12,967 Nursing Homes With a Clean Inspection Record in the United States

Nurse hours

4.03 /day

Staff turnover

53%

Serious cites

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Lakeside Generations runs about 4.03 nurse staffing hours per resident day, a bit above the national average, and weekends drop roughly 15% below its own weekday level, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover sits at 53.1%, higher than the 45.8% national figure, so continuity of caregivers is a real question. The inspection record shows 8 deficiencies, one at the harm or jeopardy level, with the most recent inspection in January 2026. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 4 out of 5.

Nurse hours

4.67 /day

Staff turnover

34%

Serious cites

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Bedford Care Center of Newton runs on more nursing hours than most homes in the country, 4.67 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 33.9% compared to 45.8% nationally. Weekend coverage dips roughly 10% below its own weekday levels, so ask how that plays out on a Sunday. The inspection record is clean where it matters most: nine deficiencies, but none at the harm or jeopardy level, and one abuse-related finding worth asking about directly. Quality measure scores sit at 2 out of 5, which is the number that doesn't match the rest of the picture.

Nurse hours

4.40 /day

Staff turnover

47%

Serious cites

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Friendship Village Chesterfield runs a nonprofit home of 98 beds in St. Louis County, and the staffing numbers are its strongest card: 4.40 nurse hours per resident day, roughly 14 percent above the national average, which is why CMS gives it five stars on staffing. The catch is consistency, weekend coverage drops about 13 percent below its own weekday level, so care on a Saturday isn't quite what it is on a Tuesday. Turnover sits at 46.6 percent, essentially the national rate. Inspections from September 2024 produced 21 deficiencies, none at the harm level, but four tied to abuse.

Nurse hours

4.60 /day

Staff turnover

48%

Serious cites

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Friendship Village Sunset Hills runs 4.60 nurse staffing hours per resident day, about 19% above the national average of 3.86, a real margin, though weekends dip roughly 4% below its own weekday level. That strong staffing sits alongside a rougher inspection record: 24 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse, with a single fine of $14,433 and a January 2025 inspection. Staff turnover of 48.1% edges past the national 45.8%, meaning the people providing that above-average care are still cycling out. High staffing hours and a meaningful resident census don't erase what inspectors found here.

Nurse hours

2.84 /day

Staff turnover

27%

Serious cites

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Wilson's Creek runs a 172-bed for-profit operation in Springfield, and the numbers tell a mixed story. Nurse staffing sits at 2.84 hours per resident per day, roughly 27% under the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 26.9% against a national 45.8%, meaning aides and nurses tend to stick around. Inspections look good on paper, but 18 deficiencies are on the current record, including one at the harm level and four tied to abuse. Ask about those four before you decide anything.

Nurse hours

3.45 /day

Staff turnover

29%

Serious cites

0

Nhc Healthcare, Maryland Heights runs 220 certified beds under for-profit limited liability ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating with 15 total deficiencies, none at the harm or jeopardy level. One abuse-related deficiency is on the record, which is worth asking about directly. Staffing is where the picture gets mixed: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, and weekends run roughly 10% thinner than weekdays. The offsetting strength is retention, 28.6% annual turnover against a 45.8% national average means familiar faces, which matters for daily care. Quality measures also rate 4/5.

Nurse hours

3.94 /day

Staff turnover

41%

Serious cites

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Maranatha Village runs on better-than-average nursing hours, 3.94 per resident day against a national 3.86, and its 40.8% turnover comes in under the 45.8% typical elsewhere, which matters for whether your family sees the same faces month to month. Weekend coverage drops roughly 14% below weekday levels, so pay attention to Saturday and Sunday care if you visit then. The 26 deficiencies on record include five tied to abuse, none reaching harm or jeopardy level, and the last full inspection was April 2024. Quality measures score at the top of CMS's scale, with staffing close behind; inspections sit in the middle.

Nurse hours

6.95 /day

Staff turnover

54%

Serious cites

0

The state-run home in Lewistown runs nurse staffing at 6.95 hours per resident per day, roughly 80% above the national average of 3.86, and it holds up on weekends, dipping only about 7% below its own weekday level. That staffing depth is the main reason it lands at a B. The caution side: its current record carries 37 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, and its last inspection in October 2024 produced a 2-out-of-5 health inspection rating. A single fine of $7,163 is on file. High staffing, real quality concerns.

Nurse hours

4.39 /day

Staff turnover

45%

Serious cites

0

The Ambassador in Nebraska City runs on more nursing hours than most homes, 4.39 per resident day against a national average of 3.86, and that staffing shows in a four-star rating there. Turnover sits at 44.9%, essentially the national rate, while weekend coverage drops about 13% below the home's own weekday level, so care can thin out when families visit. Inspections in October 2024 turned up seven deficiencies, none causing harm or jeopardy, though two were abuse-related. For-profit corporate ownership is worth knowing about, but the record itself reads steady.

Nurse hours

4.01 /day

Staff turnover

39%

Serious cites

0

Elwood Care Center is city-owned, which is unusual, most nursing homes are run for profit, and it tends to show in how the place is staffed. Nurses here give about 4.01 hours of care per resident each day, a bit above the national average, though weekends run roughly 9% leaner than weekdays. Staff turnover sits at 39.4%, lower than the 45.8% national figure, meaning fewer unfamiliar faces. The home was inspected in February 2025 and carries just four deficiencies, none involving harm or abuse. Quality measures score a middling 3 out of 5, but the inspection and staffing records are what carry this one.

