ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 41 to 60 of 12,967, best-graded first.

A

99/100

Holland Home Breton Rehabilitation & Living Centre

Grand Rapids, MI · Kent County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at Holland Home Breton runs about 33% above the national average, and the weekend drop is only around 6%, small enough that care doesn't change much on Saturdays and Sundays. Staff turnover sits at 28.1% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record shows six deficiencies, none at the harm level and none related to abuse; the last state visit was in March 2025, so the picture is recent rather than stale. Three straight five-star ratings from CMS, health inspections, quality measures, and staffing, back that up. As a nonprofit, this is a home that has kept its numbers steady across every category the federal government tracks.

A

99/100

Fairview University Trans Serv

Minneapolis, MN · Hennepin County

CMS 5/528 bedsNon-profitMedicaid
Nurse hours
9.19 /day
Staff turnover
30%
Serious cites
0

Fairview University Trans Serv runs 28 certified beds in Minneapolis under nonprofit ownership, and the numbers behind it are unusually clean. Nurse staffing sits at 9.19 hours per resident day, roughly two and a half times the national average of 3.86, and weekend coverage only slips about 7% below weekday levels, so care doesn't thin out when families tend to visit. Staff turnover is 30%, well under the 45.8% national figure, which suggests people stay. The current record carries zero deficiencies, none at the harm level, no abuse citations, and the last inspection was November 2024, so nothing on file is stale. For a small nonprofit, that combination is rare.

A

99/100

Trinity Care Center

Farmington, MN · Dakota County

CMS 5/590 bedsNon-profitMedicaid
Nurse hours
5.11 /day
Staff turnover
20%
Serious cites
0

Trinity Care Center in Farmington runs on a nonprofit model, and its staffing reflects that: 5.11 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage slips about 11% below its own weekday level, which is common but worth asking about if you're planning visits or worrying about Saturday care. Turnover sits at 19.8% against a national average near 46%, that stability matters, because familiar staff notice changes in residents. The inspection record isn't spotless: 14 deficiencies, two serious enough to involve harm or jeopardy, though none related to abuse, and the most recent inspection was April 30, 2026. The quality and staffing measures both score at the top of CMS's scale, which is where much of the strength here comes from.

A

99/100

Lutheran Convalescent Home

Webster Groves, MO · St. Louis County

CMS 5/5251 bedsFor-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
32%
Serious cites
0

Lutheran Convalescent Home runs 4.82 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its staff tends to stay, 31.5% turnover against a 45.8% national figure. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record shows nine deficiencies, none at the harm level, though one is abuse-related, and the last full inspection was in November 2024. For a 251-bed for-profit home, that combination of heavy staffing and low turnover is the main thing separating it from the pack.

A

99/100

Newport House

Omaha, NE · Douglas County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
5.07 /day
Staff turnover
33%
Serious cites
0

Newport House runs 5.07 nurse hours per resident day, roughly a third more hands-on care than the national average, and its weekend hours dip only about 11% below weekday levels, smaller than what many homes see. Staff turnover sits at 32.8% against a national 45.8%, so the people caring for residents tend to stick around. The inspection record shows nine deficiencies with none at the harm level, though one is abuse-related, and the last survey was recent, in January 2026. Quality and staffing both score at the top of CMS's five-star scale while inspections land at three, which fits a nonprofit home that invests heavily in daily care.

A

99/100

Harmony Manor Skilled Nursing Facility

Winnemucca, NV · Humboldt County

CMS 5/542 bedsGovernmentMedicaid
Nurse hours
6.14 /day
Staff turnover
33%
Serious cites
0

Harmony Manor runs on unusually heavy staffing for a 42-bed hospital-district home, 6.14 nurse hours per resident day, roughly 59% above the national average, and the weekend dip of about 12% still leaves it well ahead of most places. Turnover sits at 32.7% against a national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in its record: 24 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was April 2026, and it scores 4s and 5s across inspection, quality, and staffing measures.

A

99/100

Willowbrooke Court Skilled Care At Evergreens

Moorestown, NJ · Burlington County

CMS 5/517 bedsNon-profit
Nurse hours
5.31 /day
Staff turnover
18%
Serious cites
0

Willowbrooke Court runs on a small 17-bed unit, and the staffing numbers back up what that size allows: 5.31 nurse hours per resident day, roughly a third more than the national average. Turnover sits at 18.2% against a national 45.8%, so the people caring for residents tend to stay. Weekend coverage dips about 14% below weekdays, which is worth asking about if your family visits mainly on Saturdays or Sundays. Six deficiencies on record, none at harm or jeopardy level, though one is abuse-related. The last inspection was September 2025, and it's a nonprofit.

