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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 12021–12040 of 12,967, best-graded first.

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59.5/100

Pearl Of Joliet, The

Joliet, IL · Will County

CMS 1/5 214 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
43%
Serious cites
0

Pearl Of Joliet runs 214 beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 57 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse; CMS has fined the home four times for $109,368 total. Turnover at 42.6% is slightly better than the 45.8% national figure, which is one of the few numbers here that isn't working against it.

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59.5/100

Meadowbrook Manor - Naperville

Naperville, IL · Du Page County

CMS 3/5 249 beds For-profit Medicaid
Nurse hours
2.85 /day
Staff turnover
43%
Serious cites
0

Meadowbrook Manor runs 249 certified beds in Naperville under for-profit LLC ownership, and its nurse staffing sits at 2.85 hours per resident day, roughly 26 percent under the national average of 3.86. Weekends thin out further, running about 17 percent below the home's own weekday level, so coverage is lightest exactly when families tend to visit. The inspection record shows 45 deficiencies, including 5 at harm or jeopardy level and 6 abuse-related, plus a $133,390 fine. Staff turnover of 42.5 percent is slightly better than the 45.8 percent national figure, but that's the one relative bright spot in the numbers. The most recent inspection was January 15, 2026.

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59.5/100

Haven Of Champaign

Champaign, IL · Champaign County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
43%
Serious cites
0

Haven Of Champaign runs 60 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 17% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. The inspection history is heavier: 75 deficiencies on the current record, including two at the harm or jeopardy level and five tied to abuse, plus $12,425 in fines. Staff turnover, at 42.6%, actually comes in slightly under the national rate, which suggests the problems here aren't mainly about keeping people.

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59.5/100

Serenity Estates At Morris

Morris, IL · Grundy County

CMS 1/5 142 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
—
Serious cites
0

Serenity Estates At Morris runs on 3.01 nurse staffing hours per resident day, roughly 22% under the national average of 3.86, and weekends dip about 11% below the home's own weekday level. That thin coverage shows up in the CMS staffing star rating of 1 out of 5, and the quality measure score matches it at 1 out of 5. The inspection record carries 44 deficiencies, including one at the harm or jeopardy level, though none are abuse-related, and the last inspection was December 18, 2025. This is a for-profit limited liability company with 142 certified beds, and the health inspection rating of 3 out of 5 is the strongest number on the page.

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59.5/100

Meadowbrook Manor - Lagrange

La Grange, IL · Cook County

CMS 2/5 197 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
47%
Serious cites
0

Meadowbrook Manor in La Grange runs 197 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national average, and weekends drop roughly 18% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Staff turnover is 46.8%, slightly above the national figure, and the home carries 46 deficiencies on its current record, four of them at the harm or jeopardy level, with two fines totaling $57,714. Its last inspection was July 2025, and CMS rates it 2 out of 5 on health inspections, quality measures, and staffing alike.

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59.5/100

Crystal Heights Care Center

Oskaloosa, IA · Mahaska County

CMS 3/5 72 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
64%
Serious cites
0

Crystal Heights runs lean on nursing staff, 3.07 hours per resident per day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage. That's a gap families feel on Saturday afternoons, not on a tour. Annual turnover sits at 63.5% versus 45.8% nationally, so the aide who knows your mother may not be there in six months. Sixteen deficiencies are on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was June 2025. A corporate owner took over within the past year and has paid $10,489 in fines. The pattern reads as a building in transition, not crisis.

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59.5/100

Pontchartrain Health Care Center

Mandeville, LA · St. Tammany County

CMS 1/5 182 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
55%
Serious cites
0

Pontchartrain Health Care Center is a 182-bed for-profit home in Mandeville, and the numbers are hard to dress up. Nurse staffing sits at 3.55 hours per resident day against a national average of 3.86, and it gets thinner on weekends, dropping about 17% below the home's own weekday level, so the coverage your relative gets on a Saturday is lighter than what the home itself staffs Monday through Friday. Staff turnover is 54.7%, meaning more than half the nursing workforce turns over in a year, well above the 45.8% national figure. The current record carries 45 deficiencies, three at harm or jeopardy level, one abuse-related, plus a $105,898 fine, and CMS has placed the home in its Special Focus Facility program.

