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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 21 to 40 of 12,967, best-graded first.

A

99/100

Lodge At Cypress Cove, The

Fort Myers, FL · Lee County

CMS 5/564 bedsNon-profit
Nurse hours
5.72 /day
Staff turnover
21%
Serious cites
0

The Lodge at Cypress Cove runs 5.72 nurse hours per resident per day, roughly half again the national figure of 3.86, and its weekend staffing only dips about 11 percent below weekday levels, a gap that trips up plenty of homes. Staff turnover sits at 21.2 percent against a national average of 45.8, meaning most of the people caring for residents here tend to stick around. Five deficiencies on record, none at the harm level and none abuse-related, with an inspection completed in September 2025. As a nonprofit with 64 certified beds, it's small enough that consistency is easier to hold onto, and the numbers suggest it does.

A

99/100

Glenridge On Palmer Ranch Inc.

Sarasota, FL · Sarasota County

CMS 5/561 bedsNon-profit
Nurse hours
5.05 /day
Staff turnover
19%
Serious cites
0

Glenridge on Palmer Ranch runs about 5.05 nurse hours per resident each day, roughly a third more than the national average of 3.86, and its weekend coverage dips only slightly below its own weekday levels. Staff turnover sits at 18.5 percent against a national average near 46 percent, people tend to stay here. The current record shows no deficiencies at all, none at the harm level and none tied to abuse, and the last inspection dates to April 2024. As a nonprofit with 61 beds, it's small enough to know its residents. The three CMS star ratings all come in at the top mark.

A

99/100

Villa Maria West Skilled Nursing Facility

Hialeah Gardens, FL · Miami-Dade County

CMS 5/527 bedsNon-profit
Nurse hours
5.23 /day
Staff turnover
25%
Serious cites
0

Villa Maria West runs on a nonprofit, church-affiliated model, and the numbers back up what that structure often buys: nurses deliver 5.23 hours per resident day, roughly a third more than the national average, and staff turnover sits at 25% against a national figure near 46%. Ten deficiencies appear on the current record, but none involve harm or jeopardy, and none are abuse-related, which matters more than the raw count. The last inspection was recent, in September 2025, so the picture is current rather than stale. Weekend coverage dips about 12% below weekday levels, a gap worth asking about directly if your family member needs more help on Saturdays and Sundays.

A

99/100

Honoka'a Hospital & Skilled Nursing

Honokaa, HI · Hawaii County

CMS 5/566 bedsGovernmentMedicaid
Nurse hours
5.51 /day
Staff turnover
24%
Serious cites
0

Honoka'a Hospital & Skilled Nursing runs on state money and a lot of nursing hours. At 5.51 per resident day, it's staffed about 43 percent above the national average, and weekend coverage only dips around 14 percent from its weekday level, a smaller drop than many homes manage. Turnover sits at 24.4 percent against a national 45.8 percent, so the people caring for residents tend to stay. The 14 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the most recent inspection was in late 2024.

A

99/100

Hi'olani Care Center At Kahala Nui

Honolulu, HI · Honolulu County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
6.39 /day
Staff turnover
24%
Serious cites
0

Hi'olani Care Center at Kahala Nui is a small nonprofit home, just 20 certified beds, and the staffing numbers are where it stands out. At 6.39 nurse hours per resident day, it runs roughly two-thirds above the national average, and its staff turnover of 23.9% is about half the national rate, which matters because consistent caregivers know their residents. Weekend coverage dips only slightly below weekdays, so care doesn't thin out on Saturdays and Sundays. The trade-off is in inspections: a three-star health inspection rating and 24 deficiencies on the current record, though none at the harm level and none abuse-related. The last state visit was June 2024. Strong staffing and quality scores, a middling inspection history.

A

99/100

Oneida County Hospital & Long Term Care Facility

Malad, ID · Oneida County

CMS 5/533 bedsGovernmentMedicaid
Nurse hours
5.85 /day
Staff turnover
27%
Serious cites
0

Oneida County Hospital & Long Term Care runs on county money in a small Idaho town, and the numbers back up the setup. Nurse staffing sits at 5.85 hours per resident day, roughly half again the national average, and weekend coverage dips only about 10% below its own weekday level, a smaller drop than many homes manage. Staff turnover is 26.8% against a national 45.8%, so the people caring for residents tend to stay. Inspectors found 13 deficiencies, none involving harm or abuse, and the most recent visit was in May 2026. Five stars across inspections, quality measures, and staffing, with 33 certified beds, tells you this is a stable, well-run county operation.

