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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 4181–4200 of 12,967, best-graded first.

B

80.5/100

Gurwin Jewish Nursing And Rehabilitation Center

Commack, NY · Suffolk County

CMS 5/5 460 beds Non-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
26%
Serious cites
0

Gurwin Jewish runs 460 beds in Commack, and the numbers point to a place that's well-run in most respects but thin on direct care hours. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 16% below its own weekday levels, so a Saturday shift isn't the same as a Tuesday. Staff turnover is 25.8%, well below the national 45.8%, which suggests people stay. Inspections look strong at 4 stars and quality measures at 5, though the current record shows 17 deficiencies, including one at the harm level and one abuse-related. The last inspection was January 8, 2026.

B

80.5/100

The Highlands At Brighton

Rochester, NY · Monroe County

CMS 3/5 145 beds Non-profit Medicaid
Nurse hours
5.15 /day
Staff turnover
47%
Serious cites
0

The Highlands At Brighton runs on a nonprofit model with 145 certified beds, and staffing is where it stands out: 5.15 nurse hours per resident day, roughly a third more than the national average of 3.86. That extra coverage isn't evenly spread, though, weekends run about 16% leaner than weekdays, and annual turnover sits at 47.3%, slightly above the national 45.8%, so the faces change fairly often. The current inspection record shows 25 deficiencies, none at the harm or jeopardy level, but three tied to abuse. Inspectors were last in on August 13, 2025, and the home scored 3 out of 5 on both health inspections and quality measures, with a 4 on staffing.

B

80.5/100

Taconic Rehabilitation And Nursing At Hopewell

Fishkill, NY · Dutchess County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
50%
Serious cites
0

Taconic Rehabilitation and Nursing at Hopewell runs 160 beds in Fishkill under for-profit LLC ownership, and its staffing sits right at the national mark, 3.90 nurse hours per resident day against 3.86 nationally. That thin margin gets tested on weekends, when coverage drops roughly 22% below the home's own weekday level. Staff turnover is 49.7%, a few points above the national average, so familiar faces may rotate out faster here than elsewhere. The record shows 30 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in February 2026. Quality measures score well above inspection results, which is worth knowing when you weigh what you're reading.

B

80.5/100

Wilkinson Residential Health Care Facility

Amsterdam, NY · Montgomery County

CMS 3/5 160 beds Non-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
39%
Serious cites
0

Wilkinson runs 160 beds as a nonprofit, and its staffing sits just under the national average, 3.83 nurse hours per resident day against 3.86. That gap is small, but weekends drop about 22% below the home's own weekday coverage, so the difference between a Tuesday and a Sunday is bigger than the yearly figure suggests. Turnover at 39.3% is better than the 45.8% national rate, which matters for consistency of care. Inspections in May 2025 turned up 20 deficiencies, none at the harm level, though two were abuse-related. The health inspection rating is 3 out of 5, quality measures 4, staffing 3.

B

80.5/100

Grace Heights Health & Rehabilitation

Morganton, NC · Burke County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
—
Serious cites
0

Grace Heights runs 120 certified beds in Morganton under for-profit LLC ownership, and its inspection record is genuinely clean: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with a survey completed in January 2026. Federal quality measures also score 5 out of 5, and total nurse staffing sits at 3.88 hours per resident day, roughly a hair above the national average of 3.86. The catch is how thin that margin is and where it thins further, weekend staffing drops about 11% below the home's own weekday level, and CMS rates staffing just 2 out of 5. Inspections and outcomes look strong here; the daily coverage underneath them is the part worth asking about.

B

80.5/100

Murphy Rehabilitation & Nursing

Murphy, NC · Cherokee County

CMS 4/5 134 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
37%
Serious cites
0

Murphy Rehabilitation & Nursing runs 3.40 nurse hours per resident per day, roughly 12 percent under the national average of 3.86, and weekends dip about 16 percent below its own weekday coverage. Turnover sits at 37 percent, better than the 45.8 percent national figure, so the staff who are there tend to stay. The inspection record is clean where it matters most: 12 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2026. A 134-bed corporate-owned home with four stars on health inspections and quality measures, three on staffing, the care looks solid, but the daily hours tell you where the strain sits.

B

80.5/100

Stanley Total Living Center

Stanley, NC · Gaston County

CMS 4/5 106 beds For-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
38%
Serious cites
0

Stanley Total Living Center has real staffing strength: 5.13 nurse hours per resident day is about a third more than the national average, and its 37.5% turnover beats the 45.8% norm. That's the good news. The rest is harder. Ten deficiencies sit on the current record, six at harm or jeopardy level and two tied to abuse, plus a $31,967 fine. Weekend staffing drops roughly 21% below weekdays, so the coverage families see on a Tuesday may not hold on a Sunday. The most recent inspection was January 2026, so the record is current. A for-profit corporation runs the 106-bed home. Strong hours and stable staff matter, but harm-level findings at that count are what pull the grade down.

