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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 10381–10400 of 12,967, best-graded first.

C

67/100

Cherokee Trails Nursing Home

Rusk, TX · Cherokee County

CMS 2/5 140 beds Government Medicaid
Nurse hours
3.22 /day
Staff turnover
65%
Serious cites
0

Cherokee Trails is owned by the local hospital district, and that public ownership hasn't translated into strong staffing. At 3.22 nurse hours per resident day, it sits roughly 16% under the national average, and weekends drop about 13% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover is 65.3%, well above the 45.8% national figure, and the inspection record shows 43 deficiencies, including six at harm or jeopardy level and four tied to abuse, with $85,329 in fines. The quality measure score looks good on paper, but that's largely self-reported data. The recent inspection date means the record is current, not old.

C

67/100

Avir At Pecos

Pecos, TX · Reeves County

CMS 2/5 89 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
67%
Serious cites
0

Avir At Pecos runs on 3.20 nurse hours per resident day, roughly 17 percent below the national average of 3.86, and weekend coverage dips about 8 percent below its own weekday level. Staff turnover sits at 66.7 percent against a national 45.8 percent, two-thirds of the nursing staff leaving in a year is a lot of new faces for residents to adjust to. The current record shows 22 deficiencies, none at the harm level, though one is abuse-related. Inspectors last visited in March 2025. Quality measures score well; staffing is where the numbers fall short, and ownership is a for-profit corporation.

C

67/100

Avir At Grapevine

Grapevine, TX · Tarrant County

CMS 2/5 126 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
52%
Serious cites
0

Avir At Grapevine runs on about 3.10 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in a 1-out-of-5 staffing rating and a 51.9% annual turnover rate, meaning more than half the nursing staff leaves each year. The inspection record is heavy: 40 deficiencies, four serious enough to cause harm or jeopardy, five tied to abuse, and two fines totaling $29,614. Its quality measure score is perfect, but that reflects charted care, not hands on the floor. The last inspection was November 2025, so the record is current.

C

67/100

Woodway Rehabilitation And Healthcare Center

Waco, TX · Mc Lennan County

CMS 2/5 144 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
75%
Serious cites
0

Woodway runs leaner than the typical nursing home on nurse staffing, 3.71 hours per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 14 percent below what the home staffs on weekdays. The bigger concern is who's left to do the work: annual turnover of 74.5 percent means most of the aides and nurses caring for residents today probably won't be there a year from now, and that churn sits well above the 45.8 percent national figure. Inspectors have cited 15 deficiencies, five involving harm or jeopardy and seven tied to abuse, with two fines totaling $14,846.

C

67/100

The Mildred & Shirley L. Garrison Geriatric Educat

Lubbock, TX · Lubbock County

CMS 2/5 120 beds Government Medicaid
Nurse hours
3.00 /day
Staff turnover
54%
Serious cites
0

The Garrison center runs 3.00 nursing hours per resident per day, about a fifth below the national average, and weekend coverage drops roughly 11% below its own weekday level, thin staffing that gets thinner when families tend to visit. Inspectors have logged 42 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $37,020 in fines across three penalties. Staff turnover sits at 53.8%, above the 45.8% national figure. The hospital district ownership and recent June 2026 inspection don't offset a record that includes abuse findings alongside persistent short staffing.

C

67/100

Village Creek Nursing & Rehabilitation

Fort Worth, TX · Tarrant County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
2.87 /day
Staff turnover
51%
Serious cites
0

Village Creek runs about 2.87 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip another 10% below its own weekday coverage. That thin staffing shows up in a 51.4% annual turnover rate, higher than the 45.8% national figure. The inspection record isn't clean either: 19 deficiencies, two at harm or jeopardy level, one tied to abuse, and $19,009 in fines across two events. A recent August 2025 inspection and decent marks on health inspections and quality measures don't offset a staffing level that sits well under what most homes provide.

C

67/100

Park Plaza Nursing And Rehabilitation Center

San Angelo, TX · Tom Green County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
85%
Serious cites
0

Park Plaza runs 90 certified beds in San Angelo under corporate for-profit ownership, and its most recent inspection in March 2025 left 28 deficiencies on the record, none at the harm level, but one tied to abuse. That's a lot of paperwork findings for a single survey, even without immediate jeopardy attached. The bigger issue sits in the staffing numbers: a 1-out-of-5 CMS staffing rating and 85% annual turnover, nearly double the national rate of about 46%. High turnover means the aide helping your mother today may be gone in a few months. Inspections and quality measures both scored 4 out of 5, so care planning looks solid on paper, but consistent staffing is what actually delivers it.

