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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 7861–7880 of 12,967, best-graded first.

B

73/100

Twin Oaks Manor

Booker, TX · Lipscomb County

CMS 3/5 40 beds Government Medicaid
Nurse hours
5.80 /day
Staff turnover
74%
Serious cites
0

Twin Oaks Manor is a 40-bed hospital-district home in Booker, and the staffing numbers are genuinely strong: 5.80 nurse hours per resident day, about half again the national average. Weekends dip roughly 13% below weekdays, which is worth asking about, since that's often when families visit. The bigger concern is turnover, 74.1% versus 45.8% nationally, meaning most of the people caring for residents this year likely won't be there next year. Inspections look solid (4 of 5 stars, 12 deficiencies, none at harm level, none abuse-related) and the most recent visit was April 2025. Quality measure scores sit at 1 of 5, so ask what specifically is driving those.

B

73/100

Waddell Nursing And Rehab Center

Galax, VA · Galax City County

CMS 5/5 135 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
28%
Serious cites
0

Waddell runs 3.49 nurse hours per resident day, roughly 10% under the national average of 3.86, and weekends dip about 12% below its own weekday coverage. Where it stands out is stability: turnover sits at 27.5% against a national average near 46%. Inspections are a genuine strength, a 5/5 health inspection rating, six deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent visit in November 2025. The weaker spots are staffing (3/5) and quality measures (2/5). Limited liability ownership, 135 beds. Consistent caregivers and clean inspections offset thinner daily coverage, though the weekend drop is worth asking about.

B

73/100

Bowling Green Health & Rehabilitation Center

Bowling Green, VA · Caroline County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
44%
Serious cites
0

Bowling Green Health & Rehabilitation Center runs 120 certified beds under individual for-profit ownership, and its staffing is the clearest thing in the numbers. At 3.38 nurse hours per resident day, it sits roughly 12 percent below the national average of 3.86, and weekends drop about 11 percent below its own weekday level. Turnover, at 44 percent, is close to the national 45.8 percent, so retention isn't the outlier here, raw hours are. The inspection record shows 53 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,278 and the last inspection in March 2024. Strong quality scores and a low staffing rating pull in opposite directions, which is worth asking about directly.

B

73/100

Autumn Care Of Mechanicsville

Mechanicsville, VA · Hanover County

CMS 2/5 169 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
32%
Serious cites
0

Autumn Care of Mechanicsville runs 169 beds under corporate ownership, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 32.1% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. Inspections tell a mixed story, 33 deficiencies on the current record, none flagged as harm or abuse, with one fine of $10,358 and a February 2025 survey. Quality measures score well; staffing and inspection stars sit at 2 out of 5.

B

73/100

Sequim Bay Post Acute

Sequim, WA · Clallam County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
56%
Serious cites
0

Sequim Bay Post Acute runs 100 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, about 3% under the national average, and weekend coverage drops roughly 15% below what the home provides on weekdays, which matters because that's when families often visit and when fewer eyes are on residents. Staff turnover is the sharper concern: 56.4% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 50 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a single fine of $15,185. Quality measures score well; staffing and inspections are where the gaps show.

B

73/100

Maplewood Healthcare Center

Bridgeport, WV · Harrison County

CMS 4/5 77 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
62%
Serious cites
0

Maplewood runs about 3.47 nurse staffing hours per resident day, roughly ten percent under the national average of 3.86, and weekends drop another twelve percent below its own weekday level. That thin margin matters more when turnover sits at 62.3 percent against a national 45.8 percent, nearly two-thirds of the nursing staff cycling out in a year, so the people caring for your relative are often new to the building. The inspection record shows 40 deficiencies, including six tied to abuse and one serious enough to risk harm or jeopardy; the last state survey was January 14, 2026. A single fine of $7,443 is modest, and the five-star quality measure rating suggests charted care metrics look good, but those measures reflect documentation more than day-to-day floor coverage.

B

73/100

Mulder Health Care Facility

West Salem, WI · La Crosse County

CMS 1/5 87 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
45%
Serious cites
0

Mulder Health Care Facility runs on thinner nurse coverage than most homes, about 3.43 hours per resident day against a national average near 3.86, with weekends dropping roughly another 12% below its own weekday levels. Staff turnover sits at 44.6%, close to the national figure, so the staffing shortage isn't mainly a retention story. The inspection record is where the real weight sits: 52 deficiencies, five of them at harm or jeopardy level, a dozen tied to abuse, and two fines totaling $200,694. The most recent inspection was in April 2025. Ownership is a for-profit corporation. Families weighing this home should ask pointed questions about the abuse-related citations and what changed since.

