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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 9521–9540 of 12,967, best-graded first.

C

69/100

Riverside Healthcare Center

St. Louis, MI · Gratiot County

CMS 2/5 39 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
46%
Serious cites
0

Riverside Healthcare Center runs about 2.97 nursing hours per resident per day, which is roughly a quarter below the national average of 3.86. Weekends dip further, about 6% under the home's own weekday staffing. Turnover sits at 45.9%, essentially identical to the national rate. The inspection record shows 37 deficiencies, one of them abuse-related, though none reached the harm or jeopardy level; the last inspection was in March 2025. Quality measures score 2 out of 5, the weakest of the three CMS ratings. For-profit corporate ownership and thin staffing are the main things shaping day-to-day care here.

C

69/100

Applewood Nursing Center, Inc

Woodhaven, MI · Wayne County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
47%
Serious cites
0

Applewood runs 150 certified beds in Woodhaven, and the numbers behind its record deserve a careful look before you decide. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, with weekends running roughly 8% thinner than weekdays, so the hours when families tend to visit are also the hours with the least coverage. Its inspection history is the harder problem: 41 deficiencies on the current record, four of them at the harm or jeopardy level, and two fines totaling $63,665. Staff turnover of 46.7% is slightly above the national rate, meaning familiar faces are not something you can count on.

C

69/100

Riverview Health And Rehab Center North

Detroit, MI · Wayne County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
59%
Serious cites
0

Riverview Health and Rehab Center North runs 180 beds under corporate ownership, and the staffing picture is thinner than it looks. Total nurse coverage sits at 3.76 hours per resident day, under the national average, and it drops further on weekends, roughly 13% below the home's own weekday level. That matters when you consider turnover: 59.4% of staff left over the past year, against a national rate near 46%. Inspectors have logged 40 deficiencies, including two at the harm level and three tied to abuse, plus $38,471 in fines across four penalties. The most recent inspection was April 2025. High turnover and thin weekend coverage together are the kind of thing families notice on a Sunday visit.

C

69/100

River Valley Health And Rehabilitation Center Llc

Redwood Falls, MN · Redwood County

CMS 3/5 43 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
84%
Serious cites
0

River Valley Health and Rehabilitation Center runs 43 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends get thinner still, running about 12% below the home's own weekday level, so coverage dips exactly when families tend to visit. The bigger number to sit with is turnover: 83.7% annually against a national average of 45.8%, meaning most of the people caring for your relative are new to the building. Twenty-one deficiencies sit on the current record, including one at the harm or jeopardy level and four tied to abuse. The last inspection was March 24, 2026, with a single fine of $14,069.

C

69/100

Edenbrook Pine Haven

Pine Island, MN · Goodhue County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
74%
Serious cites
0

Edenbrook Pine Haven runs 70 certified beds as a nonprofit corporation, and its last health inspection was recent, August 2025, so the record you're seeing is current, not stale. What that record shows is a staffing problem: 73.6% annual turnover against a national average of 45.8%, and CMS gives the home just one star for staffing. Inspection history carries 28 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $14,898 fine. Quality measures sit at two stars, inspections at three. High turnover at a home this size usually means caregivers are constantly new, which matters more than any single rating when you're deciding who'll actually be at the bedside.

C

69/100

Glenwood Village Care Center

Glenwood, MN · Pope County

CMS 2/5 64 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
93%
Serious cites
0

Glenwood Village Care Center runs a nonprofit home with 64 certified beds, and its nurses put in 4.17 hours per resident day, about 8 percent more than the national average. That sounds reassuring until you look at the weekend, where coverage drops roughly 10 percent below the home's own weekday level, and at turnover that hits 93.1 percent against a national figure near 46 percent. Nearly every aide and nurse you'd meet is relatively new. The current inspection record carries 32 deficiencies, including three serious enough to put residents in harm's way and two tied to abuse, with a $15,592 fine attached. The last full inspection was in May 2025. Stable, experienced hands are what make daily care reliable, and that's the piece missing here.

C

69/100

Mala Strana Health Care, Llc

New Prague, MN · Scott County

CMS 4/5 69 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
75%
Serious cites
0

Mala Strana runs 69 certified beds under for-profit corporate ownership, and its inspection history is genuinely strong, a 4-out-of-5 health inspection rating with the most recent survey completed in April 2026. The trouble sits elsewhere. Nurse staffing comes in at 3.79 hours per resident day, just under the national average, and weekends drop roughly 10% below what the home staffs on weekdays, which matters when aides are already stretched. Turnover is the number that should give you pause: 75.3% of staff leaving annually against a national average of 45.8%. Ten deficiencies sit on the current record, including one at the harm level and two tied to abuse. Good surveys, thin staffing, heavy churn.

