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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 3001–3020 of 12,967, best-graded first.

B

83.5/100

Rose City Nursing And Rehabilitation

Portland, OR · Multnomah County

CMS 3/5 55 beds For-profit Medicaid
Nurse hours
5.30 /day
Staff turnover
—
Serious cites
0

Rose City Nursing And Rehabilitation runs 5.30 nurse hours per resident day, roughly 37% above the national average of 3.86, a real cushion that shows up in its four-star staffing rating. Weekend coverage dips about 7% below weekday levels, which is common but worth asking about if your family visits on Saturdays or Sundays. The tradeoff sits on the inspection side: 32 deficiencies on the current record, including one at the harm level, though none abuse-related, and the most recent survey was February 2025. This is a for-profit LLC with 55 beds. Strong staffing, a thinner inspection history, worth weighing against what your relative actually needs.

B

83.5/100

Locust Grove Retirement Village

Mifflin, PA · Juniata County

CMS 3/5 104 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
34%
Serious cites
0

Locust Grove Retirement Village runs 104 certified beds in Mifflin under corporate for-profit ownership, and its nurse staffing sits just barely above the national average, 3.91 hours per resident day against 3.86. That thin margin matters, because weekend coverage drops roughly 17% below what the home staffs on weekdays, so the cushion you see in the yearly figure isn't there every day of the week. Turnover is the genuine bright spot: 34.3% against a national 45.8%. But the inspection record carries 39 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $12,831 fine. The most recent inspection was June 27, 2025, so the picture is current. Ask about weekend staffing and those abuse-related citations directly.

B

83.5/100

Barclay Friends

West Chester, PA · Chester County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
—
Serious cites
0

Barclay Friends runs 4.47 nurse hours per resident day, roughly 16% above the national average of 3.86. Weekend staffing does dip about 5% below its own weekday level, which is worth asking about if your family visits mostly on Saturdays or Sundays. The inspection record is thin in a good way: one deficiency total, none at the harm or jeopardy level, none abuse-related, and the last inspection was June 2025, so the picture is current. CMS rated the health inspection side 4 out of 5, with quality measures and staffing each at 3. As a nonprofit corporation with 64 certified beds, it's small enough that you'll likely get to know the staff. The staffing number is the real strength here; the mid-range quality and staffing stars are what keep it from scoring higher.

B

83.5/100

Pruitthealth- Walterboro

Walterboro, SC · Colleton County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
29%
Serious cites
0

Pruitthealth-Walterboro runs 132 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average. Weekends are the real soft spot: staffing drops about 23% below what the home runs on weekdays, so a Saturday or Sunday shift has noticeably fewer hands than a Tuesday. Turnover is the bright spot at 29.4%, well under the national 45.8%, which suggests less churn in who's actually at the bedside. The inspection record shows 21 deficiencies, including one at the harm level and two tied to abuse; the most recent inspection was January 28, 2026, so the picture is current. Quality measures score better than staffing does.

B

83.5/100

Patewood Post Acute

Greenville, SC · Greenville County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
44%
Serious cites
0

Patewood Post Acute runs 120 beds in Greenville under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, barely above the 3.86 national average. That thin margin matters more on weekends, when coverage drops roughly 17% below the home's own weekday levels. Staff turnover lands at 43.9%, which is actually a bit better than the 45.8% national figure, so retention isn't the problem here. The current record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in April 2025. Quality measures score well; the health inspection side is more middling.

B

83.5/100

Avera Eureka Health Care Center

Eureka, SD · Mc Pherson County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
33%
Serious cites
0

Avera Eureka runs a lean nursing floor: 3.10 nurse hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday coverage. That matters for a 56-bed home where a call-out can't easily be absorbed. Turnover, though, is genuinely better than most, 32.5% against a national 45.8%, which suggests the staff who are there tend to stay, even if there aren't many of them per resident. The inspection record is the weak spot: eight deficiencies, one serious enough to reach harm or jeopardy level, and a $12,252 fine, all from a February 2025 visit. No abuse findings, and the quality and staffing stars sit at 4 each, but that harm-level citation is the number to ask about directly.

B

83.5/100

Nhc Healthcare, Somerville

Somerville, TN · Fayette County

CMS 5/5 72 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
38%
Serious cites
0

Nhc Healthcare, Somerville runs 72 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.96 hours per resident day, a bit above the national average of 3.86. That margin is thin, though, and weekends dip about 16% below the home's own weekday coverage, which matters when that's when families tend to visit. Staff turnover comes in at 37.5%, better than the 45.8% national figure, so the people caring for residents are staying longer than is typical. The current record shows five deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. Its most recent inspection was February 19, 2026.