Nurse hours

4.22 /day

Staff turnover

30%

Serious cites

0

Brookestone View runs on 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover sits at 29.8% against a national 45.8%, that retention is doing real work here. The trade-off is weekends: staffing drops about 12% below the home's own weekday level, so coverage isn't perfectly level across the week. Inspections show 11 deficiencies on record, none at the harm level and none abuse-related, and the most recent visit was June 2026. All three CMS star ratings land at 4 out of 5. For a 60-bed nonprofit in Custer County, the numbers point to steady nursing presence and stable leadership rather than anything flashy.

Nurse hours

4.28 /day

Staff turnover

—

Serious cites

0

Sandhills Care Center is county-owned, which matters here, no corporate chain pulling the strings, and the city or county answers for how it runs. Staffing sits at 4.28 nurse hours per resident day, about 11% above the national average, though weekends run roughly 19% leaner than weekdays, so care can thin out when families visit. The health inspection record is the weak spot: 22 deficiencies, including three tied to abuse, though none rose to actual harm or jeopardy. The last inspection was June 2025, so that picture is current. Quality measures score well on paper, but the inspection findings are where the real problems live.

Nurse hours

3.89 /day

Staff turnover

38%

Serious cites

0

Hillcrest Firethorn runs 72 beds in Lincoln under corporate ownership, and its nurse staffing sits right at the national mark, 3.89 hours per resident day against 3.86 nationally, so about a 1% edge. Weekends tell a different story: coverage drops roughly 11% below the home's own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the genuine bright spot at 37.8%, well under the 45.8% national average, meaning aides and nurses tend to stay. The tradeoff shows up in inspections, 12 deficiencies on record, one serious enough to involve harm or jeopardy, though none tied to abuse. The last state visit was April 2025, so the record is recent.

Nurse hours

3.39 /day

Staff turnover

30%

Serious cites

0

Horizon Health and Rehabilitation Center runs 138 certified beds in Las Vegas under corporate for-profit ownership, and its staffing numbers tell a mixed story. Nurses provide 3.39 hours per resident day, about 12% under the national average of 3.86, and weekend coverage drops roughly 10% below the home's own weekday levels. Turnover is the bright spot: 29.8% against a national average of 45.8% means aides and nurses here tend to stay. Inspections are current, with the last visit in June 2025, and while the home carries 33 deficiencies on its record, none rose to harm or jeopardy and none involved abuse. The lower inspection rating sits alongside stronger marks for quality measures and staffing.

Nurse hours

3.56 /day

Staff turnover

22%

Serious cites

0

Life Care Center Of Las Vegas runs 178 beds under corporate ownership, and its staffing sits at 3.56 nurse hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 13% below its own weekday coverage, so if your visits land on a Saturday or Sunday, expect a thinner floor. What stands out is retention: 21.6% annual turnover against a national average of 45.8%, meaning the people caring for your relative are more likely to still be there next year. The tradeoff shows up in its record, 29 deficiencies, two tied to abuse, though none reached harm or jeopardy. The most recent inspection was January 9, 2026.

Nurse hours

3.59 /day

Staff turnover

31%

Serious cites

0

Spanish Hills Wellness Suites runs 144 beds in Las Vegas under individual for-profit ownership, and the staffing numbers are a mixed picture. At 3.59 nurse hours per resident day it sits about 7% under the national average, and weekends drop roughly 10% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 31%, well under the national 45.8%, which suggests less churn than most homes. The current record shows 37 deficiencies, none at harm or jeopardy level but one abuse-related, alongside a 2/5 inspection rating. A recent February 2026 inspection and a 4/5 quality measure score round things out.

Nurse hours

3.75 /day

Staff turnover

34%

Serious cites

0

Hackett Hill runs a split personality on paper. The clinical numbers look good, a five-star quality measure rating and a four-star staffing score, with turnover at 34.4% against a national average of 45.8%, meaning workers here tend to stick around longer than at the typical home. But the inspection record tells a rougher story: 15 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a one-star health inspection rating. Nurse staffing sits at 3.75 hours per resident day, just under the national 3.86, and weekends run about 15% thinner than weekdays. For-profit corporate ownership, one fine of $8,278, and a recent April 2026 inspection round out the picture.

Nurse hours

4.08 /day

Staff turnover

43%

Serious cites

0

Mount Carmel runs on 4.08 nurse hours per resident day, a bit above the national average of 3.86, and its staffing rating reflects that. Weekends thin out by roughly 9% compared to weekdays, which is worth knowing if your visits tend to fall on Saturdays or Sundays. The current record shows 10 deficiencies, none at the harm level, though two are abuse-related, ask about those specifically. Staff turnover sits at 43.4%, slightly better than the 45.8% national figure, and the most recent inspection was in July 2025, so the picture is current. As a church-affiliated nonprofit, it answers to a mission rather than shareholders, which tends to show up in how long caregivers stay.

Nurse hours

3.75 /day

Staff turnover

40%

Serious cites

0

Saint Francis in Laconia runs on about 3.75 nurse hours per resident per day, roughly 3% under the national average, and weekends dip about 12% below its own weekday staffing. That's the kind of gap that shows up as slower response times on a Saturday afternoon, not necessarily in a rating. What stands out more is stability: turnover sits at 40.4% against a national 45.8%, and the inspection record is clean, four deficiencies total, none at harm level, none abuse-related, with a survey completed at the end of 2025. For a 51-bed nonprofit home, low turnover and a recent, unremarkable inspection matter more than a few minutes of weekday staffing. Ask about weekend coverage anyway.

Nurse hours

3.59 /day

Staff turnover

36%

Serious cites

0

Complete Care at Madison runs about 3.6 nurse hours per resident day, roughly 7% under the national average of 3.86, and weekends dip another 5% below its own weekday numbers, so the leanest coverage shows up exactly when families tend to visit. Turnover sits at 36.1%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The 23 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was March 2026, so the 4-star inspection and 5-star quality scores rest on recent findings.