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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 1121–1140 of 12,967, best-graded first.

A

90/100

Regency Omak

Omak, WA · Okanogan County

CMS 5/5 56 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

Regency Omak runs on better-than-average nurse coverage, 4.04 hours per resident day against a national figure of 3.86, and staff tend to stick around, with turnover at 39.1% compared to 45.8% nationally. The weekend dip is worth asking about, though: hours drop roughly 14% from weekday levels, which is when families often notice less attention. The inspection record is where the picture gets more mixed. Nineteen deficiencies are on file, including one at the harm level and two tied to abuse, even though the last survey came back in January 2026. A corporation owns the 56-bed building, so ask how those abuse-related findings were resolved and what weekend coverage actually looks like on the floor.

A

90/100

Christian Health Care Center

Lynden, WA · Whatcom County

CMS 5/5 122 beds Non-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
33%
Serious cites
0

Nurse staffing at Christian Health Care Center runs about 4.83 hours per resident per day, roughly 25% above the national average, and weekend coverage dips only about 15% below its own weekday level, which is modest compared to many homes. Annual turnover sits at 33.3%, well under the national 45.8%. The tradeoff is in the inspection record: 11 deficiencies, including one at the harm level and two tied to abuse, plus a single $22,081 fine. The most recent inspection was May 27, 2025, so the picture is current. This is a nonprofit corporation with 122 certified beds in Lynden, and the staffing and quality scores are what carry the grade.

A

90/100

Sunshine Health & Rehab

Spokane, WA · Spokane County

CMS 4/5 37 beds For-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
—
Serious cites
0

Sunshine Health & Rehab runs on a small 37-bed footprint in Spokane, and the nurse staffing here sits well above what most homes provide, nearly 5 hours per resident day against a national average closer to 3.9. Weekends do thin out by about 19% compared to weekdays, so ask how coverage looks on a Saturday. The inspection record carries 32 deficiencies, one tied to abuse, though none reached the harm or jeopardy level, and the most recent survey was in January 2026, so the picture is current. Quality measures score at the top of CMS's scale, which is notable given that volume of citations.

A

90/100

Wesley Homes Des Moines Health Center

Des Moines, WA · King County

CMS 5/5 148 beds Non-profit Medicaid
Nurse hours
4.79 /day
Staff turnover
31%
Serious cites
0

Wesley Homes Des Moines Health Center runs on noticeably more nursing hours than most homes, 4.79 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 30.8% compared to 45.8% nationally. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on a Sunday. The inspection record shows 52 deficiencies, none at the harm or jeopardy level, though three are abuse-related and worth asking about directly. A February 2026 inspection means the record is recent, and as a church-affiliated nonprofit, there's no ownership chain pulling profits out. The quality measures come in strong.

A

90/100

Richmond Beach Rehab

Shoreline, WA · King County

CMS 4/5 131 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
31%
Serious cites
0

Richmond Beach Rehab sits in Shoreline with 131 certified beds and a for-profit LLC owner. Nurse staffing runs 4.05 hours per resident day, about 5% above the national average, and turnover at 31% is well below the 45.8% national figure, that kind of retention matters for consistent care. But weekends dip roughly 12% below the home's own weekday coverage, so ask how that gap gets filled. The inspection record shows 27 deficiencies, including one at the harm level and one abuse-related, plus a $44,753 fine. Last inspection was February 2026, so the record is current. Solid quality measures and staffing don't erase those citations.

A

90/100

Covenant Shores Health Center

Mercer Island, WA · King County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
51%
Serious cites
0

Covenant Shores runs high on most measures. Nurse staffing sits at 4.41 hours per resident day, roughly 14 percent above the national average, and the quality and staffing stars come in at the top of the scale. Weekend coverage dips about 11 percent below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 51 percent, higher than the national 45.8 percent. The current record shows 35 deficiencies, none at harm or jeopardy level, though 4 are abuse-related. The last inspection was February 11, 2026.

A

90/100

Deerfield Care Center, Llc

New Richmond, WI · St. Croix County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
20%
Serious cites
0

Deerfield Care Center runs on unusually steady staffing for a 50-bed nonprofit home in St. Croix County. Nurses provide about 4.12 hours of care per resident each day, roughly 7% above the national average, and the staff turnover rate of 20.4% is less than half the national figure of 45.8%, meaning the people caring for residents tend to stick around. The tradeoff shows up in its inspection record: 13 deficiencies, none at the harm or jeopardy level, but one abuse-related citation, with the most recent inspection in February 2026. Weekend staffing dips about 9% below weekday levels, so family visits on Saturdays and Sundays may find a thinner crew than midweek.

