ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 12161–12180 of 12,967, best-graded first.

C

58.5/100

Person Memorial Hospital

Roxboro, NC · Person County

CMS 1/5 56 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
—
Serious cites
0

Person Memorial Hospital runs 56 certified beds in Roxboro under for-profit LLC ownership, and its staffing number is the first thing that stands out: 3.10 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends dip about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. The record shows 22 deficiencies, including one at the harm level and one abuse-related, plus eight fines totaling $58,807, and the most recent inspection was December 2025. Federal ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.

C

58.5/100

University Health And Rehabilitation Center

Durham, NC · Durham County

CMS 1/5 126 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
62%
Serious cites
0

University Health And Rehabilitation Center runs 126 beds in Durham under for-profit LLC ownership, and the staffing numbers are where the trouble starts. Nurses provide 3.31 hours per resident day against a national average of 3.86, weekends drop roughly 16% below the home's own weekday level, and annual turnover hits 62.2% when the national figure is 45.8%. Inspectors have cited 37 deficiencies, five of them at harm or jeopardy level and two abuse-related, with three fines totaling $129,754. The quality measure score looks strong, but that reflects charted clinical data, not the hands available to deliver care. A family weighing this home should ask how many aides are actually on the floor on a Saturday.

C

58.5/100

Majestic Care Of Bryan

Bryan, OH · Williams County

CMS 1/5 149 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
46%
Serious cites
0

Majestic Care Of Bryan runs 149 certified beds under for-profit LLC ownership, and its staffing is the clearest problem: 3.24 nurse hours per resident day, about 16% under the national average, with weekend coverage dropping roughly another 16% below its own weekday level. Turnover sits at 45.7%, essentially the national rate, so the issue isn't churn so much as how few hands are scheduled on any given day. The inspection record backs that up, 57 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, with $74,055 in fines and a 2/5 inspection rating. The most recent inspection was December 2025. Quality measures score well, but staffing doesn't.

C

58.5/100

Hillcrest Manor Nursing Center

Blackwell, OK · Kay County

CMS 2/5 137 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
—
Serious cites
0

Hillcrest Manor runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 7% below its own weekday coverage. That staffing shortfall shows up across the board: two out of five stars each for staffing, health inspections, and quality measures, with 24 deficiencies on the current record, two serious enough to involve harm or jeopardy, and one fine totaling $46,898. It's a for-profit limited liability company with 137 certified beds, inspected most recently on April 4, 2025. No abuse citations appear on the record, which is worth noting, but the staffing numbers and inspection history are the story here.

C

58.5/100

Cedar Haven Operations Holding Llc Valley View Hea

Woonsocket, RI · Providence County

CMS 1/5 185 beds For-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
36%
Serious cites
0

Cedar Haven's Valley View in Woonsocket has one star for health inspections and sits in CMS's Special Focus Facility program, the short list of homes the government watches most closely. The record backs that up: 64 deficiencies, 13 of them serious enough to put residents in harm's way, five tied to abuse, and six fines adding up to roughly $84,000. Staffing is thinner than most homes, at 2.82 nurse hours per resident day against a national average of 3.86, and weekends run about 17% below the home's own weekday coverage. Turnover actually looks better than average, 36.4% versus 45.8% nationally, so the problem isn't churn, it's simply not enough hands on the floor.

C

58.5/100

Huntingdon Health & Rehabilitation Center

Huntingdon, TN · Carroll County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
49%
Serious cites
0

Huntingdon Health & Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.41 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly 20% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 49.2% tops the national figure, which means the people caring for your relative are often new. The inspection record shows 18 deficiencies, four at harm or jeopardy level and one abuse-related, plus a $52,156 fine. The most recent inspection was January 2026, so the picture is current rather than stale.

C

58.5/100

Fortress Nursing And Rehabilitation

College Station, TX · Brazos County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
80%
Serious cites
0

Fortress Nursing and Rehabilitation runs 2.84 nurse hours per resident day, roughly 27% under the national average, and weekend coverage drops about 22% below its own weekday levels. That thin staffing sits alongside a 79.7% annual turnover rate, well above the 45.8% norm, so the people caring for residents change often. The current record carries 19 deficiencies, four of them at the harm or jeopardy level and three tied to abuse, plus a $17,014 fine; the most recent inspection was January 22, 2026. Ownership is a for-profit limited liability company. Quality measures score well, but staffing and inspection findings are where the trouble shows.

