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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 11921–11940 of 12,967, best-graded first.

C

60/100

Sachem Center For Health And Rehabilitation

East Bridgewater, MA · Plymouth County

CMS 3/5 111 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
39%
Serious cites
0

Sachem Center runs on thinner nurse coverage than most homes, about 3.43 hours per resident day against a national average near 3.86, and weekends dip roughly 6% below what it manages on weekdays. Turnover is actually better than average at 38.5%, so the issue isn't retention so much as how many hands are on deck at once. The inspection record is the harder read: 43 deficiencies, four serious enough to involve harm or jeopardy, five tied to abuse, and three fines totaling $65,753, with the most recent inspection in April 2025. A for-profit limited liability company operates the 111-bed building, and its federal ratings sit at two stars across health inspections, quality measures, and staffing.

C

60/100

The Center At Advocate

East Boston, MA · Suffolk County

CMS 1/5 190 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
42%
Serious cites
0

The Center At Advocate runs 190 beds in East Boston under for-profit LLC ownership, and its last inspection was June 5, 2025. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86, and weekends drop about 10% below its own weekday levels. Turnover is 41.5%, actually better than the 45.8% national figure, but that's the one bright spot. The inspection record shows 66 deficiencies, seven at harm or jeopardy level and six abuse-related, with two fines totaling $69,000. A 1/5 inspection rating and 2/5 quality measures tell you where the problems concentrate.

C

60/100

Aberdeen Rehabilitation And Skilled Nursing Center

Trenton, MI · Wayne County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
68%
Serious cites
0

Aberdeen runs lean on nursing hours, 3.42 per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday level, which is when families tend to visit and notice. The bigger number is turnover: 68.2% of staff leaving in a year, well above the 45.8% norm. That churn matters because 36 deficiencies sit on the current record, three tied to abuse, though none reached the harm or jeopardy level. State inspectors were last in on September 11, 2025. It's a 120-bed for-profit home owned by an individual, and the staffing and quality ratings of 1 and 2 reflect what the numbers already say.

C

60/100

Majestic Care Of Flushing

Flushing, MI · Genesee County

CMS 1/5 140 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
57%
Serious cites
0

Majestic Care of Flushing runs 140 certified beds under corporate for-profit ownership, and its staffing sits at 3.54 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, and 57% of staff turned over in a year against a national rate near 46%. The inspection record is the harder part: 67 deficiencies, including 10 at harm or jeopardy level and 3 tied to abuse, with $140,142 in fines across three actions. Quality measures score well, but that's the piece families can't verify at the bedside. A 1-out-of-5 inspection rating, last surveyed June 2025, tells you what regulators keep finding.

C

60/100

Beaconshire Nursing Centre

Detroit, MI · Wayne County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
47%
Serious cites
0

Beaconshire runs 99 certified beds in Detroit under individual for-profit ownership, and the staffing numbers are the first thing to notice. Nurses give residents 3.38 hours of care per day against a national average of 3.86, roughly 13% less, and weekends drop about 12% below what the home itself staffs on weekdays. Annual turnover sits at 46.7%, a touch above the national rate, so the people providing that thinner coverage keep changing. The inspection record shows 49 deficiencies, including 3 at the harm or jeopardy level and 7 tied to abuse, with $23,994 in fines across three penalties. A January 2025 inspection is recent enough to reflect current conditions.

C

60/100

Brandon Community Care Center

Brandon, MS · Lee County

CMS 1/5 230 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
60%
Serious cites
0

Brandon Community Care Center runs 230 beds under for-profit LLC ownership, and its staffing is genuinely a bright spot, 4.58 nurse hours per resident day, roughly 19% above the national average of 3.86. But that staffing comes with a catch: weekend coverage drops about 13% below weekday levels, and turnover sits at 60.4% against a national average of 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. The inspection record is where things get serious, 43 deficiencies, 11 at harm or jeopardy level, 4 abuse-related, and $97,553 in fines, with the most recent inspection in July 2025. Good weekday hours can't offset that pattern.

C

60/100

Chadwick Community Care Center

Jackson, MS · Lee County

CMS 1/5 102 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
73%
Serious cites
0

Chadwick Community Care Center runs 102 certified beds as a for-profit corporation, and its nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 15% below the home's own weekday level, so coverage is thinnest exactly when families tend to visit, and annual turnover of 72.5% means most of the people caring for residents are relatively new. The current record shows 22 deficiencies, one serious enough to involve harm or jeopardy, plus a $8,281 fine; the last inspection was January 29, 2026. Quality measures score lowest of the three CMS categories, with staffing and health inspections each one step above that.

