Oneida, WI · Brown County
★★★★★CMS 5/548 bedsGovernmentMedicaid
- Nurse hours
- 7.73 /day
- Staff turnover
- 31%
- Serious cites
- 0
Anna John Resident Centered Care Community runs on staffing levels that are roughly double the national average, 7.73 nurse hours per resident day against 3.86 nationwide, and its weekend coverage dips only about 12% below its own weekday numbers, which is a mild drop most families wouldn't notice. The nonprofit's 30.7% turnover also sits well under the 45.8% national figure, meaning the people caring for residents tend to stick around. Four deficiencies appear on the current record, none at the harm level, though one is abuse-related, worth asking about directly. Inspectors last visited in November 2024 and gave the home top marks on health inspections and staffing.
Chippewa Falls, WI · Chippewa County
★★★★★CMS 5/572 bedsGovernmentMedicaid
- Nurse hours
- 3.94 /day
- Staff turnover
- 38%
- Serious cites
- 0
The state-run veterans home in Chippewa Falls runs 72 certified beds and staffs at 3.94 nurse hours per resident day, a touch above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 37.6%, well under the 45.8% national figure, which matters because stable aides know the residents. Ten deficiencies show on the current record, none at the harm level and none abuse-related, and the last inspection was June 2025. All three CMS star ratings land at four or five. Government ownership here looks like steady staffing rather than a warning sign.
Jackson, WY · Teton County
★★★★★CMS 5/560 bedsGovernmentMedicaid
- Nurse hours
- 3.97 /day
- Staff turnover
- 32%
- Serious cites
- 0
St. John's Health Sage Living runs 60 beds under hospital-district ownership, which tends to mean steadier budgets than a for-profit chain can offer. Its nurse staffing sits at 3.97 hours per resident day, just above the national average of 3.86, though weekends dip about 14% below its own weekday coverage, a gap worth asking about if your family member needs more hands-on help on Saturdays and Sundays. Staff turnover is 32%, well under the national 45.8%, so the people caring for residents tend to stick around. Five deficiencies appear on the current record, none at the harm level, one abuse-related. The last inspection was May 2025.
Carmichael, CA · Sacramento County
★★★★★CMS 5/599 bedsFor-profitMedicaid
- Nurse hours
- 4.75 /day
- Staff turnover
- 31%
- Serious cites
- 0
Manzanita Healthcare Center runs on 4.75 nurse hours per resident day, roughly a quarter more than the national average, and its staff tends to stay, turnover of 30.6% is well below the 45.8% typical elsewhere. Weekend coverage dips about 9% from weekday levels, worth asking about if your family visits on Saturdays. The tradeoff shows up in its record: 46 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in April 2026. Sacramento County families weighing this one should read those inspection reports directly rather than rely on the staffing numbers alone.
Palo Alto, CA · Santa Clara County
★★★★★CMS 5/5145 bedsNon-profitMedicaid
- Nurse hours
- 5.05 /day
- Staff turnover
- 21%
- Serious cites
- 0
Webster House runs on 5.05 nurse hours per resident per day, which is about a third more staffing than the typical California nursing home manages. The tradeoff is weekends, when hours drop roughly a quarter below the weekday pace, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 20.6%, less than half the national rate, so the people caring for residents tend to stay. Twenty-three deficiencies on the current record sounds like a lot until you see none involved harm or jeopardy, and none were abuse-related. The last inspection was in January 2025, so the picture is recent.
Truckee, CA · Nevada County
★★★★★CMS 5/537 bedsNon-profitMedicaid
- Nurse hours
- 4.77 /day
- Staff turnover
- 22%
- Serious cites
- 0
Tahoe Forest Hospital's skilled nursing unit runs on a nonprofit model with 37 certified beds, and the numbers suggest it's doing right by its residents. Nurse staffing sits at 4.77 hours per resident day, roughly a quarter above the national average, and weekend coverage dips only slightly from weekday levels, which matters because that's where many homes cut corners. Staff turnover is 22%, less than half the national rate, so you're seeing familiar faces rather than a revolving door. The home has 8 deficiencies on record, none involving harm or abuse, and its most recent inspection was in February 2026. For a small rural unit, this is a steady operation.
Santa Maria, CA · Santa Barbara County
★★★★★CMS 5/595 bedsNon-profitMedicaid
- Nurse hours
- 6.18 /day
- Staff turnover
- 16%
- Serious cites
- 0
Nurse staffing here runs about 6.18 hours per resident day, roughly 60% above the national average, and the aide and nurse turnover rate of 16% is well under the national figure of about 46%. Weekend coverage dips about 9% below weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. The home is church-affiliated and nonprofit, holds a five-star CMS inspection rating, and its last inspection in April 2026 left 15 deficiencies on record, none at the harm or jeopardy level, none abuse-related. Quality measures score four stars. That combination of high staffing, low turnover, and no harm-level findings is what's behind the grade.
