ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 2561–2580 of 12,967, best-graded first.

A

85/100

Musc Health Mullins Nursing Home

Mullins, SC · Marion County

CMS 3/5 92 beds Government Medicaid
Nurse hours
3.68 /day
Staff turnover
27%
Serious cites
0

Musc Health Mullins Nursing Home runs on a state-owned, 92-bed model with staffing that lands a bit under the national average, 3.68 nurse hours per resident day against 3.86, and weekends thin out about 10% below its own weekday levels, so coverage does dip at times. What stands out in the other direction is turnover: 27% against a national 45.8%, meaning the people who work here tend to stay. The health inspection record carries 14 deficiencies, three of them at the harm level, none abuse-related, with the most recent look in May 2025.

A

85/100

Lake Moultrie Nursing Home

Saint Stephen, SC · Berkeley County

CMS 3/5 88 beds Government Medicaid
Nurse hours
3.59 /day
Staff turnover
28%
Serious cites
0

Lake Moultrie Nursing Home runs on a hospital-district payroll, which shows up in the turnover number: 28.4% against a national average near 46%, so the aides and nurses here tend to stay. The trade-off is coverage. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday staffing. Inspectors cited nine deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, with a single fine of $11,196 on record. The most recent inspection was March 12, 2026. Stable staff, thinner weekend coverage, and a citation history worth asking about directly.

A

85/100

Rice Estate Rehabilitation And Healthcare

Columbia, SC · Richland County

CMS 3/5 80 beds Non-profit
Nurse hours
4.96 /day
Staff turnover
41%
Serious cites
0

Rice Estate Rehabilitation And Healthcare runs on 4.96 total nurse hours per resident day, roughly 29% above the national figure of 3.86, and that shows up in its staffing rating of 4 out of 5. Weekend coverage dips about 12% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 40.9%, better than the 45.8% national average, which matters for whether your parent sees the same faces. Five deficiencies are on record, none at the harm level and none abuse-related, with the last inspection in April 2026. As a nonprofit with 80 beds, it's small enough to know residents by name.

A

85/100

Avantara Lake Norden

Lake Norden, SD · Hamlin County

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

Avantara Lake Norden runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends get thinner still, about a tenth below its own weekday coverage. What keeps it from being a bigger concern is consistency: turnover sits at 32.6%, well under the 45.8% national figure, so the aides and nurses you'd meet have mostly stayed put, and a 2025 inspection found no abuse issues. Six deficiencies are on record, two serious enough to involve harm. For-profit ownership under an LLC. The staffing number is really the thing to ask about when you tour, whether it reflects how the place actually runs on a Saturday night.

A

85/100

The Neighborhoods At Brookview

Brookings, SD · Brookings County

CMS 5/5 79 beds Government Medicaid
Nurse hours
4.60 /day
Staff turnover
54%
Serious cites
0

The Neighborhoods At Brookview is city/county-owned, and it shows in the staffing: 4.60 nurse hours per resident day, roughly 19% above the national average. Inspections back that up, a 5/5 health inspection rating, only 8 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent survey in November 2025. The tradeoffs are real, though. Staff turnover sits at 53.6% against a national 45.8%, and weekend coverage runs about 14% thinner than weekdays, so the hands-on care you see on a Tuesday may not match what a Saturday brings. Quality measures land mid-pack at 3/5.

A

85/100

Nhc Healthcare, Columbia

Columbia, TN · Maury County

CMS 4/5 106 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
43%
Serious cites
0

Nhc Healthcare, Columbia runs 106 certified beds under corporate for-profit ownership, and the numbers tell a mixed but mostly steady story. Nurse staffing sits at 3.73 hours per resident day, about 3% under the national average, and weekends drop roughly 13% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.2%, slightly better than the national 45.8%, and the six deficiencies on record include none tied to harm, jeopardy, or abuse. One caution: the last inspection was November 2021, so that clean record is getting stale.

A

85/100

Woodhaven Hall At Williamsburg Landing

Williamsburg, VA · James City County

CMS 3/5 73 beds Non-profit Medicaid
Nurse hours
5.40 /day
Staff turnover
40%
Serious cites
0

Woodhaven Hall runs a genuinely strong staffing operation, 5.40 nurse hours per resident day against a national average near 3.86, and its 39.7% turnover beats the 45.8% national figure. That's the good news, and it's real. The problems sit on the inspection side: 32 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, with a single $36,374 fine. Inspectors were last in on February 27, 2026. A nonprofit with this much direct care on the floor is doing something right, but the survey history is what a family should be asking about directly.

