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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 12321–12340 of 12,967, best-graded first.

C

57/100

Park Vista Nursing And Rehab

Youngstown, OH · Mahoning County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
73%
Serious cites
0

Park Vista runs on thin nurse staffing, 3.14 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday level. That shortfall shows up in the numbers that track workers: 72.5% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. The inspection record is heavier still: 63 deficiencies, including two at the harm level and one abuse-related, plus a $24,876 fine, with the most recent inspection in February 2025. Quality measures rate better at three stars, but the corporate owner's record here is mostly a staffing and compliance story. Families should ask direct questions about who's on the floor on weekends and how long the current director of nursing has been in place.

C

57/100

Edgewood Manor Rehabilitation & Healthcare Center

Port Clinton, OH · Ottawa County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
55%
Serious cites
0

Edgewood Manor runs 80 certified beds in Port Clinton under for-profit partnership ownership, and the numbers that stand out most are on the staffing side. At 3.19 nurse hours per resident day, it sits about 17% under the national average, weekend coverage dips roughly 9% below its own weekday level, and 55.4% annual turnover means more than half the staff left within the year. The inspection record shows 33 deficiencies, including one at the harm level and five tied to abuse, with the most recent visit in July 2024.

C

57/100

Gardens Of Euclid Beach

Cleveland, OH · Cuyahoga County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
71%
Serious cites
0

Gardens Of Euclid Beach runs on thin nursing coverage: 3.42 hours per resident day against a national average of 3.86, with weekends dipping about 12% below its own weekday levels. That shortfall shows up in the workforce itself, 71.4% annual turnover, well above the 45.8% national figure. The inspection record is the harder read: 60 deficiencies, two at harm or jeopardy level, two tied to abuse, and a single $200,605 fine, with the most recent inspection in September 2025. A for-profit limited liability company operates the 99-bed home. Its quality measure score looks strong, but staffing and inspection results sit at the bottom of CMS's scale, and those are the measures families feel day to day.

C

57/100

Continuing Healthcare At Forest Hill

St Clairsville, OH · Belmont County

CMS 1/5 88 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
56%
Serious cites
0

Continuing Healthcare At Forest Hill runs 88 certified beds in St. Clairsville under corporate ownership, and the staffing numbers are the first thing to look at. At 3.04 nurse hours per resident day, it sits roughly 21 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday level. That thin coverage shows up in the federal staffing rating of 1 out of 5, and turnover runs 56.3 percent against a national 45.8 percent, more than half the nursing staff leaving in a year. The current record carries 45 deficiencies, two of them serious enough to involve harm or jeopardy. Its last inspection was in January 2026.

C

57/100

University Manor Health & Reha

Cleveland, OH · Cuyahoga County

CMS 1/5 149 beds Non-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
48%
Serious cites
0

University Manor runs on 3.01 nurse staffing hours per resident per day, about 22 percent under the national average of 3.86, and weekends dip roughly 6 percent below its own weekdays, so coverage is thinnest exactly when families tend to visit. Its inspection record carries 47 deficiencies, including two at the harm or jeopardy level and six tied to abuse, plus $32,394 in fines. Staff turnover sits at 47.8 percent against a national 45.8, and the last inspection was December 5, 2024. As a nonprofit corporation, it isn't chasing shareholder returns, but that structure hasn't translated into stronger numbers here.

C

57/100

Altercare Newark South Inc.

Newark, OH · Licking County

CMS 3/5 47 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
67%
Serious cites
0

Altercare Newark South runs 47 beds in Licking County under corporate ownership, and the staffing numbers are where the trouble shows. At 3.43 nurse hours per resident day, it sits about 11% under the national average, weekends dip another 11% below its own weekdays, and turnover hits 66.7% against a national 45.8%, so the people caring for residents keep changing, and there are fewer of them on Saturdays and Sundays. That staffing pattern earned a 1 out of 5 from CMS. Inspectors logged 24 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $252,477. The most recent inspection was in May 2025. Resident care measures score well; the workforce behind them is the open question.

C

57/100

Harmony Court Rehab And Nursing

Cincinnati, OH · Hamilton County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
77%
Serious cites
0

Harmony Court runs on thinner staffing than most homes, 3.50 nurse hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That matters more when you see turnover at 76.9%, well above the 45.8% national figure, meaning the people caring for residents are frequently new. Its inspection record shows 74 deficiencies, including 2 at harm or jeopardy level and 10 tied to abuse, plus a $100,887 fine. The 5/5 quality measure score reflects charted care indicators, not the day-to-day picture; the 1/5 inspection rating and 2/5 staffing rating, from a for-profit LLC, tell you where the strain actually sits.

