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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 12441–12460 of 12,967, best-graded first.

C

56/100

Alvarado Meadows Nursing & Rehabilitation

Alvarado, TX · Johnson County

CMS 3/5 115 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
96%
Serious cites
0

Alvarado Meadows runs on thin staffing margins: 3.36 nurse hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. The turnover number is the harder one to get past, 95.7% annually, more than double the national rate, which means the aide helping your mother today is statistically unlikely to be there next year. The inspection record shows 19 deficiencies, three of them serious enough to cause harm or jeopardy and four tied to abuse, plus $85,479 in fines across five penalties. The most recent inspection was in May 2026. For-profit, limited liability ownership.

C

56/100

San Antonio North Nursing And Rehabilitation

San Antonio, TX · Bexar County

CMS 1/5 118 beds For-profit Medicaid
Nurse hours
2.67 /day
Staff turnover
56%
Serious cites
0

San Antonio North runs on 2.67 nursing hours per resident per day, roughly a third below the national average, and weekend coverage drops another 13% below its own weekday level. That thin staffing shows up in the numbers: a 55.9% annual turnover rate, well above the 45.8% national figure, and 62 deficiencies on the current record, including four at the harm or jeopardy level and six tied to abuse. Inspectors were last on site July 31, 2025, and the state has fined the for-profit operator three times, totaling $37,800. When a building is cited this often while running this lean, families should ask direct questions about who is on the floor at night.

C

56/100

Landmark Of Plano Rehabilitation And Nursing Cente

Plano, TX · Collin County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
89%
Serious cites
0

Landmark of Plano runs about 3.42 nursing hours per resident per day, roughly 12% under the national average, and weekend coverage drops another 12% below its own weekday level, so the thinnest staffing lands when families tend to visit. Annual turnover sits at 88.5%, nearly double the national 45.8%, meaning the aides and nurses caring for your relative are likely to change often. On its current record: 42 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $9,240 fine. Inspectors were last on site in August 2025.

C

56/100

Woodmont Center

Fredericksburg, VA · Stafford County

CMS 1/5 118 beds For-profit Medicaid
Nurse hours
2.90 /day
Staff turnover
55%
Serious cites
0

Woodmont Center runs about 25% leaner on nurse staffing than the national average, 2.90 hours per resident day against 3.86, and weekends drop roughly 14% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 54.8%, well above the 45.8% national figure, which means the aides and nurses your relative sees are changing often. The inspection record backs that up: a 1-out-of-5 health inspection rating, 75 deficiencies still on the books, including one at the harm level and four tied to abuse, plus a $75,712 fine. The last inspection was January 2023, so that record has had time to age without much sign of a turnaround.

C

56/100

Lindengrove Waukesha

Waukesha, WI · Waukesha County

CMS 1/5 61 beds Non-profit
Nurse hours
3.98 /day
Staff turnover
71%
Serious cites
0

Lindengrove Waukesha runs a nonprofit home with 61 beds, and its nurse staffing sits slightly above the national average at 3.98 hours per resident day, but weekends drop about 10% below its own weekday levels, so coverage thins out when families tend to visit. The bigger concerns are elsewhere: staff turnover is 70.8% against a national 45.8%, meaning most of the people caring for residents are new to the building within the year. Inspectors have cited 47 deficiencies, including two at the harm level and one abuse-related, with a $39,621 fine and a September 2025 inspection on record.

C

56/100

Meadowbrook At Black River Falls

Black River Falls, WI · Jackson County

CMS 1/5 45 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
66%
Serious cites
0

Meadowbrook At Black River Falls runs 45 certified beds in Jackson County under for-profit corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average of 3.86. That's the strongest number here. Almost everything else points the other way: weekend staffing drops about 7% below its own weekday level, and annual turnover hits 66% against a national average of 45.8%, meaning most of the people providing that care are new to the building. Federal inspectors rate health inspections 2 out of 5 stars and quality measures 1 out of 5. The current record carries 39 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $108,338.

C

56/100

Complete Care At Care Age

Brookfield, WI · Waukesha County

CMS 1/5 110 beds For-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
69%
Serious cites
0

Complete Care At Care Age has 110 certified beds in Brookfield and runs on a for-profit corporate model. The staffing numbers look decent on paper, 4.33 nurse hours per resident day, about 12% above the national average, but weekend coverage dips roughly 7% below its own weekday level, and annual turnover sits at 69% against a national average of 45.8%. That churn matters more than the headline staffing figure. On inspections, the home holds a 1-out-of-5 star rating, with 31 deficiencies on record, including five at the harm or jeopardy level and five tied to abuse. Two fines total $80,375, and the most recent inspection was June 2025.

