ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 11961–11980 of 12,967, best-graded first.

C

60/100

Louisville Gardens Care Center

Louisville, OH · Stark County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
79%
Serious cites
0

Louisville Gardens runs 99 certified beds under for-profit LLC ownership, and the numbers worth your attention are on the staffing side. Nurse coverage sits at 3.82 hours per resident day, just under the national average, and weekends drop another 9% below what the home staffs on weekdays. Turnover is the harder number: 79.4% of nursing staff leaving annually against a national rate of 45.8%. The inspection record shows 53 deficiencies, including two at harm or jeopardy level and two tied to abuse, with a $115,891 fine and a September 2025 inspection. Quality measures score well, but that sits alongside bottom-tier inspection and staffing ratings. Ask about weekend coverage and how they're holding onto caregivers.

C

60/100

Widows Home Of Dayton

Dayton, OH · Montgomery County

CMS 2/5 75 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
57%
Serious cites
0

Widows Home of Dayton is run by a for-profit limited liability company and holds 75 certified beds. Its overall nurse staffing of 4.06 hours per resident day sits modestly above the national figure, but weekends run roughly 15% thinner than weekdays, and annual turnover of 56.8% is well above the 45.8% national average, you're looking at a workforce that's above-average in size on paper but churning fast. The inspection record is the harder problem: 36 deficiencies, four at harm or jeopardy level, two abuse-related, and two fines totaling $48,833, with the last inspection in May 2025. Quality measures score well; staffing and health inspection results don't.

C

60/100

Geneva Center For Rehabilitation And Nursing

Geneva, OH · Ashtabula County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
67%
Serious cites
0

Geneva Center runs 80 certified beds in Ashtabula County, and the staffing numbers are where your attention should go first. At 3.06 nurse hours per resident day, it sits about 21% under the national average, weekend coverage dips roughly 10% below its own weekday level, and turnover hits 66.7% against a national 45.8%. That combination means the people caring for your family member are stretched and often new. The current record carries 25 deficiencies, including one at the harm level and one abuse-related. A 3/5 inspection rating and 4/5 quality measures aren't alarming on their own, but with a last inspection dated April 2026 and staffing that thin, ask hard questions before you commit.

C

60/100

Altercare Of Canal Winchester Post-Acute Rc

Canal Winchester, OH · Franklin County

CMS 2/5 72 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
60%
Serious cites
0

Altercare of Canal Winchester runs 72 certified beds under corporate for-profit ownership, and the numbers split sharply. Nurse staffing sits at 3.78 hours per resident per day, a bit under the national 3.86, and weekends drop roughly 13% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Staff turnover is 60.2% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record carries 61 deficiencies, including five at harm or jeopardy level and three abuse-related, plus $66,791 in fines. Quality measures score well; inspections and staffing don't.

C

60/100

Avenue At Brooklyn

Brooklyn, OH · Cuyahoga County

CMS 1/5 111 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
62%
Serious cites
0

Avenue At Brooklyn runs 111 certified beds under for-profit LLC ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekends dip about 7% below the home's own weekday level, so coverage is lightest exactly when families tend to visit. Staff turnover is 61.5%, well above the 45.8% national figure, which means the people providing care keep changing. The inspection record shows 35 deficiencies, including three at harm or jeopardy level and three tied to abuse, with $56,301 in fines and a February 2025 inspection. Quality measures score well; staffing and inspections do not.

C

60/100

Broken Bow Health And Rehab

Broken Bow, OK · Mccurtain County

CMS 1/5 105 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
66%
Serious cites
0

Broken Bow Health and Rehab runs 105 certified beds under for-profit partnership ownership, and the numbers worth knowing start with staffing: 3.29 nurse hours per resident day, roughly 15 percent under the national average, with weekend coverage dipping about 6 percent below its own weekday level. Turnover sits at 65.6 percent against a national average of 45.8 percent, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 36 deficiencies, two serious enough to involve harm or jeopardy, and $21,828 in fines across two penalties. Inspectors last visited in December 2024. CMS rates the health inspection and quality measures 1 out of 5 each, though staffing itself earns 3 out of 5, the direct-care hours aren't the worst part, but consistency and compliance clearly are.

