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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 11221–11240 of 12,967, best-graded first.

C

64/100

Cibolo Creek

Boerne, TX · Kendall County

CMS 2/5 120 beds Government Medicaid
Nurse hours
3.00 /day
Staff turnover
61%
Serious cites
0

Cibolo Creek runs on thinner nurse coverage than most homes in the country, 3.00 hours per resident day against a national average of 3.86, and it gets thinner on weekends, when staffing drops about 14% below its own weekday level. That's the kind of gap that shows up when a resident needs help on a Saturday night. The inspection record backs up the concern: 26 deficiencies, four of them at the harm or jeopardy level and three tied to abuse. Staff turnover sits at 60.8%, well above the 45.8% national average, meaning familiar faces are hard to keep. Hospital district ownership doesn't offset any of this. Quality measures score well, but the staffing and inspection numbers are what a family should weigh.

C

64/100

The Pavilion At Creekwood

Mansfield, TX · Tarrant County

CMS 2/5 126 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
47%
Serious cites
0

The Pavilion At Creekwood runs 126 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national average of 3.86. Weekends are thinner still, about 13% below its own weekday level, and turnover lands at 47%, slightly above the 45.8% national figure. The inspection record shows 24 deficiencies, four of them at harm or jeopardy level, with three fines totaling $39,674 and a 2/5 health inspection star. Quality measures score 4/5, but that doesn't offset the staffing and inspection picture. The most recent inspection was April 14, 2026, so the record is current.

C

64/100

The Healthcare Resort Of Plano

Plano, TX · Collin County

CMS 3/5 70 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
55%
Serious cites
0

The Healthcare Resort Of Plano runs 70 certified beds as a nonprofit, and its staffing sits just under the national average at 3.82 nurse hours per resident day. The bigger issue is consistency: weekends drop about 9% below its own weekday coverage, and annual turnover hits 54.8% against a national 45.8%, meaning more than half the nursing staff turns over each year. That churn shows up on the inspection side too, 25 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $16,438 in fines across two events, with the most recent inspection in June 2025. Nothing here is catastrophic, but the pattern is a home running thin on staff and paying for it in citations.

C

64/100

Fox Hollow Post Acute

Brownsville, TX · Cameron County

CMS 1/5 126 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
47%
Serious cites
0

Fox Hollow Post Acute runs 126 beds in Brownsville under for-profit LLC ownership, and its nurse staffing sits at 3.02 hours per resident day, roughly 22% under the national average, with weekend coverage dropping another 14% below its own weekday level. The inspection record shows 28 deficiencies, including three at the harm or jeopardy level and one tied to abuse, plus four fines totaling $77,232 and a recent inspection date of January 22, 2026. Staff turnover lands at 47%, just above the 45.8% national figure. The quality measure rating of 4 out of 5 stands out against a 1 out of 5 on both health inspections and staffing, worth asking what's driving that gap before you decide.

C

64/100

Cypress Springs Wellness & Rehabilitation

Mount Vernon, TX · Franklin County

CMS 2/5 95 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
81%
Serious cites
0

Cypress Springs runs 95 certified beds in Mount Vernon as a for-profit LLC, and the numbers a family should sit with are the workforce ones. Total nurse staffing sits at 3.57 hours per resident day, about 8% under the national figure, and weekends drop roughly another 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 81.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Inspections in June 2025 turned up 22 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a $29,438 fine on record. Quality measures score well; consistent hands-on care is the open question.

C

64/100

Lavaca Bay Nursing And Rehabilitation Center

Port Lavaca, TX · Calhoun County

CMS 1/5 130 beds Government Medicaid
Nurse hours
2.99 /day
Staff turnover
51%
Serious cites
0

Lavaca Bay runs on 2.99 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% below its own weekday staffing. That thin coverage shows up in the record: 37 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus $21,720 in fines across two penalties. Turnover sits at 51.4%, higher than the 45.8% national figure, so residents see a rotating cast of caregivers. The hospital district ownership doesn't change the math here, the staffing rating reflects the hours actually worked, not who signs the paycheck.

C

64/100

The Brixton At Horseshoe Bay

Horseshoe Bay, TX · Llano County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
58%
Serious cites
0

The Brixton at Horseshoe Bay runs 3.69 nurse hours per resident day, about 4% under the national average, and weekend coverage drops roughly 13% below its own weekday level, so the thinnest staffing tends to land when families visit. Annual turnover sits at 57.8%, well above the 45.8% national figure, which at 120 beds means a lot of unfamiliar faces. Inspectors cited 10 deficiencies on the current record, one serious enough to involve harm or jeopardy, and a single fine of $85,007. The most recent inspection was June 26, 2025. A for-profit LLC operates the home.

