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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 8621–8640 of 12,967, best-graded first.

B

71/100

Waters Of Georgetown, The

Georgetown, IN · Floyd County

CMS 1/5 68 beds Non-profit Medicaid
Nurse hours
5.58 /day
Staff turnover
60%
Serious cites
0

Waters Of Georgetown runs on a paradox worth understanding. Nurse staffing sits at 5.58 hours per resident day, roughly 44% above the national figure, yet Indiana records show 40 deficiencies, one tied to abuse, and a 1-star inspection rating. None of those deficiencies reached the harm or jeopardy level, so the problems look more like process and documentation failures than direct resident injury. Turnover is the other piece: 59.6% annually against a national 45.8% means a lot of the people providing that generous staffing are still learning the building. The last state visit came in mid-2025, so the record is fairly current. Weekend coverage dips only slightly from weekdays. Nonprofit ownership, strong hours, weak oversight, that mix usually points to a management problem, not a money problem.

B

71/100

Ignite Medical Resort Crown Point Llc

Crown Point, IN · Lake County

CMS 2/5 70 beds For-profit
Nurse hours
3.74 /day
Staff turnover
61%
Serious cites
0

Ignite Medical Resort Crown Point runs 70 beds under corporate ownership, and its staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average, with weekend coverage dipping about 4% below its own weekday levels. The bigger concern is turnover: 61.2% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year, which matters for anyone counting on consistent caregivers. Inspections are another weak spot, with a 1-out-of-5 health inspection rating and 44 deficiencies on record, including two tied to abuse, though none reached documented harm or jeopardy. Its quality measure score is strong, but that reflects charted care, not the hands available to deliver it.

B

71/100

Creston Specialty Care

Creston, IA · Union County

CMS 2/5 74 beds Non-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
48%
Serious cites
0

Creston Specialty Care runs 74 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekends drop about 14% below the home's own weekday levels, so coverage thins out right when families tend to visit. Staff turnover is 48.1%, a bit above the 45.8% national figure. The current inspection record shows 17 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $19,663; the most recent inspection was May 8, 2025. All three CMS star ratings, health inspections, quality measures, and staffing, land at 3 out of 5.

B

71/100

Accura Healthcare Of South Des Moines

Des Moines, IA · Polk County

CMS 1/5 89 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
48%
Serious cites
0

Accura Healthcare of South Des Moines runs 89 beds under limited liability ownership, and its staffing numbers look decent on paper, 3.93 nurse hours per resident day, a hair above the national average, though weekends drop about 13% below its own weekday coverage. The trouble sits elsewhere: 67 deficiencies on the current record, including four at the harm or jeopardy level and seven tied to abuse, with two fines totaling $52,632. Staff turnover runs 47.6%, higher than the national average, and the health inspection rating sits at 1 out of 5. The most recent inspection was July 2025, so the record is current, not stale. Good weekday staffing alone doesn't offset that inspection history.

B

71/100

Pinnacle Specialty Care

Cedar Falls, IA · Black Hawk County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
27%
Serious cites
0

Pinnacle Specialty Care is a 100-bed for-profit home in Cedar Falls, and the numbers point in a few different directions. Nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, and weekends run about 8% thinner than weekdays, which is when families tend to visit and notice. Turnover, though, is genuinely low at 27.4% against a 45.8% national figure, so the people who are there tend to stay. The inspection record is the bigger concern: 20 deficiencies, one serious enough to reach harm or jeopardy level, with a $8,362 fine and a 2-star health inspection rating. That's a lot of citations for a home this size, and it's what pulls the overall picture down.

B

71/100

Correctionville Specialty Care

Correctionville, IA · Woodbury County

CMS 1/5 39 beds Non-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
52%
Serious cites
0

Correctionville Specialty Care runs 39 certified beds as a nonprofit corporation, and the staffing picture is mixed. Nurse coverage sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86, and weekends dip about 10% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover is 51.6%, above the 45.8% national figure, which matters for how well aides know residents. The inspection record is the harder read: 42 deficiencies, seven at harm or jeopardy level, seven abuse-related, two fines totaling $60,316, and a survey completed December 31, 2025. Quality measures rate mid-range, but that inspection history is what drives the low overall mark.

