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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 3221–3240 of 12,967, best-graded first.

B

83/100

St Mary Of The Woods

Avon, OH · Lorain County

CMS 5/5 50 beds Non-profit
Nurse hours
4.59 /day
Staff turnover
59%
Serious cites
0

St. Mary of the Woods runs a tighter ship than most on the clinical side. Its 4.59 nursing hours per resident day sits about 19% above the national average, and a 5/5 inspection rating with zero harm-level or abuse-related deficiencies backs that up, the last state visit was recent, in August 2025. The catch is retention: 58.5% annual turnover is well above the 45.8% national figure, and weekends run roughly 13% leaner than weekdays. So the care numbers look strong, but the same faces may not always be there, and a family should ask how weekend coverage actually works in practice.

B

83/100

Otterbein New Albany

New Albany, OH · Franklin County

CMS 1/5 60 beds Non-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
41%
Serious cites
0

Staffing is where Otterbein New Albany falls short. The federal staffing rating sits at 1 out of 5, and that shows up against a national average turnover of 45.8%, this home's 41% is slightly better, but not by enough to offset thin direct-care coverage. The inspection record is heavier: 58 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with the most recent survey completed February 26, 2026. Quality measures land mid-range at 3 out of 5, so clinical outcomes are steadier than the staffing picture. As a nonprofit, it answers to a board rather than shareholders, which can mean more patience for fixes, but the numbers here still need watching.

B

83/100

Vancrest Of Payne

Payne, OH · Paulding County

CMS 5/5 40 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
32%
Serious cites
0

Vancrest Of Payne runs a tight ship on the clinical side. The 40-bed home in Paulding County earned 5 out of 5 stars on both its health inspection and its quality measures, and its last inspection was recent, December 2025, with eight deficiencies on record and none rising to harm or jeopardy. One abuse-related citation is worth asking about directly. Staffing is where it slips: 3.81 nurse hours per resident day lands just under the national average, weekends run about 8% leaner than weekdays, and the staffing star sits at 3. Turnover, though, tells a better story, 32.1% against a national 45.8% means this building keeps its people longer than most.

B

83/100

Mid-Del Skilled Nursing And Therapy

Del City, OK · Oklahoma County

CMS 4/5 61 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
50%
Serious cites
0

Mid-Del runs a for-profit partnership in Del City with 61 certified beds, and its staffing sits at 4.22 nurse hours per resident day, roughly 9% above the national average of 3.86. That margin has limits: weekend coverage drops about 12% below the home's own weekday levels, and annual turnover is 50% against a national 45.8%, so the extra hours don't necessarily come from a stable crew. Inspections look solid on paper: a 4/5 health inspection rating, 11 total deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent visit was March 20, 2025. Federal ratings put staffing and quality measures at 4/5 each.

B

83/100

Western Skilled Nursing And Therapy

Buffalo, OK · Harper County

CMS 5/5 76 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
52%
Serious cites
0

Western Skilled Nursing And Therapy runs on 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekend coverage dips about 3% below what it manages on weekdays. Staff turnover sits at 52.4%, well above the 45.8% national rate, so the people around your family member change more often than at the typical home. The good news is real: inspections in November 2024 produced five deficiencies, none at the harm level and just one tied to abuse, and both the health inspection and quality measure ratings come back at the top of the scale. It's a for-profit partnership, which tends to mean tighter staffing budgets, worth asking about directly.

B

83/100

Washita Valley Living Center

Pauls Valley, OK · Garvin County

CMS 4/5 109 beds For-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
52%
Serious cites
0

Washita Valley Living Center runs a 109-bed for-profit operation in Pauls Valley, and the staffing numbers are the strongest part of the picture, 5.10 nurse hours per resident day, roughly a third more than the national average. That cushion matters less on weekends, when hours drop about 15% below the home's own weekday level, and turnover sits at 52.1%, higher than the 45.8% national figure. Six deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in April 2025. A 4/5 inspection rating and 3/5 on quality measures round out a home that's better staffed than most, though the weekend dip and turnover are worth asking about directly.

B

83/100

Bellevue Health & Rehabilitation Center

Oklahoma City, OK · Oklahoma County

CMS 3/5 142 beds For-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
50%
Serious cites
0

Bellevue Health & Rehabilitation Center runs 142 certified beds in Oklahoma City under for-profit LLC ownership, and its nurse staffing sits at 4.56 hours per resident day, roughly 18% above the national average of 3.86. That's a real margin in a field where staffing shortfalls drive most problems. Weekend coverage dips about 10% below its own weekday level, and annual turnover runs 50.3%, a bit above the national 45.8%. The inspection record shows 19 deficiencies with none at the harm or jeopardy level, though two are abuse-related, which families should ask about directly. State inspectors last visited in December 2025.

