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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 11201–11220 of 12,967, best-graded first.

C

64/100

Columbus Health And Rehab

Columbus, WI · Columbia County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
48%
Serious cites
0

Columbus Health And Rehab runs 50 certified beds under corporate for-profit ownership, and the staffing numbers tell a mixed story. At 3.64 nurse hours per resident day, it sits roughly 6% under the national average of 3.86, and weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 47.8%, a couple points above the national 45.8%. The inspection record is the bigger concern: 22 deficiencies, including one at the harm or jeopardy level and three tied to abuse. CMS rates health inspections and quality measures 2 out of 5, staffing 3 out of 5, with the most recent inspection in May 2026.

C

64/100

Spring Valley Health And Rehab Center

Spring Valley, WI · Pierce County

CMS 1/5 40 beds Government Medicaid
Nurse hours
3.99 /day
Staff turnover
64%
Serious cites
0

Spring Valley Health and Rehab Center is city/county-owned and small, just 40 beds, with nurse staffing at 3.99 hours per resident day, a bit above the national average of 3.86. That's the good news. The trouble shows up in consistency and oversight: weekend staffing drops about 12% below weekday levels, and annual turnover sits at 64.4% against a national average of 45.8%, meaning the people caring for residents are constantly changing. The inspection record backs that up, 38 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, plus $27,690 in fines. The last inspection was December 2025, so the record is current, and what's on it isn't reassuring.

C

64/100

St. Anne's Salvatorian Campus

Milwaukee, WI · Milwaukee County

CMS 1/5 50 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
46%
Serious cites
0

St. Anne's Salvatorian Campus runs on a nonprofit model with 50 beds, and its nurse staffing sits at 4.02 hours per resident day, a bit above the national average of 3.86. That's the good news. The rest is harder: 61 deficiencies on the current record, seven of them at harm or jeopardy level and six tied to abuse, plus two fines totaling $326,060. Staff turnover matches the national rate at 45.8%, and weekend coverage drops about 8% below weekdays. The last inspection was November 2024. A 1-out-of-5 inspection rating and 2-out-of-5 on quality measures tell you where the problems concentrate, and it isn't staffing hours on paper.

C

64/100

Goshen Healthcare Community

Torrington, WY · Goshen County

CMS 3/5 103 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
46%
Serious cites
0

Goshen Healthcare Community runs 103 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The 45.8% annual turnover matches the national figure, but the inspection record is the heavier concern: 25 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $29,617 fine. The most recent inspection was July 24, 2025. If you're weighing this one, ask specifically how the abuse-related findings were resolved and what weekend coverage actually looks like.

C

64/100

White Blossom Care Center

San Jose, CA · Santa Clara County

CMS 2/5 153 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
54%
Serious cites
0

White Blossom Care Center runs 153 beds in San Jose under for-profit LLC ownership, and its headline staffing number, 4.03 nurse hours per resident day, sits only about 4% above the national average. That thin margin doesn't hold up on weekends, when coverage drops roughly 11% below the home's own weekday level, and annual turnover of 54.3% runs well past the national 45.8%. The inspection record is where the real weight sits: 49 deficiencies, two at harm or jeopardy level, one tied to abuse, and $97,997 in fines, with the most recent inspection dated March 2026. Strong quality-measure scores don't offset a record that heavy.

C

64/100

River Walk Care Center

Porterville, CA · Tulare County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
48%
Serious cites
0

River Walk Care Center reports 4.14 total nurse hours per resident day, about 7% above the national average of 3.86, but that staffing advantage thins on weekends, when hours drop roughly 10% below the home's own weekday levels. Turnover sits at 47.8%, slightly above the 45.8% national figure, and the limited liability company that owns the 99-bed home carries 51 deficiencies on its current record, including three at the harm or jeopardy level and two tied to abuse, plus $164,778 in fines across three penalties. The last inspection was February 26, 2026, so the record is recent. A 4/5 quality measure score stands out against 2/5 marks for staffing and health inspections.

C

64/100

Cherokee Rose Nursing & Rehabilitation

Glen Rose, TX · Somervell County

CMS 3/5 102 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
—
Serious cites
0

Cherokee Rose runs lean on nurses. At 3.20 hours per resident day, its staffing sits about 17 percent under the national average, and weekends drop roughly another 20 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. That shows up in the staffing star rating, which comes in at 1 out of 5, even as the health inspection rating holds at 4 out of 5. The current record carries 18 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent inspection was March 2026. Quality measures rate 2 out of 5. Corporate-owned, 102 beds. Strong recent inspections, weak day-to-day staffing.

