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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 801–820 of 12,967, best-graded first.

A

91.5/100

Givens Health Center

Asheville, NC · Buncombe County

CMS 5/5 70 beds Non-profit Medicaid
Nurse hours
5.26 /day
Staff turnover
32%
Serious cites
0

Givens Health Center in Asheville runs on 5.26 nurse staffing hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 18% below its own weekday level, so care may look thinner on Saturdays and Sundays. Staff turnover sits at 31.6%, well under the national 45.8%, a real advantage in a field where constant retraining erodes familiarity with residents. The nonprofit's inspection record carries 19 deficiencies, none at harm or jeopardy level and none abuse-related, with a 4/5 inspection rating and a March 2026 survey. The quality measure score of 3/5 is the softer spot.

A

91.5/100

Cypress Glen Retirement Community

Greenville, NC · Pitt County

CMS 5/5 6 beds Non-profit
Nurse hours
7.29 /day
Staff turnover
—
Serious cites
0

Cypress Glen runs six certified beds in Greenville, which puts it in a category most families never encounter, a small, nonprofit operation where the numbers look almost too good. Nurse staffing sits at 7.29 hours per resident day, roughly 89% above the national average of 3.86, though weekend coverage drops about 13% from its own weekday level. The inspection record shows one deficiency total, none at the harm level and none tied to abuse, with the most recent visit in August 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five. For a six-bed home, that consistency across every measure is the story.

A

91.5/100

Dakota Alpha

Mandan, ND · Morton County

CMS 5/5 20 beds Non-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
40%
Serious cites
0

Dakota Alpha is a small, nonprofit-run home in Mandan, just 20 certified beds, and the numbers behind its A grade are mostly about staffing. Its 4.83 nurse hours per resident day sit roughly 25% above the national average of 3.86, and staff turnover of 40% comes in under the 45.8% national figure. One caveat worth knowing: weekend staffing drops about 21% below the home's own weekday level, so care may look thinner on Saturdays and Sundays. Inspections are current as of July 2025, with nine deficiencies on record, none involving harm or jeopardy, and none abuse-related.

A

91.5/100

Daughters Of Miriam Center For Nursing & Rehabilit

Beachwood, OH · Cuyahoga County

CMS 2/5 233 beds For-profit Medicaid
Nurse hours
5.60 /day
Staff turnover
54%
Serious cites
0

Daughters of Miriam, a 233-bed for-profit home in Beachwood, runs rich on paper: 5.60 nurse hours per resident day, roughly 45% above the national average, and top CMS marks for staffing and quality measures. But weekends drop about 22% below weekday staffing, and turnover sits at 54.2% against a 45.8% national average, so that bench is expensive to keep filled. Inspections tell the harder story, a 1-out-of-5 health inspection rating, 48 deficiencies on the current record with 5 at harm or jeopardy level, and a survey as recent as November 2024. Strong daily coverage, shaky oversight. Ask what those harm-level citations involved and how weekend coverage is actually staffed.

A

91.5/100

Friendship Village Of Dublin

Dublin, OH · Franklin County

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

Friendship Village Of Dublin runs 5.20 total nurse staffing hours per resident day, roughly a third more than the 3.86 national average, and weekends only dip about 9% below its own weekdays. That's a real cushion, and it's why staffing holds four stars. The quality measures are stronger still at five. What pulls against that picture is the inspection record: 20 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. The most recent state visit was November 2024. So you're looking at a nonprofit home where day-to-day care capacity is clearly above par, but the survey history has some weight in it. Ask to see the plan of correction for that harm-level citation before you decide.

A

91.5/100

Maplecrest Nursing And Hta

Struthers, OH · Mahoning County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
40%
Serious cites
0

Maplecrest runs on more nursing hours than most homes, about 4.05 per resident per day against a national average near 3.86, and its 40% turnover sits below the national figure, so the staff you meet are more likely to still be there next year. The catch is consistency: weekends run roughly 18% thinner than weekdays. Inspectors were last in on April 14, 2025, and the record shows 17 deficiencies, including one at the harm level and one tied to abuse. That combination, strong day-to-day numbers, a recent inspection with a serious finding, is what a family should weigh before deciding.

A

91.5/100

Fernwood Supportive Living At Madrona Grove

Portland, OR · Clackamas County

CMS 4/5 16 beds Non-profit Medicaid
Nurse hours
6.29 /day
Staff turnover
—
Serious cites
0

Fernwood runs on 6.29 total nurse hours per resident day, roughly 63% above the national average, and weekends dip only about 11% below weekdays, a smaller drop than many homes show. That staffing depth is what lifts its grade despite a mixed inspection record: 22 deficiencies on file, including two at harm or jeopardy level and five tied to abuse, with a 3/5 inspection rating. The last inspection was August 2025, so the picture is recent. With 16 beds and nonprofit ownership, it's small enough that staff consistency matters more than corporate polish. The quality measure rating is 5/5, which suggests residents' clinical outcomes track better than the deficiency count alone would imply.

