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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 11041–11060 of 12,967, best-graded first.

C

64.5/100

Focused Care At Odessa

Odessa, TX · Ector County

CMS 2/5 75 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
46%
Serious cites
0

Focused Care At Odessa runs about 3.06 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends drop another 17% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The 28 deficiencies on record include one at the harm level and two tied to abuse, with the most recent inspection dated January 2026. A 45.9% turnover rate sits essentially at the national figure, meaning the staff it has turns over about as fast as everywhere else. Ownership is corporate for-profit across 75 certified beds. The federal staffing rating of 1 out of 5 is the number that explains the rest.

C

64.5/100

Cedar Lake Nursing Center

Malakoff, TX · Henderson County

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

Cedar Lake passed its most recent inspection in September 2025 with no deficiencies at the harm level and none tied to abuse, which matters, that's the part families worry about most, and it's clean. Where the home struggles is everyday care capacity. Both its staffing and quality measure ratings sit at the bottom of CMS's five-point scale, meaning resident care hours and clinical outcomes lag what's typical nationally, even though the building holds 90 beds. Eight deficiencies and four fines totaling $27,270 point to recurring paperwork and process problems rather than dangerous conditions. A for-profit limited liability company runs it. The inspection record looks better than the day-to-day staffing numbers, so ask specifically about nurse and aide coverage on evenings and weekends.

C

64.5/100

Care Nursing & Rehabilitation

Brownwood, TX · Brown County

CMS 3/5 97 beds For-profit Medicaid
Nurse hours
2.98 /day
Staff turnover
—
Serious cites
0

Care Nursing & Rehabilitation runs 97 certified beds in Brownwood under corporate for-profit ownership, and its inspection record is genuinely good, a 4-out-of-5 health inspection rating, last survey in March 2025, and 17 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 2.98 nurse hours per resident day, it sits roughly 23 percent under the national average of 3.86, weekends run about 13 percent thinner than weekdays, and CMS gives it just 1 out of 5 stars for staffing. Quality measures land at 3. So: clean inspections, thin coverage. Ask about weekend and evening nurse presence before deciding.

C

64.5/100

Legend Oaks Healthcare And Rehabilitation Center G

Gladewater, TX · Gregg County

CMS 2/5 100 beds Government Medicaid
Nurse hours
3.11 /day
Staff turnover
43%
Serious cites
0

Legend Oaks in Gladewater runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs on weekdays. Turnover sits at 42.6%, a touch better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled to begin with. The inspection record is where it gets harder to explain away: 39 deficiencies, 7 of them at harm or jeopardy level, 8 abuse-related, and six fines totaling $124,559, with the most recent inspection on April 15, 2026. Hospital district ownership doesn't change what those numbers describe.

C

64.5/100

Bertram Nursing And Rehabilitation

Bertram, TX · Burnet County

CMS 4/5 74 beds For-profit Medicaid
Nurse hours
2.73 /day
Staff turnover
96%
Serious cites
0

Bertram Nursing and Rehabilitation runs on a thin nursing margin. At 2.73 hours per resident day, the home sits about 29 percent under the national staffing average, and weekends slip roughly 19 percent below its own weekday level, you can guess when problems tend to surface. The bigger signal is turnover: 95.6 percent of nursing staff leave within a year, against a national rate near half that, which means the people caring for residents are, more often than not, still learning the building. Inspections look strong on paper, including two abuse-related deficiencies and two at harm level, and one $10,135 fine. The pattern is a home that can score well on paper while the workforce underneath it keeps churning.

C

64.5/100

Midland Medical Lodge

Midland, TX · Midland County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
47%
Serious cites
0

Midland Medical Lodge runs about 3.13 nurse hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends drop another 17 percent below its own weekday numbers. Staff turnover sits at 46.9 percent, slightly above the national 45.8 percent, so the people around your family member may change often. The inspection record is the stronger side: 17 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. With 125 beds under for-profit partnership ownership, ask specifically how weekend coverage is handled on the unit your relative would live on.

C

64/100

Keystone Post-Acute

Fresno, CA · Fresno County

CMS 3/5 65 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
47%
Serious cites
0

Keystone Post-Acute runs 65 beds in Fresno under for-profit LLC ownership, and its staffing numbers look better on paper than they hold up in practice. Total nurse hours sit slightly above the national average, but weekends drop about 11% below the home's own weekday coverage, that's when gaps tend to show. Turnover is 47.1%, a bit worse than the 45.8% national figure, so the people providing care keep changing. The inspection record is the bigger issue: 48 deficiencies, three of them serious enough to put residents at harm or jeopardy, and one fine of $42,764. The last inspection was in May 2025, so the record is current, not stale.

