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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 5001–5020 of 12,967, best-graded first.

B

79/100

Fulton County Medical Center

Mcconnellsburg, PA · Fulton County

CMS 3/5 67 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
27%
Serious cites
0

Fulton County Medical Center runs a lean, stable ship on the staffing side: 4.42 nurse hours per resident day beats the national average by about 15%, and a 26.8% turnover rate is well below the typical 45.8%. That consistency matters for residents who see the same faces day to day. The trouble sits elsewhere. Twenty-three deficiencies on the current record, including two at the harm level and three tied to abuse, with $16,801 in fines. Inspectors were last in on April 17, 2025. Strong staffing can't offset a record like that on its own, and the low quality-measure score suggests the day-to-day care isn't matching the hours being paid for.

B

79/100

Lutheran Home At Hollidaysburg

Hollidaysburg, PA · Blair County

CMS 2/5 89 beds Non-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
48%
Serious cites
0

Lutheran Home At Hollidaysburg runs a church-affiliated nonprofit with 89 beds, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average, though weekends dip about 8% below its own weekday coverage. That staffing earns 4 stars from CMS, but the inspection record tells a different story: 39 deficiencies on file, including 2 at the harm or jeopardy level and 3 tied to abuse, with two fines totaling $101,905. Staff turnover runs 48.2%, a bit above the national 45.8%. The most recent inspection was December 2025, so the record is current. Quality measures score 4 stars; health inspections score 2. Ask about those harm-level and abuse deficiencies specifically.

B

79/100

Courtyard Gardens Nursing And Rehab Ctr

Middletown, PA · Dauphin County

CMS 3/5 102 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
42%
Serious cites
0

Courtyard Gardens runs a nonprofit home with 102 beds in Middletown, and its nurse staffing sits right at the national average, 3.84 hours per resident day against 3.86 nationwide. That sounds fine until you notice weekends drop about 12% below the home's own weekday coverage, which is when falls and medication errors tend to happen. Staff turnover is 42%, a bit better than the 45.8% national figure, and the last inspection in September 2024 produced 15 deficiencies, two of them serious enough to cause harm, plus one fine of $8,469. The four-star inspection rating is real, but those two harm-level findings and the weekend gap are what pull the overall picture down.

B

79/100

Muncy Place

Muncy, PA · Lycoming County

CMS 3/5 138 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
58%
Serious cites
0

Muncy Place runs on decent staffing numbers, 4.41 nurse hours per resident day, roughly 14 percent above the national average, but the weekend tells a different story, dropping about 12 percent below its own weekday level. That matters, because staff turnover sits at 58.2 percent against a national average of 45.8 percent, so the people covering those thinner weekend shifts are often the newest hires. The inspection record shows 20 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey done in July 2025. As a nonprofit with 138 beds, it isn't chasing margins, but the gap between its quality scores and its actual compliance record is worth asking about directly.

B

79/100

Beacon Ridge

Indiana, PA · Indiana County

CMS 1/5 118 beds Non-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
51%
Serious cites
0

Beacon Ridge runs 118 certified beds as a nonprofit corporation, and its nursing hours come in at 3.61 per resident day, about 6% under the national average of 3.86. Weekends thin out further, running roughly 9% below the home's own weekday staffing, and annual turnover sits at 51.3% against a national 45.8%, so the people who are there are frequently new. The inspection record shows 38 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse, and the most recent inspection was April 2026. Quality measures score well; the health inspection side is where the trouble concentrates.

B

79/100

Quadrangle

Haverford, PA · Delaware County

CMS 3/5 78 beds For-profit
Nurse hours
5.34 /day
Staff turnover
66%
Serious cites
0

Quadrangle runs 5.34 nurse hours per resident day, about 38% above the national average, and that staffing shows up in its four-star staffing rating. The catch is turnover: 65.7% of staff leave each year, well above the 45.8% norm, so the people delivering that care keep changing, and weekend coverage drops roughly 10% below weekday levels. The inspection record is where it gets harder to defend, 36 deficiencies, including one at the harm level and three tied to abuse, with a two-star health inspection rating and a $8,278 fine. Its quality measures score four stars, but persistent turnover and a recent April 2025 inspection citing harm-level problems are the things to ask about directly.

B

79/100

Lutheran Home At Kane, The

Kane, PA · Mc Kean County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
38%
Serious cites
0

Lutheran Home At Kane runs on a nonprofit model with 90 certified beds, and its nurse staffing sits at 3.90 hours per resident day, just a hair above the national average of 3.86. That margin is thin enough that weekend coverage matters: staffing drops about 13% below weekday levels, so care on Saturdays and Sundays may feel different from a Tuesday. Turnover is 37.7%, noticeably better than the 45.8% national figure, which suggests less churn among the people doing the daily work. The current deficiency record shows six citations, none at harm or jeopardy level and none abuse-related, with the last inspection in November 2025. Quality measures score lower than staffing and inspection results, so ask about specific clinical outcomes.

