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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 2161–2180 of 12,967, best-graded first.

A

86/100

Main Street Terrace Care Center

Lancaster, OH · Fairfield County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
33%
Serious cites
0

Main Street Terrace runs 50 beds in Lancaster, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 8% below the home's own weekday coverage, so the hours aren't spread evenly across the week. Turnover is the bright spot at 33.3% against a national 45.8%, meaning fewer caregivers cycling out the door than most homes. The current inspection record shows 30 deficiencies, including one at the harm or jeopardy level and one tied to abuse. The last inspection was December 31, 2025.

A

86/100

Mt Healthy Christian Home

Cincinnati, OH · Hamilton County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
51%
Serious cites
0

Mt Healthy Christian Home runs on unusually heavy staffing for a 75-bed nonprofit, just under 5 nurse hours per resident per day, roughly 29% above the national average, and weekend coverage barely dips below weekdays. That's the kind of consistency that matters when a resident needs help on a Sunday night. Inspections back it up: a perfect health inspection record and no abuse deficiencies, with the most recent visit in October 2024. Two things keep this from being a clean sweep. Staff turnover sits at 51.4%, above the 45.8% national average, which can wear on continuity of care. And of seven deficiencies on record, one rose to the harm level. Worth asking the administrator how they're addressing both.

A

86/100

Western Reserve Masonic Comm

Medina, OH · Medina County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
51%
Serious cites
0

Western Reserve Masonic Comm runs 4.48 nurse hours per resident day, about 16% above the national average, and weekends dip roughly 10% below its own weekday staffing. Turnover sits at 50.7%, higher than the 45.8% national figure. The current record shows six deficiencies, none at the harm or jeopardy level, though three are abuse-related, and two fines totaling $8,090. The last inspection was May 30, 2025, and CMS gives it five stars on health inspections and quality measures, four on staffing. Staffing depth and inspection results are strong here; the turnover rate and those three abuse-related tags are the things worth asking about directly.

A

86/100

Algart Health Care

Cleveland, OH · Cuyahoga County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
41%
Serious cites
0

Algart Health Care sits on Cleveland's west side with 78 certified beds and a for-profit corporate owner. The numbers that matter most here are clean: five deficiencies on the current record, none of them causing harm or jeopardy, and none related to abuse. That's a record inspectors last reviewed in September 2025, and the 5-star health inspection rating reflects it. Staffing is where the picture gets more mixed. At 3.55 nurse hours per resident day, Algart runs about 8 percent under the national average, and weekends drop roughly 11 percent below its own weekday levels, worth asking about if your family member needs help on Saturdays and Sundays. Turnover, at 41.3 percent, is actually better than the 45.8 percent national figure.

A

86/100

Cimarron Nursing Center

Kingfisher, OK · Kingfisher County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
44%
Serious cites
0

Cimarron Nursing Center runs 3.96 nurse hours per resident day, about 3% above the national average, and weekend staffing dips roughly 11% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 44.3%, slightly better than the 45.8% national figure, and that stability shows in the inspection record: six deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in February 2025. A 5/5 health inspection star rating and 4/5 on quality measures back that up. It's a for-profit corporate home with 92 certified beds, so ask who owns it and how long they've held the license.

A

86/100

Colonial Park Manor

Okemah, OK · Okfuskee County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
35%
Serious cites
0

Heartway At Colonial Park runs on thinner nursing hours than most homes, 3.65 per resident day against a national average of 3.86, and weekends dip about 5% below its own weekday staffing. That's the tradeoff worth knowing about, though the numbers soften it: staff turnover of 34.8% is well under the national 45.8%, so the aides and nurses who are there tend to stay. The inspection record backs that up. Seven deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent state visit in March 2025. This is a for-profit LLC with 80 certified beds, and its quality measure score sits a notch below its staffing and inspection marks.

A

86/100

Golden Age Nursing Home Of Guthrie, Llc

Guthrie, OK · Logan County

CMS 5/5 125 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
26%
Serious cites
0

Golden Age Nursing Home of Guthrie runs on unusually steady staffing for a for-profit home. Its 3.94 nurse hours per resident day edges past the national average, and a 26.4% turnover rate sits well below the 45.8% norm, that kind of retention usually means residents see familiar faces instead of a rotating cast. Weekend coverage does dip about 12% below weekday levels, worth asking about if you're planning visits then. The inspection record backs this up: eight deficiencies on file, none at harm or jeopardy level, no abuse findings, and the most recent inspection was May 2025. One fine of $14,069 is modest for a building this size. The tradeoff is quality measures, which land mid-pack. Solid care, clean record, room to improve on outcomes.

