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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 5181–5200 of 12,967, best-graded first.

B

78.5/100

Laurelbrook Nursing Home

Dayton, TN · Rhea County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
22%
Serious cites
0

Laurelbrook's staffing is the strongest thing it has going: 4.12 nurse hours per resident day sits about 7% above the national average, and turnover of 21.7% is roughly half the national rate, a stable crew matters more than raw hours. The catch is weekends, when coverage drops about 22% below the home's own weekday level. The inspection record is where the real concern lives: 19 deficiencies on file, five of them at harm or jeopardy level and four tied to abuse, with the most recent inspection in October 2024. A church-affiliated nonprofit with 50 beds and steady staff, but that harm-level history is what a family should ask about directly.

B

78.5/100

Little Cottonwood Rehabilitation And Nursing

South Salt Lake, UT · Salt Lake County

CMS 5/5 37 beds Government Medicaid
Nurse hours
2.06 /day
Staff turnover
26%
Serious cites
0

Little Cottonwood Rehabilitation And Nursing is a 37-bed county-run home in South Salt Lake, and its inspection record is the strongest thing about it: a five-star health inspection rating, only six deficiencies on file, none at the harm or jeopardy level, and a survey completed in October 2025. The quality measures also come in at five stars. What holds it back is staffing, 2.06 nurse hours per resident day, roughly half the national average of 3.86, with weekends running about 18 percent thinner than weekdays. Turnover is unusually low at 26.3 percent against a 45.8 percent national figure, which suggests a stable crew, but a stable crew that's small. Two abuse-related deficiencies are worth asking about directly.

B

78.5/100

Richfield Health Center - Salem

Salem, VA · Salem City County

CMS 3/5 112 beds Non-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
52%
Serious cites
0

Richfield Health Center runs a nonprofit operation with 112 certified beds, and its nurse staffing sits at 4.34 hours per resident day, about 12% above the national average of 3.86. That's a real strength. The catch is weekends, when coverage drops roughly 20% below what the home staffs on weekdays. Turnover is 51.5%, higher than the 45.8% national figure, so the people providing that care change often. On inspections, the record shows 31 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $15,465 fine. The last inspection was in May 2024.

B

78.5/100

Alexandria Rehabilitation And Healthcare Center

Alexandria, VA · Alexandria City County

CMS 3/5 111 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
26%
Serious cites
0

Alexandria Rehabilitation and Healthcare Center runs 3.47 nursing hours per resident day, about 10% under the national average, and weekends drop roughly 17% below its own weekday staffing. Turnover sits at 25.6%, well under the national 45.8%, so the aides and nurses who are there tend to stay. The inspection record is the harder part: 40 deficiencies, two at harm or jeopardy level and four abuse-related, with the most recent inspection in April 2024. Quality measures score well, but staffing and health inspection stars both come in at 2 out of 5. Limited liability ownership, 111 beds. Ask about weekend coverage and how the abuse-related citations were resolved before deciding.

B

78.5/100

Shenandoah Nursing Home

Fishersville, VA · Augusta County

CMS 5/5 84 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
37%
Serious cites
0

Shenandoah Nursing Home in Fishersville runs on thinner nurse staffing than most homes nationally, 3.43 hours per resident day against an average of 3.86, with weekends dropping about 15% below its own weekday levels. That pattern matters most on Saturdays and Sundays, when care needs don't take the weekend off. The tradeoff is a relatively stable workforce: 37% turnover beats the 45.8% national figure, and a 4/5 inspection rating with no harm-level or abuse deficiencies on a recent May 2024 survey suggests the care is consistent even when staffing is lean. Family members should ask how weekend coverage is handled on the specific unit their relative would live on.

B

78.5/100

Regency Harmony House Rehab & Nursing

Brewster, WA · Okanogan County

CMS 5/5 54 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
28%
Serious cites
0

Regency Harmony House runs a tight ship on inspections, a five-star health inspection rating and a recent survey date of November 2025, with 15 deficiencies on record and none at the harm or jeopardy level. Staffing sits at 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 22% below the home's own weekday coverage, so families should ask how that gap gets filled. Turnover is the bright spot: 27.5% against a national average of 45.8%, meaning the people caring for residents tend to stay. The weaker piece is the two-star quality measure rating, and three abuse-related deficiencies appear on the current record, worth asking about directly.

