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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 12561–12580 of 12,967, best-graded first.

C

55/100

La Hacienda De Paz Rehabilitation And Care Center

Eagle Pass, TX · Maverick County

CMS 2/5 104 beds Government Medicaid
Nurse hours
3.12 /day
Staff turnover
95%
Serious cites
0

La Hacienda De Paz is a 104-bed hospital-district home in Eagle Pass, and the numbers that stand out most are about who's there to care for residents. Nurse staffing runs 3.12 hours per resident day, roughly 19 percent under the national average, and weekends drop about 12 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 95.1 percent against a national 45.8 percent, meaning the aides and nurses you meet may not be there in six months. The inspection record shows 24 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $14,069 fine. Ownership is government, through a hospital district.

C

55/100

Avir At Lindale

Lindale, TX · Smith County

CMS 1/5 122 beds Government Medicaid
Nurse hours
3.60 /day
Staff turnover
60%
Serious cites
0

Avir At Lindale runs on thinner nursing coverage than most homes nationally, 3.60 nurse hours per resident day against a 3.86 average, and weekends dip about 8% below its own weekday level, so the thinnest shifts come when families often visit. Staff turnover sits at 60%, well above the 45.8% national figure, meaning many of the people caring for residents are still new to the building. The inspection record is the sharper concern: 34 deficiencies, 8 of them at harm or jeopardy level and 3 abuse-related, with five fines totaling $754,374 and a February 2026 inspection. Government hospital-district ownership hasn't shielded it from any of that.

D

54.5/100

Savannah Post Acute Llc

Savannah, GA · Chatham County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
58%
Serious cites
0

Savannah Post Acute runs 3.34 nurse hours per resident day, roughly 14% under the national average, and weekends dip about 16% below its own weekday numbers, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 57.6% against a 45.8% national average, meaning more than half the nursing staff turns over in a year. The current record shows 37 deficiencies, none at harm or jeopardy level but three tied to abuse. Inspectors were last on site in May 2025. If you're weighing this one, ask how weekend coverage is actually scheduled and what the abuse-related citations involved.

D

54.5/100

Riverview Health & Rehab Ctr

Savannah, GA · Chatham County

CMS 1/5 284 beds Non-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
46%
Serious cites
0

Riverview runs about 284 beds in Savannah, and the numbers show a building stretched thin. Nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average, and weekends drop another 15 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. That shows up in the inspection record: 27 deficiencies, five serious enough to put residents in harm's way, three tied to abuse, and a $92,794 fine. Staff turnover at 45.7 percent is essentially the national rate, so this isn't a retention crisis; it's a coverage one. The most recent inspection was March 2026.

D

54.5/100

Lakeside Rehabilitation And Care Center

Coeur D'alene, ID · Kootenai County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
54%
Serious cites
0

Lakeside Rehabilitation and Care Center is a 100-bed for-profit home in Coeur d'Alene, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but weekends run about 16% thinner than weekdays, and turnover hits 54.2% against a national 45.8%, meaning the people caring for your family member are both stretched and frequently changing. The inspection history is the bigger concern: 43 deficiencies on the current record, including 2 at harm or jeopardy level and 4 abuse-related, with $220,832 in fines. The last inspection was August 2025. Ownership is corporate, for profit. Ask hard questions before choosing this one.

D

54.5/100

St Anthony's Nsg & Rehab Ctr

Rock Island, IL · Rock Island County

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

St. Anthony's has been cited 56 times on its current record, and nine of those deficiencies put residents in immediate harm or jeopardy, seven involved abuse. The state fined the home four times, totaling $557,075, and the most recent inspection in February 2025 shows the problems are ongoing, not historical. On all three federal measures, health inspections, quality measures, and staffing, CMS scored the home 1 out of 5. It's a for-profit limited liability company with 130 certified beds. When a home carries this many harm-level and abuse citations alongside maximum fines, the pattern points to resident safety, not paperwork, as the core failure. Families considering placement here should ask the administrator directly what has changed since that February inspection.

