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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 11661–11680 of 12,967, best-graded first.

C

62/100

Greenville Health & Rehabilitation Center

Greenville, TX · Hunt County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
50%
Serious cites
0

Greenville Health & Rehabilitation Center runs 120 certified beds under corporate ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends drop about 8% below what the home staffs on weekdays, so coverage thins out exactly when families tend to show up. Half the staff turned over in the past year, above the 45.8% national rate. The inspection history is heavier: 68 deficiencies on the current record, including 5 at the harm or jeopardy level and 10 tied to abuse. Five fines total $96,065, and the last inspection was March 27, 2024.

C

62/100

Avir At Gonzales

Gonzales, TX · Gonzales County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
2.65 /day
Staff turnover
61%
Serious cites
0

Avir At Gonzales runs on 2.65 nursing hours per resident day, roughly a third below the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in the federal staffing rating: 1 out of 5. Annual turnover sits at 61.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 39 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last survey was July 2025, so that picture is current. A for-profit corporation owns the 80-bed home. Inspection and quality scores land mid-range; the staffing numbers are where the concern sits.

C

62/100

Burleson Nursing And Rehabilitation Center

Burleson, TX · Johnson County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
2.87 /day
Staff turnover
56%
Serious cites
0

Avir At Burleson runs a 120-bed for-profit building in Johnson County, and the split in its record is worth understanding before you tour. Inspectors have found this place in good shape, a 4-out-of-5 health inspection rating, 19 deficiencies on the current record with none reaching harm or jeopardy level and nothing abuse-related, and a survey as recent as November 2025. The staffing side tells a different story. At 2.87 nurse hours per resident day, it sits roughly 26 percent under the national average of 3.86, and weekend coverage drops about 11 percent below its own weekday level. Annual turnover of 56.4 percent runs well above the 45.8 percent national figure. Good inspections, thin coverage, ask how they staff weekends.

C

62/100

Golfcrest Nursing And Rehabilitation

Houston, TX · Harris County

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

Harmony Care At Golfcrest runs on 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in the inspection record: 23 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and $71,472 in fines across three penalties. Staff turnover sits at 51.5%, well above the 45.8% national figure, which matters for a 120-bed for-profit where familiarity with residents is part of the safety net. The most recent inspection was July 2025, so the record is current. Ask the administrator what specifically has changed since then.

C

62/100

Greenbrier Nursing & Rehabilitation Center Of Tyle

Tyler, TX · Smith County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
97%
Serious cites
0

Greenbrier runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% under its own weekday level. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale. Annual turnover of 96.6%, more than double the national figure, means the people caring for residents are constantly new. Its current record carries 28 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was March 2026. For-profit corporate ownership rounds out the picture. Ask about actual weekend coverage and how long aides tend to stay.

C

62/100

Avir At Heritage Oaks

Lubbock, TX · Lubbock County

CMS 1/5 159 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
67%
Serious cites
0

Avir At Heritage Oaks runs 159 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.21 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 67.2% against a national 45.8% means many of the people caring for residents are still learning the building. The current record carries 28 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last inspection was in May 2026.

C

62/100

Lake Village Nursing And Rehabilitation Center

Lewisville, TX · Denton County

CMS 1/5 112 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
—
Serious cites
0

Lake Village runs on 3.07 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 18% below what the home staffs on weekdays. That thin coverage shows up in the inspection record: 33 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a $24,585 fine and a two-out-of-five health inspection rating. The four-out-of-five quality measure score reflects resident care metrics, but it sits alongside a one-out-of-five staffing rating, and the most recent inspection was in May 2026. For-profit corporate ownership out of Lewisville.

C

62/100

Stonebridge Health Rehab

Austin, TX · Travis County

CMS 3/5 116 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
35%
Serious cites
0

Stonebridge Health Rehab runs 116 beds in Austin under for-profit LLC ownership, and its staffing sits about 15% under the national average at 3.28 nurse hours per resident day, with weekends roughly 10% thinner than weekdays. That thin coverage is the main story here. The current inspection record carries 20 deficiencies, two serious enough to involve harm or jeopardy, plus $39,258 in fines across two penalties. Turnover, at 35.3%, actually beats the national 45.8%, so retention isn't the problem, hours are. The most recent inspection was April 2026. If you're weighing this one, ask how they staff weekends and what those two harm-level citations involved.