B

79/100

Monticello House

Media, PA · Delaware County

CMS 5/5 86 beds Non-profit
Nurse hours
4.45 /day
Staff turnover
93%
Serious cites
0

Monticello House has the bones of a strong nursing home: a five-star inspection record, five stars on quality measures, and no deficiencies at the harm or jeopardy level, with a clean record on abuse. Its 4.45 nurse hours per resident day sit about 15% above the national average. The problem is stability. Annual staff turnover runs 92.7%, roughly double the national figure, and weekend staffing drops about 11% below the home's own weekday level, so the coverage families tour on a Tuesday isn't quite what a Saturday looks like. A nonprofit owner and a recent inspection help. Whether aides stay long enough to know your mother is the open question.

B

79/100

Willow Grove Post Acute

Hatboro, PA · Montgomery County

CMS 3/5 109 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
45%
Serious cites
0

Willow Grove Post Acute runs about 3.5 nurse hours per resident per day, roughly 9% under the national average, and weekends dip another 6% below its own weekday coverage. The 1-out-of-5 health inspection rating is the number that matters most: 66 deficiencies on the current record, three of them abuse-related, none flagged at harm or jeopardy level. Quality measures score well, but that's largely self-reported data, and it sits oddly beside the inspection history. Turnover of 44.9% is a hair under the national average, which means this isn't a retention crisis, it's a staffing-depth problem layered on top of a troubled survey record. For-profit LLC ownership. The last inspection was May 2025, so the record is current.

B

79/100

Concordia At Arbutus Park

Johnstown, PA · Cambria County

CMS 3/5 141 beds Non-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
46%
Serious cites
0

Concordia At Arbutus Park runs 3.56 nurse hours per resident day, about 8% under the national average of 3.86, and weekends dip another 8% below its own weekday staffing. Turnover sits at 46.4%, roughly matching the national figure, so this isn't a retention crisis, it's a coverage question. The current inspection record shows 27 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, with $16,800 in fines across three events. A 3/5 health inspection rating against 4/5 marks for quality measures and staffing tells you the care model looks better on paper than the surveyor's clipboard. The most recent inspection was August 2025, so the record is current.

B

79/100

Whitestone Care Center

Stroudsburg, PA · Monroe County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
48%
Serious cites
0

Whitestone Care Center is a 90-bed for-profit home in Stroudsburg, and its numbers tell a mixed story. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends dip roughly 7% below its own weekday coverage, so the hours aren't evenly spread across the week. Staff turnover runs 48.1%, a bit above the 45.8% national figure. The inspection record is where the concern concentrates: 24 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, with $23,257 in fines across two penalties. The last inspection was December 5, 2025, so the record is current. Its quality measure score is strong at 5/5, but that's self-reported data. The staffing and inspection numbers are the ones worth weighing.

B

79/100

Vibra Rehabilitation Center

Mechanicsburg, PA · Cumberland County

CMS 3/5 48 beds For-profit
Nurse hours
3.84 /day
Staff turnover
68%
Serious cites
0

Vibra Rehabilitation Center runs 48 certified beds in Mechanicsburg under for-profit LLC ownership. Nurse staffing sits at 3.84 hours per resident day, roughly a hair under the national average, but the bigger concern is who's actually there on weekends, coverage drops about 9% below its own weekday level. Staff turnover is 67.5%, well above the national 45.8%, which means nearly seven in ten caregivers cycled out in a year. The current record carries 32 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse. Inspectors last visited in August 2025 and rated health inspections 2 out of 5. Quality measures score well, but that gap between measured care and actual conditions is worth asking about directly.

B

79/100

Kent Regency Center

Warwick, RI · Kent County

CMS 4/5 153 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
29%
Serious cites
0

Kent Regency Center runs 153 certified beds in Warwick under corporate ownership, and the numbers suggest a home that inspects well but runs lean on the floor. State surveyors gave it four stars for health inspections and quality measures, with 20 deficiencies on record and none rising to harm or jeopardy. Staffing tells a different story: 3.55 nurse hours per resident day, roughly 8% under the national average, and weekends drop about 11% below its own weekday pace. The encouraging piece is turnover at 28.8%, well under the 45.8% national figure, meaning the people who are there tend to stay. Its last inspection was September 2025.

