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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 12501–12520 of 12,967, best-graded first.

C

55/100

Belmont Terrace Nursing And Rehabilitation Center

Florence, KY · Boone County

CMS 1/5 151 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
59%
Serious cites
0

Belmont Terrace runs on thin staffing for a 151-bed for-profit home. At 3.75 nurse hours per resident day, it sits slightly under the national average, and weekends drop another 7% below its own weekday coverage, meaning the thinnest shifts land when families tend to visit. The bigger warning sign is turnover: 59.1% of staff left over the past year against a national rate of 45.8%. On inspections, the record shows 54 deficiencies, including 8 at the harm or jeopardy level and 7 tied to abuse, with six fines totaling $35,980. The most recent inspection was April 2025.

C

55/100

River Haven Nursing And Rehabilitation Center

Paducah, KY · Mc Cracken County

CMS 2/5 103 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
59%
Serious cites
0

River Haven runs on noticeably less nursing time than the typical home, about 3.39 hours per resident day against a national average near 3.86, and weekends drop another 13% below its own weekday level. That thin coverage shows up in a 58.8% annual turnover rate, well above the 45.8% national figure, so the people caring for residents keep changing. The current inspection record carries 28 deficiencies, including three at the harm or jeopardy level and three tied to abuse. The most recent inspection was January 22, 2026, so the findings are recent, not historical. It's a for-profit limited liability company, and quality measures score one out of five.

C

55/100

Perkins Country Manor

Augusta, KY · Bracken County

CMS 1/5 32 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
62%
Serious cites
0

Perkins Country Manor runs 32 beds in Augusta under corporate for-profit ownership, and its staffing sits just under the national average at 3.73 nurse hours per resident day. Weekends drop about 13% below its own weekday coverage, which matters in a building this small, there's no cushion when someone calls in. The bigger concern is turnover: 61.8% of nursing staff leaving annually against a national 45.8% means caregivers are cycling through constantly, and CMS rates staffing and quality measures at just one star each. Inspections look steadier: five deficiencies on record, none at harm level, no abuse findings, and a single $6,900 fine. The last survey was February 2025.

C

55/100

Onyx Care Of Jena

Jena, LA · Lasalle County

CMS 1/5 108 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
61%
Serious cites
0

Jena Nursing and Rehabilitation Center is a for-profit LLC with 108 certified beds, and its staffing sits just under the national average at 3.83 nurse hours per resident day. That small gap matters less than the pattern around it: weekend staffing drops about 9% below weekday levels, and annual turnover runs 60.5% against a national average of 45.8%. The inspection record is harder to explain away, 52 deficiencies, including 3 at the harm or jeopardy level and 9 tied to abuse, plus two fines totaling $53,231. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5.

C

55/100

Booker T. Washington Skilled Nursing And Rehabilit

Shreveport, LA · Caddo County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
58%
Serious cites
0

Booker T. Washington Skilled Nursing and Rehab runs about 3.10 nurse hours per resident each day, roughly a fifth below the national average of 3.86, and weekends dip another 9% below its own weekday pace. That thin coverage shows up in the staffing star rating and in turnover: 57.6% of staff left over the past year, against a national average near 46%. The good news sits in the inspection record, 18 deficiencies on file, none at harm or jeopardy level, none abuse-related, and a survey as recent as April 2025. So the care environment itself hasn't drawn serious citations; the question this home raises is whether the people on shift have enough time.

C

55/100

Berlin Nursing And Rehabilitation Center

Berlin, MD · Worcester County

CMS 2/5 165 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
42%
Serious cites
0

Berlin Nursing and Rehabilitation Center runs 165 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the harder problem: 71 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $237,402. Turnover at 41.8% is slightly better than the 45.8% national figure, which is the one number here that isn't working against it. The most recent inspection was July 2025, so the record is current.

C

55/100

Fall River Healthcare

Fall River, MA · Bristol County

CMS 1/5 176 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
50%
Serious cites
0

Fall River Healthcare runs 176 certified beds under for-profit LLC ownership, and the staffing numbers tell a story worth pausing on. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends dip roughly 9% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 49.7% tops the national figure, meaning the people providing care are frequently new. The inspection record is the harder part: 52 deficiencies, 10 at harm or jeopardy level, 7 tied to abuse, and four fines totaling $385,062. The most recent inspection was December 2025.

