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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 12061–12080 of 12,967, best-graded first.

C

59/100

Avantara Chicago Ridge

Chicago Ridge, IL · Cook County

CMS 4/5 203 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
69%
Serious cites
0

Avantara Chicago Ridge runs 203 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, and annual turnover hits 68.9% against a national 45.8%, so the people caring for residents are cycling out fast. The inspection record shows 41 deficiencies, five at harm or jeopardy level and one tied to abuse, with three fines totaling $137,658; the most recent inspection was January 10, 2025. Its quality measure score looks strong, but that reflects charted clinical outcomes, not the staffing and safety picture a family actually walks into.

C

59/100

Thryve Of Crestwood

Crestwood, IL · Cook County

CMS 1/5 297 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
48%
Serious cites
0

Thryve Of Crestwood runs 297 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.08 nurse hours per resident day, it sits about 20 percent under the national average of 3.86, and weekend coverage drops roughly another 13 percent below its own weekday level. The inspection record raises harder questions: 46 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, with five fines totaling $298,926 and a 2-out-of-5 health inspection rating. Annual turnover of 48.2 percent edges past the national 45.8 percent, so even the staff who are there keep changing.

C

59/100

Generations At Applewood

Matteson, IL · Cook County

CMS 1/5 154 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
56%
Serious cites
0

Generations At Applewood runs 154 certified beds in Matteson under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, with weekends running about 12% thinner than its own weekdays. Staff turnover is 55.9%, well above the 45.8% national figure, which means the people providing that already-stretched care are cycling out faster than average. The inspection record is where it gets serious: 62 deficiencies, 16 at harm or jeopardy level, three tied to abuse, and six fines totaling $518,939. A quality measure score of 4 out of 5 sits oddly beside a 1 out of 5 on health inspections, but the survey history and the money owed tell the more reliable story.

C

59/100

Hilltop Skilled Nsg & Rehab

Charleston, IL · Coles County

CMS 2/5 108 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
45%
Serious cites
0

Hilltop Skilled Nsg & Rehab runs 108 beds as a for-profit LLC, and its nurse staffing sits around 3.36 hours per resident day, roughly 13% under the national average. Weekends dip about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. That staffing picture lines up with a 1-out-of-5 CMS staffing star. Turnover at 44.6% is essentially the national rate, meaning the home isn't churning workers faster than average, it's just running lean. What stands out more is the inspection record: 60 deficiencies, 8 at harm or jeopardy level, 8 abuse-related, and $177,262 in fines across three penalties. The most recent inspection was October 18, 2024.

C

59/100

Pearl Of St Charles, The

St Charles, IL · Kane County

CMS 1/5 109 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
59%
Serious cites
0

Pearl of St Charles runs on thin staffing: 3.33 nurse hours per resident day against a national average of 3.86, and weekends drop about 10% below what the home already provides on weekdays. That gap shows up in turnover, too, 59.1% of staff leave each year, well above the 45.8% national figure, which means caregivers are continually new to residents who need consistency. The record backs this up: 51 deficiencies, five serious enough to involve harm or jeopardy, one tied to abuse, and $41,294 in fines across three penalties. A February 2025 inspection is recent, so the picture isn't stale. For-profit LLC ownership, and a 2/5 on health inspections. Worth asking hard questions before choosing this one.

C

59/100

La Bella At Clifton

Clifton, IL · Iroquois County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
38%
Serious cites
0

La Bella At Clifton runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below what the home itself staffs on weekdays. That thin coverage sits behind a one-star CMS staffing rating. The inspection record is heavy: 53 deficiencies, five at harm or jeopardy level, six tied to abuse, and four fines totaling $146,139. The last inspection was May 2025, so the picture is current. Ownership is a for-profit LLC. Turnover at 37.7% is actually below the national average, which means the problem isn't retention so much as how few hours each resident gets.

C

59/100

Majestic Care Of South Bend

South Bend, IN · St. Joseph County

CMS 1/5 103 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
68%
Serious cites
0

Majestic Care of South Bend runs on thinner nursing coverage than most homes, 3.32 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 8% below its own weekday levels. That matters more when you consider the 68.4% annual turnover, well above the 45.8% national figure, so the people providing care are frequently new. The inspection record is the bigger concern: 52 deficiencies, three of them at harm or jeopardy level, three tied to abuse, and $116,322 in fines. A single most-recent inspection in August 2025 produced a 1-star health inspection rating. The quality measure score looks better than the rest, but staffing and compliance are where this home struggles most.

