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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 11181–11200 of 12,967, best-graded first.

C

64/100

Highlands Health And Rehabilitation Center

Memphis, TN · Shelby County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
54%
Serious cites
0

Highlands Health And Rehabilitation Center runs 180 beds in Memphis under corporate for-profit ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends run about 12% thinner than weekdays, and annual turnover is 53.6% against a national 45.8%. That combination shows up in the federal stars: 2 out of 5 for staffing and 2 for health inspections, with 16 deficiencies on the current record, one serious enough to reach harm or jeopardy level. No abuse citations, and quality measures score a middling 3. The last inspection was August 2022, so the record you're reading is more than a year old.

C

64/100

Wexford House

Kingsport, TN · Sullivan County

CMS 1/5 174 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
65%
Serious cites
0

Wexford House runs 174 beds in Kingsport, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. Weekends drop about 11% below the home's own weekday numbers, and annual turnover hits 65% against a national 45.8%, so the aides and nurses you'd see most often are changing faster than average. The current record lists 15 deficiencies, including two tied to abuse, though none rose to the harm or jeopardy level, and the last inspection was in June 2025. Quality measures score mid-range while staffing lands at the bottom of CMS's scale, which is where the C comes from.

C

64/100

Grandview Post Acute

Cookeville, TN · Putnam County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
54%
Serious cites
0

Grandview Post Acute runs 120 certified beds in Cookeville under corporate ownership, and its staffing numbers are genuinely above average, 4.42 nurse hours per resident day against a national 3.86. That's worth something. But turnover sits at 54.4% versus 45.8% nationally, and weekend coverage drops about 8% below its own weekday level, so the people providing that care keep changing. The inspection record is where things get harder to explain away: 37 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in May 2025. CMS rated health inspections and quality measures both 1 out of 5, staffing 2 out of 5. Above-average hours don't offset that pattern on their own.

C

64/100

Legacy Nursing And Rehabilitation

Bryan, TX · Brazos County

CMS 1/5 117 beds Government Medicaid
Nurse hours
3.00 /day
Staff turnover
47%
Serious cites
0

Legacy Nursing and Rehabilitation runs about 3.00 nurse hours per resident day, roughly 22% under the national average, and weekends dip about 15% below what the home staffs on weekdays. That thin coverage shows up in the federal staffing rating, which sits at the lowest mark, while annual turnover of 46.8% means close to half the nursing staff leaves each year, a bit above the national rate. Inspectors cited 38 deficiencies on the current record, including one at the harm level and one abuse-related, with a single fine of $12,375. The most recent inspection was in May 2025. Brazos County families comparing options should weigh that record against the home's mid-range quality scores.

C

64/100

Avir At The Meadow

Dallas, TX · Dallas County

CMS 1/5 184 beds For-profit Medicaid
Nurse hours
2.90 /day
Staff turnover
58%
Serious cites
0

The Meadows runs on 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips even further below its own weekday levels. The current record shows 32 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $35,731 in fines across two penalties. Staff turnover sits at 58.1%, well above the 45.8% national figure, under for-profit LLC ownership. The quality measure score of 4 out of 5 may look reassuring, but it stands against a 1 out of 5 inspection rating and a 2 out of 5 on staffing, the numbers families weigh most heavily. The most recent inspection was January 15, 2025, so the record is current.

C

64/100

Advanced Health & Rehab Center Of Garland

Garland, TX · Dallas County

CMS 1/5 139 beds Government Medicaid
Nurse hours
2.97 /day
Staff turnover
44%
Serious cites
0

Advanced Health & Rehab Center of Garland runs on 2.97 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 10% below its own weekday staffing. That thin coverage shows up in the inspection record: 41 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and three fines totaling $237,224. Staff turnover of 43.5% is slightly better than the national 45.8%, and the quality measure score is strong, but the staffing and inspection scores sit at the bottom. It's hospital-district owned and was inspected in April 2025. Ask about weekend nurse coverage and what changed since that inspection.

