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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 12141–12160 of 12,967, best-graded first.

C

59/100

Avir At Johnson City

Johnson City, TX · Blanco County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
66%
Serious cites
0

Avir At Johnson City runs 60 beds under corporate ownership, and the numbers tell a fairly consistent story. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekend coverage drops another 11% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover of 65.5% is well above the 45.8% national figure, which matters because residents see a rotating cast rather than familiar faces. The inspection record is the harder part: 28 deficiencies, six of them serious enough to reach harm or jeopardy level, and $74,691 in fines across three penalties. The most recent inspection was June 4, 2026. Quality measures score mid-range, but staffing and health inspections both sit at one star out of five.

C

58.5/100

Pruitthealth - Palmyra

Albany, GA · Dougherty County

CMS 1/5 250 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
48%
Serious cites
0

Pruitthealth - Palmyra runs 250 certified beds in Albany, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends drop about 15% below what the home itself provides on weekdays, so coverage is thinnest exactly when families tend to visit. The inspection history is the heavier concern: 32 deficiencies on the current record, four of them at the harm or jeopardy level and two abuse-related, plus a $48,909 fine. Staff turnover of 47.9% runs slightly above the national rate, meaning caregivers cycle through faster than average. A for-profit LLC operates it, and the most recent inspection was November 2025.

C

58.5/100

Fort Valley Crossing Of Journey Llc

Fort Valley, GA · Peach County

CMS 2/5 75 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
70%
Serious cites
0

Fort Valley Crossing runs 3.65 nurse hours per resident day, about 6% under the national average, and weekend staffing drops roughly 18% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The bigger number is turnover: 70.3% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Its three CMS star ratings sit at 2 of 5, with 18 deficiencies on record, none at harm or jeopardy level and none abuse-related. A December 2025 inspection is recent, so the picture is current, not stale. For-profit LLC ownership. Nothing here is alarming on paper, it's a home running leaner than average in both hours and consistency.

C

58.5/100

Senior Care Center - St Marys

Saint Marys, GA · Camden County

CMS 1/5 78 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
63%
Serious cites
0

Senior Care Center - St Marys runs on 2.91 nurse hours per resident day, roughly a quarter below the national figure of 3.86, and its staffing star sits at 1 out of 5. Weekend coverage drops about 23% below its own weekday level, so the quietest shifts are also the thinnest. Annual turnover of 62.5% outpaces the national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 21 deficiencies, none at harm or jeopardy level but one tied to abuse, plus a $4,072 fine. The last inspection was November 2025, and quality measures score better than the inspection and staffing numbers do, 22 of those 21 deficiencies sit on the health side without immediate harm findings.

C

58.5/100

Bostick Nursing Center

Milledgeville, GA · Baldwin County

CMS 1/5 280 beds For-profit Medicaid
Nurse hours
0.46 /day
Staff turnover
—
Serious cites
0

Bostick Nursing Center runs 280 certified beds in Milledgeville under individual for-profit ownership, and the staffing number is the one to sit with: 0.46 total nurse hours per resident day against a national average of 3.86. That's roughly 88% below what nursing homes typically report. The 1-out-of-5 staffing star reflects it, and the quality measure star sits at 1 as well. Inspections tell a quieter story, a 3-out-of-5 health inspection rating in May 2024, with 18 deficiencies on record, none at the harm or jeopardy level, though one is abuse-related. Weekend staffing doesn't drop below weekday levels. If you're considering this home, ask directly how 0.46 hours a day gets covered across three shifts.

C

58.5/100

Prairie Crossing Lvg & Rehab

Shabbona, IL · De Kalb County

CMS 4/5 91 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
42%
Serious cites
0

Prairie Crossing runs lean on nurse staffing, 3.61 hours per resident day, about 7% under the national average, and weekends drop roughly 16% below its own weekday coverage. That thinner weekend presence matters most when families visit and when residents need help between shifts. Staff turnover sits at 41.9%, a bit better than the 45.8% national figure, so the team is somewhat more stable than average. The current record carries 16 deficiencies, five at harm or jeopardy level and one abuse-related, plus three fines totaling $39,635. The last inspection was in October 2024. Ownership is for-profit, a limited liability company.

C

58.5/100

Bria Of Geneva

Geneva, IL · Kane County

CMS 3/5 107 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
62%
Serious cites
0

Bria Of Geneva runs 107 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. Nurses give 3.76 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage, so the thinnest shifts land when families visit and outside oversight is quietest. Annual turnover sits at 61.5% versus 45.8% nationally, meaning most of the people caring for your relative are new to the building. The health inspection rating is solid at 4 of 5, but the current record carries 32 deficiencies, including one at harm or jeopardy level and two tied to abuse.

