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 7481–7500 of 12,967, best-graded first.

B

74/100

Golden Crest Nursing Centre

North Providence, RI · Providence County

CMS 4/5 152 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
45%
Serious cites
0

Golden Crest runs 3.73 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 8% below its own weekday coverage, worth asking about if your relative needs help on Saturdays and Sundays. Turnover sits at 45.2%, almost exactly the national figure, so continuity of caregivers isn't unusually bad here. What pulls the record down is the inspection history: 27 deficiencies, two of them at harm or jeopardy level and one abuse-related, plus two fines totaling $70,868. The most recent inspection was December 2025, so the picture is current. A 152-bed for-profit corporate home with solid star ratings but real harm-level findings on the books.

B

74/100

Adviniacare Scallop Shell, Llc

South Kingstown, RI · Washington County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
56%
Serious cites
0

Elderwood of Scallop Shell runs 80 beds under for-profit LLC ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86. That gap widens on weekends, when coverage drops about 13% below the home's own weekday level, and annual turnover of 55.9% means more than half the nursing staff leaves each year, against a national rate of 45.8%. The inspection record is where the real concern sits: 25 deficiencies, six of them serious enough to reach harm or jeopardy level, and two fines totaling $89,882. The most recent inspection was November 2025, so that record is current.

B

74/100

Lakelands Nursing And Rehabilitation Center

Abbeville, SC · Abbeville County

CMS 4/5 69 beds Government Medicaid
Nurse hours
4.23 /day
Staff turnover
42%
Serious cites
0

Lakelands runs on county money, and the staffing numbers show it: 4.23 nurse hours per resident day, roughly 9% above the national average, with turnover at 41.8%, better than the 45.8% typical elsewhere. Weekend coverage dips about 9% below its own weekday pace, worth asking about if you're planning visits then. The inspection record is clean: two deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent look was April 2026. What pulls the quality measure rating down to 1 out of 5 is the piece families feel day to day, weight loss, falls, pain, infections, so ask to see that data before deciding.

B

74/100

L.m.c.- Extended Care

Lexington, SC · Lexington County

CMS 3/5 352 beds Non-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
41%
Serious cites
0

L.m.c.- Extended Care runs 352 certified beds in Lexington, and its nurse staffing sits right at the national average of 3.86 hours per resident day, not below it, but with weekend coverage running about 12 percent lighter than weekdays, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover of 41.4 percent is lower than the national 45.8 percent, so the workforce is somewhat more stable than most. Against that, the current record carries 14 deficiencies, including one at the harm or jeopardy level and three tied to abuse, along with two fines totaling $30,021; the most recent inspection was in July 2025.

B

74/100

Lake Andes Senior Living

Lake Andes, SD · Charles Mix County

CMS 1/5 43 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
38%
Serious cites
0

Lake Andes Senior Living runs on 3.15 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday level. Turnover sits at 38.2%, better than the 45.8% national figure, so the staff who are there tend to stay, even if there aren't enough of them. The inspection record is where the trouble concentrates: 21 deficiencies, three serious enough to put residents at risk of harm, and two fines totaling $102,440. A 1-out-of-5 inspection rating alongside a 4-out-of-5 quality measure score suggests the day-to-day care metrics look fine on paper while the survey history tells a harder story.

B

74/100

Wheatcrest Hills Healthcare Center

Britton, SD · Marshall County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
2.69 /day
Staff turnover
32%
Serious cites
0

Wheatcrest Hills runs a lean nursing floor, 2.69 nurse hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday numbers. That's the kind of gap families notice at 2 a.m., not on a brochure. Turnover sits at 32.4%, meaningfully better than the 45.8% national figure, and the last inspection was recent, December 2025. The record isn't clean, though. Fourteen deficiencies are logged, three of them serious enough to involve harm or jeopardy, with four fines totaling $37,553. No abuse findings appear. Corporate-owned, 60 beds, mid-range marks on health inspections and quality measures, a home with real strengths in retention and none in raw staffing depth.

B

74/100

Nhc Healthcare, Lewisburg

Lewisburg, TN · Marshall County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
53%
Serious cites
0

Nhc Healthcare, Lewisburg runs 100 certified beds under for-profit LLC ownership, and its nurse staffing sits slightly above the national average at 4.01 hours per resident day. But weekends drop about 11% below its own weekday coverage, and annual turnover runs 52.8% against a 45.8% national average, so the people on shift are often new. The inspection record is the heavier issue: 25 deficiencies, seven at harm or jeopardy level, three tied to abuse, and a $217,240 fine. With a February 2026 inspection and a one-star health inspection rating against five-star quality measures, the care results and the oversight history tell different stories.

