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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 6121–6140 of 12,967, best-graded first.

B

76.5/100

Cypress Cove Care Center

Muscle Shoals, AL · Colbert County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
38%
Serious cites
0

Cypress Cove runs lean on nursing hours, 3.33 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 15% below the home's own weekday coverage. The tradeoff shows up in consistency rather than crisis: four deficiencies on record, none causing harm or involving abuse, and a clean five-star inspection history, though that last full inspection came back in January 2020, so it's been a while since regulators looked closely. Staff turnover sits at 38%, better than the 45.8% national figure, which matters for residents who value seeing the same faces. Corporate-owned and Medicare-certified for 90 beds, this is a home that has avoided serious problems but runs on fewer hands per resident than most.

B

76.5/100

Crowne Health Care Of Montgomery

Montgomery, AL · Montgomery County

CMS 4/5 185 beds For-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
54%
Serious cites
0

Crowne Health Care Of Montgomery runs 185 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average of 3.86. That headcount comes with a catch: weekends run about 21% thinner than weekdays, and annual turnover is 54.1% against a national 45.8%, so the people providing that care change often. Inspections tell a mixed story. The health inspection rating is 4 of 5, but the current record shows five deficiencies, including one at the harm or jeopardy level and one tied to abuse. The last inspection was April 2023, and quality measures rate just 2 of 5.

B

76.5/100

Aspire Physical Recovery Center Of West Alabama

Northport, AL · Tuscaloosa County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
58%
Serious cites
0

The nursing staff here puts in more hours per resident than the typical American home, about 4.25 hours a day against a national average near 3.86. That cushion matters, though weekends run roughly 15 percent leaner than weekdays, so a Saturday shift won't look like a Tuesday one. Staff turnover sits at 57.6 percent, well above the 45.8 percent national figure, which means the people caring for your relative may change often. On inspections, the record is clean where it counts: six deficiencies, none involving harm or jeopardy, none tied to abuse. The tradeoff is timing, the last inspection was May 2022, so that snapshot is getting old.

B

76.5/100

Aspire Physical Recovery Center At Cahaba River

Vestavia, AL · Jefferson County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
62%
Serious cites
0

The numbers here tell two different stories. Nurse staffing runs 4.86 hours per resident day, roughly a quarter above the national average, and that earned a 4-out-of-5 staffing rating, genuinely good coverage on paper. But weekend hours drop about 16% below the facility's own weekday level, so the care you'd see on a Saturday looks thinner than a Tuesday. Staff turnover sits at 62.4% against a national 45.8%, meaning most of the people providing that care are relatively new. The inspection record is the bigger concern: 17 deficiencies, one serious enough to cause harm, and a $16,801 fine, all from a January 2024 visit. Ask how they've addressed that harm-level finding since.

B

76.5/100

Bear Creek Healthcare Llc

De Queen, AR · Sevier County

CMS 5/5 131 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
46%
Serious cites
0

Bear Creek Healthcare in De Queen runs 131 certified beds under for-profit LLC ownership, and its staffing sits just barely above the national average, 3.90 nurse hours per resident day against 3.86. That thin margin is worth noticing, because weekends drop about 17% below the home's own weekday coverage, so the days when families visit aren't the days with the most hands on deck. Turnover lands at 45.9%, essentially matching the national rate, which means roughly half the staff turns over in a year. The good news is real: a five-star health inspection record, no harm-level or abuse-related deficiencies among its eight, and a survey completed in March 2026. Quality measures score middle of the road at three stars.

B

76.5/100

Pioneer Therapy And Living

Melbourne, AR · Izard County

CMS 5/5 86 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
60%
Serious cites
0

Pioneer Therapy And Living sits in Melbourne, up in Izard County, and it's a for-profit corporation running 86 certified beds. The clinical side looks strong on paper, five out of five stars on both health inspections and quality measures, ten deficiencies on record with none at the harm level and nothing abuse-related, and a recent inspection in May 2026. Where it slips is staffing: 3.33 nurse hours per resident day against a national average of 3.86, weekends running roughly 22% thinner than weekdays, and turnover at 59.8% compared to 45.8% nationally. That combination, good survey results, thin and churning direct care, is what pulls the overall picture down to a B.