C

57/100

Avenue Care And Rehabilitation Center, The

Warrensville Heights, OH · Cuyahoga County

CMS 1/5 97 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
68%
Serious cites
0

Avenue Care and Rehabilitation Center is a for-profit, limited-liability operation in Warrensville Heights with 97 certified beds, and its staffing numbers tell a hard story. Nurses provide 3.58 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 9% below the home's own weekday level. Annual turnover sits at 67.5%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. The inspection record is heavier still: 53 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $34,146 in fines across two penalties. Federal ratings put staffing and health inspections at 1 out of 5 stars each, though quality measures score 4. The last inspection was August 13, 2025.

C

57/100

Twinsburg Post Acute

Twinsburg, OH · Summit County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
64%
Serious cites
0

Twinsburg Post Acute runs 114 certified beds under corporate for-profit ownership, and the numbers that stand out most are on the staffing side. Nurse coverage sits at 3.56 hours per resident day, roughly 8% under the national average, and weekends drop about 10% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 64.3% is well above the 45.8% national figure, which means aides and nurses are cycling through regularly. The inspection record is the heavier concern: 73 deficiencies, seven of them serious enough to involve harm or jeopardy, plus a $70,756 fine and a one-star health inspection rating. The most recent inspection was March 2024.

C

57/100

Sunny View Nursing Home

Warwick, RI · Kent County

CMS 2/5 57 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
70%
Serious cites
0

Sunny View runs a 57-bed for-profit home in Warwick, and the numbers worth your attention are the staffing and the inspection record. Nurse coverage sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly 6% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is the bigger signal: 69.9% of staff leaving annually against a national 45.8% means caregivers rarely stay long enough to know your relative. The current record carries 30 deficiencies, five serious enough to involve harm or jeopardy and one tied to abuse, plus three fines totaling $90,716. The last inspection was April 30, 2026. Ask what's changed since.

C

57/100

St Andrews Operator, Llc

Columbia, SC · Richland County

CMS 1/5 108 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
79%
Serious cites
0

St Andrews Operator runs 108 certified beds in Columbia under individual for-profit ownership, and the numbers behind its F grade are worth walking through. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends run about 11% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover of 79.3% is nearly double the national rate, meaning most of the people caring for residents are new to the building. The current record carries 40 deficiencies, including 4 at harm or jeopardy level and 8 tied to abuse, plus $52,910 in fines. Its last inspection was July 2025, so the picture is recent.

C

57/100

Midtown Center For Health And Rehabilitation

Memphis, TN · Shelby County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
64%
Serious cites
0

Midtown Center runs 180 beds in Memphis under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.54 nurse hours per resident day, it sits roughly 8% under the national average, and weekends dip about 13% below its own weekday levels, so care gets thinnest exactly when families are most likely to visit. Annual turnover of 63.6% is well above the 45.8% national figure, meaning nearly two-thirds of the nursing staff leaves each year. On inspections, the record carries 18 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus a $188,379 fine.

C

57/100

Signature Health Of Portland Rehab & Wellness Cent

Portland, TN · Sumner County

CMS 1/5 112 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
68%
Serious cites
0

Signature Health of Portland runs 112 certified beds under corporate ownership, and the staffing numbers are where the trouble starts: 3.69 nurse hours per resident day sits below the national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage. Turnover tells a harder story than the hours alone, 67.9% of staff leaving annually against a 45.8% national rate means aides and nurses are cycling through constantly, which matters most for residents who need consistent hands. The inspection record backs that up: 24 deficiencies, including 9 at harm or jeopardy level and 3 abuse-related, with five fines totaling $171,234 and a health inspection rating of 1 out of 5. That combination, thin weekend coverage, high turnover, serious deficiencies, is what a family should weigh before choosing here.

