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 6381–6400 of 12,967, best-graded first.

B

76/100

Brandon Court

Brandon, MS · Rankin County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
54%
Serious cites
0

Brandon Court runs 3.69 nurse hours per resident per day, about 4% under the national average of 3.86, and weekends dip roughly 13% below its own weekday coverage. Staff turnover sits at 53.9% against a national 45.8%, so nearly half the nursing staff is cycling out each year, that instability matters more than a single day's census. On paper the home looks stable elsewhere: a 4/5 inspection rating, its last full inspection in November 2024, and 15 deficiencies on record with none at the harm level and none abuse-related. That combination, decent inspections, thin and churning staffing, is what lands it in solid-but-not-standout territory.

B

76/100

Diversicare Of Quitman

Quitman, MS · Clarke County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
49%
Serious cites
0

Diversicare Of Quitman runs 120 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.18 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. Staff turnover is 49.3%, above the 45.8% national figure, meaning nearly half the caregiver roster changes over in a year. The current record shows 18 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a single fine of $8,018. The last inspection was May 21, 2026, recent enough to reflect current conditions rather than old ones.

B

76/100

Comfort Care Nursing Center

Laurel, MS · Jones County

CMS 2/5 126 beds Government Medicaid
Nurse hours
4.47 /day
Staff turnover
—
Serious cites
0

Comfort Care Nursing Center in Laurel runs on county money, and its 126 beds get more nursing attention than most, 4.47 hours per resident day against a national average of 3.86. That staffing cushion has limits, though: weekends run about 24% leaner than weekdays, so care depends on which day you visit. The inspection record carries 14 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and the most recent state visit was November 2025. Health inspection and quality measure ratings both sit at 2 out of 5, while staffing earns 4. That gap tells the story, decent hands on deck, uneven execution everywhere else.

B

76/100

Meadow View Health & Rehabilitation

Harrisonville, MO · Cass County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
47%
Serious cites
0

Meadow View runs on thinner staffing than most homes its size, 3.01 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends dip further, about 9% below its own weekday numbers, so the quietest shifts are also the leanest. The inspection record shows 44 deficiencies, including four at harm or jeopardy level and four tied to abuse, though the most recent inspection was February 2026, so that picture is current. Turnover sits at 46.5%, essentially matching the national rate rather than standing out either way. Quality measures score well; staffing and inspections are where the gaps live.

B

76/100

St Clair Nursing Center

Saint Clair, MO · Franklin County

CMS 5/5 79 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
56%
Serious cites
0

St. Clair Nursing Center in Franklin County scores a 5/5 on both health inspections and quality measures, and its last inspection was recent, February 2025, so the survey record is current. The staffing picture is where it gets less comfortable: 3.83 nurse hours per resident day, slightly under the national average, with weekends running about 12% leaner than weekdays. Annual turnover of 56.2% is well above the 45.8% national figure, which matters because constant churn tends to make consistent care harder. The home carries 8 deficiencies, one at the harm level, and a single $12,735 fine. Strong inspections and quality marks, thinner staffing and high turnover, that's the trade-off worth weighing.

B

76/100

Independence Manor Care Center

Independence, MO · Jackson County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
44%
Serious cites
0

Independence Manor runs about 3.30 nursing hours per resident per day, roughly 15% under the national average of 3.86, a real gap if your family member needs help with daily tasks or has complex medical needs. The current record shows 23 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and state inspectors were last in the building in December 2025. Staff turnover of 43.6% sits slightly better than the national 45.8%, and weekend coverage barely dips from weekday levels. Ownership is for-profit corporate, and its quality measure rating of 2 out of 5 is the softest number in the file.

B

76/100

Miller County Care And Rehabilitation Center

Tuscumbia, MO · Miller County

CMS 3/5 86 beds Non-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
—
Serious cites
0

Miller County Care and Rehabilitation Center, a nonprofit home in Tuscumbia, runs thin on nursing hours: 3.13 per resident per day against a national average of 3.86, with weekends about 15 percent below its own weekday level. That staffing picture is what pulls its CMS staffing rating down to 1 out of 5, and it's the main reason this isn't a stronger home on paper. The inspection record is steadier, 15 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection came in April 2025. Quality measures and health inspections both score 4 out of 5. So the care outcomes look decent; the worry is whether there are enough hands on weekends.

