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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 3681–3700 of 12,967, best-graded first.

B

82/100

Lindsay Nursing & Rehab

Lindsay, OK · Garvin County

CMS 3/5 106 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
48%
Serious cites
0

Lindsay Nursing & Rehab runs 106 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 5% below the home's own weekday coverage, and annual turnover is 47.8%, a couple points above the national figure. The current inspection record shows 17 deficiencies, none at the harm or jeopardy level, though three are abuse-related. Inspectors were last on site in December 2024. Quality measures score well, staffing and health inspections sit in the middle.

B

82/100

Cedarcrest Care Center

Broken Arrow, OK · Tulsa County

CMS 2/5 89 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
60%
Serious cites
0

Cedarcrest runs 89 beds in Broken Arrow under for-profit partnership ownership, and the staffing numbers are genuinely better than most: 4.20 nurse hours per resident day, roughly 9% above the national average, and weekend coverage holds fairly steady. What pulls the record down is inspection history, 28 deficiencies, seven of them abuse-related, though none rose to harm or jeopardy. Turnover sits at 59.5% against a national 45.8%, meaning nearly six in ten staff left within the year, which matters for how well residents know their caregivers. The most recent inspection was May 2025, so the picture is current. Ask about abuse-prevention policies and how they keep consistent aides on the floor.

B

82/100

Community Health Center

Wakita, OK · Grant County

CMS 3/5 52 beds Non-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
33%
Serious cites
0

Community Health Center in Wakita runs on 4.03 nurse hours per resident per day, a bit above the national figure, and its staff tends to stay, 33.3% turnover against a national average near 46%. Weekends thin out by roughly 12%, so the weekday coverage is the stronger part of that picture. The inspection record shows 11 deficiencies, none at the level where harm or jeopardy was cited, though two are abuse-related, which a family should ask about directly. The most recent inspection was in April 2026. Quality measures score lower than staffing here, so ask how the home tracks things like falls and pressure sores, not just how many aides are on the floor.

B

82/100

Elk City Nursing And Rehabilitation Center

Elk City, OK · Beckham County

CMS 4/5 118 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
40%
Serious cites
0

Elk City Nursing and Rehabilitation Center runs 118 certified beds under for-profit partnership ownership, and the staffing picture is genuinely better than most: 4.27 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 13% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The 40% annual turnover sits below the 45.8% national figure. On inspections, the record shows 11 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent inspection was August 2025. Quality measures score lower than staffing and inspections do, so ask what's driving that gap before you decide.

B

82/100

Heartsworth Center For Nursing & Rehabilitation

Vinita, OK · Craig County

CMS 1/5 146 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
51%
Serious cites
0

Heartsworth runs 3.61 nurse hours per resident day, about 6% under the national average, and weekend coverage dips roughly 4% below its own weekday levels, so the thinnest shifts come when families tend to visit. Annual turnover sits at 51.3%, well above the 45.8% national figure. The current record shows 34 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with a single fine of $16,430. The 2/5 inspection rating reflects that record. State inspectors were last on site September 18, 2025.

B

82/100

The Health Center At Concordia

Oklahoma City, OK · Oklahoma County

CMS 5/5 30 beds Non-profit
Nurse hours
5.14 /day
Staff turnover
50%
Serious cites
0

The Health Center at Concordia runs on unusually heavy staffing for a 30-bed nonprofit home, 5.14 nurse hours per resident day, roughly a third more than the national average, and weekends hold steady rather than dropping off like they do at many places. That staffing shows up in the inspection record: a 5-star health inspection rating, seven deficiencies on file with none reaching harm or jeopardy level and nothing abuse-related. The tradeoffs are real but modest. Staff turnover sits at 50%, a bit above the 45.8% national figure, and two fines totaling $25,407 are on record. The last inspection was June 2026. The high marks and the money owed don't cancel each other out, they just describe a well-staffed home with some churn and paperwork problems to ask about.

B

82/100

Maryville

Beaverton, OR · Washington County

CMS 4/5 165 beds Non-profit Medicaid
Nurse hours
5.52 /day
Staff turnover
46%
Serious cites
0

Maryville runs 5.52 nursing hours per resident day, about 43% above the national average of 3.86, and that staffing depth is the strongest thing it has going. It shows up in the numbers: a 5/5 staffing rating and a 4/5 quality measure rating. But the inspection record pulls the other way, 23 deficiencies on file, four of them serious enough to involve harm or jeopardy, plus one tied to abuse, and $162,828 in fines across two penalties. Weekend coverage also drops about 9% below weekday levels, and turnover sits at 45.9%, essentially identical to the national rate. The April 2025 inspection is recent, so the 3/5 health inspection rating reflects current conditions, not old history.