B

74/100

Smith County Health And Rehabilitation

Carthage, TN · Smith County

CMS 5/5 128 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
52%
Serious cites
0

Smith County Health and Rehabilitation runs 128 certified beds in Carthage under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating with just six deficiencies on file, though two of those reached the harm or jeopardy level and one was abuse-related, so the record isn't spotless. Staffing is where the picture weakens. At 3.60 nurse hours per resident day, it sits about 7% under the national average, weekends run roughly 10% lighter than weekdays, and annual turnover of 51.7% edges past the 45.8% national figure. The most recent inspection was September 2025. Ask about weekend coverage and how quickly aides cycle through.

B

74/100

Collierville Nursing And Rehabilitation, Llc

Collierville, TN · Shelby County

CMS 2/5 114 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
50%
Serious cites
0

The staffing numbers are the real story here. At 3.39 nurse hours per resident day, Collierville runs about 12 percent below the national average, and weekends dip another 11 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. A 50 percent annual turnover rate, above the 45.8 percent national figure, means the aides and nurses who remain are often the newest ones. Ownership is for-profit, through a limited liability company. On the record side, there are 27 deficiencies, three of them abuse-related, though none rose to the harm or jeopardy level. The last inspection was February 2022, so that picture is dated. The 4/5 quality measure score reflects reported clinical outcomes, but quality measures and daily staffing are different things, and here they point in opposite directions.

B

74/100

Marshall Manor Nursing & Rehabilitation Center

Marshall, TX · Harrison County

CMS 4/5 179 beds Government Medicaid
Nurse hours
3.85 /day
Staff turnover
48%
Serious cites
0

Marshall Manor runs 179 certified beds under hospital district ownership, and its staffing sits right at the national average, 3.85 total nurse hours per resident day against 3.86 nationally. That average comes with a catch: weekends run about 13% thinner than weekdays, and turnover is 48.1%, a bit above the 45.8% national figure. The health inspection record shows 25 deficiencies, none at harm or jeopardy level, though six are abuse-related. With a May 2025 inspection and 4/5 stars on both health inspections and quality measures, the clinical picture holds up. The staffing rating tells a different story.

B

74/100

Lone Star Rehabilitation & Wellness Center

Stephenville, TX · Erath County

CMS 4/5 122 beds For-profit Medicaid
Nurse hours
2.73 /day
Staff turnover
34%
Serious cites
0

Lone Star Rehabilitation & Wellness Center runs about 2.73 nurse hours per resident per day, roughly 29% under the national average of 3.86, and weekends dip another 14% below its own weekday level. That staffing pattern matters more than the 13 deficiencies on record, none of which involved harm or jeopardy, though one was abuse-related. Turnover sits at 33.8%, better than the national 45.8%, and the last inspection was recent, in September 2025. With 122 certified beds under for-profit LLC ownership, the inspection record looks solid enough, it's the daily nurse coverage, especially on weekends, that families should ask about directly.

B

74/100

Rocky Mountain Care - Hunter Hollow

West Valley City, UT · Salt Lake County

CMS 2/5 124 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
49%
Serious cites
0

Rocky Mountain Care - Hunter Hollow runs 124 certified beds as a for-profit LLC, and its current inspection record carries 26 deficiencies, six of them serious enough to involve harm or jeopardy, three tied to abuse. That's a lot of citations against one building. Nurse staffing sits at 3.71 hours per resident day, slightly under the national average, and weekends drop about 11% below its own weekday coverage. Staff turnover is 48.9%, higher than the 45.8% national figure. The quality measure score looks strong on paper, but the health inspection side tells a different story, and the last survey was in February 2026. If you're weighing this one, ask specifically about those six harm-level citations before you decide.

B

74/100

Rocky Mountain Care - Willow Springs

Tooele, UT · Tooele County

CMS 4/5 112 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
54%
Serious cites
0

Rocky Mountain Care - Willow Springs runs 112 certified beds in Tooele under nonprofit corporate ownership. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover is 54.3% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record lists 32 deficiencies, including five at harm or jeopardy level and two tied to abuse, with $40,892 in fines across two penalties. The most recent inspection was June 17, 2025. Quality measure scores look strong; the staffing and inspection numbers are where the concerns sit.

