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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 7041–7060 of 12,967, best-graded first.

B

75/100

Mill Creek

Silsbee, TX · Hardin County

CMS 3/5 67 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
55%
Serious cites
0

Mill Creek runs lean on nursing staff, 3.16 hours per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday coverage. That thinness shows up in the numbers: staff turnover sits at 54.7% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The 25 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with one fine of $13,232. Quality measures score well and the last inspection was recent, but a for-profit partnership operating 67 beds at this staffing level leaves little margin when problems surface.

B

75/100

Oakwood Manor Nursing Home

Vidor, TX · Orange County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
38%
Serious cites
0

Oakwood Manor runs a corporation-owned, 100-bed home in Vidor, and the numbers pull in different directions. Nurse staffing sits around 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday level, so care gets thinnest exactly when families tend to visit. Turnover is 37.8%, which is actually better than the 45.8% national figure, meaning the staff who are there tend to stay. Inspections are recent (December 2025) and turned up 21 deficiencies, none at harm or jeopardy level, though two are abuse-related. Quality measures score well; staffing is where it's weakest.

B

75/100

Silver Pines Nursing And Rehabilitation Center

Bastrop, TX · Bastrop County

CMS 4/5 114 beds Non-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
44%
Serious cites
0

Silver Pines runs a 114-bed nonprofit home in Bastrop, and its numbers split in two directions. The care side looks strong: a four-star health inspection record, a top quality-measure score, and a recent June 2025 inspection with no deficiencies at the harm or jeopardy level, though one abuse-related citation does appear among the 31 on file. Staffing is the weak spot. At 3.05 nurse hours per resident day, it sits about 21% under the national average, weekends run roughly 7% thinner than weekdays, and turnover of 44.3% is essentially the national rate. Nonprofit ownership and good survey results are real strengths, but the day-to-day nurse coverage is thin enough to ask about directly.

B

75/100

Prairie House Living Center

Plainview, TX · Hale County

CMS 3/5 121 beds Government Medicaid
Nurse hours
2.97 /day
Staff turnover
27%
Serious cites
0

Prairie House Living Center runs on a leaner nursing crew than most homes, about 2.97 nurse hours per resident each day against a national average near 3.86, and weekends dip roughly 12 percent below its own weekday coverage. That thin margin is the main reason its staffing rating sits at 2 out of 5, even though staff stick around: turnover of 26.7 percent is well below the national 45.8 percent, which suggests people aren't fleeing. Inspections look solid, a 4 out of 5 health inspection rating, nine deficiencies on record with none at the harm level and none abuse-related, and a visit as recent as November 2024. Owned by a hospital district, it's not chasing private-equity returns.

B

75/100

Wheeler Nursing & Rehabilitation

Wheeler, TX · Wheeler County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
36%
Serious cites
0

Wheeler Nursing & Rehabilitation runs lean on direct care: 3.08 nurse hours per resident per day, roughly a fifth under the national average of 3.86, with weekends about 10% thinner than weekdays. The inspection record shows 15 deficiencies, including two at the harm or jeopardy level and two tied to abuse. Turnover sits at 35.7%, better than the 45.8% national figure, which suggests less churn than many homes its size. The last inspection was in August 2025. The quality measures look strong, but those come from resident assessments the home reports, while staffing and inspections are observed independently. Weigh those two against each other before deciding.

B

75/100

Sugar Land Health Care Center

Sugar Land, TX · Fort Bend County

CMS 4/5 150 beds Non-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
41%
Serious cites
0

Sugar Land Health Care Center runs 3.59 nurse hours per resident day, about 7% under the national average, and weekends dip roughly another 10% below its own weekday coverage. That thin margin shows up in the staffing star rating, which sits at 2 out of 5. Turnover is 41.3%, actually a bit better than the 45.8% national figure, so the problem isn't retention so much as how many hands are on deck per shift. The inspection record carries 17 deficiencies, three of them at the harm or jeopardy level, plus two fines totaling $30,494; the last survey was May 2025. Quality measures score well at 4 out of 5, but quality scores reflect resident outcomes, not whether enough staff are present to catch problems before they become one.

