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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 8981–9000 of 12,967, best-graded first.

B

70.5/100

Southern Oaks Therapy And Living Center

Dallas, TX · Dallas County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
2.62 /day
Staff turnover
—
Serious cites
0

Southern Oaks runs lean on nursing staff, 2.62 hours per resident per day against a national average of 3.86, roughly a third less. Weekends dip about 5% below its own weekday level, so the thinnest coverage lands when families tend to visit. The 21 deficiencies on record don't include any at the harm or jeopardy level and none tied to abuse, which matters. The trade-off shows up elsewhere: strong quality measures, middling inspections, and staffing that pulls the overall picture down. State surveyors were last in the building in September 2025, so the inspection record is recent. Ask what the direct-care aide-to-resident ratio looks like on a Sunday afternoon.

B

70/100

Collinsville Healthcare & Rehab

Collinsville, AL · De Kalb County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
—
Serious cites
0

Collinsville Healthcare & Rehab sits at 200 certified beds under corporate for-profit ownership, and its nurse staffing runs about 4.52 hours per resident day, roughly 17% above the national average of 3.86. That's a real cushion, but weekends dip about 19% below the home's own weekday level, so coverage isn't evenly spread across the week. The current record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated February 2025. CMS rates the health inspection and staffing at 3 out of 5 stars, while the quality measure score comes in at 1 out of 5, a split that's worth asking about directly, since it suggests the day-to-day numbers look better than the resident outcome measures.

B

70/100

Greenway Health And Rehabilitation Center, Llc

Grand Bay, AL · Mobile County

CMS 1/5 92 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
72%
Serious cites
0

Greenway runs about 3.64 nurse hours per resident day, roughly 6% under the national average, and weekend coverage drops another 13% below its own weekday levels, so the thinnest shifts land when families tend to visit. Staff turnover is 72.1% against a national 45.8%. Inspectors cited 21 deficiencies, seven at harm or jeopardy level and five abuse-related, and the home has paid eight fines totaling $78,421. Its last inspection was August 2023, so that record has had time to age without a fresh look. The corporate owner runs it for profit, which is worth knowing when you weigh where the money goes.

B

70/100

Centennial Post Acute

Anchorage, AK · Anchorage County

CMS 1/5 102 beds For-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
50%
Serious cites
0

Centennial Post Acute has some of the better nurse staffing numbers you'll see, 4.47 hours per resident day, about 16% above the national average. That's real, though weekend coverage dips roughly 10% below its own weekday level, and turnover sits at 50.4%, higher than the national 45.8%. The inspection record is the part to pay attention to. Eighty-three deficiencies on the current record, eight serious enough to put residents in harm's way, five tied to abuse, and three fines totaling $232,502. That's a lot of regulatory history for a 102-bed for-profit home, and it's what's driving its overall grade down despite the staffing.

B

70/100

Pueblo Springs Rehabilitation Center

Tucson, AZ · Pima County

CMS 2/5 129 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
58%
Serious cites
0

Pueblo Springs runs 129 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.03 hours per resident day, about 22% under the national average of 3.86, and weekends drop roughly 13% below the home's own weekday levels, which matters when residents need help on a Saturday night. Staff turnover is 58.3% against a 45.8% national figure, so caregivers are cycling through faster than average. The inspection record shows 20 deficiencies, none at harm or jeopardy level, though three are abuse-related. A June 2025 inspection is recent, and the quality measure score of 4 out of 5 suggests clinical outcomes hold up better than the staffing picture would predict.

B

70/100

La Canada Care Center

Tucson, AZ · Pima County

CMS 2/5 128 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
47%
Serious cites
0

La Canada Care Center runs 128 certified beds in Tucson under for-profit LLC ownership, and the staffing numbers are where the story starts. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, weekend coverage drops roughly 13% below its own weekday level, and turnover lands at 47%, slightly above the national figure. On paper the home scores well on quality measures, but its current record carries 15 deficiencies, two of them serious enough to involve harm or jeopardy and two tied to abuse. One fine totaling $8,278 is on file, and the last inspection was recent. The staffing pattern is the piece worth asking about directly.

