Webster, SD · Day County
★★★★★CMS 5/550 bedsNon-profitMedicaid
- Nurse hours
- 4.53 /day
- Staff turnover
- 31%
- Serious cites
- 0
Bethesda Home runs on 4.53 nursing hours per resident day, roughly 17 percent above the national average, and its staff tends to stay, turnover of 30.6 percent against a national figure near 46 percent. Weekends dip about 19 percent below its own weekday staffing, so ask how that gap gets covered. The eight deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was April 2026. Church-affiliated nonprofit ownership with 50 certified beds. The weak spot is thin weekend coverage; the strong spots are retention and a clean harm record.
Murfreesboro, TN · Rutherford County
★★★★★CMS 5/530 bedsNon-profitMedicaid
- Nurse hours
- 6.19 /day
- Staff turnover
- 29%
- Serious cites
- 0
Stones River Manor runs a small house, 30 beds, and staffs it far heavier than most places. At 6.19 nurse hours per resident per day, it's roughly 60 percent above the national average, and its nurses stay: turnover of 28.6 percent against a national rate of 45.8 percent. Inspectors were last in on July 1, 2025, and the home has 15 deficiencies on record with none at the harm or jeopardy level, one of them abuse-related, which is worth asking about directly. The trade-off to know is weekends, when staffing drops about a fifth below its own weekday level. Ownership is nonprofit.
Fishersville, VA · Augusta County
★★★★★CMS 5/517 bedsNon-profit
- Nurse hours
- 6.29 /day
- Staff turnover
- 35%
- Serious cites
- 0
Augusta Medical Center Skilled Care is a small unit, 17 beds, run by a nonprofit corporation, and the numbers behind its record are worth knowing. Nurse staffing sits at 6.29 hours per resident day, well above the national average, though weekends run roughly 17% lighter than weekdays, so coverage isn't perfectly even. Staff turnover is 35%, better than the national 45.8%. Inspections tell a clean story: four deficiencies on record, none involving harm or abuse, and the most recent visit was in May 2024. For a family weighing a rehab stay or longer-term placement, the low deficiency count and steady staffing carry more weight than any single score.
Roanoke, VA · Roanoke County
★★★★★CMS 5/562 bedsNon-profitMedicaid
- Nurse hours
- 5.40 /day
- Staff turnover
- 35%
- Serious cites
- 0
Brandon Oaks runs about 5.4 nurse hours per resident per day, roughly 40% above the national figure, which is the kind of margin that usually shows up as more hands on the floor. Weekend coverage dips about 16% below its own weekday level, so families should ask how that gap gets managed. Staff turnover sits at 34.6%, better than the 45.8% national average, and the home carries 12 deficiencies with none at harm or jeopardy level and none abuse-related. Its last inspection was September 2023, so the record is getting a little dated. Nonprofit ownership tends to mean steadier staffing decisions, and the numbers here back that up.
Federal Way, WA · King County
★★★★★CMS 5/570 bedsFor-profit
- Nurse hours
- 5.45 /day
- Staff turnover
- 31%
- Serious cites
- 0
Garden Terrace runs about 5.45 nurse hours per resident per day, roughly 41% above the national average, and its staff turnover sits well below the norm, 31.3% against 45.8% nationally. That combination usually points to a home that can hold onto caregivers and keep enough of them on the floor. Weekends thin out somewhat, running about 16% below weekday levels, and the record carries 46 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The last inspection was June 2025, so the picture is recent. A for-profit limited liability company operates its 70 certified beds.
Sacramento, CA · Sacramento County
★★★★★CMS 5/540 bedsFor-profit
- Nurse hours
- 6.06 /day
- Staff turnover
- 30%
- Serious cites
- 0
Advanced Health Care Of Sacramento runs on unusually thin turnover for a for-profit LLC, 30.2% against a 45.8% national average, which suggests people stay. Nurse staffing sits at 6.06 hours per resident day, roughly 57% above the 3.86 national figure, though weekends drop about 21% below the home's own weekday level, so coverage isn't perfectly even across the week. The inspection record shows 26 deficiencies with none at harm or jeopardy level and nothing abuse-related, and the most recent survey came in July 2025, so the picture is current. At 40 beds, it's small enough that staffing swings matter more than they would in a larger building.
Litchfield Park, AZ · Maricopa County
★★★☆☆CMS 3/543 bedsNon-profit
- Nurse hours
- 5.20 /day
- Staff turnover
- 21%
- Serious cites
- 0
Sun Health La Loma runs 43 certified beds in Litchfield Park under nonprofit ownership, and its staffing is the story here: 5.20 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping about 10% below its own weekdays. Staff turnover sits at 20.8%, less than half the national figure, which suggests people stay. The trade-off shows up in inspections, 11 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a two-star health inspection rating, though the last visit was recent, in March 2025. A single fine totaling $8,278 is modest, and there's nothing abuse-related. Strong daily care, thinner regulatory record.
