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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 2661–2680 of 12,967, best-graded first.

B

84.5/100

Medilodge Of Tawas City

Tawas City, MI · Iosco County

CMS 3/5 85 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
38%
Serious cites
0

Medilodge Of Tawas City runs a tight ship on staffing, 3.90 nurse hours per resident day, a hair above the national average, and weekend coverage only dips about 17% from weekday levels. Turnover sits at 37.7%, better than the 45.8% national figure, which matters for whether your family sees the same faces month to month. The tradeoff shows up in inspections. Thirty-one deficiencies on the current record, including one at the harm or jeopardy level, and a 2/5 health inspection rating, though the last survey was recent, September 2025. No abuse citations. This is a for-profit corporate home where the care hours are there but the compliance record is the weak point. Ask to see the plan of correction for that harm-level deficiency before you decide.

B

84.5/100

Good Samaritan Society - Howard Lake

Howard Lake, MN · Wright County

CMS 4/5 32 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
9%
Serious cites
0

Good Samaritan Society - Howard Lake runs a tight staffing ship for a 32-bed nonprofit home. Nurses deliver 4.06 hours of care per resident per day, slightly above the national average, and the 9.1% annual turnover is remarkably low, most American nursing homes lose nearly half their staff every year, so this one clearly retains people. The trade-offs: weekend coverage dips about 15% below weekday levels, and the record shows 11 deficiencies, including one tied to abuse; none reached harm or jeopardy level. A recent February 2026 inspection gives a current picture, though the middle-of-the-road marks on health inspections and quality measures suggest care is steady rather than spotless.

B

84.5/100

St Clare Living Community Of Mora

Mora, MN · Kanabec County

CMS 3/5 65 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
23%
Serious cites
0

St. Clare Living Community of Mora runs a lean, stable ship on the staffing side, 4.05 nurse hours per resident day, a bit above the national average, and turnover of 23.1% that's roughly half the national rate. Those numbers suggest a team that mostly sticks around, though weekend coverage drops about 19% below weekday levels. The trouble is inspections: 28 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $45,100 in fines across 13 penalties, with the most recent inspection in May 2026. Quality measures score well, but a one-star health inspection rating against five-star staffing points to a home where care delivery looks solid and compliance does not.

B

84.5/100

Good Samaritan Society - Bethany

Brainerd, MN · Crow Wing County

CMS 5/5 79 beds Non-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
28%
Serious cites
0

Good Samaritan Society - Bethany runs on a non-profit model with 79 certified beds in Brainerd, and its last health inspection came in December 2025. The 15 deficiencies on file include none at the harm level and none tied to abuse. Nurse staffing sits at 3.81 hours per resident day, roughly 1% under the national average, and weekend coverage drops about 16% below its own weekday levels, a gap worth asking about if your family visits primarily on Saturdays and Sundays. Staff turnover is the standout number: 27.8% against a national average of 45.8%, meaning aides and nurses here tend to stay considerably longer than elsewhere.

B

84.5/100

Evansville Care Center

Evansville, MN · Douglas County

CMS 5/5 27 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
16%
Serious cites
0

Evansville Care Center is a 27-bed for-profit run by a limited liability company, and its staffing numbers are the headline: 3.92 nurse hours per resident day, just above the national average, with a 16% turnover rate against a national 45.8%. That stability matters more than the small margin above average, because consistent caregivers know residents. Weekend staffing drops roughly 17% below weekday levels, so ask how that plays out on Saturdays and Sundays. The current record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with a 4/5 inspection rating and a 5/5 staffing rating. The last inspection was January 21, 2026, so the record is recent.

B

84.5/100

Winston County Nursing Home

Louisville, MS · Winston County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
36%
Serious cites
0

Winston County Nursing Home runs a nonprofit operation with 120 certified beds, and the staffing numbers are the strongest part of the picture: 4.39 nurse hours per resident day, about 14% above the national average. That earned a five-star CMS staffing rating, and turnover sits at 36.2%, well below the national 45.8%, a sign people tend to stay. The tradeoffs show up elsewhere. Weekend staffing drops roughly 18% below weekday levels, and the quality measure rating is 2/5. Nine deficiencies sit on the current record, none at harm or jeopardy level, but two are abuse-related, which families should ask about directly. The last inspection was March 2024.

B

84.5/100

Noxubee County Nursing Home

Macon, MS · Noxubee County

CMS 1/5 60 beds Government Medicaid
Nurse hours
4.18 /day
Staff turnover
27%
Serious cites
0

Noxubee County Nursing Home runs a county-owned, 60-bed operation in Macon, and its staffing numbers are the bright spot here. At 4.18 nurse hours per resident day, it sits about 8% above the national average, and turnover of 27.1% is well below the 45.8% typical elsewhere, a sign people tend to stay. Weekends thin out, though, running roughly 17% under weekday levels. The harder read is quality and safety: the last inspection in June 2025 turned up 14 deficiencies, including two at harm or jeopardy level and one tied to abuse. A 1-out-of-5 inspection rating against a 4-out-of-5 staffing rating tells you the care hours are there, but the oversight record isn't.

