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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 11121–11140 of 12,967, best-graded first.

C

64/100

Adept Nursing & Rehab Of Blue Hill

Blue Hill, NE · Webster County

CMS 1/5 62 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
69%
Serious cites
0

Adept Nursing & Rehab Of Blue Hill runs on 3.62 nurse hours per resident day, about 6% under the national average, and weekends dip roughly 9% below its own weekday staffing. That thin coverage shows up in the inspection record: 37 deficiencies, including one at the harm level and two tied to abuse, with a single $13,644 fine on file. The inspection that produced those findings is recent, dated April 2025. Annual turnover hits 68.9%, well above the 45.8% national figure, which means caregivers are cycling through quickly. It's a for-profit LLC with 62 certified beds, and the quality measure rating of 3/5 is the one place it looks average.

C

64/100

Jefferson Community Health & Life Gardenside

Fairbury, NE · Jefferson County

CMS 4/5 39 beds Non-profit Medicaid
Nurse hours
0.14 /day
Staff turnover
53%
Serious cites
0

Jefferson Community Health & Life Gardenside is a 39-bed nonprofit in Fairbury, and its inspection record is genuinely strong, a five-star health inspection rating, with five deficiencies on file and none rising to actual harm or jeopardy. The staffing number is where it falls apart. At 0.14 nurse hours per resident per day, this home reports roughly 96 percent less nursing time than the national average of 3.86, and weekends run about a third thinner than its own weekdays. Annual turnover sits at 53.3 percent against a national 45.8. Two of those five deficiencies are abuse-related, which matters more at a home this small. A clean inspection and almost no reported nursing hours can both be true at once, ask which one reflects daily life there.

C

64/100

Nashua Post Acute Care

Nashua, NH · Hillsborough County

CMS 1/5 290 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
48%
Serious cites
0

Nashua Post Acute Care runs 290 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86. Weekend coverage slips about 13 percent below the home's own weekday level, and annual turnover sits at 48.3 percent, higher than the 45.8 percent national figure. The inspection record shows 29 deficiencies, one tied to abuse, though none at the harm or jeopardy level. A recent inspection in November 2025 and a 1-out-of-5 health inspection rating round out the picture. Families should ask directly how the home covers weekends and what it's doing about retention.

C

64/100

Lafayette Center

Franconia, NH · Grafton County

CMS 1/5 72 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
55%
Serious cites
0

Lafayette Center is a 72-bed for-profit home in Franconia, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.58 hours per resident per day, about 7% under the national average, and it thins out further on weekends. Staff turnover runs near 55%, well above the national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of problems. The current inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, plus a $50,164 fine and a one-star health inspection rating. A May 2025 inspection is recent, so the picture reflects current conditions rather than old ones.

C

64/100

Fairview Nursing Home

Hudson, NH · Hillsborough County

CMS 1/5 101 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
97%
Serious cites
0

Fairview Nursing Home sits just barely above the national average for nurse staffing, 3.92 hours per resident day against 3.86, but that thin margin comes with a catch: weekends run roughly 8% leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The bigger number to sit with is turnover: 97.1% of staff leaving in a year, more than double the national rate of 45.8%, which means the aides and nurses caring for residents are, on average, still learning the building. Its inspection record shows 16 deficiencies, including two tied to abuse, and a one-star health inspection rating, though none of the current citations reached the level of actual harm or jeopardy.

C

64/100

Complete Care At Wayne Hills Rehab & Resp Center

Wayne, NJ · Passaic County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
35%
Serious cites
0

Complete Care At Wayne Hills runs 120 beds in Wayne under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average, with weekends dropping about 9 percent below its own weekday levels. The inspection record is the bigger problem: 34 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, plus two fines totaling $42,630. Staff turnover of 35.1 percent actually beats the national 45.8 percent, so retention isn't the issue here. The last inspection was recent, in December 2025, which means those findings are current, not stale.

C

64/100

Belen Meadows Healthcare And Rehabilitation Center

Belen, NM · Valencia County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
2.90 /day
Staff turnover
54%
Serious cites
0

Belen Meadows runs on thin staffing. At 2.90 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly 15% below its own weekday level, so the hours when families visit most are the hours coverage is weakest. The 1-star staffing rating reflects that. Turnover is 54% against a national 45.8%, meaning more than half the nursing staff leaves each year. The record shows 50 deficiencies, including one at harm level and two abuse-related. Inspections were recent, November 2025, and the health inspection rating is 4 stars, so the home gets surveyed closely and often. A corporate-owned, 120-bed building where the people providing daily care keep changing.

