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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 10701–10720 of 12,967, best-graded first.

C

65.5/100

Ponderosa Villa

Crawford, NE · Dawes County

CMS 2/5 39 beds Government Medicaid
Nurse hours
2.90 /day
Staff turnover
—
Serious cites
0

Ponderosa Villa runs on 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The city-owned home carries 13 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and it was inspected January 14, 2026. Its quality measure rating sits at 2 out of 5 and staffing at 1 out of 5, which tells you the shortfall is consistent, not a one-time dip. A 35-bed home can be worth a look for its size and local ownership, but ask directly how weekends are covered before deciding.

C

65.5/100

Complete Care At Milford Manor Llc

West Milford, NJ · Passaic County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
54%
Serious cites
0

Complete Care At Milford Manor is a 120-bed for-profit in West Milford, and the numbers split in two directions. The clinical quality measure rating sits at 4 out of 5, so residents' documented care outcomes look better than average. Staffing is where it struggles: 2.97 nurse hours per resident day against a national average of 3.86, weekend coverage running about 18% under its own weekday levels, and turnover at 53.6%, well above the 45.8% national figure. The record shows 26 deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related and fines total just $3,595. The most recent inspection was March 2025, so the picture is current. Ask about weekend and evening coverage specifically when you visit.

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65.5/100

Luna Wellness Rehabilitation, Llc

Deming, NM · Luna County

CMS 2/5 66 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
—
Serious cites
0

Luna Wellness Rehabilitation runs 3.14 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday staffing. That thin coverage sits behind a one-star CMS staffing rating, and the inspection record backs it up: 58 deficiencies, including two at the harm or jeopardy level and seven tied to abuse, with $66,876 in fines across two penalties. The five-star quality measure score looks better on paper, but quality measures reflect resident assessments, not how many hands are available when someone needs help. For-profit operation under a limited liability company, last inspected April 2025. Ask about weekend coverage and the abuse-related findings before deciding.

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65.5/100

Robinson Terrace

Stamford, NY · Delaware County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
51%
Serious cites
0

Robinson Terrace runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 17% below its own weekday staffing. Turnover sits at 50.5% against a national 45.8%, so the aides and nurses your family member sees are changing often. Inspections are a genuine bright spot: a 4/5 health inspection rating, 16 deficiencies on record with none at the harm or jeopardy level, and the most recent visit was February 2026. One abuse-related deficiency is on the books, which is worth asking about directly. Quality measures and staffing both score 2/5. Corporate-owned, 120 beds.

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65.5/100

Hudson Valley Rehabilitation & Extended Care Ctr

Highland, NY · Ulster County

CMS 1/5 203 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
47%
Serious cites
0

Hudson Valley Rehabilitation runs 203 beds in Highland, and its staffing comes in around 3.39 nurse hours per resident day, roughly 12% under the national average. Weekends are thinner still, about a fifth lighter than weekdays, and nearly half the staff turns over each year. The inspection record is the harder part to read past: 51 deficiencies currently on file, including one at the harm level and five tied to abuse. That last inspection was February 27, 2026, so the record is recent. A for-profit LLC operates it. Quality measures land at 2 out of 5 stars. Nothing here is catastrophic on paper, but the pattern, light coverage, heavy turnover, a long deficiency list, is worth asking about directly.

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65.5/100

Utica Rehabilitation & Nursing Center

Utica, NY · Oneida County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
62%
Serious cites
0

Utica Rehabilitation & Nursing Center runs 120 certified beds under corporate ownership, and the numbers worth knowing are on the staffing and inspection side. Nurses provide 3.32 hours per resident day, roughly 14 percent under the national average, and weekends dip about 16 percent below what the home itself staffs on weekdays. Turnover sits at 61.5 percent against a national 45.8 percent, so the people caring for residents change often. The record shows 38 deficiencies, five at harm or jeopardy level and four abuse-related, with $197,425 in fines and an inspection just completed in February 2026. Quality measures score well, but staffing and compliance are where the risk sits.

C

65.5/100

Chautauqua Nursing And Rehabilitation Center

Dunkirk, NY · Chautauqua County

CMS 1/5 216 beds For-profit Medicaid
Nurse hours
2.87 /day
Staff turnover
50%
Serious cites
0

Chautauqua Nursing and Rehabilitation Center in Dunkirk runs 216 certified beds under for-profit LLC ownership, and the numbers tell a split story. The health inspection record is genuinely strong, a five-star rating, ten deficiencies on file with none at the harm level, and just under $9,000 in fines across three citations. Where it falls down is staffing: 2.87 nurse hours per resident day sits about 26% under the national average of 3.86, weekends run roughly 16% thinner than weekdays, and turnover near 50% edges past the national figure. A clean inspection history matters, but it reflects conditions at one point in time, the last visit was December 2023. Daily coverage is what families actually live with, and that's the tradeoff here.

