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

Nurse hours

2.63 /day

Staff turnover

49%

Serious cites

0

Gainesville Nursing runs 99 certified beds under corporate for-profit ownership, and its staffing is the number that stands out: 2.63 nurse hours per resident per day, roughly a third below the national average of 3.86. Weekend coverage drops about 12% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover sits at 48.6%, a bit above the national 45.8%. The inspection side looks strong on the surface, 4 of 5 stars, last survey in September 2024, but the record carries 25 deficiencies, six of them abuse-related, none flagged at harm or jeopardy level. Quality measures come in at 1 of 5 stars, which is where the gap between paperwork and daily care tends to show up.

Nurse hours

3.29 /day

Staff turnover

69%

Serious cites

0

Westchester House runs 159 beds in Chesterfield under corporate ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, with weekends about 9 percent thinner than weekdays. On top of that, 69 percent of its nursing staff turns over in a year against a national rate near 46 percent, so the people providing hands-on care are constantly changing. The inspection record shows 43 deficiencies, including two at the harm level and three tied to abuse, with one fine of $83,824 and a health inspection rating of 2 out of 5. Its quality measure score is a bright spot at 4 out of 5, but quality numbers rest on the staffing that produces them.

Nurse hours

3.87 /day

Staff turnover

73%

Serious cites

0

River City Living Community has 50 deficiencies on its current record, including three at the harm or jeopardy level and nine tied to abuse. That's the part that matters most. Staffing sits at 3.87 hours per resident day, essentially identical to the national average of 3.86, but weekends run about 6% below the home's own weekday level, and annual turnover is 73.1%, well above the 45.8% national figure. The last inspection was October 2024, and there's one fine on record totaling $237,995. For-profit corporate ownership rounds out the picture. The staffing number looks fine on paper, but a 73% turnover rate suggests the people providing care keep changing.

Nurse hours

— /day

Staff turnover

62%

Serious cites

0

Portageville Health Care Center has kept its health inspection record clean enough to earn four stars there, and its most recent survey was in May 2025. But the staffing picture is where things get shaky, CMS gives it one star, and annual turnover runs at 61.5%, well above the 45.8% national average. That churn matters more than any single inspection when you're thinking about who's actually at the bedside day to day. The facility also carries 25 deficiencies, one of them abuse-related, and a single fine of $240,603 on record. Nothing in the file points to immediate jeopardy, but the combination of thin staffing and high turnover is the real story here.

Nurse hours

3.43 /day

Staff turnover

67%

Serious cites

0

Wilshire at Lakewood runs 170 beds in Lee's Summit under limited-liability ownership, and its inspection history is the strongest part of the picture, a recent survey, a four-star health inspection rating, and no repeat of serious problems since. Staffing is where the trouble sits: 3.43 nurse hours per resident day, roughly 11% under the national average, with weekends about 12% thinner than weekdays. Turnover hits 66.5% against a national 45.8%, meaning most of the people caring for your family member are new to the building. The 34 deficiencies on record include one at harm level and two tied to abuse, which is worth asking about directly before you decide.

Nurse hours

2.47 /day

Staff turnover

74%

Serious cites

0

Creve Coeur Manor runs on 2.47 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops further below its own weekday level. Staff turnover sits at 74.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record carries 66 deficiencies, including one at the harm level and one abuse-related, with a single fine of $9,440. It's a for-profit limited liability company, 149 beds, last inspected November 2024.

Nurse hours

3.69 /day

Staff turnover

85%

Serious cites

0

Pioneer Care and Rehabilitation in Dillon is a for-profit limited liability company with 87 certified beds, and the numbers behind its record deserve a close look. The home has 53 deficiencies on file, including five at the harm or jeopardy level and four tied to abuse, along with six fines totaling $140,630. Its health inspection rating sits at 1 out of 5, and last May's inspection is recent. Nurse staffing runs 3.69 hours per resident day, about 4% under the national average, with weekends roughly 13% below its own weekday level. Annual staff turnover is 85.3% against a national average of 45.8%, a rate that makes consistent care hard to sustain.

Nurse hours

3.48 /day

Staff turnover

68%

Serious cites

0

Dwellside Care and Rehab runs 162 certified beds in Cherry Hill under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.48 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends drop roughly 11% below its own weekday level, so the coverage gets thinnest exactly when families tend to visit. Annual turnover of 67.9% against a 45.8% national average means the aides and nurses caring for your relative are likely to change often. On top of that: 45 deficiencies on the current record, including 4 at harm or jeopardy level and 3 tied to abuse, with $154,466 in fines. The last inspection was May 2025.

Nurse hours

3.25 /day

Staff turnover

69%

Serious cites

0

Carthage Center runs about 3.25 nursing hours per resident day, roughly 16% under the national average, and its weekends dip about 26% below its own weekday coverage, so the aide or nurse available Monday may not be there Saturday. Staff turnover sits at 68.6% against a national 45.8%, which means more than two-thirds of the nursing staff turned over in a year. The 31 deficiencies on record include none flagged for harm or abuse, and the last inspection was in September 2024. The quality measure score is high, but that reflects charted care, not the hands on the floor.

Nurse hours

3.25 /day

Staff turnover

73%

Serious cites

0

Elevate Health and Rehabilitation runs 3.25 nursing hours per resident per day, roughly 16% under the national average, and weekends drop about 10% below its own weekday levels. Turnover sits at 72.8% against a national 45.8%, so the people providing care keep changing. Inspection history is the harder problem: 30 deficiencies on the current record, six at harm or jeopardy level and one abuse-related, plus three fines totaling $174,346. The September 2025 inspection is recent, and the one-star inspection and staffing ratings reflect what surveyors found. Quality measures score well, but that's a narrow slice of the picture.