C

63.5/100

Diamondback Healthcare Center

Phoenix, AZ · Maricopa County

CMS 3/5 94 beds For-profit Medicaid
Nurse hours
4.91 /day
Staff turnover
72%
Serious cites
0

Diamondback Healthcare Center runs 4.91 nurse hours per resident day, about 27% above the national average of 3.86. That's a lot of hands on deck during the week. But weekend staffing drops roughly 15% below its own weekday level, and annual turnover sits at 72.1% against a national 45.8%, meaning nearly three-quarters of the nursing staff leaves each year. Ten deficiencies sit on record, none at the harm level, though two are abuse-related, with $5,073 in fines across two incidents. Inspections are recent, and quality and health inspection ratings both land at 4 of 5. The pattern: good weekday coverage, churning staff, and a state survey that hasn't found serious harm.

C

63.5/100

Windsor Gardens Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 1/5 98 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
52%
Serious cites
0

Windsor Gardens runs 98 beds in Los Angeles under for-profit LLC ownership, and the inspection record is where families should focus first. Ninety deficiencies sit on the current record, including three at the harm or jeopardy level and five tied to abuse, that's a pattern, not a one-time slip. The 1-out-of-5 health inspection rating reflects it, and the last inspection in April 2026 was recent enough that this picture is current. Staffing is thin in a quieter way: 3.84 nurse hours per resident day, just under the national average, with weekends running about 5% below weekdays. Annual turnover of 51.9% means more than half the nursing staff leaves each year, well above the national 45.8%.

C

63.5/100

Tower Road Post Acute, Llc

Marietta, GA · Cobb County

CMS 1/5 138 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
58%
Serious cites
0

Tower Road Post Acute runs 138 beds in Marietta under for-profit LLC ownership, and its staffing is the weak spot: 3.25 nurse hours per resident day, about 16% under the national average, with weekends roughly 15% thinner than weekdays. Turnover sits at 58.3% against a national 45.8%, so aides and nurses are cycling out faster than residents can get to know them. The health inspection record shows 32 deficiencies, none at harm level but one abuse-related, and the most recent inspection was January 2026. Quality measures score well, but staffing is what families feel day to day, and that's where the numbers fall short.

C

63.5/100

Appling Nursing And Rehabilitation Pavilion

Baxley, GA · Appling County

CMS 1/5 101 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Appling Nursing and Rehabilitation Pavilion is a 101-bed nonprofit home in Baxley, and its federal record is about as rough as it gets. The staffing score sits at the bottom of CMS's scale, and a one-star health inspection history backs that up: 21 deficiencies on the current record, four of them serious enough to cause harm or put residents in jeopardy, plus two tied to abuse. That combination is why CMS placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Three fines totaling $18,966 have been levied, and the most recent inspection was March 13, 2025. If you're considering this home, those inspection details are worth reading in full.

C

63.5/100

Bainbridge Landing Of Journey Llc

Bainbridge, GA · Decatur County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
43%
Serious cites
0

Bainbridge Landing runs 100 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekend coverage drops about 18% below what the home staffs on weekdays, so the thinnest shifts land when families tend to visit. Annual turnover is 43.4%, slightly better than the national 45.8%, which is one genuine bright spot. The current record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with a recent inspection logged April 2026. Federal ratings put staffing and quality measures at 2 out of 5 stars each, health inspections at 3. Ask about weekend coverage and who actually supervises aides on those shifts.

C

63.5/100

Twin City Trails Of Journey Llc

Twin City, GA · Emanuel County

CMS 3/5 110 beds For-profit Medicaid
Nurse hours
2.63 /day
Staff turnover
61%
Serious cites
0

Twin City Trails of Journey runs 110 certified beds in Emanuel County under for-profit LLC ownership, and the numbers tell two different stories. Inspections look solid, a recent December 2025 survey, ten deficiencies on record with none at the harm level and nothing abuse-related, plus strong marks on health inspection and quality measures. Staffing is where it slips. At 2.63 nurse hours per resident day, it sits about a third below the national average of 3.86, and weekends drop roughly 18% beneath its own weekday coverage. Annual turnover hits 60.6% against a national 45.8%, meaning well over half the nursing staff leaves each year. Fewer hands, frequent replacements.

