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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 12461–12480 of 12,967, best-graded first.

C

55.5/100

Maison De Lafayette

Lafayette, LA · Lafayette County

CMS 1/5 189 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
74%
Serious cites
0

Maison De Lafayette runs 189 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average, and weekends drop about 15% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover of 74.2% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are, more often than not, new to the building. On the current inspection record there are 47 deficiencies, including two at the harm or jeopardy level and two tied to abuse.

C

55.5/100

Tioga Community Care Center

Pineville, LA · Rapides County

CMS 3/5 154 beds Non-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
65%
Serious cites
0

Tioga Community Care Center runs 154 certified beds in Pineville under nonprofit ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average of 3.86. That's a real strength. But weekends drop about 17% below the home's own weekday coverage, and annual turnover hits 64.8% against a national 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. The current record carries 21 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Quality measures score 1 out of 5 stars. The most recent inspection was July 23, 2025.

C

55.5/100

Heritage Healthcare Of Hammond

Hammond, LA · Tangipahoa County

CMS 1/5 108 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
45%
Serious cites
0

Heritage Healthcare of Hammond runs about 3.16 nurse hours per resident day, roughly 18% under the national average, and weekend coverage drops another 15% below its own weekday level. Staff turnover sits near the national rate, so the problem isn't churn, it's how few hours are on the floor to begin with. On inspections, the record shows 31 deficiencies, one serious enough to involve harm or jeopardy, plus a $13,715 fine and a May 2025 inspection. The quality measure score is the lowest CMS assigns. Limited liability ownership and a for-profit structure don't explain the numbers, but they don't soften them either.

C

55.5/100

Ozark Rehabilitation & Health Care Center

Osage Beach, MO · Camden County

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

Ozark Rehabilitation & Health Care Center runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends dip even lower than its own weekdays. Inspectors have cited 36 deficiencies on the current record, including three at the harm or jeopardy level and two tied to abuse, with $23,224 in fines across two penalties. The quality measure rating sits at 1 out of 5, and the last inspection was May 15, 2025. For-profit, LLC-owned, 60 beds, if you're considering this one, ask directly how they cover weekends and what changed since those abuse findings.

C

55.5/100

Willard Care Center

Willard, MO · Greene County

CMS 2/5 66 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
71%
Serious cites
0

Willard Care Center is a 66-bed for-profit home in Greene County with a strong inspection record, 4 out of 5 stars, 21 deficiencies on file and none at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing runs 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 23% below the home's own weekday levels. Annual turnover hits 70.9% against a national 45.8%, meaning most of the aides and nurses your family member sees will likely be gone within a year. The quality measure score of 1 out of 5 fits that picture. Recent inspections look clean, but consistent hands on deck is the harder problem to solve.

C

55.5/100

Westgate

Joplin, MO · Jasper County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
54%
Serious cites
0

Westgate runs 3.74 nurse hours per resident day, a bit under the national average, and weekends dip about 15% below its own weekday staffing, so coverage gets thinnest exactly when families tend to visit. Annual turnover sits at 54.2%, well above the 45.8% national figure, which means caregivers are cycling through fairly quickly. The inspection history is mixed: a recent survey in mid-2024 and a 4-star health inspection rating, but 21 deficiencies on record, including one at the harm level and two tied to abuse. Quality measures come in at 2 stars, which is where the low overall picture really forms.

C

55.5/100

Chestnut Park Rehabilitation And Nursing Center

Oneonta, NY · Otsego County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
66%
Serious cites
0

Chestnut Park runs on 3.28 nursing hours per resident per day, roughly 15% under the national average, and weekends drop about 18% below its own weekday staffing. The numbers behind the two lowest CMS marks, one out of five on health inspections and one on quality measures, include 32 deficiencies on the current record, three of them at harm or jeopardy level and five tied to abuse. Staff turnover sits at 66.2% against a national average of 45.8%, so the people caring for residents are often new. The last inspection was May 2023, and with a for-profit corporation at the helm, the pattern across staffing, turnover, and oversight is consistent enough to ask hard questions before choosing this one.

