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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 3941–3960 of 12,967, best-graded first.

B

81/100

Miller's Merry Manor

Warsaw, IN · Kosciusko County

CMS 4/5 137 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Miller's Merry Manor in Warsaw runs about 3.98 nurse hours per resident day, a bit above the national average, though weekends drop roughly 12% from weekday coverage, worth asking about if your family visits then. Staff turnover sits at 39.1%, better than the 45.8% national figure, which matters for consistency of care. The 19 deficiencies on record include two tied to abuse, and while none rise to harm or jeopardy level, that combination deserves direct questions about how incidents are handled. Inspections are recent, from April 2025, and the for-profit corporate owner is working from a four-star inspection and quality record against a three-star staffing score.

B

81/100

Heritage Healthcare

West Lafayette, IN · Tippecanoe County

CMS 3/5 127 beds Government Medicaid
Nurse hours
3.42 /day
Staff turnover
46%
Serious cites
0

Heritage Healthcare is county-owned, which matters here: 24 deficiencies on its current record, two of them abuse-related, none at the harm or jeopardy level. The health inspection rating sits at 2 out of 5, and the most recent inspection was August 2025, so that record is recent. Nurse staffing runs 3.42 hours per resident day, about 11 percent under the national average of 3.86, and weekends drop roughly 11 percent below its own weekday levels. Turnover is 45.5 percent, essentially the national rate. Residents' quality measures score 5 out of 5, and staffing still rates 4 out of 5. The gap between those numbers and the inspection record is what a family should weigh.

B

81/100

Paddock Springs

Warsaw, IN · Kosciusko County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
37%
Serious cites
0

Paddock Springs runs 60 beds in Warsaw under corporate for-profit ownership, and its last health inspection came in January 2026. The record shows seven deficiencies, one serious enough to cause harm or jeopardy, but nothing abuse-related. Staffing sits at 3.91 nurse hours per resident day, barely above the national figure of 3.86, and weekend coverage dips about 2% below weekdays, enough to notice if your family visits Saturdays. What stands out is retention: turnover is 37.3%, well under the 45.8% national average, which suggests a steadier crew than most. Quality measures score strongly, while the staffing star rating lags at 2 out of 5, so the people there are consistent even if the raw hours aren't generous.

B

81/100

Milner Community Health Care

Rossville, IN · Clinton County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
60%
Serious cites
0

Milner Community Health Care runs about 3.99 nurse hours per resident per day, a bit above the national average, and its most recent inspection came back in July 2025 with a four-star health inspection rating. The catch is staff retention: turnover sits near 60%, well above the national figure, and weekend coverage dips below weekday levels, so the people at the bedside change more than families might expect. Twelve deficiencies are on record, one serious enough to involve harm, though none tied to abuse. For a nonprofit home of this size, the care numbers look solid on paper; the question worth asking on a visit is who's actually staying.

B

81/100

Adams Heritage

Monroeville, IN · Allen County

CMS 5/5 61 beds Government Medicaid
Nurse hours
3.63 /day
Staff turnover
61%
Serious cites
0

Adams Heritage is county-owned, and that shows in the inspection record: three deficiencies on file, none at the harm level, no abuse citations, and a perfect five-star health inspection rating from CMS as of the June 2026 survey. The staffing side tells a different story. At 3.63 nurse hours per resident day, it runs about 6% under the national average of 3.86, weekends dip roughly 5% below its own weekday coverage, and annual turnover sits at 60.5% against a national 45.8%, so the people caring for residents keep changing. Quality measures still score five stars, which suggests the care itself is landing well despite thinner and less stable staffing.

B

81/100

Maple Manor Christian Home Inc

Sellersburg, IN · Clark County

CMS 4/5 57 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
44%
Serious cites
0

Maple Manor Christian Home runs on more nursing hours than most places, 4.42 per resident day against a national average of 3.86, and that staffing holds up reasonably well on weekends, dipping about 12% below its own weekday level. The nine deficiencies on record include three tied to abuse, though none rose to the level of actual harm or jeopardy, and the last inspection was recent enough to reflect current conditions. Turnover sits at 44.4%, roughly in line with the national figure. What pulls the quality measure score down to 2 out of 5 is worth asking about directly, since the staffing numbers alone don't explain it.

