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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 821–840 of 12,967, best-graded first.

A

91.5/100

Vibra Hospital Of Northern California D/P Snf

Redding, CA · Shasta County

CMS 5/5 32 beds For-profit Medicaid
Nurse hours
6.09 /day
Staff turnover
—
Serious cites
0

Vibra Hospital of Northern California runs 32 certified beds in Redding, and its nurse staffing sits at 6.09 hours per resident day, roughly 58% above the national average of 3.86. Weekend hours drop about 14% below its own weekday levels, so coverage thins out on Saturdays and Sundays. The current record shows 26 deficiencies, none at the harm or jeopardy level, though four are abuse-related. A May 2025 inspection is recent, and the for-profit corporate owner runs the building. High staffing and strong quality measures are doing the heavy lifting here, but those four abuse-related citations are worth asking about directly before you decide.

A

91.5/100

Emanate Health Inter-Community Hospital- D/P Snf

Covina, CA · Los Angeles County

CMS 5/5 25 beds Non-profit Medicaid
Nurse hours
6.10 /day
Staff turnover
15%
Serious cites
0

Emanate Health Inter-Community Hospital runs a small 25-bed skilled nursing unit in Covina, and its staffing numbers stand out: 6.10 nurse hours per resident day, roughly 58% above the national average. Weekend coverage does dip about 16% below its own weekday level, so ask how that plays out on Saturdays. Annual turnover of 15.4% is well below the 45.8% national figure, which matters for consistency of care. The inspection record shows 19 deficiencies with none at the harm level, though one is abuse-related, worth asking about directly. A May 2025 inspection means the record is current.

A

91.5/100

Zuckerberg San Francisco General Hosp & Trauma Snf

San Francisco, CA · San Francisco County

CMS 5/5 30 beds Government Medicaid
Nurse hours
8.33 /day
Staff turnover
—
Serious cites
0

Zuckerberg San Francisco General's skilled nursing unit is run by the city and county, and it shows in the numbers: 8.33 nurse hours per resident day, roughly double the national average. Weekend staffing dips about 14 percent below its own weekday level, which is worth knowing if your family visits or calls on Saturdays and Sundays. The current record carries 12 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in January 2026. With 30 beds, it's small enough that staffing and oversight stay close to the residents.

A

91/100

Altoona Health & Rehab

Altoona, AL · Etowah County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
32%
Serious cites
0

Altoona Health & Rehab runs 50 certified beds under corporate for-profit ownership, and the staffing picture is its clearest strength: 3.90 nurse hours per resident day, just above the national average of 3.86, with weekend coverage dipping about 8% below its own weekday level. Turnover sits at 31.8%, well under the 45.8% national figure, which matters for whether residents see familiar faces. The tradeoff is oversight. Five deficiencies sit on the current record with none at harm or jeopardy level and none abuse-related, but the last inspection dates to June 2022 and the health inspection rating is 2 of 5. Quality measures score 4 of 5. Stable staff, thin recent inspection history.

A

91/100

Parkwood Health Care Facility

Phenix City, AL · Russell County

CMS 5/5 74 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
36%
Serious cites
0

Parkwood runs on more nurse hours than most homes, 4.11 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 35.8% compared to roughly 46% nationally. The catch is weekends, when coverage drops about 15% below what the building staffs on weekdays. Inspectors logged 14 deficiencies on the current record, two of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent visit was in February 2026. It's a for-profit limited liability company, 74 beds, sitting in the middle of the pack on inspections while scoring at the top on quality measures and staffing.

A

91/100

Maple Springs Of Wasilla

Wasilla, AK · Matanuska-Susitna County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
5.06 /day
Staff turnover
36%
Serious cites
0

Maple Springs Of Wasilla runs 5.06 total nurse hours per resident day, about 31% above the national average of 3.86, and its staff turnover of 35.9% beats the national 45.8%, a meaningful edge in a field where replacing caregivers constantly wears a building down. Weekend coverage dips roughly 12% below weekdays, so ask how that plays out on a Saturday night. The 34 deficiencies on record carry no harm or jeopardy findings and nothing abuse-related, and the most recent inspection was July 2025. A for-profit limited liability company owns it, which is worth knowing when you ask about spend on direct care versus everything else.

A

91/100

Freedom Plaza Care Center

Peoria, AZ · Maricopa County

CMS 5/5 111 beds For-profit
Nurse hours
4.87 /day
Staff turnover
32%
Serious cites
0

Freedom Plaza Care Center runs on 4.87 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its staff turnover of 32.1% sits well under the 45.8% national figure. That combination of more hands and steadier hands shows up on the health inspection side, where the home earned the top CMS rating and its last survey, in April 2024, turned up no deficiencies at the harm or jeopardy level. Twelve total deficiencies is not nothing, and one is abuse-related. Weekend coverage drops about 12% from weekday levels, so ask how that plays out on Saturdays. Ownership is a for-profit limited liability company.

