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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 7001–7020 of 12,967, best-graded first.

B

75/100

Schulenburg Regency Nursing Center

Schulenburg, TX · Fayette County

CMS 3/5 146 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
41%
Serious cites
0

Schulenburg Regency runs 146 beds under corporate ownership, and its state inspection record is the strongest part of the picture, a recent survey, a four-star health inspection rating, and modest fines totaling under $9,000. The trouble sits in the day-to-day staffing. At 3.71 nurse hours per resident day, it falls short of the national average, weekend coverage drops about 14% below its own weekday levels, and the two-star staffing rating reflects that gap. Sixteen deficiencies are on the current record, including one at the harm level and two tied to abuse. Turnover, at least, runs below the national figure.

B

75/100

Avir At Beeville

Beeville, TX · Bee County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
30%
Serious cites
0

Avir At Beeville runs a 120-bed for-profit home in Bee County, and its numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, and weekends drop roughly 12% below the home's own weekday coverage, worth asking about if your family visits or needs care on Saturdays and Sundays. Staff turnover is genuinely low at 29.7% against a national 45.8%, which suggests people stay. But the inspection record carries 13 deficiencies, including one at the harm level and three tied to abuse, plus a $38,687 fine. The most recent inspection was August 2025. Ask directly about those abuse deficiencies and what changed since.

B

75/100

San Jose Nursing Center

San Antonio, TX · Bexar County

CMS 3/5 55 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
33%
Serious cites
0

San Jose Nursing Center runs lean on bedside staff, 3.16 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday numbers. That thin coverage shows up in the staffing star rating, though the home holds onto workers better than most, with turnover at 33.3% compared to 45.8% nationally. The current inspection record lists 32 deficiencies, none at harm or jeopardy level, but three tied to abuse, and the last full inspection came in April 2025. Quality measures score well; the hands-on care hours are where this San Antonio for-profit falls short.

B

75/100

George Washington Health & Rehabilitation

Alexandria, VA · Fairfax County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
36%
Serious cites
0

George Washington Health & Rehabilitation runs on thinner nursing coverage than most homes, 3.32 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 9% below its own weekday staffing, so the quietest shifts are the leanest. The record shows 45 deficiencies, none flagged at harm or jeopardy level, but four tied to abuse, which deserves a direct question when you tour. What balances that: staff turnover of 35.9% sits well under the 45.8% national figure, meaning caregivers tend to stay, and CMS scored the home 5 out of 5 on quality measures. Its last full inspection was June 14, 2023, so ask what's happened since.

B

75/100

Signature Healthcare Of Norfolk

Norfolk, VA · Norfolk City County

CMS 3/5 169 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
45%
Serious cites
0

Signature Healthcare of Norfolk runs 169 beds under corporate ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends run about 10% thinner than weekdays, so coverage dips when families tend to visit. Turnover is 45.4%, basically level with the national rate, so that's not the differentiator here. What stands out is the inspection record: 47 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse. The last inspection was July 2023, so that record has had time to age. Quality measures score well, but the staffing and inspection numbers are where the real story sits.

B

75/100

Fairfax Rehabilitation And Nursing Center

Fairfax, VA · Fairfax City County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
45%
Serious cites
0

Fairfax Rehabilitation and Nursing Center runs 200 certified beds under for-profit LLC ownership, and its staffing numbers are the weak spot. At 3.55 total nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so coverage thins exactly when families tend to visit. The health inspection record shows 60 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus two fines totaling $22,957. Staff turnover of 44.8% is roughly in line with the national 45.8%, so retention isn't the outlier here; direct care hours are.

B

75/100

Portside Health & Rehab Center

Portsmouth, VA · Portsmouth City County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
47%
Serious cites
0

Portside Health & Rehab Center runs 132 certified beds in Portsmouth under corporate for-profit ownership, and the staffing numbers are the first thing worth noticing: 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, with weekends running about 14% thinner than its own weekdays. Turnover sits at 47.1%, a bit above the national 45.8%. The inspection record carries 46 deficiencies, two of them serious enough to reach harm or jeopardy level, and CMS rated health inspections 2 out of 5 stars. Fines total $8,018 across one penalty, and the most recent inspection was December 12, 2024. Quality measures scored 5 out of 5, which is genuinely strong, but that's the piece least tied to how many hands are actually available on a Saturday.