B

71/100

Maple Manor Village

Aplington, IA · Butler County

CMS 4/5 42 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
53%
Serious cites
0

Maple Manor Village runs on 3.02 nurse hours per resident day, roughly a fifth below the national figure, and weekend coverage drops further below what it manages on weekdays. About 52.6% of staff turned over in the past year, higher than the 45.8% national rate, that's a lot of new faces for a 42-bed home. The current record shows seven deficiencies, none rising to harm or jeopardy, though two are abuse-related. Inspectors were last in on February 18, 2026, and the health inspection rating sits at 4 of 5, which is genuinely good; the staffing rating of 2 tells the other half of the story.

B

71/100

Winslow House Care Center

Marion, IA · Linn County

CMS 2/5 50 beds Non-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
—
Serious cites
0

Winslow House runs on 3.06 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 18% under its own weekday level, so the thinnest coverage lands when families tend to visit. Its inspection record shows 16 deficiencies, two serious enough to reach harm or jeopardy, plus two fines totaling $18,360; the last inspection was September 2025. Quality measures score well at 4/5, but that reflects charted care, not the hands available. This nonprofit has real strengths and real gaps, and the staffing pattern is the one worth asking about directly.

B

71/100

The Village Of Ackley

Ackley, IA · Hardin County

CMS 3/5 38 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
67%
Serious cites
0

The Village of Ackley runs 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86, and weekends dip about 9% below its own weekday coverage. Staff turnover is the number that stands out: 66.7% annually against a 45.8% national average, meaning most of the people caring for residents were not there a year ago. The inspection record shows 33 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $47,149. The last inspection was March 2026, so the picture is current. Quality and staffing star ratings both sit at 4/5, but the deficiency history and turnover tell a different story than the stars suggest.

B

71/100

Ignite Medical Resort Overland Park Llc

Overland Park, KS · Johnson County

CMS 2/5 102 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
54%
Serious cites
0

Ignite Medical Resort Overland Park runs 102 certified beds under nonprofit corporate ownership, and its staffing sits at 3.66 nurse hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 4% below its own weekday coverage, and annual turnover hits 53.5% against a national 45.8%, so the people on shift change often and thin out when families tend to visit. The inspection record shows 36 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, with one fine of $6,942 and a last survey dated July 2024. Quality measures score well; staffing and health inspections do not.

B

71/100

Winfield Senior Living Community

Winfield, KS · Cowley County

CMS 2/5 55 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
45%
Serious cites
0

Winfield Senior Living runs 55 certified beds under corporate ownership, and its nurse staffing sits at 3.73 hours per resident day, roughly 4% under the national average. Weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families are most likely to visit. Turnover is 45.2%, essentially matching the national rate, so that's not the problem here. The real issue is the inspection record: 23 deficiencies, one serious enough to reach harm or jeopardy level, with the most recent state visit in February 2025. No abuse citations appear. Quality and staffing measures both land mid-range, but a recent inspection with a harm-level finding is the number worth asking about directly.

B

71/100

Heritage Gardens Health And Rehabilitation Center

Oskaloosa, KS · Jefferson County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
55%
Serious cites
0

Heritage Gardens runs about 3.84 nurse staffing hours per resident day, essentially matching the national average of 3.86, but weekends drop roughly 9% below what the home staffs on weekdays, so the coverage your family member gets depends on the day of the week. Staff turnover sits at 54.5%, well above the national 45.8%, meaning nearly six in ten caregivers left over the past year. The inspection record shows 42 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $13,056 and a survey completed in May 2025. For-profit, limited liability ownership, 60 beds.

B

71/100

Sandpiper Healthcare & Rehabilitation Center

Wichita, KS · Sedgwick County

CMS 4/5 104 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
57%
Serious cites
0

Sandpiper runs 104 certified beds in Wichita under corporate ownership, and the staffing picture is mixed in a way the star ratings capture: 4.00 nurse hours per resident day sits about 4% above the national average, yet weekends drop roughly 12% below its own weekday level, and annual turnover is 56.5% against a national 45.8%. That churn shows up in the CMS staffing score of 2 out of 5 even though raw hours look fine on paper. The quality measure score is 5 out of 5, which is genuinely strong, but the inspection record carries 32 deficiencies with no harm-level or abuse findings and one fine of $16,801, most recently surveyed in November 2024.

B

71/100

Richmond Healthcare & Rehab Center

Richmond, KS · Franklin County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
54%
Serious cites
0

Richmond Healthcare & Rehab Center runs 60 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.79 hours per resident day, a bit under the national average, with weekends about 12% thinner than weekdays. That pattern matters, because the staff you get on a Saturday is the staff you get. Annual turnover of 53.6% is roughly eight points above the national rate, so caregivers cycle through faster than average. The current record shows 35 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in February 2025. Quality measures score near the bottom even as staffing scores well above it, an unusual split worth asking the administrator to explain directly.

