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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 881–900 of 12,967, best-graded first.

A

91/100

St Luke Community Nursing Home

Ronan, MT · Lake County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
33%
Serious cites
0

St Luke Community Nursing Home runs on 4.42 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 32.6% sits well below the 45.8% national figure, both signs of a stable, well-staffed floor. The tradeoff shows up in inspections: 18 deficiencies on the current record, two at the harm or jeopardy level, and one fine of $44,252, with the most recent visit in March 2025. Weekend staffing dips about 10% below weekday levels, worth asking about if your family visits Saturdays or Sundays. Nonprofit ownership and strong quality and staffing ratings don't erase a two-star inspection history; they just tell you where the problems are likely to surface.

A

91/100

Brookestone Of David City

David City, NE · Butler County

CMS 5/5 86 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
31%
Serious cites
0

Brookestone Of David City runs on a nonprofit model with 86 certified beds, and the staffing numbers back it up: 4.20 nurse hours per resident day, roughly 9% above the national average. Weekend coverage does dip about 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 30.6%, well under the national 45.8%, people tend to stay. The home's inspection record is clean where it counts, with six deficiencies total, none at the harm or jeopardy level and none abuse-related, and the most recent inspection came in February 2025. Quality measures land at 4 out of 5 stars, a small step below its staffing and inspection marks.

A

91/100

Wakefield Health Care Center

Wakefield, NE · Dixon County

CMS 5/5 40 beds Government Medicaid
Nurse hours
5.05 /day
Staff turnover
33%
Serious cites
0

Wakefield Health Care Center is city-owned, and its 40 beds get 5.05 nursing hours per resident per day, roughly a third more than the national average. Staff turnover sits at 33.3%, well below the 45.8% national figure, though weekend coverage dips about 7% from weekday levels. The tradeoff shows up in its record: 17 deficiencies, five tied to abuse, but none at the harm or jeopardy level, and the most recent inspection was in July 2025. A 4 out of 5 on health inspections and a 3 on quality measures round out a home that's better staffed than most, with a survey history worth asking about directly.

A

91/100

Southlake Village Rehabilitation & Care Center

Lincoln, NE · Lancaster County

CMS 5/5 126 beds Non-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
34%
Serious cites
0

Southlake Village runs a nonprofit shop in Lincoln with 126 beds, and the staffing numbers are the first thing worth noticing: 4.72 nurse hours per resident per day, roughly 22% above the national average of 3.86. Weekends dip about 8% below its own weekday level, which is common but still worth asking about if your family visits on a Saturday or Sunday. Turnover sits at 34% against a national 45.8%, so the crew here sticks around more than most. Six deficiencies on record, none at harm or jeopardy level and none abuse-related, with a state inspection completed in November 2025.

A

91/100

Brookestone Of Papillion

Papillion, NE · Sarpy County

CMS 5/5 110 beds Non-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
29%
Serious cites
0

Brookestone Of Papillion runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.18 hours per resident day, roughly 8 percent above the national average, though weekends drop about 13 percent below its own weekday levels, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover is the standout: 28.7 percent against a national average near 46 percent, meaning the people caring for residents tend to stick around. Seven deficiencies on record, none at the harm level and none abuse-related, with a clean inspection as recently as February 2025. As a nonprofit, it answers to a board rather than shareholders.

A

91/100

Cheshire County Home

Westmoreland, NH · Cheshire County

CMS 4/5 150 beds Government Medicaid
Nurse hours
4.49 /day
Staff turnover
36%
Serious cites
0

Cheshire County Home runs on a county government budget, and the numbers suggest that arrangement is working. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average, and the federal staffing rating reflects it. Weekend coverage does dip roughly 8 percent below weekday levels, so ask about Saturday and Sunday shifts specifically. Staff turnover of 36.1 percent is meaningfully lower than the national 45.8 percent, which matters for whether your family sees the same faces month to month. The home's nine deficiencies include nothing tied to harm, jeopardy, or abuse, and its last inspection was recent, in September 2025. Quality measures score well too.

A

91/100

Holy Cross Health Center

Manchester, NH · Hillsborough County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.70 /day
Staff turnover
34%
Serious cites
0

Holy Cross Health Center runs 40 certified beds in Manchester under church-related nonprofit ownership, and the staffing numbers are the story here: 4.70 total nurse hours per resident day, roughly 22 percent above the national average. Weekend coverage dips about 9 percent below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 34.3 percent, well under the 45.8 percent national figure, which matters for whether your parent sees the same faces week to week. Two deficiencies on the current record, none at the harm level and none abuse-related, with the most recent inspection dated February 2026.

