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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 7021–7040 of 12,967, best-graded first.

B

75/100

Lake Mills Health Services

Lake Mills, WI · Jefferson County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
38%
Serious cites
0

Lake Mills Health Services is a 50-bed for-profit home in Jefferson County, and the numbers tell a mixed story. Nurse staffing sits at 3.54 hours per resident day, about 8% under the national average, and weekends run thinner still, roughly 6% below its own weekday levels, so care gets leanest exactly when families tend to visit. Turnover is the bright spot: 37.9% against a national 45.8%, which suggests some stability in who's actually on the floor. But the inspection record pulls the other way: 18 deficiencies, one serious enough to reach harm or jeopardy, and a $120,900 fine. The most recent inspection was March 2025, so the picture is current, not stale.

B

75/100

Dove Healthcare - Superior

Superior, WI · Douglas County

CMS 2/5 118 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
44%
Serious cites
0

Dove Healthcare - Superior runs a for-profit operation with 118 certified beds, and its staffing sits slightly above the national average at 3.95 nurse hours per resident day. But weekends dip about 4% below weekday levels, and annual turnover of 44.2% means a lot of unfamiliar faces. The inspection record is the real concern: 58 deficiencies, including one at the harm level and seven tied to abuse. A March 2025 inspection is recent, and CMS gave just 2 out of 5 stars for both health inspections and staffing. Quality measures earned 3 stars. If you're considering this home, ask pointed questions about the abuse-related findings and how they've changed hands-on care since that last visit.

B

75/100

Amethyst Health Of Algoma

Algoma, WI · Kewaunee County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
51%
Serious cites
0

Amethyst Health Of Algoma runs 50 certified beds in Kewaunee County, and its staffing sits about 7% under the national average at 3.60 nurse hours per resident day. Weekends are thinner still, roughly 13% below what the home staffs on weekdays, and annual turnover runs 51.3% against a national 45.8%, meaning more than half the nursing staff turns over each year. The inspection record is the bigger concern: 17 deficiencies, two of them serious enough to involve harm or jeopardy, two tied to abuse, and $151,354 in fines across two penalties. A January 2025 inspection at least means the record is current, but the quality measure score doesn't offset what inspectors found.

B

75/100

Saint Vincent Healthcare

Pasadena, CA · Los Angeles County

CMS 3/5 78 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
22%
Serious cites
0

Saint Vincent Healthcare runs 78 beds in Pasadena under for-profit limited liability ownership, and its nurse staffing sits just barely above the national average, 3.90 hours per resident day against 3.86. That thin margin narrows further on weekends, when coverage drops about 8% below the home's own weekday levels. What stands out is retention: 22.4% annual turnover is less than half the national rate of 45.8%, which suggests a steadier crew than most places manage. The tradeoff shows up in quality measures, which score near the bottom, and a record of 50 deficiencies, none at harm or jeopardy level, none abuse-related. The most recent inspection was in November 2025.

B

75/100

Mount Miguel Covenant Village

Spring Valley, CA · San Diego County

CMS 3/5 90 beds Non-profit Medicaid
Nurse hours
2.69 /day
Staff turnover
20%
Serious cites
0

Mount Miguel Covenant Village runs lean on nursing hours, 2.69 per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday levels. That thin coverage is the main reason its CMS staffing rating sits at the bottom of the scale, even though the home is church-affiliated and nonprofit. Where it looks steadier: staff turnover of 19.7% is well under half the national rate, inspections are recent and produced no deficiencies at the harm level, and its health inspection and quality measure ratings both land at 4 out of 5. Twenty-eight deficiencies total and one abuse-related finding are on the record, so ask about that directly before deciding.

B

75/100

El Centro Post-Acute Care

El Centro, CA · Imperial County

CMS 3/5 123 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
32%
Serious cites
0

Nurse staffing at El Centro Post-Acute Care sits at 3.99 hours per resident day, just above the national average of 3.86, but weekends drop roughly 8% below the home's own weekday level, so coverage thins when families tend to visit. Turnover of 31.7% is well below the national 45.8%, which suggests a relatively stable workforce. Against that, the record shows 51 deficiencies, including one at the harm level and one abuse-related citation, plus two fines totaling $10,254. The last inspection was September 2024. For-profit, limited liability ownership, 123 beds.

B

75/100

City Creek Post Acute

Sacramento, CA · Sacramento County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
47%
Serious cites
0

City Creek Post Acute runs a 99-bed for-profit operation in Sacramento, and the staffing picture is more mixed than the headline number suggests. Total nurse hours come in at 4.10 per resident day, about 6% above the national average, but weekends drop roughly 10% below the home's own weekday coverage, so the care your family member gets on a Saturday may look thinner than what the tour showed. Staff turnover sits at 47.2%, slightly worse than the national rate, and the current record carries 39 deficiencies, including three tied to abuse and one at the harm level. Three fines total $26,497. The most recent inspection was October 2024.

