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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 9341–9360 of 12,967, best-graded first.

C

69.5/100

Campbellsville Nursing And Rehabilitation Center

Campbellsville, KY · Taylor County

CMS 4/5 67 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
41%
Serious cites
0

Campbellsville Nursing and Rehabilitation Center runs 67 certified beds under for-profit LLC ownership, and its staffing picture is more mixed than the headline number suggests. Total nurse staffing sits at 3.88 hours per resident day, essentially matching the national average of 3.86, but weekends run about 15 percent below the home's own weekday level, and the federal staffing rating lands at just 2 out of 5. Turnover is 40.8 percent, better than the 45.8 percent national figure. On inspections, the record is cleaner: a 4-star health inspection rating, six deficiencies with none at harm or jeopardy level and none abuse-related, and a recent survey dated January 6, 2026. Quality measures rate 3 out of 5.

C

69.5/100

Kindred Hospital - Louisville

Louisville, KY · Jefferson County

CMS 2/5 47 beds For-profit Medicaid
Nurse hours
6.62 /day
Staff turnover
39%
Serious cites
0

Kindred Hospital - Louisville runs 47 beds as a for-profit partnership, and its nurse staffing comes in at 6.62 hours per resident day, roughly 71% above the national average of 3.86. That sounds impressive until you look at how it's spread: weekends run about 15% thinner than weekdays, so the coverage families actually visit isn't the coverage on paper. Turnover sits at 39.4%, a bit better than the 45.8% national figure, and the home avoids the worst marks on quality measures, though its inspection record shows 10 deficiencies, two of them serious enough to involve harm or jeopardy, plus a $64,799 fine. The most recent inspection was December 31, 2025.

C

69.5/100

Colonial Manor Nursing & Rehabilitation Home

Rayville, LA · Richland County

CMS 1/5 105 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
54%
Serious cites
0

Colonial Manor runs 105 certified beds in Rayville under corporate ownership, and its staffing sits just above the national average at 3.96 nurse hours per resident day. But that average hides a gap: weekends run about 17% leaner than weekdays, and turnover hits 53.8% against a 45.8% national rate, so the faces change often. The inspection record is where the real weight sits, 24 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse, with two fines totaling $15,019 and a January 2026 inspection. CMS scored quality measures 1 out of 5 and health inspections 2 out of 5.

C

69.5/100

The Ellington

Rayne, LA · Acadia County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
39%
Serious cites
0

The Ellington runs 4.13 nurse hours per resident day, about 7% above the national average, and its staff turnover of 38.7% is better than the 45.8% typical elsewhere, so the people caring for residents are staying longer than at most homes. Weekends are the soft spot: staffing drops roughly 17% below the home's own weekday level. Twenty-three deficiencies sit on the current record, two serious enough to involve harm or jeopardy, with $29,007 in fines and a 3-out-of-5 inspection rating. Quality measures score 1 out of 5, meaning clinical outcomes lag even where staffing looks adequate. The last inspection was August 6, 2025, so the picture is recent. If you visit, ask what happens on Saturdays and Sundays.

C

69.5/100

The Gardens And Guardian

Lake Charles, LA · Calcasieu County

CMS 5/5 60 beds For-profit
Nurse hours
5.42 /day
Staff turnover
63%
Serious cites
0

The Gardens and Guardian runs a lean ship on inspection day, a five-star health inspection record with fourteen deficiencies and none serious enough to cause harm or draw an abuse citation, which is genuinely uncommon and worth noting. The staffing number looks strong on paper at 5.42 nurse hours per resident day, well above the national average, but that figure masks real instability: weekend coverage drops roughly 16% below weekday levels, and 62.5% of staff turn over annually against a national norm closer to 46%. Quality measures sit at two stars despite the clean inspections, which suggests the care being documented doesn't match the care being delivered, likely a consequence of a constantly rotating workforce at a 60-bed for-profit LLC.

C

69.5/100

Medilodge Of East Lansing

East Lansing, MI · Ingham County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.94 /day
Staff turnover
46%
Serious cites
0

Medilodge of East Lansing runs 99 certified beds as a for-profit corporation, and its strongest suit is raw nurse staffing: 4.94 hours per resident day, roughly 28% above the national average. But weekends drop about 18% below its own weekday level, so the coverage your relative gets depends heavily on the calendar. Staff turnover sits at 46.2%, essentially the national average of 45.8%, not a crisis, not stability either. The inspection record is where things get concerning: 38 deficiencies, three at harm or jeopardy level, one abuse-related, with the most recent inspection on January 9, 2026. Quality measures score well, but the recent inspection and deficiency count carry more weight.

