ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 481–500 of 12,967, best-graded first.

A

93/100

Topanga Terrace

Canoga Park, CA · Los Angeles County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
6.25 /day
Staff turnover
28%
Serious cites
0

Topanga Terrace runs on unusually heavy staffing for a for-profit corporate home: 6.25 nurse hours per resident day, roughly 60% above the national average, and weekends barely dip below weekdays. Turnover sits at 27.7% against a national 45.8%, so the people around your relative are more likely to still be there next year. The tradeoff shows up in the inspection record, 41 deficiencies, including one tied to abuse, though none rose to harm or jeopardy level, and the most recent state visit was November 2025. Clinical quality measures score at the top of CMS's scale; the health inspection star sits at 3.

A

93/100

Piedmont Gardens Health Facility

Oakland, CA · Alameda County

CMS 5/5 94 beds Non-profit Medicaid
Nurse hours
4.76 /day
Staff turnover
21%
Serious cites
0

Piedmont Gardens runs on a nonprofit model with 94 certified beds, and the staffing numbers are where it separates itself. At 4.76 nurse hours per resident day, it sits roughly 23 percent above the national average of 3.86, and weekend coverage only dips about 5 percent below its own weekday levels, which is a smaller drop than many homes manage. Staff turnover tells a similar story: 21.2 percent against a national average of 45.8 percent, meaning the people caring for residents tend to stay. Eleven deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in January 2025. For a family weighing options, the pattern here is steady hands and few red flags.

A

93/100

Cottonwood Healthcare Center

Woodland, CA · Yolo County

CMS 5/5 98 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
43%
Serious cites
0

Cottonwood Healthcare Center runs on 4.44 nursing hours per resident per day, roughly 15% above the national average, though weekends dip about 10% below what the home staffs on weekdays. Staff turnover sits at 43.4%, a touch better than the 45.8% national figure, and the current record shows 43 deficiencies with none at the harm or jeopardy level and nothing abuse-related. The last inspection was July 30, 2025. This is a for-profit limited liability company with 98 certified beds, and its federal ratings split sharply: five stars each for staffing and quality measures, three for health inspections, strong day-to-day care numbers sitting alongside a longer inspection history.

A

93/100

Granada Hills Convalescent

Granada Hills, CA · Los Angeles County

CMS 5/5 48 beds For-profit Medicaid
Nurse hours
5.15 /day
Staff turnover
14%
Serious cites
0

Granada Hills Convalescent runs on unusually steady staffing for a 48-bed for-profit home: 5.15 nurse hours per resident day, roughly a third above the national average, with weekend coverage dipping only about 4% below weekdays. Staff turnover sits at 13.7% against a national average near 46%, which matters more than any single inspection score because consistent caregivers tend to notice problems early. The tradeoff is in the inspection history, 37 deficiencies on the current record, including one at the harm level and two tied to abuse, plus an $8,018 fine. California's survey cycle runs roughly yearly to eighteen months, and the last visit was November 2025. Ask directly what changed after that harm-level finding.

A

93/100

Alden Terrace Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 5/5 210 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
31%
Serious cites
0

Alden Terrace runs on more nurse hours than the typical American nursing home, 4.03 per resident day against a national average of 3.86, and weekend coverage dips only about 6% below its own weekday level, which matters when families visit on Saturdays and Sundays. Staff turnover sits at 31%, well under the national 45.8%, so the people caring for residents tend to stick around longer than elsewhere. The tradeoff shows up in its inspection history: 35 deficiencies on the current record, including one at the harm level and one abuse-related, despite a recent November 2025 inspection and strong marks on quality measures. For-profit corporate ownership, 210 beds.

A

93/100

Providence Little Co Of Mary Transitional Care Ctr

Torrance, CA · Los Angeles County

CMS 5/5 115 beds Non-profit Medicaid
Nurse hours
6.85 /day
Staff turnover
25%
Serious cites
0

Providence Little Co Of Mary Transitional Care Center runs on 6.85 nurse hours per resident per day, roughly 77% above the national average, and its staff tends to stay, turnover of 24.5% is about half the national figure. Weekend coverage dips around 10% below weekday levels, so ask how that plays out on Saturdays and Sundays. The record shows 28 deficiencies, none at the harm or jeopardy level, with one abuse-related citation worth asking about directly. Inspections are current as of April 2026, and this church-affiliated nonprofit holds a 4 out of 5 on health inspections and a 5 on staffing.

