ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 1101–1120 of 12,967, best-graded first.

A

90/100

Souderton Mennonite Homes

Souderton, PA · Montgomery County

CMS 5/5 71 beds Non-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
36%
Serious cites
0

Souderton Mennonite Homes runs a 71-bed nonprofit operation in Montgomery County, and the staffing numbers are the story here: 4.46 nurse hours per resident day, roughly 16% above the national average. That matters more than any single inspection finding, since hands-on time is what families actually feel. Weekend coverage dips about 10% below its own weekday level, which is worth asking about directly. Staff turnover sits at 35.9%, well under the 45.8% national figure, a sign people stay. The current record shows nine deficiencies, none at the harm level, though one is abuse-related and deserves a specific question. The last inspection was April 2026; ask what's happened since.

A

90/100

Frederick Living - Cedarwood

Frederick, PA · Montgomery County

CMS 5/5 61 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
40%
Serious cites
0

Frederick Living - Cedarwood runs on 4.80 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home. That extra coverage dips about 11% on weekends, which is worth knowing if your visits fall on Saturdays or Sundays. The record is otherwise hard to argue with: one deficiency total, none involving harm or abuse, and a September 2024 inspection. Staff turnover sits at 39.5%, better than the 45.8% national figure, though still meaning a good share of caregivers leave each year. As a nonprofit, it isn't answering to shareholders. Five stars for both inspections and staffing, four for quality measures, the weak spot, relatively speaking, is clinical outcomes, not the care environment itself.

A

90/100

Homestead Village, Inc

Lancaster, PA · Lancaster County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
36%
Serious cites
0

Homestead Village sits in Lancaster with 60 certified beds and a nonprofit owner, and the numbers behind its grade are mostly about consistency. Nurse staffing runs 5.11 hours per resident day, roughly a third above the national average of 3.86, and weekend coverage dips only about 4% below weekdays, so care doesn't thin out when families tend to visit. Staff turnover is 36.2%, meaningfully lower than the 45.8% national figure, which matters for residents who need familiar faces. The tradeoff is a record of 9 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Its last inspection was March 2026, so the picture is current.

A

90/100

Fellowship Manor

Whitehall, PA · Lehigh County

CMS 5/5 121 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
31%
Serious cites
0

Fellowship Manor runs on 4.65 nurse hours per resident per day, roughly a fifth more staffing than the typical American nursing home, and that shows up in the government's staffing rating. Weekend coverage does dip about 10% below weekday levels, so ask how that plays out on Saturdays and Sundays. The nonprofit's staff turnover sits at 31.1% against a national average near 46%, which matters because consistent caregivers know the residents. Inspections in June 2025 turned up just three deficiencies, none causing harm, though one was abuse-related, worth asking about directly. A 3/5 on quality measures is the soft spot here; the staffing and inspection numbers are the stronger part of the picture.

A

90/100

Cumberland Crossings Retirement Community

Carlisle, PA · Cumberland County

CMS 5/5 58 beds Non-profit Medicaid
Nurse hours
4.67 /day
Staff turnover
32%
Serious cites
0

Cumberland Crossings is a church-affiliated nonprofit in Carlisle with 58 certified beds, and its staffing is the standout: 4.67 nurse hours per resident day against a national average of 3.86. Weekend coverage dips roughly 12% below its own weekday level, but the bigger picture holds up, annual turnover sits at 31.5% while the national average runs 45.8%, which matters for whether your parent sees the same faces month to month. Inspections are clean where it counts: a 5/5 health inspection rating, eight deficiencies on record, none at the harm level and none abuse-related, with the most recent visit in May 2026. Quality measures rate 3/5, the one lukewarm spot in an otherwise strong record.

A

90/100

Darway Healthcare And Rehabilitation Center

Forksville, PA · Sullivan County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
28%
Serious cites
0

Darway Healthcare and Rehabilitation Center in Forksville runs 67 beds under for-profit LLC ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, with weekends roughly 5% lighter than weekdays, so coverage thins out a bit when families tend to visit. Where it stands out is retention: 27.6% turnover against a national 45.8% means aides and nurses largely stay put, which matters more for daily care than a single staffing figure. Sixteen deficiencies appear on the current record with none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The last inspection was December 2025.

A

90/100

Artman Lutheran Home

Ambler, PA · Montgomery County

CMS 5/5 61 beds Non-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
37%
Serious cites
0

Artman Lutheran Home sits in Ambler with 61 certified beds and a church-affiliated nonprofit owner. The staffing numbers are the real story here: 5.39 nurse hours per resident day, roughly 40% above the national average, with turnover at 36.8% compared to 45.8% nationally, a workforce that stays longer than most. Weekend coverage dips about 11% below weekday levels, worth asking about if your family visits mainly on Saturdays. Inspections show a 4/5 health rating and 17 total deficiencies, none at harm or jeopardy level, though three are abuse-related and should be asked about directly. The last inspection was May 2026, so the record is recent.

