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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 9321–9340 of 12,967, best-graded first.

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69.5/100

Brighton Place San Diego

San Diego, CA · San Diego County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
—
Serious cites
0

Brighton Place San Diego runs 99 certified beds as a for-profit LLC, and its health inspection record is the main thing to know: 53 deficiencies on the current record, including two abuse-related citations. None reached the harm or jeopardy level, and the last inspection was in January 2025, so the record is recent. Staffing looks solid at first glance, 3.91 nurse hours per resident day, just above the national average, but the numbers sag on weekends, running about 7% below the home's own weekday level, and CMS rates staffing at just one out of five stars. Total nurse hours can clear the national bar while the distribution still leaves gaps.

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69.5/100

Camellia Gardens Care Center

Pasadena, CA · Los Angeles County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
5.14 /day
Staff turnover
—
Serious cites
0

Staffing at Camellia Gardens looks strong on paper, 5.14 nurse hours per resident day, roughly a third more than the national average, but the numbers behind that figure are mixed. Weekends run about 7% thinner than weekdays, and CMS gives the home just one star for staffing, which suggests the hours aren't reaching residents the way the total implies. The inspection record is heavier than you'd want: 59 deficiencies, four tied to abuse, though none rose to the level of actual harm or jeopardy, and the single fine on file is small at $1,747. This for-profit LLC was last inspected in April 2026, which is recent. Ask about weekend coverage and those abuse-related citations before deciding.

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69.5/100

Thornton Care Center

Thornton, CO · Adams County

CMS 1/5 101 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
51%
Serious cites
0

Thornton Care Center runs on 2.99 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 16% below its own weekday staffing. That thinner coverage sits alongside 50.7% annual turnover, so the aides and nurses in the building keep changing. Inspectors have cited 62 deficiencies on the current record, 7 of them at harm or jeopardy level and 5 tied to abuse, with three fines totaling $21,483 and a December 2024 inspection date. Adams County families comparing options should weigh those numbers directly.

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69.5/100

Vivo Healthcare Winter Haven

Winter Haven, FL · Polk County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
—
Serious cites
0

Vivo Healthcare Winter Haven runs 120 beds under individual for-profit ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average of 3.86. Weekends drop about 9 percent below the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. The inspection record carries 45 deficiencies, none flagged at harm or jeopardy level and none abuse-related, with the most recent survey dated April 10, 2025. Federal staffing and health inspection stars both sit at 1 out of 5, while quality measures come in at 3. That split is worth noticing: the clinical tracking looks steadier than the day-to-day staffing and inspection history behind it.

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69.5/100

Luxe At Lutz Rehabilitation Center (The)

Lutz, FL · Hillsborough County

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

The staffing numbers at this Lutz home are the first thing to look at, one star out of five, which means nurse and aide hours per resident sit well below what CMS expects. Quality measures score high at four stars, so the chart-based data on falls, infections, and similar metrics looks better than the day-to-day coverage would suggest. The inspection record is harder to ignore: 25 deficiencies, including one that caused actual harm or jeopardy and one tied to abuse, plus a $50,225 fine. A for-profit LLC runs it, and the most recent inspection was April 2024. If you're considering this one, ask directly how they've addressed the abuse citation and what staffing looks like on weekends.

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69.5/100

Brentwood Health Center By Harborview

Waynesboro, GA · Burke County

CMS 2/5 103 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
—
Serious cites
0

Brentwood Health Center By Harborview runs 103 certified beds in Waynesboro under corporate for-profit ownership, and its staffing sits at 3.91 nurse hours per resident day, barely a percentage point above the national average, with weekend coverage dipping slightly below its own weekday level. That thin margin matters, because the inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent state visit was in mid-2025. The staffing and health inspection ratings both land at two out of five stars, while quality measures score three. Nothing here reads as dangerous, but the numbers describe a home doing the minimum rather than one with room to absorb a bad week.

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69.5/100

Autumn Lane Health And Rehabilitation

Gray, GA · Jones County

CMS 4/5 85 beds Non-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
46%
Serious cites
0

Autumn Lane runs about 3.50 nursing hours per resident per day, roughly 9% under the national average of 3.86, and weekends drop about 17% below what the home staffs on weekdays. That gap matters most on Saturdays and Sundays, when families tend to visit and notice. Turnover sits at 45.9%, essentially identical to the national figure, so retention isn't the problem here, day-to-day coverage is. The inspection record is the stronger part: a 4-out-of-5 health inspection rating, last surveyed in May 2025, with 12 deficiencies on file but none at the harm level and none abuse-related. As a nonprofit, it isn't managing to a quarterly earnings target, which may explain the clean inspection history alongside the thin weekend staffing.