D

54.5/100

Elevate Care South Holland

South Holland, IL · Cook County

CMS 1/5 171 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
50%
Serious cites
0

Elevate Care South Holland runs 171 certified beds, and the staffing numbers are the place to start. At 3.24 nurse hours per resident day, it sits about 16% under the national figure of 3.86, and weekends dip another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the nursing staff turned over in a year, above the 45.8% national rate. The inspection record carries 45 deficiencies, 10 of them at harm or jeopardy level and 2 involving abuse, with six fines totaling $240,240. The last state visit was December 13, 2024. For-profit, individually owned.

D

54.5/100

Fair City Health And Rehab

Franklinton, LA · Washington County

CMS 1/5 121 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
48%
Serious cites
0

Fair City Health and Rehab runs 121 certified beds in Franklinton under for-profit LLC ownership, and the numbers behind its federal record are worth walking through. Nurse staffing sits at 3.68 hours per resident day against a national average of 3.86, and weekends drop roughly 20% below the home's own weekday coverage. Staff turnover hits 47.5%, slightly above the national rate, while the inspection history shows 26 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Three fines total $198,912, and the most recent inspection was March 18, 2026. If you're weighing this one for someone in your family, those are the facts to bring to a visit.

D

54.5/100

Highland Place Rehab And Nursing Center

Shreveport, LA · Caddo County

CMS 1/5 227 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Highland Place is a 227-bed for-profit home in Shreveport, and the federal record shows problems on every measure CMS tracks. Inspectors have logged 74 deficiencies, including six serious enough to cause harm or place residents in immediate jeopardy and four tied to abuse. Two fines totaling $294,723 have been assessed against the building. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the lowest possible score. The most recent inspection was in July 2025, so this isn't an old file; it reflects what surveyors found within the past year. When a home is this large and this consistently flagged, families should ask direct questions about staffing levels, who supervises residents overnight, and how complaints get handled.

D

54.5/100

Quarters At Des Peres, The

Des Peres, MO · St. Louis County

CMS 1/5 147 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
69%
Serious cites
0

Overall nurse staffing at The Quarters At Des Peres runs 4.04 hours per resident day, a bit above the national average, but weekends drop about 15% below the home's own weekday levels, so coverage thins out when families tend to visit. Annual turnover hits 68.8% against a national 45.8%, meaning most of the people caring for your relative are likely new to the building. The inspection record is the harder problem: 83 deficiencies, 12 at harm or jeopardy level, two abuse-related, and four fines totaling $334,933, with a 1-out-of-5 health inspection rating.

D

54.5/100

Clarkson Community Care Center Inc

Clarkson, NE · Colfax County

CMS 1/5 51 beds Non-profit Medicaid
Nurse hours
1.43 /day
Staff turnover
—
Serious cites
0

Clarkson Community Care Center runs on 1.43 nurse staffing hours per resident day, roughly 63% under the national average of 3.86, and weekends drop about 11% below its own weekday level. That thin coverage shows up in the numbers: 24 deficiencies on the current record, including three tied to abuse and one serious enough to reach harm or jeopardy, plus a $15,593 fine. The last inspection was September 3, 2025, so the record is recent. This is a small nonprofit home in Colfax County, but nonprofit status isn't protecting residents here, low staffing and repeat problems are what the federal data actually shows.

D

54.5/100

Elderwood At Williamsville

Williamsville, NY · Erie County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
72%
Serious cites
0

Elderwood At Williamsville runs 200 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.71 nurse hours per resident day, it sits below the national average, and weekends drop roughly 23% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover tells a similar story: 72.4% annually against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. The current record shows 22 deficiencies, including one at harm level and four abuse-related, plus a $75,553 fine. Inspectors last visited in January 2025.

D

54.5/100

Mt Pleasant Healthcare And Rehabilitation

Mount Pleasant, TN · Maury County

CMS 3/5 72 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
61%
Serious cites
0

The numbers at Mt Pleasant Healthcare and Rehabilitation point to a staffing problem more than anything else. Nurses provide about 3.29 hours of care per resident each day, roughly 15 percent below the national average, and weekends get thinner still, about 15 percent below the home's own weekday coverage. That gap matters because turnover runs at 61 percent, well above the 45.8 percent national figure, meaning the staff who are there keep changing. The inspection record is mixed: a March 2025 visit, a 3-star health inspection rating, but 10 deficiencies on file, including one at the harm level and two tied to abuse. A for-profit limited liability company owns the 72-bed home, and CMS has fined it once for $7,443.