A

85/100

Wayland Nursing And Rehabilitation Center

Keysville, VA · Charlotte County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
30%
Serious cites
0

Wayland Nursing and Rehabilitation Center runs 90 certified beds in Keysville under corporate for-profit ownership, and its staffing sits at 3.16 nurse hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts are predictable. Turnover is where it stands out: 29.7% against a national 45.8%, meaning far fewer aides and nurses cycling out than is typical. Inspections in April 2025 produced 38 deficiencies, including one at harm or jeopardy level and one abuse-related; the health inspection rating is 3 of 5 while quality measures score 5 of 5. Steady staff, lighter coverage, a mixed inspection record.

A

85/100

Heritage Hall-Leesburg

Leesburg, VA · Loudoun County

CMS 5/5 164 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
30%
Serious cites
0

Heritage Hall-Leesburg runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, and weekends get thinner still, about 13 percent below its own weekday coverage. What offsets that is consistency in who shows up: turnover of 29.9 percent is well under the national 45.8 percent, meaning families see familiar faces even if there are fewer of them per shift. The inspection record is clean where it counts, with 11 deficiencies on file and none involving harm, jeopardy, or abuse, and a January 2025 survey keeps that picture current. Quality measures score at the top of CMS's scale, though the staffing rating sits mid-range, which is the tension running through this 164-bed for-profit home.

A

85/100

Seaside Hhc @ Atlantic Shore

Virginia Beach, VA · Virginia Beach City County

CMS 4/5 50 beds For-profit
Nurse hours
4.50 /day
Staff turnover
48%
Serious cites
0

Seaside Hhc @ Atlantic Shore runs 50 certified beds in Virginia Beach under for-profit LLC ownership, and the staffing numbers are the strongest part of the picture: 4.50 nurse hours per resident day, roughly 17% above the national average of 3.86. The catch is weekends, when coverage drops about 12% below the home's own weekday level, worth asking about if your family visits or calls mainly on Saturdays and Sundays. Its 48% annual turnover sits a bit above the 45.8% national figure, so caregivers do cycle through. Inspections in late November 2025 turned up 20 deficiencies, none at harm or jeopardy level and none abuse-related, and the home earned 4 of 5 stars on health inspections, quality measures, and staffing.

A

85/100

Greenspring Village

Springfield, VA · Fairfax County

CMS 1/5 62 beds For-profit Medicaid
Nurse hours
5.23 /day
Staff turnover
33%
Serious cites
0

Greenspring Village sits in Springfield with 62 certified beds under for-profit LLC ownership, and its staffing numbers are genuinely strong, 5.23 nurse hours per resident day, roughly a third above the national average, with weekend coverage holding within about 3% of weekdays. Turnover runs 32.9%, well under the national 45.8%, which means the people caring for residents tend to stay. What pulls against that is the inspection record: 35 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus an $81,178 fine. The most recent inspection was March 2025. Strong staffing and weak inspection findings can coexist, and here they plainly do. Ask what the abuse deficiencies involved before deciding.

A

85/100

Abingdon Health & Rehab Center

Abingdon, VA · Washington County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
34%
Serious cites
0

Abingdon Health & Rehab runs 120 certified beds, and its inspection record is the strongest thing about it, a 5-star health inspection rating, ten deficiencies on file with none at the harm level and nothing abuse-related, and a last inspection in August 2024. Staffing is where it thins out: 3.65 nurse hours per resident day sits about 5% under the national average, and weekends run roughly 12% below the home's own weekday levels, so your visit on a Saturday may look different from a Thursday. Turnover of 34% is better than the 45.8% national figure, which matters for whether your parent sees the same faces.

A

85/100

Sw Va M H Inst Geri Trt Ctr

Marion, VA · Smyth County

CMS 4/5 25 beds Government Medicaid
Nurse hours
— /day
Staff turnover
20%
Serious cites
0

Sw Va M H Inst Geri Trt Ctr runs on a state government license in Marion with just 25 certified beds, and the numbers suggest a well-run operation. Nurse staffing sits at 4.76 hours per resident day, roughly 23% above the national average of 3.86, and the weekend dip is only about 8% off its own weekday level, minor compared with what many homes see. Staff turnover is 19.6%, less than half the national rate of 45.8%, so the people caring for residents tend to stick around. Five deficiencies show on the current record with none at the harm or jeopardy level and none abuse-related, and the most recent inspection closed out in late December 2025.

