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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 6601–6620 of 12,967, best-graded first.

B

75.5/100

Harris Hill Nursing Facility, L L C

Williamsville, NY · Erie County

CMS 5/5 192 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
53%
Serious cites
0

Harris Hill runs a 192-bed for-profit home in Williamsville with strong inspection and quality scores, 4 and 5 stars from CMS, and no deficiencies at the harm level. That part of the record is genuinely clean. The staffing side tells a different story. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly another 18% below its own weekday levels. Annual turnover of 53.2% runs well above the 45.8% national figure, which matters because consistent caregivers know residents. Fourteen deficiencies are on the current record, one abuse-related. The last inspection was April 21, 2026, so the findings are recent.

B

75.5/100

Adira At Riverside Rehabilitation And Nursing

Yonkers, NY · Westchester County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
25%
Serious cites
0

Adira At Riverside runs 4.24 nurse hours per resident day, roughly 10% above the national average, and its staff turnover of 25% is well below the 45.8% norm, a sign people tend to stay. The catch is the inspection record. Twenty-four deficiencies, two of them serious enough to put residents at risk of harm, drew a single $66,859 fine and a one-star health inspection rating. Quality measures score 5/5, but weekend staffing drops about 16% below weekdays, so care thins out exactly when families visit. Good staffing and low turnover, real trouble on inspections, worth asking what those two harm-level citations involved before deciding.

B

75.5/100

Mountain Ridge Rehabilitation And Healthcare Cente

Black Mountain, NC · Buncombe County

CMS 1/5 97 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
42%
Serious cites
0

Mountain Ridge runs on 3.47 nurse staffing hours per resident day, roughly 10% under the national average, and weekends drop about 16% below what the home staffs on weekdays. The inspection record shows 11 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $16,152; the most recent inspection was May 30, 2025. Staff turnover sits at 42%, a bit better than the 45.8% national figure, and the quality measure rating is strong at 4 out of 5. But a 1-out-of-5 inspection rating and 2-out-of-5 staffing rating carry more weight when you're choosing care.

B

75.5/100

Pruitthealth-Elkin

Elkin, NC · Surry County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
32%
Serious cites
0

Pruitthealth-Elkin runs 100 beds under corporate for-profit ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends thin out further, roughly 15% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is the bright spot: 31.5% against a national 45.8% means aides and nurses tend to stick around longer here than at the typical home. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $15,734, with the most recent state visit in June 2025.

B

75.5/100

Sardis Oaks

Charlotte, NC · Mecklenburg County

CMS 3/5 124 beds Non-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
44%
Serious cites
0

Sardis Oaks runs lean on nursing hours, 3.21 per resident per day against a national average of 3.86, and the gap widens on weekends, when staffing drops roughly 24 percent below its own weekday level. That thin weekend coverage is worth asking about directly, since it's when families often can't visit. Turnover sits at 44 percent, essentially matching the national rate, so the issue isn't churn so much as how many hands are scheduled per shift. Sixteen deficiencies appear on the current record, none at the harm level and none abuse-related, and the most recent inspection was recent. Quality measures score well; staffing is where the numbers fall short.

B

75.5/100

Fleshers Fairview Health Care

Fairview, NC · Buncombe County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
46%
Serious cites
0

Fleshers Fairview Health Care runs 106 certified beds in Buncombe County under corporate for-profit ownership, and the staffing numbers look strong on paper, 3.96 nurse hours per resident day, slightly above the national average. But weekends drop about 15% below the home's own weekday coverage, and staff turnover sits at 46.2%, essentially matching the national rate. The real concern is the inspection record: 38 deficiencies, six of them serious enough to put residents in harm's way, plus two abuse-related findings and $61,321 in fines. The most recent inspection was in September 2025, so the record is current, not stale. Strong staffing and a difficult regulatory history are both true here.

B

75.5/100

Arbors At Minerva

Minerva, OH · Carroll County

CMS 4/5 92 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
37%
Serious cites
0

Arbors at Minerva runs a 92-bed for-profit operation in Carroll County, and the staffing numbers are the first thing you'd notice. At 3.43 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 20% below its own weekday coverage, so the hours when families tend to visit are the thinnest. Turnover at 37.3% is actually better than the national 45.8%, which matters for consistency of care. What pulls the record down is the inspection side: 32 deficiencies on file, three of them at harm or jeopardy level and seven tied to abuse, plus one fine of $27,846. The most recent inspection was February 2026. Quality measures score well; the staffing and inspection history are where the concern lives.

