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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 4881–4900 of 12,967, best-graded first.

B

79/100

Maple Lawn Senior Care

Fulda, MN · Murray County

CMS 3/5 46 beds Non-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
64%
Serious cites
0

Maple Lawn Senior Care runs on 4.57 nurse hours per resident day, roughly 18% above the national average, and that staffing shows up in a 4-out-of-5 staffing rating. The catch is consistency: weekends drop about 14% below the home's own weekday coverage. Inspections landed at 3 out of 5, with 17 deficiencies on record, none at the harm or jeopardy level, but one tied to abuse, which families should ask about directly. Quality measures came in at 2 out of 5, the weakest number here, and staff turnover sits at 64.2% against a national 45.8%, meaning nearly two-thirds of the workforce left within a year. The last inspection was February 2026, so the record is current.

B

79/100

Ebenezer Integrated Care & Rehab

Saint Paul, MN · Ramsey County

CMS 4/5 62 beds Non-profit Medicaid
Nurse hours
5.35 /day
Staff turnover
37%
Serious cites
0

Ebenezer Integrated Care & Rehab sits in Saint Paul with 62 certified beds under nonprofit ownership. Staffing is the strength here, 5.35 nurse hours per resident day, well above the national average, with turnover at 37.4% against a national 45.8%. Weekend coverage dips about 11% below weekday levels, so ask how that plays out on Sundays. What pulls the record down is the inspection side: 20 deficiencies on file, including 2 at the harm or jeopardy level and 2 tied to abuse, plus two fines totaling $31,360. The most recent inspection was April 2026. Strong staffing, but the compliance history is worth asking about directly.

B

79/100

St Gertrudes Health & Rehabilitation Center

Shakopee, MN · Scott County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
34%
Serious cites
0

St. Gertrudes runs a leaner ship than most on the staffing side, 4.16 nurse hours per resident day, roughly 8% above the national average, and its 34.2% turnover is well below the 45.8% norm, which matters for consistency of care. Weekends dip about 7% below weekday coverage, so ask how that plays out on the floor. The trouble sits elsewhere: 32 deficiencies on record, 2 at harm or jeopardy level, 4 tied to abuse, and $29,260 in fines. A January 2026 inspection is recent, but two stars each on health inspections and quality measures tells you the clinical record hasn't kept pace with the staffing.

B

79/100

Lexington Manor Senior Care, Llc

Lexington, MS · Holmes County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
41%
Serious cites
0

Lexington Manor runs on more nurse hours than the typical U.S. home, about 3.98 per resident day against a national average near 3.86, and the inspection record backs that up, with 11 deficiencies and none involving harm, jeopardy, or abuse. The last state visit was in October 2024, so the picture is recent. Staff turnover sits at 41.1%, better than the 45.8% national figure, though weekends run roughly 14% leaner than weekdays, which is worth asking about if your family visits then. Corporate for-profit ownership, 60 beds, and a four-star inspection rating round it out. Solid, not spotless.

B

79/100

Care Center Of Aberdeen

Aberdeen, MS · Monroe County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
43%
Serious cites
0

Care Center Of Aberdeen runs about 105 beds under for-profit LLC ownership, and its staffing sits slightly above the national average, roughly 3.96 nurse hours per resident day, with a 4-out-of-5 CMS staffing rating and turnover a bit better than the norm at 43.3%. The catch is weekends, when coverage drops about 14% below its own weekday level. The inspection record is the weaker side: a 2-out-of-5 health inspection rating, 20 deficiencies currently on file, including one tied to abuse and one at the harm or jeopardy level, plus a single fine of $10,358. Its last inspection was May 2026.

B

79/100

Copiah Living Center

Crystal Springs, MS · Copiah County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
43%
Serious cites
0

Copiah Living Center runs 60 beds in Crystal Springs under corporate ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average of 3.86. Weekend coverage dips about 11% below its own weekday levels, though, so the weekday numbers tell a slightly better story than Saturdays and Sundays do. Staff turnover is 43.4%, a touch under the national 45.8%. The inspection record shows 21 deficiencies, none at the harm or jeopardy level, but one is abuse-related, and the most recent inspection was in May 2025. Quality measure scores come in at 2 out of 5 stars, which is where the weaker numbers cluster.

