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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 10321–10340 of 12,967, best-graded first.

C

67/100

Beverly Park Place Health And Rehab

Knoxville, TN · Knox County

CMS 3/5 271 beds Non-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
67%
Serious cites
0

Beverly Park Place runs 271 certified beds as a nonprofit, and its biggest problem shows up in the staffing numbers. At 3.13 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly 11% below its own weekday level. Turnover is 66.7%, well above the 45.8% national figure, so the aides and nurses your family would see are cycling through fast. Inspections tell a similar story: 14 deficiencies on record, six related to abuse, none rising to harm or jeopardy, and the last full look was in October 2022. Quality measures score well; staffing doesn't.

C

67/100

Heritage Place Care & Rehabilitation Llc

Winchester, TN · Franklin County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
55%
Serious cites
0

Heritage Place in Winchester passed its last health inspection in July 2023 with just four deficiencies on record and none rise to harm or jeopardy level, which is a genuinely strong inspection result. The weaker spot is staffing: at 3.17 nurse hours per resident day, it runs about 18 percent under the national average, and weekends dip roughly 10 percent below its own weekday coverage. Annual turnover sits at 54.8 percent, nearly ten points above the national figure, so the people providing that care are cycling through faster than is typical. A for-profit limited liability company operates the 132-bed home. Inspections look good; the day-to-day staffing math is what pulls the overall picture down.

C

67/100

Greystone Health Care Center

Blountville, TN · Sullivan County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
55%
Serious cites
0

Greystone runs 4.17 nurse hours per resident day, roughly 8% above the national average, so the raw staffing number looks better than most. Look closer and the picture shifts: weekend coverage drops about 11% below its own weekday level, and annual turnover sits at 54.6% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious, 25 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with a $15,041 fine and a one-star health inspection rating from CMS. The last inspection was October 30, 2024, so it's fairly recent. For-profit LLC ownership rounds out the profile.

C

67/100

Reelfoot Manor Health And Rehab

Tiptonville, TN · Lake County

CMS 2/5 116 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
43%
Serious cites
0

Reelfoot Manor runs 116 certified beds in Tiptonville under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 42.5% is slightly better than the 45.8% national figure, which is worth noting. What pulls the record down is oversight: 27 deficiencies on file, including one at the harm level and three tied to abuse, with the last inspection dating to May 2022. That's a long stretch without a fresh look at a home carrying those findings.

C

67/100

Signature Healthcare Of Greeneville

Greeneville, TN · Greene County

CMS 4/5 154 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
38%
Serious cites
0

Signature Healthcare of Greeneville runs 154 certified beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average, with weekends about 12% thinner than its own weekdays. Turnover is 37.6%, better than the 45.8% national figure, which matters for continuity. What pulls the record down is the inspection history: 10 deficiencies on file, including one at the harm level and three tied to abuse, plus a $9,419 fine. The most recent inspection was March 18, 2026. If you're weighing this one, ask directly how the abuse-related findings were resolved and how weekend coverage is filled.

C

67/100

Stone River Post Acute

Murfreesboro, TN · Rutherford County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
5.15 /day
Staff turnover
57%
Serious cites
0

Stone River Post Acute runs 68 beds in Murfreesboro under corporate ownership, and the staffing picture is genuinely better than most: 5.15 nurse hours per resident day against a national average of 3.86, with weekends dipping only about 5% below weekdays. That's real coverage. The trouble shows up elsewhere. Staff turnover sits at 57.4%, well above the 45.8% national rate, so residents see a lot of new faces. The current inspection record carries 16 deficiencies, including one at the harm level and two tied to abuse, and the quality measure rating comes in at 2 out of 5. High hours help, but they don't offset a record like that on their own.

C

67/100

Mcallen Nursing Center

Mcallen, TX · Hidalgo County

CMS 3/5 122 beds Government Medicaid
Nurse hours
2.90 /day
Staff turnover
41%
Serious cites
0

McAllen Nursing Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 10% below its own weekday level. The 2/5 inspection rating reflects 28 deficiencies on the current record, three of them at harm or jeopardy level, plus two abuse-related citations, and the state has fined the home twice, totaling $17,459. Staff turnover at 40.7% is actually a little better than the national 45.8%, though that is the one number here that leans your way. The limited liability company operating it last faced inspection in April 2025, so the record is recent.

