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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 11761–11780 of 12,967, best-graded first.

C

61/100

Lutheran Nursing Home

Concordia, MO · Lafayette County

CMS 4/5 113 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
53%
Serious cites
0

Lutheran Nursing Home runs 113 certified beds in Concordia under for-profit LLC ownership, and its staffing is the number that stands out: 3.14 nurse hours per resident day, about 19% under the national average, with weekends dipping roughly 12% below its own weekday coverage. Annual turnover sits at 52.5% against a 45.8% national figure, so the people providing that care are cycling through faster than average. Inspections look better on paper, a 4/5 health inspection rating as of August 2025, no deficiencies at the harm level, but 27 total deficiencies include 4 tied to abuse, and one fine of $41,886 is on record. The staffing rating of 2/5 tells you where the pressure actually lives.

C

61/100

Cotton Point Living Center

Matthews, MO · New Madrid County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
63%
Serious cites
0

Cotton Point Living Center runs about 4.11 nurse hours per resident day, roughly 7% above the national average, so the raw staffing number looks fine. The problem is what's around it. Weekend staffing drops about 14% below the home's own weekday level, and annual turnover sits at 63.1% against a national average of 45.8%, meaning the aides and nurses in the building keep changing, which matters most for residents who need consistent hands. Then there's the record itself: 32 deficiencies, one at the level of actual harm or jeopardy and four tied to abuse, plus a $14,069 fine. The most recent inspection was March 2025.

C

61/100

Gold Crest Retirement Center

Adams, NE · Gage County

CMS 3/5 52 beds Non-profit Medicaid
Nurse hours
0.64 /day
Staff turnover
67%
Serious cites
0

Gold Crest is a 52-bed nonprofit home in Adams that does two things well and one thing badly. Its last inspection, in March 2025, produced a 4-out-of-5 health inspection rating and 12 deficiencies with none at the harm or jeopardy level, though one is abuse-related. Quality measures also score 4 out of 5. The problem is staffing: 0.64 nurse hours per resident day, roughly 83 percent below the national average of 3.86, which is why the staffing rating sits at 1 out of 5. Annual turnover of 66.7 percent is well above the 45.8 percent national figure, so even that thin coverage keeps changing faces.

C

61/100

Adept Nursing & Rehab Of Gretna

Gretna, NE · Sarpy County

CMS 2/5 63 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
87%
Serious cites
0

Adept Nursing & Rehab Of Gretna runs 63 certified beds under corporate for-profit ownership, and its nurse staffing works out to 4.04 hours per resident day, roughly 5% above the national average of 3.86. That edge fades on weekends, when coverage drops about 11% below the home's own weekday level. Staff turnover sits at 87.1% against a national average of 45.8%, so most of the people caring for residents are relatively new to the building. The current inspection record carries 24 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated March 5, 2026. All three CMS star ratings, health inspections, quality measures, staffing, land at 2 out of 5.

C

61/100

Buckingham At Norwood, The

Norwood, NJ · Bergen County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
39%
Serious cites
0

Buckingham At Norwood runs 240 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 7% below its own weekday coverage, so the thinnest shifts are also the least supervised. Turnover at 39.1% is actually better than the 45.8% national figure, which is worth noting, but it doesn't offset a record of 25 deficiencies, two at harm or jeopardy level, one abuse-related, plus a $76,226 fine. The most recent inspection was April 2026. CMS gives the place 2 of 5 stars for both health inspections and staffing.

C

61/100

Clovis Healthcare And Rehabilitation Center

Clovis, NM · Curry County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
40%
Serious cites
0

Clovis Healthcare and Rehabilitation Center runs 90 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 2.82 nurse hours per resident day, it sits roughly 27% under the national average of 3.86, and weekends drop about 12% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover at 40.4% is actually better than the 45.8% national figure, so the problem isn't retention so much as how few hours are scheduled in the first place. The inspection record carries 49 deficiencies, seven of them at harm or jeopardy level and eight abuse-related, plus a single $81,641 fine.

