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

Nurse hours

4.15 /day

Staff turnover

56%

Serious cites

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Willow Springs runs 4.15 nurse hours per resident day, about 8% above the national average, and it holds 4 out of 5 stars on both health inspections and quality measures. But the census of 38 deficiencies includes one at the harm level and two tied to abuse, and staff turnover sits at 55.7% against a national 45.8%, the kind of churn that undercuts consistent care no matter how good the hours look on paper. Weekend staffing drops roughly 16% below its own weekday level, and there's a single $21,442 fine on record. The most recent inspection was July 2025, so the picture is current. A corporate-owned home with real strengths and real gaps.

Nurse hours

2.78 /day

Staff turnover

37%

Serious cites

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Autumn Lake Healthcare At Beloit runs on thin staffing: 2.78 nurse hours per resident day, roughly 28% under the national average, and weekends drop about 15% below what the home manages on weekdays. The inspection record shows 14 deficiencies, two of them serious enough to involve harm or jeopardy, though none tied to abuse. Turnover sits at 37.3%, which is actually better than the national 45.8%, so the problem isn't retention, it's how few hands are on deck per resident. The last inspection was February 2026. A for-profit limited liability company operates the 120-bed home, and its quality measure score is decent while staffing drags.

Nurse hours

2.15 /day

Staff turnover

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Serious cites

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Casa Dorinda runs on 2.15 nurse hours per resident day, roughly 44% under the national average of 3.86, and weekend coverage drops about 15% below its own weekday level. That thin staffing is the main thing pulling its profile down, even though the quality measure rating is a perfect 5 and inspections came in at 4 out of 5, most recently in March 2026. The record shows 31 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involve abuse, and there's a single fine of $8,278. For a nonprofit with strong clinical scores, the daily staffing numbers are the piece worth asking about directly.

Nurse hours

4.32 /day

Staff turnover

—

Serious cites

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Highland Park Skilled Nursing and Wellness Center runs 59 certified beds in Los Angeles, and it's a for-profit corporation. Here's the tension worth knowing about: total nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average of 3.86, which sounds reassuring until you notice weekends drop about 11% below the home's own weekday level. CMS rates staffing just 1 out of 5 stars despite that raw total, and quality measures earn 4 out of 5. The current record carries 53 deficiencies, 2 of them abuse-related, none at harm or jeopardy level, with a health inspection rating of 3 out of 5 and a last visit dated March 2026.

Nurse hours

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Staff turnover

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Community Hospital of San Bernardino's skilled nursing unit sits inside a nonprofit hospital, and the numbers show a split personality. Clinical quality measures look good at 4 out of 5 stars, but staffing is a different story, just 1 star, meaning nurse hours per resident fall well below what CMS expects. That gap matters more than the quality score, because staffing is what determines whether anyone answers when your mother presses the call button. The inspection record raises real questions too: 21 deficiencies on file, including two at the harm level and one tied to abuse, along with a $9,110 fine. The most recent inspection was in August 2025, so the picture is current. Ask hard questions about direct-care staffing before you consider this one.

Nurse hours

6.61 /day

Staff turnover

21%

Serious cites

0

Los Angeles Comm Hospital runs 39 certified beds under corporate for-profit ownership, and its nurse staffing sits at 6.61 hours per resident day, roughly 71% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, and annual turnover comes in at 20.8%, well under the 45.8% national figure, which suggests a steadier crew than most. The tradeoff shows up in its record: 27 deficiencies, two tied to abuse, plus three fines totaling $17,356, even though none reached harm or jeopardy level. A February 2026 inspection is recent, and the 4-star health inspection result sits against a 2-star staffing rating.

Nurse hours

3.78 /day

Staff turnover

—

Serious cites

0

Santa Fe Post-Acute runs 187 beds in Vista under for-profit LLC ownership, and its inspection record is the part that stands out: 50 deficiencies on file, three of them serious enough to reach harm or jeopardy level, plus a single $64,269 fine. Nurse staffing sits at 3.78 hours per resident day against a national average of 3.86, and weekends run about 5% leaner than weekdays, so coverage thins out exactly when families tend to visit. Inspectors were last in on May 2, 2025, meaning the record is current rather than stale. No abuse findings appear in the data, which matters, but the volume and severity of the health citations are worth asking about directly.

