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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 1081–1100 of 12,967, best-graded first.

A

90/100

Scotia Village - Snf

Laurinburg, NC · Scotland County

CMS 5/5 58 beds Non-profit Medicaid
Nurse hours
5.44 /day
Staff turnover
41%
Serious cites
0

Scotia Village runs a rare staffing profile: 5.44 nurse hours per resident day, roughly 41% above the national average, which helps explain the top marks on both staffing and health inspections. The record isn't flawless, four deficiencies, one tied to abuse, though none at the harm or jeopardy level. Weekend coverage drops about 13% below weekday levels, a gap worth asking about. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. As a nonprofit with a December 2025 inspection behind it, the numbers suggest a home that's well-resourced where it counts most.

A

90/100

Brookdale Carriage Club Providence

Charlotte, NC · Mecklenburg County

CMS 5/5 14 beds For-profit
Nurse hours
8.55 /day
Staff turnover
—
Serious cites
0

Brookdale Carriage Club Providence runs 14 certified beds, and its nurse staffing sits at 8.55 hours per resident day, roughly 121% above the national average of 3.86. That's an unusually high number, though weekend coverage drops about 17% below what the home staffs on weekdays, so the weekday figure isn't the whole story. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Quality and inspection measures both come in at the top of CMS's five-star scale, and the corporate, for-profit owner operates a small home where the staffing-to-resident ratio is the clearest signal in the data.

A

90/100

Towner County Living Ctr

Cando, ND · Towner County

CMS 4/5 28 beds Non-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
50%
Serious cites
0

Towner County Living Center runs on a fairly lean 28 beds, and the nursing hours reflect that attention, 4.31 per resident day, roughly 12% above the national average, which is why its staffing rating comes in at the top of the scale. Weekend coverage dips about 12% below its own weekday pace, so families should ask who's actually on the floor on Saturdays and Sundays. The 13 deficiencies on record carry no harm or jeopardy findings and nothing abuse-related, and the last inspection was in January 2026, so the picture is current. Staff turnover sits at 50%, a bit above the 45.8% national figure.

A

90/100

Ayden Healthcare Of Wauseon

Wauseon, OH · Fulton County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
15%
Serious cites
0

Ayden Healthcare of Wauseon runs a tight ship on the things families often can't see day to day. Staff turnover of 14.6% is strikingly low next to the 45.8% national rate, which usually means people stick around and know the residents, and while overall nurse hours (3.74 per resident day) sit just under the national 3.86, the bigger caveat is weekends, when coverage drops roughly 11% below weekday levels. The health inspection record is the weak spot: 41 deficiencies, including one at harm level and two tied to abuse, with the most recent inspection in August 2024. Quality measures score well, but that inspection history and family-owned for-profit structure deserve your questions on a visit.

A

90/100

Springfield Masonic Community

Springfield, OH · Clark County

CMS 4/5 84 beds Non-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
40%
Serious cites
0

Springfield Masonic Community runs on a nonprofit model with 84 certified beds, and its nurse staffing sits at 4.75 hours per resident day, roughly 23 percent above the national average of 3.86. Weekend coverage dips only about 5 percent below its own weekday level, which matters because that's where many homes quietly thin out. Staff turnover lands at 39.5 percent, better than the national 45.8 percent, and the current record shows 17 deficiencies with none at the harm or jeopardy level and none abuse-related. The last inspection was March 5, 2026. More staff and steadier retention than most, paired with a clean harm record, is the real story here.

A

90/100

Twin Lakes

Cincinnati, OH · Hamilton County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
5.74 /day
Staff turnover
41%
Serious cites
0

Twin Lakes runs on 5.74 nurse hours per resident day, roughly half again the national average of 3.86, and it carries a five-star staffing rating and a five-star inspection record to match. Three deficiencies sit on the current record, none of them at the harm or jeopardy level and none abuse-related, with the last inspection dated June 2024. Weekend staffing dips about 13% below its own weekday level, so ask how weekends actually look on the floor, and turnover of 40.7% is lower than the national 45.8% but still means a good share of the staff you meet will be new within a year. Nonprofit ownership, 43 beds, and a quality measure rating of 3 out of 5 round out the picture.

A

90/100

Otterbein Cortland

Cortland, OH · Trumbull County

CMS 5/5 39 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
49%
Serious cites
0

Ohio Living Lake Vista runs a tight ship. The Cortland nonprofit has 39 certified beds and enough nurses on hand to deliver 4.42 hours of care per resident each day, roughly 15% more than the national average, and its most recent inspection, in January 2026, left six deficiencies on the books, none of them involving harm, jeopardy, or abuse. Weekend coverage dips about 9% below weekday levels, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 49%, a touch above the national figure of 45.8%, so continuity of caregivers isn't guaranteed. The numbers say consistent, well-staffed care with room to improve retention.

