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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 841–860 of 12,967, best-graded first.

A

91/100

The Preserve

Fort Myers, FL · Lee County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
34%
Serious cites
0

The Preserve runs on a nonprofit model with 75 certified beds, and the numbers suggest it's a place that takes staffing seriously. At 4.65 nurse hours per resident day, it sits about 20% above the national average of 3.86, a meaningful cushion, though weekend coverage dips roughly 11% below its own weekday levels, so families should ask how that plays out on Saturdays and Sundays. Staff turnover lands at 33.8%, well under the national 45.8%, which matters for continuity of care. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection and a survey as recent as October 2025. Nothing here reads as a red flag.

A

91/100

Lenbrook

Atlanta, GA · De Kalb County

CMS 5/5 60 beds Non-profit
Nurse hours
6.01 /day
Staff turnover
42%
Serious cites
0

Lenbrook runs 6.01 nurse hours per resident per day against a national average of 3.86, that's roughly half again as much hands-on time as the typical home. Weekend staffing dips about 10% below its own weekday level, so ask how that plays out on a Sunday. Four deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection in late February 2026. Staff turnover sits at 41.6%, a bit better than the 45.8% national figure, though still meaningfully high. As a nonprofit, it answers to a board rather than shareholders.

A

91/100

Magnolia Place Nursing And Rehabilitation

Rome, GA · Floyd County

CMS 5/5 34 beds Non-profit Medicaid
Nurse hours
6.41 /day
Staff turnover
48%
Serious cites
0

Magnolia Place runs on a nonprofit model with 34 certified beds in Rome, and the staffing numbers stand out, 6.41 nurse hours per resident day, roughly two-thirds above the national average of 3.86. Weekend coverage dips only about 3% below its own weekday level, so care doesn't thin out much when families tend to visit. Turnover sits at 48.3%, a touch above the 45.8% national figure, which is worth asking about directly. Five deficiencies appear on the current record, none at the harm level and none abuse-related, and the most recent inspection came in January 2026.

A

91/100

Arcadia Retirement Residence

Honolulu, HI · Honolulu County

CMS 4/5 91 beds Non-profit
Nurse hours
4.61 /day
Staff turnover
25%
Serious cites
0

Arcadia Retirement Residence runs on unusually strong staffing for a nonprofit in Honolulu: 4.61 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 9% below weekdays. Turnover sits at 24.7%, roughly half the national rate, which matters because consistent caregivers know their residents. The tradeoff shows up in its inspection history, 37 deficiencies on record, including two at the harm level and three tied to abuse, with one $12,854 fine. The most recent inspection was October 2024, so that record is current. Strong hands-on care, a thinner record on compliance.

A

91/100

Oahu Care Facility

Honolulu, HI · Honolulu County

CMS 5/5 82 beds For-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
48%
Serious cites
0

Oahu Care Facility runs on better-than-average nurse coverage, 5.09 hours per resident day, roughly a third more than the national figure of 3.86, and its weekend hours dip only modestly below weekdays. Staff turnover is 47.8%, a touch above the national 45.8%, so the people giving that care turn over somewhat more than elsewhere. What pulls the record down is the inspection history: 37 deficiencies on file, including one at the harm level and one tied to abuse, plus an $8,278 fine. The most recent inspection was November 2025. Strong daily staffing, thinner safety record.

A

91/100

Syringa Chalet Nursing Facility

Blackfoot, ID · Bingham County

CMS 5/5 42 beds Government Medicaid
Nurse hours
5.79 /day
Staff turnover
37%
Serious cites
0

Syringa Chalet runs on state government ownership in Blackfoot, and the numbers show a home that's mostly getting the fundamentals right. Nurse staffing sits at 5.79 hours per resident day, roughly half again the national average, and weekend coverage dips only about 9% below weekdays, so care doesn't fall off a cliff on Saturdays and Sundays. Turnover runs 37.3%, better than the 45.8% national figure, which matters because familiar faces tend to know residents' routines. The tradeoff: 22 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and one fine of $13,923. Inspectors were last in on January 22, 2026, so that picture is current.

A

91/100

Lake Forest Place

Lake Forest, IL · Lake County

CMS 5/5 50 beds Non-profit
Nurse hours
5.55 /day
Staff turnover
33%
Serious cites
0

Lake Forest Place runs on a genuinely strong staffing base: 5.55 nurse hours per resident day, roughly 44% above the national average, which is the kind of margin that shows up in day-to-day care. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 33.3%, meaningfully better than the 45.8% national figure, and the nonprofit ownership may help explain the stability. Against that, the current record carries 14 deficiencies, two of them serious enough to involve harm or jeopardy, and the last full inspection was in December 2024.

