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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 10621–10640 of 12,967, best-graded first.

C

66/100

Alaska Gardens Health And Rehabilitation

Tacoma, WA · Pierce County

CMS 1/5 123 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
50%
Serious cites
0

Alaska Gardens runs a 123-bed for-profit home in Tacoma, and its nurse staffing sits right at the national average, 3.90 hours per resident day against 3.86. That number hides a wrinkle: weekends run about 9% leaner than weekdays, and half the nursing staff turns over each year, worse than the 45.8% national rate. Where the record really sours is inspections. Sixty-four deficiencies, seven serious enough to put residents in harm's way, five tied to abuse, and three fines totaling $196,648. The last inspection was May 2026. State surveyors have flagged this home repeatedly, and that history is what a family should weigh before touring.

C

66/100

Everett Center

Everett, WA · Snohomish County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
45%
Serious cites
0

Everett Center runs 100 certified beds as a for-profit partnership, and its overall staffing number of 4.23 nurse hours per resident day sits about 9% above the national average of 3.86. That looks good until you notice weekends run roughly 11% thinner than weekdays, and turnover holds at 44.6%, essentially the national rate, meaning the staff you meet may not be there next year. The current inspection record carries 34 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $378,252. The last inspection was February 2026.

C

66/100

Pendleton Manor

Franklin, WV · Pendleton County

CMS 3/5 89 beds Non-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
69%
Serious cites
0

Pendleton Manor in Franklin runs a tight ship on the clinical side: nurse staffing sits at 3.95 hours per resident day, slightly above the national average, and the home's last inspection in March 2026 found no deficiencies at the harm or jeopardy level. But the workforce picture is unstable. Staff turnover hits 68.6%, well above the national rate of 45.8%, and weekend staffing drops about 13% below weekday levels. Twenty-four deficiencies sit on the current record, three of them abuse-related. Quality measures tell another story, scoring poorly despite solid staffing numbers. Nonprofit ownership doesn't erase those gaps.

C

66/100

Complete Care At Oak Ridge Llc

Charleston, WV · Kanawha County

CMS 3/5 74 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
51%
Serious cites
0

Complete Care At Oak Ridge runs 74 certified beds on Charleston's west side as a for-profit corporate operation, and the numbers show a building running lean. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 12% below its own weekday level, which matters because that's when families tend to visit and notice. Staff turnover is 51.4% against a national 45.8%, so more than half the nursing workforce turns over in a year. The current record carries 37 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single $16,039 fine. The last inspection was June 5, 2025, so the picture is recent. Ask about weekend coverage and how they screen and supervise staff.

C

66/100

Waunakee Valley Senior Living

Waunakee, WI · Dane County

CMS 3/5 84 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
63%
Serious cites
0

Waunakee Valley Senior Living runs 84 certified beds under corporate for-profit ownership, and the numbers split in an unusual way. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, with weekends roughly 9% thinner than weekdays, which matters because that's when families often visit and when fewer eyes are on residents. Staff turnover is the bigger concern: 62.5% annually against a national average of 45.8%, meaning most of the people caring for your relative may be new to the building within the year. The inspection record shows 24 deficiencies, four at harm or jeopardy level and two tied to abuse, plus $32,856 in fines across two penalties. The quality measure score looks strong, but that's largely self-reported data, while the inspection and staffing stars tell a different story. Worth asking about directly.

C

66/100

Beloit Health And Rehabilitation Center

Beloit, WI · Rock County

CMS 2/5 110 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
50%
Serious cites
0

Beloit Health and Rehabilitation Center runs 110 certified beds as a for-profit corporation, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.28 hours per resident day, about 15% under the national average of 3.86, and weekend coverage drops roughly 13% below what the home staffs on weekdays. Annual turnover hits 50%, higher than the 45.8% national figure, which means aides and nurses are cycling through steadily. The inspection history is the heavier concern: 46 deficiencies on the current record, four at harm or jeopardy level and three abuse-related, plus a $46,542 fine. The last inspection was January 29, 2026. Ask about weekend coverage and how they've corrected the abuse-related findings before deciding.

C

66/100

Green Bay Health Services

Green Bay, WI · Brown County

CMS 2/5 125 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
49%
Serious cites
0

Green Bay Health Services runs 125 beds under corporate ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage drops about 7% below what the home staffs on weekdays, and turnover hits 49.2% against a national figure of 45.8%, so the aides and nurses your family sees may not be there a year from now. The inspection record shows 29 deficiencies, none at the harm level, but six tied to abuse. That mix, thinner staffing plus a hard quality-measure score, is what pulls the home's overall picture down despite a recent June 2025 inspection.

