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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 11721–11740 of 12,967, best-graded first.

C

61/100

Polaris Healthcare And Rehabilitation Center

Milford, DE · Sussex County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
68%
Serious cites
0

The staffing number looks fine on paper, 3.96 nurse hours per resident day, just above the national average, but that average hides a churn problem. Nearly 68% of staff turned over in a year, against a national rate around 46%, and weekend coverage drops about 7% below weekdays, so the people at the bedside keep changing. The inspection record is the harder read: 67 deficiencies, four serious enough to involve harm or jeopardy, four tied to abuse, and $153,884 in fines. A for-profit limited liability company runs it, and its last inspection was February 2026. Quality measures score well; staffing and inspections do not.

C

61/100

Aviata At Seminole

Seminole, FL · Pinellas County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
71%
Serious cites
0

Aviata At Seminole runs on 3.37 nurse hours per resident day, roughly 13 percent under the national average, and weekend coverage dips slightly below its own weekday levels. The bigger signal is staffing churn: 71.2 percent annual turnover against a national average of 45.8 percent. That's a lot of new faces for 120 residents, and it shows up in a one-star staffing rating and a one-star health inspection record, 37 deficiencies, three tied to abuse, plus eight fines totaling $35,944, with the last inspection in May 2024. The four-star quality measures suggest some care processes are working. But steady caregivers matter more than charts, and this building struggles to keep them.

C

61/100

Harborview Satilla

Waycross, GA · Ware County

CMS 1/5 174 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
45%
Serious cites
0

Harborview Satilla is a 174-bed corporate-owned home in Waycross, and its record carries some weight. The last inspection, in February 2026, turned up 23 deficiencies, four of them at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse. That inspection star rating sits at 1 out of 5. Staffing is close to the national average on paper, 3.84 hours per resident day against 3.86, but weekends run about 15% thinner than weekdays, and turnover comes in at 44.8%, so the coverage you see during a weekday visit isn't what a resident gets on a Sunday.

C

61/100

Fulton Center For Rehabilitation Llc

Atlanta, GA · Fulton County

CMS 1/5 109 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
55%
Serious cites
0

Fulton Center runs about 2.92 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 13% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 54.9%, well above the 45.8% national figure, which means the aides and nurses who know your mother may not be there in six months. The record shows 23 deficiencies, five at harm or jeopardy level, plus three abuse-related citations and a $105,368 fine. Quality measures score well; inspections and staffing do not. Ask the administrator directly who covers Saturday nights.

C

61/100

Gibson Health Opco Llc

Gibson, GA · Glascock County

CMS 5/5 104 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
57%
Serious cites
0

Gibson Health Opco runs 104 beds as a for-profit LLC, and its inspection record is genuinely clean, a five-star health inspection rating, just two deficiencies on file, none causing harm or involving abuse. The staffing side tells a different story. At 3.26 nurse hours per resident day, it sits roughly 16% under the national average, weekends drop another 13% below its own weekday levels, and annual turnover hits 56.5% against a national 45.8%. Quality measures land at two stars. Four fines totaling $14,732 round out the record. A recent inspection in April 2026 means the picture is current. Good inspections, thin and churning staff, worth asking how weekends and evenings actually feel.

C

61/100

Paradise Creek Health And Rehab Of Cascadia

Moscow, ID · Latah County

CMS 4/5 63 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
71%
Serious cites
0

Paradise Creek runs 3.36 nurse hours per resident day, about 13% under the national average, and weekends dip another 13% below its own weekday level. That's the pattern families feel: thinner coverage on Saturdays and Sundays. Staff turnover is 70.9% against a national 45.8%, so the people helping your relative are frequently new. The inspection record shows 27 deficiencies, 3 serious enough to cause harm or jeopardy, 2 tied to abuse, and 9 fines totaling $63,834. Its most recent inspection was May 2026, so the record is current. The company is a for-profit LLC, and it has consistently scored low on federal staffing and inspection measures. If you're considering it, ask specifically how weekends are staffed.

