ElderGrade
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The 100 Best-Graded Nursing Homes in America

Ranked by ElderGrade score — a composite of inspection citations weighted by the harm they caused, case-mix-adjusted nurse staffing, RN cover, weekend consistency, staff turnover, resident outcomes and enforcement history. Homes carrying an abuse flag, Special Focus status or an immediate-jeopardy citation are capped and cannot appear near the top, however well they staff. Full method.

Nobody paid to be on this list. We take no fees from facilities, chains or placement agencies.

  1. #1
    A

    100/100

    Goodwin House Alexandria

    Alexandria, VA · Alexandria City County

    CMS 5/5 80 beds Non-profit Medicaid
    Nurse hours
    5.34 /day
    Staff turnover
    18%
    Serious cites
    0
  2. #2
    A

    100/100

    Transitional Sub-Acute Unit

    Wyomissing, PA · Berks County

    CMS 5/5 50 beds Non-profit
    Nurse hours
    5.56 /day
    Staff turnover
    25%
    Serious cites
    0
  4. #4
    A

    100/100

    Parker At Somerset, Inc

    Somerset, NJ · Somerset County

    CMS 5/5 120 beds Non-profit Medicaid
    Nurse hours
    6.07 /day
    Staff turnover
    18%
    Serious cites
    0
  5. #5
    A

    100/100

    Campion Health & Wellness, Inc

    Weston, MA · Middlesex County

    CMS 5/5 70 beds Non-profit Medicaid
    Nurse hours
    6.80 /day
    Staff turnover
    31%
    Serious cites
    0
  6. #6
    A

    100/100

    Hill Top House

    Bucklin, KS · Ford County

    CMS 5/5 29 beds Government Medicaid
    Nurse hours
    4.38 /day
    Staff turnover
    29%
    Serious cites
    1

    1 citation(s) involving actual harm or immediate jeopardy

  7. #7
    A

    100/100

    Deerfield Health Care Center

    Urbandale, IA · Polk County

    CMS 5/5 30 beds Non-profit
    Nurse hours
    5.31 /day
    Staff turnover
    26%
    Serious cites
    0
  8. #8
    A

    99/100

    The Legacy At Willow Bend

    Plano, TX · Collin County

    CMS 5/5 60 beds Non-profit Medicaid
    Nurse hours
    5.58 /day
    Staff turnover
    27%
    Serious cites
    0
  9. #9
    A

    99/100

    The Methodist Hospital Snf

    Houston, TX · Harris County

    CMS 5/5 25 beds Non-profit
    Nurse hours
    10.85 /day
    Staff turnover
    25%
    Serious cites
    0
  10. #10
    A

    99/100

    Laredo Medical Center

    Laredo, TX · Webb County

    CMS 5/5 18 beds For-profit
    Nurse hours
    6.27 /day
    Staff turnover
    30%
    Serious cites
    0
  11. #11
    A

    99/100

    Creekview Skilled Nursing

    Pleasanton, CA · Alameda County

    CMS 5/5 73 beds For-profit
    Nurse hours
    5.05 /day
    Staff turnover
    31%
    Serious cites
    0
  12. #12
    A

    99/100

    Baywood Court Health Center

    Castro Valley, CA · Alameda County

    CMS 5/5 56 beds Non-profit Medicaid
    Nurse hours
    4.88 /day
    Staff turnover
    31%
    Serious cites
    0
  13. #13
    A

    99/100

    Vi At La Jolla Village

    San Diego, CA · San Diego County

    CMS 5/5 60 beds For-profit
    Nurse hours
    5.24 /day
    Staff turnover
    26%
    Serious cites
    0
  14. #14
    A

    99/100

    Wi Veterans Hm Ainsworth Hall

    King, WI · Waupaca County

    CMS 5/5 198 beds Government Medicaid
    Nurse hours
    5.82 /day
    Staff turnover
    27%
    Serious cites
    0
  15. #15
    A

    99/100

    Briarwood At Timber Ridge

    Issaquah, WA · King County

    CMS 5/5 45 beds For-profit Medicaid
    Nurse hours
    4.64 /day
    Staff turnover
    29%
    Serious cites
    0
  16. #16
    A

    99/100

    Sw Va M H Inst Geri Trt Ctr

    Marion, VA · Smyth County

    CMS 5/5 25 beds Government Medicaid
    Nurse hours
    4.76 /day
    Staff turnover
    20%
    Serious cites
    0
  17. #17
    A