B

75/100

Fair Oaks Health & Rehabilitation

Fairfax, VA · Fairfax County

CMS 1/5 155 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
23%
Serious cites
0

Fair Oaks runs on thin nurse coverage, 3.33 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekdays. That staffing number is worth watching since residents don't stop needing help on Saturdays. The stronger signal here is turnover: 22.6% versus 45.8% nationally, meaning the aides and nurses who are there tend to stay, which matters for consistency of care. But the inspection record is the weak spot, 65 deficiencies on file, a 1-out-of-5 health inspection rating, and the last survey was February 2025. None of those deficiencies rose to harm or jeopardy, and there's no abuse history. A for-profit LLC operates the 155-bed building.

B

75/100

Three Rivers Health & Rehab Center

West Point, VA · King William County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
42%
Serious cites
0

Three Rivers runs about 3.15 nurse hours per resident per day, roughly 19% under the national average, and weekends dip about 10% below its own weekday staffing. That thin coverage is the main reason the staffing rating sits at 1 out of 5 even though the quality measure score is 5 out of 5, the clinical outcomes look good, but there aren't many hands. The inspection record shows 36 deficiencies, two at harm or jeopardy level and one abuse-related, with $8,492 in fines and a March 2024 inspection. Turnover at 42% is slightly better than the 45.8% national figure, so retention isn't the problem; scheduling is. For-profit, limited liability ownership, 60 beds.

B

75/100

August Healthcare At Leewood

Annandale, VA · Fairfax County

CMS 2/5 157 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
45%
Serious cites
0

August Healthcare at Leewood runs 157 certified beds under for-profit LLC ownership, and its staffing sits about 4% under the national average at 3.72 nurse hours per resident day, with weekends roughly 11% leaner than its own weekdays. Turnover lands near the national mark at 44.7%. What stands out is the inspection record: 36 deficiencies, one at harm or jeopardy level and seven tied to abuse, with a single $25,488 fine and no inspection since March 2022. The five-star quality measure score contrasts with a one-star health inspection rating, so ask directly how those abuse-related findings were resolved and who is on duty on weekends.

B

75/100

Radford Health And Rehab Center

Radford, VA · Radford City County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
42%
Serious cites
0

Radford Health and Rehab runs 3.51 nurse hours per resident per day, about 9% under the national average, and weekends drop roughly another 10% below its own weekday coverage. That thin margin matters more than the overall numbers suggest, because the home carries 27 deficiencies on its current record, including one at the harm level and one tied to abuse. Turnover sits at 41.6%, which is actually better than the 45.8% national figure, and the quality measure score is strong. But a 2-out-of-5 staffing rating paired with a February 2025 inspection means the clinical outcomes are being achieved with less hands-on time than most homes. Ask about weekend coverage and the abuse deficiency specifically.

B

75/100

Chatham Health & Rehabilitation Center

Chatham, VA · Pittsylvania County

CMS 4/5 85 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
39%
Serious cites
0

Chatham Health & Rehabilitation Center runs 85 certified beds under corporate ownership, and its staffing sits at 3.59 nurse hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 11% below the home's own weekday coverage, so families should ask who's actually on the floor on a Saturday. Turnover is 39.1%, better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 24 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse, and fines total $8,018. The last full inspection was March 2024, so the record is reasonably current.

B

75/100

August Healthcare At Richmond

Richmond, VA · Henrico County

CMS 3/5 32 beds For-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
58%
Serious cites
0

August Healthcare At Richmond runs 32 beds under corporate ownership, and its nurse staffing sits at 4.60 hours per resident day, roughly 19% above the national average, which is genuinely a point in its favor. The catch is consistency: weekend coverage drops about 14% below what the home staffs on weekdays, and annual turnover hits 58.1% against a national average of 45.8%, so the people caring for residents keep changing. Its inspection record shows 25 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus two fines totaling $35,055. The most recent inspection was February 2026. Strong hours on paper, but the record underneath them is what a family should weigh.

B

75/100

Port Washington Post Acute

Bremerton, WA · Kitsap County

CMS 1/5 98 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
53%
Serious cites
0

Port Washington Post Acute runs about 98 certified beds in Bremerton under for-profit LLC ownership, and its staffing sits almost exactly at the national average, 3.88 nurse hours per resident day against 3.86 nationally. That's the good news, and it's thin: weekend staffing drops roughly 9% below its own weekday level, and annual turnover hits 52.5% against a 45.8% national figure. The inspection record is where it gets serious. CMS rates health inspections 1 out of 5, with 118 total deficiencies on the current record, including four at harm or jeopardy level and five abuse-related. Three fines total $131,299, and the home sits in CMS's Special Focus Facility program, reserved for the country's most persistently troubled homes.