A

93/100

Grace Pointe Cont Care Sr Campus, Skilled Nursing

Greeley, CO · Weld County

CMS 5/5 53 beds For-profit
Nurse hours
4.69 /day
Staff turnover
42%
Serious cites
0

Grace Pointe runs lean on problems and heavy on staff. The 53-bed home is individually owned for profit, and its nurse staffing sits at 4.69 hours per resident day, roughly a fifth above the national average, with a five-star staffing rating and a five-star quality measure rating to match. Turnover is 42.3%, a bit better than the 45.8% national figure, though weekend coverage drops about 12% below its own weekday level. On the inspection side, the record shows 11 deficiencies, one at the harm or jeopardy level and none abuse-related, with the most recent survey dated February 2026. A four-star inspection rating alongside those numbers is a fairly steady picture.

A

93/100

Waveny Care Center

New Canaan, CT · Western Ct County

CMS 5/5 106 beds Non-profit Medicaid
Nurse hours
5.03 /day
Staff turnover
37%
Serious cites
0

Waveny Care Center in New Canaan runs on 5.03 nurse hours per resident day, roughly 30 percent more staffing than the national average of 3.86, a real margin, not a rounding error. Weekend coverage dips about 13 percent below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. Turnover sits at 37.4 percent, below the national 45.8 percent, and the home carries a 5/5 on all three CMS measures. The 15 deficiencies on record include none at the harm level and one abuse-related citation; the last inspection was November 2025. Nonprofit ownership under a corporation rounds out the picture.

A

93/100

Willowbrooke Court At St Andrews Estates

Boca Raton, FL · Palm Beach County

CMS 4/5 89 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
21%
Serious cites
0

Willowbrooke Court runs on a nonprofit model in Boca Raton, and the staffing numbers are the story here: 4.17 nurse hours per resident day, roughly 8% above the national average, with a five-star CMS staffing rating to match. Turnover sits at 21.4%, less than half the national rate of 45.8%, which matters because consistent caregivers tend to know residents' routines and catch changes early. Weekend coverage dips about 7% below weekday levels, worth asking about if your family visits mostly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm level and none abuse-related, with the most recent survey completed in May 2025.

A

93/100

St Mark Village

Palm Harbor, FL · Pinellas County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
5.14 /day
Staff turnover
39%
Serious cites
0

St. Mark Village runs about 5.14 nurse hours per resident per day, roughly a third more than the national average, and its staff turnover of 39% sits below the national 45.8%. Weekend coverage drops about 15% from its own weekday level, which is worth asking about if your family member needs more help on Saturdays and Sundays. The home carries four deficiencies on its current record, none at the harm level and none abuse-related, and its last inspection was in January 2024. It's a nonprofit with 80 beds, which tends to mean steadier ownership than a chain.

A

93/100

Memorial Manor

Pembroke Pines, FL · Broward County

CMS 5/5 120 beds Government Medicaid
Nurse hours
4.84 /day
Staff turnover
16%
Serious cites
0

Memorial Manor runs on 4.84 nurse hours per resident per day, roughly a quarter more staffing than the typical Florida nursing home, and weekends dip only about 10% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 16% against a national average near 46%, which matters more than any single inspection score. The 12 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in October 2024. It's a hospital-district home with 120 certified beds, so it answers to a public board rather than a private operator.

A

93/100

Good Samaritan Center

Live Oak, FL · Suwannee County

CMS 5/5 161 beds Non-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
35%
Serious cites
0

Good Samaritan Center runs a 161-bed nonprofit home in Live Oak, and the staffing numbers are the real story here. At 5.11 nurse hours per resident day, it's running about a third above the national average, and that lands it a 5/5 on CMS's staffing measure, though weekends dip roughly 9% below its own weekday coverage, so that's worth asking about. Turnover sits at 34.6%, noticeably better than the 45.8% national figure. Thirteen deficiencies on record with none at harm or jeopardy level and nothing abuse-related, plus a 4/5 inspection rating and a recent April 2026 visit, suggests a home that's keeping its paperwork and its people in order.

A

93/100

University Crossing

Jacksonville, FL · Duval County

CMS 4/5 111 beds Non-profit Medicaid
Nurse hours
5.87 /day
Staff turnover
45%
Serious cites
0

University Crossing runs on 5.87 nurse hours per resident day, roughly half again what the typical American nursing home provides, and that's the number doing most of the work here. Weekend staffing dips about 9% from its own weekday level, so coverage is thinner Saturdays and Sundays, but still well above average. Staff turnover sits at 44.6%, basically in line with the national picture, which is to say this is a field where nearly half of caregivers leave within a year. Five deficiencies on record, none involving harm or abuse, and the last full inspection was December 2024. As a nonprofit, its dollars don't flow to shareholders.

