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 3021–3040 of 12,967, best-graded first.

B

83.5/100

Palm Terrace Care Center

Riverside, CA · Riverside County

CMS 4/5 71 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
44%
Serious cites
0

Palm Terrace runs 4.41 nurse hours per resident day, about 14% above the national average, though weekends dip roughly 15% below its own weekday numbers. Its 25 deficiencies include none at the harm or jeopardy level and one abuse-related citation, with an inspection in May 2025 keeping the record current. Staff turnover sits at 43.5%, slightly better than the 45.8% national rate, and the 5/5 quality measure rating stands out against a 3/5 on inspections and a 3/5 on staffing. For a 71-bed corporate-owned home, the care metrics look stronger than the compliance record, and the weekend gap is worth asking about directly.

B

83.5/100

The Mission At Blue Skies Of Texas East

San Antonio, TX · Bexar County

CMS 5/5 80 beds Non-profit
Nurse hours
4.87 /day
Staff turnover
58%
Serious cites
0

The Mission at Blue Skies of Texas East runs 4.87 nurse hours per resident day, about 26 percent above the national average, which is real coverage. But weekends drop roughly 18 percent below its own weekday level, and 57.6 percent of staff left last year against a national 45.8 percent, so the people providing that care keep changing. The current record shows 25 deficiencies, two at harm or jeopardy level and one abuse-related, with a $17,345 fine and an inspection in July 2025. Nonprofit ownership and a 4-star inspection rating suggest decent systems, but the turnover and weekend gaps tell you to ask who's actually on the floor on a Sunday.

B

83/100

River City Center

Decatur, AL · Morgan County

CMS 1/5 183 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
52%
Serious cites
0

River City Center runs 183 beds in Decatur under corporate ownership, and its last full health inspection was in April 2021, more than four years ago. The current record shows 12 deficiencies, including one that caused actual harm or put residents in jeopardy, plus two tied to abuse. Staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average, and weekends dip about 10% below the home's own weekday coverage. Annual turnover is 51.9%, higher than the 45.8% national figure. The quality and staffing scores look strong on paper, but a single-star inspection history and that long gap since the last survey are the numbers worth weighing.

B

83/100

Ozark Health And Rehabilitation, Llc

Ozark, AL · Dale County

CMS 3/5 149 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
46%
Serious cites
0

Ozark Health and Rehabilitation runs 149 certified beds under for-profit LLC ownership, and its staffing sits slightly under the national average at 3.74 hours per resident day. The bigger wrinkle is weekends, when coverage drops roughly 13% below what the home staffs on weekdays, so the quiet shifts are the thinner ones. Annual turnover lands at 46.3%, essentially tracking the national rate, and the home's record shows five deficiencies, none at harm or jeopardy level but one tied to abuse. Inspectors last visited in June 2023, which makes that record fairly dated. Quality and staffing measures grade reasonably well; the inspection history and weekend pattern are where a family should focus questions.

B

83/100

Providence Seward Mountain Haven

Seward, AK · Kenai Peninsula County

CMS 3/5 40 beds Government Medicaid
Nurse hours
6.27 /day
Staff turnover
75%
Serious cites
0

Providence Seward Mountain Haven runs on a city government license and 40 certified beds, and the staffing numbers are genuinely strong: 6.27 nurse hours per resident day, roughly 62% above the national average. That's the kind of coverage that shows up in daily care. The catch is retention. Annual turnover sits at 75% against a national rate near 46%, so residents likely see a rotating cast of caregivers even though the hours are there. Twenty deficiencies on record, none at harm level, but two tied to abuse. The last inspection was September 2024. Quality and staffing each earned 4 of 5 stars from CMS; health inspection landed at 3.

B

83/100

Haven Health Green Valley, Llc

Green Valley, AZ · Pima County

CMS 5/5 111 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
18%
Serious cites
0

Haven Health Green Valley runs lean on nursing hours, about 3.22 per resident day, roughly 17% under the national average, and weekends drop another 11% below its own weekday coverage. That's the kind of pattern families notice when a Saturday call button goes unanswered. What stands out in the other direction is retention: 18.4% annual turnover against a national average near 46%, which suggests a steadier crew than most homes manage. State inspectors last visited in May 2024 and logged 35 deficiencies, two tied to abuse, though none rose to the harm or jeopardy level. For-profit ownership through a limited liability company, with middling marks on health inspections and staffing but strong scores on quality measures.

B

83/100

Archstone Care Center

Chandler, AZ · Maricopa County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
18%
Serious cites
0

Archstone runs leaner than the typical U.S. nursing home, 3.52 nurse hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday coverage. The trade-off shows up in its staffing star, but the record is cleaner than most: 12 deficiencies, none at harm or jeopardy level, nothing abuse-related, and a January 2026 inspection that's still recent. Turnover is the standout number, 18.4% against a national average of 45.8%, meaning the aides and nurses your family would see day to day are far more likely to still be there next year. A for-profit partnership in Chandler with strong quality marks and a stable workforce, though you'll want to ask how weekend coverage actually feels on the floor.