B

75/100

Bellevue Post Acute

Bellevue, WA · King County

CMS 3/5 69 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
64%
Serious cites
0

Bellevue Post Acute runs about 4.01 nurse hours per resident day, which is above the national average, but that number gets thinner on weekends, when staffing drops roughly 14% below its own weekday level. Annual turnover is 63.7%, well above the national 45.8%, so residents are being cared for by a workforce that changes over constantly. The current inspection record carries 72 deficiencies, eight of them abuse-related, though none at the harm or jeopardy level; the health inspection rating of 2 out of 5 reflects that. Quality measures score 5 of 5, staffing 2 of 5. It's a for-profit LLC with 69 beds, most recently inspected January 10, 2026.

B

75/100

Good Shepherd Nursing Home

Wheeling, WV · Ohio County

CMS 3/5 192 beds Non-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
44%
Serious cites
0

Good Shepherd runs 192 beds in Wheeling as a church-affiliated nonprofit, and its staffing sits at 3.65 nurse hours per resident day, about 5% under the national average of 3.86, with weekends running roughly 9% thinner than its own weekdays. Staff turnover is 44.4%, essentially even with the national figure, so retention isn't the standout problem here; coverage is. The inspection record shows 34 deficiencies, one serious enough to reach harm or jeopardy level, none tied to abuse, and a single fine of $27,378. A 5/5 on quality measures alongside a 2/5 on both inspections and staffing tells you the clinical tracking looks strong while the day-to-day oversight and floor coverage are where families should focus their questions.

B

75/100

Majestic Care Of Manchin

Fairmont, WV · Marion County

CMS 4/5 41 beds Government Medicaid
Nurse hours
4.38 /day
Staff turnover
—
Serious cites
0

Majestic Care of Manchin runs 41 beds in Fairmont under state government ownership, and its inspection history is the strongest part of the picture, a recent April 2025 survey and 35 deficiencies on record with none rising to harm or jeopardy level. Staffing is where it falls apart: the federal staffing rating sits at 1 out of 5, meaning nurse hours per resident come in well below what CMS considers adequate. Quality measures land at 2 out of 5, and there's one abuse-related deficiency and a $5,244 fine on the books. A clean inspection record matters, but thin staffing shapes daily life more than anything else here.

B

75/100

Cameron Healthcare Center

Cameron, WV · Marshall County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
33%
Serious cites
0

Cameron Healthcare Center runs 60 certified beds under corporate ownership in Marshall County, and the numbers tell a mixed story. Nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86, and weekends dip about 11% below the home's own weekday coverage, so the hours aren't just low on paper, they thin out further when families tend to visit. Turnover is the one bright spot: 33.3% against a national 45.8%, meaning aides and nurses here tend to stick around longer than average. But the current inspection record carries 24 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single $131,164 fine and a March 2026 inspection. The quality measure score looks strong; the staffing and inspection side is where the concern sits.

B

75/100

Pierpont Center At Fairmont Campus

Fairmont, WV · Marion County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
36%
Serious cites
0

Pierpont Center runs about 2.91 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops another 9% below its own weekday levels. That thin staffing shows up in the 2-out-of-5 CMS staffing rating. Turnover sits at 35.7%, better than the national 45.8%, so there's some consistency in who's on the floor. What stands out is the record: 60 deficiencies, three tied to abuse, and a 2-out-of-5 inspection rating despite the January 2026 survey being recent. The 5-out-of-5 quality measure score reflects clinical metrics, not hands-on care. A corporation owns it, and one $14,645 fine is on file.

B

75/100

North Shore Healthcare At Marshfield

Marshfield, WI · Wood County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
26%
Serious cites
0

North Shore Healthcare At Marshfield runs 120 certified beds under corporate ownership, and its staffing sits at 3.64 nurse hours per resident day, about 6% under the national average of 3.86. Weekends dip roughly 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 25.9% against a national 45.8%, meaning aides and nurses here tend to stay. The record isn't clean, though. Eighteen deficiencies are logged, including one at the harm level and one tied to abuse. A March 2025 inspection is recent enough to trust. Quality measures score low; inspections and staffing land mid-range.

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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