C

69/100

Oaklawn Health Care, Llc

Mankato, MN · Blue Earth County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
66%
Serious cites
0

Oaklawn Care & Rehabilitation Center runs 60 certified beds in Mankato under corporate for-profit ownership. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover of 66.3% is well above the national 45.8%, meaning roughly two of every three caregivers leave each year. The current inspection record carries 20 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus six fines totaling $59,001. The most recent inspection was April 16, 2025, so it's fairly current.

C

69/100

Bedford Care Center Of Hattiesburg

Hattiesburg, MS · Forrest County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
54%
Serious cites
0

Bedford Care Center of Hattiesburg runs 120 certified beds under for-profit LLC ownership, and its staffing sits right at the national line, 3.89 nurse hours per resident day against 3.86 nationally. That margin is thin, and weekends dip about 13% below the home's own weekday coverage, so the hours aren't spread evenly across the week. Two things pull in opposite directions here. The health inspection side is strong: a 4-star rating, 12 deficiencies on record, and none of them at the harm or jeopardy level or tied to abuse. But quality measures come in at 1 star, the lowest tier, and annual turnover runs 53.7% against a national 45.8%, more than half the nursing staff turning over in a year affects consistency of care. The last inspection was March 2026, so the record is current. Mixed picture: clean inspections, weaker day-to-day quality and retention.

C

69/100

Wisteria Gardens

Pearl, MS · Rankin County

CMS 3/5 52 beds For-profit
Nurse hours
— /day
Staff turnover
62%
Serious cites
0

Wisteria Gardens runs a 52-bed for-profit home in Pearl with nurse staffing at 5.29 hours per resident day, roughly 37% above the national average, which is genuinely high and shows up in its five-star staffing rating. That cushion matters, but two things complicate the picture: weekend staffing drops about 16% below its own weekday level, and annual turnover sits at 61.9% against a national 45.8%, meaning a lot of those hours are being delivered by people who weren't there last year. The inspection record is solid, four stars, last survey in March 2026, 11 deficiencies with none at harm or jeopardy level and none abuse-related. Limited liability ownership, for-profit.

C

69/100

Christian Extended Care & Rehabilitation

Saint Louis, MO · St. Louis County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
39%
Serious cites
0

Christian Extended Care & Rehabilitation runs 60 beds as a nonprofit, and its last inspection in March 2025 came back clean at the serious end, 12 deficiencies on record, none causing harm or jeopardy, none tied to abuse. Nurse staffing sits at 3.69 hours per resident day, a bit under the national 3.86, and weekends dip about 12% below the home's own weekday coverage. Turnover is the bright spot: 38.7%, better than the 45.8% national figure, which suggests aides and nurses tend to stay. The tradeoff shows in the federal stars, five for inspections, but two for staffing. Consistent care from a stable team, thinner coverage on weekends.

C

69/100

Westwood Hills Health & Rehabilitation Center

Poplar Bluff, MO · Butler County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
2.76 /day
Staff turnover
47%
Serious cites
0

Westwood Hills runs lean on nursing hours, 2.76 per resident day against a national average of 3.86, and that gap, about 28%, is the single biggest thing pulling its grade down. Weekends are thinner still, roughly 10% below what the home staffs on weekdays, so a Saturday or Sunday shift is where you'd notice it most. Turnover sits at 47.4%, a touch above the national 45.8%, meaning the people at the bedside keep changing. The good news: inspections are recent and clean at the harm level, with no abuse citations among the 19 deficiencies, and quality measures score well. It's a for-profit LLC with 132 beds, solid on care outcomes, short on hands.

C

69/100

Scenic Wellness And Rehabilitation Center

Herculaneum, MO · Jefferson County

CMS 4/5 189 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
44%
Serious cites
0

Scenic Wellness and Rehabilitation Center runs 189 beds in Herculaneum under for-profit LLC ownership, and its staffing is the number that stands out. At 2.86 nurse hours per resident per day, it sits roughly a quarter below the national average of 3.86, and weekends dip about 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 43.5%, is actually a hair better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. Inspections look strong on paper: a five-star health inspection rating with the most recent visit in April 2025. But the record still carries 15 deficiencies, including one at the harm level and one abuse-related.