C

56/100

Woodland Springs Nursing Center

Waco, TX · Mc Lennan County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
55%
Serious cites
0

Woodland Springs runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and staffing thins out further on weekends. That shortfall shows up in the numbers families can't see at the door: 29 deficiencies on the current record, nine of them serious enough to put residents in harm's way and seven tied to abuse. Inspectors last visited in August 2024 and left five fines totaling $92,215. With 54.7% of staff leaving each year, the aides who know your mother's routines are probably gone within twelve months. The corporate owner has kept the building open at this level for a while.

C

56/100

Whisperwood Nursing & Rehabilitation Center

Lubbock, TX · Lubbock County

CMS 2/5 114 beds Government Medicaid
Nurse hours
3.39 /day
Staff turnover
96%
Serious cites
0

Whisperwood runs on thin staffing: 3.39 nurse hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekdays, so the thinnest coverage lands when families tend to visit. The bigger red flag is turnover, 95.6% annually, meaning roughly the whole nursing staff cycles through in a year, versus about 46% nationally. That instability shows up in the inspection record: 34 deficiencies, six at harm or jeopardy level and seven abuse-related, with two fines totaling $19,546. It's a hospital-district home of 114 beds, last inspected in November 2024. Consistent staffing and a clean abuse record matter most here, and neither is present right now.

C

56/100

Avir At Keeneland

Weatherford, TX · Parker County

CMS 3/5 72 beds For-profit Medicaid
Nurse hours
2.59 /day
Staff turnover
78%
Serious cites
0

Avir At Keeneland runs on thin staffing. At 2.59 nurse hours per resident day, it sits about a third below the national average of 3.86, and weekends dip roughly 4% under its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 78.1% means most of the people caring for residents weren't there a year ago, against a national rate near 46%. Inspections look strong on paper: a 5/5 health inspection rating, 13 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent visit was December 2024. But quality measures score 2/5 and staffing 1/5, and that gap between a clean inspection record and day-to-day coverage is what holds the overall picture down.

C

56/100

Knopp Nursing & Rehab Center Inc

Fredericksburg, TX · Gillespie County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
63%
Serious cites
0

Knopp Nursing & Rehab Center runs on noticeably thinner nurse coverage than most homes, 3.09 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday level. That shortfall matters more when you consider the staff turnover of 62.5%, well above the 45.8% national figure, meaning the people providing that care are frequently new or on their way out. The record backs it up: 34 deficiencies, two serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $32,094. With a for-profit corporate owner and the most recent inspection in January 2026, this is a home where the numbers themselves tell the story.

C

56/100

Avir At Arbor Terrace

San Angelo, TX · Tom Green County

CMS 1/5 126 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
75%
Serious cites
0

Avir At Arbor Terrace runs 126 certified beds in San Angelo, and the staffing numbers are where I'd start. At 3.05 nurse hours per resident day, it sits about 21% under the national average of 3.86, weekends dip roughly 7% below its own weekdays, and turnover hits 75.3% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 38 deficiencies, three at harm or jeopardy level, one abuse-related, and $121,840 in fines across three events. A 2/5 inspection rating and 3/5 on quality measures don't offset a 1/5 staffing score. Ask about weekend coverage and how they hold staff before you tour.

C

56/100

Premier Health Care Center

Ranger, TX · Eastland County

CMS 1/5 50 beds For-profit Medicaid
Nurse hours
2.21 /day
Staff turnover
59%
Serious cites
0

Premier Health Care Center runs on 2.21 nurse hours per resident per day, roughly 43 percent under the national average of 3.86, and weekend coverage dips about 13 percent below its own weekday staffing. Annual turnover sits at 59.1 percent against a national 45.8 percent, so the aides and nurses your relative sees are often new. Inspectors cited 23 deficiencies on the current record, one serious enough to involve harm or jeopardy, with a $14,069 fine attached; the last visit was March 5, 2025. This is a for-profit, individually owned 50-bed home. In plain terms, the people are stretched thin relative to what residents need.

C

56/100

The Heights Of League City

League City, TX · Galveston County

CMS 1/5 194 beds Government Medicaid
Nurse hours
3.38 /day
Staff turnover
70%
Serious cites
0

The Heights of League City runs on thin nursing coverage: 3.38 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. Staff turnover sits at 69.7%, well above the 45.8% national figure, so the people caring for residents are frequently new to the building. The inspection record backs this up: 28 deficiencies, nine at harm or jeopardy level, six fines totaling $144,668. A hospital district owns it, which might suggest stability, but the numbers here tell a different story.

