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

Nurse hours

3.15 /day

Staff turnover

26%

Serious cites

0

McDonald County Living Center runs lean on nursing hours, 3.15 per resident day, roughly 18% under the national average, and weekends dip about 11% below its own weekday coverage. That's the weak spot. What partly offsets it: turnover here is 25.6%, well below the national 45.8%, so the staff who are present tend to stay, which matters for consistency of care. The current record shows 15 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Inspectors last visited in December 2024, and the home scores 4 out of 5 on both health inspections and quality measures, with staffing at 3. It's a for-profit corporate operation, and the numbers say decent care with thinner coverage than most.

Nurse hours

2.62 /day

Staff turnover

38%

Serious cites

0

Hilltop At Blue River runs about 2.62 nurse hours per resident day, roughly a third below the national average, and weekends drop another 11% under its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 37.9%, actually better than the national 45.8%. The split shows in the numbers: quality measures score 5/5, but staffing sits at 1/5 and inspections at 2/5, with 48 deficiencies on record, two at harm or jeopardy level and two abuse-related, plus a $34,704 fine. Last inspected March 2025. For-profit corporate ownership. Ask about weekday-to-weekend staffing and how those abuse findings were resolved.

Nurse hours

3.41 /day

Staff turnover

56%

Serious cites

0

Ashley Manor runs about 3.41 nursing hours per resident per day, roughly 12% under the national average of 3.86, and weekends dip another 14% below its own weekday staffing. That thin coverage shows up in the staffing rating. Turnover sits at 55.8% against a national 45.8%, so aides and nurses are cycling through faster than average. On paper, care quality looks solid, four stars each on health inspections and quality measures, with a January 2025 inspection and no deficiencies at the harm level. But 24 total deficiencies and one abuse-related finding on the record is a lot to carry, and it's the staffing math, not the inspection score, that families should weigh hardest here.

Nurse hours

5.00 /day

Staff turnover

44%

Serious cites

0

Bethesda Dilworth is a 350-bed nonprofit home in St. Louis County, and its staffing is the strongest part of the picture: 5.00 nurse hours per resident day, roughly 29% above the national average, with a four-star staffing rating to match. Turnover sits at 43.5%, a bit better than the national 45.8%, though weekend coverage drops about 11% below weekday levels. The concerns are elsewhere. Inspections turned up 24 deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, plus a single fine of $88,946. The most recent inspection was July 2025, so the record is current. Strong daily staffing, but the inspection history is what's holding this one back.

Nurse hours

3.64 /day

Staff turnover

42%

Serious cites

0

Pearl's Ii Eden For Elders runs 60 beds in Princeton under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating with no deficiencies at the harm or jeopardy level. There are 38 deficiencies on the current record, though, including three tied to abuse, and the quality measure rating sits at two stars. Nurse staffing works out to 3.64 hours per resident day, about 6% under the national average of 3.86, and weekends run roughly 7% thinner than weekdays. Annual turnover of 41.5% is slightly better than the 45.8% national figure. The last inspection was August 7, 2025, so the record is recent.

Nurse hours

3.17 /day

Staff turnover

47%

Serious cites

0

Adept Nursing & Rehab Of Central City runs on thinner nursing coverage than most homes its size, 3.17 nurse hours per resident day against a national average of 3.86, with weekends dipping about 5% below its own weekday levels. The state's most recent inspection, in July 2025, left 19 deficiencies on the record, none rising to harm or jeopardy and none abuse-related, though the health inspection rating sits at 2 out of 5. Staff turnover is 47.1%, slightly above the national figure, and the home is owned by a for-profit limited liability company. Its quality measure rating is a 4, which suggests the clinical outcomes tracked by CMS look better than the staffing and inspection numbers would predict on their own.