C

64/100

New Mexico State Veterans Home

Truth Or Consequences, NM · Sierra County

CMS 3/5 131 beds Government Medicaid
Nurse hours
6.02 /day
Staff turnover
84%
Serious cites
0

The New Mexico State Veterans Home in Truth Or Consequences runs 6.02 nursing hours per resident day, roughly 56% above the national average of 3.86, and weekend coverage stays within about 9% of weekday levels. That staffing cushion is doing real work, because the rest of the record is heavy: 65 deficiencies, 7 of them at harm or jeopardy level, 2 abuse-related, plus an $44,226 fine. Annual turnover hits 84.1% against a national 45.8%, meaning most of the people providing that generous staffing are new or on their way out. The last inspection was 2024-12-27, so the picture is current. Strong hours, unsettled workforce, and a long enforcement history, that combination is what drives the low overall grade.

C

64/100

Bear Canyon Rehabilitation Center

Albuquerque, NM · Bernalillo County

CMS 3/5 178 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
70%
Serious cites
0

Bear Canyon Rehabilitation Center runs 178 beds in Albuquerque under corporate for-profit ownership, and the staffing numbers are where your attention should go first. At 3.69 nurse hours per resident per day, it sits a bit under the national average, and weekends dip about 12% below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover is the bigger tell: 70.3% a year, well above the national 45.8%, meaning the people caring for residents are often new to the building. Its inspection record shows 67 deficiencies, five serious enough to involve harm or jeopardy, and $167,434 in fines across five penalties. A recent inspection in February 2025 means the picture is current, not stale.

C

64/100

Prestige Nursing Care & Rehab Center

Bronx, NY · Bronx County

CMS 2/5 400 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
37%
Serious cites
0

Prestige Nursing Care & Rehab Center runs 400 certified beds in the Bronx under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86, with weekends about 12% thinner than its own weekdays. Staff turnover is 37.1%, which is actually better than the 45.8% national figure, so retention isn't the weak spot here. The inspection record is: 12 deficiencies, one at harm or jeopardy level, two tied to abuse, and a single fine of $8,788. The most recent inspection was April 16, 2026. CMS gives it 3 stars for health inspections, 3 for staffing, but just 1 for quality measures.

C

64/100

Steuben Center For Rehabilitation And Healthcare

Bath, NY · Steuben County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
60%
Serious cites
0

Steuben Center runs 105 beds in Bath under corporate ownership, and its staffing numbers are the first thing worth noticing. At 3.69 nurse hours per resident day, it sits a bit under the national average, and weekends drop roughly 28% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 59.6% is well above the national 45.8%, meaning the aides and nurses caring for residents are frequently new. The inspection record shows 19 deficiencies, none at harm level and none abuse-related, with the last visit in May 2024. Quality measures score well; staffing is where this home is weakest.

C

64/100

Trustees Of Eastern Star Hall & Home Of The N Y S

Oriskany, NY · Oneida County

CMS 1/5 86 beds Non-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
65%
Serious cites
0

The Eastern Star home in Oriskany runs a nonprofit operation with 86 certified beds, and its staffing numbers are where the trouble starts: 3.42 nurse hours per resident day, about 11% under the national average, with weekend coverage dipping roughly 3% below its own weekday level. CMS gives staffing a single star, and that 65% annual turnover, well above the 45.8% national figure, means the people providing that care keep changing. Thirteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was November 2024. Quality measures also land at two stars. Nothing here suggests danger, but the pattern is thin coverage and a lot of churn.

C

64/100

Medford Multicare Center For Living

Medford, NY · Suffolk County

CMS 2/5 320 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
36%
Serious cites
0

Medford Multicare Center for Living runs 320 beds under corporate ownership, and its numbers pull in opposite directions. Nurse staffing sits at 3.91 hours per resident day, barely above the national average, but weekends drop about 12% below its own weekday levels, and CMS rates staffing just 1 out of 5. Turnover is 36.2%, better than the 45.8% national figure, so the people who stay tend to stay. What weighs heaviest is the inspection record: 31 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, with a $134,713 fine and a February 2025 inspection. Quality measures score well, but that's self-reported data. The state's findings are the ones worth trusting here.

