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

12,967 of the 14,697 Medicare-certified nursing homes in the United States (88%) are clean-record, and all are listed below. 2616 of the 12930 graded homes earn an A and 368 earn a D or F. Nurse staff turnover runs 45.2%, 0.6 points lower than the 45.8% across all homes there. Mclean Health Center in Simsbury grades highest at A (100 out of 100).

How clean-record homes in the United States compare

This group set against every nursing home in the United States, from the current CMS release.

Nursing hours per resident per day

3.9

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

45.2%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

75.5/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

2,616 grade A, 6,700 grade B, 3,246 grade C, 368 grade D,

The best-graded clean-record home in the United States is Mclean Health Center in Simsbury, CT, grade A, 100/100.

Every clean-record nursing home in the United States

Showing 181 to 200 of 12,967, best-graded first.

A

96/100

Four Seasons Retirement Center

Columbus, IN · Bartholomew County

CMS 5/530 bedsNon-profit
Nurse hours
5.00 /day
Staff turnover
20%
Serious cites
0

Four Seasons runs about 5 hours of nursing care per resident per day, roughly 30% above the national average, and weekend coverage dips only about 13% from its own weekday level, a modest drop, not a staffing cliff. Staff turnover sits at 20%, well under the national 45.8%, which matters for residents who need consistent faces. The home carries 8 deficiencies on its current record, none at the harm level and none tied to abuse, with its most recent inspection dated June 2025. It's a small nonprofit, 30 beds, so read those numbers as a snapshot of a stable, well-staffed operation rather than a guarantee about what any single week feels like.

A

96/100

Towne House Retirement Community

Fort Wayne, IN · Allen County

CMS 5/532 bedsNon-profit
Nurse hours
5.23 /day
Staff turnover
28%
Serious cites
0

Towne House in Fort Wayne runs on a nonprofit model with 32 certified beds, and the staffing numbers stand out right away: 5.23 nurse hours per resident per day, roughly a third more than the national average of 3.86. Weekend coverage dips about 14% below its own weekday level, worth asking about if your family visits mainly on Saturdays or Sundays. Staff turnover sits at 27.8% against a national average near 46%, which suggests people tend to stay. The inspection record is clean where it matters, five deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in May 2026. Quality measures score well too, and the health inspection side is as strong as it gets.

A

96/100

Swiss Village

Berne, IN · Adams County

CMS 5/5128 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
32%
Serious cites
0

Swiss Village runs 4.39 nurse hours per resident day, about 14 percent above the national average, and its staff turnover of 32.4 percent sits well under the 45.8 percent national figure, that combination is harder to find than it should be. Weekend staffing drops roughly 12 percent below weekday levels, so ask how that plays out on a Sunday. Five deficiencies are on record, none at the harm level, though one is abuse-related, and the most recent inspection was December 2025. As a nonprofit with 128 beds, it has the staffing depth and consistency that show up in the numbers.

A

96/100

Sunrise Terrace Nursing & Rehabilitation Center

Winfield, IA · Henry County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
12%
Serious cites
0

Sunrise Terrace runs a tight ship on paper, and the numbers hold up. Staffing sits at 4.14 nurse hours per resident day, about 7% above the national average, and weekend coverage dips only slightly below weekdays, a modest gap that suggests the schedule doesn't fall apart on Saturdays. The standout is turnover: 12.1% against a national average near 46%, which means the people caring for your family member are more likely to still be there next year. One deficiency on the current record, none involving harm or abuse, and the most recent inspection was in July 2025. A for-profit corporation owns it, so watch the margins, but the state survey results are recent and clean.

A

96/100

Woodland Terrace

Waverly, IA · Bremer County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
41%
Serious cites
0

Woodland Terrace runs a hundred beds in Waverly as a nonprofit, and its staffing is the strongest part of the picture: 4.44 nurse hours per resident day, roughly 15 percent above the national average of 3.86. Weekend hours dip about 6 percent below its own weekday level, and staff turnover sits at 40.9 percent, a few points better than the 45.8 percent national figure. The record isn't clean, though. Fourteen deficiencies are on file, including one at the harm or jeopardy level and two tied to abuse. Inspectors last visited in May 2025. So you're weighing generous daily staffing and strong quality measures against a citation history that includes serious findings, worth asking the administrator directly how those were resolved.

A

96/100

Meth-Wick Health Center

Cedar Rapids, IA · Linn County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
41%
Serious cites
0

Nurse staffing at Meth-Wick runs 4.92 hours per resident day, about 27% above the national average, and the weekend dip is modest, roughly 11% below its own weekday level, which is smaller than what many homes show. Staff turnover sits at 40.5%, below the national 45.8%, and the inspection record is thin: two deficiencies total, none at the harm level and none abuse-related, with the most recent inspection in July 2025. This is a nonprofit home in Cedar Rapids with a stable workforce, recent clean surveys, and staffing that holds up on weekends, the things that tend to matter most when you're choosing care for someone you love.

