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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 621–640 of 12,967, best-graded first.

A

93/100

Norwood Health Ctr-Central

Marshfield, WI · Wood County

CMS 5/5 32 beds Government Medicaid
Nurse hours
6.12 /day
Staff turnover
40%
Serious cites
0

Norwood Health Center-Central runs on unusually heavy staffing for a 32-bed county home, 6.12 nurse hours per resident day, roughly 59% above the national average, which is where its perfect staffing rating comes from. Weekend coverage dips about 11% below its own weekday level, and turnover sits at 40%, a bit better than the 45.8% national figure. The tradeoff shows up in its record: three deficiencies, all flagged at harm or jeopardy level and all abuse-related, with the most recent inspection dated April 15, 2026. Strong quality and inspection ratings sit alongside those three serious citations, so ask what changed since that April visit before you decide.

A

93/100

Clearview Brain Injury Center

Juneau, WI · Dodge County

CMS 5/5 30 beds Government Medicaid
Nurse hours
7.72 /day
Staff turnover
25%
Serious cites
0

Clearview Brain Injury Center is a county-owned home in Juneau with just 30 certified beds, and its nurse staffing runs about double the national average, 7.72 hours per resident day against 3.86. That cushion matters for a brain injury population, and weekend coverage dips only about 9% below its own weekday level. Staff turnover sits at 25%, well under the 45.8% national figure, which suggests people stay. The current record shows a single deficiency, none at harm or jeopardy level and none abuse-related, with an inspection dated May 28, 2026. Its quality measure rating is the softer spot at 3 out of 5, though inspections and staffing both rate 5.

A

93/100

Adventist Health Sonora - D/P Snf

Sonora, CA · Tuolumne County

CMS 5/5 68 beds Non-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
28%
Serious cites
0

Adventist Health Sonora's nursing home runs four and a half nurse hours per resident each day, about a fifth more than the typical American nursing home, and its weekend coverage, while lighter than weekdays, doesn't fall off a cliff. Staff turnover of roughly 28 percent is well below the national figure, which matters more than any single inspection score, since familiar aides tend to notice changes in a resident's condition. The trade-off sits in the record: 39 deficiencies, including five tied to abuse, though none rose to the level of actual harm. State inspectors were last in the building in June 2025.

A

93/100

Sharp Chula Vista Med Ctr Snf

Chula Vista, CA · San Diego County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
22%
Serious cites
0

Sharp Chula Vista Med Ctr Snf runs on a level of nurse staffing you rarely see: 5.45 hours per resident per day, about 41% above the national average, with weekend coverage dipping only slightly below weekdays. Staff turnover sits at 21.6%, less than half the national rate, a sign people stay. Inspections were recent and the health record is solid, though 34 deficiencies include one at harm level and two tied to abuse, which families should ask about directly. Nonprofit ownership and a B grade reflect a home whose day-to-day care capacity is strong, with specific past problems worth understanding before you decide.

A

93/100

Regents Point - Windcrest

Irvine, CA · Orange County

CMS 4/5 59 beds Non-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
31%
Serious cites
0

Regents Point - Windcrest runs a lean ship on the staffing side. Its 4.99 nurse hours per resident day sit about 29% above the national average, and the team sticks around far longer than most, 30.8% turnover against a national 45.8%. Weekend coverage dips roughly 8% below its own weekday level, worth knowing if you visit Saturdays. The record isn't spotless: 34 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site in May 2025. This nonprofit's clinical quality measures and inspection history both land at four stars, with staffing at the top of the scale.

A

93/100

The Meadows Of Napa Valley

Napa, CA · Napa County

CMS 5/5 69 beds Non-profit Medicaid
Nurse hours
4.82 /day
Staff turnover
42%
Serious cites
0

Nurse staffing at The Meadows of Napa Valley runs about 4.82 hours per resident per day, roughly a quarter above the national average, and weekends dip only about 8% below weekday levels, so coverage stays fairly steady. The nonprofit's 41.7% turnover is modestly better than the 45.8% national figure. The tradeoff shows up in its record: 23 deficiencies, including one at the harm level and two abuse-related citations, with the last inspection in November 2024. Strong staffing and a five-star inspection rating sit alongside some serious past findings, which is the tension worth weighing when you visit.

A

93/100

Presbyterian Intercomm Hosp Dp/Snf

Whittier, CA · Los Angeles County

CMS 5/5 35 beds Non-profit
Nurse hours
10.07 /day
Staff turnover
20%
Serious cites
0

Staffing at Presbyterian Intercomm Hosp Dp/Snf runs at 10.07 nurse hours per resident day, roughly two and a half times the national figure, and only about 20% of its nurses leave each year against a national average near 46%. Weekends dip about 14% below its own weekday coverage, worth knowing if your visits fall on Saturdays or Sundays. The inspection record shows 21 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was July 2025, and its health inspection and staffing ratings both sit at five stars out of five. Quality measures come in lower, at three. It's a small nonprofit home, 35 beds.