C

67/100

West Side Campus Of Care

White Settlement, TX · Tarrant County

CMS 1/5 234 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
36%
Serious cites
0

West Side Campus Of Care runs 234 beds in White Settlement under corporate for-profit ownership, and its staffing numbers sit well under what you'd want to see: 3.07 nurse hours per resident day against a national average of 3.86, with weekends running about 9% thinner than weekdays. The inspection record shows 23 deficiencies, four of them serious enough to cause harm or jeopardy and four tied to abuse, plus three fines totaling $31,279. Turnover at 36.3% is better than the national 45.8%, which matters, but it doesn't offset a one-star staffing rating and a two-star inspection history. The most recent inspection was March 2026. Quality measures score well; the hands-on care and oversight numbers don't.

C

67/100

Avir At Courtyard

Houston, TX · Harris County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
59%
Serious cites
0

Avir At Courtyard runs 3.45 nurse hours per resident day, roughly 11% under the national average, and weekend coverage dips about 6% below its own weekday level. Staff turnover sits at 59% against a national 45.8%, so the people caring for residents keep changing. The inspection history is mixed: a five-star health inspection rating, but 18 deficiencies on record, including one at harm level and two abuse-related, with the most recent inspection in September 2025. Ownership changed within the past year, and the one-star staffing rating tells you the hours and retention problems are the real story here.

C

67/100

Hilltop Village Nursing And Rehabilitation

Kerrville, TX · Kerr County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
78%
Serious cites
0

Hilltop Village runs 150 certified beds in Kerrville under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends drop about 10% below its own weekday coverage, and annual turnover hits 78.3%, well above the 45.8% national figure, which means the people providing that already-thin care are cycling out fast. Its inspection history includes 51 deficiencies, one at the harm level and five abuse-related, and staff turnover at that rate makes it harder to fix problems and keep them fixed even after a recent August 2025 inspection.

C

67/100

Palo Duro Nursing Home

Claude, TX · Armstrong County

CMS 3/5 66 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
39%
Serious cites
0

Palo Duro Nursing Home runs 66 certified beds in Claude, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. Weekends drop about 8% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is 39.1%, which is actually better than the 45.8% national figure, and the inspection record is recent and clean where it counts: 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in August 2025. The tension here is between a decent inspection history and thin daily staffing, which is what pulls the staffing measure down to one star.

C

67/100

Windsor Nursing And Rehabilitation Center Of Mcall

Mcallen, TX · Hidalgo County

CMS 3/5 110 beds Non-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
50%
Serious cites
0

Windsor Nursing and Rehabilitation Center of Mcallen sits in a tough spot: its inspectors clearly found a well-run building, with a 4/5 health inspection rating and a recent December 2025 survey, but the daily staffing tells a different story. At 3.04 nurse hours per resident day, it runs about 21% under the national average, weekends drop another 12% below its own weekday levels, and half the staff turns over each year, worse than the 45.8% national figure. That thin coverage shows up in 18 deficiencies, including one at the harm level and three tied to abuse, plus a $24,083 fine. Good care when watched, but not enough hands the rest of the time.

C

67/100

San Antonio Wellness & Rehabilitation

San Antonio, TX · Bexar County

CMS 2/5 154 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
35%
Serious cites
0

San Antonio Wellness & Rehabilitation runs 154 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. Nurses provide 3.45 hours per resident day, roughly 11% below the national average, and weekends drop another 11% below the home's own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover sits at 35.4%, better than the 45.8% national figure, but that's the one bright spot. The inspection record shows 47 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $104,627 fine. The most recent inspection was in November 2024. Quality measures score well, but quality scores reflect resident outcomes on paper, not whether enough hands are on the floor.

C

67/100

Hearthstone Nursing And Rehabilitation

Round Rock, TX · Williamson County

CMS 3/5 120 beds Government Medicaid
Nurse hours
2.92 /day
Staff turnover
53%
Serious cites
0

Hearthstone runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 13% below its own weekday coverage. Staff turnover sits at 53.3% against a national 45.8%, which matters when the same short-staffed floor keeps training replacements. The current inspection record carries 26 deficiencies, including 6 at harm or jeopardy level and 3 tied to abuse, with $152,617 in fines across three penalties. Quality measures score well, but that's resident outcome data, not a picture of the hands available daily. Hospital district ownership doesn't offset what the staffing and inspection numbers show. If you're weighing this one, ask directly how weekend coverage is filled.