B

83.5/100

Life Care Center Of Morristown

Morristown, TN · Hamblen County

CMS 5/5 161 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
25%
Serious cites
0

Life Care Center of Morristown runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.35 hours per resident per day, roughly 13% under the national average of 3.86. Weekends drop about 22% below the home's own weekday coverage, so the hours your relative gets on a Saturday won't match a Tuesday. What stands out favorably is turnover: 24.6% against a national average of 45.8%, meaning the people showing up tend to stay. Inspections in August 2025 found 8 deficiencies with nothing at the harm level, though one was abuse-related. Quality measures score 5/5; staffing scores 3/5.

B

83.5/100

W D Bill Manning Tennessee State Veterans Home

Humboldt, TN · Gibson County

CMS 5/5 140 beds Government Medicaid
Nurse hours
4.24 /day
Staff turnover
22%
Serious cites
0

The state runs this 140-bed veterans home in Humboldt, and the numbers back up the operation. Nurse staffing sits at 4.24 hours per resident per day, roughly 10% above the national average, and weekend coverage dips only about 15% below its own weekday level, modest, as these gaps go. Staff turnover of 21.9% is less than half the national rate, which suggests people stay. On the record: 7 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in October 2023. All three CMS star ratings land at 4 out of 5. A stable, well-staffed home with a clean recent inspection history and no serious findings.

B

83.5/100

Pickett Care And Rehabilitation Center

Byrdstown, TN · Pickett County

CMS 4/5 69 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
32%
Serious cites
0

Pickett Care runs 69 certified beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.78 nurse hours per resident day. That gap is small, but weekends thin out roughly 20% below the home's own weekday coverage, which is where short-staffing tends to bite. Turnover at 31.5% is meaningfully better than the 45.8% national figure, so caregivers here stick around longer than at the typical home. The current inspection record shows 17 deficiencies, including two at harm or jeopardy level and one tied to abuse, worth asking about directly. A recent April 2025 inspection and solid quality and staffing ratings round out a mixed but workable picture.

B

83.5/100

Life Care Center Of Gray

Gray, TN · Washington County

CMS 1/5 133 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
33%
Serious cites
0

Life Care Center of Gray runs on leaner nursing hours than most homes, 3.40 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 18% below what the building staffs during the week. Turnover sits at 33.3%, which is actually better than the 45.8% national figure, so the people who are there tend to stay. The trouble is inspections: a one-star health inspection rating, 16 deficiencies with four serious enough to put residents at risk of harm, three tied to abuse, and a $10,039 fine. Quality and staffing measures score well, but the last full look at this building was September 2023.

B

83.5/100

Somerfield At The Heritage

Brentwood, TN · Williamson County

CMS 3/5 66 beds For-profit
Nurse hours
4.23 /day
Staff turnover
48%
Serious cites
0

Somerfield At The Heritage runs 4.23 nurse hours per resident day, about 10% above the national average, and weekends dip roughly 15% below its own weekday coverage, worth knowing if most of your visits fall on Saturdays and Sundays. The current record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, though the last inspection was April 2022, so that record is getting old. Annual turnover sits at 47.6%, slightly worse than the national 45.8%, which means roughly half the staff you meet this year may not be there next year. The county's for-profit LLC ownership is typical for Tennessee. Strong marks on health inspections and quality measures, thinner on staff retention.

B

83.5/100

Uintah Health Care Special Service District

Vernal, UT · Uintah County

CMS 3/5 110 beds Government Medicaid
Nurse hours
6.49 /day
Staff turnover
—
Serious cites
0

Uintah Health Care Special Service District runs on county money, and it shows in the staffing numbers: 6.49 nurse hours per resident per day, well above the national average of 3.86. Weekend coverage dips only slightly from weekdays, so families visiting on Saturdays should still find adequate staff. The tradeoff sits in the inspection record. Eight deficiencies, including one tied to abuse and one serious enough to cause harm or jeopardy, plus a $28,038 fine. That combination drags down an otherwise solid profile, four stars each for staffing and quality measures, three for health inspections, with the most recent state visit in September 2025. Good care hours don't erase a harm-level finding. Ask what changed since.

B

83.5/100

Summit Square

Waynesboro, VA · Waynesboro City County

CMS 4/5 18 beds Non-profit Medicaid
Nurse hours
7.44 /day
Staff turnover
47%
Serious cites
0

Summit Square runs 18 certified beds, and the nurse staffing number is genuinely high, 7.44 hours per resident day, roughly double the national average. But that average hides a dip: weekends run about 19% lighter than weekdays, so coverage depends on when you visit. Turnover sits at 47.1%, slightly above the national rate, which means the people providing that care keep changing. The inspection record is where the picture darkens: 27 deficiencies on file, three serious enough to involve harm or jeopardy, one tied to abuse, and a $50,021 fine. The most recent inspection was December 2025, so it's current. A nonprofit operator with strong staffing marks and a troubled compliance history.

