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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 11981–12000 of 12,967, best-graded first.

C

60/100

The Waters Of Springfield Llc

Springfield, TN · Robertson County

CMS 1/5 66 beds For-profit Medicaid
Nurse hours
2.90 /day
Staff turnover
63%
Serious cites
0

The Waters of Springfield runs on thin nurse coverage, 2.90 hours per resident day against a national average of 3.86, and weekends dip about 11 percent below its own weekdays, so the thinnest shifts are the ones families visit. Staff turnover sits at 63 percent, well above the 45.8 percent national figure, which means the people caring for your relative are often new and still learning the building. Inspectors cited 20 deficiencies, including two at the harm level and four tied to abuse, with $35,552 in fines; the most recent inspection was in May 2025. The quality measure score looks strong on paper, but that reflects charted clinical data, not day-to-day staffing or the inspection record.

C

60/100

Mineral Wells Nursing & Rehabilitation

Mineral Wells, TX · Palo Pinto County

CMS 4/5 109 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
96%
Serious cites
0

Mineral Wells Nursing & Rehabilitation has a split personality in the federal data. Its last inspection was in April 2025, and it earned a top five-star health inspection rating with twelve deficiencies on record, one of which rose to the harm or jeopardy level and one tied to abuse. Where it struggles is staffing: 3.05 nurse hours per resident day sits about 21 percent under the national average, weekend coverage drops roughly 11 percent below its own weekdays, and annual turnover runs 95.6 percent against a national 45.8. That churn is the number that should worry you most, because it means the people caring for your relative are, more often than not, new to the building.

C

60/100

Oakmont Healthcare And Rehabilitation Center Of Ka

Katy, TX · Harris County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
93%
Serious cites
0

If you're considering Oakmont Healthcare And Rehabilitation Center Of Katy, the staffing numbers are what stand out first. Nurses provide 2.91 hours of care per resident per day, roughly a quarter below the national average, and weekend coverage drops about 10% below what the home staffs on weekdays. Annual turnover runs 92.6%, more than double the national rate of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record shows 23 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a $12,740 fine. The last inspection was November 2024, so the record is reasonably current. Ownership is a for-profit corporation.

C

60/100

Avir At Stephenville

Stephenville, TX · Erath County

CMS 1/5 102 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
82%
Serious cites
0

Avir At Stephenville runs 102 certified beds and leans on a nursing staff that logs 3.33 hours per resident day, roughly 14% under the national average, with weekends about 13% thinner than its own weekdays. That shortfall shows up in the numbers: 82.3% annual turnover against a national 45.8%, a one-star staffing rating, and 31 deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse. A single fine of $204,614 sits on the books, and the most recent inspection, in July 2025, produced a two-star health inspection result. Ownership is corporate and for-profit, which may help explain the staffing math.

C

60/100

Avir At Western Hills

Temple, TX · Bell County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
75%
Serious cites
0

Avir At Western Hills runs on lean nurse staffing: 3.16 hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. That gap shows up in the payroll, 75% of staff turned over in a year, well above the 45.8% national figure, and it's a big reason the staffing rating sits at 1 out of 5 even though quality measures score 4. The inspection record carries 31 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus $16,562 in fines. The most recent inspection was May 2025, so the picture is current, and this corporate-owned home is licensed for 120 beds.

C

60/100

Treemont Healthcare And Rehabilitation Center

Dallas, TX · Dallas County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
94%
Serious cites
0

Treemont's staff turnover runs about 94 percent a year, roughly double the national average, which tells you the people caring for residents here are, more often than not, new to the building. That instability shows up in the numbers: 41 deficiencies on the current record, five serious enough to involve harm or jeopardy, six tied to abuse, and four fines totaling $63,262. Federal inspectors last visited in July 2025 and rated the home two stars for health inspections, two for quality measures, and one for staffing. It's a for-profit limited liability company with 130 certified beds.

C

60/100

Santa Fe Health & Rehabilitation Center

Weatherford, TX · Parker County

CMS 3/5 116 beds For-profit Medicaid
Nurse hours
2.89 /day
Staff turnover
60%
Serious cites
0

Santa Fe Health & Rehabilitation Center runs 116 certified beds in Weatherford under for-profit LLC ownership, and its staffing is the number that stands out. At 2.89 nurse hours per resident per day, it's about a quarter below the national average of 3.86, and weekends dip roughly 15% below its own weekday level, which matters when families visit and needs don't pause. Annual turnover of 59.7% runs well above the national 45.8%, so familiar faces are hard to keep. The inspection record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in February 2025. CMS rates its staffing 1 out of 5 stars, while inspections and quality measures each land at 3.