B

78.5/100

Agility Health And Rehabilitation

University Place, WA · Pierce County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
42%
Serious cites
0

Agility Health and Rehabilitation runs 120 certified beds in University Place under for-profit LLC ownership, and its staffing sits at 4.19 nurse hours per resident day, roughly 9% above the national average. Turnover lands at 42.3%, a touch better than the 45.8% norm, though weekend coverage drops about 16% below its own weekday level, so care can thin out when families visit most. The inspection record is where things get harder to ignore: 41 deficiencies, including one at the harm or jeopardy level and six tied to abuse. Its most recent inspection was June 9, 2026, so the picture is current, not stale. Quality measures score well, but that record is worth asking about directly.

B

78.5/100

Life Care Center Of South Hill

Puyallup, WA · Pierce County

CMS 5/5 100 beds For-profit
Nurse hours
4.80 /day
Staff turnover
40%
Serious cites
0

Life Care Center of South Hill runs a hundred beds in Puyallup, and the staffing is genuinely its strong suit, 4.80 nurse hours per resident day, roughly a quarter above the national average, with turnover at 40.2% sitting below the 45.8% norm. The catch is weekends, when hours drop about 18% below the home's own weekday level. On inspections, CMS rated it 4 of 5 stars, though the record shows 29 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $17,388. The last inspection was November 2025, so the picture is recent.

B

78.5/100

Continuous Care Center Wheeling Hospital

Wheeling, WV · Ohio County

CMS 5/5 144 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
—
Serious cites
0

Continuous Care Center Wheeling Hospital runs 4.40 nurse hours per resident per day, roughly 14% above the national average, and weekends dip about 11% below its own weekday staffing. That weekday strength is real, but the schedule thins out on Saturdays and Sundays. The current record shows 23 deficiencies, none at the harm or jeopardy level, though two are abuse-related. That combination, a clean recent inspection in August 2025 and a five-star health inspection rating, sits alongside a two-star quality measure rating, which suggests the day-to-day care measures aren't matching the inspection results. A church-affiliated nonprofit owns the 144-bed home, and its staffing rating lands at three stars. The numbers point to a place that inspects well and staffs better than average most days, with some gaps worth asking about directly.

B

78.5/100

Wellsburg Healthcare Center

Wellsburg, WV · Brooke County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
34%
Serious cites
0

Wellsburg Healthcare Center sits at 60 certified beds under corporate for-profit ownership, and its inspection record is genuinely strong, a five-star health inspection rating with the most recent survey done in January 2025. The catch is the day-to-day staffing: 3.57 nurse hours per resident, roughly 8% under the national average, with weekends running about 15% thinner than weekdays. That gap is why CMS gives staffing only two stars, and 18 deficiencies on record include one at the harm level and one abuse-related. Turnover at 34% is better than the 45.8% national figure, which matters for continuity. Strong inspections, thin coverage, the tradeoff is real.

B

78.5/100

Burnett Medical Center

Grantsburg, WI · Burnett County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
51%
Serious cites
0

Burnett Medical Center runs on unusually heavy staffing, 5.45 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping about 19% below its own weekday level. That cushion is real, but 51.4% annual turnover means the faces around a resident change often, and the 1-out-of-5 quality measure rating suggests the clinical outcomes aren't tracking with the hours worked. The record shows 31 deficiencies with none at harm level, including 5 tied to abuse, and the most recent inspection was January 2026, so the picture is current. This is a nonprofit home that staffs generously and still lands mid-pack on care quality.

B

78.5/100

Dove Healthcare - Osseo

Osseo, WI · Trempealeau County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
68%
Serious cites
0

Dove Healthcare - Osseo runs a lean ship on direct care: 5.11 nurse hours per resident day, roughly a third more than the national average, and weekends stay within about 16% of weekday coverage. Inspections back that up, a four-star health inspection rating, nine deficiencies on record and none at the harm or jeopardy level, though one is abuse-related and worth asking about. The catch is retention: 68.3% annual turnover, well above the 45.8% national figure, which means the strong staffing numbers are being sustained by a constantly rotating crew. For-profit corporate ownership, 46 beds, last inspected February 2026.

B

78.5/100

Stratford Villa Post-Acute

Livermore, CA · Alameda County

CMS 4/5 27 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
—
Serious cites
0

Stratford Villa Post-Acute is a small for-profit home in Livermore, 27 beds, run by a limited liability company. Its total nurse staffing of 4.27 hours per resident day sits about 11% above the national average, which sounds good until you notice weekends run roughly 5% thinner than weekdays, and CMS gives the home just 2 out of 5 stars for staffing. The inspection record is the bigger concern: 16 deficiencies, two of them serious enough to reach harm or jeopardy level, plus three fines totaling $46,779. The last inspection was in March 2024. Quality measures score a perfect 5, but that number can flatter a home whose actual oversight record tells a rougher story.