    99/100

    Rappahannock Westminster Canterbury

    Irvington, VA · Lancaster County

    CMS 5/5 42 beds Non-profit Medicaid
    Nurse hours
    4.92 /day
    Staff turnover
    26%
    Serious cites
    1

    1 citation(s) involving actual harm or immediate jeopardy

  18. #18
    A

    99/100

    Mervyn Sharp Bennion Central Utah Veterans Home

    Payson, UT · Utah County

    CMS 5/5 108 beds Government Medicaid
    Nurse hours
    5.69 /day
    Staff turnover
    34%
    Serious cites
    1

    1 citation(s) involving actual harm or immediate jeopardy

  19. #19
    A

    99/100

    Hendrick Skilled Nursing Facility

    Abilene, TX · Taylor County

    CMS 5/5 20 beds Non-profit
    Nurse hours
    9.65 /day
    Staff turnover
    34%
    Serious cites
    0
  20. #20
    A

    99/100

    Menno Haven Rehabilitation Center

    Chambersburg, PA · Franklin County

    CMS 5/5 44 beds Non-profit
    Nurse hours
    5.76 /day
    Staff turnover
    28%
    Serious cites
    0
  22. #22
    A

    99/100

    Upmc Magee-Womens Hospital Tcu

    Pittsburgh, PA · Allegheny County

    CMS 5/5 20 beds Non-profit
    Nurse hours
    6.41 /day
    Staff turnover
    26%
    Serious cites
    0
  23. #23
    A

    99/100

    Hcc At White Horse Village

    Newtown Square, PA · Delaware County

    CMS 5/5 55 beds Non-profit
    Nurse hours
    5.04 /day
    Staff turnover
    23%
    Serious cites
    0
  25. #25
    A

    99/100

    Waverly Heights

    Gladwyne, PA · Montgomery County

    CMS 5/5 31 beds Non-profit
    Nurse hours
    7.52 /day
    Staff turnover
    17%
    Serious cites
    0
  26. #26
    A

    99/100

    Lebanon Valley Brethren Home

    Palmyra, PA · Lebanon County

    CMS 5/5 88 beds Non-profit Medicaid
    Nurse hours
    5.10 /day
    Staff turnover
    26%
    Serious cites
    0
  27. #27
    A

    99/100

    Wooster Community Hospital Snf

    Wooster, OH · Wayne County

    CMS 5/5 22 beds Government
    Nurse hours
    7.08 /day
    Staff turnover
    29%
    Serious cites
    0
  28. #28
    A

    99/100

    Deupree Cottages

    Cincinnati, OH · Hamilton County

    CMS 5/5 24 beds Non-profit Medicaid
    Nurse hours
    5.39 /day
    Staff turnover
    16%
    Serious cites
    0
  29. #29
    A

    99/100

    Mcv Health Care Facilities, Inc

    Mason, OH · Warren County

    CMS 5/5 73 beds Non-profit Medicaid
    Nurse hours
    5.60 /day
    Staff turnover
    29%
    Serious cites
    0
  30. #30
    A

    99/100

    River Landing At Sandy Ridge

    Colfax, NC · Guilford County

    CMS 5/5 60 beds Non-profit Medicaid
    Nurse hours
    5.52 /day
    Staff turnover
    30%
    Serious cites
    0
  31. #31
    A

    99/100

    Carolina Village Inc

    Hendersonville, NC · Henderson County

    CMS 5/5 58 beds Non-profit
    Nurse hours
    6.25 /day
    Staff turnover
    22%
    Serious cites
    0
  32. #32
    A

    99/100

    Helen Hayes Hospital T C U

    West Haverstraw, NY · Rockland County

    CMS 5/5 24 beds Government
    Nurse hours
    7.22 /day
    Staff turnover
    33%
    Serious cites
    0
  33. #33
    A

    99/100

    John T Mather Memorial Hosp T C U

    Port Jefferson, NY · Suffolk County

    CMS 5/5 16 beds For-profit Medicaid
    Nurse hours
    7.99 /day
    Staff turnover
    3%
    Serious cites
    0
  35. #35
    A

    99/100

    Cheshire Home

    Florham Park, NJ · Morris County

    CMS 5/5 35 beds Non-profit Medicaid
    Nurse hours
    7.73 /day
    Staff turnover
    28%
    Serious cites
    0
  36. #36
    A

