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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 10281–10300 of 12,967, best-graded first.

C

67/100

Heritage The

Findlay, OH · Hancock County

CMS 1/5 96 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
63%
Serious cites
0

Heritage The runs 96 certified beds in Findlay under for-profit limited liability ownership, and its staffing numbers are the place to start. At 3.77 nurse hours per resident day it sits just under the national average of 3.86, but weekends drop about 14% below its own weekday level, and turnover hits 62.8% against a national 45.8%, that churn rate is the kind of thing families feel when aides keep changing. The health inspection record shows 44 deficiencies, none flagged at harm or jeopardy level but one tied to abuse, with the most recent inspection in March 2025. Quality measures score well; staffing does not. Ask directly how they hold weekend coverage steady before you decide.

C

67/100

Ayden Healthcare Of Piqua

Piqua, OH · Miami County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
48%
Serious cites
0

Ayden Healthcare of Piqua runs about 3.04 nurse hours per resident day, roughly 21% under the national average, and weekend coverage drops another 11% below its own weekday level, so the thinnest shifts are when families tend to visit. Staff turnover sits at 48.1%, slightly above the national rate, meaning nearly half the nursing staff turns over in a year. The inspection record is the heavier concern: 41 deficiencies, seven tied to abuse and two serious enough to put residents at risk of harm. A $19,890 fine and a June 2025 inspection round out the picture. The quality measure rating looks better than the staffing and inspection scores suggest, but federal quality scores are drawn from self-reported assessment data, while the deficiency record is what surveyors found on site.

C

67/100

Willows Health And Rehab Ctr

Euclid, OH · Cuyahoga County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
47%
Serious cites
0

Nurse staffing at Willows Health and Rehab runs about 3.21 hours per resident day, roughly 17 percent under the national average, and weekends dip another 9 percent below its own weekday level. That thin coverage shows up in the federal staffing rating, which sits near the bottom of the scale. The inspection record carries 25 deficiencies, two of them serious enough to involve harm or jeopardy, plus a $39,683 fine, though the most recent visit was in May 2024. Turnover at 46.8 percent is essentially the national rate. Quality measure scores are strong, but that's a self-reported area, and it's worth asking how the home keeps those numbers up when the floor is this lean.

C

67/100

Mentor Hills Post Acute

Mentor, OH · Lake County

CMS 3/5 147 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
62%
Serious cites
0

Mentor Hills runs 147 beds under a for-profit LLC, and its staffing is the number to sit with. At 3.40 nurse hours per resident day, it's about 12% under the national average, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 62.1% sits well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The current record shows 35 deficiencies, including one at the harm level and four tied to abuse. Recent inspection, February 2025. Quality measures look solid, but staffing and that deficiency history are what pull the overall picture down.

C

67/100

Heritage Healthcare Of Painesville

Painesville, OH · Lake County

CMS 4/5 78 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
71%
Serious cites
0

Heritage Healthcare of Painesville runs on 3.05 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 11% below its own weekday staffing. Turnover sits at 70.5% against a national average of 45.8%, so the aides and nurses around your relative are likely to change often, and CMS gives staffing one star out of five. The quality measure score is five stars, which sounds great until you notice it's built on data the home largely reports itself. Twenty-four deficiencies are on the current record, two tied to abuse, none rising to actual harm. The last inspection was September 2024. Ask about weekend coverage and who actually supervises evenings.

C

67/100

Ayden Healthcare Of Fairfield

Fairfield, OH · Butler County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
51%
Serious cites
0

Ayden Healthcare of Fairfield runs 90 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.10 hours per resident per day, roughly a fifth below the national average, and weekends dip another 8 percent below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover of 51.4 percent means more than half the nursing staff leaves each year, against a national rate near 46 percent. Its current inspection record carries 59 deficiencies, including two at the level where harm or jeopardy to residents was found and three tied to abuse. One fine totaling $141,833 is on file. The last inspection was September 18, 2024.

C

67/100

Royal Oak Nursing & Rehab Ctr

Middleburg Heights, OH · Cuyahoga County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
52%
Serious cites
0

Royal Oak runs about 3.31 nurse staffing hours per resident per day, which is roughly 14% under the national average, and weekends dip another 5% below its own weekday levels. More than half the nursing staff turned over in the past year. Inspectors have logged 21 deficiencies, two of them serious enough to put residents in harm's way, though none abuse-related, and the last visit was in March 2024. The 4/5 quality measure rating reflects how well the home scores on clinical measures like falls and infections, but those numbers sit on top of thin, unstable staffing. Ownership is a for-profit corporation. A C is a fair read here.

