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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 12541–12560 of 12,967, best-graded first.

C

55/100

Heritage At Turner Park Health & Rehab

Grand Prairie, TX · Dallas County

CMS 2/5 146 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
94%
Serious cites
0

Heritage at Turner Park runs 146 beds in Grand Prairie under for-profit LLC ownership, and the numbers that stand out most are about the people doing the work. Nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average, with weekends dipping about 10 percent below the home's own weekday levels, and annual turnover hitting 94.1 percent against a national rate near 46 percent. That churn means aides and nurses are constantly being replaced. The inspection record shows 17 deficiencies, three of them at harm or jeopardy level and one abuse-related, plus three fines totaling $31,873. The most recent inspection was July 31, 2025, so the record is current.

C

55/100

Avir At San Knoll

San Antonio, TX · Bexar County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
75%
Serious cites
0

Northgate runs on 3.10 nurse hours per resident per day, about a fifth below the national average, and weekends dip even further. Three in four employees left last year, against a national rate around 46%, which means the people at the bedside keep changing. Inspectors have written 54 deficiencies, including one at the harm level and three tied to abuse, with a $27,710 fine on record from a July 2025 visit. The quality star is high, but that measure leans on self-reported data. Licensed staffing and inspection results are where this home sits at the bottom.

C

55/100

Paradigm At First Colony

Missouri City, TX · Fort Bend County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
67%
Serious cites
0

Paradigm At First Colony runs about 3.36 nursing hours per resident per day, roughly 13% under the national average, and weekend coverage drops another 14% below its own weekday levels. That thin margin shows up in the workforce itself: 67% of staff turned over in a year, against a national rate near 46%. The inspection record is harder to explain away, 41 deficiencies, eight serious enough to put residents in harm's way, four tied to abuse, and three fines reaching $211,113. A 150-bed for-profit LLC in Missouri City, recently inspected in January 2026. Whatever the quality measures suggest, the staffing and survey history carry more weight when you're choosing care for someone you love.

C

55/100

Five Points At Lake Highlands Nursing And Rehab

Dallas, TX · Dallas County

CMS 1/5 280 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
64%
Serious cites
0

Five Points At Lake Highlands runs 280 certified beds in Dallas under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends dip roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 64% against a national 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: 53 deficiencies, five at harm or jeopardy level, one abuse-related, and $58,149 in fines across five penalties. The most recent inspection was March 31, 2026, so the picture is current, not stale.

C

55/100

Four Corners Regional Care Center

Blanding, UT · San Juan County

CMS 1/5 104 beds Government Medicaid
Nurse hours
2.91 /day
Staff turnover
67%
Serious cites
0

Four Corners Regional Care Center runs on 2.91 nursing hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 12% below what it manages on weekdays. With 67.4% of staff turning over each year, well above the 45.8% national figure, that thin coverage is coming from a constantly changing workforce. The county runs the place, and its inspection record shows 26 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $68,471. The last inspection was in January 2025, so the record is current. Quality scores look decent, but staffing is where the risk sits.

C

55/100

Oakhurst Health & Rehabilitation

Fork Union, VA · Fluvanna County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
82%
Serious cites
0

Oakhurst runs on about 3 hours of nursing care per resident per day, roughly a quarter below the national average, and it gets thinner on weekends. That shows up in the staffing star rating, which sits at the lowest tier. The bigger red flag is turnover: more than eight in ten staff left over the past year, against a national rate nearer 46%. Inspections produced 60 deficiencies, including nine tied to abuse and four serious enough to put residents in harm's way. State regulators fined the home once, for $18,590. The last inspection was in February 2024. If you're considering this one, ask how they're keeping consistent caregivers on the floor.

C

55/100

Pocahontas Center

Marlinton, WV · Pocahontas County

CMS 1/5 68 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
64%
Serious cites
0

Pocahontas Center runs on 3.00 nurse staffing hours per resident per day, roughly 22% under the national average of 3.86, and weekends drop about 14% below its own weekday level. Annual turnover sits at 63.8% against a national 45.8%. The inspection record shows 55 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, with three fines totaling $193,892. A 4/5 quality measure score stands out against a 1/5 staffing rating and 1/5 inspection rating, the quality number reflects resident assessments, not the hands available to deliver care. For-profit corporate ownership. Last inspection: November 5, 2025.