C

59/100

Signature Healthcare Of Terre Haute

Terre Haute, IN · Vigo County

CMS 1/5 176 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
55%
Serious cites
0

Nurse staffing at Signature Healthcare Of Terre Haute runs 3.94 hours per resident day, just above the national average, but that number hides a gap: weekends are about 13% thinner than weekdays. It's a for-profit corporation with 54.9% annual turnover, well above the 45.8% national figure, and the current record holds 49 deficiencies, including 3 at the harm or jeopardy level and 7 tied to abuse. Two fines total $66,207, and the last inspection was March 2026. A 176-bed building with that kind of record and a 1-out-of-5 inspection rating is worth a hard look before you decide.

C

59/100

Fort Dodge Health And Rehabilitation

Fort Dodge, IA · Webster County

CMS 1/5 65 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
49%
Serious cites
0

The numbers out of Fort Dodge Health and Rehabilitation describe a 65-bed for-profit home where nurse staffing runs about 3.18 hours per resident day, roughly 18% under the national average, and drops another 14% on weekends, when families often visit and needs don't pause. Staff turnover sits at 48.8%, above the national figure, and the inspection record shows 48 deficiencies, six of them serious enough to put residents at risk of harm, two tied to abuse, with $166,043 in fines across two penalties. The most recent inspection was in February 2026, so that record is current. A 1-out-of-5 health inspection rating and 2s for staffing and quality measures aren't isolated problems, they line up with what the underlying numbers already show.

C

59/100

Westwood Specialty Care

Sioux City, IA · Woodbury County

CMS 1/5 85 beds Non-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
49%
Serious cites
0

Westwood Specialty Care is a nonprofit home with 85 beds in Sioux City, and the numbers families tend to ask about first are the inspection ones. Its record carries 79 deficiencies, including two at the harm level and one tied to abuse, plus two fines totaling $181,086, and the most recent inspection was in April 2026, so this isn't a stale file. Staffing sits at 3.20 nurse hours per resident day, roughly 17 percent under the national average, with weekends running about 13 percent thinner than weekdays and turnover at 49.3 percent. Ownership being nonprofit doesn't offset any of that on its own.

C

59/100

Diversicare Of Sedgwick

Sedgwick, KS · Harvey County

CMS 1/5 62 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
78%
Serious cites
0

Diversicare Of Sedgwick runs on 2.96 nurse hours per resident per day, about a quarter below the national average, and weekend staffing drops roughly another 10% under its own weekday level. That thin coverage shows up in the inspection record: 32 deficiencies, two involving actual harm or jeopardy, one tied to abuse, and a $51,670 fine. Staff turnover hits 78% against a national 45.8%, meaning most of the people caring for residents are new to the building. The last inspection was May 2025, so the record is current rather than stale. For-profit ownership through a limited liability company. The quality measure score is decent; the staffing and inspection scores are not, and staffing is what you'd actually feel day to day.

C

59/100

El Dorado Care And Rehab

El Dorado, KS · Butler County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
83%
Serious cites
0

El Dorado Care and Rehab runs 50 certified beds under for-profit limited liability ownership, and its staffing tells the clearest story here. At 3.73 nurse hours per resident day, it sits slightly under the national average, and weekends drop about 14% below its own weekday coverage. The bigger concern is turnover: 83% of staff leave annually, against a national average near 46%, that kind of churn makes consistent care hard to maintain. Its record shows 34 deficiencies, including one at the harm level and two tied to abuse. Health inspection and staffing each earned 2 of 5 stars from CMS, with quality measures at 3. The most recent inspection was in April 2026.

C

59/100

Wurtland Nursing And Rehabilitation

Wurtland, KY · Greenup County

CMS 1/5 126 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
50%
Serious cites
0

Wurtland Nursing and Rehabilitation runs 126 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.51 nurse hours per resident day sits about 9% under the national average, weekend coverage drops roughly 14% below its own weekday level, and annual turnover hits 50% against a 45.8% national figure. Inspections back that up. Twenty-four deficiencies sit on the current record, eight serious enough to involve harm or jeopardy, and one fine of $69,908 has been levied. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating tell you regulators and the payroll data agree. The most recent inspection, in March 2026, is the record to ask about directly.

