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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 10941–10960 of 12,967, best-graded first.

C

65/100

Stratford Healthcare Center

Danville, VA · Danville City County

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

Stratford Healthcare Center runs 60 beds in Danville under for-profit LLC ownership, and the split in its record is worth understanding. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, with weekends running about 15% below its own weekday levels. Annual turnover of 59.7% is well above the national 45.8%, meaning more than half the nursing staff leaves each year. What keeps this home from looking worse is its inspection history: a 5/5 health inspection rating, 26 deficiencies on record with none at harm or jeopardy level, and a recent October 2024 survey. One abuse-related deficiency stands out. The quality measure rating of 2/5 suggests the day-to-day care results don't match that clean inspection sheet.

C

65/100

Appomattox Health & Rehabilitation Center

Appomattox, VA · Appomattox County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
65%
Serious cites
0

Appomattox Health & Rehabilitation Center runs on thin staffing for a 60-bed home. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekend coverage drops roughly 11% below its own weekday level, so the hours when families tend to visit are also the leanest. Turnover tells another part of the story: 64.9% of staff leave each year, against a national 45.8%, which means new faces constantly. The inspection record includes 39 deficiencies, two at harm or jeopardy level and four tied to abuse, plus $18,636 in fines, and the last inspection was May 2023. Quality measures score well, but consistent staffing and a clean survey record are what keep residents safe day to day.

C

65/100

Cypress Pointe Rehabilitation And Nursing

Virginia Beach, VA · Virginia Beach City County

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

Cypress Pointe runs lean on the floor. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 14% below what the home staffs during the week, so the thinnest coverage lands when families tend to visit. Staff turnover is 57.8% against a national 45.8%, meaning more than half the nursing team turns over in a year. The inspection record shows 52 deficiencies, including one at harm level and five tied to abuse, with a $10,358 fine and a February 2026 inspection. For-profit LLC ownership. Ask about weekend coverage and how they screen staff.

C

65/100

Galax Health And Rehab

Galax, VA · Galax City County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
48%
Serious cites
0

Galax Health and Rehab runs on 3.35 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip about 11 percent below what the home staffs on weekdays. That thinner weekend coverage matters in a building where staff turnover sits at 48.3 percent and inspectors have logged 40 deficiencies, including one at the harm level and three tied to abuse. The last full inspection was in November 2023, so the record is fairly current, and a single $13,627 fine is on file. The for-profit corporate owner keeps 120 certified beds; a 2-out-of-5 rating across health inspections, quality measures, and staffing tells you the shortfalls show up in more than one place.

C

65/100

Walter Reed Post Acute

Gloucester, VA · Gloucester County

CMS 4/5 181 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
60%
Serious cites
0

Walter Reed Post Acute sits in Gloucester with 181 certified beds and a for-profit corporate owner. The inspection record is genuinely strong, 18 deficiencies total, with just one at the harm level and none tied to abuse, and the last survey was recent. Where the picture changes is staffing: 3.10 nurse hours per resident day runs about 20% under the national average, weekends dip roughly 14% below the home's own weekday coverage, and turnover hits 59.9% against a national 45.8%. A strong survey history doesn't cancel out thin daily coverage, especially on weekends, and the staff churn suggests replacements are constantly learning the building.

C

65/100

Our Lady Of Hope Health Center

Richmond, VA · Henrico County

CMS 3/5 75 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
67%
Serious cites
0

Our Lady of Hope Health Center runs under a church-affiliated nonprofit, and its 4.19 nurse hours per resident day sit about 8% above the national average, real coverage on paper. But weekends drop roughly 9% below its own weekday level, and annual turnover of 67.3% is well above the 45.8% national figure, so the faces around a resident change often. The inspection history shows 33 deficiencies, including three tied to abuse, though none reached harm or jeopardy level, and the most recent look came in May 2023. Federal quality and staffing stars both land at 2 out of 5, which tells you the day-to-day experience doesn't match the raw staffing number.

C

65/100

Carrington Place Of Tappahannock

Tappahannock, VA · Essex County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
56%
Serious cites
0

Carrington Place of Tappahannock runs about 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip another 8% below its own weekday level. That thin coverage shows up in the staffing rating: one star out of five. Staff turnover sits at 56.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The current record carries 33 deficiencies, though none at the harm or jeopardy level and none abuse-related, and the last inspection was July 15, 2024. Quality measures score well at four stars, but with this few hands on deck, that gap is worth asking about directly.