A

99/100

Applewood Village, Inc

Freehold, NJ · Monmouth County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.73 /day
Staff turnover
23%
Serious cites
0

Applewood Village is small, 60 beds, and it runs on a nonprofit model, which often shows up in the numbers. Nurse staffing sits at 5.73 hours per resident day, roughly 48% above the national average, and weekend coverage dips only about 6% below weekday levels, so the care doesn't thin out much on Saturdays and Sundays. Annual turnover is 22.8%, about half the national rate of 45.8%, meaning the people caring for residents tend to stay. On the inspection side, two deficiencies on record, neither at the harm level and none abuse-related, with the most recent inspection dated March 2026. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

Cheshire Home

Florham Park, NJ · Morris County

CMS 5/535 bedsNon-profitMedicaid
Nurse hours
7.73 /day
Staff turnover
28%
Serious cites
0

Cheshire Home runs 35 certified beds in Florham Park under nonprofit ownership, and the staffing number is the first thing that stands out: 7.73 nurse hours per resident day, roughly double the national average. Weekend coverage dips about 10% below its own weekday level, which is worth asking about, but the base is high enough that even the dip stays well above typical. Staff turnover sits at 28.1%, meaningfully below the 45.8% national figure, so the people caring for residents tend to stick around. Fifteen deficiencies appear on the current record with none at the harm level, though two are abuse-related and worth reading directly. Morris County families comparing options should note the inspection was recent, January 2026.

A

99/100

Childrens Specialized Hospital Toms River

Toms River, NJ · Ocean County

CMS 5/526 bedsNon-profitMedicaid
Nurse hours
6.72 /day
Staff turnover
30%
Serious cites
0

Childrens Specialized Hospital Toms River runs 26 certified beds in Ocean County as a nonprofit, and its nurse staffing sits at 6.72 hours per resident day, roughly 74% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, but with a base that high, even the lighter days stay well-staffed. Turnover is 30.3%, noticeably lower than the national 45.8%, which suggests a stable crew rather than a rotating door. Its inspection record shows 7 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent visit was September 2024. The quality and staffing star ratings are both perfect fives.

A

99/100

John T Mather Memorial Hosp T C U

Port Jefferson, NY · Suffolk County

CMS 5/516 bedsFor-profitMedicaid
Nurse hours
7.99 /day
Staff turnover
3%
Serious cites
0

John T Mather Memorial's transitional care unit runs on 7.99 nurse hours per resident day, more than double the national figure of 3.86, and its 3.4% turnover is almost unheard of next to the 45.8% national average, meaning the people caring for your family member mostly stay put. Weekend staffing dips about 11% from its own weekday level, worth asking about if you're planning visits then. Twelve deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2025. It's a small for-profit unit, 16 beds, tucked inside a hospital.

A

99/100

Helen Hayes Hospital T C U

West Haverstraw, NY · Rockland County

CMS 5/524 bedsGovernment
Nurse hours
7.22 /day
Staff turnover
33%
Serious cites
0

Helen Hayes Hospital's transitional care unit in West Haverstraw runs on unusually heavy staffing, 7.22 nurse hours per resident day, roughly 87% above the national figure, and that shows up in the weekend numbers too, which dip about 14% below weekdays but stay high in absolute terms. Staff turnover sits at 33.3%, noticeably below the 45.8% national average, which matters for consistency of care. Its inspection record is clean: two deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in March 2025. State-run ownership adds a layer of public accountability. For 24 beds, that combination of nurse hours and low deficiency counts is the whole story.

A

99/100

Carolina Village Inc

Hendersonville, NC · Henderson County

CMS 5/558 bedsNon-profit
Nurse hours
6.25 /day
Staff turnover
22%
Serious cites
0

Carolina Village in Hendersonville runs on 6.25 nurse staffing hours per resident day, roughly 62 percent above the national average, and weekend coverage holds within about 12 percent of its weekday level. Staff turnover sits at 22.2 percent against a national average of 45.8 percent, meaning aides and nurses tend to stay. The nonprofit's record shows three deficiencies total, none at the harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. All three CMS star ratings land at 5 out of 5. For a 58-bed home, the numbers describe steady hands and low churn rather than anything flashy.

