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

Nurse hours

3.26 /day

Staff turnover

67%

Serious cites

0

Oconto Health and Rehab runs about 3.26 nursing hours per resident per day, roughly 16% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover sits at 66.7% against a national average of 45.8%, so the people caring for residents change often. The inspection record shows 41 deficiencies, including two at the harm or jeopardy level and six tied to abuse, with $18,819 in fines. The most recent inspection was in September 2025, so the picture is fairly current. Quality measures score well, but staffing and inspections are where the concerns concentrate.

Nurse hours

4.53 /day

Staff turnover

74%

Serious cites

0

Green House Living for Sheridan has real staffing depth, 4.53 nurse hours per resident day, roughly 17% above the national average, and that shows up in its staffing rating. But look at what else the record holds: 35 deficiencies, four of them serious enough to involve harm or jeopardy, two tied to abuse, and $61,929 in fines across three penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. Its last inspection was March 2025, and with 73.5% annual turnover, well above the 45.8% national figure, the people delivering that care keep changing. Good hours don't fix a troubled inspection history.

Nurse hours

4.01 /day

Staff turnover

39%

Serious cites

0

Bakersfield Post Acute runs a for-profit corporate operation with 99 certified beds, and its staffing numbers are the one bright spot: 4.01 nurse hours per resident day, roughly 4% above the national average, with turnover at 38.6%, noticeably better than the 45.8% national figure. Weekends thin out about 11% below weekday coverage, which is worth asking about. The inspection record is where the story turns. A 1-out-of-5 health inspection rating sits behind 113 deficiencies, including two at the harm or jeopardy level and eight tied to abuse. Two fines totaling $25,940 are on file, and the most recent inspection was in May 2026. Good staffing alone doesn't offset that kind of citation history.

Nurse hours

3.91 /day

Staff turnover

58%

Serious cites

0

Country Hills runs 305 beds in El Cajon under for-profit LLC ownership, and its staffing sits at 3.91 nurse hours per resident day, barely above the national average of 3.86. That thin margin gets thinner on weekends, which run about 6% below the home's own weekday levels, and annual turnover hits 58.2% against a national 45.8%. The inspection record is where the real concern lives: 73 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $122,210 fine. The last inspection was March 2025, so the record is current. Quality measure scores look strong on paper, but that's a different measure than the ones families feel day to day.

Nurse hours

4.25 /day

Staff turnover

37%

Serious cites

0

Colonial Gardens runs 4.25 nurse hours per resident day, about 10% above the national average, and its 36.6% turnover beats the 45.8% national figure. That's the good news, and it's real. The rest is harder: a 1/5 inspection rating and 107 deficiencies on the current record, including 12 tied to abuse and two serious enough to put residents in harm's way. Weekend coverage slips roughly 10% below weekday levels, so the hours thin out exactly when families tend to visit. One fine of $36,700 is on file, but the last inspection was May 2025, so the record is current. Staffing looks adequate on paper. The inspection history is the part to weigh.

Nurse hours

3.34 /day

Staff turnover

41%

Serious cites

0

Lakeview runs lean on nursing hours, 3.34 per resident day against a national average of 3.86, and weekends are thinner still, about 12% below its own weekday coverage. Staff turnover sits at 41.3%, a bit better than the 45.8% national figure, so the people who are there tend to stay. But 31 deficiencies on the current record, including six at the harm or jeopardy level and five tied to abuse, is a lot for a 60-bed home, and the two fines total $47,253. The hospital district that owns it isn't a for-profit chain, which matters, but ownership alone doesn't staff a Saturday shift.

Nurse hours

3.05 /day

Staff turnover

52%

Serious cites

0

Focused Care At Allenbrook runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday levels. Annual turnover sits at 51.6%, higher than the 45.8% national figure, so the staff you meet may not be there next year. Inspections are the brighter spot: a four-star health inspection rating and a recent visit in March 2026, with 14 deficiencies on record, two of them serious enough to reach harm level. The single fine of $8,400 is modest. Ownership is a for-profit limited liability company, and the 1-star staffing rating tells you where the pressure sits.

