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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 11081–11100 of 12,967, best-graded first.

C

64/100

Parkway Operator Llc

Edwardsville, KS · Wyandotte County

CMS 3/5 45 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
51%
Serious cites
0

Parkway Operator runs 45 beds in Edwardsville under for-profit LLC ownership, and its staffing is the number that stands out: 3.43 nurse hours per resident day, roughly 11% under the national average, with weekends about 10% lighter than weekdays. Annual turnover sits at 51.2% against a national 45.8%, so the aides and nurses cycling through are changing faster than typical. The current inspection record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related; the last survey was August 2024. Federal ratings land at three stars for health inspections and quality measures, two for staffing.

C

64/100

Azria Health Great Bend

Great Bend, KS · Barton County

CMS 2/5 85 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
47%
Serious cites
0

The for-profit LLC that runs Azria Health Great Bend staffs at 3.46 nurse hours per resident day, roughly 10 percent under the national average, and weekends run about 14 percent thinner than weekdays, which is when families tend to visit and notice. The inspection record shows 33 deficiencies right now, four of them serious enough to put residents in harm's or jeopardy's path, and two tied to abuse. Four fines total $59,830, and a July 2025 inspection is recent enough that those findings reflect how the home operates today. Staff turnover sits at 47.4 percent, a bit above the national average, meaning the people caring for your relative keep changing. All three CMS star ratings, health inspections, quality measures, staffing, land at 2 out of 5.

C

64/100

Via Christi Village Hays Ks Llc

Hays, KS · Ellis County

CMS 1/5 96 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
92%
Serious cites
0

Nurse staffing at this Hays home runs about 4.11 hours per resident day, roughly 7% above the national average, so direct care hours aren't the problem. The problem shows up nearly everywhere else: staff turnover hit 91.8% against a national average of 45.8%, meaning the people delivering that care are largely new and constantly changing. The inspection record carries 46 deficiencies, including two at harm or jeopardy level and one abuse-related, with $73,576 in fines and a 1-out-of-5 health inspection rating; ownership also changed within the past year. Weekend staffing drops about 8% below weekday levels. High turnover plus a serious deficiency history is a pattern worth asking about directly before you decide.

C

64/100

Parkwood Health & Rehabilitation

Louisville, KY · Jefferson County

CMS 1/5 118 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
54%
Serious cites
0

Parkwood runs on 3.04 nurse hours per resident day, roughly a fifth under the national average, and weekends drop about 11% below what it manages during the week. That thin coverage shows up in the numbers: a one-star staffing rating, 54.2% annual turnover against a national 45.8%, and 25 deficiencies on record, seven serious enough to involve harm or jeopardy, four tied to abuse. Ownership is for-profit and individual, and the last inspection was January 8, 2026. The quality measure rating of three stars suggests some clinical benchmarks land where they should, but that's a narrow bright spot against staffing, inspection history, and the $10,209 in fines.

C

64/100

Tradewater Pointe

Dawson Springs, KY · Hopkins County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
71%
Serious cites
0

Tradewater Pointe runs a lean operation in Dawson Springs, with 4.86 nurse hours per resident day, roughly 26% above the national average, and its most recent inspection in March 2026 found six deficiencies, none at the harm or jeopardy level. The catch is who's delivering that care over time: annual turnover sits at 70.5% against a national average of 45.8%, and weekend staffing drops about 14% below weekday levels, so the faces and the coverage both thin out regularly. One abuse-related deficiency also shows up on the record. Ownership is a for-profit limited liability company, and the quality measure star rating sits at 1 out of 5 despite a 4 out of 5 on inspections, worth asking about before you decide.

C

64/100

Shady Lawn Nursing And Rehabilitation Center

Cadiz, KY · Trigg County

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

Shady Lawn runs about 3.46 nurse hours per resident per day, roughly 10% under the national average of 3.86, and weekends dip another 8% below its own weekday numbers, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 50%, a bit above the 45.8% national figure, so continuity of caregivers may be a real question. The inspection record is genuinely strong: eight deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was July 2025. The tradeoff is in quality measures, which come in low despite that clean inspection history, a split worth understanding before you decide.

