. Three fines add up to $283,086, and the most recent inspection came in February 2026. For-profit corporate ownership, a one-star health inspection rating, and a one-star staffing rating all point the same direction.

Nurse hours

3.30 /day

Staff turnover

93%

Serious cites

0

If you're weighing Lancaster Nursing & Rehabilitation for someone you love, the federal numbers are worth sitting with. Nurse staffing runs about 3.30 hours per resident day, roughly 14% under the national average, and weekends dip another 14% below what the home itself staffs on weekdays. Staff turnover sits near 93%, more than double the national rate, meaning the aide who knows your mother this month may be gone the next. The inspection record shows 37 deficiencies, three involving actual harm or jeopardy and three tied to abuse, with $56,554 in fines and a survey as recent as October 2024. For-profit, LLC-owned, 120 beds. The pattern here is thin coverage and heavy churn, and that's what drives the low marks.

Nurse hours

2.86 /day

Staff turnover

91%

Serious cites

0

Whitesboro Health And Rehabilitation Center runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about another 10% below its own weekday levels. That thin coverage shows in the numbers: 90.9% annual staff turnover, double the national rate, with a 1-out-of-5 CMS staffing rating and 2-out-of-5 on quality measures. Inspectors last visited in May 2025 and cited 15 deficiencies, four of them serious enough to put residents at harm or jeopardy, including one abuse-related finding. Two fines totaling $30,253 are on record. For-profit corporate ownership, three inspection stars, and a resident population of up to 95, this is a home where you'd want to visit unannounced, on a weekend, and ask directly who's on the floor.

Nurse hours

3.15 /day

Staff turnover

95%

Serious cites

0

North Pointe runs on thin staffing. At 3.15 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The bigger signal is turnover: 94.5% of nursing staff leaving in a year, against a national average of 45.8%. That's a building where almost everyone you meet is new. The inspection record backs it up, 27 deficiencies, 8 serious enough to cite harm or jeopardy, 7 tied to abuse, and three fines totaling $36,475. State inspectors were last in on April 17, 2025. For-profit, individually owned, 126 beds.

Nurse hours

3.04 /day

Staff turnover

93%

Serious cites

0

Brentwood Terrace runs on 3.04 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 92.9%, more than double the national rate, which means the people caring for your relative are, statistically, likely to be gone within the year. The inspection record is the harder read: 51 deficiencies, eight serious enough to cause harm or jeopardy, seven tied to abuse, and a single $234,447 fine. The most recent inspection was June 2025.

Nurse hours

3.29 /day

Staff turnover

92%

Serious cites

0

Heritage House of Marshall runs on thin staffing even before the weekends hit. At 3.29 nurse hours per resident day, it sits roughly 15% under the national average, and weekend coverage drops another 15% below its own weekday level, so the thinnest shifts are the ones families tend to visit. The bigger number is turnover: 91.7% of staff leave each year, double the national rate, which means the people caring for your relative are, more often than not, new. On its current record are 49 deficiencies, including one at the harm level and six tied to abuse, plus a $67,706 fine. Inspectors last came in July 2025, and the quality measures that track resident outcomes score low.

Nurse hours

3.42 /day

Staff turnover

68%

Serious cites

0

Washington Senior Living runs 122 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 19% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 67.5% is well above the 45.8% national figure, which means the people providing care keep changing. The inspection record backs that up: 64 deficiencies, 18 tied to abuse and 2 serious enough to reach harm or jeopardy, plus a $230,097 fine. The most recent inspection was December 2024.

Nurse hours

2.70 /day

Staff turnover

—

Serious cites

0

Evercare Of Breese runs 112 certified beds under a for-profit LLC, and the staffing numbers are the first thing to notice: 2.70 total nurse hours per resident day against a national average of 3.86, roughly 30% below. Weekend coverage drops about another 10% below its own weekday level, so the thinnest shifts get thinner. The inspection record carries 13 deficiencies, 5 of them at harm or jeopardy level, with 5 fines totaling $177,557. Quality measures scored 1 out of 5 stars. The last inspection was January 31, 2025, so the record is recent, not stale. Five harm-level findings and a staffing shortfall that size are the two facts worth weighing hardest.

Nurse hours

3.36 /day

Staff turnover

53%

Serious cites

0

Nurse staffing at Integrity Hc Of Marion sits at 3.36 hours per resident day, about 13 percent under the national average, and weekends run roughly 16 percent leaner than weekdays. Staff turnover is 53.4 percent against a national 45.8 percent, so the people providing care keep changing. The current inspection record carries 56 deficiencies, including 7 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $468,729. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 1 out of 5. The most recent inspection was June 16, 2025.

Nurse hours

2.86 /day

Staff turnover

46%

Serious cites

0

Center Home Hispanic Elderly in Chicago carries 77 deficiencies on its current record, 13 of them serious enough to involve harm or jeopardy, and seven tied to abuse. That's not a paperwork problem. On the staffing side, nurses provide 2.86 hours per resident per day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, so coverage gaps widen exactly when families tend to visit. Staff turnover sits at 45.8 percent, matching the national rate, which means the churn here isn't unusual, but it compounds thin hours. Eight fines totaling $428,860 and a January 2026 inspection round out a record where the pattern is consistent across every measure.

Nurse hours

3.23 /day

Staff turnover

—

Serious cites

0

Manchester Rehab and Healthcare Center is a 137-bed for-profit in Ballwin, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about another 10 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Its current inspection file carries 53 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus a single $197,132 fine. Federal ratings give it one star each for staffing and quality measures and two for health inspections, with the most recent inspection in May 2025.

Nurse hours

1.37 /day

Staff turnover

—

Serious cites

0

Appleton City Manor sits at 60 certified beds under for-profit LLC ownership, and every CMS star category comes back at one out of five, health inspections, quality measures, and staffing alike. The deficiency record tells the story behind those numbers: 63 total, including two at the harm or jeopardy level and four tied to abuse. Two fines totaling $92,020 are on file. Staffing falls short of what CMS expects for a home this size, which matters most when residents need hands-on help. The last inspection was June 27, 2025, so the record is current. Families considering this home should ask directly about the abuse-related findings and what's changed since that inspection.

Nurse hours

2.97 /day

Staff turnover

98%

Serious cites

0

Twin Oaks runs on thin staffing: 2.97 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 18% below what the home already provides on weekdays. The bigger red flag is turnover, 98% annually, more than double the national figure, meaning the aide or nurse who knows your mother this month is statistically unlikely to be there next year. Its current record carries 34 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, plus a $174,431 fine. A December 2025 inspection is recent, so the picture isn't stale. The corporate owner is for-profit, and the numbers suggest a building where care depends heavily on who happens to be on shift.

Nurse hours

2.97 /day

Staff turnover

56%

Serious cites

0

Legacy Transitional Care & Rehabilitation runs 186 beds in Atlanta under corporate for-profit ownership, and the staffing numbers are the first thing that stands out: 2.97 nurse hours per resident per day against a national average of 3.86. Weekends drop about 11% below the home's own weekday level, and annual turnover sits at 56.1%, well above the national 45.8%. The inspection record backs up the concern, 41 deficiencies, three at harm or jeopardy level, three abuse-related, and six fines totaling $121,894. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.