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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 11001–11020 of 12,967, best-graded first.

C

64.5/100

Resthaven Living Center

Bogalusa, LA · Washington County

CMS 2/5 145 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
49%
Serious cites
0

Resthaven Living Center runs 145 certified beds in Bogalusa under for-profit partnership ownership. Nurse staffing sits at 3.34 hours per resident day, about 14 percent under the national average, and weekends drop roughly 17 percent below the home's own weekday coverage, the stretch when families often visit and when problems tend to surface. Annual turnover of 48.9 percent runs a few points above the national figure. The current record shows 25 deficiencies, none at harm or jeopardy level, though one is abuse-related. A January 2026 inspection is recent, and mid-range marks on health inspections and quality measures sit alongside the weakest staffing score. Nothing here reads as dangerous; it reads as thin coverage you'd want to ask about directly.

C

64.5/100

Snow Hill Rehabilitation & Healthcare Center

Snow Hill, MD · Worcester County

CMS 1/5 69 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Snow Hill Rehabilitation & Healthcare Center is a 69-bed for-profit home in Worcester County, owned by a limited liability company. The federal numbers are hard to dress up: one out of five stars for staffing, one for quality measures, and two for health inspections, with 46 deficiencies on the current record, five of them abuse-related. None of those deficiencies rose to the level of actual harm or jeopardy, which matters, but the abuse citations are a pattern a family should ask about directly. The last inspection was in February 2025, so the record is recent. Turnover and hours-per-resident figures aren't broken out here, but the staffing star alone tells you the home runs lean relative to the national average.

C

64.5/100

The Orchards At Big Rapids

Big Rapids, MI · Mecosta County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
—
Serious cites
0

The Orchards At Big Rapids runs a 100-bed for-profit building, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86, with weekend coverage about 13% below what it manages on weekdays. That thin margin shows up in a 2-out-of-5 staffing rating. The inspection record is heavier than the star ratings suggest: 33 deficiencies on file, five of them serious enough to involve harm or jeopardy, three tied to abuse, and one fine totaling $55,711. Its last inspection was March 13, 2025, so the picture is current. For-profit corporate ownership, mid-range quality and health inspection scores, and below-average staffing together explain the C.

C

64.5/100

Maple Valley Nursing Home

Maple Valley, MI · Leelanau County

CMS 3/5 25 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
55%
Serious cites
0

Maple Valley Nursing Home runs a small 25-bed operation in Leelanau County, and the numbers pull in different directions. Nurse staffing sits slightly above the national average at 3.96 hours per resident day, but weekends run about 16% thinner than weekdays, and more than half the staff turns over each year, 55.2% against a national 45.8%. The inspection record is where the trouble concentrates: 63 deficiencies, eight serious enough to cause harm or jeopardy, eight tied to abuse, and two fines totaling $119,265. That April 2025 inspection is recent, so the picture is current, not stale. For-profit corporate ownership, high turnover, and a thin weekend crew are the context behind a one-star health inspection rating.

C

64.5/100

Royalton Manor, Llc

St Joseph, MI · Berrien County

CMS 1/5 123 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
45%
Serious cites
0

Royalton Manor runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 16% below its own weekday staffing. Turnover sits at 44.6%, basically in line with the national figure, so the problem here isn't churn, it's raw coverage, especially on Saturdays and Sundays. The inspection record is the heavier issue: 56 deficiencies currently on file, three at harm or jeopardy level, four tied to abuse, and two fines totaling $173,966. A 1-out-of-5 health inspection rating against a 3-out-of-5 quality measure rating tells you the clinical metrics look steadier than the survey history does. The most recent inspection was April 2025, so that record is current, not stale.

C

64.5/100

Littlefork Care Center

Littlefork, MN · Koochiching County

CMS 1/5 42 beds Non-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
53%
Serious cites
0

Littlefork Care Center runs 42 beds as a nonprofit, and its staffing numbers are decent on paper, 3.41 nurse hours per resident day, though that's still about 12% under the national average of 3.86. Weekends drop roughly 17% below the home's own weekday level, and turnover sits at 52.8% against a national 45.8%, so the same faces aren't always there. The inspection record is where it gets harder to explain: 33 deficiencies on file, one at harm or jeopardy level, six tied to abuse, and a single $218,595 fine. The most recent inspection was December 10, 2025.

