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

Nurse hours

2.86 /day

Staff turnover

46%

Serious cites

0

Center Home Hispanic Elderly in Chicago carries 77 deficiencies on its current record, 13 of them serious enough to involve harm or jeopardy, and seven tied to abuse. That's not a paperwork problem. On the staffing side, nurses provide 2.86 hours per resident per day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, so coverage gaps widen exactly when families tend to visit. Staff turnover sits at 45.8 percent, matching the national rate, which means the churn here isn't unusual, but it compounds thin hours. Eight fines totaling $428,860 and a January 2026 inspection round out a record where the pattern is consistent across every measure.

Nurse hours

3.23 /day

Staff turnover

—

Serious cites

0

Manchester Rehab and Healthcare Center is a 137-bed for-profit in Ballwin, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about another 10 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Its current inspection file carries 53 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus a single $197,132 fine. Federal ratings give it one star each for staffing and quality measures and two for health inspections, with the most recent inspection in May 2025.

Nurse hours

1.37 /day

Staff turnover

—

Serious cites

0

Appleton City Manor sits at 60 certified beds under for-profit LLC ownership, and every CMS star category comes back at one out of five, health inspections, quality measures, and staffing alike. The deficiency record tells the story behind those numbers: 63 total, including two at the harm or jeopardy level and four tied to abuse. Two fines totaling $92,020 are on file. Staffing falls short of what CMS expects for a home this size, which matters most when residents need hands-on help. The last inspection was June 27, 2025, so the record is current. Families considering this home should ask directly about the abuse-related findings and what's changed since that inspection.

Nurse hours

2.97 /day

Staff turnover

98%

Serious cites

0

Twin Oaks runs on thin staffing: 2.97 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 18% below what the home already provides on weekdays. The bigger red flag is turnover, 98% annually, more than double the national figure, meaning the aide or nurse who knows your mother this month is statistically unlikely to be there next year. Its current record carries 34 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, plus a $174,431 fine. A December 2025 inspection is recent, so the picture isn't stale. The corporate owner is for-profit, and the numbers suggest a building where care depends heavily on who happens to be on shift.

Nurse hours

2.97 /day

Staff turnover

56%

Serious cites

0

Legacy Transitional Care & Rehabilitation runs 186 beds in Atlanta under corporate for-profit ownership, and the staffing numbers are the first thing that stands out: 2.97 nurse hours per resident per day against a national average of 3.86. Weekends drop about 11% below the home's own weekday level, and annual turnover sits at 56.1%, well above the national 45.8%. The inspection record backs up the concern, 41 deficiencies, three at harm or jeopardy level, three abuse-related, and six fines totaling $121,894. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.

Nurse hours

2.74 /day

Staff turnover

67%

Serious cites

0

Landmark of Oak Lawn runs 143 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average, and weekends dip about 6% below the home's own weekday level. Staff turnover hits 67% against a national average near 46%, while the current inspection record carries 57 deficiencies, nine of them at harm or jeopardy level and eight tied to abuse, plus five fines totaling $308,189. CMS rates the home 1 star on staffing and 2 stars each on health inspections and quality measures, with the most recent inspection dated December 2024. If you're weighing this one, that combination, thin staffing, high turnover, repeat serious deficiencies, deserves hard questions before a move-in.

Nurse hours

2.67 /day

Staff turnover

66%

Serious cites

0

The Guest House in Shreveport runs on 2.67 nurse hours per resident per day, roughly a third below the national average, and weekends drop about another 10% below its own weekday pace. Staff turnover sits at 65.8% against a national rate of 45.8%, so the people left are often the newest. The current record carries 41 deficiencies, six of them at harm or jeopardy level and four tied to abuse, plus four fines totaling $267,179. Its last inspection was April 2025. For-profit, LLC-owned, 177 beds, with a one-star health inspection rating and a one-star staffing rating. That combination is what drives the grade down.

Nurse hours

1.57 /day

Staff turnover

71%

Serious cites

0

Four Seasons Living Center runs 239 certified beds in Sedalia under corporate for-profit ownership, and the staffing numbers tell the clearest story: 1.57 total nurse hours per resident day against a national average of 3.86. That's about 59% below what residents elsewhere typically receive, and weekends run roughly 9% thinner than the home's own weekdays. Staff turnover sits at 71.1%, well above the 45.8% national figure, meaning the people providing care are constantly changing. The inspection record shows 60 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with two fines totaling $25,605 and the most recent inspection dated December 8, 2025.

Nurse hours

1.49 /day

Staff turnover

84%

Serious cites

0

Sarcoxie Health Care Center runs on nurse staffing that lands at 1.49 hours per resident day, a little over a third of the national figure, and weekends drop roughly another quarter below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover sits at 84%. The current inspection record carries 24 deficiencies, including two at the harm or jeopardy level and five tied to abuse, and the most recent survey was in March 2025. With 40 beds and corporate for-profit ownership, the numbers point to a home where day-to-day care depends on a small, constantly changing staff.

Nurse hours

2.99 /day

Staff turnover

69%

Serious cites

0

The Waters of Smyrna runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips further below its own weekday level. That thin staffing sits alongside 69.3% annual turnover, well above the 45.8% national figure, meaning most of the people caring for residents are new to the building. Its record shows 36 deficiencies, including three at the harm or jeopardy level and six tied to abuse, plus a $97,773 fine. The last inspection was in August 2022, so that record has had time to age without a fresh look.

