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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 5941–5960 of 12,967, best-graded first.

B

77/100

Queens Boulevard Extended Care Facility

Woodside, NY · Queens County

CMS 4/5 280 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
40%
Serious cites
0

Queens Boulevard Extended Care Facility runs 3.72 nurse hours per resident per day, a bit under the national average of 3.86. Weekends dip about 5% below its own weekday coverage, so the thinnest shifts are predictable ones. Staff turnover sits at 39.8%, better than the 45.8% national figure, people tend to stay here longer than at the typical home. The 280-bed for-profit LLC was last inspected in June 2024 and carries 12 deficiencies, none at harm or jeopardy level, though one is abuse-related. Federal ratings put quality and inspection at 4 out of 5 while staffing lands at 2. The pattern is a home that scores well when surveyed but runs leaner than average between visits.

B

77/100

St Catherine Of Siena Nursing And Rehabilitation C

Smithtown, NY · Suffolk County

CMS 3/5 240 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
28%
Serious cites
0

St Catherine of Siena runs a 240-bed nonprofit home in Smithtown, and its staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, so don't expect more hands on deck than a typical facility. Weekend coverage drops about 10% below its own weekday level, which is worth asking about if your family visits on Saturdays. Turnover is the real bright spot: 28% versus a national 45.8%. On the other side, 13 deficiencies are on record, one at harm or jeopardy level and three abuse-related, plus a $64,496 fine, with the last inspection in August 2025.

B

77/100

Harmony Park At Wilson

Wilson, NC · Wilson County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
44%
Serious cites
0

Harmony Park At Wilson runs a 110-bed for-profit operation, and the split in its record is worth understanding. Inspections look solid, a four-star health inspection rating and no deficiencies at the harm or jeopardy level. But two abuse-related citations on the current record deserve a direct question when you tour. Staffing is the weaker spot: 3.60 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 8% below the home's own weekday coverage. Turnover of 44.2% is roughly in line with the national figure. Ask how they staff Saturday and Sunday, and who supervises residents then.

B

77/100

Life Care Center Of Banner Elk

Banner Elk, NC · Avery County

CMS 4/5 118 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
18%
Serious cites
0

Life Care Center of Banner Elk runs a corporate-owned, 118-bed building where the nursing hours come in light, about 3.18 per resident day against a national average near 3.86, and weekends dip roughly 7% below the home's own weekday coverage. What stands out in the other direction is retention: turnover sits at 17.6%, well under the 45.8% national figure, so the people caring for residents tend to stay. The inspection record is current and clean at the serious end, seven deficiencies, none involving harm or abuse, following an August 2025 survey. Read together, that suggests a stable crew working with thinner daily staffing than most homes.

B

77/100

Riverpoint Crest Nursing And Rehabilitation Center

New Bern, NC · Craven County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
23%
Serious cites
0

Riverpoint Crest runs leaner on nursing hours than most homes, about 3.36 per resident per day against a national average of 3.86, and weekends dip roughly 12% below its own weekday staffing. The tradeoff is stability: turnover sits at 23.4%, well under the 45.8% national figure, so the aides and nurses your family member sees are more likely to still be there next year. Its inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in September 2025. Corporate for-profit ownership and a mid-range inspection history mean the numbers here are solid on staffing consistency but not standout on care quality.

B

77/100

The Greens At Hickory

Hickory, NC · Catawba County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
42%
Serious cites
0

The Greens At Hickory runs 150 beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.74 nurse hours per resident day, roughly 3% below. Weekends are where that thins out most, dropping about 11% below the home's own weekday coverage, which matters when families visit and needs don't pause for the calendar. Turnover lands at 41.5%, a bit better than the 45.8% national figure. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in late January 2026. Inspections have drawn a 2 out of 5 from CMS, the weakest of its three ratings.

B

77/100

The Lodge At Mills River

Mills River, NC · Henderson County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
56%
Serious cites
0

The Lodge At Mills River just cleared a June 2025 inspection and holds a 5-star record on both health inspections and quality measures, the clinical side looks strong. But look at staffing and the picture shifts: 3.89 nurse hours per resident day sits barely above the national average, weekends run about 14% thinner than weekdays, and annual turnover of 55.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. Six deficiencies are on record, one serious enough to reach harm or jeopardy. A for-profit LLC runs the place, and with only 50 beds, every departure is felt. Good care when inspected, but keeping enough consistent hands is the real question.