A

96/100

Spurgeon Manor

Dallas Center, IA · Dallas County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
5.21 /day
Staff turnover
37%
Serious cites
0

Spurgeon Manor runs on 5.21 nursing hours per resident per day, which is about a third more than the national average of 3.86. That extra coverage holds up on weekends too, down roughly 8% from its own weekdays, but still well above what most homes staff any day. Staff turnover sits at 36.6%, noticeably under the 45.8% national figure, so the people caring for residents tend to stick around. The nonprofit's inspection record shows 8 deficiencies, none at the harm level and none abuse-related, with a state survey completed in September 2025. Its staffing and quality ratings both come in at 5 out of 5.

A

96/100

Terrace Glen Village

Marion, IA · Linn County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
33%
Serious cites
0

Terrace Glen Village runs 4.23 nurse hours per resident per day, roughly 10% above the national average, but weekends dip about 10% below its own weekday coverage, worth asking how that gap gets covered. Staff turnover sits at 32.6%, well under the 45.8% national figure, which suggests people stay. Inspections in November 2025 turned up 10 deficiencies, 3 serious enough to involve harm or jeopardy, though none abuse-related, and the 4/5 health inspection rating reflects that mixed record. Quality and staffing measures both came back 5/5. Corporate for-profit ownership of a 40-bed home means fewer layers between decisions and residents.

A

96/100

Meade District Hosp Ltcu Dba Lone Tree Retirement

Meade, KS · Meade County

CMS 5/545 bedsFor-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
40%
Serious cites
0

Lone Tree Retirement in Meade runs 4.73 nurse hours per resident day, about 23% above the national average, and that staffing shows: the federal staffing rating comes in at 5 out of 5, with turnover at 39.6%, lower than the 45.8% national figure. Weekend coverage dips roughly 9% below its own weekday level, so ask how that plays out on Sundays. The catch is the inspection record: 18 deficiencies, one involving actual harm, with the last survey in August 2025. Quality measures score 5 out of 5, but that one harm-level finding and a 3-out-of-5 inspection rating are what hold this for-profit home back.

A

96/100

Stanton County Health Care Facility Ltcu

Johnson, KS · Stanton County

CMS 2/525 bedsGovernmentMedicaid
Nurse hours
5.27 /day
Staff turnover
13%
Serious cites
0

Stanton County Health Care Facility in Johnson runs on a city/county budget, and the numbers show a place where people tend to stay. Annual turnover is 13.3 percent, well below the national 45.8 percent, and total nurse staffing sits at 5.27 hours per resident day, roughly a third more than the 3.86 national average. Weekend coverage dips only about 8 percent from weekday levels, so care doesn't thin out much on Saturdays and Sundays. Inspectors logged 24 deficiencies, none at the harm level, though one is abuse-related, and the last visit was August 2025. The staffing star rating of 1/5 looks odd next to those hours; CMS's scoring there weighs things like RN coverage specifically, not just total volume.

A

96/100

Loretto Living Center At Loretto Motherhouse, Inc.

Nerinx, KY · Marion County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
5.98 /day
Staff turnover
27%
Serious cites
0

The numbers here tell a steady story. Nurse staffing runs about 5.98 hours per resident day, roughly 55% above the national average, and the weekend drop is modest, about 14% off its own weekday level, which matters because that's when many homes quietly thin out. Staff turnover sits at 27%, well under the national 45.8%, so the people caring for residents tend to stick around. On the inspection side, the home carries just two deficiencies, neither at the harm level and none abuse-related, with its most recent survey done in August 2025. It's a nonprofit corporation with 55 certified beds, small enough that consistency is easier to hold onto.

A

96/100

Joseph Eddie Ballard Western Kentucky Veterans Cen

Hanson, KY · Hopkins County

CMS 5/5156 bedsGovernmentMedicaid
Nurse hours
5.40 /day
Staff turnover
34%
Serious cites
0

The Western Kentucky Veterans Center in Hanson is state-run, and that shows in the numbers. Nurse staffing runs about 5.4 hours per resident per day, roughly 40% above the national average, with weekend coverage dipping about 14% below its own weekday level. Turnover sits at 34.3%, better than the 45.8% national figure but still meaning about a third of staff leaving each year. On inspections, there's little to argue with: two deficiencies on the current record, none causing harm or involving abuse, and a survey completed in February 2026. A recent, clean inspection record paired with that staffing level is what a strong home looks like in the data.

A

96/100

Thomson-Hood Veterans Center

Wilmore, KY · Jessamine County

CMS 5/5285 bedsGovernmentMedicaid
Nurse hours
5.09 /day
Staff turnover
29%
Serious cites
0

Thomson-Hood Veterans Center runs on 5.09 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 29.4% sits well under the 45.8% national figure, a combination that tends to mean caregivers who know the residents and stay long enough to notice when something changes. Weekend coverage dips about 12% below weekday levels, which is worth asking about if you visit mainly on Saturdays. Five deficiencies on record, none at the harm level, though one is abuse-related and worth requesting details on. The most recent inspection was in May 2026. As a state-run veterans home, its numbers hold up well against most facilities.

