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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 6641–6660 of 12,967, best-graded first.

B

75.5/100

Good Shepherd Health Care Center Of Santa Monica

Santa Monica, CA · Los Angeles County

CMS 2/5 48 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Good Shepherd Health Care Center of Santa Monica is a 48-bed for-profit home where the clinical outcomes look strong but the hands-on care doesn't match. Its quality measure rating sits at the top of the scale, yet staffing lands at the very bottom, meaning the numbers families care about most, like how often residents are bathed or helped to the bathroom, depend on a thin crew. The inspection record backs that up: 48 deficiencies, including one causing actual harm and two tied to abuse, with a $8,424 fine and a February 2026 inspection that's recent enough to still reflect current conditions. A corporation owns it, so decisions about staffing levels get made somewhere other than Santa Monica.

B

75.5/100

Bear Valley Community Hospital D/P Snf

Big Bear Lake, CA · San Bernardino County

CMS 4/5 21 beds Government Medicaid
Nurse hours
6.62 /day
Staff turnover
63%
Serious cites
0

The staffing numbers at Bear Valley are genuinely unusual, 6.62 nurse hours per resident per day is roughly 71% above what the typical American nursing home provides, and that shows up in the four-out-of-five staffing rating. But weekends drop about 18% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. There's a real tension in the rest of the record. The inspection rating is strong and the most recent visit was in May 2025, yet 29 deficiencies sit on the current record, one of them serious enough to involve harm or jeopardy. Staff turnover is 63%, well above the national 45.8%, with only 21 beds under hospital district ownership, that churn is worth asking about directly.

B

75.5/100

Childrens Hc Org No Ca -Pediatric Hospital D/P Snf

Campbell, CA · Santa Clara County

CMS 5/5 27 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Childrens Hc Org No Ca is a small pediatric skilled nursing unit in Campbell, 27 beds, run by a for-profit limited liability company. Its last inspection, in July 2024, turned up 16 deficiencies, but none rose to the level of actual harm or jeopardy, and none involved abuse, the kind of paperwork and process findings that show up at plenty of otherwise solid homes. One fine on record, $3,145, is modest. Where this home separates itself is staffing and clinical measures, both of which score at the top of CMS's five-star scale. For a family weighing a pediatric placement, that combination, recent inspection, no harm-level findings, strong quality numbers, is worth a closer look than the deficiency count alone suggests.

B

75.5/100

Southern California Hosp At Culver City D/P Snf

Culver City, CA · Los Angeles County

CMS 2/5 21 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Southern California Hosp At Culver City D/P SNF runs just 21 certified beds as a for-profit LLC, and its staffing score sits at the bottom of the federal scale, families should expect thin coverage here. The inspection record backs that up: 33 deficiencies, three of them serious enough to cause harm, plus two tied to abuse. That's a lot for a home this small, and it suggests problems aren't isolated. The quality measure score looks strong on paper, but those numbers come from resident assessments, not from how the place is actually run day to day. A recent February 2026 inspection means the record is current, not stale.

B

75.5/100

Clyde Nursing Center

Clyde, TX · Callahan County

CMS 5/5 48 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
38%
Serious cites
0

Clyde Nursing Center runs a tight ship on inspections, a five-star health inspection rating, with the most recent visit in April 2025 turning up seven deficiencies, none of them causing harm or involving abuse. Where it slips is staffing: 3.19 nurse hours per resident day, roughly 17 percent under the national average, and weekends run about a fifth thinner than weekdays. That gap matters more than the raw number, since care doesn't pause on Saturdays. The one bright spot is retention, 38.2 percent turnover beats the national 45.8 percent, so the aides who are there tend to stay. For a 48-bed for-profit home, the pattern is familiar: solid care when inspected, stretched coverage day to day.

B

75.5/100

La Bahia Nursing & Rehabilitation

Goliad, TX · Goliad County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
—
Serious cites
0

La Bahia runs a lean nursing floor: 2.95 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. The inspection record is strong on paper, a recent February 2026 survey, no deficiencies at the harm or jeopardy level, but 22 total deficiencies sit on the books, two of them abuse-related, and staffing carries just 2 out of 5 stars from CMS. Quality measures score the maximum, which reflects how well residents are being tracked and treated on paper, not how many hands are on the floor at 2 a.m. on a Saturday.

