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

Nurse hours

3.32 /day

Staff turnover

68%

Serious cites

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Oak Grove Manor runs 3.32 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 16% below its own weekday level. That thin schedule is hard to sustain when 68.1% of staff turned over in a year, against a national average of 45.8%, new faces constantly, on a unit that never gets extra hands. Inspectors have logged 71 deficiencies, two involving harm or jeopardy and two tied to abuse, with a $15,593 fine and a July 2025 inspection on record. The quality measure score looks strong, but that reflects charted care, not the staffing that delivers it.

Nurse hours

3.61 /day

Staff turnover

—

Serious cites

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Sequoyah East runs 3.61 nurse staffing hours per resident day, roughly 7% under the national average, and weekends drop about 6% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern: 54 deficiencies, including one at the harm level and five tied to abuse, with six fines totaling $115,864. CMS scored health inspections and quality measures both 1 out of 5, staffing 2 out of 5. The most recent inspection was April 2025, so this isn't stale history. For a for-profit limited liability company running 80 beds in Roland, the pattern across staffing, inspections, and quality points the same direction.

Nurse hours

— /day

Staff turnover

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Serious cites

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Bristol Health & Rehab Center is a 174-bed for-profit in Bucks County, and the federal numbers are rough across the board. Inspectors have cited 56 deficiencies on the current record, five of them serious enough to put residents in immediate harm or jeopardy, and two tied to abuse, a combination that helped land this home in CMS's Special Focus Facility program, the watch list for the country's most persistently troubled nursing homes. Staffing sits at the bottom of the national range, and the government has fined the operator three times for a total of $428,987, with the most recent inspection in September 2024. That's a lot of documented problems for one building to carry.

Nurse hours

3.14 /day

Staff turnover

39%

Serious cites

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Parkway Health and Rehabilitation Center runs about 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday coverage. That thin staffing shows up in the CMS staffing rating of 2 out of 5, even though the quality measure score sits at 4. The inspection record is the bigger concern: 19 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $67,587 fine. Turnover at 38.9% is actually better than the 45.8% national figure, and the last inspection was recent, so the record reflects current conditions rather than old problems.

Nurse hours

3.88 /day

Staff turnover

76%

Serious cites

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Signature Healthcare of Clarksville runs 120 beds as a for-profit limited liability company, and its latest inspection in May 2025 left seven deficiencies on the record, one serious enough to cause harm or jeopardy, another tied to abuse. The $63,105 fine reflects that. Staffing sits at 3.88 nurse hours per resident day, essentially even with the national average of 3.86, but weekends drop about 22% below the home's own weekday level, and turnover runs 76% against a national 45.8%. CMS gives it two stars each for health inspections and staffing, three for quality measures. The people who stay here the longest are leaving fastest, and coverage thins out exactly when families tend to visit.

Nurse hours

3.07 /day

Staff turnover

60%

Serious cites

0

Avir At Kaufman runs about 3.07 nurse hours per resident day, roughly a fifth under the national average, and weekends dip another 16% below its own weekday staffing. That thin coverage shows up in the numbers: 59.5% annual turnover against a national 45.8%, and a staffing star rating of just 1 out of 5. The inspection record carries 41 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $8,021. A recent January 2026 inspection and a 4/5 quality measure score suggest some clinical care is tracked, but the for-profit limited liability ownership has not bought enough hands on the floor.

Nurse hours

2.55 /day

Staff turnover

62%

Serious cites

0

Lancashire Post Acute runs lean on the floor: 2.55 nurse hours per resident day against a national average of 3.86, and weekends drop another 16% below its own weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 61.6%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The 5/5 quality measure score reflects good clinical documentation, but 28 deficiencies on record, three at harm level, two tied to abuse, and a $40,290 fine tell a different story. The last full inspection was February 2026. This for-profit LLC's numbers point to a home where the paperwork looks better than the staffing does.

Nurse hours

3.43 /day

Staff turnover

41%

Serious cites

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Edenbrook Lakeside runs 145 beds in Milwaukee, and the staffing numbers are the first thing I'd look at. At 3.43 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 34 deficiencies, three at harm or jeopardy level, one abuse-related, and $138,434 in fines across two cases, with the last inspection in October 2024. Turnover at 41.4% is actually a bit better than average, which suggests the problem isn't retention so much as how many hands are on deck.

Nurse hours

4.24 /day

Staff turnover

—

Serious cites

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The staffing numbers look decent on paper, 4.24 nurse hours per resident day, about 10% above the national average, but that's where the good news mostly stops. Weekend coverage drops roughly 7% below the home's own weekday level, and a 1-out-of-5 inspection rating with 139 deficiencies on record, including 12 tied to abuse and four at harm or jeopardy level, tells you regulators have found serious problems repeatedly. Four fines totaling $151,463 back that up. This is a 231-bed for-profit run by a limited liability company, and its last inspection was in July 2025. Quality measures score middle-of-the-road, so the clinical picture isn't the concern, the oversight history is.

Nurse hours

3.40 /day

Staff turnover

95%

Serious cites

0

Oasis Nursing & Rehabilitation Center runs 130 certified beds in El Paso under corporate ownership, and its last inspection wrapped up in April 2025 with no harm-level or abuse-related deficiencies on the books. That's the good news. The staffing picture is where things get shaky: 3.40 nurse hours per resident day sits about 12% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover hit 94.8%, more than double the national rate. So you have a home that scores well on quality measures and inspection history, but with a workforce cycling through fast enough that consistent care is hard to guarantee. Ask how they cover weekends before you decide.

