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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 9261–9280 of 12,967, best-graded first.

B

70/100

Meadows Ridge Care Center

Colton, CA · San Bernardino County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
71%
Serious cites
0

Meadows Ridge runs 99 certified beds in Colton under for-profit LLC ownership, and its inspection and quality scores both sit at 4 out of 5 stars. The staffing picture is where the tension shows: 3.90 nurse hours per resident day is barely above the national average of 3.86, weekends drop roughly 10% below the home's own weekday coverage, and annual turnover hits 71.3% against a national 45.8%. That churn rate is the number to sit with, nearly three in four staff leaving in a year affects continuity of care regardless of how the star ratings read. The record shows 38 deficiencies, two tied to abuse, none at harm or jeopardy level, plus one fine of $9,032. Last inspected January 29, 2026.

B

70/100

French Park Care Center

Santa Ana, CA · Orange County

CMS 1/5 202 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
39%
Serious cites
0

French Park Care Center sits in Santa Ana with 202 certified beds, run by a for-profit limited liability company. The staffing numbers look decent on paper: 4.48 nurse hours per resident day, about 16% above the national average, with weekend coverage dipping roughly 5% below weekdays. Turnover runs 38.5%, better than the 45.8% national figure. What pulls the grade down is the inspection record. CMS gives it 1 out of 5 stars on health inspections, and the current file carries 120 deficiencies, including 8 abuse-related and 1 at the harm or jeopardy level, plus a $26,135 fine. The most recent inspection was April 23, 2026. Good staffing can't offset a record like that.

B

70/100

Catalina Island Health

Avalon, CA · Los Angeles County

CMS 3/5 8 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Catalina Island Health is an eight-bed nonprofit on Avalon, and its inspection record is the strong part: a four-star health inspection score, 19 deficiencies on file but none at the harm or jeopardy level and none tied to abuse. Staffing is the weak side, rated one star, which matters more in a facility this small, where there's little slack if someone calls out. The most recent inspection was May 8, 2025, so the picture is current. With eight residents, care is personal by necessity, but ask directly how many nurses and aides are on site overnight and what happens when someone needs care the island can't provide.

B

70/100

White Memorial Medical Ctr Dp

Los Angeles, CA · Los Angeles County

CMS 3/5 27 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

White Memorial Medical Ctr Dp is a 27-bed nonprofit home run by a church, and its inspection record is genuinely good, four out of five stars, 18 deficiencies on file but none that caused harm or jeopardy, and no abuse citations. The problem sits elsewhere: staffing gets just one star, meaning the number of nurses and aides per resident lands well below what CMS considers adequate. With that few beds, one weak staffing picture touches nearly every shift. The last full inspection was in May 2024, so the record is current. If you're considering this place, ask point-blank how many aides are on the floor at night and on weekends.

B

70/100

Aviara Healthcare Center

Encinitas, CA · San Diego County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
62%
Serious cites
0

Aviara Healthcare Center runs 120 certified beds in Encinitas under for-profit LLC ownership, and its nurse staffing comes in at 4.15 hours per resident day, about 7% above the national average of 3.86. The catch is retention: annual turnover sits at 62.4% against a national 45.8%, and weekend coverage dips roughly 7% below the home's own weekday level, so the extra hours can be uneven in practice. The record shows 60 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last inspection was in September 2025. Quality measures score well; inspections land mid-range; staffing scores low.

B

70/100

Brighton Care Center

Pasadena, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
51%
Serious cites
0

Brighton Care Center runs 99 beds in Pasadena under for-profit LLC ownership, and its nurse staffing sits at 4.18 hours per resident day, about 8% above the national average of 3.86. That's the good news. Weekends drop roughly 14% below the home's own weekday level, and annual turnover is 50.5% against a national 45.8%, so the coverage you see on paper isn't always the coverage your family member gets. The inspection record is the bigger concern: 73 deficiencies, including one at the harm level and four abuse-related. All three CMS star ratings land at 2 out of 5. A recent inspection date doesn't erase that history, ask directly what changed.

B

70/100

Memorial Hospital Of Gardena D/P Snf

Gardena, CA · Los Angeles County

CMS 4/5 69 beds Non-profit Medicaid
Nurse hours
9.05 /day
Staff turnover
57%
Serious cites
0

Memorial Hospital Of Gardena's skilled nursing unit runs on unusually heavy staffing, 9.05 nurse hours per resident day, more than double the national figure of 3.86. That number deserves context, though: weekends run about 9% thinner than weekdays, and 57.1% of staff turned over in the past year, well above the 45.8% national rate. The current record shows 33 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $12,831. Federal ratings put inspections and quality measures at 4 out of 5 stars each, with staffing at 3 despite the raw hours. A nonprofit corporation operates the 69-bed home, and its last inspection was April 2026.