B

79/100

Lewis County Nursing Home District

Canton, MO · Lewis County

CMS 1/5 118 beds Government Medicaid
Nurse hours
3.71 /day
Staff turnover
41%
Serious cites
0

Lewis County Nursing Home District runs on county money, and its staffing numbers are close to average but not quite there: 3.71 nurse hours per resident day against a national 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 40.9%, better than the 45.8% national figure, so people tend to stay. The trouble is inspections. A 1-out-of-5 health inspection rating and 42 deficiencies on record, including three tied to abuse, though none rose to actual harm or jeopardy, point to paperwork and process problems rather than resident injuries. One fine of $7,342. The last inspection was November 2025, so the record is current.

B

79/100

Delhaven Manor

Saint Louis, MO · St. Louis City County

CMS 3/5 156 beds For-profit Medicaid
Nurse hours
7.18 /day
Staff turnover
—
Serious cites
0

Delhaven Manor runs 7.18 nurse hours per resident day, roughly 86% above the national average, and that staffing earns a 4-star CMS rating. The catch is the weekend drop: hours fall about 18% below the home's own weekday level, so coverage is thinner exactly when inspections are less frequent. The health inspection record is the weak point, 48 deficiencies on file, including one at the harm or jeopardy level and one tied to abuse, plus a $73,048 fine. Quality measures score 5 out of 5, and the last inspection was November 2024. Corporate for-profit ownership, 156 beds. Strong daily staffing and good clinical measures, but a recent, documented history of serious compliance problems.

B

79/100

Mountain View Healthcare

Mountain View, MO · Howell County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
55%
Serious cites
0

Mountain View Healthcare runs on leaner nurse staffing than the national average, 3.71 hours per resident day against 3.86, and weekends dip about 14% below its own weekday levels, which is when families tend to visit and notice. Staff turnover sits at 54.9%, well above the 45.8% national figure, so continuity of caregivers is a real question. The tradeoff: a five-star health inspection record with no deficiencies at the harm level, though one abuse-related citation appears among the 14 total, and the last full inspection was in April 2025. As a nonprofit, it isn't answering to shareholders, but that doesn't automatically mean more hands on deck.

B

79/100

Parkview Health Care Facility

Bolivar, MO · Polk County

CMS 4/5 78 beds Non-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
47%
Serious cites
0

Parkview Health Care Facility runs on thinner nurse coverage than most homes, 3.79 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday numbers, which is where gaps tend to show up. Staff turnover sits at 47.1%, slightly above the national figure of 45.8%, so this is a place where you'll want to ask how long the current crew has actually been there. The positives are real: a clean inspection record with nine deficiencies, none at the harm level and none tied to abuse, a recent November 2024 survey, and solid marks for both inspections and quality measures. Nonprofit ownership under a corporation, 78 beds.

B

79/100

Clearview Nursing Center

Sikeston, MO · Scott County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
41%
Serious cites
0

Clearview Nursing Center runs 90 certified beds in Sikeston under corporate ownership, and the staffing picture is genuinely better than most: 4.00 nurse hours per resident day, roughly 4% above the national average, with turnover at 41% against a national 45.8%. Weekend coverage does dip about 13% below weekday levels, so ask how that plays out on a Sunday. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey completed March 5, 2026, recent enough to trust. Where this home separates from itself is quality measures, which sit at 2 out of 5 stars even as staffing and inspections hold at 4. Ask what specifically is driving that gap.

B

79/100

Living Center, The

Marshall, MO · Saline County

CMS 3/5 99 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
36%
Serious cites
0

Living Center in Marshall runs a nonprofit home of just under 100 beds, and its nurse staffing sits right at the national average, technically a hair above, though the difference is negligible. What stands out more is that weekends run noticeably thinner than weekdays, and turnover of 35.8% is better than the 45.8% national figure but still means roughly a third of the staff leaves each year. The inspection record is where families should focus. Twenty-nine deficiencies, including two at the harm level and four tied to abuse, with the last inspection in July 2024. Quality measures score 2 out of 5. Staffing is the strongest piece of the picture; the rest is average to below.

B

79/100

Mcknight Place Extended Care

Saint Louis, MO · St. Louis County

CMS 4/5 70 beds For-profit
Nurse hours
5.22 /day
Staff turnover
57%
Serious cites
0

Mcknight Place Extended Care sits in Saint Louis with 70 certified beds and a corporate for-profit owner. The staffing numbers are the real story here: 5.22 nurse hours per resident day, roughly a third more than the national average of 3.86, and weekend coverage holds fairly steady, only about 6% below weekdays. Turnover is the weak spot, 56.9% of staff leave annually against a national 45.8%, which means new faces are constantly rotating through. The inspection record is current, dated April 2025, and shows 25 deficiencies with none at harm or jeopardy level and nothing abuse-related, which points to documentation and process issues rather than resident safety failures.