B

76.5/100

Julia Temple Healthcare Center

Englewood, CO · Arapahoe County

CMS 3/5 128 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
—
Serious cites
0

Julia Temple Healthcare Center runs 128 certified beds in Englewood under corporate for-profit ownership, and its nurse staffing sits at 3.79 hours per resident day, roughly 2% under the national average of 3.86. That gap is small, but weekend coverage drops about 12% below what the home staffs on weekdays, so the hours your family member gets on a Saturday may look thinner than what the numbers suggest on paper. The current inspection record shows 13 deficiencies, none flagged at the harm or jeopardy level, though one is abuse-related, worth asking about directly. The last inspection was December 10, 2024, so the record is recent. Three stars each on inspections, quality measures, and staffing points to a home that is neither struggling badly nor standing out.

B

76.5/100

Casey's Pond Senior Living

Steamboat Springs, CO · Routt County

CMS 5/5 66 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
62%
Serious cites
0

Casey's Pond runs a solid ship on the clinical side. The Steamboat Springs nonprofit has a clean recent inspection, March 2024, with 20 deficiencies on record and none rising to harm or jeopardy, which is the part families should care about most. Nurse staffing sits at 4.37 hours per resident day, about 13% above the national average, though weekends run roughly 16% leaner than weekdays, so ask how that gap gets covered. The real wrinkle is turnover: 61.8% annually against a national average of 45.8%. That's a lot of new faces for a 66-bed home, and it matters for whether your parent sees the same aide twice in a month.

B

76.5/100

Glades Health Care Center

Pahokee, FL · Palm Beach County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
—
Serious cites
0

Glades Health Care Center runs 120 beds in Pahokee under nonprofit ownership, and its nurse staffing sits at 3.86 hours per resident day, essentially dead even with the national average. Weekends dip about 5% below the home's own weekday levels, so coverage thins slightly when families tend to visit. The current inspection record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in December 2024. Quality measure scores come in at 2 out of 5 stars, the weakest part of the profile. What that means practically: adequate hands-on time, a survey history without serious harm findings, and some room to improve on clinical outcomes.

B

76.5/100

Early Memorial Nursing Facility

Blakely, GA · Early County

CMS 3/5 127 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
31%
Serious cites
0

Early Memorial runs a for-profit shop with 127 certified beds, and the numbers pull in two directions. The nursing hours are real: 4.23 per resident day, about 10% above the national average, and staff turnover at 30.8% sits well below the 45.8% national figure, people here tend to stay. Weekends tell a different story, with staffing roughly 16% thinner than weekdays. Then you get to the inspection record. Twenty-four deficiencies on the current record, three serious enough to reach harm or jeopardy level, three tied to abuse. One fine totaling $177,463. The most recent inspection was December 2025. Good daily coverage doesn't cancel out findings like those, and that gap is what families should weigh.

B

76.5/100

Pruitthealth - Grandview

Athens, GA · Clarke County

CMS 5/5 72 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
18%
Serious cites
0

Pruitthealth - Grandview runs lean on nursing hours: 3.13 per resident day against a national average of 3.86, and weekends drop roughly 20% below its own weekday coverage. That gap is what pulls its staffing rating down to 2 out of 5, even though inspectors gave it top marks on health inspections and quality measures and its 10 deficiencies include nothing at the harm or abuse level. The counterweight is retention, 18.4% turnover against a national 45.8% means the aides and nurses who are there tend to stay, which matters for consistency of care. For-profit corporate ownership, 72 beds, and a May 2026 inspection round out the picture. Ask how weekend coverage actually looks on the shift you'd visit.

B

76.5/100

Azalea Health And Rehabilitation

Metter, GA · Candler County

CMS 3/5 89 beds Non-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
29%
Serious cites
0

Azalea Health and Rehabilitation runs about 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends dip about 15% below its own weekday coverage. That said, its staff retention is notably better than most: 29.2% turnover against a national 45.8%, which matters for continuity of care. The tradeoff shows up in its inspection record, 9 deficiencies, 2 of them serious enough to involve harm or jeopardy, with a 3/5 health inspection rating and a 2/5 on quality measures despite a recent September 2025 survey. Nonprofit ownership and steadier staffing are real strengths; the harm-level citations are the part worth asking about directly.

B

76.5/100

Parkside Center For Nursing And Rehab At Ellijay

Ellijay, GA · Gilmer County

CMS 3/5 110 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
46%
Serious cites
0

Parkside Center in Ellijay runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits just barely above the national average, 3.92 hours per resident day against 3.86 nationally, about a 2% edge. That margin shrinks on weekends, when coverage drops roughly 15% below the home's own weekday level. Turnover is 45.9%, essentially identical to the national 45.8%, so this isn't a stable-building story. The current inspection record shows 25 deficiencies, three of them serious enough to reach harm or jeopardy level, though none are abuse-related. The most recent inspection was March 5, 2026.