San Luis Obispo, CA · San Luis Obispo County
★★★★★CMS 5/5162 bedsFor-profitMedicaid
- Nurse hours
- 5.31 /day
- Staff turnover
- 39%
- Serious cites
- 0
Mission View Health Center runs on 5.31 nurse hours per resident per day, roughly a third more than the national average, and that staffing holds up fairly well on weekends, about 6% thinner than weekdays, but not the drop-off you see at a lot of places. Staff turnover sits at 38.8%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The inspection record is clean where it counts: 8 deficiencies, none at the harm level and none abuse-related, with the most recent survey in December 2025. It's a for-profit corporate home with 162 beds, and the numbers here are consistent rather than exceptional in any one spot.
Ventura, CA · Ventura County
★★★★★CMS 5/571 bedsFor-profitMedicaid
- Nurse hours
- 4.70 /day
- Staff turnover
- 25%
- Serious cites
- 0
Ventura Post Acute runs 4.70 nurse hours per resident day, about 22 percent above the national average, and its staff tends to stay, 25 percent annual turnover against a national 45.8 percent. Weekend coverage dips roughly 9 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in June 2025. It's an individual for-profit with 71 beds, and the quality and staffing ratings both come in at the top of CMS's scale.
San Jose, CA · Santa Clara County
★★★★☆CMS 4/567 bedsFor-profitMedicaid
- Nurse hours
- 4.19 /day
- Staff turnover
- 33%
- Serious cites
- 0
Empress Care Center runs on 4.19 nursing hours per resident day, roughly 8% above the national average, and its weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 32.7%, well under the 45.8% national figure, so the people caring for residents tend to stick around longer than at a typical home. The catch is the inspection record: 44 deficiencies, including one abuse-related finding, though none rose to actual harm or jeopardy, and the last state visit was in April 2025. A five-star quality rating alongside a two-star inspection history is worth asking about directly when you tour.
San Jose, CA · Santa Clara County
★★★☆☆CMS 3/5152 bedsFor-profitMedicaid
- Nurse hours
- 4.47 /day
- Staff turnover
- 31%
- Serious cites
- 0
The Redwoods runs on strong staffing ratios, 4.47 nursing hours per resident day, about 16% above the national figure, and its staff retention is genuinely better than most, with turnover at 30.8% against a national 45.8%. Weekend coverage dips roughly 9% below weekday levels, which is worth asking about if your relative needs consistent weekend care. The concern sits in inspections: a 2-out-of-5 health inspection rating, 55 deficiencies on record including one at the harm level, and a January 2025 survey that's already a year old. Corporate ownership plus that deficiency count means you should read the actual inspection reports before deciding.
San Francisco, CA · San Francisco County
★★★★★CMS 5/538 bedsNon-profitMedicaid
- Nurse hours
- 8.97 /day
- Staff turnover
- 29%
- Serious cites
- 0
Nurse staffing here runs 8.97 hours per resident day, more than double the national average of 3.86, and that holds up on weekends, which dip only about 5% below weekday levels. Turnover sits at 29%, well under the national 45.8%. The health inspection rating is 5/5, though the record shows 10 deficiencies, one abuse-related, none at harm or jeopardy level; the most recent inspection was January 9, 2026. Note this is a 38-bed hospital-based unit, so the numbers reflect a small, closely staffed operation rather than a typical standalone nursing home.
Carlsbad, CA · San Diego County
★★★★★CMS 5/533 bedsNon-profitMedicaid
- Nurse hours
- 5.37 /day
- Staff turnover
- 25%
- Serious cites
- 0
Carlsbad By The Sea runs 33 certified beds as a nonprofit corporation, and the staffing numbers are where it separates itself: 5.37 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is worth knowing if you're planning visits or worrying about Saturday and Sunday care. Turnover sits at 25%, roughly half the national rate of 45.8%, so the people caring for residents tend to stick around. The home carries 8 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated March 25, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.
Napa, CA · Napa County
★★★☆☆CMS 3/536 bedsGovernmentMedicaid
- Nurse hours
- 10.32 /day
- Staff turnover
- 31%
- Serious cites
- 0
State-run homes in California don't usually post nurse staffing of 10.32 hours per resident day, that's roughly two and a half times the national figure, and it shows up in the five-star staffing rating. Weekend coverage holds within about 4% of weekday levels, so the care doesn't thin out on Saturdays, and turnover at 31.3% sits well below the 45.8% national average. The catch is oversight: 25 deficiencies on the current record, including two tied to abuse, with the most recent inspection in May 2026 and a two-star health inspection rating. None of those deficiencies rose to harm or jeopardy level, which matters, but the volume is worth asking about directly.
