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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 7541–7560 of 12,967, best-graded first.

B

74/100

Sunny Springs Nursing & Rehab

Sulphur Springs, TX · Hopkins County

CMS 2/5 95 beds Government Medicaid
Nurse hours
3.36 /day
Staff turnover
45%
Serious cites
0

Sunny Springs is run by the hospital district, which is worth knowing since government-owned homes often operate differently than chains. The staffing numbers are the real story here: 3.36 nurse hours per resident day puts it about 13% under the national average, and weekends drop roughly 8% below its own weekday levels. That shows up in the staffing rating. The inspection record is heavy, 57 deficiencies, including two at harm or jeopardy level and seven tied to abuse. Turnover at 44.9% is basically the national norm, so that's not the problem. The 4/5 quality measure score suggests some clinical metrics look fine, but staffing and inspections tell a different story.

B

74/100

Legend Healthcare And Rehabilitation - Greenville

Greenville, TX · Hunt County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
48%
Serious cites
0

Legend Healthcare and Rehabilitation in Greenville runs 126 beds under corporate ownership, and the numbers tell a split story. The health inspection and quality ratings both sit at four out of five stars, and there's nothing on the current record flagged as harm or jeopardy, but 32 deficiencies total, including one tied to abuse, is a lot of paperwork for a home to carry. Nurse staffing lands at 3.26 hours per resident day, roughly 15 percent under the national average, and weekends dip about 10 percent below the home's own weekday levels. Turnover runs slightly above the national rate. Inspectors were last in during August 2025.

B

74/100

Teague Nursing And Rehabilitation

Teague, TX · Freestone County

CMS 5/5 76 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
47%
Serious cites
0

Teague Nursing And Rehabilitation runs a 76-bed for-profit operation in Freestone County, and the numbers pull in two directions. On paper, the place just cleared a federal inspection in February 2026 with no deficiencies at the harm or jeopardy level, a genuinely good sign, and its five-star health inspection rating reflects that. But look at staffing: 3.07 nurse hours per resident per day against a national average of 3.86, with weekends running about 9% thinner than weekdays, and that two-star staffing rating starts to make sense. Eight deficiencies sit on the current record, two tied to abuse. Turnover lands at 46.7%, roughly where the national average sits. The care may be sound, but the people delivering it are stretched.

B

74/100

Carillon Inc

Lubbock, TX · Lubbock County

CMS 3/5 100 beds Non-profit
Nurse hours
4.66 /day
Staff turnover
66%
Serious cites
0

Carillon runs a nonprofit shop with 100 beds in Lubbock, and the staffing numbers are genuinely above average, 4.66 nurse hours per resident day against a national 3.86. That's real coverage, though weekends dip about 10% below the home's own weekday level, and turnover sits at 65.8% against a national 45.8%, which means a lot of the people providing that care are new. The inspection record is where things get harder to wave off: 19 deficiencies, including one at the harm level and two tied to abuse, plus a $57,321 fine. The most recent inspection was June 2026, so the record is current. Strong daily staffing, shaky consistency, and a citation history worth asking about directly.

B

74/100

Mabee Health Care Center

Midland, TX · Midland County

CMS 4/5 44 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
84%
Serious cites
0

Mabee Health Care Center runs 44 beds in Midland as a nonprofit, and its quality measure score is genuinely strong, 5 out of 5. The trouble sits on the staffing side. At 3.76 nurse hours per resident day, it's slightly under the national average, and weekend coverage actually holds above weekday levels, which is unusual and worth something. What stands out more is turnover: 83.8% annually, nearly double the national 45.8%. Fourteen deficiencies sit on the current record, none at harm level, one abuse-related, and the last inspection was February 2026, so the picture is fairly fresh. Clinical outcomes look good; keeping caregivers is the open question.

B

74/100

Briarcliff Skilled Nursing Facility

Carthage, TX · Panola County

CMS 3/5 91 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
39%
Serious cites
0

Briarcliff runs on thinner nursing coverage than most homes, 3.26 nurse hours per resident day against a national average of 3.86, and it gets thinner on weekends, when staffing drops about 8% below its own weekday level. Turnover sits at 39%, which is better than the 45.8% national figure, so the people who stay tend to stay. What pulls the record down is the inspection side: 28 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $151,713. The most recent inspection was April 2026, so that picture is recent, not stale.

