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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 4001–4020 of 12,967, best-graded first.

B

81/100

John Knox Village Care Center

Lees Summit, MO · Jackson County

CMS 4/5 324 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
43%
Serious cites
0

John Knox Village Care Center runs 324 certified beds as a nonprofit, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average. That cushion matters, though weekends drop about 13% below the home's own weekday levels, so coverage isn't perfectly even across the week. Staff turnover lands at 42.9%, a bit better than the 45.8% national figure, which suggests the workforce is somewhat more stable than most. Inspectors visited in January 2025 and logged 20 deficiencies, none at the harm or jeopardy level and none abuse-related. Four stars on health inspections and staffing, three on quality measures, tells you the basics are solid even if quality reporting lags.

B

81/100

Nhc Healthcare, West Plains

West Plains, MO · Howell County

CMS 5/5 114 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
48%
Serious cites
0

Nhc Healthcare, West Plains runs lean on direct care: 3.54 nurse hours per resident day, roughly 8 percent under the national figure, and weekends dip another 7 percent below its own weekdays. That gap matters more than the total, since care doesn't pause on Saturdays. Staff turnover sits at 47.7 percent, a bit above the 45.8 percent national rate, which usually means familiar faces cycle out and training costs repeat. What offsets this is a clean inspection record: 13 deficiencies, none at the harm or jeopardy level, zero abuse-related, and the most recent state visit was February 2025, recent enough to trust. Corporate ownership and thin weekend coverage are the tradeoffs; the survey history is the strength.

B

81/100

New Madrid Living Center

New Madrid, MO · New Madrid County

CMS 5/5 112 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
51%
Serious cites
0

New Madrid Living Center just passed a September 2025 inspection with a strong health inspection record, 5 out of 5 stars there, and its quality measures hold up well too. The softer spots are in the day-to-day numbers. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 13% leaner than weekdays, which is when families tend to notice. Staff turnover at 50.9% is higher than the 45.8% national figure, meaning many of the people caring for residents are still learning the building. Eleven deficiencies are on record, two serious enough to involve harm or jeopardy, though none abuse-related, and one fine of $8,824 has been paid.

B

81/100

Pleasant Valley Manor Care Center

Liberty, MO · Clay County

CMS 4/5 102 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
33%
Serious cites
0

Pleasant Valley Manor Care Center runs 102 certified beds in Liberty under corporate for-profit ownership, and its inspection record is mostly clean, a 4-out-of-5 health inspection rating, with no deficiencies at the harm or jeopardy level. The 24 total deficiencies on file include three flagged as abuse-related, and one fine totaling $24,235, so it isn't spotless. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends run about 8% below its own weekday level, a dip families should ask about directly. Staff turnover, though, is 32.7% against a national 45.8%, which is meaningfully steadier than most homes. Last inspected September 2025.

B

81/100

Sunset Home

Maysville, MO · De Kalb County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
46%
Serious cites
0

Sunset Home runs on 3.14 nurse hours per resident per day, about 19% under the national average of 3.86, and weekends slip roughly 3% below its own weekday level. That thin margin is the whole story behind its one-star federal staffing rating, even though turnover (46.2%) sits close to the national figure and inspections and quality measures both land at three stars. What stands out on the record itself is 34 deficiencies, including one at the harm or jeopardy level and one tied to abuse, worth asking about directly, especially given the for-profit LLC ownership. The most recent inspection was July 2025, so the findings are current rather than stale.

B

81/100

Stonebridge Oak Tree

Jefferson City, MO · Cole County

CMS 4/5 42 beds For-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
54%
Serious cites
0

Stonebridge Oak Tree runs about 4.51 nurse hours per resident day, roughly 17% above the national average, which is the kind of number families notice when they're comparing homes. But that staffing thins on weekends, dropping around 12% below its own weekday level, and turnover sits at 54%, higher than the 45.8% national figure, so the people providing that care change often. The health inspection rating is 4 out of 5 with a recent survey from February 2025, though the record shows 18 deficiencies, including one at the harm level and one tied to abuse. For-profit individual ownership, 42 beds.

