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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 11481–11500 of 12,967, best-graded first.

C

62.5/100

Billings Rehabilitation And Nursing Llc

Billings, MT · Yellowstone County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
73%
Serious cites
0

Nurse staffing at Billings Rehabilitation and Nursing runs about 3.34 hours per resident day, roughly 13 percent under the national average, and weekends drop another 15 percent below what the home itself provides on weekdays. Staff turnover sits at 72.5 percent against a national figure near 46 percent, which means a large share of the people caring for residents are new to the building. The inspection record shows 52 deficiencies, including 2 at the harm or jeopardy level and 11 tied to abuse, with $62,797 in fines and a survey completed in February 2026. A for-profit limited liability company operates the 100-bed home.

C

62.5/100

Omaha Nursing And Rehabilitation Center

Omaha, NE · Douglas County

CMS 1/5 70 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
—
Serious cites
0

Omaha Nursing and Rehabilitation Center is a 70-bed for-profit in Douglas County, and its inspection record is the thing to look at first. Forty-nine deficiencies on the current record, seven of them serious enough to cause harm or jeopardy, five tied to abuse, that's a lot of citations for a building this size, and one $39,146 fine. The most recent inspection was July 31, 2025, so the record is current, not stale. Daily nurse staffing sits at 3.77 hours per resident, a bit under the national average, with weekends running about 8% thinner than weekdays. Combined with a one-star inspection rating, that pattern matters more than the three-star quality measure score.

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62.5/100

Auburn Rehabilitation & Nursing Center

Auburn, NY · Cayuga County

CMS 2/5 92 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
52%
Serious cites
0

Auburn Rehabilitation & Nursing Center runs 92 beds under for-profit LLC ownership, and its nurse staffing sits around 3.22 hours per resident day, roughly 17% under the national average. Weekends are thinner still, about 22% below what the home staffs on weekdays, so coverage drops exactly when families tend to visit. Turnover runs 52% against a national 45.8%. The current record carries 24 deficiencies, one serious enough to reach harm or jeopardy level, plus a $10,901 fine. The last inspection was January 2025. With two stars each for health inspections and staffing, the pattern worth asking about is consistency: whether the same caregivers are there week to week and whether weekend coverage holds up.

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62.5/100

Oneida Health Rehabilitation And Extended Care

Oneida, NY · Madison County

CMS 1/5 160 beds Non-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
—
Serious cites
0

Oneida Health Rehabilitation And Extended Care runs 160 certified beds as a nonprofit corporation, and its nursing hours come to 3.17 per resident day, roughly 18% under the national average of 3.86. Weekends drop about 15% below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $16,153, with the most recent survey dated January 27, 2026. No abuse-related citations appear. The staffing rating reflects those hours directly; the two-star inspection result reflects the deficiency history.

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62.5/100

The Cardinal At North Hills

Raleigh, NC · Wake County

CMS 3/5 15 beds For-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

The Cardinal At North Hills is a small, for-profit home in Raleigh, just 15 certified beds, and its record splits in two directions. Inspectors have been in recently, in September 2025, and the health inspection star rating of 4 out of 5 suggests the day-to-day survey picture is decent. But look closer: four deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $7,901 fine. Quality measures score just 1 out of 5. With that few beds, there's little room to absorb a staffing gap or a single bad stretch.

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62.5/100

Maple Manor Care Center

Langdon, ND · Cavalier County

CMS 1/5 45 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Maple Manor runs 45 beds in Langdon under nonprofit ownership, and its staffing rating sits at the bottom of the federal scale, one star, well below what CMS considers adequate. That thin coverage shows up alongside 24 deficiencies on the current record, including one serious enough to cause actual harm or place residents in jeopardy, plus a $31,694 fine. The most recent inspection was in September 2025, so the findings are fresh rather than stale. Quality measures land at two stars, inspections at two. Nothing here is abuse-related, but a home with this few staff and this many cited problems is one to ask hard questions about before moving someone in.

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62.5/100

Adams Lane Healthcare And Rehabilitation Center

Zanesville, OH · Muskingum County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
46%
Serious cites
0

Adams Lane runs about 2.80 nurse hours per resident per day, roughly 27 percent below the national average of 3.86. Weekends are thinner still, with staffing dropping about 16 percent below its own weekday levels, so the weakest coverage lands when families tend to visit. The record shows 34 deficiencies, four at the harm or jeopardy level and two related to abuse, plus $33,203 in fines across two penalties. Staff turnover sits at 46.2 percent, a hair above the national 45.8, and the last inspection came in February 2025, so the findings are recent. This corporate-owned, 114-bed home has a documented pattern worth weighing before you decide.