B

75/100

Westgate Gardens Care Center

Visalia, CA · Tulare County

CMS 4/5 140 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
45%
Serious cites
0

Westgate Gardens runs 140 beds in Visalia, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, though weekends drop about 6% below its own weekday levels. Turnover lands at 45.3%, essentially matching the national figure of 45.8%, so retention here isn't unusually bad or unusually good. What stands out is the inspection record: 54 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a $10,317 fine attached. The last inspection was February 2025, so the record is current. Strong quality-measure scores sit alongside that history, worth asking about directly when you visit.

B

75/100

Castle Manor Nursing & Rehabilitation Center

National City, CA · San Diego County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
37%
Serious cites
0

Castle Manor runs about 4.58 nurse hours per resident day, roughly 19% above the national average, though weekends drop about 13% below its own weekday levels, worth asking about if your family visits then. Staff turnover sits at 37.4%, better than the 45.8% national figure, which matters for continuity of care. The home carries 25 deficiencies on its current record, one at the harm level, with a single fine of $10,188 and no abuse findings. Its last inspection was March 2025, and it's owned by a for-profit limited liability company.

B

75/100

Sunrise Post Acute

Banning, CA · Riverside County

CMS 2/5 64 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
21%
Serious cites
0

Sunrise Post Acute has a staffing edge worth noting: 3.94 nurse hours per resident day, slightly above the national average, and turnover at 21.3%, less than half the national rate of 45.8%, which suggests a stable crew. Weekends dip about 8% below weekday coverage, so care can thin out when families visit most. The problem is everything that happened inside those hours. Fifty deficiencies on the current record, four of them at harm or jeopardy level, five tied to abuse, and two fines totaling $76,434. The last inspection was September 2025. Strong quality scores and good retention don't offset that inspection history, the people are there, but the system around them keeps failing.

B

75/100

Century Villa, Inc

Inglewood, CA · Los Angeles County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
38%
Serious cites
0

Century Villa runs a 99-bed for-profit home in Inglewood, and its staffing is the strongest part of the picture: 4.51 nurse hours per resident day, roughly 17% above the national average, with weekend coverage only about 4% thinner than weekdays. Turnover sits at 38%, better than the 45.8% national figure. The trouble is the inspection record, 30 deficiencies, including one at the harm level and one tied to abuse, plus a single fine of $18,538. The most recent inspection was April 2026. Strong daily staffing and a thin inspection history don't usually travel together, and that tension is what pulls the overall picture down.

B

75/100

Sunset Villa Post Acute

Long Beach, CA · Los Angeles County

CMS 2/5 199 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
45%
Serious cites
0

Sunset Villa Post Acute sits in Long Beach with 199 certified beds and a for-profit LLC owner. Nurse staffing runs 4.00 hours per resident day, slightly above the national average, but weekends drop about 7% below its own weekday level, and turnover sits at 44.8%, roughly in line with the national rate. The staffing star rating is 3/5. The bigger concern is the inspection record: 89 deficiencies, 6 at harm or jeopardy level, 10 abuse-related, and three fines totaling $207,206. The last inspection was April 9, 2026. Its quality measure rating is 5/5, but that's derived from resident assessments, not from how safely the home is actually run day to day.

B

75/100

Stanley Healthcare Center

Westminster, CA · Orange County

CMS 3/5 30 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
56%
Serious cites
0

Stanley Healthcare Center runs 30 beds in Westminster under for-profit LLC ownership, and its nurse staffing sits a bit above the national average, 4.05 hours per resident day against 3.86. That cushion thins on weekends, though, when coverage drops about 7% below its own weekday level, and annual turnover of 55.6% tops the national 45.8%, so the faces around a resident change often. The inspection record carries 64 deficiencies, none flagged at harm or jeopardy level, but one tied to abuse. State surveyors last visited in April 2026, and the health inspection rating landed at 3 out of 5, with quality measures at 4 and staffing at 3.

B

75/100

Terrace Post Acute

Van Nuys, CA · Los Angeles County

CMS 2/5 133 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
26%
Serious cites
0

Terrace Post Acute runs 133 beds in Van Nuys under corporate for-profit ownership, and its staffing sits almost exactly at the national average, 3.87 nurse hours per resident day against 3.86, though weekends dip about 5% below its own weekday coverage. Turnover is the real bright spot at 25.7%, well under the 45.8% national figure, which suggests a steadier workforce than most. What drags the record down is inspection history: 89 deficiencies, three of them at harm or jeopardy level, four tied to abuse, plus a $94,094 fine and a one-star health inspection rating despite the four-star quality measures and a January 2026 inspection.