C

63.5/100

Alpine Care Of Evanston

Evanston, IL · Cook County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
16%
Serious cites
0

Alpine Care of Evanston runs 124 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, with weekends about 15% thinner than its own weekdays. The one number that stands out in the other direction is turnover: 15.8% against a national average near 46%, so the staff who are there tend to stay. What pulls the record down is the inspection history: 20 deficiencies, three at harm or jeopardy level and three tied to abuse, plus a $40,258 fine and a December 2025 inspection that leaves the quality measure rating at 2 out of 5.

C

63.5/100

Sheridan Village Nrsg & Rhb

Chicago, IL · Cook County

CMS 2/5 191 beds For-profit Medicaid
Nurse hours
2.58 /day
Staff turnover
27%
Serious cites
0

Sheridan Village runs 191 beds on Chicago's South Side, and the staffing number is the one to sit with: 2.58 nurse hours per resident per day against a national average of 3.86. That's roughly a third less hands-on care than typical, and weekends drop another 17% below the home's own weekday level. Turnover at 27.3% actually beats the 45.8% national figure, so the problem isn't churn, it's how few hours each resident gets. The inspection record shows 38 deficiencies, including two at harm or jeopardy level and five tied to abuse, plus a $52,284 fine. The most recent inspection was May 2025.

C

63.5/100

Waukegan Health And Rehab

Waukegan, IL · Lake County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
41%
Serious cites
0

Waukegan Health and Rehab runs about 3.07 nurse hours per resident per day, roughly a fifth below the national average, and weekends dip another 15% under its own weekday numbers, that's when gaps tend to show up. Turnover sits at 40.8%, a bit better than the national 45.8%, so leadership isn't the main problem here. The bigger concern is the record: 27 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with one fine of $8,328. A recent inspection in May 2025 and a 4-star health inspection rating help, but a 2-star quality measure score and the thin staffing keep this one worth watching closely.

C

63.5/100

Northbrook Health And Rehab

Northbrook, IL · Cook County

CMS 5/5 147 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
43%
Serious cites
0

Northbrook Health and Rehab runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends drop roughly another 18% below its own weekday coverage. That staffing pattern is the main reason a home with a perfect 5-star inspection history lands at a C overall, since its 11 deficiencies include two at the harm level and one tied to abuse, and $10,059 in fines sit on the record. Turnover at 43.2% is slightly better than the national 45.8%. The last inspection was June 26, 2025, so the picture is current. The 2-star quality measure rating suggests the clinical numbers families watch don't match the strong survey history either.

C

63.5/100

Alden Of Waterford

Aurora, IL · Kane County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
44%
Serious cites
0

Alden Of Waterford runs 99 certified beds in Aurora under corporate ownership, and its nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average of 3.86. Weekends are thinner still, about 16% below the home's own weekday coverage, which matters when falls and infections don't check the calendar. Staff turnover of 43.5% is slightly better than the 45.8% national figure, though still high enough that familiar faces are not a given. The current record carries 30 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $106,499. Its last inspection was March 27, 2025.

C

63.5/100

Willows Of Richmond

Richmond, IN · Wayne County

CMS 2/5 87 beds Government Medicaid
Nurse hours
3.16 /day
Staff turnover
36%
Serious cites
0

Willows Of Richmond is county-owned and runs 87 beds, with a recent inspection on record from May 2025. The staffing picture is the main thing to know: 3.16 nurse hours per resident day sits about 18% under the national average, and weekends drop roughly 23% below what the home staffs on weekdays. Turnover is 35.8%, which is actually better than the 45.8% national figure, so people tend to stay. The tradeoff shows up in the inspection record: 21 deficiencies, none at harm or jeopardy level and none abuse-related, with middle-of-the-road marks across health inspections, quality measures, and staffing.

C

63.5/100

Aperion Care Greenfield

Greenfield, IN · Hancock County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
39%
Serious cites
0

Aperion Care Greenfield runs 2.92 nursing hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time, and weekends dip about 21% below what the building manages on weekdays. Turnover sits at 38.5%, actually better than the 45.8% national figure, so the problem isn't a revolving door so much as not enough staff on the floor to begin with. The current record shows 31 deficiencies, including two tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was in September 2025. All three CMS star ratings, health inspections, quality measures, and staffing, land at two out of five.

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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