A

91/100

Southeast Iowa Regional Medical - Klein Center

West Burlington, IA · Des Moines County

CMS 2/5 160 beds Non-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
24%
Serious cites
0

The Klein Center has a lot working in its favor on paper: 4.78 nurse hours per resident day is roughly a quarter more staffing than the national average, and its 23.8% turnover is about half the national rate, which suggests a stable crew. Weekend coverage slips a bit, about 10% below weekdays, so ask how that plays out on Saturdays. The trouble is the inspection record, 14 deficiencies, including two at the harm level and three tied to abuse, plus two fines totaling $65,094. Quality measures score well, but that history is recent, from May 2025.

A

91/100

Chautauqua Guest Home #3

Charles City, IA · Floyd County

CMS 5/5 57 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
24%
Serious cites
0

Chautauqua Guest Home #3 in Charles City runs a tight ship. Staffing sits at 3.98 nurse hours per resident day, just above the national average, and the weekend dip is modest at around 8 percent, not the steep drop-off you see at some homes. What stands out most is the 23.8 percent turnover rate, roughly half the national figure, which suggests people actually stay. The inspection record backs that up: six deficiencies on file, none causing harm, none tied to abuse, and the most recent state visit came in July 2025. For-profit corporate ownership, 57 beds, and quality measures scoring well enough to keep this one worth a look.

A

91/100

Valley Vue Care Center

Armstrong, IA · Emmet County

CMS 5/5 40 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
35%
Serious cites
0

Valley Vue Care Center runs 40 certified beds in Armstrong under for-profit LLC ownership. Nurse staffing sits at 3.86 hours per resident day, essentially right at the national average, not above it, and weekends run about 11% leaner than weekdays, so coverage thins when families tend to visit. Staff turnover of 35% beats the 45.8% national figure, meaning caregivers here tend to stick around longer than at the typical home. Inspections produced 11 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent inspection was March 12, 2026, so the record is current. CMS gives it 4 stars for health inspections, 4 for quality measures, and 5 for staffing.

A

91/100

Methodist Manor Retirement Community

Storm Lake, IA · Buena Vista County

CMS 4/5 93 beds Non-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
26%
Serious cites
0

Methodist Manor in Storm Lake runs on a nonprofit model, and its staffing numbers show it. At 4.26 nurse hours per resident day, it sits about 10% above the national average, and it's one of the few homes where the 5-star staffing rating reflects real retention, 25.7% turnover against a national average of 45.8% is unusually steady. Weekends dip only about 6% below weekday coverage, which matters when you're thinking about who's actually on the floor on a Sunday. The caution is in the inspection record: 21 deficiencies, including one at harm level and one abuse-related, with the most recent survey in April 2026. Strong staffing and quality measures, but the compliance history is worth asking about directly.

A

91/100

Calvin Community

Des Moines, IA · Polk County

CMS 4/5 59 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
31%
Serious cites
0

Calvin Community in Des Moines runs on a nonprofit model with 59 certified beds, and the staffing numbers are its strongest suit: 4.19 nurse hours per resident day, roughly 8% above the national average, with a 5/5 CMS staffing star. Weekend coverage dips about 11% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Turnover sits at 31.3% against a national average of 45.8%, meaning workers tend to stay longer here than at most homes. The tradeoff is a 3/5 inspection star with 12 deficiencies on record, though none involved harm or abuse, and one fine totaling $4,233. The last inspection was in December 2025, so the record is recent.

A

91/100

United Presbyterian Home

Washington, IA · Washington County

CMS 5/5 55 beds Non-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
35%
Serious cites
0

United Presbyterian Home runs 4.35 nurse hours per resident day, about 13 percent above the national average of 3.86. Weekend coverage drops roughly 14 percent from its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 35.1 percent against a national 45.8 percent, which matters for how well aides know your mother's routines. The current record shows 22 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in July 2025. This is a nonprofit with strong staffing and quality marks, but those two serious citations are the reason to read the inspection reports yourself before deciding.

A

91/100

West Ridge Care Center

Cedar Rapids, IA · Linn County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
34%
Serious cites
0

West Ridge Care Center runs 60 beds in Cedar Rapids under corporate ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, though weekends dip about 9% below what the home staffs on weekdays. Turnover is 33.9%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record is thin: one deficiency total, none at the harm level, none abuse-related, with the most recent survey dated January 29, 2026. For a for-profit home, that combination of low turnover, above-average staffing, and a nearly clean survey history is not typical.

