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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 261 to 280 of 12,967, best-graded first.

A

96/100

Misericordia Nursing & Rehabilitation Center

York, PA · York County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
31%
Serious cites
0

Misericordia runs on a nonprofit model with 50 beds in York, and the numbers mostly hold up. Nurse staffing sits at 4.59 hours per resident day, roughly 19 percent above the national average, and weekend coverage dips only about 10 percent below its own weekday levels, which is a smaller drop than many homes show. Staff turnover is 31.1 percent against a national average near 46 percent, so caregivers are staying longer than is typical. The inspection record is clean where it matters: five deficiencies total, none at the harm level, none abuse-related, and the most recent survey was September 2025. Quality and staffing measures both rate at the top of CMS's scale.

A

96/100

Transitional Care Unit At Nazareth Hospital

Philadelphia, PA · Philadelphia County

CMS 5/528 bedsNon-profit
Nurse hours
5.96 /day
Staff turnover
19%
Serious cites
0

Nazareth Hospital's transitional care unit runs 28 beds and staffs them at 5.96 nurse hours per resident day, roughly half again the national figure of 3.86. That staffing edge is the main story here: turnover sits at 19 percent against a national average near 46, meaning the people caring for your family member tend to stay. Weekend coverage dips about 11 percent below weekdays, which is normal but worth asking about. The home carries 10 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in March 2025. A nonprofit corporation operates it.

A

96/100

Preston Residence

West Grove, PA · Chester County

CMS 5/528 bedsNon-profit
Nurse hours
4.90 /day
Staff turnover
31%
Serious cites
0

Preston Residence runs 38 beds in West Grove under nonprofit ownership, and the staffing is the first thing that stands out: 4.90 nurse hours per resident day against a national average of 3.86. Weekends dip about 8% below its own weekday level, which is common but worth knowing if you're visiting Saturday or Sunday. The 31% annual turnover is meaningfully better than the 45.8% national figure, so the people caring for residents tend to stick around. Six deficiencies on record, none involving harm or abuse, and a June 2025 inspection means the picture is current. A nonprofit with solid staffing and low turnover is a decent combination to ask questions about.

A

96/100

Richfield Healthcare And Rehabilitation Center

Richfield, PA · Juniata County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
31%
Serious cites
0

Richfield Healthcare runs 40 certified beds under for-profit LLC ownership, and the nurse staffing number is the first thing worth noting: 4.24 hours per resident day, roughly 10% above the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so ask how that gap gets covered. Staff turnover sits at 31.1%, well below the national 45.8%, which suggests people stay. The 27 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the most recent inspection was January 22, 2026. Quality and staffing both draw five stars from CMS; health inspection draws three.

A

96/100

Ann's Choice

Warminster, PA · Bucks County

CMS 5/566 bedsNon-profitMedicaid
Nurse hours
4.62 /day
Staff turnover
27%
Serious cites
0

Ann's Choice in Warminster runs on nonprofit ownership and about 4.62 nurse staffing hours per resident day, roughly 20% above the national average of 3.86. Weekend staffing dips about 7% below its own weekday level, and annual turnover sits at 26.7% against a national 45.8%, so the people caring for residents tend to stay. The home's current record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with its last inspection in August 2025. Staffing and quality measures both rate 5 out of 5 from CMS, and the health inspection rating is 4. That combination, low turnover, no serious deficiencies, and staffing well above average, is the substance behind the high marks.

A

96/100

Heinz Transitional Rehabilitation Unit

Wilkes-Barre, PA · Luzerne County

CMS 5/544 bedsNon-profit
Nurse hours
5.08 /day
Staff turnover
26%
Serious cites
0

Heinz Transitional Rehabilitation Unit runs 44 certified beds as a nonprofit, and the numbers behind its record are worth knowing. Nurse staffing sits at 5.08 hours per resident day, roughly a third above the national average, though weekend coverage drops about 14% from weekday levels, a gap families should ask about directly, since that's when problems often surface. Staff turnover is 26.2%, well under the national 45.8%, which matters for whether your parent sees the same faces. Ten deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025.

A

96/100

Briarcliffe Manor

Johnston, RI · Providence County

CMS 5/5122 bedsFor-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
23%
Serious cites
0

Briarcliffe Manor runs 4.66 nurse hours per resident day, roughly 21% above the national average, and keeps 22.6% annual turnover against a national rate near 46%, that retention matters more than any single number here, because consistent caregivers know the residents. Weekend staffing dips about 10% below its own weekday levels, which is worth asking about directly. Five deficiencies on the current record, none causing harm, none abuse-related, with the most recent inspection in February 2025. For-profit corporate ownership, 122 beds, and top marks from CMS across health inspections, quality measures, and staffing. The record shows steady, well-staffed care rather than a place limping along.