B

80.5/100

Scottish Pines Rehabilitation And Nursing Center

Laurinburg, NC · Scotland County

CMS 4/5 149 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
29%
Serious cites
0

Scottish Pines runs about 3.87 nursing hours per resident per day, essentially matching the national average of 3.86, though weekends drop roughly 17% below weekday coverage, worth asking about if your family visits or needs help on Saturdays and Sundays. Staff turnover sits at 28.8%, well under the national 45.8%, which suggests people tend to stay. The home carries five deficiencies on its current record, none involving harm, jeopardy, or abuse, and its last inspection was in December 2025. It's a for-profit corporation with 149 certified beds, holding a 4-star health inspection rating alongside 3 stars each for quality measures and staffing.

B

80.5/100

Lutheran Home Of The Good Shepherd

New Rockford, ND · Eddy County

CMS 3/5 51 beds Non-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
53%
Serious cites
0

Lutheran Home of the Good Shepherd runs a 51-bed nonprofit operation in New Rockford, and the staffing numbers are the strongest thing it has going: 4.47 nurse hours per resident day, comfortably ahead of the national average. But weekend coverage drops about 16% below its own weekday level, and annual turnover of 52.5% sits well above the national figure, meaning the people providing that care cycle through quickly. The health inspection record is where the picture darkens: nine deficiencies on file, three of them at harm or jeopardy level, one abuse-related, and $31,829 in fines across three penalties. A recent August 2025 inspection is encouraging, but the harm-level findings matter more than the timing.

B

80.5/100

Lutheran Sunset Home

Grafton, ND · Walsh County

CMS 3/5 87 beds Non-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
33%
Serious cites
0

Lutheran Sunset Home runs on church-affiliated nonprofit ownership in Grafton, and its nurse staffing sits at 4.04 hours per resident day, about 5% above the national average, with a 5/5 staffing star to match. Weekend coverage drops roughly 16% below weekday levels, so ask how that plays out on Saturdays. Staff turnover is 32.6%, well under the national 45.8%, which matters for continuity of care. The trouble is quality and inspections: 20 deficiencies on record, including one at harm level and three abuse-related, plus a $11,057 fine, with the most recent inspection in February 2026. The people caring for residents seem stable; the systems around them have fallen short.

B

80.5/100

Smp Health - Maryhill

Enderlin, ND · Ransom County

CMS 5/5 42 beds Non-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
31%
Serious cites
0

Maryhill in Enderlin runs a tight ship on the things you'd notice day to day: nurse staffing sits at 4.11 hours per resident, noticeably above the national figure, and only about a third of its caregivers leave each year compared to nearly half elsewhere. The tradeoff shows up in the clinical numbers, a two-out-of-five quality measure rating and fourteen deficiencies on the current record, one serious enough to involve harm or jeopardy. Inspectors were last in the building in November 2025 and logged a single fine just over $10,000. Weekend coverage drops roughly 18% from weekday levels, so ask how that plays out on a Saturday.

B

80.5/100

Missouri Slope

Bismarck, ND · Burleigh County

CMS 4/5 192 beds Non-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
52%
Serious cites
0

Missouri Slope runs a nonprofit home of 192 beds in Bismarck, and its nurse staffing is the standout fact here: 5.45 hours per resident day, roughly 41% above the national average of 3.86. That's real coverage, not a rounding trick, though weekends drop about 16% below the home's own weekday level, and annual turnover of 52.2% sits above the national 45.8%. Inspections tell a more complicated story: 20 deficiencies on the current record, two of them at harm or jeopardy level and one abuse-related, plus two fines totaling $39,404. The most recent inspection was May 2026. Strong hours, but the harm-level findings and turnover are worth asking about directly.

B

80.5/100

Flint Ridge Nrsg & Rehab Ctr

Newark, OH · Licking County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
43%
Serious cites
0

Flint Ridge runs a for-profit LLC operation with 99 certified beds in Newark, and its nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average. That headline number has some slack in it, though: weekends drop about 15% below the home's own weekday coverage, so the help you get depends on when you visit. Turnover lands at 43%, a touch better than the 45.8% national figure, and the current record shows 57 deficiencies, two of them serious enough to involve harm or jeopardy. No abuse findings. The last inspection was in May 2025. Quality measures score well, but the inspection history is where the real story sits.