C

69.5/100

Belle Fountain Nursing & Rehabilitation Center

Riverview, MI · Wayne County

CMS 3/5 91 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
61%
Serious cites
0

Belle Fountain runs 91 beds in Riverview under corporate for-profit ownership, and its staffing numbers are the first thing to look at. Total nurse hours sit just above the national average, 3.91 versus 3.86, but weekends drop roughly 17% below the home's own weekday coverage, and annual turnover hits 60.7% against a national 45.8%. That churn matters more than the headline staffing figure. The inspection record shows 24 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $4,194. Quality measures score well, but the staffing and health inspection ratings sit at 2 out of 5, and the most recent inspection was March 2025. Ask about weekend coverage and how they keep consistent aides on the floor.

C

69.5/100

Hendricks Community Hospital

Hendricks, MN · Lincoln County

CMS 1/5 52 beds Non-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
57%
Serious cites
0

Hendricks Community Hospital runs 48 certified beds as a nonprofit, and the numbers behind its C grade point to a staffing problem. Total nurse coverage sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 17% below what the home staffs on weekdays. That thin coverage is compounded by 56.9% annual turnover, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar caregivers. The current record carries 22 deficiencies, three tied to abuse, though none reached the harm or jeopardy level. A recent April 2025 inspection is a positive, but the low quality-measure and staffing ratings suggest the day-to-day care still has real gaps.

C

69.5/100

Samaritan Bethany Home On Eighth

Rochester, MN · Olmsted County

CMS 3/5 128 beds Non-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
47%
Serious cites
0

Samaritan Bethany Home on Eighth runs 128 beds as a nonprofit, and its nursing hours land around 3.53 per resident day, roughly 9% under the national average. Weekends dip about 17% below its own weekday coverage, and turnover sits at 47.4%, a bit above the national figure. The current record shows 18 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $27,555. Its last inspection was March 26, 2026, which is recent. Staffing earns four stars from CMS, but the inspection and quality measure ratings both sit at three, and the deficiency history is what pulls the overall picture down.

C

69.5/100

Mccomb Community Care Center

Mccomb, MS · Lee County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
50%
Serious cites
0

Mccomb Community Care Center runs 140 certified beds under for-profit LLC ownership, and its staffing sits at 3.93 nurse hours per resident day, just above the national average of 3.86. That margin is thin, and weekends run about 15% leaner than weekdays, so coverage depends on when you visit. Staff turnover hits 50% against a national 45.8%, meaning familiar faces cycle out faster than average. The inspection record carries 18 deficiencies, one serious enough to reach harm or jeopardy level, with a single fine of $12,740. The last inspection was September 13, 2024. Quality measures score 1 out of 5, the weakest area here. Ask about the harm-level deficiency and weekend staffing before deciding.

C

69.5/100

Ms Care Center Of Alcorn County, Inc-Snf

Corinth, MS · Alcorn County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
42%
Serious cites
0

Nurse staffing at this 119-bed for-profit home in Corinth runs 4.51 hours per resident day, roughly 17 percent above the national average, and its 42.3 percent turnover is a touch better than the 45.8 percent norm. That’s the good news, and it’s real. The rest is harder: 28 deficiencies on the current record, six of them at harm or jeopardy level and two tied to abuse, with three fines totaling $25,376. Weekend staffing drops about 22 percent below weekdays, so the hours that look strong on paper thin out when families visit. The last inspection was April 2026.

C

69.5/100

River Chase Village

Gautier, MS · Jackson County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
—
Serious cites
0

River Chase Village runs a tight ship on inspections, a five-star health inspection rating and ten deficiencies on the current record, none of them causing harm or involving abuse. That's a real strength, and the April 2026 inspection is recent enough to trust. The staffing side tells a different story. At 3.26 nurse hours per resident day, this home sits about 16 percent below the national average, and weekends dip another 8 percent below its own weekday levels. Sixty beds under for-profit partnership ownership, with a one-star staffing rating, means your family member's care depends heavily on which shift they're on and what day of the week it is. Ask about weekend coverage and actual aide-to-resident ratios before deciding.

C

69.5/100

Gideon Care Center

Gideon, MO · New Madrid County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
—
Serious cites
0

Gideon Care Center runs lean on nurse staffing, 3.33 hours per resident day against a national average of 3.86, roughly 14% below, and weekends dip about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is genuinely strong: a perfect health inspection rating, last survey in March 2026, zero deficiencies at the harm or jeopardy level, and no abuse citations among the 19 on file. Quality measures land mid-range. The tension is straightforward: good survey results and thin daily staffing can both be true, and staffing is what residents live with every shift, not once a year. Corporate-owned, 72 beds.