C

60/100

The Oaks Rehabilitation And Healthcare Center

Meridian, MS · Lauderdale County

CMS 1/5 82 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
60%
Serious cites
0

Meridian's Oaks Rehabilitation and Healthcare Center runs 82 certified beds under for-profit LLC ownership, and the numbers there deserve a careful read before you consider it. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and it thins out further on weekends, about 13% below the home's own weekday level. Annual turnover hits 60.2%, well above the 45.8% national figure, so the people caring for residents are frequently new. The current inspection record carries 34 deficiencies, five of them at harm or jeopardy level and eight abuse-related, with $42,487 in fines across three penalties. The most recent inspection was June 26, 2025. Ask about those abuse deficiencies directly, and about how weekend coverage is handled.

C

60/100

Pass Christian Health And Rehabiliation Center

Pass Christian, MS · Harrison County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
71%
Serious cites
0

Pass Christian Health and Rehabilitation Center runs 60 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop another 12% below its own weekday coverage, which matters most when families visit and needs go unmet. Annual turnover hits 71.2%, well above the 45.8% national figure, so the people caring for residents keep changing. Eighteen deficiencies sit on the current record, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $8,224 has been levied. The last inspection was September 4, 2025.

C

60/100

Woodland Manor Nursing Center

Arnold, MO · Jefferson County

CMS 2/5 178 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
63%
Serious cites
0

Woodland Manor runs 178 certified beds under for-profit LLC ownership, and its last health inspection came through in late March 2026 with a clean record on harm-level deficiencies, 39 findings total, none rising to actual harm or jeopardy, though one is abuse-related. The staffing picture is where the trouble sits: 3.76 nurse hours per resident day, a bit under the national average, with weekends about 8% thinner than weekdays and turnover at 63.1% against a national 45.8%. Inspectors rated the place 4 of 5, but quality measures and staffing both came back 1 of 5. High turnover plus weekend gaps is what tends to wear on day-to-day care.

C

60/100

Grandview Healthcare Center

Washington, MO · Franklin County

CMS 2/5 102 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
69%
Serious cites
0

Grandview Healthcare Center runs on thin staffing: 3.11 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 9% below what the home already provides on weekdays. That's the number worth weighing, because turnover sits at 68.6% against a national 45.8%, most of the people caring for your relative are likely new to the building. The record shows 24 deficiencies, including one at the harm level and one tied to abuse, and the quality measure score came in low. A recent inspection doesn't erase a pattern like that. If you're considering this one, ask how they hold staffing on weekends and what's changed since January.

C

60/100

Pinnacle Point Wellness & Rehabilitation

Riverside, MO · Platte County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
80%
Serious cites
0

Pinnacle Point runs 180 beds in Riverside under for-profit LLC ownership, and its nurse staffing sits at 3.68 hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 11% below the home's own weekday coverage. Staff turnover is the number that should stop you: 80% a year, nearly double the national 45.8%, which means the person caring for your family member is likely new, and likely gone within the year. Inspections turned up 38 deficiencies, including one at the harm level and two tied to abuse, with a $52,878 fine on record. The most recent inspection was November 2025, so the picture is current.

C

60/100

Ratliff Care Center

Cape Girardeau, MO · Cape Girardeau County

CMS 3/5 46 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
72%
Serious cites
0

Ratliff Care Center runs about 3.24 nurse hours per resident each day, roughly 16% under the national average, and weekend coverage drops another 6% below its own weekday level. Staff turnover sits at 72.1% against a national 45.8%, which means most of the people caring for your relative are new to the building. The inspection record shows 20 deficiencies, none at the harm level but three tied to abuse, and the last state visit was May 30, 2025. Quality measures score 2 out of 5 and staffing 1 out of 5, though inspections hold at 4. The individual for-profit owner keeps a thin crew on weekends.