B

84.5/100

James T Champion

Meridian, MS · Lauderdale County

CMS 4/5 70 beds Government Medicaid
Nurse hours
6.83 /day
Staff turnover
34%
Serious cites
0

James T Champion runs on state government ownership in Meridian, and the staffing numbers are the first thing that stands out: 6.83 nurse hours per resident day, roughly 77% above the national average. That's an unusual level of coverage, and turnover sits at 33.8% against a national 45.8%, so the people providing that care tend to stay. Weekends dip about 15% below the home's own weekday staffing, worth knowing if your visits land on Saturdays or Sundays. The tradeoff shows up in the quality measures, where CMS scores it 1 out of 5, and in 10 deficiencies on the current record, one abuse-related, though none at harm or jeopardy level. The last inspection was February 2026. Strong hands-on staffing, weaker clinical outcomes on paper.

B

84.5/100

Kingdom Care Senior Living

Fulton, MO · Callaway County

CMS 4/5 36 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
—
Serious cites
0

Kingdom Care Senior Living runs 36 certified beds in Fulton under for-profit limited liability ownership, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That thin margin matters because weekend coverage drops about 11% below the home's own weekday levels, so the hours aren't spread evenly across the week. The current record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors last visited in September 2024, and the home's quality measure rating comes in at the top of the scale while its inspection and staffing ratings each land at 4 out of 5.

B

84.5/100

Ambassador Health Of Lincoln

Lincoln, NE · Lancaster County

CMS 2/5 122 beds For-profit Medicaid
Nurse hours
5.36 /day
Staff turnover
40%
Serious cites
0

Ambassador Health of Lincoln runs 5.36 nurse staffing hours per resident day, roughly 39% above the national average of 3.86, that's the real story here. Weekend staffing dips about 15% below weekday levels, and turnover sits at 40.2%, a bit better than the national 45.8%. Inspections turned up 16 deficiencies, none at the harm or jeopardy level, though one is abuse-related. That's a lot of paperwork-level findings without anyone getting hurt, and the state last visited in November 2024. For-profit corporate ownership, 122 beds, and quality and staffing marks that hold up better than the inspection record does.

B

84.5/100

Schuyler Hospital Inc And Long Term Care Unit

Montour Falls, NY · Schuyler County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
44%
Serious cites
0

Schuyler Hospital's long-term care unit runs a nonprofit operation with 120 certified beds, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average. That's a real cushion, though weekends drop about 18% below the home's own weekday levels, so coverage isn't uniform across the week. Staff turnover of 44.4% lands just under the national 45.8%, which is close to typical rather than a standout. The inspection record shows 19 deficiencies, none at harm or jeopardy level, but two tied to abuse, worth asking about directly. The last inspection was in March 2024, so the picture is reasonably current.

B

84.5/100

Saint Joseph Of The Pines Health Center

Pinehurst, NC · Moore County

CMS 5/5 176 beds Non-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
—
Serious cites
0

Saint Joseph Of The Pines runs 3.92 nurse hours per resident day, a hair above the national average and enough to earn three stars for staffing, decent, not generous. Weekend coverage drops roughly 9% below its own weekday level, so ask how that gap gets filled. The inspection history is the stronger signal: a 4-star health inspection rating, seven deficiencies on record with none at the harm level, and a recent survey from July 2025. One abuse-related deficiency is worth a direct question about what happened and what changed. As a nonprofit, there's no ownership chain pulling money out, which tends to show up in how a building is staffed and maintained over time.

B

84.5/100

Twin Lakes Community

Burlington, NC · Alamance County

CMS 5/5 104 beds Non-profit Medicaid
Nurse hours
5.32 /day
Staff turnover
41%
Serious cites
0

Twin Lakes Community runs a nonprofit home with 104 beds in Burlington, and its nurse staffing sits at 5.32 hours per resident day, roughly 38% above the national average of 3.86. Weekends dip about 16% below its own weekday coverage, so your visit timing matters. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The inspection history shows seven deficiencies, four of them abuse-related, though none reached harm or jeopardy level, and one fine totaling $6,152. The last inspection was March 2026, so the record is recent. Strong staffing numbers and a clean harm record coexist here with those four abuse citations, worth asking about directly before deciding.

