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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 7841–7860 of 12,967, best-graded first.

B

73/100

Willow Brook Rehabilitation And Healthcare Center

Kutztown, PA · Berks County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
41%
Serious cites
0

Willow Brook runs 140 beds in Kutztown under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. It budgets 3.49 nursing hours per resident per day against a national average of 3.86, roughly 10% lighter, and weekends dip about 6% below its own weekday coverage, so the thinnest shifts are the ones families visit. Turnover sits at 41.4%, a bit better than the 45.8% national figure. The current record shows six deficiencies, one serious enough to involve harm or jeopardy, plus a $12,740 fine; the last inspection was March 2026. Resident outcome measures score well, but the inspection and staffing ratings tell the more practical story.

B

73/100

Embassy Of East Mountain

Wilkes-Barre, PA · Luzerne County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
35%
Serious cites
0

Embassy Of East Mountain is a 120-bed for-profit in Wilkes-Barre, and the numbers that stand out first are the deficiencies: 40 on the current record, including one at the harm or jeopardy level. Its health inspection rating sits at 1 out of 5 stars, and the most recent inspection was January 9, 2026. Staffing runs 3.42 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends dip about 5% below the home's own weekday levels. Turnover is the one bright spot, 35.2% against a national 45.8%, so aides tend to stay longer here than average. The tension is real: stable staff, thin coverage, and a heavy inspection history.

B

73/100

Meadow View Nursing Center

Berlin, PA · Somerset County

CMS 3/5 150 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
57%
Serious cites
0

Meadow View in Berlin runs 150 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends are thinner still, about 7% below what the home staffs on weekdays, and annual turnover is 56.9% against a national 45.8%, so the people at the bedside keep changing. The inspection record is where the real weight sits: 46 deficiencies on file, including three at the harm or jeopardy level and three tied to abuse, with three fines totaling $54,570. A recent inspection in February 2026 gives you current information, though, and the quality measure rating suggests residents' clinical outcomes are being tracked well even while the staffing picture lags.

B

73/100

Cliveden Nursing And Rehabilitation Center

Philadelphia, PA · Philadelphia County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
51%
Serious cites
0

Cliveden runs 180 beds under for-profit limited liability ownership, and its staffing numbers sit closer to the bottom than the middle: 3.41 nurse hours per resident day against a national average of 3.86, with weekends about 4% thinner than weekdays. Annual turnover of 51.4% means roughly half the nursing staff leaves each year, which matters more when there's already less coverage per resident. The record shows 61 deficiencies, including three tied to abuse, though none at the harm or jeopardy level. Inspectors were last in on June 13, 2025, and the health inspection rating sits at 2 out of 5. Resident outcome measures score well, but those reflect a narrower slice of care than daily staffing and survey history do.

B

73/100

Complete Care At Berkshire Llc

Reading, PA · Berks County

CMS 4/5 130 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
39%
Serious cites
0

Complete Care At Berkshire is a for-profit, 130-bed home in Reading, and its numbers tell a mixed story. Nurse staffing runs about 3.32 hours per resident per day, roughly 14% under the national average of 3.86, and weekends dip about 5% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover sits at 39.1%, better than the 45.8% national benchmark, which suggests some stability in the workforce. Against that, the inspection record shows 11 deficiencies, including one at the harm level and one tied to abuse, plus a $13,070 fine. The most recent inspection was November 20, 2025.

B

73/100

Village House Nursing & Rehabilitation Center

Newport, RI · Newport County

CMS 4/5 95 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
29%
Serious cites
0

Village House runs on a thinner nursing staff than most places, about 3.35 hours per resident day against a national average near 3.86, and weekends get leaner still, roughly 8% below its own weekday coverage. What stands out in the other direction is retention: 28.6% turnover is well under the 45.8% national figure, so the aides and nurses you'd meet have tended to stay. The inspection record is recent and largely clean, with 12 deficiencies, one serious enough to reach harm level, and a single $8,018 fine. Quality measures are where this home slips, though; the clinical outcomes data is markedly weaker than its staffing and inspection results suggest.