C

55.5/100

Groton Community Health Care Ctr Res Care Fac

Groton, NY · Tompkins County

CMS 1/5 80 beds Non-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
63%
Serious cites
0

Groton Community Health Care Center runs 80 certified beds as a nonprofit, and its nurse staffing sits almost exactly at the national average of 3.86 hours per resident day. The problem isn't the typical Tuesday, it's that weekends drop roughly 18% below weekday coverage, so the hours aren't distributed when residents need them. Staff turnover is 62.8%, well above the 45.8% national figure, and the inspection record shows 26 deficiencies, including three at harm or jeopardy level and one tied to abuse, with a $132,948 fine. A February 2026 inspection is recent, but the pattern across those numbers is what families should weigh.

C

55.5/100

Fairview Rehab And Care Center

Philadelphia, PA · Philadelphia County

CMS 1/5 176 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
56%
Serious cites
0

Fairview Rehab and Care Center is a 176-bed for-profit home in Philadelphia, and the staffing numbers are the first thing you'd notice. At 2.86 nurse hours per resident day, it runs about 26% below the national average of 3.86, and weekends dip roughly 8% below its own weekday level. Turnover sits at 55.7% against a national figure of 45.8%, which means the people caring for residents are often new. The inspection record backs that up: a 1-out-of-5 health inspection rating, 84 deficiencies on file, including five tied to abuse and one at the harm level. A single fine of $37,431 is on record, and the most recent inspection was January 9, 2026. Its quality measure score is strong, but that measures resident outcomes on paper, not the hands available to deliver care.

C

55.5/100

Rolling Hills Healthcare

Belle Fourche, SD · Butte County

CMS 1/5 83 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
65%
Serious cites
0

Rolling Hills Healthcare runs below the national average on nurse staffing, about 3.62 hours per resident day against 3.86, and weekends drop roughly 19% below its own weekday levels, which is when families tend to notice. Staff turnover sits at 65.1% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is heavier still: 34 deficiencies, five at harm or jeopardy level, three tied to abuse, and four fines totaling $80,634, with the most recent inspection in February 2026. It's a for-profit limited liability company, and the pattern across these numbers is worth weighing carefully before you decide.

C

55.5/100

Amistad Nursing And Rehabilitation Center

Uvalde, TX · Uvalde County

CMS 2/5 200 beds Government Medicaid
Nurse hours
2.77 /day
Staff turnover
97%
Serious cites
0

Amistad Nursing and Rehabilitation Center runs on thin staffing. At 2.77 nurse hours per resident day, it sits roughly 28% under the national average of 3.86, and weekends drop about 16% below its own weekday level. The bigger red flag is turnover: 97.1% of staff leave each year, more than double the national rate of 45.8%. That churn matters because consistent caregivers know residents' routines and catch changes early. The hospital district ownership and a clean inspection record help, 14 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in April 2025. But inspectors only see a snapshot. Daily care depends on who's actually on the floor, and here that's a revolving door.

C

55.5/100

Memorial Medical Nursing And Rehabilitation

San Antonio, TX · Bexar County

CMS 1/5 135 beds Government Medicaid
Nurse hours
2.60 /day
Staff turnover
51%
Serious cites
0

Memorial Medical Nursing Center runs on 2.60 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekends drop about 19% below what the home already provides on weekdays. The inspection record shows 57 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $35,396 in fines across two penalties. Staff turnover sits at 51.4%, above the 45.8% national figure. It's a hospital-district home, so public ownership doesn't automatically mean better oversight here. The most recent inspection was June 11, 2025, so the picture is current, not stale. Ask direct questions about weekend coverage and how the abuse-related findings were resolved.

C

55.5/100

Wellington Rehabilitation And Healthcare

Temple, TX · Bell County

CMS 2/5 124 beds Government Medicaid
Nurse hours
3.03 /day
Staff turnover
78%
Serious cites
0

Wellington Rehabilitation and Healthcare runs on 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekends drop about 20% below its own weekday staffing. That thin coverage shows up in the workforce itself: 78.4% annual turnover against a national 45.8%, meaning most of the people caring for your family member are new to the building. The current inspection record carries 28 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and $32,275 in fines across three penalties. The most recent inspection was June 5, 2025. It's owned by a hospital district, and the quality measures score well, but measure scores don't staff a night shift.

C

55.5/100

Lubbock Health Care Center

Lubbock, TX · Lubbock County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
97%
Serious cites
0

Lubbock Health Care Center runs a tight ship on inspections, a 4 out of 5 there, with 21 deficiencies on record and none at the harm or jeopardy level. That's the good news, and it's real. The trouble sits in the day-to-day: 3.12 nurse hours per resident, roughly a fifth below the national average, with weekends dipping another 18% below its own weekday staffing. And that 96.8% turnover means the aides and nurses caring for your relative are, statistically, likely to be gone within a year, more than double the national rate. Two abuse-related deficiencies also appear on the current record. Inspections tell you what was caught on one day; staffing tells you what most days probably look like.

