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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 6941–6960 of 12,967, best-graded first.

B

75/100

Keystone Pointe Health And Rehabilitation

Lagrange, OH · Lorain County

CMS 5/5 121 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
34%
Serious cites
0

Keystone Pointe runs lean on nursing hours, 3.59 per resident per day against a national average of 3.86, and weekends dip about 13% below its own weekday coverage. That staffing figure is the weak spot, and it's why the federal staffing rating lands low even though the home's inspection record is clean: five deficiencies, none at harm or jeopardy level, none abuse-related, with a survey done in April 2024. What offsets the thin hours is consistency. Turnover sits at 34.3%, well under the 45.8% national rate, meaning the people showing up are more likely to still be there next year. Corporate-owned and certified for 121 beds, this is a home with a solid care record and a staffing schedule you'd want to ask about directly.

B

75/100

Darby Glenn Nursing And Rehabilitation Center

Hilliard, OH · Franklin County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
43%
Serious cites
0

Darby Glenn runs on thinner nursing hours than most homes, 3.41 per resident day against a national average of 3.86, and weekends dip another 11% below its own weekday staffing. That gap is worth asking about directly, since it's when families tend to visit and when problems can go unnoticed. The inspection record shows 25 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was in February 2026 and the health inspection rating sits at 4 out of 5. Staff turnover at 42.7% is slightly better than the national 45.8%, and the quality measure rating is strong at 5 out of 5. Corporate-owned, 99 beds.

B

75/100

Copper Knoll Health & Rehab Llc

Washingtn C H, OH · Fayette County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
2.93 /day
Staff turnover
26%
Serious cites
0

Copper Knoll runs lean on nursing hours, 2.93 per resident day against a national average of 3.86, roughly a quarter below it, and weekends dip another 12% under its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover is the counterweight: 25.5% against a national 45.8%, meaning the aides and nurses who are there tend to stay, which matters for consistency even when the raw hours run short. The record shows 15 deficiencies, none at harm or jeopardy level, but one abuse-related citation is worth asking about directly. Inspectors were last in on December 31, 2025, and the quality measure score is stronger than the inspection score.

B

75/100

Sanctuary Pointe Nursing & Rehabilitation Center

Cincinnati, OH · Hamilton County

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

Sanctuary Pointe runs a 124-bed for-profit operation in Cincinnati, and the numbers tell two different stories. The clinical side looks strong, a 5-out-of-5 quality measure rating and a 4-out-of-5 inspection rating, with 23 deficiencies on record but none at the harm or jeopardy level and nothing abuse-related, last surveyed in April 2024. Staffing is where it thins out: 3.44 nurse hours per resident day, about 11% under the national average, and weekends run roughly 10% below the home's own weekday coverage. Turnover sits at 44.2%, slightly better than the 45.8% national figure. If your family member needs skilled clinical care, the quality marks are reassuring; if they need steady hands-on attention, especially on Saturdays and Sundays, ask hard questions about the schedule.

B

75/100

Capri Gardens

Lewis Center, OH · Delaware County

CMS 5/5 82 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
36%
Serious cites
0

Capri Gardens runs leaner than the typical American nursing home, 3.58 nurse hours per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 8% below its own weekday coverage. That staffing gap is the main thing pulling its profile down, even though the home holds a 4-star inspection rating and a 5-star quality measure score, and its 36.2% turnover actually beats the 45.8% national figure. Inspectors have logged 11 deficiencies, one serious enough to involve harm, plus a single $12,340 fine. The last inspection was May 2026. If your family is weighing this one, ask specifically how weekend nurse coverage holds up on the unit your relative would live on.

B

75/100

Liberty Station Health Campus

Liberty Twp, OH · Butler County

CMS 4/5 54 beds For-profit Medicaid
Nurse hours
5.01 /day
Staff turnover
69%
Serious cites
0

Liberty Station Health Campus is a 54-bed for-profit home in Butler County, and the most recent inspection, from December 2023, turned up no deficiencies at all, not at the harm level, not abuse-related, nothing. Staffing sits at 5.01 nurse hours per resident day, roughly 30% above the national average, though weekends run about 13% lighter than weekdays, so ask how coverage holds up on a Sunday. The real tension is turnover: 69.4% of staff leave each year against a national average near 46%. High hours can paper over a lot of churn, but they can't fix it. Ask who's actually on the floor and how long they've been there.