B

75.5/100

Treasure Hills Healthcare And Rehabilitation Cente

Harlingen, TX · Cameron County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
38%
Serious cites
0

Treasure Hills runs leaner on nursing hours than the typical American nursing home, about 3.59 hours per resident per day against a national average near 3.86. Weekends are where that gap widens most: staffing drops roughly 16% below the home's own weekday level, so Saturday and Sunday coverage looks noticeably thinner than midweek. Turnover sits at 37.7%, which is actually better than the 45.8% national figure, meaning the crew it does have sticks around longer than most. The inspection record is mixed, a recent December 2025 survey, no deficiencies flagged at harm or jeopardy level, but 24 total findings and five tied to abuse. Corporate-owned, 120 beds.

B

75.5/100

Goldthwaite Health & Rehab Center

Goldthwaite, TX · Mills County

CMS 2/5 94 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
40%
Serious cites
0

Goldthwaite Health & Rehab runs on a limited liability company that operates for profit, and the numbers show where the pressure lands. Nurse staffing sits at 2.80 hours per resident day, roughly 28 percent under the national average, and weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 39.5 percent is better than the national 45.8 percent, which matters for continuity, but the inspection record carries 19 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus a $32,545 fine. The most recent inspection was May 2026.

B

75.5/100

Legend Oaks Healthcare And Rehabilitation - Ennis

Ennis, TX · Ellis County

CMS 5/5 124 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
36%
Serious cites
0

Legend Oaks in Ennis is run by the local hospital district and holds a five-star health inspection rating, which tells you the building itself is well-kept and the last inspection, in February 2025, went well. The trouble sits in the day-to-day staffing: 3.18 nurse hours per resident, roughly 18% under the national average, with weekends about 20% thinner than weekdays. That's a real gap when a resident needs help. Turnover is 36%, better than the national 45.8%, so the aides who are there tend to stay. Thirteen deficiencies on record, one at harm level, and a single $13,275 fine. Good oversight, thin coverage.

B

75.5/100

Park Manor Of The Woodlands

The Woodlands, TX · Montgomery County

CMS 4/5 124 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

Park Manor Of The Woodlands runs 124 certified beds under corporate for-profit ownership, and the numbers here are mostly steady. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, though weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.6%, slightly better than the national rate, and the home's 12 deficiencies include none at the harm or jeopardy level and none related to abuse. Its last inspection was in November 2025, so the record is recent. Nothing here screams trouble; the main thing to watch is whether weekend coverage holds up.

B

75.5/100

Heritage House At Paris Rehab & Nursing

Paris, TX · Lamar County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
46%
Serious cites
0

Heritage House runs about 3.40 nurse hours per resident day, roughly 12% under the national average, and weekend coverage drops another 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. The 46 deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, sit alongside a 2-out-of-5 inspection rating, though the quality measure score of 4 suggests the clinical numbers they report look better than the inspection history does. Turnover at 46.3% is essentially the national rate, meaning staffing churn isn't unusually bad here, just the raw hours that fall short.

B

75.5/100

The Center At Grande

Tyler, TX · Smith County

CMS 5/5 96 beds For-profit
Nurse hours
4.19 /day
Staff turnover
54%
Serious cites
0

The Center At Grande has a clean recent inspection record, 9 deficiencies, none at the harm level, with the most recent survey in March 2025. Its 5-star inspection and quality ratings back that up. But look at staffing: the 1-star rating reflects 54.2% annual turnover, well above the 45.8% national average, and weekend coverage drops about 20% below weekday levels even though overall nurse hours (4.19 per resident day) sit above the national figure. One abuse-related deficiency is on the record too. For-profit, LLC-owned. The care may be decent on paper, but consistent staffing is the question worth asking when you visit.

B

75/100

The Healthcare Center At Buck Creek

Alabaster, AL · Shelby County

CMS 3/5 198 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
45%
Serious cites
0

The Healthcare Center At Buck Creek runs about 3.53 nurse hours per resident day, roughly 9% under the national average, and weekends dip another 8% below its own weekday staffing. Turnover sits at 44.6%, close to the national 45.8%, so retention isn't the standout problem here, coverage is. Its current record carries 13 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, with $16,801 in fines across two penalties. The last inspection was January 25, 2024. For-profit, LLC-owned, 198 beds. Ask about the abuse-related findings specifically, and how weekend coverage holds up.