    99/100

    Applewood Village, Inc

    Freehold, NJ · Monmouth County

    CMS 5/5 60 beds Non-profit Medicaid
    Nurse hours
    5.73 /day
    Staff turnover
    23%
    Serious cites
    0
  38. #38
    A

    99/100

    Newport House

    Omaha, NE · Douglas County

    CMS 5/5 96 beds Non-profit Medicaid
    Nurse hours
    5.07 /day
    Staff turnover
    33%
    Serious cites
    0
  39. #39
    A

    99/100

    Lutheran Convalescent Home

    Webster Groves, MO · St. Louis County

    CMS 5/5 251 beds For-profit Medicaid
    Nurse hours
    4.82 /day
    Staff turnover
    32%
    Serious cites
    0
  40. #40
    A

    99/100

    Fairview University Trans Serv

    Minneapolis, MN · Hennepin County

    CMS 5/5 28 beds Non-profit Medicaid
    Nurse hours
    9.19 /day
    Staff turnover
    30%
    Serious cites
    0
  42. #42
    A

    99/100

    Friendship Village

    Kalamazoo, MI · Kalamazoo County

    CMS 5/5 57 beds Non-profit
    Nurse hours
    5.91 /day
    Staff turnover
    20%
    Serious cites
    0
  43. #43
    A

    99/100

    Mary's Meadow At Providence Place

    Holyoke, MA · Hampden County

    CMS 5/5 40 beds Non-profit Medicaid
    Nurse hours
    5.28 /day
    Staff turnover
    27%
    Serious cites
    0
  44. #44
    A

    99/100

    Edenwald

    Towson, MD · Baltimore County

    CMS 5/5 70 beds For-profit
    Nurse hours
    4.95 /day
    Staff turnover
    25%
    Serious cites
    0
  46. #46
    A

    99/100

    Roland Park Place

    Baltimore, MD · Baltimore City County

    CMS 5/5 16 beds Non-profit
    Nurse hours
    6.94 /day
    Staff turnover
    27%
    Serious cites
    0
  47. #47
    A

    99/100

    Nazareth Home

    Louisville, KY · Jefferson County

    CMS 5/5 118 beds Non-profit Medicaid
    Nurse hours
    5.43 /day
    Staff turnover
    30%
    Serious cites
    0
  48. #48
    A

    99/100

    Bethel Health Care Center

    North Newton, KS · Harvey County

    CMS 5/5 65 beds Non-profit Medicaid
    Nurse hours
    4.91 /day
    Staff turnover
    31%
    Serious cites
    0
  49. #49
    A

    99/100

    Iowa Veterans Home

    Marshalltown, IA · Marshall County

    CMS 5/5 702 beds Government Medicaid
    Nurse hours
    4.74 /day
    Staff turnover
    25%
    Serious cites
    0
  50. #50
    A

    99/100

    St Francis Manor

    Grinnell, IA · Poweshiek County

    CMS 5/5 78 beds Non-profit Medicaid
    Nurse hours
    4.85 /day
    Staff turnover
    28%
    Serious cites
    0
  51. #51
    A

    99/100

    Highland Oaks

    Elgin, IL · Kane County

    CMS 5/5 24 beds Non-profit Medicaid
    Nurse hours
    5.25 /day
    Staff turnover
    28%
    Serious cites
    0
  53. #53
    A

    99/100

    Franklin County Transitional Care

    Preston, ID · Franklin County

    CMS 5/5 35 beds Government Medicaid
    Nurse hours
    5.01 /day
    Staff turnover
    27%
    Serious cites
    0
  54. #54
    A

    99/100

    Hi'olani Care Center At Kahala Nui

    Honolulu, HI · Honolulu County

    CMS 5/5 20 beds Non-profit Medicaid
    Nurse hours
    6.39 /day
    Staff turnover
    24%
    Serious cites
    0
  55. #55
    A

    99/100

    Honoka'a Hospital & Skilled Nursing

    Honokaa, HI · Hawaii County

    CMS 5/5 66 beds Government Medicaid
    Nurse hours
    5.51 /day
    Staff turnover
    24%
    Serious cites
    0
  58. #58
    A

    99/100

    Glenridge On Palmer Ranch Inc.

