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 10741–10760 of 12,967, best-graded first.

C

65.5/100

Focused Care Of Gilmer

Gilmer, TX · Upshur County

CMS 1/5 112 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
51%
Serious cites
0

Focused Care of Gilmer runs 3.03 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends drop another 17% below its own weekday level, and 51% of staff turned over in a year, so the aides working Saturday may be new to the building. The current record carries 40 deficiencies, including four tied to abuse and two serious enough to put residents in harm's way, plus a $23,520 fine. Its quality measure rating looks good, but that reflects charted care, not the inspection record. For-profit corporate ownership, 112 beds, and an inspection that already happened in February 2026 round out the picture.

C

65.5/100

Beaumont Nursing And Rehabilitation

Beaumont, TX · Jefferson County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
—
Serious cites
0

Beaumont Nursing and Rehabilitation runs 120 certified beds under corporate for-profit ownership, and the numbers split in an unusual direction. Nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86, and weekend coverage drops about 8 percent below its own weekday level, so the thinnest shifts land when families tend to visit. The current inspection record carries 23 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse; two fines total $275,992. The most recent inspection was June 11, 2025. Quality measures score well, but a staffing rating of 1 out of 5 and that deficiency history are what a family should weigh before choosing.

C

65.5/100

Falcon Lake Nursing Home, Llc

Zapata, TX · Zapata County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
42%
Serious cites
0

Falcon Lake runs lean on nursing hours, 3.26 per resident day against a national average of 3.86, and weekends drop roughly another 15% below its own weekday coverage. Turnover sits at 41.7%, a bit better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The health inspection side looks solid, with a 4-out-of-5 star rating and a recent August 2025 survey, and none of the 18 deficiencies on record rose to harm or jeopardy, with no abuse citations. Where it slips is quality measures at 1 star, and that gap between clean inspections and weak clinical outcomes is worth asking the administrator about directly.

C

65.5/100

Accel At Willow Bend

Plano, TX · Collin County

CMS 1/5 110 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
74%
Serious cites
0

Accel At Willow Bend runs 110 beds in Plano under corporate ownership, and the staffing numbers are where your attention should go first. Nurse coverage sits at 3.62 hours per resident day, about 6% under the national average, weekend shifts drop roughly 17% below weekdays, and annual turnover hits 74.4% against a national 45.8%, that's a lot of new faces rotating through. The inspection record backs it up: 49 deficiencies on file, five serious enough to involve harm or jeopardy and four tied to abuse, with a 2/5 health inspection rating. The 4/5 quality measure score looks better on paper, but quality measures depend on the staff actually there to document them.

C

65.5/100

Trucare Living Centers - Selma

Selma, TX · Guadalupe County

CMS 2/5 128 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
66%
Serious cites
0

Trucare Living Centers - Selma runs 128 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 16% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 66.3% is well above the national 45.8%, meaning many of the aides and nurses your relative sees may be fairly new. The current record shows 25 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was February 2026. Quality measures score well; staffing is where this home falls short.

C

65.5/100

Sedona Trace Health And Wellness Center

Austin, TX · Travis County

CMS 3/5 119 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
—
Serious cites
0

Sedona Trace runs lean on nursing hours, 3.04 per resident day against a national average of 3.86, roughly a fifth below what's typical. That shortfall is the main reason its staffing rating sits at the bottom of CMS's scale, and weekends get thinner still, about 15% under the home's own weekday coverage. Inspections tell a better story: a recent visit in July 2025 and only one harm-level deficiency among 16 total, none tied to abuse, with a single fine of $11,168. So you're looking at a building that generally passes inspection but asks its nurses to cover more residents per shift than most. For a family weighing a move here, the question worth asking is how that weekday-to-weekend staffing dip plays out on the floor.

C

65/100

Arlington Rehabilitation & Healthcare Center

Birmingham, AL · Jefferson County

CMS 4/5 117 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
40%
Serious cites
0

Arlington Rehabilitation runs 117 beds in Birmingham under corporate ownership, and its staffing numbers are the first thing to notice. At 3.35 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 12% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover comes in at 40.4%, a bit better than the 45.8% national figure, which helps. The inspection record is genuinely strong: 4 of 5 stars, 11 deficiencies with none at harm level and none abuse-related. But that last inspection was April 2021, and quality measures score 2 of 5. Ask when the next survey is due.

