ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 7361–7380 of 12,967, best-graded first.

B

74/100

Accura Healthcare Of Fullerton

Fullerton, NE · Nance County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
2.93 /day
Staff turnover
42%
Serious cites
0

Accura Healthcare Of Fullerton runs 75 certified beds under corporate ownership, and the staffing numbers are the main story here: 2.93 nurse hours per resident day, roughly a quarter below the national average of 3.86, with weekends running about 10 percent thinner than weekdays. That earned a 2-out-of-5 staffing rating from CMS. Staff turnover sits at 41.9 percent, slightly better than the national 45.8 percent, which suggests some stability even with lean coverage. The inspection record shows 19 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in April 2026.

B

74/100

Hillcrest Health & Rehab

Bellevue, NE · Sarpy County

CMS 1/5 151 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
42%
Serious cites
0

Hillcrest runs on a corporate for-profit model with 151 certified beds, and its staffing is genuinely a bright spot, 4.59 nurse hours per resident day, about 19% above the national average, with turnover at 41.6% that's actually a touch better than the 45.8% norm. Weekends dip roughly 10% below weekday coverage, which is worth asking about if your family visits then. The trouble sits on the inspection side: 17 deficiencies on the current record, three of them at harm or jeopardy level, and a $51,150 fine. The last inspection was December 17, 2024, and the two-star health inspection and quality ratings reflect those findings rather than the staffing numbers.

B

74/100

Life Care Center Of Omaha

Omaha, NE · Douglas County

CMS 1/5 128 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
51%
Serious cites
0

Life Care Center of Omaha runs 128 beds under for-profit partnership ownership, and its staffing numbers look decent at first glance, 4.20 nurse hours per resident day, about 9% above the national average. But weekends drop roughly 14% below the home's own weekday coverage, and annual turnover sits at 50.9%, higher than the 45.8% national figure. The bigger concern is the inspection record: 44 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with a $31,079 fine and a September 2025 inspection. CMS gives it one star for health inspections, and the quality measure score of four stars doesn't offset that.

B

74/100

Trellis Centennial

Las Vegas, NV · Clark County

CMS 5/5 72 beds For-profit
Nurse hours
4.34 /day
Staff turnover
52%
Serious cites
0

Trellis Centennial runs about 4.34 nurse hours per resident per day, roughly 12% above the national average, real coverage on paper. But weekends dip about 14% below its own weekday staffing, and turnover sits at 52.2% against a national 45.8%, so the people delivering that care keep changing. The inspection record shows 20 deficiencies, including one at the harm level and one tied to abuse, with a single fine of $8,278. The most recent inspection was May 2026, so the picture is current. Strong quality measures and a four-star inspection rating sit alongside those findings and the churn, worth asking about weekend coverage and how they've addressed the abuse-related deficiency specifically.

B

74/100

Mission Pines Nursing And Rehab Center

North Las Vegas, NV · Clark County

CMS 3/5 240 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
53%
Serious cites
0

Mission Pines runs on thin staffing for a 240-bed building: 3.04 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday coverage. Annual turnover sits at 52.6%, higher than the 45.8% national figure, so the people providing that care are cycling through faster than average. Inspections look better than the payroll does, a 4/5 health inspection rating, 23 deficiencies on record with none at harm or jeopardy level, though one is abuse-related, and the most recent survey was November 2025. For-profit, limited liability ownership. The quality measure score holds at 4/5, but those numbers come from resident assessments, not from how many hands are actually on the floor.

B

74/100

Keene Center, Genesis Healthcare

Keene, NH · Cheshire County

CMS 3/5 106 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
34%
Serious cites
0

Keene Center runs about 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekends dip another 13% below its own weekdays. That's the number I'd watch: less coverage on Saturdays and Sundays is when falls and medication issues tend to surface. Turnover sits at 33.8%, better than the 45.8% national figure, so the crew is relatively stable even if it's thin. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2026. Corporate for-profit ownership, mid-range marks on inspections, quality measures, and staffing alike. Nothing alarming here, but the staffing math is the thing to ask about directly.

B

74/100

Morrison Nursing Home

Whitefield, NH · Coos County

CMS 4/5 57 beds Non-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
40%
Serious cites
0

Morrison Nursing Home runs about 3.39 nurse hours per resident day, roughly 12% under the national average, and weekends dip another 12% below its own weekday coverage. The bigger concern is its inspection record: 22 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus one $45,227 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Staff turnover at 40% is better than the 45.8% national figure, and the most recent inspection came in January 2026, so the record is current. What stands out isn't a single bad number; it's the combination of thin staffing, serious deficiency findings, and federal watch-list status together.