B

83/100

Beare Manor

Hartshorne, OK · Pittsburg County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
51%
Serious cites
0

Beare Manor runs about 3.24 nurse hours per resident per day, roughly 16 percent under the national average of 3.86, and its staff turnover sits at 51.4 percent against a national figure near 45.8. Those two numbers matter more than any single score, because they shape what daily care actually looks like. Weekend staffing holds roughly even with weekdays, which is not nothing. The current inspection record shows 13 deficiencies, none involving harm or jeopardy and none tied to abuse, and the last survey was in July 2024. Quality measures score well, inspections land mid-range, and staffing is the weak spot. A for-profit partnership operates the place.

B

83/100

Harrah Nursing Center

Harrah, OK · Oklahoma County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
—
Serious cites
0

Harrah Nursing Center runs 100 certified beds under individual for-profit ownership, and the staffing picture is a mixed one. Total nurse coverage sits at 4.09 hours per resident day, roughly 6% above the national average of 3.86, though weekend staffing drops about 22% below what the home manages on weekdays. On the health inspection side, a survey from January 30, 2025 left 16 deficiencies on the record, none at the harm or jeopardy level and none abuse-related. The quality measure rating sits at the top of the scale while the staffing star lands in the middle, which tracks with the numbers: decent overall hours, thinner weekend coverage.

B

83/100

Baptist Village Of Enid

Enid, OK · Garfield County

CMS 3/5 90 beds Non-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
52%
Serious cites
0

Baptist Village of Enid runs a nonprofit home with 90 certified beds, and the staffing numbers are the strongest part of the picture: 4.83 nurse hours per resident day, roughly a quarter above the national average. That cushion matters less on weekends, when hours drop about 13% from the weekday pace, and turnover sits at 52% against a national 45.8%, so the people providing that care keep changing. The inspection record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey came in December 2024. With consistent staffing and no serious harm findings, the main thing to weigh is how often the staff themselves turn over.

B

83/100

Green Country Care Center

Tulsa, OK · Tulsa County

CMS 2/5 114 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
33%
Serious cites
0

Green Country Care Center runs 114 beds in Tulsa under corporate ownership, and its last inspection in November 2024 turned up 27 deficiencies, one of them serious enough to reach the harm or jeopardy level. Nothing on record involves abuse, but that volume of findings is a lot to carry, and the health inspection rating sits at 2 out of 5. Staffing is the weaker signal still, 1 out of 5 stars, meaning the hours worked per resident fall well below what CMS expects. One thing in the home's favor: annual staff turnover of 33.3% beats the national average of 45.8%, so the people who are there tend to stay.

B

83/100

Woodlands Skilled Nursing And Therapy

Okmulgee, OK · Okmulgee County

CMS 3/5 114 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
24%
Serious cites
0

Woodlands Skilled Nursing And Therapy runs lean on nurse staffing, 3.11 hours per resident day against a national average of 3.86. That gap is real, though weekend coverage barely dips from weekday levels, which matters more than people expect. What stands out is the stability of the workforce: 24.2% annual turnover against a national 45.8% means caregivers here tend to stay, and that continuity shows up in the inspection record, 28 deficiencies on file, but none at the harm or jeopardy level and nothing abuse-related, with a May 2025 survey keeping things current. For-profit partnership ownership, 114 beds. The staffing hours are the thing to weigh, but low turnover and a clean harm record are genuinely hard to find together.

B

83/100

Lexington Nursing Home, Inc.

Lexington, OK · Cleveland County

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

Lexington Nursing Home runs on a for-profit corporate model with 70 certified beds, and the staffing numbers stand out: 5.62 nurse hours per resident day, well above the national average of 3.86. Weekends dip about 9% below weekday coverage, and annual turnover sits at 51.6% against a national 45.8%, so continuity of caregivers is a real question mark. The inspection record is clean where it counts most, 13 deficiencies on file, none at harm or jeopardy level, none abuse-related, with a survey as recent as April 2026. Quality measures land mid-range. What you're looking at is a home that's well-staffed on paper and recently inspected without serious findings, but with enough turnover to ask about who's actually at the bedside.