C

64/100

Spring Creek Healthcare Center

Salt Lake City, UT · Salt Lake County

CMS 2/5 92 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
77%
Serious cites
0

Spring Creek runs about 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip roughly another 10% below its own weekday coverage. Those two facts matter together, because the hours a resident actually gets are usually the thinnest on Saturdays and Sundays, exactly when families tend to visit and notice. The staff turnover number is the one I'd sit with: 76.8% annually, well above the 45.8% national figure. High churn means aides and nurses are constantly new to your mother's routine and preferences, and that shows up in the inspection record, 98 deficiencies, 26 of them serious enough to cause harm or put residents in jeopardy, plus six tied to abuse.

C

64/100

Sandy Health And Rehab

Sandy, UT · Salt Lake County

CMS 1/5 141 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
70%
Serious cites
0

Sandy Health and Rehab runs 141 certified beds under corporate ownership, and the numbers raise real questions. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average, and weekend coverage drops about 14% below what the home staffs on weekdays, which matters most when families visit and emergencies happen. Annual turnover of 69.7% is well above the national 45.8%, so the people caring for your relative are likely to change often. The inspection record is the harder read: 74 deficiencies, 13 at harm or jeopardy level, 5 abuse-related, and three fines totaling $89,798, with the most recent inspection in April 2025. Quality measures score well, but that's a narrow slice of the picture.

C

64/100

Rocky Mountain Care - Cottage On Vine

Murray, UT · Salt Lake County

CMS 3/5 61 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
70%
Serious cites
0

Rocky Mountain Care's Cottage On Vine is individually owned for profit, and the numbers show where that leaves residents. Nurse staffing sits at 3.43 hours per resident day, about 11% under the national average, and it thins out further on weekends, roughly 12% below the home's own weekday coverage. Staff turnover is the sharper problem: 70.4% annually, well above the 45.8% national figure, which means caregivers change constantly. The inspection record backs that up, 57 deficiencies, 10 serious enough to reach harm or jeopardy, 9 tied to abuse, and $78,946 in fines across two penalties. Quality scores look strong on paper, but a March 2025 inspection and a 2/5 staffing rating tell the more useful story.

C

64/100

Birchwood Terrace Rehab & Healthcare

Burlington, VT · Chittenden County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
57%
Serious cites
0

Birchwood Terrace runs 160 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.01 hours per resident day, about 4% above the national average of 3.86. That headline number is doing some work, though: weekends fall roughly 15% below the home's own weekday coverage, and annual turnover hits 56.8% against a national average of 45.8%, so the consistent caregiver you'd hope for is often not the one who shows up. The inspection record carries 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a single fine of $127,834. The most recent inspection was August 2025. CMS gives it middling marks on health inspections and quality measures but only 2 of 5 stars for staffing.

C

64/100

The Rehab Center At Bristol

Bristol, VA · Bristol City County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
48%
Serious cites
0

Nurse staffing at The Rehab Center At Bristol runs 3.94 hours per resident day, just above the national average, but weekends drop about 10% below its own weekday level, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The bigger concerns sit elsewhere: 33 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, plus a 1-out-of-5 rating on CMS quality measures. Staff turnover is 48.1%, higher than the 45.8% national average, and this for-profit limited liability company carries a $10,358 fine. Its last inspection was October 1, 2025, so that record is recent.

C

64/100

Avalon Care Center At Northpointe

Spokane, WA · Spokane County

CMS 2/5 119 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
62%
Serious cites
0

Avalon Care Center At Northpointe runs 119 certified beds on Spokane's north side under corporate for-profit ownership, and the numbers show real strain. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop about 14% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover hit 62% last year against a national 45.8%, which means many of the people caring for residents are still learning the building. The inspection record is the harder read: 74 deficiencies on file, including two at the harm level and four tied to abuse, with $84,614 in fines and a February 2025 inspection. The quality measure rating is strong, but that reflects charted clinical outcomes, not day-to-day consistency.

C

64/100

Bridges To Home

Shoreline, WA · King County

CMS 2/5 12 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Bridges To Home is a twelve-bed nonprofit home in Shoreline, and its inspection record is the main thing to know before you call. Fifteen deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, is a lot for a home this small, smaller buildings usually generate shorter lists, not longer ones. There's one fine on record, $8,278. The last inspection was August 4, 2025, so the findings are recent, not stale. With twelve beds, staffing is worth asking about directly: who covers nights, and what happens when someone calls out. Ask for the plan of correction and how the abuse-related findings were resolved.