Nurse hours

3.13 /day

Staff turnover

73%

Serious cites

0

Norfolk Health Care Center runs on 3.13 nursing hours per resident day, roughly 19% under the national average, and weekend coverage drops about 14% below what it manages on weekdays. That thin staffing sits alongside a 72.8% annual turnover rate, well above the 45.8% national figure, meaning most of the people caring for residents are new to the building. The inspection record shows 51 deficiencies, including one at the harm level and one tied to abuse, plus a $102,245 fine, and the last full inspection was in July 2021. Corporate-owned, 180 beds, and the federal stars land at one for health inspections and one for staffing.

Nurse hours

3.40 /day

Staff turnover

68%

Serious cites

0

Nurse staffing at Rivers Edge runs about 12% under the national average, and weekends are thinner still, roughly 15% below the home's own weekday coverage. That's a real problem when the same record shows 68.2% annual turnover, far above the 45.8% norm, because thin weekend shifts land on aides who may be new to the building. The inspection history is the louder signal: 107 deficiencies, six at harm or jeopardy level, 21 tied to abuse, and four fines totaling $406,985. For-profit corporate ownership, 58 beds, and a December 2025 inspection that's already on the books. Ask about weekend coverage, abuse-prevention training, and what's changed since that visit.

Nurse hours

2.95 /day

Staff turnover

77%

Serious cites

0

Focused Care At Pasadena runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below what the home staffs on weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, six of them serious enough to put residents in harm's way, three tied to abuse, and $131,012 in fines. Staff turnover sits at 76.6% against a national 45.8%, meaning most of the people caring for your family member this year likely won't be there next year. The corporation that owns it has drawn a 1-star inspection rating and a 1-star staffing rating, with the most recent survey dated February 2026.

Nurse hours

2.76 /day

Staff turnover

91%

Serious cites

0

Jourdanton Nursing And Rehabilitation runs on 2.76 nurse hours per resident per day, about a quarter below the national average, and weekends are thinner still, roughly 17% less staff than weekdays. That staffing pattern sits behind a one-star CMS staffing rating, and the turnover number is the one that would worry me most: 90.5% annually against a national average of 45.8%, meaning most of the people caring for your relative are new, or about to be. The inspection record shows 31 deficiencies, including two at the harm level and one abuse-related, with $28,334 in fines. Corporate-owned and for-profit, its most recent inspection was January 2026, so the record is current rather than dated.

Nurse hours

3.00 /day

Staff turnover

67%

Serious cites

0

Avir At Converse runs on 3.00 nurse hours per resident day, roughly 22% under the national average, and weekends drop about 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 67.2% against a 45.8% national figure, which means caregivers are cycling out faster than residents can get used to them. The inspection record shows 50 deficiencies, four serious enough to put residents at harm or jeopardy, plus one tied to abuse, and $43,845 in fines. State inspectors were last on site in June 2026.

Nurse hours

3.68 /day

Staff turnover

61%

Serious cites

0

St. Paul's Senior Community runs about 3.68 nurse hours per resident day, roughly 5% under the national average, and weekends drop another 10% below its own weekday numbers. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale, and in turnover: 60.8% of staff leave each year, well above the 45.8% national figure. The inspection record is heavier still, 39 deficiencies, 10 of them at harm or jeopardy level, one tied to abuse, and five fines totaling $227,658. Ownership is for-profit through a limited liability company. The last inspection was in January 2025, so the record is current, not stale.

Nurse hours

2.75 /day

Staff turnover

—

Serious cites

0

Legendary Health Care Center runs on 2.75 nurse hours per resident day, roughly 29% under the national average of 3.86, and weekend coverage drops about 16% below its own weekday level. Its current record carries 42 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $93,208 in CMS fines across two penalties. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5. The last inspection was May 20, 2025, so the record is recent. If you're considering this home, ask specifically how they cover weekends and what's changed since that May inspection.

Nurse hours

3.16 /day

Staff turnover

66%

Serious cites

0

Aspire Senior Living Platte City runs 97 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.16 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 66.2% against a national 45.8% means caregivers cycle through fast, which matters for anyone who needs consistent eyes on a resident. The inspection record shows 70 deficiencies, including one at harm or jeopardy level and 11 abuse-related, with $70,892 in fines. A June 2025 inspection is recent enough that the picture is current, not stale.

Nurse hours

3.23 /day

Staff turnover

63%

Serious cites

0

Emerald Nursing & Rehab Brookside is a 173-bed for-profit in Lincoln, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.23 hours per resident per day against a national average of 3.86, and weekends drop about 8% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover runs 62.8%, well above the 45.8% national figure, which matters because unfamiliar caregivers miss changes in a resident's condition. The current inspection record shows 44 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with three fines totaling $37,998 and a survey completed February 11, 2026. All three CMS star ratings land at one out of five.

Nurse hours

1.87 /day

Staff turnover

73%

Serious cites

0

Southern Pointe Living Center runs on 1.87 nursing hours per resident per day, roughly half the national average of 3.86. That staffing shortfall sits alongside a 72.5% annual turnover rate, well above the 45.8% national figure, which means the aides and nurses caring for your family member are likely newer and still learning the building. The inspection record shows 25 deficiencies, including two at the level of actual harm or jeopardy and one tied to abuse, and the last state visit was September 18, 2025. One fine of $38,445 has been levied against this for-profit corporation. Each of the three CMS star ratings, health inspections, quality measures, staffing, comes in at just one or two out of five.