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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 3421–3440 of 12,967, best-graded first.

B

82/100

College Oak Nursing And Rehabilitation Center

Sacramento, CA · Sacramento County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
40%
Serious cites
0

College Oak runs on 4.33 nurse hours per resident per day, roughly 12% above the national average, and its weekend staffing only dips about 9% below weekdays, a smaller drop than many homes show. Turnover sits at 40%, better than the 45.8% national figure. The caution signs are in the inspection record: 25 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $9,814. The most recent inspection was April 2026, so the findings are current, not stale. For-profit, limited liability ownership. The staffing is genuinely solid; the question is whether that care holds up when inspectors look closely.

B

82/100

Extended Care Hospital Of Riverside

Riverside, CA · Riverside County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.50 /day
Staff turnover
42%
Serious cites
0

Extended Care Hospital Of Riverside runs 99 certified beds under for-profit LLC ownership, and the staffing number is the first thing worth noting: 4.50 nurse hours per resident day against a national average of 3.86. That's real coverage, though weekends dip about 12% below the home's own weekday level, so the weekday picture is stronger than Saturday and Sunday. Staff turnover sits at 41.5%, slightly better than the 45.8% national figure, meaningful in a field where retention is hard. The current inspection record shows 38 deficiencies, none at harm or jeopardy level, but two tied to abuse, which families should ask about directly. The last inspection was February 2026, so the record is recent.

B

82/100

Pacific Gardens Nursing And Rehabilitation Center

Fresno, CA · Fresno County

CMS 3/5 188 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
36%
Serious cites
0

Pacific Gardens runs on 4.06 nurse hours per resident day, a bit above the national average, and its staff turnover of 35.9% is meaningfully lower than the 45.8% norm, people tend to stay. Weekend coverage thins out about 8% from weekday levels, worth knowing if your visits fall on Saturdays. The harder question is the inspection record: 48 deficiencies, including two at harm or jeopardy level and one tied to abuse, with a $30,654 fine and a 2-out-of-5 health inspection rating. Quality measures score 5 out of 5, but those come from resident assessments, not from surveyors walking the building. It's a for-profit LLC with 188 beds. Ask about the abuse deficiency and what changed since.

B

82/100

Orchard Post Acute

Fresno, CA · Fresno County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
49%
Serious cites
0

Orchard Post Acute runs about 99 beds in Fresno under for-profit LLC ownership, and its nurse staffing sits slightly above the national average, roughly 3.98 hours per resident day. That margin narrows on weekends, when coverage drops about 10% below the home's own weekday level, and annual turnover at 48.8% runs a few points above the national figure. The inspection record is the heavier part of the story: 44 deficiencies on file, including one abuse-related citation, though none rose to the harm or jeopardy level. State inspectors last visited in May 2025. Quality measure scores look strong; the inspection side is where the numbers get harder to explain.

B

82/100

Hanford Post Acute

Hanford, CA · Kings County

CMS 4/5 124 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
56%
Serious cites
0

Hanford Post Acute runs 124 beds under limited-liability, for-profit ownership, and its numbers pull in two directions. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, but it dips roughly 6% on weekends, and annual turnover of 55.7% runs well past the 45.8% national figure, so the people at the bedside change often. The bigger concern is the inspection record: 41 deficiencies, one serious enough to involve harm or jeopardy, with the most recent survey in January 2025. On the plus side, residents' quality measures score at the top of the federal scale, which suggests the day-to-day care itself is landing well even as the operational and compliance side lags.

B

82/100

Community Extended Care Hospital Of Montclair

Montclair, CA · San Bernardino County

CMS 5/5 140 beds For-profit Medicaid
Nurse hours
5.50 /day
Staff turnover
27%
Serious cites
0

Community Extended Care Hospital Of Montclair runs 140 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noting: 5.50 nurse hours per resident day, roughly 42% above the national average of 3.86. Weekend staffing dips about 8% below its own weekday level, so coverage thins out somewhat on Saturdays and Sundays. Annual turnover sits at 26.5% against a national 45.8%, meaning this workforce is notably more stable than most. The record shows 19 deficiencies, but none at the harm or jeopardy level and none abuse-related. A five-star health inspection rating and a February 2026 inspection date round out a picture of a home that's been checked recently and came through cleanly where it matters most.