B

83/100

Brookdale Santa Catalina

Tucson, AZ · Pima County

CMS 3/5 42 beds For-profit
Nurse hours
4.45 /day
Staff turnover
38%
Serious cites
0

Brookdale Santa Catalina runs on more nursing hours than most homes, 4.45 per resident per day against a national average of 3.86, and its staff tends to stay longer than the industry norm. The tradeoff is a record with 31 deficiencies, four of them tied to abuse, though none rose to the level of actual harm or jeopardy. The last inspection was in June 2025, so the picture is reasonably current. Weekend coverage dips about 8% below weekdays, which is common but worth asking about for a 42-bed home. Corporate-owned and for-profit, it earns its strongest marks on staffing and middling ones on inspections and quality measures.

B

83/100

Sandstone Estates Rehab Centre

Tucson, AZ · Pima County

CMS 1/5 103 beds For-profit
Nurse hours
4.26 /day
Staff turnover
49%
Serious cites
0

Sandstone Estates runs a 103-bed for-profit operation in Tucson, and its staffing sits about 10% above the national average at 4.26 nurse hours per resident day, though weekends dip roughly 10% below its own weekday coverage, so the care you see on a Tuesday may not match a Sunday. The turnover number, 48.6%, lands a bit above the 45.8% national average, meaning nearly half the nursing staff turns over each year. Inspections are the weak spot: a 2/5 health inspection rating with 28 deficiencies on record, including four tied to abuse, though none reached harm or jeopardy level. The most recent inspection was March 2026.

B

83/100

Cave City Nursing Home Inc

Cave City, AR · Sharp County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
—
Serious cites
0

Cave City Nursing Home runs 4.99 nurse hours per resident day, roughly 29% above the national average of 3.86, and that staffing shows up where it counts: a clean health inspection record with 11 deficiencies, none at harm or jeopardy level and none abuse-related, from a visit in July 2025. The nonprofit corporate owner doesn't have to answer to shareholders, which tends to show up in staffing and inspection outcomes alike. The catch is weekends, when hours drop about 22% below the home's own weekday level, a resident's Saturday care may look thinner than a Tuesday's. If your family member needs consistent help with daily tasks, ask how weekend coverage is actually scheduled.

B

83/100

The Springs Of Greers Ferry

Heber Springs, AR · Cleburne County

CMS 4/5 140 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
44%
Serious cites
0

The Springs Of Greers Ferry runs a little richer on nursing hours than the typical American home, 4.01 per resident day against a national average of 3.86, though weekends thin out by roughly 9% compared to its own weekdays, so a Saturday shift isn't quite the same as a Tuesday. Turnover sits at 44.3%, marginally better than the 45.8% national figure and nothing unusual for a corporate-owned building of this size. Its inspection record shows 14 deficiencies, none at the harm or jeopardy level and none tied to abuse, with the most recent visit in January 2026, recent enough that the findings still reflect how the place runs now.

B

83/100

The Cottages At Texarkana

Texarkana, AR · Miller County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
5.12 /day
Staff turnover
47%
Serious cites
0

The Cottages At Texarkana runs 140 certified beds under for-profit LLC ownership, and its staffing is the headline: 5.12 nurse hours per resident day, about a third above the national average of 3.86. Weekends dip roughly 12% below its own weekday level, so coverage thins out, but the baseline is high. What pulls against that is the inspection record, 20 deficiencies on file, one of them serious enough to reach harm or jeopardy level, and a single $28,022 fine. Staff turnover sits at 46.8%, essentially matching the national rate. The last inspection was March 2025, so the picture is current. Strong hands-on care, but the survey history is the caution flag.

B

83/100

Siloam Healthcare, Llc

Siloam Springs, AR · Benton County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
52%
Serious cites
0

Siloam Healthcare runs 120 beds in Siloam Springs under for-profit LLC ownership, and its nurse staffing sits at 4.27 hours per resident day, roughly 10% above the national average of 3.86. That's a real margin, though weekends run about 10% thinner than weekdays, so coverage isn't perfectly even across the week. Staff turnover is 52.4% against a national 45.8%, which means a good share of the people caring for residents are still learning the building. The current record shows 33 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in January 2025. Quality and staffing both earned 4 out of 5 stars from CMS, while health inspections landed at 2.