B

79/100

Holiday Operator, Llc Dba Holiday Rehabilitation A

Manville, RI · Providence County

CMS 2/5 170 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
45%
Serious cites
0

Holiday Retirement Home in Manville runs 170 certified beds under individual for-profit ownership, and its staffing sits around 4.26 nurse hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage dips about 4% below its own weekday levels, and turnover lands at 44.7%, nearly identical to the national 45.8%. The trouble shows up in inspections: a 2-out-of-5 health inspection rating, 26 deficiencies on the current record, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $46,118 has been levied, and the last inspection was June 13, 2025. Adequate staffing, real compliance problems.

B

79/100

Nhc Healthcare - Clinton

Clinton, SC · Laurens County

CMS 5/5 131 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
54%
Serious cites
0

Nhc Healthcare - Clinton runs on thinner staffing than most homes its size. At 3.54 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 13% below its own weekday coverage, so the days families visit most are the days with the least help on hand. Staff turnover of 54.2% is nearly nine points above the national figure, which means aides and nurses cycle through faster than residents can get used to them. The record itself is cleaner: five deficiencies, none causing harm, none tied to abuse, and a recent inspection. Quality scores look strong, but those depend on the people who keep leaving.

B

79/100

Woodruff Manor

Woodruff, SC · Spartanburg County

CMS 3/5 88 beds Government Medicaid
Nurse hours
3.32 /day
Staff turnover
41%
Serious cites
0

Woodruff Manor runs on thin nursing coverage, 3.32 hours per resident day against a national average of 3.86, and weekends get even leaner, dipping about 8% below the home's own weekday numbers. The inspection record is where the real concern sits: 14 deficiencies, four of them serious enough to reach harm or jeopardy level, one tied to abuse, and $45,240 in fines across four penalties. Turnover at 40.6% is somewhat better than the 45.8% national figure, and the quality and staffing ratings both land at 4 out of 5. But a 2-out-of-5 inspection rating and that many harm-level findings carry weight a higher quality score can't offset.

B

79/100

Nhc Healthcare - Greenville

Greer, SC · Greenville County

CMS 5/5 132 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
42%
Serious cites
0

Nhc Healthcare - Greenville runs 132 beds in Greer under for-profit, limited-liability ownership, and its inspection record is genuinely clean: three deficiencies on file, none causing harm or jeopardy, none abuse-related, with a survey completed in September 2025. Staffing is where the picture narrows. At 3.77 nurse hours per resident day, it sits slightly under the national average, and weekends drop roughly 14% below its own weekday coverage, so a Saturday shift looks different from a Tuesday. Annual turnover of 41.7% is better than the national figure, meaning the crew is comparatively stable. The tradeoff is thinner daily coverage rather than regulatory trouble.

B

79/100

Nhc Healthcare, Oakwood

Lewisburg, TN · Marshall County

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

Nhc Healthcare, Oakwood runs 60 certified beds in Lewisburg under corporate for-profit ownership, and its strongest showing is in resident outcomes, the federal quality measure rating sits at 5 out of 5. Staffing is thinner than it looks on paper: 3.23 nurse hours per resident day, roughly 16 percent below the national average of 3.86, and weekends drop about 10 percent below the home's own weekday coverage. Annual turnover of 49.1 percent exceeds the 45.8 percent national figure, so the faces change often. Inspections earn 3 of 5 stars, with 12 deficiencies on record, none at the harm or jeopardy level, and none abuse-related. The most recent inspection was January 22, 2026, so the picture is current.

B

79/100

Nhc Healthcare, Knoxville

Knoxville, TN · Knox County

CMS 3/5 127 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
58%
Serious cites
0

Nhc Healthcare, Knoxville runs 127 certified beds under for-profit limited liability ownership, and its staffing sits right at the national line, 3.84 nurse hours per resident day against a 3.86 average, with weekends dropping roughly 14% below its own weekday coverage. Annual turnover is 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 16 deficiencies, including one at the harm or jeopardy level and three tied to abuse, from a last survey dated March 15, 2023. Quality and staffing measures look strong on paper, but the inspection history and weekend gaps are where families should focus their questions.

B

79/100

Nhc Healthcare, Athens

Athens, TN · Mc Minn County

CMS 5/5 86 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
51%
Serious cites
0

Nhc Healthcare, Athens runs on 4.07 nurse hours per resident day, about 5% above the national average, though weekends drop roughly 14% below its own weekday staffing. Annual turnover sits at 50.8%, higher than the 45.8% national figure. The home carries a for-profit LLC ownership structure and eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related. Its last inspection was August 24, 2023, and it holds 4 out of 5 stars in each CMS category, health inspections, quality measures, and staffing. The numbers point to a decently staffed home with solid inspection history, held back somewhat by turnover and thinner weekend coverage.

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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