C

67/100

Embassy Of Cambridge

Cambridge, OH · Guernsey County

CMS 2/5 95 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
40%
Serious cites
0

Embassy of Cambridge runs 95 certified beds under corporate ownership, and its staffing sits at 3.38 nurse hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the heavier problem: 91 deficiencies, including four at the harm or jeopardy level and six tied to abuse, plus four fines totaling $131,018. The last inspection was July 2025. Turnover of 40.3% is actually a bit better than the 45.8% national figure, and resident quality measures score well, but staffing and inspection ratings both land at the bottom of CMS's scale, and that combination is what drives the grade down.

C

67/100

Piketon Nursing Center

Piketon, OH · Pike County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
66%
Serious cites
0

Piketon Nursing Center runs 46 beds in Pike County, and its inspection history is genuinely solid, a recent April 2025 survey and high marks on health and quality measures. Where it slips is staffing. At 3.28 nurse hours per resident per day, it sits about 15% under the national average, with weekends running roughly 14% lighter than weekdays. That's the pattern families notice: fewer hands on Saturdays and Sundays. Annual turnover of 66%, against a national rate near 46%, means the aides and nurses caring for your relative are frequently new. The 48 deficiencies on record, including one at harm level and one abuse-related, are worth asking about directly.

C

67/100

Providence Care Center

Sandusky, OH · Erie County

CMS 1/5 138 beds Non-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
51%
Serious cites
0

Providence Care Center runs a 138-bed nonprofit home in Sandusky with about 3.43 nurse hours per resident day, roughly 11% under the national average, and weekends dip another 11% below its own weekday coverage. That thin staffing lines up with a 1-out-of-5 staffing rating and a 50.5% turnover rate, meaning half the nursing staff leaves within a year. Inspectors cited 41 deficiencies, none rising to harm or jeopardy, but six tied to abuse. The quality measure rating sits at 4 out of 5, and a May 2025 inspection is recent. The church affiliation doesn't change the math: care quality may look strong on paper, but the people providing it are stretched and cycling through fast.

C

67/100

Spring Meadows Nursing, A Villa Center

Holland, OH · Lucas County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
35%
Serious cites
0

Spring Meadows runs leaner on nursing hours than most homes, 3.47 per resident day against a national average of 3.86, with weekends dropping roughly another 11% below its own weekday staffing. The 28 deficiencies on record, including two at the harm level and two tied to abuse, suggest that thin coverage has shown up in practice, and the $63,072 in fines reflects it. Turnover at 35.1% is lower than the national 45.8%, which helps, but the staffing star rating of 2 out of 5 tells you CMS sees a real gap between what this building schedules and what residents need.

C

67/100

Adams County Manor

West Union, OH · Adams County

CMS 2/5 74 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
59%
Serious cites
0

Adams County Manor runs on thinner staffing than most homes, 3.44 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday levels. That's the number behind its one-star staffing rating, and the 59.3% annual turnover (well above the 45.8% national figure) means the aides and nurses cycling through are often new to the building. Inspections tell a different story: a four-star health inspection rating, no deficiencies at the harm or jeopardy level, and a clean record since March 2024. Still, 11 deficiencies in total, three tied to abuse, is not nothing. A for-profit corporation owns the 74 beds.

C

67/100

Woods Edge Rehab And Nursing

Cincinnati, OH · Hamilton County

CMS 2/5 93 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
61%
Serious cites
0

Woods Edge runs on 3.35 nurse hours per resident day, about 13% under the national average, and weekends dip roughly 10% below its own weekday numbers. Staff turnover sits at 61.2%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record shows 45 deficiencies, one serious enough to cause harm, plus a $21,645 fine, and the most recent inspection was April 2026. Ownership is a for-profit limited liability company. Quality measures look strong on paper, but the staffing and inspection sides of the federal data tell a different story.