C

60/100

Stonebridge Desoto

De Soto, MO · Jefferson County

CMS 4/5 56 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
68%
Serious cites
0

Stonebridge Desoto runs 56 beds under a for-profit limited liability company, and its inspection history is the strongest thing going for it, four out of five stars, with the most recent visit in March 2025 and no abuse citations on record. The trouble sits elsewhere. Staffing earns one star, and the home loses about 68 percent of its staff each year against a national average near 46 percent, which is a lot of churn for a building this size. There are 25 deficiencies on the current record, one serious enough to involve harm, plus a single fine of $6,368. Quality measures land at two stars. Families should ask how the home keeps consistent caregivers on the floor.

C

60/100

Joplin Gardens

Joplin, MO · Jasper County

CMS 1/5 92 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
62%
Serious cites
0

Joplin Gardens runs on 92 certified beds and a for-profit LLC structure, and the staffing numbers are the first thing worth knowing: 3.08 nurse hours per resident per day against a national average of 3.86, with weekend coverage dipping about 7% below its own weekdays. That thin schedule sits alongside 61.9% annual staff turnover, well above the 45.8% national figure, so the people providing care change often. Inspectors last visited in August 2024 and found 25 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none abuse-related. Federal ratings put quality measures and staffing at the bottom of the scale, with health inspections somewhat higher at two stars.

C

60/100

Copper Rock Healthcare

Rogersville, MO · Webster County

CMS 1/5 90 beds Non-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
78%
Serious cites
0

Copper Rock Healthcare in Rogersville runs about 90 beds as a nonprofit, and the staffing numbers are the first thing that stands out. At 3.54 nurse hours per resident day, it sits roughly 8 percent under the national average, and weekends drop another 11 percent below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 77.6 percent, against a national rate near 46 percent, means the people caring for residents are cycling through fast. The current record carries 24 deficiencies, including one at the harm level and three tied to abuse.

C

60/100

Gallatin Rest Home

Bozeman, MT · Gallatin County

CMS 2/5 69 beds Government Medicaid
Nurse hours
— /day
Staff turnover
63%
Serious cites
0

If you're considering Gallatin Rest Home, the inspections are the strong part, a recent visit in June 2025 and a four-star health inspection rating. But the staffing picture is thin: one star, well below average, and 62.7% of staff left last year against a national average around 46%. The current record shows 15 deficiencies, including two at the harm level and three tied to abuse, plus a $55,413 fine. Quality measures sit at two stars. County ownership can mean stability, but it doesn't fix turnover. Ask about direct-care hours per resident and how they're holding staffing together before you decide.

C

60/100

Adept Nursing & Rehab Of North Platte

North Platte, NE · Lincoln County

CMS 2/5 94 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
63%
Serious cites
0

Adept Nursing & Rehab Of North Platte runs 94 beds under for-profit LLC ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.49 hours per resident day, about 10 percent under the national average, and it thins out further on weekends, roughly 14 percent below its own weekday level, which is when families tend to visit and notice. Staff turnover is the bigger red flag: 63.2 percent a year against a national average of 45.8 percent, meaning most of the aides and nurses you'd meet are relatively new. Add 23 deficiencies on the current record, two of them serious enough to risk harm, plus $44,343 in fines, and the two-out-of-five ratings on health inspections and quality measures line up with what the record already says.

C

60/100

Monument Healthcare And Nursing Center

Scottsbluff, NE · Scott Bluff County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
63%
Serious cites
0

Monument Healthcare and Nursing Center runs 160 certified beds in Scottsbluff under for-profit LLC ownership, and its staffing hours sit just barely above the national average, about 2%, which sounds fine until you notice weekends drop roughly 11% below its own weekday level. Turnover is the bigger problem: 63% annually against a national average of 45.8%, meaning most of the people caring for residents are new or on their way out. The inspection record backs that up: 44 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with two fines totaling $28,182 and a 1-out-of-5 rating on both health inspections and quality measures.

C

60/100

Good Samaritan Society - St Luke's Village

Kearney, NE · Buffalo County

CMS 1/5 60 beds Non-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
65%
Serious cites
0

Good Samaritan Society - St Luke's Village runs 60 certified beds in Kearney as a nonprofit, and the numbers behind its federal ratings are worth walking through. Nurse staffing sits at 3.52 hours per resident day against a national average of 3.86, roughly 9% thinner, and weekends dip about 14% below what the home itself staffs on weekdays. Staff turnover is 64.7%, well above the 45.8% national figure, so the people providing care change often. The inspection record shows 28 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with one fine of $11,654. CMS scored the home 1 out of 5 on both health inspections and quality measures, and 2 out of 5 on staffing. That last inspection was April 14, 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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