B

82/100

Vista Post Acute

Hayward, CA · Alameda County

CMS 4/5 71 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
28%
Serious cites
0

Vista Post Acute runs 71 beds in Hayward under for-profit LLC ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.97 hours per resident day, slightly above the national average, and weekend coverage drops about 12% from weekday levels, worth asking about if your family visits primarily on Saturdays and Sundays. The standout figure is turnover: 28% against a national average near 46%, meaning the people caring for residents are more likely to still be there next year. Inspections in January 2025 turned up 28 deficiencies, but none caused harm or jeopardy and none involved abuse.

B

82/100

Rosewood Post Acute

Pleasant Hill, CA · Contra Costa County

CMS 4/5 113 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
35%
Serious cites
0

Rosewood Post Acute runs about 4.52 nurse hours per resident each day, roughly 17% above the national average, and its 35.3% turnover is well below the typical 45.8%, so there's real consistency in the staff who are there. Weekends dip only slightly, about 5% off weekday coverage. What pulls the picture down is the inspection side: 27 deficiencies on the current record, five tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection is dated May 2026. The quality measure rating sits at 4 out of 5 while health inspections come in at 2. It's a for-profit corporate home where the day-to-day staffing looks steadier than the paper trail.

B

82/100

The Royal Home

El Cajon, CA · San Diego County

CMS 4/5 19 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
74%
Serious cites
0

The Royal Home is small, 19 certified beds, and it's staffed better than most: 4.18 nurse hours per resident day, about 8% over the national average. Weekends dip roughly 9% below its own weekday level, so coverage thins out then. The bigger number to sit with is turnover: 73.9% of nursing staff leaving annually, against a national average of 45.8%. That churn matters more at a 19-bed home, where there's no big team to absorb it. Its record shows 31 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in December 2025, recent enough. Quality measures score well; the inspection history is middling. You're looking at a well-staffed, recently inspected home with a retention problem.

B

82/100

Crestwood Manor - 104

Stockton, CA · San Joaquin County

CMS 3/5 190 beds For-profit Medicaid
Nurse hours
6.26 /day
Staff turnover
10%
Serious cites
0

Nurse staffing at Crestwood Manor runs 6.26 hours per resident per day, about 62 percent above the national average, and the staff tends to stay, 9.8 percent annual turnover against a national figure near 46 percent. Weekend coverage dips roughly 7 percent below weekday levels, which is a normal pattern but worth asking about if your family visits mostly on Saturdays. The inspection record is more mixed: 34 deficiencies, four of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent inspection came in April 2025. For a 190-bed corporate-owned home, the care hours and retention are doing the heavy lifting here.

B

82/100

Highland Park Rehabilitation & Care Center

Aurora, CO · Arapahoe County

CMS 5/5 110 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
41%
Serious cites
0

Highland Park Rehabilitation & Care Center runs 110 certified beds in Aurora under for-profit LLC ownership, and its staffing sits at 3.60 nurse hours per resident day, about 7% under the national average of 3.86. Weekends run roughly 11% leaner than weekdays, so coverage thins out right when families tend to visit. Turnover is 40.7%, which is actually better than the 45.8% national figure, so the same faces are more likely to stay. Inspections in December 2024 turned up 22 deficiencies, including one at the harm level and two tied to abuse, which is worth asking about directly. The quality measures look strong; the inspection record is where the questions live.

B

82/100

Lakeshore Post Acute And Rehabilitation Center

Pueblo, CO · Pueblo County

CMS 4/5 106 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
44%
Serious cites
0

Lakeshore Post Acute runs on thinner staffing than most homes nationally, 3.38 nurse hours per resident day against a 3.86 average, and weekends dip about 12% below its own weekday coverage. Turnover sits at 44.1%, slightly better than the national 45.8%, so the crew that's there tends to stay. The tradeoff shows up in its record: 30 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. A 5/5 on quality measures and 3/5 on inspections tells you the clinical outcomes look solid when care happens, but the staffing margin is narrow enough that a bad weekend could strain it. The most recent state visit was August 2025.

B

82/100

Washington County Nursing Home

Akron, CO · Washington County

CMS 5/5 40 beds Government Medicaid
Nurse hours
4.31 /day
Staff turnover
43%
Serious cites
0

Washington County Nursing Home, the county-run home in Akron, runs on more nursing hours than most: 4.31 per resident day against a national average of 3.86. That's a real margin, and it's why CMS gives staffing top marks. It's not all upside. Inspectors wrote up 20 deficiencies, five at harm or jeopardy level and three tied to abuse, and one fine of $24,668 sits on the record. The last inspection was September 2024. Turnover of 42.6% is slightly better than average, and weekend staffing dips about 5% below weekdays, worth asking about if you visit mostly Saturdays.