A

90/100

Canterbury Of Twinsburg

Twinsburg, OH · Summit County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
50%
Serious cites
0

Canterbury Of Twinsburg runs 50 beds under for-profit LLC ownership, and the nurse staffing number is the first thing that stands out: 5.10 hours per resident day, roughly a third higher than the national average. That staffing is not perfectly even, though, weekends dip about 11% below weekdays. The 50% annual turnover is above the 45.8% national figure, so the hours are there but the faces change. The health inspection side is more mixed. Twenty-eight deficiencies sit on the current record, including two at the harm or jeopardy level and three tied to abuse. The most recent inspection was November 14, 2024. Quality measures score well, but the inspection history is what a family should ask about directly.

A

90/100

The Willows At Tiffin

Tiffin, OH · Seneca County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
30%
Serious cites
0

The Willows At Tiffin runs on 4.39 nurse hours per resident day, about 14% above the national average, and its staff retention is notably strong: turnover sits at 29.6% against a national 45.8%. Weekend coverage dips roughly 12% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is clean where it matters, six deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent survey in March 2025. Corporate for-profit ownership is the main thing to keep in mind; the numbers here are solid, but ownership type is worth asking about directly.

A

90/100

University Park Skilled Nursing And Therapy Memory

Tahlequah, OK · Cherokee County

CMS 4/5 139 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
35%
Serious cites
0

University Park runs a little richer on nursing hours than the typical American home, 3.93 per resident day against a national average of 3.86, and weekend coverage holds steady rather than thinning out like it does at a lot of places. Staff turnover sits at 34.7%, well under the 45.8% national figure, which matters for whether your family sees the same faces month to month. The 28 deficiencies on record include one tied to abuse, though none rose to the level of actual harm or jeopardy, and the most recent state inspection came in March 2025. For-profit partnership ownership, 139 beds.

A

90/100

Avamere Crestview Of Portland

Portland, OR · Multnomah County

CMS 4/5 127 beds For-profit Medicaid
Nurse hours
5.19 /day
Staff turnover
37%
Serious cites
0

Avamere Crestview of Portland runs 127 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 5.19 hours per resident day, roughly a third above the national average of 3.86. That helps explain the top-tier staffing rating, though weekend coverage dips about 11% below weekday levels, so care may thin out on Saturdays and Sundays. Turnover lands at 36.6%, better than the 45.8% national figure. The inspection record is where things get murkier: 57 deficiencies on file, including 3 at harm or jeopardy level and 5 tied to abuse. The last inspection was February 13, 2026.

A

90/100

Fairlawn Health And Rehabilitation Of Cascadia

Gresham, OR · Multnomah County

CMS 5/5 82 beds For-profit Medicaid
Nurse hours
4.76 /day
Staff turnover
34%
Serious cites
0

Fairlawn runs on 4.76 nurse hours per resident per day, which is roughly a quarter more staffing than the typical American nursing home. That matters, and so does the stability behind it: turnover sits near 34% while the national figure is closer to 46%, meaning fewer unfamiliar faces from one shift to the next. Weekends dip about 10% below weekday coverage, so ask how that plays out on a Sunday. The tradeoff shows up in the record: 27 deficiencies, one serious enough to involve harm, though none tied to abuse, and the most recent inspection is current. For-profit corporate ownership is worth knowing, but the staffing numbers are the real story here.

A

90/100

Marquis Plum Ridge Post Acute Rehab

Klamath Falls, OR · Klamath County

CMS 5/5 77 beds For-profit Medicaid
Nurse hours
5.02 /day
Staff turnover
41%
Serious cites
0

Marquis Plum Ridge runs 5.02 nurse hours per resident day, roughly 30 percent above the national figure of 3.86, and that staffing depth shows in the five-star rating CMS gives it for hours worked. Turnover sits at 40.9 percent, a bit better than the 45.8 percent national rate, though weekends run about 9 percent thinner than weekdays. Inspections turned up 30 deficiencies, none causing harm or jeopardy, but three tied to abuse, worth asking about directly. State surveyors were last in on May 22, 2026. Corporate-owned and for-profit, with four stars on both inspections and quality measures. The care hours are the real strength here; the abuse citations are the thing to press on.

