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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 5621–5640 of 12,967, best-graded first.

B

77.5/100

Life Care Center Of Columbia

Columbia, SC · Richland County

CMS 2/5 179 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
55%
Serious cites
0

Life Care Center of Columbia runs about 3.46 nursing hours per resident per day, roughly 10 percent under the national average, and weekends drop another 16 percent below its own weekday staffing. That thinner weekend coverage matters most when families visit and when problems tend to surface. Annual turnover sits at 54.8 percent, well above the 45.8 percent national figure, so the people caring for your relative are likely to change often. The current inspection record carries 15 deficiencies, including one at the harm level and one abuse-related, on a two-out-of-five health inspection rating. Quality measures score well at four stars, but that reflects care processes, not the inspection findings themselves.

B

77.5/100

Presbyterian Communities Of South Carolina- Clinto

Clinton, SC · Laurens County

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

Presbyterian Communities of South Carolina in Clinton runs just five certified beds, which is about as small as a Medicare-certified nursing home gets. The inspection record is clean: zero deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent inspection dated April 2026. That's a five-star inspection rating and a five-star quality measure rating, and there's no pattern of problems to point to. The tradeoff is size. Five beds means very little data behind any of those ratings, and a small nonprofit corporation has fewer resources to absorb a bad stretch than a larger operator would.

B

77.5/100

Good Samaritan Society Howard

Howard, SD · Miner County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
54%
Serious cites
0

Good Samaritan Society Howard is a 45-bed nonprofit, and its inspection record is genuinely strong, a recent survey, only four deficiencies, none causing harm. Quality measures score well too. Where it slips is staffing: 3.39 nurse hours per resident day sits about 12% under the national average, and weekend coverage drops roughly 17% below its own weekday levels. Annual turnover of 53.7% is also higher than the 45.8% national figure, meaning caregivers cycle through faster than average. One abuse-related deficiency appears on the record. So the care itself looks careful, but the people delivering it have less time and less continuity than residents at better-staffed homes. Ask how weekends and evenings are covered.

B

77.5/100

Monument Health Sturgis Care Center

Sturgis, SD · Meade County

CMS 3/5 40 beds Non-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
55%
Serious cites
0

Monument Health Sturgis Care Center runs on unusually heavy staffing for a 40-bed nonprofit home, 5.09 nurse hours per resident day, roughly a third above the national average, though weekend coverage drops about 17% from weekday levels, so ask how that gap gets filled. Staff turnover sits at 54.7%, nearly nine points above the national figure, which matters in a building this small where residents see the same few faces daily. The inspection record shows 22 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $26,272 in fines across two penalties. The last inspection was March 2026.

B

77.5/100

Signature Healthcare Of Primacy

Memphis, TN · Shelby County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
48%
Serious cites
0

Signature Healthcare of Primacy runs 120 beds under for-profit LLC ownership, and the staffing picture is the weak spot. At 3.81 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. Annual turnover of 48.2% also edges past the national 45.8%, so the people caring for residents change often. What lifts it is the inspection record: a 4-star health inspection rating, seven deficiencies on file, none involving harm or jeopardy, and none abuse-related, with the most recent inspection dated March 2026. Quality measures come in strong at 5 stars. If staffing consistency matters most to you, ask how weekends are covered.

B

77.5/100

Mountain City Care & Rehabilitation Center

Mountain City, TN · Johnson County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
35%
Serious cites
0

Mountain City Care & Rehabilitation Center runs 3.43 total nurse hours per resident per day, roughly 11% under the national average, and weekends drop about 16% below its own weekday staffing. That's worth knowing before you visit on a Sunday. The tradeoff is stability: turnover sits at 35.4% against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. The current record shows six deficiencies, none at the harm level and none abuse-related, and its last inspection was April 2026, so the findings are recent rather than stale. A 120-bed for-profit LLC with a five-star inspection history and thinner daily coverage, ask about weekend coverage directly.

B

77.5/100

Hillview Health Center

Elizabethton, TN · Carter County

CMS 4/5 76 beds Government Medicaid
Nurse hours
3.65 /day
Staff turnover
41%
Serious cites
0

Hillview Health Center runs on federal ownership, which shapes how it operates. The 76-bed home in Elizabethton scores 4 out of 5 stars on all three CMS measures, health inspections, quality, and staffing, and its record shows 7 deficiencies with none at the harm or jeopardy level and nothing abuse-related. Staffing sits at 3.65 hours per resident day, about 5% under the national average of 3.86, and weekends drop roughly 20% below its own weekday coverage. Turnover is 41.2%, better than the 45.8% national figure. Its last inspection was November 2023, so the record is reasonably current. The weak spot is thin weekend staffing, not safety or quality.