Nurse hours

3.67 /day

Staff turnover

41%

Serious cites

0

Briarcliff Health Center runs 230 beds in Tyler under corporate ownership, and the numbers show a home that's struggling on care quality even where it looks average on paper. Nurse staffing sits at 3.67 hours per resident day, about 5% under the national figure, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 14 deficiencies, five serious enough to put residents at harm or jeopardy, three tied to abuse, and two fines totaling $51,034. Staff turnover at 41% is slightly better than the national rate, but that's small comfort against a quality-measure score at the bottom of the scale and a citation history this recent.

Nurse hours

3.63 /day

Staff turnover

57%

Serious cites

0

Bluebonnet Rehab At Ennis runs 136 certified beds under for-profit LLC ownership, and its staffing is the first thing that stands out: 3.63 nurse hours per resident day, about 6% under the national average of 3.86, with weekend coverage dropping roughly 8% below its own weekday levels. Turnover sits at 56.9% against a national 45.8%, so that thinner staffing keeps getting rebuilt. The inspection record is comparatively clean, 17 deficiencies, none at harm or jeopardy level, none abuse-related, and a recent April 2026 survey. The split is real, though: steady survey results alongside staffing hours and retention that trail what most homes manage.

Nurse hours

3.15 /day

Staff turnover

59%

Serious cites

0

Harbor Point Skilled Nursing runs 129 certified beds in Texas City under for-profit LLC ownership, and its inspection record is genuinely decent, a 4-out-of-5 health inspection star, ten deficiencies on file with none at the harm or jeopardy level, and a survey as recent as April 2026. The problem sits elsewhere. Nurse staffing comes to 3.15 hours per resident day, roughly 19% under the national average, and weekends drop another 14% below the home's own weekday coverage. Annual turnover of 59.3% against a 45.8% national rate means the aides and nurses at the bedside keep changing. One abuse-related deficiency also appears on the record.

Nurse hours

3.09 /day

Staff turnover

45%

Serious cites

0

Cascades At Jacinto Rehab runs 148 certified beds in Houston under for-profit LLC ownership, and its staffing is the part I'd want you to sit with. At 3.09 nurse hours per resident per day, it sits about 20% under the national average of 3.86, and weekends drop roughly 11% below its own weekday level, so coverage thins exactly when families tend to visit. Turnover at 44.8% is basically in line with the national 45.8%, so that's not the outlier here; the raw hours are. The current inspection record shows 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with three fines totaling $64,326. CMS gave it 1 out of 5 stars for staffing and 2 for health inspections, and the last inspection was February 2026.

Nurse hours

3.47 /day

Staff turnover

59%

Serious cites

0

Avir At Cisco gets top marks on health inspections, a 5 out of 5, and its last survey was recent, in August 2025. But that inspection record still carries 18 deficiencies, including one tied to abuse, though none rose to the level of actual harm or jeopardy. The bigger concern is staffing: a 1 out of 5 star rating, with 58.5% annual turnover against a national average of 45.8%. Quality measures land in the middle at 3 out of 5. This is a for-profit limited liability company with 80 certified beds. Strong surveys, thin and churning staff, that combination is worth asking about directly before you decide.

Nurse hours

3.20 /day

Staff turnover

41%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Alice runs on 3.20 nurse hours per resident per day, roughly 17 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5, even as the quality measure score reaches 4 out of 5. The inspection record is the harder read: 25 deficiencies, three at harm or jeopardy level and two abuse-related, across three fines totaling $31,463, with the last inspection dated April 2026. Turnover at 41.4 percent is slightly better than the 45.8 percent national figure, and hospital district ownership means public accountability.