C

55.5/100

Belmont Healthcare Center

Belmont, WV · Pleasants County

CMS 2/5 68 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
78%
Serious cites
0

Belmont Healthcare Center runs on thin staffing. At 3.18 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly another 19% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 78.1% is well above the national 45.8%, meaning the aides and nurses caring for residents are, more often than not, new to the building. The inspection record is the harder problem: 37 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse. One fine of $251,207 has been levied. The most recent inspection was April 29, 2026, recent, and the findings were not clean. For-profit corporate ownership, and a staffing star rating of 1 out of 5.

C

55.5/100

Avina Of Weyauwega

Weyauwega, WI · Waupaca County

CMS 1/5 84 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
63%
Serious cites
0

Avina Of Weyauwega runs 84 certified beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, but weekends drop about 20% below what the home staffs on weekdays, and annual turnover hits 62.9% against a national rate of 45.8%. Inspectors have cited 56 deficiencies, five of them at the harm or jeopardy level and three tied to abuse, with four fines totaling $115,004; the most recent inspection was April 2025. The one bright spot is the quality measure rating, which reflects resident care metrics rather than the staffing and inspection problems.

C

55.5/100

Franciscan Woods

Brookfield, WI · Waukesha County

CMS 1/5 110 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
76%
Serious cites
0

Franciscan Woods has enough nurses on paper, 4.39 hours per resident day, roughly 14% above the national average, and that's where the good news mostly stops. Weekend coverage drops about 16% below its own weekday level, so the hours aren't spread evenly across the week. The bigger problem is continuity: annual turnover sits at 76%, well above the national 45.8%, which means the people providing that care keep leaving. On inspections, the record shows 50 deficiencies, including 5 at the harm level and 7 tied to abuse, with a $120,905 fine and a survey from April 2026. Low inspection and quality scores against strong staffing numbers tell you the issue isn't how many staff there are, it's what's happening when they're there.

C

55.5/100

Avir At Kennedale

Kennedale, TX · Tarrant County

CMS 1/5 58 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
72%
Serious cites
0

Avir At Kennedale runs 58 certified beds and reports 2.92 total nurse hours per resident per day, about a quarter below the national average of 3.86, with weekends dropping roughly 16% below its own weekday staffing. That thin coverage shows up in the numbers: staff turnover is 72.2% against a national average of 45.8%, so the people caring for residents change constantly, and CMS gives staffing a single star. The inspection record is heavier than most: 28 deficiencies, three at harm or jeopardy level, three abuse-related, and one fine of $16,437. Its last inspection was September 2025. For-profit corporate ownership. The quality measure score is middling, but that's self-reported data. The staffing and inspection record is what families should weigh.

C

55.5/100

Brownwood Nursing & Rehabilitation

Brownwood, TX · Brown County

CMS 3/5 128 beds For-profit Medicaid
Nurse hours
2.79 /day
Staff turnover
97%
Serious cites
0

Brownwood Nursing and Rehabilitation runs 128 certified beds under corporate for-profit ownership, and the staffing numbers are where your attention should go. At 2.79 nurse hours per resident day, it sits roughly 28% under the national average, and weekend coverage drops about 19% below its own weekday level, so the thinnest shifts land exactly when families tend to visit. Annual turnover of 96.9% means nearly the entire nursing staff turns over in a year, against a national rate of 45.8%, which is hard on continuity of care. The health inspection record is genuinely solid: 14 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent inspection is recent.

C

55.5/100

Greenbrier Nursing & Rehabilitation Center Of Pale

Palestine, TX · Anderson County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
98%
Serious cites
0

Greenbrier's inspection record looks strong on paper, a five-star health inspection rating and no deficiencies at the harm or jeopardy level, out of 12 total. The trouble sits with staffing. At 3.18 nurse hours per resident day, this home runs about 18 percent under the national average, and weekends drop another 16 percent below its own weekday coverage. That gap matters more when you consider turnover: 97.9 percent of staff leave within a year, against a national rate of 45.8, which means the people showing up are often new to the building. One abuse-related deficiency also appears on the current record. Inspections can miss what thin, constantly changing coverage hides.

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