A

91/100

Foothill Acres Rehabilitation & Nursing Center

Hillsborough, NJ · Somerset County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
39%
Serious cites
0

Foothill Acres runs on better-than-average nurse coverage: 4.17 hours per resident day, roughly 8% above the national figure, though weekends dip about 8% below its own weekday pace. Staff turnover sits at 39.3%, lower than the 45.8% national average, which matters for consistency of care. The catch is inspections. Nineteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, but CMS scored the health inspection side 2 out of 5, and the most recent survey was March 2025, so that record is recent, not stale. Quality measures scored 5 out of 5. For-profit, LLC-owned, 200 beds.

A

91/100

United Methodist Communities At Pitman

Pitman, NJ · Gloucester County

CMS 5/5 72 beds Non-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
39%
Serious cites
0

United Methodist Communities At Pitman runs on 4.15 nurse hours per resident day, about 8% above the national average, and its staff turnover of 38.8% sits below the national 45.8%, both signs of a stable floor. The tradeoff is weekends, when staffing drops roughly 12% below its own weekday level, so ask how that plays out on a Sunday. Inspections are current as of January 2026 and turned up 6 deficiencies, one at the harm level, with a single fine of $12,735 and nothing abuse-related. For a 72-bed nonprofit, that's a thin record.

A

91/100

Park Ridge Nursing Home

Rochester, NY · Monroe County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
42%
Serious cites
0

Park Ridge runs on more nursing hours than most homes in the country, 4.36 per resident day against a national average of 3.86, and that staff shows up with less churn than typical, with turnover at 41.9% versus 45.8% nationally. Weekend coverage dips about 14% below weekday levels, which is common but worth knowing if your visits fall on Saturdays or Sundays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none tied to abuse, and the last full inspection came in April 2024. As a nonprofit, this is a home where the numbers mostly hold up.

A

91/100

Beechwood Health Care Center, Inc.

Getzville, NY · Erie County

CMS 5/5 272 beds Non-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
38%
Serious cites
0

Beechwood runs 272 certified beds as a nonprofit corporation, and its 3.97 nurse staffing hours per resident day sits slightly above the national average of 3.86. Turnover is where it separates itself: 37.5% annually against a national 45.8%, meaning fewer caregivers are walking out the door than at the typical home. The tradeoff is weekends, when staffing drops about 13% below its own weekday level. Eight deficiencies are on the current record, none at the harm or jeopardy level, though one is abuse-related. The last inspection was November 2023, so the picture is reasonably current, and the federal ratings come back clean across health inspections, quality measures, and staffing.

A

91/100

North Shore - Lij Orzac Center For Rehabilitation

Valley Stream, NY · Nassau County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
5.95 /day
Staff turnover
30%
Serious cites
0

Staffing is where Orzac stands apart: 5.95 nurse hours per resident day, roughly half again the national average, and a 29.9% turnover rate that's well below the typical 45.8%. Families usually notice that as more consistent hands on the floor. Weekend coverage dips about 8% from weekday levels, which is worth asking about if you visit Saturdays. The caution is inspections. Eleven deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $41,575 fine, with the most recent inspection in May 2025. Strong care hours and a weaker regulatory history can both be true at once.

A

91/100

Woodland Pond At New Paltz

New Paltz, NY · Ulster County

CMS 4/5 40 beds Non-profit Medicaid
Nurse hours
5.37 /day
Staff turnover
31%
Serious cites
0

Woodland Pond runs a small 40-bed unit, and the staffing numbers are the story here: 5.37 nurse hours per resident day against a national average of 3.86. Weekends dip about 10% below its own weekday coverage, so ask how that plays out on a Sunday. Turnover sits at 31.4%, well under the 45.8% national figure, which suggests people stay. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with three fines totaling $13,099. The last inspection was April 2025, so the picture is recent. Nonprofit ownership, steady staff, no serious citations, the marks that matter most to daily care look solid.

A

91/100

Maryfield Nursing Home

High Point, NC · Guilford County

CMS 5/5 115 beds Non-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
18%
Serious cites
0

Maryfield runs on about 4.04 nurse hours per resident day, which puts it roughly 5% above the national average of 3.86. That margin matters less than the turnover number: 18% annually against a national average near 46%, meaning the people caring for residents here tend to stay. Weekend staffing dips about 12% below weekday levels, a normal pattern but worth asking about if your visits fall on Saturdays or Sundays. The health inspection record shows two deficiencies, neither at the harm level and none abuse-related, with the most recent inspection dated April 2026. For a 115-bed nonprofit in High Point, the staffing consistency and clean inspection history are the story.