A

99/100

River Landing At Sandy Ridge

Colfax, NC · Guilford County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.52 /day
Staff turnover
30%
Serious cites
0

River Landing at Sandy Ridge runs about 5.52 nurse hours per resident each day, roughly 43% above what nursing homes nationally average. Weekends dip about 11% below its own weekday staffing, so coverage isn't perfectly flat, but the baseline is high enough that the drop doesn't erase the advantage. Staff turnover sits at 29.5% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record is clean where it counts: three deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in January 2026. Under nonprofit ownership, that combination, strong hours, stable staff, no harm-level findings, is doing the work here.

A

99/100

Mcv Health Care Facilities, Inc

Mason, OH · Warren County

CMS 5/573 bedsNon-profitMedicaid
Nurse hours
5.60 /day
Staff turnover
29%
Serious cites
0

Mcv Health Care Facilities runs on church-affiliated nonprofit ownership, and the numbers reflect that stability. Nurse staffing sits at 5.60 hours per resident day, roughly 45% above the national average of 3.86, and weekend coverage dips only about 12% below weekday levels, a gap that's smaller than what many homes show. Staff turnover is 29.3%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. The inspection record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in November 2023. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

A

99/100

Deupree Cottages

Cincinnati, OH · Hamilton County

CMS 5/524 bedsNon-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
16%
Serious cites
0

Deupree Cottages runs on a small scale, 24 certified beds under nonprofit ownership, and the staffing numbers reflect that attention. At 5.39 nurse hours per resident day, it sits roughly 40% above the national average of 3.86, and weekend coverage stays within about 10% of its weekday level, so care doesn't thin out when families tend to visit. Staff turnover tells its own story: 15.8% against a national 45.8% means aides and nurses are staying put, which matters for residents who depend on familiar faces. Thirteen deficiencies on record with none at the harm level and none abuse-related, plus a July 2025 inspection, round out a picture of a home that's both well-staffed and recently reviewed.

A

99/100

Wooster Community Hospital Snf

Wooster, OH · Wayne County

CMS 5/522 bedsGovernment
Nurse hours
7.08 /day
Staff turnover
29%
Serious cites
0

Wooster Community Hospital's skilled nursing unit runs on 7.08 nurse hours per resident day, roughly 83% above the national average of 3.86, and its staff turnover sits at 28.6% against a national 45.8%, meaning the people caring for residents tend to stay. Weekend coverage dips about 9% below weekday levels, a gap worth asking about if your family visits mainly on Saturdays. The inspection record is clean where it counts: three deficiencies total, none at the harm level, none abuse-related, with the most recent survey in January 2024. City-owned and small at 22 beds, it pairs that staffing with 5/5 ratings across health inspections, quality measures, and staffing.

A

99/100

Lebanon Valley Brethren Home

Palmyra, PA · Lebanon County

CMS 5/588 bedsNon-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
26%
Serious cites
0

Staffing here runs about 5.1 nurse hours per resident per day, roughly a third above the national average, and that holds up on weekends too, weekend coverage dips only about 10% from weekday levels, which is smaller than what many homes show. Annual turnover sits at 26.1% against a national average near 46%, so the people caring for residents tend to stay. The inspection record is thin in the best way: one deficiency total, none involving harm or abuse, from a visit dated February 2026. Put the staffing, retention, and inspection history together and you get a home that looks steady rather than lucky.

A

99/100

Waverly Heights

Gladwyne, PA · Montgomery County

CMS 5/531 bedsNon-profit
Nurse hours
7.52 /day
Staff turnover
17%
Serious cites
0

Waverly Heights runs on a nonprofit model with 31 certified beds, and the numbers behind its record are worth a closer look. Nurse staffing sits at 7.52 hours per resident day, roughly double the national average of 3.86, and weekend coverage holds within about 5% of weekday levels, so families visiting on Saturdays and Sundays aren't walking into a thinner floor. Staff turnover is 16.7%, well under the national 45.8%, which matters because consistent caregivers know the residents. Six deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated February 2026. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

Willowbrooke Court Skilled Care Center At Brittany

Lansdale, PA · Montgomery County

CMS 5/592 bedsNon-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
29%
Serious cites
0

Willowbrooke Court runs on 4.21 nurse hours per resident day, roughly 9% above the national average, and weekend coverage dips only modestly below its own weekday level, a gap far smaller than what many homes show. Staff turnover sits at 29.4% against a national 45.8%, which matters because consistent caregivers know residents' routines and catch changes early. The current record holds three deficiencies, none at the harm level and none abuse-related, with an inspection completed in July 2025. As a nonprofit, it answers to a board rather than shareholders. Every one of those signals points the same direction, which is rare, homes often look strong in one area and thin in another.

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.

Before you shortlist