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59.5/100

Carroll Health And Rehab Llc

Oak Grove, LA · West Carroll County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
42%
Serious cites
0

Carroll Health and Rehab runs 3.13 nursing hours per resident day, roughly 19 percent under the national average, and weekends drop another 19 percent below its own weekday staffing. The inspection record is the harder part: 49 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with a $37,884 fine and a one-star health inspection rating. Staff turnover sits at 42.1 percent, slightly better than the national 45.8 percent, so retention isn't the main problem here, coverage and compliance are. The most recent inspection was July 28, 2025, so the record is current. For a 120-bed for-profit home owned by an individual, those numbers describe thin staffing and serious findings that a family should ask about directly.

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59.5/100

Avoyelles Manor Nursing Home

Dupont, LA · Avoyelles County

CMS 4/5 104 beds For-profit Medicaid
Nurse hours
0.14 /day
Staff turnover
—
Serious cites
0

Avoyelles Manor's staffing number is the thing you'd notice first: 0.14 total nurse hours per resident day, which is about 96% below the national average of 3.86. That's not a rounding difference, and the weekend picture is worse, staffing drops roughly 56% below the home's own weekday level. A recent inspection on May 19, 2026 and a clean deficiency record (four total, none at harm or jeopardy level, none abuse-related) work in its favor, and the five-star health inspection rating reflects that. But quality measures sit at three stars and staffing at one, which is what pulls the overall picture down. For-profit corporate ownership. The inspection record is genuinely good; the daily staffing numbers are the reason to ask hard questions before moving someone in.

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59.5/100

Tupelo Community Care Center

Tupelo, MS · Lee County

CMS 1/5 120 beds Non-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
61%
Serious cites
0

Tupelo Community Care Center runs 120 certified beds as a nonprofit corporation, and the numbers tell a mixed story. Staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average, and weekends drop about 19% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Turnover is 60.8% against a national 45.8%, meaning most of the people caring for your relative are relatively new. The inspection record is the harder read: 34 deficiencies, five at harm or jeopardy level, one abuse-related, and six fines totaling $75,044.

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59.5/100

Lee's Summit Place

Lees Summit, MO · Jackson County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
74%
Serious cites
0

Lee's Summit Place runs on thin nursing coverage: 2.91 nurse hours per resident per day against a national average of 3.86, and weekends dip roughly 15% below what the home itself staffs on weekdays. That shortfall shows up in the federal staffing rating, which sits at the lowest mark, and in turnover of 73.9%, well above the 45.8% national figure, meaning the aides and nurses around your family member are likely to keep changing. The inspection record is more reassuring: a 4-out-of-5 health inspection rating, with the most recent survey in April 2025 and 30 deficiencies logged, just one of them serious enough to involve harm or jeopardy. No abuse deficiencies appear on the current record.

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59.5/100

Tiffany Heights

Mound City, MO · Holt County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
69%
Serious cites
0

Tiffany Heights runs on 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 18% below what the home staffs during the week. That thin coverage sits behind a 69% annual turnover rate, well above the 45.8% national figure. Inspectors have cited 29 deficiencies on the current record, two of them abuse-related, though none reached harm or jeopardy level. The last inspection was December 5, 2025. A for-profit limited liability company owns the 60-bed home in Mound City. Quality measures rate mid-range, but staffing and inspection results are where the concerns concentrate.

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59.5/100

Finger Lakes Health

Geneva, NY · Ontario County

CMS 2/5 345 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Finger Lakes Health in Geneva runs 345 certified beds under corporate ownership, and its inspection record shows 26 deficiencies, including a pair serious enough to reach harm or jeopardy level and three tied to abuse. That's a lot to carry, and the two-out-of-five health inspection rating reflects it. The quality measure score sits at the same two stars, so this isn't a case of strong clinical outcomes offsetting weak inspections. The last survey was September 2023, which means the record you're looking at isn't fresh, call and ask what's happened since, and specifically how the abuse-related findings were resolved. With a home this size, staffing consistency matters as much as any single number.

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59.5/100

Ellicott Center For Rehabilitation And Nursing

Buffalo, NY · Erie County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
61%
Serious cites
0

Ellicott Center runs 160 certified beds in Buffalo under for-profit LLC ownership, and the numbers worth knowing start with staffing: 3.48 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 17% below its own weekday coverage. That thinner weekend floor is where gaps tend to show up. Staff turnover sits at 61.3%, well above the 45.8% national figure, which means aides and nurses are cycling through often enough that familiarity with residents is hard to build. On the inspection side, the home carries 33 deficiencies on its current record, including one at the harm or jeopardy level and one abuse-related, plus a $10,868 fine. The last inspection was February 2025, so the record is recent.

