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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 5641–5660 of 12,967, best-graded first.

B

77.5/100

Arlington Health And Rehabilitation

Arlington, WA · Snohomish County

CMS 4/5 76 beds For-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
28%
Serious cites
0

Arlington Health and Rehabilitation runs 4.55 nurse hours per resident day, about 18% above the national average, and its staff turnover of 27.6% is well below the 45.8% national figure, that kind of retention usually means consistent caregivers who know the residents. Weekends thin out by roughly 15%, so ask how coverage holds up on Saturdays and Sundays. The concerning part sits in the inspection record: 38 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $173,496 fine. Ownership is a for-profit limited liability company. The most recent inspection was January 26, 2026, so the record is current. Strong staffing and quality scores don't erase those findings.

B

77.5/100

Elkins Rehabilitation & Care Center

Elkins, WV · Randolph County

CMS 5/5 111 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
36%
Serious cites
0

Elkins Rehabilitation & Care Center runs on a nonprofit model with 111 certified beds, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage drops about 16% below its own weekday level, so care shifts depending on the day. Staff turnover is 36.3%, which is lower than the national 45.8%, meaning fewer unfamiliar faces than at many homes. The inspection history is mixed: 34 deficiencies on record, including one at the harm level and six tied to abuse, plus a single fine of $8,278. The most recent inspection was August 2025, so the record is current.

B

77.5/100

St. Mary's Hospital

Huntington, WV · Cabell County

CMS 5/5 19 beds Non-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

St. Mary's Hospital runs a small unit, just 19 certified beds, as a nonprofit, and its inspectors clearly like what they see: top marks on health inspections and quality measures, with a recent April 2026 survey. The catch is staffing, where it scores at the very bottom of the federal scale. Fourteen deficiencies are on the current record, and while none rose to the level of actual harm or jeopardy, two are abuse-related, which families should ask about directly. So you have a home that's clean on paper and well-rated for care outcomes, but running thin on the people who deliver that care. Ask what the direct-care hours per resident actually look like on evenings and weekends.

B

77.5/100

South Lincoln Nursing Center

Kemmerer, WY · Lincoln County

CMS 3/5 24 beds Government Medicaid
Nurse hours
4.80 /day
Staff turnover
38%
Serious cites
0

South Lincoln Nursing Center runs on unusually heavy staffing for a 24-bed home, 4.80 nurse hours per resident day, about a quarter above the national average, which is why it earns top marks on that measure alone. The catch is consistency: weekends run roughly a fifth thinner than weekdays, so the coverage your family member gets depends on the calendar. Turnover at 38.1% beats the national 45.8%, though more than a third of staff still left in a year. Inspections are the weak spot, 24 deficiencies on record, four tied to abuse, none rising to actual harm, and a survey as recent as July 2025. Hospital-district ownership means public accountability rather than a chain.

B

77.5/100

Western Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 1/5 129 beds For-profit Medicaid
Nurse hours
5.34 /day
Staff turnover
26%
Serious cites
0

Western Convalescent Hospital runs 5.34 nurse hours per resident day, well above the national average, and its 26.1% turnover is far below the typical 45.8%, staff tend to stay. But that staffing cushion drops on weekends, and the inspection record is what pulls the grade down: 80 deficiencies, four tied to abuse, with a health inspection star of 1 out of 5. Ownership is a for-profit LLC. The care hours and stable workforce are real strengths; the survey history is the thing to ask about directly before you decide.

B

77.5/100

Desert Springs Healthcare & Wellness Centre

Indio, CA · Riverside County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
—
Serious cites
0

Desert Springs runs 4.09 nurse hours per resident per day, which is actually about 6% above the national average, but that staffing still earns only 2 out of 5 stars from CMS, and weekend coverage drops roughly 8% below what the home provides on weekdays. The bigger issue sits in the inspection history: 49 deficiencies on the current record, three of them serious enough to reach harm or jeopardy level, plus three tied to abuse and a $66,151 fine. The most recent inspection was September 2025, so this isn't stale paperwork. A for-profit limited liability company operates the 68-bed home. Strong quality measures and above-average staffing hours don't offset that many serious findings.

B

77.5/100

Childrens Hc Org No Ca Saratoga Pediatric Subacute

Saratoga, CA · Santa Clara County

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

This 37-bed pediatric subacute home in Saratoga has strong inspection and quality ratings from CMS, but the 17 deficiencies on its current record deserve a closer look. None of those rose to the level of actual harm or immediate jeopardy, which is genuinely meaningful, but three are abuse-related, a category worth asking about directly, since even non-harm citations in that area can point to gaps in how staff screen, supervise, or report. The last inspection was recent, February 2026, so this is a current picture, not a stale one. A limited liability company operating for profit means you'll want to ask who's actually on-site overnight and how often licensed nurses are present, especially in a pediatric setting.