C

67/100

Pine Ridge Health Care Llp

Livingston, TX · Polk County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
58%
Serious cites
0

Pine Ridge runs about 3.72 nurse hours per resident day, roughly 4% under the national average, and weekends dip about 10% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 58.1% against a national average of 45.8%, meaning more than half the nursing staff turns over in a year. On paper, the recent inspection (March 2025) went well enough for a 4-star health inspection rating, and none of the 16 deficiencies on record rose to harm or jeopardy. But two are abuse-related, and for-profit partnership ownership with that kind of churn is worth asking about directly.

C

67/100

Cedar Manor Nursing And Rehabilitation Center

San Angelo, TX · Tom Green County

CMS 4/5 166 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
92%
Serious cites
0

Cedar Manor runs about 166 beds in San Angelo under corporate for-profit ownership, and the numbers that stand out most are staffing and turnover. Nurses give 3.42 hours of care per resident per day, roughly 11 percent below the national average, and weekends drop another 7 percent below the home's own weekday level. Annual staff turnover sits at 92.3 percent, double the national rate of 45.8 percent, which means the people caring for your family member are, statistically, likely to be gone within a year. The current inspection record shows 22 deficiencies, none at harm or jeopardy level, and the last survey was in December 2024. CMS rates staffing 2 out of 5; inspection and quality measures each come in at 3.

C

67/100

Avir At Emerald Hills

North Richland Hills, TX · Tarrant County

CMS 2/5 118 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
56%
Serious cites
0

Avir at North Richland Hills runs lean on nursing staff, 3.40 hours per resident per day against a national average of 3.86, with weekends about 10% thinner than weekdays, so the gap shows up most when families tend to visit. Staff turnover sits at 56.3%, well above the 45.8% national figure, and the current inspection record carries 24 deficiencies, three of them serious enough to put a resident in harm's way, plus two tied to abuse. A $195,946 fine is on file. The quality measure rating of 4/5 looks better than the staffing picture, which the federal government scores at 2/5. The most recent inspection was April 2025, so the record is current.

C

67/100

Cypress Healthcare And Rehabilitation Center

San Marcos, TX · Hays County

CMS 1/5 174 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
45%
Serious cites
0

Cypress Healthcare and Rehabilitation Center runs 174 certified beds in San Marcos under individual for-profit ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average, with weekend coverage about 10 percent thinner than its own weekdays. Turnover lands near the national figure at 44.9 percent, so the bigger concerns are elsewhere: 41 deficiencies on the current record, nine of them serious enough to cause harm or jeopardy, four tied to abuse, and $236,732 in fines across four penalties. The most recent inspection closed in April 2025. Quality measures score well, but that single star on health inspections and the thin weekend staffing are what a family should weigh.

C

67/100

Sandy Lake Rehabilitation And Care Center

Coppell, TX · Dallas County

CMS 2/5 123 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
63%
Serious cites
0

Sandy Lake Rehabilitation And Care Center runs about 3.11 nursing hours per resident day, roughly 19% under the national average of 3.86, and weekends dip another 12% below its own weekday numbers. That thinner coverage matters more given a 63.2% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses on the floor keep changing. Inspections paint a similar picture: 37 deficiencies on record, three serious enough to involve harm or jeopardy, one tied to abuse, and two fines totaling $23,677. The last inspection was August 19, 2025, so the record is current. The family-facing quality scores look decent; the staffing and safety record is where the concern sits.

C

67/100

Brodie Ranch Nursing And Rehabilitation Center

Austin, TX · Travis County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
41%
Serious cites
0

Brodie Ranch runs on 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends are about 13% thinner than its own weekdays. For a 120-bed home that is a real gap, and it shows up in the staffing star rating, which sits at 2 out of 5. The inspection record is heavier than that number alone suggests: 31 deficiencies, three of them at harm or jeopardy level, three abuse-related, and $61,059 in fines across three events. Last inspection was March 26, 2025. Turnover at 40.9% is actually below the national 45.8%, and the 4/5 quality measure rating is the strongest thing here. Government hospital district ownership doesn't change what the numbers say about daily coverage.

