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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 1181–1200 of 12,967, best-graded first.

A

89.5/100

Manor At Elfindale, The

Springfield, MO · Greene County

CMS 4/5 100 beds Non-profit
Nurse hours
4.43 /day
Staff turnover
35%
Serious cites
0

Manor At Elfindale runs on more nursing hours than most places, 4.43 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 34.9% versus 45.8% nationally. Weekends get thinner, though, dropping about 16% below weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The home carries 10 deficiencies on its current record, none at the harm level, one tied to abuse; that last one deserves a direct question about what happened and what changed. A November 2025 inspection means the picture is recent.

A

89.5/100

Madison Medical Center

Fredericktown, MO · Madison County

CMS 5/5 99 beds Government Medicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Madison Medical Center is county-owned, and its 4.10 nurse hours per resident day sits about 6% above the national average, with a five-star staffing rating to back it up. Turnover runs 38.3%, noticeably better than the 45.8% national figure, so the people caring for residents tend to stay. Five deficiencies on record, none involving harm or abuse, and the last inspection was recent. The one thing to ask about: weekend staffing drops roughly 19% below weekday levels, so visit on a Saturday if you can.

A

89.5/100

Powder River Manor

Broadus, MT · Powder River County

CMS 5/5 41 beds Government Medicaid
Nurse hours
5.32 /day
Staff turnover
39%
Serious cites
0

Powder River Manor runs on county money in a town of a few hundred people, and the staffing numbers show it: 5.32 nurse hours per resident day, roughly 38% above the national average, with turnover at 39.3% against a national 45.8%. Weekend coverage does dip about 18% below weekdays, so ask how that plays out on a Sunday. The record isn't clean, 25 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus three fines totaling $52,551. Its last inspection was April 2026, so the picture is current. Strong staffing and quality marks sit alongside a citation history worth reading closely.

A

89.5/100

Brookestone Acres

Columbus, NE · Platte County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
26%
Serious cites
0

Brookestone Acres runs on 4.49 nurse hours per resident day, about 16% more than the national average, and its staff turnover sits at 26.3% against a national rate near 46%, both point to a workforce that mostly stays put. Weekend coverage does dip roughly 17% below weekday levels, worth asking about if your visits fall on Saturdays or Sundays. The inspection record shows 14 deficiencies with none at the harm level and none tied to abuse, and the most recent survey was in September 2025. As a nonprofit with 80 beds, it's small enough that you can reasonably press administrators on specifics.

A

89.5/100

Memorial Community Care

Aurora, NE · Hamilton County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
4.68 /day
Staff turnover
28%
Serious cites
0

Memorial Community Care runs on a nonprofit model with 48 certified beds in Aurora, and the staffing numbers are the story here: 4.68 nurse hours per resident day, roughly 21% above the national average, with a five-star CMS staffing rating to match. Turnover sits at 28.3% against a national average of 45.8%, which matters more than any single inspection score, consistent caregivers know the residents. Weekend coverage dips about 16% below weekday levels, worth asking about directly. The inspection record shows 10 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey was in February 2026. Quality measures come in at three stars, softer than the staffing picture.

A

89.5/100

Advanced Health Care Of Summerlin

Las Vegas, NV · Clark County

CMS 5/5 38 beds For-profit
Nurse hours
5.95 /day
Staff turnover
35%
Serious cites
0

Advanced Health Care of Summerlin runs a small house, 38 beds, with nurse staffing at 5.95 hours per resident day, roughly half again the national figure. Weekends dip about 16% below its own weekday coverage, so ask how that gap gets covered. Staff turnover sits at 34.5%, noticeably better than the 45.8% national rate, which matters for whether you see the same faces. The inspection record shows 22 deficiencies, none at harm or jeopardy level, though one is abuse-related, and a single fine of $4,194. State inspectors last visited in November 2024. Ownership is a for-profit limited liability company.

A

89.5/100

Shady Lane Gloucester Co Home

Clarksboro, NJ · Gloucester County

CMS 5/5 60 beds Government Medicaid
Nurse hours
5.85 /day
Staff turnover
—
Serious cites
0

Shady Lane Gloucester County Home runs 5.85 nurse hours per resident per day, roughly half again what the typical U.S. nursing home provides, and that staffing holds up on weekends better than most places, about 7% below its own weekday level. Inspectors have cited eight deficiencies on the current record, none causing harm or jeopardy, though one is abuse-related; the last survey was September 5, 2025, so the record is recent. County ownership is worth knowing about here. The weaker spot is staffing consistency as CMS measures it, which scores lower than the inspection and quality results despite the high raw hours.

