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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 11801–11820 of 12,967, best-graded first.

C

61/100

Guadalupe Valley Nursing And Rehabilitation Center

Seguin, TX · Guadalupe County

CMS 2/5 148 beds Non-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
48%
Serious cites
0

Guadalupe Valley runs 148 certified beds in Seguin under nonprofit ownership, which often signals stability, but the numbers here tell a more mixed story. Nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 48.1%, a bit above the national rate, while the inspection record shows 50 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one $75,450 fine. The most recent inspection, in March 2026, is recent enough to reflect current conditions rather than old ones.

C

61/100

Desoto Nursing & Rehabilitation Center

Desoto, TX · Dallas County

CMS 3/5 110 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
97%
Serious cites
0

Desoto Nursing & Rehabilitation Center runs about 2.96 nurse hours per resident day, roughly a quarter below the national average of 3.86, and staffing thins out further on weekends. The bigger red flag is turnover: 96.6% of nursing staff leave within a year, against a national rate near 46%, which makes it hard to keep consistent caregivers who know the residents. The 18 deficiencies on record include one at the harm or jeopardy level, and a single fine of $12,740 has been levied. Quality measures look strong at 5/5 stars, but staffing sits at 1/5, and that gap between good outcomes on paper and thin, constantly changing staff is what drives the low overall score.

C

61/100

Crestwood Rehabilitation And Nursing

Ogden, UT · Weber County

CMS 2/5 88 beds Government Medicaid
Nurse hours
2.95 /day
Staff turnover
59%
Serious cites
0

Crestwood runs on notably thin nursing coverage: 2.95 hours per resident day, roughly a quarter below the national average, and weekends drop about 10% below what the home already provides on weekdays. Inspectors have cited 45 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $10,839 and a health inspection rating of 1 out of 5; the last inspection was January 2024. Staff turnover sits at 59% against a national 45.8%, so the people providing care change often. The quality measure score of 5 out of 5 stands out against all of this, a gap worth asking the administrator about directly.

C

61/100

Grace Pointe Wellness Center

El Paso, TX · El Paso County

CMS 1/5 154 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
—
Serious cites
0

Grace Pointe Wellness Center runs 154 certified beds in El Paso under corporate for-profit ownership, and the numbers don't line up in the family's favor. Nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average, and weekends drop about 19% below what the home staffs on weekdays, so the coverage your relative gets on a Saturday is thinner than what the inspection record assumes. That record carries 53 deficiencies, including 5 at harm or jeopardy level and 8 tied to abuse, plus two fines totaling $76,770. The quality measure score looks strong, but quality measures are self-reported, and a 1-out-of-5 inspection rating alongside a 1-out-of-5 staffing rating is what the state actually found when it walked through the door in March 2026.

C

61/100

Avir At Jefferson

Jefferson, TX · Marion County

CMS 2/5 116 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
59%
Serious cites
0

Avir At Jefferson runs 116 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.29 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and weekends drop about 14% below its own weekday level, meaning the thinnest coverage lands when families are most likely to visit. Turnover tells a similar story: 58.8% annually against a national 45.8%, so more than half the nursing staff left within a year. Behind that churn sits an inspection record with 44 deficiencies, including two at the harm level and one tied to abuse, plus $16,498 in fines. The most recent inspection was December 2025. Three 2-out-of-5 stars across health, quality, and staffing round it out.

C

61/100

Focused Care At Linden

Linden, TX · Cass County

CMS 1/5 131 beds For-profit Medicaid
Nurse hours
2.61 /day
Staff turnover
54%
Serious cites
0

Sixty-one deficiencies sit on Focused Care At Linden's record, seven of them serious enough to involve harm or jeopardy, and four tied to abuse. Federal inspectors wrote four fines totaling $391,545. The company runs this 131-bed home for profit, and the health inspection rating is one out of five stars. Staffing is the other trouble spot: 2.61 nurse hours per resident day, well under the national average of 3.86, with weekends about 12% thinner than weekdays. Turnover runs 53.6% a year against a 45.8% national figure, so caregivers keep cycling out. The quality measure score of four stars reflects charted clinical care, but that's measured on paper, the inspection record and thin staffing describe what happens on the floor.

C

61/100

Eagle Pass Nursing And Rehabilitation

Eagle Pass, TX · Maverick County

CMS 2/5 114 beds Government Medicaid
Nurse hours
3.08 /day
Staff turnover
—
Serious cites
0

Eagle Pass Nursing and Rehabilitation runs on 3.08 nurse staffing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs during the week. The record shows 26 deficiencies, three of them serious enough to reach harm or jeopardy, plus three abuse-related citations and $17,419 in fines. A recent inspection in May 2025 and a strong health inspection star rating suggest the home does get looked at closely, which makes the thin staffing harder to explain. Government hospital district ownership doesn't change the arithmetic here: fewer hands per resident, especially on weekends, is the number families will feel.