B

70/100

The Gardens Rehab & Care Center

Kingman, AZ · Mohave County

CMS 3/5 58 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
57%
Serious cites
0

The Gardens Rehab & Care Center runs 58 certified beds in Kingman under corporate for-profit ownership, and its nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average of 3.86, with weekends about 14% thinner than weekdays. Annual turnover is 57.1% against a national 45.8%, so the people caring for residents change often. The current inspection record shows eight deficiencies, none at the harm or jeopardy level, but four tied to abuse, and the quality measure rating sits at 2 out of 5. Staffing and health inspection ratings each land at 3. The most recent inspection was January 8, 2026, so the picture is current, not stale.

B

70/100

Center At Arrowhead, Llc

Glendale, AZ · Maricopa County

CMS 5/5 96 beds For-profit
Nurse hours
4.35 /day
Staff turnover
72%
Serious cites
0

The Center at Arrowhead runs 96 beds in Glendale under corporate for-profit ownership, and its last health inspection came in May 2025. Inspectors have cited 13 deficiencies, none serious enough to cause harm or immediate jeopardy, though one is abuse-related, worth asking about directly. The staffing picture is mixed: 4.35 nurse hours per resident day sits about 13% above the national average, but that same staff turns over at roughly 72% a year against a national rate near 46%, and weekend coverage drops about 8% below weekdays. Clinical quality measures score well. The weak spot is keeping the people who deliver the care.

B

70/100

The Woods, A Nightingale Community

Monticello, AR · Drew County

CMS 1/5 122 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
51%
Serious cites
0

The Woods runs 3.92 nurse hours per resident day, just above the national average of 3.86, and weekends drop about 10% below its own weekday coverage, a real gap if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 51.2% against a national 45.8%, so the faces around your relative may change often. The bigger concern is the inspection record: a 1-out-of-5 health inspection rating, 36 deficiencies including one at the harm level, and a $15,940 fine, with the most recent inspection in July 2025. For-profit, limited liability ownership. Ask to see the plan of correction for that harm-level deficiency before deciding.

B

70/100

The Blossoms At Eureka Springs Rehab & Nursing Cen

Eureka Springs, AR · Carroll County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
83%
Serious cites
0

The Blossoms at Eureka Springs runs on thin staffing: 3.48 nurse hours per resident day, about 10 percent under the national average, and weekends dip roughly 8 percent below its own weekday levels. The bigger red flag is turnover, 83.3 percent of staff leave annually, against a national average near 46 percent, which means the people caring for residents are, more often than not, new. Its inspection history backs that up: a 1-out-of-5 star rating, 28 deficiencies on record including two tied to abuse, though none rose to actual harm or jeopardy. The 4-out-of-5 quality measure score suggests some clinical targets are being met, and the most recent inspection was in May 2025.

B

70/100

The Blossoms At Star City Rehab & Nursing Center

Star City, AR · Lincoln County

CMS 3/5 95 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
42%
Serious cites
0

The Blossoms at Star City runs 3.27 nurse hours per resident per day, roughly 15 percent under the national average, and weekends dip about 6 percent below its own weekday coverage. Turnover sits at 41.5 percent, actually a bit better than the 45.8 percent national figure, so the staffing trouble looks more like thin hours than a churning workforce. Its 23 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, and the most recent inspection was January 30, 2025, so the record is current. A 2-out-of-5 quality measure rating and 2-out-of-5 staffing rating are the parts worth pressing on when you visit.

B

70/100

The Blossoms At Fort Smith Rehab & Nursing Center

Fort Smith, AR · Sebastian County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
57%
Serious cites
0

The Blossoms At Fort Smith runs 130 certified beds as a for-profit partnership, and its staffing is the number that stands out: 3.25 nurse hours per resident per day, roughly 16% under the national average, with weekends about 13% thinner than weekdays. Staff turnover sits at 57% against a national 45.8%, so the people providing care keep changing. Its inspection record shows 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, and the last visit was September 19, 2025. Quality measures look better (4/5), but that staffing star tells you how hard it is to cover the floor.

B

70/100

Sherwood Nursing & Rehabilitation Center, Inc

Sherwood, AR · Pulaski County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
4.74 /day
Staff turnover
60%
Serious cites
0

Sherwood Nursing & Rehabilitation Center runs 4.74 nurse hours per resident day, about 23% more than the national average of 3.86, and that's a real point in its favor. But weekend staffing drops roughly 13% below its own weekday level, so the coverage your family member gets on a Saturday won't match a Tuesday. Annual turnover sits at 60.3% against a national 45.8%, meaning most of the people providing that care are relatively new. The current record shows 12 deficiencies, two serious enough to involve harm or jeopardy, plus $24,431 in fines, with the last inspection in December 2025.