A

90/100

Door County Memorial Hospital Snf

Sturgeon Bay, WI · Door County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
64%
Serious cites
0

Door County Memorial Hospital SNF runs 4.78 nurse hours per resident day, roughly a quarter more than the national average, and that staffing depth shows up in its federal ratings. Weekend coverage dips only slightly, about 4 percent below weekdays, so care doesn't thin out much when families visit. The tradeoff is turnover: 63.9 percent of staff leave annually, well above the 45.8 percent national figure, which matters for residents who value seeing the same faces. Nine deficiencies sit on the current record, none at harm or jeopardy level, though three are abuse-related, worth asking about directly. The last inspection was April 2026, so the picture is recent.

A

90/100

Oakridge Gardens Nur Ctr, Inc

Menasha, WI · Winnebago County

CMS 3/5 106 beds For-profit Medicaid
Nurse hours
5.46 /day
Staff turnover
51%
Serious cites
0

Oakridge Gardens runs a for-profit operation in Menasha with 106 certified beds, and its nurse staffing sits well above average, 5.46 hours per resident day against a national figure of 3.86. That margin matters, though weekends dip about 14% below what the home staffs during the week, so coverage isn't perfectly even. Staff turnover lands at 50.9%, a bit higher than the 45.8% national rate, which suggests some churn even with the strong hours. Inspectors logged 21 deficiencies on the current record, three tied to abuse, none at the harm or jeopardy level, and the most recent visit was May 2025. The limited liability ownership structure means the company behind the building, not a public entity, holds the license.

A

90/100

Cedar Lake Health And Rehab Center

West Bend, WI · Washington County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
5.14 /day
Staff turnover
37%
Serious cites
0

Cedar Lake runs on 5.14 nurse hours per resident per day, roughly a third more than the national average, and it holds a five-star CMS staffing rating because of it. Weekend coverage dips about 13% below the home's own weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37%, better than the 45.8% national figure. The inspection record is recent, April 2026, with 12 deficiencies and none at the harm or jeopardy level, though three are abuse-related and deserve a direct question.

A

90/100

American Lutheran Home-Menomonie

Menomonie, WI · Dunn County

CMS 5/5 37 beds Non-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
54%
Serious cites
0

Nurse staffing here runs about 4.48 hours per resident per day, roughly 16 percent above the national average, though weekends drop about 12 percent below the home's own weekday levels, worth asking about if your family tends to visit Saturday or Sunday. Staff turnover sits at 54.2 percent against a national average of 45.8 percent, which is high even for this industry, and that churn matters more at a 37-bed home where residents and aides know each other by name. Inspections tell a steadier story: five deficiencies on record, one serious enough to reach harm or jeopardy level, none abuse-related, with the most recent visit in August 2025. Church-affiliated nonprofit ownership rounds out the picture.

A

90/100

Saint Johns On The Lake

Milwaukee, WI · Milwaukee County

CMS 4/5 27 beds Non-profit Medicaid
Nurse hours
5.25 /day
Staff turnover
39%
Serious cites
0

Saint Johns On The Lake runs on a church-affiliated nonprofit model with just 27 certified beds, and the staffing numbers stand out: 5.25 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 7% below its own weekday level, and turnover sits at 38.7%, better than the 45.8% national figure, though still meaning more than a third of staff leaving annually. The tradeoff shows up in its record: 14 deficiencies, including one at the harm level and two tied to abuse, with a June 2025 inspection. Strong staffing and a clean recent survey don't cancel out that history; they sit alongside it.

A

90/100

Lutheran Home

Wauwatosa, WI · Milwaukee County

CMS 4/5 160 beds Non-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
37%
Serious cites
0

Lutheran Home in Wauwatosa runs on 4.28 nurse hours per resident per day, about 11% above the national average, and that shows up in its staffing rating. Weekend coverage drops roughly 11% below weekday levels, though, so care can thin out on Saturdays and Sundays. Staff turnover sits at 37.4%, better than the 45.8% national figure but still more than a third of the workforce leaving each year. The inspection record shows 20 deficiencies, one serious enough to involve harm or jeopardy, with no abuse citations, and the most recent state visit was June 10, 2025. This is a nonprofit with solid staffing and quality marks, but the deficiency history keeps it out of the top tier.