A

89.5/100

The Arbor At Laurel Circle

Bridgewater, NJ · Somerset County

CMS 5/5 64 beds For-profit
Nurse hours
4.55 /day
Staff turnover
31%
Serious cites
0

The Arbor At Laurel Circle runs on a for-profit LLC model with 64 certified beds in Bridgewater, and the numbers behind its grade are mostly working in its favor. Nurse staffing sits at 4.55 hours per resident day, roughly 18% above the national average, and staff turnover of 31.1% is well below the 45.8% national figure, which matters for whether you see the same faces on repeat visits. Weekend coverage, though, drops about 16% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record is recent (January 2026) with 21 deficiencies, including one at harm level and two abuse-related, plus a single $25,857 fine.

A

89.5/100

Wayne Health Care

Newark, NY · Wayne County

CMS 4/5 182 beds Non-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
37%
Serious cites
0

Wayne Health Care runs 182 certified beds as a nonprofit corporation, and its numbers tell a fairly steady story. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average, and weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover is 36.5%, which is actually better than the 45.8% national figure, so the people caring for residents tend to stick around longer than elsewhere. Inspectors found six deficiencies on the current record, one serious enough to involve harm or jeopardy, with no abuse citations. The last inspection was September 13, 2024, so the record is reasonably current.

A

89.5/100

St Catherine Laboure Health Care Center

Buffalo, NY · Erie County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
33%
Serious cites
0

St Catherine Laboure runs on 4.30 nurse hours per resident day, roughly 11% above the national average, and its staff tends to stay, 33% turnover against a national 45.8%. The tradeoff shows up on weekends, when coverage drops about 17% below the home's own weekday level, so ask how that plays out on the floor. State inspectors visited in February 2026 and logged eight deficiencies, none causing harm or jeopardy, though three were abuse-related, worth asking about directly, since those can reflect reporting and screening issues rather than incidents. Church-affiliated and nonprofit, 80 beds. Strong inspection and staffing marks, with a few specific questions worth raising.

A

89.5/100

Syracuse Home Association

Baldwinsville, NY · Onondaga County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
32%
Serious cites
0

Syracuse Home Association in Baldwinsville runs on a nonprofit model with 120 certified beds, and the staffing numbers tell a steady story: 4.51 nurse hours per resident day, roughly 17 percent above the national average. Weekend coverage dips about 20 percent below its own weekday level, worth asking about if your family visits primarily on Saturdays or Sundays. Staff turnover sits at 32.3 percent against a national average of 45.8 percent, which suggests people tend to stay. The current inspection record shows eight deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed January 27, 2026.

A

89.5/100

Nys Veterans Home In Nyc

Jamaica, NY · Queens County

CMS 4/5 250 beds Government Medicaid
Nurse hours
4.33 /day
Staff turnover
33%
Serious cites
0

The state-run veterans home in Jamaica runs nurse staffing at 4.33 hours per resident day, roughly 12% above the national average, and its staff turnover of 32.6% sits well below the national 45.8%. Weekend coverage, though, drops about 18% below its own weekday level, so care can thin out on Saturdays and Sundays. Ten deficiencies appear on the current record, none at the harm or jeopardy level, though two are abuse-related. The last inspection was May 2024. State ownership often means steadier funding and lower turnover than the for-profit average, which the numbers here bear out.

A

89.5/100

Shaire Nursing Center

Lenoir, NC · Caldwell County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
34%
Serious cites
0

Shaire Nursing Center runs on a corporate for-profit model with 60 certified beds in Lenoir, and the numbers behind its record are mostly solid. Nurse staffing sits at 4.55 hours per resident day, roughly 18 percent above the national average, though weekends drop about 18 percent below what the home covers on weekdays. Staff turnover lands at 34.4 percent, well under the 45.8 percent national figure, and its last inspection was recent, in August 2025. The current deficiency record shows 11 citations with none at the harm or jeopardy level, but two are abuse-related, which families should ask about directly.

A

89.5/100

Nc State Veterans Home - Salisbury

Salisbury, NC · Rowan County

CMS 4/5 99 beds Government Medicaid
Nurse hours
4.79 /day
Staff turnover
44%
Serious cites
0

Nc State Veterans Home - Salisbury runs on strong staffing: 4.79 nurse hours per resident day, roughly a quarter above the national average, and a five-out-of-five staffing rating to match. But weekends dip about 20% below the home's own weekday coverage, and the inspection record is thinner, a two-out-of-five health inspection rating, 17 deficiencies including one at the harm level and two tied to abuse, plus a $12,444 fine. Staff turnover at 43.9% is a touch better than the national average, and the most recent inspection came in December 2025. State-run ownership here buys generous weekday staffing, not a clean survey history.