C

69.5/100

Aspire Senior Living Roaring River

Cassville, MO · Barry County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
—
Serious cites
0

Aspire Senior Living Roaring River runs 90 certified beds in Cassville under for-profit LLC ownership, and its record shows why the federal inspection score sits at the bottom. Inspectors have cited 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Two fines totaling $46,303 are on file. Nurse staffing runs 3.49 hours per resident day, roughly 10% under the national average, and weekends drop about 11% below the home's own weekday coverage. Quality measures score better than the inspection or staffing ratings. Ownership is for-profit through a limited liability company, and the last inspection was March 1, 2024.

C

69.5/100

Monroe Manor

Paris, MO · Monroe County

CMS 5/5 119 beds Government Medicaid
Nurse hours
3.46 /day
Staff turnover
61%
Serious cites
0

Monroe Manor is county-owned, and its inspection record is genuinely strong, a five-star health inspection rating, with the most recent survey in March 2024. The problem sits elsewhere. Total nurse staffing runs 3.46 hours per resident day against a national average of 3.86, weekend coverage drops about 16% below its own weekday levels, and annual turnover hits 61.4% where the national figure is 45.8%. Thirteen deficiencies are on the current record, one serious enough to involve harm or jeopardy, plus a single fine of $35,360. Good surveys can't fully offset thin weekend staffing and a workforce that's turning over faster than most. Ask how they cover weekends and what they're doing to keep nurses.

C

69.5/100

Laurie Care Center

Gravois Mills, MO · Morgan County

CMS 4/5 108 beds Non-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
—
Serious cites
0

Laurie Care Center runs 108 certified beds as a nonprofit in Morgan County, and its staffing is the number that stands out, 3.31 nurse hours per resident day against a national average of 3.86, about 14% under. Weekends dip roughly 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The health inspection side is genuinely stronger, with a four-star record and a survey completed in April 2025, but that record carries 12 deficiencies, including one at the harm or jeopardy level and one abuse-related. Quality measures sit at three stars. Ownership is nonprofit, which doesn't erase a two-star staffing picture.

C

69.5/100

Superior Manor Of Festus, Llc

Festus, MO · Jefferson County

CMS 1/5 55 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Superior Manor Of Festus runs 55 beds as a for-profit LLC, and the staffing score is where the trouble sits, 1 out of 5 stars against the national average. That's the number families feel first, because it reflects how few aides are actually on the floor per resident. The inspection record shows 61 deficiencies, four tied to abuse, plus nine fines totaling $59,633. No harm-level citations appear on the current record, and the most recent inspection was May 2025, so the picture isn't outdated. Quality measures land at 3 out of 5, meaning some clinical outcomes track better than the staffing would suggest. If you're considering this home, ask directly how many CNAs work each shift and what the abuse-related findings involved.

C

69.5/100

The Valley Health And Rehab

Hamilton, MT · Ravalli County

CMS 2/5 58 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
—
Serious cites
0

Valley Health and Rehab is a for-profit, LLC-owned home with 58 certified beds in Hamilton. Its 29 deficiencies include four tied to abuse and three serious enough to put residents in harm's way, and two fines totaling $28,644 sit on the record. That inspection history is the real story here, the 2-star health inspection rating reflects it. Nurse staffing averages 3.70 hours per resident day, about 4% under the national figure, and weekends run roughly 8% thinner than weekdays, so coverage dips when it's already below average. The 3-star quality measure score offers some balance, but this record deserves close questions before you decide.

C

69.5/100

Callaway Good Life Center, Inc

Callaway, NE · Custer County

CMS 1/5 38 beds Non-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
—
Serious cites
0

Callaway Good Life Center runs 38 beds as a nonprofit, and its nurse staffing sits slightly above the national average, about 2% higher per resident day. That sounds fine until you look at weekends, which run roughly 14% thinner than weekdays. The bigger concern is the inspection record: 28 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $34,608. Its last inspection was April 2026. The quality measure rating lands at 3 out of 5, staffing 3 out of 5, and health inspection 1 out of 5, that last number is the one worth asking the administrator about directly before you decide anything.

C

69.5/100

Alaris Health At Belgrove

Kearny, NJ · Hudson County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
—
Serious cites
0

Alaris Health At Belgrove runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. The inspection record shows 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $25,635 fine. CMS gave 2 of 5 stars for both health inspections and staffing, with quality measures at 3. The most recent inspection was May 7, 2026. If you're weighing this one, ask directly how the abuse deficiency was resolved and what weekend coverage actually looks like.

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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