Nurse hours

4.85 /day

Staff turnover

67%

Serious cites

0

Old Mill Rehabilitation runs on more nursing hours than most homes, 4.85 per resident day against a national average of 3.86. That's a real cushion, though weekends dip about 12% below the home's own weekday pace, so coverage isn't perfectly even. The bigger concern is staff churn: 67.3% annual turnover, well above the 45.8% national figure, which matters because residents see a lot of new faces. Eighteen deficiencies sit on the current record, three tied to abuse and none at the harm or jeopardy level. The last inspection was April 2026, so the picture is recent. Ownership is a for-profit corporation, and the three-star ratings across health, quality, and staffing are consistent with what the numbers show.

Nurse hours

3.49 /day

Staff turnover

30%

Serious cites

0

Litzenberg Memorial is county-owned, which tends to mean stability and a local board that answers to voters rather than shareholders. The inspection record backs that up: seven deficiencies on file, none of them causing harm or involving abuse, and a survey completed just this September. Staffing is where it gets uneven. At 3.49 nurse hours per resident day, it runs about ten percent under the national average, and weekends dip another ten percent below the home's own weekday levels, so a Saturday shift is the thinnest coverage you'll find here. The saving grace is retention: 30 percent turnover against a 45.8 percent national average means the aides and nurses who are there tend to stay, which matters more than raw hours when your parent needs someone who knows their routine.

Nurse hours

3.48 /day

Staff turnover

23%

Serious cites

0

Genoa Community Hospital's long-term care unit runs on a city-owned, 43-bed model, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends drop about 12% below its own weekday coverage, a gap families should ask about directly. What stands out in the other direction is turnover: 22.9% against a national average near 46%, meaning the aides and nurses here tend to stay. Ten deficiencies appear on the current record, three tied to abuse, though none reached harm or jeopardy level, and the last inspection was in May 2025. Quality measure scores lag at 1 star while staffing holds at 4.

Nurse hours

3.29 /day

Staff turnover

45%

Serious cites

0

Alta Skilled Nursing runs 180 beds in Reno under for-profit LLC ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, with weekends about 13% thinner than its own weekdays. Turnover is 44.5%, essentially matching the national 45.8%, so retention isn't the standout issue; coverage is. The inspection record shows 56 deficiencies, including one at the harm level and eight tied to abuse, plus a $39,166 fine, though the most recent inspection came in May 2025. Quality measures score 2 out of 5. Families should ask directly how weekend coverage is handled.

Nurse hours

3.37 /day

Staff turnover

43%

Serious cites

0

Crestwood Center runs 82 certified beds in Milford under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.37 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, and weekends dip roughly another 13 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 43.1 percent actually edges below the 45.8 percent national figure, which is one genuinely encouraging sign. Inspections are recent, from December 2025, but the record carries 13 deficiencies, including one at the harm level and one abuse-related, plus a $15,646 fine. Quality measures score well; the staffing and inspection side is where the concern sits.

Nurse hours

5.56 /day

Staff turnover

48%

Serious cites

0

Sullivan County Health Care is county-owned and carries 156 certified beds, and the county has clearly put money into nursing staff, 5.56 hours per resident day runs about 44% above the national average, with weekends dipping only slightly below weekdays. Inspections back that up: a four-star health inspection rating and a visit as recent as December 2025. The weaker signals sit elsewhere. Ten deficiencies are on the current record, including one at the harm level and two tied to abuse, plus a $16,153 fine. Annual turnover of 48.1% edges past the national 45.8%, and the two-star quality measure rating suggests resident outcomes aren't matching the staffing investment.

Nurse hours

3.56 /day

Staff turnover

42%

Serious cites

0

Complete Care at Burlington Woods is a 215-bed for-profit home in Burlington, and the numbers pull in different directions. The clinical quality measure rating is strong at 5 out of 5, meaning the home reports good outcomes on things like wounds and mobility. But staffing runs about 3.56 nurse hours per resident day, roughly 8% under the national average, and weekends dip another 8% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.7% is slightly better than the national 45.8%, which helps. The tradeoff is oversight: 23 deficiencies on record, one serious enough to involve harm, and a $63,469 fine, with the last inspection in June 2025.