A

99/100

Promontory Point Rehabilitation

Ammon, ID · Bonneville County

CMS 5/550 bedsFor-profit
Nurse hours
5.62 /day
Staff turnover
21%
Serious cites
0

Promontory Point runs 5.62 nurse hours per resident day, about 46% above the national average of 3.86, and its staff turnover of 21.3% is roughly half the national rate of 45.8%, that combination of more hands and more continuity is rare. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse. Weekend staffing dips about 12% below weekday levels, a normal pattern but worth asking about if your family visits Saturdays and Sundays. The most recent inspection was May 28, 2026, so the findings are current. It's a for-profit LLC with 50 beds, small enough that you can reasonably ask who the director of nursing is and how long they've been there.

A

99/100

Highland Oaks

Elgin, IL · Kane County

CMS 5/524 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
28%
Serious cites
0

Highland Oaks runs 24 beds in Elgin under church-related nonprofit ownership, and the staffing numbers show it: 5.25 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 27.5%, well under the 45.8% national figure, which matters for residents who need consistent faces. On record: six deficiencies, none at the harm level, one abuse-related, with the last inspection in August 2024. All three CMS star ratings, health inspections, quality measures, staffing, come in at five.

A

99/100

St Francis Manor

Grinnell, IA · Poweshiek County

CMS 5/578 bedsNon-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
28%
Serious cites
0

St Francis Manor runs on unusually deep staffing for a nursing home, 4.85 nurse hours per resident day, roughly a quarter above the national average, and its weekend coverage drops only about 12% from weekdays, which is a smaller dip than many homes show. Staff turnover sits at 27.6% against a national 45.8%, so the people caring for residents tend to stay. The inspection record is thin: two deficiencies total, none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. The most recent inspection was in May 2026. As a nonprofit, there's no owner extracting a margin.

A

99/100

Iowa Veterans Home

Marshalltown, IA · Marshall County

CMS 5/5702 bedsGovernmentMedicaid
Nurse hours
4.74 /day
Staff turnover
25%
Serious cites
0

The Iowa Veterans Home in Marshalltown runs 702 certified beds as a state government operation, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.74 hours per resident day, about 23 percent above the national average of 3.86, and weekend coverage dips only about 14 percent below its own weekday level, a gap that's common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 24.7 percent against a national average of 45.8 percent, meaning caregivers here tend to stay. The home carries just two deficiencies on its current record, neither at the harm level and none abuse-related, with its last inspection dated April 16, 2026.

A

99/100

Bethel Health Care Center

North Newton, KS · Harvey County

CMS 5/565 bedsNon-profitMedicaid
Nurse hours
4.91 /day
Staff turnover
31%
Serious cites
0

Bethel Health Care Center runs on 4.91 nurse hours per resident per day, roughly a quarter more staffing than the typical American nursing home. That time holds up reasonably well on weekends, dipping about 14% below its own weekday level, and only 31.3% of staff left last year against a national average near 46%. The inspection record is clean where it counts: five deficiencies total, none involving harm or jeopardy and none tied to abuse, with the most recent survey in December 2024. Three straight five-star ratings across health inspections, quality measures, and staffing, run by a nonprofit corporation, describe a home that is well-staffed, stable, and currently in good standing.

A

99/100

Nazareth Home

Louisville, KY · Jefferson County

CMS 5/5118 bedsFor-profitMedicaid
Nurse hours
5.43 /day
Staff turnover
30%
Serious cites
0

Nazareth Home runs 5.43 nurse staffing hours per resident day, roughly 41 percent above the national average of 3.86, and its weekend hours dip only about 11 percent below its own weekday levels, a modest drop for a nursing home. Staff turnover sits at 29.5 percent against a national average near 46 percent, and the current record shows no deficiencies at all: none at the harm or jeopardy level, none abuse-related, with the most recent inspection completed April 17, 2025. As a nonprofit corporation with 118 certified beds, it pairs that clean record with top marks across health inspections, quality measures, and staffing. For families weighing a move, the numbers describe steady hands and a well-kept building.

A

99/100

Roland Park Place

Baltimore, MD · Baltimore City County

CMS 5/516 bedsNon-profit
Nurse hours
6.94 /day
Staff turnover
27%
Serious cites
0

Roland Park Place runs 16 certified beds as a nonprofit, and the staffing is the first thing that stands out: about 6.94 nurse hours per resident per day, roughly 80% above the national average. Weekend coverage dips only about 6% below its own weekday levels, and staff turnover sits at 27.3% against a national average near 46%, so the same caregivers are more likely to still be there next year. The tradeoff is paper: 18 deficiencies on the current record, two of them abuse-related, though none rose to the harm or jeopardy level, and the last inspection was in May 2025.

