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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 10921–10940 of 12,967, best-graded first.

C

65/100

Oakbrook Health And Rehabilitation Center

Summerville, SC · Dorchester County

CMS 1/5 88 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
64%
Serious cites
0

Oakbrook runs lean on nursing hours, 3.13 per resident day, roughly 19% under the national average, and weekends get thinner still, with about 13% less coverage than weekdays. Staff turnover sits at 63.9% against a national rate near 46%, meaning nearly two out of three caregivers are leaving each year, which usually shows up as unfamiliar faces and unfinished routines. The inspection record backs that up: 13 deficiencies, three serious enough to involve harm or jeopardy, and $22,564 in fines across three separate penalties, with a 1-out-of-5 inspection rating. Its most recent survey was in May 2026, so the findings are current, not stale.

C

65/100

Carlyle Senior Care Of Florence

Florence, SC · Florence County

CMS 1/5 88 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
60%
Serious cites
0

Carlyle Senior Care of Florence runs 88 beds under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage. That gap matters when you're thinking about who's answering a call light on a Sunday. Annual turnover is 59.8% against a national 45.8%, so the faces change often. The current inspection record shows 17 deficiencies, two tied to abuse, though none reached harm or jeopardy level. Its last inspection was March 26, 2026, so the picture is recent.

C

65/100

Anchor Post Acute

Aiken, SC · Aiken County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
68%
Serious cites
0

Anchor Post Acute runs 3.42 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekdays, that's the staffing picture behind its one-star CMS staffing rating. Annual turnover sits at 67.8% when the national figure is 45.8%, meaning roughly two of every three caregivers left last year. The inspection record shows 20 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and the last survey was September 2025. A for-profit LLC operates the 120-bed home, with one fine of $9,428 on record. Its four-star quality measure score stands out against everything else here.

C

65/100

Tekakwitha Living Center

Sisseton, SD · Roberts County

CMS 2/5 40 beds Non-profit Medicaid
Nurse hours
2.67 /day
Staff turnover
—
Serious cites
0

Tekakwitha Living Center runs about 2.67 nursing hours per resident per day, roughly a third below the national average, and weekends drop another 17% beneath its own weekday staffing. That thin coverage shows up in the inspection record: 28 deficiencies, two of them serious enough to put residents in harm's way, plus an abuse-related citation and $37,079 in fines across three penalties. Its last inspection was January 2026, so the record is recent. Ownership is nonprofit, which can mean steadier local commitment, but the staffing numbers and the harm-level findings are what families should weigh here.

C

65/100

Prairie View Healthcare Center

Woonsocket, SD · Sanborn County

CMS 3/5 42 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
73%
Serious cites
0

Prairie View runs leaner than most. At 3.61 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The bigger red flag is turnover: 73.1% of staff leaving annually against a national 45.8% means aides and nurses are constantly new, and familiarity is hard to build. Inspections turned up 11 deficiencies, including one at the harm level and one abuse-related, plus an $8,512 fine; the last survey was July 2025. For-profit LLC ownership, 42 beds, staffing and quality star ratings that don't match each other. Worth a visit on a weekend.

C

65/100

Laughlin Health Care Center

Greeneville, TN · Greene County

CMS 1/5 90 beds Government Medicaid
Nurse hours
3.46 /day
Staff turnover
63%
Serious cites
0

Laughlin Health Care Center runs on thinner staffing than most homes its size. At 3.46 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Annual turnover of 63.3% is well above the 45.8% national figure, meaning most of the aides and nurses working with residents are relatively new. Its inspection record is the harder problem: 16 deficiencies, two at harm or jeopardy level, one abuse-related, and a one-star health inspection rating, with the last survey dating to October 2023. Two fines totaling $9,770.

C

65/100

Whites Creek Wellness And Rehabilitation Center

Whites Creek, TN · Davidson County

CMS 3/5 127 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
66%
Serious cites
0

Whites Creek Wellness runs 127 beds under corporate for-profit ownership, and its staffing is the number that stands out, 3.21 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That shortfall shows up in the federal staffing rating of 1 out of 5, and annual turnover of 66.1% means well over half the nursing staff leaves every year, compared with 45.8% nationally. The inspection record carries 18 deficiencies, four tied to abuse, though none at the harm or jeopardy level; the last survey was March 2026. Quality measures score 5 out of 5, so ask how that squares with so few hands on deck.