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69.5/100

Pruitthealth - Holly Hill, Llc

Valdosta, GA · Lowndes County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
31%
Serious cites
0

Pruitthealth - Holly Hill runs 100 beds in Valdosta under for-profit LLC ownership, and the inspection record is the main thing to know going in: 23 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and $19,145 in CMS fines across two events. The health inspection rating sits at 1 out of 5, and the last inspection was February 27, 2026, so the record is recent. Nurse staffing averages 3.29 hours per resident day, roughly 15% under the national average, and weekends run about 18% below the home's own weekday level, gaps tend to show up when families visit. Turnover at 30.6% is actually better than the 45.8% national figure, which means the staff who are there tend to stay.

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69.5/100

Pruitthealth - Sunrise

Moultrie, GA · Colquitt County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
48%
Serious cites
0

Pruitthealth - Sunrise runs 60 certified beds in Moultrie under for-profit LLC ownership, and its recent inspection history is a genuine strength, 12 deficiencies on record, none at the harm or jeopardy level, and a survey completed in June 2025. The staffing picture is where the concern sits: 3.33 nurse hours per resident day, roughly 14% below the national average of 3.86, with weekends about 15% thinner than weekdays. Annual turnover of 47.8% edges just past the national figure of 45.8%, meaning the people who are there are stretched and the roster keeps shifting. Strong survey results don't erase thin daily coverage, especially on weekends.

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69.5/100

Green Acres Care Center Llc

Lagrange, GA · Troup County

CMS 2/5 116 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
66%
Serious cites
0

Green Acres runs about 3.53 nurse hours per resident day, roughly 9% under the national average, and weekends drop another 17% below its own weekday staffing. That gap matters more than the average, because most families visit on weekends. Annual turnover sits at 65.5% against a national 45.8%, so the aides and nurses on the floor change often, that's hard on residents who need consistent hands. The current inspection record shows 13 deficiencies, one serious enough to involve harm or jeopardy, and no abuse findings. The last inspection was April 2026, so the picture is recent, not stale. It's a for-profit, individually owned home. Staffing hours look decent on paper, but the churn and weekend dip tell the fuller story.

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69.5/100

Hill Haven Nursing Home

Commerce, GA · Jackson County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
—
Serious cites
0

Hill Haven runs lean on direct care: 3.24 nurse hours per resident day is roughly 16 percent under the national average, and weekends drop about 14 percent below its own weekday staffing. That thin weekend coverage is worth asking about, since it's when families often visit and when problems can go unnoticed. Inspections tell a mixed story, a recent visit in March 2026 and no deficiency at the harm level, which matters, but 17 deficiencies on the current record with 7 tied to abuse is a lot to carry. The single fine of $4,194 is modest, and the for-profit LLC ownership is common in Georgia. Ask about weekend nurse coverage and how those abuse-related findings were resolved.

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69.5/100

Orchards Of Cascadia, The

Nampa, ID · Canyon County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
47%
Serious cites
0

Orchards Of Cascadia runs 100 beds in Nampa under for-profit LLC ownership, and its staffing sits barely above the national average, 3.90 nurse hours per resident day against 3.86. That's a thin margin, and weekends drop about 18% below the home's own weekday level, which is when coverage gaps tend to show up. Turnover is 47.4%, slightly worse than the 45.8% national figure. What stands out most is the inspection record: 23 deficiencies, including two at the harm level and two tied to abuse, plus $34,954 in fines, and CMS has placed it in the Special Focus Facility program. The most recent inspection was December 2025.

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69.5/100

Wellspring Health & Rehabilitation Of Cascadia

Nampa, ID · Canyon County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
51%
Serious cites
0

Wellspring Health & Rehabilitation Of Cascadia runs 120 certified beds in Nampa under for-profit LLC ownership, and the staffing numbers are where the story starts. Nurses provide 3.73 hours per resident day, a bit under the national average, and weekends drop roughly 22% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover sits at 51.4%, above the national rate. The inspection record shows 19 deficiencies, including two at the harm level and one tied to abuse, plus a $30,927 fine; the most recent inspection was September 2025. Quality measure scores look strong on paper, but staffing and inspection results tell a more mixed story.

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69.5/100

Royal Plaza Health And Rehabilitation Of Cascadia

Lewiston, ID · Nez Perce County

CMS 2/5 78 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
53%
Serious cites
0

Royal Plaza runs on thin staffing for a 76-bed home, 3.24 nurse hours per resident day against a national average of 3.86, with weekends dropping about 18% below its own weekday level. That matters because care doesn't pause on Saturdays. The 27 deficiencies on record include five at the harm or jeopardy level, which is a meaningful count, though inspectors have visited recently and returned a four-star inspection rating. Annual turnover sits at 53.4%, higher than the national 45.8%, so aides and nurses are cycling through. Quality measures land at two stars even as inspections hold at four. The ownership is a for-profit partnership, and the split between those ratings tells you where to push when you tour.

