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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 10801–10820 of 12,967, best-graded first.

C

65/100

Eastway Health & Rehabilitation

Louisville, KY · Jefferson County

CMS 1/5 252 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
56%
Serious cites
0

Eastway runs 252 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.63 nurse hours per resident day it sits about 6% under the national average, and weekends drop roughly 15% below its own weekday coverage, so the hours aren't just thin, they're thinner exactly when families tend to visit. Turnover is 56.4% against a national 45.8%, which means the aides and nurses who do show up are often new. The inspection record backs that up: 41 deficiencies, 10 at harm or jeopardy level, 4 abuse-related, three fines totaling $24,630, and a 1-out-of-5 health inspection rating. The last survey was August 2025, so the record is current, not stale.

C

65/100

Lexington Country Place

Lexington, KY · Fayette County

CMS 1/5 111 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
57%
Serious cites
0

Lexington Country Place runs 111 certified beds under for-profit LLC ownership, and its staffing sits essentially at the national mark, 3.88 nurse hours per resident day against 3.86 nationwide. That balance is thinner than it looks, though, because weekend coverage drops roughly 6% below the home's own weekday level, and annual turnover hits 56.8% compared with 45.8% nationally. Inspectors visited recently, in April 2025, and found 10 deficiencies, none involving harm or jeopardy and none abuse-related. The state inspection and quality-measure ratings both land at 3 out of 5, while staffing scores 2. If you're weighing this one, ask how they hold nurse coverage steady on Saturdays and Sundays and how they keep experienced aides from walking out the door.

C

65/100

Signature Healthcare Of Carrollton Rehab & Wellnes

Carrollton, KY · Carroll County

CMS 4/5 78 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
45%
Serious cites
0

Signature Healthcare of Carrollton runs on thinner staffing than most homes nationally, 3.61 nurse hours per resident day against a 3.86 average, and weekends drop about 12% below its own weekday coverage. That's the kind of gap families notice when a call light takes longer to answer on a Sunday. Turnover sits at 44.8%, roughly in line with the national figure, so the concern here isn't retention so much as how few hands are on deck at any given time. Ten deficiencies appear on the current record, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The last inspection was June 2025, so the picture is reasonably current.

C

65/100

Elkhorn Health & Rehabilitation

Elkhorn City, KY · Pike County

CMS 5/5 106 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
39%
Serious cites
0

Elkhorn Health & Rehabilitation runs lean on nurse staffing, 2.95 hours per resident day, roughly a quarter below the national average, and weekends get thinner still. That's the number to weigh, because direct care hours are what your family member actually feels. Turnover, at 38.8%, is better than the national 45.8%, so the crew that's there tends to stay, which matters for consistency. Inspections are where this home shines: a 5/5 health inspection rating, just four deficiencies on record, none involving harm or abuse, and the most recent visit was April 2025. The tension is real, though, strong inspection results alongside a 2/5 on both staffing and quality measures. A for-profit LLC with 106 beds, it's a home that keeps things clean and compliant while running tight on the floor.

C

65/100

Cherokee Park Rehabilitation

Louisville, KY · Jefferson County

CMS 2/5 104 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
58%
Serious cites
0

Cherokee Park Rehabilitation runs 104 beds under for-profit limited liability ownership, and the numbers show a building leaning hard on its clinical outcomes to offset some real operational strain. Nurse staffing sits at 3.34 hours per resident day, roughly 13% under the national average, and weekends dip about 10% below the home's own weekday coverage. Staff turnover is 58.2% against a 45.8% national figure, which means more than half the nursing team turns over in a year. The inspection history is where the concern concentrates: 35 deficiencies on record, five of them at harm or jeopardy level, with a 2/5 health inspection rating and a 2/5 staffing rating from CMS. A 4/5 quality measure score and one $12,054 fine round out the picture.

C

65/100

Vanceburg Hills

Vanceburg, KY · Lewis County

CMS 3/5 94 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
41%
Serious cites
0

Vanceburg Hills runs a for-profit operation with 94 certified beds, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average. Weekends dip about 10% below what the home itself manages Monday through Friday, so coverage is thinnest exactly when families tend to visit. Staff turnover is 40.5%, which actually beats the national 45.8%, so the picture isn't all downside. But the inspection record carries 15 deficiencies, three of them serious enough to reach harm or jeopardy level, along with one fine of $10,527. The last inspection was June 2025, so the record is current rather than stale. Read together: decent retention, thin daily coverage, and a deficiency list worth asking about directly.