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62.5/100

Midwest City Post Acute & Rehab

Midwest City, OK · Oklahoma County

CMS 1/5 106 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Midwest City Post Acute & Rehab has 40 deficiencies on its current record, including one at the harm or jeopardy level and five tied to abuse. That's a lot of paperwork for a 106-bed home. Federal inspectors were last inside on January 30, 2025, and the staffing picture is thin, one star, the lowest tier. For-profit, limited liability ownership, with two fines totaling $31,011 on the books. Quality measures land at two stars, health inspections at two. When staffing runs below average and the deficiency count runs high, families should ask direct questions about who is on the floor overnight and how complaints get handled.

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62.5/100

Latimer Nursing Home

Wilburton, OK · Latimer County

CMS 2/5 48 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
59%
Serious cites
0

Latimer Nursing Home runs a for-profit operation with 48 certified beds in Wilburton, and its staffing numbers are genuinely above average, 4.44 nurse hours per resident day against a national 3.86. That edge comes with a catch: weekends run about 16% leaner than weekdays, and annual turnover sits at 58.6%, well past the national 45.8%. Inspections tell a similar mixed story. The home was last surveyed in May 2025 and carries 21 deficiencies, none at the harm level and none abuse-related, but those produced 21 fines totaling $124,906. Quality measure scores land near the bottom while staffing scores hold up.

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62.5/100

Mountainview Nursing Home

Spartanburg, SC · Spartanburg County

CMS 1/5 132 beds Non-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
80%
Serious cites
0

Mountainview runs a nonprofit operation with 132 beds, and its 4.55 nurse hours per resident day sit about 18% above the national average, that part is genuinely good. The catch is consistency: weekend staffing drops roughly 17% below its own weekday level, and annual turnover hits 80.1% against a national 45.8%, meaning the people providing that care are largely new and cycling through. On inspections, the record is harder to defend: 27 deficiencies, including one at the harm level and one abuse-related, three fines totaling $15,324, and a November 2024 inspection that rated 2 out of 5 stars for health and just 1 for quality measures. Strong staffing numbers alone don't offset that pattern.

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62.5/100

Good Samaritan Society New Underwood

New Underwood, SD · Pennington County

CMS 2/5 41 beds Non-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
65%
Serious cites
0

Good Samaritan Society New Underwood runs 41 certified beds as a nonprofit, and its nursing hours come to 2.82 per resident day, roughly 27% under the national average of 3.86. Weekends dip about 21% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Staff turnover sits at 64.7%, well above the 45.8% national figure, which means many of the people caring for residents haven't been there long. The inspection record shows 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $26,595 in fines across two penalties. The most recent inspection was in December 2025.

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62.5/100

Millington Healthcare Center

Millington, TN · Shelby County

CMS 2/5 85 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
50%
Serious cites
0

Millington Healthcare Center runs 85 certified beds as a for-profit partnership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends are thinner still, about 18% below what the home staffs on weekdays, and turnover runs at 50% against a national 45.8%. The inspection record carries 21 deficiencies, three of them at the harm or jeopardy level and two tied to abuse, with two fines totaling $226,623. The most recent inspection was March 2024, so that record is fairly current. The quality measure score of 4 out of 5 is the bright spot here; staffing and health inspection scores sit lower.

C

62.5/100

Durham-Hensley Health And Rehabilitation

Chuckey, TN · Greene County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
51%
Serious cites
0

Durham-Hensley runs 75 beds in Chuckey under corporate ownership, and the staffing numbers are the first thing worth knowing. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 16% below its own weekday coverage, so care thins out exactly when families tend to visit. Annual turnover of 50.8% tops the national figure of 45.8%, meaning many of the aides you'd meet are relatively new. The good news: nine deficiencies on record, none at harm or jeopardy level, none abuse-related, and a four-star inspection rating from August 2023. Quality and staffing measures both land at two stars, which is where the softer grade comes from.

