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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 11861–11880 of 12,967, best-graded first.

C

60.5/100

Briarwood Community Living Center

Lexington, TN · Henderson County

CMS 2/5 55 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
69%
Serious cites
0

Briarwood runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends drop another 15% below its own weekday staffing. Turnover sits at 69% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. Fourteen deficiencies appear on the current record, four of them abuse-related. None rise to harm or jeopardy level, and the most recent inspection was in May 2025, so the picture is current rather than stale. The quality measure rating of 1 out of 5 is the number that should give you pause; staffing at 2 out of 5 and inspections at 3 out of 5 round out a home that isn't failing outright but isn't steady either.

C

60.5/100

Etowah Health And Rehabilitation

Etowah, TN · Mc Minn County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
—
Serious cites
0

Etowah Health and Rehabilitation runs a 120-bed for-profit operation where nurse staffing sits at 3.22 hours per resident day, about 16% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. The inspection record shows 16 deficiencies, three of them serious enough to involve harm or jeopardy, four tied to abuse, and $21,692 in fines across three penalties. CMS rates it one star each for staffing and quality measures, two for health inspections, with the most recent inspection dated February 25, 2026. Families weighing this one should ask directly how the abuse-related findings were resolved and who covers the floor on weekends.

C

60.5/100

Vanayer Senior Living And Rehabilitation

Martin, TN · Weakley County

CMS 3/5 91 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
50%
Serious cites
0

Vanayer Senior Living runs 91 certified beds in Martin under individual for-profit ownership, and the numbers show a building that's staffed thinner than most. Total nurse coverage sits at 3.49 hours per resident day, roughly 10% under the national figure, and weekends dip about 18% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Half the staff turned over in the past year, above the 45.8% national rate, which matters because new aides don't know residents yet. Nine deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus $8,589 in fines. The last inspection was November 2025, so that record is recent.

C

60.5/100

Ahc Mckenzie

Mc Kenzie, TN · Carroll County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
60%
Serious cites
0

AHC McKenzie runs 99 certified beds under corporate for-profit ownership, and its last health inspection in April 2026 came back strong on paper, a 5-star inspection rating with just three deficiencies on record, none of them causing harm. An abuse-related citation does appear in that count, which is worth asking about directly. The staffing side is where the picture changes: 3.24 nurse hours per resident per day sits about 16% under the national average, weekends run roughly 15% thinner than weekdays, and 60% of staff turned over in a year against a national rate near 46%. Consistent coverage is the thing to press on when you visit.

C

60.5/100

Meadowbrook Healthcare And Rehabilitation Center

Pulaski, TN · Giles County

CMS 4/5 83 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
—
Serious cites
0

Meadowbrook Healthcare And Rehabilitation Center runs 83 certified beds in Pulaski, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. That gap shows up most on weekends, when coverage drops about 13% below what the home staffs on weekdays. The record itself is fairly clean on safety, 8 deficiencies total, none at the harm level and none tied to abuse, with the last inspection dated February 2026 and a 4-star health inspection rating. Quality measures come in at 2 stars, though, which fits with thin staffing. Corporate for-profit ownership means decisions about direct-care hours get made with margin in mind.

C

60.5/100

Ripley Healthcare And Rehab Center

Ripley, TN · Lauderdale County

CMS 3/5 144 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
46%
Serious cites
0

Ripley Healthcare and Rehab Center runs 144 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average, which sounds better than it is. Weekend staffing drops about 22% below the home's own weekday level, so the coverage your family member gets on a Saturday looks nothing like a Tuesday. Staff turnover is 45.7%, essentially identical to the national average, meaning nearly half the workforce turns over each year. Eleven deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and CMS has fined the home $66,472. The last inspection was May 2026.

C

60.5/100

Swan Health At Wichita Falls

Wichita Falls, TX · Wichita County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
—
Serious cites
0

Swan Health At Wichita Falls runs 72 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.24 hours per resident day, about 16% under the national average of 3.86. Weekends dip roughly 6% below the home's own weekday coverage, so the thinnest hours come when families often visit. The record shows 27 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection on March 20, 2025. CMS gives it 4 stars for health inspections but only 1 for staffing and 2 for quality measures. The tension is clear: surveyors found relatively few serious problems, yet the daily staffing numbers and quality metrics are where the weakness lives, especially on weekends.

