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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 2341–2360 of 12,967, best-graded first.

A

85/100

Hayward Gardens Post Acute

Hayward, CA · Alameda County

CMS 5/5 75 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
31%
Serious cites
0

Hayward Gardens runs on 4.27 nurse hours per resident day, roughly 11% above the national average, and its staff turnover of 30.6% is well below the 45.8% national figure, that combination is harder to find than the bed count suggests. The trade-off sits in the inspection record: 32 deficiencies on file, one serious enough to reach harm or jeopardy level, though none involve abuse. Weekend coverage dips about 12% below weekday levels, which matters for a 75-bed for-profit home where families often visit on Saturdays and Sundays. The last inspection was in May 2026, so the record is current rather than stale.

A

85/100

Valley Vista Post Acute

Escondido, CA · San Diego County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
43%
Serious cites
0

Valley Vista Post Acute runs 59 beds in Escondido under for-profit LLC ownership, and its nurse staffing sits at 4.01 hours per resident day, about 4% above the national average of 3.86. Weekend coverage dips roughly 11% below its own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.1%, a touch better than the 45.8% national figure, so most caregivers sticking around is a modest plus. The current record shows 28 deficiencies, none at the harm or jeopardy level, though 2 are abuse-related, enough to warrant a direct question about what happened and what changed. The last inspection was September 2025, so the picture is recent.

A

85/100

Niles Canyon Post Acute

Fremont, CA · Alameda County

CMS 5/5 73 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
21%
Serious cites
0

Niles Canyon Post Acute sits in Fremont with 73 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing runs 4.25 hours per resident day, roughly 10% above the national average, though weekend coverage dips about 9% below its own weekday level, so ask how that gap gets covered. Staff turnover is 21%, less than half the national rate of 45.8%, which matters for whether you see the same faces each visit. Its inspection record shows 16 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025. The quality measure rating is 4 out of 5.

A

85/100

Kingsburg Center

Kingsburg, CA · Fresno County

CMS 3/5 86 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
25%
Serious cites
0

Kingsburg Center runs 86 certified beds under for-profit LLC ownership, and its nurse staffing sits right at the national average, 3.86 hours per resident day, with weekends about 6% thinner than weekdays. What stands out is retention: 24.7% annual turnover against a 45.8% national average, meaning aides and nurses here tend to stay. The trouble is inspections. A 1-out-of-5 health inspection rating and 47 deficiencies on the current record, two serious enough to involve harm or jeopardy, though none abuse-related. The last survey was October 2024. Quality measures score well at 4/5, so day-to-day care metrics look better than the paper trail from regulators.

A

85/100

Bonita Hills Post Acute

La Habra, CA · Orange County

CMS 3/5 86 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
39%
Serious cites
0

Bonita Hills Post Acute runs 86 certified beds in La Habra under for-profit LLC ownership, and the staffing picture is genuinely mixed. Total nursing hours sit at 4.28 per resident day, about 11% above the national average of 3.86, and annual turnover of 39.2% is better than the 45.8% national figure. Weekends are the soft spot: coverage drops roughly 10% below the home's own weekday level. The inspection record is where families should slow down. CMS gives it 2 out of 5 stars for health inspections, with 90 deficiencies on the current record, three of them abuse-related. None rose to harm or jeopardy level, and the most recent inspection was August 11, 2025, so the picture is current. Quality measures score 5 out of 5; consistent staffing doesn't cancel out that inspection history.

A

85/100

St. Catherine Healthcare

Fullerton, CA · Orange County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
17%
Serious cites
0

St. Catherine Healthcare runs 99 beds in Fullerton under corporate ownership, and its staffing sits slightly above the national average at 3.95 hours per resident day, modest, but on the right side of the line. The standout number is turnover: 16.9% against a national average near 46%, which suggests people actually stay. Weekend coverage dips about 7% below weekdays, so ask how that plays out on Saturdays. The inspection record is heavier: 52 deficiencies on file, three tied to abuse, though none reached harm or jeopardy level, and the last survey was recent. Quality measures score well; the inspection side is where the questions live.