B

80.5/100

Parkside Health Care Center

Columbiana, OH · Columbiana County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
30%
Serious cites
0

Parkside runs leaner on nursing hours than most homes, 3.37 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly a fifth below its own weekday staffing. What stands out in the other direction is retention: turnover at 29.6% is well below the 45.8% national figure, which suggests people tend to stay. The inspection record shows 30 deficiencies, none rising to actual harm or jeopardy, but five tied to abuse, a category worth asking about directly. State inspectors were last in during August 2025, so the picture is current.

B

80.5/100

Westpark Healthcare Campus

Cleveland, OH · Cuyahoga County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
49%
Serious cites
0

Westpark sits in Cleveland with 99 certified beds under corporate for-profit ownership. Its nurse staffing works out to essentially the national average, 3.85 hours per resident day against 3.86, though weekends run about 16% thinner than weekdays, and turnover is 48.9%, a few points above the 45.8% national figure. On inspections, the record shows 18 deficiencies with two tied to abuse, but none at the harm or jeopardy level, and the most recent look came January 29, 2026. Quality measures score well and inspection history is solid. The practical read: adequate weekday coverage, shakier weekends, and a staff retention problem worth asking about directly.

B

80.5/100

Vancrest Health Care Center Of Eaton

Eaton, OH · Preble County

CMS 3/5 81 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
32%
Serious cites
0

Vancrest Health Care Center of Eaton runs on 4.09 nurse hours per resident per day, roughly 6% above the national average of 3.86, and its staff turnover of 32.1% sits well below the 45.8% national figure, a sign people stick around here more than they do at the typical home. The tradeoff shows up on weekends, when staffing drops about 18% below its own weekday level. Twelve deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated February 26, 2026. A 3/5 on inspections and 4/5 on quality measures rounds out a record that's steady rather than spotless.

B

80.5/100

Enniscourt Nursing Care

Lakewood, OH · Cuyahoga County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
53%
Serious cites
0

Enniscourt Nursing Care runs about 4.18 nurse hours per resident day, roughly 8% above the national average, and that staffing shows up in its four-out-of-five staffing rating. Weekends are thinner, though, about 15% below its own weekday coverage, and turnover sits at 52.9%, higher than the 45.8% national figure, which matters for how well you know the people on the floor. The inspection record is the harder read: 22 deficiencies, one at harm or jeopardy level, four tied to abuse, and a two-out-of-five health inspection rating, with the last survey dating to September 2023. The quality measure score looks better, but the survey history is what a family should ask about directly.

B

80.5/100

Fairlawn Haven

Archbold, OH · Fulton County

CMS 5/5 99 beds Non-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
—
Serious cites
0

Fairlawn Haven sits in Archbold as a church-affiliated nonprofit with 99 certified beds, and its last inspection was recent, April 2025, so the record is current. Nurse staffing runs 4.04 hours per resident day, about 5% above the national average, though weekends dip roughly 6% below its own weekday level, which matters if your family visits or calls on Saturdays and Sundays. The inspection history shows 23 deficiencies, none at the harm or jeopardy level, but 3 are abuse-related, and CMS gives the staffing star a 2 out of 5. Quality measures score high. That split between strong clinical outcomes and thinner staffing support is worth asking the administrator about directly before you decide.

B

80.5/100

Lima Convalescent Home

Lima, OH · Allen County

CMS 4/5 72 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
36%
Serious cites
0

Lima Convalescent Home runs 3.90 nurse hours per resident day, just a hair above the national average of 3.86. That margin is thin, and weekends tell a different story, staffing drops about 22% below the home's own weekday level, so coverage isn't evenly spread across the week. Turnover sits at 36.4%, better than the 45.8% national figure, which matters for consistency of care. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with a 3/5 inspection rating. Quality measures score a full 5/5, and the last inspection was April 2025, so the picture is recent. A nonprofit with solid clinical marks and a staffing edge that's real but narrow.

B

80.5/100

Otterbein At Granville

Granville, OH · Licking County

CMS 5/5 22 beds Non-profit
Nurse hours
4.46 /day
Staff turnover
56%
Serious cites
0

Otterbein At Granville is small, 22 certified beds, and it's run by a nonprofit corporation, which tends to mean steadier oversight than you'd get at a for-profit chain. Nurse staffing sits at 4.46 hours per resident day, about 16 percent above the national average of 3.86, and both its health inspection and quality measure ratings come back perfect from CMS. The catch is turnover: 55.6 percent annually against a national average of 45.8, and weekend staffing drops roughly 19 percent below its own weekday level. Six deficiencies are on record with none at the harm level, though one is abuse-related. The inspection is recent, dated April 2026.

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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