C

55/100

Coastal Health And Rehabilitation Center

Gulfport, MS · Harrison County

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

Coastal Health and Rehabilitation Center runs 180 certified beds in Gulfport under for-profit LLC ownership, and the numbers behind its federal record deserve a close look. Nurse staffing sits at 3.18 hours per resident day against a national average of 3.86, and weekends run about a tenth thinner than weekdays, so coverage is stretched exactly when families tend to visit. Turnover compounds that: 63.2% of staff leaving annually, well above the 45.8% national figure. The inspection record is heavier still, 42 deficiencies, seven at harm or jeopardy level, three tied to abuse, plus five fines totaling $76,258. A 1-out-of-5 inspection rating and a recent August 2025 survey mean the problems aren't historical. Ask hard questions before considering this one.

C

55/100

Lebanon North Nursing & Rehab

Lebanon, MO · Laclede County

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

Lebanon North runs 180 beds under individual for-profit ownership, and the staffing numbers are the first thing I'd want you to see: 3.12 nurse hours per resident day, roughly 19% under the national average, with weekends dipping about 13% below its own weekday level. That thin coverage shows up in the inspection record too, 62 deficiencies, nine of them serious enough to put residents in harm's way, nine tied to abuse, and a $24,801 fine. Staff turnover of 62.5% is well above the 45.8% national figure, so the people caring for residents are often new. The last inspection was May 2024. Before you consider this one, ask the administrator what's changed since then.

C

55/100

Belleview Valley Nursing Home

Belleview, MO · Iron County

CMS 1/5 109 beds For-profit Medicaid
Nurse hours
2.72 /day
Staff turnover
60%
Serious cites
0

Belleview Valley runs on 2.72 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even further below its own weekday staffing. That thin coverage sits alongside a 60.3% annual turnover rate, well above the 45.8% national figure, so the people providing care change often. The inspection record is the harder part: 74 deficiencies, including 8 at the harm or jeopardy level and 8 tied to abuse, plus three CMS fines totaling $260,352. CMS has placed the home in its Special Focus Facility program, which is reserved for the most persistently troubled homes. The most recent inspection was December 8, 2025.

C

55/100

Maywood Terrace Living Center

Independence, MO · Jackson County

CMS 1/5 89 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
93%
Serious cites
0

Maywood Terrace runs on thinner staffing than most homes, about 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 9% below what the building manages on weekdays. The turnover number is the one that should stop you: 92.6% of staff leaving annually, when the typical U.S. nursing home sits near 45.8%. That kind of churn usually means caregivers who know your mother's routine aren't there long enough to learn it. The inspection record backs up the concern: 54 deficiencies, including one at the harm level and one abuse-related, with a 2/5 inspection rating and 1/5 on both quality measures and staffing. It's for-profit, LLC-owned, last inspected July 2024.

C

55/100

River Crossing Rehab And Healthcare Center

Saint Louis, MO · St. Louis County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
66%
Serious cites
0

River Crossing runs on thin staffing. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and the gap widens on weekends, roughly 11% below its own weekday level, which is when families tend to visit and notice. Annual turnover of 65.6% against a 45.8% national average means aides and nurses cycle through faster than residents can get used to them, and CMS rates staffing 1 out of 5. The record shows 30 deficiencies, none at harm level but one tied to abuse, with the most recent inspection in January 2025. For-profit, LLC-owned, 120 beds.

C

55/100

Seneca Nursing

Seneca, MO · Newton County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
2.78 /day
Staff turnover
64%
Serious cites
0

Seneca Nursing runs 80 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 2.78 nurse hours per resident day against a national average of 3.86, roughly 28% below. Weekend coverage dips another 7% under its own weekday level, and 63.8% of staff left over the past year compared with 45.8% nationally. The current record carries 36 deficiencies, nine of them abuse-related, though none rose to harm or jeopardy level. Inspectors last visited in January 2025, and CMS rated the home 2 out of 5 on health inspections, 1 on quality measures, 1 on staffing. For a family weighing this one, the thin direct-care hours and constant turnover are the things to ask about directly.