A

96/100

Maine Veterans Home - Augusta

Augusta, ME · Kennebec County

CMS 5/5108 bedsNon-profitMedicaid
Nurse hours
6.62 /day
Staff turnover
33%
Serious cites
0

Maine Veterans Home in Augusta runs on a state Veterans' Affairs model, and the staffing numbers show it: 6.62 nurse hours per resident day, roughly 72% above the national average. That's a big cushion, and it shows up in the five-star staffing rating. Turnover sits at 32.5%, well below the national 45.8%, so the people caring for residents tend to stay. Twelve deficiencies on record, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. The most recent inspection was November 2025, so the picture is current. Nonprofit ownership, 108 beds, and quality and inspection ratings both at four stars. The weak spot, if there is one, is weekends, when staffing drops about 10% below its own weekday level.

A

96/100

Piper Shores

Scarborough, ME · Cumberland County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
41%
Serious cites
0

Piper Shores runs about 5.14 nurse hours per resident day, roughly a third more than the national average, and its quality and staffing marks both sit at the top of CMS's scale. Weekends dip about 9% below weekday coverage, which is worth asking about if your family visits then. Turnover lands at 40.7%, a bit better than the 45.8% national figure. The 21 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was in December 2025, so the picture is current. As a nonprofit with 40 beds, it's small enough that you can press staff on specifics.

A

96/100

Broadmead

Cockeysville, MD · Baltimore County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
5.71 /day
Staff turnover
36%
Serious cites
0

Broadmead runs on 5.71 nurse staffing hours per resident day, well above the national average of 3.86, and its weekend coverage only dips about 6% below weekday levels, a gap that's often much wider elsewhere. Turnover sits at 36.2%, lower than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The home carries 12 deficiencies on its current record, none tied to harm or abuse, and its last inspection was in late 2025, so the picture is recent. As a nonprofit with 70 certified beds, it's small enough that staffing ratios translate directly to bedside attention.

A

96/100

Carroll Lutheran Village

Westminster, MD · Carroll County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
34%
Serious cites
0

Carroll Lutheran Village runs 72 certified beds as a nonprofit, and its staffing sits at 3.89 nurse hours per resident day, just barely above the national average of 3.86. Weekends dip about 6% below its own weekday coverage, so ask how that gap gets covered. Turnover is the stronger number: 33.7% against a national average of 45.8%, which suggests a more stable crew than most places manage. The inspection record shows 34 deficiencies, but none at the harm or jeopardy level and none tied to abuse, and the most recent survey was in June 2025, so the picture is current.

A

96/100

Homewood Living Frederick

Frederick, MD · Frederick County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
26%
Serious cites
0

Homewood Living Frederick runs on church-affiliated nonprofit ownership, and the numbers show a home that's been stable for a while. Nurses provide 4.42 hours of care per resident each day, roughly 15% above the national average of 3.86, and weekend staffing dips only about 7% below weekday levels, a modest gap, not the kind of drop that leaves families worrying about Saturday coverage. Staff turnover sits at 26.4% against a national average near 46%, which suggests people stay. The 19 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was July 2025, so the picture is current. Three five-star CMS ratings back it up.

A

96/100

Garrett County Subacute Unit

Oakland, MD · Garrett County

CMS 5/510 bedsFor-profitMedicaid
Nurse hours
9.45 /day
Staff turnover
35%
Serious cites
0

Garrett County Subacute Unit is a ten-bed for-profit home in Oakland, and its staffing numbers are the story here. At 9.45 nurse hours per resident day, it runs roughly two and a half times the national average, and turnover sits at 35.3%, below the 45.8% national figure, which matters for a small facility where one departure is felt. The trade-off is weekends, when coverage drops about 14% below its own weekday level. Inspections back up the rest: a clean current record of eight deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in August 2025. Five stars across health inspections, quality measures, and staffing is rare company.

A

96/100

Willowbrooke Ct Skilled Care Buckingham's Choice

Adamstown, MD · Frederick County

CMS 5/542 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
12%
Serious cites
0

Willowbrooke Ct runs 4.32 nurse hours per resident day, roughly 12 percent above the national figure, and its staff turnover sits at 11.5 percent against a national average near 46, that retention number is the one that tends to matter most, because familiar caregivers notice changes sooner. Weekends run about 11 percent lighter than weekdays, worth asking about if your family visits then. The 23 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was February 2026. A nonprofit corporation operates the 42-bed home. All three CMS star ratings, inspections, quality measures, staffing, come in at five.

Frequently asked questions

How many clean-record nursing homes are there in the United States?
There are 12,967 clean-record Medicare-certified nursing homes in the United States, 88% of the 14,697 nursing homes there.
Are clean-record nursing homes better staffed?
In the United States they average 3.9 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.04 hours. Staff turnover averages 45.2% against 45.8%.
Which clean-record nursing home grades best in the United States?
Mclean Health Center in Simsbury, CT, grade A, 100 out of 100.
Does being clean-record mean a nursing home is safe?
No. Of the 12,930 graded clean-record homes in the United States, 2,616 grade A and 368 grade D or F.
Do clean-record nursing homes in the United States accept Medicaid?
12,438 of the 12,967 are certified to accept Medicaid. See Medicaid and nursing homes.

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