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 6581–6600 of 12,967, best-graded first.

B

75.5/100

Heritage Nursing Center - Skilled Nursing By Ameri

Kennett, MO · Dunklin County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
40%
Serious cites
0

Heritage Nursing Center runs 3.93 nurse hours per resident day, a touch above the national average of 3.86, and its 40.4% turnover beats the 45.8% norm, both signs of a stable floor. Weekends are the soft spot: staffing drops roughly 18% below its own weekday level, so coverage thins when families tend to visit. The inspection record shows 11 deficiencies with none at harm level, though one is abuse-related, and the last survey was February 2026. Quality measure scores sit at 2 of 5 stars, which suggests the clinical outcomes data isn't keeping pace with the staffing picture.

B

75.5/100

Monroe City Manor Care Center

Monroe City, MO · Marion County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
37%
Serious cites
0

Monroe City Manor runs 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 36.8% sits well below the national 45.8%, people tend to stay here. Weekends thin out, though, dropping about 16% below weekday coverage, and the quality measure rating comes in at just 1 out of 5, which is the number worth asking about. Inspections in August 2025 turned up 10 deficiencies, one serious enough to involve harm or jeopardy, plus a $24,408 fine. The staffing is genuinely solid; the clinical outcomes and that one harm-level finding are where the concerns live.

B

75.5/100

University Health Lakewood Medical Center

Kansas City, MO · Jackson County

CMS 3/5 188 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
39%
Serious cites
0

University Health Lakewood runs 188 certified beds as a nonprofit, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average. Weekends drop roughly 16% below its own weekday coverage, so care can thin out when families visit. Staff turnover is 38.7%, better than the 45.8% national figure, which matters because stable caregivers know residents. Inspections in August 2025 produced a 4-star health inspection rating, though the record carries 25 deficiencies, including one at the harm level and three tied to abuse. Quality measures score 2 out of 5, and one fine totaling $14,901 is on file.

B

75.5/100

Good Samaritan Society - Colonial Villa

Alma, NE · Harlan County

CMS 4/5 53 beds Non-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
42%
Serious cites
0

Good Samaritan Society - Colonial Villa runs on thinner nurse coverage than most homes, 3.15 hours per resident day, roughly 18 percent under the national average, and weekends dip about 16 percent below what the building staffs on weekdays. Turnover sits at 41.9 percent, a bit better than the 45.8 percent national figure, so the team is comparatively stable even if it's small. The inspection record is clean where it counts: nine deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey done in September 2025. A 53-bed nonprofit in rural Harlan County, this is a home whose care record looks solid; the question families should ask is whether the daily staffing floor holds up on Saturdays and Sundays.

B

75.5/100

Mother Hull Home

Kearney, NE · Buffalo County

CMS 2/5 58 beds Non-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
97%
Serious cites
0

Mother Hull Home runs a nonprofit shop in Kearney with 58 beds, and the staffing hours are genuinely above average, 4.85 per resident day against a national 3.86. That cushion matters less when you see turnover at 97.2%, roughly double the national rate. Weekends also run about 16% leaner than weekdays, so the coverage isn't as steady as the yearly number suggests. The inspection record is the softer spot: 17 deficiencies, one tied to abuse, and a 2-star health inspection rating. None reached the harm or jeopardy level, and a February 2026 inspection is recent, so the picture is current. Quality measures score well at 4 stars.

B

75.5/100

Wedgwood Gardens Care Center

Freehold, NJ · Monmouth County

CMS 4/5 151 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
36%
Serious cites
0

Wedgwood Gardens runs lean on nursing hours, 2.99 per resident day against a national average of 3.86, roughly a fifth below what Medicare considers typical. Weekends thin out further, dropping about 18% from the home's own weekday staffing, so a Saturday shift looks noticeably different from a Tuesday one. Retention is a genuine bright spot: 35.8% turnover beats the 45.8% national figure, meaning caregivers here tend to stay longer than at the average home. The tradeoff shows up on the health inspection side, where 11 deficiencies include one serious enough to trigger a harm or jeopardy finding. That single citation carries more weight than the count suggests, and it's worth asking management directly what happened and what changed since the March 2025 survey.

B

75.5/100

Schenectady Center For Rehabilitation And Nursing

Schenectady, NY · Schenectady County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
52%
Serious cites
0

Schenectady Center runs 240 beds under corporate ownership, and its last health inspection in August 2025 turned up 29 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 15% below the home's own weekday coverage. Annual turnover of 51.8% tops the national 45.8% average, which matters when consistent caregivers are the ones who notice changes first. The five-star quality measure score stands out against a one-star inspection record and two-star staffing, so ask how those clinical numbers hold up when the building is short-staffed.