B

82/100

Avamere Rehabilitation Of Lebanon

Lebanon, OR · Linn County

CMS 1/5 84 beds For-profit Medicaid
Nurse hours
4.50 /day
Staff turnover
42%
Serious cites
0

Avamere Rehabilitation of Lebanon runs on solid staffing numbers, 4.50 nurse hours per resident day, roughly 17% above the national average, with a 4-out-of-5 staffing rating and turnover at 42.3%, slightly better than the national 45.8%. Weekend coverage dips about 10% below weekday levels, but that's a mild gap in context. Where the picture darkens is inspections: 60 deficiencies on the current record, three tied to abuse and one serious enough to trigger a harm-or-jeopardy finding. The single $20,303 fine and a September 2025 inspection make this a recently reviewed home with a troubled compliance history. For-profit, limited-liability ownership rounds it out. Strong care hours, weak oversight record.

B

82/100

Avamere Rehabilitation Of Clackamas

Gladstone, OR · Clackamas County

CMS 4/5 87 beds For-profit Medicaid
Nurse hours
5.15 /day
Staff turnover
48%
Serious cites
0

Avamere Rehabilitation of Clackamas runs 87 certified beds in Gladstone, and it's a for-profit corporation. The staffing numbers are the strongest thing here: 5.15 nurse hours per resident day, roughly a third above the national average, and weekends dip only about 11% below weekdays, which matters because that's when families tend to visit and problems tend to surface. What pulls it down is the inspection record, 16 deficiencies on file, two serious enough to reach harm or jeopardy level, and three fines totaling $175,773. Turnover sits at 47.5%, slightly above the national 45.8%, so the people caring for residents keep changing. The most recent inspection was December 2025, so that record is current.

B

82/100

Regency Prineville Rehabilitation And Nursing Cent

Prineville, OR · Crook County

CMS 5/5 44 beds For-profit Medicaid
Nurse hours
4.62 /day
Staff turnover
51%
Serious cites
0

Regency Prineville runs on a fairly strong clinical footing for a 44-bed for-profit home. Nurse staffing sits at 4.62 hours per resident day, roughly 20% above the national average, and the most recent inspection in January 2026 came back clean enough to earn a five-star health inspection rating. The catch is consistency: weekend coverage drops about 14% below weekday levels, and annual turnover of 51.1% runs above the 45.8% national figure, which matters in a building this small. Eight deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related. Solid care when fully staffed, thinner on weekends.

B

82/100

Secora Rehabilitation Of Cascadia

Portland, OR · Multnomah County

CMS 3/5 53 beds For-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
49%
Serious cites
0

Secora Rehabilitation of Cascadia runs a 53-bed for-profit home in Portland, and its staffing is genuinely better than most: 4.34 nurse hours per resident day, roughly 12 percent above the national average, which is what earns it a 4 out of 5 on CMS staffing. That strength carries real weight. But the inspection record is where families should slow down. Forty-seven deficiencies on the current record, including two tied to abuse, with the last inspection in March 2025. Staff turnover sits at 49.2 percent, above the national 45.8, and weekend coverage drops about 10 percent below its own weekday level. So the care hours look solid on paper, yet the people delivering them keep leaving, and the state has found problems repeatedly. Ask specifically how they've addressed the abuse-related citations.

B

82/100

Cascade Manor

Eugene, OR · Lane County

CMS 4/5 32 beds Non-profit
Nurse hours
8.31 /day
Staff turnover
—
Serious cites
0

Cascade Manor runs on 8.31 nurse hours per resident day, roughly double the national average of 3.86, a striking number for a 32-bed nonprofit home, and one that likely explains why its staffing rating holds at 4 out of 5. The trade-off shows up in its record: 16 deficiencies, two of them serious enough to cite harm or jeopardy, plus one $10,033 fine. Nothing on file involves abuse. Weekend staffing dips about 9% below weekdays, so care thins out slightly when families tend to visit. The last inspection was April 2026; state surveyors have seen this building recently.