C

69/100

Puxico Nursing And Rehabilitation Center

Puxico, MO · Stoddard County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
50%
Serious cites
0

Puxico Nursing and Rehabilitation Center sits in Stoddard County with 60 certified beds under individual for-profit ownership. Its last health inspection, in November 2025, found 16 deficiencies, none of them causing harm or involving abuse, a record that supports the four-star inspection rating. The trouble is elsewhere. Quality measures earn only two stars, and staffing earns two as well despite total nurse hours of 3.92 per resident day, just barely above the national average of 3.86. Weekend coverage drops about 10% below weekday levels, and annual turnover runs 50% against a national 45.8%. Roughly half the staff leaving each year is worth asking about directly before you visit.

C

69/100

Bluffs, The

Columbia, MO · Boone County

CMS 1/5 132 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
62%
Serious cites
0

The Bluffs in Columbia runs a non-profit shop with 132 beds, and its nurse staffing of 4.20 hours per resident day sits about 9% above the national average, a real plus. But that cushion thins on weekends, when coverage drops roughly 9% below its own weekday level, and turnover runs 61.8% against a national 45.8%. The bigger concern is the inspection record: 41 deficiencies, three at harm or jeopardy level, five tied to abuse, and three fines totaling $37,621. Its most recent inspection was January 30, 2026. Strong weekday staffing is doing a lot of work here, but the compliance history is what families should weigh hardest.

C

69/100

Ozarks Methodist Manor, The

Marionville, MO · Lawrence County

CMS 1/5 78 beds Non-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
46%
Serious cites
0

Ozarks Methodist Manor runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 14 percent below its own weekday staffing. Turnover sits at 45.8 percent, right at the national figure, so the shortfall isn't explained by churn alone. The inspection record shows 37 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with the most recent inspection in January 2025. Federal ratings land at 2 out of 5 for health inspections and 1 out of 5 for quality measures, against 3 for staffing. The nonprofit corporation that owns it has a lot to answer for.

C

69/100

La Belle Manor Care Center

La Belle, MO · Lewis County

CMS 1/5 94 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
69%
Serious cites
0

La Belle Manor runs on thin staffing, and the numbers show it. At 3.83 nurse hours per resident day, it sits just under the national average, but weekends drop about 10% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Staff turnover is the bigger red flag: 68.6% a year, well above the 45.8% national figure, so residents see a revolving door of caregivers. The current record carries 21 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level. Inspectors last visited in May 2025. Federal ratings put staffing at 1 out of 5 and inspections and quality measures at 2 each.

C

69/100

Windsor Rehabilitation & Health Care Center

Windsor, MO · Henry County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
52%
Serious cites
0

Windsor Healthcare & Rehab Center runs on thinner staffing than most homes, about 3.44 nurse hours per resident each day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday levels. That's when families tend to notice. Annual turnover sits at 51.5%, well above the 45.8% national figure, so the people caring for your relative are likely to change. The current record shows 23 deficiencies, none at harm or jeopardy level, though one is abuse-related. A June 2025 inspection is recent, and the 3/5 health inspection rating isn't alarming on its own. The 1/5 quality measure rating is the number worth asking about directly.

C

69/100

Ignite Medical Resort St Marys Llc

Blue Springs, MO · Jackson County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
53%
Serious cites
0

Ignite Medical Resort St Marys runs 130 beds in Blue Springs under for-profit LLC ownership, and its nurses provide 3.15 hours of care per resident per day, roughly 18 percent below the national average, with weekends dropping another 13 percent below its own weekday levels. Staff turnover sits at 52.9 percent against a national 45.8 percent, so the aides and nurses cycling through are not staying long. The inspection record shows 35 deficiencies, one involving actual harm or jeopardy and one abuse-related, and the last state visit was August 2024. Quality scores look strong, but staffing and inspection results are where the concern sits, and both are rated two out of five.

C

69/100

St Joseph Chateau

Saint Joseph, MO · Buchanan County

CMS 4/5 69 beds For-profit Medicaid
Nurse hours
2.67 /day
Staff turnover
41%
Serious cites
0

St. Joseph Chateau runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, roughly a third less. Weekends dip about 15% below its own weekday coverage, so the thinnest shifts come when families often visit. The inspection history is better than that staffing picture suggests: 52 deficiencies on record with none at the harm level, though two are abuse-related, and the last survey was in May 2025. Turnover at 40.7% is slightly better than the national 45.8%, and the health inspection rating sits at 4 of 5. The staffing rating of 2 tells you where the real concern lies.

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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