B

82/100

Southport Center For Nursing & Rehabilitation Llc

Southport, CT · Greater Bridgeport County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
27%
Serious cites
0

Southport Center runs 4.43 nurse hours per resident day, roughly 15 percent above the national average, and its staff turnover of 27.4 percent sits well below the 45.8 percent norm, a sign people tend to stay. That matters, because consistent caregivers know residents. But weekends run about 14 percent thinner than weekdays, so the coverage you see on a Tuesday isn't what you get on a Sunday. The current record carries 57 deficiencies, one serious enough to cause harm and five tied to abuse, with a $13,757 fine. State inspectors last visited in July 2025. For-profit, limited liability ownership.

B

82/100

Whitney Rehabilitation Care Center

Hamden, CT · South Central Ct County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
42%
Serious cites
0

Whitney Rehabilitation Care Center runs 150 certified beds in Hamden under individual for-profit ownership, and the staffing numbers are mildly better than typical, 3.92 nurse hours per resident day against a national average of 3.86. Turnover sits at 41.6%, a bit better than the 45.8% national figure, though weekend coverage drops roughly 7% below the home's own weekday level. Inspections in September 2024 produced 24 deficiencies, none at the harm or jeopardy level, but one tied to abuse. That combination, steady staffing and quality marks weighed against a long deficiency list and a recent inspection, is what keeps this home in solidly average territory rather than above it.

B

82/100

Glastonbury Center For Health & Rehabilitation

Glastonbury, CT · Capitol County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
28%
Serious cites
0

Glastonbury Center runs 105 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.81 hours per resident day, just under the national average of 3.86. Weekends drop roughly 11% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is the standout number: 27.6% against a national average of 45.8%, meaning this staff largely stays put, which matters for residents who need consistent caregivers. The home carries 40 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was September 23, 2025.

B

82/100

Lutheran Home Of Southbury Inc

Southbury, CT · Naugatuck Vly County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
49%
Serious cites
0

Lutheran Home of Southbury runs a nonprofit operation with 120 certified beds, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average of 3.86. That's a real strength, though weekends run about 13% thinner than weekdays, so coverage isn't perfectly even across the week. Staff turnover lands at 49.2%, a bit above the 45.8% national figure, which matters for how well residents get to know their caregivers. The inspection record shows 35 total deficiencies with none at the harm or jeopardy level, but 7 are abuse-related, a category worth asking about directly. The most recent inspection was June 17, 2025, so the picture is current.

B

82/100

Sharon Center For Health & Rehabilitation

Sharon, CT · Nw Hills County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
31%
Serious cites
0

Sharon Center runs on lighter nurse staffing than most homes, 3.55 hours per resident day against a national average of 3.86, and weekends get thinner still, dropping about 8% below its own weekday level. Turnover sits at 31.4%, which is meaningfully better than the 45.8% national figure, so the people who are there tend to stay. The inspection record is where the concern shows: 37 deficiencies on file, including one at the harm or jeopardy level and four tied to abuse, with the most recent inspection in August 2025. A corporation owns the 88-bed home, and the staffing stars reflect the hours scheduled, not necessarily the outcomes.

B

82/100

Woodlake At Tolland

Tolland, CT · Capitol County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
31%
Serious cites
0

Woodlake At Tolland runs 4.11 nurse hours per resident day, about six percent above the national average, and its staff turnover of 30.9% sits well under the 45.8% norm, a sign people tend to stay. Weekend staffing, though, drops roughly 10% below its own weekday level, so coverage thins out when families visit most. The inspection record carries 52 deficiencies, including one at the harm level and three tied to abuse, which is a lot to work through even with a recent February 2026 inspection. For-profit LLC ownership. Strong care measures and steady staffing pull the picture up; the deficiency history is the part worth asking about directly.

B

82/100

Autumn Lake Healthcare At West Hartford

West Hartford, CT · Capitol County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
42%
Serious cites
0

Autumn Lake Healthcare At West Hartford runs a for-profit corporation home with 75 certified beds, and its staffing sits at 4.08 nurse hours per resident day, roughly 6% above the national average of 3.86. Weekend coverage drops about 11% below its own weekday level, and turnover runs 41.6%, a bit under the 45.8% national figure. The harder numbers are on the inspection side: a 1-out-of-5 health inspection rating, 70 deficiencies on the current record, including one at the harm or jeopardy level and six tied to abuse. One fine totaling $24,453. The last inspection was November 18, 2025, so the record is recent. Quality measures score 5 out of 5, which makes the inspection findings stand out more, good clinical metrics don't erase what surveyors wrote down. Ask about those six abuse deficiencies directly before you visit.

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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