C

56/100

Mesquite Post Acute Care

Lubbock, TX · Lubbock County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
80%
Serious cites
0

Mesquite Post Acute Care runs on thin nursing coverage, 2.94 nurse hours per resident per day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. That shortfall shows up in a licensed staff turnover rate of 79.7%, well above the 45.8% national figure, and in a staffing rating of 1 out of 5. The inspection record is the heavier concern: 41 deficiencies, including 9 tied to abuse and 5 at the harm or jeopardy level, plus three fines totaling $132,185. Ownership is for-profit, through a limited liability company, and the most recent inspection was May 21, 2026. Quality measures score mid-range at 3 out of 5, but that sits alongside a 1-out-of-5 inspection rating.

C

56/100

Accel At College Station

College Station, TX · Brazos County

CMS 2/5 116 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
67%
Serious cites
0

Accel At College Station runs on 3.18 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 13 percent below its own weekday level. That thin coverage shows up in turnover: 67 percent of staff leave annually, against a national 45.8 percent. Inspections tell a harder story, 49 deficiencies on the current record, 10 of them at harm or jeopardy level, one abuse-related, and five fines totaling $137,611, with the most recent inspection in May 2025. The quality measure score looks strong, but that reflects charted care, not the staffing and inspection record underneath it.

C

56/100

Avir At Kerrville

Kerrville, TX · Kerr County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
64%
Serious cites
0

Avir At Kerrville runs 130 certified beds under for-profit corporate ownership, and the staffing numbers are the first thing I'd flag: 3.37 nurse hours per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday level. That shortfall shows up in turnover too, 64.4% annually, well above the 45.8% national figure, meaning the aides and nurses your family gets to know are likely to change often. The inspection record carries 62 deficiencies, four at harm or jeopardy level and five abuse-related, plus $20,293 in fines across two penalties. CMS rated its health inspection, staffing, and quality measures at 1, 2, and 1 stars respectively, with the most recent inspection dated June 2025.

C

55.5/100

Buckhead Center For Nursing & Healing

Atlanta, GA · Fulton County

CMS 1/5 179 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
74%
Serious cites
0

Buckhead Center for Nursing and Healing runs 179 certified beds under for-profit LLC ownership, and the numbers that stand out most are about who's actually there to provide care. Nurse staffing sits at 3.21 hours per resident day, roughly 17 percent below the national average, and it thins out further on weekends, dropping about 15 percent below the home's own weekday levels. Staff turnover hit 73.9 percent, well above the 45.8 percent national figure, which means the people caring for residents are, more often than not, relatively new to the building. The inspection record backs that up: 41 deficiencies, six at harm or jeopardy level, two tied to abuse, and four fines totaling $29,354, with a CMS inspection rating of 1 out of 5.

C

55.5/100

Evercare Of Granite City

Granite City, IL · Madison County

CMS 3/5 86 beds For-profit Medicaid
Nurse hours
2.45 /day
Staff turnover
78%
Serious cites
0

Evercare Of Granite City looks decent on paper in two places: its health inspection and quality measure ratings each sit at four out of five stars, and the last inspection was recent, September 2025. But the staffing number is the one that should worry you. At 2.45 nurse hours per resident per day, this home runs about 37 percent below the national average, weekends dip another 18 percent below its own weekday level, and annual turnover hits 78.3 percent against a national 45.8, meaning most of the people caring for your relative are new, and there are fewer of them on Saturdays and Sundays. Add 21 deficiencies, four of them harm-level and three abuse-related, plus $32,523 in fines, and the inspection stars stop telling the whole story.

C

55.5/100

Aspyre Of Bronzeville

Chicago, IL · Cook County

CMS 1/5 204 beds For-profit Medicaid
Nurse hours
2.58 /day
Staff turnover
25%
Serious cites
0

Aspyre Of Bronzeville runs 204 beds on Chicago's South Side under corporate ownership, and its nurse staffing sits at 2.58 hours per resident day, roughly a third below the national average of 3.86. Weekends drop about 18% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the part that would worry me most: 59 deficiencies, including 5 at the harm or jeopardy level and 4 tied to abuse. Three fines totaling $107,000, and the last inspection was August 2024. Turnover at 25% is actually better than the 45.8% national average, which matters, but it doesn't offset a 2/5 staffing rating and 2/5 inspection rating. Ask about weekend coverage and the abuse-related citations specifically.

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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