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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 7281–7300 of 12,967, best-graded first.

B

74/100

Lyon Specialty Care

Rock Rapids, IA · Lyon County

CMS 4/5 45 beds Non-profit Medicaid
Nurse hours
2.77 /day
Staff turnover
50%
Serious cites
0

Lyon Specialty Care runs on 2.77 nurse hours per resident per day, roughly 28 percent under the national average of 3.86, and weekends dip about 9 percent below its own weekday staffing. That thin margin matters more in a 45-bed nonprofit home where turnover sits at 50 percent, above the national 45.8 percent. The inspection record is a mixed picture: 18 deficiencies on file, none at the harm or jeopardy level, but two tied to abuse. A June 2025 inspection is recent, and four out of five stars on both health inspections and quality measures suggest care is being delivered well despite the staffing shortfall. Ask about weekend coverage and how they handle the two abuse-related findings.

B

74/100

Azria Health Prairie Ridge

Mediapolis, IA · Des Moines County

CMS 1/5 62 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
49%
Serious cites
0

Azria Health Prairie Ridge runs 62 certified beds in Mediapolis under corporate for-profit ownership. Nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below its own weekday level, so coverage thins exactly when families tend to visit. Annual turnover is 49.2%, above the national 45.8%. The current record shows 61 deficiencies, including one at the harm or jeopardy level and four tied to abuse; the most recent inspection was August 6, 2025. CMS gives the home 1 of 5 stars on health inspections, 2 on quality measures, and 4 on staffing.

B

74/100

Avoca Specialty Care

Avoca, IA · Pottawattamie County

CMS 2/5 46 beds Non-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
64%
Serious cites
0

Avoca Specialty Care runs 46 certified beds as a nonprofit, and its nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average of 3.86. Weekend coverage drops about another 10% below its own weekday levels, and annual turnover hits 63.9% against a national 45.8%, so the same faces aren't always there. The inspection record carries 68 deficiencies, including one at the harm or jeopardy level and four tied to abuse, and the most recent inspection was in early 2026. Quality measures score better than that record suggests, but the staffing hours and the deficiency count are what a family should weigh when deciding.

B

74/100

Rehabilitation Centers Of Independence West Campus

Independence, IA · Buchanan County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
60%
Serious cites
0

Rehabilitation Centers Of Independence West Campus runs 70 certified beds under corporate for-profit ownership, and its nursing hours come to 3.18 per resident day, roughly 18% under the national average of 3.86. Weekends dip about 11% below its own weekday staffing, and annual turnover sits at 60.4% against a national 45.8%, meaning well over half the nursing staff leaves each year. The inspection record shows 15 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $22,740 in fines across two penalties. The most recent inspection was December 11, 2025. Families weighing this one should look hard at that deficiency history and the staffing shortfall together.

B

74/100

Park View Rehabilitation Center

Sac City, IA · Sac County

CMS 1/5 77 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
53%
Serious cites
0

Park View Rehabilitation Center runs 77 certified beds in Sac City under corporate ownership, and the staffing numbers are the place to start. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday coverage. Staff turnover lands at 53.2% against a national 45.8%, so nearly half the workforce is cycling through each year. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse; the most recent inspection was March 2026, so that record is current. Quality and health inspection measures both rate 2 out of 5.

B

74/100

Rehabilitation Center Of Hampton

Hampton, IA · Franklin County

CMS 4/5 52 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
46%
Serious cites
0

Nurse staffing at Rehabilitation Center Of Hampton runs about 15% under the national average, roughly 3.27 hours per resident day against 3.86, and weekend coverage drops another 14% below its own weekday levels, so the thinnest shifts are when families tend to visit. The current record shows eight deficiencies, including one at the harm or jeopardy level and one abuse-related citation, though the last inspection was recent, in May 2025. Turnover sits at 46.4%, essentially the national average. The for-profit limited liability company that owns the 52-bed home posts strong marks on inspections and quality measures; the staffing number is what pulls it down.

B

74/100

River Valley Nursing And Rehabilitation

Pleasant Valley, IA · Scott County

CMS 2/5 44 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
49%
Serious cites
0

Aspire of Pleasant Valley is a 44-bed for-profit home in Scott County, and the numbers tell a mixed story. Nurse staffing sits at 3.72 hours per resident day, a bit under the national average, and weekends run about 11 percent thinner than weekdays, so coverage gets lightest exactly when families tend to visit. Annual turnover of 48.5% is higher than the national figure of 45.8%. The bigger concern is the inspection record: 35 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in August 2025. Federal ratings put health inspections and quality measures both at 2 out of 5 stars, while staffing scores 4. That gap is worth asking about directly.

