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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 11421–11440 of 12,967, best-graded first.

C

63/100

Fond Du Lac Lutheran Home

Fond Du Lac, WI · Fond Du Lac County

CMS 3/5 85 beds Non-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
59%
Serious cites
0

Fond Du Lac Lutheran Home runs about 3.57 nurse hours per resident day, roughly 8% under the national average, and weekends dip another 11% below its own weekday numbers. Staff turnover sits at 59.3% against a 45.8% national average, which matters because it's hard to keep consistent care when more than half the nursing staff leaves each year. The inspection record shows 45 deficiencies, including two at the harm level and six tied to abuse, with one fine of $9,113; the most recent inspection was September 2025. Quality and staffing each landed at 2 out of 5 stars. It's a nonprofit home with 85 beds, and the numbers point to real gaps in consistency and oversight.

C

63/100

Cedar Hill Healthcare Center

Cedar Hill, TX · Dallas County

CMS 2/5 110 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
44%
Serious cites
0

Cedar Hill Healthcare Center runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 6% below its own weekday numbers. The inspection record shows 27 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $22,503 in fines across two penalties; the last inspection was July 2, 2025. Staff turnover sits at 44.3%, slightly under the national 45.8%, so retention isn't the outlier here, thin daily staffing and the harm-level findings are. Corporate for-profit ownership, 110 certified beds in Dallas County.

C

63/100

Balch Springs Nursing Home

Balch Springs, TX · Dallas County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
2.72 /day
Staff turnover
57%
Serious cites
0

Balch Springs Nursing Home runs on 2.72 nurse hours per resident day, roughly 29% under the national average, and weekend coverage drops about 15% below its own weekday level. That thin margin shows up in the numbers: a 1-out-of-5 staffing rating, 56.5% annual turnover against a national 45.8%, and 21 deficiencies on the current record, two of them serious enough to reach harm or jeopardy. Ownership is for-profit corporate, and there's one fine totaling $43,095. The last inspection was May 2026. Resident outcome measures look strong at 5 out of 5, which suggests the clinical care itself isn't the problem, the question is whether the staffing can hold that up.

C

63/100

The Homestead Of Denison

Denison, TX · Grayson County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
58%
Serious cites
0

The Homestead of Denison runs 140 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekend coverage drops about 11% below its own weekday level, and annual turnover hits 58.3% against a national 45.8%, meaning the aides and nurses your family member sees are likelier than average to be new or on their way out. The inspection record backs that up: 29 deficiencies, two at harm or jeopardy level and three abuse-related, with $29,991 in fines and a 2-out-of-5 inspection rating. Strong quality-measure scores don't offset thin, churning staffing.

C

63/100

Seven Oaks Nursing & Rehabilitation

Bonham, TX · Fannin County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
2.81 /day
Staff turnover
100%
Serious cites
0

Seven Oaks runs on 2.81 nurse hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 10% below its own weekday staffing. That thin coverage lines up with a 100% annual turnover rate, more than double the national 45.8%, so the aide or nurse your family meets in January may be gone by summer. Inspections tell a different story: a 4/5 health inspection rating, a clean record on harm and abuse, and a visit as recent as July 2025, though 30 deficiencies sit on file. Ownership is corporate, for-profit. Strong clinical quality marks and weak staffing don't cancel each other out; they describe two different parts of the same building.

C

63/100

Avir At Baird

Baird, TX · Callahan County

CMS 4/5 74 beds For-profit Medicaid
Nurse hours
2.88 /day
Staff turnover
86%
Serious cites
0

Homestead Nursing and Rehabilitation of Baird runs on thin staffing. At 2.88 nurse hours per resident per day, it sits about a quarter below the national average of 3.86, and weekends drop roughly another 13 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger tell: 85.7 percent annually, nearly double the national rate, meaning most of the people caring for your relative will likely be gone within a year. The good news is real: a four-star health inspection with 14 deficiencies, none causing harm or involving abuse, five stars on quality measures, and a recent May 2025 inspection. Ask how the home holds those quality numbers with so much churn.

C

63/100

Harmony Care At Floresville

Floresville, TX · Wilson County

CMS 2/5 144 beds For-profit Medicaid
Nurse hours
2.90 /day
Staff turnover
51%
Serious cites
0

Harmony Care At Floresville runs 2.90 nursing hours per resident day, roughly a quarter below the national figure of 3.86, and weekends dip about 12% below what the home staffs on weekdays. Turnover sits at 50.8%, above the 45.8% national average. The inspection record shows 39 deficiencies, two of them serious enough to reach harm or jeopardy level, plus one tied to abuse, and $87,066 in fines across three penalties. This is a for-profit corporate home with 144 beds; its most recent inspection was May 8, 2026. Low staffing and a heavy deficiency history are the two things worth weighing hardest if you're deciding.

