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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 4281–4300 of 12,967, best-graded first.

B

80/100

First Coast Health And Rehabilitation Center

Jacksonville, FL · Duval County

CMS 4/5 100 beds Non-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
49%
Serious cites
0

First Coast Health and Rehabilitation Center runs on thinner nurse coverage than most homes in the country, about 3.07 hours per resident per day against a national average of 3.86, and weekends dip roughly 5% below what the building staffs on weekdays. Turnover sits near 49%, a few points above the national figure, so the people caring for residents change often. What keeps this nonprofit's record relatively clean is that its 12 deficiencies include nothing at the harm or jeopardy level and no abuse findings, and its last inspection was recent, in January 2026. If your family member needs steady hands-on help, ask how the lower weekday-to-weekend staffing plays out on the shifts you'd actually visit.

B

80/100

Vivo Healthcare Clewiston

Clewiston, FL · Hendry County

CMS 3/5 155 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
33%
Serious cites
0

Nurse staffing at this Clewiston home runs about 3.47 hours per resident day, roughly 10% under the national average, and weekends drop another 7% below its own weekday levels. Turnover sits at 33.3%, which is meaningfully better than the 45.8% national figure. The inspection record is where the concern lies: 16 deficiencies, two of them at harm or jeopardy level and one abuse-related, plus a $33,248 fine, with the last inspection on April 11, 2024. For-profit corporate ownership. The quality and staffing star ratings look solid on paper, but those 16 deficiencies deserve a direct conversation with the administrator before you decide.

B

80/100

Claridge House Nursing And Rehabilitation Center

North Miami, FL · Miami-Dade County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
23%
Serious cites
0

Claridge House runs 3.47 nurse hours per resident day, roughly 10% under the national average, and weekends drop about 11% below its own weekday staffing. The trade-off shows up in retention: 23.2% turnover is about half the national rate, so the same caregivers tend to stay. What pulls the record down is oversight, 31 deficiencies, two serious enough to involve harm or jeopardy, and a $24,850 fine, with the most recent inspection in March 2026. For-profit, LLC-owned, 240 beds. Ask about weekend coverage and how those two harm-level issues were resolved.

B

80/100

Palm Garden Of Ocala

Ocala, FL · Marion County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
52%
Serious cites
0

Palm Garden of Ocala runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 51.9%, well above the 45.8% national figure, which matters because replacements cost familiarity. The inspection record shows 19 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse, and fines total $8,512. The last full inspection was June 12, 2025, so the picture is current. Quality measures score well; the staffing and inspection numbers are where the caution sits.

B

80/100

Palm Garden Of West Palm Beach

West Palm Beach, FL · Palm Beach County

CMS 2/5 176 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
38%
Serious cites
0

Palm Garden Of West Palm Beach runs 176 certified beds under for-profit limited liability ownership, and its nursing hours come in at 3.53 per resident day, roughly 9% under the national average of 3.86. Weekend staffing dips about 9% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover sits at 38%, which is actually better than the 45.8% national figure, and there are no abuse-related deficiencies on record. But the current inspection history shows 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $16,153. The last inspection was April 18, 2024.

B

80/100

Northdale Rehabilitation Center

Tampa, FL · Hillsborough County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
42%
Serious cites
0

Northdale Rehabilitation Center is a 120-bed for-profit run by a corporation, and the numbers suggest a home that's decent but not exceptional on the care side. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 11% leaner than weekdays, so if your family visits on a Saturday, expect a thinner floor than midweek. Turnover at 41.8% is slightly better than the national 45.8%, which matters for whether you see the same faces. The inspection record shows 15 deficiencies with none at the harm level and none abuse-related, and the last survey was in May 2024. Quality measures rate well; staffing and inspections land in the middle.

B

80/100

Arbor Trail Rehab And Skilled Nursing Center

Inverness, FL · Citrus County

CMS 5/5 116 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
42%
Serious cites
0

Arbor Trail runs 3.50 nurse hours per resident day, roughly 9% under the 3.86 national average, and weekends dip about 8% below its own weekday staffing. That thinner weekend coverage is worth asking about directly, since it's when families often visit and when problems can surface. Turnover sits at 42.3%, a bit better than the 45.8% national figure. The inspection record is clean where it counts: 13 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent inspection in April 2025. Quality measures score well, and the for-profit limited liability ownership means you'll want to know who's actually running day-to-day care.