San Jose, CA · Santa Clara County
★★★★★CMS 5/559 bedsNon-profitMedicaid
- Nurse hours
- 4.76 /day
- Staff turnover
- 23%
- Serious cites
- 0
Lincoln Glen runs on unusually stable staffing for a nursing home: 4.76 nurse hours per resident day, roughly a quarter more than the national average, and turnover of 22.6% against a national rate near 46%. Weekend coverage dips about 7% below weekdays, which is worth asking about if your visits fall on Saturdays or Sundays. The church-affiliated nonprofit's inspection record shows 27 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in March 2025. Quality and staffing measures both sit at the top of CMS's scale, while the health inspection rating lands in the middle.
City Of Industry, CA · Los Angeles County
★★★★☆CMS 4/5185 bedsNon-profitMedicaid
- Nurse hours
- 5.16 /day
- Staff turnover
- 23%
- Serious cites
- 0
El Encanto runs on 5.16 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 23.4% sits well under the 45.8% typical elsewhere, that combination is unusual and it matters, because consistent caregivers tend to know residents' routines. Weekend coverage dips about 11% below weekdays, so ask how that plays out on Sundays. The record shows 37 deficiencies with none at the harm level, though four are abuse-related, which is worth a direct question. State inspectors were last in on June 13, 2025, so the picture is fairly current. As a nonprofit, it isn't answering to shareholders.
La Mesa, CA · San Diego County
★★★★★CMS 5/530 bedsNon-profitMedicaid
- Nurse hours
- 6.71 /day
- Staff turnover
- 15%
- Serious cites
- 0
Staffing at this La Mesa nonprofit runs 6.71 nurse hours per resident day, roughly 74% above the national average of 3.86, and the 15.2% annual turnover is far below the 45.8% national figure, so the same caregivers tend to stay. Weekend coverage dips about 9% below weekdays, worth asking about. The 14 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was June 2025. With 30 certified beds, it's small enough that a hospital-based operation can keep close tabs on residents.
Loma Linda, CA · San Bernardino County
★★★★★CMS 5/556 bedsFor-profitMedicaid
- Nurse hours
- 11.90 /day
- Staff turnover
- 31%
- Serious cites
- 0
Totally Kids Rehabilitation Hospital runs about 11.9 nurse hours per resident day, roughly triple the national average, and its weekend staffing only dips about 7% below weekdays, a gap that's often wider elsewhere. Staff turnover sits at 31.3%, well under the 45.8% national figure, which matters for kids who need consistent caregivers. The tradeoff shows up in its record: 23 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. This is a for-profit operation in Loma Linda with a recent inspection, and the staffing numbers are doing most of the work here.
San Francisco, CA · San Francisco County
★★★★★CMS 5/527 bedsNon-profit
- Nurse hours
- 6.88 /day
- Staff turnover
- 13%
- Serious cites
- 0
San Francisco Towers is a small nonprofit home, 27 certified beds, and its staffing numbers are the story. At 6.88 nurse hours per resident day, it runs about 78% above the national average, and weekend coverage dips only modestly, roughly 12% below its own weekday level. Staff turnover sits at 13%, well under the national 45.8%, which matters for continuity of care. On its current record: 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with an inspection as recent as December 2025. The mix, nonprofit ownership, high staffing, low turnover, no serious deficiencies, is what's actually behind the score.
Glendale, CA · Los Angeles County
★★★★★CMS 5/540 bedsFor-profitMedicaid
- Nurse hours
- 6.51 /day
- Staff turnover
- 18%
- Serious cites
- 0
Glendale Adventist runs about 6.51 nurse hours per resident per day, roughly 69% above the national average of 3.86, and weekend staffing dips only around 12% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 18.3% against a national average of 45.8%, which matters because unstable staffing often shows up in care quality before it shows up on paper. The current record lists 14 deficiencies, none at the harm level and none abuse-related, with the last inspection in August 2025. It's a for-profit partnership with 40 certified beds, so it's small, and small homes can be uneven, but the numbers here are steady rather than strained.