C

62/100

Country Village Care

Angleton, TX · Brazoria County

CMS 1/5 136 beds Government Medicaid
Nurse hours
3.53 /day
Staff turnover
56%
Serious cites
0

Country Village Care runs 3.53 nurse hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday staffing. That gap matters because the health inspection record is where this home struggles most, 18 deficiencies on file, four of them serious enough to cite harm or jeopardy, plus two fines totaling $61,425. Staff turnover sits at 56% versus 45.8% nationally, which means more than half the nursing staff leaves each year. It's government-owned, run by a hospital district, and its last inspection was October 2024. Nothing here suggests abuse; the problems are staffing consistency and a pattern of serious inspection findings.

C

62/100

Traymore Nursing Center

Dallas, TX · Dallas County

CMS 3/5 150 beds Government Medicaid
Nurse hours
3.44 /day
Staff turnover
55%
Serious cites
0

Traymore Nursing Center runs on thinner staffing than most homes its size. At 3.44 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 14% below what the home itself staffs on weekdays. Turnover is 54.9%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record is mixed. Eleven deficiencies, three of them at the level where residents were actually harmed or put in jeopardy, plus two fines totaling $30,113. The most recent inspection was July 2025, so the picture is current. What stands out is the gap: inspectors rated the care environment 4 out of 5, yet the staffing rating is 1 out of 5. Good survey results are hard to sustain when there aren't enough consistent hands on the floor.

C

62/100

Harmony Care At Stamford

Stamford, TX · Jones County

CMS 2/5 112 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
66%
Serious cites
0

Harmony Care At Stamford runs on a thin staffing margin, and that's the main thing to know. Nurses give residents about 3.69 hours of care per day, roughly 5% under the national average, and weekend coverage drops nearly 29% below what the home staffs on weekdays. Turnover sits at 65.6%, well above the 45.8% national figure, so the people showing up are often new. Inspections look better: a 4-star health inspection rating, no deficiencies at the harm level, though 19 total deficiencies include 2 tied to abuse, and one fine of $36,875 is on record. The most recent inspection was April 30, 2025, and this for-profit partnership is licensed for 112 beds.

C

62/100

Edgemere Estates

El Paso, TX · El Paso County

CMS 1/5 138 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
53%
Serious cites
0

Edgemere Estates runs 138 beds in El Paso under corporate ownership, and the staffing numbers are where I'd start. At 3.34 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly 14 percent below its own weekday level, so the coverage you see midweek isn't what your family member gets on a Saturday. Turnover is 52.6 percent against a national 45.8. The inspection record carries 67 deficiencies, including four at harm or jeopardy level and five tied to abuse, with three fines totaling $49,292. The last inspection was April 30, 2025. Quality measures score well; staffing and inspections don't.

C

62/100

Birchwood Nursing And Rehabilitation

Cooper, TX · Delta County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
94%
Serious cites
0

Birchwood runs 3.11 nurse hours per resident day, roughly a fifth under the national average, and weekends drop about 12% below its own weekday levels. Annual turnover is 93.6% against a national average near 46%, meaning most of last year's caregivers are gone. Inspections, though, are a different story: a 5/5 health inspection rating with 13 deficiencies on record, none causing harm or involving abuse, and the last visit was June 2025. Cooper's home is clean on paper but thin on the floor, and a C reflects that split.

C

62/100

Hansford County Hospital District Dba Lakeridge Nu

Lubbock, TX · Lubbock County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
62%
Serious cites
0

Lakeridge Nu runs on thin nursing coverage, 2.97 nurse hours per resident day against a national average of 3.86, and weekends dip below even that. Staff turnover sits at 61.5% while the national figure is 45.8%, which means the aides and nurses your family member sees are cycling out faster than at most homes. The inspection record shows 31 deficiencies, including one at the harm level and one tied to abuse, plus a $30,561 fine. Ownership is for-profit corporate. The most recent inspection was in March 2026, so the picture is current.