Nurse hours

4.06 /day

Staff turnover

—

Serious cites

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Granite Hills runs 4.06 nurse hours per resident day, which is about 5% above the national average, real, but modest. The bigger issue is what's on the record: 56 deficiencies, two of them serious enough to involve harm or jeopardy, plus two abuse-related citations and a $14,015 fine. Weekend staffing drops roughly 8% below weekday levels, so coverage thins exactly when families tend to visit. A for-profit LLC with 99 beds, inspected in January 2025, carries a 2-star inspection rating and a 2-star staffing rating from CMS. The quality measure score sits higher at 3 stars, but that's self-reported data, and the inspection findings are what surveyors saw firsthand.

Nurse hours

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Staff turnover

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Hico Nursing and Rehabilitation is a for-profit LLC home with 80 certified beds, and its numbers tell a split story. The quality measures look strong at 5 out of 5, but staffing sits at the bottom of the national range, 1 out of 5, and that shortfall shows up in the inspection record: 23 deficiencies, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $31,552 is on file. The last inspection was recent, December 3, 2025, so this isn't stale history. A family weighing this home should ask directly how direct-care hours are covered on evenings and weekends, and how the abuse-related findings were resolved.

Nurse hours

3.38 /day

Staff turnover

—

Serious cites

0

The Village at Heritage Oaks runs a five-star health inspection record and a strong four-star quality measure score, which tells you the care planning and clinical outcomes hold up under federal review. What pulls it down is staffing: 3.38 nurse hours per resident day against a national average of 3.86, and weekends run about 8 percent thinner than weekdays. Five deficiencies on the current record, none at harm or jeopardy level and none abuse-related, and the most recent inspection came in December 2025. The trade-off here is a home that inspects well but runs leaner than average on direct nursing time, especially on Saturdays and Sundays.

Nurse hours

3.10 /day

Staff turnover

—

Serious cites

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Silsbee Oaks runs thin on nursing hours, 3.10 per resident per day against a national average of 3.86, and weekends dip another 11% below what the home staffs on weekdays. That gap is why the federal staffing rating sits at 1 out of 5, even though inspections went well: a 4/5 health inspection score, last survey in January 2026, and 12 deficiencies on record with just one rising to harm or jeopardy level and none involving abuse. The one fine, $8,193, is modest by nursing home standards. What you're looking at is a home that passes its surveys but may leave residents waiting longer for help between shifts, especially Saturdays and Sundays.

Nurse hours

3.19 /day

Staff turnover

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Serious cites

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Legend Healthcare and Rehabilitation in Paris runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 43 deficiencies, one serious enough to involve harm or jeopardy, and one fine of $16,149. CMS rated its staffing 2 out of 5 stars and its inspection history 3, though quality measures scored higher at 4. The last inspection was February 5, 2026, so the record is recent.

Nurse hours

4.43 /day

Staff turnover

46%

Serious cites

0

Garrison Nursing Home reports nurse staffing of 4.43 hours per resident day, roughly 15% above the national average, but the weekend tells a different story, running about 20% thinner than its own weekday coverage. That gap matters because weekends are when families often visit and when problems tend to surface. The inspection record shows 13 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with three fines totaling $52,951. Staff turnover sits at 45.7%, essentially matching the national rate, so continuity of caregivers isn't a strength here either. The most recent inspection was July 30, 2025, so the picture is current. The quality measure rating is solid, but the staffing rating and that deficiency history are what pull the overall picture down.

