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

Nurse hours

3.65 /day

Staff turnover

79%

Serious cites

0

Nurse staffing at La Bella of Mascoutah runs about 3.65 hours per resident per day, roughly 5% under the national average, and it thins out further on weekends, about 14% below its own weekday level. The bigger issue is who stays: annual turnover hits 78.8% against a national average of 45.8%, meaning most of the aides and nurses caring for your relative this year likely won't be there next year. That churn shows up in the inspection record: 36 deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and three fines totaling $128,006. The most recent inspection was December 2025.

Nurse hours

3.03 /day

Staff turnover

55%

Serious cites

0

La Bella Of Caseyville runs on 3.03 nursing hours per resident day, roughly a fifth below the national average, and weekends dip even lower than its own weekdays. That thin coverage shows up in the numbers: a one-star staffing rating, a one-star quality measure rating, and 55.3% annual turnover, meaning more than half the nursing staff leaves each year. The inspection record is heavier than that staffing picture alone would suggest, 40 deficiencies, 7 serious enough to put residents in harm's way, 6 tied to abuse, and $222,663 in fines across three actions, with the most recent inspection in June 2025. This is a for-profit LLC with 150 beds, and families should ask directly how the home covers weekends and what changed since those abuse findings.

Nurse hours

3.03 /day

Staff turnover

74%

Serious cites

0

Evervella Of Swansea runs on 3.03 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips even further below its own weekday pace. That thin margin shows up in the workforce itself: nearly three-quarters of staff turned over in a year, against a national rate closer to 46%. The inspection record carries 32 deficiencies, including three at the harm or jeopardy level and one tied to abuse, plus 23 fines totaling $155,317. The last inspection was recent, in September 2025, and quality measures sit at 2 out of 5 stars. If you're weighing this one, ask directly how they hold weekend staffing and what's changed since that abuse finding.

Nurse hours

2.63 /day

Staff turnover

68%

Serious cites

0

Integrity Hc Of Anna runs about 2.63 nurse hours per resident day against a national average of 3.86, roughly a third less hands-on care than typical, with weekends running about 13% leaner than weekdays. Turnover sits at 67.7% against a national 45.8%, meaning most of the staff you'd meet likely weren't there a year ago. The inspection record is heavy: 53 deficiencies, 10 of them at harm or jeopardy level and two tied to abuse, plus five fines totaling $352,749. The most recent inspection was August 2025, so the record is current rather than stale. For a 70-bed for-profit home, the numbers point to thin coverage and repeated compliance failures rather than isolated bad luck.

Nurse hours

2.96 /day

Staff turnover

57%

Serious cites

0

Regency Care runs 99 beds in Springfield under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.96 nurse hours per resident per day, roughly a quarter below the national average, with weekends dropping another 12% below its own weekday staffing. Turnover sits at 57.3% against a national 45.8%, which means the aides and nurses your family member sees are cycling through constantly. The inspection record backs this up, 38 deficiencies, six at harm or jeopardy level, three tied to abuse, and $210,507 in fines across four events. The most recent inspection was March 2025, so the record is current. CMS rates it 1 out of 5 on both staffing and quality measures.

Nurse hours

3.57 /day

Staff turnover

82%

Serious cites

0

Clinton Healthcare runs 120 beds under corporate ownership, and the numbers that stand out most are on the staffing side. Nurses give 3.57 hours per resident per day against a national average of 3.86, weekends drop roughly 12% below the home's own weekday level, and annual turnover sits at 82.2%, nearly double the 45.8% national figure. On the inspection record, 31 deficiencies are logged, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $83,041. The last inspection was September 5, 2024. Ownership and consistency of care are the things to press on when you call.

Nurse hours

3.54 /day

Staff turnover

82%

Serious cites

0

Avir At San Augustine runs on thin staffing: 3.54 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 7% below its own weekday levels. That's a real problem when turnover hits 82%, nearly double the national 45.8%, because new hires cycle through faster than they can learn residents' needs. The inspection history backs this up: 20 deficiencies on the current record, including 3 at harm or jeopardy level and 3 tied to abuse, with $102,752 in fines across three penalties. A 4/5 inspection rating and recent May 2026 survey suggest the home can pass a walkthrough, but a 1/5 staffing score and 2/5 quality measures tell you what day-to-day care actually looks like.

Nurse hours

2.80 /day

Staff turnover

98%

Serious cites

0

Bluebonnet Point Wellness runs on 2.80 nurse hours per resident day, roughly 27% under the national average, and weekends drop about 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 97.8% against a national 45.8%, meaning nearly the entire nursing workforce cycles out each year. The current record shows 34 deficiencies, six serious enough to cause harm or jeopardy and one tied to abuse, with five fines totaling $181,947. Inspectors last visited in August 2025. With 119 certified beds under corporate for-profit ownership, ask specifically who is on duty nights and weekends before you decide.

Nurse hours

2.94 /day

Staff turnover

66%

Serious cites

0

Gallaway Health and Rehab runs on 2.94 nurse hours per resident day, about a quarter below the national average, and weekends drop roughly 15% below what the home staffs on weekdays. Nearly two-thirds of its nurses left over the past year, well above the 45.8% national rate, which means care is often delivered by people still learning the building. Its record shows 21 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $78,741 fine. The last inspection was June 2022, so that record is largely unverified since then. A for-profit LLC operates the 104-bed home out of Fayette County.

Nurse hours

2.86 /day

Staff turnover

70%

Serious cites

0

Greenview runs on 2.86 nurse hours per resident day, well under the 3.86 national average, and weekends drop about 9% below what the home already provides on weekdays. Nearly 70% of nursing staff turned over in a year, against a 45.8% national figure, with a for-profit LLC operating the 128 beds. The current inspection record carries 45 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, and the home has been fined five times for $73,108 total. Its last inspection was March 19, 2025.