C

62.5/100

Mesa Vista Inn Health Center

San Antonio, TX · Bexar County

CMS 1/5 144 beds For-profit Medicaid
Nurse hours
2.59 /day
Staff turnover
—
Serious cites
0

Mesa Vista Inn Health Center runs 144 certified beds in San Antonio under corporate for-profit ownership, and its nurse staffing sits at 2.59 hours per resident day, about a third below the national average of 3.86. Weekends drop roughly another 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 44 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,160. CMS gives the home one star for staffing and two for health inspections, though its quality measure score is a middle-of-the-road three. The most recent inspection was April 24, 2026.

C

62.5/100

Spokane Valley Health And Rehabilitation Of Cascad

Spokane Valley, WA · Spokane County

CMS 2/5 97 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
—
Serious cites
0

Spokane Valley Health and Rehabilitation of Cascad runs 97 certified beds as a for-profit LLC, and its record shows why families should look closely before committing. The staffing score sits at the bottom of the federal scale, and the quality measure rating is just as low, meaning the day-to-day care metrics that matter most land well below what CMS considers average. Inspectors have cited 52 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with four fines totaling $27,034. The most recent inspection was November 2025, so the picture is current. With that volume of citations and thin staffing, you'd want to ask hard questions about who's on the floor overnight.

C

62.5/100

Avina Of Kenosha

Kenosha, WI · Kenosha County

CMS 2/5 153 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
49%
Serious cites
0

Avina Of Kenosha runs 153 beds under corporate ownership, and its nurse staffing sits about 10 percent under the national average at 3.47 hours per resident day. Weekends drop roughly 17 percent below its own weekday coverage, which matters when a resident needs help on a Saturday night. The inspection record is the bigger concern: 53 deficiencies, seven of them at harm or jeopardy level, three tied to abuse, plus a $33,989 fine. Staff turnover runs 49 percent, higher than the 45.8 percent national figure. Quality measures score well, and the most recent inspection was July 2025, so the picture isn't stale. But the gap between strong quality scores and a troubled inspection history is worth asking about directly.

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62.5/100

Middleton Village Nursing And Rehab

Middleton, WI · Dane County

CMS 1/5 97 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
51%
Serious cites
0

Middleton Village runs a 97-bed for-profit operation, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average. That's the one bright spot. Weekend coverage drops about 17% below its own weekday level, so the hours aren't distributed evenly across the week. Meanwhile, annual turnover hits 51.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious: 63 deficiencies, four at harm or jeopardy level, and 13 tied to abuse. Two fines total $67,772, and the most recent inspection was March 5, 2026. A 1-out-of-5 health inspection rating tells you what the state found.

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62.5/100

Hawthorne Healthcare & Wellness Centre, Lp

Hawthorne, CA · Los Angeles County

CMS 1/5 88 beds For-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
—
Serious cites
0

Hawthorne Healthcare & Wellness Centre runs about 4.21 nurse hours per resident day, roughly 9% above the national average of 3.86, but weekends drop about 13% below its own weekday level, so coverage isn't as steady as the headline number suggests. The 88-bed for-profit partnership carries 35 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its most recent inspection dated March 27, 2026. CMS gives it middling marks on health inspections and just one star each for quality measures and staffing, which is a lot of recent survey activity without any serious harm finding.

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62.5/100

Richardson Nursing And Rehabilitation

Richardson, TX · Dallas County

CMS 1/5 280 beds For-profit Medicaid
Nurse hours
2.60 /day
Staff turnover
—
Serious cites
0

Richardson Nursing and Rehabilitation runs 280 certified beds under a hospital district, and the staffing numbers are the first thing you should notice. At 2.60 nurse hours per resident day, it's about a third below the national average of 3.86, and weekends drop roughly another 14% from its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record shows 47 deficiencies, including two at the harm level and two tied to abuse; a single fine of $8,977 is on file, and the last inspection was December 2024. CMS rates the home 1 out of 5 on staffing and 2 out of 5 on health inspections, which tells you the quality measure score isn't the whole picture here.

C

62.5/100

La Vida Serena Nursing And Rehabilitation

Del Rio, TX · Val Verde County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
2.87 /day
Staff turnover
—
Serious cites
0

La Vida Serena runs thin on nursing staff, 2.87 hours per resident per day against a national average of 3.86, roughly a quarter below it. Weekends are lighter still, about 11% under the home's own weekday coverage, so the thinnest shifts come when families often visit. The inspection record is a mixed picture: a four-star health inspection rating and a recent survey in September 2024, but 17 deficiencies on file, two of them at harm or jeopardy level and three tied to abuse. A single fine of $8,404 has been levied. The staffing star sits at one out of five, which tells you where the trouble concentrates.

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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