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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 8261–8280 of 12,967, best-graded first.

B

72/100

Bear Mountain Health And Rehabilitation

Asheville, NC · Buncombe County

CMS 3/5 77 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
61%
Serious cites
0

Bear Mountain runs 77 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.28 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the other flag: 60.5% annually against a national 45.8%, meaning most of the people caring for your relative are relatively new. The inspection history shows 31 deficiencies, three at harm or jeopardy level and one abuse-related, with a single fine of $11,170 and a survey completed in May 2025. Ownership is for-profit, and the record reflects it.

B

72/100

Elizabeth City Health And Rehabilitation

Elizabeth City, NC · Pasquotank County

CMS 2/5 170 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
24%
Serious cites
0

Nurse staffing at Elizabeth City Health and Rehabilitation runs 3.89 hours per resident day, just above the national average of 3.86, so the hands-on care hours aren't the problem. The problem on paper is the inspection record: 22 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and a $77,760 fine. Staff turnover of 23.7% is actually well below the national 45.8%, which means the workforce is relatively stable, but weekend coverage drops about 13% from weekday levels. Keep in mind the most recent state inspection was June 2025. When you tour, ask specifically what changed after those harm-level findings and how weekend shifts are covered.

B

72/100

Zebulon Rehabilitation Center

Zebulon, NC · Wake County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
37%
Serious cites
0

Zebulon Rehabilitation Center runs 60 certified beds in Wake County under corporate for-profit ownership, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating with 11 deficiencies on file, none at the harm or jeopardy level and none abuse-related. The last inspection was recent, from July 2025. Where it slips is staffing: 3.57 nurse hours per resident day, roughly 8 percent under the national average, with weekends running about 6 percent leaner than weekdays already are. Turnover sits at 37 percent, better than the 45.8 percent national figure, so the people who stay may be steady, there just aren't quite enough of them.

B

72/100

Piedmont Health & Rehab Center

Salisbury, NC · Rowan County

CMS 2/5 58 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
42%
Serious cites
0

Piedmont Health & Rehab Center runs on 3.23 nurse hours per resident day, roughly 16% under the national average, and weekends dip about 9% below its own weekday staffing. That thinner coverage matters more given what inspectors found: 15 deficiencies on the current record, including 2 at the harm or jeopardy level and 2 tied to abuse, with $32,717 in fines and a 2-out-of-5 inspection rating. Turnover sits at 41.7%, slightly better than the 45.8% national figure, and the most recent inspection was September 2025. Quality measures score well, but staffing and inspection results are where the real story is.

B

72/100

Emerald Health & Rehab Center

Lillington, NC · Harnett County

CMS 2/5 96 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
44%
Serious cites
0

Emerald Health & Rehab runs 96 beds in Lillington under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends drop about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 44.4 percent, essentially matching the national 45.8 percent, which means the staffing shortage isn't mainly a retention problem. The current record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in July 2025. The 4/5 quality measure score stands out against 2/5 marks for staffing and health inspections.

B

72/100

Peak Resources- Shelby

Grover, NC · Cleveland County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
42%
Serious cites
0

Peak Resources-Shelby runs 100 certified beds in Grover under corporate for-profit ownership, and its nurse staffing sits at 3.77 hours per resident day, roughly 2% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so the leanest hours land when families tend to visit. Turnover is 42.2%, a bit better than the 45.8% national figure, which matters because consistent caregivers know residents. Ten deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated February 2026. The quality measure rating of 1 out of 5 is the number worth asking about on your tour.

B

72/100

White Oak Manor - Burlington

Burlington, NC · Alamance County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
49%
Serious cites
0

White Oak Manor in Burlington runs a 160-bed for-profit operation where the daily staffing picture looks solid on paper, about 3.97 nurse hours per resident, slightly ahead of the national average, but the numbers underneath tell a rougher story. Weekend coverage drops roughly 12% below weekday levels, meaning the hours a resident actually gets depend heavily on which day it is, and nearly half the nursing staff turns over each year. The bigger concern is the inspection record: 23 deficiencies, six serious enough to involve harm or jeopardy, six tied to abuse, and two fines totaling $137,472, with the most recent inspection in November 2025. Strong quality scores and a 5/5 staffing star don't offset that history.