B

74/100

Avir At Waco

Waco, TX · Mc Lennan County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
43%
Serious cites
0

Avir At Waco runs 120 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.50 nurse hours per resident day sits about 9% under the national average of 3.86, with weekends running roughly 10% thinner than weekdays. Turnover lands at 42.9%, a touch better than the 45.8% national figure, so the people who stay are reasonably stable even if the floor is lean. A recent February 2026 inspection and a four-star health inspection record support that, though 20 deficiencies sit on file, one tied to abuse and none flagged at harm or jeopardy level. Quality measures come in at three stars while staffing rates two.

B

74/100

Belterra Health & Rehab

Mckinney, TX · Collin County

CMS 4/5 103 beds Government Medicaid
Nurse hours
3.39 /day
Staff turnover
37%
Serious cites
0

Belterra Health & Rehab runs on leaner nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday. Turnover is the brighter spot: 36.7% versus 45.8% nationally, meaning aides and nurses stick around longer than is typical. The 20 deficiencies on record include none tied to harm or abuse, and the most recent inspection came in April 2026. As a hospital-district home, it answers to public ownership rather than a chain, which tends to show up in how complaints get handled. Ask about weekend staffing specifically before you decide.

B

74/100

Silver Spring

Abilene, TX · Taylor County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
49%
Serious cites
0

Silver Spring runs on thinner staffing than most Texas homes its size, 3.19 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 13% below its own weekday coverage. That gap shows up in the numbers that matter: 34 deficiencies on the current record, seven serious enough to put residents in harm's way and three tied to abuse, plus a $25,974 fine. Annual turnover sits at 49.4%, meaning half the nursing staff leaves within a year. The corporate owner holds a 1-out-of-5 inspection rating, despite a 4-out-of-5 on quality measures. Whatever the quality data suggests, the inspection history and thin weekend coverage are what a family should weigh before choosing this one.

B

74/100

Legend Oaks Healthcare And Rehabilitation - New Br

New Braunfels, TX · Comal County

CMS 3/5 126 beds Government Medicaid
Nurse hours
3.30 /day
Staff turnover
50%
Serious cites
0

Legend Oaks in New Braunfels runs a government hospital district operation with 126 certified beds, and the staffing side is where the strain shows. At 3.30 total nurse hours per resident day, it's about 14% under the national average, and weekends drop roughly 13% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover sits at 49.5%, above the national 45.8%. The inspection record holds 38 deficiencies, none at harm level but three tied to abuse, with the last survey dated May 2026. Quality measures score well, but the staffing numbers are what temper the overall picture.

B

74/100

Forum Parkway Health & Rehabilitation

Bedford, TX · Tarrant County

CMS 3/5 139 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
49%
Serious cites
0

Forum Parkway runs 139 beds in Bedford under corporate ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average. Weekends dip roughly 8% below its own weekday coverage, and annual turnover is 49.1%, higher than the 45.8% national figure, so the faces here change often. The current record shows 23 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $19,083. Inspectors were last out in March 2026. Quality measures score well, and that's genuinely worth something for a family weighing rehab or long-term care here. But thinner weekend coverage and steady staff churn are the things to ask about directly when you tour.

B

74/100

Sterling Oaks Rehabilitation

Katy, TX · Harris County

CMS 4/5 126 beds Government Medicaid
Nurse hours
3.11 /day
Staff turnover
39%
Serious cites
0

Sterling Oaks runs on a thinner nursing floor than most homes its size, about 3.11 nurse hours per resident per day against a national average near 3.86, and weekends drop roughly 8% below its own weekday pace. That gap is the main thing pulling its staffing rating down to 2 out of 5. Where it holds up better: turnover sits at 39.1% against a national 45.8%, and its inspection record shows 18 deficiencies with none at the harm level and none tied to abuse. A recent May 2026 inspection and 4 out of 5 stars on both health inspections and quality measures round it out. If your family member needs heavy day-to-day hands-on care, ask specifically how weekend coverage gets filled.

B

73.5/100

Northgate Health And Rehabilitation Center

Bessemer, AL · Jefferson County

CMS 2/5 69 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
79%
Serious cites
0

Northgate runs on thin nursing coverage, 3.19 hours per resident day against a national average of 3.86, and weekends drop roughly 18% below what the home manages Monday through Friday. That staffing picture gets harder to defend next to a 78.6% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are frequently new or on their way out. The inspection record shows 23 deficiencies, three involving actual harm or jeopardy and two tied to abuse, along with three fines totaling $17,346. One recent inspection in January 2025 produced a health inspection rating of 1 out of 5.