B

75/100

Sage Park San Antonio

San Antonio, TX · Bexar County

CMS 3/5 46 beds For-profit
Nurse hours
4.32 /day
Staff turnover
—
Serious cites
0

Sage Park San Antonio runs 46 certified beds under a for-profit partnership, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average of 3.86. That headline number comes with a catch: weekend staffing drops about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the harder part to swallow. Twenty-seven deficiencies, one of them serious enough to reach harm or jeopardy level, plus a single fine of $121,976. The most recent inspection was January 9, 2026. Quality measures score well, but a recent inspection with that many findings and a six-figure penalty tells you the day-to-day care has had real problems.

B

75/100

Cross Timbers Rehabilitation And Healthcare Center

Flower Mound, TX · Denton County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
50%
Serious cites
0

Cross Timbers runs 120 certified beds in Flower Mound under corporate for-profit ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average. Weekends dip roughly 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 49.5%, close to four points above the national figure, which means many of the people caring for residents are still learning the building. The current record shows 27 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,281. The most recent inspection was April 16, 2026.

B

75/100

Park Manor Of Cyfair

Houston, TX · Harris County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
45%
Serious cites
0

Park Manor of Cyfair runs lean on direct care. At 3.10 nurse hours per resident day it sits about a fifth under the national figure, and weekends drop roughly another 14% below its own weekday coverage, so the thinnest shifts are the ones when families tend to visit. Turnover, at 44.8%, is essentially the national rate. What pulls this Houston home up is its record: a five-star health inspection rating, no deficiencies flagged at harm or jeopardy level, nothing abuse-related, and an inspection as recent as August 2025. The tradeoff is clear, strong oversight and quality marks, lighter day-to-day staffing.

B

75/100

Kruse Village Senior Living Community

Brenham, TX · Washington County

CMS 4/5 65 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
55%
Serious cites
0

Kruse Village sits in Brenham with 65 certified beds, run by a for-profit limited liability company. Nurse staffing comes in at 3.83 hours per resident day, just under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. Staff turnover is the bigger number here: 55.2% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 22 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors were last on site in May 2026, and the health inspection and quality measure ratings both land at 4 out of 5, with staffing at 3.

B

75/100

Crockett Health Care Associates, Inc.

Crockett, TX · Houston County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
1.98 /day
Staff turnover
26%
Serious cites
0

Houston County Nursing Home runs on about 1.98 nurse hours per resident per day, roughly half the national figure of 3.86, and weekend coverage slips about 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 26.1%, well under the 45.8% national average, which means the people who are there tend to stay. Inspectors visited in June 2025 and found 15 deficiencies, none rising to harm or jeopardy, though two are abuse-related. The 5-star inspection and 4-star quality scores sit alongside a 1-star staffing rating, a split worth understanding before you decide.

B

75/100

Park Manor Of Quail Valley

Missouri City, TX · Fort Bend County

CMS 2/5 125 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
35%
Serious cites
0

Park Manor Of Quail Valley runs about 3.33 nursing hours per resident each day, roughly 14% under the national average, and weekends dip about 11% below its own weekday levels, so care thins out exactly when families tend to visit. The inspection record is the bigger concern: 24 deficiencies, including three tied to abuse and one serious enough to put a resident in harm's way. Staff turnover sits at 34.9%, better than the 45.8% national figure, which means more familiar faces than most places. Ownership is a for-profit LLC with 125 beds, and the most recent inspection was June 2025. Ask direct questions about the abuse findings and weekend coverage before deciding.

B

75/100

The Madison On Marsh

Carrollton, TX · Dallas County

CMS 4/5 125 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
47%
Serious cites
0

The Madison On Marsh runs a four-star health inspection record and top marks on quality measures, which tells you the clinical care basics are being handled. The staffing side is a different story. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends run thinner still. Turnover at 46.8% is slightly worse than the typical U.S. nursing home, so the faces around your family member may change often. The current inspection record shows 21 deficiencies, including one at the harm level and two tied to abuse. That combination, solid inspections but thin, churning staff, is worth asking about directly before you decide.

B

75/100

Crowley Nursing And Rehabilitation

Crowley, TX · Tarrant County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
54%
Serious cites
0

Crowley Nursing and Rehabilitation runs 120 beds under limited-liability, for-profit ownership, and its clinical quality scores are genuinely strong, five out of five on CMS quality measures and four on health inspections, with the most recent survey in June 2025. The weak spot is people. Nurse staffing sits at 3.47 hours per resident day, roughly a tenth below the national average, and weekends drop about 15% below the home's own weekday level, so coverage thins exactly when families tend to visit. Staff turnover is 53.5% against a national 45.8%. Seventeen deficiencies are on record, one at harm level, with $18,470 in fines. Good care when people are there; the question is whether enough of them stay.