B

84.5/100

Courtland Terrace

Gastonia, NC · Gaston County

CMS 4/5 77 beds Non-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
29%
Serious cites
0

Courtland Terrace is a 77-bed nonprofit home in Gastonia, and the staffing numbers are the strength here, 4.25 nurse hours per resident day, roughly 10% above the national average, with turnover at 28.9% compared to 45.8% nationally. That retention matters more than any single inspection result, because consistent caregivers know the residents. The trade-off is weekends, when staffing drops about 22% below the home's own weekday level, so ask how that plays out on a Sunday afternoon. Ten deficiencies on record with none at the harm level and none abuse-related, and a 4-star health inspection from a visit in February 2026, suggest a home that runs steady rather than spotless.

B

84.5/100

College Pines Health And Rehabilitation

Connelly Springs, NC · Burke County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
25%
Serious cites
0

College Pines runs a leaner, steadier ship than most corporate-owned homes in North Carolina. Nurse staffing sits at 3.99 hours per resident day, just above the national average, and the 24.5% turnover rate is barely half the national figure, that kind of retention usually means residents see the same faces week to week. The catch is weekends, when coverage drops roughly 17% below weekday levels. And while the inspection rating looks strong on paper, the current record carries six deficiencies, two of them serious enough to involve harm or jeopardy, plus $16,801 in fines. Quality measures score well, but those two harm-level findings are what pull the overall picture down to middling.

B

84.5/100

Bellarose Nursing And Rehab

Garner, NC · Wake County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
25%
Serious cites
0

Bellarose runs on more nursing hours than most homes in the country, 4.46 per resident day against a national average of 3.86, and its staff turnover sits at 25%, well under the 45.8% national figure, which matters because familiar caregivers tend to notice small changes sooner. The tradeoff shows up on weekends, when coverage drops about 15% below the home's own weekday level. Its inspection record is clean: two deficiencies total, none involving harm or jeopardy, none abuse-related, with the most recent survey in July 2025 earning a 5-star health inspection rating. Quality measures are middling at 3 stars, so the clinical outcomes data isn't as strong as the staffing and inspection picture.

B

84.5/100

Sanford Hillsboro Care Center

Hillsboro, ND · Traill County

CMS 3/5 34 beds Non-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
39%
Serious cites
0

Sanford Hillsboro runs a tight ship on staffing, with 4.52 nurse hours per resident day, roughly 17% above the national average, and a 38.6% turnover rate that beats the national figure of 45.8%. That consistency matters for a 34-bed home where residents see the same faces. But the inspection record tells a different story: 10 deficiencies on file, two serious enough to reach harm or jeopardy level, and $42,488 in fines across two penalties. The health inspection rating sits at 2 out of 5, even though quality measures score 4 and staffing scores 5. The most recent survey was June 26, 2025. The care may be well-staffed, but the state has found real problems worth asking about directly.

B

84.5/100

Elm Crest Manor

New Salem, ND · Morton County

CMS 4/5 62 beds Non-profit Medicaid
Nurse hours
4.74 /day
Staff turnover
51%
Serious cites
0

Elm Crest Manor runs on church-affiliated nonprofit ownership and 62 beds in New Salem, and the staffing numbers are genuinely strong: 4.74 nurse hours per resident day, roughly a quarter above the national average. Weekends dip about 17% below its own weekday coverage, though, and turnover sits at 50.6%, higher than the 45.8% national figure, which matters in a small rural building where replacements are hard to find. The current record shows 10 deficiencies with none at the harm or jeopardy level, but 3 are abuse-related, and the most recent inspection was in January 2026. Consistent survey scores and above-average staffing carry real weight here; the abuse citations and churn are what a family should ask about directly.

B

84.5/100

Broadway Living Center

Lexington, OK · Cleveland County

CMS 4/5 101 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
—
Serious cites
0

Broadway Living Center runs 101 certified beds under limited-liability, for-profit ownership in Lexington, and its inspection record is the strongest part of the story: a 4-out-of-5 health inspection rating, 15 deficiencies on file, none of them serious enough to reach harm or jeopardy level. The staffing picture is thinner. At 3.79 nurse hours per resident day, it sits a bit under the national average, and weekends run roughly 12% below its own weekday numbers. One abuse-related deficiency is on the record. The most recent inspection was in March 2024, so the findings are relatively current. Good inspections, but the day-to-day coverage, especially on weekends, leaves less margin than you'd want.

B

84.5/100

Gracelen Care Center

Portland, OR · Multnomah County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
—
Serious cites
0

Gracelen Care Center has real staffing strength: 4.52 nurse hours per resident day, roughly 17% above the national average of 3.86, which is the kind of number that shows up in daily care. But that strength sits against a troubling inspection record. Fifty-eight deficiencies, ten at harm or jeopardy level and nine abuse-related, with a 1-out-of-5 health inspection rating and a recent July 2025 inspection. Weekend staffing also drops about 9% below weekday levels. Ownership is for-profit corporate. The quality measure rating of 4/5 looks good on paper, but the abuse and harm findings are the ones families should weigh most heavily when deciding.

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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