B

80/100

Solaris Healthcare Osceola

Saint Cloud, FL · Osceola County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
39%
Serious cites
0

Solaris Healthcare Osceola sits in Saint Cloud with 120 certified beds under for-profit LLC ownership. The nursing hours tell a mixed story: 3.54 per resident day runs about 8% under the national 3.86 average, and weekends dip roughly 12% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot at 38.8%, meaningfully better than the 45.8% national figure, which suggests staff tend to stay. Inspections look solid at 4 stars with a recent November 2024 visit, but five deficiencies remain on record, including one at the harm level, plus two fines totaling $19,036.

B

80/100

Tiffany Hall Nursing And Rehab Center

Port Saint Lucie, FL · St. Lucie County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
30%
Serious cites
0

Tiffany Hall runs 120 beds in Port St. Lucie under for-profit LLC ownership, and its staffing sits at 3.68 nurse hours per resident day, about 5% under the national average of 3.86. Weekends drop roughly another 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 30% against a national 45.8% means aides and nurses here tend to stay. The inspection record is where the concern sits, 19 deficiencies, two at harm or jeopardy level and two tied to abuse, with a $46,976 fine and a February 2025 inspection. Quality measures score well, but that paperwork record and below-average daily staffing are the real story.

B

80/100

Atlantic Shores Nursing And Rehab Center

Melbourne, FL · Brevard County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
42%
Serious cites
0

Atlantic Shores runs 120 beds in Melbourne under corporate ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so a Saturday shift isn't quite the same as a Tuesday. Turnover lands at 41.6%, a bit better than the 45.8% national figure, which matters because fewer departures usually means more consistent caregivers. The inspection record is the steadiest part: 15 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the last survey in September 2024 and four-star ratings on both health inspections and quality measures.

B

80/100

Villa Healthcare & Rehabilitation Center

Deland, FL · Volusia County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
39%
Serious cites
0

Villa Healthcare & Rehabilitation Center runs 3.42 nurse staffing hours per resident day, about 12 percent under the national average, and weekends dip roughly 6 percent below its own weekdays. Turnover sits at 38.9 percent, better than the 45.8 percent national figure, and the record shows 13 deficiencies with none at harm or jeopardy level and none abuse-related. The most recent inspection was September 2025, and the 4-star health inspection and 5-star quality measure ratings stand out against a middling 3-star staffing score. It's a for-profit, individually owned 120-bed home in Deland, and the pattern reads as a place that's generally clean on care quality but runs leaner on direct nursing hours than average.

B

80/100

Blue Palms Health And Rehabilitation Center Of Del

Deland, FL · Volusia County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
57%
Serious cites
0

Blue Palms runs a 60-bed for-profit home in Deland, and the numbers underneath its grade tell a mixed story. Nurse staffing sits at 3.72 hours per resident day, a bit under the national average of 3.86, and it drops about 11% on weekends, so coverage is thinnest exactly when families tend to visit. Annual turnover of 56.8% is well above the national 45.8%, meaning more than half the staff leaves each year, which matters for residents who rely on familiar faces. The good news: nine deficiencies on record, none at harm level and none abuse-related, with a recent April 2025 inspection and strong marks on quality measures.

B

80/100

Isle Healthcare & Rehabilitation Center

Orange Park, FL · Clay County

CMS 5/5 108 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
39%
Serious cites
0

Isle Healthcare runs 108 beds in Orange Park under for-profit LLC ownership, and its staffing sits at 3.64 nurse hours per resident day, about 6% under the national average of 3.86, with weekends roughly 8% thinner than weekdays. Turnover is 38.9%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Inspections in May 2025 turned up 10 deficiencies, one serious enough to reach harm or jeopardy, and a single fine of $43,664. Quality measures score well, but the staffing and that harm-level citation are what pull the overall picture down. Worth asking about weekend coverage and what changed after the last survey.

B

80/100

Hawthorne Center For Rehab & Healing Of Sarasota

Sarasota, FL · Sarasota County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
24%
Serious cites
0

Hawthorne Center runs on leaner weekday nurse coverage than the typical U.S. nursing home, and weekends dip about 8% below its own weekday level, so the quietest shifts get the thinnest staffing. What stands out more is retention: 23.8% annual turnover is roughly half the national rate, which matters because consistent caregivers tend to know residents' baselines. The inspection record is strong, with a 5/5 health inspection rating and the most recent survey completed in May 2026, though the current file still carries 8 deficiencies, one serious enough to involve harm or jeopardy, plus one fine of $8,512. For-profit LLC ownership.

