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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 2801–2820 of 12,967, best-graded first.

B

84/100

Sansbury Care Center

Saint Catharine, KY · Washington County

CMS 4/5 48 beds Non-profit Medicaid
Nurse hours
5.92 /day
Staff turnover
32%
Serious cites
0

Sansbury Care Center runs on unusually deep nurse staffing, 5.92 hours per resident day against a national average of 3.86, with weekend coverage dipping about 15% below its own weekday level. Staff turnover sits at 31.7%, well under the 45.8% national figure, which matters for residents who benefit from seeing the same faces. The tradeoff shows up in quality measures, where the home scores 1 out of 5, despite a 4 out of 5 on inspections. Five deficiencies are on record, none at harm or jeopardy level and none abuse-related, with one fine totaling $5,346. The most recent inspection was July 2025.

B

84/100

Prestonsburg Health Care Center

Prestonsburg, KY · Floyd County

CMS 5/5 56 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
44%
Serious cites
0

Prestonsburg Health Care Center runs 56 certified beds under for-profit limited liability ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 10% below the home's own weekday levels. Staff turnover is 44.2%, just under the national 45.8%. The inspection record is the strongest part: a 5/5 health inspection rating, a 5/5 quality measure rating, only 4 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated August 2025. Staffing stars come in at 4/5.

B

84/100

The Willows At Springhurst

Louisville, KY · Jefferson County

CMS 3/5 52 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
39%
Serious cites
0

The Willows At Springhurst runs 4.32 nurse hours per resident per day, roughly 12% above the national average, and weekend coverage dips about 12% below its own weekday level, a gap worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 38.6%, better than the 45.8% national figure, which suggests the aides and nurses here tend to stay. The health inspection record is the weak spot: 11 deficiencies, though none reached harm or jeopardy level and none involved abuse, with the most recent inspection in December 2025. Quality measures score well while inspection history drags.

B

84/100

Springfield Nursing And Rehabilitation Center

Springfield, KY · Washington County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
52%
Serious cites
0

Springfield Nursing and Rehabilitation Center runs 70 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage dips about 5% below its own weekday level, and annual staff turnover is 51.7%, which is higher than the national 45.8%; that churn matters because new aides need time to learn residents' routines. The current inspection record shows 7 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated January 8, 2026, so the picture is fairly current. Its quality measure and staffing ratings each land at 4 out of 5 stars, while health inspections come in at 3.

B

84/100

The Home Place At Midway

Midway, KY · Woodford County

CMS 3/5 28 beds Non-profit Medicaid
Nurse hours
5.18 /day
Staff turnover
70%
Serious cites
0

The Home Place At Midway runs 28 certified beds as a nonprofit, and its nurse staffing runs about 34% above the national average, enough to earn a 4/5 on CMS's staffing star. The catch is retention: 69.8% annual turnover, well above the 45.8% national figure, meaning the people delivering those hours keep changing. Weekend coverage dips modestly below the home's own weekday level. On the record: 13 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine totaling $4,147. Its last inspection was in February 2026. A 5/5 quality measure rating sits against a 2/5 inspection rating, so the day-to-day care indicators look stronger than the survey history.

B

84/100

Sanders Ridge Health Campus

Mount Washington, KY · Bullitt County

CMS 5/5 56 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
41%
Serious cites
0

Sanders Ridge runs about 3.82 nurse hours per resident day, a hair under the national average of 3.86. That number dips roughly 10% on weekends, so families should ask who's actually on the floor Saturday and Sunday. Staff turnover sits at 40.7%, better than the 45.8% national figure, which matters for consistency of care. The record shows 3 deficiencies, none at harm or jeopardy level, but one is abuse-related, worth asking about directly. The last inspection was May 2025, and the quality measure rating of 5/5 suggests clinical outcomes track well. It's a for-profit corporation with 56 beds, small enough that you can press for straight answers.

B

84/100

Magnolia Manor Nursing And Rehab Ctr, Llc

Shreveport, LA · Caddo County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
30%
Serious cites
0

Magnolia Manor runs 98 certified beds in Shreveport under for-profit LLC ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average of 3.86. Weekends get thinner still, about 12% below the home's own weekday coverage, so families should ask who's actually on the floor on a Saturday. Turnover is the one number that stands out favorably: 29.6% against a national average of 45.8%, meaning the aides and nurses here tend to stay. The inspection record is the concern, 13 deficiencies, three at harm or jeopardy level and three abuse-related, with $36,566 in fines across three penalties and a survey completed March 4, 2026.