    Sarasota, FL · Sarasota County

    CMS 5/5 61 beds Non-profit
    Nurse hours
    5.05 /day
    Staff turnover
    19%
    Serious cites
    0
  59. #59
    A

    99/100

    Lodge At Cypress Cove, The

    Fort Myers, FL · Lee County

    CMS 5/5 64 beds Non-profit
    Nurse hours
    5.72 /day
    Staff turnover
    21%
    Serious cites
    0
  62. #62
    A

    99/100

    Village On The Isle

    Venice, FL · Sarasota County

    CMS 5/5 48 beds For-profit Medicaid
    Nurse hours
    5.74 /day
    Staff turnover
    10%
    Serious cites
    0
  63. #63
    A

    99/100

    Southington Care Center

    Southington, CT · Capitol County

    CMS 5/5 130 beds Non-profit Medicaid
    Nurse hours
    4.72 /day
    Staff turnover
    34%
    Serious cites
    0
  64. #64
    A

    99/100

    Crestwood Treatment Center

    Fremont, CA · Alameda County

    CMS 5/5 88 beds For-profit Medicaid
    Nurse hours
    5.05 /day
    Staff turnover
    12%
    Serious cites
    0
  65. #65
    A

    99/100

    Alameda County Medical Center D/P Snf

    San Leandro, CA · Alameda County

    CMS 5/5 109 beds Government Medicaid
    Nurse hours
    6.40 /day
    Staff turnover
    7%
    Serious cites
    0
  67. #67
    A

    99/100

    Canterbury Woods

    Pacific Grove, CA · Monterey County

    CMS 5/5 24 beds Non-profit
    Nurse hours
    6.71 /day
    Staff turnover
    19%
    Serious cites
    0
  68. #68
    A

    99/100

    Acacia Health Center

    Phoenix, AZ · Maricopa County

    CMS 5/5 78 beds For-profit
    Nurse hours
    5.65 /day
    Staff turnover
    17%
    Serious cites
    0
  69. #69
    A

    99/100

    Searhc Sitka Long Term Care

    Sitka, AK · Sitka County

    CMS 5/5 19 beds Non-profit Medicaid
    Nurse hours
    7.89 /day
    Staff turnover
    31%
    Serious cites
    0
  70. #70
    A

    98.3/100

    Ingleside At King Farm

    Rockville, MD · Montgomery County

    CMS 5/5 45 beds Non-profit Medicaid
    Nurse hours
    5.28 /day
    Staff turnover
    15%
    Serious cites
    0
  71. #71
    A

    98.3/100

    Jefferson House

    Newington, CT · Capitol County

    CMS 5/5 104 beds Non-profit Medicaid
    Nurse hours
    5.17 /day
    Staff turnover
    31%
    Serious cites
    0
  72. #72
    A

    98/100

    Jeanne Jugan Residence

    Washington, DC · The District County

    CMS 5/5 40 beds Non-profit Medicaid
    Nurse hours
    6.49 /day
    Staff turnover
    17%
    Serious cites
    0
  73. #73
    A

    97.9/100

    Spring Lake Village

    Santa Rosa, CA · Sonoma County

    CMS 5/5 70 beds Non-profit
    Nurse hours
    5.54 /day
    Staff turnover
    22%
    Serious cites
    0
  74. #74
    A

    97.6/100

    Promontory Point Rehabilitation

    Ammon, ID · Bonneville County

    CMS 5/5 50 beds For-profit
    Nurse hours
    5.62 /day
    Staff turnover
    21%
    Serious cites
    0
  75. #75
    A

    97.5/100

    War Memorial Hospital

    Berkeley Springs, WV · Morgan County

    CMS 5/5 16 beds Non-profit Medicaid
    Nurse hours
    5.76 /day
    Staff turnover
    20%
    Serious cites
    0
  76. #76
    A

    97.5/100

    The Haven At Brandermill Woods

    Midlothian, VA · Chesterfield County

    CMS 5/5 60 beds Non-profit Medicaid
    Nurse hours
    4.85 /day
    Staff turnover
    33%
    Serious cites
    0
  78. #78
    A

    97.5/100

    Helen Hayes Hospital R H C F

    West Haverstraw, NY · Rockland County

    CMS 5/5 25 beds Government Medicaid
    Nurse hours
    6.81 /day
    Staff turnover
    34%
    Serious cites
    0
  79. #79
    A