B

76/100

Brookhaven Nursing & Rehab

Springfield, MO · Greene County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
63%
Serious cites
0

Brookhaven runs 90 beds under corporate ownership, and its staffing is the part that stands out, 3.73 nurse hours per resident day sits a little under the national average, and weekends drop roughly 15% below its own weekday coverage. That thin weekend margin matters more when turnover is 62.5% against a national 45.8%, because replacements are constantly learning the building. The inspection record shows 37 deficiencies, none flagged at harm or jeopardy level, though four are abuse-related and the last survey was December 2024. None of this reads as dangerous, exactly; it reads as a building running lean on people while staying in reasonable regulatory standing. The quality and inspection ratings land mid-range, and the staffing rating is where the strain shows.

B

76/100

Continental Falls

South Sioux City, NE · Dakota County

CMS 2/5 77 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
39%
Serious cites
0

Continental Springs is a for-profit LLC home with 77 beds in South Sioux City, and its staffing sits at 3.61 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover runs 38.8%, better than the 45.8% national figure, which matters more than a single snapshot of hours. The health inspection side is the weak spot: a 2/5 star rating, 13 deficiencies on record including one abuse-related citation, though none rose to harm or jeopardy. Its last inspection was January 14, 2026. Quality measures land mid-range and staffing scores well on CMS's own scale, the inspection record is what pulls the overall picture down.

B

76/100

Colonial Manor Of Randolph

Randolph, NE · Cedar County

CMS 1/5 45 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
—
Serious cites
0

Colonial Manor Of Randolph runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekend staffing drops roughly 16% below its own weekday level, so the hours get thinnest exactly when families tend to visit. The inspection record is the real problem: 23 deficiencies, three of them abuse-related, and a one-star health inspection rating, though none of the citations rose to harm or jeopardy. Ownership is for-profit corporate, and the last inspection was December 10, 2025. Quality measures and staffing both score four stars, so the care processes look better on paper than the state surveyors found in practice.

B

76/100

Nye Legacy Health & Rehabilitation Center

Fremont, NE · Dodge County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
47%
Serious cites
0

Nye Legacy in Fremont runs a for-profit corporate operation with 100 certified beds, and its nurse staffing sits at 4.37 hours per resident day, roughly 13% above the national average of 3.86. That staffing cushion is real, though weekends dip about 12% below the home's own weekday level, and turnover lands at 47.1%, just slightly worse than the 45.8% national figure. The inspection record shows 13 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2025. Where the numbers get uneven is quality measures, which sit at 2 out of 5 stars even as inspections and staffing both hold at 4, worth asking about directly.

B

76/100

Highland Manor Of Mesquite Rehabilitation Llc

Mesquite, NV · Clark County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
37%
Serious cites
0

Highland Manor Of Mesquite Rehabilitation runs 112 certified beds under for-profit LLC ownership, and its staffing sits at 3.30 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the better news at 36.6%, well under the 45.8% national figure, which suggests less churn than many peers. Inspections look solid: a 4/5 health inspection rating, 15 deficiencies on record with none at harm or jeopardy level, though 3 are abuse-related and worth asking about directly. Last inspection was April 2026.

B

76/100

Highland Manor Of Elko Rehabilitation Llc

Elko, NV · Elko County

CMS 2/5 146 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
46%
Serious cites
0

Highland Manor of Elko runs 146 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.37 hours per resident day, about 13% under the national average of 3.86. Weekends run roughly 7% thinner than weekdays, so coverage dips when families tend to visit. Annual turnover of 45.5% is essentially the national rate, meaning the churn here is ordinary rather than alarming. The inspection record carries 32 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The last inspection was August 2025, so the record is recent. Quality measures score well above average; the inspection history is where the caution lies.

B

76/100

Sage Creek Post-Acute

Las Vegas, NV · Clark County

CMS 5/5 60 beds For-profit
Nurse hours
4.39 /day
Staff turnover
52%
Serious cites
0

Sage Creek Post-Acute runs 60 beds in Las Vegas under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. Total nurse coverage sits at 4.39 hours per resident day, about 14% above the national average of 3.86, yet the federal staffing star comes in at just 2 out of 5, a gap that usually points to how thin weekend coverage gets, and here weekends run roughly 8% below the home's own weekday level. Annual turnover is 51.7%, higher than the 45.8% national figure. Twenty deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated April 30, 2026.