B

81/100

Mountain View Of Cascadia

Eureka, MT · Lincoln County

CMS 4/5 49 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
53%
Serious cites
0

Mountain View Of Cascadia runs 49 certified beds in Eureka under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 2.84 hours per resident per day, roughly 26% under the national average, and weekends dip about 12% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. Annual turnover of 53.3% tops the national rate of 45.8%, though the inspection record is cleaner than that might suggest: 13 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Quality measures score well; direct care hours are where the gap shows.

B

81/100

Intermountain Health Holy Rosary Hospital

Miles City, MT · Custer County

CMS 2/5 84 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
—
Serious cites
0

Holy Rosary Hospital sits right at the national average for nurse staffing, 3.87 hours per resident day against 3.86 nationally, so it's not shortchanging direct care, but it isn't going above it either. Weekends get thinner, though, running roughly 17% below what the home staffs on weekdays, which is where gaps tend to show up. Twenty-two deficiencies on the current record is a lot of paperwork, and three of them are abuse-related, which families should ask about directly even though none rose to the harm or jeopardy level. Inspections were last done in April 2026, so the picture is current.

B

81/100

Good Samaritan Society - Hastings Village

Hastings, NE · Adams County

CMS 2/5 108 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
45%
Serious cites
0

Good Samaritan Society - Hastings Village is a 108-bed nonprofit in Adams County, and its numbers tell two different stories. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends drop roughly 13% below the home's own weekday coverage, a pattern worth asking about, since falls and infections don't take Saturdays off. Staff turnover, at 44.9%, is actually a hair better than the national rate. The bigger concern is the inspection record: 21 deficiencies, four of them serious enough to involve harm or jeopardy, plus two fines totaling $39,704. The most recent inspection was in March 2025, so the picture is current, not stale. Quality and staffing measures both rate well; the health inspection side is where this home keeps getting caught.

B

81/100

Beaver City Manor

Beaver City, NE · Furnas County

CMS 3/5 30 beds Government Medicaid
Nurse hours
4.43 /day
Staff turnover
29%
Serious cites
0

Beaver City Manor is a 30-bed city-owned home in Furnas County, and its strongest asset is people: 4.43 nurse hours per resident day, about 15% above the national average, with turnover at 29% against a national 45.8%. That staffing consistency matters more than any single number here, though weekend coverage dips roughly 14% below weekday levels. The trade-off sits in care quality measures, which scored 1 out of 5, and nine deficiencies on record, none at harm or jeopardy level, but one abuse-related. The last inspection was in June 2025, so the picture is reasonably current. Small, government-run, well-staffed, but with real quality-measure gaps worth asking about directly.

B

81/100

The Heights Of Summerlin, Llc

Las Vegas, NV · Clark County

CMS 2/5 190 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
42%
Serious cites
0

The Heights of Summerlin runs 190 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekend coverage drops another 9% below its own weekday levels, so the thinnest shifts land when families tend to visit. Turnover at 41.6% is actually a bit better than the 45.8% national figure, and the 40 deficiencies on record include none at the harm or jeopardy level, though 2 are abuse-related. Its last inspection was in March 2026.

B

81/100

Sierra Basin Post Acute

Carson City, NV · Carson City County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
50%
Serious cites
0

Sierra Basin runs 4.61 nurse hours per resident day, about 19% above the national average, but staffing thins out on weekends, roughly 15% below the home's own weekday level. Annual turnover sits at 50%, higher than the 45.8% national figure, so the people providing that care keep changing. The inspection record shows 25 deficiencies, four of them abuse-related, though none rose to harm or jeopardy level, and the most recent inspection was in March 2026. For-profit, LLC-owned. The federal quality measures look strong; the staffing and inspection record is more mixed. Worth asking about weekend coverage, turnover, and what those abuse deficiencies involved before deciding.

B

81/100

Salemhaven

Salem, NH · Rockingham County

CMS 2/5 110 beds Non-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
42%
Serious cites
0

Salemhaven runs a nonprofit home with 110 beds, and its nurse staffing sits right at the national mark, 3.89 hours per resident day against 3.86, though weekends thin out by about 15% compared to weekdays, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 42.4%, a bit better than the 45.8% national figure, so caregivers tend to stick around longer than average. The health inspection side is the weak spot: a 2-out-of-5 rating, 14 deficiencies on record including one abuse-related citation, though none rose to actual harm or jeopardy. The most recent inspection was August 2025, so the picture is current.