B

75/100

Milpitas Care Center

Milpitas, CA · Santa Clara County

CMS 2/5 35 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
19%
Serious cites
0

Milpitas Care Center runs 35 beds under corporate ownership, and its nurse staffing sits at 3.77 hours per resident day, just under the national average, with weekends running about 7% thinner than weekdays. The standout number is turnover: 19.2% against a national average of 45.8%, which means the people caring for residents tend to stick around. That matters, and it's why the staffing rating holds at 3/5 and quality measures at 3/5. The inspection record is where the picture darkens. Fifty-two deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, plus three fines totaling $28,520. The most recent inspection was June 27, 2025. Stable staff, a thin weekend margin, and a long citation history, that's the tradeoff to weigh.

B

75/100

Live Oak Nursing And Rehabilitation Center

George West, TX · Live Oak County

CMS 3/5 96 beds Government Medicaid
Nurse hours
3.37 /day
Staff turnover
32%
Serious cites
0

Live Oak Nursing and Rehabilitation runs 96 beds in George West under individual for-profit ownership, and its staffing sits at 3.37 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 10 percent below its own weekday coverage, so the thinnest shifts come when families often visit. Turnover is genuinely better than average at 32.2 percent against 45.8 nationally. What pulls the record down is the inspection side: 17 deficiencies, one at harm or jeopardy level and two tied to abuse, plus a $56,980 fine. The most recent inspection was May 2025, so that picture is current, not stale. Quality measures score well; the hands-on and oversight numbers are where the caution lives.

B

75/100

Windsor Nursing And Rehabilitation Center Of San D

San Diego, TX · Duval County

CMS 5/5 90 beds Government Medicaid
Nurse hours
3.25 /day
Staff turnover
42%
Serious cites
0

Windsor Nursing and Rehabilitation Center of San Diego runs on 3.25 nurse hours per resident per day, roughly 16 percent under the national average of 3.86, and weekends dip about 11 percent below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 2 out of 5, even though the home posts perfect marks on health inspections and quality measures. Turnover lands at 42.4 percent, a touch better than the national 45.8 percent, and its record shows 7 deficiencies with nothing at the harm or jeopardy level and no abuse citations. Inspectors were last on site in April 2026, which is recent. The hospital district ownership and clean inspection history are real strengths; the daily coverage numbers are where a family should ask questions.

B

75/100

Azalea Trail Nursing And Rehabilitation Center

Grand Saline, TX · Van Zandt County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
27%
Serious cites
0

Azalea Trail runs lean on nursing hours, 3.35 per resident per day against a national average of 3.86, with weekends about 12% thinner than weekdays. That's the trade-off behind its numbers: staff stick around far longer than is typical in this industry, and its inspection record is about as clean as they come, one minor deficiency with nothing tied to harm or abuse and a visit from surveyors as recent as May 2025. The weak spot sits in the quality measures, where resident outcomes lag despite the strong oversight. For a 72-bed for-profit in Grand Saline, you're looking at a home that passes its tests but may not always have enough hands on deck.

B

75/100

Willowbend Nursing And Rehabilitation Center

Mesquite, TX · Dallas County

CMS 3/5 162 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
53%
Serious cites
0

Willowbend runs 162 certified beds in Mesquite under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop another 11% below its own weekday coverage, and annual turnover hits 52.9% against a national 45.8%. The inspection record is where things get serious: 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, plus four fines totaling $94,394. Its last inspection was January 22, 2026. The 5/5 quality measure rating reflects resident assessment data, but the 2/5 staffing and 2/5 inspection ratings describe what families actually encounter day to day.

B

75/100

Pleasant Valley Healthcare And Rehabilitation Cent

Garland, TX · Dallas County

CMS 2/5 124 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
33%
Serious cites
0

Pleasant Valley runs lean on nursing hours, 3.36 per resident per day, roughly 13 percent under the national average, and weekends get thinner still, dropping about 11 percent below its own weekday coverage. That staffing picture sits behind 20 deficiencies on the current record, three of them serious enough to put residents at risk of harm or jeopardy and two tied to abuse. Staff turnover is 33.3 percent, better than the national 45.8, and the quality measure score of 4 out of 5 suggests clinical metrics look decent on paper. But a 2-out-of-5 inspection rating and $53,393 in fines point to a gap between how care is measured and how it's actually delivered.

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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