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59.5/100

Signature Healthcare Of Roanoke Rapids

Roanoke Rapids, NC · Halifax County

CMS 2/5 108 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
67%
Serious cites
0

Signature Healthcare of Roanoke Rapids runs a 108-bed for-profit home where the staffing numbers are the main thing to know. Nurses provide 3.25 hours of care per resident per day, about 16% under the national average, and weekends drop roughly 17% below the home's own weekday level. Turnover sits at 66.7% against a national 45.8%, which means the people caring for residents are often new. The health inspection record shows 24 deficiencies, one serious enough to reach harm or jeopardy, and federal fines total $9,110. The quality measure stars look strong, but quality scores depend on staff having time to document and follow through. A recent inspection in May 2026 means the record is current, not old.

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59.5/100

Pruitthealth-Neuse

New Bern, NC · Craven County

CMS 2/5 110 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
38%
Serious cites
0

Pruitthealth-Neuse runs about 2.80 nurse hours per resident day against a national average near 3.86, and weekends drop roughly a quarter below its own weekday staffing. With 110 certified beds, that thin coverage adds up fast when a resident needs help between Friday night and Monday morning. Turnover sits at 38%, which is actually better than the 45.8% national figure, so the problem isn't churn so much as how few hours each shift gets. The inspection record is the heavier concern: 40 deficiencies, seven at harm or jeopardy level, five tied to abuse, and $88,115 in fines across four penalties, with the most recent inspection in December 2025.

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59.5/100

Medina Bsd Opco Llc

Medina, OH · Medina County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
74%
Serious cites
0

Medina Bsd Opco runs 60 beds as a for-profit corporation, and its staffing numbers tell two different stories. Overall nurse coverage sits slightly above the national average at 4.05 hours per resident day, but weekends drop about 19% below the home's own weekday level, so the people there Saturday and Sunday aren't getting the same attention as midweek. Meanwhile, 73.5% of staff turned over in a year, well above the 45.8% national figure, which means many caregivers are still learning the building. Eighteen deficiencies sit on the current record, two involving harm or jeopardy and one tied to abuse, with nine fines totaling $55,035. A 2/5 staffing rating and 2/5 inspection rating back that up.

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59.5/100

Village Health Care Center

Broken Arrow, OK · Tulsa County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Village Health Care Center in Broken Arrow is a 90-bed for-profit home owned by a limited liability company, and its federal record is poor across all three CMS measures, inspections, quality, and staffing each sit at one star out of five. The inspection history shows 38 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $44,220 fine. The most recent inspection was in August 2025, so the record reflects current conditions rather than an old survey. Low staffing scores mean the people on shift are stretched thin, which matters most when you're evaluating how often a resident gets help with basic care. If you're considering this home, ask the administrator directly what's changed since that inspection.

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59.5/100

Brentwood Extended Care & Rehab

Muskogee, OK · Muskogee County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
—
Serious cites
0

Brentwood Extended Care & Rehab runs 90 certified beds in Muskogee under individual for-profit ownership, and the numbers behind its record are worth a careful look. Nurse staffing sits at 3.11 hours per resident day, roughly 19% under the national average, and weekends dip about 5% below its own weekday levels, so coverage thins out right when families tend to visit. The current inspection record shows 47 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with nine fines totaling $97,625 and a survey completed July 31, 2025. If you're weighing this home, ask directly how those abuse-related findings were resolved and what weekend nursing coverage actually looks like.

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59.5/100

Fairview Manor

Fairview, PA · Erie County

CMS 1/5 121 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
48%
Serious cites
0

Fairview Manor runs on 3.16 nurse hours per resident per day, roughly 18 percent below the national average, and weekends drop about 16 percent below its own weekday staffing. That thin coverage shows up in the federal ratings, where staffing gets one star out of five. The inspection record carries 21 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with the most recent inspection dated April 10, 2026. Annual turnover sits at 47.5 percent, a bit above the national 45.8 percent. For-profit corporate ownership, 121 beds, and a record that leans on quality measures for its better marks rather than on staffing or inspections.

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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