A

91.5/100

Kendal At Longwood

Kennett Square, PA · Chester County

CMS 5/5 53 beds For-profit
Nurse hours
6.02 /day
Staff turnover
19%
Serious cites
0

Kendal At Longwood runs on 6.02 nurse hours per resident day, well above the 3.86 national figure, and its staff turnover of 18.8% is less than half the national rate. Weekend coverage does dip about 16% below weekday levels, which is worth asking about if your visits land on Saturdays or Sundays. The inspection record is strong: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in September 2025. One caveat, the quality measure rating sits at 3 out of 5, softer than its staffing and inspection marks. For-profit corporate ownership, 53 beds. The staffing and compliance numbers carry this one.

A

91.5/100

St Luke's Rehabilitation And Nursing Center

Coaldale, PA · Schuylkill County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
21%
Serious cites
0

St. Luke's in Coaldale runs on 4.37 nurse hours per resident day, roughly 13% more than the national average, and its staff tends to stay: 20.9% annual turnover against a national 45.8%. Weekend coverage dips about 15% below its own weekday levels, which is worth asking about if your family visits Saturdays or Sundays. The current record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. As a nonprofit with 48 beds, it's small enough that you can reasonably expect to know the people caring for your relative.

A

91.5/100

St Anne's Retirement Community

Columbia, PA · Lancaster County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
5.02 /day
Staff turnover
25%
Serious cites
0

St. Anne's runs on about 5 nursing hours per resident per day, roughly 30% more than the national average of 3.86, and its staff tends to stay, 25% annual turnover against a national rate near 46%. Weekend coverage dips about 18% below its own weekday level, which is worth asking about if your family visits primarily on Saturdays or Sundays. The record is otherwise clean: five deficiencies, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in December 2025. Quality and inspection ratings both land at 4 out of 5, staffing at 5.

A

91.5/100

Spartanburg Hospital For Restorative Care Snf

Spartanburg, SC · Spartanburg County

CMS 5/5 25 beds Government
Nurse hours
6.13 /day
Staff turnover
48%
Serious cites
0

Spartanburg Hospital For Restorative Care runs just 25 certified beds, and its staffing reflects that small, hospital-linked setup: 6.13 nurse hours per resident day, roughly 59% above the national average of 3.86. Weekend coverage dips about 17% below its own weekday level, and annual turnover sits at 47.8%, a bit above the 45.8% national figure, worth asking about if consistency matters to you. The inspection record is otherwise clean: one deficiency total, none at harm or jeopardy level, none abuse-related, with the most recent inspection on November 19, 2025. Government ownership, five stars across health inspections, quality measures, and staffing.

A

91.5/100

Greenwood Transitional Rehabilitation Unit

Greenwood, SC · Greenwood County

CMS 5/5 12 beds For-profit
Nurse hours
6.34 /day
Staff turnover
—
Serious cites
0

Greenwood Transitional Rehabilitation Unit runs on unusually heavy staffing for its size, 6.34 nurse hours per resident day against a national average of 3.86, roughly 64% more hands-on time. Weekend coverage dips only about 6% below its weekday level, so the difference between a Tuesday and a Saturday here is modest. The home was inspected recently, in June 2025, and came away with no deficiencies at the harm or jeopardy level, though one of its four citations is abuse-related, worth asking about directly. With 12 certified beds under corporate ownership, it's small enough that you can reasonably expect to know who's on shift.

A

91.5/100

Aspen Ridge Of Utah Valley

Orem, UT · Salt Lake County

CMS 5/5 24 beds For-profit
Nurse hours
6.53 /day
Staff turnover
46%
Serious cites
0

Aspen Ridge of Utah Valley is a small for-profit home in Orem, just 24 certified beds, and the staffing numbers stand out. At 6.53 nurse hours per resident day, it runs about 69% above the national average, though weekends dip roughly 21% below its own weekday levels, so coverage isn't perfectly even across the week. Staff turnover sits at 45.5%, essentially matching the national rate. On inspections, the record shows 11 deficiencies with none at the harm or jeopardy level and none tied to abuse; its last inspection was in March 2026, and CMS gives it top marks across health inspections, quality measures, and staffing. For families weighing a smaller home, the consistent survey history and heavy staffing are the real story here.