C

65/100

Red Boiling Springs Tn Opco Llc

Red Boiling Springs, TN · Macon County

CMS 3/5 119 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
56%
Serious cites
0

Red Boiling Springs Tn Opco runs 119 certified beds as a for-profit corporation, and its 3.09 nurse staffing hours per resident day sit roughly 20% under the national average of 3.86. Weekends dip about 14% below its own weekday levels, and annual turnover hits 55.6% against a 45.8% national figure, meaning the aides and nurses your family would see most are cycling through faster than average at a home already running lean. Inspections look steadier: a 4-out-of-5 health inspection rating, 11 deficiencies with none at harm or jeopardy level and nothing abuse-related, and a survey as recent as March 2026. Quality measures also rate 4 out of 5. The gap is staffing, and it's the number that shapes daily life.

C

65/100

Oakwood Community Living Center

Dyersburg, TN · Dyer County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
59%
Serious cites
0

Oakwood Community Living Center sits in Dyersburg with 50 certified beds and a for-profit LLC owner, and the numbers pull in different directions. State inspectors gave it four stars and found 13 deficiencies with none at the harm level, which sounds steady until you notice one abuse-related citation and a quality measure score of just one star. Staffing works out to about 3.42 nurse hours per resident day, roughly 11 percent under the national average, with weekends running 12 percent thinner than weekdays. Annual turnover hits 59.1 percent against a 45.8 percent national norm, meaning most of the people caring for your family member will be new to the job.

C

65/100

Alta Heights Post Acute

Goodlettsville, TN · Davidson County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
66%
Serious cites
0

Alta Heights Post Acute has 90 certified beds and a for-profit LLC owner. Its total nurse staffing of 4.44 hours per resident day sits about 15% above the national average of 3.86, and weekend staffing holds slightly above its own weekday level, that part looks steady. The problem is staff turnover, which runs at 66.3% against a national average of 45.8%; that many caregivers leaving each year makes it hard to keep care consistent. The current record shows 18 deficiencies, two of them at the harm or jeopardy level and one abuse-related, with a health inspection star rating of 2 out of 5.

C

65/100

Patriot Health And Rehabilitation Center

Paris, TN · Henry County

CMS 4/5 127 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
53%
Serious cites
0

Patriot Health and Rehabilitation Center runs 127 certified beds in Paris, and the numbers tell a mixed story. Nurse staffing sits at 3.80 hours per resident day, slightly under the national average, and it thins out on weekends, dropping about 14% below the home's own weekday coverage, which is when families tend to visit and notice. Staff turnover is 52.7%, well above the 45.8% national figure, so the people caring for residents change often. The current record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus a $30,150 fine. The last full inspection was in May 2022, so that record is getting old.

C

65/100

Humphreys County Care And Rehabilitation

Waverly, TN · Humphreys County

CMS 2/5 91 beds Non-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
48%
Serious cites
0

Humphreys County Care and Rehabilitation runs a nonprofit home of 91 beds in Waverly, and the staffing numbers are the strongest part of the picture: 4.28 nurse hours per resident day, roughly 11% above the national average. That edge narrows on weekends, which run about 11% below the home's own weekday level. Turnover sits at 48.4%, a bit above the national 45.8%. The inspection record is the bigger concern, 25 deficiencies, including one at the harm or jeopardy level and three related to abuse, with two fines totaling $14,013. The last inspection was in September 2025.

C

65/100

Knopp Healthcare And Rehab Center Inc

Fredericksburg, TX · Gillespie County

CMS 3/5 119 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
48%
Serious cites
0

Knopp Healthcare and Rehab Center runs 119 certified beds in Fredericksburg under corporate for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19% under the national average of 3.86, with weekend coverage dipping about 3% below its own weekday levels. Staff turnover is 47.8%, a couple points above the national figure. The current record shows 25 deficiencies, none at the harm or jeopardy level but three tied to abuse, and the most recent inspection was January 9, 2026. What stands out is the split: a four-star health inspection rating next to a one-star quality measure score, meaning the care process itself is where the numbers look weakest.

