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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 7061–7080 of 12,967, best-graded first.

B

74.5/100

Diversicare Of Big Springs

Huntsville, AL · Madison County

CMS 4/5 145 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
47%
Serious cites
0

Diversicare Of Big Springs runs 145 certified beds in Huntsville under corporate for-profit ownership, and its inspection record is genuinely clean, nine deficiencies on file, none rising to harm or jeopardy, none tied to abuse. That matters more than most families realize, since a quarter of homes nationally carry at least one serious citation. The staffing picture is more mixed. At 3.12 nurse hours per resident day, direct care sits roughly 19% under the national average, and weekends drop another 18% below the home's own weekday levels. Turnover at 47.1% edges past the national rate, meaning CNAs and nurses cycle through. One caveat: the last full inspection was January 2022, so that clean record is nearly three years old now.

B

74.5/100

Timberland Health And Wellness Center

Butler, AL · Choctaw County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
64%
Serious cites
0

Timberland Health And Wellness Center runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends drop roughly 21% below its own weekday staffing. Those gaps land against a 64.2% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside are often new to the building, which matters most on weekends when coverage thins. The inspection history is genuinely strong: a 5/5 star rating on health inspections, five deficiencies on record, none at the harm level. But that last inspection was March 2021. State surveyors haven't walked this building in over four years, so the clean record is old.

B

74.5/100

South Haven Health And Rehabilitation, Llc

Birmingham, AL · Jefferson County

CMS 3/5 101 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
50%
Serious cites
0

South Haven runs on a for-profit, individually owned model with 101 certified beds, and its nurse staffing sits at 3.95 hours per resident day, just slightly above the national average of 3.86. That edge narrows on weekends, when coverage drops about 22% below weekday levels, so the weekday-to-weekend gap is worth asking about directly. Staff turnover lands at 50% against a national average of 45.8%, meaning roughly half the nursing team turns over in a year. The current record shows 12 deficiencies, none at the harm or jeopardy level, though two are abuse-related. Three stars on health inspection and two on quality measures point to room for improvement, while the last inspection dates to July 2022.

B

74.5/100

Park Manor Health And Rehabilitation, Llc

Northport, AL · Tuscaloosa County

CMS 3/5 152 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
58%
Serious cites
0

Park Manor runs about 152 certified beds in Northport under for-profit limited liability ownership, and its nurse staffing sits just barely above the national average, roughly one percent. That margin is thin, and weekends tell a bigger story: staffing drops about 19% below the home's own weekday levels, which is when families tend to visit and notice. Annual turnover of 57.8% is well above the 45.8% national figure, meaning caregivers cycle through faster than average. The health inspection record shows 11 deficiencies, none at harm level and none abuse-related, but the last inspection was August 2021, a long stretch without a fresh look.

B

74.5/100

Bridgeway Health And Rehabilitation Center

Phenix City, AL · Russell County

CMS 3/5 86 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
42%
Serious cites
0

Bridgeway runs a corporate-owned, 86-bed building in Phenix City, and the numbers are middling across the board, three stars each for inspections, quality measures, and staffing. Total nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average, and weekends run about 23% thinner than weekdays, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover at 41.9% is slightly better than the national 45.8%, so leadership isn't churning worse than most. Six deficiencies on record with none tied to harm or abuse is a relatively clean sheet, though the last inspection was January 2020, over four years ago, so that record is aging.

B

74.5/100

Oaks On Parkwood Skilled Nursing Facility

Bessemer, AL · Jefferson County

CMS 1/5 130 beds Non-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
44%
Serious cites
0

Oaks On Parkwood has enough nurses. At 3.97 hours per resident day, staffing sits slightly above the national average, and CMS gives it top marks there, a rare bright spot. But that same federal data flags real problems: 20 deficiencies on the current record, including one at the harm level and three tied to abuse. The last full health inspection was in May 2021, so that record is years old now. Weekend coverage drops about 16% below weekday levels, and turnover runs near the national rate. As a nonprofit, it answers to a board rather than shareholders, but the inspection history is what a family should weigh here.

B

74.5/100

Legacy Health And Rehabilitation Of Pleasant Grove

Pleasant Grove, AL · Jefferson County

CMS 1/5 189 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
53%
Serious cites
0

The numbers here tell a mixed story. Staffing sits at 4.18 nurse hours per resident day, roughly 8% above the national average, which is genuinely good, but weekends run about 24% thinner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Annual turnover of 53.2% means more than half the nursing staff leaves each year, against a national average near 46%, and that churn matters more than raw hours when it comes to knowing your mother's habits and preferences. Eighteen deficiencies sit on the record, though none rose to harm or jeopardy, and none involved abuse. The last inspection was February 2022, over three years ago, so that record is aging.