A

99/100

Transitional Care Services At Mercy Medical Center

Baltimore, MD · Baltimore City County

CMS 5/535 bedsNon-profitMedicaid
Nurse hours
6.21 /day
Staff turnover
20%
Serious cites
0

Nurse staffing at this 35-bed nonprofit home runs 6.21 hours per resident day, about 61 percent above the national average of 3.86, so there's more hands-on time per resident than at most places. Weekend coverage dips roughly 10 percent below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 20 percent against a national average near 46 percent, meaning aides and nurses tend to stay. Eighteen deficiencies appear on the current record, one abuse-related, but none at the harm or jeopardy level, and the most recent inspection was November 2025.

A

99/100

Ingleside At King Farm

Rockville, MD · Montgomery County

CMS 5/545 bedsNon-profitMedicaid
Nurse hours
5.28 /day
Staff turnover
15%
Serious cites
0

Ingleside At King Farm runs on a rare amount of nursing attention: 5.28 hours per resident day, roughly a third more than the national figure, and it holds that level fairly steady through the weekend. Staff turnover is the striking number, under 15% a year against a national average near 46%, which matters because familiar caregivers tend to notice changes sooner. The non-profit owner has kept a clean harm record: 19 deficiencies on file, none at the level of harm or jeopardy, though two are abuse-related and worth asking about directly. The last inspection was in March 2026, so the picture is current.

A

99/100

Edenwald

Towson, MD · Baltimore County

CMS 5/570 bedsFor-profit
Nurse hours
4.95 /day
Staff turnover
25%
Serious cites
0

Edenwald runs on a level of nurse staffing that most homes in Maryland don't come close to, 4.95 hours per resident day against a national average of 3.86. Turnover sits at 25% when the national figure is nearly double that, which matters because steady staff know the residents. Weekend coverage does thin out, roughly 13% below weekday, so ask how that plays out on a Saturday. The inspection record is recent and clean at the harm level, though four of the twelve deficiencies are abuse-related, worth a direct question about what happened and what changed. For-profit corporate ownership, 70 beds.

A

99/100

Mary's Meadow At Providence Place

Holyoke, MA · Hampden County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.28 /day
Staff turnover
27%
Serious cites
0

Mary's Meadow runs on 5.28 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, turnover of 27.1% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your visits land on Saturdays or Sundays. The inspection record shows 10 deficiencies with none at the harm level and none tied to abuse, and the most recent state visit was in August 2025. As a church-affiliated nonprofit with 40 beds, it answers to a mission rather than shareholders, and the numbers above suggest that shows up in how it's run.

A

99/100

Tuscola County Medical Care Facility

Caro, MI · Tuscola County

CMS 5/5159 bedsGovernmentMedicaid
Nurse hours
5.95 /day
Staff turnover
25%
Serious cites
0

Tuscola County Medical Care Facility runs on a county government budget out of Caro, and the staffing numbers show it: 5.95 nurse hours per resident day, roughly 54% above the national average of 3.86. Turnover sits at 24.5% against a national 45.8%, meaning aides and nurses tend to stay. Weekends run about 14% leaner than weekdays, which is worth asking about if your relative needs help at predictable times. The tradeoff is inspections, 23 deficiencies on the current record, one at harm or jeopardy level, though none abuse-related, and the most recent survey was December 2025. Quality and staffing measures both score well; the health inspection side is the softer spot.

A

99/100

Friendship Village

Kalamazoo, MI · Kalamazoo County

CMS 5/557 bedsNon-profit
Nurse hours
5.91 /day
Staff turnover
20%
Serious cites
0

Friendship Village runs 5.91 nursing hours per resident day, roughly half again the national figure of 3.86, and its weekend coverage dips only about 13% below weekday levels, a gap that tends to matter when a Friday afternoon problem stretches into Sunday. Staff turnover sits at 20% against a national average near 46%, which usually means familiar faces and less retraining churn. The 16 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection landed in April 2026. As a nonprofit with 57 certified beds, it's small enough that census changes hit staffing ratios quickly.

A

99/100

Marquette County Medical Care Facility

Ishpeming, MI · Marquette County

CMS 5/5140 bedsGovernmentMedicaid
Nurse hours
5.06 /day
Staff turnover
24%
Serious cites
0

Nurse staffing here runs about 5.06 hours per resident day, roughly 31% above the national average of 3.86, and weekends dip only about 10% below the home's own weekday level. Staff turnover sits at 23.8% against a national average near 46%, which matters over time because familiar caregivers tend to notice changes sooner. The tradeoff is in the inspection record: 8 deficiencies, 3 of them serious enough to involve harm or jeopardy, though none abuse-related, with the most recent inspection in May 2025. County-owned facilities often run leaner on frills and steadier on staffing, and the numbers here follow that pattern.

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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