C

61/100

Heritage Trails Nursing And Rehabilitation Center

Cleburne, TX · Johnson County

CMS 4/5 122 beds For-profit Medicaid
Nurse hours
2.76 /day
Staff turnover
53%
Serious cites
0

Heritage Trails is a 122-bed for-profit home in Cleburne, and its inspection history is genuinely decent, four out of five stars, with a survey done in August 2025. The staffing is where it comes apart. At 2.76 nurse hours per resident day, it runs about 28% under the national average, and weekend coverage drops roughly 13% below its own weekday level, which matters most when families visit and problems tend to surface. Turnover sits at 53.2%, higher than the 45.8% national figure. Twelve deficiencies are on the current record, three of them at the harm level and one tied to abuse, with seven fines totaling $67,124.

C

61/100

The Heights At Medical Center

San Antonio, TX · Bexar County

CMS 1/5 134 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
56%
Serious cites
0

The Heights At Medical Center runs on 3.00 nurse hours per resident day, roughly 22% under the national average, and its own weekend coverage drops another 10% below weekdays. Staff turnover sits at 56.3%, well above the 45.8% national figure, so the people left covering those shifts are often new. Inspectors cited 44 deficiencies, three of them serious enough to put residents in harm's way, and fined the home twice for $22,052 combined. A for-profit LLC operates the 134-bed building, and its last inspection was August 2025. Resident outcome measures look better than the staffing does, but the hands-on care numbers are what families feel day to day.

C

61/100

Memphis Convalescent Center

Memphis, TX · Hall County

CMS 2/5 72 beds Government Medicaid
Nurse hours
3.39 /day
Staff turnover
100%
Serious cites
0

Memphis Convalescent Center runs on 3.39 nursing hours per resident day, roughly 12% under the national average, and weekends dip about 9% below its own weekdays, so the thinnest coverage lands when families tend to visit. Every aide and nurse on staff turned over last year, against a national rate near 46%, which means the people caring for residents are largely new to the building and to each other. The record shows 20 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus one fine of $19,754; the last inspection was November 2025. Hospital-district ownership doesn't change what those numbers say about daily care.

C

61/100

Focused Care At Midland

Midland, TX · Midland County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
41%
Serious cites
0

Focused Care At Midland runs about 2.95 nursing hours per resident each day, roughly a quarter below the national average of 3.86, and weekends dip another 13% under its own weekday numbers. That thin coverage shows up on the record: 45 deficiencies, one serious enough to reach harm or jeopardy level, with a $9,281 fine and a June 2025 inspection. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure, though the CMS star ratings land at 2 out of 5 across health inspections, quality measures, and staffing. For-profit corporate ownership and 106 beds. Ask about weekend coverage specifically, and request the plan of correction for that harm-level finding.

C

61/100

Twilight Home

Corsicana, TX · Navarro County

CMS 4/5 102 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
95%
Serious cites
0

Twilight Home in Corsicana runs about 3.30 nurse hours per resident per day, roughly 14% under the national average, and weekends dip another 12% below its own weekday staffing. The bigger problem is turnover: 94.9% of staff leave each year, more than double the national rate, so the people providing that already-thin care are constantly new. Inspections look strong on paper, a 4 out of 5 star rating, with the most recent visit in May 2025, but the record still carries 10 deficiencies, one of them serious enough to involve harm or jeopardy, plus a $12,795 fine. CMS rates the staffing domain 1 out of 5 stars, and that's the number that matters most day to day.

C

61/100

Town Hall Estates

Hillsboro, TX · Hill County

CMS 1/5 138 beds Non-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
62%
Serious cites
0

Town Hall Estates runs on thinner nursing coverage than most homes, about 3.07 nurse hours per resident day against a national average near 3.86, with weekends dipping below its own weekday levels. That shortfall shows up in the staffing rating and in a turnover rate of 62.2%, well above the 45.8% national figure. The inspection record is the bigger concern: 29 deficiencies, five serious enough to involve harm or jeopardy, and one tied to abuse, plus eight fines totaling $83,494. A recent September 2025 inspection means the picture is current, not stale. Quality measures score well, but that's the one bright spot in an otherwise difficult record.

