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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 2241–2260 of 12,967, best-graded first.

A

86/100

S.p.j.s.t. Rest Home 3

El Campo, TX · Wharton County

CMS 5/5 57 beds Non-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
27%
Serious cites
0

S.p.j.s.t. Rest Home 3 runs lean on nurse staffing, 3.42 hours per resident day, roughly 11 percent under the national average of 3.86, with weekends running about 4 percent below its own weekday level. It offsets that weakness well: state inspectors gave it a 5-star health inspection rating at its most recent survey in September 2025, and the record shows just 7 deficiencies, none at the harm or jeopardy level and none abuse-related. Annual staff turnover is 27.3 percent, well below the national 45.8 percent, so the caregivers who are there tend to stay. Quality measures land at 4 stars. Weekend coverage is the number worth watching.

A

86/100

Pure Health Transitional Care At Texas Health Pres

Dallas, TX · Dallas County

CMS 5/5 49 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
54%
Serious cites
0

Pure Health Transitional Care sits on the Texas Health Presbyterian campus in Dallas, a 49-bed for-profit run by a limited liability company. The numbers that matter most here are the inspection record: four deficiencies on file, none causing harm or jeopardy, none abuse-related, and a survey completed in July 2025. That's a clean recent look. Staffing runs 4.35 nurse hours per resident day, about 13% above the national average, though weekends dip roughly 9% below the home's own weekday level. Annual turnover is 53.7%, higher than the 45.8% national figure, so you'll want to ask how often residents see the same faces.

A

85.5/100

Little Sisters Of The Poor Sacred Heart Residence

Mobile, AL · Mobile County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
34%
Serious cites
0

Little Sisters of the Poor Sacred Heart Residence runs on 4.39 nurse hours per resident day, roughly 14% above the national average, and its staff turnover of 34.4% sits well below the 45.8% norm, two signs of a stable, well-staffed building. Weekend coverage dips about 16% from weekday levels, so ask how that plays out on Saturdays and Sundays. Three deficiencies on record, none at the harm level and none abuse-related. One caution: the last inspection was March 2020, so the clean record is real but aging. The nonprofit's quality measure score of 2 out of 5 is the softer spot against otherwise strong marks.

A

85.5/100

Crowne Healthcare Of North Baldwin

Bay Minette, AL · Baldwin County

CMS 3/5 75 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
36%
Serious cites
0

Crowne Healthcare Of North Baldwin runs on better-than-average nursing hours, 4.07 per resident day against a national 3.86, though weekends dip about 21% below its own weekday coverage, so ask how that gap gets filled. Staff turnover sits at 35.6%, well under the 45.8% national figure, which suggests people stay. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, ten deficiencies on record, none rising to harm or jeopardy and none abuse-related. That last inspection was November 2021, so the record may not reflect current conditions. The staffing and turnover numbers are doing the heavy lifting here; the inspection history is the part worth asking about directly.

A

85.5/100

Crowne Health Care Of Springhill

Mobile, AL · Mobile County

CMS 5/5 46 beds For-profit
Nurse hours
4.67 /day
Staff turnover
41%
Serious cites
0

Crowne Health Care Of Springhill runs a 46-bed for-profit home in Mobile, and the numbers that stand out are staffing and turnover. At 4.67 nurse hours per resident day, it sits roughly 21% above the national average, and its staff turnover of 41.4% is better than the 45.8% national figure, both unusual for a corporate-owned building this size. Weekend staffing drops about 19% below its own weekday level, so coverage isn't perfectly even across the week. On inspections, the record shows just three deficiencies, none tied to harm, jeopardy, or abuse, though the last visit was January 2020, a long gap that means the record is more dated than it looks.

A

85.5/100

Providence Valdez Medical Center

Valdez, AK · Chugach County

CMS 3/5 10 beds Government Medicaid
Nurse hours
8.55 /day
Staff turnover
—
Serious cites
0

Providence Valdez Medical Center runs a ten-bed unit owned by the city, and its nurse staffing sits at 8.55 hours per resident day, more than double the national average of 3.86. Weekend coverage drops about 14% below its own weekday levels, so the generous weekday numbers aren't quite the whole picture. Inspectors have cited 19 deficiencies on the current record, none at the harm or jeopardy level, though two are abuse-related; the most recent inspection was in May 2026. That combination of heavy staffing, a small government-run setting, and a mixed inspection history is what lands it where it does.