A

85/100

Ontario Healthcare Center

Ontario, CA · San Bernardino County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
42%
Serious cites
0

Ontario Healthcare Center runs 59 certified beds under for-profit limited liability ownership, and its last inspection on February 20, 2026, came back clean at the harm level, 23 deficiencies on record, none causing injury or jeopardy, none tied to abuse. Nurse staffing sits at 3.85 hours per resident day, essentially matching the national average of 3.86, though weekends drop about 7 percent below the home's own weekday coverage, so ask how that gap gets filled. Staff turnover of 42.2 percent is a bit better than the 45.8 percent national figure. The inspection and quality measure ratings both come in at 5 out of 5; staffing is the weaker 3, which tracks with the thin weekend margin.

A

85/100

Sunset Park Healthcare

Santa Monica, CA · Los Angeles County

CMS 2/5 44 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
30%
Serious cites
0

Sunset Park Healthcare runs 44 beds in Santa Monica under for-profit LLC ownership. Nurse staffing sits at 4.63 hours per resident day, about 20% above the national average, and the 30.2% turnover rate is notably lower than the 45.8% typical elsewhere. Weekend coverage, though, runs roughly 13% thinner than weekdays. The health inspection record is a different story: 58 deficiencies on file, one at harm or jeopardy level, and seven tied to abuse. The last inspection was in May 2025. Quality measures rate well, but the inspection history remains the concern a family would want to weigh when deciding.

A

85/100

Cloverdale Healthcare Center

Cloverdale, CA · Sonoma County

CMS 5/5 72 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
37%
Serious cites
0

Cloverdale Healthcare Center runs 72 certified beds under for-profit LLC ownership, and the numbers that stand out most are on the care side: a 5/5 health inspection rating with 13 deficiencies on record, none of them causing harm or involving abuse. Total nurse staffing sits at 4.36 hours per resident day, roughly 13% above the national average, though weekends dip about 12% below the home's own weekday levels, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover of 36.5% is meaningfully better than the 45.8% national figure, which matters for continuity of care. The most recent inspection was December 19, 2025.

A

85/100

Valley Skilled Nursing Center

Modesto, CA · Stanislaus County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
19%
Serious cites
0

Valley Skilled Nursing Center runs about 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 19.2% is less than half the national rate, a genuinely unusual combination in a for-profit, LLC-owned home. Weekend staffing drops about 15% below its own weekday level, so coverage thins out on Saturdays and Sundays. The 48 deficiencies on record include two tied to abuse, though none reached harm or jeopardy, and the last inspection was in March 2025. With 70 beds and a 4-out-of-5 on both health inspections and quality measures, this is a smaller home whose numbers mostly hold up, with the weekend pattern and that deficiency count worth asking about directly.

A

85/100

Country Manor La Mesa Healthcare Center

La Mesa, CA · San Diego County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
27%
Serious cites
0

Country Manor La Mesa runs on 4.12 nurse hours per resident day, about 7% more than the national average, and its weekend staffing dips roughly 8% below its own weekday level, noticeable, though not the kind of drop that usually signals danger. The turnover picture is the real standout: 27% against a national average near 46%, meaning far fewer people are cycling through the building than is typical. Inspectors cited 23 deficiencies, none at the harm level and none abuse-related, and the most recent visit came in January 2025, so the record is current. For-profit, LLC-owned, and it shows in neither the staffing numbers nor the survey history.

A

85/100

Torrance Care Center West, Inc

Torrance, CA · Los Angeles County

CMS 2/5 195 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
26%
Serious cites
0

Torrance Care Center West runs 195 certified beds under corporate ownership, and its staffing looks solid on paper, 4.14 nurse hours per resident day, about 7% above the national average, with weekend coverage dipping roughly 8% below its own weekday level. Turnover sits at 25.8%, well under the 45.8% national figure, which suggests a steadier workforce than most. The trouble is inspections: a 1-out-of-5 health inspection rating, 72 deficiencies on the current record including three at harm or jeopardy level and three abuse-related, plus $45,047 in fines across three penalties. Quality measures score 5 out of 5, and the most recent inspection was August 2025, so the picture is current rather than stale. Strong staffing and quality numbers are doing a lot of work here against a serious inspection record.

A

85/100

Watsonville Post Acute Center

Watsonville, CA · Santa Cruz County

CMS 5/5 95 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
41%
Serious cites
0

Watsonville Post Acute Center runs 95 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The health inspection record shows 35 deficiencies, including one at the harm or jeopardy level, with no abuse citations, and one fine of $8,018. Its last inspection was August 29, 2025, so the record is recent.