A

91/100

Highland Court, A Rehabilitation And Resident Care

Marshall, AR · Searcy County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
39%
Serious cites
0

Highland Court sits in Marshall, Arkansas, a for-profit LLC operating 78 certified beds, and its numbers hold up well against the national picture. Nurse staffing runs 3.93 hours per resident day, slightly above the 3.86 national average, though weekends drop about 13% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 38.8%, better than the 45.8% national rate, which matters for whether your parent sees the same faces month to month. The 16 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was August 2025.

A

91/100

Linda Mar Care Center

Pacifica, CA · San Mateo County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
38%
Serious cites
0

Linda Mar Care Center runs on more nursing hours than most homes in the country, 4.56 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 37.7% versus 45.8% nationally. The tradeoff shows up on weekends, when coverage drops about 12% below the home's own weekday level, so ask how that plays out on a Sunday shift. Seventeen deficiencies sit on the current record, none involving harm or abuse, and the last inspection was in January 2025. For-profit corporate ownership is worth naming, but the numbers here don't read like a home cutting corners on care.

A

91/100

Idylwood Care Center

Sunnyvale, CA · Santa Clara County

CMS 5/5 185 beds For-profit Medicaid
Nurse hours
6.07 /day
Staff turnover
31%
Serious cites
0

Idylwood Care Center runs on unusually heavy nurse staffing for a 185-bed for-profit home, 6.07 hours per resident day, well above the 3.86 national figure, and its staff tends to stay, with turnover at 30.9% against a national 45.8%. Weekend coverage dips about 15% below weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The home was inspected in April 2025 and carries 30 deficiencies, none at the harm level but one tied to abuse, so ask directly how that was resolved. Ownership is a limited liability company, meaning financial accountability can be harder to trace than with a nonprofit or public operator.

A

91/100

California Home For The Aged

Fresno, CA · Fresno County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
34%
Serious cites
0

California Home For The Aged has one of those rare staffing pictures where nothing looks thin. At 4.24 nurse hours per resident day, it runs about 10% above the national average, and weekend coverage barely dips, roughly 5% off its own weekday level, which is small compared to most homes. Turnover sits at 33.9%, well under the 45.8% national figure, and a non-profit owner tends to hold staff longer. The catch is the inspection record: 35 deficiencies, including one at harm or jeopardy level and one abuse-related, though the most recent inspection was March 2025, so that count may not reflect current conditions.

A

91/100

Greenfield Care Center Of Fullerton, Llc

Fullerton, CA · Orange County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
22%
Serious cites
0

Nurse staffing here runs about 4.21 hours per resident day, roughly 9% above the national average, and weekends dip only slightly below weekdays, a sign the schedule holds up rather than thinning out. Staff turnover sits at 21.5%, less than half the national rate of 45.8%, which matters for residents who value seeing the same faces. The record shows 30 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was September 11, 2025. It's a for-profit limited liability company with 99 certified beds, drawing 4s on both health inspections and quality measures and a 5 on staffing.

A

91/100

Red Bluff Health Care Center

Red Bluff, CA · Tehama County

CMS 4/5 58 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
32%
Serious cites
0

Red Bluff Health Care Center runs 58 certified beds under corporate ownership, and its staffing sits slightly under the national average at 3.75 nurse hours per resident day. That's a modest gap, and weekends dip only about 1% below weekdays, so coverage stays fairly even. What stands out more is turnover: 32.1% against a national average of 45.8%, meaning this home retains caregivers better than most. The tradeoff shows up in its inspection record, 26 deficiencies, one abuse-related, and 10 fines totaling $47,637, though none reached harm or jeopardy level, and the most recent inspection was January 2026. Strong quality and staffing marks sit alongside that compliance history.

A

91/100

Liberty Heights

Colorado Springs, CO · El Paso County

CMS 4/5 42 beds For-profit
Nurse hours
4.48 /day
Staff turnover
23%
Serious cites
0

Liberty Heights runs a tight ship on the floor: 4.48 nurse hours per resident day, about 16% above the national average, with a 5-star staffing rating to match. Turnover sits at 23.4%, roughly half the national rate of 45.8%, which matters more than any single number here, it means familiar faces, not a rotating cast. Weekends dip about 9% below weekday coverage, worth asking about. The trouble is inspections: 16 deficiencies on record, including one at the harm level and one abuse-related, plus a $39,035 fine. A July 2025 inspection is recent, and the 2-star health inspection rating reflects what surveyors found. Strong hands, shaky paperwork.