B

71/100

Signature Healthcare Of Bowling Green

Bowling Green, KY · Warren County

CMS 4/5 176 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
52%
Serious cites
0

Signature Healthcare of Bowling Green runs 176 certified beds under for-profit LLC ownership, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating, 13 deficiencies on the current record with none at the harm or jeopardy level and none abuse-related, and a survey as recent as September 2025. Staffing is where the picture dims. At 3.69 nurse hours per resident day, it sits about 5% under the national average, weekends drop roughly 10% below its own weekday level, and annual turnover of 52.2% runs well above the 45.8% national figure. Quality measures score 4 out of 5, so care outcomes look better than the staffing numbers alone would suggest, but thin weekend coverage and high turnover are the things to ask about directly.

B

71/100

Hillcrest Health And Rehabilitation Center

Corbin, KY · Whitley County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
60%
Serious cites
0

Hillcrest runs 4.31 nurse hours per resident day, roughly 12% above the national average, and that staffing shows up in a 4/5 CMS staffing rating. Weekends thin out by about 14% from weekday levels, though, and annual turnover sits at 60% against a national 45.8%, meaning the people covering those hours keep changing. The current record shows 9 deficiencies, none at harm or jeopardy level, but 3 tied to abuse, and the quality measure rating is 1/5. The last inspection was August 2025, so it's recent. A 4/5 inspection rating with no harm-level findings is a real strength; the abuse citations and turnover are what pull the overall picture down.

B

71/100

Signature Healthcare At Heritage Hall Rehab & Well

Lawrenceburg, KY · Anderson County

CMS 1/5 94 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
44%
Serious cites
0

Heritage Hall runs 94 certified beds in Lawrenceburg under individual for-profit ownership, and its numbers tell two different stories. Nurse staffing sits at 3.75 hours per resident day, about 3% under the national average, and weekends dip roughly 12% below what the home staffs on weekdays, so the coverage your family member gets on a Saturday isn't what they'd get on a Tuesday. Annual turnover of 43.8% is slightly better than the 45.8% national figure. What pulls the record down is the inspection side: 20 deficiencies on file, 5 of them at harm or jeopardy level, 4 tied to abuse, plus a single $185,227 fine and a July 2025 inspection. A 1-out-of-5 health inspection star against 4-out-of-5 for staffing.

B

71/100

Woodcrest Nursing And Rehabilitation Center

Elsmere, KY · Kenton County

CMS 4/5 127 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
46%
Serious cites
0

Woodcrest runs 127 certified beds under corporate ownership, and its staffing sits about 9% under the national average at 3.50 nurse hours per resident day. Weekends dip roughly another 8% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover lands at 45.6%, essentially matching the national rate, so this isn't a retention crisis, just thin coverage. The inspection record is the bright spot: three deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was in May 2025, so the findings are current. The tradeoff is straightforward, a clean recent inspection and steady turnover against below-average daily staffing.

B

71/100

The Seasons At Alexandria

Alexandria, KY · Campbell County

CMS 1/5 117 beds Non-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
50%
Serious cites
0

The Seasons At Alexandria runs a nonprofit shop with 117 beds, and the raw staffing number looks decent, 4.43 nurse hours per resident day, roughly 15% above the national average. But the inspection record is where this home falls apart: 17 deficiencies on the current record, seven of them serious enough to put residents in harm's way, two tied to abuse, and $246,139 in fines across two penalties. Weekend staffing also drops about 10% below its own weekday level, and turnover sits at 50.3% against a national 45.8%. A 2025-08-15 inspection means the record is recent, not stale. Strong quality scores can't offset that kind of enforcement history.

B

71/100

Boonespring Transitional Care Center, Llc

Union, KY · Boone County

CMS 4/5 143 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
48%
Serious cites
0

Boonespring runs about 3.65 nursing hours per resident per day, roughly 5% under the national average, and weekend coverage drops about 11% below its own weekday level, so the days families visit most are the thinnest. Staff turnover sits at 47.8%, a bit above the national 45.8%. Inspectors found 12 deficiencies, none causing harm or jeopardy, though one is abuse-related, and the last visit was March 19, 2025. That combination, solid inspection and quality marks, weaker staffing, is the whole story here. The corporate owner keeps the building in decent regulatory shape; the question is whether there are enough hands on weekends.

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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