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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 4901–4920 of 12,967, best-graded first.

B

79/100

York General Hearthstone

York, NE · York County

CMS 5/5 127 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
44%
Serious cites
0

York General Hearthstone runs 3.90 nurse hours per resident day, just above the national average, and 43.8% of its staff left last year, a bit better than the typical 45.8%. Weekend coverage dips roughly 11% below weekday levels, which is common but worth asking about if your family visits on Saturdays. The three deficiencies on record include nothing at the harm level and nothing abuse-related, and its last inspection was in March 2026. Ownership is nonprofit. Quality measures scored 3 out of 5, so clinical outcomes are middle of the road even though staffing and inspections look stronger.

B

79/100

Milford Meadows Care Center

Milford, NE · Seward County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
—
Serious cites
0

Milford Meadows runs 3.34 nurse hours per resident day, about 14 percent under the national average, and weekends drop roughly 17 percent below its own weekday staffing. That thin coverage shows up in the federal staffing star, which sits at the bottom of the scale, while the quality measure star sits at the top, a split worth noticing, since good clinical numbers can coexist with too few hands on a Saturday. Inspectors logged 18 deficiencies on the current record, none at harm or jeopardy level but one tied to abuse, and the last full inspection was February 2025. The corporate for-profit owner holds a two-star inspection record, so read the quality score alongside the staffing, not instead of it.

B

79/100

Hemingford Care Center

Hemingford, NE · Box Butte County

CMS 1/5 39 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
55%
Serious cites
0

Hemingford Care Center has 39 certified beds and enough nursing hours per resident, 4.02, to sit slightly above the national average. The catch is who's there on weekends, when staffing drops about 12% below its own weekday level, and how long anyone stays: turnover runs 55.3% against a national 45.8%, so the hands at the bedside keep changing. Its record carries 50 deficiencies, 8 of them abuse-related, and CMS has placed it in the Special Focus Facility program. Inspectors were last out on February 2, 2026. Quality and staffing measures both score 4 out of 5, but the health inspection side tells a harder story.

B

79/100

Canyon Vista Post Acute

Las Vegas, NV · Clark County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.97 /day
Staff turnover
45%
Serious cites
0

Canyon Vista Post Acute runs a for-profit limited liability operation with 120 certified beds in Las Vegas. The nurse staffing number is the strongest part of the picture: 4.97 hours per resident day against a national average of 3.86, which is real coverage, though weekends run about 13% thinner than weekdays. Turnover sits at 44.9%, essentially at the national average. The health inspection side is where it gets concerning, 26 deficiencies currently on record, including one at the harm or jeopardy level and one that's abuse-related, plus a $35,016 fine in the CMS file. The last inspection was April 10, 2026. Strong daily staffing and strong quality scores don't erase a deficiency record like that, and families should ask directly about both incidents.

B

79/100

Hanover Terrace Health And Rehabilitation

Hanover, NH · Grafton County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
50%
Serious cites
0

Hanover Terrace is a 100-bed for-profit home in Grafton County, and the inspection record is fairly clean: three deficiencies on file, none of them causing harm or jeopardy, none tied to abuse. Staff turnover sits at 50%, a few points above the 45.8% national average, worth asking about, since consistent caregivers matter, though that gap isn't dramatic. The five-star quality measure rating suggests residents' clinical outcomes look good on paper. The most recent inspection was in December 2025, so the information is current. For a family weighing this home, the picture is a decent one: no serious safety findings, strong quality metrics, and turnover that's elevated but not alarming.

B

79/100

Rockingham County Nursing Home

Brentwood, NH · Rockingham County

CMS 4/5 226 beds Government Medicaid
Nurse hours
4.84 /day
Staff turnover
56%
Serious cites
0

Rockingham County Nursing Home runs on county government money, and the staffing numbers show it: 4.84 nurse hours per resident day, roughly a quarter more than the national average. That's the kind of margin that matters on a Tuesday afternoon when someone needs help getting to the bathroom. The tradeoffs are real, though. Weekend coverage drops about 11% from weekday levels, and 56.3% annual turnover means a good share of the people providing that care are still learning the building. Four deficiencies on the current record, none involving harm or abuse, with an inspection as recent as August 2025. The quality measure score sits at 2 out of 5, so clinical outcomes don't track as well as the raw staffing strength suggests.