B

83/100

Elk Crossing

Duncan, OK · Stephens County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
5.75 /day
Staff turnover
46%
Serious cites
0

Elk Crossing runs 120 certified beds in Duncan under for-profit LLC ownership, and the number that stands out is staffing: 5.75 nurse hours per resident day, roughly half again the national average of 3.86. Weekend coverage dips only about 6% below its own weekday level, so the floor doesn't thin out as much as it does at many homes. Turnover sits at 46.4%, essentially level with the national 45.8%, no real edge there. The inspection record shows 8 deficiencies, none at harm or jeopardy level, though one is abuse-related, with the last inspection dated April 2026.

B

83/100

Hillside Heights Rehabilitation Center

Eugene, OR · Lane County

CMS 3/5 83 beds For-profit Medicaid
Nurse hours
4.74 /day
Staff turnover
52%
Serious cites
0

Hillside Heights runs on more nursing hours than most places, 4.74 per resident day, roughly a quarter above the national average, which is the main reason its staffing rating holds at 4 out of 5. That cushion thins on weekends, when coverage drops about 13% below the home's own weekday level, and turnover sits at 51.8%, higher than the 45.8% national figure. The inspection record shows 43 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the last survey was January 30, 2026, so the picture is current. Quality measures land mid-range at 3 out of 5. Ownership is a for-profit limited liability company.

B

83/100

Umpqua Valley Nursing & Rehabilitation Center

Roseburg, OR · Douglas County

CMS 4/5 118 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
43%
Serious cites
0

Umpqua Valley runs about 4.58 nurse hours per resident day, roughly 19% above the national average, and weekends dip only modestly below weekdays. Staff turnover sits at 42.7%, slightly better than the national 45.8%, a meaningful signal in a field where retention is hard. The tradeoff is inspection history: 44 deficiencies on the current record, three tied to abuse, though none rose to harm or jeopardy level, and the single fine totaled $8,824. The most recent inspection was August 2025, so the picture is current. Strong staffing and quality scores, softer on compliance, worth asking about those abuse-related tags specifically.

B

83/100

Village At Hillside

Mcminnville, OR · Yamhill County

CMS 5/5 22 beds For-profit Medicaid
Nurse hours
6.29 /day
Staff turnover
69%
Serious cites
0

The Village at Hillside runs on unusually heavy staffing for its size, 6.29 nurse hours per resident day, well above the national average, and its inspection record is strong, with 21 deficiencies on file and only one at the harm level, none tied to abuse. The catch is turnover: 68.8% annually, roughly 50% higher than the national figure, which means the people delivering that good care keep changing. Weekend coverage also dips about 9% below weekday levels. Inspections were last conducted in late 2025, so the record is current. For a 20-bed for-profit home, the numbers point to a place that's well-run on paper but may feel less consistent in practice.

B

83/100

The Pearl At Kruse Way

Lake Oswego, OR · Clackamas County

CMS 4/5 74 beds For-profit Medicaid
Nurse hours
5.64 /day
Staff turnover
60%
Serious cites
0

The Pearl At Kruse Way runs a for-profit operation in Lake Oswego with 74 certified beds, and its nurse staffing sits at 5.64 hours per resident day, roughly 46% above the national average of 3.86. That's a real cushion, though weekends dip about 15% below its own weekday levels, and annual turnover hits 60.3% against a national 45.8%, meaning the people delivering that care churn faster than most. Inspections tell a steady story: 22 deficiencies on the current record but none at the harm level and none abuse-related, with the last visit in November 2025. If you want high staffing numbers and no serious inspection flags, this one fits, just ask how they hold that coverage together on Saturdays.

B

83/100

Alpine Valley Post Acute And Healthcare Center

Lebanon, PA · Lebanon County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
32%
Serious cites
0

Alpine Valley runs on church-affiliated nonprofit ownership out in Lebanon County, and the numbers show a stable operation. Nurse staffing sits at 3.94 hours per resident day, a bit above the national average, though weekends dip about 8% below weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover of 32.1% is well under the national 45.8%, which suggests people stay, and eight deficiencies on record with none at the harm level and none abuse-related is a clean sheet. The last inspection was September 2024, so the picture is current. The main soft spot is staffing depth relative to what the top-rated homes carry.

B

83/100

Ball Pavilion, The

Erie, PA · Erie County

CMS 5/5 85 beds Non-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
39%
Serious cites
0

Ball Pavilion runs on strong staffing: 4.55 nurse hours per resident day, about 18% above the national average, and a five-star CMS staffing rating backs that up. Weekend coverage dips roughly 15% below its own weekday level, and turnover sits at 39%, better than the 45.8% national average, though still meaning more than a third of staff leaving each year. The health inspection record is solid: 11 deficiencies, none at harm or jeopardy level, none abuse-related, with an inspection dated March 2026. What pulls the numbers down is the quality measure rating at 2 out of 5, even as staffing and inspections hold up.

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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