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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 10861–10880 of 12,967, best-graded first.

C

65/100

Hilltop Health And Rehabilitation

Rutherfordton, NC · Rutherford County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
61%
Serious cites
0

Hilltop runs lean on nurses, 3.05 hours per resident per day against a national average of 3.86, and weekends drop another 11% below its own weekday pace. Turnover sits at 61% when the national figure is 45.8%, meaning most of the people caring for your relative this year likely won't be there next year. The inspection record shows a recent visit, a four-star health inspection and quality measure rating, but also 12 deficiencies with two at harm or jeopardy level, plus one $7,530 fine. It's a for-profit LLC. The care scores look decent on paper; the staffing numbers behind them don't hold up the same way.

C

65/100

Pelican Health At Charlotte

Charlotte, NC · Mecklenburg County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
73%
Serious cites
0

Pelican Health At Charlotte runs 120 beds under for-profit LLC ownership, and the numbers tell a hard story. Nurse staffing sits at 3.32 hours per resident per day, roughly 14% under the national average, and weekends drop another 12% below the home's own weekday levels, so care gets thinnest exactly when families tend to visit. Staff turnover is 73.2%, well above the 45.8% national figure, which means the people caring for residents are constantly changing. The inspection record backs this up: 41 deficiencies, six at harm or jeopardy level, one abuse-related, and $88,270 in fines across seven penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the poorest performers. The quality measure score looks strong on paper, but that data comes largely from the home's own reporting.

C

65/100

Westfield Rehabilitation And Health Center

Sanford, NC · Lee County

CMS 4/5 83 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
49%
Serious cites
0

Westfield runs leaner on nursing hours than most homes, 3.31 per resident day against a national average of 3.86, with weekends dropping roughly another 9% below its own weekday levels. That gap shows up in the staffing rating, and nearly half the nursing staff turned over in the past year, slightly worse than the typical home. The tradeoff is a clean recent inspection history: 12 deficiencies on record, just one serious enough to reach harm or jeopardy, no abuse findings, and a single fine of $8,278. So you're looking at a home that generally passes muster with regulators but may stretch thin on day-to-day coverage, especially on Saturdays and Sundays.

C

65/100

King Health And Rehabilitation Center

King, NC · Stokes County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
2.98 /day
Staff turnover
60%
Serious cites
0

King Health and Rehabilitation Center runs 96 certified beds in Stokes County under for-profit LLC ownership, and the staffing numbers are where the concern sits. At 2.98 nurse hours per resident day, it's roughly 23% under the national average, with weekends dipping about 8% below its own weekday coverage. Annual turnover of 59.8% is well above the 45.8% national figure, meaning the people providing daily care are frequently new to the building. On the inspection side, the current record shows 19 deficiencies, including three at the harm or jeopardy level and one abuse-related citation. CMS rated its quality measures at 4 out of 5 stars, so the clinical outcomes data isn't the problem, it's the staffing and the violation history surrounding it. The most recent inspection was April 16, 2025.

C

65/100

Treyburn Rehabilitation Center

Durham, NC · Durham County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
69%
Serious cites
0

Treyburn Rehabilitation Center runs 132 beds in Durham under for-profit LLC ownership, and the staffing numbers are where your attention should go first. Nurse coverage sits at 3.66 hours per resident day, about 5% under the national average, and it thins out further on weekends. The bigger concern is turnover: 69.2% annually against a national rate of 45.8%, which means the people caring for residents are constantly changing. The inspection record backs that up. Twenty-six deficiencies, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $124,534. The last inspection was in March 2025, and the health inspection rating sits at 2 out of 5. Strong quality measure scores don't offset what the staffing and inspection records show.

C

65/100

Oak Grove Healthcare

Rutherfordton, NC · Rutherford County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
54%
Serious cites
0

Oak Grove Healthcare runs 60 certified beds in Rutherfordton under corporate ownership, and the numbers pull in two directions. Its last inspection, in December 2025, produced five deficiencies with none at the harm or jeopardy level, and CMS gives the home top marks on health inspections, a genuinely strong record on that front. Staffing is where the picture changes: 3.04 nurse hours per resident day sits about 21% under the national average, weekends run roughly 7% thinner than weekdays, and annual turnover of 54% outpaces the 45.8% national figure. The two-star quality measure rating adds another caution. Fewer hands and steady churn can matter more day to day than a clean inspection.