B

74/100

Embassy Manor At Edison Nursing And Rehabilitation

Edison, NJ · Middlesex County

CMS 3/5 280 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
40%
Serious cites
0

Embassy Manor runs 280 beds in Edison under for-profit LLC ownership, and the numbers pull in different directions. Nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, and weekends dip about 11% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus a $102,840 fine. Staff turnover at 39.8% actually beats the national 45.8%, and the quality measure rating is strong, but a 2/5 inspection score with recent trouble on record is what a family should weigh first.

B

74/100

Complete Care At Monmouth, Llc

Long Branch, NJ · Monmouth County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
58%
Serious cites
0

Complete Care at Monmouth is a for-profit, LLC-run home with 120 certified beds, and the staffing numbers are the first thing to notice. At 3.43 nurse hours per resident day, it runs roughly 11% under the national average, with weekend coverage dipping slightly below its own weekday level. Turnover sits at 58.1% against a national 45.8%, so the aides and nurses at the bedside keep changing. Its current record carries 23 deficiencies, none at the harm level but three tied to abuse. The most recent inspection was December 2024. Quality measure scores come in strong, yet the health inspection and staffing ratings land at 2 and 1 out of 5, families weighing that gap should ask directly how consistent the daily coverage really is.

B

74/100

Spring Creek Healthcare Center

Perth Amboy, NJ · Middlesex County

CMS 4/5 179 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
49%
Serious cites
0

Spring Creek runs about 3.31 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday levels. That thin margin matters more than the inspection record, which is solid: 15 deficiencies on file with three at the harm level and none tied to abuse, and a survey completed in April 2025. Staff turnover sits at 48.5%, a few points above the national figure, so the people around your family member change often. It's an individually owned, for-profit home with 179 beds, and the staffing numbers are the piece worth watching.

B

74/100

Complete Care At Phillipsburg, Llc

Phillipsburg, NJ · Warren County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
47%
Serious cites
0

Complete Care At Phillipsburg runs 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends drop about 12% below its own weekday staffing. That gap is what drives its 1-out-of-5 staffing rating, even though inspectors rated it 4 out of 5 on health inspections and quality measures. Turnover sits at 47.2%, slightly above the national 45.8%. Eight deficiencies are on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in February 2025. The corporate for-profit owner keeps costs down on the floor while the clinical record looks solid, worth asking how the weekday-to-weekend staffing shift plays out in daily care.

B

74/100

Shore Gardens Rehabilitation And Nursing Center

Toms River, NJ · Ocean County

CMS 1/5 149 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
29%
Serious cites
0

Shore Gardens is a for-profit home in Toms River with 149 certified beds, and its record is mixed in ways worth understanding. Staff turnover sits at 28.9 percent, notably better than the national 45.8 percent, so the people who work here tend to stay. But daily nurse staffing runs about 21 percent below the national average, and weekends dip about 11 percent lower than weekdays, meaning care thins out exactly when families often visit. The inspection record is the real concern: 32 deficiencies, including two at harm or jeopardy level and five tied to abuse, with $179,628 in fines and a February 2025 inspection.

B

74/100

Little Brook Nursing And Convalescent Home

Califon, NJ · Hunterdon County

CMS 1/5 36 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
41%
Serious cites
0

Little Brook is a 36-bed for-profit home in Hunterdon County, and its inspection record is the main thing to know before you visit. Federal inspectors have logged 54 deficiencies, including 8 that caused actual harm or put residents in immediate jeopardy and 9 tied to abuse. Three fines add up to $348,686, and CMS has placed the home in its Special Focus Facility program, which is reserved for the poorest performers. Staffing is rated 1 out of 5, and the last inspection was October 30, 2024. Annual turnover runs 40.7%, slightly better than the 45.8% national average, but that's the one number here working in its favor.