C

65/100

The Blossoms At Berryville Rehab & Nursing Center

Berryville, AR · Carroll County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
71%
Serious cites
0

The Blossoms at Berryville runs a 114-bed for-profit operation, and the staffing numbers are where the trouble shows. At 3.27 nurse hours per resident day, it sits roughly 15% under the national average, and weekends dip about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 70.7% against a 45.8% national rate means aides and nurses are cycling through constantly, which makes consistent care hard. The health inspection record carries 16 deficiencies, one serious enough to reach harm or jeopardy, plus two fines totaling $22,880. Quality measures score well, but that sits on top of a thin, churning staff and a recent, problem-heavy inspection.

C

65/100

The Springs Of Pinnacle Mountain

Little Rock, AR · Pulaski County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
74%
Serious cites
0

The Springs of Pinnacle Mountain runs 3.95 nurse hours per resident day, a bit above the national average, but that average hides a problem: weekend staffing drops about 13% below its own weekday coverage. Staff turnover sits at 74%, far above the 45.8% national rate, and that churn shows up in the staffing and quality measure ratings, both 2 out of 5. The health inspection side is genuinely stronger at 4 out of 5, with a recent January 2026 inspection, but the record still carries 15 deficiencies, including one at the harm level and one abuse-related.

C

65/100

Yampa Valley Healthcare Center

Craig, CO · Moffat County

CMS 2/5 58 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
46%
Serious cites
0

Yampa Valley Healthcare Center runs 58 certified beds in Craig, and it's owned by a for-profit corporation. The staffing numbers are mixed: 3.39 nurse hours per resident per day lands about 12% under the national average of 3.86, but turnover sits at 45.5%, essentially matching the national rate, and weekend coverage only dips about 3% below weekday levels. So consistent hands, fewer of them. The inspection record is the real concern, 40 deficiencies, 10 serious enough to involve harm or jeopardy, 3 tied to abuse, and $120,965 in fines across three penalties. Combine that with the two-out-of-five inspection and quality ratings and a survey from late 2024, and the pattern is clear.

C

65/100

Apple Rehab Watertown

Watertown, CT · Naugatuck Vly County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
35%
Serious cites
0

Apple Rehab Watertown runs 110 beds as a for-profit corporation, and its staffing sits at 3.46 nurse hours per resident day, about 10% under the national average of 3.86. Weekends run roughly 10% leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover is 35.2%, better than the 45.8% national figure, meaning the staff who are there tend to stay. The inspection record carries 36 deficiencies, including one at the harm level and six tied to abuse, plus a $25,058 fine. The most recent inspection was March 2026. Quality measures score low even though inspections score well, worth asking about.

C

65/100

Ingraham Manor Rehab And Nursing

Bristol, CT · Naugatuck Vly County

CMS 2/5 128 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
38%
Serious cites
0

Ingraham Manor runs 3.88 nurse hours per resident day, which is essentially the national average of 3.86, but look closer and the weekend tells a different story, running about 11% under its own weekday staffing. Turnover sits at 38.1%, meaningfully better than the 45.8% national figure, though a recent ownership change adds uncertainty. The inspection record is the real concern: 17 deficiencies, three serious enough to reach harm or jeopardy level, plus $34,369 in fines across three penalties. Two of five stars on health inspections and quality measures, last surveyed in October 2023, suggests a home where the care floor isn't the problem so much as consistency and follow-through.

C

65/100

Aviata At The Sea - Pasadena

South Pasadena, FL · Pinellas County

CMS 2/5 58 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Aviata At The Sea in South Pasadena runs 58 certified beds under for-profit LLC ownership, and its inspection record shows 23 deficiencies, including one abuse-related finding. None of those rose to the level of actual harm or jeopardy, which matters, but 15 fines totaling $79,797 is a lot of enforcement activity for a building this size. The last full inspection was February 2023, so the record you're seeing isn't fresh. When you tour, ask what's changed since that inspection and how they've addressed the abuse citation specifically. The fine total alone tells you regulators found repeated problems worth penalizing, not a one-time slip.