C

61/100

Winnie L Nursing & Rehabilitation

Cameron, TX · Milam County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
88%
Serious cites
0

Winnie L Nursing & Rehabilitation runs on thin staffing and high turnover, and both numbers are worth sitting with. Nurses provide 3.27 hours per resident day against a national average of 3.86, and weekends drop about 13% below what the home manages on weekdays. Staff turnover sits at 87.5%, nearly double the national rate, which means the people caring for residents are constantly new. The inspection record shows 34 deficiencies, five serious enough to involve harm or jeopardy, plus one abuse-related finding and $51,479 in fines; the last inspection was May 2025. Ownership is a for-profit corporation. Quality measure scores look strong, but that's the part of the record least connected to how the building is actually run day to day.

C

61/100

Huebner Creek Health & Rehabilitation Center

San Antonio, TX · Bexar County

CMS 1/5 146 beds For-profit Medicaid
Nurse hours
2.52 /day
Staff turnover
—
Serious cites
0

Huebner Creek runs on thin nursing coverage. At 2.52 nurse hours per resident day, it sits about 35% under the national average of 3.86, and weekends drop roughly 24% below what the home already staffs on weekdays. That matters when you're thinking about who answers a call light on a Saturday. The inspection record is heavier than the staffing picture alone would suggest: 54 deficiencies, including one at the harm or jeopardy level and two tied to abuse. The last inspection was March 2026, so the findings are recent, not stale. A single fine of $14,327 is on file. Limited liability ownership, 146 beds, and quality measures that rate better than the staffing and inspection scores, a gap worth asking about directly.

C

61/100

Wesley Woods Health & Rehabilitation

Waco, TX · Mc Lennan County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
56%
Serious cites
0

Wesley Woods in Waco runs 120 certified beds under corporate ownership, and the staffing numbers tell a story worth paying attention to. Nurses provide 3.51 hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 7% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover hits 56.3%, well above the 45.8% national figure, which means fewer familiar faces and more training burden. The current inspection record carries 26 deficiencies, including three at the harm or jeopardy level and one abuse-related finding. All three CMS star ratings, health inspections, quality measures, staffing, sit at 2 out of 5.

C

61/100

Villa Toscana At Cypress Woods

Houston, TX · Harris County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
91%
Serious cites
0

Villa Toscana At Cypress Woods runs on 3.30 nurse hours per resident day, roughly 14 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. The bigger problem is turnover: 91.4 percent of staff leave within a year, double the national rate, which means whoever is at the bedside is often new to the building. Inspectors have cited 39 deficiencies on the current record, including four at the harm level and four related to abuse, with $37,827 in fines across three penalties. The 4/5 quality measure score reflects resident care measures, not the safety record or the thin staffing that surrounds it.

C

61/100

High Hope Care Center Of Brenham

Brenham, TX · Washington County

CMS 3/5 96 beds Government Medicaid
Nurse hours
3.51 /day
Staff turnover
62%
Serious cites
0

High Hope Care Center of Brenham is run by the local hospital district, which in theory can mean steadier resources than a for-profit chain. The numbers don't show that advantage. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 12% thinner than weekdays. Staff turnover is 62.2%, well above the national 45.8%, so the people caring for residents change often. Inspections turned up 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $20,699 fine. The last inspection was March 2026, and the quality and staffing ratings both sit at 2 out of 5.

C

60.5/100

Foundation Skilled Nursing

Fresno, CA · Fresno County

CMS 1/5 59 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
—
Serious cites
0

Foundation Skilled Nursing in Fresno runs 59 beds under limited liability ownership, and the numbers behind its record deserve a close look before you consider it. Nurse staffing sits at 3.74 hours per resident day, roughly 3% under the national average, and weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. The inspection history is the heavier concern: 51 deficiencies on file, four of them at harm or jeopardy level and four abuse-related, with two fines totaling $96,763. Its most recent inspection was December 2025, so the record is current, not stale. Between the harm-level findings and thin weekend staffing, this is a home to question closely.

C

60.5/100

Pruitthealth - Lilburn

Lilburn, GA · Gwinnett County

CMS 1/5 152 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
49%
Serious cites
0

Pruitthealth - Lilburn runs 152 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 3.02 nurse hours per resident day against a national average of 3.86, roughly 22% below. Weekends drop about 15% below the home's own weekday coverage, and turnover sits at 48.9%. The inspection record is heavy, 23 deficiencies, three at harm or jeopardy level, three abuse-related, plus a $59,423 fine. Quality measures score well, but that's the one bright spot against a 1/5 inspection rating and a 1/5 staffing rating. A recent May 2025 inspection means the record is current, not stale. If you're considering this home, ask directly how they cover weekends and what's changed since that inspection.

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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