B

84/100

Southwest Louisiana War Veterans Home

Jennings, LA · Jeffrson Davis County

CMS 5/5 8 beds Government
Nurse hours
11.68 /day
Staff turnover
—
Serious cites
0

The Southwest Louisiana War Veterans Home in Jennings is a state-run home with just 8 certified beds, which is a fraction of the size of a typical nursing facility. Inspections are a clear strength: zero deficiencies at the harm or jeopardy level and none related to abuse, with a perfect health inspection rating and a fresh survey from June 2026. Staffing is the weak point, the lowest possible rating, meaning hours per resident fall well below what CMS expects. A state government owner and a spotless inspection record give families real reassurance, but with only eight beds, ask directly how many aides are actually on the floor overnight.

B

84/100

Odd Fellows Health Care Center

Auburn, ME · Androscoggin County

CMS 3/5 26 beds Non-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
—
Serious cites
0

Odd Fellows Health Care Center in Auburn runs on a nonprofit structure and just 26 beds, which tends to mean the staff actually know the residents. Its 4.52 nurse hours per resident day sit well above the national average, though weekends drop roughly a fifth below weekday coverage, so timing matters if you're visiting or calling. The home carries 24 deficiencies on its current record, including one tied to abuse, but none at the harm or jeopardy level, and its last inspection was in February 2026. Quality and staffing both score 4 out of 5 from CMS, with inspection results at 3. For a small nonprofit, the numbers describe a stable place with some compliance history worth asking about directly.

B

84/100

Citizens Care Center

Havre De Grace, MD · Harford County

CMS 5/5 184 beds Non-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
28%
Serious cites
0

Citizens Care Center runs on a nonprofit model with 184 certified beds, and its strongest asset is the people on the floor: 4.02 nurse hours per resident day, roughly 4% above the national average, and turnover at 28.2% against a national 45.8%, that retention matters more than any single score. The trade-off shows up in the 38 deficiencies on record, including one tied to abuse, though none reached harm or jeopardy, and quality measures sit at 2 stars even as staffing hits 5. That gap is worth asking about directly.

B

84/100

Willowbrooke Court Skilled Care Center Fairhaven

Sykesville, MD · Carroll County

CMS 4/5 79 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
51%
Serious cites
0

Willowbrooke Court runs a nonprofit shop in Sykesville with 79 certified beds, and the nursing hours here beat the national average by roughly 17 percent, 4.51 per resident day against 3.86. That's real coverage, though weekends dip about 12 percent below the home's own weekday pace, so ask how that plays out on a Sunday. Staff turnover sits at 51.1 percent, a bit above the 45.8 percent national figure. The inspection record is the part that gives me pause: 32 deficiencies, one at harm or jeopardy level, four tied to abuse, with the last survey in July 2025.

B

84/100

Homewood Living Williamsport

Williamsport, MD · Washington County

CMS 3/5 82 beds Non-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
32%
Serious cites
0

Nurse staffing at Homewood Living Williamsport runs 4.04 hours per resident day, a little above the national average, though weekends dip roughly 10% below the home's own weekday coverage, so the weekday number isn't quite what a Saturday looks like. Staff turnover of 31.9% is well below the national 45.8%, which matters for whether aides know the residents. The inspection record is the harder part: 30 deficiencies, including four at the harm level and four tied to abuse, plus a $42,266 fine. The most recent inspection was in January 2026. This is a nonprofit corporation with 82 beds, and the quality and staffing ratings both sit at 4 out of 5, the concerns are concentrated on the health inspection side.

B

84/100

Lorien Bulle Rock

Havre De Grace, MD · Harford County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
44%
Serious cites
0

Lorien Bulle Rock runs 78 certified beds in Havre De Grace under corporate ownership, and its last inspection was July 1, 2025, recent enough that the record reflects current conditions. The 33 deficiencies on file include three tied to abuse, though none rose to harm or jeopardy level, which matters more than the raw count. Nurse staffing sits at 3.92 hours per resident day, barely above the 3.86 national average, and weekends drop about 12% below the home's own weekday coverage, a gap families should ask about directly. Turnover at 44.3% is essentially the national rate, so continuity of caregivers isn't a strength here.

B

84/100

Dexter House Healthcare

Malden, MA · Middlesex County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
21%
Serious cites
0

Dexter House runs 3.37 nursing hours per resident each day, roughly 13% under the national average, and weekends dip about 10% below its own weekday levels. That said, turnover sits at 21.1% against a national average of 45.8%, a notably stable workforce for a for-profit LLC, which matters because consistent staff know residents' routines. The tradeoff shows in the inspection record: 20 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level, and the most recent inspection was in September 2025. Quality and staffing measures both come in at 4 stars, health inspections at 3. If you're weighing this one, ask how weekends are covered and what that abuse citation involved.