B

75.5/100

Crown Center At Laurel Lake

Hudson, OH · Summit County

CMS 4/5 75 beds Non-profit
Nurse hours
4.27 /day
Staff turnover
—
Serious cites
0

Crown Center At Laurel Lake runs 4.27 total nurse hours per resident day, roughly 11% above the national average, though weekends drop about 9% below its own weekday staffing. That helps explain the middle-of-the-road marks from CMS on staffing and health inspections, and the 17 deficiencies on the current record, one at the harm level, five tied to abuse, are worth reading closely rather than skimming. The $131,378 in fines across 23 penalties adds up. Last full inspection was August 2023, so the picture is based on data that's a little over a year old. Nonprofit ownership doesn't erase any of that.

B

75.5/100

Sienna Hills Nursing & Rehabilitation

Adena, OH · Belmont County

CMS 3/5 43 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
45%
Serious cites
0

Sienna Hills runs about 3.07 nurse hours per resident per day, roughly a fifth below the national figure of 3.86, and weekends dip another 17% below its own weekday coverage. Staff turnover sits at 44.8%, basically in line with the national average. The current inspection record shows 31 deficiencies, including one at the harm level and two tied to abuse, though the last inspection was recent, February 2025. Resident outcome measures look strong, but the staffing numbers are the weak point, and that's where the low staffing rating comes from.

B

75.5/100

Normandy Manor Of Rocky River

Rocky River, OH · Cuyahoga County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
—
Serious cites
0

A family member calling about Normandy Manor of Rocky River would hear this: the place has 150 certified beds and is run by a for-profit limited liability company. The staffing is thin, 3.55 nurse hours per resident day, about 8% under the national average, and weekends run roughly 10% lighter than weekdays. Its inspection record shows 35 deficiencies, including one at the harm or jeopardy level and five tied to abuse. The health inspection rating sits at 2 out of 5, and staffing at 1 out of 5, while quality measures come in at 5 out of 5. The last inspection was July 11, 2024. A strong quality score and a weak inspection and staffing pattern usually mean the daily experience depends heavily on how thinly the floor is stretched.

B

75.5/100

Liberty Health Care Center Inc

Youngstown, OH · Trumbull County

CMS 2/5 110 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
43%
Serious cites
0

Liberty Health Care Center runs 110 certified beds in Youngstown under corporate, for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, slightly under the 3.86 national average, and weekends drop roughly 17% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. The inspection record carries more weight than the staffing picture: 40 deficiencies, four at harm or jeopardy level and six tied to abuse, plus two fines totaling $83,401, with the most recent inspection in March 2026. Turnover at 43.1% actually edges below the 45.8% national rate, which is modestly reassuring, but quality measures score better than the inspection history does.

B

75.5/100

Carecore At Mary Scott

Dayton, OH · Montgomery County

CMS 3/5 102 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
51%
Serious cites
0

Carecore At Mary Scott runs 102 certified beds in Dayton under corporate for-profit ownership. Nurses provide 3.36 hours of care per resident each day, roughly 13 percent below the national average, and weekend coverage drops about 16 percent below the home's own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover sits at 51.4 percent, higher than the national 45.8 percent, which means aides and nurses cycle through quickly. The inspection record shows 53 deficiencies, including one at the harm or jeopardy level and four tied to abuse. That history, not the five-star quality measure score, is what weighs heaviest here.

B

75.5/100

Otterbein Sunset House

Toledo, OH · Lucas County

CMS 3/5 24 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
64%
Serious cites
0

Otterbein Sunset House is a small nonprofit home, just 24 certified beds, and its clinical quality scores are genuinely strong, with a top CMS rating on quality measures and no deficiencies at the harm or jeopardy level. The staffing picture is more complicated than the headline number suggests. Average nurse hours run slightly above the national figure, but weekends drop about 16% below the home's own weekday coverage, and annual turnover sits at 64.3% against a national average of 45.8%. That churn, plus 24 deficiencies on the current record including one abuse-related citation, is what pulls the grade down to a B despite the quality scores. The most recent inspection was May 2025, so the record is current.