C

65/100

Southwood Nursing And Retirement

Clinton, NC · Sampson County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
63%
Serious cites
0

Southwood runs lean on nursing staff, 3.34 hours per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday coverage. Annual turnover of 63.4% sits well above the 45.8% national figure, meaning nearly two-thirds of the nursing staff leaves each year, which is a real problem for residents who rely on familiar caregivers. The health inspection record is comparatively stronger: a 4 out of 5 star rating, six deficiencies total, two serious enough to cause harm, and no abuse findings. It's a 100-bed for-profit corporate home in Clinton where the clinical care record looks better than the staffing numbers behind it.

C

65/100

Ramseur Rehabilitation And Healthcare Center

Ramseur, NC · Randolph County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
51%
Serious cites
0

Ramseur Rehabilitation and Healthcare Center runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, and weekends get leaner still, dropping roughly 12% below its own weekday levels. That matters when you're deciding whether a Saturday fall gets a fast response. The record shows 28 deficiencies, four of them serious enough to cite harm or jeopardy, three tied to abuse. Two fines total $102,656, and the most recent inspection was in August 2025. Staff turnover sits at 51.4%, above the 45.8% national figure, so the people caring for residents are often new to the building. It's a for-profit corporation, 90 certified beds, with staffing and inspection ratings both at 2 out of 5.

C

65/100

Carolina Rehab Center Of Burke

Connelly Spring, NC · Burke County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
61%
Serious cites
0

Carolina Rehab Center Of Burke runs 90 beds in Connelly Spring under for-profit LLC ownership, and its staffing sits right at the national average, 3.90 nurse hours per resident day against 3.86, barely a rounding difference. The problem is who's delivering those hours and whether they stay: turnover runs 60.6%, well above the 45.8% national figure, and weekend coverage drops roughly 9% below weekday levels. On paper the quality measure score looks strong at 4 stars, but 20 deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, with $26,014 in fines across three penalties. The last inspection was August 2025.

C

65/100

Peak Resources-Wilmington, Inc

Wilmington, NC · New Hanover County

CMS 1/5 110 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
35%
Serious cites
0

Peak Resources-Wilmington runs 110 beds as a for-profit corporation, and staffing sits at 3.55 nurse hours per resident day, roughly 8% under the national average of 3.86, with weekends running about 6% thinner than weekdays. Turnover at 34.5% is genuinely better than the 45.8% national figure, which matters for continuity of care. What stands out more is the inspection record: 33 deficiencies, three at harm or jeopardy level, three abuse-related, and two fines totaling $56,124. The most recent inspection was May 2026. A single star on health inspections paired with two on quality measures tells you where the problems concentrate, not in staff retention, but in what inspectors keep finding.

C

65/100

Park Center Healthcare And Rehabilitation

Youngstown, OH · Mahoning County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
59%
Serious cites
0

Park Center runs 99 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.70 nurse hours per resident day sits below the national average, weekend coverage drops about 12% below its own weekday level, and annual turnover hits 58.7% against a national 45.8%. Inspections back that up, a 1-out-of-5 health inspection rating, 60 deficiencies on the current record including one at the harm or jeopardy level and three tied to abuse, plus a $39,108 fine. The 5-out-of-5 quality measure rating stands out against all of this, but it's built on data the home largely reports itself, so weigh it against the survey findings and the thin staffing rather than in place of them.

C

65/100

Xenia Health And Rehab

Xenia, OH · Greene County

CMS 1/5 51 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
58%
Serious cites
0

Xenia Health and Rehab runs about 3.20 nurse hours per resident per day, roughly 17% under the national average of 3.86, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 58.1% against a national 45.8%, which means more than half the nursing staff leaves within a year. The current record carries 33 deficiencies, one serious enough to involve harm or jeopardy, though none are abuse-related, and the last inspection was in mid-2025. Ownership is a for-profit limited liability company. The quality measure score looks strong, but it's built on documentation; the staffing numbers describe what actually happens on the floor.

C

65/100

Blue Ash Health & Rehab

Cincinnati, OH · Hamilton County

CMS 1/5 64 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
70%
Serious cites
0

Blue Ash runs on thin staffing. At 3.48 nurse hours per resident day, it sits about ten percent under the national average, and weekends drop roughly thirteen percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. The federal staffing rating reflects that. What stands out even more is turnover: 70.4% of nursing staff leaving annually, against a national average near 46%. That rate makes it hard to keep consistent caregivers who know the residents. The record shows 30 deficiencies, including one at the harm level and two tied to abuse, and the last inspection was July 2025. Quality measures score well, but strong numbers on paper and steady hands on the floor are different things.