C

61/100

Alden Lincoln Rehab & H C Ctr

Chicago, IL · Cook County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
2.98 /day
Staff turnover
41%
Serious cites
0

Alden Lincoln runs 96 beds on Chicago's North Side, and the numbers that stand out first are the ones about people. Nurse staffing sits at 2.98 hours per resident per day, about a quarter below the national average, and weekends dip roughly 14% below what the home itself provides Monday through Friday. That's the stretch when families often visit and when coverage thins. The inspection record carries 36 deficiencies, four of them serious enough to put a resident in harm's way and two tied to abuse. The most recent state visit was July 2024, so the picture is current, and one fine totaling $8,512 has been levied. Staff turnover of 41.3% is slightly better than the 45.8% national figure, not a strong point, but not the worst of it either.

C

61/100

Lakeland Rehab & Healthcare Center

Effingham, IL · Effingham County

CMS 4/5 154 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
39%
Serious cites
0

Lakeland Rehab runs 154 beds in Effingham under corporate ownership, and its staffing is the weak spot: 3.39 nurse hours per resident day, roughly 12% under the national average, with weekends about 12% thinner than weekdays. The inspection history is the real concern, 27 deficiencies on record, including 4 at the harm or jeopardy level and 7 tied to abuse, plus three fines totaling $86,553. Turnover at 38.6% is actually better than the national 45.8%, and the 4-star health inspection and July 2025 visit are recent positives. But thin daily staffing against that deficiency record is what pulls this home's overall picture down.

C

61/100

Accolade Hc Of Paxton On Pells

Paxton, IL · Ford County

CMS 3/5 106 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
48%
Serious cites
0

Accolade Hc Of Paxton On Pells carries a for-profit, limited-liability ownership and a record that should give any family pause before signing. The home has 59 deficiencies on file, including 10 at the harm or jeopardy level and 6 tied to abuse, plus seven fines totaling $153,560, and its most recent health inspection earned a single star out of five. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends about 3% leaner than weekdays. Annual turnover of 48% tops the national 45.8% figure, meaning the people caring for your relative are likely to keep changing. Ask hard questions about that abuse history and what's changed since January 2025.

C

61/100

Pearl Of Elk Grove, The

Elk Grove Village, IL · Cook County

CMS 1/5 190 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
47%
Serious cites
0

Pearl of Elk Grove runs 190 beds under corporate ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is where the real weight sits: 56 deficiencies, 10 of them at harm or jeopardy level and 7 tied to abuse, plus five fines totaling $144,133. Staff turnover of 47.3% runs slightly above the national 45.8%. The most recent inspection was December 19, 2025. Quality measures score well; staffing and inspections do not.

C

61/100

St Clara's Rehab & Senior Care

Lincoln, IL · Logan County

CMS 2/5 99 beds Non-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
35%
Serious cites
0

St. Clara's runs leaner than most homes on the floor: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends dip further below its own weekday numbers. That thin coverage is the core issue behind its low staffing rating, and it's worth asking how the home handles a Saturday night. Turnover is better than average at 34.6%, and there are no abuse deficiencies, which matters. But 19 deficiencies with two at harm level, two fines totaling nearly $71,000, and a February 2025 inspection point to real compliance problems. The nonprofit owner doesn't change what the numbers show.

C

61/100

Grove Of Northbrook,The

Northbrook, IL · Cook County

CMS 4/5 134 beds For-profit Medicaid
Nurse hours
2.20 /day
Staff turnover
19%
Serious cites
0

The Grove of Northbrook runs lean on nurses, 2.20 hours per resident day against a national average of 3.86, roughly 43% below. Weekend coverage barely dips from its own weekday level, so the thinness is consistent rather than a weekend problem. What stands out in the other direction is turnover: 18.8% against a national 45.8%, meaning the staff who are there tend to stay. Inspections, though, are where this home gets exposed. Nineteen deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $83,860. The most recent inspection was June 2024, so that record is current.

C

61/100

Ryze At The Ridge

Chicago, IL · Cook County

CMS 1/5 136 beds For-profit Medicaid
Nurse hours
2.17 /day
Staff turnover
44%
Serious cites
0

Ryze At The Ridge runs on 2.17 nurse staffing hours per resident day, roughly 44% below the national average of 3.86, a gap that shows up on weekends too, when coverage dips about 4% below its own weekday level. The inspection record is where it gets harder to look past: 50 deficiencies on file, including 6 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $301,750. The last inspection was August 23, 2024. Turnover sits near the national figure at 44.2%, so the problem isn't retention so much as how few hands are scheduled in the first place. For-profit, limited liability ownership.

