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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 12261–12280 of 12,967, best-graded first.

C

57.5/100

Camdenton Windsor Estates

Camdenton, MO · Camden County

CMS 1/5 82 beds For-profit Medicaid
Nurse hours
2.78 /day
Staff turnover
75%
Serious cites
0

Camdenton Windsor Estates runs on thin staffing: 2.78 nurse hours per resident day against a national average of 3.86, and weekends dip about 16 percent below its own weekday levels, so coverage is scarcest exactly when families tend to visit. Three out of four employees left over the past year, the national figure is closer to 46 percent, and CMS rates the home 1 out of 5 on quality measures and 2 out of 5 on both staffing and health inspections. Its record shows 45 deficiencies, including one at the harm level and two tied to abuse. The last inspection was April 10, 2025.

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57.5/100

Bernard Care Center

Saint Louis, MO · St. Louis City County

CMS 1/5 141 beds For-profit Medicaid
Nurse hours
1.99 /day
Staff turnover
45%
Serious cites
0

Bernard Care Center runs on 1.99 nurse hours per resident day, roughly half the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin coverage shows up in its CMS staffing rating of 1 out of 5, and the health inspection and quality measure ratings sit at 2 out of 5 each. State inspectors have cited 68 deficiencies, none rising to harm or jeopardy and none abuse-related, with one fine of $37,388 on record. Turnover is 45.3%, basically in line with the national figure. The last inspection was December 2025. Ownership is a for-profit limited liability company.

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57.5/100

Valley View Health & Rehabilitation

Moberly, MO · Randolph County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
63%
Serious cites
0

Valley View runs about 3.13 nurse hours per resident day, roughly 19% under the national average, and the gap widens on weekends when staffing drops another 17%. That thin coverage sits behind a 2-out-of-5 CMS staffing rating, and with 62.5% of staff turning over annually against a national 45.8%, caregivers are cycling through faster than residents can get to know them. The inspection record shows 25 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse. Two fines totaling $62,733 have been levied, and the most recent inspection was October 2024. This individually owned, for-profit home in Moberly carries real compliance problems alongside its staffing shortfall.

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57.5/100

Aegis Health And Rehabilitation

Wildwood, MO · St. Louis County

CMS 1/5 66 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
42%
Serious cites
0

Aegis Health and Rehabilitation in Wildwood runs 66 certified beds under individual for-profit ownership, and its federal record is a heavy one: 66 deficiencies logged, five of them at the level where residents were actually harmed or put in jeopardy. Staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection history is the sharpest signal. This home's last full inspection was in May 2025, and its health inspection star rating stands at 1 out of 5. One fine on record totals $275,739. Turnover at 41.7% is slightly better than the 45.8% national figure, but that's the only number here that isn't working against it. Ask about the plan of correction for those five harm-level citations before you tour.

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57.5/100

Fair View Health Care Center

Sedalia, MO · Pettis County

CMS 1/5 75 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
—
Serious cites
0

Fair View Health Care Center runs about 3.64 nurse hours per resident day, roughly 6% under the national average, and weekends dip another 11% below its own weekday staffing. That thin coverage lines up with the federal staffing and quality ratings both sitting at 1 out of 5, while the inspection rating reached 3, the surveyors found problems, but nothing at the harm or jeopardy level. Thirty-five deficiencies sit on the current record, including one abuse-related finding, from an inspection dated August 2024. The corporate for-profit owner keeps 75 beds certified here, and families weighing this Sedalia home should ask directly how the weekend shift is covered.

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57.5/100

Rochester Center For Rehabilitation And Nursing

Rochester, NY · Monroe County

CMS 1/5 124 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
61%
Serious cites
0

Nurse staffing at Rochester Center runs 3.27 hours per resident day, roughly 15 percent under the national average, and weekends dip about 18 percent below the home's own weekday levels, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 61.1 percent against a national average of 45.8 percent, meaning more than half the nursing team leaves within a year. On the inspection side, the record shows 30 deficiencies, two of them harm-level and one abuse-related, with a $9,315 fine and a January 2025 inspection. This is a for-profit LLC, and the low staffing and inspection ratings line up with the turnover.