A

96/100

Fraser Health Center

Hilton Head Island, SC · Beaufort County

CMS 4/533 bedsNon-profit
Nurse hours
5.38 /day
Staff turnover
29%
Serious cites
0

Fraser Health Center runs on 5.38 nursing hours per resident per day, roughly 39% above the national average, and it's 5-for-5 on CMS's staffing measure. Weekend coverage dips about 11% below weekday levels, and annual turnover sits at 28.6%, well under the national 45.8%, which matters for consistency of care at a 33-bed nonprofit. The inspection record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in April 2025; quality measures rate 4 out of 5. The weaker spot is the 3-out-of-5 health inspection rating, though the low severity of those findings suggests they were mostly paperwork and process issues rather than anything that hurt a resident.

A

96/100

Brightwater Skilled Nursing Center

Myrtle Beach, SC · Horry County

CMS 4/567 bedsFor-profitMedicaid
Nurse hours
5.58 /day
Staff turnover
34%
Serious cites
0

Brightwater runs leaner on turnover than most homes, 33.7% against a national 45.8%, and its nurse staffing sits well above average at 5.58 hours per resident day. That combination matters more than any single rating, since it suggests the people here tend to stay and there are enough of them. Weekend coverage dips about 9% below weekdays, worth asking about if a family member needs more help on Saturdays and Sundays. The tradeoff shows up in inspections: 17 deficiencies on the current record, including two at the harm level and three tied to abuse, with a $7,342 fine and a survey completed April 30, 2025. For-profit LLC ownership. Ask directly how those abuse-related findings were resolved.

A

96/100

Bishop Gadsden Episcopal Health Care Center

Charleston, SC · Charleston County

CMS 5/541 bedsNon-profit
Nurse hours
5.37 /day
Staff turnover
34%
Serious cites
0

Bishop Gadsden runs 5.37 nurse hours per resident day, roughly 39% above the national average of 3.86. That's a real gap, not a rounding difference, it means more hands on deck per resident than most homes in the country. Staff turnover sits at 33.9% against a national average of 45.8%, so workers tend to stick around longer here than elsewhere. Weekends run about 10% lighter than weekdays, which is worth knowing if you'll be visiting then. The inspection record shows 10 deficiencies, one at the harm level and none tied to abuse, with the most recent visit in April 2025. As a nonprofit, there's no owner extracting profit from the operation.

A

96/100

Southern Utah Veterans Home - Ivins

Ivins, UT · Washington County

CMS 5/5108 bedsFor-profitMedicaid
Nurse hours
5.79 /day
Staff turnover
37%
Serious cites
0

Southern Utah Veterans Home in Ivins runs on unusually heavy staffing, 5.79 nurse hours per resident per day against a national average of 3.86, roughly half again as much hands-on care as the typical home. That shows up in the numbers that matter: weekend coverage dips only about 7% below weekdays, and annual turnover of 36.6% sits well under the 45.8% national rate, so the people caring for residents tend to stay. Twelve deficiencies are on the current record, none at the harm level and none abuse-related, with the most recent inspection in May 2025. The one soft spot is inspection history, which lands mid-pack.

A

96/100

Westminster-Canterbury Of Lynchburg Inc

Lynchburg, VA · Lynchburg City County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
5.92 /day
Staff turnover
16%
Serious cites
0

Westminster-Canterbury of Lynchburg runs on a church-affiliated nonprofit model with 80 certified beds, and the staffing numbers are the story here. At 5.92 nurse hours per resident day, it sits about 53% above the national average, and weekend coverage barely dips, roughly 5% under its own weekday level, which is a small gap by most standards. Just as notable: 16% annual turnover against a national average near 46% means the people caring for residents tend to stay. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection dated March 2026. The quality measure rating lands at 4/5 rather than perfect, so it isn't flawless across the board, but the inspection and staffing records are strong.

A

96/100

Westminster-Canterbury On Chesapeake Bay

Virginia Beach, VA · Virginia Beach City County

CMS 5/5108 bedsNon-profitMedicaid
Nurse hours
6.24 /day
Staff turnover
45%
Serious cites
0

Westminster-Canterbury on Chesapeake Bay runs 6.24 nursing hours per resident each day, roughly 60% more than the national average of 3.86, and its weekend staffing holds within about 8% of weekday levels, a gap that's smaller than what many homes show. Staff turnover sits at 45%, essentially matching the national average. The current record lists 17 deficiencies with none at the harm or jeopardy level, though one is abuse-related; the last inspection was in March 2023, so that record is now more than two years old. CMS rates staffing and quality measures at five stars and health inspections at four.