Nurse hours

3.50 /day

Staff turnover

64%

Serious cites

0

Huntsville Health Care Center runs 3.50 nurse hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday staffing. That thin weekend coverage matters more when turnover sits at 63.8%, well above the 45.8% national figure, because replacements are constantly learning the residents. The inspection record is a mixed picture: a June 2025 survey, 18 deficiencies total, including one at the harm level and two tied to abuse, plus a $14,069 fine. Four stars on health inspections shows the home can pass a survey, but two stars on staffing and 18 open deficiencies suggest the day-to-day care depends heavily on who shows up.

Nurse hours

3.06 /day

Staff turnover

99%

Serious cites

0

Songbird Lodge runs on thin staffing: 3.06 nurse hours per resident per day against a national average of 3.86, and weekends drop about 16% below its own weekday levels. The bigger red flag is turnover, 98.8% annually, more than double the national 45.8%, which means the aides and nurses who know your mother's routines are largely gone within a year. Brownwood's hospital district owns the place, and the inspection record is recent (December 2025) with 18 deficiencies, none at harm level, plus one fine of $10,210. Its quality scores look strong and inspections are middling, but the staffing numbers tell you what day-to-day coverage probably feels like.

Nurse hours

2.91 /day

Staff turnover

79%

Serious cites

0

Avir At Sealy runs on 2.91 nurse hours per resident per day, roughly a quarter below the national average, and weekends dip about 16% below its own weekday levels. Staff turnover sits at 78.9% against a national figure near 46%, which means many of the people caring for residents are still learning the building. The inspection record is thinner than those numbers might suggest: 18 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. CMS rates the quality measures 5 out of 5 and inspections 4 out of 5, but staffing 1 out of 5. A for-profit corporation owns the 90-bed home.

Nurse hours

2.26 /day

Staff turnover

96%

Serious cites

0

San Saba Nursing & Rehabilitation runs on 2.26 nursing hours per resident per day, roughly 41 percent below the national average, and the staff it does have turns over at more than double the typical rate. Weekends are thinner still, about 17 percent leaner than weekdays. What keeps this home from looking worse on paper is its inspection record: three deficiencies, none involving harm or abuse, and a clean five-star history on health inspections and quality measures as recently as the end of 2025. That gap matters. The clinical care being documented looks steady, but the people delivering it keep leaving, and there simply aren't enough of them.

Nurse hours

3.68 /day

Staff turnover

78%

Serious cites

0

The Springs Of Red Oak runs 80 certified beds in Hot Springs under corporate for-profit ownership, and its staffing sits at 3.68 nurse hours per resident day, about 5% under the national average, with weekends running roughly 8% lighter than its own weekdays. That thin coverage gets harder to defend when you see turnover at 78.3% against a national 45.8%; most of the people caring for your relative are new, and the ones who stay are spread thin. The inspection record shows 18 deficiencies, including one at harm or jeopardy level and one tied to abuse, plus a $14,935 fine. The most recent inspection was May 2026, so the picture is current.

Nurse hours

4.47 /day

Staff turnover

60%

Serious cites

0

Gem Tcu has 75 certified beds in Pasadena and runs a for-profit operation under an LLC. Total nurse staffing comes in at 4.47 hours per resident day, roughly 16% above the national average, but that number looks less steady when you see weekends run about 12% below weekdays, and annual turnover hits 59.7% against a national average of 45.8%. More than half the nursing staff leaves each year. The inspection record is where this home really struggles: 87 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, drawing a $27,808 fine. CMS rated its last inspection 1 out of 5 stars, and that inspection was recent, November 2025.

Nurse hours

3.74 /day

Staff turnover

96%

Serious cites

0

Staff turnover at Columbine West runs about double the national rate, 95.7% versus 45.8%. That means the aides and nurses caring for your family member are, more likely than not, new to the building and still learning it. The inspection record backs up that instability: 17 deficiencies on file, including two serious enough to put a resident in harm's way and two tied to abuse. Two fines totaling $26,891 have been levied, and the last full inspection was April 2024. For-profit corporate ownership and 100 beds round out the picture. The quality measure score looks fine on paper, but quality measures are self-reported, and they sit uneasily next to that inspection history.

Nurse hours

3.12 /day

Staff turnover

43%

Serious cites

0

Highline Post Acute runs 125 beds in Denver under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, about 19% under the national average of 3.86. Weekends dip roughly 7% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is 43.3%, slightly better than the 45.8% national figure. The inspection record is the harder read: 36 deficiencies, five at harm or jeopardy level, one abuse-related, and $92,284 in fines across four penalties. The last inspection was August 15, 2024. Quality measures score mid-range, but the health inspection side is where the problems concentrate.

Nurse hours

3.67 /day

Staff turnover

66%

Serious cites

0

High Plains Post Acute runs about 3.67 nurse hours per resident day, roughly 5% under the national average, and weekend coverage drops another 9% below its own weekday levels. The bigger concern is turnover: 65.7% annually against a national average of 45.8%, meaning most of the people caring for your family member are relatively new. On the last inspection in February 2025, surveyors wrote 33 deficiencies, six serious enough to put residents in harm's way, one involving abuse, with four fines totaling $72,840. The quality measure score looks good on paper, but those numbers come largely from resident assessments, the staffing and inspection record is where the real picture sits.

Nurse hours

0.29 /day

Staff turnover

100%

Serious cites

0

Leeway, Inc is a 30-bed nonprofit home in New Haven, and the numbers here pull hard in two directions. Its most recent inspection, from late December 2025, found no deficiencies at the harm or jeopardy level and no abuse citations, yet the home carries 23 deficiencies on its current record overall. The bigger concern is staffing: 0.29 nurse hours per resident day sits roughly 92 percent below the national average of 3.86, and every direct-care worker turned over in the past year against a national rate near 46 percent. Weekend coverage runs higher than weekdays, which is unusual, but with a workforce this thin and this transient, that gap between inspection results and daily care is what a family should weigh.