C

65/100

Deer Meadows Rehabilitation And Nursing

Abingdon, VA · Washington County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
64%
Serious cites
0

Deer Meadows runs a 119-bed for-profit operation in Abingdon, and the staffing numbers are where the story starts: 3.30 nurse hours per resident per day against a national average of 3.86, with weekends dipping roughly 11% below its own weekdays. Nearly two-thirds of staff turned over in the past year, 63.6% against a national 45.8%, which means the people delivering care keep changing. On paper, the quality measures look decent at 4 out of 5 stars, and the 53 deficiencies on record include none flagged for harm or abuse. But low staffing plus high turnover is a hard combination to dress up, no matter how the quality scores read.

C

65/100

Holly Manor Rehab And Nursing

Farmville, VA · Prince Edward County

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

Holly Manor Rehab And Nursing runs 120 certified beds in Farmville under for-profit LLC ownership, and the numbers that matter most here are the inspection and staffing ones. CMS gives it one star for health inspections and one for staffing. There are 95 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average, and weekends drop about 12% below its own weekday level. Annual turnover is 56.9%, well above the 45.8% national figure. The quality measure star of four looks better on paper, but it's built from resident assessment data, not from how the place is actually run day to day. The last inspection was August 30, 2024.

C

65/100

The Wybe And Marietje Kroontje Health Care Center

Blacksburg, VA · Montgomery County

CMS 1/5 60 beds Non-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
78%
Serious cites
0

The Kroontje Health Care Center runs a tight ship on inspections, a perfect 5 out of 5 on CMS's health inspection score, with 15 deficiencies on record but none rising to harm or jeopardy, and no abuse citations. Staffing sits at 4.13 hours per resident day, about 7% above the national average, though weekends dip roughly 11% below its own weekday levels. The number that should give you pause is turnover: 78.3% annually, well above the 45.8% national average. That kind of churn makes it harder to keep consistent caregivers at the bedside, which matters more than a star rating on a given day.

C

65/100

Othello Post Acute

Othello, WA · Adams County

CMS 3/5 39 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
61%
Serious cites
0

Othello Post Acute runs 39 beds under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, and annual turnover hits 61.1% against a national 45.8%, so the aides and nurses cycling through are often new to the building. The inspection record shows 34 deficiencies, four serious enough to reach harm or jeopardy level and one tied to abuse, with two fines totaling $19,182; the most recent survey was January 2026. CMS gives middle marks across health inspections, quality measures, and staffing, three stars each.

C

65/100

Cascades Of St Anne

Seattle, WA · King County

CMS 2/5 47 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
67%
Serious cites
0

Cascades Of St Anne runs 47 beds in Seattle under corporate ownership, and the staffing picture is mixed. Total nurse hours come in at 4.20 per resident day, roughly 9% above the national average, but weekends drop about 12% below what the home staffs on weekdays. Annual turnover sits at 66.7%, well above the 45.8% national figure, so the people providing that care are cycling through quickly. The inspection record is the bigger concern: 57 deficiencies, including 2 at the harm level and 4 tied to abuse, against a 2/5 inspection rating. The last survey was January 21, 2026, so the record is current. Good quality measure scores don't offset that history.

C

65/100

Heritage Health Services

Port Washington, WI · Ozaukee County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
58%
Serious cites
0

Heritage Health Services runs about 3.72 nurse hours per resident per day, roughly 4% under the national average, and weekends dip another 13% below its own weekday staffing. That matters more when you see turnover at 57.5%, well above the 45.8% national figure, meaning the people caring for residents are frequently new. The inspection record shows 33 deficiencies, including one at the harm level and two tied to abuse, with a $16,801 fine on file. The last inspection was in March 2025, so the picture is current rather than stale. For-profit ownership under an LLC, 50 beds, and middling marks on both health inspections and quality measures round out a home where the staffing numbers and the deficiency count are telling the same story.

C

65/100

Lake Country Health Services

Oconomowoc, WI · Waukesha County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
52%
Serious cites
0

Lake Country runs lean on nurse staffing, 3.54 hours per resident day against a national average of 3.86, and weekends drop roughly another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 51.8%, meaning more than half the nursing staff leaves within a year, well above the 45.8% national figure, and that churn shows up in the record: 42 deficiencies, including four at the harm or jeopardy level and five tied to abuse. Two fines total $120,868. The most recent inspection was August 27, 2025, so the picture is current, not stale.