C

65/100

Elizabethtown Nursing And Rehabilitation Center

Elizabethtown, KY · Hardin County

CMS 2/5 65 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
78%
Serious cites
0

Elizabethtown Nursing and Rehabilitation Center runs on thin nursing coverage: 3.40 hours per resident day against a national average of 3.86, and weekends dip about 13% below its own weekdays. The bigger warning sign is turnover, 78.2% of nursing staff leave annually, well above the 45.8% national figure, which means caregivers rarely stay long enough to know residents well. Its last inspection, on January 31, 2026, left 19 deficiencies on record, including one tied to abuse; none rose to harm or jeopardy level. Under a for-profit limited liability owner, the home posts strong quality-measure scores but the staffing picture and inspection history tell a more mixed story.

C

65/100

Cumberland Valley Nursing & Rehabilitation Center

Burkesville, KY · Cumberland County

CMS 1/5 84 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
44%
Serious cites
0

Cumberland Valley runs 4.01 nurse hours per resident day, a bit above the national average of 3.86, but that cushion thins on weekends, weekend staffing drops roughly 12% below its own weekday level. The 84-bed for-profit home carries 7 deficiencies on its current record, 2 of them serious enough to reach harm or jeopardy level, along with 2 fines totaling $15,646. Its CMS quality measure rating sits at 1 out of 5, and inspections were last done in September 2025. Staff turnover, at 43.8%, is slightly better than the 45.8% national figure, though that's the one measure here that isn't working against it.

C

65/100

Stonecreek Health And Rehabilitation

Paducah, KY · Mc Cracken County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
58%
Serious cites
0

Stonecreek runs about 12% below the national average on nurse staffing, and weekends dip roughly 9% further than its own weekdays, so coverage thins out exactly when families tend to visit. Staff turnover sits at 58.3% against a national 45.8%, which means the aide caring for your mother this month may well be gone by spring. The current record shows 31 deficiencies, including two tied to abuse, though none rose to the harm or jeopardy level. Federal inspectors last visited in December 2025, and all three CMS star categories land at 2 out of 5 under for-profit LLC ownership. The pattern is consistent: thin shifts, high churn, middling oversight.

C

65/100

Elliott Nursing And Rehabilitation

Sandy Hook, KY · Elliott County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
48%
Serious cites
0

Elliott Nursing and Rehabilitation runs 75 certified beds in Sandy Hook under for-profit LLC ownership, and its numbers split in two directions. The health inspection and quality measure ratings both come in at 4 out of 5, and the last inspection was recent. But nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average, and weekends drop about 12 percent below the home's own weekday level, which is when coverage gaps tend to show. Turnover runs 48.3 percent, slightly above the national figure. Eleven deficiencies are on the current record, three at harm or jeopardy level and one abuse-related, with a single fine of $12,844.

C

65/100

Marrero Healthcare Center

Marrero, LA · Jefferson County

CMS 5/5 105 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
32%
Serious cites
0

Marrero Healthcare Center runs about 3.23 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than most: 31.8% against a national 45.8%, which matters for consistent care. But the inspection record shows 18 deficiencies, two at harm or jeopardy level, and one $46,261 fine. The 5/5 inspection star and recent March 2026 visit suggest the last survey went well; the 2/5 staffing star tells the other side of the story.

C

65/100

Jefferson Manor Nursing And Rehab Ctr, Llc

Baton Rouge, LA · E. Baton Rouge County

CMS 1/5 122 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
52%
Serious cites
0

Jefferson Manor runs 122 certified beds in Baton Rouge, and the staffing numbers alone tell a story. At 3.73 nurse hours per resident day, it sits just under the national average, and weekends drop about 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover is 52.1%, meaning more than half the staff leaves each year, well above the 45.8% national figure. The inspection record is where things get more serious: 36 deficiencies, four at the harm or jeopardy level, and six abuse-related. Three CMS fines total $121,628. Medicare's own ratings put health inspections and quality measures at one star each.

C

65/100

Westwood Manor Nursing Home, Inc

Deridder, LA · Beauregard County

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

Westwood Manor runs about 3.44 nurse staffing hours per resident day, roughly 11 percent under the national average of 3.86, and weekends dip another 11 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 61.3 percent against a national 45.8 percent, which means more than half the nursing staff leaves within a year. The current record shows 27 deficiencies, though none reached harm or jeopardy and none were abuse-related, and the most recent inspection was in July 2025, so the picture is fairly current. For-profit LLC ownership rounds out the profile. The numbers don't suggest danger, but they do show a building running leaner and with less continuity than average.