B

75.5/100

Bartlesville Health And Rehabilitation Community

Bartlesville, OK · Washington County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
—
Serious cites
0

Bartlesville Health and Rehabilitation Community runs a 119-bed for-profit operation where the raw staffing number looks better than it actually plays out. At 4.59 nurse hours per resident day, the home sits about 19% above the national average of 3.86, but that cushion narrows on weekends, when coverage drops roughly 11% below its own weekday level. The inspection record is where the picture darkens: 25 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $75,816. Its most recent inspection was December 4, 2024, and the federal ratings land at one star for health inspections, two for quality measures, and two for staffing. If you're weighing this one, ask directly how those abuse-related citations were resolved and who covers the floor on Saturdays and Sundays.

B

75.5/100

Rainbow Health Care Community And Rainbow Assisted

Bristow, OK · Creek County

CMS 4/5 106 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
52%
Serious cites
0

Rainbow Health Care Community runs 106 certified beds in Bristow under for-profit limited liability ownership, and its nurses provide 3.56 hours of care per resident each day, about 8% under the national average of 3.86. Weekends drop roughly 16% below the home's own weekday staffing, and annual turnover sits at 51.9% against a national 45.8%, so the caregivers change over more often than at a typical home. The current record shows 22 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $53,804 fine. The last inspection was July 24, 2025. Quality measures score well, but staffing and inspection results tell the more useful story.

B

75.5/100

Lakeview Nursing & Rehab

Eufaula, OK · Mcintosh County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
—
Serious cites
0

Lakeview Nursing & Rehab runs 70 certified beds in Eufaula under corporate for-profit ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 5% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection record is the bright spot: a 4-out-of-5 health inspection rating and a recent survey in February 2025. But 22 deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and quality and staffing each rate 2 out of 5. Nothing here is abuse-related, and the home isn't flunking, but low staffing paired with a thin quality score is the pattern to ask about.

B

75.5/100

Myerstown Nursing And Rehab Llc

Myerstown, PA · Lebanon County

CMS 2/5 152 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
—
Serious cites
0

Myerstown Nursing and Rehab runs 152 certified beds under nonprofit ownership, and its staffing sits at 3.76 nurse hours per resident day, about 3% under the national average of 3.86. That gap is small, and weekends dip only about 1% below weekdays, so coverage here looks fairly steady rather than stretched thin. The inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in August 2025. Quality measures score well above the staffing rating, which tells you residents' clinical outcomes are holding up even though the nurse hours aren't generous. For a family weighing a move, the care numbers look better than the labor numbers.

B

75.5/100

Manor At St Luke Village,The

Hazleton, PA · Luzerne County

CMS 2/5 104 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
—
Serious cites
0

The Manor at St Luke Village runs 104 certified beds in Luzerne County under corporate for-profit ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, with weekends roughly 9% thinner than weekdays. That matters because its health inspection record shows 33 deficiencies, including one abuse-related citation, though none rose to the harm or jeopardy level, and the most recent inspection was January 8, 2026. Quality measures score well and staffing is middling, but the inspection history and below-average hours tell you to ask direct questions about weekend coverage and how the abuse citation was resolved before you decide.

B

75.5/100

Hempfield Manor

Greensburg, PA · Westmoreland County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
36%
Serious cites
0

Hempfield Manor runs leaner on nursing hours than most homes, 3.38 per resident day against a national average of 3.86, and weekends drop roughly another 15% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 35.7% is well under the 45.8% national figure. The tradeoff shows in the record. Inspections produced 37 deficiencies, two tied to abuse, with no harm-level findings, and the health inspection rating sits at 2 out of 5, even as quality measures score 4. The last survey was March 2026. Corporate-owned, 120 beds. A mixed picture: stable-ish staff, thinner floor coverage, and a citation history worth reading in full.

B

75.5/100

Lifequest Nursing Center

Quakertown, PA · Bucks County

CMS 4/5 140 beds Non-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
—
Serious cites
0

Lifequest Nursing Center runs 140 certified beds in Quakertown under nonprofit ownership, and its nurse staffing sits at 3.95 hours per resident day, slightly above the national average of 3.86. Weekend coverage dips about 4% below weekday levels, worth knowing if your family visits or calls on Saturdays and Sundays. The health inspection record is the strongest part of the picture: a 4-out-of-5 rating, 13 deficiencies on file but none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Quality measures are the weak spot at 2 out of 5, so ask what specifically drives that score before you decide.

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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