A

91/100

Penick Village

Southern Pines, NC · Moore County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
6.76 /day
Staff turnover
48%
Serious cites
0

Penick Village runs a small 32-bed nonprofit home in Southern Pines, and the numbers that stand out are the staffing ones: 6.76 nurse hours per resident day, roughly three-quarters more than the national average of 3.86, with weekend coverage holding almost level with weekdays. Turnover sits at 47.9%, only slightly above the 45.8% national figure, so that staffing depth isn't being erased by constant churn. The tradeoff is on the inspection side, nine deficiencies on the current record, one serious enough to involve harm or jeopardy, and one fine of $8,648, though the most recent inspection was April 2026 and nothing on file involves abuse.

A

91/100

Trinity Village

Hickory, NC · Catawba County

CMS 5/5 104 beds Non-profit Medicaid
Nurse hours
6.50 /day
Staff turnover
28%
Serious cites
0

Trinity Village in Hickory runs on a nonprofit model with 104 certified beds, and the staffing numbers stand out first: 6.50 nurse hours per resident day, roughly 68 percent above the national average, with weekend coverage dipping about 10 percent below its own weekday level. Turnover sits at 28.1 percent against a national 45.8 percent, so the people who work here tend to stay. What complicates the picture is the inspection record, five deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus one fine of $8,512. The most recent inspection, from March 2026, earned four stars, and the low turnover may help explain why serious problems have stayed rare despite that history.

A

91/100

Rex Rehab & Nursing Care Center

Raleigh, NC · Wake County

CMS 5/5 120 beds Government Medicaid
Nurse hours
4.30 /day
Staff turnover
33%
Serious cites
0

Rex Rehab & Nursing Care Center runs on 4.30 nurse hours per resident per day, about 11% above the national average, and its staff turnover of 33.3% sits well below the typical 45.8%, numbers that suggest a steadier workforce than most. The catch is weekends, when staffing drops roughly 11% below the home's own weekday level, so coverage isn't uniform across the week. On inspections, the record shows 9 deficiencies with 1 at the harm level and one fine of $15,646; the last visit was August 2025. Government hospital-district ownership, 120 beds.

A

91/100

Woodside Village

Grand Forks, ND · Grand Forks County

CMS 4/5 138 beds Non-profit Medicaid
Nurse hours
5.25 /day
Staff turnover
40%
Serious cites
0

Woodside Village is run by a church-affiliated nonprofit and staffs at 5.25 nurse hours per resident day, roughly 36% above the national average of 3.86. Weekends dip about 10% below its own weekday levels, but the floor stays high. Annual turnover sits at 40%, better than the 45.8% national figure, and the last inspection was recent, in March 2026. What keeps it from a cleaner record: 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,278. That's a real concern worth asking about directly. The staffing and quality measure ratings both land at 4 out of 5, so the day-to-day care signals are solid even with those survey findings on the books.

A

91/100

Sheyenne Crossings Care Center/Tcu

West Fargo, ND · Cass County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
33%
Serious cites
0

Sheyenne Crossings runs one of the stronger staffing setups you'll find in a North Dakota nursing home, 4.72 nurse hours per resident day, roughly 22 percent above the national average, with turnover at 33 percent against a national 45.8. Weekend coverage dips only about 7 percent below weekdays, which matters because that's where a lot of homes quietly thin out. The record isn't spotless: eight deficiencies, though none rose to harm or jeopardy and none involved abuse, and the most recent inspection came in February 2026. Nonprofit ownership under a corporation. The staffing number is the story here, that's what tends to show up in daily care.

A

91/100

S.e.m. Haven Health Care Center

Milford, OH · Clermont County

CMS 5/5 93 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
37%
Serious cites
0

S.e.m. Haven Health Care Center runs on 4.51 nurse hours per resident per day, roughly 17 percent above the national average, and its staff turnover of 37.4% sits well under the 45.8% national figure, a combination that usually means aides and nurses stick around long enough to know the residents. The 15 deficiencies on file are worth noting, though none reached harm or jeopardy level and none involved abuse. Weekend staffing dips about 11% below its own weekday coverage, so ask how that plays out on Saturdays and Sundays. Inspectors were last in on October 11, 2025, and the nonprofit owner has kept this building's health inspection record at 4 out 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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