B

83/100

Motion Picture And T.v. Hosp D/P Snf

Woodland Hills, CA · Los Angeles County

CMS 3/5 195 beds Non-profit Medicaid
Nurse hours
4.88 /day
Staff turnover
37%
Serious cites
0

Motion Picture And T.V. Hosp D/P Snf runs on unusually strong nurse coverage for a 195-bed nonprofit, 4.88 hours per resident day, roughly a quarter more than the national figure, though weekends dip about 11% below its own weekday level, a gap worth asking about. Staff turnover of 36.8% sits well under the national 45.8%, which suggests people stay. The caution signs are elsewhere: a 2-star health inspection rating, 50 deficiencies on record including 3 tied to abuse, and a survey completed in April 2025. None of those deficiencies reached harm or jeopardy level, but the count and the abuse findings are the part of this file a family should read closely.

B

83/100

Creekside Healthcare Center

San Pablo, CA · Contra Costa County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
39%
Serious cites
0

Creekside Healthcare Center runs 80 certified beds in San Pablo under for-profit partnership ownership. The staffing numbers stand out: 5.13 nurse hours per resident day against a national average of 3.86, roughly a third more hands-on care, though weekend coverage dips about 8% below its own weekday level. Turnover sits at 38.8%, better than the 45.8% national figure but still meaning more than a third of staff leaving in a year. Inspections in August 2025 turned up 21 deficiencies, none at the harm or jeopardy level, with one abuse-related citation on the record. The 4/5 health inspection and 5/5 staffing ratings carry the weight here; quality measures land at 3/5.

B

83/100

Monterey Park Conv Hosp

Monterey Park, CA · Los Angeles County

CMS 5/5 89 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
11%
Serious cites
0

Monterey Park Conv Hosp runs on a for-profit LLC model with 89 certified beds, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, so the weekday numbers flatter the picture slightly. Turnover is the real standout: 11% annual staff turnover against a national average of 45.8%, which is unusually stable for this industry. That stability shows up elsewhere too, a 5/5 quality measure rating and zero deficiencies at the harm or jeopardy level. But there are 38 total deficiencies on the current record, including one abuse-related citation, and the health inspection rating is only 3/5 despite an inspection as recent as May 2025. The staffing-to-resident ratio is solid; the inspection history is the part worth asking about directly.

B

83/100

San Jacinto Valley Post Acute

Hemet, CA · Riverside County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
27%
Serious cites
0

San Jacinto Valley Post Acute runs a tight ship on the things that matter most. Nurse staffing sits at 3.94 hours per resident day, a hair above the national average, and the home holds onto its workers far better than most, 26.6% turnover against a national rate of 45.8% means familiar faces, which tends to matter more to families than a staffing star rating suggests. The 4/5 inspection and 5/5 quality scores back that up, though 32 deficiencies on record and one abuse-related finding are worth asking about directly. Weekend coverage dips about 7% below weekdays, so if you're visiting on a Saturday, pay attention to how quickly call lights get answered.

B

83/100

La Mesa Healthcare Center

La Mesa, CA · San Diego County

CMS 4/5 94 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
34%
Serious cites
0

La Mesa Healthcare Center runs 4.12 nurse hours per resident day, roughly 7% above the national average, and its 33.7% turnover is well below the 45.8% norm, a sign people tend to stay. Weekends dip about 8% below weekday staffing, so coverage is thinner then. The tradeoff shows in its record: 38 deficiencies, none at harm or jeopardy level, but one abuse-related finding, and a 2/5 staffing star despite the decent hours. Inspectors last visited in March 2025, and the 4/5 inspection and 5/5 quality ratings suggest care outcomes hold up. For a for-profit LLC with that many citations, the question is whether the abuse finding was a one-off or a pattern.

B

83/100

Downey Post Acute

Downey, CA · Los Angeles County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
39%
Serious cites
0

Downey Post Acute runs a 99-bed for-profit operation where the nursing hours work out to 4.29 per resident day, roughly 11% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 12% below the home's own weekday level, so the weekday number flatters the week as a whole. Staff turnover sits at 39.3%, better than the 45.8% national figure, meaning fewer caregivers are cycling out the door than is typical. The harder part is the inspection record: 55 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $13,575. The most recent inspection was May 2026.

B

83/100

Bethany Home Society San Joaquin County

Ripon, CA · San Joaquin County

CMS 4/5 92 beds Non-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
46%
Serious cites
0

Bethany Home Society in Ripon runs on a nonprofit model with 92 certified beds, and its nurse staffing sits at 4.31 hours per resident day, roughly 12% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 10% below its own weekday level, so care can feel thinner on Saturdays and Sundays. Staff turnover is 46.4%, essentially matching the national 45.8%. The current inspection record lists 29 deficiencies, none at the harm or jeopardy level, with one tied to abuse. Its last inspection was in March 2025, and CMS gave it 4 out of 5 stars for both health inspections and quality measures, 3 for 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.

Before you shortlist