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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 9401–9420 of 12,967, best-graded first.

C

69.5/100

Windsor Gardens

Lancaster, TX · Dallas County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
56%
Serious cites
0

Windsor Gardens runs 150 certified beds in Lancaster under corporate for-profit ownership, and the numbers show a split picture worth understanding. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends drop about 17% below what the home itself provides on weekdays. Staff turnover hits 55.5% a year against a 45.8% national figure, so aides and nurses are cycling through steadily. The health inspection record carries 27 deficiencies, two serious enough to reach harm or jeopardy level, plus one fine of $13,877. A 5/5 quality measure score stands out, but quality measures rely on reported data, while staffing and inspection results come from what surveyors actually found.

C

69.5/100

Valley Rehabilitation And Nursing Center

Chilhowie, VA · Smyth County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
36%
Serious cites
0

Valley Rehabilitation and Nursing Center runs 180 certified beds in Chilhowie under for-profit LLC ownership, and its nurse staffing sits at 3.07 hours per resident day, roughly 20 percent under the national average of 3.86. Weekends get thinner still, about 16 percent below what the home staffs on weekdays, so the coverage gap widens exactly when families tend to visit. Turnover is the brighter spot: 35.6 percent against a national 45.8 percent means more of the same faces stay year to year. The 16 deficiencies on record include none at harm or jeopardy level but three tied to abuse, and the last inspection came in December 2025.

C

69.5/100

Rose Hill Health And Rehab

Berryville, VA · Clarke County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
46%
Serious cites
0

Rose Hill runs on thinner staffing than most homes in the country, 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below what the building manages during the week. That pattern matters for a resident who needs help with meals, toileting, or turning on a Saturday afternoon. Turnover sits at 46.2%, essentially matching the national rate, so the concern isn't churn so much as how few hands are scheduled. The inspection record shows 75 deficiencies, 11 of them abuse-related, with the last full look from the state in June 2023. Corporate-owned and Medicaid-certified, it carries a two-star health inspection rating and one star for staffing.

C

69.5/100

Blue Ridge Therapy Connection

Stuart, VA · Patrick County

CMS 4/5 190 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
44%
Serious cites
0

Blue Ridge Therapy Connection runs 190 beds in Stuart under for-profit LLC ownership, and its staffing is the weak spot: 3.40 nurse hours per resident day, roughly 12% under the national average, with weekends about 15% thinner than weekdays. That pattern matters because needs don't take weekends off. Turnover sits at 43.9%, slightly better than the 45.8% national figure, and the inspection record is genuinely strong, 12 deficiencies, none at harm or jeopardy level, no abuse citations, and a survey as recent as September 2025. So the picture is a home that passes its inspections cleanly but runs lean on the floor day to day. If you're considering it, ask how they staff weekend shifts and what happens when a resident needs urgent attention on a Saturday.

C

69.5/100

Langley Post Acute

Hampton, VA · Hampton City County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
49%
Serious cites
0

Langley Post Acute runs 70 beds in Hampton under corporate ownership, and its staffing is the weak spot. At 3.59 nurse hours per resident day, it sits about 7% under the national average, with weekend coverage dropping roughly 19% below its own weekday levels, that gap matters when a resident needs help on a Saturday. Turnover is 48.5%, a few points above the national figure, so familiar faces are hard to count on. The inspection record shows 24 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Its last inspection was October 2024, and quality measures score better than staffing does.

C

69.5/100

Puget Sound Care

Olympia, WA · Thurston County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
56%
Serious cites
0

Nurse staffing at Puget Sound Care averages 4.02 hours per resident day, about 4% above the national figure, which is a real strength. The catch is consistency: weekend coverage drops roughly 16% below the home's own weekday level, so care on Saturdays and Sundays looks thinner than the average suggests. Staff turnover sits at 56% against a national average near 46%, meaning a large share of caregivers are still new to the building. Inspections in January 2026 produced 21 deficiencies, including one causing harm and one tied to abuse, plus an $8,018 fine. Ownership is a for-profit limited liability company.

C

69.5/100

Riverside Valley Of Journey

Saint Albans, WV · Kanawha County

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

Riverside Valley Of Journey runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident per day, roughly 10 percent under the national average of 3.86. Weekends dip about 9 percent below the home's own weekday coverage, so the thinnest shifts land when families often visit. The current record shows 40 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. CMS gives quality measures 4 stars but staffing only 2, which is the tension worth weighing: the clinical picture looks steadier than the day-to-day coverage numbers do.