B

72/100

Autumn Care Of Saluda

Saluda, NC · Polk County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
69%
Serious cites
0

Autumn Care of Saluda runs 99 certified beds as a for-profit corporation, and its nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, with weekends roughly 9% thinner than weekdays. That staffing pattern matters more given the 69.1% annual turnover, well above the 45.8% national figure, meaning many of the people providing daily care are new to the building. The inspection record is the harder read: 18 deficiencies, 5 at harm or jeopardy level, 3 abuse-related, and one fine of $16,801. Quality measures score well, but staffing and inspection results drag the overall picture down.

B

72/100

Ahoskie Health And Rehabilitation Center

Ahoskie, NC · Hertford County

CMS 3/5 151 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
50%
Serious cites
0

Ahoskie Health and Rehabilitation Center runs 151 certified beds as a for-profit corporation, and its nurse staffing sits at 3.97 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 7% below its own weekday levels. Staff turnover is the number to watch: 49.5% annually against a national average of 45.8%, meaning nearly half the nursing staff turns over each year. The current record shows 23 deficiencies, none at harm or jeopardy level and none abuse-related, along with one fine totaling $11,629. The last inspection was December 18, 2025. CMS rates quality measures 2 out of 5.

B

72/100

Pruitthealth-Farmville

Farmville, NC · Pitt County

CMS 3/5 56 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
49%
Serious cites
0

Pruitthealth-Farmville runs a 56-bed for-profit home in Pitt County, and the numbers tell a mixed story. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly another 12% below what the home itself staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover hit 49%, above the 45.8% national figure, meaning nearly half the nursing staff turns over each year. The inspection record shows 20 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with two fines totaling $14,697; the most recent inspection was August 2025. Quality measures score well, but staffing and that deficiency history are what hold this one back.

B

72/100

Countryside

Stokesdale, NC · Guilford County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
47%
Serious cites
0

Countryside sits in Stokesdale with 60 certified beds, run by a for-profit limited liability company. Its nurse staffing comes in at 3.92 hours per resident day, slightly above the national average of 3.86, though weekend coverage drops about 8% from weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 46.9%, a touch above the national 45.8%, so continuity of caregivers may be inconsistent. The current record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025.

B

72/100

Wadesboro Health & Rehab Center

Wadesboro, NC · Anson County

CMS 3/5 66 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
33%
Serious cites
0

Wadesboro Health & Rehab runs 66 beds under corporate for-profit ownership, and its staffing is the weak spot: 3.30 nurse hours per resident day, roughly 15% under the national average, with weekends about 11% thinner than weekdays. That's what drives the two-star staffing rating, even though the 33.3% turnover is actually better than the 45.8% national figure, aides and nurses here tend to stay longer than average, which matters for familiarity even when the daily hours are thin. The inspection record shows 19 deficiencies but none at harm or jeopardy level and nothing abuse-related, and the most recent survey was in May 2025, so the picture is current. Three stars each on health inspections and quality measures round out a home that's decent on care delivery but light on hands.

B

72/100

Peak Resources-Cherryville

Cherryville, NC · Gaston County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
2.27 /day
Staff turnover
48%
Serious cites
0

Peak Resources-Cherryville runs on 2.27 nurse hours per resident per day, roughly 41 percent below the national average of 3.86, and weekends drop about 14 percent below its own weekday levels. That thin coverage is the main reason its staffing rating sits at 1 out of 5, even though turnover at 48.2 percent is only slightly worse than the 45.8 percent national figure. The inspection record looks better: 18 deficiencies, none at harm or jeopardy level, one abuse-related, and a recent June 2025 visit. Quality measures score 5 out of 5. So you have a home that charts well on outcomes but asks residents to get by on notably fewer hands per day, particularly on weekends.

B

72/100

Peak Resources - Pinelake

Carthage, NC · Moore County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
36%
Serious cites
0

Peak Resources - Pinelake runs leaner on nursing hours than most homes in the country, about 3.26 hours per resident per day against a national average near 3.86. Weekends dip further, roughly 6% below what the building staffs Monday through Friday. Turnover sits at 36.3%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is mixed: a 4-star health inspection rating and a recent survey from August 2024, but 18 deficiencies on file, including one at the harm level and one tied to abuse. That combination, decent inspections, thin daily staffing, a serious citation, is what pulls the overall picture down to average.

