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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 11781–11800 of 12,967, best-graded first.

C

61/100

Glendora Health Care Center

Wooster, OH · Wayne County

CMS 1/5 49 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
68%
Serious cites
0

Glendora Health Care Center runs about 49 beds in Wooster, and its nurse staffing sits at 3.34 hours per resident per day, roughly 13% under the national average, with weekends a bit thinner than weekdays. The bigger concern is turnover: 67.6% of staff leave annually, against a national average of 45.8%, which means the people caring for residents are often new and still learning the building. Inspections back that up. The home has 38 deficiencies on its current record, including four tied to abuse and one at the harm or jeopardy level, plus a $17,080 fine. Federal inspectors last visited in September 2024.

C

61/100

Altercare Zanesville Inc.

Zanesville, OH · Muskingum County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
51%
Serious cites
0

Altercare Zanesville runs 99 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.65 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 51.3% against a 45.8% national average, meaning more than half the nursing staff leaves each year. The inspection record is heavy: 48 deficiencies, four at harm or jeopardy level, two tied to abuse, and $198,156 in fines. The most recent inspection was May 2025.

C

61/100

Mcalester Nursing & Rehab

Mcalester, OK · Pittsburg County

CMS 1/5 63 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
64%
Serious cites
0

McAlester Nursing & Rehab runs on thin staffing margins, the lowest tier on CMS's staffing measure, and that's the number that should worry you most, since aides and nurses are who actually deliver daily care. Turnover sits at 64.4% against a national average of 45.8%, meaning roughly two of every three employees left within the year; that churn shows up as unfamiliar faces and inconsistent care. The current record carries 16 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $17,193 in fines. The last inspection was July 31, 2024, so that record is recent. For-profit, limited liability ownership is worth knowing too.

C

61/100

Shenandoah Senior Living Community

Shenandoah, PA · Schuylkill County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
47%
Serious cites
0

Shenandoah Senior Living runs on 3.13 nurse hours per resident per day, roughly 19% under the national average, and weekends drop about 8% below what the home itself staffs during the week. That thinner coverage matters more given the inspection record: 39 deficiencies, including three at the harm level and four tied to abuse, with two fines totaling $76,285. Annual turnover sits at 46.9%, just above the national figure. The most recent inspection was in May 2026. A for-profit limited liability company owns the 119-bed home. Whatever the quality measures suggest, the health inspection history is where the real trouble shows.

C

61/100

Laurel Lakes Rehabilitation And Wellness Center

Chambersburg, PA · Franklin County

CMS 2/5 186 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
47%
Serious cites
0

Laurel Lakes runs 186 certified beds in Chambersburg under for-profit LLC ownership, and the staffing numbers are the first thing worth knowing. At 3.31 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekend coverage drops roughly 7% below its own weekday level. Staff turnover is 46.6%, close to the national 45.8%. The inspection record is heavier: 40 deficiencies currently on file, three at harm or jeopardy level, two tied to abuse, and a single CMS fine of $211,205. Its last inspection was May 20, 2026. If you're weighing this one, ask specifically about weekend nursing coverage and how the abuse-related findings were resolved.

C

61/100

Birchwood Rehabilitation & Healthcare Center

Nanticoke, PA · Luzerne County

CMS 1/5 121 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
54%
Serious cites
0

Birchwood runs 3.34 total nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekend staffing drops another 8% below its own weekday level. Turnover sits at 53.9%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record shows 52 deficiencies, including three at the harm or jeopardy level and three abuse-related, with two fines totaling $123,390; the last inspection was March 2026. It's a for-profit LLC with 121 beds, and its quality measure score stands out against a staffing picture that doesn't.

C

61/100

Wayne Woodlands Manor

Waymart, PA · Wayne County

CMS 1/5 117 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
60%
Serious cites
0

Wayne Woodlands Manor runs 117 beds as a nonprofit, and its nurse staffing lands at 3.87 hours per resident day, essentially dead even with the national average, not above it in any meaningful way. Weekends dip about 9% below its own weekday coverage, and turnover sits at 59.5% against a national 45.8%, so nearly six in ten staff left over the year. The inspection record shows 34 deficiencies, three serious enough to reach harm or jeopardy and ten tied to abuse; one fine of $57,330 is on file, with the most recent inspection dated May 2026. Quality measures score 1 out of 5, the weakest area here.