B

76.5/100

Clearwater Health & Rehabilitation Of Cascadia

Orofino, ID · Clearwater County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
54%
Serious cites
0

Clearwater Health & Rehabilitation Of Cascadia runs 60 beds in Orofino under for-profit LLC ownership, and its inspection record is genuinely strong, a 4/5 health inspection rating, 17 total deficiencies with none at the harm or jeopardy level, and a survey completed in April 2025. The staffing picture is where it gets thinner. At 3.27 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 19% below its own weekday levels. Annual turnover of 54.1% outpaces the national 45.8%. One abuse-related deficiency appears on the current record. A recent clean inspection and solid quality measures matter, but ask directly how they cover weekends and how often the staff you meet is new.

B

76.5/100

Avalon Village

Ligonier, IN · Noble County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
34%
Serious cites
0

Avalon Village in Ligonier is a 67-bed for-profit home with a recent inspection record that's genuinely clean, 12 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a survey completed in August 2025. Its inspection and quality measure scores both come in at the top of the federal scale. The catch is staffing. At 3.15 nurse hours per resident day, it runs about 18% under the national average of 3.86, and weekend coverage drops roughly 20% below its own weekday level. Turnover sits at 33.9%, which is actually better than the 45.8% national figure, meaning people tend to stay, there just aren't enough of them scheduled.

B

76.5/100

Miller's Merry Manor

New Carlisle, IN · St. Joseph County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
52%
Serious cites
0

Miller's Merry Manor in New Carlisle runs 70 certified beds under corporate ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating and a clean look at the most recent survey from June 2025. The tradeoff shows up in staffing. At 3.60 nurse hours per resident day, it sits roughly 7% under the national average of 3.86, and weekends run about 17% leaner than weekdays, meaning the hours your family member gets depend partly on which day of the week it is. Annual turnover of 52% tops the national 45.8% average, so expect some churn among caregivers. Eleven deficiencies are on record, one serious enough to involve harm, plus a single $10,255 fine.

B

76.5/100

River Terrace Health Campus

Madison, IN · Jefferson County

CMS 3/5 57 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
48%
Serious cites
0

River Terrace in Madison runs on 4.38 nurse hours per resident day, roughly 13% above the national average, and that staffing shows in its three-star staffing rating. Weekends are the soft spot, about 16% leaner than weekdays, which is when families tend to visit and notice. The inspection record carries 20 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involve abuse; the last survey was in March 2026. Staff turnover sits at 47.6%, a touch above the national 45.8%. Corporate-owned, 57 beds. The quality measures score well at four stars, but the inspection history is where the caution lies.

B

76.5/100

Hallmark Care Center

Mount Vernon, IA · Linn County

CMS 2/5 55 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
—
Serious cites
0

Hallmark Care Center in Mount Vernon runs a 55-bed for-profit operation, and its nurse staffing sits at 3.73 hours per resident day, just under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 10% below the home's own weekday level, a pattern families often notice as thinner attention on Saturdays and Sundays. The current inspection record shows 18 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent survey dates to April 2026. State health inspectors handed out 2 out of 5 stars, while quality measures and staffing each earned 3. That split tells you the care outcomes look steadier than the inspection history does.

B

76.5/100

Tripoli Nursing & Rehab

Tripoli, IA · Bremer County

CMS 2/5 28 beds Non-profit Medicaid
Nurse hours
5.48 /day
Staff turnover
52%
Serious cites
0

Tripoli Nursing & Rehab runs a small, 28-bed nonprofit home where the aides and nurses clock 5.48 hours per resident day, roughly 42% more hands-on time than the national average, which is the main thing this place has going for it. But that staffing drops about 16% on weekends, and 52.2% of the staff turned over in the past year, higher than the national 45.8%, so the faces around a resident change often. The record shows 25 deficiencies, four tied to abuse, though none rose to actual harm or jeopardy; the most recent inspection was July 2025. Extra hours help, but the quality measure score and the abuse findings are worth asking about directly.

B

76.5/100

Medicalodges Atchison

Atchison, KS · Atchison County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
49%
Serious cites
0

Medicalodges Atchison runs about 60 beds under corporate ownership, and the staffing picture is decent on paper, 3.96 nurse hours per resident day sits slightly above the national average. But that average hides a dip: weekends run roughly 15% leaner than weekdays, which is when families tend to visit and notice. Staff turnover is 48.8%, a few points worse than the national rate. The health inspection record is strong, with a 4-star rating and no deficiencies at the harm level, though two abuse-related citations appear among the 18 total. Quality measures tell a weaker story at 2 stars, and the most recent inspection was April 2026.

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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