B

81/100

North River Health Campus

Evansville, IN · Vanderburgh County

CMS 5/5 58 beds Government Medicaid
Nurse hours
3.77 /day
Staff turnover
48%
Serious cites
0

North River Health Campus is county-owned, which is unusual in this business, and its inspection record is genuinely clean, ten deficiencies on the books, none of them causing harm or jeopardy, none tied to abuse. That matters more than the raw count. The staffing picture is more mixed: 3.77 nurse hours per resident day sits just under the national average, and weekends run about 12% thinner than weekdays, so coverage depends on when you visit or call. Turnover at 48.1% is slightly worse than the national 45.8%, meaning CNAs and nurses cycle through. Ask which caregivers actually know your parent, and how the weekend shift is covered.

B

81/100

Northcrest Specialty Care

Waterloo, IA · Black Hawk County

CMS 2/5 94 beds Non-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
47%
Serious cites
0

Northcrest Specialty Care runs 94 beds in Waterloo under nonprofit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends dip about 10 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 32 deficiencies, including one at the harm level and one tied to abuse. Annual turnover of 46.7 percent tracks close to the national figure. Quality and staffing measures score well, but a recent February 2026 inspection and that deficiency count are what a family should ask about directly.

B

81/100

Thornton Manor Nursing And Care Center

Lansing, IA · Allamakee County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
39%
Serious cites
0

Thornton Manor is a 40-bed nonprofit home in Lansing, and its strongest asset is staffing. At 3.88 nurse hours per resident day, it sits essentially at the national average of 3.86, and its staff retention is meaningfully better than most: 38.5% turnover against a national 45.8%. Weekend coverage dips about 9% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. The current record shows seven deficiencies, none at the harm level and none abuse-related, with an inspection completed in April 2025. Quality measures score lower than staffing and inspections do, which is worth asking about directly.

B

81/100

Clearview Home

Mount Ayr, IA · Ringgold County

CMS 4/5 82 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
44%
Serious cites
0

Clearview Home runs lean on nurse staffing, 3.25 hours per resident day against a national average of 3.86, roughly 16% below. Weekends dip about 11% below what the home staffs on weekdays, so coverage thins out right when families tend to visit, though turnover at 43.8% is slightly better than the national 45.8% and suggests the workforce is at least comparatively stable. The inspection record is the stronger side: three deficiencies total, none at the harm or jeopardy level, and a recent July 2025 survey. Two of those three are abuse-related, which is worth asking about directly. Ownership is for-profit partnership.

B

81/100

Stratford Specialty Care

Stratford, IA · Hamilton County

CMS 2/5 53 beds Non-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
55%
Serious cites
0

Stratford Specialty Care runs 53 certified beds as a nonprofit, and its staffing numbers are the first thing worth noticing: 3.32 nurse hours per resident day sits about 14% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level. Annual turnover hits 55% against a national 45.8%, so aides and nurses are cycling through faster than typical. The inspection record shows 31 deficiencies, none at harm or jeopardy level, though three are abuse-related. A May 2025 inspection keeps that record current, and the 2/5 health inspection rating reflects those findings. Quality and staffing both rate 4/5, which is why the overall picture lands where it does, decent care measures, thinner coverage on the floor.

B

81/100

Cottage Grove Place

Cedar Rapids, IA · Linn County

CMS 1/5 64 beds Non-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
39%
Serious cites
0

Cottage Grove Place runs a respectable nursing floor on paper: 4.23 nurse hours per resident day sits about 9% above the national average, and staff turnover at 38.6% is meaningfully better than the 45.8% typical elsewhere. The quality measure rating reflects that, and so does staffing. The trouble is the inspection record, 23 deficiencies on file, two of them serious enough to involve harm or jeopardy to a resident, and the most recent survey dates to May 2025. Weekend coverage also dips about 8% below weekday levels, so the care you'd see on a Sunday isn't quite what the staffing average implies. Good people, uneven execution on the regulatory side.

B

81/100

Happy Siesta Health Care Center

Remsen, IA · Plymouth County

CMS 4/5 62 beds Non-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
53%
Serious cites
0

Happy Siesta runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday staffing. That gap matters because a 52.5% annual turnover rate means many of the aides and nurses on the floor are still learning the building, and it sits well above the 45.8% national figure. The current inspection record shows six deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse. The last state visit was June 2025, so the picture is recent. Quality measures score well, but staffing hours and staff retention tell a different story than the star ratings alone suggest.

B

81/100

Linn Manor Care Center

Marion, IA · Linn County

CMS 2/5 38 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
41%
Serious cites
0

Linn Manor Care Center is a 38-bed nonprofit in Marion, and its staffing record is the strongest part of the picture: 3.62 nurse hours per resident day, a bit under the national average of 3.86, with turnover at 40.5% compared to 45.8% nationally. Weekends run about 11% thinner than weekdays, which is worth asking about if your family visits then. The inspection record is where the concern sits, 17 deficiencies on file, two of them at the harm or jeopardy level and two abuse-related. The last inspection was February 2026. Quality measures land mid-range, and staffing is graded well above average. Small homes can be worth a close look, but read those inspection reports before deciding.