C

60/100

Crescent Manor Care Ctrs

Bennington, VT · Bennington County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
70%
Serious cites
0

Crescent Manor runs 90 beds in Bennington under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.82 nurse hours per resident day it sits just under the national average, but weekends drop roughly 10% below its own weekday coverage, so the gap widens exactly when families tend to visit. Annual turnover of 70.4% is well above the 45.8% national figure, which means aides and nurses are cycling through constantly. The inspection record shows 25 deficiencies, three at harm or jeopardy level and three tied to abuse. Two fines total $47,258. That's the picture behind the low marks.

C

60/100

Bel Aire Center

Newport, VT · Orleans County

CMS 2/5 58 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
59%
Serious cites
0

Bel Aire Center runs 58 certified beds in Newport under corporate ownership, and the numbers raise real questions about day-to-day care. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, and it thins out further on weekends, roughly 8% below the home's own weekday levels. Staff turnover of 59.3% runs well above the 45.8% national figure, which matters because residents see fewer familiar faces. The inspection record is the heavier concern: 31 deficiencies, four serious enough to cause harm or jeopardy, and four tied to abuse, with two fines totaling $286,973. Quality measures look strong at 4 stars, but that's a narrower slice of the picture than staffing and inspections.

C

60/100

Williamsburg Post Acute & Rehabilitation

Williamsburg, VA · James City County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
63%
Serious cites
0

Williamsburg Post Acute has 130 beds and a staffing problem that shows up in the numbers: 2.82 nurse hours per resident day against a national average of 3.86, and weekend coverage that dips about 13% below its own weekday level. Annual turnover sits at 63.1%, well above the 45.8% national figure, which means the people around your family member change often. The inspection record adds 31 deficiencies, five tied to abuse, though none at the harm or jeopardy level, and the most recent inspection was in October 2024, so it's reasonably current. The for-profit LLC ownership is worth knowing, but staffing is the thing to ask about directly.

C

60/100

Waterview Health & Rehab Center

Hampton, VA · Hampton City County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
71%
Serious cites
0

Waterview runs on thinner staffing than most homes nationally, 3.48 nurse hours per resident day against a 3.86 average, and weekends drop another 11% below its own weekday levels, which is when gaps tend to matter most. The bigger concern is turnover: 70.5% of staff leaving annually, well above the 45.8% national figure, meaning the people providing care keep changing. A 1/5 inspection rating with 54 deficiencies on record, including one at the harm level and three tied to abuse, points to problems that have persisted. The last full inspection was August 2023, so that record is growing dated, and one fine totaling $14,888 has been levied.

C

60/100

Deep Creek Health & Rehabilitation

Chesapeake, VA · Chesapeake City County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
66%
Serious cites
0

Deep Creek runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday coverage. That thin schedule sits alongside a 65.9% annual turnover rate, well above the 45.8% national figure, which means the aides and nurses at the bedside keep changing. The inspection record is heavy, 57 deficiencies with none rising to harm or jeopardy and nothing abuse-related, but the last on-site survey was July 2021, so that picture is dated. For-profit partnership ownership, 120 beds. Ask how they cover weekends and how long their current staff have actually been there.

C

60/100

Albemarle Health & Rehabilitation Center

Charlottesville, VA · Albemarle County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
62%
Serious cites
0

Albemarle Health & Rehabilitation Center runs 120 certified beds in Charlottesville under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.65 nurse hours per resident day, about 6% under the national average, thinning further on weekends. More telling is the 61.5% annual turnover, well above the 45.8% national figure, which means the aides and nurses caring for residents are constantly changing. That instability shows up in the inspection record: 61 deficiencies, three serious enough to involve harm or jeopardy, one tied to abuse, and $197,490 in federal fines. The most recent inspection was October 2025. A five-star quality measure score sits alongside one-star ratings for staffing and health inspections, which is worth understanding before you visit.