A

86/100

Willow Creek Health Care

Guthrie, OK · Logan County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
26%
Serious cites
0

Willow Creek runs about 4.14 nursing hours per resident day, roughly 7% above the national average, and its staff turnover sits at 25.5%, well under the national 45.8%. That retention matters more than any single inspection finding, because consistent caregivers notice changes in residents early. Weekend coverage dips about 9% below weekday levels, which is common but worth asking about. The home carries 12 deficiencies on its current record, none at the harm level and none abuse-related, with a clean five-star health inspection and a December 2024 survey. It's a for-profit LLC with 100 certified beds, and its quality measure score is the softer spot at three stars.

A

86/100

Epworth Villa Health Services

Oklahoma City, OK · Oklahoma County

CMS 4/5 87 beds Non-profit
Nurse hours
4.61 /day
Staff turnover
36%
Serious cites
0

Epworth Villa runs about 4.61 nurse hours per resident per day, roughly 19% above the national average, and its staff turnover of 36.1% sits well below the national 45.8%, two numbers that usually point to a stable, adequately staffed floor. Weekend coverage dips about 8% from weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. The home carries nine deficiencies on its current record, two of them serious enough to involve harm or jeopardy, though none are abuse-related. Its last full inspection was in October 2024, and all three CMS star categories, health inspections, quality measures, and staffing, land at four out of five.

A

86/100

Hensley Nursing & Rehab

Sayre, OK · Beckham County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
43%
Serious cites
0

Hensley runs a leaner ship than most. Nurse staffing sits at 4.42 hours per resident per day, roughly 15% above the national average, which is a real cushion when you're thinking about call lights and therapy time. Turnover is 43.2%, slightly better than the national 45.8%, though weekends drop about 14% below weekday coverage, worth asking about directly. The health inspection record is clean where it counts: six deficiencies total, none at harm or jeopardy level, and a 5-star inspection rating from a visit as recent as May 2025. Two abuse-related citations still show on the record, so ask how those were resolved.

A

86/100

Avamere Health Services Of Rogue Valley

Medford, OR · Jackson County

CMS 2/5 91 beds For-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
31%
Serious cites
0

Avamere Health Services of Rogue Valley runs a 91-bed for-profit home in Medford, and the staffing numbers are the strongest part of the picture: 4.55 nurse hours per resident day, roughly 18% above the national average. Turnover sits at 31.1%, well below the 45.8% national figure, which suggests a steadier workforce than many homes manage. The tradeoff shows up in inspections. The health inspection rating is 2 out of 5, with 51 deficiencies on the current record, including six tied to abuse. None reached the harm or jeopardy level, and the most recent inspection was August 2025, so the record is current rather than stale. Weekend staffing dips about 11% below weekday levels, worth asking about if your family visits then.

A

86/100

Marquis Newberg

Newberg, OR · Yamhill County

CMS 5/5 54 beds For-profit Medicaid
Nurse hours
5.00 /day
Staff turnover
40%
Serious cites
0

Marquis Newberg runs on 5.00 nurse hours per resident day, roughly 29% above the national average, and that shows up in its four-out-of-five staffing rating. Weekend coverage dips about 10% below weekday levels, so ask how that gap gets handled. Staff turnover sits at 39.7%, better than the 45.8% national figure, which matters for continuity of care. The inspection record is strong: a five-star health inspection rating, 12 deficiencies with none at harm or jeopardy level and none abuse-related, and a recent survey date of January 16, 2026. Quality measures land at three stars, the softer spot. Corporate, for-profit ownership, 54 beds.

A

86/100

Creswell Post Acute

Creswell, OR · Lane County

CMS 2/5 76 beds For-profit Medicaid
Nurse hours
5.04 /day
Staff turnover
44%
Serious cites
0

Creswell Post Acute runs a for-profit limited liability operation with 76 certified beds, and the staffing is the clearest strength: 5.04 nurse hours per resident day against a national average of 3.86. That's roughly 31% more hands-on time than typical, though weekend coverage dips about 8% below its own weekday level, so care can thin out on Saturdays and Sundays. Turnover sits at 44%, essentially in line with the 45.8% national figure. The tension is in inspections, 50 deficiencies on record, two tied to abuse, with a 2-out-of-5 health inspection rating, even though none reached harm or jeopardy level. The most recent inspection was January 30, 2026.