C

63/100

Highland Park Rehabilitation & Nursing Center

Houston, TX · Harris County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
57%
Serious cites
0

Highland Park Care Center is a 120-bed nonprofit home in Houston where the direct-care numbers are thin. Nurses and aides give residents 3.65 hours of care per resident day, under the national average, and weekends drop about 15% below the home's own weekday staffing, so the coverage your family sees on a Tuesday isn't what shows up on a Saturday. Staff turnover sits at 56.9% against a national 45.8%, meaning more than half the workforce leaves each year. Eighteen deficiencies sit on the current record, two serious enough to involve harm or jeopardy, with one fine of $40,186. The quality measure score looks strong, but quality measures reflect resident health outcomes, not whether enough hands are present.

C

63/100

Quitman Wellness & Rehabilitation

Quitman, TX · Wood County

CMS 3/5 156 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
81%
Serious cites
0

Quitman Wellness & Rehabilitation runs 156 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. At 3.40 nurse hours per resident day, it sits about 12% under the national average, with weekends running roughly 9% thinner than weekdays, a pattern that matters most on Saturdays and Sundays when families tend to visit. Annual turnover of 81.1% is nearly double the national rate, meaning the aide or nurse you meet in month one may not be there by month six. Its inspection history shows 28 deficiencies, two serious enough to reach harm or jeopardy level, and $39,049 in fines. Quality measures score well; staffing and consistency do not.

C

63/100

College Street Health Care Center

Beaumont, TX · Jefferson County

CMS 4/5 50 beds Government Medicaid
Nurse hours
3.52 /day
Staff turnover
56%
Serious cites
0

College Street Health Care Center runs on thinner nursing coverage than most homes, 3.52 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday level. Staff turnover sits at 55.6%, well above the 45.8% national figure, so the people caring for your family member are cycling through faster than usual. The current record shows 22 deficiencies, including one at the harm level and two related to abuse. A 4-star inspection rating from August 2025 suggests the survey process itself went reasonably well, but the quality measure rating of 2 stars points to weaker clinical outcomes. It's a small, government-run home with real staffing strain underneath a decent inspection score.

C

63/100

Avir At Garland

Garland, TX · Dallas County

CMS 1/5 109 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
51%
Serious cites
0

Garland Nursing and Rehabilitation runs on thinner staffing than most homes, 3.38 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops about 11% below the home's own weekday level. That gap shows up in the numbers that matter: a one-star health inspection rating, 43 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, plus six tied to abuse. Fines total $91,343 across five penalties. Annual turnover of 50.9% means more than half the nursing staff leaves each year, well above the 45.8% national rate, so residents cycle through caregivers who are still learning the building.

C

63/100

Avante Rehabilitation Center

Irving, TX · Dallas County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
2.58 /day
Staff turnover
66%
Serious cites
0

Avante Rehabilitation Center runs on 2.58 nurse staffing hours per resident day, about a third below the national average of 3.86, and weekends dip roughly 9% under its own weekday levels. Staff turnover sits at 66% against a national 45.8%, so the people caring for residents keep changing. The current inspection record shows 19 deficiencies, six of them at harm or jeopardy level and two abuse-related, with two fines totaling $24,542. That 5/5 quality measure rating looks strong, but quality measures come from submitted assessment data, the staffing and inspection numbers describe what's actually happening on the floor. Ask about weekend coverage, turnover, and how those abuse deficiencies were resolved before you decide.

C

63/100

Harker Heights Nursing & Rehabilitation

Harker Heights, TX · Bell County

CMS 1/5 199 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
56%
Serious cites
0

Harker Heights Nursing & Rehabilitation runs 199 certified beds under corporate ownership, and the numbers show a building stretched thin on the clinical side. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover of 55.9% outpaces the 45.8% national figure, which matters because constant churn makes consistent care hard. The inspection record is the harder read: 46 deficiencies, three at harm or jeopardy level, two tied to abuse, plus $64,760 in fines. The last inspection was February 2025. Quality measures score well; staffing and inspections don't.

C

63/100

Stone Oak Care Center

San Antonio, TX · Bexar County

CMS 2/5 152 beds For-profit Medicaid
Nurse hours
2.88 /day
Staff turnover
60%
Serious cites
0

Stone Oak Care Center runs about 2.88 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 14% below its own weekday levels. That matters because the people in these beds need help every day, not just Monday through Friday. Annual turnover sits at 59.8%, well above the 45.8% national figure, so the staff who are there are often new. The current record includes 39 deficiencies, one at the harm level and three tied to abuse. The last inspection was July 2025, so that record is recent.