C

67/100

The Lev At Town Park

Houston, TX · Harris County

CMS 1/5 180 beds Government Medicaid
Nurse hours
2.92 /day
Staff turnover
42%
Serious cites
0

The Lev At Town Park runs on thin nursing coverage: 2.92 hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday levels. Its inspection record is the bigger problem, 29 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a $31,031 fine, all from a June 2025 inspection. Turnover at 42.4% is slightly better than the 45.8% national figure, and resident outcome measures score well, but the staffing rating is 2/5 and inspections 1/5. Government hospital district ownership hasn't translated into stronger oversight here.

C

67/100

Chandler Nursing Center

Chandler, TX · Henderson County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
66%
Serious cites
0

Chandler Nursing Center runs 90 beds under limited liability ownership, and its inspection record looks better than its day-to-day staffing. A February 2026 inspection with 21 deficiencies, none at harm or jeopardy level and none abuse-related, earned 4 out of 5 stars from CMS on health inspections and the same on quality measures. The staffing side tells a different story: 3.10 nurse hours per resident day, roughly a fifth below the national 3.86 average, with weekends about 13 percent thinner than weekdays. Annual turnover sits at 66.2 percent against a national 45.8. That gap is really what's holding the grade back.

C

67/100

Monument Healthcare Bountiful

Bountiful, UT · Davis County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
52%
Serious cites
0

Monument Healthcare Bountiful runs 100 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, weekend coverage drops roughly 11% below its own weekday level, and annual turnover hits 52.3% against a national 45.8%. The inspection record backs that up: 21 deficiencies, four at harm or jeopardy level, three abuse-related, and three fines totaling $51,852, with the most recent inspection in December 2024. The 5/5 quality measure score looks strong, but quality measures are self-reported, and the 2/5 staffing and 2/5 inspection ratings tell you more about what daily life there actually looks like.

C

67/100

Rocky Mountain Care - The Lodge

Heber City, UT · Wasatch County

CMS 3/5 92 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
70%
Serious cites
0

Rocky Mountain Care - The Lodge runs 92 certified beds as a nonprofit corporation, and its quality measure score is strong. The staffing picture is where things get complicated: 3.63 nurse hours per resident day sits about 6% under the national average of 3.86, weekends run roughly 10% thinner than weekdays, and annual turnover hits 69.9% against a national 45.8%. On inspections, the record shows 29 deficiencies, four of them at harm or jeopardy level and three abuse-related, plus one fine of $32,029. The last inspection was March 2024. Strong quality numbers and heavy staff churn can coexist, but families should ask how the home keeps direct care consistent when so many caregivers leave each year.

C

67/100

Waterside Health & Rehab Center

Norfolk, VA · Norfolk City County

CMS 3/5 197 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
36%
Serious cites
0

Waterside Health & Rehab Center runs 197 certified beds in Norfolk under corporate ownership, and the staffing picture is genuinely better than average: 4.07 nurse hours per resident day against a national 3.86, with turnover at 35.8% compared to 45.8% nationally. That stability matters, because weekends here run about 11% leaner than weekdays, so coverage isn't perfectly even. The concerns sit elsewhere. Fifty-two deficiencies on the current record include three at harm or jeopardy level and three tied to abuse, with $8,375 in fines. The last inspection was June 2023, so that record is getting stale. Quality measure scores came in at 2 out of 5 stars. Ask about those harm-level findings specifically when you visit.

C

67/100

Charlottesville Health & Rehabilitation Center

Charlottesville, VA · Albemarle County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
55%
Serious cites
0

Charlottesville Health & Rehabilitation Center runs 105 certified beds under corporate ownership, and its nurse staffing sits at 3.09 hours per resident day, roughly 20% under the national average of 3.86. Weekends drop about 13% below its own weekday levels, and annual turnover hits 55.2% against a national 45.8%, so the aides and nurses cycling through the building change often. The current record carries 50 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was July 2024. Federal ratings split sharply here: four stars for quality measures, two for both health inspections and staffing. If you're weighing this one, ask how they hold staffing steady on weekends and what that abuse citation involved.

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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