C

60.5/100

Riverside Health & Rehab Cntr

Danville, VA · Danville City County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
53%
Serious cites
0

Riverside Health & Rehab runs 180 beds in Danville under corporate ownership, and its inspection history is genuinely decent, a 4-out-of-5 federal rating with no deficiencies at the harm level. The problem sits elsewhere. Nurse staffing comes in at 2.96 hours per resident day against a national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. Annual turnover of 53% tops the 45.8% national figure, so the people providing most of the hands-on care are cycling through quickly. Twenty-two deficiencies are on the current record, one abuse-related, with the last inspection in September 2023. Ask how they cover weekend shifts before you decide.

C

60.5/100

Ohio Valley Health Care

Parkersburg, WV · Wood County

CMS 1/5 66 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
—
Serious cites
0

Ohio Valley Health Care runs 66 certified beds in Parkersburg under corporate for-profit ownership, and its nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 7% below the home's own weekday level, so coverage thins exactly when families tend to visit. The inspection record shows 29 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $21,580 fine. Quality and staffing measures both land at 1 out of 5 stars, though the last inspection was recent, in March 2026. If you're weighing this one, ask directly about weekend nurse coverage and how that abuse citation was resolved.

C

60.5/100

Hillside Medical Lodge

Gatesville, TX · Coryell County

CMS 3/5 128 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
47%
Serious cites
0

Hillside Medical Lodge runs on thinner staffing than most homes its size, 3.10 nurse hours per resident day against a national average of 3.86, with weekends dropping about 16% below its own weekday levels. That's the number families should weigh hardest, since it's the one that shapes daily care. Turnover sits at 46.7%, roughly in line with the national figure, and the home changed owners within the past year, which often means new management still settling in. The good news: 13 deficiencies on record with none at harm or jeopardy level and none abuse-related, plus a four-star health inspection rating and a recent December 2025 inspection. Quality measures land at two stars.

C

60.5/100

The Highlands Guest Care Center

Dallas, TX · Dallas County

CMS 1/5 116 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
—
Serious cites
0

Nurse staffing at The Highlands runs 3.32 hours per resident day against a national average of 3.86, roughly 14% lighter, and weekends drop about 11% below the home's own weekday level, so coverage is thinnest exactly when families tend to visit and aides often work short. The inspection record shows 24 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus four abuse-related citations and one fine of $47,726; the most recent inspection was December 30, 2025. This is a for-profit limited liability company with 116 certified beds, and its CMS staffing rating sits at 1 out of 5 while health inspections and quality measures each sit at 2.

C

60.5/100

Larkspur

Lufkin, TX · Angelina County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
54%
Serious cites
0

Larkspur runs 120 beds in Lufkin under corporate for-profit ownership, and the numbers tell a split story. The clinical side looks steady, four out of five stars on health inspections and quality measures, with the most recent inspection in April 2025. But staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average, and weekends drop about 16% below the home's own weekday coverage. Annual turnover hits 54%, well above the 45.8% national figure, and the record shows 26 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $30,928 in fines. Strong inspection results and thin, churning staffing don't cancel each other out. Ask how weekends and evenings are actually covered.

C

60.5/100

Heritage Plaza Nursing Center

Texarkana, TX · Bowie County

CMS 3/5 95 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
57%
Serious cites
0

Heritage Plaza runs 3.15 nurse staffing hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends drop about 16 percent below its own weekday levels. That thin coverage shows up in the numbers: 57.4 percent annual turnover against a national 45.8 percent, and 43 deficiencies on the current record, including three at the harm or jeopardy level and five tied to abuse. Three fines total $89,633, and the most recent inspection was April 23, 2025. Corporate-owned and certified for 95 beds, it scores well on quality measures but poorly on inspections and staffing, a pattern worth asking about directly before you visit.