C

69.5/100

Crook County Medical Services District Long Term C

Sundance, WY · Crook County

CMS 2/5 32 beds Non-profit Medicaid
Nurse hours
4.77 /day
Staff turnover
78%
Serious cites
0

Crook County Medical Services District Long Term C runs a high-staffing operation: 4.77 nurse hours per resident day, roughly a quarter above the national average, and weekends dip only about 15% below its own weekday level. That staffing is the strongest part of the picture. The trouble sits elsewhere. Staff turnover runs 78.2% against a national average near 46%, so the people providing that care are cycling through fast. The home carries 25 deficiencies on its current record, including one at the harm level and four tied to abuse, plus a fine of $8,981, with its last inspection in August 2025. Nonprofit ownership hasn't kept quality measures from landing at the bottom of CMS's scale.

C

69.5/100

Pacifica Hospital Of The Valley Dp Snf

Sun Valley, CA · Los Angeles County

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

Pacifica Hospital of the Valley's skilled nursing unit has a staffing problem you should weigh heavily. Its CMS staffing rating sits at 1 out of 5, and the health inspection rating is also 1, the lowest possible, despite the quality measure score of 4, which reflects clinical data like hospitalizations and medication management rather than day-to-day care on the floor. The inspection record shows 51 deficiencies, one serious enough to reach harm or jeopardy level, and a $60,373 fine, all from a February 2026 survey. This is an individual for-profit operator, which in California often means thinner staffing budgets. Ask directly how many CNAs are on the floor at night before you decide.

C

69.5/100

Alameda Healthcare & Wellness Center

Alameda, CA · Alameda County

CMS 2/5 166 beds For-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
—
Serious cites
0

Alameda Healthcare & Wellness Center runs 166 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.75 hours per resident day, roughly 23% above the national average, though weekend coverage dips about 6% below its own weekday level. The problem isn't the hours on the floor; it's the record. That staffing advantage hasn't translated into a clean inspection history: 61 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a $8,990 fine and a 2/5 inspection rating. The last survey was August 2024, so the current picture is reasonably fresh. Stronger staffing than most, but the compliance record is doing the damage.

C

69.5/100

Mckinney Healthcare And Rehabilitation Center

Mckinney, TX · Collin County

CMS 4/5 125 beds Government Medicaid
Nurse hours
3.06 /day
Staff turnover
51%
Serious cites
0

McKinney Healthcare and Rehabilitation Center sits at 125 certified beds under hospital district ownership, and the inspection record is the bright spot here, a 4-out-of-5 health inspection rating with the most recent survey done in May 2025. The 21 deficiencies on file are mostly low-level, with none rising to harm or jeopardy, though one is abuse-related and worth asking about directly. Staffing is where the numbers get thin. At 3.06 nurse hours per resident day, this home runs roughly 21 percent below the national average, weekends drop about 19 percent below its own weekday coverage, and turnover hits 50.7 percent against a 45.8 percent national figure. Ask how they cover weekends and how long the current director of nursing has been in place.

C

69.5/100

Mullican Care Center

Savoy, TX · Fannin County

CMS 2/5 112 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Mullican Care Center runs about 3.44 nurse staffing hours per resident per day, roughly 11 percent under the national average, and weekends dip another 12 percent below its own weekdays. That thin coverage shows up in CMS's staffing rating: one star out of five. The inspection record carries 43 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a single fine of $5,159. A May 2025 inspection is recent, and the three-star marks on health inspections and quality measures suggest care isn't failing across the board. Still, for 112 beds in a for-profit corporate setup, the numbers point to a home where staffing is the weak spot worth asking about directly.

C

69.5/100

Nocona Rehabilitation And Care Center

Nocona, TX · Montague County

CMS 1/5 89 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
—
Serious cites
0

Grace Care Center Of Nocona runs on nurse staffing of 3.12 hours per resident day, roughly 19% under the national average, and weekends dip about 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The current record carries 28 deficiencies, including two at the harm or jeopardy level and one tied to abuse. Inspectors were last on site in November 2024. It's a for-profit LLC with 89 certified beds, and its staffing star sits at 1 out of 5 while quality measures come in at 3. If you're weighing this one, ask specifically how weekends and abuse-prevention are staffed.

