ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 10641–10660 of 12,967, best-graded first.

C

66/100

Avir At Heritage

San Antonio, TX · Bexar County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
54%
Serious cites
0

Avir At Heritage runs on thin nursing coverage: 3.26 nurse hours per resident each day, roughly 16 percent under the national figure, and weekends drop about 14 percent below its own weekday levels. That staffing picture is the main reason its CMS staffing rating sits at just one star out of five, even though its last inspection in April 2025 produced no deficiencies at the harm or jeopardy level and nothing abuse-related. Staff turnover of 54.3 percent tops the national average of 45.8 percent, which matters for a 150-bed for-profit home because residents see more unfamiliar faces. The inspection record looks clean on paper, but consistently low hours and high churn are what a family should weigh when deciding.

C

66/100

Franklin Nursing Home

Franklin, TX · Robertson County

CMS 3/5 90 beds Government Medicaid
Nurse hours
3.13 /day
Staff turnover
—
Serious cites
0

Franklin Nursing Home runs on thin staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends drop roughly another 17 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. That shows up in its one-star staffing rating, even as inspections and quality measures each earn four stars. The current record carries 19 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in September 2025. It's a hospital-district home, which may explain the stable oversight despite the lean floor. Ask how many nurses are actually on duty on a Saturday evening.

C

66/100

Towers Nursing Home

Smithville, TX · Bastrop County

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

Towers Nursing Home in Smithville runs a nonprofit operation with 120 certified beds, and its inspection record looks solid on paper, a 4-out-of-5 health inspection rating and a recent survey from July 2025. But the staffing numbers tell a different story. At 2.59 nurse hours per resident per day, this home sits about a third below the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. Staff turnover is 58.8%, well above the 45.8% national figure, which matters when you're counting on consistent caregivers. Fifteen deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, and CMS has fined the home $15,239. Ask about weekend coverage and how they keep CNAs.

C

66/100

Autumn Leaves Nursing And Rehab Inc

Henderson, TX · Rusk County

CMS 2/5 125 beds Government Medicaid
Nurse hours
2.79 /day
Staff turnover
57%
Serious cites
0

Autumn Leaves is run by the hospital district in Henderson, and its clinical quality scores look strong on paper. The problem is who's there to deliver that care: 2.79 nurse hours per resident day, roughly 28% under the national average, with weekends running about 12% thinner than weekdays. Staff turnover sits at 56.8%, well above the 45.8% national figure, which means residents see a rotating cast of caregivers. The inspection record backs that up, 42 deficiencies, including one at the harm level and one tied to abuse, plus a $22,925 fine. The last inspection was May 2026. A hospital district can be a stable owner; here the staffing numbers are doing the talking.

C

66/100

Golden Creek Healthcare And Rehabilitation Center

Navasota, TX · Grimes County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
49%
Serious cites
0

Golden Creek runs 125 certified beds in Navasota under corporate for-profit ownership, and its recent inspection history is the strongest part of the picture, a four-star health inspection rating, with the last survey done in April 2025 and 18 deficiencies on record, none at the harm or jeopardy level. That's one abuse-related citation, though, which families should ask about directly. Where the home slips is staffing: 3.54 nurse hours per resident day sits about 8% under the national average, weekends run roughly 12% below its own weekday levels, and turnover is 48.9%. Those numbers are why CMS gives it a single staffing star, and they're worth weighing against the decent inspection score.

C

66/100

The Plaza At Lubbock

Lubbock, TX · Lubbock County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
61%
Serious cites
0

The Plaza At Lubbock runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average, and weekend coverage drops about 14% below what it manages on weekdays. Staff turnover sits at 60.9% against a national 45.8%, meaning more than half the nursing staff leaves each year, that churn shows up in the 40 deficiencies on record, four of them serious enough to reach harm or jeopardy level and three tied to abuse. Corporate ownership keeps the money side simple, but the record includes three fines totaling $38,594, and the most recent inspection in January 2026 found enough to keep the health inspection rating at 2 out of 5. The quality measures look strong, but strong numbers on paper don't staff a building on a Saturday.

C

66/100

Crestview Court

Cedar Hill, TX · Dallas County

CMS 5/5 125 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
59%
Serious cites
0

Crestview Court runs on thinner nurse coverage than most homes, 3.40 hours per resident day against a national average of 3.86, with weekends dropping about 9% below its own weekday level. Turnover sits at 58.5%, well above the 45.8% national figure, so the people providing that care change often. Inspections tell a mixed story: a 4-star health inspection rating and a 5-star quality measure score, but 21 deficiencies on the current record, including 3 at harm or jeopardy level and 7 tied to abuse, plus one fine of $16,799. The most recent inspection was April 2025. A for-profit corporation owns the 125-bed home. Strong quality marks and steady inspection results sit alongside staffing shortages and a documented abuse-related history, worth asking about directly before deciding.