C

62/100

Mexia Ltc Nursing And Rehabilitation

Mexia, TX · Limestone County

CMS 2/5 66 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
62%
Serious cites
0

Mexia Ltc Nursing And Rehab runs 66 certified beds under corporate for-profit ownership, and its nurses put in 4.11 hours per resident day, about 6% above the national average. That staffing edge comes with a catch: weekends run roughly 12% thinner than weekdays, and annual turnover sits at 61.9% against a national 45.8%, so the faces change often. The inspection history is recent, December 2025, and 16 deficiencies are on record, including one at the harm level and one tied to abuse, plus a single $19,822 fine. Quality measure scores land at the bottom of CMS's scale while inspections sit near the top, a split worth asking about directly.

C

62/100

Focused Care At Crane

Crane, TX · Crane County

CMS 2/5 110 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
47%
Serious cites
0

Focused Care At Crane runs light on nursing staff, 3.16 hours per resident day against a national average of 3.86, with weekends about 14 percent thinner than weekdays. That earned a 1-out-of-5 staffing rating from CMS, and turnover sits at 47.3 percent, slightly above the national rate of 45.8 percent. The inspection record shows 33 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $42,357 fine. A 4-out-of-5 quality measure rating and a June 2025 inspection suggest some things are being tracked, but the staffing numbers and the deficiency history are what a family should weigh hardest here.

C

62/100

Ridgmar Medical Lodge

Fort Worth, TX · Tarrant County

CMS 2/5 155 beds Government Medicaid
Nurse hours
3.27 /day
Staff turnover
53%
Serious cites
0

Ridgmar Medical Lodge runs on 3.27 nurse hours per resident day, about 15% under the national average, and weekends dip another 13% below its own weekday coverage. That thin staffing shows up in the numbers: 52.7% annual turnover, meaning more than half the nursing staff leaves each year. The inspection record carries 32 deficiencies, including four at the harm or jeopardy level and four tied to abuse, with three fines totaling $29,598. The hospital district owns the building, so it isn't a chain cutting corners for profit, but ownership type doesn't change what families have to weigh here. Quality measures score well; staffing and inspections don't. If you're considering it, ask specifically how weekends are covered.

C

62/100

Fairfield Nursing & Rehabilitation Center

Fairfield, TX · Freestone County

CMS 4/5 101 beds Government Medicaid
Nurse hours
3.09 /day
Staff turnover
97%
Serious cites
0

Fairfield Nursing & Rehabilitation Center is run by a hospital district, and its inspectors clearly find little to fault: a five-star health inspection record, 10 deficiencies with none rising to harm or jeopardy, and a visit as recent as December 2025. Where the numbers turn is staffing. At 3.09 nurse hours per resident day, this home sits about 20% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level. Turnover tells the same story, 96.7% annually against a national 45.8%, meaning nearly the whole nursing staff cycles through in a year. Good inspections, thin and unstable coverage.

C

62/100

The Carlyle At Stonebridge Park

Southlake, TX · Tarrant County

CMS 1/5 112 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
61%
Serious cites
0

The Carlyle at Stonebridge Park runs a 112-bed for-profit building in Southlake, and the staffing numbers are where I'd start. At 3.30 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly another 12% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover is 60.9% against a national 45.8%, which means the aides and nurses who know your mother may not be there in six months. The current record shows 35 deficiencies, including two at harm or jeopardy level and one abuse-related, plus $125,895 in fines. The last inspection was January 2026.

C

62/100

Midlothian Healthcare Center

Midlothian, TX · Ellis County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
64%
Serious cites
0

Midlothian Healthcare Center runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average, with weekends dropping another 11% below its own weekday level. That thin coverage shows up in a 64.1% annual turnover rate, well above the 45.8% national figure, meaning the people caring for your relative are often new and still learning the building. The record carries 17 deficiencies, including 5 at the harm or jeopardy level and 2 tied to abuse, plus four fines totaling $50,830. Its last inspection was December 2024. Before you decide, ask how they're addressing turnover and weekend coverage.

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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