B

70/100

Sunnyvale Gardens Post Acute

Sunnyvale, CA · Santa Clara County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
48%
Serious cites
0

Sunnyvale Gardens runs 140 beds under for-profit LLC ownership, and its staffing sits basically at the national average, 3.88 nurse hours per resident day against 3.86 nationally, but weekends drop about 7% below its own weekday coverage, so the care you'd see on a Saturday looks thinner than the weekday picture. Turnover is 47.7%, a bit above the 45.8% national mark, which means a lot of new faces cycling through. What stands out more is the inspection record: 54 deficiencies, including two at the harm level and two tied to abuse, with a $43,176 fine and a 2-star health inspection rating, though quality measures score 5 stars.

B

70/100

Foothill Regional Medical Center D/P Snf

Tustin, CA · Orange County

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

Foothill Regional's most recent inspection, in February 2026, turned up no deficiencies serious enough to harm a resident, that's a real point in its favor. But the 54 deficiencies on the current record, including three tied to abuse, add up over time, and for a small 42-bed unit, that's a lot of paperwork to accumulate. The ownership is a for-profit corporation, which tends to mean tighter staffing margins, so it's worth asking what the direct-care hours actually look like per resident. A four-star inspection rating tells you the last survey went reasonably well; the long record tells you the home has had plenty of chances to get written up. Ask about turnover and who's on the floor at night.

B

70/100

Villa Del Rio Gardens

Bell Gardens, CA · Los Angeles County

CMS 2/5 84 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Villa Del Rio Gardens is a for-profit, corporate-owned home with 84 certified beds in Bell Gardens. The staffing number is the one to pay attention to: CMS rates it 1 out of 5 stars for staffing, and that's the weakest area by far, since the average California home tends to run closer to 3. Inspections land at 3 out of 5, with 28 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse. The last inspection was February 2022, so the record you're reading is more than three years old and may not reflect who's working there now. Ask about current direct-care hours per resident before you visit.

B

70/100

Intercommunity Care Center

Long Beach, CA · Los Angeles County

CMS 1/5 147 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
33%
Serious cites
0

Intercommunity Care Center is a 147-bed nonprofit home in Long Beach where the numbers pull in two directions. Staffing sits just under the national average, 3.72 nurse hours per resident day against 3.86, but that same workforce stays put far longer than most, with turnover of 33% compared to 45.8% nationally, and weekends shed only a little more coverage than weekdays. What should give you pause is the inspection record: 79 deficiencies, six serious enough to put residents in harm's way, 13 tied to abuse, and four fines totaling $156,035, with the most recent inspection in May 2025. Federal quality and inspection ratings both sit at the bottom of the scale.

B

70/100

Colusa Medical Center - Snf

Colusa, CA · Colusa County

CMS 4/5 6 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
—
Serious cites
0

Colusa Medical Center's skilled nursing unit is tiny, just six certified beds, and it runs on a for-profit limited liability company structure. The staffing picture is unusual: total nurse hours come in at 4.03 per resident day, slightly above the national average, and weekends hold steady rather than dropping off, which is rare. But federal inspectors rate the staffing level itself at just one star, meaning the hours, while present, don't satisfy CMS benchmarks for what this resident population needs. The tradeoff shows up in inspections, where the home holds a five-star rating with 14 deficiencies on record, none at harm or jeopardy level, none abuse-related, and one fine of $4,558. Its most recent inspection was in April 2025.

B

70/100

Bethel Lutheran Home

Selma, CA · Fresno County

CMS 3/5 59 beds Non-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
53%
Serious cites
0

Bethel Lutheran Home runs 3.81 nurse hours per resident day, just under the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin margin matters more when turnover sits at 52.5% against a national 45.8%, more than half the nursing staff turning over in a year makes consistent weekend coverage hard to hold. The 41 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was December 2025, so the record is current. This is a small nonprofit home with no serious safety findings, but staffing and quality measures both score low, and the turnover number is the one to ask about directly.