B

77/100

Peak Resources - Alamance, Inc

Graham, NC · Alamance County

CMS 3/5 142 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
52%
Serious cites
0

Peak Resources - Alamance runs 142 certified beds in Graham under corporate for-profit ownership, and its inspection record is genuinely solid, a four-star health inspection rating, eight deficiencies on file with none rising to harm or jeopardy level, and no abuse citations. The catch is staffing. At 3.43 nurse hours per resident day, it sits roughly 11 percent under the national average, and weekends drop another 11 percent below its own weekday coverage, which matters most when families visit and aides are stretched thinnest. Staff turnover of 52.4 percent runs well above the 45.8 percent national figure, so the people caring for residents change often. One fine totaling $3,728 and a recent March 2026 inspection round out a home that's safe on paper but thin on consistent hands.

B

77/100

Cardinal Healthcare And Rehabilitation

Lincolnton, NC · Lincoln County

CMS 5/5 63 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
40%
Serious cites
0

Cardinal Healthcare and Rehabilitation runs about 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends dip another 9% below its own weekday numbers, so if you're visiting on a Saturday, expect a thinner floor than midweek. Turnover sits at 40%, a bit better than the 45.8% national figure, and the inspection record is clean where it counts: eight deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey dated June 2026. The 63-bed for-profit corporate home earns top marks on quality measures and solid marks on inspections, but the staffing hours are what a family should weigh against a recent, mostly minor survey history.

B

77/100

Tower Nursing And Rehabilitation Center

Raleigh, NC · Wake County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
37%
Serious cites
0

Tower Nursing and Rehabilitation Center runs 180 certified beds in Raleigh under for-profit limited liability ownership, and its staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86, with weekend coverage dipping roughly 7% below its own weekday levels. Turnover is 37.1%, better than the national 45.8%, so the 4/5 staffing star rating reflects stability more than raw hours. The harder numbers are on the record: 42 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, with a 2/5 inspection rating and a 2/5 quality measure rating. That inspection was recent, dated March 20, 2025, so this record is current, not stale.

B

77/100

The Forest At Duke Inc

Durham, NC · Durham County

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

The Forest At Duke is a four-bed nonprofit unit in Durham, and its inspection record is close to spotless, one deficiency on the books, none of it involving harm, jeopardy, or abuse, with a survey as recent as November 2024. Where it slips is staffing, and the picture is odd: total nurse hours run about 4.15 per resident day, roughly 8% above the national average, yet weekend coverage drops about 11% below the home's own weekday level. With only four certified beds, a single callout can swing the numbers in ways they wouldn't at a larger home, so read the low staffing rating alongside the size rather than on its own.

B

77/100

Trinity Elms

Clemmons, NC · Forsyth County

CMS 2/5 100 beds Non-profit Medicaid
Nurse hours
4.96 /day
Staff turnover
51%
Serious cites
0

Trinity Elms runs a church-affiliated nonprofit home in Clemmons with 100 certified beds, and the staffing is the clearest strength here: 4.96 nurse hours per resident day, about 28% above the national average, with weekend coverage dipping only slightly below weekdays. That's a real cushion. The rest of the picture is thinner. Roughly half the nursing staff turned over in the past year, a bit worse than the national rate, and the current inspection record carries 14 deficiencies, including two at the harm level and one tied to abuse, along with $15,646 in fines. Quality measure scores sit at the low end. Good coverage, uneven execution.

B

77/100

Prince Of Peace Care Center

Ellendale, ND · Dickey County

CMS 4/5 55 beds Non-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
84%
Serious cites
0

Prince of Peace Care Center in Ellendale is a 55-bed nonprofit home, and the numbers tell a mixed story. Nurse staffing sits at 3.45 hours per resident per day, about 11% under the national average, and weekends run roughly 12% thinner than weekdays. The bigger concern is turnover: 83.6% of staff leave each year, nearly double the national rate, which makes it hard to keep consistent caregivers. The quality measures look strong, but four deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy. The last inspection was recent, in April 2026, so that picture is current.

B

77/100

Baptist Health & Rehab

Bismarck, ND · Burleigh County

CMS 4/5 140 beds Non-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
49%
Serious cites
0

Baptist Health & Rehab runs a solidly staffed building on paper, about 5.09 nurse hours per resident day, roughly a third more than the national average, and weekend coverage stays within about 9% of weekday levels, so care doesn't drop off as sharply as it does at many homes. The trouble sits elsewhere. State inspectors have logged 16 deficiencies on the current record, four of them serious enough to put residents in harm's way and two tied to abuse, with $35,323 in fines across three penalties. Staff turnover, at 49.3%, runs slightly above the national figure, and the most recent inspection dates to April 2025. That mix, strong hours, harder inspection history, is what holds the grade down.