C

61/100

Maggie Valley Health And Rehabilitation Center

Maggie Valley, NC · Haywood County

CMS 2/5 114 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
32%
Serious cites
0

Maggie Valley Health and Rehabilitation Center runs on thinner nursing coverage than most homes, 3.05 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 11% below its own weekday level. That matters when you're thinking about who's available on a Saturday night. Its inspection record shows 17 deficiencies, two of them serious enough to put residents at risk of harm, plus two tied to abuse, and three fines totaling $52,629. Turnover at 31.8% is actually better than the national 45.8%, which suggests some steadiness in the workforce. The last inspection was March 2026. Oversight by a for-profit corporation, and the pattern of citations is worth asking about directly.

C

61/100

Matthews Health & Rehab Center

Matthews, NC · Mecklenburg County

CMS 2/5 166 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
54%
Serious cites
0

Matthews Health & Rehab Center runs 166 certified beds under corporate ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national figure of 3.86. Weekends drop about 9 percent below the home's own weekday coverage, and annual turnover hits 53.8 percent against a national 45.8 percent, so the aides and nurses your family would see are changing often. The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $82,703 in fines across two penalties. Its last inspection was April 2026, and CMS gives it middling marks on quality measures but weaker ones on health inspections and staffing.

C

61/100

Pelican Health Randolph Llc

Charlotte, NC · Mecklenburg County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
76%
Serious cites
0

Pelican Health Randolph runs on 3.15 nursing hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage slips another 5% below its own weekday level. That thin staffing shows in the turnover number: 76.1% of nurses leave within a year, against a national average of 45.8%, and CMS rates staffing at 1 out of 5. The inspection record carries 47 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with three fines totaling $19,663 and a 2-out-of-5 health inspection rating. It's corporate-owned for profit, and its last inspection was September 17, 2025.

C

61/100

August Healthcare At Wilmington

Wilmington, NC · New Hanover County

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

August Healthcare at Wilmington runs 120 beds as a for-profit corporation, and the staffing numbers are the first thing you notice. At 2.83 nurse hours per resident day, it sits about 27% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels. Annual turnover is 52.3% against a 45.8% national figure, so the people providing care keep changing. On the current record there are 35 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $27,378 fine. Inspectors were last in on May 15, 2025. The inspection and quality ratings land mid-range, but the staffing rating is 1 out of 5, which is where a lot of this traces back to.

C

61/100

Autumn Care Of Raeford

Raeford, NC · Hoke County

CMS 2/5 132 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
49%
Serious cites
0

Autumn Care of Raeford runs on 3.00 nurse staffing hours per resident day, roughly 22% under the national average, which is why CMS gives it a single star for staffing. Weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. The current record carries four deficiencies, two of them at the harm or jeopardy level and one abuse-related, plus $32,631 in fines across two penalties. Turnover sits at 48.5%, a few points above the national rate. Ownership is a for-profit corporation. The last inspection was February 26, 2026, so the record is recent, and what's on it is serious.

C

61/100

Pine Crest Health & Rehabilitation

Charlotte, NC · Mecklenburg County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
73%
Serious cites
0

Shamrock Nursing Center runs on about 3.04 nurse hours per resident per day, roughly a fifth below the national average, and weekend coverage drops further. That thin staffing shows in who stays: turnover sits at 73.4% against a national 45.8%, so most of the people caring for your relative are likely new to the building. The inspection record is the harder problem, 28 deficiencies, seven involving actual harm or jeopardy, two tied to abuse, and a $144,199 fine, with the most recent inspection in August 2025. Its quality measure score looks fine on paper, but that reflects charted care, not whether enough hands are present.

C

61/100

Bermuda Commons Nursing And Rehabilitation Center

Advance, NC · Davie County

CMS 3/5 117 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
41%
Serious cites
0

Bermuda Commons runs 117 certified beds in Advance under for-profit LLC ownership, and its staffing sits about 18% below the national average at 3.17 nurse hours per resident day. Weekends drop roughly another 9% off its own weekday level, so coverage thins exactly when families tend to visit. Turnover at 41% is a little better than the 45.8% national figure, which matters, but 21 deficiencies on the current record, two of them at harm or jeopardy level, and $28,043 in fines point to real gaps in care delivery. Inspectors were last on site April 29, 2026.

C

61/100

Longmeadow Care Center

Ravenna, OH · Portage County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
61%
Serious cites
0

Longmeadow Care Center runs about 3.06 nurse hours per resident each day, roughly a fifth below the national average, and weekend coverage slips another 7% below its own weekday levels. Staff turnover sits at 61.2% against a national figure near 45.8%, so the people caring for residents are, more often than not, new to the building. The inspection record tells its own story: 36 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $47,486 fine. The most recent state inspection was in April 2025, so the findings are current rather than stale. Corporate for-profit ownership. The quality-measure scores look strong on paper, but a one-star inspection rating and thin, churning staffing are what families actually live with day to day.