B

74/100

Luther Manor At Hillcrest

Dubuque, IA · Dubuque County

CMS 1/5 103 beds For-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
54%
Serious cites
0

Luther Manor At Hillcrest runs a for-profit shop with 103 certified beds, and the numbers split in two directions. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average of 3.86, but weekends drop roughly 11 percent below the home's own weekday coverage, and annual turnover is 54.3 percent against a national 45.8. That combination means bodies are scheduled, though not always the same ones. The inspection record is where the trouble concentrates: a one-out-of-five health inspection rating, 24 deficiencies including three at harm or jeopardy level, and $42,406 in fines across two events. No abuse citations appear. The most recent inspection was February 12, 2026. Quality measures score two out of five. Ask about weekend coverage and the plan for the three harm-level findings before you decide.

B

74/100

Arbor Springs Of West Des Moines L L C

West Des Moines, IA · Dallas County

CMS 1/5 56 beds For-profit
Nurse hours
5.38 /day
Staff turnover
97%
Serious cites
0

Arbor Springs runs 5.38 nurse hours per resident each day, well above the national average, but that number hides a problem: nearly every aide and nurse is new, with turnover at 96.8% against a national 45.8%. Weekend coverage also drops about 11% below weekday levels, so care depends on who happens to be on shift. Inspectors found 17 deficiencies on the current record, including two at the harm level and one tied to abuse, with the last visit in May 2025. The for-profit LLC behind it has clear strengths and real gaps, and the staffing score reflects that split honestly.

B

74/100

Heritage Grove Estates

Topeka, KS · Shawnee County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
54%
Serious cites
0

Heritage Grove Estates runs 80 beds in Topeka under corporate ownership, and the staffing numbers cut both ways. Nurses give residents 4.03 hours a day, a bit above the national average, but weekends drop roughly 12% below what the home itself staffs on weekdays, so the coverage your family member gets depends on which day you visit. Annual turnover sits at 53.5%, well past the national 45.8%, which means a lot of new faces coming through. Inspections from August 2024 produced 18 deficiencies, three serious enough to threaten resident harm, though none involved abuse. The $9,113 in fines is modest. Clinical quality scores hold up; consistency of care is the open question.

B

74/100

Garden Valley Retirement Village

Garden City, KS · Finney County

CMS 5/5 62 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
54%
Serious cites
0

Garden Valley Retirement Village runs on thinner staffing than most places, 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday level, which is when families tend to notice. Staff turnover sits at 53.8%, well above the 45.8% national figure, so the people caring for residents change often. The good news is inspections: a 5/5 health inspection rating, a clean record on harm and abuse deficiencies, and a recent survey in June 2025. The 19 deficiencies on file weren't serious enough to cause harm. Quality measures score lower at 2/5, so ask what those numbers reflect before deciding.

B

74/100

Sunporch Of Dodge City

Dodge City, KS · Ford County

CMS 3/5 45 beds Non-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
64%
Serious cites
0

Sunporch Of Dodge City runs at 3.42 nurse hours per resident day, roughly 11 percent under the national average, and weekends dip about 9 percent below its own weekday staffing. That gap matters more than the raw number, because care doesn't pause on Saturdays. Annual turnover sits at 63.9 percent against a national 45.8, so nearly two-thirds of the staff cycle out each year, a churn rate that makes consistent care hard to hold onto. The current record shows 16 deficiencies, none at the harm level but one tied to abuse, and the last inspection came in January 2025. This is a nonprofit corporation, 45 beds, mid-range on all three federal ratings. Nothing here is alarming, and nothing here is reassuring either.

B

74/100

Wathena Healthcare & Rehabilitation Center

Wathena, KS · Doniphan County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
36%
Serious cites
0

Wathena Healthcare runs about 3.45 nursing hours per resident each day, roughly 11 percent under the national average, and weekends dip about 10 percent below its own weekday staffing. That thinner weekend coverage matters most for falls, med errors, and unanswered call lights, since those shifts often run with the least supervision. Turnover sits at 36.1 percent, better than the 45.8 percent national figure, which suggests some consistency in who's actually at the bedside. The 26 deficiencies on record include nothing flagged at harm or jeopardy level and no abuse findings, and the last inspection was September 2024. Three stars across health inspections, quality measures, and staffing describe a home that's neither failing nor standing out.