C

61/100

Wyndmoor Hills Rehabilitation And Nursing Center

Wyndmoor, PA · Montgomery County

CMS 1/5 77 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
48%
Serious cites
0

Wyndmoor Hills runs on 3.10 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage slips another 5% below its own weekday levels. That thin staffing sits alongside a one-star inspection rating and 82 deficiencies on the current record, including four at the harm or jeopardy level and four tied to abuse. Staff turnover is 47.7%, a bit above the national 45.8%, and the home has paid three fines totaling $102,309. The most recent inspection was January 10, 2025. Ownership is for-profit, through a limited liability company. Quality measures score better than the rest, but they don't offset what the inspection and staffing numbers show.

C

61/100

Bayberry Commons

Pascoag, RI · Providence County

CMS 2/5 110 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
46%
Serious cites
0

Bayberry Commons runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends run about 12% thinner than weekdays, so coverage dips when families tend to visit. The current inspection record carries 20 deficiencies, three serious enough to reach harm or jeopardy level and two tied to abuse, plus $51,948 in fines across three penalties. Staff turnover, at 45.6%, is essentially the national norm, and the last inspection was July 2025. Quality measures score 1 out of 5 stars.

C

61/100

Riverview Healthcare Community

Coventry, RI · Kent County

CMS 1/5 190 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
40%
Serious cites
0

Riverview Healthcare Community runs 190 beds in Coventry under for-profit LLC ownership, and its staffing sits at 3.57 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop another 7% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 40.1%, a bit better than the 45.8% national figure, but the inspection record is where things get serious: 31 deficiencies, two at harm or jeopardy level, and one abuse-related, with $63,518 in fines across two penalties. The most recent inspection was April 2, 2026, and CMS rated health inspections and staffing 2 out of 5.

C

61/100

Crystal Lake Rehabilitation And Care Center

Pascoag, RI · Providence County

CMS 1/5 71 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
58%
Serious cites
0

Crystal Lake Rehabilitation And Care Center runs 71 certified beds under for-profit LLC ownership, and the numbers around it deserve a close look. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends drop roughly 13% below the home's own weekday levels, meaning care thins out exactly when families tend to visit. Staff turnover is 57.6% against a national 45.8%, so the people caring for residents are cycling through fast. The inspection record is the hardest part: 60 deficiencies, 8 at harm or jeopardy level, 2 abuse-related, and 15 fines totaling $306,656, with the most recent inspection in April 2025.

C

61/100

Riverside Health And Rehab

Charleston, SC · Charleston County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
2.72 /day
Staff turnover
46%
Serious cites
0

Riverside Health And Rehab runs 160 certified beds in Charleston under for-profit LLC ownership, and its nurse staffing sits at 2.72 hours per resident day, roughly 30% under the national average of 3.86, with weekend coverage dipping about 10% below its own weekday level. Turnover is 46.2%, essentially tracking the national figure, so the shortfall isn't about constant churn; it's about how few hands are scheduled. The inspection record shows 21 deficiencies, including three at harm or jeopardy level and one tied to abuse, plus three fines totaling $27,788. The most recent inspection was April 21, 2026. Staffing star rating lands at 1 out of 5.

C

61/100

River Falls Post Acute

Marietta, SC · Greenville County

CMS 3/5 44 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
60%
Serious cites
0

River Falls Post Acute runs 44 beds in Marietta under for-profit LLC ownership, and the staffing numbers are where the concern sits. At 3.12 nurse hours per resident day, it's roughly 19% under the national average, and weekends drop another 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 59.5% is nearly 14 points above the national rate, meaning the aides and nurses caring for residents are frequently new. Inspections look better: a 4/5 health inspection rating, last survey in April 2026, 9 deficiencies with one at harm level and none abuse-related, plus a single $8,824 fine. The quality measures also rate 4/5. The gap between how care is documented and how consistently it's staffed is what pulls the overall picture down.

C

61/100

Huntsville Post-Acute And Rehabilitation Center

Huntsville, TN · Scott County

CMS 2/5 96 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
61%
Serious cites
0

Nurse staffing at Huntsville Post-Acute runs 3.36 hours per resident day, about 13 percent under the national average, and weekends drop roughly 9 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 61.1 percent sits well above the 45.8 percent national figure, meaning many of the aides and nurses you meet may be new to the building. The current inspection record carries 28 deficiencies, four at harm or jeopardy level and one abuse-related, with a single $9,062 fine. Three straight two-star ratings on health inspections, quality measures, and staffing tell a consistent story rather than a fluke.

