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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 5301–5320 of 12,967, best-graded first.

B

78/100

Autumn Lake Healthcare At Braddock Heights

Frederick, MD · Frederick County

CMS 4/5 65 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
51%
Serious cites
0

Autumn Lake Healthcare at Braddock Heights runs about 3.31 nurse hours per resident each day, roughly 14% under the national figure of 3.86, and weekends dip another 6% below what the home staffs on weekdays. Annual turnover sits at 51.1%, higher than the 45.8% national average, so familiar faces cycle through. On paper the care record looks steadier: a 4-out-of-5 health inspection rating, 57 deficiencies logged with none rising to harm or jeopardy, though 7 are abuse-related and the last inspection was August 2024. Owned by an individual for profit. The numbers point to a home that inspects reasonably well but runs lean on the floor.

B

78/100

Julian J Levitt Family Nursing Home

Longmeadow, MA · Hampden County

CMS 4/5 200 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
39%
Serious cites
0

Julian J Levitt Family Nursing Home runs 200 certified beds as a nonprofit corporation. Nurse staffing sits at 3.94 hours per resident day, modestly above the national average of 3.86, though weekends run about 8% thinner than weekdays. Staff turnover is 38.7%, better than the 45.8% national figure, which matters for continuity of care. The inspection record is where the picture gets more complicated: 21 deficiencies, two of them at the harm or jeopardy level, and one fine of $11,468. The most recent inspection was in May 2025, so the record is current rather than stale. Quality measures score well, staffing is average, and the health inspection side carries real weight, families should ask specifically about those two harm-level findings.

B

78/100

Bear Hill Healthcare And Rehabilitation Center

Stoneham, MA · Middlesex County

CMS 5/5 169 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
37%
Serious cites
0

Bear Hill runs 169 beds under for-profit LLC ownership, and the staffing numbers are decent, 4.00 nurse hours per resident day, a bit above the national average. Weekend coverage dips about 8% below weekday levels, and turnover sits at 37.1%, which is actually better than the 45.8% national figure. Where it gets murkier is the inspection record: 27 deficiencies, including one at the harm level and one abuse-related, plus a $16,146 fine. The last inspection was January 2026, so the picture is current. Strong quality scores and recent oversight, but that harm-level finding is the kind of thing worth asking about directly before you decide.

B

78/100

East Longmeadow Skilled Nursing Center

East Longmeadow, MA · Hampden County

CMS 4/5 131 beds Non-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
47%
Serious cites
0

East Longmeadow Skilled Nursing Center runs on more nursing hours than most homes, 4.22 per resident day against a national average of 3.86. That's a real margin, though weekends dip about 9% below its own weekday levels, so coverage isn't perfectly even across the week. The inspection record is solid: 30 deficiencies on file, none at the harm or jeopardy level, and the most recent state visit was in July 2025. One abuse-related citation is worth asking about directly. Staff turnover of 46.6% is essentially the national rate, which means this nonprofit isn't retaining caregivers any better than the typical facility.

B

78/100

St Francis Rehabilitation & Nursing Center

Worcester, MA · Worcester County

CMS 4/5 137 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
41%
Serious cites
0

St Francis runs about 4.02 nurse hours per resident day, a bit above the national average of 3.86, though weekend coverage drops roughly 11% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 41.1%, slightly better than the national 45.8%. Against that, the inspection record shows 23 deficiencies, four at the harm level and one abuse-related, with two fines totaling $19,175 and a survey as recent as November 2025. The quality measure score is strong; the health inspection side is where the concerns live. This is a for-profit limited liability company operating 137 beds.

B

78/100

Carlyle House

Framingham, MA · Middlesex County

CMS 1/5 55 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
43%
Serious cites
0

Carlyle House runs 4.36 nurse hours per resident day, about 13% above the national average, and turnover at 42.9% is slightly better than the 45.8% norm. Those numbers sound decent until you notice CMS rates staffing 1 out of 5 and weekend coverage drops roughly 13% below its own weekday level. The inspection record carries 22 deficiencies, four of them at the harm or jeopardy level, with two fines totaling $25,263 and a 2/5 health inspection rating. Last inspection was July 2025. Despite the above-average raw staffing hours, the harm-level citations and thin weekend coverage are what families should weigh.

B

78/100

Wellspring Lutheran Services

Frankenmuth, MI · Saginaw County

CMS 3/5 83 beds Non-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
48%
Serious cites
0

Wellspring Lutheran Services in Frankenmuth runs on a nonprofit model with 83 certified beds, and its nurse staffing sits at 3.96 hours per resident day, roughly 3% above the national average of 3.86. That margin is real but thin, and weekends dip about 7% below the home's own weekday coverage, so the weekday-to-weekend gap is worth asking about directly. Turnover lands at 47.7%, just above the national 45.8%, meaning nearly half the nursing staff turns over in a year. The current record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, a volume that reflects paperwork and process issues rather than resident safety. The most recent inspection was August 2025, so the picture is current.