B

73/100

Complete Care At Maple Grove Llc

Madison, WI · Dane County

CMS 1/5 184 beds For-profit Medicaid
Nurse hours
4.97 /day
Staff turnover
64%
Serious cites
0

Complete Care At Maple Grove runs a corporate-owned, 184-bed operation in Madison where the day-to-day staffing looks solid on paper, 4.97 nurse hours per resident, roughly 29% above the national average, but the workforce behind those hours turns over at 64% a year, well past the 45.8% national rate, and weekends run about 10% leaner than weekdays. The inspection record is where the real trouble sits: 70 deficiencies, including 7 at harm or jeopardy level and 10 tied to abuse, drawing six fines totaling $153,657, with the most recent inspection in May 2025. Strong quality scores can't offset that pattern.

B

73/100

Randolph Health Services

Randolph, WI · Dodge County

CMS 3/5 84 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
35%
Serious cites
0

Randolph Health Services runs 84 certified beds under corporate ownership, and its staffing sits about 7% under the national average at 3.60 nurse hours per resident day. Weekends dip roughly another 10% below its own weekday coverage, so the thinnest shifts land when oversight is lightest. Turnover is the one clear bright spot at 35.4%, well below the 45.8% national figure, which suggests less churn than many peers. Against that, the inspection record carries 13 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, plus a $49,572 fine. The most recent inspection was March 2026, so the picture is current.

B

73/100

Clairidge House

Kenosha, WI · Kenosha County

CMS 1/5 87 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
46%
Serious cites
0

Clairidge House runs 87 certified beds in Kenosha under for-profit corporate ownership, and its nurse staffing sits at 3.67 hours per resident day, about 5% under the national average of 3.86, with weekends running roughly 13% thinner than weekdays. Turnover is 46.3%, essentially level with the 45.8% national figure, so the problem isn't retention so much as the floor being staffed lighter than average, especially on weekends. The inspection record is where the real weight sits: 45 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with the most recent inspection on March 5, 2026. Federal ratings split hard here, four stars for staffing, one for quality measures, two for health inspections.

B

73/100

Complete Care At Manitowoc Llc

Manitowoc, WI · Manitowoc County

CMS 4/5 150 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
42%
Serious cites
0

Complete Care At Manitowoc runs 150 certified beds as a for-profit LLC, and its nurse staffing sits at 3.89 hours per resident day, roughly 1% above the national average, which is close to a wash. Weekends are where it thins out: staffing drops about 13% below the home's own weekday level, so coverage is noticeably lighter when families tend to visit. Turnover at 41.5% is a bit better than the 45.8% national figure. What pulls the record down is the inspection side: 14 deficiencies on file, including one at harm or jeopardy level and three tied to abuse, plus a single $76,944 fine. The most recent inspection was October 2025, so that picture is current.

B

73/100

The Pines Post Acute And Memory Care

Clintonville, WI · Waupaca County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
53%
Serious cites
0

The Pines runs 50 beds under corporate ownership, and its nursing hours come in around 12% under the national average, a gap that widens on weekends, when coverage drops another 11% below its own weekday pace. Staff turnover sits at 52.7%, roughly seven points above the national figure, so the people caring for residents change often. Its inspection record carries 18 deficiencies, including two at the harm level and four tied to abuse, with one fine of $11,960. The last inspection was July 17, 2025. Quality measures score well, but staffing and the deficiency history are what pull the overall picture down.

B

73/100

Shell Lake Health Care Center

Shell Lake, WI · Washburn County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
49%
Serious cites
0

Shell Lake Health Care Center runs 50 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86, with weekends about 10% thinner than weekdays. Annual turnover lands at 48.9% against a national 45.8%, so a meaningful share of the people providing that care are still learning the building. The current record shows 18 deficiencies, none at the harm or jeopardy level but two tied to abuse, and the most recent inspection was September 2025. CMS gives it middling marks for health inspections and quality measures, with staffing the strongest of the three at 4 stars.

B

73/100

Frederic Nursing And Rehab Community

Frederic, WI · Polk County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
51%
Serious cites
0

Frederic Nursing and Rehab Community runs 60 beds under corporate for-profit ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19 percent under the national average of 3.86. Weekends dip about 8 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 51 percent against a national 45.8, meaning more than half the nursing team turns over in a year. The health inspection record shows 28 deficiencies, none at harm or jeopardy level, but four tied to abuse. The most recent inspection was May 19, 2026. Quality and staffing measures each earned three of five stars; inspections earned two.