B

70/100

Rosemead Healthcare Center

El Monte, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
44%
Serious cites
0

Rosemead Healthcare Center runs about 99 certified beds in El Monte, and the staffing headline looks decent at first: 4.24 nurse hours per resident day, roughly 10% above the national average. But that average hides a drop on weekends, when coverage runs about 13% below its own weekday level, and CMS still rates staffing at just 2 out of 5 stars. Turnover sits at 44.3%, essentially matching the national rate, so continuity isn't a strength either. The bigger concern is the inspection record: 73 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a 2-star health inspection rating. The last survey was March 27, 2026. Fines total $8,824 across one penalty.

B

70/100

Sage Post Acute

Hayward, CA · Alameda County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
55%
Serious cites
0

Sage Post Acute runs 99 certified beds in Hayward, and the staffing numbers are the clearest thing to look at here. At 3.30 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends dip a further 3% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 55% against a national 45.8%, which means aides and nurses are cycling through steadily. The inspection record shows 42 deficiencies, including one at harm or jeopardy level and two tied to abuse, with a single fine of $4,938. The most recent inspection was August 2025, so the picture is current. Individual, for-profit ownership.

B

70/100

Creekside Post Acute

Yucaipa, CA · San Bernardino County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
6.28 /day
Staff turnover
56%
Serious cites
0

Creekside Post Acute runs on unusually heavy staffing for a 59-bed home, 6.28 nurse hours per resident day, roughly 63% above the national figure. That's the strongest thing in its file. Weekend coverage dips about 10% below its own weekday levels, though, and annual turnover sits at 55.6% against a national 45.8%, so the hours are there but the faces change often. The inspection record is more mixed. Thirty-one deficiencies are on the books, none at harm or jeopardy level and none abuse-related, and the last survey was recent, in July 2025. Quality measures score 2 out of 5, which is where the weaker numbers show up.

B

70/100

Pittsburg Skilled Nursing Center

Pittsburg, CA · Contra Costa County

CMS 1/5 49 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
38%
Serious cites
0

Pittsburg Skilled Nursing Center runs 49 beds in Contra Costa County under corporate for-profit ownership, and its staffing sits slightly above the national average at 3.97 nurse hours per resident day. Turnover is better than most too, at 37.5% against a national 45.8%. But the inspection record tells a harder story: 39 deficiencies on file, three tied to abuse, plus a $10,793 fine. CMS rated its quality measures 1 out of 5 and its health inspections 2 out of 5, with the last visit in August 2024. Weekend staffing also dips about 7% below its own weekday level. The care numbers are mediocre even where the staffing looks solid.

B

70/100

Vasona Creek Healthcare Center

Los Gatos, CA · Santa Clara County

CMS 2/5 148 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
54%
Serious cites
0

Vasona Creek runs 148 beds under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. At 3.71 nurse hours per resident day, it sits about 4% under the national average, and weekends dip roughly 3% below its own weekday level. Annual turnover of 54% is well above the 45.8% national figure, which means caregivers are cycling through faster than average. The current record shows 80 deficiencies, three tied to abuse, though none at the harm or jeopardy level, and the last inspection was in October 2024. Quality measures score well, but the staffing picture and that deficiency count are what pull the overall picture down.

B

70/100

Golden San Andreas Care Center

San Andreas, CA · Calaveras County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
50%
Serious cites
0

Golden San Andreas Care Center runs 99 certified beds under a for-profit limited liability company, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average of 3.86. That's the strongest part of the picture, but weekends drop about 12% below the home's own weekday level, and annual turnover hits 49.5% against a national 45.8%. The inspection record is where things get harder to talk around: 86 deficiencies on file, six at harm or jeopardy level, four tied to abuse, plus three fines totaling $91,172. The last inspection was February 2025. High staffing numbers can coexist with serious findings, and here they do.

B

70/100

City View Post Acute

San Francisco, CA · San Francisco County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
38%
Serious cites
0

City View Post Acute runs 180 beds in San Francisco under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just above the national average of 3.86, but weekend coverage drops about 7% below its own weekday level, so the care you see on a Tuesday may not match a Sunday. Staff turnover is 38.2%, better than the national 45.8%, which suggests some stability. What pulls the record down is the inspection side: 47 deficiencies on file, including 7 tied to abuse, plus a $42,528 fine and a two-star health inspection rating, though nothing reached harm or jeopardy level. The most recent inspection was May 2026, so the picture is current.

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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