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69.5/100

Arc At Kankakee

Kankakee, IL · Kankakee County

CMS 3/5 51 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
—
Serious cites
0

The Arc At Kankakee runs 4.32 nurse hours per resident day, roughly 12 percent above the national average, and weekend staffing holds within about 3 percent of weekday levels, so the raw coverage looks adequate. What sits underneath is harder: 13 deficiencies on the current record, three of them at harm or jeopardy level and two tied to abuse, plus a single $86,813 fine. This is a for-profit limited liability company with 51 beds, and its last inspection was May 9, 2025. A family weighing this home should ask specifically how those abuse-related findings were resolved and whether the same direct-care staff are consistently on the floor.

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69.5/100

Alexandria Care Center

Alexandria, IN · Madison County

CMS 3/5 70 beds Government Medicaid
Nurse hours
3.94 /day
Staff turnover
47%
Serious cites
0

Alexandria Care Center runs 70 beds as a county-owned home, and its nurse staffing sits at 3.94 hours per resident day, a bit above the national average of 3.86, though weekends drop about 18% below its own weekday coverage. That gap matters when aides are spread thinner on Saturdays and Sundays. The current inspection record shows 14 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the most recent survey dated August 2025. Staff turnover lands at 47.2%, slightly worse than the national 45.8%. County ownership doesn't automatically mean better oversight here; the numbers point to a home that's adequate on paper but has real trouble spots worth asking about directly.

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69.5/100

River Terrace Health Care Center

Bluffton, IN · Wells County

CMS 5/5 67 beds Government Medicaid
Nurse hours
3.67 /day
Staff turnover
62%
Serious cites
0

River Terrace is county-owned, which usually means steadier oversight than you'd get from a for-profit chain, and the inspection record backs that up: a five-star health inspection rating, just four deficiencies on the books, none causing harm and none tied to abuse, with the most recent visit in December 2025. The trouble sits in the day-to-day staffing. At 3.67 nurse hours per resident, it runs about 5% under the national average, and weekends drop roughly 16% below its own weekday coverage, that's when families tend to notice slower call bells. Turnover near 62%, well above the 45.8% national figure, means the people caring for your relative keep changing.

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69.5/100

Sunset Home Inc

Concordia, KS · Cloud County

CMS 1/5 45 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Sunset Home in Concordia runs 45 certified beds as a nonprofit, and its federal record is rough in the areas that matter most. Inspectors have cited 44 deficiencies, four of them tied to abuse and three serious enough to put residents in immediate harm's way, with five fines totaling $43,175. Staffing sits at the bottom of CMS's scale, one star, and the health inspection rating matches it, so the direct-care and oversight numbers aren't offsetting each other. The quality measure score, three stars, looks better on paper, but those measures depend on staff actually documenting and following through. The most recent inspection was March 2025, so this is current, not old history. If you're considering it, ask what's changed since then.

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69.5/100

Mayfair Manor

Lexington, KY · Fayette County

CMS 1/5 98 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
48%
Serious cites
0

Mayfair Manor runs about 3.67 nurse hours per resident per day, roughly 5% under the national average, and weekend coverage drops another 17% below what the home staffs on weekdays. That thin weekend margin matters more when you look at the inspection record: 27 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse. Staff turnover sits at 48.2%, a few points above the national figure. The federal inspection rating is 1 out of 5, and the home has paid $33,602 across three fines. The most recent inspection was February 2026. Corporate-owned, 98 beds.

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69.5/100

Hardinsburg Nursing And Rehabilitation Center

Hardinsburg, KY · Breckinridge County

CMS 3/5 63 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
47%
Serious cites
0

Hardinsburg Nursing and Rehabilitation Center runs 63 certified beds under for-profit LLC ownership, and its state inspection record is the strongest part of the picture, 12 deficiencies on file, but three of those reached harm or jeopardy level and two were abuse-related, which matters more than the raw count suggests. Staffing is where the numbers pull the other way: 3.45 nurse hours per resident day sits about 11 percent under the national average, weekends drop roughly 16 percent below the home's own weekday level, and turnover runs 47.3 percent against a 45.8 percent national figure. The most recent inspection was July 10, 2025. Federal ratings put health inspections and quality measures at 4 stars each, staffing at 3.

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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