    97.5/100

    Medford Leas

    Medford, NJ · Burlington County

    CMS 5/5 24 beds Non-profit
    Nurse hours
    10.92 /day
    Staff turnover
    26%
    Serious cites
    0
  80. #80
    A

    97.5/100

    Jnh-Madison Inn

    Whitfield, MS · Rankin County

    CMS 5/5 63 beds Government Medicaid
    Nurse hours
    4.89 /day
    Staff turnover
    30%
    Serious cites
    0
  82. #82
    A

    97.5/100

    Lasell House

    Newton, MA · Middlesex County

    CMS 5/5 44 beds Non-profit
    Nurse hours
    4.94 /day
    Staff turnover
    35%
    Serious cites
    0
  83. #83
    A

    97.5/100

    St Elizabeth Edgewood Snf

    Edgewood, KY · Kenton County

    CMS 5/5 30 beds Non-profit
    Nurse hours
    6.52 /day
    Staff turnover
    33%
    Serious cites
    0
  84. #84
    A

    97.5/100

    Community Hospital Onaga Ltcu

    St Marys, KS · Pottawatomie County

    CMS 5/5 26 beds Non-profit Medicaid
    Nurse hours
    5.73 /day
    Staff turnover
    30%
    Serious cites
    0
  85. #85
    A

    97.5/100

    Story Medical Senior Care

    Nevada, IA · Story County

    CMS 5/5 60 beds Government Medicaid
    Nurse hours
    4.79 /day
    Staff turnover
    29%
    Serious cites
    0
  86. #86
    A

    97.5/100

    Hale Ola Kino By Arcadia

    Hon, HI · Honolulu County

    CMS 5/5 32 beds For-profit Medicaid
    Nurse hours
    5.51 /day
    Staff turnover
    13%
    Serious cites
    0
  89. #89
    A

    97/100

    Lakeside Special Care Center

    Lakeside, CA · San Diego County

    CMS 5/5 94 beds For-profit Medicaid
    Nurse hours
    4.20 /day
    Staff turnover
    32%
    Serious cites
    0
  90. #90
    A

    97/100

    Oakview Skilled Nursing

    Thousand Oaks, CA · Ventura County

    CMS 5/5 48 beds For-profit
    Nurse hours
    5.73 /day
    Staff turnover
    21%
    Serious cites
    0
  91. #91
    A

    97/100

    Veterans Home Of California - Barstow

    Barstow, CA · San Bernardino County

    CMS 5/5 60 beds Government Medicaid
    Nurse hours
    5.67 /day
    Staff turnover
    23%
    Serious cites
    0
  92. #92
    A

    97/100

    Morton Bakar Center

    Hayward, CA · Alameda County

    CMS 5/5 97 beds For-profit Medicaid
    Nurse hours
    3.73 /day
    Staff turnover
    15%
    Serious cites
    0
  93. #93
    A

    97/100

    Bradley Court

    El Cajon, CA · San Diego County

    CMS 5/5 56 beds For-profit Medicaid
    Nurse hours
    3.16 /day
    Staff turnover
    14%
    Serious cites
    0
  94. #94
    A

    97/100

    Columbia Health Care Center

    Wyocena, WI · Columbia County

    CMS 5/5 75 beds Government Medicaid
    Nurse hours
    4.71 /day
    Staff turnover
    21%
    Serious cites
    0
  95. #95
    A

    97/100

    Westminster At Lake Ridge

    Lake Ridge, VA · Prince William County

    CMS 5/5 60 beds Non-profit Medicaid
    Nurse hours
    5.14 /day
    Staff turnover
    29%
    Serious cites
    1

    1 citation(s) involving actual harm or immediate jeopardy

  98. #98
    A

    97/100

    Glen At Willow Valley

    Lancaster, PA · Lancaster County

    CMS 5/5 262 beds Non-profit
    Nurse hours
    4.45 /day
    Staff turnover
    29%
    Serious cites
    0
  99. #99
    A

    97/100

    Mohun Health Care Center

    Columbus, OH · Franklin County

    CMS 5/5 72 beds Non-profit Medicaid
    Nurse hours
    5.48 /day
    Staff turnover
    21%
    Serious cites
    0
  100. #100
    A

    97/100

    Community Medical Center Tcu

    Toms River, NJ · Ocean County

    CMS 5/5 25 beds Non-profit
    Nurse hours
    6.93 /day
    Staff turnover
    9%
    Serious cites
    0