C

61/100

Rocky River Gardens Rehab And Nursing Ctr

Cleveland, OH · Cuyahoga County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
59%
Serious cites
0

Rocky River Gardens runs on 3.21 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends drop another 14 percent below its own weekdays. That thin coverage shows up in the numbers: a one-star CMS staffing rating, 58.7 percent annual turnover against a national 45.8 percent, and a one-star health inspection rating backed by 44 deficiencies on record, five of them at harm or jeopardy level and three tied to abuse. The $68,068 in fines across three actions and an April 2024 inspection round out a pattern that's hard to read kindly. Its five-star quality measure score stands alone against all of it.

C

61/100

Stillwater Skilled Nursing And Rehabilitation

Covington, OH · Miami County

CMS 2/5 75 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
66%
Serious cites
0

Stillwater runs 3.56 nurse hours per resident day, about 8% under the national average, and weekend staffing barely dips below its own weekday numbers, that part is steady. The bigger issue is retention: 66.1% of nursing staff turned over in a year, well above the 45.8% national figure, and CMS gives the home just one star for staffing. Its current record carries 25 deficiencies, none at harm or jeopardy level but one abuse-related, with the most recent inspection dated April 2026. Quality measures score well and inspections land mid-range, which is why the overall picture comes out average despite the thin staffing and churn.

C

61/100

Als Woodstock Inc

Woodstock, OH · Champaign County

CMS 1/5 42 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
60%
Serious cites
0

Als Woodstock runs 42 beds in Woodstock under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends running about 5% thinner than weekdays. Turnover sits at 59.5% against a national 45.8%, which means the aide helping your mother today is more likely than not to be gone within the year. The health inspection record shows 38 deficiencies, including one at the harm level and one abuse-related, plus seven fines totaling $42,094; the last inspection was October 31, 2024. Resident care measures score well, but that's paperwork versus the floor.

C

61/100

Heights Rehabilitation And Healthcare Center, The

Broadview Heights, OH · Cuyahoga County

CMS 1/5 149 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
67%
Serious cites
0

The nurse staffing number here is the first thing I'd look at. At 3.43 hours per resident day, it runs about 11% under the national average, and weekends drop roughly 9% below the home's own weekday level, so coverage is thinnest when families tend to visit. Annual turnover of 67.3% sits well above the 45.8% national figure, which means the people caring for your relative are often new to the building. Inspections tell a similar story: 32 deficiencies on record, including one at the harm level and four tied to abuse, plus a $183,316 fine. The last inspection was September 2023, so that record has had time to age without a fresh look.

C

61/100

Rae Ann Suburban

Westlake, OH · Cuyahoga County

CMS 2/5 95 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
75%
Serious cites
0

Rae Ann Suburban runs 95 beds in Westlake under for-profit LLC ownership, and the staffing numbers are the first thing you'd notice. At 3.39 nurse hours per resident day, it sits about 12% under the national average, and weekends drop another 14% below its own weekdays, so the coverage your family member gets on a Saturday looks different from a Tuesday. Annual turnover of 75% is well above the 45.8% national figure, meaning familiar faces cycle out fast. Its health inspection rating is 1 out of 5, with 37 deficiencies on record, including one at the harm level and three tied to abuse; a $10,065 fine was levied, and the last inspection was June 2025.

C

61/100

The Pavilion At Stow For Nursing And Rehabilitatio

Stow, OH · Summit County

CMS 3/5 51 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
72%
Serious cites
0

The Pavilion at Stow runs about 51 beds under corporate ownership, and its staffing is the number that stands out: 3.16 nurse hours per resident per day, roughly 18% under the national average of 3.86, with weekends dipping another 7% below its own weekday level. That thin coverage shows up in the 1-out-of-5 staffing rating. Turnover sits at 72.1% against a national 45.8%, so the aides and nurses cycling through are often new. Inspections last happened in August 2023, and the record carries 27 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy. Health and quality measures both land mid-range at 3 stars, which suggests care isn't falling apart, but the workforce behind it keeps changing.

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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