B

75.5/100

Waterview Nursing Care Center

Flushing, NY · Queens County

CMS 3/5 200 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
31%
Serious cites
0

Waterview Nursing Care Center runs 200 beds in Flushing under corporate ownership, and its staffing numbers are the first thing to look at. At 3.16 nurse hours per resident day, it sits roughly 18 percent under the national average, and weekends drop about 15 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot at 31.1 percent, well under the national 45.8 percent, which suggests the staff who are there tend to stay. The current record shows 19 deficiencies, none at harm or jeopardy level, but four tied to abuse, and the last inspection was December 2024.

B

75.5/100

Roscoe Regional Rehab & Residential H C F

Roscoe, NY · Sullivan County

CMS 2/5 85 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
56%
Serious cites
0

Roscoe Regional Rehab runs 85 certified beds under for-profit LLC ownership, and its staffing tells the clearest story here. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends drop roughly 23% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover of 55.7% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are often new to the building. The inspection record shows 16 deficiencies with none at harm or jeopardy level and none abuse-related, and the last survey was recent, in August 2025.

B

75.5/100

The Hurlbut

Rochester, NY · Monroe County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
51%
Serious cites
0

The Hurlbut runs a 160-bed for-profit home in Rochester, and its nurse staffing sits at 3.34 hours per resident day, roughly 14 percent under the national average. Weekends thin out further, running about 20 percent below its own weekday coverage, so the hours when families tend to visit are also the hours with the fewest nurses on the floor. Staff turnover is 51.2 percent against a national 45.8, meaning more than half the nursing staff turns over each year. Its record shows 13 deficiencies, none at the harm level, one tied to abuse, with the last inspection on July 31, 2025.

B

75.5/100

Chasehealth Rehab And Residential Care

New Berlin, NY · Chenango County

CMS 3/5 80 beds Non-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
—
Serious cites
0

Chasehealth Rehab And Residential Care runs 80 certified beds in New Berlin under nonprofit ownership, and its two most recent CMS ratings pull in opposite directions: five stars for quality measures, one star for staffing. Total nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average of 3.86, and weekends run about 6 percent thinner than weekdays. The inspection history shows 20 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related, with the last inspection in February 2025. So the clinical picture looks steady while the daily coverage looks light, worth asking how nurse hours are actually distributed across shifts.

B

75.5/100

Absolut Ctr For Nursing & Rehab Endicott L L C

Endicott, NY · Broome County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
55%
Serious cites
0

Absolut Center in Endicott runs 160 certified beds under for-profit LLC ownership, and its numbers are a mixed bag worth reading carefully. Nurse staffing sits at 3.82 hours per resident day, just under the national average, but the bigger issue is weekends, coverage drops roughly 22% below what the home staffs on weekdays, which matters if you're thinking about Saturday or Sunday care. Annual turnover hits 55.2%, well above the 45.8% national figure, so aides and nurses cycle through faster than typical. The inspection record shows 21 deficiencies, none at harm level, though one is abuse-related. Its last full inspection was October 31, 2024, so the record is reasonably current. Quality and staffing measures both score 4 out of 5, while inspections land at 3.

B

75.5/100

Sunnyside Care Center

East Syracuse, NY · Onondaga County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
60%
Serious cites
0

Sunnyside Care Center runs 80 certified beds in East Syracuse under for-profit LLC ownership, and its 3.83 nurse staffing hours per resident day sit just under the national average of 3.86, close enough that the bigger story is how those hours are distributed. Weekend staffing drops roughly 22% below the home's own weekday level, and annual turnover hits 60.4% against a national 45.8%, so families should ask who's actually on the floor on a Saturday. The inspection record carries 26 deficiencies, including two tied to abuse, though none reached harm or jeopardy level; the most recent inspection was September 12, 2025. Quality measures score well, but staffing consistency and turnover are the numbers worth pressing on during a visit.

B

75.5/100

Chemung County Health Center - Nursing Facility

Elmira, NY · Chemung County

CMS 5/5 200 beds Government Medicaid
Nurse hours
5.18 /day
Staff turnover
56%
Serious cites
0

Chemung County Health Center runs on public money, and the staffing reflects it: 5.18 nurse hours per resident day, roughly a third more than the national average. Weekends dip about 21% below its own weekday coverage, though, and 55.7% of staff turned over last year, well above the 45.8% national figure. The inspection record is the strongest part of the picture: a 5/5 health inspection rating, 11 deficiencies on file with none rising to harm or jeopardy and nothing abuse-related, last surveyed in September 2023. Quality measures sit at 2/5, which is where the score gets pulled down. Solid hands on deck and a clean survey history, but keep an eye on weekend coverage and whether they can hold onto staff.

