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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 341 to 360 of 12,967, best-graded first.

A

94.5/100

Bethesda Home

Webster, SD · Day County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
31%
Serious cites
0

Bethesda Home runs on 4.53 nursing hours per resident day, roughly 17 percent above the national average, and its staff tends to stay, turnover of 30.6 percent against a national figure near 46 percent. Weekends dip about 19 percent below its own weekday staffing, so ask how that gap gets covered. The eight deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was April 2026. Church-affiliated nonprofit ownership with 50 certified beds. The weak spot is thin weekend coverage; the strong spots are retention and a clean harm record.

A

94.5/100

Stones River Manor, Inc

Murfreesboro, TN · Rutherford County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
6.19 /day
Staff turnover
29%
Serious cites
0

Stones River Manor runs a small house, 30 beds, and staffs it far heavier than most places. At 6.19 nurse hours per resident per day, it's roughly 60 percent above the national average, and its nurses stay: turnover of 28.6 percent against a national rate of 45.8 percent. Inspectors were last in on July 1, 2025, and the home has 15 deficiencies on record with none at the harm or jeopardy level, one of them abuse-related, which is worth asking about directly. The trade-off to know is weekends, when staffing drops about a fifth below its own weekday level. Ownership is nonprofit.

A

94.5/100

Augusta Medical Ctr Skilled Ca

Fishersville, VA · Augusta County

CMS 5/517 bedsNon-profit
Nurse hours
6.29 /day
Staff turnover
35%
Serious cites
0

Augusta Medical Center Skilled Care is a small unit, 17 beds, run by a nonprofit corporation, and the numbers behind its record are worth knowing. Nurse staffing sits at 6.29 hours per resident day, well above the national average, though weekends run roughly 17% lighter than weekdays, so coverage isn't perfectly even. Staff turnover is 35%, better than the national 45.8%. Inspections tell a clean story: four deficiencies on record, none involving harm or abuse, and the most recent visit was in May 2024. For a family weighing a rehab stay or longer-term placement, the low deficiency count and steady staffing carry more weight than any single score.

A

94.5/100

Brandon Oaks Nursing And Rehabilitation Center

Roanoke, VA · Roanoke County

CMS 5/562 bedsNon-profitMedicaid
Nurse hours
5.40 /day
Staff turnover
35%
Serious cites
0

Brandon Oaks runs about 5.4 nurse hours per resident per day, roughly 40% above the national figure, which is the kind of margin that usually shows up as more hands on the floor. Weekend coverage dips about 16% below its own weekday level, so families should ask how that gap gets managed. Staff turnover sits at 34.6%, better than the 45.8% national average, and the home carries 12 deficiencies with none at harm or jeopardy level and none abuse-related. Its last inspection was September 2023, so the record is getting a little dated. Nonprofit ownership tends to mean steadier staffing decisions, and the numbers here back that up.

A

94.5/100

Garden Terrace Healthcare Center Of Federal Way

Federal Way, WA · King County

CMS 5/570 bedsFor-profit
Nurse hours
5.45 /day
Staff turnover
31%
Serious cites
0

Garden Terrace runs about 5.45 nurse hours per resident per day, roughly 41% above the national average, and its staff turnover sits well below the norm, 31.3% against 45.8% nationally. That combination usually points to a home that can hold onto caregivers and keep enough of them on the floor. Weekends thin out somewhat, running about 16% below weekday levels, and the record carries 46 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The last inspection was June 2025, so the picture is recent. A for-profit limited liability company operates its 70 certified beds.

A

94.5/100

Advanced Health Care Of Sacramento

Sacramento, CA · Sacramento County

CMS 5/540 bedsFor-profit
Nurse hours
6.06 /day
Staff turnover
30%
Serious cites
0

Advanced Health Care Of Sacramento runs on unusually thin turnover for a for-profit LLC, 30.2% against a 45.8% national average, which suggests people stay. Nurse staffing sits at 6.06 hours per resident day, roughly 57% above the 3.86 national figure, though weekends drop about 21% below the home's own weekday level, so coverage isn't perfectly even across the week. The inspection record shows 26 deficiencies with none at harm or jeopardy level and nothing abuse-related, and the most recent survey came in July 2025, so the picture is current. At 40 beds, it's small enough that staffing swings matter more than they would in a larger building.