B

77.5/100

Alamo Nursing And Rehabilitation Center

Alamo, TN · Crockett County

CMS 4/5 121 beds For-profit Medicaid
Nurse hours
4.96 /day
Staff turnover
44%
Serious cites
0

Alamo Nursing and Rehabilitation Center runs on 4.96 nurse hours per resident day, roughly 28% above the national average of 3.86, that's the number working in its favor. Weekends dip about 18% below weekday staffing, so ask how coverage holds up on Saturdays and Sundays. Turnover sits at 43.8%, slightly better than the 45.8% national figure, which matters for whether your parent sees the same faces. The inspection history shows 17 deficiencies, one serious enough to reach harm or jeopardy level, and one fine of $12,542; the most recent inspection was March 2026. Corporate for-profit ownership, 121 beds. The staffing is real, but that one harm-level finding is worth asking about directly.

B

77.5/100

Dyer Nursing And Rehabilitation Center

Dyer, TN · Gibson County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
38%
Serious cites
0

Dyer Nursing and Rehabilitation Center runs 5.13 total nurse hours per resident day, roughly a third more than the national average of 3.86, and its staff turnover of 38.2% sits below the national 45.8%, both signs of a home that keeps people and staffs them. Weekend hours drop about 24% from weekday levels, worth asking about if your family visits Saturdays or Sundays. The inspection record is clean where it matters: nine deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in August 2025. The weak spot is the quality measure star rating of 1 out of 5, which doesn't square with the staffing picture and is the number to press the administrator on.

B

77.5/100

Jefferson County Nursing Home

Dandridge, TN · Jefferson County

CMS 3/5 160 beds Government Medicaid
Nurse hours
4.40 /day
Staff turnover
28%
Serious cites
0

Jefferson County Nursing Home is county-owned, and that shows up in the staffing numbers: 4.40 nurse hours per resident day, roughly 14% above the national average, with turnover at 28.4% against a national 45.8%. People tend to stay here. Weekend staffing drops about 18% below weekday levels, which is worth asking about if your family member needs more attention on Saturdays and Sundays. The health inspection record is clean where it counts, nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in December 2025. The weak spot is the quality measure rating, which sits near the bottom at 1 out of 5. That gap between good staffing and poor clinical outcomes is the thing to press the administrator on.

B

77.5/100

Life Care Center Of Blount County

Louisville, TN · Blount County

CMS 3/5 120 beds For-profit
Nurse hours
3.79 /day
Staff turnover
51%
Serious cites
0

Life Care Center of Blount County runs 120 certified beds under corporate ownership, and its staffing sits slightly under the national average, 3.79 nurse hours per resident day against 3.86. That gap is small, but weekends drop about 18% below the home's own weekday coverage, and staff turnover is 51.4%, noticeably above the 45.8% national figure. The inspection record is where the real concern shows: 19 deficiencies, one at harm or jeopardy level, two abuse-related, plus an $8,018 fine, with the most recent inspection in December 2024. Quality measures score well, but strong clinical numbers don't cancel out a thin weekend shift or a harm-level finding. Worth asking about directly before deciding.

B

77.5/100

Wellpark Health And Rehabilitation

Knoxville, TN · Knox County

CMS 3/5 32 beds For-profit
Nurse hours
3.84 /day
Staff turnover
—
Serious cites
0

Wellpark is a small for-profit home in Knox County, 32 beds, run by a limited liability company. Its quality scores look great, but that's where the shine fades. Nurse staffing sits just under the national average, and weekends run about 9% thinner than weekdays, so the care you'd want on a Saturday isn't quite the care you'd get on a Tuesday. Inspectors cited 17 deficiencies, including one tied to abuse, though none rose to actual harm or jeopardy. The last inspection was in January 2025, so the record is recent. The state's two-star health inspection rating tells you compliance has been uneven even if no single finding was severe. Ask about weekend coverage and that abuse citation before you decide.

B

77.5/100

Harbert Hills Academy N H

Savannah, TN · Hardin County

CMS 5/5 49 beds Non-profit Medicaid
Nurse hours
4.88 /day
Staff turnover
51%
Serious cites
0

Harbert Hills Academy N H runs a tight ship on nurse coverage, with 4.88 hours per resident day, roughly a quarter more than the national average, and that staffing earns it four stars. Weekends dip about 17% below weekday levels, so care may feel thinner on Saturdays and Sundays than the weekday numbers suggest. The inspection record is clean where it counts: 13 deficiencies on file, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Staff turnover sits just above the national rate at 50.8%, and quality measures lag at two stars, a gap that suggests the clinical outcomes don't fully match the staffing picture.