Denver, CO · Denver County
★★★★★CMS 5/5118 bedsFor-profitMedicaid
- Nurse hours
- 3.74 /day
- Staff turnover
- 15%
- Serious cites
- 0
Berkley Manor runs on a fairly lean nurse staffing line, 3.74 hours per resident day, just under the national average, and weekends get thinner still, dropping roughly 9% below what the home staffs on weekdays. What stands out instead is retention: 14.5% annual turnover against a national average near 46%, which means the people caring for residents largely stay put. The inspection record is mixed: 29 deficiencies on file, two of them serious enough to involve harm, plus one fine of $17,160, and the most recent inspection was in February 2026. A for-profit limited liability company owns the 118-bed home.
Aurora, CO · Arapahoe County
★★★★★CMS 5/5135 bedsNon-profitMedicaid
- Nurse hours
- 4.13 /day
- Staff turnover
- 14%
- Serious cites
- 0
Beth Israel At Shalom Park runs on numbers families rarely see in one place. Nurse staffing sits at 4.13 hours per resident day, above the national average, though weekends dip about 11% below the home's own weekday levels, worth asking about if your visits fall on Saturdays or Sundays. Annual turnover of 14.1% is far below the national rate, meaning the people caring for residents tend to stay. The inspection record shows just two deficiencies, none involving harm or abuse, with a recent survey. Three five-star CMS ratings across health inspections, quality measures, and staffing round out a picture of steady, well-staffed care under nonprofit church ownership.
Boulder, CO · Boulder County
★★★★★CMS 5/554 bedsNon-profitMedicaid
- Nurse hours
- 5.18 /day
- Staff turnover
- 29%
- Serious cites
- 0
Frasier Meadows runs a leaner ship than most. Nurse staffing sits at 5.18 hours per resident day, roughly a third more than the national average, and weekend coverage barely dips, staying within about 7% of weekday levels. That consistency matters, because short weekend shifts are where care problems tend to hide. Staff turnover is 28.8%, well under the national 45.8%, so the people caring for residents here tend to stick around. The record isn't spotless: seven deficiencies, two serious enough to reach harm or jeopardy, one tied to abuse, and three fines totaling $49,202. But a 4-out-of-5 inspection rating and a recent April 2024 inspection suggest those issues were addressed rather than ignored, and the quality measures themselves are strong.
Littleton, CO · Jefferson County
★★★★☆CMS 4/536 bedsFor-profit
- Nurse hours
- 9.21 /day
- Staff turnover
- 55%
- Serious cites
- 0
Nurse staffing at Neurorestorative Colorado runs 9.21 hours per resident day, roughly two and a half times the national average, and weekend coverage holds nearly level with weekdays. That's the kind of consistency that matters in a 36-bed home, and it's reflected in the four out of five staffing star rating.
The inspection record is more mixed. Thirteen deficiencies on file, one serious enough to reach harm or jeopardy level, and a $13,406 fine, though nothing tied to abuse. Quality measures scored five out of five.
Worth knowing: this is a for-profit corporate operation and about 55% of staff turn over each year, well above the national 45.8%, high staffing hours only help if the people providing them stick around.
Eagle, CO · Eagle County
★★★★★CMS 5/544 bedsNon-profitMedicaid
- Nurse hours
- 5.02 /day
- Staff turnover
- 44%
- Serious cites
- 0
Castle Peak runs a nonprofit home in Eagle with 44 beds and a staffing level that stands out: about 5.02 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage slips about 14% below the home's own weekday numbers, and turnover sits at 44.4%, just under the national 45.8%. That strong day-to-day staffing coexists with a mixed inspection record, 22 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, plus two fines totaling $23,580. The most recent inspection was September 19, 2024. Families weighing that inspection history against the staffing and quality marks should ask directly how the abuse-related findings were resolved.
Plantsville, CT · Capitol County
★★★★★CMS 5/5120 bedsNon-profitMedicaid
- Nurse hours
- 4.78 /day
- Staff turnover
- 30%
- Serious cites
- 0
Livewell Connecticut runs a nonprofit home of 120 beds in Plantsville, and the numbers behind its record are steady rather than flashy. Nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average, and the weekend gap is small enough that care doesn’t drop off much when weekday administrators go home. Staff turnover of 30.4% is well under the national 45.8%, which matters because consistent aides know the residents. Nine deficiencies on the current record with none at the harm level and none abuse-related, plus a March 2025 inspection, points to a home that fixes problems before they escalate.