C

55/100

Madison Health And Rehabilitation Center

Madison, WI · Dane County

CMS 1/5 83 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
67%
Serious cites
0

Madison Health and Rehabilitation Center runs 83 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends drop about 12% below its own weekday coverage. The bigger concern is retention: annual turnover hits 66.7% against a national 45.8%, meaning nearly seven in ten staff left within the year. CMS has cited 57 deficiencies, nine at harm or jeopardy level and two tied to abuse, with four fines totaling $289,198. Federal regulators have placed the home in the Special Focus Facility program, reserved for the most persistently troubled nursing homes.

C

55/100

Montello Care Center

Montello, WI · Marquette County

CMS 1/5 50 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
64%
Serious cites
0

Montello Care Center has real staffing depth, 4.71 nurse hours per resident day, about 22% above the national average, but that's roughly where the good news ends. The home carries 67 deficiencies on its current record, including 4 at the harm or jeopardy level and 16 tied to abuse, and CMS has fined it three times for a total of $163,039. Staff turnover sits at 64% against a national average near 46%, and weekend coverage drops about 10% below weekday levels, so the hours on paper may not hold steady when families visit. A one-star health inspection rating and a December 2025 inspection round out the picture.

C

55/100

Sabine Heights Nursing And Rehabilitation Center

Port Arthur, TX · Jefferson County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
63%
Serious cites
0

Sabine Heights runs on thin staffing: 3.47 nurse hours per resident day, about 10% under the national average, and weekends drop roughly 9% below its own weekday levels. Turnover sits at 63.1% against a 45.8% national figure, meaning most of the people caring for residents are still learning the building. The current inspection record shows 42 deficiencies, including 10 at the harm or jeopardy level and 2 tied to abuse, with six fines totaling $287,581. This is a 150-bed for-profit corporate home whose last inspection was January 7, 2026, and whose CMS staffing and health inspection ratings both sit at one star out of five.

C

55/100

Pine Tree Lodge Nursing Center

Longview, TX · Gregg County

CMS 1/5 92 beds Government Medicaid
Nurse hours
3.29 /day
Staff turnover
94%
Serious cites
0

Pine Tree Lodge runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 93.8%, more than double the national figure, which means the aide who knows your mother's routine this month may be gone the next. The current record carries 43 deficiencies, four of them serious enough to endanger residents, plus $244,330 in fines. The hospital district that owns it isn't chasing profit, but that hasn't translated into stable hands-on care.

C

55/100

North Park Health And Rehabilitation Center

Mckinney, TX · Collin County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
96%
Serious cites
0

North Park runs 140 certified beds in McKinney under corporate ownership, and its most recent inspection in June 2025 found 13 deficiencies, none of them causing harm or tied to abuse, which matters. But look at the workforce: 3.05 nursing hours per resident per day, about a fifth below the national average, with weekends even thinner. Turnover sits at 95.6%, more than double the national rate, meaning the staff caring for residents turns over almost completely each year. The 5-star health inspection rating reflects that clean survey, but a 1-star quality measure score and 1-star staffing suggest the day-to-day care is stretched. Families should ask directly how the home keeps consistent caregivers on weekends and evenings.

C

55/100

Wharton Nursing And Rehabilitation Center

Wharton, TX · Wharton County

CMS 1/5 120 beds Government Medicaid
Nurse hours
3.06 /day
Staff turnover
65%
Serious cites
0

Wharton Nursing and Rehabilitation Center runs on 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 14% below its own weekday level. That thin margin shows up in the numbers: 18 deficiencies on the current record, four serious enough to put residents in harm's way, one tied to abuse, and two fines totaling $62,525. Staff turnover sits at 65.3% against a national 45.8%, which means the aides and nurses who know your mother's routines are leaving faster than replacements learn them. The hospital district ownership doesn't change what the staffing data says. The last inspection was May 28, 2026.

C

55/100

Paradigm At Westbury

Houston, TX · Harris County

CMS 1/5 148 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
62%
Serious cites
0

Paradigm At Westbury runs 148 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits roughly 12% under the national average, weekends dip about 9% below its own weekday levels, and annual turnover hits 61.5% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 42 deficiencies, 7 of them serious enough to involve harm or jeopardy, plus four fines totaling $136,414. A recent May 2026 inspection means the record is current, and what it shows is a home where quality scores look decent but the people doing the daily work keep leaving.