A

90/100

Stoneridge Poplar Run

Myerstown, PA · Lebanon County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
6.69 /day
Staff turnover
54%
Serious cites
0

Stoneridge Poplar Run runs 60 certified beds as a nonprofit, and the staffing number is the one that stands out: 6.69 nurse hours per resident day, roughly 73% above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so the schedule thins out some but stays well above what most homes provide. The trade-off sits in retention, 53.7% annual turnover against a national 45.8%, meaning a good share of that generous staffing is delivered by people still learning the building. Eleven deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated November 2025.

A

90/100

Inn At Freedom Village,The

West Brandywine, PA · Chester County

CMS 5/5 60 beds For-profit
Nurse hours
4.65 /day
Staff turnover
39%
Serious cites
0

The Inn at Freedom Village runs 60 certified beds in West Brandywine, and its nurse staffing sits around 4.65 hours per resident day, roughly a fifth above the national average of 3.86. Weekend coverage does dip about 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 38.6%, better than the 45.8% national figure but still meaning more than a third of the workforce leaving in a year. The current record shows five deficiencies, none at the harm or jeopardy level, though one is abuse-related. Ownership is a for-profit corporation.

A

90/100

Concordia At Spiritrust Utz Terrace

Hanover, PA · Adams County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
49%
Serious cites
0

Concordia At Spiritrust Utz Terrace runs 4.19 nurse hours per resident day, roughly 8% above the national average of 3.86, and that staffing shows up in the weekend numbers too, which dip about 8% below the home's own weekday level rather than falling off a cliff. The current record carries 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated May 2026, so the picture is recent and clean where it counts. Turnover sits at 48.9%, a bit above the 45.8% national average, which is worth asking about directly. Forty beds under nonprofit ownership, strong marks across inspection, quality, and staffing stars.

A

90/100

Christ's Home Retirement Community

Warminster, PA · Bucks County

CMS 5/5 48 beds Non-profit
Nurse hours
5.06 /day
Staff turnover
40%
Serious cites
0

Christ's Home in Warminster runs a 48-bed nonprofit operation where the direct-care numbers stand out. At 5.06 nurse hours per resident day, staffing sits roughly 31 percent above the national average of 3.86, and the weekend dip of about 6 percent from its own weekday level is modest compared with what many homes show. Annual turnover of 40.3 percent also comes in under the national 45.8 percent, which matters for consistency of care. The inspection record is short: four deficiencies total, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. With a February 2026 inspection on file and five stars for health inspections, this is a small home whose recent record looks steady.

A

90/100

Alternative Healthcare Solutions Llc

San Juan, PR · San Juan County

CMS 4/5 22 beds For-profit
Nurse hours
4.54 /day
Staff turnover
32%
Serious cites
0

Alternative Healthcare Solutions in San Juan runs a small house, 22 certified beds, and it's staffed well above what's typical nationally, at 4.54 nurse hours per resident day compared to the 3.86 average. Weekend coverage does thin out, running roughly a quarter below its own weekday level, and the 31.8% annual turnover is worth noting even though it sits below the 45.8% national figure. The tradeoff shows up in the inspection record: 33 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent survey from December 2024. For-profit LLC ownership, a middling 3-star inspection rating, and strong staffing together describe a home that's well-covered day to day but has accumulated paperwork-level problems over time.

A

90/100

Nhc Healthcare - Laurens

Laurens, SC · Laurens County

CMS 5/5 176 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
18%
Serious cites
0

Nhc Healthcare - Laurens runs 176 certified beds under for-profit LLC ownership, and its last health inspection came in March 2025. The current record shows six deficiencies, one serious enough to reach harm or jeopardy and one tied to abuse, that combination is what weighs down an otherwise strong profile. Staff turnover sits at 18.1%, well under the national 45.8%, so the same caregivers tend to stay. Daily nurse staffing of 3.63 hours per resident is about 6% under the national 3.86, and weekends run roughly 15% lighter than weekdays. The quality and staffing star ratings both hit 5/5; inspections landed at 3/5.