B

77/100

Life Care Center Of Westlake

Westlake, OH · Cuyahoga County

CMS 2/5 119 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
36%
Serious cites
0

Life Care Center of Westlake runs a 119-bed for-profit operation where nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average of 3.86, and weekends dip about 12 percent below the home's own weekday coverage. Turnover is the brighter spot: 36.3 percent against a national 45.8 percent. But the inspection record carries 32 deficiencies, six of them abuse-related, and the last full inspection was October 2023, so that count reflects conditions that may or may not have been corrected since. The quality measure rating of 4 out of 5 looks good on paper; the 2 out of 5 on health inspections tells a different story. Ask about weekend coverage specifically, and ask what changed after that 2023 survey.

B

77/100

Three Rivers Healthcare Center

Cincinnati, OH · Hamilton County

CMS 3/5 119 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
45%
Serious cites
0

Three Rivers runs 119 certified beds under corporate for-profit ownership, and its nurse staffing sits about 10% under the national average, 3.47 hours per resident day against 3.86. Weekends dip roughly 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 44.9%, essentially the national rate, so this isn't a retention crisis, just steady churn. What stands out is the inspection record: 49 deficiencies, including one at the harm or jeopardy level and nine tied to abuse. The last inspection was February 2025, so the record is recent. Its quality measure score is perfect, which mostly reflects charted clinical data, a sharp contrast with the staffing and inspection results.

B

77/100

Kenwood Terrace Healthcare Center

Cincinnati, OH · Hamilton County

CMS 4/5 132 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
52%
Serious cites
0

Kenwood Terrace runs on thinner staffing than most homes, 3.43 nurse hours per resident day against a national average of 3.86, and weekends dip about 8% below what the building manages on weekdays. Annual turnover sits at 52.3%, well above the 45.8% national figure, so the people caring for residents change often. The inspection record is where the numbers get harder to overlook: 51 deficiencies, two involving actual harm or jeopardy and two tied to abuse, with the most recent inspection in February 2025. The quality measure stars look strong, but those depend on the staff who report them.

B

77/100

Laurels Of Norworth The

Worthington, OH · Franklin County

CMS 2/5 126 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
25%
Serious cites
0

Laurels of Norworth runs 126 beds in Worthington, and its health inspection record is the problem: 48 deficiencies, five of them serious enough to put residents in harm's way, plus two tied to abuse. Federal fines total $51,871. Staffing tells a mixed story, 3.35 nurse hours per resident day sits about 13% under the national average, and weekends run thinner still. Turnover is the bright spot at 24.7%, well below the national rate. Quality measures score well, but that inspection history and thin coverage matter more when you're deciding who cares for someone you love. Ask about weekend staffing and how they've fixed the abuse findings before you tour.

B

77/100

Wapakoneta Manor

Wapakoneta, OH · Auglaize County

CMS 4/5 73 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
37%
Serious cites
0

Wapakoneta Manor runs 3.57 nurse hours per resident per day, roughly 8% under the national average of 3.86, and weekends dip about 6% below its own weekday staffing. That thinner coverage matters more than the headline number, since care doesn't pause on Saturdays. Turnover sits at 36.5%, better than the 45.8% national figure, which suggests a relatively stable crew for a for-profit corporate home. Inspections are current as of May 2024, with 14 deficiencies on record, one serious enough to reach harm or jeopardy level and none tied to abuse. Its last two inspection and quality-measure star ratings came in at 4 out of 5, so the clinical picture looks stronger than the staffing numbers alone would imply.

B

77/100

Vancrest Health Care Center

Van Wert, OH · Van Wert County

CMS 5/5 93 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
44%
Serious cites
0

Vancrest Health Care Center runs 93 certified beds in Van Wert under corporate ownership, and its last inspection was recent enough (May 2025) that the record reflects current conditions. That record shows 22 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Where the home stands out is quality measures, which earn a top federal rating, and inspections, which score well above average. Staffing is the weak point: 3.47 nurse hours per resident day sits about 10 percent under the national figure, and weekends dip roughly 13 percent below the home's own weekday coverage. Turnover at 43.5 percent is slightly better than the national rate, so the concern isn't retention so much as how many hands are scheduled on any given shift.

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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