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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 8761–8780 of 12,967, best-graded first.

B

71/100

Neffsville Nursing And Rehabilitation

Lancaster, PA · Lancaster County

CMS 1/5 240 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
44%
Serious cites
0

Neffsville Nursing and Rehabilitation runs 240 certified beds in Lancaster under corporate for-profit ownership, and its inspection record is the real story here: 33 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse. CMS gives it 1 out of 5 stars for health inspections and 2 for quality measures. Nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average, and weekends drop about 8 percent below its own weekday levels. Staff turnover is 44.3 percent, essentially in line with the national 45.8 percent. Its last inspection was November 15, 2024. If you're weighing this one, ask directly how they've addressed the harm-level findings.

B

71/100

Pleasant Ridge Manor East/West

Girard, PA · Erie County

CMS 4/5 300 beds Government Medicaid
Nurse hours
4.45 /day
Staff turnover
72%
Serious cites
0

Pleasant Ridge Manor runs a county-owned operation in Girard with 300 beds, and its nurse staffing sits about 15% above the national average, 4.45 hours per resident day against 3.86. That's a real cushion, though weekends run roughly 11% thinner than weekdays, and staff turnover hits 71.5% against a national 45.8%, so the people delivering that care churn heavily. Inspections are recent, from June 2025, and the health inspection rating is strong, but the current record carries 21 deficiencies, including one at the harm level and two tied to abuse. A single fine of $10,033 rounds it out. Good staffing numbers, but the turnover and deficiency history are what pull the overall picture down.

B

71/100

Quakertown Center

Quakertown, PA · Bucks County

CMS 3/5 138 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
41%
Serious cites
0

Quakertown Center runs 138 beds under corporate ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 6% below the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover is 40.9%, which is actually better than the 45.8% national figure, and the current record shows 20 deficiencies with none at harm or jeopardy level and nothing abuse-related. The last inspection was March 18, 2026. Nothing here reads as dangerous, but the staffing gap and weekend slide are the numbers worth asking about directly.

B

71/100

Heritage Ridge Senior Living At Windy Hill

Philipsburg, PA · Centre County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
50%
Serious cites
0

Heritage Ridge runs a for-profit LLC operation with 90 certified beds in Philipsburg, and its staffing sits at 4.00 nurse hours per resident day, about 4% above the national average of 3.86. That edge is real but thin, and it narrows on weekends, when coverage drops roughly 5% below the home's own weekday level. Annual turnover hits 50%, higher than the 45.8% national figure, which means the people at the bedside keep changing. On the inspection side, the record shows 30 deficiencies, including one tied to abuse, though none rose to actual harm or jeopardy. The most recent state visit was July 2025. Staffing and health inspection each earned 2 out of 5 stars from CMS; quality measures came in at 3.

B

71/100

Quality Life Services - Sarver

Sarver, PA · Butler County

CMS 3/5 66 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
71%
Serious cites
0

Quality Life Services - Sarver runs 66 certified beds under for-profit LLC ownership, and its staffing numbers are the thing to look at first. At 3.55 nurse hours per resident day, it sits about 8% under the national average, with weekends running roughly 9% thinner than its own weekdays. The bigger concern is turnover: 70.6% of staff leaving annually, against a national average of 45.8%, which means the people showing up for your family member are often still learning the building. Inspections in November 2025 turned up 37 deficiencies, four tied to abuse, though none reached harm or jeopardy level. Ownership is for-profit and staffing earns two stars.

B

71/100

Transitions Healthcare North Huntingdon

North Huntingdon, PA · Westmoreland County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
51%
Serious cites
0

Transitions Healthcare North Huntingdon runs 120 beds under for-profit LLC ownership, and its staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 6% below the home's own weekday coverage, and annual turnover is 51.4%, higher than the 45.8% national figure. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with three-out-of-five stars each for health inspections, quality measures, and staffing. Its last inspection was April 30, 2026. What you're looking at is a home that stays out of serious trouble but runs leaner on direct care than the typical facility, and cycles through staff faster.