C

64/100

Sistersville Center

Sistersville, WV · Tyler County

CMS 1/5 68 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
39%
Serious cites
0

Sistersville Center runs on 3.01 nurse staffing hours per resident day, roughly 22 percent under the national average, and weekends dip further, about 7 percent below its own weekday levels. The 68-bed for-profit home holds a one-star CMS inspection rating and has accumulated 68 deficiencies, including five at the harm or jeopardy level and nine tied to abuse; one fine of $38,255 is on record, and the most recent inspection was April 2, 2026. Staff turnover sits at 38.8 percent, better than the 45.8 percent national average, so the problem here isn't retention so much as thin coverage and a long history of inspection findings.

C

64/100

Shenandoah Center

Charles Town, WV · Jefferson County

CMS 2/5 78 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
42%
Serious cites
0

Shenandoah Center runs on 3.03 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip about 9% below its own weekday coverage. The inspection record shows 53 deficiencies, including 4 at the harm or jeopardy level and 3 tied to abuse, with four fines totaling $48,469. Staff turnover of 41.9% is a bit better than the 45.8% national figure, and the most recent inspection was March 2026, but a corporate-owned home with that many cited problems and thin daily coverage gives families real things to weigh before deciding.

C

64/100

Edenbrook Of Oshkosh

Oshkosh, WI · Winnebago County

CMS 3/5 110 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
60%
Serious cites
0

Nurse staffing at Edenbrook Of Oshkosh runs about 12% below the national average, at 3.39 hours per resident day, and it thins out further on weekends, roughly 10% less coverage than on weekdays. That matters because turnover sits at 59.8% against a national average of 45.8%, meaning nearly six in ten caregivers left over the past year, so the people on the floor are often new. The current inspection record shows 27 deficiencies, two of them abuse-related, with no violations at the harm level. Ownership is a for-profit limited liability company, and the most recent inspection was in March 2025.

C

64/100

Stevens Point Health Services

Stevens Point, WI · Portage County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
57%
Serious cites
0

Stevens Point Health Services runs 50 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national figure of 3.86. Weekends dip roughly 10% below the home's own weekday coverage, and annual turnover is 57.1% against a national average of 45.8%, so the aides and nurses your family sees may keep changing. The inspection record shows 48 deficiencies, including one at the harm level and seven tied to abuse. The most recent inspection was July 2025. Quality measure scores land at 1 out of 5 stars, meaning clinical outcomes like falls and infections trail what CMS expects.

C

64/100

Florence Health Services

Florence, WI · Florence County

CMS 1/5 73 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
45%
Serious cites
0

The inspection record is what stands out here: 46 deficiencies at last count, including nine tied to abuse and one at the harm or jeopardy level. A single-star health inspection rating backs that up, and the most recent survey was April 8, 2026, so the findings are current rather than old history. Nurse staffing sits at 3.65 hours per resident day, roughly 6% under the national average, and weekends drop about 6% below what the home staffs on weekdays. Turnover runs 45.3%, close to the national 45.8%, so retention isn't the outlier, the gaps are coverage and the survey record at this for-profit corporate home.

C

64/100

North Ridge Health And Rehabilitation Center

Manitowoc, WI · Manitowoc County

CMS 2/5 94 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
51%
Serious cites
0

North Ridge runs 94 certified beds in Manitowoc under corporate for-profit ownership, and its nurse staffing sits at 3.91 hours per resident day, barely above the national average of 3.86, about a 1% edge. That thin margin matters because weekends drop roughly 7% below the home's own weekday levels, and turnover runs 50.8% against a national 45.8%. The inspection record shows 49 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $12,740 fine and a December 2025 inspection. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5.

C

64/100

Lindengrove Menomonee Falls

Menomonee Falls, WI · Waukesha County

CMS 1/5 73 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
62%
Serious cites
0

Lindengrove Menomonee Falls runs a nonprofit home with 73 certified beds, and the raw staffing number looks fine, 4.17 nurse hours per resident day, roughly 8% above the national average. The trouble shows up in the details around it. Weekend coverage drops about 8% below its own weekday level, and annual turnover sits at 61.8% against a national average of 45.8%, so the people providing that care cycle through quickly. The inspection record is the harder problem: 54 deficiencies on the current record, six at the harm or jeopardy level, six tied to abuse, and $142,393 in CMS fines across two penalties. The most recent inspection was March 3, 2025.

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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