C

69.5/100

Fort Bend Healthcare Center

Rosenberg, TX · Fort Bend County

CMS 3/5 56 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
43%
Serious cites
0

Fort Bend Healthcare Center runs 56 beds in Rosenberg under for-profit partnership ownership, and its staffing is the weak spot: 3.15 nurse hours per resident day against a national average of 3.86, with weekends running about 18% thinner than weekdays. Turnover lands at 43.2%, slightly better than the 45.8% national figure, so retention isn't the problem, raw coverage is. The inspection record shows 15 deficiencies, including one at the harm level and two tied to abuse, plus a single $22,929 fine; the most recent inspection was August 2025. CMS rates quality measures 5 out of 5 but staffing 1 out of 5, which tells you the clinical outcomes look good on paper even as daily floor coverage lags.

C

69/100

Everstead Health And Rehabilitation Center

Russellville, AL · Franklin County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
60%
Serious cites
0

Everstead Health and Rehabilitation Center runs 50 beds in Russellville under for-profit LLC ownership, and its staffing sits almost exactly at the national average, 3.87 nurse hours per resident day against 3.86. The catch is weekends, when hours drop about 14% below the home's own weekday level, so coverage thins right when families tend to visit. Annual turnover of 60.4% is well above the 45.8% national figure, meaning many of the aides and nurses who know your relative may not stay long. Four deficiencies sit on the current record, none involving harm or abuse, though the last inspection dates to September 2022, so that record is aging.

C

69/100

Camellia Health And Rehabilitation Center

Mobile, AL · Mobile County

CMS 3/5 170 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
65%
Serious cites
0

Camellia Health and Rehabilitation Center runs 170 certified beds in Mobile under for-profit limited liability ownership. Nurse staffing sits at 3.79 hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The bigger number is turnover: 65.3% of staff leave annually, well above the 45.8% national average. That kind of churn means unfamiliar faces at the bedside. Six deficiencies sit on the current record, none at harm or jeopardy level, and the last inspection was January 2022, so that record is getting stale.

C

69/100

Baron House Of Hueytown

Hueytown, AL · Jefferson County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
46%
Serious cites
0

Baron House Of Hueytown runs 50 certified beds as a for-profit LLC, and its staffing is the number that stands out: 3.03 nurse hours per resident day, roughly 22 percent under the national average of 3.86. Weekends dip about 12 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover sits at 45.5 percent, essentially tracking the national 45.8 percent. On the inspection side, nine deficiencies are on record with none at harm or jeopardy level and nothing abuse-related, and the last survey was March 2024, a decent record, though the two-star quality measure rating and three-star staffing rating suggest the day-to-day care metrics aren't as strong as that inspection result.

C

69/100

Father Purcell Memorial Exceptional Children's Ctr

Montgomery, AL · Montgomery County

CMS 1/5 58 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
7%
Serious cites
0

Father Purcell Memorial is a small church-run home in Montgomery with 58 beds, and its strongest number is staff retention: 6.9% annual turnover against a national average near 46%. That kind of stability matters for residents who need consistent caregivers. The trouble is how few of them there are. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends run about 5% thinner than weekdays. Inspections are another concern, 10 deficiencies on record, two serious enough to involve harm or jeopardy, and the last full inspection was in December 2022. The low turnover is real, but thin coverage and a dated, flawed inspection history weigh against it.

C

69/100

Ahwatukee Post Acute

Phoenix, AZ · Maricopa County

CMS 3/5 192 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
63%
Serious cites
0

Ahwatukee Post Acute runs 192 certified beds as a for-profit corporation, and its staffing is the number that stands out. At 2.92 nurse hours per resident day, it sits about a quarter below the national average of 3.86, with weekend coverage dipping even further. That thin staffing shows up in a 63.1% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are, more often than not, new to the building. Its inspection record carries 38 deficiencies on file, including six tied to abuse, though none reached harm or jeopardy. Last inspected in August 2025. The quality measure score looks strong, but that's self-reported data, and it's worth weighing against what the inspection and staffing numbers actually show.

C

69/100

Madera Rehabilitation & Nursing Center

Madera, CA · Madera County

CMS 1/5 176 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
46%
Serious cites
0

Madera Rehabilitation & Nursing Center runs 176 certified beds under for-profit LLC ownership, and its inspection record is the number that should worry you most: 71 deficiencies on the current record, 7 of them serious enough to cause harm or jeopardy, and 5 tied to abuse. Fines total $373,733 across three penalties. Nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86, with weekends running about 7% thinner than weekdays, and turnover at 45.5% is essentially the national norm. The 4/5 quality measure score looks good on paper, but inspections and staffing are where the day-to-day reality shows. The last inspection was August 2025.

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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