C

61/100

Pearl Of Hillside,The

Hillside, IL · Cook County

CMS 1/5 198 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
41%
Serious cites
0

Pearl of Hillside runs 198 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop another 12% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is where the real weight sits: 52 deficiencies, six of them at harm or jeopardy level and two tied to abuse, plus three fines totaling $131,810. Turnover at 41.1% is slightly better than the 45.8% national figure, but that's the one number working in its favor. The most recent inspection was March 2025.

C

61/100

Alden Estates Of Orland Park

Orland Park, IL · Cook County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
50%
Serious cites
0

Alden Estates of Orland Park runs 200 beds under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.65 nurse hours per resident day it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 50.3% runs above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. The inspection record backs that up: 53 deficiencies, seven serious enough to reach harm or jeopardy level, one tied to abuse, and five fines totaling $87,510.

C

61/100

Elevate Care Country Club Hill

Country Club Hills, IL · Cook County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
45%
Serious cites
0

Elevate Care Country Club Hill runs 200 certified beds in Cook County under corporate ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record is the bigger concern: 54 deficiencies, 14 of them serious enough to put residents at harm or jeopardy, six tied to abuse, and seven fines totaling $436,375. Turnover, at 45.1%, is basically average. Quality measures score well, but staffing and inspections don't.

C

61/100

Elevate Care Windsor Park

Chicago, IL · Cook County

CMS 1/5 240 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
42%
Serious cites
0

Elevate Care Windsor Park is a 240-bed for-profit home on Chicago's southwest side, and the number that stands out is nurse staffing: 2.97 hours per resident day, roughly 23% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so coverage gets lightest exactly when families tend to visit. Turnover sits at 42.1%, a bit better than the national 45.8%, but that's cold comfort next to 72 deficiencies on the current record, 8 at harm or jeopardy level and 3 abuse-related, plus four fines totaling $84,764. The last inspection was April 3, 2026, and the health inspection rating is 2 out of 5. Ask about weekday-to-weekend staffing and how abuse-related issues were resolved.

C

61/100

Berkeley Nursing & Rehab Center

Oak Park, IL · Cook County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
2.53 /day
Staff turnover
40%
Serious cites
0

Berkeley Nursing & Rehab Center runs on 2.53 nursing hours per resident per day, roughly a third below the national average, and weekends dip another 10% under its own weekday staffing. For a 72-bed home, that thin margin matters, 35 deficiencies sit on the current record, four of them serious enough to involve harm or jeopardy, plus one tied to abuse, and CMS has issued 25 fines totaling $252,245. The ownership is for-profit and individually held, and turnover at 39.6% actually beats the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was April 2025, and the health inspection rating of 4/5 is genuinely decent, it's the staffing side that drags everything down.

C

61/100

Monmouth Rehab And Nursing

Monmouth, IL · Warren County

CMS 1/5 58 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
46%
Serious cites
0

Monmouth Rehab and Nursing is a 58-bed for-profit home in Warren County, and the numbers that matter most here are the inspection ones. Its current record carries 48 deficiencies, including 7 at the harm or jeopardy level and 6 tied to abuse, a pattern serious enough that CMS has issued 4 fines totaling $233,350, with the most recent inspection dated March 20, 2026. Staffing sits at 3.33 nurse hours per resident day, roughly 14 percent under the national average, and weekends run about 9 percent thinner than weekdays. Annual turnover, at 45.5 percent, is essentially the national rate.

C

61/100

Pinckneyville Nursing & Rehab

Pinckneyville, IL · Perry County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
50%
Serious cites
0

Pinckneyville Nursing & Rehab is a for-profit, LLC-owned home with 60 certified beds in Perry County. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends run about 13% thinner than weekdays, so coverage tends to dip right when families are most likely to visit. Annual turnover hits 50%, above the 45.8% national figure. Inspectors last visited in April 2025 and cited 19 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with $100,864 in fines on record. The 4/5 inspection rating doesn't carry the rest: the 1/5 quality measure score is the deeper concern.

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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