C

64/100

Madison Health And Rehabilitation Center

Richmond, KY · Madison County

CMS 1/5 92 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
52%
Serious cites
0

Madison Health and Rehabilitation Center runs 92 certified beds in Richmond under corporate for-profit ownership, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.56 hours per resident per day, roughly 8% under the national average, and weekends drop about 9% below what the home staffs on weekdays. Annual turnover is 51.6% against a national 45.8%, so aides and nurses are cycling through steadily. The inspection record shows 12 deficiencies, two of them serious enough to cite harm or jeopardy, though none abuse-related. CMS rates the home 2 out of 5 on health inspections and 1 out of 5 on both quality measures and staffing. The most recent inspection was July 2025, so the picture is current.

C

64/100

South Shore Nursing And Rehabilitation

South Shore, KY · Greenup County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
53%
Serious cites
0

South Shore Nursing and Rehabilitation runs 60 certified beds under for-profit LLC ownership, and its staffing numbers sit below where you'd want them. Total nurse coverage is about 3.58 hours per resident day, roughly 7% under the national average, and weekends drop another 13% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover is 52.5%, well above the 45.8% national figure, which matters because unfamiliar aides can miss subtle changes. The inspection record is genuinely decent: a four-star health inspection rating with 12 deficiencies and none at harm or jeopardy level, though one is abuse-related. Quality measures and staffing both come in at two stars. The most recent inspection was July 2025.

C

64/100

Irvine Nursing And Rehabilitation Center

Irvine, KY · Estill County

CMS 4/5 86 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
47%
Serious cites
0

Irvine Nursing and Rehabilitation Center runs 86 certified beds under for-profit LLC ownership, and the numbers show a home doing the basics without much cushion. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 13% below its own weekday coverage, that's when families tend to notice. Staff turnover of 47.3% edges past the national rate of 45.8%, meaning aides and nurses cycle through faster than average. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in February 2025. Nothing here reads as dangerous; it reads as thin.

C

64/100

Woodland Oaks

Ashland, KY · Boyd County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
49%
Serious cites
0

Woodland Oaks runs a 110-bed for-profit operation in Ashland with a clean recent inspection record, five deficiencies on the books, none causing harm or involving abuse, and the state was last out in May 2026. That's the good news. The staffing side is thinner: 3.77 nurse hours per resident day, a bit under the national average, and weekends drop about 12% below what the home staffs on weekdays. Turnover sits at 48.9%, roughly three points above the national figure, which means familiar faces are harder to keep. The inspection score looks strong, but the day-to-day coverage and the 2/5 quality measure rating are where families should focus their questions.

C

64/100

Kensington Nursing And Rehabilitation Center

Elizabethtown, KY · Hardin County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
59%
Serious cites
0

Kensington runs about 3.63 nurse hours per resident day, roughly 6% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in its staffing rating, which sits at the bottom of CMS's scale, and in turnover: nearly 59% of staff leave within a year, well above the 45.8% national figure. The inspection record is cleaner than those numbers might suggest. Twenty-seven deficiencies are on file, but none involved actual harm or jeopardy, and none were abuse-related. State inspectors were last in the building in March 2025. For-profit, limited-liability ownership, 82 beds, in Elizabethtown. The pattern reads as a home that isn't dangerous so much as thinly staffed and constantly retraining.

C

64/100

Haven Nursing Center

Columbia, LA · Caldwell County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
98%
Serious cites
0

Haven Nursing Center runs 4.15 nurse hours per resident day, about 8% above the national average of 3.86, but weekends drop roughly 12% below its own weekday staffing, and annual turnover sits at 97.6% against a national average of 45.8%. Essentially the whole staff turns over every year. The 19 deficiencies on record include none at the harm level, though 2 are abuse-related, and the last inspection was May 2025. The quality measure rating is 1 out of 5, which is where the low overall grade comes from. A corporate-owned, 99-bed home in Columbia with decent weekday coverage but real questions about consistency.

C

64/100

Lake Charles Care Center

Lake Charles, LA · Calcasieu County

CMS 3/5 182 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
52%
Serious cites
0

Lake Charles Care Center runs 182 certified beds under for-profit LLC ownership, and its staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about 14% below its own weekday level, and turnover hits 51.7% against a national 45.8%. The inspection record is the bright spot: a 4/5 health inspection rating, last survey in May 2025, with 11 deficiencies on file but none at harm or jeopardy level and none abuse-related. Quality measures tell a different story at 1/5, with staffing at 2/5. So you have a home that passes inspections cleanly while running lean on direct care and posting weaker clinical quality numbers, worth asking about weekend coverage and consistent assignment before you decide.