B

71/100

Kadima Rehabilitation & Nursing At Lakeside

Dallas, PA · Luzerne County

CMS 4/5 31 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
55%
Serious cites
0

Kadima Rehabilitation & Nursing at Lakeside runs 31 certified beds in Dallas, Luzerne County, under for-profit partnership ownership. Staffing sits at 3.88 hours per resident day, essentially matching the national average of 3.86, though weekends run about 6% thinner than weekdays. Turnover is the bigger concern: 55% annually against a national rate of 45.8%, meaning more than half the staff leaves each year. The inspection record shows 37 deficiencies, including one at the harm or jeopardy level and four tied to abuse. A 2/5 health inspection rating and a 2/5 quality measure rating, with the most recent inspection in September 2025, round out a picture that's worth asking hard questions about before deciding.

B

71/100

Transitions Healthcare Gettysburg

Gettysburg, PA · Adams County

CMS 3/5 135 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
50%
Serious cites
0

Transitions Healthcare Gettysburg runs 135 beds as a for-profit LLC, and the numbers tell a middling story. Nurse staffing sits at 3.74 hours per resident day, about 3% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is 49.6%, nearly four points above the national figure, and the current record carries 25 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $16,334 in fines. The last inspection was November 2025. Three stars on health inspections, quality measures, and staffing put this home squarely in the middle.

B

71/100

Centennial Healthcare And Rehabilitation Center

Philadelphia, PA · Philadelphia County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
52%
Serious cites
0

Centennial runs 180 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, with weekends dipping about 7% below its own weekday levels. Turnover runs 52.4% against a national 45.8%, which matters because residents see a rotating cast of caregivers. The current record shows 21 deficiencies, none at harm or jeopardy level but two tied to abuse. Inspections are recent, from August 2025, and the health inspection rating is a middling 3 out of 5, while quality measures come in at 1 out of 5. If you're weighing this one, ask about weekend coverage and how they keep consistent assignments.

B

71/100

Whitehall Borough Post Acute

Pittsburgh, PA · Allegheny County

CMS 4/5 166 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
50%
Serious cites
0

The numbers split sharply at Whitehall Borough Post Acute. The quality measures that Medicare tracks, things like pressure sores and functional decline, score at the top of the range, but the record that matters most for day-to-day safety doesn't match: a 1-star health inspection rating, 33 deficiencies on file, including one that caused actual harm and four tied to abuse. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, with weekends running thinner still and turnover at 50.3%, above the norm. At 166 beds under limited-liability ownership, that combination of thin coverage and a flagged inspection history is what a C really reflects here.

B

71/100

Adviniacare Waterview Villas, Llc

East Providence, RI · Providence County

CMS 2/5 132 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
38%
Serious cites
0

Adviniacare Waterview Villas runs 132 beds under for-profit LLC ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the 3.86 national average. Weekends drop about 6% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 38.4%, which is actually better than the 45.8% national figure, so the problem isn't retention so much as raw hours on the floor. The inspection record is where it gets harder to ignore: 25 deficiencies, 5 serious enough to involve harm or jeopardy, and two fines totaling $99,003. A 2-out-of-5 inspection rating with a March 2026 survey date tells you regulators have found real problems here.

B

71/100

Pruitthealth- Columbia

Columbia, SC · Richland County

CMS 1/5 144 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
50%
Serious cites
0

Pruitthealth-Columbia runs 144 certified beds as a for-profit corporation, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, and annual turnover hits 49.5%, a bit above the 45.8% national figure. The current record shows 22 deficiencies, none at harm or jeopardy level, but one tied to abuse, plus two fines totaling $48,523. A July 2025 inspection is recent, and the quality measure score of 3 out of 5 lands in the middle. The staffing star rating of 4 is the strongest number here; the 1 out of 5 on health inspections is the one worth asking about directly.

B

71/100

Valley Falls Terrace

Spartanburg, SC · Spartanburg County

CMS 3/5 88 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
46%
Serious cites
0

Valley Falls Terrace runs 88 certified beds in Spartanburg, owned by an individual for profit. The staffing number is the one to watch: 3.29 nurse hours per resident day, about 15 percent under the national 3.86, and weekends drop roughly another 10 percent below the home's own weekday levels. That thin coverage shows up in its one-star staffing rating, even though turnover at 45.8 percent lands right at the national average. Inspections look better. The home carries a four-star health inspection rating and a clean record on its most recent survey from May 2026, 12 deficiencies total, none at harm or jeopardy level, none abuse-related. So you're weighing a decent survey history against daily staffing that runs light, especially on weekends.