C

64.5/100

Driftwood Nursing Center

Gulfport, MS · Harrison County

CMS 3/5 151 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
100%
Serious cites
0

Driftwood Nursing Center runs a nonprofit home with 151 beds in Gulfport, and the staffing numbers are genuinely better than average, 4.40 nurse hours per resident day against a national 3.86. That's real coverage, though weekends drop about 17% below the home's own weekday level, and the entire nursing staff turns over roughly once a year, more than double the national rate. Inspections look solid at 4 stars and the home was last surveyed in January 2026, with 11 deficiencies on record, none at harm or jeopardy level, one abuse-related. The quality measure star sits at just 1 out of 5, which is where the otherwise decent picture gets complicated.

C

64.5/100

Spring Valley Health & Rehabilitation Center

Springfield, MO · Greene County

CMS 2/5 194 beds For-profit Medicaid
Nurse hours
2.77 /day
Staff turnover
56%
Serious cites
0

Spring Valley runs 194 beds in Springfield under individual for-profit ownership, and its nurse staffing sits about 28% under the national average, 2.77 hours per resident day against 3.86. Weekends dip roughly a fifth below its own weekday coverage, and 56.1% of staff turned over in a year, against 45.8% nationally. The inspection record is the harder problem: 68 deficiencies, two at harm or jeopardy level, and eight tied to abuse. State surveyors were last in on August 25, 2025. What the five-star quality measure score reflects is hard to know when that much turns over and that few nurses are on the floor.

C

64.5/100

Aspire Senior Living Webb City

Webb City, MO · Jasper County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
2.68 /day
Staff turnover
—
Serious cites
0

Aspire Senior Living Webb City runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 2.68 hours per resident day, roughly 31% under the national average of 3.86. That gap widens on weekends, when coverage drops about 9% below the home's own weekday level. The inspection record shows 36 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with one fine of $25,454 and a health inspection rating of 2 out of 5. The most recent inspection was December 9, 2025. Quality measures score a middling 3, but staffing lands at 1 out of 5, the number that should weigh heaviest when you're deciding.

C

64.5/100

Riverways Manor

Van Buren, MO · Carter County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
50%
Serious cites
0

Riverways Manor runs 3.27 nurse hours per resident day, about 15% under the national average, and weekends drop roughly another 15% below its own weekday numbers. That thin coverage shows up in the staffing rating, and a 50% annual turnover rate means the aides and nurses working those shifts are often new. The last inspection was recent, and the home came through without any deficiencies at the harm or jeopardy level, which matters. But 22 total deficiencies sit on the record, including one abuse-related citation, and the quality measure rating is as low as it gets. Family-run for-profit ownership, sixty beds, and a pattern worth asking about directly: who's actually on the floor on a Saturday night.

C

64.5/100

Glenwood Rehabilitation & Health Care Center

Seymour, MO · Webster County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
49%
Serious cites
0

Glenwood Healthcare runs 60 certified beds in Seymour under corporate for-profit ownership, and its inspection record is genuinely decent, a 4-out-of-5 health inspection rating, last surveyed in April 2024, with 17 deficiencies on file but none at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 3.11 hours per resident day, roughly 19% under the national average, and weekends dip about 15% below the home's own weekday coverage. Staff turnover hits 49%, a few points above the 45.8% national figure, and two of those deficiencies are abuse-related. Quality measures land mid-pack. The inspection side looks steady; the everyday staffing math is where families should focus their questions.

C

64.5/100

St Johns Place

Saint Louis, MO · St. Louis County

CMS 1/5 94 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

St. Johns Place is a 94-bed for-profit home in St. Louis County with a recent inspection on record from December 2025, so the findings are current. That inspection record carries 36 deficiencies, one of them abuse-related, though none rose to the level of immediate harm or jeopardy. Staffing is where the numbers get harder to explain away: the federal staffing rating sits at 1 out of 5, and the quality measure rating is also 1 out of 5, against a national average that most homes at least approach. Health inspections came in slightly better at 2 stars, but a low mark across all three categories at once is the pattern worth paying attention to.

C

64.5/100

Monarch Springs Wellness & Rehabilitation

University City, MO · St. Louis County

CMS 2/5 119 beds For-profit Medicaid
Nurse hours
2.87 /day
Staff turnover
—
Serious cites
0

Monarch Springs runs thin on nursing staff, 2.87 hours per resident day against a national average of 3.86, and weekends drop roughly 12% below what the building already provides on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and notice. The inspection record adds weight: 34 deficiencies, two serious enough to involve harm or jeopardy, with the most recent state visit in July 2024. Corporate for-profit ownership and 119 certified beds round out the picture. Nothing here suggests abuse, and quality measures land mid-range, but the staffing numbers and the harm-level findings are the two things I'd ask about directly before choosing this one.