C

55/100

Oregon Care Center

Oregon, MO · Holt County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
69%
Serious cites
0

Oregon Care Center is a 60-bed for-profit in Holt County, and its numbers pull in two directions. The health inspection side looks solid, a four-star rating, an inspection just this past December, and no deficiencies at the harm or jeopardy level. But staffing is where it gets thin: 3.01 nurse hours per resident day against a national average of 3.86, weekends running about 5% below weekday levels, and annual turnover at 68.8% when the national figure is 45.8%. That churn matters more than almost anything else, because it decides whether the people caring for your family member know them or are meeting them for the first time. There are also two abuse-related deficiencies on the current record, worth asking about directly.

C

55/100

Armour Oaks Senior Living Community

Kansas City, MO · Jackson County

CMS 2/5 38 beds Non-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
67%
Serious cites
0

Armour Oaks is a 38-bed nonprofit home in Kansas City, and the staffing numbers are the first thing I'd ask about. At 3.27 nurse hours per resident day, it runs roughly 15% under the national average, and weekends drop about 9% below its own weekday levels. The bigger concern is turnover: two out of three caregivers left last year, against a national rate near 46%. Inspections in August 2025 turned up 35 deficiencies, including one at the harm level and four tied to abuse. Ownership is nonprofit, which sometimes signals stability, but the current record doesn't show it here. I'd ask direct questions about who's actually on the floor on Saturday.

C

55/100

Livingston Health & Rehabilitation Center

Livingston, MT · Park County

CMS 1/5 115 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
70%
Serious cites
0

Livingston Health & Rehabilitation Center runs 115 certified beds under corporate ownership, and the staffing numbers are where I'd start. At 3.38 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 3% below its own weekday levels. Turnover is the bigger red flag: 69.6% annually against a national average of 45.8% means more than two-thirds of the nursing staff leaves every year. The inspection record shows 37 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse. A single fine of $17,404 is on file, and the most recent inspection was June 2025.

C

55/100

Avalon Rehab And Care Center

Wayne, NJ · Passaic County

CMS 3/5 170 beds For-profit Medicaid
Nurse hours
2.98 /day
Staff turnover
59%
Serious cites
0

Atrium Post Acute Care of Wayneview is a 170-bed for-profit in Wayne, and its inspection record is the strongest thing it has going: a four-star health inspection score with 14 deficiencies on file, none at the harm level, though one is abuse-related. The trouble sits elsewhere. Nurse staffing runs 2.98 hours per resident day, roughly 23 percent under the national average, and weekends drop about 14 percent below its own weekday levels. Annual turnover hits 59.1 percent against a national 45.8, meaning more than half the nursing staff leaves each year. Quality measures score 1 out of 5. The beds get checked; the people covering them keep changing.

C

55/100

The Grand Rehabilitation And Nursing At Batavia

Batavia, NY · Genesee County

CMS 2/5 62 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
100%
Serious cites
0

The Grand Rehabilitation and Nursing at Batavia runs 62 beds under for-profit partnership ownership, and its staffing sits about 5% under the national average at 3.67 nurse hours per resident day. Weekends drop roughly 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Every nursing position turning over in a year, against a national average near 46%, means the people caring for residents keep changing. Its current record shows 18 deficiencies, none at harm or jeopardy level but one abuse-related, with the most recent inspection in February 2025. Quality measure scores come in at the bottom of CMS's scale.

C

55/100

Schaffer Extended Care Center

New Rochelle, NY · Westchester County

CMS 1/5 150 beds Non-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
98%
Serious cites
0

Schaffer Extended Care Center runs about 3.05 nurse hours per resident each day, roughly a fifth below the national average, and weekend coverage drops further below its own weekday levels. Staff turnover sits at 97.8%, more than double the national figure, so the people around your family member are likely to change often. Its record carries 25 deficiencies, including one tied to abuse and one at the harm level, plus a fine, and the last inspection was in May 2025. All three CMS star ratings, inspections, quality measures, staffing, sit at the lowest possible.

C

55/100

Oneida Center For Rehabilitation And Nursing

Utica, NY · Oneida County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
56%
Serious cites
0

Oneida Center runs 120 beds under corporate ownership, and its biggest problem shows up in the staffing numbers. At 3.07 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, weekends drop about 14% below its own weekday levels, and annual turnover hits 56.4% against a national 45.8%. Inspections tell a quieter story: 25 deficiencies on record, but none at the harm or jeopardy level and nothing abuse-related, with the last visit in December 2024. Quality measures look decent at 4 stars, though that can reflect charting as much as care. The daily experience here likely depends on how thin the floor gets.

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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