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

Nurse hours

2.74 /day

Staff turnover

67%

Serious cites

0

Landmark of Oak Lawn runs 143 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average, and weekends dip about 6% below the home's own weekday level. Staff turnover hits 67% against a national average near 46%, while the current inspection record carries 57 deficiencies, nine of them at harm or jeopardy level and eight tied to abuse, plus five fines totaling $308,189. CMS rates the home 1 star on staffing and 2 stars each on health inspections and quality measures, with the most recent inspection dated December 2024. If you're weighing this one, that combination, thin staffing, high turnover, repeat serious deficiencies, deserves hard questions before a move-in.

Nurse hours

2.67 /day

Staff turnover

66%

Serious cites

0

The Guest House in Shreveport runs on 2.67 nurse hours per resident per day, roughly a third below the national average, and weekends drop about another 10% below its own weekday pace. Staff turnover sits at 65.8% against a national rate of 45.8%, so the people left are often the newest. The current record carries 41 deficiencies, six of them at harm or jeopardy level and four tied to abuse, plus four fines totaling $267,179. Its last inspection was April 2025. For-profit, LLC-owned, 177 beds, with a one-star health inspection rating and a one-star staffing rating. That combination is what drives the grade down.

Nurse hours

1.57 /day

Staff turnover

71%

Serious cites

0

Four Seasons Living Center runs 239 certified beds in Sedalia under corporate for-profit ownership, and the staffing numbers tell the clearest story: 1.57 total nurse hours per resident day against a national average of 3.86. That's about 59% below what residents elsewhere typically receive, and weekends run roughly 9% thinner than the home's own weekdays. Staff turnover sits at 71.1%, well above the 45.8% national figure, meaning the people providing care are constantly changing. The inspection record shows 60 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with two fines totaling $25,605 and the most recent inspection dated December 8, 2025.

Nurse hours

1.49 /day

Staff turnover

84%

Serious cites

0

Sarcoxie Health Care Center runs on nurse staffing that lands at 1.49 hours per resident day, a little over a third of the national figure, and weekends drop roughly another quarter below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover sits at 84%. The current inspection record carries 24 deficiencies, including two at the harm or jeopardy level and five tied to abuse, and the most recent survey was in March 2025. With 40 beds and corporate for-profit ownership, the numbers point to a home where day-to-day care depends on a small, constantly changing staff.

Nurse hours

2.99 /day

Staff turnover

69%

Serious cites

0

The Waters of Smyrna runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips further below its own weekday level. That thin staffing sits alongside 69.3% annual turnover, well above the 45.8% national figure, meaning most of the people caring for residents are new to the building. Its record shows 36 deficiencies, including three at the harm or jeopardy level and six tied to abuse, plus a $97,773 fine. The last inspection was in August 2022, so that record has had time to age without a fresh look.

Nurse hours

3.13 /day

Staff turnover

73%

Serious cites

0

Norfolk Health Care Center runs on 3.13 nursing hours per resident day, roughly 19% under the national average, and weekend coverage drops about 14% below what it manages on weekdays. That thin staffing sits alongside a 72.8% annual turnover rate, well above the 45.8% national figure, meaning most of the people caring for residents are new to the building. The inspection record shows 51 deficiencies, including one at the harm level and one tied to abuse, plus a $102,245 fine, and the last full inspection was in July 2021. Corporate-owned, 180 beds, and the federal stars land at one for health inspections and one for staffing.

Nurse hours

3.40 /day

Staff turnover

68%

Serious cites

0

Nurse staffing at Rivers Edge runs about 12% under the national average, and weekends are thinner still, roughly 15% below the home's own weekday coverage. That's a real problem when the same record shows 68.2% annual turnover, far above the 45.8% norm, because thin weekend shifts land on aides who may be new to the building. The inspection history is the louder signal: 107 deficiencies, six at harm or jeopardy level, 21 tied to abuse, and four fines totaling $406,985. For-profit corporate ownership, 58 beds, and a December 2025 inspection that's already on the books. Ask about weekend coverage, abuse-prevention training, and what's changed since that visit.

Nurse hours

2.95 /day

Staff turnover

77%

Serious cites

0

Focused Care At Pasadena runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below what the home staffs on weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, six of them serious enough to put residents in harm's way, three tied to abuse, and $131,012 in fines. Staff turnover sits at 76.6% against a national 45.8%, meaning most of the people caring for your family member this year likely won't be there next year. The corporation that owns it has drawn a 1-star inspection rating and a 1-star staffing rating, with the most recent survey dated February 2026.

Nurse hours

2.76 /day

Staff turnover

91%

Serious cites

0

Jourdanton Nursing And Rehabilitation runs on 2.76 nurse hours per resident per day, about a quarter below the national average, and weekends are thinner still, roughly 17% less staff than weekdays. That staffing pattern sits behind a one-star CMS staffing rating, and the turnover number is the one that would worry me most: 90.5% annually against a national average of 45.8%, meaning most of the people caring for your relative are new, or about to be. The inspection record shows 31 deficiencies, including two at the harm level and one abuse-related, with $28,334 in fines. Corporate-owned and for-profit, its most recent inspection was January 2026, so the record is current rather than dated.

Nurse hours

3.00 /day

Staff turnover

67%

Serious cites

0

Avir At Converse runs on 3.00 nurse hours per resident day, roughly 22% under the national average, and weekends drop about 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 67.2% against a 45.8% national figure, which means caregivers are cycling out faster than residents can get used to them. The inspection record shows 50 deficiencies, four serious enough to put residents at harm or jeopardy, plus one tied to abuse, and $43,845 in fines. State inspectors were last on site in June 2026.