B

75/100

Cottonwood Creek Skilled Nursing & Therapy

Chickasha, OK · Grady County

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

Cottonwood Creek runs 3.81 nurse hours per resident day, just under the national average, and weekends dip about 11% below its own weekday staffing. That gap matters because weekday coverage isn't the hard part. Turnover sits at 42.2%, better than the 45.8% national figure, and the inspection record is clean where it counts: none of the 23 deficiencies involve harm or abuse, and the most recent inspection was February 2025. The split in CMS's ratings is worth noticing, though, four stars on health inspections and three on staffing, but two on quality measures, which reflects how residents' clinical outcomes are tracking. For-profit partnership ownership. A reasonable option, with staffing consistency the thing to watch.

B

75/100

Shawn Manor Nursing Home

Ponca City, OK · Kay County

CMS 5/5 96 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
46%
Serious cites
0

Shawn Manor runs on noticeably thin nursing hours, 3.02 per resident day against a national average of 3.86, and its weekend coverage doesn't drop off from there, which is one small point in its favor. Staff turnover sits right at the national average of 45.8%, so retention isn't the standout problem here. What stands out is the inspection record: 22 deficiencies, four serious enough to put residents in harm's way and five tied to abuse. The last full inspection was in November 2024, so that record is recent. Strong marks on health inspections and quality measures sit alongside a two-star staffing picture, which is the tension worth understanding before deciding.

B

75/100

Southern Oaks Care Center

Pawnee, OK · Pawnee County

CMS 4/5 82 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
53%
Serious cites
0

Southern Oaks runs about 11% leaner on nurse staffing than the national average, 3.44 hours per resident day, and weekend coverage barely drops from weekday levels, which is at least consistent. The bigger number is turnover: 53.3% of staff leaving annually, against a national average of 45.8%, which matters over time because it's hard to keep consistent caregivers around residents. On the regulatory side, the home has 15 deficiencies on its current record, none at the harm or jeopardy level, though one is abuse-related. Fines total $3,174. Its last inspection was in March 2026, so the picture is recent. A four-star health inspection rating is the strongest piece of this profile; staffing and quality measures sit in the middle.

B

75/100

Forest Hills Care And Rehabilitation Center

Broken Arrow, OK · Tulsa County

CMS 3/5 159 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
63%
Serious cites
0

Forest Hills runs about 159 certified beds in Broken Arrow under for-profit LLC ownership, and its overall nurse staffing of 4.00 hours per resident day sits just above the national average of 3.86. That margin looks thinner when you notice weekends run roughly 13% below its own weekday staffing, and annual turnover hits 62.8% against a national average of 45.8%, meaning a lot of the people providing care are still learning the building. The current inspection record shows 35 deficiencies, including two tied to abuse, though none reached harm or jeopardy level. The most recent inspection was May 2025, so the picture is fairly current.

B

75/100

Eufaula Manor Nursing And Rehabilitation Center

Eufaula, OK · Mcintosh County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
64%
Serious cites
0

Eufaula Manor runs a hundred certified beds as a for-profit corporation, and its nurse staffing sits at 4.44 hours per resident day, roughly 15% above the national average of 3.86. That's the strongest number in the file. Weekends dip about 5% below its own weekday levels, so coverage thins slightly then. The bigger issue is retention: turnover hits 64.3%, well above the 45.8% national figure, which means new faces cycle through fairly often. On inspections, 14 deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the most recent visit in August 2024. Quality measures score 2 out of 5 stars. Staffing is decent; consistency and clinical outcomes are where the gaps show.

B

75/100

Heritage Skilled Nursing And Therapy

Tecumseh, OK · Pottawatomie County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
60%
Serious cites
0

Heritage Skilled Nursing and Therapy runs 100 certified beds in Tecumseh under for-profit LLC ownership, and its inspectors have found it solid on care quality, a four-star health inspection rating and no deficiencies at the harm or jeopardy level, with none tied to abuse. The staffing numbers tell a different story. At 3.57 nurse hours per resident day, it sits about 8% under the national average, and weekends dip another 8% below its own weekday levels. Annual turnover of 60% is well above the 45.8% national figure, which matters for how consistently residents see the same caregivers. A recent March 2025 inspection helps, but the 27 deficiencies on record still add up.

B

75/100

Ignite Medical Resort Edmond, Llc

Oklahoma City, OK · Oklahoma County

CMS 2/5 133 beds For-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
68%
Serious cites
0

Ignite Medical Resort Edmond runs 4.60 nurse hours per resident day, about 19% above the national average, but that staffing cushion comes with real churn: 68.4% annual turnover against a national 45.8%, and weekend coverage drops roughly 9% below its own weekday level. The inspection record is the harder problem, 36 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating and a survey as recent as November 2025. For-profit LLC ownership, 73 certified beds. Strong weekday numbers don't offset a citation history like that, and the recent survey suggests the issues aren't behind them.