C

60.5/100

Twin Pines Nursing And Rehabilitation

Victoria, TX · Victoria County

CMS 1/5 200 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
—
Serious cites
0

Twin Pines runs 3.01 nurse staffing hours per resident day, roughly 22% under the national average of 3.86, and weekends dip about 8% below its own weekday levels. That thin coverage sits behind a one-star staffing rating and a one-star inspection record: 63 deficiencies on file, four serious enough to put residents in harm or jeopardy, one tied to abuse, plus three fines totaling $37,199. The most recent inspection was February 2026, so the record is current, not stale. With 200 beds under corporate for-profit ownership, families should ask directly who is on the floor overnight and on weekends, and request the latest inspection report before deciding.

C

60.5/100

Golden Estates Rehabilitation Center

San Antonio, TX · Bexar County

CMS 2/5 93 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
59%
Serious cites
0

Golden Estates runs 3.29 nurse hours per resident day, about 15% under the national average, and weekends drop roughly another 20% below its own weekday staffing. Nearly six in ten staff left over the past year, 58.5% turnover against a 45.8% national figure, which means the people caring for your relative are often new and still learning the building. The record shows 32 deficiencies, including six at harm or jeopardy level and two tied to abuse, plus three fines totaling $161,844. That inspection history and thin staffing sit behind the low marks, even though the quality measure score looks better on paper.

C

60.5/100

Ridgewood At The Woodlands

The Woodlands, TX · Montgomery County

CMS 1/5 126 beds Government Medicaid
Nurse hours
3.63 /day
Staff turnover
71%
Serious cites
0

Ridgewood At The Woodlands is owned by a hospital district and holds 126 certified beds, but the numbers on its current record are hard to ignore. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and the gap widens on weekends, when coverage drops roughly 16% below its own weekday level. Annual turnover of 70.8% is well above the national 45.8%, which matters because constant churn makes consistent care harder to deliver. The inspection history backs that up: 21 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, plus a $14,020 fine. Its last inspection was June 2025.

C

60.5/100

Cedar Creek Nursing And Rehabilitation Center

Bandera, TX · Bandera County

CMS 2/5 62 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
94%
Serious cites
0

Cedar Creek runs on thin staffing. At 3.35 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly 18 percent below what the home manages during the week, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 94.4 percent of staff leaving in a year, more than double the national rate, which means the aides and nurses who know your mother's routines are constantly being replaced by people learning them for the first time. Forty total deficiencies on record, three tied to abuse, with the last inspection in May 2026. Corporate-owned, 62 beds. Ask to see weekday and weekend staffing schedules side by side before you decide.

C

60.5/100

Legacy At Jacksonville

Jacksonville, TX · Cherokee County

CMS 3/5 101 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
—
Serious cites
0

Legacy At Jacksonville runs a 101-bed for-profit operation that just got through a health inspection with no findings at the harm or jeopardy level, which is worth something, 11 deficiencies on the record and only one tied to abuse, none serious enough to endanger a resident. But the nursing side tells a different story: 3.17 nurse hours per resident per day against a national average of 3.86, a staffing rating of 1 out of 5, and weekends running about 13% thinner than weekdays. Quality measures land at 2 out of 5, with two fines totaling $27,345 on the books. Inspection day looked fine; the daily staffing math is the part I'd ask about.

C

60.5/100

Vista Ridge Senior Care

Lakeway, TX · Travis County

CMS 2/5 98 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
55%
Serious cites
0

Brookdale Lakeway runs on thinner staffing than most homes its size, 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what it manages Monday through Friday. That gap matters because care doesn't pause on Saturdays. Annual turnover sits at 55.3%, well above the 45.8% national figure, so the aides and nurses your family member sees are cycling through faster than average. The inspection record backs this up: 23 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and $91,420 in fines. The most recent inspection was in August 2025. Quality measures score well, but the staffing and oversight numbers are where the concern lives.

C

60.5/100

Legend Oaks Healthcare And Rehabilitation - Waxaha

Waxahachie, TX · Ellis County

CMS 1/5 121 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
58%
Serious cites
0

Legend Oaks in Waxahachie runs 121 certified beds under individual for-profit ownership, and the staffing picture is the first thing to notice: 3.55 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 19% below its own weekday levels. That thin weekend coverage matters, because turnover sits at 57.6%, well above the 45.8% national figure, meaning the aides and nurses at the bedside keep changing. The inspection record backs it up: 35 deficiencies, five serious enough to put residents in harm's way, one tied to abuse, and $41,215 in fines across three actions, with the most recent inspection in February 2026.

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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