D

54.5/100

Laurelwood Health Care Center

Jackson, TN · Madison County

CMS 1/5 64 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
60%
Serious cites
0

Laurelwood runs 64 beds in Jackson under corporate ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That number hides a sharper problem: weekend coverage drops about 17% below what the home staffs on weekdays, and 60% of its staff turn over each year against a national rate near 46%. Twenty deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse, with $168,961 in fines across two penalties. The last inspection was January 22, 2026. A family weighing this one should ask directly how weekends are covered and what changed since those abuse findings.

D

54.5/100

Colonial Health & Rehab Center, Llc

Virginia Beach, VA · Virginia Beach City County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
67%
Serious cites
0

Colonial Health & Rehab Center runs 90 beds in Virginia Beach under corporate ownership, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.52 hours per resident per day against a national average of 3.86, and weekends drop roughly 20% below the home's own weekday levels. Annual turnover sits at 66.7%, well above the 45.8% national figure, so the people caring for your family member are likelier than not to change within the year. The inspection record is harder to explain away: 61 deficiencies, four at harm or jeopardy level, five tied to abuse. One fine totaling $78,455 is on file. Quality measures score well, but that's self-reported data. The last full inspection was September 2024, so the record is current.

D

54.5/100

Gilmer Nursing & Rehabilitation

Gilmer, TX · Upshur County

CMS 1/5 93 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
—
Serious cites
0

Gilmer Nursing And Rehabilitation runs on thin staffing: 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further, about 12 percent under its own weekday level, when backup is scarcest. The inspection record is heavier than that number alone suggests: 62 deficiencies on file, nine serious enough to reach harm or jeopardy, four tied to abuse, and three fines totaling $218,053. A for-profit limited liability company operates the 93-bed home, and its last inspection was March 2026. Quality measures score mid-range, but the health inspection and staffing ratings both sit at the bottom of the scale.

D

54/100

Coeur D Alene Health Of Cascadia

Coeur D'alene, ID · Kootenai County

CMS 1/5 117 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
66%
Serious cites
0

Coeur D Alene Health Of Cascadia runs 117 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. Nurses provide 3.61 hours per resident day, roughly 6% under the national average, and weekends dip about 8% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 66.3% 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 shows 35 deficiencies, including one at the harm level and one abuse-related, with two fines totaling $33,815 and a survey dated May 2026.

D

54/100

Goldwater Care Bloomington

Bloomington, IL · Mc Lean County

CMS 1/5 88 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
60%
Serious cites
0

Goldwater Care Bloomington runs on 3.24 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 12% below its own weekday staffing. Turnover sits at 59.7% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder problem: 88 deficiencies, 13 of them at harm or jeopardy level and 6 abuse-related, with three fines totaling $234,633 and placement in CMS's Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The most recent inspection was February 2025. If you're considering this home, ask what's changed since then.

D

54/100

Aperion Care Dekalb

Dekalb, IL · De Kalb County

CMS 2/5 119 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
66%
Serious cites
0

Aperion Care Dekalb runs on 3.35 nurse hours per resident day, about 13 percent under the national average of 3.86, and weekend coverage slips roughly another 10 percent below what it manages on weekdays. Staff turnover is the number that would worry me most: 65.9 percent a year, against a national average near 45.8, so most of the people caring for your relative will likely be gone within twelve months. Behind the 3/5 health inspection rating sit 44 deficiencies, five at harm or jeopardy level and two tied to abuse, plus $43,769 in fines across three penalties. Corporate-owned and for-profit, last inspected July 2024.

D

54/100

Bria Of Westmont

Westmont, IL · Du Page County

CMS 1/5 215 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
60%
Serious cites
0

Bria Of Westmont runs 215 certified beds, and the staffing numbers are the first thing to look at. Total nursing hours come to 3.34 per resident per day, roughly 13% under the national average, and weekends dip another 13% below what the home staffs on weekdays. Turnover sits at 60.3% against a national 45.8%, so nearly two of every three caregivers are leaving each year. The inspection record is heavy: 72 deficiencies, nine of them at harm or jeopardy level, one abuse-related, with six fines totaling $151,077 and a 1-out-of-5 inspection rating. The last survey was September 2024. Individual ownership, for-profit. When staffing is thin and turnover is that high, consistency of care is the thing families end up feeling.

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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