B

79/100

Delta South Nursing & Rehabilitation

Sikeston, MO · New Madrid County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
49%
Serious cites
0

Delta South runs lean on nursing hours, 3.17 per resident day against a national average of 3.86, and weekends drop roughly another 10% below what the home staffs on weekdays. Turnover sits at 49%, a few points above the national figure, so the faces around a resident's bed change fairly often. What keeps this home from looking worse on paper is its inspection record: 24 deficiencies on the current books, none tied to harm, jeopardy, or abuse, and a survey as recent as January 2026. The health and quality ratings reflect that cleanliness of record. The staffing side is the weak spot, and that's where a family's daily experience usually lives.

B

79/100

Sunterra Springs Independence

Independence, MO · Jackson County

CMS 5/5 38 beds For-profit
Nurse hours
4.11 /day
Staff turnover
65%
Serious cites
0

Sunterra Springs Independence runs a small 38-bed operation under for-profit LLC ownership, and the raw staffing number looks decent, 4.11 nurse hours per resident day, roughly 7% above the national average. But that average hides two things: weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 65.4% against a national 45.8%. When nearly two-thirds of your nursing staff leaves each year, consistent care gets hard to sustain. The 22 deficiencies on record include 4 tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was February 2025. Strong quality measure scores and a 4-star inspection rating are real, but the staffing picture is shakier than the headline number suggests.

B

79/100

Norterre

Liberty, MO · Clay County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
56%
Serious cites
0

Norterre runs a corporate-owned, 60-bed home in Liberty, and the numbers behind its B are mostly about staffing. It reports 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, though weekends dip about 13% below its own weekday level, so coverage isn't perfectly even across the week. Annual turnover sits at 55.8% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in January 2025. The quality measure rating is the strongest of its three CMS scores; staffing and health inspection both land in the middle.

B

79/100

Mcclay Senior Care

Saint Peters, MO · St. Charles County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
44%
Serious cites
0

McClay Senior Care runs 60 certified beds in Saint Peters under individual for-profit ownership. Its 3.82 nurse staffing hours per resident day sit just under the national average of 3.86, and weekends run about 9% leaner than weekdays there. Staff turnover is 43.5%, slightly better than the national 45.8%. The inspection record is where it gets heavier: 42 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with the most recent inspection in April 2024. Quality measure scores land at 2 out of 5 stars, inspection and staffing at 3 each. What that combination suggests is a home with adequate coverage on paper but a documented history worth asking about directly, particularly those harm-level and abuse-related findings.

B

79/100

Elkhorn Healthcare And Rehabilitation

Clancy, MT · Jefferson County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
2.73 /day
Staff turnover
41%
Serious cites
0

Elkhorn Healthcare and Rehabilitation runs 70 certified beds in Clancy under corporate ownership, and its nurse staffing sits at 2.73 hours per resident day, roughly 29% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 41.3% is slightly better than the 45.8% national figure, and the 26 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level. The last inspection was February 2026.

B

79/100

Clark Fork Valley Nursing Home

Plains, MT · Sanders County

CMS 4/5 28 beds Non-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
48%
Serious cites
0

Clark Fork Valley Nursing Home runs 28 beds in Plains under nonprofit ownership, and its 3.81 nurse staffing hours per resident day sit just under the national average of 3.86. Weekends are the bigger concern, staffing drops about 15% below the home's own weekday levels, and annual turnover of 48.3% runs above the national 45.8%. Inspections look decent on the surface: a 4/5 health inspection star rating and a recent survey dated April 2026. But the current record carries 19 deficiencies, including one at the harm or jeopardy level and four tied to abuse. One fine totaling $62,871 is on file.

B

79/100

Crest Nursing Home

Butte, MT · Silver Bow County

CMS 5/5 103 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
53%
Serious cites
0

Crest Nursing Home sits in Butte with 103 certified beds, run by a for-profit corporation. The inspection record is genuinely strong, a five-star health inspection rating, no deficiencies at the harm or jeopardy level, and a recent survey from May 2026. But look at the staffing numbers and a different picture shows up. At 3.33 nurse hours per resident day, it runs about 14% under the national average, weekends drop roughly 8% below its own weekday level, and turnover hits 53.2% against a national 45.8%. Eleven deficiencies sit on the current record, one abuse-related. Strong survey results, thinner hands on deck.

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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