B

73/100

Heartwood Avenue Healthcare

Vallejo, CA · Solano County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
56%
Serious cites
0

Heartwood Avenue Healthcare runs 60 beds in Vallejo under for-profit LLC ownership, and its staffing is the weak spot: 3.83 nurse hours per resident day sits just under the national average, and weekends drop about 7% below its own weekday levels. Staff turnover is 55.7% against a national 45.8%, roughly a quarter more churn than typical. The inspection record is where the real concerns show: 34 deficiencies, four at harm or jeopardy level, two abuse-related, and $16,988 in fines. A recent May 2026 inspection means the record is current. The quality measure rating looks better than the staffing one, but that gap between reported care quality and actual bedside coverage is worth asking about directly.

B

73/100

Napa Community Health Center

Napa, CA · Napa County

CMS 1/5 49 beds For-profit Medicaid
Nurse hours
5.92 /day
Staff turnover
—
Serious cites
0

Piners Nursing Home runs on unusually heavy staffing for a 49-bed for-profit, 5.92 nurse hours per resident day, about 53% above the national average, though weekends dip roughly 16% below its own weekday levels. That nurse coverage is the one clear strength in the numbers. The rest is harder to defend: 33 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Two out of five stars on health inspections and two on quality measures, with the most recent inspection in late August 2025. One fine, $13,065. Plenty of hands on deck, but the care those hands are delivering has repeatedly fallen short.

B

73/100

Villa Valencia Healthcare Center

Laguna Hills, CA · Orange County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
45%
Serious cites
0

Villa Valencia sits in Laguna Hills with 59 certified beds, run by a for-profit limited liability company. Nurse staffing runs 4.47 hours per resident day, about 16% above the national average of 3.86, though weekends drop roughly 9% below the home's own weekday coverage, so care can thin out when families visit. The 42 deficiencies on record include nothing flagged at the harm or jeopardy level and nothing abuse-related. Annual turnover of 45.3% tracks right at the national figure of 45.8%, meaning roughly half the staff still turns over each year. A May 2025 inspection is recent enough to trust, and the county's Orange County market gives you plenty of alternatives worth comparing on weekend coverage alone.

B

73/100

All Saint's Subacute & Transitional Care

San Leandro, CA · Alameda County

CMS 3/5 86 beds For-profit Medicaid
Nurse hours
6.54 /day
Staff turnover
53%
Serious cites
0

All Saint's runs one of the heavier staffing operations you'll see in Alameda County, 6.54 nurse hours per resident per day, well above the national figure, and weekends dip only slightly from that level. What pulls the record down sits elsewhere: 19 deficiencies, including one at the harm level, plus two fines totaling $163,127, with the last inspection in July 2024. Staff turnover runs at 52.8%, more than the national average, which matters for residents who rely on consistent caregivers. A for-profit limited liability company owns the building. Strong daily coverage, but the compliance history and churn are the parts worth asking about directly.

B

73/100

Herman Health Care Center

San Jose, CA · Santa Clara County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
31%
Serious cites
0

Herman Health Care Center sits in San Jose with 99 certified beds, run by a for-profit limited liability company. Staffing is the bright spot: 4.02 nurse hours per resident day, about 4% above the national average, with turnover at 31.4% compared to 45.8% nationally. Weekend coverage, though, runs roughly 10% thinner than weekdays. The inspection record is where the problems pile up. Seventy-two deficiencies on file, three serious enough to involve harm or jeopardy, and seven tied to abuse. Two fines totaling $39,819. The most recent inspection was August 25, 2025, and even with steady staffing, that citation history is what pulls the overall picture down to a D.

B

73/100

Evergreen Care Center

Fresno, CA · Fresno County

CMS 3/5 49 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
52%
Serious cites
0

Evergreen Care Center sits in Fresno with 49 certified beds and for-profit LLC ownership. Its 4.20 nurse staffing hours per resident day beat the national average of 3.86 by roughly 9%, but that headline number hides weaker weekends, about 7% below the home's own weekday coverage, and 51.5% annual turnover, higher than the 45.8% national figure, which means unfamiliar faces are routine. The current record shows 35 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse. Inspectors last visited May 17, 2024. Staffing quantity looks decent, but consistency and safety history are where the concerns stack up.

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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