A

86/100

Bend Transitional Care

Bend, OR · Deschutes County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.79 /day
Staff turnover
43%
Serious cites
0

Bend Transitional Care runs 60 certified beds under corporate ownership, and its nurse staffing sits at 4.79 hours per resident day, roughly 24% above the national average of 3.86. That margin matters most on weekends, where hours dip about 13% below the home's own weekday pace, though the floor stays fairly high. Turnover lands at 43.4%, slightly better than the 45.8% national figure. Inspections in June 2025 found 11 deficiencies, none involving harm or jeopardy and none abuse-related, which paired with a 5/5 inspection rating suggests the problems were paperwork-level rather than resident-safety issues.

A

86/100

Lutheran Home At Topton, The

Topton, PA · Berks County

CMS 5/5 194 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
48%
Serious cites
0

Lutheran Home at Topton is a 194-bed church-affiliated nonprofit in Berks County, and the numbers mostly hold up. Nurse staffing sits at 3.84 hours per resident day, a hair under the national average of 3.86, and weekends run about 7% thinner than weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 47.6%, slightly above the national 45.8%, so expect some churn among aides. The stronger signals: a 4/5 health inspection rating, a 5/5 on quality measures, and just 12 deficiencies on record with none at the harm level and none related to abuse. The most recent inspection was September 2025, so the picture is current.

A

86/100

Pine Run Health Center

Doylestown, PA · Bucks County

CMS 3/5 90 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
35%
Serious cites
0

Pine Run Health Center runs on a nonprofit model with 90 certified beds in Doylestown, and the staffing numbers are its clearest strength, 4.10 nurse hours per resident day sits about 6% above the national average, with weekend coverage dipping roughly 9% below its own weekday levels. Turnover of 34.8% is well below the national 45.8%, which matters for continuity of care. On the inspection side, the record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in March 2026. A 3/5 inspection rating and 3/5 quality measures land mid-pack, so this is a home carried by consistent staffing rather than a spotless survey history.

A

86/100

Lecom At Elmwood Gardens, Llc

Erie, PA · Erie County

CMS 5/5 51 beds Non-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
54%
Serious cites
0

Lecom At Elmwood Gardens runs a tight ship on the clinical side. Seven deficiencies on the current record, none of them causing harm or tied to abuse, and a five-star inspection rating from a visit just this February, that's a clean recent history, not a faded one. Nonprofit ownership tends to mean steadier decisions about care. The staffing picture is where you see the tradeoff. Nurses give about 3.93 hours per resident day, slightly above the national average, but it dips roughly 8% on weekends, and turnover sits at 54% against 45.8% nationally. That churn is worth asking about directly. People are leaving faster than at the typical home, and weekends are when coverage thins.

A

86/100

Communities At Indian Haven,

Indiana, PA · Indiana County

CMS 3/5 108 beds Government Medicaid
Nurse hours
3.75 /day
Staff turnover
40%
Serious cites
0

Indian Haven is county-owned, which matters here, government homes often run leaner on frills but steadier on staffing, and that shows up in its four-out-of-five staffing score. Total nurse coverage sits at 3.75 hours per resident day, roughly 3% under the national average, and weekends drop about 4% below its own weekday numbers, so weekend coverage is worth asking about directly. Turnover at 40% actually beats the national 45.8%. The harder reading is the inspection record: 44 deficiencies, including one at harm level and two abuse-related, with a two-out-of-five health inspection score. Quality measures scored five out of five, but that's self-reported data. One fine on record, $8,281, with the last inspection dated January 2026.

A

86/100

Saint John Xxiii Home

Hermitage, PA · Mercer County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
21%
Serious cites
0

Saint John XXIII Home runs lean on nurse hours, 3.72 per resident day against a national average of 3.86, and weekends dip roughly 8% below its own weekday coverage, so ask how that plays out on a Saturday. What stands out instead is stability: turnover at 20.5% is less than half the national rate of 45.8%, which matters more than raw hours because familiar staff notice changes sooner. The inspection record backs that up, with four deficiencies on file, none at the harm level and none involving abuse, and a survey completed in March 2026. Church-affiliated nonprofit ownership, 90 beds, and clean inspections carry real weight here.

A

86/100

Amaryllis Nursing And Rehab

Smethport, PA · Mc Kean County

CMS 4/5 34 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
40%
Serious cites
0

Lakeview Healthcare and Rehab runs 34 certified beds in Smethport under for-profit LLC ownership, and its nurse staffing sits at 4.57 hours per resident day, roughly 18% above the national average of 3.86. That's the strongest part of the picture, and CMS agrees, giving it 5 out of 5 staffing stars. Turnover is 40%, a bit better than the 45.8% national figure, which matters in a small building where you know the aides by name. But 17 deficiencies on the current record, one of them at harm or jeopardy level, plus a $6,631 fine, pull the inspection side down to 3 stars. Weekend staffing drops about 13% below its own weekday level, so ask what Saturdays and Sundays actually look like.

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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