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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 11101–11120 of 12,967, best-graded first.

C

64/100

Bourne Manor Extended Care Facility

Bourne, MA · Barnstable County

CMS 1/5 142 beds Non-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
40%
Serious cites
0

Bourne Manor runs 142 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. Weekends dip about 5% below its own weekday levels, so coverage thins when families tend to visit. The bigger concerns are on the record: 40 deficiencies, including 5 at harm or jeopardy level and 2 abuse-related, plus one fine of $48,575. Staff turnover at 40% is below the 45.8% national average, which helps. But a 2/5 inspection rating and 1/5 quality measures, with the most recent inspection in January 2025, point to a home where clinical care and compliance need watching.

C

64/100

Jml Care Center Inc

Falmouth, MA · Barnstable County

CMS 1/5 132 beds Non-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
41%
Serious cites
0

Jml Care Center runs about 2.92 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 7% below its own weekday numbers. The staffing star rating comes in at 1 out of 5, and quality measures land at the same low mark, though turnover at 40.9% is actually a bit better than the 45.8% national figure. Inspections in February 2025 turned up 23 deficiencies, none at the harm or jeopardy level but one tied to abuse. The health inspection rating sits at 3 out of 5, which is the strongest piece of an otherwise thin record for this nonprofit.

C

64/100

Westfield Rehabilitation And Health Center

Westfield, MA · Hampden County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
53%
Serious cites
0

Westfield Rehabilitation and Health Center runs 80 certified beds under for-profit LLC ownership, and its most recent inspection in January 2025 left a long paper trail: 60 deficiencies on the current record, one tied to abuse, plus a single fine of $49,296. No deficiency reached the harm or jeopardy level, which matters, but the volume still stands out. Nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average, and weekends dip about 5% below the home's own weekday coverage. Annual turnover of 52.9% is well above the 45.8% national figure. The health inspection rating is 1 out of 5, so if you're weighing this one, ask specifically how they're holding staffing and care steady on weekends.

C

64/100

Ayer Valley Rehab And Nursing

Ayer, MA · Middlesex County

CMS 1/5 123 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
58%
Serious cites
0

Ayer Valley Rehab And Nursing runs about 3.65 nursing hours per resident per day, roughly 5% under the national average, and weekends drop about 13% below what the home staffs during the week. Annual turnover sits at 58.1% against a national 45.8%, so more than half the nursing staff leaves each year. The inspection record is the heavier concern: 80 deficiencies, seven at harm or jeopardy level, three tied to abuse, and two fines totaling $63,034, with the most recent inspection in March 2025. A for-profit limited liability company operates the 123-bed home.

C

64/100

Odd Fellows Home Of Massachusetts

Worcester, MA · Worcester County

CMS 2/5 100 beds Non-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
38%
Serious cites
0

Odd Fellows Home of Massachusetts runs 100 certified beds in Worcester, and its staffing sits at 3.74 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 9% below weekdays, but turnover is 38%, better than the 45.8% national figure, which means this home keeps its nurses longer than many places do. The harder numbers are on the inspection side: 32 deficiencies on record, including three at the harm or jeopardy level and three abuse-related, plus a $106,301 fine. Its last inspection was March 2026. Quality measures score 1 out of 5, so whatever good the retention does, the care outcomes and compliance record are where families should focus their questions.

C

64/100

Meadow Green Nursing And Rehabilitation Center

Waltham, MA · Middlesex County

CMS 1/5 123 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
65%
Serious cites
0

Meadow Green runs a 123-bed for-profit operation in Waltham, and the staffing numbers are the first thing to look at. Total nurse hours sit at 3.92 per resident day, just barely above the national average, but the staff star rating is 1 out of 5, and annual turnover is 64.7% against a national average of 45.8%. That's a lot of people cycling through, and the weekend gap means coverage thins out when families tend to visit. The inspection record is harder to get past: 63 deficiencies, including 6 tied to abuse and 2 at the harm or jeopardy level, with $195,559 in fines. The most recent inspection was February 2026.

C

64/100

Royal Meadow View Center

North Reading, MA · Middlesex County

CMS 4/5 113 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
58%
Serious cites
0

Royal Meadow View Center runs about 113 beds in North Reading under for-profit LLC ownership, and the staffing numbers are where the trouble shows. Nurses give residents roughly 3.45 hours of care per day, about 11 percent under the national average, and weekends drop another 10 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 57.7 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. Inspections look decent on the surface, with no harm-level deficiencies, but 34 total citations including two abuse-related ones, and a staffing rating of 2 out of 5, tell the fuller story.