B

77.5/100

Coastal Oaks Special Care Center

Atascadero, CA · San Luis Obispo County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Coastal Oaks passed its most recent inspection in June 2025 with nine deficiencies on record, none of them serious enough to cause harm or jeopardy, and no abuse citations at all. That's a clean paper trail by any standard. The two CMS ratings that matter most here, health inspections and quality measures, both sit at the top of the scale. What holds the grade back is the ownership structure: a for-profit limited liability company running 65 beds, which tends to mean tighter margins and less cushion for staffing than you'd see at a nonprofit or a county-run home. Ask what the direct-care hours per resident actually look like on weekends, because that's where for-profit facilities often trim.

B

77.5/100

Eskaton Village Care Center

Carmichael, CA · Sacramento County

CMS 4/5 35 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

The numbers here tell two different stories. Eskaton Village Care Center keeps residents safe in the ways inspections measure: 41 deficiencies on record but none rising to actual harm or jeopardy, and the most recent inspection was in March 2026. Quality measures earn top marks, meaning low rates of things like pressure ulcers and falls. Where it falls down is staffing, the lowest possible rating, well below what CMS expects for 35 beds. Three abuse-related deficiencies also appear on the record. A nonprofit corporation runs the place, so there's no profit motive pushing the margin. The gap between good outcomes and thin staffing is the thing to ask about directly.

B

77.5/100

Healdsburg Hospital D/P Snf

Healdsburg, CA · Sonoma County

CMS 4/5 17 beds Non-profit Medicaid
Nurse hours
10.57 /day
Staff turnover
—
Serious cites
0

Healdsburg Hospital D/P SNF is a tiny 17-bed unit run by a nonprofit corporation, and its staffing numbers are unusual in both directions. Total nurse staffing sits at 10.57 hours per resident day, roughly 174% above the national average, but the federal staffing star comes in at just 1 out of 5, which tells you the hours on paper may not reflect what CMS considers stable, consistent coverage. Weekend staffing drops about 10% below the facility's own weekday level. The health inspection record is genuinely strong: a 5/5 rating, six deficiencies on file, none at harm or jeopardy level, and no abuse citations. Seven fines totaling $59,634 have accumulated, though, and the last inspection was August 2024.

B

77.5/100

Greater El Monte Community Hos

El Monte, CA · Los Angeles County

CMS 4/5 13 beds For-profit Medicaid
Nurse hours
8.65 /day
Staff turnover
5%
Serious cites
0

Greater El Monte Community Hos runs a small operation, 13 certified beds, and staffs it heavily: 8.65 nursing hours per resident day, more than double the national average. That ratio holds up on weekends, dipping only about 10% from weekday levels rather than collapsing the way it does at many homes. Staff turnover sits at 5% against a national average near 46%, which means the people caring for residents here tend to stay. The inspection record shows 18 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a single fine of $5,698 and a survey completed in November 2025. Corporate for-profit ownership, but the numbers describe steady, well-attended care.

B

77.5/100

Anaheim Point

Anaheim, CA · Orange County

CMS 3/5 154 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
—
Serious cites
0

Anaheim Point runs 154 beds in Orange County under for-profit LLC ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. That average comes with a catch: weekends dip about 9% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger concern is the inspection record. CMS gives it 1 out of 5 stars for health inspections, with 85 total deficiencies, including one at the harm or jeopardy level and three tied to abuse. Quality measures score 5 out of 5, and the most recent inspection was March 2025, so the record is current. Strong clinical numbers and a weak inspection history are pulling in opposite directions here.

B

77.5/100

Windsor Care Center Of Sacramento

Sacramento, CA · Sacramento County

CMS 2/5 128 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Windsor Care Center of Sacramento holds 128 certified beds and is owned by a for-profit limited liability company. Its record shows a sharp split: the quality measure rating is strong at 5 out of 5, but staffing sits at the bottom, 1 out of 5, which matters because daily care depends on having enough hands on deck, not on how well a facility documents clinical metrics. The inspection history is heavier than that staffing score alone would suggest, 52 deficiencies on the current record, including eight tied to abuse and one at the harm or jeopardy level, with the most recent inspection dated December 20, 2024. Ask about direct-care staffing levels and how the abuse-related citations were resolved before you decide.