Nurse hours

3.43 /day

Staff turnover

56%

Serious cites

0

Redwood Health & Rehab runs 116 beds in Charlotte under for-profit limited liability ownership, and the staffing numbers are the main thing to know. At 3.43 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly another 5% below its own weekday level. Turnover is 55.6% against a national 45.8%, so aides and nurses are cycling through faster than usual. The current inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with two fines totaling $7,742 and a survey dated May 2026. Quality and staffing measures both land at 2 out of 5 stars.

Nurse hours

3.08 /day

Staff turnover

52%

Serious cites

0

Smoky Ridge runs on thinner nursing coverage than most homes, 3.08 nurse hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday levels. That staffing pattern sits behind a CMS staffing rating of 3, but the inspection record is the bigger concern: 21 deficiencies, including one at the harm level and two tied to abuse. Add a $59,631 fine and a 51.6% annual turnover rate that outpaces the national figure of 45.8%, and you get a home where consistency is hard to maintain. The most recent inspection was in March 2025, so the picture is current.

Nurse hours

4.26 /day

Staff turnover

75%

Serious cites

0

Brunswick Cove runs 175 beds under for-profit LLC ownership, and the numbers on staff are the ones to sit with. Annual turnover hits 74.7% against a national average of 45.8%, and CMS gives staffing its lowest mark, meaning the people who provide daily care are cycling through fast. The health inspection side is steadier, with a 3/5 rating, 21 deficiencies on record and none flagged at harm or jeopardy level, but quality measures land at 1/5 and nine fines total $70,913. The most recent inspection was December 2025, so the record is current. Ownership structure, high turnover, and weak quality scores together explain why this home sits near the bottom of what we grade.

Nurse hours

2.89 /day

Staff turnover

71%

Serious cites

0

Rock Rest runs lean on staff. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 9% below its own weekday level. That thin coverage shows up in the numbers: 71% annual turnover, well above the 45.8% national figure, so the aides and nurses your family member sees are likely to keep changing. Inspections are the brighter spot, a 4-out-of-5 health inspection rating and a recent April 2025 visit. But 20 deficiencies sit on the current record, three at harm or jeopardy level and two tied to abuse, which is a lot for a 60-bed home.

Nurse hours

3.58 /day

Staff turnover

78%

Serious cites

0

Village Care of King runs 96 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.58 nurse hours per resident day, it sits under the national average, and weekends drop about 11% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover tells a related story: 77.8% of staff leave annually, well above the 45.8% national rate. The current record carries 15 deficiencies, four at harm or jeopardy level and two abuse-related, plus three fines totaling $110,113. A recent inspection in January 2026 and a 1/5 staffing star confirm the pattern.

Nurse hours

2.86 /day

Staff turnover

59%

Serious cites

0

Pisgah Manor runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 6% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 59.1% against a national 45.8%, which means CNAs and nurses are cycling out faster than residents can get used to them. The inspection record shows 12 deficiencies, one serious enough to put a resident in harm's way, plus a $59,391 fine. A 2/5 on health inspections and 2/5 on staffing tell you the same story the numbers do.

Nurse hours

3.17 /day

Staff turnover

71%

Serious cites

0

Liberty Commons runs on 3.17 nurse hours per resident per day, roughly 18% under the national average, and weekends dip about 7% below its own weekday level. That thin staffing shows up in a 70.5% annual turnover rate, well above the 45.8% national figure, so the people caring for your relative are often new. The health inspection record is recent (May 2025) and rated well, but the home carries 36 deficiencies, six at harm or jeopardy level and two abuse-related. A four-star inspection rating and a one-star staffing rating can coexist; here they do, which tells you the problems aren't in paperwork but in daily coverage.

Nurse hours

3.47 /day

Staff turnover

55%

Serious cites

0

Brunswick Health & Rehab Center runs 100 certified beds in Ash under corporate for-profit ownership, and its nurse staffing sits at 3.47 hours per resident day, about ten percent under the national average of 3.86. Weekend coverage drops another twelve percent below its own weekday level, and turnover runs 55.1 percent against a national 45.8. The current inspection record carries 32 deficiencies, six at harm or jeopardy level and two tied to abuse, with four fines totaling $252,827 and a one-star health inspection rating. Quality and staffing each earned three stars, but the last inspection was April 2026, so the record is recent. Ask about weekend nurse coverage and what's changed since that citation history.

Nurse hours

3.17 /day

Staff turnover

59%

Serious cites

0

Inniswood runs lean on nursing staff, 3.17 hours per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops about 10% below its own weekday level. That thinness shows up in turnover, too: 59.3% of staff left last year, well above the 45.8% national figure. The inspection record is heavy: 47 deficiencies, five serious enough to involve harm or jeopardy, four tied to abuse, and a $169,562 fine. Ownership is for-profit corporate, and the last full inspection was July 2025. Quality measures score well, but the staffing and inspection numbers are what a family should weigh.

Nurse hours

— /day

Staff turnover

70%

Serious cites

0

Country Club Retirement Ctr Iv carries a one-star health inspection rating and a one-star staffing rating, and the numbers behind those marks are worth sitting with. State inspectors logged 45 deficiencies, four of them serious enough to involve actual harm or jeopardy, and three tied to abuse. Staff turnover runs at 69.8% a year against a national average of 45.8%, which means the people caring for residents are, more often than not, new to the building. The quality measure score is high, but that reflects charted care, not the hands available to deliver it. A for-profit limited liability company operates the 62-bed home, and its last full inspection was September 2024.