C

58.5/100

Dayton Nursing And Rehabilitation

Dayton, TX · Liberty County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
58%
Serious cites
0

Dayton Nursing and Rehabilitation runs 4.37 nurse hours per resident per day, about 13% above the national average, and that's the best thing in its file. The rest is harder. Weekend staffing drops roughly 16% below its own weekday level, and annual turnover sits at 58.3% against a national 45.8%, so the faces change often. Inspectors have cited 36 deficiencies, four at harm or jeopardy level and three tied to abuse, with three fines totaling $131,714. The last inspection was September 2025. Federal ratings put health inspections and quality measures at 2 of 5 stars each. Individual ownership means one person answers for all of it. If you're considering this home, ask directly what changed after those abuse citations.

C

58.5/100

Chesapeake Health And Rehabilitation Center

Chesapeake, VA · Chesapeake City County

CMS 1/5 180 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
63%
Serious cites
0

Chesapeake Health and Rehabilitation Center runs 180 certified beds as a for-profit, individually owned home, and the staffing numbers are the first thing you'd notice. At 2.92 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly 19% below its own weekday coverage. That thinness shows up over time: annual turnover is 63.3% against a 45.8% national figure, meaning most of the people caring for residents are relatively new. Inspectors rated health inspections 1 out of 5 and staffing 1 out of 5, with 53 deficiencies on the current record, five serious enough to involve harm or jeopardy. The last inspection was December 2021, so the record you're reading is years old.

C

58.5/100

Norview Heights Rehabilitation And Nursing

Norfolk, VA · Norfolk City County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
70%
Serious cites
0

Norview Heights runs on thin staffing. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 19% below what the home itself manages on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is the bigger tell: 69.6% of nursing staff leave each year, against a national 45.8%, which means the people caring for residents are often new and still learning the building. The inspection record shows 46 deficiencies, one serious enough to involve harm or jeopardy, and the last full inspection was in October 2021, nearly three years stale. Corporate-owned, 60 beds, and a staffing star of 1 out of 5.

C

58.5/100

Glenburnie Rehab & Nursing Center

Richmond, VA · Henrico County

CMS 2/5 125 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
69%
Serious cites
0

Glenburnie Rehab & Nursing Center runs a 125-bed for-profit partnership in Henrico County, and its numbers pull in opposite directions. The quality measure score is perfect, but everything else tells a harder story: nurse staffing sits at 3.20 hours per resident day against a national average of 3.86, weekend coverage drops roughly 22% below its own weekday levels, and annual turnover hits 69.4% while the country averages 45.8%. On inspections, CMS gives it 1 out of 5 stars, with 127 deficiencies on the current record, four tied to abuse and one at the harm or jeopardy level, plus a $54,211 fine. A January 2024 inspection is the most recent on file.

C

58.5/100

Park Rose Care Center

Tacoma, WA · Pierce County

CMS 2/5 139 beds For-profit Medicaid
Nurse hours
5.14 /day
Staff turnover
49%
Serious cites
0

Park Rose runs 5.14 nurse hours per resident day, comfortably above the national average of 3.86, so the raw staffing number looks like a strength. The catch is consistency and stability: weekend coverage drops about 16% below weekdays, and turnover sits at 49.1% against a national 45.8%, meaning nearly half the staff leaves each year. Inspections tell the harder story, 76 deficiencies on record, including 4 at harm or jeopardy level and 7 tied to abuse, with three fines totaling $256,703. For-profit corporate ownership, a 2/5 inspection rating, and a July 2025 inspection date round out a record that asks more questions than the staffing hours alone answer.

C

58.5/100

Beckley Healthcare Center

Beckley, WV · Raleigh County

CMS 2/5 201 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
56%
Serious cites
0

Beckley Healthcare Center runs 201 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.20 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly 21% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 55.5% tops the 45.8% national figure, meaning aides and nurses cycle through constantly. The current record carries 71 deficiencies, including 7 at harm or jeopardy level and 7 tied to abuse, plus four fines totaling $81,361. Inspectors were last in on January 13, 2026.

C

58.5/100

Honey Grove Nursing Center

Honey Grove, TX · Fannin County

CMS 2/5 102 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
—
Serious cites
0

Honey Grove Nursing Center runs 102 certified beds under corporate for-profit ownership, and the staffing numbers are where things get uncomfortable. At 3.50 nurse hours per resident per day, it sits roughly 9% under the national average of 3.86, and weekends drop another 8% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record backs that up: 40 deficiencies, four serious enough to reach harm or jeopardy level, and two fines totaling $213,797. No abuse citations appear on the current record, and the most recent inspection was in December 2025, so the picture is current rather than stale.