B

73/100

St Clare Home

Newport, RI · Newport County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
56%
Serious cites
0

St. Clare Home in Newport runs a nonprofit operation with 50 certified beds, and its nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average of 3.86. That's a real advantage, though weekend coverage drops about 12% below its own weekday levels, so care isn't perfectly even across the week. Staff turnover lands at 56.3%, well above the 45.8% national figure, which matters for consistency. The health inspection rating is strong at 4 out of 5, with the most recent inspection in April 2025, but 28 deficiencies are on record, including one at the harm level. The quality measure rating comes in at just 1 out of 5, a gap worth asking about directly.

B

73/100

Carlyle Senior Care Of Kingstree

Kingstree, SC · Williamsburg County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
38%
Serious cites
0

Carlyle Senior Care of Kingstree runs 96 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, with weekends running roughly 10% thinner than weekdays, a pattern families should ask about directly, since that's when coverage gaps tend to show. Turnover at 37.8% is actually better than the 45.8% national figure, which matters for consistency of care. The current record shows 9 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,788. The most recent inspection was April 2026.

B

73/100

Fountain Inn Post Acute

Fountain Inn, SC · Greenville County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
63%
Serious cites
0

Fountain Inn Post Acute runs 60 beds under limited-liability, for-profit ownership, and its nursing hours land at 3.37 per resident day, roughly 13% under the national average of 3.86. Weekends dip about 12% below the home's own weekday staffing, and annual turnover sits at 62.5% against a national 45.8%, so the same faces aren't guaranteed shift to shift. The inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in December 2025. Quality measure scores are strong at 5 out of 5, which reflects resident outcomes on paper. The tension here is real: good clinical metrics, thin staffing, and heavy turnover.

B

73/100

Springdale Healthcare Center

Camden, SC · Kershaw County

CMS 1/5 148 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
64%
Serious cites
0

Springdale Healthcare Center runs on thin staffing: 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels. That's the reality behind its 1-out-of-5 staffing rating. The current record carries 28 deficiencies, including 5 at harm or jeopardy level and 6 tied to abuse, with $34,210 in fines across two cases. Annual turnover of 63.9%, well above the 45.8% national figure, means the staff caring for your family member is likely to change often, which matters for continuity when residents have complex needs. A 4-out-of-5 quality measure rating doesn't erase a 2-out-of-5 inspection history, especially with a January 2026 inspection still fresh on the books.

B

73/100

Mccoy Memorial Nursing Center

Bishopville, SC · Lee County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
29%
Serious cites
0

McCoy Memorial runs a tight ship on staffing retention, 28.6% turnover is well under the 45.8% national average, which means the people caring for your relative are more likely to still be there next year. The trade-off shows up in two places. Weekend coverage drops about 14% below weekday levels, and overall nurse hours sit around 3.50 per resident day against a national average of 3.86. The current record lists six deficiencies, one serious enough to involve harm or jeopardy. One fine, $8,512. The last inspection was July 2025, so the picture is reasonably fresh. For-profit, LLC-owned, 120 beds.

B

73/100

Jenkin's Living Center

Watertown, SD · Codington County

CMS 3/5 110 beds Non-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
54%
Serious cites
0

Jenkin's Living Center runs 110 beds as a nonprofit corporation, and its most recent inspection was in May 2026. The numbers worth your attention are on the direct-care side: 3.67 nurse staffing hours per resident day sits about 5% under the national average, weekends drop roughly 12% below the home's own weekday levels, and annual turnover of 54.1% runs well above the 45.8% national figure. On its record are 27 deficiencies, three of them serious enough to involve harm or jeopardy and two tied to abuse, plus two fines totaling $53,086. Federal ratings put staffing highest and inspections and quality measures in the middle. Ask about weekend coverage, turnover on your parent's specific unit, and what changed after those harm-level findings.

B

73/100

Renaissance Terrace

Harriman, TN · Roane County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
43%
Serious cites
0

Renaissance Terrace runs 130 certified beds in Harriman, and the staffing numbers are the first thing worth noticing. At 3.22 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover at 42.9% is close to the national figure of 45.8%, meaning the staff churn here isn't unusual, the shortfall is in how many hours are scheduled, not who stays. The inspection record is the bigger concern: 28 deficiencies, three tied to abuse, and a 1/5 health inspection rating with the last survey in September 2023.