C

58.5/100

Byron Health Center

Fort Wayne, IN · Allen County

CMS 1/5 120 beds Non-profit Medicaid
Nurse hours
1.19 /day
Staff turnover
45%
Serious cites
0

Byron Health Center runs on 1.19 nurse staffing hours per resident day, roughly 69 percent below the national average of 3.86, and weekends drop about 17 percent below its own weekday level. That's a thin margin before anything goes wrong, and the record shows things have: 15 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $8,281. Staff turnover sits at 45.3 percent, almost exactly the national figure, so the problem isn't retention so much as how few hours reach the floor. The last inspection was March 31, 2026, and the nonprofit operator's 120 beds carry a 2/5 inspection rating, 2/5 quality measures, and 1/5 staffing. The staffing number is the one to weigh hardest.

C

58.5/100

Dubuque Specialty Care

Dubuque, IA · Dubuque County

CMS 2/5 84 beds Non-profit Medicaid
Nurse hours
2.89 /day
Staff turnover
57%
Serious cites
0

Dubuque Specialty Care runs about 2.89 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 17% below its own weekday coverage. Staff turnover sits at 57.1% against a national 45.8%, meaning more than half the nursing team leaves each year. The inspection record carries 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus a $53,372 fine, and the most recent inspection was July 30, 2025. Quality measures score mid-range, but thin staffing and high turnover are the numbers that matter most for day-to-day care.

C

58.5/100

Florissant Valley Health & Rehabilitation Center

Florissant, MO · St. Louis County

CMS 1/5 98 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
69%
Serious cites
0

Florissant Valley runs 3.94 nurse hours per resident day, a hair above the national average of 3.86, but look closer and the picture changes. Weekend staffing drops roughly 17% below the home's own weekday level, and annual turnover sits at 68.8% against a national figure of 45.8%, meaning most of the people caring for residents are relatively new and the weekend crew is thinner. The inspection record shows 72 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in November 2024. For a 98-bed for-profit corporate home, those numbers, not the staffing headline, are what a family should weigh.

C

58.5/100

Lansdowne Village

Saint Louis, MO · St. Louis City County

CMS 1/5 145 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
61%
Serious cites
0

Lansdowne Village runs 145 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 17% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 61.4% against a 45.8% national figure means aides and nurses are cycling through constantly. The inspection record backs that up: 71 deficiencies, five serious enough to involve harm or jeopardy, and one tied to abuse, with a $15,015 fine on file. Last inspected in November 2025.

C

58.5/100

Autumn Oaks Caring Center

Mountain Grove, MO · Wright County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
56%
Serious cites
0

Autumn Oaks Caring Center is a for-profit, individually owned home with 120 beds in Mountain Grove. Staffing sits slightly under the national average at 3.79 nurse hours per resident day, but the bigger issue is consistency: weekend coverage drops about 19% below weekday levels, and annual turnover runs 55.7% against a national 45.8%. That churn shows up in the inspection record too, 30 deficiencies, three of them serious enough to reach harm or jeopardy level, plus one fine of $48,539 from a January 2025 visit. Quality measure scores sit at the bottom of CMS's scale, and the health inspection rating is well below average, though staffing earned a middle mark.

C

58.5/100

Riverview Nursing Center

Mokane, MO · Callaway County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
64%
Serious cites
0

Riverview Nursing Center in Mokane runs 60 beds under individual for-profit ownership, and the numbers pull in different directions. Inspectors have found the place in good shape, a clean five-star health inspection record as recently as May 2025, with 13 deficiencies on file and none rising to actual harm. The daily experience is a different question. Nurse staffing sits at 3.25 hours per resident, about 16 percent under the national average, and drops roughly another quarter on weekends. Staff turnover runs 64.3 percent against a national 45.8, meaning most of the people caring for your family member will be gone within a year. Quality measures come in at one star.

C

58.5/100

Heartland Care And Rehabilitation Center

Cape Girardeau, MO · Cape Girardeau County

CMS 4/5 102 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
66%
Serious cites
0

Heartland Care and Rehabilitation Center runs 102 certified beds in Cape Girardeau under individual for-profit ownership. The staffing numbers are the place to start: 3.05 nurse hours per resident per day, about 21% under the national average, with weekends roughly 17% thinner than weekdays. Annual turnover sits at 66.2%, well above the national 45.8%. What keeps this home from being a harder call is its inspection record, five stars, cleaned up recently, and 11 deficiencies with none at the harm level and none related to abuse. The tradeoff is real, though: residents get solid care oversight but thin coverage, especially on weekends. If you're considering it, ask how the weekend shift is actually staffed.