B

76/100

Dover Center For Health & Rehabilitation

Dover, NH · Strafford County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
45%
Serious cites
0

Dover Center runs on thinner nurse coverage than most homes, 3.31 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. Staff turnover sits at 44.9%, right in line with the national figure, so retention isn't the standout problem here. What stands out is the inspection record: 15 deficiencies, one tied to abuse, though none reached the level of actual harm or jeopardy, and the most recent state visit was in May 2025. The quality measures score well, but quality numbers come from resident assessments, not from how the place is run day to day. For-profit ownership under an LLC, and a two-out-of-five inspection rating, are the parts I'd ask about directly.

B

76/100

Saint Ann Rehabilitation And Nursing Center

Dover, NH · Strafford County

CMS 4/5 54 beds Non-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
61%
Serious cites
0

Saint Ann Rehabilitation And Nursing Center runs about 4.25 nurse hours per resident per day, roughly 10% above the national average, though weekend coverage dips about 10% below its own weekday level. The trade-off shows up in retention: annual staff turnover is 60.5%, well above the 45.8% national figure, so residents likely see a rotating cast of caregivers. Inspections look solid, a 4/5 health inspection rating, six deficiencies on record, none at harm or jeopardy level, and one abuse-related finding. The quality measure rating sits at 2/5, which is where the home's numbers thin out. Nonprofit ownership and a recent March 2026 inspection round out the picture. Strong staffing on paper, shaky consistency in practice.

B

76/100

Country Village Center, Genesis Healthcare

Lancaster, NH · Coos County

CMS 4/5 86 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
30%
Serious cites
0

Country Village Center runs on about 3.19 nurse hours per resident each day, roughly 17% under the national average of 3.86, and weekends dip another 9% below its own weekday numbers. That's the tradeoff you're weighing against a record that's otherwise fairly clean: ten deficiencies on file, none at the harm or jeopardy level, nothing abuse-related, and an inspection that's recent as of September 2025. Staff turnover sits at 30%, well under the national 45.8%, which suggests the people who are there tend to stay. Genesis operates it as a for-profit LLC. Ask how they cover a weekend callout.

B

76/100

Hillsboro House Nursing Home

Hillsboro, NH · Hillsborough County

CMS 3/5 33 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
58%
Serious cites
0

Hillsboro House runs 33 beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, about 10% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday coverage, so your family member's Saturday care may look thinner than a Tuesday's. Staff turnover is 57.7%, well above the 45.8% national figure, which matters because unfamiliar aides mean less continuity for residents who need consistent hands. The health inspection record shows 16 deficiencies with no harm or abuse findings, though 17 fines totaling $97,730 have accumulated; that inspection history, paired with a recent August 2025 survey, is worth reading closely before you decide.

B

76/100

Complete Care At Green Knoll

Bridgewater, NJ · Somerset County

CMS 4/5 176 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
42%
Serious cites
0

Complete Care At Green Knoll runs a 176-bed for-profit home in Bridgewater, and the numbers tell a mixed story. Nurse staffing sits at 3.10 hours per resident day, roughly 20 percent under the national average of 3.86, and weekends run about 3 percent thinner than weekdays, so the aides and nurses on hand are stretched further than at the typical facility. Turnover, at 41.9 percent, actually comes in a bit better than the 45.8 percent national figure. The current record shows 19 deficiencies, none involving harm or abuse, and the last inspection was February 2026. Quality measures score well; staffing is where this home is thinnest.

B

76/100

Llanfair House Care & Rehabilitation Center

Wayne, NJ · Passaic County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
50%
Serious cites
0

Llanfair House runs 180 certified beds in Wayne under individual for-profit ownership, and its staffing sits about 10% under the national average, 3.46 nurse hours per resident day against 3.86. That gap widens on weekends, when coverage drops roughly 15% below the home's own weekday level, and half the staff turned over in the past year, a bit worse than the 45.8% national figure. The inspection record carries more weight than the quality measures here: 36 deficiencies, five serious enough to involve harm or jeopardy, one tied to abuse, and a $47,304 fine. The most recent inspection was December 16, 2024, so the picture is fairly current. Quality measures score well; the direct-care and compliance side is where the concerns sit.

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