B

81/100

Jersey Shore Post Acute Rehabilitation And Nursing

Neptune, NJ · Monmouth County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
42%
Serious cites
0

Jersey Shore Post Acute runs 105 beds in Neptune under for-profit LLC ownership, and its last full health inspection was in March 2025, so the record you're looking at is recent. Nine deficiencies sit on that record, including one at the harm or jeopardy level and one tied to abuse, the kind of findings that matter more than a star rating. Nurse staffing comes in at 3.36 hours per resident day, about 13 percent under the national average, and weekends run roughly 9 percent thinner than weekdays. Turnover at 41.7 percent is actually a little better than the 45.8 percent national figure, which suggests some stability in who's showing up. The clinical quality measures score well. The staffing hours don't.

B

81/100

Careone At Wellington

Hackensack, NJ · Bergen County

CMS 4/5 128 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
27%
Serious cites
0

Nurse staffing at Careone At Wellington runs about 9% under the national average, and weekends dip roughly another 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record is the bigger concern: 28 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $18,431 and a two-star health inspection rating. What works in its favor is retention, turnover of 26.8% is well below the national 45.8%, and a five-star quality measure rating. The last inspection was in January 2025, so the record is current.

B

81/100

Greenwood House Home For The Jewish Aged

Trenton, NJ · Mercer County

CMS 2/5 137 beds Non-profit Medicaid
Nurse hours
4.82 /day
Staff turnover
42%
Serious cites
0

Greenwood House runs on a paradox: the nursing floor is well staffed at 4.82 hours per resident day, roughly a quarter above the national average, and its quality measures and staffing both score at the top of CMS's scale. Turnover sits at 41.5%, a bit better than the 45.8% national figure. But the inspection record is where this home falls apart, 23 deficiencies, two of them at harm or jeopardy level, four tied to abuse, and a single $323,570 fine. The most recent inspection closed in March 2026, so the picture is current, not stale. Good care on paper and serious findings in practice can coexist. Ask what those four abuse deficiencies involved before you decide.

B

81/100

Peace Care St Joseph's

Jersey City, NJ · Hudson County

CMS 4/5 139 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
37%
Serious cites
0

Peace Care St Joseph's runs a nonprofit home of 139 beds in Jersey City, and its staffing is the clearest strength: 4.05 nurse hours per resident day, about 5% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Staff turnover sits at 36.6%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The record is more mixed on oversight: 26 deficiencies, including one at the harm level and two tied to abuse, plus 24 fines totaling $192,635. The most recent inspection was April 2026, so the picture is current. Strong quality scores and staffing coexist here with a real compliance history worth asking about directly.

B

81/100

Careone At Evesham

Marlton, NJ · Burlington County

CMS 4/5 144 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
42%
Serious cites
0

Careone At Evesham runs 144 certified beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover comes in at 42.1%, a bit better than the 45.8% national figure, and the current record shows 17 deficiencies with none at the harm or jeopardy level and nothing abuse-related. The last inspection was September 12, 2025, with 4 out of 5 stars across health inspections, quality measures, and staffing.

B

81/100

Paloma Springs Healthcare Llc

T Or C, NM · Sierra County

CMS 4/5 94 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
30%
Serious cites
0

Paloma Springs runs lean on nursing hours, 3.11 per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday levels. That thinner weekend coverage matters because the home carries 40 deficiencies on its current record, including one at the harm level and three tied to abuse, plus a single fine of $19,971. On the other side, staff turnover sits at 30% versus 45.8% nationally, so the people who are there tend to stay, and the 5/5 quality measure rating shows good clinical outcomes on paper. The last inspection was April 28, 2025, so the record is fairly current. For-profit corporate ownership, 94 beds.

B

81/100

St. Ann's Community

Rochester, NY · Monroe County

CMS 4/5 470 beds Non-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

St. Ann's Community runs 470 beds in Rochester, and the staffing picture is solid: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 38.9% against a national 45.8%, keeping more of your caregivers matters, and this home does better than most. Weekends dip about 10% below weekday coverage, worth asking about if your family visits then. The record isn't clean: 13 deficiencies, including one at the harm level and two abuse-related, plus $55,495 in fines across two events. A 4/5 on health inspections from April 2024 suggests those issues aren't the whole story, but read the abuse citations yourself before deciding.

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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