C

61/100

The Waters Of Cheatham, Llc

Ashland City, TN · Cheatham County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
68%
Serious cites
0

The Waters of Cheatham runs 80 certified beds in Ashland City under for-profit LLC ownership, and its staffing is the number that stands out: 3.09 nurse hours per resident day, roughly 20% under the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, and annual turnover hit 67.5% against a national 45.8%, meaning most of the people caring for your family member are relatively new to the building. The inspection record carries 24 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level, and CMS fined the home twice for a total of $6,350. Its last inspection was March 26, 2026, so the record is current. Resident outcome measures score well; direct care hours per resident do not.

C

61/100

Waters Of Memphis A Rehabilitation & Nursing Ctr

Memphis, TN · Shelby County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
60%
Serious cites
0

Nurse staffing at Waters of Memphis runs about 12% under the national average, and weekends get thinner still, roughly 13% below what the home staffs on weekdays. That gap matters, because care doesn't pause on Saturdays. Annual turnover sits near 60%, well above the 46% national figure, so the people at the bedside keep changing. The current record shows 13 deficiencies, four tied to abuse, though none rose to the level of actual harm or jeopardy; the last full inspection was in September 2023, and one fine totaling $5,293 has been levied. Quality measures score well, but staffing and inspections tell the more grounded story about daily conditions here.

C

61/100

Fort Worth Wellness & Rehabilitation

Fort Worth, TX · Tarrant County

CMS 1/5 104 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
47%
Serious cites
0

Fort Worth Wellness & Rehabilitation runs on 2.80 nurse hours per resident day, roughly 27% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage is the main thing behind its one-star staffing rating, and it shows up alongside 19 deficiencies on the current record, including one at the harm level, plus a single fine of $122,336. The inspection history sits at two stars, most recently surveyed July 17, 2025, so nothing here is stale. Turnover of 46.7% is close to the national 45.8%, but with this staffing level, even average churn means less continuity for residents.

C

61/100

Heritage Convalescent Center

Amarillo, TX · Potter County

CMS 2/5 116 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
57%
Serious cites
0

Heritage Convalescent Center runs 116 certified beds in Amarillo under corporate for-profit ownership, and its overall nurse staffing sits at 4.00 hours per resident day, modestly above the national average. That top-line number hides a couple of things worth knowing, though. Weekend staffing drops roughly 13% below its own weekday level, and annual turnover lands at 57% against a national rate of 45.8%, so the people covering those shifts are changing often. The current record shows 27 deficiencies, none at the harm or jeopardy level but one tied to abuse, and the last inspection was in December 2025. Federal ratings put staffing at 1 out of 5 stars and quality measures at 2.

C

61/100

Laredo West Nursing And Rehabilitation Center

Laredo, TX · Webb County

CMS 2/5 188 beds Government Medicaid
Nurse hours
3.12 /day
Staff turnover
47%
Serious cites
0

Laredo West runs on 3.12 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends drop about 13% below what the home itself staffs on weekdays. Turnover sits at 47.3%, slightly above the national 45.8%. Those numbers sit behind a one-star health inspection rating and a record of 31 deficiencies, three of them at harm or jeopardy level and four tied to abuse, with two fines totaling $49,719. The most recent inspection was April 2025, so the record is current, not stale. Government hospital district ownership doesn't change what the staffing and inspection data show. Families should ask direct questions about weekend coverage and the abuse-related findings before deciding.

C

61/100

Paradigm Northwest

Houston, TX · Harris County

CMS 1/5 148 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
52%
Serious cites
0

Paradigm Northwest runs 148 beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 2.96 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 11% below its own weekday levels, and annual turnover of 52.3% outpaces the national 45.8%, so the aides and nurses your family would see are cycling through steadily. Its inspection record carries 33 deficiencies, five serious enough to involve harm or jeopardy and one tied to abuse, with four fines totaling $51,400. The most recent inspection was December 2025, so that picture is current. CMS rates staffing and health inspections 1 out of 5; quality measures land at 3.

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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