B

77.5/100

Richmond Post Acute Care

Richmond, CA · Contra Costa County

CMS 4/5 35 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Richmond Post Acute Care is a 35-bed for-profit in Contra Costa County, and its record splits in an unusual way. Inspectors have been inside recently, January 2025, and found 22 deficiencies across surveys, but none rose to the level of actual harm or jeopardy, and nothing was abuse-related. The quality measures look strong. The problem is staffing: on that measure this home sits at the bottom of the federal scale, and seven fines totaling $31,405 suggest the paperwork and care-process side has been a recurring issue rather than a one-time lapse. For a family weighing a small home with a decent inspection history, the question worth asking on a tour is who's actually on the floor overnight, and how long they've been there.

B

77.5/100

Desert Mountain Care Center

Indio, CA · Riverside County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
5.21 /day
Staff turnover
—
Serious cites
0

Desert Mountain Care Center has 99 certified beds in Indio, run by a for-profit limited liability company. The raw staffing number looks strong, 5.21 nurse hours per resident day, about 35% above the national average, but the federal staffing star tells a different story at 1 out of 5, and weekend coverage runs about 8% below weekday levels, so the hours aren't distributed as evenly as the headline figure suggests. The inspection record carries 46 deficiencies, none at the harm or jeopardy level, though 2 are abuse-related. The most recent inspection was June 26, 2025. Quality measures score 5 out of 5 against 3 out of 5 for health inspections. Families should ask how the abuse deficiencies were resolved and what weekend staffing actually looks like.

B

77.5/100

Bishop Care Center

Bishop, CA · Inyo County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
46%
Serious cites
0

Bishop Care Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops about 16% below the home's own weekday level. Staff turnover is 45.7%, essentially matching the national rate. The current inspection record carries 43 deficiencies, none at the harm or jeopardy level, though seven are abuse-related, which is worth asking about directly. State inspectors last visited in May 2026, so the record is recent. Quality measures score well; the health inspection side is middling.

B

77.5/100

Homeplace Manor Healthcare Center

Hamlin, TX · Jones County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
—
Serious cites
0

Homeplace Manor runs 60 beds in Hamlin under for-profit LLC ownership. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 8% thinner than weekdays, so the coverage dip families notice on Saturdays is real. The record shows 39 deficiencies, none at harm or jeopardy level, but four tied to abuse, which is the number to ask about directly. Health inspection and staffing each came in at 2 out of 5 stars; quality measures scored 4. The most recent inspection was December 18, 2025, so the picture is current. Ask the administrator how four abuse-related citations happened and what changed since.

B

77.5/100

Munday Nursing Center

Munday, TX · Knox County

CMS 4/5 61 beds Government Medicaid
Nurse hours
3.37 /day
Staff turnover
—
Serious cites
0

Munday Nursing Center runs on a hospital district's budget, and the numbers show a place that inspects well but staffs thin. Its 3.37 nurse hours per resident day sit about 13% under the national average, and weekends drop roughly 14% below its own weekday coverage, a gap families often feel on Saturday and Sunday. The tradeoff looks deliberate: a clean recent inspection with no harm-level or abuse deficiencies among the 12 on record, plus solid marks on health inspections and quality measures. The weak spot is staffing, and that's the thing to ask about directly, who's on the floor, and when.

B

77.5/100

Bangs Nursing And Rehabilitation

Bangs, TX · Brown County

CMS 5/5 48 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
45%
Serious cites
0

Bangs Nursing and Rehabilitation runs 48 beds in Brown County under for-profit LLC ownership, and its inspection record is the strong point, a five-star health inspection rating with a recent survey in August 2025 and six total deficiencies on file, none of them causing harm or jeopardy. Staffing sits at 3.89 nurse hours per resident day, just barely above the national average, though weekends drop roughly 19% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. Turnover at 44.8% is slightly better than the national rate, and one abuse-related deficiency appears on the record. Quality measures score 2 out of 5, the weakest number here.

B

77.5/100

Menard Manor

Menard, TX · Menard County

CMS 3/5 40 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
40%
Serious cites
0

Menard Manor runs on 4.15 nurse hours per resident day, which is roughly 7% above the national average, and its staff turnover of 40% sits below the national 45.8%, both signs of a steadier operation than many. The catch is weekend coverage, which drops about 20% below weekday levels, so care may thin out when families tend to visit. On paper, though, 17 deficiencies with one at the harm level and two abuse-related, a 2/5 quality measure rating, and a fine of $8,018 point to real problems that good staffing alone doesn't erase.

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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