C

65/100

Edgewood Manor Of Greenfield

Greenfield, OH · Highland County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
72%
Serious cites
0

Edgewood Manor Of Greenfield runs on thin nursing coverage, 3.17 hours per resident day, roughly 18% under the national average, and weekends get even leaner, dropping about 11% below what the home staffs on weekdays. Turnover sits at 72.2% against a national rate near 46%, meaning most of the people caring for residents this year likely won't be there next year. The 35 deficiencies on record include none flagged for harm or abuse, and the last inspection was in January 2025. Quality scores look strong, but that's measured against a floor of staffing that CMS itself rates poorly.

C

65/100

Oaks Of West Kettering The

Kettering, OH · Montgomery County

CMS 2/5 118 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
52%
Serious cites
0

The Oaks of West Kettering runs 118 certified beds under corporate for-profit ownership, and its staffing sits at 3.79 nurse hours per resident day, just under the national average of 3.86, with weekends running roughly 4% thinner than weekdays. Turnover tells a bigger story: 52.1% of staff leave annually, against a national rate of 45.8%. On inspections, the record is rough: 60 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus three fines totaling $75,572. The last inspection was July 30, 2024. Its quality measure star rating is strong at 5/5, but staffing sits at 2/5 and health inspections at 1/5, a split worth asking about directly.

C

65/100

Gardens Of Belden Village

Canton, OH · Stark County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
59%
Serious cites
0

Gardens of Belden Village runs about 3.30 nurse hours per resident day, roughly 15% under the national average, and weekends dip another 12% below its own weekday staffing. That thin coverage shows up in the numbers: a one-star CMS staffing rating and 59.1% annual turnover, well above the 45.8% national figure. The current record carries 39 deficiencies, including one at the harm level and four tied to abuse. A four-star quality measure score doesn't cancel that out, those measures track resident outcomes, not how many hands are on deck. Ownership is a for-profit LLC, and the last inspection was April 2026.

C

65/100

Diplomat Healthcare

North Royalton, OH · Cuyahoga County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
40%
Serious cites
0

Diplomat Healthcare runs 130 beds in North Royalton, and the staffing numbers are the first thing I'd want you to see. At 2.97 nurse hours per resident per day, it sits roughly 23% under the national average of 3.86, and weekends drop about 9% below its own weekday level. That thin coverage shows up in the inspection record too: 41 deficiencies, four of them at harm or jeopardy level, four tied to abuse, and a one-out-of-five health inspection rating. Staff turnover of 40.4% is actually a bit better than the 45.8% national figure, which suggests the problem isn't retention so much as how many hands are scheduled. The five-star quality measure score reflects reported clinical data, not the care environment itself.

C

65/100

Hill View Skilled Nursing And Rehabilitation Cente

Portsmouth, OH · Scioto County

CMS 3/5 72 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
64%
Serious cites
0

Hill View Skilled Nursing and Rehabilitation Center is a 72-bed nonprofit home in Portsmouth with strong inspection and quality scores from CMS, 4 out of 5 on both. But look past the stars and the picture gets mixed: 19 deficiencies on its current record, including one that caused actual harm or put a resident in jeopardy. Staff turnover runs at 64.3%, well above the national average of 45.8%, which matters more than any rating when you're thinking about who's actually at the bedside day after day. The most recent inspection was July 2024, so the record is reasonably current. If you're considering this home, ask directly about that harm-level deficiency and how they've kept licensed staff from walking out the door.

C

65/100

Westmoreland Place

Chillicothe, OH · Ross County

CMS 1/5 139 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
55%
Serious cites
0

Westmoreland Place runs about 3.17 nursing hours per resident per day, roughly 18% under the national average of 3.86, and weekends dip another 9% below what the home itself staffs on weekdays. That thin coverage shows up in the federal staffing rating, a 1 out of 5, alongside a 55.2% annual turnover rate, higher than the 45.8% national figure, so the aides and nurses caring for 139 residents are both fewer and frequently new. The 4/5 quality measure score looks better on paper, but it sits next to a 1/5 health inspection rating and 56 deficiencies on the current record, the most recent inspection dated January 30, 2025. None of those deficiencies reached harm or jeopardy level, and none involved abuse.

C

65/100

Laurels Of Huber Heights The

Huber Heights, OH · Montgomery County

CMS 3/5 92 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
68%
Serious cites
0

The Laurels of Huber Heights runs on thinner nursing coverage than most homes, 3.47 hours per resident day against a national average of 3.86, and weekends drop about 12 percent below its own weekday pace, when families tend to visit and problems tend to surface. Turnover is the bigger signal: 67.9 percent of nursing staff leaving annually, well above the 45.8 percent national figure, which means the people caring for residents are often new to the building. Its 32 deficiencies include six tied to abuse, though none rose to harm or jeopardy level, and the last full inspection was in August 2023. Resident care measures look strong; the staffing side is what pulls this for-profit home down.

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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