A

94/100

Sun Health La Loma Care Center

Litchfield Park, AZ · Maricopa County

CMS 3/543 bedsNon-profit
Nurse hours
5.20 /day
Staff turnover
21%
Serious cites
0

Sun Health La Loma runs 43 certified beds in Litchfield Park under nonprofit ownership, and its staffing is the story here: 5.20 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping about 10% below its own weekdays. Staff turnover sits at 20.8%, less than half the national figure, which suggests people stay. The trade-off shows up in inspections, 11 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a two-star health inspection rating, though the last visit was recent, in March 2025. A single fine totaling $8,278 is modest, and there's nothing abuse-related. Strong daily care, thinner regulatory record.

A

94/100

Mission View Health Center

San Luis Obispo, CA · San Luis Obispo County

CMS 5/5162 bedsFor-profitMedicaid
Nurse hours
5.31 /day
Staff turnover
39%
Serious cites
0

Mission View Health Center runs on 5.31 nurse hours per resident per day, roughly a third more than the national average, and that staffing holds up fairly well on weekends, about 6% thinner than weekdays, but not the drop-off you see at a lot of places. Staff turnover sits at 38.8%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The inspection record is clean where it counts: 8 deficiencies, none at the harm level and none abuse-related, with the most recent survey in December 2025. It's a for-profit corporate home with 162 beds, and the numbers here are consistent rather than exceptional in any one spot.

A

94/100

Ventura Post Acute

Ventura, CA · Ventura County

CMS 5/571 bedsFor-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
25%
Serious cites
0

Ventura Post Acute runs 4.70 nurse hours per resident day, about 22 percent above the national average, and its staff tends to stay, 25 percent annual turnover against a national 45.8 percent. Weekend coverage dips roughly 9 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in June 2025. It's an individual for-profit with 71 beds, and the quality and staffing ratings both come in at the top of CMS's scale.

A

94/100

Empress Care Center, Llc

San Jose, CA · Santa Clara County

CMS 4/567 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
33%
Serious cites
0

Empress Care Center runs on 4.19 nursing hours per resident day, roughly 8% above the national average, and its weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 32.7%, well under the 45.8% national figure, so the people caring for residents tend to stick around longer than at a typical home. The catch is the inspection record: 44 deficiencies, including one abuse-related finding, though none rose to actual harm or jeopardy, and the last state visit was in April 2025. A five-star quality rating alongside a two-star inspection history is worth asking about directly when you tour.

A

94/100

The Redwoods Post-Acute

San Jose, CA · Santa Clara County

CMS 3/5152 bedsFor-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
31%
Serious cites
0

The Redwoods runs on strong staffing ratios, 4.47 nursing hours per resident day, about 16% above the national figure, and its staff retention is genuinely better than most, with turnover at 30.8% against a national 45.8%. Weekend coverage dips roughly 9% below weekday levels, which is worth asking about if your relative needs consistent weekend care. The concern sits in inspections: a 2-out-of-5 health inspection rating, 55 deficiencies on record including one at the harm level, and a January 2025 survey that's already a year old. Corporate ownership plus that deficiency count means you should read the actual inspection reports before deciding.

A

94/100

California Pacific Medical Ctr- Davies Campus Hosp

San Francisco, CA · San Francisco County

CMS 5/538 bedsNon-profitMedicaid
Nurse hours
8.97 /day
Staff turnover
29%
Serious cites
0

Nurse staffing here runs 8.97 hours per resident day, more than double the national average of 3.86, and that holds up on weekends, which dip only about 5% below weekday levels. Turnover sits at 29%, well under the national 45.8%. The health inspection rating is 5/5, though the record shows 10 deficiencies, one abuse-related, none at harm or jeopardy level; the most recent inspection was January 9, 2026. Note this is a 38-bed hospital-based unit, so the numbers reflect a small, closely staffed operation rather than a typical standalone nursing home.

A

94/100

Carlsbad By The Sea

Carlsbad, CA · San Diego County

CMS 5/533 bedsNon-profitMedicaid
Nurse hours
5.37 /day
Staff turnover
25%
Serious cites
0

Carlsbad By The Sea runs 33 certified beds as a nonprofit corporation, and the staffing numbers are where it separates itself: 5.37 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is worth knowing if you're planning visits or worrying about Saturday and Sunday care. Turnover sits at 25%, roughly half the national rate of 45.8%, so the people caring for residents tend to stick around. The home carries 8 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated March 25, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

A

94/100

Dept Of State Hospitals - Napa D/P Snf

Napa, CA · Napa County

CMS 3/536 bedsGovernmentMedicaid
Nurse hours
10.32 /day
Staff turnover
31%
Serious cites
0

State-run homes in California don't usually post nurse staffing of 10.32 hours per resident day, that's roughly two and a half times the national figure, and it shows up in the five-star staffing rating. Weekend coverage holds within about 4% of weekday levels, so the care doesn't thin out on Saturdays, and turnover at 31.3% sits well below the 45.8% national average. The catch is oversight: 25 deficiencies on the current record, including two tied to abuse, with the most recent inspection in May 2026 and a two-star health inspection rating. None of those deficiencies rose to harm or jeopardy level, which matters, but the volume is worth asking about directly.