C

60/100

Oakridge Nursing Center

Durant, OK · Bryan County

CMS 2/5 104 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
77%
Serious cites
0

Oakridge Nursing Center runs 104 beds in Durant under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.57 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The bigger red flag is turnover: 77% annually against a national 45.8%, meaning most of the people caring for your relative are likely new to the building. Twenty deficiencies are on record, one serious enough to involve harm, with a $14,069 fine. The last inspection was January 2025.

C

60/100

Choctaw Nation Nursing Home

Antlers, OK · Pushmataha County

CMS 1/5 72 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
70%
Serious cites
0

Choctaw Nation Nursing Home runs on 3.07 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage slips slightly below its own weekday level. The bigger concern is staff churn: 70% annual turnover against a national 45.8% means caregivers are constantly new, which matters most for residents who need consistent attention. Inspectors cited 30 deficiencies on the current record, including one at the harm level and two tied to abuse, with a $38,532 fine and a June 2025 inspection. The quality measure rating sits at 1 out of 5. This is a limited liability, for-profit home, and the numbers show a building where oversight and retention are both under strain.

C

60/100

Ignite Medical Resort Norman, Llc

Norman, OK · Cleveland County

CMS 1/5 52 beds For-profit
Nurse hours
3.36 /day
Staff turnover
68%
Serious cites
0

Ignite Medical Resort Norman runs 52 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86, with weekends dipping about 9 percent below its own weekday coverage. Turnover tells a bigger story: 68 percent annually against a national 45.8 percent, meaning most of the people caring for residents are new to the building. The current record carries 23 deficiencies, two of them serious enough to reach harm or jeopardy level, along with one fine of $16,660 and a health inspection star of 1 out of 5; the last survey was August 2024. Quality measures score well, but that's where the good news stops.

C

60/100

Heritage Park

Bethany, OK · Oklahoma County

CMS 1/5 55 beds For-profit Medicaid
Nurse hours
2.83 /day
Staff turnover
70%
Serious cites
0

Heritage Park runs on 2.83 nursing hours per resident day, roughly 27% under the national average of 3.86, the kind of gap that shows up in how quickly call lights get answered. Weekend staffing dips about 3% below its own weekday levels, and annual turnover sits at 69.8%, well above the 45.8% national figure, so the people caring for residents are often new and still learning the building. The current record carries 22 deficiencies, none flagged as actual harm or abuse, and the last inspection was in October 2024. Corporate-owned with 55 beds, it's a smaller home with a thin staffing margin and a lot of churn.

C

60/100

Amoroso Healthcare And Rehabilitation Woodridge

Harrisburg, PA · Dauphin County

CMS 1/5 95 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
46%
Serious cites
0

Amoroso Healthcare And Rehabilitation Woodridge is a 95-bed for-profit home in Harrisburg, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 8% thinner than weekdays. The inspection history is the bigger concern: 30 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse, plus a $42,016 fine. Staff turnover (46.3%) is basically at the national rate, so that's not the issue here, and CMS gave it one star for health inspections with a November 2025 inspection date. Ask about the abuse-related findings directly before you visit.

C

60/100

Bryn Mawr Extended Care Center

Bryn Mawr, PA · Delaware County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
38%
Serious cites
0

Bryn Mawr Extended Care Center runs 3.10 nursing hours per resident per day, roughly 20% under the national average of 3.86, and weekends drop about 11% below its own weekday staffing. That thin coverage shows up in the inspection record: 51 deficiencies, four of them at the level where a resident was harmed or put in immediate jeopardy, plus two tied to abuse. Annual turnover sits at 37.7%, actually better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled. A 160-bed for-profit corporation with a one-star health inspection rating and $35,925 in fines. The most recent inspection was March 12, 2026, so that record is current.

C

60/100

Kinzua Nursing And Rehab

Warren, PA · Warren County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
49%
Serious cites
0

Kinzua Nursing and Rehab runs 106 certified beds in Warren under for-profit LLC ownership, and the numbers show a home operating below average on several fronts at once. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national figure, and weekends dip roughly 4% below the home's own weekday levels, so coverage is thinnest when families tend to visit. Staff turnover is 48.9%, higher than the 45.8% national average, which matters because consistent caregivers know residents' routines. The current record carries 34 deficiencies, including one at the harm or jeopardy level, plus a single $223,355 fine. The last inspection was December 11, 2025, so the record is recent.