C

60/100

Woodland Convalescent Center

Woodland, WA · Cowlitz County

CMS 2/5 62 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
—
Serious cites
0

Woodland Convalescent Center runs lean on nursing hours: 3.10 per resident day, roughly a fifth below the national average, and weekends drop another 22% below its own weekday coverage. That thin schedule matters more given what inspectors have logged, 21 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse, with $31,793 in fines across two penalties. The last inspection was June 20, 2025, so the record is recent. The health and quality measure ratings sit mid-range, but the staffing rating is the outlier at one star. For-profit corporate ownership. If you're weighing this one, ask how they cover weekends and what changed after those abuse findings.

C

60/100

Autumn Lake Healthcare At Crystal Springs

Elkins, WV · Randolph County

CMS 1/5 84 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
74%
Serious cites
0

Autumn Lake Healthcare At Crystal Springs runs 84 certified beds in Elkins under corporate ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, weekends run about 10% thinner than weekdays, and annual turnover hits 74.1% against a national 45.8%, meaning most of the people caring for your family member in any given year are new to the building. The inspection record backs that up: 71 deficiencies on file, five of them abuse-related, with the most recent state visit in March 2025. Staffing scored lowest of the three federal ratings, and quality measures landed near the bottom too. Worth asking hard questions about who's on the floor on a Sunday.

C

60/100

Maple Ridge Health Services

Milwaukee, WI · Milwaukee County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
41%
Serious cites
0

Maple Ridge runs 80 beds under corporate ownership, and its staffing sits about 7% under the national average at 3.58 nurse hours per resident day. Weekends drop roughly 8% below its own weekday coverage, so the thinnest shifts land when families often visit. Turnover at 40.8% is actually better than the 45.8% national figure, which matters for consistency of care. The harder numbers are the 31 deficiencies on record, including two at harm or jeopardy level and two abuse-related, plus a $14,433 fine. The most recent inspection was April 30, 2025, so the record is current, not stale.

C

60/100

Mercy Health Services

Milwaukee, WI · Milwaukee County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
62%
Serious cites
0

Mercy Health Services runs 60 certified beds in Milwaukee under corporate ownership, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.73 hours per resident day, a bit under the national average, and weekends drop about 12% below what the home staffs on weekdays. Turnover is the bigger concern: 62.3% of staff left over the past year, against a national average of 45.8%. Inspections in May 2025 turned up 32 deficiencies, including two at the harm level and eight related to abuse, with $47,753 in fines on record. CMS rates the home 2 out of 5 on both staffing and quality measures, and 3 on inspections.

C

60/100

Grand View Care Ctr

Blair, WI · Trempealeau County

CMS 2/5 50 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
56%
Serious cites
0

Grand View Care Center in Blair is a 50-bed nonprofit home where the nursing hours look good on paper, 4.30 per resident day, roughly 11% above the national average, but weekends run about 15% thinner than weekdays, so coverage isn't steady across the week. Staff turnover sits at 56.1%, well above the national 45.8%, which matters in a building this small, where a few departures change who's at the bedside. The current record shows 24 deficiencies, including two at the harm or jeopardy level and three related to abuse, plus a $59,085 fine. The last inspection was April 17, 2025. Federal quality measures score 1 out of 5 despite the staffing score of 4.

C

60/100

Pleasant View Nursing Home

Monroe, WI · Green County

CMS 1/5 96 beds Government Medicaid
Nurse hours
4.51 /day
Staff turnover
56%
Serious cites
0

Pleasant View in Monroe is county-run, and its staffing looks solid on paper: 4.51 nurse hours per resident day, well above the national average. In practice, weekend coverage drops about 7% below weekdays, and turnover sits at 55.5%, roughly ten points above the national rate, so the people providing that care keep changing. The inspection record is harder to explain away. Forty-two deficiencies, including five at the harm level and eight tied to abuse, and a one-star health inspection rating. The last inspection was in September 2025, so this is current, not stale. One fine totaling $41,980 is on record. High staffing hours can't offset that pattern.

C

60/100

Sunflower Park Health Care

Kaufman, TX · Kaufman County

CMS 2/5 92 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
100%
Serious cites
0

Sunflower Park Health Care runs 3.24 nurse hours per resident day, roughly 16 percent under the national average, and weekends dip about 15 percent below its own weekday coverage. That thin staffing sits atop 100 percent annual turnover, every nurse replaced over a year, against a national rate near 46 percent. Inspectors cited 52 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, with $190,538 in fines. The quality measure score looks strong, but it reflects charted care, not the hands available to deliver it. The most recent inspection was January 7, 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.

Before you shortlist