C

66/100

Legacy Nursing And Rehabilitation

Cameron, TX · Milam County

CMS 2/5 104 beds Government Medicaid
Nurse hours
2.95 /day
Staff turnover
50%
Serious cites
0

Legacy Nursing and Rehabilitation runs on thin staffing. At 2.95 nurse hours per resident day, it sits about 24% under the national average of 3.86, and weekends drop roughly another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% tops the national 45.8%, meaning the aides at the bedside are often the newest hires. The 23 deficiencies on record include zero at harm or jeopardy level, but two are abuse-related, and the most recent inspection came in February 2026. Government hospital district ownership doesn't change the math; the staffing star of 1 out of 5 tells you where the pressure is.

C

66/100

Granite Mesa Health Center

Marble Falls, TX · Burnet County

CMS 2/5 124 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
—
Serious cites
0

Granite Mesa runs lean on nursing hours, 3.16 per resident day against a national average of 3.86, and weekends drop roughly another 20% below what the home staffs during the week. That pattern matters more than any single number, because it means the thinnest coverage lands exactly when families tend to visit and when backup is hardest to call in. The inspection record shows 24 deficiencies, including one at the harm level and two tied to abuse, with a $59,345 fine and a survey completed at the very end of 2025. Ownership is a for-profit LLC, and the 124-bed building earns solid marks on quality measures while staffing sits at the bottom of the federal scale.

C

66/100

Sheridan Medical Lodge

Burkburnett, TX · Wichita County

CMS 4/5 130 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
55%
Serious cites
0

Sheridan Medical Lodge earned a clean five-star inspection rating, and that's not nothing, 13 deficiencies on record with zero at the harm or jeopardy level and nothing abuse-related, reviewed as recently as March 2026. The staffing side tells a different story. At 3.15 nurse hours per resident day, it runs about 18% under the national average, weekends drop roughly 14% below its own weekday level, and annual turnover sits at 54.5% against a national 45.8%. For-profit corporate ownership, 130 beds. Ask how they hold that inspection record when the people providing the care keep changing.

C

66/100

Five Points Nursing And Rehabilitation

Amarillo, TX · Potter County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
96%
Serious cites
0

Five Points runs a 120-bed for-profit operation in Amarillo where the clinical numbers tell two different stories. On quality measures and health inspections, it scores well, four and five stars respectively, but staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends drop roughly 13% below its own weekday levels. That thin coverage comes with 96.3% annual turnover, more than double the national rate, which means the people at the bedside are constantly changing. The current record shows 18 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,281. The last inspection was May 2026. High marks on paper don't offset a workforce that can't stay put.

C

66/100

Mabank Nursing Center

Mabank, TX · Kaufman County

CMS 3/5 90 beds Government Medicaid
Nurse hours
3.36 /day
Staff turnover
47%
Serious cites
0

Mabank Nursing Center runs on thin staffing. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% turnover rate is roughly in line with the national figure, but combined with 33 deficiencies on record, including 2 at the harm or jeopardy level and 2 tied to abuse, the picture is not comforting. Two fines total $31,234. A May 2026 inspection is recent, and the county hospital district that owns it isn't a for-profit chain, which may help explain the 3-star middle ground across inspections, quality, and staffing.

C

66/100

St. Anthony's Care Center

Waco, TX · Mc Lennan County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
63%
Serious cites
0

St. Anthony's runs about 4.31 nurse hours per resident per day, roughly 12% above the national average, so there's real coverage on weekdays. Weekends run about 13% thinner, and annual turnover sits at 62.8% against a national 45.8%, meaning that staffing edge is being delivered by a constantly changing crew, which is hard on residents who need consistency. The health inspection side looks solid at 4 of 5 stars with no abuse findings, but 16 deficiencies, 2 of them at harm level, plus a recent ownership change, suggest the operation is still settling in. Quality and staffing measures both land at 2 of 5, and that gap between inspection results and daily care measures is the real story here.

C

66/100

Cypress Pointe Health & Wellness

Houston, TX · Harris County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
2.43 /day
Staff turnover
61%
Serious cites
0

Cypress Pointe runs on 2.43 nurse hours per resident day, roughly 37% under the national average, and that thinness gets worse on weekends, when staffing drops about 12% below its own weekday level. Annual turnover sits at 61.1% against a national 45.8%, so the aides and nurses your family would see are cycling through faster than at the typical home. The 14 deficiencies on record, including two at the harm level, came out of a March 2026 inspection, and $8,018 in fines has been assessed. Corporate-owned and certified for 124 beds, it earns top marks on quality measures but the staffing side is where the risk lives.