Nurse hours

3.61 /day

Staff turnover

48%

Serious cites

0

Cheyenne Medical Lodge is a hospital-district home in Mesquite with 139 certified beds, and its numbers tell a mixed story. The clinical record looks strong, 21 deficiencies on file with none at the harm level and nothing abuse-related, plus a recent May 2025 inspection and top marks on CMS quality measures. Staffing is where it thins out: 3.61 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 21% below its own weekday levels, and turnover at 47.7% runs slightly above the national rate. That pattern, solid care outcomes propped up by a workforce stretched thin on weekends and cycling through staff, is the real tension in this home's record.

Nurse hours

3.79 /day

Staff turnover

—

Serious cites

0

Caraday of Houston runs 150 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a recent March 2025 survey and 15 deficiencies with none at the harm or jeopardy level. The staffing side tells a different story. At 3.79 total nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 5% below its own weekday coverage, which is where gaps tend to show up. One abuse-related deficiency and three fines totaling $53,518 round out the record. Strong surveys, thinner staffing, that tension is what separates the 5-star inspection rating from the 2-star staffing rating.

Nurse hours

3.77 /day

Staff turnover

—

Serious cites

0

Midtowne Meadows runs a tight ship on inspections, a 5-star health inspection rating with just two deficiencies on record, neither of them causing harm or involving abuse. That's a genuinely clean survey history, and the most recent inspection came in September 2025, so the picture is current. The staffing side tells a different story. At 3.77 nurse hours per resident per day, this home sits slightly under the national average, and its own weekend coverage drops about 7% below weekdays, when families tend to visit and residents need attention. CMS rates staffing 1 out of 5 stars. Ownership changed hands within the past year, and five fines totaling $20,131 have accumulated. New operators sometimes mean reinvestment, sometimes disruption, worth asking about directly.

Nurse hours

4.05 /day

Staff turnover

54%

Serious cites

0

Coosa Valley Health and Rehab runs 124 certified beds in Glencoe, and its nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average of 3.86. That cushion shrinks on weekends, when coverage drops about 10% below the home's own weekday level, and staff turnover is 53.6%, well above the national 45.8%. The current record shows 23 deficiencies, none at the harm or jeopardy level and none abuse-related, which matters more than the raw count suggests. The last inspection was April 29, 2022, so the picture regulators have is getting old. For-profit corporate ownership rounds out the profile.

Nurse hours

4.40 /day

Staff turnover

58%

Serious cites

0

Gadsden Health And Rehab Center runs 168 certified beds under individual for-profit ownership, and the raw staffing number looks decent: 4.40 total nurse hours per resident day, roughly 14% above the national average of 3.86. The catch is consistency. Weekend staffing drops about 14% below the home's own weekday level, and annual turnover sits at 57.7% against a national average of 45.8%, meaning the people covering those weekend shifts are often new. On paper the record is clean: six deficiencies, none at harm or jeopardy level, none abuse-related, with a 4/5 inspection rating. But the last inspection was July 2021, so that rating describes a facility from several years ago.

Nurse hours

3.03 /day

Staff turnover

31%

Serious cites

0

Orchard Rehabilitation & Healthcare Center runs 72 certified beds in Hayneville under corporate for-profit ownership, and its staffing sits at 3.03 nurse hours per resident day, roughly 22 percent under the national average of 3.86, with weekends about 15 percent thinner than weekdays. Turnover is 31.3 percent, well below the national 45.8, so the aides who are there tend to stay. The trouble is the record: four deficiencies, two at harm or jeopardy level and one abuse-related, with the last inspection dated April 2021. A five-star inspection rating on paper is doing a lot of work against a one-star quality measure score and a thin weekend floor.

Nurse hours

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Staff turnover

36%

Serious cites

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Kirkwood By The River runs on 4.69 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home, and its staff tends to stick around, turnover of 35.8% is well below the 45.8% national figure. Weekends dip about 11% under weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record shows eight deficiencies with none tied to harm, jeopardy, or abuse, though the last full inspection was in October 2021, so that picture is getting old. Quality measure scores sit at 2 out of 5 even as staffing and inspections rate 4, a split worth understanding before you decide.