Nurse hours

3.33 /day

Staff turnover

97%

Serious cites

0

Lampstand runs 140 beds in Bryan under for-profit LLC ownership, and the staffing numbers are the first thing to sit with. At 3.33 nurse hours per resident day, it's roughly 14% under the national average, and weekends drop about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the harder fact: 97.3% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, almost certain to change within the year. Behind those numbers sit 48 deficiencies on the current record, four of them serious enough to reach harm or jeopardy level, plus $31,460 in fines. The most recent inspection was April 2026.

Nurse hours

3.36 /day

Staff turnover

62%

Serious cites

0

Roswell Center for Nursing and Healing runs 268 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average, and weekends drop another 13% below what the home already provides on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover is 61.7% against a national 45.8%, meaning most of the people caring for residents are still learning the building. Inspectors have cited 24 deficiencies, five serious enough to put residents at harm or jeopardy, and one fine of $206,486. No abuse citations appear on the current record.

Nurse hours

3.12 /day

Staff turnover

61%

Serious cites

0

Lakeside runs 3.12 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends are thinner still, about 13% below its own weekday coverage, and 60.6% of staff turned over in a year versus 45.8% nationally, so the people providing that care keep changing. The inspection record shows 38 deficiencies, 11 serious enough to cause harm or jeopardy, 2 tied to abuse, and $199,461 in fines across three penalties. The most recent inspection was March 2025, so the picture is current. A for-profit corporation owns the 95-bed building. Staffing, quality measures, and inspection results each land at the low end of CMS's scale.

Nurse hours

2.91 /day

Staff turnover

73%

Serious cites

0

Nurse staffing at Arc at Sangamon Valley runs about 25% under the national average, 2.91 hours per resident day against 3.86, and weekends dip roughly 8% below what the home itself provides on weekdays. When aides and nurses leave at a 72.6% annual rate, well above the 45.8% national figure, that thin coverage gets harder to hold steady. The inspection record carries 82 deficiencies, 14 of them at harm or jeopardy level and 13 tied to abuse; federal fines total $583,051 across five penalties, and the most recent inspection was September 2024. Nonprofit ownership hasn't translated into stronger numbers here.

Nurse hours

2.97 /day

Staff turnover

99%

Serious cites

0

Serenity Estates of Lincolnshire runs on 2.97 nurse hours per resident per day, roughly a quarter below the national figure, and it thins out further on weekends. That staffing picture is hard to separate from a 99% annual turnover rate, meaning the aides and nurses in the building are largely new to it, more than double the churn seen at the typical U.S. home. The inspection record is heavier still: 61 deficiencies, ten serious enough to involve harm or jeopardy, six tied to abuse, and $343,139 in fines across eight penalties. The most recent state visit was April 2025. A for-profit limited liability company operates the 144-bed home.

Nurse hours

3.16 /day

Staff turnover

82%

Serious cites

0

Strafford Care Center runs on thin staffing: 3.16 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday levels. The workforce is churning hard, 82.3 percent annual turnover against a national average of 45.8, which matters because 76 deficiencies sit on the current record, including 14 tied to abuse and one at the harm or jeopardy level. Inspectors were last in on April 21, 2025, and a $52,456 fine stands against the limited-liability company that owns the place. Every CMS rating category here, health inspections, quality measures, staffing, comes in at one out of five. Families weighing this home should start by asking who's actually on the floor on a Saturday.

Nurse hours

3.23 /day

Staff turnover

97%

Serious cites

0

Vintage Health Care Center runs on 3.23 nurse hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday staffing. Annual turnover sits at 96.6 percent, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, likely to be new or on their way out. The inspection record backs that up: 57 deficiencies, seven serious enough to put residents in harm's way, one tied to abuse, and four fines totaling $252,370. Federal regulators have placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.

Nurse hours

3.22 /day

Staff turnover

68%

Serious cites

0

Renwick Nursing and Rehab runs on 3.22 nursing hours per resident day, roughly 17 percent under the national average, and weekends drop about 12 percent below its own weekday staffing. Turnover sits at 67.7 percent against a national 45.8, so the aides and nurses who remain are likely covering for a constantly changing crew. The current record carries 52 deficiencies, seven of them serious enough to involve harm or jeopardy, two tied to abuse, and six fines totaling $202,040. All three CMS ratings come in at one star, with the last inspection logged in October 2024. For a 120-bed for-profit limited liability company, those numbers describe a home where short staffing, high churn, and repeated citations reinforce each other.

Nurse hours

3.53 /day

Staff turnover

70%

Serious cites

0

Woodland Manor runs on thinner staffing than most homes nationally, and the gap widens on weekends, when coverage drops about 11% below its own weekday level. That matters more than the raw hours suggest, because nearly 70% of the nursing staff turned over in a year, well above the national rate, so the people providing care keep changing. The inspection record backs up the concern: 50 deficiencies, five serious enough to put residents in harm's way, and four tied to abuse, with $114,339 in fines. A recent November 2025 inspection gives some current picture, but three one-star ratings across health, quality, and staffing describe a home struggling on every measure at once.

Nurse hours

2.84 /day

Staff turnover

67%

Serious cites

0

Big Bend Woods runs on 2.84 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage drops about 11% below its own weekday level. Staff turnover sits at 67% against a national 45.8%. The inspection record shows 64 deficiencies, including four at harm or jeopardy level and five tied to abuse, plus an $85,176 fine and a 1-out-of-5 CMS rating on both staffing and quality measures. Ownership is for-profit and individual. The most recent inspection was September 2025.