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65.5/100

Highland Rehabilitation And Nursing Center

Middletown, NY · Orange County

CMS 1/5 98 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
54%
Serious cites
0

Highland Rehabilitation And Nursing Center runs about 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop about 19% below its own weekday staffing. That gap matters, because the question for any family is who's actually on the floor on a Saturday. Turnover sits at 53.7% against a national 45.8%, so more than half the nursing staff leaves within a year. The current record shows 39 deficiencies, none flagged at harm or jeopardy level, but one is abuse-related. State inspectors were last in on July 3, 2025, and the health inspection rating came back 1 out of 5. It's a for-profit LLC with 98 certified beds. Ask about weekend coverage and how they screen staff before you decide.

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65.5/100

Elderwood Of Lakeside At Brockport

Brockport, NY · Monroe County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
2.69 /day
Staff turnover
69%
Serious cites
0

Elderwood Of Lakeside At Brockport runs about 2.69 nursing hours per resident each day, roughly 30% under the national average of 3.86, and weekend coverage drops about 19% below what the home staffs on weekdays. Turnover sits at 68.5% against a national 45.8%, which means most of the aides and nurses around your relative are relatively new. The good news: the state's last inspection was in April 2025, and the home carries just seven deficiencies with none at the harm level and none abuse-related. So the care problems here aren't neglect or safety citations, they're thin coverage, especially on weekends, which is worth asking about directly.

C

65.5/100

Elderwood At Wheatfield

Niagara Falls, NY · Niagara County

CMS 2/5 123 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
59%
Serious cites
0

Elderwood At Wheatfield runs about 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 19% below its own weekday staffing. That thin coverage shows up in the numbers: 59.3% annual turnover, well above the 45.8% national figure, and a 2-out-of-5 staffing rating from CMS. The 123-bed for-profit home carries 13 deficiencies on its current record, none at the harm level, but one abuse-related, and its last inspection was August 2024. Quality measures score well at 4 out of 5, so resident care indicators look stronger than the staffing that delivers them. Ask about weekend coverage and turnover before touring.

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65.5/100

Pruitthealth-Crystal Coast

Beaufort, NC · Carteret County

CMS 3/5 104 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
41%
Serious cites
0

Pruitthealth-Crystal Coast runs 104 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.23 hours per resident day, about 16% under the national average of 3.86. Weekends dip roughly another 16% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is 40.6%, which is actually a bit better than the 45.8% national figure. On paper the inspection record looks steady: a 4/5 health inspection star, nine deficiencies with none at harm or jeopardy level and none abuse-related, one fine of $3,728, and a January 2026 inspection. The 2/5 quality measure star is the outlier worth asking about.

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65.5/100

Warsaw Rehabilitation And Healthcare Center

Warsaw, NC · Duplin County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
—
Serious cites
0

Warsaw Rehabilitation and Healthcare Center runs 100 certified beds under for-profit limited liability ownership that changed hands within the last year. Nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86, and weekends run about 8% thinner than weekdays, a pattern that matters when falls and infections don't check the calendar. The inspection record carries 19 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus four fines totaling $43,924. The last inspection was March 21, 2025. A 4/5 quality measure score sits alongside a 1/5 staffing rating, which tells you the two aren't measuring the same thing.

C

65.5/100

The Carrolton Of Fayetteville

Fayetteville, NC · Cumberland County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
46%
Serious cites
0

The Carrolton of Fayetteville runs lean on nursing hours: 3.41 per resident day against a national average of 3.86, with weekends dipping roughly 16 percent below its own weekday coverage. Staff turnover sits at 45.7 percent, essentially matching the national rate, so the issue isn't retention so much as how few hands are scheduled per shift, particularly on Saturdays and Sundays. The inspection record carries 25 deficiencies, three of them at the harm or jeopardy level and three tied to abuse. That mix, thin weekend staffing paired with serious past findings, is what drives the middling ratings. Ask the administrator directly how weekend coverage is filled and how those harm-level issues were resolved.