C

65/100

Valley Healthcare Center

Bakersfield, CA · Kern County

CMS 1/5 87 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
28%
Serious cites
0

Valley Healthcare Center runs 87 beds in Bakersfield under for-profit LLC ownership, and its staffing sits just under the national average, 3.78 nurse hours per resident day, with weekends about 9% thinner than weekdays. That modest shortfall isn't the real story. The inspection record is: a 1-out-of-5 health inspection rating, 78 deficiencies on file, including 3 at harm or jeopardy level and 4 tied to abuse. Five fines total $99,934. One thing cuts the other way, 28% annual turnover is well below the 45.8% national figure, so workers tend to stay. But stable staff haven't translated into safe care here, and the last inspection was January 2026. Ask about those abuse deficiencies specifically before you visit.

C

65/100

Arbor Post Acute

Chico, CA · Butte County

CMS 1/5 144 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
43%
Serious cites
0

Arbor Post Acute runs 144 beds in Chico as a for-profit corporation. Its nurse staffing sits just barely above the national average, and weekend coverage dips about 7% below its own weekday level, so the thinnest shifts are the ones when families tend to visit. Turnover lands at 42.5%, a touch better than the 45.8% national figure. The inspection record is the real story here: 94 deficiencies, including 4 at harm or jeopardy level and 11 tied to abuse. Two fines total $61,825, and the most recent inspection was January 24, 2025. A four-out-of-five quality measure score doesn't offset a one-out-of-five on health inspections, those 94 findings describe care that was actually delivered, not how residents were assessed.

C

65/100

Pioneers Memorial Skilled Nursing Center

Brawley, CA · Imperial County

CMS 1/5 99 beds Government Medicaid
Nurse hours
4.32 /day
Staff turnover
39%
Serious cites
0

Pioneers Memorial runs on a government hospital district budget, and the staffing shows it: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39%, better than the 45.8% typical elsewhere. Weekends thin out about 10% from weekday coverage, which is worth asking about if your family visits then. The problem sits on the inspection side. Sixty-seven deficiencies on the current record, four serious enough to involve harm or jeopardy, and a $52,435 fine. A January 2025 inspection is recent, so this reflects present conditions rather than old history. Good staffing can't fully offset that many citations.

C

65/100

Newport Subacute Healthcare Center

Costa Mesa, CA · Orange County

CMS 1/5 139 beds For-profit Medicaid
Nurse hours
5.07 /day
Staff turnover
50%
Serious cites
0

Newport Subacute runs 139 beds in Costa Mesa under corporate for-profit ownership, and its staffing numbers look strong on paper: 5.07 nurse hours per resident day, roughly 31% above the national average. But that same CMS data gives it a one-star staffing rating, and turnover sits at 50.4%, higher than the national 45.8%. The inspection record is the harder read, 120 deficiencies, two at harm or jeopardy level, 13 abuse-related, and a one-star health inspection rating, with the last survey in August 2025. Weekend coverage also dips about 6% below its weekday level. High hours can coexist with thin stability, and the abuse-related findings are the part worth asking about directly.

C

65/100

Focused Care At Beechnut

Houston, TX · Harris County

CMS 2/5 146 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
36%
Serious cites
0

Focused Care At Beechnut carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a pattern of persistent problems. Its record shows 27 deficiencies, 11 of them serious enough to cause harm or put residents in jeopardy, plus four fines totaling $90,403. Nurse staffing runs about 2.96 hours per resident day, roughly a quarter below the national average, and weekends drop further. Turnover at 36.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as having enough hands on shift.

C

65/100

Seymour Rehabilitation And Healthcare

Seymour, TX · Baylor County

CMS 5/5 90 beds Government Medicaid
Nurse hours
3.27 /day
Staff turnover
68%
Serious cites
0

Seymour Rehabilitation and Healthcare is run by a hospital district, and its inspection record is genuinely strong, a recent April 2025 survey with no deficiencies at the harm or jeopardy level and none related to abuse. The trouble sits elsewhere. Nurse staffing runs about 3.27 hours per resident day, roughly 15% under the national average, and weekend coverage dips below its own weekday level. Annual turnover of 67.9% means most of the people caring for residents are relatively new, against a national rate near 46%. Twenty deficiencies sit on the current record, none serious. Good inspections paired with thin, churning staff is the whole story here.

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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