B

75.5/100

Plattsburgh Rehabilitation And Nursing Center

Plattsburgh, NY · Clinton County

CMS 4/5 89 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
55%
Serious cites
0

Plattsburgh Rehabilitation and Nursing Center runs 89 certified beds under corporate for-profit ownership, and its inspection record shows 21 deficiencies with none rising to actual harm or jeopardy, a meaningful distinction, since most citations here are paperwork and process issues rather than resident injuries. Three abuse-related deficiencies still stand out on that list. Nurse staffing sits at 3.46 hours per resident day, roughly 10 percent under the national average, and weekends drop about 18 percent below the home's own weekday coverage. Annual turnover of 55.1 percent tops the national 45.8 percent, so aides and nurses cycle through faster than average. Its last inspection was October 2024, and CMS gives it four stars each for health inspections, quality measures, and staffing.

B

75.5/100

Livingston County Center For Nursing And Rehabilit

Mount Morris, NY · Livingston County

CMS 2/5 266 beds Government Medicaid
Nurse hours
3.71 /day
Staff turnover
40%
Serious cites
0

Livingston County Center For Nursing And Rehab runs 266 beds as a county-owned home, and its staffing sits just under the national mark at 3.71 nurse hours per resident day. Weekends drop roughly 16% below its own weekday coverage, which is worth asking about if your family visits Saturday or Sunday. Turnover lands at 40.2%, a bit better than the 45.8% national figure, though the inspection record is thinner: 16 deficiencies, one serious enough to reach harm or jeopardy level, plus a $12,735 fine. The last full inspection was November 2023. County ownership brings some stability, but ask directly how that weekend gap gets covered.

B

75.5/100

Pine Haven Home

Philmont, NY · Columbia County

CMS 5/5 128 beds For-profit Medicaid
Nurse hours
2.57 /day
Staff turnover
43%
Serious cites
0

Pine Haven runs on noticeably thin nursing coverage: 2.57 nurse hours per resident day against a national average of 3.86. Weekends are thinner still, roughly 17 percent below the home's own weekday staffing, so the hours when families visit are often the leanest. Turnover sits at 43.2 percent, a bit better than the 45.8 percent national figure, and the record shows 13 deficiencies with none at harm level. The catch is one abuse-related citation, which matters more than the count suggests. Inspections are recent and the quality measures look strong, but the staffing number is the one to weigh hardest.

B

75.5/100

Menorah Home & Hospital For Aged & Infirm

Brooklyn, NY · Kings County

CMS 2/5 436 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Menorah Home & Hospital is a 436-bed nonprofit in Brooklyn, and its numbers pull in two directions. On paper, the quality measures look strong, but that sits next to staffing and health inspection ratings at the bottom of the scale, which is an unusual split worth asking about directly. The current record shows 23 deficiencies, four of them serious enough to involve harm or jeopardy, and three tied to abuse. That combination, thin staffing alongside harm-level findings, is the part that matters more than the quality scores. The last inspection was October 2024, so the record is recent. One fine totaling $8,018 rounds out the picture. Worth visiting unannounced and asking how they've addressed the abuse-related findings.

B

75.5/100

Wellsville Manor Care Center

Wellsville, NY · Allegany County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
42%
Serious cites
0

Wellsville Manor runs 120 beds under corporate ownership, and its last state inspection in June 2024 came back clean at the harm level, no deficiencies there, which matters more than the raw count of 11. Two of those are abuse-related, so ask about those specifically. Nurse staffing sits at 3.66 hours per resident day, a bit under the national 3.86, and weekends run roughly a fifth thinner than weekdays, which is when families tend to visit and notice. Turnover at 42.1% is slightly better than the national 45.8%, but that still means a lot of unfamiliar faces. The inspection history looks strong; the quality measures and weekend coverage are where I'd push for answers.

B

75.5/100

Valley Health Services Inc

Herkimer, NY · Herkimer County

CMS 2/5 160 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
41%
Serious cites
0

Valley Health Services is a 160-bed nonprofit in Herkimer, and the numbers tell a mixed story. Staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends run roughly 15% thinner than weekdays, so if you're visiting on a Saturday, expect less coverage than midweek. Turnover at 40.9% is actually better than the national 45.8%, which matters for whether your parent sees the same aides month to month. The bigger concern is the record: 25 deficiencies, one serious enough to reach harm or jeopardy level, and a January 2026 inspection. No abuse citations, at least.

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