C

65.5/100

Emerald Ridge Health And Rehabilitation

Asheville, NC · Buncombe County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
36%
Serious cites
0

Emerald Ridge runs 3.06 nurse hours per resident per day, about 21% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage. Staff turnover sits at 35.8%, better than the 45.8% national figure, but the inspection record is where things get harder to explain: 32 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with two fines totaling $73,475. The most recent inspection was April 9, 2026. A for-profit limited liability company owns the 100-bed home, and federal inspectors rated its health inspection record 1 out of 5 stars, worth asking about directly before you decide.

C

65.5/100

Montgomery Care Center

Cincinnati, OH · Hamilton County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
67%
Serious cites
0

Montgomery Care Center is a for-profit LLC home with 99 certified beds in Cincinnati. Its aide and nurse hours come to 3.31 per resident day, roughly 14% under the national average, and weekends run about 16% lighter than weekdays. Staff turnover sits at 66.7% against a national 45.8%, which is a lot of retraining and unfamiliar faces. The inspection record shows 28 deficiencies, one at the harm or jeopardy level, though none abuse-related. The most recent inspection was in December 2024, and CMS gives it 3 of 5 stars for health inspections and 4 for quality measures but only 2 for staffing. Ownership is plain: a limited liability company operating for profit.

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65.5/100

Parkside Nursing And Rehabilitation Center

Fairfield, OH · Butler County

CMS 3/5 76 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
48%
Serious cites
0

Parkside runs 4.52 nurse hours per resident day, roughly 17% above the national average, but weekends drop about 16% below its own weekday staffing, so the coverage your family sees on a Saturday may look thinner than a Tuesday. The current record carries 34 deficiencies, two at the harm or jeopardy level and two abuse-related, along with two fines totaling $45,804, and the most recent inspection was in July 2025. Staff turnover sits at 48.4%, slightly above the national figure. Ownership is a for-profit corporation. The high quality measure score stands apart from the inspection and staffing ratings, which is worth asking about directly.

C

65.5/100

O'neill Healthcare Middleburg Heights

Middleburg Heights, OH · Cuyahoga County

CMS 5/5 82 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
44%
Serious cites
0

O'Neill Healthcare Middleburg Heights runs 82 certified beds under for-profit LLC ownership, and its numbers pull in two directions. The clinical side looks solid on paper, a 4/5 inspection rating, a 5/5 quality measure rating, and turnover at 44.1%, slightly better than the national 45.8%. Staffing is where it slips: 3.47 nurse hours per resident day, roughly 10% under the national average, and weekends run about 15% below the home's own weekday level, which matters when families visit less and needs don't pause. Eleven deficiencies sit on the current record, one serious enough to reach harm or jeopardy level, with a single fine totaling $166,764. The most recent inspection was December 2025. Ask how they cover weekend gaps.

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65.5/100

Altercare Somerset Inc.

Somerset, OH · Perry County

CMS 3/5 79 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
64%
Serious cites
0

Altercare Somerset runs 79 beds under corporate ownership, and the staffing numbers are where the trouble shows. At 3.29 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 18% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover of 64.4% is well above the 45.8% national figure, which matters because familiar caregivers are the ones who notice changes first. Its record carries 29 deficiencies, including one at the harm level and one abuse-related. The most recent inspection was February 26, 2026, so the picture is current.

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65.5/100

Continuing Healthcare At Cedar Hill

Zanesville, OH · Muskingum County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
38%
Serious cites
0

Continuing Healthcare At Cedar Hill runs 90 certified beds in Zanesville under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average, and weekends run about 16% thinner than weekdays, so coverage dips exactly when families tend to visit. Turnover at 38.3% is actually better than the national 45.8%, which suggests some stability in who's showing up. The concern is the inspection record: 42 deficiencies on file, two serious enough to involve harm or jeopardy, and $30,227 in fines, with the most recent inspection in January 2025. Ask about weekend coverage and how they've addressed those two harm-level findings.

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65.5/100

The Timbers Skilled Nursing And Therapy

Edmond, OK · Oklahoma County

CMS 1/5 129 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
57%
Serious cites
0

The Timbers Skilled Nursing and Therapy is a for-profit partnership home in Edmond with 129 certified beds, and the numbers point in different directions depending on where you look. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent under the national average, and weekends run about 16 percent thinner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Staff turnover is 56.6 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. On inspections, the record shows 12 deficiencies, three of them at the harm or jeopardy level, plus two fines totaling $34,706, with the most recent inspection dated February 27, 2026.

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