Nurse hours

4.72 /day

Staff turnover

97%

Serious cites

0

Heath Village runs a solid non-profit home in Hackettstown. The numbers that stand out most are the ones that don't match: nurse staffing sits at 4.72 hours per resident day, roughly 22% above the national average, yet annual turnover hits 97.2% against a national norm near 46%. That means the care hours are there, but the people delivering them are cycling through fast, weekend coverage also dips about 8% below weekday levels. On paper, inspections look clean: 11 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was in March 2026. The quality measure rating sits at 3 out of 5, softer than staffing and inspection scores. If consistency of caregivers matters to your family, ask how they hold onto aides.

Nurse hours

3.17 /day

Staff turnover

39%

Serious cites

0

Holly Manor runs leaner on nursing hours than most homes, about 3.17 per resident day against a national average near 3.86, and weekends get thinner still, roughly 9% below its own weekday coverage. That staffing shortfall is why CMS gives it only 2 of 5 stars on both staffing and health inspections, even though its quality measure score sits at the top of the scale. The inspection record shows 20 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Turnover at 38.6% actually beats the national rate, and the most recent inspection was in February 2025, so the picture is current rather than stale.

Nurse hours

3.48 /day

Staff turnover

46%

Serious cites

0

Elmwood Hills runs 300 beds in Blackwood under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag: 3.48 nurse hours per resident day, roughly 10% under the national average, with weekends dipping about 11% below its own weekday coverage. Turnover sits at 46.4%, basically in line with the national figure, so that's not the outlier here. What stands out is the inspection record, a 1-out-of-5 health inspection rating, 25 deficiencies including two at harm or jeopardy level and two tied to abuse, with the most recent inspection in May 2025. The 5-out-of-5 quality measure score doesn't cancel that out. Ask about weekend staffing and the abuse-related findings specifically.

Nurse hours

3.23 /day

Staff turnover

60%

Serious cites

0

Deptford Center runs 240 certified beds as a for-profit corporation, and its staffing numbers sit below the national average, about 3.23 nurse hours per resident day against 3.86 nationally. Weekend coverage drops roughly 8% below its own weekday level, and annual turnover hits 60.3% while the national average is 45.8%, so the aides and nurses your family member sees may keep changing. The current record carries 54 deficiencies, four tied to abuse, though none at the harm or jeopardy level. Quality measures score well, but health inspections and staffing both come in low, and the most recent inspection was August 2025.

Nurse hours

4.11 /day

Staff turnover

49%

Serious cites

0

Autumn Lake Healthcare At Oceanview runs on more nurse hours than most homes, 4.11 per resident day against a national average of 3.86, and that's why its staffing rating lands at 4 out of 5. The catch is weekends, when coverage drops roughly 6% below what the building staffs on weekdays, and turnover sits at 48.7%, a bit worse than the 45.8% national figure. Inspections show 22 deficiencies with none at the harm level, but one tied to abuse, plus a single $28,740 fine. The last state visit was January 2025, so the record is recent. It's a for-profit LLC, and the care numbers are steady rather than standout.

Nurse hours

3.62 /day

Staff turnover

44%

Serious cites

0

Aristacare At Manchester runs 165 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.62 nurse hours per resident day, about 6% under the national average of 3.86, with weekends roughly 8% leaner than weekdays. Annual turnover of 43.8% is actually slightly better than the 45.8% national figure, though still high by any measure. Inspections look strong on paper, a 4/5 health inspection rating and a 5/5 quality measure rating, with the most recent survey in August 2025, but 17 deficiencies sit on the current record, including one at the harm or jeopardy level, and CMS has fined the home $62,826.

Nurse hours

3.07 /day

Staff turnover

38%

Serious cites

0

Lopatcong Center runs 153 beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.07 nurse hours per resident day, roughly a fifth below the national average of 3.86, with weekends about 10% leaner than weekdays. Turnover sits at 37.5%, better than the 45.8% national figure, so the people who stay tend to stay. The trade-off shows up elsewhere, a 2/5 inspection rating, 24 deficiencies on record including one abuse-related, though none reached harm or jeopardy, and the last inspection was recent, June 2025. Quality measures score 5/5, which reflects how residents are actually doing day to day. The staffing shortfall and inspection history are the things to ask about directly.