C

63/100

Carrollton Health And Rehabilitation Center

Carrollton, TX · Dallas County

CMS 2/5 120 beds Government Medicaid
Nurse hours
3.12 /day
Staff turnover
—
Serious cites
0

Carrollton Health and Rehabilitation Center runs about 3.12 nurse hours per resident each day, roughly 19 percent under the national average, and weekend staffing drops another 18 percent below its own weekday levels. That thin coverage helps explain the two-out-of-five rating on CMS's staffing measure. The inspection record shows 36 deficiencies, including two at the level where harm or jeopardy occurred and three tied to abuse, along with two fines totaling $19,185. Texas surveyors last visited in May 2025. This is a 120-bed for-profit corporate home where the daily aide and nurse presence is the real story.

C

63/100

Mclean Care Center

Mclean, TX · Gray County

CMS 3/5 64 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
100%
Serious cites
0

Mclean Care Center runs 64 beds under for-profit limited liability ownership, and its inspection record has some real positives: a four-star health inspection rating and a four-star quality measure score, with the most recent survey completed in July 2025. The trouble sits in staffing. At 3.51 nurse hours per resident day, it runs about 9% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage. Annual staff turnover hits 100%, more than double the national 45.8%, which means the people caring for residents are largely new to the building. Thirteen deficiencies are on record, one at the harm or jeopardy level, along with a $13,070 fine.

C

63/100

Stonewall Living Center

Aspermont, TX · Stonewall County

CMS 4/5 53 beds Government Medicaid
Nurse hours
— /day
Staff turnover
56%
Serious cites
0

Stonewall Living Center in Aspermont gets top marks on health inspections, a five-star rating there, but that's where the good news mostly stops. The staffing picture is thin, rated one star, and annual turnover runs 55.8% against a national average of 45.8%, meaning more than half the caregivers leave each year. Quality measures sit at two stars, and the current record shows ten deficiencies, one serious enough to reach harm or jeopardy level, plus an $8,281 fine. It's government-owned through the hospital district, which can offer stability, but stable ownership doesn't fix a workforce that keeps cycling through. The last inspection was in February 2026, so the record is recent. Families weighing this one should ask specifically how the home keeps consistent aides on the floor.

C

63/100

Focused Care At Summer Place

Beaumont, TX · Jefferson County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
63%
Serious cites
0

Focused Care At Summer Place runs on thin staffing. At 2.95 nurse hours per resident day, it sits about 24% under the national average of 3.86, and weekends drop roughly another 13% below its own weekday levels. That gap shows up in a 1-out-of-5 CMS staffing rating and a 63.2% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are often new and frequently leaving. The inspection record lists 36 deficiencies, including one at the harm level and two tied to abuse. A for-profit corporation owns the 132-bed home. Its 4-out-of-5 quality measure score stands out against the weaker staffing and inspection marks, but quality measures alone don't cover a resident's daily care.

C

63/100

Hewitt Nursing And Rehabilitation

Hewitt, TX · Mc Lennan County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
63%
Serious cites
0

Hewitt Nursing and Rehabilitation runs 140 beds under for-profit LLC ownership, and the numbers families tend to care about most don't line up well. Nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average, and weekend coverage drops another 14% below the home's own weekday level, so the thinnest shifts land exactly when families often visit. Annual turnover of 62.5% means most of the people caring for your relative in any given year will be new, against a national rate of 45.8%. The inspection record shows 30 deficiencies, six serious enough to involve harm or jeopardy, one tied to abuse, and $33,539 in fines. Quality measures score well; staffing and inspections don't.

C

63/100

Jefferson Nursing And Rehabilitation Center

Beaumont, TX · Jefferson County

CMS 1/5 120 beds Non-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
52%
Serious cites
0

If you're weighing Jefferson Nursing and Rehabilitation Center, start with the staffing math, because it drives everything else here. At 3.30 nurse hours per resident per day, this nonprofit runs about 15% under the national average, and weekends dip roughly 8% below its own weekday level, meaning the thinnest coverage lands exactly when families tend to visit. Turnover sits at 52.2% against a national 45.8%, so the aides and nurses on the floor are changing often. The inspection record shows 20 deficiencies, three at harm or jeopardy level and three abuse-related, with a single $194,652 fine. One recent inspection doesn't erase a pattern; ask what's changed since July 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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