B

78/100

Mission Point Nursing & Physical Rehabilitation Ce

Greenville, MI · Montcalm County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
55%
Serious cites
0

Mission Point runs a hundred beds in Greenville under limited-liability, for-profit ownership, and its nurse staffing sits about 15% above the national average at 4.46 hours per resident day, real coverage, though weekends dip roughly 9% below its own weekdays. Turnover is the harder number: 55% of staff leaving annually against a national 45.8% means new faces on the floor often. The current inspection record carries 36 deficiencies, four at harm or jeopardy level and two tied to abuse, with one fine of $10,220 and a survey dated May 2025. Strong hours, unsettled workforce, and a serious citation history, visit unannounced and watch the evening and weekend shifts.

B

78/100

Regency At St. Clair Shores

St. Clair Shores, MI · Macomb County

CMS 3/5 146 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
19%
Serious cites
0

Regency At St. Clair Shores runs 146 beds under corporate ownership, and the numbers cut both ways. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends dip roughly 8% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is the standout: 19% against a national average near 46%, meaning the aides and nurses here tend to stay, which matters for anyone living with dementia or needing consistent hands. But the inspection record carries 29 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a $22,874 fine. The last inspection was August 2025. High marks on inspection and quality stars coexist with real findings. Ask about those two serious deficiencies specifically.

B

78/100

Medilodge Of Zeeland

Zeeland, MI · Ottawa County

CMS 3/5 138 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
29%
Serious cites
0

Medilodge Of Zeeland runs 138 beds under corporate ownership that changed hands within the past year, and the inspection record shows 41 deficiencies, including five at the harm or jeopardy level and six tied to abuse. Staffing sits at 3.42 nurse hours per resident day, roughly 12 percent under the national average, and weekends run about 12 percent thinner than weekdays. Turnover is the one bright spot: 28.6 percent against a national 45.8 percent, which suggests people tend to stay. The last inspection was in February 2025, so the record is current. Quality measures score low, staffing scores high, that split tells you where the problems likely sit.

B

78/100

Medilodge Of Wyoming

Wyoming, MI · Kent County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
46%
Serious cites
0

Medilodge Of Wyoming runs an 80-bed for-profit home in Kent County, and its most recent inspection, in July 2025, turned up ten deficiencies with none at the harm level and nothing abuse-related. Nurse staffing sits at 3.81 hours per resident day, a hair under the national average, and weekends drop roughly 12% below what the home staffs on weekdays, worth asking about if your family tends to visit Saturday or Sunday. Turnover is 46.2%, basically even with the national rate. The health inspection record is strong; the quality measure score is middling; staffing falls in between.

B

78/100

Aerius Health Center

Riverview, MI · Wayne County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
62%
Serious cites
0

Aerius Health Center in Riverview is a for-profit, individually owned home with 78 certified beds, and its inspection record is genuinely strong, a 2025-08-06 survey, 16 total deficiencies, none of them causing harm or jeopardy, and none abuse-related. Where it gets shakier is staffing: 3.63 nurse hours per resident day, roughly 6% under the national average, with weekend coverage dropping about 13% below its own weekdays. Annual turnover sits at 61.9% against a national 45.8%, so the people around your family member change often enough that consistency is a fair question to raise. A low staffing score next to high inspection and quality scores usually means the home does well when it's watched closely and thins out between visits, worth asking about directly.

B

78/100

Lakehouse Healthcare & Rehabilitation Center

Minneapolis, MN · Hennepin County

CMS 1/5 260 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
35%
Serious cites
0

Lakehouse Healthcare runs 260 beds in Minneapolis under for-profit LLC ownership, and its inspection record is the first thing to know: 81 deficiencies on file, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection in August 2025. Staffing is genuinely better than most homes on retention, 34.5% annual turnover beats the national 45.8%, but total nurse hours come in around 3.34 per resident day, roughly 13% under the national average, and weekends run about 8% thinner than weekdays. That combination, a stable workforce stretched too thin against a heavy citation history, is what sits behind the grade.

B

78/100

The Estates At Roseville Llc

Roseville, MN · Ramsey County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
36%
Serious cites
0

The Estates at Roseville runs 140 certified beds under corporate for-profit ownership, and its last health inspection was in May 2025. That inspection record carries 27 deficiencies, none flagged at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Nurse staffing sits at 3.57 hours per resident day, roughly 8 percent under the national figure, and weekends run about 4 percent thinner than weekdays. Staff turnover is 35.6 percent, below the 45.8 percent national average, which suggests people tend to stay. So you have solid quality and staffing ratings sitting alongside a middling inspection history and a fairly long deficiency list.

