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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 6561–6580 of 12,967, best-graded first.

B

75.5/100

Diversicare Of Hutchinson

Hutchinson, KS · Reno County

CMS 4/5 73 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
39%
Serious cites
0

Diversicare Of Hutchinson runs 73 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends are thinner still, about 16% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. Turnover is the bright spot: 38.5% against a national average of 45.8%. Inspections look solid, with a 4/5 health inspection star and a 4/5 quality measure star, and the most recent survey was January 30, 2025. But 28 deficiencies are on the current record, one at harm or jeopardy level, plus an $8,376 fine.

B

75.5/100

Boyd Nursing And Rehabilitation

Ashland, KY · Boyd County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
43%
Serious cites
0

Boyd Nursing And Rehabilitation is a 60-bed for-profit home in Ashland, run by a limited liability company, and the numbers pull in different directions. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends drop about 17% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover at 43.2% is slightly better than the national 45.8%, which matters less than it sounds when aides are still leaving at that rate. The 17 deficiencies on record, three of them at harm or jeopardy level, line up with the 2/5 inspection and staffing ratings, even though resident quality measures score 5/5. That gap is worth asking about directly.

B

75.5/100

Jo Ellen Smith Convalescent Center

New Orleans, LA · Orleans County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
36%
Serious cites
0

Jo Ellen Smith Convalescent Center runs 180 certified beds in New Orleans under corporate for-profit ownership. Nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average, and the gap widens on weekends, about 17% less coverage than the home provides on weekdays. That thin weekend margin is worth asking about directly, since it's when families often visit and when problems tend to surface. On the positive side, staff turnover is 35.6%, well below the national 45.8%, which suggests a more stable workforce than many homes manage. Inspections look solid too: a four-star health inspection rating, 15 deficiencies on record with none at the harm level and none abuse-related, and a March 2026 inspection that's still recent. The tradeoff is clear, good oversight and retention, but staffing you'll want to watch.

B

75.5/100

Belle Grande Nursing And Rehabilitation Center

Alexandria, LA · Rapides County

CMS 3/5 139 beds For-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
45%
Serious cites
0

Belle Grande runs 4.61 nurse hours per resident day, about 19% above the national average of 3.86, and that staffing shows up in a 4-out-of-5 staffing rating. The catch is weekends, when hours drop roughly 17% below the home's own weekday level. Turnover sits at 44.7%, essentially the national rate, so the staffing advantage comes from hours scheduled, not from a stable crew. Inspections tell a more mixed story: 15 deficiencies on the current record, one serious enough to reach harm or jeopardy level, no abuse findings, and a single fine of $16,149. That combination, strong hours, weak quality measures at 2/5, a recent September 2025 inspection, is why the home lands in the middle rather than at the top.

B

75.5/100

Sabine Retirement And Rehab Center

Many, LA · Sabine County

CMS 4/5 116 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
44%
Serious cites
0

Sabine Retirement And Rehab Center runs 116 certified beds in Many, Louisiana, under for-profit LLC ownership. Nurse staffing sits at 4.28 hours per resident day, about 11% above the national average, though weekends dip roughly 15% below the home's own weekday levels. Staff turnover is 44.1%, slightly under the national rate. The inspection history is the harder part of the story: 14 deficiencies on record, including one at the harm or jeopardy level and one abuse-related, plus two fines totaling $17,425. A four-star health inspection rating and a January 2026 inspection date suggest recent surveys have gone better than that older record implies, but the two-star quality measure rating shows clinical outcomes still lag.

B

75.5/100

Calcasieu Community Care Center

Lake Charles, LA · Calcasieu County

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

Calcasieu Community Care Center runs 4.42 nursing hours per resident per day, about 14% above the national average, and it's a nonprofit, which usually signals steadier ownership than the for-profit chains. But the staffing thins out on weekends, dropping roughly 19% below its own weekday level, so coverage isn't as even as the headline number suggests. The inspection record carries 33 deficiencies, one tied to abuse, though none rose to the level of actual harm or jeopardy, and the last survey was recent enough to reflect current conditions. Turnover sits at 48.5%, a few points above the national rate, which matters for how well staff know the residents.