A

93/100

Plaza West

Sun City Center, FL · Hillsborough County

CMS 3/5 113 beds For-profit Medicaid
Nurse hours
4.98 /day
Staff turnover
21%
Serious cites
0

Plaza West runs on strong staffing numbers. At 4.98 nurse hours per resident day, it sits about 29% above the national average, and its staff turnover of 21.4% is roughly half the national figure, that kind of retention usually means residents see familiar faces. Weekends dip about 10% below weekday coverage, worth asking about if your family visits on Saturdays. The tradeoff is inspections: a 2/5 health inspection rating and 19 deficiencies on record, though none at the harm level and none abuse-related. A recent July 2025 inspection means the picture is current. For-profit LLC ownership, 113 beds.

A

93/100

Shands Jacksonville Medical Center

Jacksonville, FL · Duval County

CMS 5/5 56 beds Non-profit Medicaid
Nurse hours
5.79 /day
Staff turnover
27%
Serious cites
0

Shands Jacksonville runs a tight ship. Nurse staffing sits at 5.79 hours per resident day, roughly half again the national average of 3.86, and only about 27% of the nursing staff turns over in a year, well under the 45.8% national figure. Weekend coverage dips around 14% below weekday levels, the one soft spot worth asking about. The inspection record is spotless: zero deficiencies, none at harm level, none abuse-related, with the most recent survey in February 2026. This is a nonprofit hospital-based unit with 56 beds, and its staffing and quality scores back up what the numbers say.

A

93/100

Vi At Lakeside Village

Lantana, FL · Palm Beach County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
5.56 /day
Staff turnover
13%
Serious cites
0

Vi at Lakeside Village runs 5.56 nurse hours per resident per day, roughly 44% above the national average of 3.86, that's a real staffing cushion, not a marginal one, and it's the main reason this home stands out. Just as telling: annual turnover sits at 12.9% against a national average of 45.8%, meaning the people caring for residents mostly stay put, which matters more than any single inspection score. Weekend staffing drops about 14% below its own weekday level, so coverage thins out on Saturdays and Sundays. Ten deficiencies are on record with none at the harm level and none abuse-related, and the last inspection was February 2026, recent enough to trust.

A

93/100

Westminster St Augustine

Saint Augustine, FL · St. Johns County

CMS 5/5 30 beds Non-profit
Nurse hours
4.38 /day
Staff turnover
17%
Serious cites
0

Westminster St Augustine runs a small house, 30 certified beds under church-related nonprofit ownership, and the numbers suggest it's staffed accordingly. Nurse coverage sits at 4.38 hours per resident day, roughly 13% above the national average, and weekend hours dip only about 5% below weekday levels. Staff turnover is the standout: 16.7% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines and catch changes early. On the inspection side, the home carries just three deficiencies, none at harm or jeopardy level and none abuse-related, with its last survey completed in August 2025. Federal ratings land at five stars across health inspections, quality measures, and staffing.

A

93/100

Bentley Care Center

Naples, FL · Collier County

CMS 3/5 84 beds For-profit
Nurse hours
6.45 /day
Staff turnover
31%
Serious cites
0

Bentley Care Center runs on unusually heavy staffing for a for-profit home, 6.45 nurse hours per resident per day, roughly two-thirds above the national average, and turnover sits at 31%, well under the typical 46%. That combination is the main reason it scores as well as it does. The softer spots are worth knowing about: weekend coverage drops about 10% below its own weekday levels, and the last health inspection turned up 17 deficiencies, though none involved actual harm or abuse. Inspectors were last in the building in November 2024. The two-star inspection rating says the paperwork and physical plant have had problems; the five-star staffing rating says someone is usually there when a resident needs help.

A

93/100

Riviera Health Resort

Coral Gables, FL · Miami-Dade County

CMS 5/5 223 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
38%
Serious cites
0

Riviera Health Resort runs 4.80 nurse hours per resident per day, roughly a quarter above the national average, and that staffing shows up as five stars from CMS on both staffing and quality measures. Turnover sits at 38.4%, better than the 45.8% national figure, though weekend coverage drops about 13% from weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record is clean where it counts: six deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent visit in October 2025. For a 223-bed for-profit in Coral Gables, the numbers hold up.

A

93/100

Kindred Hospital South Florida Hollywood

Hollywood, FL · Broward County

CMS 5/5 30 beds For-profit
Nurse hours
5.03 /day
Staff turnover
24%
Serious cites
0

Kindred Hospital South Florida Hollywood runs on unusually heavy staffing for a 30-bed home, 5.03 nurse hours per resident day, roughly a third more than the national average, which is why CMS gives it the top staffing mark. Turnover sits at 23.5%, about half the national rate, so the people caring for residents tend to stick around. The trade-off shows up in inspections: 19 deficiencies on the current record, though none involved harm or abuse, and the most recent visit was in December 2024. Weekend coverage dips about 9% below its own weekday levels, worth asking about if your family visits then.

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.

Before you shortlist