C

64/100

St Frances Nsg & Rehab Center

Oberlin, LA · Allen County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
47%
Serious cites
0

St Frances runs 4.02 nurse hours per resident day, a bit above the national average, so the raw staffing number looks fine. The problems sit underneath it: weekends run about 12% thinner than weekdays, and nearly half the nursing staff turns over each year. Inspectors have logged 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $30,702 in fines across two penalties. The last inspection was April 30, 2025, so the record is recent. The quality measure rating sits at one out of five stars, the lowest CMS gives, which means resident outcomes aren't tracking well regardless of hours logged.

C

64/100

Delta Grande Skilled Nursing And Rehabilitation

Monroe, LA · Ouachita County

CMS 3/5 74 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
53%
Serious cites
0

Delta Grande runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays, so the gaps land when families visit most. Annual turnover of 53.2% tops the national figure of 45.8%, meaning the people caring for your relative are often new to the building and each other. The inspection record shows 18 deficiencies, two tied to abuse, though none rose to harm or jeopardy level, and the most recent survey came in April 2026. State inspectors rated the care highly; the quality and staffing measures tell a different story.

C

64/100

The Oaks

Monroe, LA · Ouachita County

CMS 2/5 125 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
59%
Serious cites
0

Nurse staffing at The Oaks runs 4.35 hours per resident day, roughly 13% above the national average, which sounds reassuring until you notice weekends dip about 8% below the home's own weekday levels. Turnover sits at 58.9% against a national average of 45.8%, so the people providing that care are changing often. The inspection record shows 18 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a single fine of $27,005; the last inspection was June 2025. A for-profit limited liability company owns the 125-bed home. Strong weekday staffing is real, but weekends, turnover, and that abuse count are what a family should ask about directly.

C

64/100

St. Elizabeth Rehabilitation & Nursing Center

Baltimore, MD · Baltimore City County

CMS 3/5 162 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
67%
Serious cites
0

St. Elizabeth runs 3.98 nurse hours per resident day, slightly above the national average, but that cushion thins on weekends, staffing drops about 14% from weekday levels. The bigger issue is turnover: 66.7% of staff leave each year versus 45.8% nationally, which makes consistent care hard to maintain. Inspectors have cited 43 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with $66,996 in fines on record. The last inspection was February 2026, so the picture is current. Quality measures score well, but a for-profit LLC with that turnover and those deficiency numbers is a real risk for families weighing placement.

C

64/100

Chesapeake Shores Nursing Center

Lexington Park, MD · St. Marys County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
49%
Serious cites
0

Chesapeake Shores runs at 3.57 nurse hours per resident day, about 8% under the national figure of 3.86, and weekends drop roughly another 10% below its own weekday staffing. Turnover sits at 48.9%, above the 45.8% national average, so the people caring for residents keep changing. On inspections, the home carries 40 deficiencies, none flagged at harm or jeopardy level, though one is abuse-related, and CMS has issued a single fine of $47,254. The most recent inspection came in early January 2026, so that picture is current. This is a for-profit limited liability company with 125 certified beds.

C

64/100

Chapel Hill Nursing Center

Randallstown, MD · Baltimore County

CMS 1/5 63 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
65%
Serious cites
0

Chapel Hill Nursing Center runs 63 certified beds in Randallstown under for-profit LLC ownership, and its nurse staffing sits at 3.72 hours per resident day, just under the national average, with weekends dropping about 13% below its own weekday coverage. Staff turnover is the real story: 65.1% of nurses leave each year, against a national average of 45.8%. The current record carries 64 deficiencies, including 2 at the harm or jeopardy level and 7 tied to abuse, plus one fine of $13,247, and the last inspection was March 30, 2026. CMS gives the home 2 out of 5 stars on health inspections and 1 on quality measures, even though staffing alone rates 4.

C

64/100

Westborough Healthcare

Westborough, MA · Worcester County

CMS 2/5 117 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
42%
Serious cites
0

Westborough Healthcare runs 117 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 3.65 nurse hours per resident day sits about 6% under the national average of 3.86, and weekends dip roughly 5% below the home's own weekday levels. Turnover lands at 42.4%, a touch better than the 45.8% national figure, but that's the strongest number here. The inspection record shows 32 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $8,648 fine. The last inspection was February 2026. Federal quality measures score 1 out of 5 stars, and staffing sits at 2, worth weighing carefully against what your family needs.

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.

Before you shortlist