C

67/100

Southpark Meadows Nursing And Rehabilitation Cente

Austin, TX · Travis County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
2.83 /day
Staff turnover
51%
Serious cites
0

Southpark Meadows runs lean on nurses, 2.83 hours per resident day, roughly a quarter below the national average, and weekends dip even further, about 10% under its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at the lowest tier, and in turnover: just over half the nursing staff leaves each year, above the national rate of 45.8%. The record isn't purely negative. State inspectors last visited in December 2025 and cited 22 deficiencies, three serious enough to risk harm, though none involved abuse, and fines total $10,998. Quality measures score well, but with a nonprofit owner and this staffing pattern, the daily care depends heavily on who's still on the floor.

C

67/100

Oak Village Healthcare

Lake Jackson, TX · Brazoria County

CMS 4/5 74 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
56%
Serious cites
0

Oak Village Healthcare runs on thin staffing. At 3.18 nurse hours per resident per day, it sits about 18% under the national average, and weekends drop roughly 11% below what the home itself manages on weekdays. Annual turnover of 56.4% is well above the 45.8% national figure, so the people around your family member change often. What keeps it from being worse is the inspection record: a 5/5 health inspection rating, six deficiencies on file with none at the harm level and none abuse-related, and the most recent inspection in April 2025. The tradeoff is clear enough, a clean survey history, but not a lot of hands on deck, especially on Saturdays and Sundays.

C

67/100

Laredo Nursing And Rehabilitation Center

Laredo, TX · Webb County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
35%
Serious cites
0

Laredo Nursing and Rehabilitation Center runs 120 beds under individual for-profit ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average, with weekends about 15 percent thinner than its own weekdays. Turnover is actually better than average at 34.9 percent, so the problem isn't churn so much as how few hands are scheduled on any given shift. What should concern you most is the inspection record: 27 deficiencies, six serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $93,962. The most recent inspection was March 2026. Low staffing plus that many serious findings is a pattern worth asking about directly before you decide.

C

67/100

Las Colinas Of Westover

San Antonio, TX · Bexar County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
44%
Serious cites
0

Las Colinas Of Westover runs 140 beds on the city's northwest side, and the staffing numbers are where the story starts. At 3.34 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly another 9% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover at 43.9% is slightly better than the 45.8% national figure, which helps, but doesn't offset the thin hours. The inspection record is heavier: 39 deficiencies, four of them serious enough to involve harm or jeopardy, plus two fines totaling $38,630. State surveyors were last in on December 3, 2025. The quality measure scores look good on paper, but those come from resident assessments, not from someone watching the floor at 7 p.m. on a Sunday.

C

67/100

Amarillo Center For Skilled Care

Amarillo, TX · Potter County

CMS 3/5 122 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
90%
Serious cites
0

Amarillo Center For Skilled Care runs 122 certified beds as a for-profit limited liability company, and its staffing numbers are the first thing to look at. Nurses provide 3.31 hours per resident per day, roughly 14% under the national average of 3.86, and weekend coverage drops about 15% below what the home itself staffs on weekdays. Annual turnover of 89.6% is nearly double the national rate of 45.8%, that's people cycling through constantly, which matters more than any single number. The current record shows 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $21,390 fine. The last inspection was February 2026.

C

67/100

The Heights Of North Houston

Houston, TX · Harris County

CMS 2/5 131 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
48%
Serious cites
0

The Heights of North Houston runs about 3.31 nurse hours per resident day, roughly 14% under the national average, and weekend coverage dips another 11% below its own weekday level. That thin staffing sits alongside a 48.2% annual turnover rate, slightly above the national 45.8%, and it shows up in the inspection record: 25 deficiencies, three serious enough to involve harm or jeopardy, plus $31,541 in fines across two penalties. A 2/5 inspection rating and a 2/5 staffing rating tell the same story, even though the 4/5 quality measure score looks better on paper, that measure reflects resident care outcomes, not whether enough hands are on deck. The most recent inspection was May 8, 2025.

C

67/100

Bridgecrest Rehabilitation Suites

Houston, TX · Harris County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
50%
Serious cites
0

Bridgecrest Rehabilitation Suites runs 130 beds in Houston under corporate ownership, and the staffing numbers are the first thing to notice. At 3.32 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekend coverage drops roughly 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover hits 50% against a national 45.8%, which means the people providing that care are frequently new. The current record carries 20 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $48,802 in fines. The last inspection was June 26, 2025, so that picture is recent. Resident outcome measures look strong; the direct-care hours behind them don't match.

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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