C

57/100

Lauderdale Community Living Center

Ripley, TN · Lauderdale County

CMS 1/5 71 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
53%
Serious cites
0

Lauderdale Community Living Center runs on 2.99 nurse hours per resident day, roughly a fifth below the national average, and weekends dip another 12 percent below its own weekday staffing. That thin coverage shows up in the numbers: a one-star inspection rating, 30 deficiencies on record including two at the harm level and one tied to abuse, plus $43,644 in fines. Staff turnover sits at 52.8 percent against a national 45.8, so more than half the workforce leaves each year. It's a for-profit limited liability company with 71 certified beds, and its last inspection was August 2025.

C

57/100

Signature Healthcare Of Erin

Erin, TN · Houston County

CMS 1/5 164 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
48%
Serious cites
0

Signature Healthcare of Erin runs 164 certified beds under a for-profit LLC, with nurse staffing at 3.70 hours per resident day, about 4% under the national average, and weekends roughly 14% thinner than weekdays, when families often visit. Turnover sits at 47.7%, a couple points above the national figure, so the aides and nurses caringly assigned here may not be the same faces from one month to the next. The inspection record carries more weight than any single number: nine deficiencies, four serious enough to involve harm or jeopardy, plus one abuse-related finding, and a $147,898 fine. The most recent inspection was March 2026.

C

57/100

Ivy Creek Wellness & Rehabilitation

Waco, TX · Mc Lennan County

CMS 1/5 162 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
65%
Serious cites
0

Ivy Creek runs 162 certified beds in Waco under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.21 nurse hours per resident day, it sits about 17% under the national average, weekend coverage drops another 11% below its own weekday level, and 64.7% annual turnover means the aides and nurses in the building keep changing, a rate well above the 45.8% norm. The inspection record shows 15 deficiencies, including three at the harm or jeopardy level and two tied to abuse, with $149,039 in fines and a survey as recent as July 2025. Quality and health inspection scores land mid-range, so the real story is thin, unstable staffing layered over a record that has already flagged harm.

C

57/100

Windcrest Nursing And Rehabilitation

Windcrest, TX · Bexar County

CMS 1/5 180 beds For-profit Medicaid
Nurse hours
2.90 /day
Staff turnover
59%
Serious cites
0

Windcrest Nursing and Rehabilitation runs 180 certified beds under corporate ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, with weekends running about 6% thinner than its own weekdays. Turnover is 59.4% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 38 deficiencies, five at harm or jeopardy level and seven tied to abuse, plus four fines totaling $199,073. Quality measures rate well, but that's a narrow bright spot next to thin staffing and a 2/5 inspection rating.

C

57/100

Landmark Of Amarillo Rehabilitation And Nursing Ce

Amarillo, TX · Potter County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
98%
Serious cites
0

Landmark of Amarillo Rehabilitation and Nursing runs 99 certified beds under for-profit LLC ownership, and the inspection history is the place to start. The home carries 24 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse. Two CMS fines total $160,948. That's a lot of enforcement activity for a building this size. Staffing is the other pressure point. At 3.43 nurse hours per resident day, it sits about 11% under the national average, weekends drop roughly 13% below its own weekday levels, and annual turnover hits 97.6%, more than double the national figure of 45.8%. That churn makes consistent care hard to sustain. The most recent inspection was January 15, 2025.

C

57/100

Spindletop Hill Nursing And Rehabilitation Center

Beaumont, TX · Jefferson County

CMS 1/5 148 beds Non-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
61%
Serious cites
0

Spindletop Hill runs on 3.26 nurse hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. Annual turnover sits at 60.6 percent against a national 45.8, so the aides and nurses in the building keep changing. The inspection record shows 34 deficiencies, six at harm or jeopardy level and six tied to abuse, with $128,948 in fines across three penalties and a survey as recent as June 2025. The quality measure score looks strong on paper, but that's resident data, not the building's own practices. Nonprofit ownership hasn't shielded this one.

C

57/100

Interlochen Health And Rehabilitation Center

Arlington, TX · Tarrant County

CMS 1/5 122 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
96%
Serious cites
0

Interlochen runs lean on the floor, and the numbers show it. Nurses give residents about 3.36 hours of care a day, roughly 13% under the national average, and weekends drop another 14% below the home's own weekday pace, so the thinnest coverage lands right when families tend to visit. On top of that, nearly everyone on staff left in the past year: 95.9% turnover against a national figure under half that, which means the people caring for residents are constantly new to the building. Its record carries 31 deficiencies, 6 serious enough to involve harm or jeopardy, 4 tied to abuse, and $54,137 in fines. An April 2025 inspection is recent, but the pattern behind it isn't reassuring.

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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