A

91.5/100

Wythe Cnty Community Hosp Ecu

Wytheville, VA · Wythe County

CMS 5/5 8 beds For-profit Medicaid
Nurse hours
8.67 /day
Staff turnover
—
Serious cites
0

Wythe Cnty Community Hosp Ecu runs just eight certified beds, which puts it in a category most families never encounter, a hospital-based swing-bed operation rather than a traditional stand-alone nursing home. The staffing figure stands out: 8.67 nurse hours per resident day, more than double the national average of 3.86, though weekend coverage dips roughly 7% below its own weekday level. Six deficiencies sit on the current record, none of them at the harm or jeopardy level and none abuse-related, with a November 2025 inspection keeping things current. The for-profit corporate ownership is worth knowing about, but the inspection and quality measure ratings both come in strong, and the small bed count means care is concentrated.

A

91.5/100

Harbor's Edge

Norfolk, VA · Norfolk City County

CMS 5/5 33 beds Non-profit
Nurse hours
5.87 /day
Staff turnover
40%
Serious cites
0

Harbor's Edge runs 5.87 nurse hours per resident per day, well above the national average of 3.86, and that staffing shows up in its five-star rating on that measure. Turnover sits at 40.4 percent, a bit better than the 45.8 percent national figure. The inspection record is where you'll want to ask questions: 13 deficiencies, none at the harm level, but one abuse-related citation is worth raising directly with the administrator. Staffing also dips about 19 percent on weekends, so ask how coverage works on Saturdays and Sundays. A recent February 2026 inspection means the record is current.

A

91.5/100

The Culpeper

Culpeper, VA · Culpeper County

CMS 4/5 47 beds Non-profit Medicaid
Nurse hours
5.69 /day
Staff turnover
20%
Serious cites
0

The Culpeper runs a nonprofit home of 47 beds, and its nurse staffing sits at 5.69 hours per resident day, roughly 47% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday levels, so care thins out somewhat on Saturdays and Sundays. Staff turnover is 20%, well under the 45.8% national average, which suggests people stay. The current record carries 19 deficiencies, one at the harm level and none abuse-related, with the last inspection in October 2023. CMS gives it top marks for staffing and middling marks for inspections and quality measures. Strong hours and low turnover are doing the heavy lifting here.

A

91.5/100

Windsormeade Of Williamsburg

Williamsburg, VA · James City County

CMS 5/5 22 beds Non-profit Medicaid
Nurse hours
5.54 /day
Staff turnover
36%
Serious cites
0

Windsormeade of Williamsburg runs on church-affiliated nonprofit ownership, and the numbers back up what that structure often buys you: time with residents. Nurse staffing sits at 5.54 hours per resident day, roughly 43 percent above the national average, and turnover comes in at 35.7 percent against a national 45.8, staff tend to stay. The tradeoff worth knowing is weekends, when coverage drops about 21 percent below the home's own weekday level. Nine deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2023. With only 22 certified beds, this is a small home, which cuts both ways on consistency.

A

91.5/100

The Glebe

Daleville, VA · Botetourt County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
5.42 /day
Staff turnover
49%
Serious cites
0

The Glebe runs about 5.42 nurse hours per resident day, roughly 40% more than the national average of 3.86, that's the kind of cushion that matters when a resident needs help at 2 a.m. Weekend staffing dips about 21% below its own weekday levels, worth asking about, though the floor starts high. Seven deficiencies sit on the current record, none at the harm level and none abuse-related. Staff turnover lands at 49%, a bit above the 45.8% national figure. CMS gives this nonprofit five stars each for inspections, quality measures, and staffing, with its last inspection in April 2024.

A

91.5/100

Transitional Care Of Seattle

Seattle, WA · King County

CMS 4/5 165 beds For-profit Medicaid
Nurse hours
7.83 /day
Staff turnover
38%
Serious cites
0

Transitional Care Of Seattle runs 165 certified beds under for-profit LLC ownership, and its nurse staffing sits at 7.83 hours per resident day, roughly double the national average of 3.86. That's the number driving its staffing score, though weekends dip about 17% below weekday levels, so coverage isn't evenly spread across the week. Staff turnover lands at 37.5%, better than the 45.8% national figure, which matters for continuity of care. The tradeoff shows up in its inspection record: 42 deficiencies, including one at harm or jeopardy level and one abuse-related, with a health inspection rating of 3 out of 5. The most recent inspection was September 23, 2025. Strong staffing and quality scores, but the deficiency history is worth asking about directly.

A

91.5/100

St. Joseph's Hospital

Buckhannon, WV · Upshur County

CMS 5/5 16 beds Non-profit Medicaid
Nurse hours
5.74 /day
Staff turnover
11%
Serious cites
0

St. Joseph's Hospital in Buckhannon runs 5.74 nurse hours per resident day, about 49% above the national average of 3.86, and it holds onto that staff, with turnover at 10.5% against a national 45.8%. Weekend coverage dips roughly 17% below its own weekday level, a real gap even at this staffing level. Fifteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2025. It's a small 16-bed nonprofit unit inside a hospital, so read the quality measure score of 3/5 as the softer spot and the staffing and inspection record as the strong ones.

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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