B

71/100

West Village Post Acute

Greenville, SC · Greenville County

CMS 2/5 132 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
53%
Serious cites
0

West Village Post Acute runs on thinner nurse coverage than most homes in the country, 3.28 hours per resident day against a national average of 3.86. Weekends are leaner still, about 13 percent below what the building staffs on weekdays, and more than half the nursing staff turned over in the past year, a rate above the national figure. Inspectors have logged 24 deficiencies, including one at the harm level and three tied to abuse, though the most recent visit was in January 2026, so the record is current. The company is a for-profit LLC with 132 certified beds.

B

71/100

Bennettsville Health And Rehabilitation Center

Bennettsville, SC · Marlboro County

CMS 1/5 110 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
28%
Serious cites
0

Bennettsville Health and Rehabilitation Center runs 3.21 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday staffing. That thinner weekend coverage matters because the home carries 28 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse, with $15,646 in fines across two penalties. Turnover is the one bright spot: 27.6% versus 45.8% nationally, so aides and nurses tend to stay. The last inspection was April 2025. A for-profit LLC operates its 110 beds, and federal ratings sit at two stars for both inspections and quality measures.

B

71/100

Fountain Springs Healthcare

Rapid City, SD · Pennington County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
54%
Serious cites
0

Fountain Springs runs 90 certified beds in Rapid City under for-profit limited liability ownership, and the nurse staffing numbers sit slightly under the national mark, 3.79 hours per resident day against 3.86. That gap is small, but weekend coverage drops about 11% below weekday levels, and turnover hits 53.7% compared to 45.8% nationally, meaning the faces around a resident change more often than at the typical home. The inspection record shows 18 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $22,526 in fines across two penalties. The most recent inspection was December 9, 2025, so the picture is current.

B

71/100

Riverview Post Acute

Ashland City, TN · Cheatham County

CMS 2/5 95 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
53%
Serious cites
0

Hillcrest runs 95 beds in Ashland City, and its overall nurse staffing sits at 3.98 hours per resident day, slightly above the national average, though the federal staffing rating still comes in at just one star out of five. That gap tells you something: the average looks fine, but the weekend numbers run about 14 percent below weekday levels, and turnover hits 53.2 percent against a national 45.8. More than half the nursing staff turning over in a year is worth asking about directly. The inspection record shows 13 deficiencies, none at the harm level and none abuse-related, with the most recent visit in January 2026.

B

71/100

Standing Stone Care And Rehab

Monterey, TN · Putnam County

CMS 5/5 115 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
44%
Serious cites
0

Standing Stone runs a 115-bed for-profit operation in Monterey, and its staffing is the weak spot: 3.58 nurse hours per resident day, about 7% under the national average, with weekends roughly 12% thinner than weekdays. The 2-out-of-5 staffing rating reflects that, and turnover sits at 43.9%, actually a touch better than the national 45.8%, so retention isn't the problem; raw hours are. Inspections are the strong side: a 4-out-of-5 rating and a March 2025 visit, with 13 deficiencies on record, none at harm level, though four are abuse-related and worth asking about directly.

B

71/100

Knollwood Manor

Lafayette, TN · Macon County

CMS 1/5 49 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
33%
Serious cites
0

Knollwood Manor runs on thinner staffing than most homes, about 3.41 nurse hours per resident day against a national average near 3.86. Turnover sits at 33.3%, better than the 45.8% national figure, so the people who stay tend to stay. The harder numbers are on the inspection side: 18 deficiencies on record, four of them serious enough to involve harm or jeopardy, and three tied to abuse. Both the health inspection and quality measure ratings come in at one star out of five. The last inspection was recent, November 2025, so this record reflects how the home operates now, not an old problem already cleaned up. Ownership is a for-profit corporation.

B

71/100

Woodbury Health And Rehabilitation Center

Woodbury, TN · Cannon County

CMS 3/5 82 beds Non-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
41%
Serious cites
0

Woodbury Health And Rehabilitation Center runs on thinner nursing coverage than most homes, 3.35 nurse hours per resident day against a national average of 3.86, and weekends dip about 5% below its own weekday numbers. Turnover sits at 40.5%, a bit better than the 45.8% national figure, which matters for consistency even if the raw hours don't impress. The inspection record carries 14 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related; the last state visit was April 2026, so the picture is current. Quality measures score well, but a two-star staffing rating and that deficiency count are the real story here.

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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