B

84/100

Bay Path At Duxbury Nursing & Rehabilitation Ctr

Duxbury, MA · Plymouth County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
42%
Serious cites
0

Bay Path At Duxbury runs a tight ship on the clinical side. The state surveyors gave it a five-star health inspection rating, and its record shows just four deficiencies, none of them at the harm or jeopardy level and none abuse-related. Inspectors were last in on July 18, 2025, so the picture is recent. Where it gives some ground is bedside time: 3.73 total nurse hours per resident day sits about 3% under the national 3.86, and weekends dip roughly 8% below its own weekday staffing. Turnover, at 42.3%, is actually a bit better than the 45.8% national figure. A for-profit LLC with solid inspections but lean hours, worth asking how weekends feel.

B

84/100

St Mary Health Care Center

Worcester, MA · Worcester County

CMS 2/5 172 beds Non-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
31%
Serious cites
0

St Mary Health Care Center runs 172 certified beds in Worcester under nonprofit ownership, and its staffing numbers tell a mixed story. Nurses provide 3.54 hours per resident day, roughly 8 percent under the national average of 3.86, and weekends dip about 5 percent below the home's own weekday coverage. Where it stands out is retention: 30.6 percent turnover against a national average of 45.8 percent, which suggests a steadier workforce than most. The tradeoff shows up in oversight, 27 deficiencies on the current record, one serious enough to involve harm or jeopardy, plus a single $8,788 fine. The most recent inspection was April 14, 2026, so the picture is current.

B

84/100

Alliance Health At Baldwinville

Baldwinville, MA · Worcester County

CMS 4/5 94 beds Non-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
43%
Serious cites
0

Alliance Health At Baldwinville runs on a nonprofit model with 94 certified beds, and its staffing sits at 3.75 nurse hours per resident day, just under the national average of 3.86. The bigger thing to watch is weekends, when coverage drops about 13% below what the home staffs on weekdays. Turnover comes in at 42.7%, a touch better than the national 45.8%. The current inspection record shows 10 deficiencies, none at the harm or jeopardy level and none tied to abuse, and the last visit was recent, January 2026. All three CMS star categories land at 4 out of 5. Nothing here raises a red flag; the weekend gap is the detail worth asking the administrator about directly.

B

84/100

Sacred Heart Nursing Home

New Bedford, MA · Bristol County

CMS 5/5 217 beds Non-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
27%
Serious cites
0

Sacred Heart runs a tight ship on the staffing side. Nurse coverage sits at 3.86 hours per resident day, essentially the national average, but the weekend dip is only about 7%, which is smaller than what a lot of homes show. Turnover is the real standout: 27.3% against a national average of 45.8%, meaning far fewer people are cycling out the door. The tradeoff shows up in the record. Nineteen deficiencies on file, none at harm or jeopardy level, but one is abuse-related, so ask about that specifically. The last inspection was August 2025, and a 4-star health inspection rating suggests the surveyors didn't find anything serious. Quality measures land midrange at 3 stars.

B

84/100

St Joseph Manor Health Care Inc

Brockton, MA · Plymouth County

CMS 4/5 118 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
26%
Serious cites
0

St. Joseph Manor runs a tight ship on retention, 26% turnover against a 45.8% national average means aides and nurses tend to stay, which matters more for daily care than almost anything else on paper. The tradeoff shows up in raw hours: 3.64 nurse staffing per resident day sits about 6% under the national figure, and weekends dip roughly 10% below the home's own weekday coverage, so ask how that gap gets covered. Fifteen deficiencies on record with none at harm level and nothing abuse-related, plus a December 2025 inspection, points to a home that gets watched closely and corrected quickly rather than one coasting.

B

84/100

Affinity Healthcare

Braintree, MA · Norfolk County

CMS 2/5 177 beds For-profit Medicaid
Nurse hours
5.21 /day
Staff turnover
27%
Serious cites
0

Affinity Healthcare in Braintree runs on a for-profit corporate model with 177 certified beds, and its staffing is genuinely stronger than most: 5.21 nurse hours per resident day, roughly 35% above the national average, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 26.9%, well under the national 45.8%. The trouble is inspection history. Forty deficiencies are on the current record, including two at the harm or jeopardy level and four tied to abuse. Two fines total $27,648, and the last inspection came in December 2025, recent enough that the findings reflect how the place operates now. Strong staffing paired with that many serious citations is the tension worth weighing.

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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