B

74/100

Mission At Community Living Rehabilitation Center

Centerfield, UT · Sanpete County

CMS 3/5 46 beds Government Medicaid
Nurse hours
2.94 /day
Staff turnover
40%
Serious cites
0

Mission at Community Living runs on 2.94 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips about 12% below its own weekday level. Turnover sits at 40%, better than the 45.8% national figure, and the county-owned home was inspected recently, in June 2025, with 20 deficiencies on record, none at harm or jeopardy level, though four are abuse-related, and one fine totaling $6,351. Its quality measure score is strong and its health inspection score is middling. The tension here is thin daily staffing against decent retention and no serious harm findings; ask how weekends and evenings are actually covered before deciding.

B

74/100

Cascades At Riverwalk

Midvale, UT · Salt Lake County

CMS 4/5 120 beds Government Medicaid
Nurse hours
3.77 /day
Staff turnover
55%
Serious cites
0

Cascades At Riverwalk runs on thin nurse staffing for a 120-bed home, 3.77 hours per resident day sits just under the national average of 3.86, and weekends drop about 11% below its own weekday coverage. That gap matters more than the headline number, since care doesn't pause on Saturdays. Staff turnover is 55%, well above the 45.8% national figure, which means the people at the bedside keep changing. The inspection record shows 39 deficiencies, including one at the harm level and one abuse-related, with a single fine of $23,829. Quality measures score well, but staffing and inspection results pull the other way. A recent November 2025 inspection helps, though it doesn't erase the pattern.

B

74/100

Mayo Healthcare Inc.

Northfield, VT · Washington County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
—
Serious cites
0

Mayo Healthcare in Northfield runs a tight ship on the basics: its last health inspection came back with zero deficiencies at the harm or jeopardy level, and none related to abuse, which is the floor every family should care about first. Nurse staffing sits at 4.38 hours per resident per day, roughly 13% above the national average, though weekends drop about 15% below the home's own weekday coverage, worth asking about if your relative needs more hands-on help on Saturdays and Sundays. The gap to watch is quality measures, which score near the bottom. Ten total deficiencies on record, none serious, but the clinical outcomes data is where this home looks weakest.

B

74/100

Burke Health & Rehabilitation Center

Burke, VA · Fairfax County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
49%
Serious cites
0

Burke Health & Rehabilitation Center runs 120 beds under corporate ownership, and its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 48.5%, a few points above the national figure of 45.8%. The inspection record shows 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last full inspection in June 2023. Quality measures score well, but the staffing picture is where the tension sits: adequate on paper, thinner in practice.

B

74/100

Battlefield Park Healthcare Center

Petersburg, VA · Petersburg City County

CMS 2/5 119 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
51%
Serious cites
0

Battlefield Park runs on 3.25 nurse hours per resident day, about 16% under the national average, and weekend coverage drops roughly 12% below its own weekday numbers, so the thinnest staffing lands when families tend to visit. Staff turnover sits at 50.9%, higher than the 45.8% national rate, which means the people caring for your relative are likelier than average to be new or on their way out. The inspection record carries 72 deficiencies, four at harm or jeopardy level and six tied to abuse, with the most recent inspection in September 2024. Corporate-owned and certified for 119 beds.

B

74/100

The Laurels Of Willow Creek

Midlothian, VA · Chesterfield County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
47%
Serious cites
0

The Laurels of Willow Creek runs 120 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends dip about 14 percent below the home's own weekday coverage, which matters when falls and infections don't check the calendar. The inspection record carries 54 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with the most recent inspection back in September 2023. Staff turnover is 47 percent, slightly above the national 45.8. Quality measures score well, but consistent staffing and a clean survey record are what families actually live with day to day.

B

74/100

Hampton Health & Rehab Center, Llc

Hampton, VA · Hampton City County

CMS 3/5 86 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
55%
Serious cites
0

Hampton Health & Rehab Center runs 86 certified beds 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 dip about 15% below the home's own weekday coverage, and annual turnover hits 54.7% against a national 45.8%, meaning nearly six in ten caregivers left within the year. The inspection record shows 48 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Its last inspection was September 5, 2024. CMS gives it 2 out of 5 stars for staffing and the same for health inspections, while quality measures score 5 out of 5, an unusual split worth asking about directly.

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