B

75.5/100

Fahrney-Keedy Memorial Home

Boonsboro, MD · Washington County

CMS 5/5 106 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
44%
Serious cites
0

Fahrney-Keedy runs on 4.07 nurse hours per resident per day, a bit above the national average, and its inspection history is strong, zero deficiencies at the harm or jeopardy level and a recent survey. The catch is in the day-to-day: weekend staffing drops roughly 16% below weekday levels, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Staff turnover at 44% is average, which means aides and nurses cycle through at about the same rate as everywhere else. Twenty-nine deficiencies sit on the current record, two tied to abuse, and quality measures score low even as inspections score high.

B

75.5/100

The Gardens At Cedarwood

Franklin, MA · Norfolk County

CMS 2/5 82 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
—
Serious cites
0

The Gardens At Cedarwood runs 82 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.74 hours per resident day, just under the national average of 3.86, with weekends running about 8% thinner than weekdays. That modest shortfall shows up in the staffing star rating, which lands at 2 out of 5, and in a health inspection rating that's also 2 out of 5. The current record carries 42 deficiencies, none at harm or jeopardy level but two tied to abuse, plus three fines totaling $7,596. What lifts the picture is a 4 out of 5 on quality measures, and a state inspection as recent as June 2025 means the record is current, not stale.

B

75.5/100

Life Care Center Of Auburn

Auburn, MA · Worcester County

CMS 3/5 154 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
30%
Serious cites
0

Life Care Center of Auburn runs 154 certified beds under a for-profit limited liability company, and its nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86. Weekends drop roughly 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 30.1% against a national 45.8%, meaning aides and nurses here stick around longer than at the typical home. The inspection record is the concern, 36 deficiencies, including two at the harm level and three tied to abuse, plus one fine of $29,738. The most recent inspection was June 2025, so that record is current.

B

75.5/100

Healthsource Saginaw, Inc

Saginaw, MI · Saginaw County

CMS 3/5 213 beds Government Medicaid
Nurse hours
4.32 /day
Staff turnover
49%
Serious cites
0

Healthsource Saginaw is county-owned and staffed better than most: 4.32 nurse hours per resident day against a national average of 3.86. That staffing edge is real, and it's the main reason the quality measure rating comes in at 4 out of 5. But the inspection record is where this home gets into trouble, 57 deficiencies on file, six of them serious enough to put residents in harm's way and three tied to abuse. Five fines add up to just under $270,000. Staff turnover sits at 48.8%, a bit worse than the national 45.8%, and weekend coverage drops about 18% below weekday levels, so the weekday numbers overstate what families actually see on Saturdays. The most recent inspection was July 2025.

B

75.5/100

Medilodge Of Frankenmuth

Frankenmuth, MI · Saginaw County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
58%
Serious cites
0

Medilodge of Frankenmuth runs 105 certified beds under corporate for-profit ownership, and its staffing sits essentially at the national average, 3.87 nurse hours per resident day against 3.86 nationwide. But that average hides a weekend problem: coverage drops roughly 19% below its own weekday levels, and annual turnover hits 58% versus 45.8% nationally, meaning more than half the nursing staff leaves each year. The inspection record shows 44 deficiencies, one serious enough to involve harm or jeopardy, with the most recent state visit in April 2025. Quality measures score well, though the inspection history and churn are what pull the overall picture down.

B

75.5/100

Medilodge Of Sterling Heights

Sterling Heights, MI · Macomb County

CMS 2/5 248 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
54%
Serious cites
0

Medilodge Of Sterling Heights runs 248 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.74 hours per resident day, about 3% under the national average of 3.86. Weekends drop roughly 15% below its own weekday levels, and annual turnover is 54.1% against a national average of 45.8%, that churn matters when aides and nurses are the people doing the daily hands-on care. The inspection record shows 51 deficiencies, including one at the harm or jeopardy level and three abuse-related, with the most recent inspection dated April 14, 2026. Its quality measure rating is a 4, but the health inspection and staffing ratings both come in at 2.

B

75.5/100

Medilodge Of Richmond

Richmond, MI · Macomb County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
59%
Serious cites
0

Medilodge Of Richmond runs 126 beds under corporate ownership, and its inspection history is a mixed picture. The last survey in July 2025 came back with 14 deficiencies on record, including one at the harm or jeopardy level and one tied to abuse. That's a lot to carry for a home with a four-star inspection rating, and it tells you the good marks come with real caveats. Staffing is where the numbers get thinner: 3.67 nurse hours per resident day sits below the national average, weekends drop about 20% below the home's own weekday level, and turnover hits 58.9% against a national 45.8%. Families should ask how those weekend shifts are actually covered.