A

85/100

Lacamas Creek Post Acute

Camas, WA · Clark County

CMS 5/5 83 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
54%
Serious cites
0

Lacamas Creek runs a solid operation on the clinical side. The 83-bed home logged a 5-star health inspection in July 2025 with 36 deficiencies on record and none at the harm or jeopardy level, though there is one abuse-related citation worth asking about directly. Nurse staffing sits at 4.63 hours per resident day, roughly 20% above the national average, and the quality measure rating holds at 4 stars. The soft spot is retention. Annual turnover of 53.8% runs well above the 45.8% national average, and weekend coverage drops about 12% below its own weekday level. That combination, strong inspection results, thinner weekends, steady churn, is what you'd want to watch, especially if your family member needs care on Saturdays and Sundays.

A

85/100

Avamere Olympic Rehabilitation Of Sequim

Sequim, WA · Clallam County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
37%
Serious cites
0

Avamere Olympic Rehabilitation of Sequim runs a for-profit operation at 90 certified beds, and its staffing numbers are the standout: 4.63 nurse hours per resident day, roughly 20 percent above the national average, with weekend coverage dipping about 14 percent below weekdays. Staff turnover sits at 37.2 percent, better than the 45.8 percent national figure, and the quality measure rating reflects that strength. The inspection record tells a different story. Sixty-two deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, with one fine totaling $48,828 and a health inspection rating of just one star. The most recent inspection was December 9, 2025, so the record is current. Strong staffing, weak oversight history.

A

85/100

Mirabella

Seattle, WA · King County

CMS 5/5 46 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
37%
Serious cites
0

Mirabella runs 4.38 nurse hours per resident day, roughly 13% above the national average, and weekend coverage only dips about 12% below its weekday level, a smaller drop than many homes show. Staff turnover sits at 36.6%, well under the 45.8% national figure, which matters for residents who need consistent faces. The tradeoff shows up in its inspection history: 48 deficiencies on record, including two at the harm level and five tied to abuse, with $23,463 in fines across two events. The most recent inspection was June 27, 2025. Strong staffing and a nonprofit owner don't erase that record; they just mean care is likely well-covered day to day even as the compliance side carries real problems.

A

85/100

Eastcastle Pl Bradford Ter Conv Ctr

Milwaukee, WI · Milwaukee County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
53%
Serious cites
0

Eastcastle Pl Bradford Ter runs 5.13 nurse hours per resident day, roughly a third more staffing than the national average, and that shows up in its five-star staffing and quality ratings. The tradeoff is consistency: weekend coverage drops about 13% below its own weekday level, and annual turnover of 53.2% sits above the national 45.8%. The inspection record is the weaker side, 16 deficiencies, including one at harm level and two tied to abuse, with $99,452 in fines. The most recent inspection was February 2026, so the record is current. Strong day-to-day care numbers, but staffing stability and a serious citation history are the things to ask about directly.

A

85/100

Plum City Care Ctr

Plum City, WI · Pierce County

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

Plum City Care Center runs 50 beds under corporate for-profit ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86, and weekends dip about 7% below its own weekday coverage, so families should ask how that plays out on Saturdays and Sundays. What stands out is the 26.7% annual turnover, well below the national 45.8%, which suggests a more stable crew than most. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection as recent as January 2025.

A

85/100

Timber Ridge Health And Rehabilitation

Stevens Point, WI · Portage County

CMS 4/5 48 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
33%
Serious cites
0

Timber Ridge is county-owned, and that shows in the numbers: 4.96 nurse hours per resident day against a national average of 3.86, with turnover at 33.3% versus 45.8% nationally. Weekend staffing dips about 12% below its own weekday level, which is worth asking about. The tradeoff is inspection history, 16 deficiencies on record, six of them abuse-related, though none rose to harm or jeopardy. The most recent state visit was February 2025. Strong staffing and quality scores coexist here with a longer-than-ideal deficiency list, so read the inspection reports yourself before deciding.

A

85/100

Cornell Health Services

Cornell, WI · Chippewa County

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

Cornell Health Services runs about 3.31 nurse hours per resident day, which is roughly 14% under the national average of 3.86, and weekend coverage drops another 11% below its own weekday level. That thinner weekend schedule matters if your family tends to visit on Saturdays and Sundays. Turnover sits at 33.3%, better than the 45.8% national figure, so the aides and nurses you meet are more likely to still be there in six months. On inspections, the record is clean where it counts: four deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in May 2025. A for-profit LLC owns the 50-bed building.

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.

Before you shortlist