B

74.5/100

Petersburg Medical Center Ltc

Petersburg, AK · Petersburg County

CMS 5/5 15 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Petersburg Medical Center's long-term care unit is a 15-bed, city-run home in a town you can only reach by boat or plane, which tends to mean staff stay put and know the residents. The inspection record backs that up: a 5-star health inspection score, six deficiencies on the current record with none causing harm and none tied to abuse, and a survey completed in August 2025. Turnover data wasn't part of what we reviewed, so treat that as an open question. What holds the grade back from the top tier is quality measures sitting at 4 stars. For a small rural home, the fundamentals look sound. Ask about staffing levels on evenings and weekends, when small facilities feel a callout most.

B

74.5/100

Lakewood Health And Rehab, Llc

North Little Rock, AR · Pulaski County

CMS 4/5 85 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
70%
Serious cites
0

Lakewood Health and Rehab runs 85 beds in North Little Rock under for-profit LLC ownership, and its inspection record is the strongest thing going for it: 26 deficiencies on file, none of them at the harm or jeopardy level and none abuse-related, with a fresh survey from September 2025. Direct-care hours land at 4.28 per resident day, about 11% above the national average, though weekend coverage drops roughly 16% below the home's own weekday level, a gap worth asking about. The number that gives me pause is turnover: nearly 70% of nursing staff leaving annually against a national average near 46%, which is how a building can pass inspections and still feel short-staffed to families.

B

74.5/100

Hudson Memorial Nursing Home

El Dorado, AR · Union County

CMS 3/5 108 beds Government Medicaid
Nurse hours
4.13 /day
Staff turnover
60%
Serious cites
0

Hudson Memorial runs on county money, which tends to mean stable funding but not always deep pockets for staffing. Its 4.13 nurse hours per resident day sits about 7% above the national average, and the last inspection was recent, December 2024, with 15 deficiencies on record, none of them causing harm or involving abuse. That's a meaningful distinction. The concern is turnover: 59.7% of staff leaving annually against a 45.8% national rate, and weekend coverage drops roughly 20% below weekday levels. High churn plus thinner weekend shifts can wear on consistency of care even when the raw staffing number looks fine. Inspection history sits at 2 stars; quality measures and staffing each earn 3.

B

74.5/100

Lake Forest Senior Living At Mountain Home

Mountain Home, AR · Baxter County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
—
Serious cites
0

Lake Forest Senior Living runs 70 beds in Mountain Home under for-profit LLC ownership, and its nurse staffing sits at 3.91 hours per resident day, just barely above the national average of 3.86. That thin margin doesn't hold up on weekends, when coverage drops roughly 10% below the home's own weekday levels. The current record shows 22 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A 3-out-of-5 on health inspections and the same on quality measures puts it mid-pack, and the staffing star tells a similar story. The last inspection was August 2025, so the picture is recent. Families should ask directly how weekend coverage is handled.

B

74.5/100

Trinity Village Medical Center

Pine Bluff, AR · Jefferson County

CMS 3/5 94 beds Non-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
46%
Serious cites
0

Trinity Village Medical Center runs a fairly typical nonprofit operation in Pine Bluff: 94 beds, no abuse citations, and nothing on its record that rose to the level of actual harm. Its 31 deficiencies are mostly the paperwork-and-protocol kind that inspectors write up at plenty of homes. Nurse staffing sits at 4.18 hours per resident day, about 8% above the national average, though weekends run roughly 15% thinner than weekdays, worth asking about if your family member needs help on Saturdays and Sundays. Staff turnover is 46.1%, basically the national rate, so don't expect unusual continuity. Inspectors were last in this July, and the quality measure score of 2 out of 5 is the weakest number here.

B

74.5/100

Tulare Healthcare & Wellness Center, Lp

Tulare, CA · Tulare County

CMS 2/5 97 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
—
Serious cites
0

Tulare Healthcare & Wellness Center runs 97 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.10 hours per resident day, about 6% above the national average. That headline number looks reassuring until you notice weekends run roughly 8% leaner than weekdays, which is when families tend to visit and when problems often surface. The inspection record is the bigger concern: 72 deficiencies on file, including 4 tied to abuse, though none rose to the harm or jeopardy level. Federal inspectors last visited in March 2026, and CMS rated the health inspection and staffing stars at 2 out of 5 each. Weigh the staffing figure against that deficiency count before deciding.