C

66/100

Greenway Manor

Spring Green, WI · Sauk County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
54%
Serious cites
0

Greenway Manor runs about 2.91 nursing hours per resident each day, roughly a quarter below the national average, and its weekend coverage dips another 6% below its own weekday level. Staff turnover sits at 53.8% against a national 45.8%, which means more than half the nursing team turns over in a year, that's the number behind its one-star staffing rating from CMS. The health inspection side looks better: a four-star rating and a clean recent inspection on 2026-02-25. But the record carries eight deficiencies, five of them abuse-related, and a corporation owns the place. Fewer hands and a revolving door tend to matter most on evenings and weekends, when families aren't watching.

C

66/100

Willowdale Health Services

New Holstein, WI · Calumet County

CMS 3/5 49 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
40%
Serious cites
0

Willowdale runs lean on nursing hours, 3.47 per resident day against a national average of 3.86, and weekends get thinner still, about 12% below its own weekday coverage. Turnover sits at 40%, a bit better than the 45.8% national figure. The inspection record shows 16 deficiencies with none at harm or jeopardy level, though 4 are abuse-related, and the most recent inspection was in October 2024. The quality measure rating is where the trouble concentrates: 1 out of 5 stars. That combination, decent staffing relative to its size, no serious harm citations, but poor clinical quality metrics, is worth asking the administrator about directly.

C

66/100

Dove Healthcare - Fennimore

Fennimore, WI · Grant County

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

Dove Healthcare - Fennimore runs a 50-bed for-profit home in Grant County, and its staffing is genuinely better than average, 4.04 nurse hours per resident day against a national 3.86. The catch is consistency: weekends run about 8% thinner than weekdays, and turnover sits at 60.4% versus 45.8% nationally, so the people providing that care keep changing. The inspection record is where things get serious. Thirty-seven deficiencies, six of them at harm or jeopardy level, 13 tied to abuse, and four fines totaling $326,232. The most recent inspection was September 2025, so this is current, not old history. Strong hours, unstable workforce, and a troubled regulatory record can all be true at once.

C

66/100

Plymouth Health Services

Plymouth, WI · Sheboygan County

CMS 1/5 50 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
73%
Serious cites
0

Plymouth Health Services runs 50 certified beds under for-profit corporate ownership, and its staffing sits just under the national average at 3.83 nurse hours per resident day. That small gap matters less than what happens on weekends, when hours drop about 12% below the home's own weekday level. The bigger number is turnover: 73.1% of staff leave annually, against a national average of 45.8%, which means the people caring for residents are frequently new. Inspectors cited 35 deficiencies on the current record, six of them abuse-related, though none rose to harm or jeopardy. The most recent inspection was August 2025.

C

66/100

Imperial Care Center

Studio City, CA · Los Angeles County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
55%
Serious cites
0

Imperial Care Center runs 130 certified beds in Studio City under a for-profit limited liability company, and its nurse staffing sits right at the national average, 3.84 hours per resident day against 3.86. That's the good news. The rest is harder. Staff turnover is 54.8% a year, well above the 45.8% national figure, and weekend coverage drops about 6% below the home's own weekday levels. The inspection record shows 99 deficiencies, including 8 at harm or jeopardy level and 15 tied to abuse, with four fines totaling $212,749. The most recent inspection was June 20, 2025. When you visit, ask directly how they've addressed the abuse-related findings and what weekend staffing actually looks like.

C

66/100

Golden Sonora Care Center

Sonora, CA · Tuolumne County

CMS 1/5 210 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
52%
Serious cites
0

Golden Sonora Care Center runs 210 certified beds in Tuolumne County under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.91 hours per resident day, just barely above the national average, though weekends drop about 6% below the home's own weekday coverage, and with annual turnover at 52.2% against a national 45.8%, that thin margin depends on a workforce that keeps changing. The harder problem is the inspection record: 89 deficiencies, two of them serious enough to put residents at harm or jeopardy, one fine of $56,843, and a 2025 inspection that left both the health inspection and quality measure ratings at one star out of five.