C

64/100

Golden Haven Care Center

Glendale, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
47%
Serious cites
0

Golden Haven Care Center runs 99 certified beds in Glendale under corporate for-profit ownership, and its staffing sits at 3.98 nurse hours per resident day, a bit above the national average, though weekends run about 7% thinner than weekdays. The bigger problem is what inspectors have found: 73 deficiencies on the current record, including 8 at the harm or jeopardy level and 5 tied to abuse, with three fines totaling $74,602. That record produced a one-star health inspection rating, and staff turnover at 47.2% runs slightly above the national rate, so the people providing care keep changing. The most recent inspection was January 16, 2026.

C

64/100

Pueblo Heights Nursing And Rehabilitation

Pueblo, CO · Pueblo County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
2.88 /day
Staff turnover
56%
Serious cites
0

Pueblo Heights runs on 2.88 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 8% below what the home staffs on weekdays. That thinner coverage matters more when turnover sits at 55.6%, ten points above the national rate, because replacements are constantly learning residents who need consistent hands. The record shows 26 deficiencies, including one at the harm level and one tied to abuse, plus two fines totaling $30,707. The owner changed within the last year, and the last inspection was July 2024. Ask what that ownership change has meant for staffing and who now runs the floor on weekends.

C

64/100

Hope Springs Care Center

Montrose, CO · Montrose County

CMS 2/5 74 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
65%
Serious cites
0

Hope Springs Care Center runs on thin nursing coverage: 3.29 hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays. That shortfall matters more when nearly two-thirds of the nursing staff turns over each year, 64.8% versus 45.8% nationally, because replacements take time to learn residents' routines. The record backs this up. Thirty-five deficiencies, five of them serious enough to put residents in harm's way and three tied to abuse, plus nine fines totaling $87,079, and a health inspection star rating of just 2 out of 5. Quality measures score well at 4, but that's the piece families can't independently verify the way they can ask about weekend coverage.

C

64/100

Wolcott Hall Nursing Center, Inc

Torrington, CT · Nw Hills County

CMS 2/5 57 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
46%
Serious cites
0

Wolcott Hall runs 60 beds in Torrington under corporate for-profit ownership, and the staffing numbers are where you'd want to look first. At 3.29 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 45.8%, right at the national mark. The inspection record shows 33 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $11,190. The last inspection was February 2025. Federal quality measures score 1 out of 5.

C

64/100

Lake Haven Nursing And Rehab Center

Dunedin, FL · Pinellas County

CMS 1/5 104 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
62%
Serious cites
0

Lake Haven runs on thin staffing. At 3.56 nurse hours per resident day, it sits roughly 8 percent under the national average, and weekends drop another 6 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the bigger signal: 62.4 percent of nursing staff leave within a year, against a national average near 46 percent. That churn shows up in the inspection record, where 29 deficiencies include 6 at harm or jeopardy level and 5 tied to abuse, drawing $281,689 in fines. The last inspection was October 2024. Corporate ownership and a one-star health inspection rating round out a picture worth weighing carefully.

C

64/100

Ambassador Healthcare At College Park

Fort Myers, FL · Lee County

CMS 1/5 107 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
41%
Serious cites
0

Ambassador Healthcare at College Park runs 107 beds in Fort Myers under corporate for-profit ownership, and the staffing numbers are the first thing worth knowing: 3.57 nurse hours per resident day, roughly 7% under the national average, with weekends about 8% thinner than weekdays. Turnover sits at 40.8%, a bit better than the national 45.8%, so the problem isn't retention so much as how few hours each resident actually gets. The inspection record is heavier, 40 deficiencies, five at harm or jeopardy level, five tied to abuse, and $96,105 in fines across two penalties. The most recent inspection is dated April 2026. Quality measures score well, but that sits on top of a staffing and compliance picture families should ask hard questions about.

C

64/100

Lilac At Bayview, The

Saint Augustine, FL · St. Johns County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
65%
Serious cites
0

Lilac At Bayview runs 120 beds in Saint Augustine under for-profit LLC ownership, and its staffing is the number that jumps out first: 3.53 nurse hours per resident per day, roughly 9% under the national average, with weekends about 8% thinner than weekdays. Turnover sits at 65.4% against a national 45.8%, nearly two-thirds of the nursing staff turning over in a year. The inspection record shows 22 deficiencies, five at harm or jeopardy level and two tied to abuse, with $125,355 in fines across three penalties and a survey as recent as April 2025. Resident care measures score well; the staffing and inspection side is where the trouble lives.