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57.5/100

Elderwood At Hamburg

Hamburg, NY · Erie County

CMS 3/5 166 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
72%
Serious cites
0

Elderwood At Hamburg runs 166 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble sits. At 3.02 nurse hours per resident day, it's about 22 percent below the national average of 3.86, and weekends dip roughly 16 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover tells a related story: 71.7 percent annually against a national average of 45.8 percent, so the people caring for residents are cycling through fast. Inspections in June 2025 turned up 15 deficiencies, including one at the harm level and two tied to abuse, plus a $26,000 fine. Medicare's staffing rating of 2 out of 5 reflects what those hours look like in practice.

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57.5/100

Louisburg Healthcare & Rehabilitation Center

Louisburg, NC · Franklin County

CMS 1/5 92 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
51%
Serious cites
0

Louisburg Healthcare runs 92 beds under for-profit LLC ownership, and the staffing numbers are where it shows most. At 3.16 nurse hours per resident day, it sits roughly 18 percent under the national average, and weekends drop another 17 percent below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 51.3 percent runs above the national 45.8 percent, so the people providing that care keep changing. The inspection record is heavier still: 26 deficiencies, two serious enough to involve harm or jeopardy, and $153,104 in fines across three penalties. A March 2025 inspection is recent, so the picture isn't stale. Resident outcomes score well on quality measures; the staffing and inspection side is what's dragging this down.

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57.5/100

Charlotte Health & Rehabilitation Center

Charlotte, NC · Mecklenburg County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
53%
Serious cites
0

Charlotte Health & Rehabilitation Center runs 3.58 nurse staffing hours per resident per day, about 7% under the national average, and weekends drop roughly 17% below its own weekday levels. Annual turnover sits at 52.5%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record shows 36 deficiencies, including 8 at the harm or jeopardy level and 3 tied to abuse, with four fines totaling $132,506. The last inspection was January 28, 2026. For-profit, limited liability ownership, 90 beds. When harm-level findings, abuse citations, thin weekend coverage, and heavy turnover all show up at one address, that pattern is what families should weigh.

C

57.5/100

Hillsboro Health And Rehab Llc

Hillsboro, OH · Highland County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
2.11 /day
Staff turnover
—
Serious cites
0

Hillsboro Health and Rehab runs on 2.11 nurse staffing hours per resident day, roughly 45% under the national average of 3.86, and weekend coverage drops about 9% below what it manages on weekdays. The inspection record backs up what those numbers suggest: 19 deficiencies, three of them serious enough to put residents in harm's way, three tied to abuse, plus a $119,308 fine. Its last full inspection was October 2023, so that record has had time to stand. The quality measure score looks better on paper, but measures are largely self-reported, and no quality number outweighs that little direct care time.

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57.5/100

Astoria Skilled Nursing And Rehabilitation

Canton, OH · Stark County

CMS 1/5 83 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
63%
Serious cites
0

Astoria Skilled Nursing And Rehabilitation runs 83 beds in Canton under corporate ownership, and the numbers that stand out are the ones about people. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national figure, and it thins out further on weekends, about 15% below the home's own weekday level. Staff turnover is 63.1%, well above the 45.8% national average, which means the aides and nurses your family member sees are frequently new. The health inspection record shows 48 deficiencies, including five at the harm level and four tied to abuse, with $147,894 in fines. The quality measure score looks strong, but that's built on charted data, not on how the place is actually run day to day.

C

57.5/100

Forest City Nursing And Rehab Center

Forest City, PA · Susquehanna County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
—
Serious cites
0

Forest City Nursing and Rehab Center is a 132-bed for-profit home in Susquehanna County, and the numbers point to staffing strain. At 3.21 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, meaning the thinnest coverage comes when families tend to visit. That staffing shortfall shows up in the inspection record too: 19 deficiencies, one serious enough to reach harm or jeopardy level, plus a $21,405 fine. The most recent inspection was February 2025, so the picture is current. There's no abuse finding on file, which matters. But with both staffing and quality measures at the bottom of CMS's scale, this is a home worth asking hard questions about before committing.

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57.5/100

Good Samaritan Society De Smet

De Smet, SD · Kingsbury County

CMS 1/5 46 beds Non-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
64%
Serious cites
0

Good Samaritan Society De Smet runs 46 beds as a nonprofit, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average. Weekends are thinner still, about a fifth below its own weekday coverage. The bigger concern is the record: 17 deficiencies, four of them at harm or jeopardy level and two tied to abuse, plus $27,989 in fines. Staff turnover hits 64.4% against a national 45.8%, meaning nearly two-thirds of the workforce leaves each year. Inspectors were last on site in May 2025. A nonprofit mission doesn't automatically produce steady hands on deck, and here the numbers say it hasn't.