C

67/100

Heritagespring Healthcare Center Of West Chester

West Chester, OH · Butler County

CMS 3/5 144 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
64%
Serious cites
0

Heritagespring runs 144 certified beds in West Chester under corporate for-profit ownership, and its state inspection record is the first thing I'd flag. Thirteen deficiencies are on file, two of them serious enough to involve harm or jeopardy to a resident, plus one tied to abuse. Inspectors last visited in November 2025, so the picture is fairly current, and two fines totaling $40,745 have been levied. Nurse staffing looks decent on paper, 4.05 hours per resident day, slightly above the national average, but weekend coverage drops about 13% below weekday levels, and annual turnover sits at 63.5% against a national 45.8%. High churn with thinner weekend shifts is where care tends to slip.

C

67/100

Vineyards At Concord, The

Frankfort, OH · Ross County

CMS 1/5 32 beds For-profit Medicaid
Nurse hours
2.88 /day
Staff turnover
26%
Serious cites
0

Vineyards At Concord runs 2.88 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 9% below its own weekday levels. Turnover sits at 26.1%, well under the 45.8% national figure, so the staff who are there tend to stay. The inspection record is the harder part: 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection on April 28, 2026. Thirty-two beds under corporate ownership, and quality measures landing at the bottom of CMS's scale.

C

67/100

Als Mount Vernon Inc

Mount Vernon, OH · Knox County

CMS 3/5 20 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
70%
Serious cites
0

Als Mount Vernon Inc runs 20 certified beds in Knox County, and its staffing is the part that stands out. Nurse hours come to 3.17 per resident day, roughly 18% under the national average of 3.86, and weekends drop about 5% below what the home already provides on weekdays. Annual turnover hits 70.4% against a national 45.8%, which means most of the people caring for residents this year likely won't be there next year. The inspection record shows 23 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Quality measures score well, but with that much churn and that few staff hours, the day-to-day consistency is the real question.

C

67/100

Meadow Grove Transitional Care

Grove City, OH · Franklin County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
55%
Serious cites
0

Meadow Grove runs a split personality. Inspectors have found 20 deficiencies on the current record, but none rose to harm or jeopardy, and none involved abuse, and the most recent visit was in March 2025, so the picture is current. Quality measures and inspections both score well above average. The staffing side is where it frays. At 3.36 nurse hours per resident day, this home runs about 13% under the national figure, and weekends dip another 5% below its own weekdays. Annual turnover of 55.1% sits nearly ten points above the national rate, which means the people at the bedside are often new. Corporate-owned and for-profit at 99 beds. Read the inspection record closely; watch the staffing.

C

67/100

Avenue At Broadview Heights

Broadview Heights, OH · Cuyahoga County

CMS 3/5 78 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
67%
Serious cites
0

Avenue At Broadview Heights runs 78 certified beds under corporate ownership, and its staffing ratio looks fine on paper, 3.96 nurse hours per resident day, a hair above the national average. But that average hides a real problem: weekends run about 11 percent thinner than weekdays, and 67 percent of staff turned over in a year against a national rate of 45.8 percent. The people caring for your family member keep changing. Inspectors have logged 46 deficiencies, three serious enough to risk harm and one tied to abuse, with the most recent visit in November 2024. Resident outcomes score well on paper, but consistent, familiar caregivers matter more day to day.

C

67/100

Ambassador Manor Nursing Center

Tulsa, OK · Tulsa County

CMS 2/5 171 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
56%
Serious cites
0

Ambassador Manor runs 171 beds in Tulsa under for-profit partnership ownership, and its staffing sits at 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86. Weekend coverage actually edges out weekdays slightly, so the shortfall isn't a weekend problem; it's across the board. Annual turnover of 55.9% tops the national 45.8%, meaning caregivers cycle through faster than average. The inspection record is where things get serious: 25 deficiencies, one at harm or jeopardy level, and five tied to abuse. A single fine of $9,077 is on file, and the last inspection was October 2024. CMS rates the health inspection side 1 out of 5 stars.

C

67/100

Woodward Skilled Nursing And Therapy

Woodward, OK · Woodward County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
79%
Serious cites
0

Woodward Skilled Nursing and Therapy runs nurse staffing at 4.07 hours per resident day, about 6% above the national average, though weekends dip roughly 6% below its own weekday levels. That staffing cushion is undercut by turnover: 78.7% of staff leave annually, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar faces. The current inspection record carries 10 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single $8,278 fine. The last inspection was in October 2024, and the quality measure rating sits at 2 out of 5. For-profit partnership ownership, 80 certified beds.

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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