Nurse hours

3.68 /day

Staff turnover

61%

Serious cites

0

St. Paul's Senior Community runs about 3.68 nurse hours per resident day, roughly 5% under the national average, and weekends drop another 10% below its own weekday numbers. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale, and in turnover: 60.8% of staff leave each year, well above the 45.8% national figure. The inspection record is heavier still, 39 deficiencies, 10 of them at harm or jeopardy level, one tied to abuse, and five fines totaling $227,658. Ownership is for-profit through a limited liability company. The last inspection was in January 2025, so the record is current, not stale.

Nurse hours

2.75 /day

Staff turnover

—

Serious cites

0

Legendary Health Care Center runs on 2.75 nurse hours per resident day, roughly 29% under the national average of 3.86, and weekend coverage drops about 16% below its own weekday level. Its current record carries 42 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $93,208 in CMS fines across two penalties. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5. The last inspection was May 20, 2025, so the record is recent. If you're considering this home, ask specifically how they cover weekends and what's changed since that May inspection.

Nurse hours

3.16 /day

Staff turnover

66%

Serious cites

0

Aspire Senior Living Platte City runs 97 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.16 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 66.2% against a national 45.8% means caregivers cycle through fast, which matters for anyone who needs consistent eyes on a resident. The inspection record shows 70 deficiencies, including one at harm or jeopardy level and 11 abuse-related, with $70,892 in fines. A June 2025 inspection is recent enough that the picture is current, not stale.

Nurse hours

3.23 /day

Staff turnover

63%

Serious cites

0

Emerald Nursing & Rehab Brookside is a 173-bed for-profit in Lincoln, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.23 hours per resident per day against a national average of 3.86, and weekends drop about 8% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover runs 62.8%, well above the 45.8% national figure, which matters because unfamiliar caregivers miss changes in a resident's condition. The current inspection record shows 44 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with three fines totaling $37,998 and a survey completed February 11, 2026. All three CMS star ratings land at one out of five.

Nurse hours

1.87 /day

Staff turnover

73%

Serious cites

0

Southern Pointe Living Center runs on 1.87 nursing hours per resident per day, roughly half the national average of 3.86. That staffing shortfall sits alongside a 72.5% annual turnover rate, well above the 45.8% national figure, which means the aides and nurses caring for your family member are likely newer and still learning the building. The inspection record shows 25 deficiencies, including two at the level of actual harm or jeopardy and one tied to abuse, and the last state visit was September 18, 2025. One fine of $38,445 has been levied against this for-profit corporation. Each of the three CMS star ratings, health inspections, quality measures, staffing, comes in at just one or two out of five.

Nurse hours

0.93 /day

Staff turnover

95%

Serious cites

0

Nurse staffing at The Creston runs 0.93 hours per resident day, about a quarter of what you'd see at the typical American nursing home. Nearly every worker who was there a year ago is gone now, with turnover at 95.4% against a national figure under 46%. That churn shows up in the inspection record: 61 deficiencies, four serious enough to cause harm, two tied to abuse, and $122,699 in fines across three penalties. The most recent inspection was February 27, 2026, so the picture is current. Nonprofit ownership hasn't translated into steadier care here, the staffing and quality stars sit at 1 and 2 out of 5. Families considering this one should ask hard questions about who's actually on the floor.

Nurse hours

3.22 /day

Staff turnover

60%

Serious cites

0

Sterling Rehabilitation and Nursing runs 63 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.22 hours per resident day against a national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover is 60.3%, well above the 45.8% national figure, which means the people caring for residents are often new. The current inspection record carries 34 deficiencies, five of them at the harm or jeopardy level and four tied to abuse. Four fines total $118,155, and the last inspection was August 2025.

Nurse hours

3.48 /day

Staff turnover

57%

Serious cites

0

The Haven of Ridgeview runs on 3.48 nurse hours per resident day, roughly a tenth under the national average, and weekends drop about 16% below what the home itself staffs on weekdays. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people around your relative keep changing. The record shows 39 deficiencies, five serious enough to put residents in harm's way and three tied to abuse, with $84,882 in fines across three penalties and a state inspection in August 2025. It's a for-profit limited liability company, and the low quality-measure score suggests the day-to-day care isn't tracking well either.

Nurse hours

2.19 /day

Staff turnover

82%

Serious cites

0

Atrium Place runs on 2.19 nurse staffing hours per resident day, roughly 43 percent under the national average, and weekends drop about 18 percent below what the home itself manages on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, with annual turnover at 82 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. The record shows 46 deficiencies, four at harm or jeopardy level and four abuse-related, plus six fines totaling $171,429, with the most recent inspection in August 2024. For-profit, limited liability ownership rounds out the picture.

Nurse hours

3.37 /day

Staff turnover

96%

Serious cites

0

Mountain View runs 187 certified beds under limited-liability, for-profit ownership, and the staffing numbers are where things get uncomfortable. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekend coverage drops roughly 15% below its own weekday level, so the thinnest shifts are also the least supervised. Staff turnover is 95.9% against a national figure of 45.8%, meaning nearly the entire nursing workforce cycles out annually. On the current record: 68 deficiencies, five of them serious enough to put residents in harm's way, seven tied to abuse, and three fines totaling $127,645. The most recent inspection was March 2026, recent enough that these problems are current, not historical.