A

93/100

Meadowood A Health And Rehabilitation Center

Stockton, CA · San Joaquin County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
5.20 /day
Staff turnover
29%
Serious cites
0

Meadowood runs on a non-profit model with 100 certified beds in Stockton, and the staffing numbers are the first thing that stands out: 5.20 nurse hours per resident day, roughly a third more than the national average of 3.86. That matters, though weekends run about 10% leaner than weekdays, so coverage isn't perfectly even across the week. Staff turnover sits at 28.7%, well under the 45.8% national figure, a sign people tend to stay. The tradeoff is a longer deficiency record: 38 total, three tied to abuse, though none rose to harm or jeopardy level. The last inspection was February 2025, so the picture is current.

A

93/100

Veterans Home Of California - West Los Angeles

Los Angeles, CA · Los Angeles County

CMS 3/5 312 beds Government Medicaid
Nurse hours
5.82 /day
Staff turnover
35%
Serious cites
0

The state-run veterans home in West Los Angeles has 312 certified beds and a nurse staffing level of 5.82 hours per resident day, roughly 51% above the national average of 3.86. That staffing cushion is real, and it shows in a 35.3% turnover rate that beats the national 45.8%. The catch is inspections: a 2-out-of-5 health inspection rating, with 46 deficiencies on the current record. None were flagged at the harm or jeopardy level, but three are abuse-related, which families should ask about directly. The most recent inspection was December 12, 2025, so the record is current. Strong hands-on care, weaker regulatory track record.

A

93/100

The Hallmark

Houston, TX · Harris County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
5.33 /day
Staff turnover
51%
Serious cites
0

The Hallmark runs about 5.33 nurse hours per resident day, roughly 38% above the national average, and weekends dip only about 14% below its own weekday level, a modest drop by nursing home standards. Staff turnover sits at 51.3%, higher than the 45.8% national figure, so the people caring for residents do change fairly often. Its inspection record shows 16 deficiencies, none at the harm level and none abuse-related, with the most recent visit in January 2025; both its inspection and quality measure ratings come in at 5 out of 5. For a 32-bed nonprofit home, the numbers describe steady care with a staffing churn worth asking about directly.

A

92.5/100

Washington County Nursing Home

Chatom, AL · Washington County

CMS 5/5 88 beds Government Medicaid
Nurse hours
4.61 /day
Staff turnover
25%
Serious cites
0

Washington County Nursing Home runs on numbers that hold up. Nurse staffing sits around 4.61 hours per resident day, roughly a fifth above the national figure, and weekend coverage dips about 16 percent from weekday levels, a gap worth asking about, since that's when families tend to visit. Staff turnover is 25.3 percent, well under the national 45.8 percent, which suggests people stay. The one mark against the place is on the inspection side: a single deficiency on record, abuse-related but not at harm or jeopardy level, and the last full inspection was June 2021, so that record is getting old. County-owned, 88 beds.

A

92.5/100

Arbor Woods Health And Rehab

Reform, AL · Pickens County

CMS 5/5 85 beds For-profit Medicaid
Nurse hours
5.07 /day
Staff turnover
41%
Serious cites
0

Arbor Woods runs leaner on risk than most homes its size. Its 5.07 nurse hours per resident day sit about a third above the national average, which is the kind of number that shows up as more hands on the floor, though weekends dip roughly 18% below weekdays, so coverage isn't perfectly even. Turnover at 40.7% is a bit better than the 45.8% national figure. The current record carries just two deficiencies, none at harm or jeopardy level and none abuse-related. The one thing to weigh: that last inspection was in May 2022, so you're looking at a fairly old snapshot of how it's actually running today.

A

92.5/100

Pavilion For Health Care, The

Penney Farms, FL · Clay County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.91 /day
Staff turnover
34%
Serious cites
0

The Pavilion for Health Care runs on 4.91 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its inspection record is clean by any reasonable standard: three deficiencies total, none causing harm, none tied to abuse. Staff turnover sits at 34.4%, well below the national 45.8%, though weekends run about 15% thinner than weekdays, worth asking about if your family visits on Saturdays. This is a small nonprofit home of 50 beds in Clay County, last inspected in March 2026. The numbers describe a stable, well-staffed place, not a perfect one.