B

74/100

Chase County Care And Rehab

Cottonwood Falls, KS · Chase County

CMS 3/5 45 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
50%
Serious cites
0

Chase County Care and Rehab runs 45 certified beds as a for-profit LLC, and its staffing numbers are the weak spot: 3.73 nurse hours per resident day, slightly under the national average, with weekends about 10% thinner than weekdays. Annual turnover sits at 50%, above the national 45.8%, and CMS gives staffing just 1 out of 5 stars. The quality measure score is 5 out of 5, so clinical outcomes look good on paper, but the inspection record shows 33 deficiencies, including 2 abuse-related citations, though none at the harm or jeopardy level. The last inspection was September 2025, so the record is recent.

B

74/100

Lansing Care And Rehab

Lansing, KS · Leavenworth County

CMS 3/5 58 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
45%
Serious cites
0

Lansing Care And Rehab is a 58-bed for-profit home in Leavenworth County, and the numbers are middling across the board. Nurse staffing sits at 3.76 hours per resident day, a bit under the national average, and weekends run about 8% thinner than weekdays, worth knowing if your family visits on Saturdays and Sundays. Staff turnover is 45.3%, essentially the national rate, so you're not looking at a retention crisis, but you're not looking at stability either. What stands out is the inspection record: 24 deficiencies, two of them serious enough to involve harm or jeopardy, two tied to abuse, and two fines totaling $23,454. The most recent inspection was November 2025, so the record is current.

B

74/100

Eureka Nursing Center

Eureka, KS · Greenwood County

CMS 2/5 65 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
51%
Serious cites
0

Eureka Nursing Center runs 65 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.94 hours per resident day, roughly 2% above the national average of 3.86. That margin is thin, and weekends drop about 12% below the home's own weekday coverage, so the hours a resident actually gets shift depending on the day. Annual turnover is 50.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record carries 34 deficiencies, three of them at the harm or jeopardy level and three abuse-related, with $23,865 in fines across three penalties. The most recent inspection was April 15, 2026.

B

74/100

Neodesha Care And Rehab

Neodesha, KS · Wilson County

CMS 3/5 45 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
26%
Serious cites
0

Neodesha Care and Rehab runs on a for-profit limited liability company out of Wilson County, and its staffing is the part that holds up: 3.93 nurse hours per resident day, slightly above the national average, with turnover at 26.2% against a national 45.8%, meaning most of the people caring for residents tend to stick around. Weekends are thinner, roughly 13% below weekday coverage, so plan visits accordingly. The record isn't spotless: 18 deficiencies, one serious enough to reach harm or jeopardy level, and an $11,911 fine. The most recent inspection was April 2026. Quality measures score lower than staffing does, which is worth asking about directly.

B

74/100

Cambridge Place

Marysville, KS · Marshall County

CMS 2/5 91 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
49%
Serious cites
0

Cambridge Place runs about 3.44 nursing hours per resident per day, roughly 11% under the national average, and weekends are thinner still, around 15% below its own weekday staffing. That gap matters most when a resident needs help on a Saturday. Staff turnover sits at 48.8%, a few points above the national figure, and the home carries 43 deficiencies on its current record, including two tied to abuse, though none rose to the level of actual harm or jeopardy. Inspectors were last on site in August 2025. The quality measure score looks strong; the inspection history and thin weekend coverage are the parts worth asking about directly.

B

74/100

Life Care Center Of Burlington

Burlington, KS · Coffey County

CMS 3/5 77 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
47%
Serious cites
0

Life Care Center Of Burlington runs 77 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average of 3.86. Weekends dip about 10 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 47.2 percent, slightly above the national 45.8 percent. On its current record the home carries 23 deficiencies, including one at the harm or jeopardy level and four tied to abuse. State inspectors last visited on December 11, 2024, and the health inspection rating came back 3 out of 5.

B

74/100

Linn Community Nursing Home

Linn, KS · Washington County

CMS 3/5 42 beds Non-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
51%
Serious cites
0

Linn Community Nursing Home runs on thinner staffing than most Kansas homes its size, 3.38 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 11% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Annual turnover sits at 51.1%, above the 45.8% national figure, which means new faces on the floor and less continuity for residents who need consistent care. The current record carries 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $10,036 fine. A February 2026 inspection is recent, so this reflects present conditions rather than an old history. Quality measures look better than the day-to-day staffing does.

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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