B

79/100

Careone At Somerset Valley

Bound Brook, NJ · Somerset County

CMS 4/5 64 beds For-profit
Nurse hours
4.37 /day
Staff turnover
39%
Serious cites
0

Careone at Somerset Valley runs on a corporate for-profit model with 64 certified beds, and its staffing sits at 4.37 nurse hours per resident day, roughly 13% above the national average of 3.86. That's a real cushion, though weekend coverage drops about 12% below what the home provides on weekdays, so the weekday numbers tell a rosier story than a Saturday visit might. Staff turnover lands at 38.9%, better than the national 45.8%, which matters for residents who need consistent caregivers. The current inspection record shows nine deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in November 2024. Quality measures score well; inspection and staffing both land mid-range.

B

79/100

Elizabeth Nursing And Rehab Center

Elizabeth, NJ · Union County

CMS 4/5 102 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
48%
Serious cites
0

The numbers here are mostly solid but not spotless. Nine deficiencies on the current record, none at harm or jeopardy level, though one is abuse-related, and the last inspection was in September 2024, so the picture is reasonably current. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 7% lighter than weekdays. Annual turnover is 47.8%, slightly above the national 45.8%. The 102-bed for-profit home earns 4 out of 5 stars on both health inspections and quality measures, with 3 on staffing. Nothing alarming, nothing exceptional, a home that inspects well but runs a little thin on direct care hours.

B

79/100

Lawrence Rehabilitation Hospital

Lawrenceville, NJ · Mercer County

CMS 2/5 56 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
37%
Serious cites
0

The numbers at Lawrence Rehabilitation Hospital don't tell one story, they tell two. Nurse staffing runs 4.65 hours per resident day, roughly 20% above the national average, and turnover sits at 37% against a national 45.8%, which matters because stable staff learn residents' routines. Weekend coverage dips about 13% below weekday levels, so care can thin out when families visit. Then there's the inspection record: 38 deficiencies, including two tied to abuse, and a 1-star health inspection rating against a 5-star quality measure score. The last inspection was January 30, 2026. A for-profit LLC operating 56 beds, this home appears to invest in direct care while struggling with survey compliance.

B

79/100

Family Of Caring Healthcare At Tenafly, Llc

Tenafly, NJ · Bergen County

CMS 3/5 69 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
31%
Serious cites
0

Family Of Caring Healthcare at Tenafly runs 69 beds under for-profit LLC ownership, and its staffing sits just under the national average, 3.79 nurse hours per resident day against 3.86, with weekends about 9% thinner than weekdays. What stands out more is retention: 30.6% turnover against a national 45.8%, meaning caregivers here tend to stay, which matters for familiarity and consistency of care. The current record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with two fines totaling $4,938 and an inspection as recent as June 2025. Staffing and quality measures both land at 3 out of 5 stars, staffing at 4.

B

79/100

Complete Care At Hamilton, Llc

Passaic, NJ · Passaic County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
28%
Serious cites
0

Complete Care At Hamilton runs on 3.50 nurse hours per resident day, roughly 9% under the national average, and weekend coverage dips another 6% below its own weekday pace. That's the tension here: CMS gives the home 5 stars for staffing, yet the raw hours sit below average and thin out further on weekends. Turnover is genuinely low at 28% against a 45.8% national figure, so the crew that's there tends to stay. What pulls the record down is the inspection history, 24 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus $25,313 in fines. The most recent inspection came in September 2025.

B

79/100

Hartwyck At Oak Tree

Edison, NJ · Middlesex County

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

Hartwyck At Oak Tree runs 120 certified beds as a nonprofit corporation, and its inspection record is genuinely solid, 9 deficiencies on the current record, none at the harm level and none abuse-related, with the most recent state visit in December 2024. The problem sits in the staffing numbers: 3.83 nurse hours per resident day is just under the national average, and weekends run about 11% thinner than weekdays. That thin weekend coverage matters more than the headline figure suggests. Turnover at 38.9% is better than the 45.8% national rate, so this isn't a home bleeding staff. It's a home where the people who show up are stretched, particularly on Saturdays and Sundays.

B

79/100

Crestwood Manor

Whiting, NJ · Ocean County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
48%
Serious cites
0

Crestwood Manor runs a tight operation on the inspection side, a perfect health inspection rating and a recent survey with nine deficiencies, none of which rose to the level of harm or jeopardy, and no abuse citations at all. That's a clean record. Where it gives ground is staffing: 3.76 nurse hours per resident day sits just under the national average, and weekends drop roughly 11% below its own weekday coverage. Turnover at 48.3% edges past the national figure. For a 64-bed nonprofit in Ocean County, the care is safely delivered, but ask how they hold the line on weekend shifts before you decide.