A

92.5/100

Buchanan County Health Center

Independence, IA · Buchanan County

CMS 5/5 39 beds Government Medicaid
Nurse hours
4.19 /day
Staff turnover
26%
Serious cites
0

Buchanan County Health Center runs on county ownership, and the numbers that stand out most are the ones about people. Nurse staffing sits at 4.19 hours per resident day, roughly 8% above the national average, and the staff stays: turnover is 26.3% against a national rate near 46%. Weekends are leaner, though, about 19% below the home's own weekday coverage. The inspection record is mixed, 12 deficiencies, one serious enough to involve harm or jeopardy, plus a single $4,011 fine, and the last inspection was fairly recent, in March 2026. Quality and inspection ratings both came in at 4 out of 5, but those 12 deficiencies and the thin weekend hours are what pull the overall picture down.

A

92.5/100

Bethesda Home

Goessel, KS · Marion County

CMS 5/5 57 beds Non-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
32%
Serious cites
0

Bethesda Home in Goessel runs on a nonprofit model with 57 certified beds, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average of 3.86, though weekend coverage drops about 16% below what the home provides on weekdays, worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover is the standout: 31.6% against a national average of 45.8%, meaning caregivers here tend to stay. Five deficiencies on the current record, none at the harm level and none abuse-related, with the last inspection in March 2025.

A

92.5/100

Mymichigan Skilled Nursing Facility

Standish, MI · Arenac County

CMS 5/5 29 beds Non-profit Medicaid
Nurse hours
5.87 /day
Staff turnover
23%
Serious cites
0

The numbers at MyMichigan Skilled Nursing in Standish are mostly good news: 5.87 nurse hours per resident per day, roughly half again the national average, and staff turnover of 22.6% against a national 45.8%, both signs of a stable, well-covered floor. Weekend coverage dips about 18% below weekday levels, worth asking about if a family member needs more help on Saturdays and Sundays. The caution is in the inspection record: 18 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a single $32,175 fine. Quality and staffing each scored 5 out of 5 from CMS, and the most recent inspection was April 2026, so the picture is current.

A

92.5/100

Ms Care Center Of Raleigh

Raleigh, MS · Smith County

CMS 5/5 110 beds For-profit Medicaid
Nurse hours
5.00 /day
Staff turnover
32%
Serious cites
0

Ms Care Center Of Raleigh runs on 5.00 nurse hours per resident day, roughly 29% more than the national average of 3.86, a real margin, though weekends dip about 18% below its own weekday level, so coverage isn't perfectly even. Staff turnover sits at 31.6%, better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The home carries four deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its last inspection was in February 2025. For-profit, limited liability ownership, 110 certified beds, with CMS giving it four stars for health inspections and quality measures and five for staffing.

A

92.5/100

Good Shepherd Home

Fostoria, OH · Seneca County

CMS 4/5 95 beds Non-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
32%
Serious cites
0

Good Shepherd Home runs on 4.60 nurse hours per resident day, about 19% more than the national average, and its staff turnover of 32% sits well under the 45.8% national figure, both signs of a stable, adequately covered floor. The trade-offs show up elsewhere: weekend staffing drops roughly 16% below its own weekday level, and the current record carries 30 deficiencies, one serious enough to reach harm or jeopardy, though none involve abuse. Inspectors last visited in October 2024. Quality measures score high, staffing solid, inspections middling, a home that's generally well-run with at least one lapse worth asking about directly.

A

92.5/100

United Zion Retirement Communi

Lititz, PA · Lancaster County

CMS 5/5 59 beds Non-profit Medicaid
Nurse hours
4.94 /day
Staff turnover
19%
Serious cites
0

United Zion Retirement Communi runs one of the steadiest nurse staffing operations you'll find in Lancaster County, 4.94 hours per resident day against a national average of 3.86, with weekend coverage dipping only about 15% below weekday levels. Staff turnover sits at 19.2%, less than half the national figure, which matters because consistent caregivers notice changes in residents sooner. The tradeoff shows up in its inspection record: four deficiencies on file, two serious enough to reach harm or jeopardy level, plus one fine of $7,443. Federal inspectors last visited in August 2025. A nonprofit with that kind of staffing retention usually has the resources to fix what inspectors flag, the question is whether it does.

A

92.5/100

Davis And Mcdaniel Veterans Care Center

Roanoke, VA · Roanoke City County

CMS 5/5 180 beds Government Medicaid
Nurse hours
3.99 /day
Staff turnover
29%
Serious cites
0

Davis and McDaniel Veterans Care Center runs 180 certified beds under state government ownership, and the numbers behind its record are unusually steady. Nurse staffing sits at 3.99 hours per resident day, a bit above the national average, with weekend coverage dipping about 16% below its own weekday level, worth asking about if your visits fall on Saturdays or Sundays. Staff turnover is the standout: 28.7% against a national average of 45.8%, meaning aides and nurses here tend to stay. Ten deficiencies appear on the current record, none at the harm level, though one is abuse-related. The last inspection was January 8, 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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