A

91/100

Pilgrim Manor

Cromwell, CT · Capitol County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
38%
Serious cites
0

Pilgrim Manor in Cromwell runs on a nonprofit model with 60 certified beds, and the staffing numbers are the first thing worth noting: 3.94 nurse hours per resident day, slightly above the national average, with weekends dipping about 7% below its own weekday levels. Staff turnover sits at 37.7%, which is meaningfully better than the 45.8% national figure, people tend to stay here longer than at the typical home. The current inspection record shows 16 deficiencies, including one at the harm level and four abuse-related, plus a single fine of $12,048. That's a mixed picture, but the last inspection was recent, in April 2024, and the quality and staffing ratings both come in at the top of the scale.

A

91/100

Bradley Home Infirmary/Pavilion

Meriden, CT · Capitol County

CMS 5/5 30 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
22%
Serious cites
0

Bradley Home Infirmary/Pavilion runs 30 certified beds in Meriden under nonprofit ownership, and its staffing is the clearest strength: 4.07 nurse hours per resident day, a bit above the national average, with a 5/5 staffing rating. Turnover sits at 22.2%, less than half the national figure, which matters for residents who need consistent caregivers, though weekend coverage drops about 13% from weekday levels. The record isn't spotless: 18 deficiencies, one serious enough to involve harm or jeopardy, plus a $12,735 fine. Its last inspection was March 2025, and both health inspection and quality measure ratings came in at 4/5.

A

91/100

Stonegates

Greenville, DE · New Castle County

CMS 4/5 49 beds For-profit
Nurse hours
5.96 /day
Staff turnover
26%
Serious cites
0

Stonegates runs on unusually heavy staffing, 5.96 nurse hours per resident day against a national average of 3.86. That's not a rounding quirk; it's roughly half again as much hands-on time as the typical home, and turnover at 26.4% sits well under the 45.8% national figure, meaning the people providing that care tend to stay. Weekends thin out about 14% from weekday levels, worth asking about if your visits fall on Saturdays or Sundays. The caution sits in the inspection record: 20 deficiencies, one serious enough to involve harm or jeopardy, one abuse-related, and a $48,696 fine. The most recent inspection came in December 2025, so the picture is current.

A

91/100

Sibley Mem Hosp Renaissance

Washington, DC · The District County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
6.48 /day
Staff turnover
26%
Serious cites
0

Sibley Mem Hosp Renaissance runs on a nurse staffing level that's genuinely hard to find: 6.48 hours per resident day, roughly 68% above the national average, with a five-star staffing rating and turnover at 26% against a national 45.8%. But the inspection record complicates that picture, 34 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with the last full inspection in January 2023. Weekend coverage also dips about 12% below the home's own weekday level. So you're looking at a small, nonprofit-affiliated home that invests heavily in staff but carries a real compliance history worth asking about directly before you decide.

A

91/100

Oakton Place Health And Rehabilitation At The Arli

Naples, FL · Collier County

CMS 2/5 44 beds For-profit
Nurse hours
5.98 /day
Staff turnover
27%
Serious cites
0

Oakton Place runs on unusually heavy staffing, nearly six nursing hours per resident day, roughly half again the national figure, and its nurses stay: turnover of 27.3% sits well under the 45.8% national rate. The quality measures CMS tracks also come back strong. What drags the record down is inspections. Thirteen deficiencies are on file, four of them serious enough to put residents in harm's way, including one tied to abuse, and a single $170,235 fine followed the June 2024 visit. Weekend coverage thins by about 8% against weekdays, which matters in a 44-bed home where help is the whole safety net. Good hands on deck; a troubled paper trail.

A

91/100

Gulf Coast Medical Center Skilled Nursing Unit

Fort Myers, FL · Lee County

CMS 5/5 75 beds Government
Nurse hours
5.82 /day
Staff turnover
19%
Serious cites
0

Gulf Coast Medical Center's skilled nursing unit runs on government ownership through the hospital district, and the numbers show a place that's mostly held together by staffing. At 5.82 nurse hours per resident day, it's about half again the national average, and turnover sits at 19.3% against a national 45.8%, unusually stable for the industry. Weekend coverage dips only about 11% below weekdays. Inspections tell a messier story: a 5-star health inspection rating, but six deficiencies on record, one serious enough to involve harm or jeopardy, and a $14,521 fine. The last inspection was August 2023, so the record is dated. Quality measures land at 4 stars. Strong staffing and low turnover are real, but that one harm-level deficiency is the detail worth asking about directly.

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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