B

83.5/100

Regency Canyon Lakes Rehab And Nursing Center

Kennewick, WA · Benton County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
36%
Serious cites
0

Regency Canyon Lakes runs about 4.85 nurse hours per resident day, roughly 25% above the national average, and its staff turnover of 35.5% beats the national 45.8%. Weekend coverage does dip about 18% below weekdays, so ask how that plays out on Saturdays and Sundays. The inspection record is mixed: a five-star health inspection rating and a recent April 2025 survey, but 11 deficiencies on file, three of them at the harm or jeopardy level, plus two fines totaling $18,220. No abuse-related citations. Quality measures sit at three stars. It's a for-profit corporate home where the daily staffing is a real strength and the deficiency history is the part worth asking about directly.

B

83.5/100

Josephine Caring Community

Stanwood, WA · Snohomish County

CMS 5/5 160 beds Non-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
30%
Serious cites
0

Josephine Caring Community runs a church-affiliated nonprofit home with 160 beds in Stanwood, and the staffing numbers are genuinely strong, 4.69 nurse hours per resident day, about a fifth above the national average, with turnover at 30.4% against a national 45.8%. That retention matters more than the raw hours, since familiar aides tend to catch changes in a resident's condition earlier. The caution is in the inspection record: 31 deficiencies, including one at the harm level and one tied to abuse, with the most recent inspection in September 2025. Weekend staffing also drops roughly 19% below its own weekday coverage, which is worth asking about directly, who is on the floor on a Saturday night, and how many.

B

83.5/100

Northwoods Lodge

Silverdale, WA · Kitsap County

CMS 5/5 57 beds For-profit Medicaid
Nurse hours
5.48 /day
Staff turnover
40%
Serious cites
0

Northwoods Lodge runs about 5.5 nurse hours per resident each day, roughly 42% above the national average, and its staffing rating reflects that. The catch is consistency: weekends run about 19% leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The inspection record carries 36 deficiencies, three at the harm level and one tied to abuse, plus a $51,942 fine, though the most recent inspection was in March 2026 and the health and quality ratings both sit at four stars. Turnover at 40% is a bit better than the 45.8% national figure.

B

83.5/100

Cedar River Healthcare Center

Renton, WA · King County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
5.18 /day
Staff turnover
39%
Serious cites
0

Cedar River Healthcare Center sits in Renton with 60 certified beds and a corporate for-profit owner. The staffing numbers are the strongest part of the story: 5.18 nurse hours per resident day, well above the national average of 3.86, with turnover at 39.3%, better than the 45.8% national figure. That's real coverage, though weekends run about 17% thinner than weekdays. The inspection record tells a different story. Thirty deficiencies on file, including two at the harm level and two tied to abuse, plus a $74,815 fine. The most recent inspection was April 2025, so the record is current. Strong daily staffing and a troubled compliance history are both true here, the question is whether the care at the bedside reflects the hours or the citations.

B

83.5/100

Charleston Healthcare Center

Charleston, WV · Kanawha County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
39%
Serious cites
0

Charleston Healthcare Center runs 150 certified beds under corporate for-profit ownership, and its staffing sits at 4.12 nurse hours per resident day, roughly 7% above the national average of 3.86, with turnover at 38.9%, better than the 45.8% norm. The catch is weekends, when staffing drops about 21% below the home's own weekday level, so coverage thins exactly when families tend to visit. Inspections tell a harder story: 71 deficiencies on the current record, including four abuse-related and one at the harm or jeopardy level, with a $12,831 fine and a most recent inspection dated April 2026. Strong quality-measure scores don't cancel out that inspection history.

B

83.5/100

Mercy Retirement & Care Center

Oakland, CA · Alameda County

CMS 4/5 59 beds Non-profit Medicaid
Nurse hours
4.68 /day
Staff turnover
—
Serious cites
0

Mercy Retirement & Care Center runs on more nursing hours than most homes in the country, 4.68 per resident day against a national average of 3.86. That staffing edge is real, though it thins out on weekends, dropping about 11% below the home's own weekday level. The inspection record is where things get more complicated: 29 deficiencies on file, including 3 at the harm or jeopardy level and 2 tied to abuse, plus one fine of $16,675. Inspectors were last in the building in February 2025. For a 59-bed nonprofit in Oakland, the care hours are a genuine strength; the deficiency history is what a family should ask about directly.

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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