A

85.5/100

Camelback Post Acute Care And Rehabilitation

Phoenix, AZ · Maricopa County

CMS 3/5 107 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
34%
Serious cites
0

Camelback Post Acute runs lean on nursing hours, 3.25 per resident day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage, so a Saturday or Sunday shift is when your family member is most likely to wait. The for-profit corporate owner has held onto staff better than most, with 34.4% turnover versus 45.8% nationally, and the 5/5 quality measure rating suggests the clinical tracking is solid. But 20 deficiencies on the current record, including one at harm level and one abuse-related, plus a 2/5 inspection rating from the April 2024 survey, is the part I'd press the administrator on directly before deciding.

A

85.5/100

Chandler Post Acute And Rehabilitation

Chandler, AZ · Maricopa County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
44%
Serious cites
0

Chandler Post Acute and Rehabilitation runs 120 beds under corporate ownership, and its numbers are a mixed bag worth understanding before you visit. Nurse staffing sits at 3.75 hours per resident day, slightly under the national average, and weekends drop about 17% below what the home staffs on weekdays, so a Saturday or Sunday shift is when you'd want to pay closest attention. Turnover at 43.7% is actually a touch better than the national figure, and the quality measure score is strong. The part that gives pause: 21 deficiencies on record, five tied to abuse, though none rose to the harm or jeopardy level. The most recent inspection was December 2023.

A

85.5/100

Courtyard Rehabilitation And Health Center, Llc

El Dorado, AR · Union County

CMS 5/5 76 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
40%
Serious cites
0

Courtyard Rehabilitation and Health Center runs 76 certified beds in El Dorado under corporate for-profit ownership, and its inspection record is the standout: a perfect five-star health inspection rating with zero deficiencies at the harm or jeopardy level and nothing abuse-related on the books. The 15 total deficiencies are the lighter, paperwork-type findings that don't suggest residents are in danger. Staffing sits at 3.81 nurse hours per resident day, just under the national average of 3.86, and weekends run roughly 18% leaner than weekdays, so ask how weekend coverage actually looks on the floor. Turnover at 40.3% beats the national 45.8%, which matters for whether you see the same faces.

A

85.5/100

Highlands Of Bella Vista Health & Rehab, Llc

Bella Vista, AR · Benton County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
46%
Serious cites
0

Highlands of Bella Vista runs on a for-profit LLC model with 90 certified beds, and its staffing sits about 15% above the national average at 4.44 nurse hours per resident day. That's a real cushion, though weekends drop roughly 16% below its own weekday levels, so coverage isn't evenly spread. Turnover lands at 45.6%, essentially matching the national rate. The harder part is the inspection record: 21 deficiencies, including one at harm or jeopardy level and one abuse-related, with a single $8,055 fine and a 2-out-of-5 inspection rating from CMS. The most recent survey was November 2024, so that record is fairly current. Quality measures score well, but the survey history is where the concern sits.

A

85.5/100

Harvard Creek Post Acute

Covina, CA · Los Angeles County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
—
Serious cites
0

Harvard Creek Post Acute runs on 4.85 total nurse hours per resident day, about 26% above the national average, that's the strongest thing in its numbers. Weekend staffing dips only slightly below weekday levels, so coverage stays steady. But the record shows 44 deficiencies, one tied to abuse, even though none reached harm or jeopardy; a February 2026 inspection keeps that picture current. Quality measures score well, though the staffing star sits lower than the raw hours might suggest, and this is a for-profit LLC. If you're weighing it, ask specifically about that abuse-related citation and how the building's care planning has changed since.

A

85.5/100

The Bradley Gardens

San Jacinto, CA · Riverside County

CMS 3/5 44 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
—
Serious cites
0

The Bradley Gardens runs 44 certified beds under for-profit limited liability ownership in San Jacinto, and its nurse staffing sits at 4.13 hours per resident day, about 7% above the national average. Weekends dip roughly 5% below its own weekday level, so coverage thins slightly when families tend to visit. The bigger thing to weigh is the inspection record: 48 deficiencies on file, two tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was August 2025. CMS gives it 3 stars for health inspections and staffing, 4 for quality measures. Nothing here signals danger, but the deficiency count and abuse citations are worth raising directly with the administrator.

A

85.5/100

Lake Balboa Care Center

Van Nuys, CA · Los Angeles County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
27%
Serious cites
0

Lake Balboa Care Center runs about 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and its staff turnover of 26.7% sits well under the national 45.8%. Weekend coverage, though, drops about 17% below its own weekday level, so care can thin out when families visit. The current record shows 28 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in April 2026. State survey results land at 3 out of 5 stars, while the quality measures score 5 out of 5. For-profit corporate ownership, 50 beds.