C

59/100

Twin Oaks Nursing Home

Laplace, LA · St. John Baptist County

CMS 1/5 148 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
45%
Serious cites
0

Twin Oaks runs lean on nursing staff, 3.23 hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday coverage. That kind of dip matters, because fewer nurses on Saturday and Sunday is when problems tend to go unnoticed. The inspection record is heavier than most: 42 deficiencies, including 12 flagged as abuse-related, though none rose to the level of actual harm or jeopardy. Staff turnover sits at 45.3%, almost exactly the national figure, so retention isn't the issue here, the numbers suggest the home simply isn't staffing at the level its 148 residents need, and its recent August 2025 inspection kept the health rating at 2 out of 5.

C

59/100

Camelot Leisure Living

Ferriday, LA · Concordia County

CMS 1/5 91 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
61%
Serious cites
0

Camelot Leisure Living runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends drop roughly 12% below its own weekday staffing. Annual turnover sits at 60.9% against a national 45.8%, meaning most of the aides and nurses your family would see are relatively new. The inspection record shows 40 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $47,067 fine and a 1-out-of-5 health inspection rating. A corporate-owned home of 91 beds with that citation history and that much churn is worth a careful visit before you decide anything.

C

59/100

Creekside Center For Rehabilitation And Nursing

Hagerstown, MD · Washington County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
65%
Serious cites
0

Creekside runs 80 beds in Hagerstown under for-profit LLC ownership, and the staffing numbers are the first thing you should look at. At 3.29 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 64.7% means most of the people caring for your relative are new, and against a 45.8% national rate that's a lot of churn. The inspection record is worse: 104 deficiencies, six at harm or jeopardy level, twelve abuse-related, two fines totaling $111,536, and CMS has placed it in the Special Focus Facility program.

C

59/100

Colony Center For Health And Rehabilitation

Abington, MA · Plymouth County

CMS 1/5 92 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
50%
Serious cites
0

Colony Center For Health And Rehabilitation is a 92-bed for-profit home in Abington, and the numbers here are worth sitting with before you tour. Nurse staffing runs 3.52 hours per resident day, roughly 9% below the national average, and weekends drop about 11% below the home's own weekday level, so coverage thins out exactly when families tend to visit. The inspection record shows 52 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, plus 2 fines totaling $25,593. Staff turnover sits at 50%, above the 45.8% national figure, which matters because consistent caregivers know residents. CMS rated its last inspection 1 out of 5 stars, with quality measures also at 1.

C

59/100

Grand Trace Health And Rehabilitation

Natchez, MS · Adams County

CMS 1/5 96 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
59%
Serious cites
0

Grand Trace runs on 3.30 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday numbers. Staff turnover sits at 58.8% against a national 45.8%, so nearly three in five workers leave within a year. Its record shows 39 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus $48,153 in fines across two penalties, with the most recent inspection in March 2025. The federal star ratings land at one out of five for both health inspections and quality measures, and two for staffing. This is a for-profit limited liability company operating 96 certified beds.

C

59/100

Delmar Gardens On The Green

Chesterfield, MO · St. Louis County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
58%
Serious cites
0

Delmar Gardens On The Green runs 120 certified beds in Chesterfield under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 4.38 hours per resident day, roughly 13% above the national average, though weekends run about 4% thinner than weekdays and annual turnover hits 57.7% against a national 45.8%, meaning the people providing that above-average care are cycling through fast. The clinical record is harder to defend: 30 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $46,589. A recent October 2024 inspection gives you current information, but a 1/5 quality measure rating alongside that deficiency count suggests the extra staffing hours aren't translating into measured outcomes.

C

59/100

Kirksville Manor Care Center

Kirksville, MO · Adair County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
57%
Serious cites
0

Kirksville Manor Care Center runs 119 certified beds under corporate for-profit ownership, and the numbers here are hard to read. Nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average, but that average hides a real drop on weekends, when coverage falls about 15% below the home's own weekday level. Meanwhile, annual turnover is 57.4%, well above the 45.8% national figure, so the people providing that care keep changing. The inspection record shows 54 deficiencies, seven at harm or jeopardy level, one tied to abuse, and $250,823 in fines across two penalties.

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