B

82/100

Neshaminy Manor Home

Warrington, PA · Bucks County

CMS 4/5 360 beds Government Medicaid
Nurse hours
3.43 /day
Staff turnover
17%
Serious cites
0

Neshaminy Manor is county-owned, and that shows up in the numbers in a good way: only 3 deficiencies on its current record, none at the harm level, none abuse-related, and a recent inspection in February 2026. The trade-off is staffing. At 3.43 nurse hours per resident day, it sits about 11% below the national average of 3.86, and weekends run roughly 11% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. What offsets that is retention: 17% annual turnover against a national average near 46% means familiar faces, which matters for consistent care. Worth asking how they cover weekends.

B

82/100

Rosewood Gardens Rehabilitation And Nursing Center

Broomall, PA · Delaware County

CMS 5/5 146 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
25%
Serious cites
0

Rosewood Gardens runs a tight ship on the things that matter most. Four deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with a February 2026 inspection that's still fresh, that's a clean paper trail for a 146-bed for-profit. Staff retention is unusually steady at 24.8% turnover against a national average near 46%, so you're less likely to see a rotating cast of unfamiliar aides. The tradeoff is daily coverage: 3.70 nurse hours per resident sits about 4% under the national figure, and weekends dip roughly 6% below the home's own weekday staffing. Ask specifically who's on the floor on Saturday and Sunday afternoons.

B

82/100

Zerbe Sisters Nursing Center,

Narvon, PA · Lancaster County

CMS 5/5 87 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
53%
Serious cites
0

Zerbe Sisters runs nurse staffing at 4.24 hours per resident day, roughly 10% above the national average, but the margin thins on weekends, when coverage drops about 9% below its own weekday level. Turnover sits at 52.8%, higher than the 45.8% national figure, so the faces around a resident change more often than average. The inspection record shows three deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $10,033; the most recent inspection was in April 2026. Strong staffing and quality scores sit alongside real gaps in consistency and past safety findings.

B

82/100

Elk Haven Nursing Home

Saint Marys, PA · Elk County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
33%
Serious cites
0

Elk Haven runs on a nonprofit model with 120 certified beds, and its staffing sits at 3.79 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so if you're visiting on a Saturday, expect a thinner floor. Staff turnover is the brighter spot: 32.7% against a national 45.8% means fewer unfamiliar faces than at most homes. On inspections, nine deficiencies are on record, including one at the harm level and two tied to abuse, with a single $8,018 fine. The most recent inspection was May 2026.

B

82/100

Germantown Home

Philadelphia, PA · Philadelphia County

CMS 4/5 180 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
26%
Serious cites
0

Germantown Home runs a leaner nursing floor than most: 3.63 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and needs don't pause. Where it stands out is retention, 26.4% annual turnover against a national 45.8% means aides and nurses largely stay, which tends to show up in familiarity and consistency of care. Fourteen deficiencies sit on the record, none at harm or jeopardy level and none abuse-related, and the most recent inspection was in August 2025. As a nonprofit, there's no ownership chain pulling profit out.

B

82/100

Maybrook Hills Rehabilitation And Healthcare Cente

Altoona, PA · Blair County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
44%
Serious cites
0

Maybrook Hills runs 240 certified beds in Altoona under for-profit limited liability ownership, and its staffing sits at 3.66 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 15% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover lands at 43.8%, slightly better than the 45.8% national figure, so the workforce is a bit more stable than average even with the thinner weekend hours. The current record carries 55 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was August 2025.

B

82/100

Ivy Hill Post Acute Nursing & Rehabilitation Llc

Philadelphia, PA · Philadelphia County

CMS 3/5 145 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
46%
Serious cites
0

Ivy Hill runs 145 beds in Philadelphia under for-profit LLC ownership, and its staffing sits right at the national mark, 3.84 nurse hours per resident day against 3.86 nationally, with weekends dipping about 7% below its own weekday levels. Turnover matches the national average at 45.8%, so retention isn't the problem here. The inspection record is: 47 deficiencies on file, four tied to abuse, though none reached harm or jeopardy level, and the most recent look came in March 2026. Quality measures score well and staffing holds up, but that inspection history is the piece worth asking about directly.

B

82/100

Concordia At Spiritrust Sprenkle Drive

York, PA · Adams County

CMS 4/5 104 beds Non-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
48%
Serious cites
0

Concordia At Spiritrust Sprenkle Drive runs about 3.56 nurse hours per resident day, roughly 8% under the national figure of 3.86, and weekends drop another 7% below its own weekday coverage. That thinner weekend floor matters because the home's current record carries 19 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, plus two fines totaling $24,670. Staff turnover sits at 47.9%, a bit above the 45.8% national average. The quality measure score is strong, but staffing and inspection results are middling, and the last full inspection came in November 2025.

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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