C

66/100

Cedar Hollow Rehabilitation Center

Sherman, TX · Grayson County

CMS 3/5 142 beds Government Medicaid
Nurse hours
3.46 /day
Staff turnover
50%
Serious cites
0

Cedar Hollow is hospital-district owned, which usually means steadier public funding than a for-profit chain, but the numbers here don't show that advantage paying off. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gap isn't just theoretical, it's baked into the schedule. Turnover at 50.4% tops the national 45.8%, and the inspection record carries 30 deficiencies, including three at harm or jeopardy level and one tied to abuse, plus two fines totaling $39,697. The most recent inspection was May 2026, so that record is current.

C

65.5/100

Cottage Of The Shoals

Tuscumbia, AL · Colbert County

CMS 4/5 103 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
59%
Serious cites
0

Cottage Of The Shoals runs 3.29 nurse hours per resident day, about 15 percent under the national average, and weekends drop another 16 percent below its own weekday staffing. That gap is worth asking about directly, since it's the stretch when families often can't visit. Staff turnover sits at 58.8 percent against a 45.8 percent national figure, so the people caring for your relative are cycling through faster than average, though the current record shows just 5 deficiencies with none at the harm or jeopardy level. One is abuse-related, which deserves a specific question. The last inspection was August 2021, so the record you're looking at is nearly four years old.

C

65.5/100

Highlands Rehabilitation And Wellness Center

Birmingham, AL · Jefferson County

CMS 2/5 132 beds For-profit Medicaid
Nurse hours
2.87 /day
Staff turnover
56%
Serious cites
0

Birmingham Nursing and Rehabilitation Center East runs on 2.87 nurse hours per resident day, roughly a quarter below the national figure of 3.86, and weekend coverage drops another 20% from its own weekday level. Staff turnover sits at 55.7%, nearly ten points above the national average, so the people around your family member keep changing. The inspection record is the harder part: 14 deficiencies, five serious enough to involve harm or jeopardy, two tied to abuse, and five fines totaling $24,834. Its quality measure score looks strong on paper, but that reflects charted care, not the staffing and safety problems inspectors actually found in May 2024.

C

65.5/100

Greene County Nursing Home

Eutaw, AL · Greene County

CMS 1/5 72 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Greene County Nursing Home sits in Eutaw with 72 certified beds and a for-profit corporation behind it. Federal inspectors handed it the lowest marks possible for both health inspections and staffing, and a below-average score for quality measures, and the last full inspection was back in February 2022, which is a long stretch without a fresh look. Thirteen deficiencies sit on the current record, though none reached harm or jeopardy, and there's no abuse history. One fine of $13,635 has been levied. What stands out is a pattern: thin staffing measured against national norms, weak inspection results, and little recent scrutiny to test whether anything has changed.

C

65.5/100

Cherry Hill Rehabilitation & Healthcare Center

Birmingham, AL · Jefferson County

CMS 2/5 117 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
56%
Serious cites
0

Cherry Hill Rehabilitation & Healthcare Center runs 117 certified beds in Birmingham under corporate ownership, and its nurse staffing sits at 3.23 hours per resident per day, roughly 16 percent under the national average. Weekends get thinner still, running about 16 percent below the home's own weekday coverage, and annual turnover of 56.3 percent tops the national figure of 45.8. The inspection record shows nine deficiencies, none at the harm or jeopardy level and none abuse-related, with the last full inspection in December 2022. Quality measures earn three stars, but inspections and staffing each land at two. That mix of adequate clinical scores against weaker staffing and a dated inspection tells you where to focus your questions.

C

65.5/100

Haven Of Scottsdale

Scottsdale, AZ · Maricopa County

CMS 2/5 56 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
77%
Serious cites
0

The staffing numbers at Haven of Scottsdale tell the real story here. At 3.14 nurse hours per resident day, it runs about 19 percent below the national average, weekends drop roughly 18 percent below its own weekday levels, and annual turnover hits 76.9 percent against a national 45.8, that's a workforce cycling through faster than most. Its most recent inspection, in January 2026, left 24 deficiencies on record, including one at the harm or jeopardy level and ten tied to abuse. Ownership is a for-profit limited liability company. The five-star quality measure score stands out against a one-star staffing rating and a one-star inspection rating, which is worth asking about directly.

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.

Before you shortlist