A

89.5/100

Hill Top Home Of Comfort Inc

Killdeer, ND · Dunn County

CMS 2/5 60 beds Non-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
33%
Serious cites
0

Hill Top Home of Comfort has a staffing story worth noticing: 4.33 nurse hours per resident day, well above the national average, with weekend coverage dipping about 18% below its own weekday levels. Turnover sits at 33.3%, better than the national 45.8%, which suggests people stay. The trouble is inspection history. Seven deficiencies on record, three serious enough to involve harm or jeopardy, three tied to abuse, and one fine totaling $198,960, a significant penalty for a 60-bed nonprofit. That combination, strong daily care numbers paired with serious regulatory findings, is what pulls the overall picture down toward average. The most recent inspection was August 2025, so the record is current.

A

89.5/100

Sherwood Oaks

Cranberry Township, PA · Butler County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
5.81 /day
Staff turnover
44%
Serious cites
0

Sherwood Oaks sits in Cranberry Township with 43 certified beds and a nonprofit owner. Staffing is where it shines: 5.81 nurse hours per resident day, roughly half again the national average, with weekends running about 16% lighter than weekdays. Turnover lands at 43.6%, a touch better than the 45.8% national figure, steady by industry standards. The trouble is the inspection record. Sixteen deficiencies, including one at harm or jeopardy level and two tied to abuse, plus a single fine of $8,281, and a health inspection rating of 2 out of 5 from the most recent survey in February 2026. Strong bedside hours don't cancel out a troubling survey history, and that tension is what pulls the overall picture down.

A

89.5/100

Holy Family Home

Philadelphia, PA · Philadelphia County

CMS 5/5 18 beds Non-profit Medicaid
Nurse hours
6.00 /day
Staff turnover
—
Serious cites
0

Holy Family Home runs on 6.00 nurse staffing hours per resident day, roughly 55% above the national average of 3.86, and that staffing margin shows up in the CMS star ratings, where it earns 5/5. Weekend coverage dips only about 3% below weekday levels, so care doesn't thin out much when families tend to visit. The health inspection record is solid at 4/5, with four deficiencies total, none abuse-related. One of those four did rise to the harm or jeopardy level, which is worth asking about directly. The most recent inspection closed April 2, 2026. With 18 certified beds under nonprofit ownership, this is a small home with a strong staffing and quality profile and just that one inspection concern to weigh.

A

89.5/100

Meadville Medical Ctr Tcu

Meadville, PA · Crawford County

CMS 5/5 32 beds Non-profit
Nurse hours
10.84 /day
Staff turnover
—
Serious cites
0

Meadville Medical Ctr Tcu runs 32 certified beds inside a hospital system, which helps explain the staffing figure: 10.84 nurse hours per resident day, roughly 2.8 times the national average. That's an unusual number, and it's backed by a four-star staffing rating and a five-star quality measure score. Weekend coverage dips about 11% below weekdays, so if you're planning visits or asking about a Saturday concern, know that the floor runs leaner then. The inspection record shows 7 deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. Three fines totaling $7,172 is modest. The last survey was November 2025, so the record is recent.

A

89.5/100

Tockwotton On The Waterfront

East Providence, RI · Providence County

CMS 5/5 52 beds Non-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
29%
Serious cites
0

Nurse staffing at Tockwotton On The Waterfront runs 4.86 hours per resident day, roughly a quarter above the national average, and the weekend drop of about 16% is worth asking about directly, that's when families tend to visit and notice. Staff turnover sits at 29.1%, well under the national 45.8%, which matters because consistent caregivers learn residents' routines. The trade-off shows in the inspection record: 12 deficiencies, one serious enough to involve harm or jeopardy, and a single fine of $8,628. That one harm-level finding is the number to press the administrator on, what happened, and what changed afterward.

A

89.5/100

C M Tucker Jr Nursing Care Center Roddey Pavilio

Columbia, SC · Richland County

CMS 2/5 308 beds Government Medicaid
Nurse hours
6.40 /day
Staff turnover
35%
Serious cites
0

C M Tucker Jr Nursing Care Center, the state-run home in Columbia, runs its nursing hours well above what most homes manage, about 66% more direct nurse time per resident than the national average, and its staff tends to stay, with turnover roughly a quarter lower than typical. That's real. But look at the inspection record and a different picture shows up: six deficiencies on file, three of them serious enough to put residents in harm's way, two tied to abuse, plus nearly $60,000 in fines and a health inspection rating near the bottom. The last full look was April 2025. The quality and staffing scores don't cancel out what inspectors found.

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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