C

65/100

Lakeland Hills Center

Lakeland, FL · Polk County

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

Lakeland Hills Center runs on 3.21 nurse staffing hours per resident day, roughly 17% under the national average, and weekends dip below even that. With 50.9% annual turnover, more than half the nursing staff leaves each year, which matters when the health inspection record shows 33 deficiencies, three of them serious enough to put residents in harm's way, plus one tied to abuse. The $139,373 fine and a 1-out-of-5 inspection rating point the same direction. The 5-out-of-5 quality measure score stands out against all of this, but quality measures come from the same understaffed floor. The for-profit limited liability company ownership has a recent inspection on record, so the picture is current, not stale.

C

65/100

Fairway Oaks Center

Tampa, FL · Hillsborough County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
62%
Serious cites
0

Fairway Oaks Center runs about 3.59 nurse hours per resident day, roughly 7% under the national average, and weekend coverage drops another 9% below its own weekday levels, so the thinnest staffing lands when families tend to visit. Staff turnover sits at 61.5% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current inspection record carries 33 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level; the last survey was September 2024. All three CMS star ratings, health inspections, quality measures, staffing, sit at 2 out of 5.

C

65/100

Aviata At Sand Key

Clearwater, FL · Pinellas County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
62%
Serious cites
0

Aviata At Sand Key runs on 3.24 nurse hours per resident day, about 16% under the national average, and weekend coverage drops roughly another 8% below its own weekday level. That thin margin helps explain the 62.3% annual turnover, well above the 45.8% national figure, and a staffing star of 2 out of 5. Its inspection record is the bigger concern: 33 deficiencies, two at harm or jeopardy level, two abuse-related, and a $163,898 fine, with the last inspection in February 2024. Strong quality measures don't offset a 1-out-of-5 inspection rating and consistent understaffing. If you're considering this one, ask specifically how they cover weekends and what changed since that inspection.

C

65/100

Aviata At University Hills

Pensacola, FL · Escambia County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
62%
Serious cites
0

Aviata At University Hills runs 120 certified beds in Pensacola under for-profit LLC ownership, and its inspection record is genuinely strong: a 4-star health inspection rating, no deficiencies at the harm or jeopardy level, and no abuse citations among the 11 on file. Where it lags is staffing. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 6% below its own weekday level. Annual turnover of 62.4% is well above the national 45.8%. Three fines totaling $28,359 round out the record. The care environment has been clean on paper, the question is whether the workforce can sustain it.

C

65/100

Rehabilitation Center Of Orlando

Orlando, FL · Orange County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
44%
Serious cites
0

Nurse staffing here runs about 3.45 hours per resident day, roughly 11 percent under the national average of 3.86, and weekends dip slightly below the home's own weekday level. The inspection record is the bigger concern: 37 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with 16 fines totaling $117,410. Staff turnover sits at 44.1 percent, marginally better than the 45.8 percent national figure, but that's cold comfort against a one-star health inspection rating and a July 2025 inspection that found serious problems. If you're weighing this one, ask pointed questions about the abuse-related citations and what has actually changed since.

C

65/100

Hawthorne Center For Rehabilitation And Healing Of

Ocala, FL · Marion County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
57%
Serious cites
0

Hawthorne Center runs 3.65 nursing hours per resident day, roughly 5% under the national average, and weekends dip about 10% below its own weekday coverage. Staff turnover sits at 56.7% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The current inspection record carries 24 deficiencies, two of them serious enough to involve harm or jeopardy, along with a single fine of $157,729. Ownership is a for-profit limited liability company. Quality measures score well, but inspections and staffing don't, and that split is worth asking about directly.

C

65/100

Highland Pines Rehabilitation Center

Clearwater, FL · Pinellas County

CMS 1/5 115 beds Non-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
49%
Serious cites
0

Highland Pines runs on 3.13 nurse staffing hours per resident day, about 19% under the national average of 3.86, and weekends dip a little below weekdays. That thin coverage shows up in the numbers: a 1-out-of-5 health inspection rating and 37 deficiencies on the current record, seven of them serious enough to be flagged at harm or jeopardy level, two tied to abuse. Staff turnover sits just above the national rate at 48.5%. The nonprofit owner has paid $196,670 in fines across two penalties, and the most recent inspection was August 2024. A 4-out-of-5 on quality measures doesn't offset what inspectors keep finding.

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