A

85/100

Golden Heights Healthcare

Daly City, CA · San Mateo County

CMS 5/5 102 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
36%
Serious cites
0

Golden Heights runs on 4.43 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 35.5% sits well below the 45.8% norm, that combination is why it holds a 5/5 on CMS staffing. Weekend coverage dips about 10% from weekday levels, worth asking about if your family visits on Saturdays or Sundays. The catch is in the inspection record: 49 deficiencies, including four tied to abuse, though none reached harm or jeopardy level. A March 2025 inspection means the record is current. Corporate-owned and for-profit, it's a well-staffed building with a paper trail that deserves a direct question.

A

85/100

Seal Beach Health And Rehabilitation Center

Seal Beach, CA · Orange County

CMS 2/5 198 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
34%
Serious cites
0

Seal Beach Health and Rehabilitation Center runs 198 certified beds under for-profit LLC ownership, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day. Retention is where it stands out: 34.2% annual turnover against a national 45.8% means aides and nurses are staying longer than at the typical home, though weekends run about 9% thinner than weekdays. The concern is the inspection record, 128 deficiencies, including 6 tied to abuse, with the most recent survey in April 2025. None of those rose to harm or jeopardy level, but that volume is a lot to carry. Quality measures score well; the inspection side is what's holding this one back.

A

85/100

Gardena Convalescent Center

Gardena, CA · Los Angeles County

CMS 3/5 74 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
25%
Serious cites
0

Gardena Convalescent Center runs 74 certified beds in Los Angeles County under corporate for-profit ownership. Its 4.17 nurse hours per resident day sit about 8% above the national average of 3.86, and weekend staffing dips roughly 11% below its own weekday level, so the coverage is real, though thinner on Saturdays and Sundays. Staff turnover of 25.4% is notably lower than the 45.8% national figure, which matters for continuity of care. The record is more mixed on oversight: 50 deficiencies total, none at harm or jeopardy level, but 4 abuse-related. Its last inspection was March 13, 2026. Quality and staffing each earned 4 stars from CMS, with health inspection at 3.

A

85/100

Lone Tree Post Acute

Antioch, CA · Contra Costa County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
33%
Serious cites
0

Lone Tree Post Acute runs 4.03 total nurse hours per resident day, a bit above the national average of 3.86, and its 33% annual turnover is well below the 45.8% typical elsewhere, both signs of a steadier floor than many homes manage. The catch sits in the inspection record: 29 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was May 2026. Weekend staffing drops about 10% from weekday levels, which matters if your family visits or calls on Saturdays and Sundays. The quality measure score is strong; the health inspection side is more mixed.

A

85/100

Alexandria Care Center

Los Angeles, CA · Los Angeles County

CMS 1/5 177 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
17%
Serious cites
0

Alexandria Care Center runs on steady staffing, not flash. Nurse coverage sits just above the national average, and a 16.5% turnover rate is remarkably low next to the 45.8% typical elsewhere, that kind of retention usually means people stay, which matters for residents who need consistent caregivers. Weekend coverage dips about 7% below weekdays, so families should ask who's on shift Saturdays and Sundays. The trouble is the inspection record: 115 deficiencies on file, including four tied to abuse, even though none rose to harm or jeopardy level, and the most recent inspection was January 2025. A one-out-of-five health inspection rating against four-out-of-five marks for quality and staffing tells you the care numbers look better than the paperwork trail.

A

85/100

Washington Center

San Leandro, CA · Alameda County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
20%
Serious cites
0

Washington Center runs on a for-profit LLC structure with 99 certified beds, and the numbers tell a steadier story than most. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends dip roughly 6% below its own weekday levels, so coverage does thin out on Saturdays and Sundays. What stands out is the 20.2% annual turnover, less than half the national rate of 45.8%, which suggests a workforce that mostly sticks around. Thirteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection from November 2024. The soft spot is raw staffing hours, not safety.

A

85/100

Casitas Care Center

Granada Hills, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
24%
Serious cites
0

Casitas Care Center in Granada Hills runs on a corporate for-profit model with 99 certified beds, and its staffing picture is genuinely better than most: 4.00 nurse hours per resident day, slightly above the national average, with weekend coverage dipping only about 8% below weekdays. Turnover sits at 24.4%, roughly half the national rate, which suggests people stay. The catch is the inspection record, 59 deficiencies on file, including two tied to abuse, and a health inspection rating of 2 out of 5. Nothing reached harm or jeopardy level, and the most recent inspection was March 2026, so the record is current. Quality measures score well. The staffing is real; so is the paper trail.

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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