C

64/100

Stanly Manor

Albemarle, NC · Stanly County

CMS 2/5 90 beds Non-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
68%
Serious cites
0

Stanly Manor runs 3.45 nurse staffing hours per resident day, roughly 11% under the national average, and weekends dip about 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 67.6% of nursing staff leaving annually against a national 45.8%, which means aides and nurses are cycling through the building faster than most. Inspections found 12 deficiencies on the current record, two serious enough to reach harm or jeopardy level, with $12,054 in fines. The last inspection was January 8, 2026, so the record is recent. Nonprofit ownership hasn't shielded this one from staffing strain or repeat survey problems.

C

64/100

Liberty Commons Nursing & Rehabilitation Center Of

Benson, NC · Johnston County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
51%
Serious cites
0

Liberty Commons runs leaner than the typical American nursing home, 3.44 nurse hours per resident day against a national 3.86, and it thins out further on weekends, dropping roughly 9% below its own weekday coverage. That staffing pattern shows up in the numbers: a 2-out-of-5 CMS staffing rating and 50.5% annual turnover, meaning about half the nursing workforce leaves each year. The inspection record is heavier still. Thirty-seven deficiencies on the current record, three serious enough to involve harm or jeopardy, plus two fines totaling $15,593. A 2-out-of-5 health inspection rating and a November 2025 inspection round out the picture. You're looking at a 100-bed corporate-owned home where the care hours are below average, the staff keeps changing, and regulators have documented repeated problems. Worth asking hard questions before choosing it.

C

64/100

Edith Lane Of Cincinnati

Cincinnati, OH · Hamilton County

CMS 2/5 167 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
—
Serious cites
0

Edith Lane Of Cincinnati runs 167 certified beds as a for-profit corporation, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, so the thinnest shifts get even thinner. The inspection record is the harder read: 72 deficiencies currently on file, three at harm or jeopardy level and six tied to abuse, plus two fines totaling $159,338. Its last inspection was April 2025, so the record is recent, not stale. Quality measures score well, but that's a narrow slice of the picture, staffing and survey results are where families should focus when weighing this one.

C

64/100

Spring Creek Nursing And Rehabilitation Center Llc

Green Springs, OH · Sandusky County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
41%
Serious cites
0

Spring Creek runs 120 certified beds in Green Springs under a for-profit LLC, and its staffing is the number that stands out. At 3.72 nurse hours per resident per day, it sits about 4% under the national average, and weekends drop roughly 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.3% is actually a bit better than the 45.8% national figure, which is the one bright spot. The inspection record is heavier: 31 deficiencies, including one at the harm level and two tied to abuse, plus a $77,618 fine. Its last inspection was February 2024.

C

64/100

Gardens Of North Olmsted

North Olmsted, OH · Cuyahoga County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
59%
Serious cites
0

Gardens Of North Olmsted runs on thinner nursing coverage than most homes, 3.27 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale. The inspection record is the bigger concern. The current file holds 56 deficiencies, including six tied to abuse, and the last full inspection was in December 2022, more than two years ago. A for-profit partnership operating 99 beds, this home also sees 58.5% of its nursing staff leave annually, well above the 45.8% national rate. Its quality measure scores look strong, but that data comes from the home's own reporting.

C

64/100

Marion Nursing & Rehab

Marion, OH · Marion County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
39%
Serious cites
0

Marion Nursing & Rehab is a for-profit, 99-bed home where the numbers point in different directions. Nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, and weekends run about 10 percent thinner than weekdays, a pattern that matters most when families visit and fewer hands are on the floor. Its 28 deficiencies include one at the harm level and one tied to abuse, alongside a $40,053 fine, and the most recent inspection was in February 2026. Staff turnover of 39.4 percent is actually better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record and low staffing rating are.

C

64/100

Grand River Health & Rehab Center

Painesville, OH · Lake County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
46%
Serious cites
0

Grand River Health & Rehab Center runs 80 certified beds in Painesville under corporate for-profit ownership, and its record has some hard edges. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends drop about 10% below the home's own weekday level. Turnover lands near the national rate at 46%, so that's not the outlier here, the inspection history is. Thirty-four deficiencies are on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine totaling $66,420 and a 2-out-of-5 inspection rating. The most recent inspection was May 2025, so the picture is current. Quality measures score well at 4/5, but strong clinical numbers don't offset a thin staffing margin and a serious deficiency pattern.

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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