B

77.5/100

Monument Healthcare Cottonwood Creek

Salt Lake City, UT · Salt Lake County

CMS 3/5 77 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
—
Serious cites
0

Monument Healthcare Cottonwood Creek runs 77 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86, with weekends about 11% lighter than its own weekdays. The inspection record is where the real concern shows: 28 deficiencies, three of them serious enough to involve harm or jeopardy, plus three abuse-related citations and a $17,940 fine, with the most recent inspection dated April 4, 2024. Quality measure scores look strong on paper, but that contrast with the inspection history and below-average staffing is worth asking about directly before you decide.

B

77.5/100

Copper Ridge Health Care

West Jordan, UT · Salt Lake County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
54%
Serious cites
0

Copper Ridge runs a 120-bed for-profit operation in West Jordan with a clean recent inspection record, 16 deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the most recent state visit was September 2025. The care quality numbers back that up. Where it gets thinner is staffing: 3.46 nurse hours per resident day, roughly 10 percent under the national average, with weekends running about 18 percent below its own weekday coverage. Turnover sits at 53.9 percent against a 45.8 percent national mark, so you're looking at a home that's doing well on care measures but cycling through caregivers faster than average. Worth asking how they cover weekends and which staff actually stay.

B

77.5/100

Advanced Health Care Of Salem

Salem, UT · Utah County

CMS 5/5 16 beds For-profit
Nurse hours
5.70 /day
Staff turnover
77%
Serious cites
0

Advanced Health Care Of Salem runs on unusually heavy staffing, 5.70 nurse hours per resident day against a national average of 3.86, and it backs that up with top marks on health inspections and quality measures. The catch is who's providing that care and for how long: annual turnover sits at 76.7%, well above the 45.8% national figure, and weekends run about 18% leaner than weekdays. Seven deficiencies appear on the current record, none at the harm level, though one is abuse-related. For a 16-bed for-profit home last inspected in April 2024, the picture is a well-staffed building with a retention problem worth asking about directly.

B

77.5/100

Friendship Health And Rehab Center

Roanoke, VA · Roanoke City County

CMS 4/5 253 beds Non-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
48%
Serious cites
0

Friendship Health and Rehab Center is a 253-bed nonprofit in Roanoke, and its inspection record is genuinely solid, a four-star health inspection rating, with the most recent survey in October 2024 and no deficiencies at the harm or jeopardy level. What's under the surface: 17 total deficiencies on the current record, two of them abuse-related, plus staff turnover at 48.1%, running a bit above the national average of 45.8%. Nurse staffing sits at 3.93 hours per resident day, just above the 3.86 national figure, but weekends run about 18% leaner than weekdays, so coverage can feel different depending on when you visit.

B

77.5/100

Maple Grove Nursing & Rehab Center

Lebanon, VA · Russell County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
31%
Serious cites
0

Maple Grove runs on 3.96 nurse hours per resident day, a bit above the national average, and its 30.8% turnover is well below the typical 45.8%, that kind of retention usually means the people caring for your family member have been there a while. The catch is weekends, when staffing drops roughly 15% below its own weekday level, so ask how coverage looks on a Saturday. The inspection record shows 14 deficiencies, including one at the harm level and one tied to abuse, with an $8,278 fine and a survey completed in October 2024.

B

77.5/100

Birmingham Green

Manassas, VA · Manassas City County

CMS 5/5 180 beds Government Medicaid
Nurse hours
3.76 /day
Staff turnover
—
Serious cites
0

Birmingham Green is county-owned, which usually means steadier funding but also slower movement on staffing. And staffing is where this place shows its soft spot: 3.76 nurse hours per resident day, a bit under the national average, with weekends running about 13% leaner than weekdays. The inspection record is genuinely strong, a 5-out-of-5 health inspection rating, last surveyed in January 2024, though it carries 15 deficiencies, including one at the harm level and one abuse-related, so the history isn't spotless. Quality measures score well at 4 out of 5. The takeaway: excellent survey performance and good clinical metrics, but ask directly about weekend nurse coverage before you decide.

B

77.5/100

Riverside Lifelong Health And Rehabilitation - M

Mathews, VA · Mathews County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
43%
Serious cites
0

Riverside Lifelong Health in Mathews runs lean on nursing hours, 3.08 per resident day against a national average of 3.86, roughly a fifth less hands-on time. Weekends dip about 16% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Turnover sits at 43.2%, a touch better than the 45.8% national figure, and inspections look solid on paper: four out of five stars, last full survey in August 2023. The record isn't spotless, though, twelve deficiencies, four serious enough to reach harm or jeopardy level, and four tied to abuse. A nonprofit corporation owns the 60-bed home. Strong survey scores and below-average staffing can both be true at once.

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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