C

64.5/100

Blackfeet Care Center

Browning, MT · Glacier County

CMS 1/5 47 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Blackfeet Care Center is a 47-bed for-profit home in Browning, and the numbers split in an unusual way. Residents' clinical outcomes look decent, four out of five stars on quality measures, but that's happening with one of the thinnest staffing levels CMS records, a single star. Inspections back that up: 32 deficiencies on the current record, including 2 at the harm or jeopardy level and 6 tied to abuse, with $87,690 in fines across two penalties. The last inspection was in March 2026. Fewer hands on deck tends to show up exactly where it did here.

C

64.5/100

The Grand Rehabilitation And Nrsg At River Valley

Poughkeepsie, NY · Dutchess County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
25%
Serious cites
0

The Grand Rehabilitation and Nursing at River Valley runs on thinner nurse staffing than most homes, about 3.16 hours per resident day against a national average of 3.86, with weekends dropping roughly 19% below its own weekday levels. Turnover sits at 24.6%, which is actually well below the national 45.8%, so the people who stay tend to stay. The current record carries 28 deficiencies, none at harm or jeopardy level, but three tied to abuse, and the last inspection was January 28, 2026. Quality measures score lowest of the three CMS categories. It's a 160-bed for-profit corporation, recently inspected, with a mixed record worth asking about directly.

C

64.5/100

Kannapolis Health And Rehabilitation

Kannapolis, NC · Cabarrus County

CMS 2/5 107 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
53%
Serious cites
0

Kannapolis Health And Rehabilitation runs 107 certified beds under corporate ownership, and the direct-care hours per resident come in at 3.30 per day, roughly 15% under the national average of 3.86. Weekends are thinner still, with staffing dropping about 18% below the home's own weekday levels, and annual turnover sits at 52.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 42 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus one tied to abuse, and $151,209 in fines across three penalties. The most recent inspection was in March 2026.

C

64.5/100

Gates Health And Rehabilitation Center

Gatesville, NC · Gates County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
51%
Serious cites
0

Gates Health and Rehabilitation Center runs a 70-bed for-profit home in Gatesville, and the numbers tell a mixed story. Nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average of 3.86, and weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 51 percent, above the 45.8 percent national figure, meaning aides and nurses cycle through often. Inspections look steadier: 11 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent visit in August 2025. Worth asking how they cover weekends and how long their current director of nursing has been in place.

C

64.5/100

Carver Living Center

Durham, NC · Durham County

CMS 1/5 232 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
—
Serious cites
0

Carver Living Center is a 232-bed for-profit home in Durham, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.56 hours per resident day, roughly 8 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection history is heavier: 49 deficiencies on the current record, 8 of them at harm or jeopardy level, plus 4 tied to abuse, and $128,554 in fines across four penalties. Ownership is a limited liability company. The most recent inspection was February 2025, so the record is current, not stale. When you tour, ask how weekend coverage is actually staffed.

C

64.5/100

The Cedars Of Chapel Hill

Chapel Hill, NC · Durham County

CMS 4/5 12 beds Non-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

The Cedars of Chapel Hill runs just 12 certified beds, so it operates more like a small residential care setting than a typical nursing home, worth knowing, because small homes can be hard to compare against facilities ten times their size. The inspection record looks solid: a 5-star health inspection rating, three deficiencies total, none at the harm level, none related to abuse, and the most recent survey was in April 2025. What pulls the overall picture down is the 1-star quality measure rating, which tracks things like resident outcomes and care processes rather than whether the building passed inspection. Nonprofit ownership under the "Other" category gives you some sense of mission, but it doesn't explain the gap between clean inspections and weak quality scores.

C

64.5/100

Chardon Woods

Chardon, OH · Geauga County

CMS 3/5 161 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
—
Serious cites
0

Chardon Woods runs 161 certified beds in Geauga County under corporate ownership, and its staffing is the number that stands out for the wrong reason. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so the coverage gap widens exactly when families tend to visit. The inspection record is cleaner than most: 12 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent survey came in January 2025. Quality measures land mid-range at 3 stars while staffing sits at 1. A family weighing this one should ask how weekend coverage actually gets filled.

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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