C

55/100

The Hills Nursing & Rehabilitation

Decatur, TX · Wise County

CMS 1/5 110 beds For-profit Medicaid
Nurse hours
2.74 /day
Staff turnover
93%
Serious cites
0

The Hills runs lean on nursing care: 2.74 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday level. That thin coverage shows up in the numbers CMS tracks, a one-out-of-five staffing rating, 18 deficiencies on the current record including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $29,325. Annual turnover sits at 93.2%, more than double the national rate, meaning the aides and nurses at the bedside are constantly new. The most recent inspection is dated February 26, 2026, so the record is current, not stale. Ownership is a for-profit limited liability company. Decatur families weighing this one should ask directly how the home covers weekend shifts.

C

55/100

Huntington Health Care & Rehabilitation Center

Huntington, TX · Angelina County

CMS 2/5 112 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
95%
Serious cites
0

Huntington Health Care & Rehabilitation Center runs 112 certified beds under for-profit partnership ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 8% below the home's own weekday level, so coverage thins exactly when families tend to visit. The bigger number is turnover: 94.8% annually against a national average of 45.8%, meaning most of the staff you meet this year likely won't be there next year. The current record shows 40 deficiencies, none at harm or jeopardy level but one abuse-related, with the last inspection in July 2025. Federal stars land at 3 for health inspections, 2 for staffing, and 1 for quality measures.

C

55/100

Decatur Medical Lodge

Decatur, TX · Wise County

CMS 2/5 124 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
71%
Serious cites
0

Decatur Medical Lodge runs on 3.06 nurse hours per resident day, about a fifth below the national average, and weekends dip roughly 13% under its own weekday pace. Staff turnover sits at 71.3% against a 45.8% national figure, so the people caring for residents are leaving faster than they can be replaced. Inspections have logged 29 deficiencies, including one at the harm level and two tied to abuse, with a $14,518 fine on record. The last inspection was April 2026. For-profit ownership through a limited liability company rounds out the picture. Worth asking direct questions about weekend coverage and how quickly shifts get filled.

C

55/100

The Atrium Of Bellmead

Bellmead, TX · Mc Lennan County

CMS 1/5 126 beds Government Medicaid
Nurse hours
3.25 /day
Staff turnover
95%
Serious cites
0

The Atrium of Bellmead runs on 3.25 nursing hours per resident day, roughly 16% under the national average, and weekends drop about 14% below its own weekday numbers. Staff turnover is the number that should stop you: 95.3% a year against a national average of 45.8%, meaning the aides and nurses at the bedside are largely new faces. Inspections look strong on paper, a recent February 2026 survey and no deficiencies at the harm level, but six deficiencies are on record, two of them abuse-related, and the government's own staffing rating lands at the bottom. Government hospital district ownership doesn't change any of that arithmetic.

C

55/100

St. Teresa Nursing & Rehab Center

El Paso, TX · El Paso County

CMS 1/5 124 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
97%
Serious cites
0

St. Teresa runs on thin staffing, and the numbers show it: 3.63 nurse hours per resident day against a national average of 3.86, with weekends dropping about 11% below its own weekday coverage. That's roughly 97% of staff turning over each year, more than double the national rate, which means caregivers are constantly new to residents who need consistency. The inspection record carries 75 deficiencies, including two at the harm level and seven tied to abuse, with $20,730 in fines. Federal inspectors last visited in September 2025. For-profit individual ownership, 124 beds, and a staffing star rating of 1 out of 5 round out a picture worth weighing carefully against other El Paso options.

C

55/100

Ignite Medical Resort Sugar Land, Llc

Sugar Land, TX · Fort Bend County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
62%
Serious cites
0

Ignite Medical Resort Sugar Land runs 90 certified beds and reports 13 deficiencies on its current record, three of them serious enough to involve actual harm or jeopardy. Fines total $155,401 across eight separate penalties, which tells you the problems aren't isolated incidents. Staffing sits slightly under the national average at 3.82 hours per resident day, but the bigger issue is turnover: 62.2% of staff leave each year, well above the 45.8% national rate, and weekend coverage dips below what the home manages on weekdays. The most recent inspection came in December 2025. High turnover with thin weekend staffing is where quality problems tend to surface.

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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