B

72/100

Woodlands Nursing & Rehabilitation Center

Fayetteville, NC · Cumberland County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
56%
Serious cites
0

Woodlands runs a tight ship on safety, with ten deficiencies on its record and none rising to harm or jeopardy, a genuinely clean inspection history, most recently verified in August 2025. The tradeoff shows up in staffing. At 3.69 nurse hours per resident day, it sits about 4% under the national average, and weekends dip roughly 6% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday. Turnover tells a similar story: 55.6% annually against a national 45.8%, meaning nearly six in ten caregivers left within the year. For a family weighing consistency of care, that churn is worth asking about directly.

B

72/100

Windsor Point Continuing Care

Fuquay-Varina, NC · Harnett County

CMS 5/5 45 beds For-profit
Nurse hours
4.43 /day
Staff turnover
64%
Serious cites
0

Windsor Point runs 4.43 nurse hours per resident per day, roughly 15% above the national average, and its staffing rating reflects that. Inspections are a strength too, a 5/5 star health inspection rating, ten deficiencies on record with none at the harm level and none abuse-related, and the most recent visit just weeks ago. The concerns sit elsewhere: quality measures score 2/5, weekend staffing drops about 10% below its own weekday levels, and annual turnover hits 63.8% against a national average of 45.8%. For a 45-bed corporate-owned home, that churn is worth asking about directly, who's actually at the bedside on a Saturday, and how long they've been there.

B

72/100

Autumn Care Of Nash

Nashville, NC · Nash County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
45%
Serious cites
0

Autumn Care of Nash runs 60 beds under corporate ownership in Nashville, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86, with weekend coverage dropping another 12% below its own weekday numbers. Turnover comes in at 44.8%, basically level with the national rate, so retention here isn't the standout problem; the thinner direct-care hours are. The current record shows 14 deficiencies, none at the harm or jeopardy level but one tied to abuse, and the last inspection was July 30, 2025. Quality measure scores land at 2 out of 5 stars. If your family member needs steady hands on weekends, that gap is worth asking about directly.

B

72/100

Magnolia Gardens Center For Nursing And Rehabilita

Thomasville, NC · Davidson County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
45%
Serious cites
0

Magnolia Gardens is a for-profit LLC home with 120 beds in Thomasville, and its staffing sits at 3.34 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends run about 13 percent thinner than weekdays, so coverage dips exactly when families tend to visit. Turnover is 44.6 percent, essentially in line with the national 45.8 percent. The inspection record carries 19 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $16,153 fine. Its most recent inspection was November 18, 2025. Nothing here is catastrophic, but the thin weekend coverage and that abuse-related citation are the two things worth asking about directly.

B

72/100

Pruitthealth-Raleigh

Raleigh, NC · Wake County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
37%
Serious cites
0

Pruitthealth-Raleigh runs 150 certified beds under corporate for-profit ownership, and its staffing sits about 11% under the national average at 3.43 nurse hours per resident day. Weekends drop roughly 14% below the home's own weekday coverage, which matters when you're thinking about who's on the floor on a Sunday. Turnover lands at 37.4%, actually better than the 45.8% national figure, a genuine bright spot. The inspection record is where it gets heavier: 30 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $16,152. A January 2026 inspection is recent, so that count reflects current conditions rather than old history.

B

72/100

Trinity Homes

Minot, ND · Ward County

CMS 1/5 141 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
57%
Serious cites
0

Trinity Homes runs on 4.24 nurse hours per resident day, roughly 10% above the national average, and weekends dip only slightly from weekdays, the kind of staffing pattern that usually shows up in the 4/5 staffing rating. The trouble sits elsewhere. Inspectors have cited 34 deficiencies, six of them at the level where a resident was actually harmed or put in jeopardy, and five tied to abuse. Three fines total $75,611. Staff turnover is 57.3% against a national 45.8%, so a lot of that good coverage is delivered by people still learning the building. The state last inspected in August 2025, and the health inspection rating sits at 1 out of 5. Good staffing can't outweigh what those inspections found.

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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