C

64/100

Lagrange Trails Of Journey Llc

Lagrange, GA · Troup County

CMS 3/5 138 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
53%
Serious cites
0

Lagrange Trails runs 138 beds under for-profit LLC ownership, and its staffing is the weak spot: 3.30 nurse hours per resident day sits about 15% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday levels. Annual turnover of 53.2% means more than half the nursing staff leaves each year, well above the 45.8% national figure, that churn matters because unfamiliar caregivers miss things. Eighteen deficiencies appear on the current record, though none reached harm or jeopardy level and none involved abuse, and the last inspection was recent, in May 2025. The 2/5 staffing star against 3/5 marks for inspections and quality measures tells you where the pressure sits.

C

64/100

Chestnut Ridge Nsg & Rehab Ctr

Cumming, GA · Forsyth County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
74%
Serious cites
0

Chestnut Ridge runs 150 beds in Cumming under for-profit LLC ownership, and the staffing picture is the tightest part of the story. Nurses give residents 3.60 hours of care per resident day against a national average of 3.86, and weekends drop about 9% below the home's own weekday level, so coverage thins exactly when families tend to visit. Annual turnover of 73.8%, against 45.8% nationally, means the people caring for your relative are likely to change often. The current inspection record shows 27 deficiencies, none at the harm level but one abuse-related, with a 2/5 inspection rating. Ask about weekend coverage and how they retain aides.

C

64/100

Social Circle Nsg & Rehab Ctr

Social Circle, GA · Walton County

CMS 3/5 65 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
52%
Serious cites
0

Social Circle Nsg & Rehab Ctr runs lean on nursing hours: 3.44 per resident day against a national average of 3.86, with weekend coverage dropping roughly another 10% below its own weekday levels. The 65-bed for-profit home, owned by a limited liability company, also sees about 51.9% of its nursing staff turn over each year, higher than the 45.8% national figure. Its 18 deficiencies on record include none tied to harm or abuse, and the most recent inspection came in May 2025, so the enforcement history is more clean than alarming. What drags the picture down is the routine care side, the federal quality measure rating sits at 1 out of 5.

C

64/100

Cartersville Crossing Of Journey Llc

Cartersville, GA · Bartow County

CMS 3/5 74 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
56%
Serious cites
0

Cartersville Crossing runs about 12% below the national average on nurse staffing, at 3.39 hours per resident day, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 56.3%, well above the 45.8% national figure, which matters because replacements cost you familiarity with residents. The current record shows 18 deficiencies, though none rose to harm or jeopardy and none involved abuse, and the single fine came to $6,784. That inspection was recent, in January 2026. It's a for-profit limited liability company operating 74 certified beds, and the pattern across these numbers is a home that isn't dangerous but isn't well-staffed either.

C

64/100

Westbury Center Of Jackson For Nursing And Healing

Jackson, GA · Butts County

CMS 3/5 196 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
53%
Serious cites
0

Westbury Center of Jackson runs 196 beds under corporate ownership, and its inspection record is actually the strong part, four stars, with the most recent visit in March 2026. The problem sits in the daily staffing. At 3.04 nurse hours per resident day, it's about a fifth below the national average of 3.86, and weekends drop roughly another 11% below its own weekday level. Staff turnover of 53.2% means more than half the nursing team leaves each year, well above the 45.8% national figure. Eleven deficiencies are on record, one involving harm and one tied to abuse. A $8,512 fine is modest, but that staffing picture is what families should weigh.

C

64/100

Crisp Regional Nsg & Rehab Ctr

Cordele, GA · Crisp County

CMS 3/5 143 beds Non-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
36%
Serious cites
0

Crisp Regional runs 143 certified beds as a nonprofit corporation, and the staffing numbers are the first thing worth noticing: 3.41 nurse hours per resident day sits about 12% under the national average of 3.86, with weekends dipping roughly another 12% below its own weekday levels. Turnover lands at 36.2%, which is actually better than the 45.8% national figure, a rare bright spot. The current record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent inspection was March 2026, so the record is fresh. What pulls the overall picture down is the split in CMS ratings: a 4/5 on health inspections against just 1/5 on quality measures and 2/5 on staffing.

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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