C

64/100

Highland Park Rehabilitation And Healthcare Center

Chelsea, MA · Suffolk County

CMS 1/5 195 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
49%
Serious cites
0

Highland Park Rehabilitation and Healthcare Center is a 195-bed for-profit home in Chelsea, and the numbers worth knowing start with staffing: 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86. Weekend coverage drops about 7% below what the home itself staffs on weekdays, and turnover sits at 48.6%, a bit above the national 45.8%. The inspection record is the bigger concern: 77 deficiencies, five of them abuse-related, with the most recent inspection dated March 2026. No deficiency currently rises to harm or jeopardy level, which matters. But 77 findings and a one-star health inspection rating point to a home where problems get cited repeatedly. Ask about the abuse-related deficiencies specifically, and about who's actually on the floor on weekends.

C

64/100

Park Avenue Health Center

Arlington, MA · Middlesex County

CMS 1/5 89 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
38%
Serious cites
0

Park Avenue Health Center runs 89 beds in Arlington under for-profit LLC ownership, and the staffing picture is mixed. Nurses provide 3.59 hours per resident day, about 7% under the national average of 3.86, and weekends dip roughly 5% below the home's own weekday levels. Annual turnover of 37.8% is actually better than the 45.8% national figure, which counts for something in a field where retraining costs are real. The trouble sits elsewhere: 30 deficiencies on record, including five at harm or jeopardy level and five tied to abuse, plus three fines totaling $113,612. The most recent inspection was December 2025. Staffing holds up reasonably; the inspection record is the harder problem here.

C

64/100

Sarah S Brayton Center

Fall River, MA · Bristol County

CMS 2/5 183 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
39%
Serious cites
0

Sarah S Brayton Center runs 183 certified beds in Fall River under for-profit LLC ownership, and the staffing picture is mixed in a way worth understanding. Its 3.43 nurse hours per resident day sits about 11% under the national average, and weekends drop roughly another 10% below its own weekday level, so coverage thins out right when families tend to visit. Turnover at 38.7% actually beats the national 45.8%, which suggests some stability in who's showing up. The trouble is what inspections found: 51 deficiencies on the current record, including one at harm or jeopardy level and three tied to abuse, plus a $151,920 fine. CMS rated the last inspection 2 out of 5, and that was in February 2026.

C

64/100

Ashley Healthcare Center

Ashley, MI · Gratiot County

CMS 1/5 63 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
51%
Serious cites
0

Ashley Healthcare Center runs on a for-profit LLC structure with 63 certified beds in Gratiot County, and the numbers tell a mixed story. Nurse staffing sits at 3.25 hours per resident day, roughly 16% under the national figure, and weekends dip about 14% below its own weekday level, a gap families often feel when they visit on Saturdays and Sundays. Staff turnover at 50.9% outpaces the national rate, so the aides and nurses working with your relative are likely to change over the course of a year. The inspection record is the heavier concern: 31 deficiencies, including three at the harm or jeopardy level and four tied to abuse, with two fines totaling $70,563 and a February 2026 inspection date. The staffing star alone won't tell you what those findings do.

C

64/100

Meeker Manor Rehablitation Center, Llc

Litchfield, MN · Meeker County

CMS 3/5 65 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
63%
Serious cites
0

Meeker Manor runs 3.53 nursing hours per resident per day, roughly 8% under the national average, and weekends drop about 10% below its own weekday staffing. That thinner coverage matters more given the 62.7% annual turnover, well above the 45.8% national figure, meaning the aides and nurses in the building are often new. The current record carries 26 deficiencies, including one at the harm level and two tied to abuse, plus a $14,696 fine. The last inspection was March 2025. This is a for-profit corporate home where short staffing and high churn feed each other, and families should ask directly how many regular staff are on the evening and weekend shifts.

C

64/100

Colonial Springs Healthcare Center

Buffalo, MO · Dallas County

CMS 2/5 134 beds Non-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
47%
Serious cites
0

Colonial Springs runs on thinner staffing than most homes its size, 3.27 nurse hours per resident day against a national average of 3.86, and weekends get about 15% less coverage than weekdays. That matters because nursing home needs don't pause on Saturdays. The 24 deficiencies on record include two tied to abuse, though none rose to the level of actual harm or jeopardy, and the most recent inspection was December 2024, so the picture is current. Turnover sits at 46.5%, right around the national figure. Quality measures are where the home scores worst, at 1 out of 5 stars, which suggests residents aren't faring as well on clinical outcomes as the inspection history alone would indicate.