A

94/100

Berkley Care Center

Denver, CO · Denver County

CMS 5/5118 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
15%
Serious cites
0

Berkley Manor runs on a fairly lean nurse staffing line, 3.74 hours per resident day, just under the national average, and weekends get thinner still, dropping roughly 9% below what the home staffs on weekdays. What stands out instead is retention: 14.5% annual turnover against a national average near 46%, which means the people caring for residents largely stay put. The inspection record is mixed: 29 deficiencies on file, two of them serious enough to involve harm, plus one fine of $17,160, and the most recent inspection was in February 2026. A for-profit limited liability company owns the 118-bed home.

A

94/100

Beth Israel At Shalom Park

Aurora, CO · Arapahoe County

CMS 5/5135 bedsNon-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
14%
Serious cites
0

Beth Israel At Shalom Park runs on numbers families rarely see in one place. Nurse staffing sits at 4.13 hours per resident day, above the national average, though weekends dip about 11% below the home's own weekday levels, worth asking about if your visits fall on Saturdays or Sundays. Annual turnover of 14.1% is far below the national rate, meaning the people caring for residents tend to stay. The inspection record shows just two deficiencies, none involving harm or abuse, with a recent survey. Three five-star CMS ratings across health inspections, quality measures, and staffing round out a picture of steady, well-staffed care under nonprofit church ownership.

A

94/100

Frasier Meadows Health Care Center

Boulder, CO · Boulder County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.18 /day
Staff turnover
29%
Serious cites
0

Frasier Meadows runs a leaner ship than most. Nurse staffing sits at 5.18 hours per resident day, roughly a third more than the national average, and weekend coverage barely dips, staying within about 7% of weekday levels. That consistency matters, because short weekend shifts are where care problems tend to hide. Staff turnover is 28.8%, well under the national 45.8%, so the people caring for residents here tend to stick around. The record isn't spotless: seven deficiencies, two serious enough to reach harm or jeopardy, one tied to abuse, and three fines totaling $49,202. But a 4-out-of-5 inspection rating and a recent April 2024 inspection suggest those issues were addressed rather than ignored, and the quality measures themselves are strong.

A

94/100

Neurorestorative Colorado

Littleton, CO · Jefferson County

CMS 4/536 bedsFor-profit
Nurse hours
9.21 /day
Staff turnover
55%
Serious cites
0

Nurse staffing at Neurorestorative Colorado runs 9.21 hours per resident day, roughly two and a half times the national average, and weekend coverage holds nearly level with weekdays. That's the kind of consistency that matters in a 36-bed home, and it's reflected in the four out of five staffing star rating. The inspection record is more mixed. Thirteen deficiencies on file, one serious enough to reach harm or jeopardy level, and a $13,406 fine, though nothing tied to abuse. Quality measures scored five out of five. Worth knowing: this is a for-profit corporate operation and about 55% of staff turn over each year, well above the national 45.8%, high staffing hours only help if the people providing them stick around.

A

94/100

Castle Peak Senior Life And Rehabilitation

Eagle, CO · Eagle County

CMS 5/544 bedsNon-profitMedicaid
Nurse hours
5.02 /day
Staff turnover
44%
Serious cites
0

Castle Peak runs a nonprofit home in Eagle with 44 beds and a staffing level that stands out: about 5.02 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage slips about 14% below the home's own weekday numbers, and turnover sits at 44.4%, just under the national 45.8%. That strong day-to-day staffing coexists with a mixed inspection record, 22 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, plus two fines totaling $23,580. The most recent inspection was September 19, 2024. Families weighing that inspection history against the staffing and quality marks should ask directly how the abuse-related findings were resolved.

A

94/100

Livewell Connecticut

Plantsville, CT · Capitol County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
30%
Serious cites
0

Livewell Connecticut runs a nonprofit home of 120 beds in Plantsville, and the numbers behind its record are steady rather than flashy. Nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average, and the weekend gap is small enough that care doesn’t drop off much when weekday administrators go home. Staff turnover of 30.4% is well under the national 45.8%, which matters because consistent aides know the residents. Nine deficiencies on the current record with none at the harm level and none abuse-related, plus a March 2025 inspection, points to a home that fixes problems before they escalate.

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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