C

58.5/100

Highland Pines Nursing Home

Longview, TX · Gregg County

CMS 2/5 171 beds Government Medicaid
Nurse hours
3.70 /day
Staff turnover
46%
Serious cites
0

Highland Pines is run by a hospital district, and its 171 beds get 3.70 nursing hours per resident day, about 4% under the national average, with weekends running roughly 16% lighter than weekdays. Staff turnover sits at 46.2%, right at the national figure, so this isn't a retention crisis; it's thin coverage that thins further when you're most likely to visit. The inspection record is the harder read: 48 deficiencies, including one at harm or jeopardy level and four tied to abuse, with a $17,629 fine and a survey completed January 14, 2026. Two stars on health inspections and one on staffing tell you where the weight lands.

C

58.5/100

Park Manor Of Mckinney

Mckinney, TX · Collin County

CMS 2/5 138 beds Government Medicaid
Nurse hours
3.25 /day
Staff turnover
62%
Serious cites
0

Park Manor of McKinney is owned by a hospital district, and its clinical quality scores look decent, four out of five stars on CMS's quality measures. The problem is the people doing the work. Nurse staffing sits at 3.25 hours per resident per day, about 16 percent under the national average, and weekends run roughly 19 percent thinner than weekdays, so your mother's Sunday care isn't the same as her Tuesday care. Staff turnover is 62.4 percent against a national 45.8 percent, meaning most of the aides who know her will be gone within a year. Eighteen deficiencies sit on the current record, two serious enough to involve harm, with one fine of $29,426.

C

58.5/100

San Rafael Nursing And Rehabilitation Center

Corpus Christi, TX · Nueces County

CMS 1/5 168 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
38%
Serious cites
0

San Rafael runs on 3.08 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage shows up in the record: 59 deficiencies, including six at the harm or jeopardy level and five tied to abuse, with four fines totaling $80,132. Turnover at 38.2% is actually better than the 45.8% national average, and the hospital district ownership means public accountability rather than a private operator. But a one-star inspection rating and a March 2025 inspection leave little room to argue the care is well-supervised. If you're considering this one, ask specifically how weekends are covered and how abuse allegations get handled.

C

58.5/100

Park View Nursing Care Center

Muleshoe, TX · Bailey County

CMS 1/5 74 beds Government Medicaid
Nurse hours
3.49 /day
Staff turnover
67%
Serious cites
0

Park View is a 74-bed hospital-district home in Muleshoe, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.49 hours per resident per day, about 10% under the national average, and it thins out further on weekends, roughly 15% below the home's own weekday level. Annual turnover runs 66.7% against a national 45.8%, meaning most of the people caring for residents are relatively new. Inspections tell the harder story: 26 deficiencies on the current record, including 2 at harm or jeopardy level and 4 abuse-related, with one fine of $21,645. The most recent inspection was January 15, 2026.

C

58.5/100

The Chateau Waco

Waco, TX · Mc Lennan County

CMS 1/5 123 beds Government Medicaid
Nurse hours
3.48 /day
Staff turnover
74%
Serious cites
0

The Chateau Waco, a 123-bed hospital-district home, has a staffing problem that runs deeper than its 3.48 nurse hours per resident day, roughly 10% under the national average. Weekend coverage drops about 15% below the home's own weekday level, and 73.6% of staff left over the past year, well above the 45.8% national rate. On inspections, the record shows 33 deficiencies, six at harm or jeopardy level and one abuse-related, with four fines totaling $72,056 and a one-star health inspection rating. The quality measure score of four stars stands out against a one-star staffing rating, which tells you the clinical numbers look better on paper than the floor coverage suggests.

C

58/100

Bridgewalk On Harden Health And Rehabilitation, Ll

Lakeland, FL · Polk County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
63%
Serious cites
0

Bridgewalk on Harden runs about 10% leaner on nursing hours than the national average, and weekends drop roughly 8% below its own weekday level, so the coverage gap widens when families tend to visit. Annual turnover of 63.3% sits well above the 45.8% national figure, meaning the staff who are there are often new. That context matters for a home with 17 deficiencies on its current record, including two at the harm level and one abuse-related, plus three fines totaling $181,400. Its last inspection was January 2024. Corporate-owned, 120 beds.

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