C

64/100

Colonial Manor Advanced Rehab & Healthcare

Pharr, TX · Hidalgo County

CMS 1/5 123 beds Government Medicaid
Nurse hours
3.42 /day
Staff turnover
39%
Serious cites
0

Colonial Manor runs on 3.42 nurse hours per resident per day, roughly 11% under the national average, and weekends dip another 7% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The inspection record is the harder problem: 43 deficiencies, six serious enough to reach harm or jeopardy, six tied to abuse, and four fines totaling $87,564, all from a for-profit LLC operating 123 beds. Staff turnover at 39.2% actually beats the national 45.8%, which tells you the building can hold workers, the trouble is how few of them there are and what inspectors keep finding.

C

64/100

Chisolm Trail Nursing And Rehabilitation Center

Lockhart, TX · Caldwell County

CMS 2/5 96 beds For-profit Medicaid
Nurse hours
2.72 /day
Staff turnover
—
Serious cites
0

Chisolm Trail runs a 96-bed for-profit home in Lockhart, and the numbers point in two directions at once. Resident outcomes look good on the federal quality measures, but staffing sits at 2.72 nurse hours per resident day, roughly 29 percent under the national average, and weekends drop about 16 percent below the home's own weekday coverage. The inspection record shows 24 deficiencies, including one at the harm level and two tied to abuse, plus a $37,541 fine; the most recent inspection was in August 2025. If you're weighing this one, ask how they cover weekends and what changed after that harm citation.

C

64/100

Willowcreek Rehab And Nursing

Abilene, TX · Taylor County

CMS 2/5 96 beds For-profit Medicaid
Nurse hours
2.74 /day
Staff turnover
58%
Serious cites
0

Willowcreek runs on 2.74 nurse hours per resident day, roughly 29% under the national average, and the weekend gap makes that thinner when families visit most. Staff turnover sits at 57.7% against a 45.8% national figure, so aides and nurses cycle through faster than residents can get used to them. The inspection record shows 24 deficiencies, including one at the harm level and one abuse-related, with a $23,794 fine and a 2-out-of-5 health inspection rating. Quality measures score well, but that's largely charting, and a 1-out-of-5 staffing rating tells you where the daily experience likely lands.

C

64/100

Val Verde Nursing And Rehabilitation Center

Del Rio, TX · Val Verde County

CMS 2/5 76 beds Government Medicaid
Nurse hours
3.24 /day
Staff turnover
31%
Serious cites
0

Val Verde runs lean on direct care: 3.24 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday staffing. That's a real gap, not a rounding error, and it likely shows up on Saturday afternoons. Turnover is the bright spot, 31.1% versus 45.8% nationally, so the people who are there tend to stay. But the record holds 30 deficiencies, including two at harm level and three tied to abuse, plus a $138,908 fine. Inspectors were last in on June 6, 2025. Nonprofit ownership doesn't erase those numbers; staffing and past problems both matter when you weigh this one.

C

64/100

Avir At Monahans

Monahans, TX · Ward County

CMS 3/5 92 beds Government Medicaid
Nurse hours
2.74 /day
Staff turnover
74%
Serious cites
0

Avir At Monahans runs on a government-hospital-district license and 92 certified beds, and its nursing hours come in at 2.74 per resident day, roughly 29% under the national average of 3.86. That thin coverage thins further on weekends, when staffing drops about 9% below its own weekday level, and the aide and nurse turnover rate sits at 74% against a national 45.8%. The record shows 35 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. Quality measures score well, but the staffing picture is what shapes daily life here.

C

64/100

Uvalde Healthcare And Rehabilitation Center

Uvalde, TX · Uvalde County

CMS 2/5 115 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
54%
Serious cites
0

Uvalde Healthcare and Rehabilitation Center runs 115 certified beds under for-profit LLC ownership, and its staffing is the number that stands out for the wrong reason: 3.38 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday level. Turnover sits at 53.8%, well above the 45.8% national figure, meaning nearly six in ten staff left within the year. The current inspection record carries 33 deficiencies, six at harm or jeopardy level and three abuse-related, along with five fines totaling $96,040. The most recent inspection was June 11, 2026. Whatever the quality measure score suggests, thin and unstable staffing paired with that deficiency history is what families should weigh.