Nurse hours

2.74 /day

Staff turnover

23%

Serious cites

0

Windsor Mission Oaks runs lean on direct care: 2.74 nurse hours per resident day, roughly 29% under the national average, with weekends dropping about 19% below its own weekday staffing. That thin coverage sits behind 37 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Retention is the bright spot, 23.2% turnover against a national 45.8% means far fewer unfamiliar faces than at a typical home. But a June 2025 inspection, a $10,842 fine, and a nonprofit owner don't offset what the staffing numbers say about daily coverage.

Nurse hours

3.22 /day

Staff turnover

40%

Serious cites

0

Windsor Las Palmas runs a five-star health inspection record with no deficiencies at the harm level and nothing abuse-related, which is genuinely the hard part of this business. The tradeoff shows up in staffing: 3.22 nurse hours per resident day against a national average of 3.86, and weekends run about 10 percent thinner than weekdays. Turnover sits at 40.3 percent, a bit better than the 45.8 percent norm, so the workforce is comparatively stable even if it's spread thin. One fine totaling $38,393 is on record, and the last inspection was in March 2025. Good care when inspectors look, leaner coverage the rest of the time.

Nurse hours

3.46 /day

Staff turnover

45%

Serious cites

0

North Star Ranch runs 3.46 nurse hours per resident day, about 10% under the national average of 3.86, and weekends dip roughly 6% below its own weekday staffing. That thinner coverage sits behind a 2-out-of-5 staffing rating, while turnover of 45.2% is essentially at the national figure of 45.8%. The inspection record is where this home separates from the pack: 61 deficiencies, including 5 at the harm or jeopardy level and 4 abuse-related, with two fines totaling $278,005. Its last inspection was April 24, 2025, so that record is recent. Quality measure scores look strong at 5 out of 5, but that stands against a 1-out-of-5 health inspection rating at a 65-bed for-profit.

Nurse hours

2.70 /day

Staff turnover

41%

Serious cites

0

Care Choice of Boerne runs 74 certified beds under corporate for-profit ownership, and the number that stands out is nurse staffing: 2.70 hours per resident per day, roughly 30% under the national average of 3.86. That shortfall shows up on weekends too, when coverage drops about 12% below the home's own weekday level. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. The current inspection record carries 30 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $33,937. The most recent inspection was February 14, 2026. If you're weighing this one, ask directly how they cover weekends and what changed since those abuse-related findings.

Nurse hours

3.04 /day

Staff turnover

36%

Serious cites

0

The Courtyard Rehabilitation and Healthcare Center runs about 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 14% below its own weekday level, the kind of gap that shows up when a resident needs help on a Saturday night. Staff turnover sits at 36.1%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with one fine of $17,635; the most recent inspection was in September 2025. For-profit corporate ownership, 56 beds, and a four-star inspection history are the tradeoffs against that thin daily staffing.

Nurse hours

3.31 /day

Staff turnover

69%

Serious cites

0

Avir At Commerce runs on thinner nursing coverage than most homes, about 3.31 nurse hours per resident each day against a national figure near 3.86, with weekends dipping roughly another 10% below its own weekday level. Staff turnover sits at 69.2%, well above the 45.8% national average, so the people around your family member change often. The inspection record shows 42 deficiencies, none flagged at the harm or jeopardy level and none abuse-related, and the most recent look came in February 2026. Quality measures score well here, but staffing and inspections are where the gaps show. It's a federal-government-operated home, which is unusual, and worth asking about directly when you visit.

Nurse hours

3.32 /day

Staff turnover

46%

Serious cites

0

Victoria Gardens of Frisco runs 118 certified beds under corporate ownership, and its nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip even further, about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 46.3 percent, essentially tracking the national rate. Inspections look strong on paper, with a recent May 2025 survey, yet the record still carries 15 deficiencies, two at harm or jeopardy level and one tied to abuse, plus two fines totaling $23,546. High marks from CMS on inspection and quality measures coexist here with weak staffing scores and real, recent citations.