C

65/100

Guest House Nursing And Rehabilitation

West Monroe, LA · Ouachita County

CMS 1/5 140 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
64%
Serious cites
0

Guest House Nursing and Rehabilitation runs 140 certified beds in West Monroe under for-profit LLC ownership, and its staffing numbers sit slightly above the national average at 3.93 nurse hours per resident day. But that average hides a weekend gap of about 15 percent, and turnover runs 64.1 percent against a national 45.8, meaning the people caring for residents keep changing. The current inspection record carries 27 deficiencies, five of them abuse-related, and CMS rates the home 2 out of 5 on health inspections and 1 out of 5 on quality measures. The last inspection was July 30, 2025. Staffing hours alone don't tell you what a family wants to know.

C

65/100

Orono Commons

Orono, ME · Penobscot County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
56%
Serious cites
0

Orono Commons runs 80 certified beds under corporate ownership, and its nurse staffing sits at 3.54 hours per resident day, about 8% under the national figure of 3.86. Weekends dip roughly another 6% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is the bigger tell: 56.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 44 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $10,358. The last inspection was May 7, 2025.

C

65/100

Autumn Lake Healthcare At Ruxton

Towson, MD · Baltimore County

CMS 2/5 179 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
60%
Serious cites
0

Autumn Lake Healthcare at Ruxton runs 179 beds in Towson under for-profit LLC ownership, and the numbers explain the grade better than the letter does. Nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends dip another 10 percent below what the home itself manages on weekdays, so the thinnest coverage lands when families tend to visit. Turnover tells its own story: 59.9 percent of staff leaving annually against a 45.8 percent national figure, meaning the people caring for your relative are, more often than not, new to the building. The inspection record shows 70 deficiencies, four tied to abuse, with the most recent survey in February 2026.

C

65/100

Caroline Nursing And Rehab

Denton, MD · Caroline County

CMS 2/5 87 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
44%
Serious cites
0

Caroline Nursing and Rehab runs below the national average on nurse staffing, 3.33 hours per resident day against 3.86 nationally, about 14% less. Weekends are thinner still, roughly 8% below the home's own weekday level, which matters because that's when families often visit and when problems tend to surface. The inspection record shows 42 deficiencies, none at the harm or jeopardy level but four tied to abuse, and the last full inspection was in November 2024. Staff turnover sits at 44.4%, essentially in line with the national figure, so retention isn't the outlier here, the thin staffing and the inspection history are. For-profit, limited liability ownership.

C

65/100

Frostburg Rehab Center

Frostburg, MD · Allegany County

CMS 1/5 122 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
64%
Serious cites
0

Frostburg Rehab Center runs on thinner nursing coverage than most homes, about 3.37 nurse hours per resident each day against a national average of 3.86, and weekends drop roughly 11% below its own weekday level, so the hours when families tend to visit are the hours with the least staff. Annual turnover sits at 63.7%, well above the 45.8% national figure, which means the people caring for your relative are likely to change often. The inspection record is harder to look past: a 1-out-of-5 health inspection rating, 51 deficiencies logged, one involving harm or jeopardy, and four tied to abuse, with a $16,559 fine. The most recent inspection was August 2025.

C

65/100

Fox Chase Healthcare

Silver Spring, MD · Montgomery County

CMS 1/5 87 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
65%
Serious cites
0

Fox Chase Healthcare runs on 3.30 nurse hours per resident day, about 14% under the national average, and weekend coverage dips roughly 7% below what it manages on weekdays. Staff turnover sits at 64.5% against a national average of 45.8%, meaning close to two-thirds of the nursing staff left within a year. The inspection record shows 65 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection was March 2025. State inspectors rated the home one star for health inspections. A for-profit limited liability company owns its 87 certified beds.

C

65/100

Autumn Lake Healthcare At Alice Manor

Baltimore, MD · Baltimore City County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
70%
Serious cites
0

Autumn Lake Healthcare At Alice Manor runs about 105 beds in Baltimore under for-profit limited liability ownership, and the numbers tell two different stories. The clinical quality measures look strong, but nurse staffing sits at 3.18 hours per resident day, roughly 18 percent under the national average, with weekends running about 9 percent thinner than weekdays, and annual turnover near 70 percent against a national 46. Then there's the record: 55 deficiencies, including four tied to abuse and one serious enough to raise harm or jeopardy concerns. Staffing that thin, turning over that fast, is what tends to sit behind a citation record like that. The last inspection was in May 2025, so the picture is current. Worth asking hard questions about who's actually on the floor, especially on weekends.

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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