B

79/100

Forest Hills Center For Rehabilitation And Healing

Newark, NJ · Essex County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
32%
Serious cites
0

Forest Hills Center runs 3.38 nurse hours per resident day, about 12% under the national average, and weekend coverage dips roughly 5% below its own weekday pace. Turnover sits at 32%, which is actually better than the 45.8% national figure, so the home holds onto staff. The problem is the inspection record: 30 deficiencies, including one at the harm level, and a single $37,580 fine. Ownership is for-profit, through a limited liability company. Its last inspection was August 5, 2025.

B

79/100

Mystic Meadows Rehabilitation And Nursing Center

Little Egg Harbor Tw, NJ · Ocean County

CMS 4/5 130 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
44%
Serious cites
0

Mystic Meadows runs 130 certified beds in Little Egg Harbor, under for-profit LLC ownership. Nurse staffing comes in at 3.98 hours per resident day, a bit above the national average, but weekends drop roughly 9% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 43.5%, slightly better than the national figure, which matters for whether your parent sees the same faces month to month. The current inspection record shows 16 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the last inspection was in December 2025.

B

79/100

Stonebridge At Montgomery Health Care Center

Skillman, NJ · Somerset County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
47%
Serious cites
0

Stonebridge at Montgomery runs on strong staffing numbers, 4.55 nurse hours per resident day, well above the national average, and a five-star CMS staffing rating to match. Weekend coverage dips slightly below its own weekday level, but the bigger concerns sit elsewhere: a two-star health inspection rating, 15 deficiencies on the current record including three at harm or jeopardy level and four abuse-related, plus a $133,000 fine. Staff turnover at 47.3% is roughly in line with the national average of 45.8%, so retention isn't the outlier here, the inspection record is. The most recent survey was June 2025, so that picture is current.

B

79/100

Raritan Post Acute And Healthcare Center

South Amboy, NJ · Middlesex County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
39%
Serious cites
0

Venetian Care runs 180 beds in South Amboy under corporate ownership, and its staffing sits about 10% under the national average, with weekends roughly 11% thinner than its own weekdays. Turnover is actually better than typical at 38.7%. The split in its record is what matters: strong quality measure scores alongside a one-star health inspection, 44 deficiencies, four tied to abuse and one serious enough to risk harm, plus a $56,441 fine. That inspection was recent, September 2025, so the problems aren't old news. Good numbers on paper don't cancel out thin weekend coverage and a citation history like that.

B

79/100

Calibre Post Acute, Llc

Las Cruces, NM · Dona Ana County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
53%
Serious cites
0

Calibre Post Acute runs 120 certified beds in Las Cruces, and the staffing numbers tell a big part of the story: 3.72 nurse hours per resident day, about 4% under the national average, with weekends roughly 13% thinner than weekdays. Annual turnover sits at 52.7% against a 45.8% national figure, more than half the nursing staff leaving each year. The inspection record is where things get serious. There are 91 deficiencies, two of them at harm or jeopardy level, and eight tied to abuse. CMS has placed this home in its Special Focus Facility program, which is reserved for the poorest performers. A 2024-11-06 inspection is recent, and the last inspection date is recent.

B

79/100

Coronado Care Center

Portales, NM · Roosevelt County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
37%
Serious cites
0

Coronado Care Center runs 80 certified beds in Portales under for-profit LLC ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 15% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot: 37.1% against a national 45.8%, so the aides and nurses here tend to stick around longer than elsewhere. The record shows 28 deficiencies with none at harm or jeopardy level, though one is abuse-related, and the last inspection was June 13, 2025. Inspection history rates well; day-to-day staffing depth is where it thins out.

B

79/100

Gallup Nursing & Rehabilitation Llc

Gallup, NM · Mckinley County

CMS 5/5 62 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
46%
Serious cites
0

Gallup Nursing & Rehabilitation runs 3.26 nurse hours per resident day, about 16 percent under the national average of 3.86, and weekends drop roughly 13 percent below its own weekday staffing. Turnover sits at 46.4 percent, essentially level with the national rate, so the home isn't bleeding staff faster than average. What pulls its record down is the inspection history: 20 deficiencies on the current record, including one at the harm level and two abuse-related citations, even though the most recent inspection was in January 2026 and CMS gives it top marks on both health inspections and quality measures. The staffing star lands at 3 out of 5. A for-profit limited liability company owns the 62-bed home.

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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