B

74/100

St Catherine Of Siena

Caldwell, NJ · Essex County

CMS 3/5 30 beds Non-profit Medicaid
Nurse hours
1.93 /day
Staff turnover
10%
Serious cites
0

St Catherine of Siena runs small, 30 beds, and its nurses give residents 1.93 hours of care per resident day, roughly half the national figure of 3.86. That thin coverage is the weakest number here, and weekends drop a little further below the home's own weekday levels. What stands out in the other direction is retention: 10% annual turnover against a national average near 46%, meaning the people on shift tend to stay. Its inspection record shows 18 deficiencies, none involving harm or abuse, with four fines totaling $16,171 and a survey as recent as January 2025. The trade-off is real: stable, familiar staff, but not many of them per resident.

B

74/100

Barnert Subacute Rehabilitation Center, Llc

Paterson, NJ · Passaic County

CMS 4/5 68 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
60%
Serious cites
0

Barnert Subacute Rehabilitation Center runs 68 certified beds in Paterson under for-profit LLC ownership, and its nurse staffing averages 4.39 hours per resident day, roughly 14% above the national figure of 3.86. That cushion is real, though weekends dip about 9% below the home's own weekday level, and annual turnover sits at 59.5% against a national average of 45.8%, meaning a lot of the people providing that care are new to the building. The current record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2025. Staffing and quality measures each land at three stars, health inspections at four.

B

74/100

Florham Park Rehabilitation And Healthcare Center

Florham Park, NJ · Morris County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
50%
Serious cites
0

Florham Park Rehabilitation and Healthcare Center runs 53 certified beds under for-profit LLC ownership, and the nurse staffing number is genuinely strong, 4.73 hours per resident day, roughly 23% above the national average. That's the kind of coverage that shows up in daily care. Two things pull against it. Weekend staffing drops about 12% below the home's own weekday level, and annual turnover sits at 50%, a bit above the 45.8% national figure. High turnover means new faces on the floor more often than families might expect. On paper the record is clean: three deficiencies total, none at harm or jeopardy level, none abuse-related, and a recent March 2026 inspection. CMS rates health inspections and quality measures at 5 stars each.

B

74/100

Odelia Healthcare

Albuquerque, NM · Bernalillo County

CMS 4/5 119 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
48%
Serious cites
0

Odelia Healthcare runs 119 certified beds in Albuquerque under corporate for-profit ownership, and its 4-star inspection and quality ratings suggest the care basics are mostly in order. The staffing picture is where the cracks show: 3.18 nurse hours per resident day sits about 18% under the national average, and weekends run roughly 13% thinner than weekdays, which matters when falls and infections don't check the calendar. Turnover at 47.6% edges past the national rate, so familiar faces may be hard to count on. Thirty-one deficiencies on record, including one tied to abuse and one at the harm level, are worth asking about directly. The last inspection was May 2025.

B

74/100

Betty Dare Wellness & Rehabilitation Llc

Alamogordo, NM · Otero County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
68%
Serious cites
0

Betty Dare Wellness & Rehabilitation runs 90 certified beds in Alamogordo under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average, and weekends drop about 11% below what the home staffs during the week, so coverage thins out right when families tend to visit. The bigger red flag is turnover: 67.7% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. Inspections show 70 deficiencies on the current record, none at harm level but one abuse-related, and the health inspection rating is 2 out of 5. Quality measures score better at 4 out of 5, which suggests clinical care can be solid when staffing holds up.

B

74/100

Albuquerque Heights Healthcare And Rehabilitation

Albuquerque, NM · Bernalillo County

CMS 3/5 134 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
67%
Serious cites
0

Albuquerque Heights runs a for-profit corporate operation with 134 certified beds, and its staffing sits at 3.76 hours per resident day, just under the national average, with weekends about 10% thinner than weekdays. The bigger issue is turnover: 66.7% of staff leave annually, well above the 45.8% national figure, which means the people caring for your family member are often new and still learning the building. Inspections tell a similar story. There are 84 deficiencies on the current record, including one at the harm level and one abuse-related, and the last inspection was April 2025. The fines are modest, but the volume of problems is not.

B

74/100

San Juan Care Center

Farmington, NM · San Juan County

CMS 5/5 93 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
53%
Serious cites
0

San Juan Care Center runs on thin staffing: 3.16 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday level. Annual turnover sits at 52.9%, well above the 45.8% national figure, so the people providing that care are often new. The inspection record shows 23 deficiencies, none at the harm level but one abuse-related, with the most recent visit in June 2025. Ownership is for-profit corporate. The high inspection stars suggest the building itself is being run carefully when surveyors arrive; the low staffing stars suggest there frequently aren't enough hands.

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.

Before you shortlist