B

78/100

Madonna Towers Of Rochester

Rochester, MN · Olmsted County

CMS 3/5 62 beds Non-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
61%
Serious cites
0

Madonna Towers of Rochester runs a nonprofit home with 62 beds, and its nurse staffing sits a hair above the national average, 3.97 hours per resident day against 3.86. That margin shrinks on weekends, when coverage drops roughly 12% below its own weekday levels, so the hours aren't spread evenly across the week. The bigger flag is turnover: 60.5% of staff leaving annually, well past the 45.8% national figure. Inspections look solid on paper, with a 4-star health rating and a recent April 2026 survey, but the record carries 14 deficiencies, one serious enough to involve harm or jeopardy, plus a $10,196 fine. Good survey scores and steady churn can coexist; ask how they hold onto aides.

B

78/100

The Villas At St Paul

Saint Paul, MN · Ramsey County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
48%
Serious cites
0

The Villas At St Paul runs about 3.21 nurse hours per resident day, roughly 17% under the national average, and weekend coverage drops another 10% below its own weekday level. That's a for-profit partnership operating 105 certified beds, with staff turnover at 48.1%, a bit above the 45.8% national figure. Inspectors were last in on April 3, 2025, and the home carries 36 deficiencies, none at harm or jeopardy level, though three are abuse-related. Its last inspection is recent, which counts for something, and the staffing star rating holds at 4/5 despite the below-average total hours. So the picture is mixed: adequate on paper in some categories, thinner on direct care hours and weekend consistency than the numbers first suggest.

B

78/100

Little Falls Care Center

Little Falls, MN · Morrison County

CMS 1/5 64 beds Non-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
53%
Serious cites
0

Little Falls Care Center runs a nonprofit home with 64 certified beds, and its staffing numbers tell a mixed story. Nurses provide 3.61 hours per resident day, about 6% under the national average, and weekend coverage drops roughly 7% below what the home staffs on weekdays. Annual turnover sits at 52.6%, well above the 45.8% national figure, so aides and nurses are cycling through regularly. The inspection record is the harder part: 41 deficiencies, including one at the harm level and three tied to abuse, from an April 2024 visit. Quality measures land mid-range, and the staffing star rating looks better than the day-to-day consistency suggests.

B

78/100

Edenbrook Of St Cloud

Saint Cloud, MN · Stearns County

CMS 3/5 77 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
47%
Serious cites
0

Edenbrook Of St Cloud runs 77 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86. That thin margin matters more when you look at weekends, which run about 13% below the home's own weekday level. Staff turnover is 46.9%, a touch worse than the 45.8% national figure. The current inspection record shows 33 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related. The last full inspection was June 26, 2025, so the picture is reasonably current. State surveyors rated health inspections and quality measures each 3 out of 5.

B

78/100

Minnewaska Community Health Services

Starbuck, MN · Pope County

CMS 2/5 39 beds Non-profit Medicaid
Nurse hours
7.14 /day
Staff turnover
62%
Serious cites
0

Minnewaska Community Health Services runs on unusually heavy nurse staffing, 7.14 hours per resident day against a national average near 3.86, and that shows up in its four-star staffing rating. The catch is who's providing it: turnover sits at 61.5%, well above the 45.8% norm, and weekend coverage dips about 9% below weekday levels, so the hours aren't always delivered by familiar faces. On inspections, the record is thinner: 18 deficiencies, two serious enough to reach harm or jeopardy, and roughly $25,000 in fines. The last survey came in April 2026. This church-affiliated nonprofit has real direct-care muscle, but consistency and regulatory follow-through are where it wobbles.

B

78/100

Fair Meadow Nursing Home

Fertile, MN · Polk County

CMS 3/5 42 beds Non-profit Medicaid
Nurse hours
5.24 /day
Staff turnover
—
Serious cites
0

Fair Meadow in Fertile runs a nonprofit home where the nurse staffing works out to 5.24 hours per resident each day, roughly a third more than the national average, though weekends drop about 22% below what the home covers during the week, so the coverage families see on a Saturday may not match a Tuesday. Inspectors were last in on September 10, 2025, and the health inspection rating came back strong, but the record still carries 14 deficiencies, three tied to abuse, none serious enough to reach harm or jeopardy level. The quality measure rating is the weak spot at 2 out of 5, which sits oddly against the generous staffing. Worth asking the director directly about those three abuse citations and how the home staffs weekends.

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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