Rancho Mission Viejo, CA · Orange County
★★★★★CMS 5/549 bedsFor-profit
- Nurse hours
- 5.35 /day
- Staff turnover
- 33%
- Serious cites
- 0
Orchards Skilled Nursing runs about 5.35 nurse hours per resident day, roughly 39% above the national average, and the weekend dips only about 11% below its own weekday staffing, a modest drop compared to many homes. Staff turnover sits at 33.3%, below the national 45.8%, so the people caring for residents are more likely to stick around. The tradeoff is paper: 39 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related, which suggests recordkeeping and process issues rather than unsafe care. It's a for-profit LLC with 49 beds and a clean inspection in April 2025.
Dallas, TX · Dallas County
★★★★★CMS 5/5129 bedsNon-profit
- Nurse hours
- 5.30 /day
- Staff turnover
- 43%
- Serious cites
- 0
C C Young Memorial Home sits in Dallas as a nonprofit with 129 certified beds, and the numbers behind its record are worth walking through. Nurse staffing runs 5.30 hours per resident day, roughly 37% above the national average of 3.86, though weekend coverage dips about 9% below its own weekday levels. Staff turnover is 43.1%, slightly better than the national 45.8%. Eight deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection dated January 15, 2026. All three CMS star ratings land at 5 out of 5.
Austin, TX · Travis County
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 5.71 /day
- Staff turnover
- 43%
- Serious cites
- 0
Longhorn Village runs on a nonprofit model with 60 certified beds in Austin, and the staffing numbers are where it separates itself: 5.71 nurse hours per resident day against a national average of 3.86. Weekends dip roughly 12% below its own weekday coverage, so ask how that gap gets covered. Turnover sits at 43.4%, slightly better than the 45.8% national figure but still worth understanding, since seven deficiencies appear on the current record, none at harm or jeopardy level, though three are abuse-related. The last inspection was March 2025, so the record is fairly fresh. All three CMS star ratings land at 5/5.
Elizabethtown, PA · Lancaster County
★★★★★CMS 5/5434 bedsNon-profitMedicaid
- Nurse hours
- 4.59 /day
- Staff turnover
- 28%
- Serious cites
- 0
Masonic Village at Elizabethtown runs 434 certified beds as a nonprofit, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average, and annual turnover of 27.5% is well below the 45.8% national figure, which matters because consistent caregivers know the residents. Weekend staffing does dip about 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays.
The inspection record is recent, January 2026, with a 5/5 health inspection rating and only 5 deficiencies total, none at the harm or jeopardy level. Two are abuse-related, which is worth asking about directly.
Spring City, PA · Chester County
★★★★★CMS 5/5238 bedsGovernmentMedicaid
- Nurse hours
- 5.46 /day
- Staff turnover
- 28%
- Serious cites
- 0
The state-run veterans home in Spring City runs 238 certified beds and staffs nurses at 5.46 hours per resident day, roughly 41% above the national average, with weekend coverage dipping about 16% below its own weekday level. Staff turnover sits at 28.2%, better than the 45.8% national figure. Where it slips is inspections: a 2-out-of-5 health inspection rating, 14 deficiencies on the current record, three of them at the harm or jeopardy level and one abuse-related, plus a $15,733 fine. The most recent inspection was May 9, 2025. Strong staffing and quality scores, weaker inspection history, that's the tradeoff to weigh if you're considering this home.
Richmond, VA · Richmond City County
★★★★★CMS 5/5200 bedsGovernmentMedicaid
- Nurse hours
- 4.91 /day
- Staff turnover
- 24%
- Serious cites
- 0
Sitter and Barfoot in Richmond is state-run and staffs heavily: 4.91 nurse hours per resident day, roughly 27 percent above the national average, with a 5/5 CMS staffing rating to match. Turnover sits at 24.4 percent, well under the national 45.8 percent, so the people caring for residents tend to stay. The caution is in the inspection record, 31 deficiencies, four at harm or jeopardy level and four abuse-related, with a June 2025 inspection and a middling 3/5 health inspection rating. Strong daily coverage and stable staff, but a compliance history worth asking about directly.
Santa Ana, CA · Orange County
★★★★★CMS 5/596 bedsNon-profitMedicaid
- Nurse hours
- 5.47 /day
- Staff turnover
- 32%
- Serious cites
- 0
Town & Country runs on real staffing depth: 5.47 nurse hours per resident day against a national average of 3.86, and its staff turnover of 31.5% sits well below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The trade-off shows up in the inspection record, 53 deficiencies on file, four of them abuse-related, though none rose to the level of harm or jeopardy, and the most recent inspection came in November 2025. That split, strong quality and staffing scores, a thinner three-star inspection history, nonprofit ownership, is what's actually behind the 86. Weekend coverage dips about 16% below weekday levels, worth asking about directly.