A

90/100

Still Hopes Episcopal Retirement Community

West Columbia, SC · Lexington County

CMS 5/5 22 beds Non-profit
Nurse hours
7.61 /day
Staff turnover
—
Serious cites
0

Still Hopes Episcopal Retirement Community runs 22 certified beds in West Columbia, and the nurse staffing number stands out: 7.61 hours per resident day against a national average of 3.86. Weekends dip about 21% below the home's own weekday coverage, so the floor is thinner on Saturdays and Sundays even though the overall level stays high. The inspection record is clean where it counts, four deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent visit in June 2025. A nonprofit corporation operates it, and both the health inspection and quality measure ratings sit at five stars.

A

90/100

Avera Brady Health And Rehab

Mitchell, SD · Davison County

CMS 5/5 84 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
43%
Serious cites
0

Avera Brady in Mitchell runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average, and turnover of 43.4% is slightly better than the typical 45.8%, both signs of a stable, adequately staffed floor. The catch: weekend coverage dips about 12% below its own weekday level, so care may thin out on Saturdays and Sundays. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2026. For a nonprofit home of 84 beds, that's a clean recent record.

A

90/100

Johnson Cntr/Falcons Landing

Potomac Falls, VA · Loudoun County

CMS 5/5 60 beds Non-profit
Nurse hours
4.55 /day
Staff turnover
39%
Serious cites
0

Falcons Landing sits in Potomac Falls with 60 certified beds and a nonprofit owner, and the numbers behind its record are steady rather than flashy. Nurse staffing runs 4.55 hours per resident day, about 18% above the national average, and weekend coverage barely dips below weekday levels, a gap that trips up plenty of homes. Staff turnover is 39%, better than the 45.8% national figure, which matters for residents who value seeing the same faces. The health inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in May 2023. Four and five stars across inspections, quality measures, and staffing tell a consistent story.

A

90/100

Riverside Lifelong Health & Rehabilitation Sanders

Gloucester, VA · Gloucester County

CMS 5/5 55 beds Non-profit
Nurse hours
4.59 /day
Staff turnover
35%
Serious cites
0

Riverside Lifelong Health & Rehabilitation Sanders runs on unusually deep nurse staffing, 4.59 hours per resident day, roughly 19% above the national average, which is the main reason it holds a 5-star staffing rating. Weekends dip about 12% below its own weekday coverage, so ask how that plays out on a Saturday. The 34.6% turnover is better than the 45.8% national figure but still means about a third of staff left in a year. Inspections in July 2023 turned up 23 deficiencies, including one at the harm level and one abuse-related, which sits oddly beside the 4-star inspection rating. Nonprofit ownership, 55 beds, quality measures middling at 3 stars.

A

90/100

King's Grant Lacy Health Center

Martinsville, VA · Martinsville City County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
5.00 /day
Staff turnover
31%
Serious cites
0

King's Grant Lacy Health Center runs on a nonprofit model with 32 certified beds, and the staffing numbers stand out: 5.00 total nurse hours per resident day, roughly 30% above the national average of 3.86. That level of coverage matters most on weekends, and while weekend staffing does dip about 12% below its own weekday level, it stays well above what most homes provide. Staff turnover is 30.6%, noticeably lower than the 45.8% national average, experienced caregivers tend to know residents better. The inspection record is clean: two total deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in September 2023. Quality measures rate a middle 3 out of 5, the one area with room to improve.

A

90/100

Our Lady Of Perpetual Help

Virginia Beach, VA · Virginia Beach City County

CMS 5/5 30 beds Non-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
32%
Serious cites
0

Our Lady of Perpetual Help is a 30-bed nonprofit home in Virginia Beach, and the staffing numbers are the story here. At 4.15 nurse hours per resident day, it runs about 7% above the national average, and its staff turnover of 32.1% sits well below the 45.8% national rate, that kind of retention matters in a building this small, where one departure is felt. Weekend staffing dips about 6% below its own weekday level, worth asking about if you're planning visits. The inspection record shows 17 deficiencies, none at harm or jeopardy level, though three are abuse-related, and the most recent inspection was in June 2025. Worth reading those three closely before deciding.

A

90/100

Queen Anne Healthcare

Seattle, WA · King County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.84 /day
Staff turnover
38%
Serious cites
0

Queen Anne Healthcare runs on 4.84 nurse hours per resident day, about 25 percent more staffing than the national average, and its turnover sits at 38.2 percent against a national 45.8 percent, both point to a home that keeps people and has enough of them. The trade-off is consistency on weekends, when hours dip roughly 12 percent below the weekday level. A five-star inspection rating with zero deficiencies at the harm or jeopardy level and none tied to abuse, on a record of 30 total, is a clean if not spotless paper trail. The current inspection is recent, dated May 2026, so what you're seeing is close to present-tense.

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