B

81/100

Bethany Lutheran Home

Council Bluffs, IA · Pottawattamie County

CMS 1/5 112 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
30%
Serious cites
0

Bethany Lutheran Home has a staffing story worth noting: 3.99 nurse hours per resident day, slightly above the national average, with a 4-star staffing rating and turnover at 30.4%, well below the national 45.8%. That kind of retention matters. The problem sits elsewhere. Its inspection record shows 43 deficiencies, five at harm or jeopardy level and two abuse-related, with three fines totaling $46,914. The most recent inspection was October 2025. Quality measures land at 3 out of 5 stars, so day-to-day care indicators are middling. Strong staffing and low turnover don't cancel out a weak inspection history, ask about those harm-level findings and what's changed since.

B

81/100

Sunnycrest Manor

Dubuque, IA · Dubuque County

CMS 4/5 77 beds Government Medicaid
Nurse hours
4.34 /day
Staff turnover
38%
Serious cites
0

Sunnycrest Manor is county-owned, and the numbers show a home that's better staffed than most, 4.34 nurse hours per resident day, roughly 12% above the national figure. Turnover sits at 38.4%, well under the 45.8% national average, which matters for whether your family sees the same faces month to month. The tradeoff shows up in care quality measures, where it scores near the bottom, and in 14 deficiencies on its current record, though none involved actual harm or abuse. Weekend coverage drops about 11% below weekday levels, so ask about Saturday and Sunday staffing specifically. Its last inspection was in March 2026, so the record is recent.

B

81/100

Denver Sunset Home

Denver, IA · Bremer County

CMS 4/5 31 beds Non-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
40%
Serious cites
0

Denver Sunset Home runs 31 certified beds as a nonprofit, and its staffing sits slightly above the national average, 3.97 nurse hours per resident day against 3.86. Weekends dip about 9% below its own weekday levels, so ask how that gap gets covered. Annual turnover of 40% is better than the 45.8% national figure, which matters in a small building where residents see the same faces. The current inspection record shows nine deficiencies, none at the harm level and none tied to abuse, and the last inspection was recent. The 4/5 health inspection and staffing ratings carry more weight here than the 3/5 on quality measures.

B

81/100

Perry Lutheran Home

Perry, IA · Dallas County

CMS 1/5 70 beds Non-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
49%
Serious cites
0

Perry Lutheran Home runs 70 certified beds as a nonprofit corporation, and its staffing sits right at the national average of 3.86 nurse hours per resident day, with weekend coverage dropping roughly 7% below its own weekday levels. Turnover is 49.3%, a bit worse than the 45.8% national figure, so the faces change more often than average. The bigger issue is the inspection record: 22 deficiencies, 8 at harm or jeopardy level, and 4 abuse-related, with one fine of $16,351. A recent inspection date doesn't erase that history. If you're considering this home, ask specifically how those abuse-related findings were resolved and who supervises residents on weekends.

B

81/100

Palo Alto County Hospital

Emmetsburg, IA · Palo Alto County

CMS 4/5 22 beds Government Medicaid
Nurse hours
3.07 /day
Staff turnover
18%
Serious cites
0

Palo Alto County Hospital runs a small 22-bed unit, and the numbers suggest it's well run. Staff turnover sits at 17.6%, very low next to the 45.8% national figure, which matters for familiarity and continuity in a place this size. The tradeoff is hours: 3.07 nurse staffing hours per resident day is about 21% under the national average, and weekends drop roughly 25% below the home's own weekday levels. One deficiency on the current record, none at harm level, no abuse findings, and a recent July 2025 inspection back that up. County-owned and financially steady, it looks like a home that keeps its people, with fewer hands on weekends.

B

81/100

Medicalodges Columbus

Columbus, KS · Cherokee County

CMS 3/5 45 beds For-profit Medicaid
Nurse hours
4.90 /day
Staff turnover
55%
Serious cites
0

Medicalodges Columbus runs 4.90 nurse hours per resident day, roughly 27% above the national average, and weekends dip only about 8% below its own weekday levels. That staffing cushion is real, but it comes with churn: 55.3% annual turnover against a 45.8% national figure, meaning the people providing that care keep changing. The inspection record is the harder read, 21 deficiencies, two of them serious enough to involve harm or jeopardy, and $36,322 in fines across two events, with the most recent inspection in February 2025. Strong quality measures and steady hours don't erase a two-star health inspection history.

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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