B

74.5/100

Hayward Healthcare & Wellness Center

Hayward, CA · Alameda County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
—
Serious cites
0

Hayward Healthcare & Wellness Center runs 99 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average of 3.86. That's the strongest part of the picture, though weekend coverage drops about 9% below what the home staffs on weekdays. The inspection record is where the numbers get harder to shrug off: 24 deficiencies on the current record, including one at the harm or jeopardy level and one flagged as abuse-related. The last full inspection was July 2023, so that record has had time to age without a fresh look. Worth asking the administrator directly what changed after that harm-level finding.

B

74.5/100

La Jolla Post-Acute

La Jolla, CA · San Diego County

CMS 4/5 161 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
49%
Serious cites
0

La Jolla Post-Acute runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.91 hours per resident day, barely a percentage point above the national average of 3.86. That thin margin narrows further on weekends, when coverage drops roughly 7% below the home's own weekday levels. Staff turnover is the bigger concern: 49.3% annually against a national average of 45.8%, meaning nearly half the nursing workforce turns over each year. The inspection record shows 43 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in April 2025. Four stars on health inspections but three on staffing tells you the clinical care is holding up better than the workforce stability behind it.

B

74.5/100

Napa Post Acute

Napa, CA · Napa County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
39%
Serious cites
0

Napa Post Acute runs 120 beds under for-profit LLC ownership, and the staffing numbers are genuinely better than most: 4.07 nurse hours per resident day against a national average of 3.86, with turnover at 38.6% versus 45.8% nationally. That's real, and it shows up in the four-out-of-five staffing star. The problem is what inspections keep finding. Forty-nine deficiencies on the current record, four of them at harm or jeopardy level and one tied to abuse, plus two fines totaling $173,323. Weekends run about 16% lighter than weekdays, so the coverage that looks solid on paper thins out when families visit. Good aides, recurring serious findings, that combination is worth asking about directly before you sign anything.

B

74.5/100

Kit Carson Nursing & Rehabilitation Center

Jackson, CA · Amador County

CMS 1/5 199 beds For-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
55%
Serious cites
0

Kit Carson runs a for-profit, 199-bed operation where the nurse staffing numbers look strong on paper, 4.64 hours per resident day, roughly 20% above the national average, but that average hides a weekend dip of about 17%. Staff turnover sits at 54.6%, well above the 45.8% national figure, so the people providing that care are cycling through steadily. The current inspection record is the harder problem: 72 deficiencies, five at harm or jeopardy level, three tied to abuse, and three fines totaling $28,327. The most recent inspection was August 2025, so the findings are fresh.

B

74.5/100

River Valley Healthcare & Wellness Centre, Lp

Redding, CA · Shasta County

CMS 4/5 113 beds For-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
—
Serious cites
0

River Valley runs 4.45 nurse hours per resident day against a national average of 3.86, which is a real margin in a county where a lot of homes sit under four. That staffing holds up reasonably well on weekends, dipping only about 6% from weekday levels. The tradeoff shows up in the inspection record: 45 deficiencies, two of them serious enough to reach harm or jeopardy, and two tied to abuse. A recent inspection date of May 2026 means the record reflects current conditions rather than old findings. Know that the state inspected it recently, that nurse coverage is genuinely above average, and that the deficiency count and abuse citations are the things worth asking about directly on a tour.

B

74.5/100

San Pablo Healthcare & Wellness Center

San Pablo, CA · Contra Costa County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
—
Serious cites
0

San Pablo Healthcare & Wellness Center runs 108 certified beds under corporate ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average. Weekend coverage dips about 8% below its own weekday levels, so the weekday numbers look better than a Saturday actually does. The inspection record is where the picture sours. Forty-three deficiencies are on file, including nine tied to abuse and one serious enough to involve harm or jeopardy. A single fine totaling $10,036 has been levied, and the most recent inspection was June 26, 2025. All three CMS star ratings land at 3 out of 5. Solid staffing, but that abuse count and harm-level finding are what a family should ask about directly.

B

74.5/100

Bethesda Home

Hayward, CA · Alameda County

CMS 3/5 40 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Bethesda Home in Hayward is a small church-affiliated nonprofit with 40 beds, and its inspection record is genuinely solid: 20 deficiencies on file, but none rose to harm or jeopardy, and none involved abuse. Quality measures hold at 4 out of 5 stars too, so residents' clinical outcomes look reasonable on paper. The staffing number is where the story turns. One star out of five means nurse and aide hours fall well below what CMS expects for a building this size, that's the single biggest drag on the score, and it matters most on nights and weekends when needs don't pause. Its last inspection was October 2024, so the record is current. Ask about actual daily aide coverage before you decide.

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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