B

75/100

Avamere Rehabilitation Of Oregon City

Oregon City, OR · Clackamas County

CMS 2/5 111 beds For-profit Medicaid
Nurse hours
5.26 /day
Staff turnover
53%
Serious cites
0

Avamere Rehabilitation of Oregon City runs a for-profit, limited-liability operation with 111 certified beds, and its staffing is the clearest strength: 5.26 nurse hours per resident day, roughly 36% above the national average of 3.86. That cushion thins on weekends, which run about 10% below the home's own weekday level. Turnover sits at 52.6% against a 45.8% national average, so even with generous hours, faces change often. The inspection record is where the trouble shows: 61 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with one fine of $85,768 and a survey as recent as June 2025. Strong hours alone don't offset that pattern.

B

75/100

Clatsop Care Center

Astoria, OR · Clatsop County

CMS 4/5 71 beds Government Medicaid
Nurse hours
5.04 /day
Staff turnover
68%
Serious cites
0

Clatsop Care Center is city/county-owned and runs on 5.04 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend staffing dips about 9% below its own weekday level, though. Staff turnover sits at 67.9% against a national 45.8%, which matters more than the raw hours suggest, people are cycling through. The inspection record shows 23 deficiencies, four serious enough to reach harm or jeopardy, none abuse-related, and the last inspection was January 30, 2026, so the picture is current. Government ownership tends to mean steadier funding but slower fixes; the staffing number is genuinely high, and the turnover number partly cancels it out.

B

75/100

Nightingale Nursing And Rehab Center

Erie, PA · Erie County

CMS 3/5 139 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
60%
Serious cites
0

Nightingale Nursing and Rehab Center runs 139 beds in Erie under for-profit LLC ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating, with the most recent survey in February 2026 and no deficiencies at the harm or jeopardy level. The staffing picture is where it gets uneven. Total nurse hours come in around 3.61 per resident day against a national average of 3.86, weekend coverage drops roughly 11% below weekday levels, and annual turnover sits at 60.1% compared to 45.8% nationally. Two abuse-related deficiencies also appear on the current record. So you have a home that passes inspections cleanly but runs lean on the floor and cycles through staff quickly, worth asking about directly.

B

75/100

New Eastwood Healthcare And Rehabilitation Center

Easton, PA · Northampton County

CMS 5/5 97 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
37%
Serious cites
0

New Eastwood's inspection record is the strongest part of its story: a 4-out-of-5 health inspection rating with just eight deficiencies on file, none at the harm level and none abuse-related, and a September 2024 inspection date that's still reasonably fresh. Staffing tells a different story. At 3.47 nurse hours per resident day, the home runs about 10% under the national average, weekends dip another 7% below its own weekday numbers, and its 2-out-of-5 staffing rating reflects that. Turnover is the bright spot, 37.3% against a national 45.8% means aides and nurses stick around longer than most places. Whether that stability offsets thinner daily coverage is the real question for your family.

B

75/100

Mifflin Center

Shillington, PA · Berks County

CMS 4/5 136 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
23%
Serious cites
0

Mifflin Center runs on thinner staffing than most homes, 3.42 nurse hours per resident day against a national average of 3.86, and weekends drop about 6% below its own weekday levels. That's the number behind its 2-out-of-5 staffing rating, and it's worth asking how the floor is covered on a Saturday. What offsets it: turnover here is 22.9%, roughly half the national rate, so the aides and nurses you meet are more likely to still be there next year. The inspection record shows 18 deficiencies but none at the harm level and none abuse-related, with a recent December 2025 survey.

B

75/100

Broomall Manor

Broomall, PA · Delaware County

CMS 5/5 114 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
28%
Serious cites
0

Broomall Manor runs a tight ship on paper, and the inspection record backs it up, five deficiencies on file, none of them serious enough to cause harm, and none tied to abuse. That's a clean sheet by any measure, and a survey as recent as last fall means you're not looking at stale results. Where the numbers get more interesting is daily staffing: 3.48 nurse hours per resident, roughly 10% under the national average, with weekends running about 7% thinner than weekdays. So the care is there, but the margin is narrow, especially on Saturdays and Sundays. Staff turnover sits well below the national rate, which suggests the people showing up tend to stay.

B

75/100

Spruce Manor Nursing & Rehabilitation Center

West Reading, PA · Berks County

CMS 4/5 184 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
25%
Serious cites
0

Spruce Manor runs a 184-bed for-profit operation in West Reading, and its numbers split in an interesting way. Nurse staffing sits at 3.23 hours per resident day against a national average of 3.86, and weekends drop about 9% below the home's own weekday level, that's the weak spot, and it's why the staffing star lands at 2 out of 5. What's genuinely strong is retention: turnover of 24.6% is roughly half the national rate, which suggests people stay. Eight deficiencies on record, none at harm or jeopardy level, though one is abuse-related, and the last inspection came in April 2026.

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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