A

96/100

Goodwin House Bailey's Crossroads

Falls Church, VA · Fairfax County

CMS 5/573 bedsNon-profitMedicaid
Nurse hours
5.42 /day
Staff turnover
19%
Serious cites
0

Goodwin House Bailey's Crossroads runs on 5.42 nurse hours per resident per day, roughly 40% above the national average of 3.86, and its staff turnover sits at 19.3% against a national 45.8%. Weekend coverage dips only about 6% below its own weekday level, which is unusually steady. The 16 deficiencies on file include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was August 2024. That combination, heavy staffing, low turnover, no serious findings, is what separates this home from most of what you'll see in Fairfax County.

A

96/100

Mountain View Nursing Home

Aroda, VA · Madison County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
38%
Serious cites
0

Mountain View runs about 4.8 nurse hours per resident day, roughly a quarter more staffing than the typical U.S. nursing home, and its staff turnover sits below the national average too. Weekend coverage dips about 9% from its own weekday level, which is worth asking about if your family visits mainly on Saturdays or Sundays. On the inspection side, the home carries 14 deficiencies but none at the harm level and none tied to abuse, and its most recent inspection was in October 2025. Church-affiliated nonprofit ownership with 40 beds suggests a smaller operation, and the survey record backs that up.

A

96/100

Judson Park Health Center

Des Moines, WA · King County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
21%
Serious cites
0

Judson Park Health Center runs on unusually deep staffing for a 96-bed nonprofit: 4.60 nurse hours per resident day, roughly 19 percent above the national average, with weekend coverage dipping only about 10 percent below its own weekday level. Turnover sits at 21.1 percent against a national 45.8 percent, so the people caring for residents tend to stay. The tradeoff shows up in its inspection history, 57 deficiencies on record, three tied to abuse, though none at the harm or jeopardy level, and the most recent inspection was August 2025, so the picture is current. Quality and staffing measures both rate at the top of CMS's scale, while health inspections land mid-range.

A

96/100

Fairmont Medical Center

Fairmont, WV · Marion County

CMS 5/530 bedsNon-profit
Nurse hours
5.33 /day
Staff turnover
33%
Serious cites
0

Fairmont Medical Center runs 30 beds as a nonprofit, and the staffing numbers are the first thing that stands out: 5.33 nurse hours per resident day against a national average of 3.86. That's roughly 38% more hands-on time than the typical home, though weekends dip about 12% below its own weekday level, so coverage isn't perfectly flat. Turnover sits at 33.3%, better than the 45.8% national figure. Six deficiencies are on the current record, none at the harm level and none abuse-related, with the last inspection in August 2025. All three CMS star ratings, inspections, quality measures, and staffing, come in at 5 out of 5.

A

96/100

Markesan Resident Home

Markesan, WI · Green Lake County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
5.20 /day
Staff turnover
37%
Serious cites
0

Nurse staffing here runs about 5.2 hours per resident per day, well above the national average of 3.86, and weekends dip only slightly below weekdays rather than falling off a cliff. Staff turnover sits at 37.3%, better than the national 45.8%, which suggests people stay. The current record shows four deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. Inspections are recent, and its marks across health, quality, and staffing are all top-tier. For a 50-bed nonprofit, the numbers point to steady, well-staffed care.

A

96/100

Rennes Health And Rehab Center-Appleton

Appleton, WI · Outagamie County

CMS 5/588 bedsFor-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
34%
Serious cites
0

Rennes Health and Rehab Center in Appleton runs about 4.65 nursing hours per resident each day, roughly 21 percent above the national average, and its weekend staffing dips only about 11 percent below weekdays. The six deficiencies on its current record include none at the harm or jeopardy level and no abuse citations; the most recent inspection was in August 2025. Staff turnover sits at 34 percent, well below the national 45.8 percent. It's a for-profit corporation, which is worth knowing, but the staffing, turnover, and inspection record here are the stronger signals. Ask about weekend coverage on the specific unit your family member would live on.

A

96/100

St Joseph Residence

New London, WI · Waupaca County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
6.03 /day
Staff turnover
38%
Serious cites
0

St Joseph Residence runs on roughly 6 hours of nursing care per resident per day, about 56% more than the typical American nursing home. Staff turnover sits at 38.3%, better than the 45.8% national figure, though weekend coverage dips about 10% below its own weekday pace, worth asking about if you'll be visiting Saturdays. The 13 deficiencies on record include two tied to abuse; none reached harm or jeopardy, and the most recent inspection was October 2025. Under church-related nonprofit ownership, its federal ratings land at 4 out of 5 for health inspections and 5 out of 5 for both quality measures and staffing.

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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