C

60/100

Royal Middletown Nursing Center

Middletown, RI · Newport County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
63%
Serious cites
0

Nurse staffing at Royal Middletown runs 3.21 hours per resident day, about 17% under the national average, and weekends dip roughly 8% below the home's own weekday levels. Turnover sits at 62.5% against a national average of 45.8%, so the people providing care change often. The current inspection record carries 26 deficiencies, four tied to abuse and two serious enough to put residents in harm's way, along with one fine of $30,590. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. This for-profit partnership was last inspected on April 30, 2026, and its record is thin where it matters most.

C

60/100

Elmhurst Rehabilitation And Healthcare Center

Providence, RI · Providence County

CMS 2/5 206 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
43%
Serious cites
0

Elmhurst Rehabilitation and Healthcare Center runs 206 beds in Providence under for-profit LLC ownership, and the numbers show strain. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. The inspection record carries 51 deficiencies, including 7 at harm or jeopardy level and one tied to abuse, with four fines totaling $167,593; the most recent look came in January 2026, and CMS rated all three of its star categories at 2 out of 5. Staff turnover, at 42.8%, is actually slightly better than the 45.8% national figure, one of the few spots where this home doesn't lag.

C

60/100

Brookview Healthcare Center

Gaffney, SC · Cherokee County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
49%
Serious cites
0

Brookview runs on 3.00 nurse hours per resident day, about 22% under the national average, and weekends drop roughly another 12% below its own weekday staffing. That thin coverage shows up in the inspection record: 14 deficiencies, 4 serious enough to put residents in harm's way, 3 tied to abuse, and $42,599 in fines. Staff turnover sits at 49%, slightly worse than the 45.8% national figure, so the people providing care keep changing. The last inspection was January 8, 2026, meaning the record is current, not old news. This is a for-profit LLC with 132 certified beds, and the pattern across staffing, turnover, and serious deficiencies is consistent rather than a one-time slip.

C

60/100

Sumter East Health & Rehabilitation Center

Sumter, SC · Sumter County

CMS 1/5 176 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
44%
Serious cites
0

Sumter East runs 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday numbers. Staff turnover sits at 44.2%, close to the national figure, so the problem isn't retention so much as how few hands are on deck. The inspection record is harder to look past: 32 deficiencies, three at harm or jeopardy level, four tied to abuse, and five fines totaling $33,097, with the last inspection in March 2026. For a 176-bed for-profit run by an LLC, the staffing and inspection numbers together tell you where the risk sits.

C

60/100

Good Samaritan Society Canistota

Canistota, SD · Mc Cook County

CMS 3/5 55 beds Non-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
68%
Serious cites
0

Good Samaritan Society Canistota runs 3.23 nurse hours per resident day, about 16% under the national average of 3.86, and weekend coverage drops roughly another 11% below its own weekday levels. That staffing pattern sits alongside a 68% annual turnover rate, well above the 45.8% national figure, which means the people providing care are changing over faster than average. The current inspection record shows 17 deficiencies, two serious enough to reach harm or jeopardy level, though none involve abuse, and one fine of $9,009. The most recent inspection was in March 2026, so the record is current rather than stale.

C

60/100

Willow Branch Health And Rehabilitation

Mcminnville, TN · Warren County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
49%
Serious cites
0

Willow Branch runs lean on nursing staff, 3.30 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, which is when families often notice. The 48.6% annual turnover means nearly half the nursing staff leaves each year, so the people caring for your relative may not be the ones who were there six months ago. The current inspection record shows 11 deficiencies, three serious enough to involve harm or jeopardy, though none were abuse-related. The most recent inspection was April 30, 2025, so it's fairly current. Ownership is a for-profit limited liability company. Worth asking the administrator directly how they cover weekend shifts and what they're doing about retention before you decide.

C

60/100

Andersonville Tn Opco Llc

Andersonville, TN · Anderson County

CMS 3/5 103 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
61%
Serious cites
0

Andersonville Tn Opco runs 103 certified beds as a for-profit LLC, and its recent inspection history is genuinely solid, a four-star health inspection rating, only seven deficiencies on record, none of them causing harm or involving abuse, and an inspection as recent as December 2025. The problem sits elsewhere: nurse staffing at 3.28 hours per resident day trails the national average by roughly 15%, weekends run about 8% thinner than weekdays, and annual turnover hits 61.4% against a national figure near 46%. Quality measures land at two stars. A clean survey record matters, but it can't fully offset thin coverage and a workforce that keeps cycling out.

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.

Before you shortlist