C

64/100

St Genevieve Nursing

Sainte Genevieve, MO · Ste. Genevieve County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
66%
Serious cites
0

St. Genevieve Nursing runs 90 certified beds under corporate ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating, 15 deficiencies with none rising to harm or jeopardy, and a survey completed in November 2024. The trouble sits in direct care. Nurse staffing averages 3.07 hours per resident day, roughly 21% under the national figure of 3.86, and weekends drop about 11% below the home's own weekday level. Annual turnover of 65.9% far exceeds the 45.8% national average, meaning the aides and nurses at the bedside are often new. One abuse-related deficiency is also on the record. Ask specifically how many residents each aide covers on a Saturday, and how long the current director of nursing has been in the job.

C

64/100

Carmel Hills Wellness & Rehabilitation

Independence, MO · Jackson County

CMS 1/5 194 beds For-profit Medicaid
Nurse hours
2.75 /day
Staff turnover
55%
Serious cites
0

Carmel Hills runs on 2.75 nursing hours per resident each day, roughly a quarter less than the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits near 55%, and the federal staffing rating lands at 1 out of 5. The inspection record is heavier still: 82 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $20,787 fine and a 1-star health inspection rating. Quality measures score better at 3 stars, but the most recent inspection was November 2024, so that record is still fresh.

C

64/100

Advanced Care Of St Joseph

Saint Joseph, MO · Buchanan County

CMS 1/5 180 beds For-profit Medicaid
Nurse hours
2.48 /day
Staff turnover
52%
Serious cites
0

Advanced Care Of St Joseph runs 180 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 2.48 total nurse hours per resident day, roughly 36% under the national average of 3.86, with weekend coverage about 11% thinner than its own weekdays. Annual turnover sits at 51.7% against a national 45.8%, so the people who do show up are cycling through. The current record carries 45 deficiencies, including one at harm or jeopardy level and two abuse-related, plus a $29,803 fine; the last inspection was July 3, 2025. Its quality measure stars look strong, but that measure leans on charted care, not on how many hands are actually in the building.

C

64/100

Kingswood Senior Living

Kansas City, MO · Jackson County

CMS 2/5 86 beds Non-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
55%
Serious cites
0

Kingswood Senior Living runs 86 certified beds as a nonprofit, and its nurse staffing comes in at 4.03 hours per resident day, about 4% above the national average of 3.86. That's the strongest part of the picture. Weekends dip roughly 6% below weekday coverage, and annual turnover sits at 55.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 38 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. One fine on file, $14,069, with the last inspection in June 2025. Quality measure scores land at 2 out of 5 stars, which is worth asking about directly.

C

64/100

Aurora Health And Rehabilitation

Rolla, MO · Phelps County

CMS 2/5 116 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
73%
Serious cites
0

Aurora Health and Rehabilitation runs 116 certified beds in Rolla under corporate for-profit ownership, and the staffing numbers are where the trouble shows. At 3.34 nurse hours per resident day, it sits about 14% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover of 73.4% is well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The current inspection record lists 48 deficiencies, one involving harm or jeopardy and seven tied to abuse, plus four fines totaling $46,544. Quality measures look better than the hands-on care.

C

64/100

Park View Haven Nursing Home

Coleridge, NE · Cedar County

CMS 3/5 34 beds Non-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
72%
Serious cites
0

Park View Haven runs about 4.03 nurse hours per resident day, slightly above the national average, and weekends dip roughly 11% below its own weekday numbers. That's the good news. The trouble sits elsewhere: staff turnover is 72.2% against a 45.8% national average, meaning most of the people caring for residents weren't there a year ago. Its current record carries 13 deficiencies, including one at the harm level and three abuse-related, plus a $34,512 fine. The last inspection was April 2026, so the picture is recent. A 34-bed nonprofit in rural Cedar County can be a genuinely good fit for the right family, but ask hard questions about who's actually on shift, especially weekends.

C

64/100

Emerald Nursing & Rehab Cozad

Cozad, NE · Dawson County

CMS 1/5 67 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
65%
Serious cites
0

Emerald Nursing & Rehab Cozad runs on thinner nurse coverage than most homes, 3.50 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday level, so the hours when families visit are often the leanest. Annual turnover of 65.3% sits well above the 45.8% national figure, which matters because aides who know residents are the ones who notice changes first. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. The for-profit LLC structure and a one-star CMS staffing rating point to the same underlying issue: enough bodies to pass, not enough consistency to feel settled.

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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