C

65/100

Avir At Temple West

Temple, TX · Bell County

CMS 3/5 104 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
67%
Serious cites
0

Avir At Temple West runs on thin staffing, and the numbers show it: 3.26 nurse hours per resident day against a national average of 3.86, with weekends about 12% lighter than weekdays. That shortfall sits alongside a 66.7% annual turnover rate, far above the 45.8% national figure, so the aides and nurses caring for your relative are likely to keep changing. The 19 deficiencies on record include 2 at the harm or jeopardy level and 4 tied to abuse; one fine totaling $7,257 has been levied. The quality measures look strong and the last inspection was recent, but a for-profit LLC arrangement with those staffing and turnover figures deserves hard questions before you decide.

C

65/100

Mcgregor Wellness & Rehabilitation

Mc Gregor, TX · Mc Lennan County

CMS 2/5 186 beds Government Medicaid
Nurse hours
— /day
Staff turnover
100%
Serious cites
0

McGregor Wellness & Rehabilitation runs 186 certified beds under hospital district ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 9% below the home's own weekday coverage, and annual turnover hit 100% against a national rate of 45.8%, meaning the whole nursing staff effectively turned over within the year. The current inspection record carries 20 deficiencies, six of them serious enough to involve harm or jeopardy, with two fines totaling $49,443. Its last inspection was March 2026. Resident outcome measures look strong, but consistent staffing and a clean survey record are what keep people safe day to day.

C

65/100

Avir At Graham

Graham, TX · Young County

CMS 5/5 116 beds Government Medicaid
Nurse hours
3.11 /day
Staff turnover
39%
Serious cites
0

Avir At Graham runs on 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage drops another 10% below its own weekday levels. Turnover sits at 38.9%, better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is the strongest part of the picture: a 5/5 health inspection rating with 15 deficiencies on file, none at the harm level and none abuse-related, and the most recent visit was in August 2025. What pulls the overall picture down is the staffing rating of 2/5 and a quality measure rating of 2/5, which sit alongside that clean inspection history and government hospital district ownership.

C

65/100

Wurzbach Nursing And Rehabilitation

San Antonio, TX · Bexar County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
62%
Serious cites
0

Wurzbach runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and it gets thinner on weekends, dropping about 15% below its own weekday level. That matters more when you consider 62.3% of staff turned over last year, well above the 45.8% national average, meaning the people providing that care are often new. The inspection record is heavy: 56 deficiencies, four serious enough to put residents in harm's way and nine tied to abuse, with three fines totaling $34,945 and a June 2025 inspection. Quality measures score well, but strong numbers on paper don't offset thin weekend staffing and that turnover.

C

65/100

Hurst Plaza Nursing And Rehab

Hurst, TX · Tarrant County

CMS 5/5 106 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
57%
Serious cites
0

Hurst Plaza passed its most recent inspection cleanly, a 5/5 health inspection rating, no deficiencies at the harm level, and no abuse citations. That's genuinely good, and it matters. The problem is the day-to-day coverage. Nurse staffing sits at 3.10 hours per resident day, roughly 20% under the national average, with weekends running about 13% thinner than weekdays. Staff turnover is 57.4%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. A home can inspect well and still leave your family member waiting for help. Ask what a Tuesday night actually looks like, and how long the current director of nursing has been there.

C

65/100

Rocky Mountain Care- Clearfield

Clearfield, UT · Davis County

CMS 2/5 168 beds Non-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
64%
Serious cites
0

Rocky Mountain Care-Clearfield runs 168 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86, with weekends running about 8% leaner than weekdays. Staff turnover is 64.1% against a national 45.8%, meaning nearly two-thirds of the nursing team leaves within a year. The health inspection record is the harder read: 52 deficiencies, six at harm or jeopardy level, one abuse-related, and a $58,637 fine, with the last inspection in April 2024. Quality measures score well, but the staffing and inspection numbers are where a family should focus.

C

65/100

South Ogden Post-Acute (Cascades At South Ogden)

Ogden, UT · Weber County

CMS 2/5 122 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
60%
Serious cites
0

South Ogden Post-Acute runs 122 beds under for-profit LLC ownership, and its inspection record is the first thing worth knowing: 35 deficiencies on file, four of them serious enough to cause harm or jeopardy, five tied to abuse. Three fines totaling $68,891 have followed. Staffing sits at 3.71 nurse hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 10% below the home's own weekday level. Turnover is the sharper number: 60.2% of staff leave each year, against a national average near 46%. That churn doesn't automatically mean bad care, but it makes consistency harder to hold onto. Ask specifically about the abuse-related findings before you visit.

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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