B

70/100

Lake Hills Healthcare Center

Brownwood, TX · Brown County

CMS 3/5 94 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
58%
Serious cites
0

Cross Country Healthcare Center runs 94 certified beds in Brownwood under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 12% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover of 57.9% is well above the 45.8% national figure, which means the people caring for your relative are changing often. The inspection record shows 27 deficiencies, including two at the harm level and one tied to abuse, plus $22,084 in fines across two events. The most recent inspection was April 2025, so the picture is current.

B

70/100

Avir At Childress

Childress, TX · Childress County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
66%
Serious cites
0

Avir At Childress runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.25 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 11% below what the home manages on weekdays, and annual turnover hits 65.6% against a national 45.8%, meaning most of the aides and nurses your family member sees are likely newer than they should be. The current inspection record carries 31 deficiencies, one tied to abuse, though none at the harm or jeopardy level, and the most recent survey came in May 2025. Quality measures score well; staffing and inspections do not.

B

70/100

The Vosswood Nursing Center

Houston, TX · Harris County

CMS 4/5 224 beds For-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

The Vosswood Nursing Center is a 224-bed for-profit operation in Houston, and the split between its inspection record and its staffing numbers is the whole story here. On paper, the place looks clean: a 5-star health inspection rating, only three deficiencies on the current record, none of them causing harm or jeopardy, and no abuse findings, with the last inspection in June 2023. The problem is the staffing star rating, which sits at 1 out of 5, the lowest tier CMS assigns. A facility can pass inspections and still leave residents waiting too long for help getting to the bathroom, eating, or turning in bed. That gap is what pulls the grade down, and it's what you'd want to ask about directly before deciding.

B

70/100

Avir At Giddings

Giddings, TX · Lee County

CMS 1/5 102 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
30%
Serious cites
0

Avir At Giddings runs lean on nursing hours, 3.00 per resident day against a national average of 3.86, and weekends are roughly 12% thinner than weekdays, which is when families tend to visit and notice. The inspection record is the bigger concern: 39 deficiencies, three serious enough to put residents in harm's way, two tied to abuse, and $39,527 in fines. Staff turnover of 30.3% is actually better than the 45.8% national figure, so the problem looks less like retention and more like how few hands are on deck. With a 1-out-of-5 rating on both inspections and staffing, the recent survey date hasn't erased what's accumulated.

B

70/100

Paradigm At Faith Memorial

Pasadena, TX · Harris County

CMS 3/5 112 beds For-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
52%
Serious cites
0

Paradigm At Faith Memorial runs about 2.82 nurse staffing hours per resident day against a national average near 3.86, and weekends dip roughly 13% below the home's own weekday levels. Staff turnover sits at 52.1%, above the 45.8% national figure, and the current record carries 25 deficiencies, including two at the harm or jeopardy level and two tied to abuse. Two fines total $19,481. The quality measure rating of 5/5 stands out against a 1/5 staffing rating, which is worth asking about, strong clinical scores can reflect documentation practices as much as bedside care. The most recent inspection was April 23, 2026. For-profit, limited liability ownership out of Pasadena.

B

70/100

Brentwood Place Three

Dallas, TX · Dallas County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
2.58 /day
Staff turnover
39%
Serious cites
0

Brentwood Place Three runs about a third leaner on nursing hours than the typical American nursing home, 2.58 per resident day against a national 3.86, and weekends dip roughly 13 percent below its own weekday coverage. Those are the numbers families feel when call lights take longer to answer. The inspection record backs that up: 23 deficiencies, including one at harm or jeopardy level and two tied to abuse, with a $12,740 fine and a 2-out-of-5 inspection rating. Turnover at 39.4 percent actually beats the 45.8 percent national figure, so this isn't a churning-staff problem so much as a thin-scheduling one. A 4/5 on quality measures says some clinical care is working. Whether that offsets routine short-staffing is your call.

B

70/100

Windsor Nursing And Rehabilitation Center Of Bastr

Bastrop, TX · Bastrop County

CMS 2/5 96 beds Government Medicaid
Nurse hours
2.88 /day
Staff turnover
45%
Serious cites
0

Windsor Nursing and Rehabilitation Center of Bastrop is run by a hospital district, and its inspection record reflects that, a four-star health inspection rating with 13 deficiencies on file, just one at the harm level and none related to abuse. The problem is staffing: 2.88 nurse hours per resident day, roughly 26% under the national average of 3.86, and weekends run about 9% thinner than weekdays. Turnover sits at 45%, basically identical to the national figure. One fine totaling $15,920 is on record, and the last inspection was July 2025. Good surveys don't help much when there are fewer hands on deck each day.

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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