B

80/100

Joe-Anne Burgin Health And Rehabilitation

Cuthbert, GA · Randolph County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
33%
Serious cites
0

Joe-Anne Burgin runs on about 3.72 nurse hours per resident per day, a bit under the national average, and weekends drop roughly 15% below what the home staffs on weekdays, worth asking about if your family visits mainly on Saturdays or Sundays. The stronger numbers are elsewhere: staff turnover sits at 33.3%, well below the 45.8% national rate, and the home's most recent inspection in March 2026 produced nine deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. A single fine of $5,077 rounds out the enforcement history. A nonprofit with a recent clean-ish inspection record and comparatively stable staff is a real asset; the thin weekend coverage is the tradeoff to weigh.

B

80/100

Delmar Gardens Of Smyrna

Smyrna, GA · Cobb County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
41%
Serious cites
0

Delmar Gardens Of Smyrna runs 120 certified beds under corporate ownership, and the staffing numbers sit below where you'd want them. Total nurse coverage comes in at 3.67 hours per resident day against a 3.86 national average, and weekends drop roughly 12% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 41.1% is a notch better than the 45.8% national figure, which is real but modest. The bigger issue is the inspection record: 23 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $23,537 fine and a recent February 2026 inspection. Quality measures score well, but that sits alongside a two-star staffing and health inspection picture. Ask directly how the abuse-related citations were resolved.

B

80/100

Parkside At Budd Terrace Operating Company Llc

Atlanta, GA · De Kalb County

CMS 2/5 250 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
63%
Serious cites
0

Parkside at Budd Terrace runs 250 beds in Atlanta under for-profit LLC ownership, and the staffing picture is genuinely solid on paper, 4.48 nurse hours per resident day, about 16% above the national average, though weekends drop roughly 12% below its own weekday levels. The trouble shows up in turnover: 63.3% annually against a national 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. Inspections tell the harder story: a 1-out-of-5 health inspection rating, 37 deficiencies on record, three tied to abuse, and a survey just completed in April 2026. Strong quality scores and above-average weekday staffing sit alongside that inspection history, which is what makes this home hard to summarize in one word.

B

80/100

Reserve At Fort Gaines Of Journey Llc, The

Fort Gaines, GA · Clay County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
17%
Serious cites
0

The Reserve at Fort Gaines runs lean on nursing hours, 3.25 per resident day against a national average of 3.86, and weekends thin out further, dropping about 12% below what the home staffs during the week. That's the pattern behind its two-out-of-five staffing rating, and it matters more in a 60-bed home where there's less slack to absorb an absence. What works in its favor is retention: 16.7% annual turnover is remarkably low next to the 45.8% national figure, meaning familiar faces are likely doing the hands-on care. The 28 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, and the most recent inspection was April 2025, so the record is current rather than stale.

B

80/100

Mccall Rehabilitation And Care Center

Mccall, ID · Valley County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
60%
Serious cites
0

McCall Rehabilitation and Care Center runs 65 certified beds under for-profit LLC ownership, and its inspection record looks solid, a recent July 2025 survey, nine deficiencies total, none at the harm level, none abuse-related, and a 4-out-of-5 inspection rating. The staffing picture is more mixed. At 3.23 nurse hours per resident day, it sits about 16 percent under the national average, weekends drop roughly 9 percent below its own weekdays, and annual turnover hits 60 percent against a national 45.8. Quality measures score well, but the people delivering that care are stretched thinner than average and cycling out faster.

B

80/100

Shaw Mountain Of Cascadia

Boise, ID · Ada County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
51%
Serious cites
0

Shaw Mountain Of Cascadia runs 108 certified beds in Boise under corporate for-profit ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. That's a real strength, though weekend coverage drops about 11% below its own weekday levels, so care thins out on Saturdays and Sundays. The inspection record is the harder part to swallow. Thirty deficiencies are on file, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $10,839. Staff turnover runs 51.3%, above the 45.8% national average, and the most recent inspection came in May 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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