C

64/100

Conroe Health Care Center

Conroe, TX · Montgomery County

CMS 2/5 108 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
53%
Serious cites
0

Conroe Health Care Center runs 108 certified beds as a nonprofit, and the numbers tell a mixed story. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 5% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Staff turnover is 52.6%, notably worse than the 45.8% national figure, which matters because constant churn makes consistent care harder. The current inspection record shows 20 deficiencies, two serious enough to involve harm or jeopardy, plus one fine of $12,860; the most recent inspection was April 11, 2025. Quality measures rate mid-range, but inspections and staffing are the weaker spots here.

C

64/100

Friendship Haven Healthcare And Rehabilitation Cen

Friendswood, TX · Galveston County

CMS 4/5 150 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
50%
Serious cites
0

Friendship Haven runs about 3.20 nurse hours per resident per day, roughly 17% under the national average, and weekends dip about 9% below its own weekday staffing. Employee turnover sits at 50.4%, above the 45.8% national figure. Texas records show 17 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, plus an $8,018 fine; the last inspection was November 2024. The health inspection rating is strong at 4 out of 5, but that sits alongside a 2 out of 5 staffing rating. For a 150-bed for-profit home, the pattern is consistent: care standards look good on paper while the day-to-day staffing that delivers them runs thin.

C

64/100

The Villa At Mountain View

Dallas, TX · Dallas County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
48%
Serious cites
0

The Villa at Mountain View runs 3.31 nurse staffing hours per resident day, roughly 14% under the national average of 3.86, and weekends drop about 9% below its own weekday levels. That matters when you consider the record: 36 deficiencies, four of them at the harm or jeopardy level, one tied to abuse, plus three fines totaling $33,580. Staff turnover sits at 48.3%, a few points above the national 45.8%, and the most recent inspection was May 2025. Ownership is for-profit corporate, with 120 certified beds. The quality measure score looks strong on paper, but the staffing and inspection numbers describe a building where care depends heavily on who happens to be working that day.

C

64/100

Avir At Dripping Springs

Dripping Springs, TX · Hays County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
69%
Serious cites
0

Avir At Dripping Springs runs 60 certified beds under corporate ownership, and the staffing numbers are the part that should get your attention. At 2.80 nurse hours per resident day, it sits about 27% under the national average of 3.86, and weekend coverage dips roughly 9% below its own weekday level. Annual turnover hits 68.6% against a national 45.8%, so the people caring for residents are cycling through fast. The inspection record is genuinely strong, a 5/5 star rating and a clean December 2025 survey, with no deficiencies at the harm level. But 13 deficiencies on file, one abuse-related, plus a 1/5 staffing star, means the day-to-day coverage is where the risk lives.

C

64/100

Maverick Nursing And Rehabilitation Center

Eagle Pass, TX · Maverick County

CMS 2/5 114 beds Non-profit Medicaid
Nurse hours
2.93 /day
Staff turnover
47%
Serious cites
0

Maverick Nursing and Rehabilitation Center runs on a thin margin of nursing hours: 2.93 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday coverage. That staffing picture, not the inspection record, is what drags the home down, CMS gives it just one star for staffing even though inspections earned four and quality measures three. Turnover sits at 47.1%, slightly above the 45.8% national figure. Twenty-six deficiencies are on file, one serious enough to reach harm or jeopardy level, with a single fine of $15,642; the most recent inspection was December 12, 2025. If you're weighing this one, ask how they cover weekends.

C

64/100

Providence Park Rehabilitation And Skilled Nursing

Tyler, TX · Smith County

CMS 2/5 125 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
41%
Serious cites
0

Providence Park runs 3.24 nurse hours per resident per day, about 16 percent under the national average, and weekends drop another 13 percent below its own weekday staffing. The 125-bed for-profit has 23 deficiencies on its current record, two of them at the harm or jeopardy level, with two fines totaling $188,361. Its most recent inspection was June 18, 2025, and the health inspection rating sits at 2 of 5 stars. Staff turnover of 40.9 percent is slightly better than the 45.8 percent national figure, but a 2-star staffing rating paired with that many deficiencies is the real story here.

C

64/100

Heritage Park Of Katy Nursing And Rehabilitation

Katy, TX · Harris County

CMS 3/5 118 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
44%
Serious cites
0

Heritage Park Of Katy runs on 2.86 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 7% below its own weekday staffing. That thin coverage sits behind a two-star CMS staffing rating, even though turnover at 43.5% is slightly better than the 45.8% national figure. The inspection record shows 17 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with one fine of $25,508; the last inspection was November 2024. Owned by a hospital district, this home carries three stars each for health inspections and quality measures, middling marks that don't offset the low staffing.

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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