A

90/100

Beaverton Post Acute Care Of Cascadia

Beaverton, OR · Washington County

CMS 5/5 104 beds For-profit Medicaid
Nurse hours
4.66 /day
Staff turnover
39%
Serious cites
0

Beaverton Post Acute Care of Cascadia runs a for-profit operation with 104 certified beds, and the numbers suggest it's doing the basics well. Nurse staffing sits at 4.66 hours per resident day, roughly 21% above the national average, and the five-star staffing rating backs that up, though weekend coverage dips about 9% below weekday levels, worth asking about if your relative needs care on Saturdays and Sundays. Staff turnover is 38.8%, better than the 45.8% national average, which matters for continuity of care. Seventeen deficiencies appear on the current record, but none at the harm or jeopardy level and none abuse-related. The last inspection was in August 2025, so the record is recent. Four-star ratings on health inspections and quality measures round out a clean picture.

A

90/100

La Grande Post Acute Rehab

La Grande, OR · Union County

CMS 3/5 76 beds For-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
31%
Serious cites
0

La Grande Post Acute Rehab runs 4.73 nursing hours per resident day, roughly a quarter above the national average, and its weekend staffing only dips about 13% below weekdays, a smaller drop than many homes show. Staff turnover sits at 30.6%, well under the national 45.8%, which suggests people tend to stay. The tradeoff is the inspection record: 31 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the last survey was in February 2025. Ownership is corporate for-profit. Strong staffing and steady retention are doing the heavy lifting here; the deficiency count is what a family should ask about directly.

A

90/100

Rogue Valley Manor

Medford, OR · Jackson County

CMS 5/5 68 beds Non-profit
Nurse hours
6.56 /day
Staff turnover
42%
Serious cites
0

Rogue Valley Manor runs 6.56 nurse hours per resident day, about 70% above the national average of 3.86, and that staffing shows up in a 5-out-of-5 staffing star rating from CMS. It's a nonprofit with a 4-star health inspection rating, last inspected April 24, 2025, so the record is recent. Staff turnover sits at 42.1%, slightly better than the national 45.8%. The catch is 17 deficiencies on the current record, including 2 abuse-related citations, though none rose to the level of actual harm or jeopardy. Weekend staffing also drops about 11% below its own weekday level, so coverage isn't perfectly even across the week. Strong hours, a fresh inspection, and a clean harm record are doing a lot of work here.

A

90/100

Regency Care Of Central Oregon

Bend, OR · Deschutes County

CMS 5/5 46 beds For-profit Medicaid
Nurse hours
5.86 /day
Staff turnover
35%
Serious cites
0

Regency Care of Central Oregon runs on unusually heavy staffing for a 46-bed for-profit home, 5.86 nurse hours per resident day, roughly half again the national figure, which is the main reason it sits where it does. Weekend coverage dips about 8% below its weekday level, and annual turnover of 35.2% is meaningfully lower than the 45.8% national average, so the people caring for residents tend to stay. The tradeoff shows up in its record: 22 deficiencies, including two tied to abuse, though none rose to harm or jeopardy, and the most recent inspection is from December 2025, so the picture is current.

A

90/100

Community At Rockhill, The

Sellersville, PA · Bucks County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
4.77 /day
Staff turnover
36%
Serious cites
0

The Community at Rockhill in Sellersville runs on about 4.77 nurse hours per resident day, roughly a quarter more staffing than the national average, and that shows up in its five-star staffing and health inspection ratings. Weekend coverage dips about 13 percent below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 35.5 percent, better than the national 45.8 percent, and the home carries just one deficiency on its current record, none involving harm, jeopardy, or abuse, with its last inspection in August 2025.

A

90/100

Elm Terrace Gardens

Lansdale, PA · Montgomery County

CMS 5/5 72 beds Non-profit Medicaid
Nurse hours
4.82 /day
Staff turnover
37%
Serious cites
0

Elm Terrace Gardens runs on more nursing hours than most homes in the country, 4.82 per resident day against a national average of 3.86. Weekend coverage dips about 9% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.2%, better than the 45.8% national figure, and the home carries four deficiencies on its current record with none at the harm level and none tied to abuse. The last inspection was April 2026, and the five-star inspection and staffing ratings reflect that record.

A

90/100

St Barnabas Nursing Home

Gibsonia, PA · Allegheny County

CMS 4/5 119 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
42%
Serious cites
0

St Barnabas runs 119 certified beds as a nonprofit, and its staffing sits at 3.88 nurse hours per resident day, essentially even with the national average of 3.86. Weekend coverage dips about 4% below its own weekday levels, so weekends run a little thinner than weekdays. Turnover is 42.2%, better than the 45.8% national figure but still meaning roughly two in five staff leaving in a year. The 26 deficiencies on record include five tied to abuse, though none reached harm or jeopardy level. Its last inspection was February 2026, and quality measures scored strongly while health inspections came in middle of the pack.

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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