B

75/100

Garnet Hill Rehabilitation And Skilled Care

Wylie, TX · Dallas County

CMS 3/5 128 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
31%
Serious cites
0

Garnet Hill runs 128 beds in Wylie under corporate ownership, and its nursing hours come in at 3.64 per resident day, about 6% under the national average of 3.86. Weekends thin out further, roughly 11% below the home's own weekday staffing, so the coverage gap families notice on Saturdays is real. Turnover is the bright spot at 31.3%, well under the 45.8% national figure, which suggests less churn than many homes. But the current record carries 38 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus $31,959 in fines. The most recent inspection closed in April 2026, so the findings are recent.

B

75/100

Pecan Bayou Nursing And Rehabilitation

Brownwood, TX · Brown County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
44%
Serious cites
0

Pecan Bayou runs about 3.34 nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekends dip another 10% below its own weekday coverage. That thinner weekend staffing matters most for a 90-bed corporate-owned home, even though turnover at 43.9% is slightly better than the 45.8% national figure. The health inspection record is strong, with a 4/5 star rating and its most recent survey done in August 2025. But nine deficiencies are on file, two of them at harm or jeopardy level, and one fine totaling $48,415. Quality measures score 5/5, yet none of that erases the staffing shortfall or those two serious findings.

B

75/100

Georgetown Nursing And Transitional Care

Georgetown, TX · Williamson County

CMS 4/5 142 beds Government Medicaid
Nurse hours
3.55 /day
Staff turnover
41%
Serious cites
0

Georgetown Nursing and Transitional Care is a nonprofit home with 142 beds, and its staffing is the weak spot. At 3.55 nurse hours per resident day, it runs about 8 percent under the national average, and weekends drop roughly 11 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 41.3 percent, a bit better than the national 45.8 percent, which suggests some stability in who's actually on the floor. The inspection record is mixed: 16 deficiencies, including one at the harm level and three related to abuse, with a single $8,281 fine. The most recent inspection was April 30, 2025, so the picture is current. Quality measures score well; staffing is where the concern lies.

B

75/100

Baywood Crossing Rehabilitation & Healthcare Cente

Pasadena, TX · Harris County

CMS 4/5 124 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
43%
Serious cites
0

Baywood Crossing runs 3.00 nurse hours per resident per day, about 22% under the national average of 3.86, and weekends dip roughly 9% below its own weekday level. That low staffing shows in the one-star staffing rating, though turnover at 43.3% is slightly better than the 45.8% national figure. The record is otherwise clean: a recent May 2025 inspection, 16 deficiencies with none at harm or jeopardy level and none abuse-related, plus four stars on health inspections and five on quality measures. If you're weighing this one, the question is whether the floor coverage on weekends works for your family member's needs.

B

75/100

Watkins-Logan-Garrison Texas State Veteran's Home

Tyler, TX · Smith County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
6.31 /day
Staff turnover
34%
Serious cites
0

Nurse staffing at this Tyler home runs 6.31 hours per resident day, about 64% above the national average, and 33.6% of staff left last year against a national 45.8%, that's a real edge in keeping people. Weekends drop roughly 13% below weekday coverage, so ask how weekends are actually covered. The inspection record is where it gets harder: 17 deficiencies, three at harm or jeopardy level, one tied to abuse, and two fines totaling $214,759. Quality measures score 2 of 5. The last inspection was June 2025, so the record is current, not stale. Strong floor staff, thinner weekends, and a serious citation history worth asking about directly before you sign anything.

B

74.5/100

Wetumpka Health And Rehabilitation, Llc

Wetumpka, AL · Elmore County

CMS 1/5 121 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
50%
Serious cites
0

Wetumpka Health and Rehabilitation runs 121 certified beds under corporate for-profit ownership, and its staffing sits at 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends drop about 17% below the home's own weekday staffing, and annual turnover hits 50% against a national 45.8%, so the same faces aren't always there. The inspection record shows 18 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the health inspection star rating is 1 out of 5. The last inspection was December 7, 2023, so that record has had time to age. Quality and staffing measures both rate 3 out of 5.

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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