A

90/100

Shady Lane Nursing Care Center

Manitowoc, WI · Manitowoc County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
38%
Serious cites
0

Shady Lane runs on a nonprofit model with about 5.11 nurse hours per resident each day, roughly a third more staffing than the typical American nursing home. That shows up clearly in the government's staffing rating, which sits at the top of the scale, and weekend coverage holds up reasonably well, dipping only about 7% below weekday levels. Staff turnover of 37.7% is better than the national average of 45.8%, though more than a third of the workforce still leaves each year. The tradeoff is a mixed record: four deficiencies on file, one serious enough to involve harm, alongside middle-of-the-road quality measures. The most recent inspection was April 2025, so the picture is current.

A

90/100

Glenhaven

Glenwood City, WI · St. Croix County

CMS 3/5 44 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
54%
Serious cites
0

Glenhaven runs a genuinely strong staffing operation, 4.65 nurse hours per resident day against a national average of 3.86, and CMS gives that a top rating. Weekend coverage dips about 9% below weekday levels, though, so the schedule isn't perfectly even. The trade-off shows up in the inspection record: 33 deficiencies on file, including one at the harm level and five tied to abuse, with the most recent state visit in March 2026. Staff turnover sits at 53.8%, higher than the 45.8% national figure. Quality measures score well, but a 2/5 inspection rating is the number a family should ask about directly, specifically what those abuse deficiencies involved and what's changed since.

A

90/100

St Paul Elder Services, Inc

Kaukauna, WI · Outagamie County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
37%
Serious cites
0

St Paul Elder Services in Kaukauna runs on 4.80 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home. That cushion matters less on paper than it does on a Tuesday afternoon, though weekend coverage does dip about 7% below the home's own weekday level, so the weekend shift is where you'd want to ask questions. Staff turnover sits at 36.6%, well under the national 45.8%, people tend to stay. The current inspection record shows 8 deficiencies, none at the harm level, but 2 tied to abuse, which is worth asking about directly. A recent 5-star health inspection and nonprofit ownership round out the picture.

A

90/100

Marinuka Manor

Galesville, WI · Trempealeau County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
8%
Serious cites
0

Marinuka Manor runs a tight ship on the staffing side. Nurse hours per resident day sit right at the national average, and weekend coverage dips only about 12% below weekdays, a narrow gap by industry standards. More striking: annual turnover is 7.9% against a national average of 45.8%, meaning the people caring for residents mostly stay. The inspection record backs that up, with a five-star health inspection rating, nine deficiencies on file, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Quality measures land mid-range at three stars. For a fifty-bed nonprofit in Trempealeau County, the picture is consistent: stable staff, recent inspection, no serious harm findings.

A

90/100

Aspirus Care & Rehab-Medford

Medford, WI · Taylor County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
5.94 /day
Staff turnover
41%
Serious cites
0

The numbers at Aspirus Care & Rehab-Medford tell a fairly steady story. Nurse staffing runs 5.94 hours per resident per day, roughly 54% above the national average, though weekends dip about 12% below the home's own weekday coverage, so the question is whether that gap shows up when families visit. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. The inspection record is clean where it counts: six deficiencies total, none at the harm or jeopardy level, and a five-star health inspection rating with a survey dated April 2026. There is one abuse-related deficiency on record, which is worth asking about directly. Ownership is nonprofit corporate, and the quality measure rating lands at three stars.

A

90/100

Evergreen Health Center

Oshkosh, WI · Winnebago County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
49%
Serious cites
0

Evergreen Health Center runs 5.08 nurse hours per resident day, roughly 31% above the national average of 3.86, that's a real staffing cushion, though weekends dip about 10% below its own weekday levels, so coverage isn't perfectly even across the week. The 8 deficiencies on record include one abuse-related finding, but none at the harm or jeopardy level, and the most recent inspection was in March 2025, so the picture is current. Staff turnover sits at 49%, a bit above the 45.8% national figure, which means this nonprofit is replacing workers at a slightly faster clip than average despite the generous hours.

A

90/100

Cedar Crest Health Center

Janesville, WI · Rock County

CMS 5/5 71 beds Non-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
41%
Serious cites
0

Cedar Crest runs on church-affiliated nonprofit ownership in Janesville, and the staffing numbers stand out: 5.45 nurse hours per resident day, roughly 41% above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so care isn't perfectly level across the week, and turnover sits at 41.2%, better than the 45.8% national figure but still worth asking about. Inspections are recent, and the record shows five deficiencies, none at the harm or jeopardy level, though two are abuse-related. That's the tension here: strong staffing and a clean harm record alongside a small cluster of abuse citations a family should ask about directly.

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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