B

75/100

Shelby Ridge Nursing Home

Alabaster, AL · Shelby County

CMS 3/5 131 beds For-profit Medicaid
Nurse hours
4.82 /day
Staff turnover
62%
Serious cites
0

Shelby Ridge runs nurse staffing at 4.82 hours per resident day, roughly a quarter above the national average, and that's the main reason it holds up. The catch is weekends, when coverage drops about 12% below its own weekday level, and turnover at 62.4% sits well above the 45.8% national figure, so the people providing that above-average care are cycling out fast. Seven deficiencies on record with none reaching harm or jeopardy, and no abuse findings, but the last full inspection was June 2022. With quality measures scoring low, the staffing edge looks like the strongest thing here, and it comes with a retention problem worth asking about.

B

75/100

Haven Of Saguaro Valley

Tucson, AZ · Pima County

CMS 5/5 112 beds For-profit Medicaid
Nurse hours
2.85 /day
Staff turnover
39%
Serious cites
0

Haven Of Saguaro Valley runs lean on nursing hours, 2.85 per resident day against a national average of 3.86, roughly a quarter below it, with weekends dipping about 13% under its own weekday levels. That thin coverage is the main thing pulling its staffing picture down, even though turnover at 38.8% actually beats the 45.8% national figure, meaning the nurses who are there tend to stay. The inspection record is solid: 18 deficiencies on file, none at the harm or jeopardy level, and its last survey was recent, in May 2025. Three abuse-related citations stand out as worth asking about directly.

B

75/100

Yuma Nursing Center

Yuma, AZ · Yuma County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
44%
Serious cites
0

Yuma Nursing Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.61 hours per resident per day, roughly 7% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so afternoon and Saturday shifts are where you'd feel the squeeze. Turnover lands at 44.4%, a hair under the national 45.8%, which is unremarkable rather than reassuring. The current inspection record shows 22 deficiencies with none at harm or jeopardy level, though 9 are abuse-related, a category worth asking about directly. The last full inspection was June 2023. Quality measure scores are weak even as the health inspection rating holds at 4 of 5.

B

75/100

Park Avenue Health And Rehabilitation Center

Tucson, AZ · Pima County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
41%
Serious cites
0

Park Avenue runs 200 beds in Tucson under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 23 deficiencies, including one at the harm level and three tied to abuse, plus a $25,116 fine. Turnover at 41.4% is slightly better than the 45.8% national figure, and the most recent inspection was August 2025. Quality measures score well, but the staffing and inspection numbers are where the real story sits.

B

75/100

Mountain View Care Center

Tucson, AZ · Pima County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
2.63 /day
Staff turnover
42%
Serious cites
0

Mountain View Care Center runs 120 certified beds in Tucson under for-profit LLC ownership, and its staffing is the number that stands out: 2.63 nurse hours per resident day, roughly a third below the national average of 3.86. Weekends drop another 14% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 42.3%, slightly better than the 45.8% national figure, and the home's quality measure rating is strong. But 23 deficiencies on the current record, 5 tied to abuse, with a June 2025 inspection mean you should read the actual reports and ask how weekend coverage is handled before deciding.

B

75/100

Haven Health Sky Harbor, Llc

Phoenix, AZ · Maricopa County

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

Haven Health Sky Harbor runs 120 certified beds under for-profit LLC ownership in Phoenix, and its staffing numbers cut two ways. Total nurse coverage sits at 4.31 hours per resident day, roughly 12 percent above the national average, but weekends dip about 7 percent below the home's own weekday levels. Turnover lands at 41.1 percent, better than the 45.8 percent national figure. The trouble is the inspection record: 36 deficiencies, including five tied to abuse, with the most recent visit on November 13, 2025. Federal inspectors rated health inspections and staffing each 1 out of 5, while quality measures scored 5 out of 5. That gap between how the place reports care and how it's actually surveyed is the whole story.

B

75/100

Premier At The Springs

North Little Rock, AR · Pulaski County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
61%
Serious cites
0

A for-profit LLC runs this 132-bed home in North Little Rock, and its numbers tell two different stories. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average, but weekends run roughly 15% thinner than weekdays, so coverage depends on when you visit. More concerning is turnover: 60.5% of staff leave each year against a national average of 45.8%, which is a lot of churn for residents who need consistent caregivers. Its inspection record shows 34 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy, and the last inspection was in August 2025. The quality measures look strong; staffing and inspections don't.

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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