B

73/100

River Grove Health And Rehabilitation

Loudon, TN · Loudon County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
40%
Serious cites
0

River Grove runs 180 beds in Loudon under for-profit LLC ownership, and the staffing numbers are the first thing you'd notice. At 3.13 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop about 11% below its own weekday levels, so coverage thins out right when families tend to visit. The good news on the current record: 23 deficiencies but none at harm or jeopardy level and none abuse-related, with an inspection as recent as August 2025. Turnover at 40% is slightly better than the 45.8% national figure, and the 5/5 quality measure score suggests clinical outcomes look better than the staffing rating implies.

B

73/100

Westmoreland Care & Rehab Ctr

Westmoreland, TN · Sumner County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
39%
Serious cites
0

Westmoreland Care & Rehab runs about 3.13 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends dip another 12% below its own weekday numbers. That thin coverage shows up in the federal staffing rating, which sits at the low end. What keeps the picture from being worse: turnover is 38.7%, actually better than the 45.8% national rate, and the 11 deficiencies on record include none tied to harm, jeopardy, or abuse. The most recent inspection was in March 2026, so the findings are current. Quality measures score well; staffing is where the gaps are.

B

73/100

Hermitage Health Center

Elizabethton, TN · Carter County

CMS 5/5 70 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
53%
Serious cites
0

Hermitage Health Center runs a tight ship on inspections, a five-star health inspection rating with just five deficiencies on record, none of them causing harm or involving abuse, and the most recent survey was this past May. That's a real strength, and it's not easy to earn. Staffing is where the picture gets murkier: 3.63 nurse hours per resident day sits about 6% under the national average, weekends dip roughly 9% below the home's own weekday levels, and turnover runs 53.4% against a national 45.8%. So the care you'd see on a Tuesday may not match what's there on a Sunday. Quality measures land mid-range at three stars.

B

73/100

Alta Vista Rehabilitation And Healthcare

Brownsville, TX · Cameron County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
36%
Serious cites
0

Alta Vista runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 12% below what the home staffs on weekdays. That matters because the inspection record carries 26 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, with one $14,433 fine and a survey completed in November 2025. Staff turnover sits at 36.4%, better than the 45.8% national figure, so the same faces tend to stick around. The puzzle is how a home can post top marks on clinical quality measures while its staffing and inspection results sit at the bottom, the answer usually lives in whether there are enough hands on the floor on any given afternoon.

B

73/100

San Pedro Manor

San Antonio, TX · Bexar County

CMS 4/5 150 beds Government Medicaid
Nurse hours
3.67 /day
Staff turnover
46%
Serious cites
0

San Pedro Manor runs 3.67 nursing hours per resident day, about 5% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin weekend coverage matters more than the headline number, because 30 deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse. Staff turnover is 45.6%, essentially matching the national rate, so retention isn't the problem here, coverage is. The hospital district ownership hasn't kept the inspection record clean, and two fines totaling $24,285 are on file. The last inspection was August 2025. Quality measures look strong; the staffing and inspection side is where the risk lives.

B

73/100

Mission Nursing And Rehabilitation Center

Mission, TX · Hidalgo County

CMS 4/5 170 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
33%
Serious cites
0

Mission Nursing & Rehabilitation Center runs lean on the floor. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so a 170-bed home can feel the difference when families visit Saturday and Sunday. Turnover is the bright spot: 33.3% against a national 45.8% means aides and nurses stick around longer than most. The tradeoff shows up in the record, 24 deficiencies, including one at the harm level and two tied to abuse, with a single $8,190 fine. Inspections are recent, and the for-profit LLC ownership has kept quality measures decent while staffing lags.

B

73/100

Focused Care At Clarksville

Clarksville, TX · Red River County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
33%
Serious cites
0

Focused Care At Clarksville runs lean on nursing hours, 2.80 per resident day against a national average of 3.86, roughly 28% below, and weekends dip about 13% below its own weekday staffing, which matters when families visit and needs don't pause. Turnover at 32.6% is actually better than the 45.8% national figure, so the concern isn't retention; it's raw coverage. The inspection record shows 32 deficiencies, including one at harm or jeopardy level and three tied to abuse, though the most recent inspection was February 2026 and fines total just $5,211. Quality measures score well, but staffing is where the numbers get thin for a 120-bed for-profit.

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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