A

91/100

Lawrence Presbyterian Manor

Lawrence, KS · Douglas County

CMS 3/5 40 beds Non-profit Medicaid
Nurse hours
5.83 /day
Staff turnover
54%
Serious cites
0

Lawrence Presbyterian Manor runs 40 certified beds as a nonprofit corporation, and its nurse staffing sits at 5.83 hours per resident day, roughly half again what the typical American nursing home provides. Weekend coverage dips only slightly below weekday levels, so care doesn't thin out much when families visit. What pulls against that picture is turnover: 53.7% of staff leave each year, well above the 45.8% national figure, and the home carries 15 deficiencies on its current record, one tied to abuse, though none rose to the level of actual harm or jeopardy. Its last inspection was in February 2026, and CMS rates it 3 of 5 on health inspections but 4 of 5 on both quality measures and staffing.

A

91/100

Bethany Home Association

Lindsborg, KS · Mcpherson County

CMS 4/5 85 beds Non-profit Medicaid
Nurse hours
5.34 /day
Staff turnover
34%
Serious cites
0

Bethany Home Association runs a lean, well-staffed operation. At 5.34 nurse hours per resident day, it sits about 38% above the national average, and its staff turnover of 34% beats the national 45.8%, people tend to stay. The 20 deficiencies on record sound like a lot until you notice none reached harm or jeopardy level and none involved abuse, so they read more like paperwork and process issues than resident safety problems. Weekend staffing dips roughly 14% below its own weekday level, which is common but worth asking about. A 4-out-of-5 health inspection star and a recent August 2024 survey round out a picture of a nonprofit that's stable and adequately watched.

A

91/100

Tallgrass Creek, Inc

Overland Park, KS · Johnson County

CMS 5/5 44 beds For-profit Medicaid
Nurse hours
4.87 /day
Staff turnover
43%
Serious cites
0

Tallgrass Creek sits in Overland Park with 44 certified beds, run by a for-profit limited liability company. The staffing numbers are the strongest part of the picture: 4.87 total nurse hours per resident day, roughly a quarter above the national average of 3.86, though weekend coverage drops about 12% below its own weekday level. Staff turnover of 43.1% edges just under the national rate of 45.8%. What pulls the record down is the inspection history. Seventeen deficiencies are on file, including one at the harm or jeopardy level and one abuse-related, plus a $7,446 fine. The most recent inspection was February 2026. Strong daily staffing and a five-star health inspection rating sit alongside a deficiency record that includes the most serious category CMS tracks.

A

91/100

Stevens County Hospital Ltcu Dba Pioneer Manor

Hugoton, KS · Stevens County

CMS 2/5 77 beds Government Medicaid
Nurse hours
4.68 /day
Staff turnover
37%
Serious cites
0

Pioneer Manor is county-owned, and the staffing numbers show it: 4.68 nurse hours per resident day, roughly a fifth above the national average, and a five-star staffing rating to match. Turnover sits at 37.3%, better than the 45.8% national figure, though weekend coverage dips about 12% below weekday levels, so care can thin out on Saturdays and Sundays. The trouble is inspections. The current record carries 23 deficiencies, three of them at the level where a resident was harmed or put in immediate jeopardy, and one abuse-related. The health inspection rating is 1 out of 5, and the most recent survey was in December 2024. Strong staffing is real, but it hasn't kept the home out of serious trouble.

A

91/100

Radcliff Veterans Center

Radcliff, KY · Hardin County

CMS 3/5 120 beds Government Medicaid
Nurse hours
5.60 /day
Staff turnover
34%
Serious cites
0

Radcliff Veterans Center is state-run, so it answers to Kentucky rather than a chain or a private operator. The staffing is the strongest part of the picture: 5.60 nurse hours per resident day, well above the 3.86 national average, though weekends drop off by roughly 14 percent compared with weekdays. Turnover sits at 34.2 percent, better than the 45.8 percent national figure. The inspection record pulls the other way. Seven deficiencies are on file, two of them serious enough to involve harm or jeopardy, and two tied to abuse. One fine totaling $9,331 has been levied, and the most recent inspection was in March 2025. Good coverage on paper, but a citation history worth asking about directly.

A

91/100

Northwest Healthcare Center

Baltimore, MD · Baltimore City County

CMS 4/5 91 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
33%
Serious cites
0

Northwest Healthcare Center runs 91 beds under corporate ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, so the quietest days get the thinnest staffing. Turnover is the bright spot: 32.9% against a national 45.8%, meaning aides and nurses here tend to stay. Inspections in January 2026 produced 28 deficiencies, none at harm or jeopardy level, though four were abuse-related, worth asking about directly. All three CMS ratings land at 4 of 5 stars.

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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