C

66/100

Kern River Transitional Care

Bakersfield, CA · Kern County

CMS 1/5 140 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
48%
Serious cites
0

Kern River Transitional Care runs 140 beds in Bakersfield under for-profit LLC ownership, and its numbers pull in two directions. Nurse staffing averages 4.52 hours per resident day, roughly 17% above the national figure, but weekends run about 12% thinner than weekdays and annual turnover sits at 48.3%, slightly worse than the 45.8% national average, so the coverage you get depends heavily on which day you visit. The bigger concern is the inspection record: 94 deficiencies, including one at the harm or jeopardy level and eight tied to abuse, with a $77,720 fine and a survey as recent as April 2025. Quality measures score well; the compliance history is what drags this home down.

C

66/100

Avir At Woodlands

Eastland, TX · Eastland County

CMS 1/5 76 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
66%
Serious cites
0

Avir At Woodlands runs on thin nursing coverage: 3.44 hours per resident day, roughly 11% under the national average, and weekends dip about 7% below its own weekday level. Turnover sits at 65.9% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is the heavier concern, a 1-out-of-5 health inspection rating, 34 deficiencies including three at harm or jeopardy level and one tied to abuse, plus an $85,613 fine. A recent August 2025 inspection keeps the record current, and the 4/5 quality measure score shows some clinical targets are being met, but staffing instability and that deficiency history are what a family should weigh most.

C

66/100

La Frontera Nursing & Rehabilitation

Laredo, TX · Webb County

CMS 3/5 186 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
—
Serious cites
0

La Frontera runs 186 certified beds in Laredo under corporate for-profit ownership, and its nursing hours come in around 3.24 per resident per day, roughly 16% under the national average of 3.86. Weekends are thinner still, about 19% below what the home staffs on weekdays, so the coverage gap families notice most is the one that shows up on Saturdays and Sundays. Inspectors were last in on May 29, 2025, and the record carries 11 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,021. The health inspection rating holds at 4 of 5 and quality measures at 3, but staffing sits at 1.

C

66/100

Meadowbrook Care Center

Van Alstyne, TX · Grayson County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
60%
Serious cites
0

Meadowbrook Care Center runs about 3.01 nurse hours per resident each day, roughly 22% under the national average, and weekend staffing dips another 10% below its own weekday levels, so the thinnest coverage lands when families are most likely to visit. Annual turnover sits at 60% against a national 45.8%, meaning the people caring for your relative are often new to the building. The current record carries 17 deficiencies, including one at the harm level and one tied to abuse, with a $21,645 fine. That quality measure score of 5/5 reflects charted care, but the staffing and inspection scores tell a different story.

C

66/100

Avir At Fredericksburg

Fredericksburg, TX · Gillespie County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
88%
Serious cites
0

Avir At Fredericksburg runs 90 certified beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below its own weekday coverage. The bigger red flag is turnover: 87.8% annually, nearly double the national 45.8%. On the quality measures the home scores well, but its health inspection rating is 2 out of 5 with 47 deficiencies on record, including 2 at harm or jeopardy level and 2 tied to abuse. One fine totaling $23,520 has been levied. The last inspection was June 20, 2025. Staffing consistency and inspection history are where the concerns live.

C

66/100

Woodland Manor Nursing And Rehabilitation

Conroe, TX · Montgomery County

CMS 1/5 146 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
54%
Serious cites
0

Woodland Manor runs about 3.14 nurse hours per resident per day, roughly 19% under the national average, and weekends dip another 9% below its own weekday staffing. That thin coverage shows up in the numbers: a 1-out-of-5 staffing rating, 53.7% annual turnover against a national 45.8%, and 25 deficiencies on the current record, including three at the harm or jeopardy level and three tied to abuse. Three fines total $77,780, and the last inspection was March 2025. It's a 146-bed for-profit LLC in Conroe, and the 3-out-of-5 quality measure rating is the one bright spot in an otherwise difficult record.

C

66/100

San Marcos Rehabilitation And Healthcare Center

San Marcos, TX · Hays County

CMS 2/5 129 beds For-profit Medicaid
Nurse hours
2.98 /day
Staff turnover
49%
Serious cites
0

San Marcos Rehabilitation and Healthcare Center runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 15% below what the home already provides on weekdays. State inspectors have cited 17 deficiencies, three of them serious enough to put residents at harm or jeopardy, and the last inspection was in October 2025. Staff turnover sits at 48.8%, a few points above the national rate, at a for-profit corporate home with 129 certified beds. Its quality measure score looks strong, but that reflects charted care, not the hours of nursing help actually available at the bedside when you or your family member needs it.

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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