C

57.5/100

Firesteel Healthcare Center

Mitchell, SD · Davison County

CMS 1/5 125 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
55%
Serious cites
0

Firesteel Healthcare Center runs about 10% below the national average for nurse staffing, at 3.47 hours per resident day, and weekends get thinner still, roughly 15% lighter than the home's own weekdays. The 55% annual turnover rate means more than half the nursing staff leaves within a year, well above the 45.8% national figure. The inspection record is the bigger concern: 33 deficiencies on file, eight serious enough to put residents at risk of harm, one tied to abuse, and $153,308 in fines across six penalties. Ownership is a for-profit limited liability company. The most recent inspection was April 25, 2025, so the picture is current. Ask about weekend coverage and how they've addressed the abuse-related finding.

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57.5/100

Quality Center For Rehabilitation And Healing Llc

Lebanon, TN · Wilson County

CMS 1/5 280 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
45%
Serious cites
0

Quality Center for Rehabilitation and Healing is a 280-bed for-profit home in Lebanon, and the numbers there deserve a careful look before you decide anything. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, and weekend coverage drops about 17% below what the home staffs on weekdays, which matters because that's often when families visit and when problems surface. The inspection record shows 19 deficiencies, including one at the harm level and one tied to abuse, plus a $13,305 fine; the last full inspection was in August 2023. Staff turnover, at 45.3%, is essentially average.

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57.5/100

Magnolia Healthcare And Rehabilitation Center

Columbia, TN · Maury County

CMS 2/5 181 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
73%
Serious cites
0

Magnolia Healthcare is a for-profit LLC home with 181 certified beds in Columbia, and its staffing is the number that stands out. At 3.40 nurse hours per resident day, it runs about 12% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover of 72.5% is well above the 45.8% national figure, which means the people caring for your relative are likely to change often. The good news: 18 deficiencies on record, but none at harm or jeopardy level and none abuse-related, and the last inspection was April 2026.

C

57.5/100

Willow Ridge Wellness & Rehabilitation

Fort Worth, TX · Tarrant County

CMS 1/5 265 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
—
Serious cites
0

Willow Ridge runs 265 beds in Fort Worth under a for-profit LLC, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident day, roughly a fifth below the national average, with weekends dipping about 13% below its own weekday coverage. The inspection record backs that up, 39 deficiencies in total, 14 at harm or jeopardy level and 5 abuse-related, plus seven fines adding to $321,244. Quality measures score well, but the health inspection and staffing ratings both sit at the bottom of the federal scale, and the most recent survey was July 2025.

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57.5/100

Oak Brook Health Care Center

Whitehouse, TX · Smith County

CMS 3/5 120 beds Government Medicaid
Nurse hours
3.05 /day
Staff turnover
66%
Serious cites
0

Oak Brook Health Care Center in Whitehouse is run by a hospital district, and its inspection record is genuinely strong, a five-star health inspection rating and only four deficiencies on the current record, with one at the harm level and none related to abuse. The problem sits with staffing. At 3.05 nurse hours per resident day, this home runs about 21 percent below the national average, and weekends dip roughly 17 percent below its own weekday coverage. Turnover is 66.4 percent against a national 45.8 percent. That combination, solid inspections, thin and churning staff, is what pulls the overall picture down to average.

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57.5/100

Grace Care Center Of Henrietta

Henrietta, TX · Clay County

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

Grace Care Center Of Henrietta runs 60 certified beds under for-profit LLC ownership, and the federal numbers are hard to get past. Its staffing rating sits at the lowest tier, meaning nurse hours per resident fall well short of the national average, and the health inspection rating matches it. The deficiency record shows 54 citations, four of them serious enough to put residents in harm or jeopardy, four tied to abuse. Two fines add up to $204,137. The quality measure rating is slightly better at two stars, but that's the outlier here. A July 2025 inspection is recent, so this isn't a stale file, the problems are current.

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57.5/100

Regency Health And Rehabilitation Center

Yorktown, VA · York County

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

Regency Health and Rehabilitation Center runs 60 beds in Yorktown under for-profit LLC ownership, and its staffing is the number that stands out. At 3.17 nurse hours per resident day, it sits roughly 18% under the national average of 3.86, and weekends drop about 21% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 68.7% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new. The current record shows 31 deficiencies, none at harm or jeopardy level, but one tied to abuse. Its last inspection was February 2024.

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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