C

58.5/100

Aspire Senior Living Oak Grove

Oak Grove, MO · Jackson County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
2.73 /day
Staff turnover
39%
Serious cites
0

Aspire Senior Living Oak Grove runs a 90-bed for-profit home in Jackson County, and the staffing numbers are the first thing that stand out. At 2.73 nurse hours per resident day, it's roughly 29% under the national average of 3.86, and weekends dip about 16% below its own weekday level. Turnover sits at 38.9%, actually better than the 45.8% national figure, so retention isn't the problem here, raw coverage is. The inspection side looks stronger: a 4/5 health inspection rating and 27 deficiencies on record with none at the harm level, though 2 are abuse-related. But the 1/5 quality measure rating, paired with a 2024-08-02 inspection date, suggests the clinical picture doesn't match the survey results.

C

58.5/100

Springfield Villa

Springfield, MO · Greene County

CMS 1/5 146 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
64%
Serious cites
0

Springfield Villa runs on 2.96 nursing hours per resident day, roughly a quarter below the national average, and weekends dip about 20% below what the home itself staffs on weekdays. That thin coverage is hard to separate from the rest of the record: 64% annual turnover, a one-star CMS staffing rating, and 36 deficiencies logged, including three at the harm or jeopardy level and one tied to abuse. The last inspection was November 2023, and there's a $69,595 fine on file. Quality measures score mid-range at three stars, but with staffing this far under the norm and a for-profit LLC structure, the numbers point to a home where care depends heavily on who happens to be on shift.

C

58.5/100

Kimball County Manor

Kimball, NE · Kimball County

CMS 1/5 49 beds Government Medicaid
Nurse hours
3.57 /day
Staff turnover
57%
Serious cites
0

Kimball County Manor runs on county government ownership, and its 49 beds are staffed at 3.57 nurse hours per resident day, about 8% under the national average of 3.86. Weekends drop roughly 17% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover sits at 57.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the harder read: 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $27,606 fine. Health inspection and quality measure ratings both sit at 1 out of 5, though staffing scored 3. The most recent inspection was April 21, 2025.

C

58.5/100

Nye Summit

Louisville, NE · Cass County

CMS 2/5 61 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
80%
Serious cites
0

Nye Summit is city-owned, which usually means less pressure to turn a profit, but that alone isn't keeping the place steady. Nurse staffing sits slightly under the national average, weekends run nearly a fifth leaner than weekdays, and 80% annual turnover means most of the people caring for residents this year won't be there next. Inspectors have logged 22 deficiencies, two serious enough to put residents in harm's way and one tied to abuse, with a $23,595 fine on record. The most recent inspection was in January 2025, so the picture is current. Government ownership, thin weekend coverage, and a churning workforce is a hard combination.

C

58.5/100

Santa Fe Care Center

Santa Fe, NM · Santa Fe County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
0.30 /day
Staff turnover
—
Serious cites
0

Santa Fe Care Center reports 0.30 total nurse staffing hours per resident per day. The national average is 3.86, so this home is running at roughly a twelfth of typical staffing. Its weekend numbers are about 1% above its own weekday level, which tells you the shortfall isn't a weekend problem, it's every day. The inspection record backs that up: 57 deficiencies, 5 of them at the level where harm or jeopardy was possible, and 2 tied to abuse. The last inspection was July 2024. Two fines total $25,562. For-profit corporate ownership, 120 certified beds. A 1-star staffing rating and a 2-star health inspection rating mean the federal data is flagging the same thing the numbers above show.

C

58.5/100

Norwich Rehabilitation & Nursing Center

Norwich, NY · Chenango County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
58%
Serious cites
0

Norwich Rehabilitation & Nursing Center runs 80 certified beds as a for-profit LLC, and the numbers show a home stretched thin. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 18% below what the home itself staffs on weekdays, meaning care thins out exactly when families tend to visit. Staff turnover is 58.4%, well above the 45.8% national figure, so the people providing care keep changing. The current record carries 12 deficiencies, including one at the harm level and one abuse-related, plus seven fines totaling $63,215. The last inspection was August 2025, so the picture is recent, not stale.

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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