B

78.5/100

Nazareth Living Care Center

El Paso, TX · El Paso County

CMS 2/5 108 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
33%
Serious cites
0

Nazareth Living Care Center runs 108 beds in El Paso under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 16% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover is the brighter spot: 33.3% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. The inspection record is heavier, 60 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent survey was January 2026. Ask about weekend coverage and how the abuse findings were resolved.

B

78.5/100

Avir At Comfort

Comfort, TX · Kendall County

CMS 5/5 76 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
59%
Serious cites
0

Avir At Comfort runs a 76-bed for-profit operation in Kendall County, and its inspection record looks solid on paper, a four-out-of-five health inspection rating with a survey as recent as August 2025. What the numbers don't show is consistency: nurse staffing sits at 3.77 hours per resident day, slightly under the national average, and weekends drop about 25% below the home's own weekday coverage. That pattern matters when families visit on Saturdays and Sundays. Annual turnover of 59.4% is well above the 45.8% national figure, meaning the people caring for your relative are likely to change often. The 36 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy level.

B

78.5/100

Ussery Roan Texas State Veterans Home

Amarillo, TX · Potter County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
62%
Serious cites
0

Ussery Roan Texas State Veterans Home runs about 4.02 nurse hours per resident day, a bit above the national average of 3.86, and CMS gives it four stars for staffing and four for quality measures. The catch is consistency: weekend staffing drops roughly 16% below its own weekday level, and annual turnover sits at 62% against a national 45.8%. Its inspection record shows 32 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with the most recent inspection in May 2025. It's a for-profit limited liability company, and the three-star health inspection rating reflects that mixed record.

B

78/100

John Knox Manor Inc I I

Montgomery, AL · Montgomery County

CMS 2/5 98 beds Non-profit Medicaid
Nurse hours
4.94 /day
Staff turnover
53%
Serious cites
0

John Knox Manor III runs 98 certified beds as a nonprofit corporation, and its inspection record is the steadiest thing about it, four deficiencies on file, none rising to harm or jeopardy, none tied to abuse, with the most recent state visit in January 2024. Staffing is where the picture darkens. CMS rates it 1 out of 5 on both staffing and quality measures, which means nurse coverage and resident care outcomes land well below what regulators expect. Annual staff turnover sits at 53.1 percent against a national average of 45.8 percent, so more than half the workforce leaves each year. Families weighing this one should ask directly how often shifts go short and who actually covers them.

B

78/100

Diversicare Of Winfield

Winfield, AL · Marion County

CMS 4/5 123 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
42%
Serious cites
0

Diversicare of Winfield runs 123 beds under corporate ownership, and its strongest suit is inspections, a 4-out-of-5 star record with just three deficiencies on file and none rising to harm or jeopardy. The catch is staffing: 3.07 nurse hours per resident day sits about 21% under the national average, and weekends drop roughly 12% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover at 41.8% is modestly better than the 45.8% national figure, which helps continuity. One abuse-related deficiency is on the record, and the last inspection dates to June 2021, so that clean-looking file is several years old.

B

78/100

Adams Rehabilitation And Healthcare Center

Alexander City, AL · Tallapoosa County

CMS 5/5 88 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
48%
Serious cites
0

Adams Rehabilitation and Healthcare Center runs on 4.13 nurse hours per resident day, roughly 7% above the national average, and weekends dip about 13% below its own weekday staffing. Turnover sits at 48.1%, a bit above the national 45.8%, so the faces change fairly often even with the extra hours on the schedule. The inspection record is the strong part: a 5/5 health inspection rating, just four deficiencies, none at harm or jeopardy level and none abuse-related. The catch is timing, that last inspection was June 2021, so the clean record is several years old. Quality measures come in at 2/5, which is where the softer numbers show up.

B

78/100

Meadowview Nursing Center

Pell City, AL · St. Clair County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
47%
Serious cites
0

Meadowview Nursing Center runs about 4.03 nurse staffing hours per resident per day, roughly 4% above the national average, and that shows up in its staffing rating. Weekends get thinner, though, running about 11% below the home's own weekday level, so coverage isn't perfectly even across the week. Staff turnover sits at 46.6%, essentially in line with the national figure. On inspections, the record is clean where it matters most: seven deficiencies total, none causing harm or jeopardy, none abuse-related, with the last full inspection in June 2023. The weaker spot is quality measures, where the home scores lower than its inspection and staffing results would suggest, which is worth asking about directly.

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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