A

85.5/100

Colorado Veterans Community Living Ctr At Homelake

Monte Vista, CO · Rio Grande County

CMS 5/5 60 beds Government Medicaid
Nurse hours
5.08 /day
Staff turnover
24%
Serious cites
0

Colorado Veterans Community Living Ctr At Homelake runs on unusually deep staffing for a 60-bed home, 5.08 nurse hours per resident day, roughly a third more than the national average, with turnover at 23.7% against a national 45.8%. That stability shows: a five-star staffing rating and a five-star health inspection record, with the most recent survey in October 2024. The friction sits elsewhere. Nine deficiencies are on file, including one at the harm level and one tied to abuse, and the quality measure rating lands at two stars, the clinical outcomes side doesn't match the care hours. Weekend coverage also drops about 25% below weekday levels, so ask how that gap gets covered.

A

85.5/100

Lakewood Post Acute And Rehabilitation

Lakewood, CO · Jefferson County

CMS 3/5 108 beds For-profit
Nurse hours
6.95 /day
Staff turnover
45%
Serious cites
0

Lakewood Post Acute runs nurse staffing at 6.95 hours per resident day, roughly 80% above the national average, and that shows up in its four-out-of-five staffing rating. Weekend coverage drops about 17% below weekday levels, though, so care may thin out on Saturdays and Sundays. Staff turnover sits at 44.7%, essentially in line with the national rate. The bigger concern is the inspection record: 33 deficiencies, two at harm or jeopardy level, one abuse-related, plus a $32,513 fine and a two-out-of-five health inspection rating, with the most recent inspection in March 2025. The strong quality measure score of five out of five doesn't cancel that out, it reflects clinical metrics, not how the building is run day to day.

A

85.5/100

Bride Brook Rehabilitation & Nursing Center

Niantic, CT · Southeastern Ct County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
34%
Serious cites
0

Bride Brook runs a tight ship on the clinical side. Its last inspection was in April 2025, and the 11 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, that's a clean enforcement picture, which matters more than the raw count suggests. Staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average, and weekends dip about 15% below the home's own weekday coverage, so ask how weekend shifts are actually covered. Turnover is the real bright spot: 33.9% against a national average of 45.8%, meaning caregivers tend to stay. For-profit LLC ownership, 130 beds.

A

85.5/100

Willowbrooke Court At Country House

Wilmington, DE · New Castle County

CMS 5/5 14 beds Non-profit
Nurse hours
3.92 /day
Staff turnover
—
Serious cites
0

Willowbrooke Court At Country House is a small nonprofit home, just 14 certified beds, in Wilmington, and its federal record comes back clean where it matters most. The six deficiencies on file include none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. Nurse staffing sits at 3.92 hours per resident day, only slightly above the national average of 3.86, and weekends run about 5% thinner than weekdays, so coverage isn't uniform across the week. The last inspection was recent, in February 2025. With 14 beds, you're looking at a place where staff likely know every resident by name. Ask how that abuse citation was resolved.

A

85.5/100

Mountain Valley Of Cascadia

Kellogg, ID · Shoshone County

CMS 4/5 68 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
33%
Serious cites
0

Mountain Valley of Cascadia runs a tight ship on retention: 33.3% annual turnover beats the national 45.8% by a wide margin, so the aides and nurses here tend to stick around. Staffing sits at 3.75 hours per resident day, a bit under the 3.86 national average, and weekends drop roughly 18% below weekday coverage, worth asking about if your family visits Saturdays or Sundays. The ten deficiencies on record are all low-level, none causing harm, though one is abuse-related and deserves a direct question. Inspections are recent and the federal ratings are solid across health, quality, and staffing.

A

85.5/100

Owyhee Health & Rehabilitation Center

Homedale, ID · Owyhee County

CMS 5/5 58 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Owyhee Health & Rehabilitation Center runs 58 certified beds in Homedale, and the numbers here hold up better than most. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 20% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 38.8%, lower than the national 45.8%, which matters for whether you see the same faces month to month. The home carries 13 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in August 2025. Corporate for-profit ownership, so ask who's actually on the floor.

A

85.5/100

Life Care Center Of Sandpoint

Sandpoint, ID · Bonner County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
36%
Serious cites
0

Life Care Center of Sandpoint runs 124 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just above the national average of 3.86. That edge shrinks on weekends, when coverage drops roughly 17% below the home's own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover is 35.8%, meaningfully better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The tradeoff shows up in inspections: 38 deficiencies on the current record and a 2-star health inspection rating, though none reached harm or jeopardy level and none were abuse-related. The most recent inspection was July 25, 2025.

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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