B

73.5/100

Wesley Place On Honeysuckle

Dothan, AL · Houston County

CMS 2/5 166 beds Non-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
—
Serious cites
0

Wesley Place On Honeysuckle runs 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and weekend staffing holds within about 4% of weekdays. That's a real strength. But the inspection record is where this home gets tripped up: 15 deficiencies on file, two of them serious enough to reach harm or jeopardy level, plus 12 fines totaling $48,689. The most recent inspection was in March 2024, so the record is current, not stale. Ownership is nonprofit, which sometimes signals steadier resources, but it hasn't translated into a clean survey history here. Good staffing, uneven compliance. If you tour, ask directly what those two harm-level deficiencies involved and what changed since.

B

73.5/100

Woodland Village Rehabilitation And Healthcare Cen

Cullman, AL · Cullman County

CMS 4/5 149 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Woodland Village runs on more nursing hours than most homes, 4.10 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 38.2% versus 45.8% nationally. That stability shows up on inspections too: three deficiencies on record, none causing harm or involving abuse, and a four-star health inspection rating. The catch is that its last full inspection was in May 2021, so that clean record is several years old, and its quality measure score sits at just two stars. Weekend coverage also drops about 16% below weekday levels, meaning the staffing cushion you see on paper may thin out when it matters most.

B

73.5/100

East Glen

Birmingham, AL · Jefferson County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
57%
Serious cites
0

East Glen runs 108 beds in Birmingham under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 18% below the home's own weekday coverage, which matters most when families visit and when residents need help. Annual turnover is 56.9%, well above the 45.8% national figure, so caregivers change often. The inspection record shows seven deficiencies, none at harm or jeopardy level and none abuse-related, with the last full inspection in March 2023. Federal ratings land at three stars for health inspections, three for staffing, and four for quality measures, decent care measures propped up by thin and shifting staffing.

B

73.5/100

Arbor Oaks Healthcare And Rehabilitation Center

Malvern, AR · Hot Spring County

CMS 3/5 94 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
48%
Serious cites
0

Arbor Oaks runs 94 certified beds in Malvern under for-profit LLC ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 16% below the home's own weekday coverage, so the gap families notice most may be Saturday and Sunday. Turnover runs 47.6% against a national 45.8%, meaning close to half the nursing staff leaves each year. The current inspection record lists 19 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with $8,018 in fines. The most recent inspection was July 2, 2025, so that record is recent, not stale.

B

73.5/100

Twin Lakes Therapy And Living

Flippin, AR · Marion County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
58%
Serious cites
0

Twin Lakes Therapy And Living runs 80 certified beds in Flippin under corporate for-profit ownership, and its nurse staffing sits at 4.23 hours per resident day, roughly 10% above the national average of 3.86. That staffing edge is real, but it thins out on weekends, when coverage drops about 20% below the home's own weekday level. Staff turnover is 57.6% against a national average of 45.8%, so the people providing that care change often. The current inspection record shows 27 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $25,678 in fines across two penalties. The most recent inspection was June 12, 2025. Strong quality measures don't erase that enforcement history.

B

73.5/100

Lakeside Health And Rehab

Lake City, AR · Craighead County

CMS 2/5 85 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
51%
Serious cites
0

Lakeside Health And Rehab runs 85 certified beds in Lake City under for-profit limited liability ownership, and its nurse staffing sits at 3.99 hours per resident day, roughly 3% above the national average of 3.86. That edge shrinks on weekends, when coverage drops about 19% below the home's own weekday level, and staff turnover is 50.6% against a national 45.8%. The bigger issue is the inspection record: nine deficiencies, two of them at the harm or jeopardy level and one abuse-related, plus three fines totaling $41,902. Its most recent inspection was May 1, 2026, and its health inspection rating is 1 out of 5. The 3-star quality measure rating doesn't offset that.

B

73.5/100

Greene Acres Nursing Home

Paragould, AR · Greene County

CMS 4/5 143 beds Non-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
40%
Serious cites
0

Greene Acres runs 143 beds as a nonprofit, and its last inspection was in January 2026, recent enough that the record reflects how the place operates now. The eight deficiencies on file are all lower-level; none involved harm or jeopardy, and nothing abuse-related appears. Staffing sits just under the national average, about 2% below, but weekends dip roughly 21% below the home's own weekday coverage, which is where families tend to notice a difference. Turnover at 40% is better than the 45.8% national figure. The weaker spot in the federal stars is quality measures, where it scores 2 of 5, even as inspections and staffing each earn 4.

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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