B

75.5/100

Iron River Care Center

Iron River, MI · Iron County

CMS 1/5 69 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
29%
Serious cites
0

Iron River Care Center runs on 2.97 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip about 15% below its own weekday staffing. Turnover sits at 29.3%, better than the 45.8% national figure, so the people who stay tend to stay. The problem is what inspectors found: 43 deficiencies on the current record, four involving harm or jeopardy and five tied to abuse, plus a $42,575 fine. The last inspection was August 2025, so the record is recent. Corporate-owned, 69 beds. Low staffing plus that many serious citations is the story here.

B

75.5/100

The Orchards At Armada

Armada, MI · Macomb County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
—
Serious cites
0

The Orchards At Armada sits at 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends run about 10% thinner than weekdays on top of that. The inspection record is current, from June 2025, with 18 deficiencies, one serious enough to reach harm or jeopardy level; no abuse findings and a single $15,887 fine. Quality measures score well, but that staffing number is the one that shapes daily life, fewer hands per resident, especially on Saturdays and Sundays. That gap between good outcome scores and thin coverage is what pulls the overall picture down.

B

75.5/100

Regency Manor Nursing & Rehabilitation Center

Utica, MI · Macomb County

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

Regency Manor is a small for-profit home in Utica, 39 beds, and its numbers pull in opposite directions. The state inspected it recently, in July 2025, and found 44 deficiencies on the current record, including one tied to abuse; none of them rose to the level of immediate harm or jeopardy. Staffing is where the trouble shows most clearly, with the federal government rating it in the bottom tier, while the quality measure score comes in at the top. That gap is worth sitting with: resident outcome measures look good on paper, but the hands available to deliver everyday care are thin. A corporate owner, a long deficiency list, and weak staffing are the pattern to weigh.

B

75.5/100

The Orchards At Lapeer

Lapeer, MI · Lapeer County

CMS 2/5 87 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
—
Serious cites
0

The Orchards At Lapeer runs on a thin staffing margin: 3.22 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday level. That squeeze shows up in the federal stars, where staffing and health inspections both sit at 1 out of 5. The inspection record carries 47 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related. One bright spot: the quality measure rating is 5 out of 5, and the most recent inspection was in March 2026, so the record is current rather than stale. The gap between that quality score and everything else is worth asking about on a tour.

B

75.5/100

Louisville Healthcare Llc

Louisville, MS · Winston County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
42%
Serious cites
0

Louisville Healthcare runs 4.63 nurse hours per resident day, about 20% above the national average, and its staff turnover of 41.9% is a bit better than typical. The catch is weekends, when staffing drops roughly 22% below its own weekday level, the period when families often visit and problems surface. Inspectors cited 13 deficiencies, two serious enough to put residents at risk of harm, and the quality measure rating sits at 1 out of 5. A single fine of $8,788 isn't huge, but combined with the inspection record, it suggests a home where adequate weekday staffing is doing battle with uneven care.

B

75.5/100

Choctaw Residential Center

Choctaw, MS · Neshoba County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
41%
Serious cites
0

Choctaw Residential Center runs 120 beds as a nonprofit, and its staffing sits a bit under the national average, 3.67 nurse hours per resident day against 3.86, with weekends dropping roughly 15% below its own weekday coverage. Turnover at 41.4% is actually better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in oversight: 23 deficiencies on the current record, one tied to abuse, and a single fine of $21,165, with the last inspection in March 2025. No deficiency reached harm or jeopardy level, so nothing here reads as dangerous, but the inspection and quality ratings both land at 2 out of 5, which is where the concern sits.

B

75.5/100

Heritage Hall Nursing Center

Centralia, MO · Boone County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
63%
Serious cites
0

Heritage Hall runs about 3.26 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekend coverage drops another 20% below its own weekday levels. Staff turnover sits at 62.8% against a national 45.8%, so aides and nurses are cycling through faster than at the typical home. What keeps this one from sinking is its inspection record: nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent survey in August 2025 and four-star marks across health inspections, quality measures, and staffing. It's a corporation-owned, 60-bed building that looks solid on paper but asks a lot of a thin, churning workforce.

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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