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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 12581–12600 of 12,967, best-graded first.

D

54/100

Elevate Care Chicago North

Chicago, IL · Cook County

CMS 1/5 312 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
63%
Serious cites
0

Elevate Care Chicago North runs 312 beds on Chicago's North Side, and the numbers behind its federal record are worth knowing before you tour. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 63.2% means most of the aides and nurses working there last year didn't stay, against a national rate nearer 46%. The inspection record carries 92 deficiencies, including 10 at the harm or jeopardy level and 9 tied to abuse, plus three fines totaling $193,858. Its last inspection was in May 2025.

D

54/100

Chateau Nrsg & Rehab Center

Willowbrook, IL · Du Page County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
54%
Serious cites
0

Chateau Nrsg & Rehab Center runs 150 certified beds in Willowbrook under for-profit LLC ownership, and its staffing is the clearest problem: 3.21 nurse hours per resident day, roughly 17% under the national average, with weekends about 11% thinner than weekdays. Turnover sits at 53.8% against a national 45.8%, meaning more than half the nursing staff leaves within a year, that churn makes consistent care hard. The inspection record backs it up: 35 deficiencies, four at harm or jeopardy level and two abuse-related, plus $27,734 in fines and a last inspection in August 2024. CMS rates staffing 1 of 5 stars. If you're considering this home, ask direct questions about who's on the floor on weekends.

D

54/100

Villa Health Care East

Sherman, IL · Sangamon County

CMS 1/5 109 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
64%
Serious cites
0

Villa Health Care East runs 109 beds in Sherman under nonprofit ownership, and its staffing sits right at the national average on paper. The problem is consistency: weekends run roughly 12 percent thinner than weekdays, and 63.6 percent of staff turned over in a year against a national rate near 46 percent, so the people giving care keep changing. Inspectors cited 19 deficiencies on the current record, six of them serious enough to involve harm or jeopardy, with $90,998 in fines and a two-star health inspection rating. Its last inspection was August 2024. Quality measures scored one star, the lowest tier.

D

54/100

The Haven Of St. Elmo

St Elmo, IL · Fayette County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
48%
Serious cites
0

The Haven of St. Elmo runs on thin staffing, 3.03 nurse hours per resident day against a national average of 3.86, and weekends dip roughly another 10% below its own weekday coverage. That shortfall is the main reason its CMS staffing rating sits at 1 out of 5, and it shows up in the inspection record too: 25 deficiencies, two serious enough to reach harm or jeopardy, three tied to abuse, plus a $14,015 fine. Turnover of 47.6% runs slightly above the national figure, and the most recent inspection was in May 2025. The quality measure score lands at 2 out of 5, so clinical outcomes aren't offsetting the staffing picture. It's a 60-bed for-profit home, and families should ask hard questions about who's actually on the floor nights and weekends.

D

54/100

Goldwater Care Roseville

Roseville, IL · Warren County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
47%
Serious cites
0

Goldwater Care Roseville runs 99 certified beds under for-profit LLC ownership, and the numbers that stand out are the inspection record and the nurse staffing. State inspectors cited 39 deficiencies on the current record, four of them at a level where residents were actually harmed or put in jeopardy, plus three tied to abuse, a heavy load that explains the one-star health inspection rating. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, with weekends about 7 percent thinner than weekdays. Staff turnover of 46.7 percent runs slightly above the 45.8 percent national figure, meaning the aides and nurses at the bedside keep changing. A March 2025 inspection is recent enough that this record reflects current conditions.

D

54/100

Cisne Rehabilitation And Health Care Center

Cisne, IL · Wayne County

CMS 2/5 35 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
46%
Serious cites
0

Cisne Rehabilitation and Health Care Center runs 35 beds in Wayne County under corporate for-profit ownership, and its inspection record is the main thing to know: 27 deficiencies on file, six of them serious enough to cause harm or jeopardy, three tied to abuse. Three fines add up to $87,202. Staffing hours land at 3.87 per resident day, right on the national average of 3.86, but weekend coverage drops about 11% below the home's own weekday levels, and turnover sits at 45.5%, essentially the same as the national rate. CMS gave all three of its star ratings a 2 out of 5. The most recent inspection was June 6, 2025.

D

54/100

Sandwich Living & Rehab Center

Sandwich, IL · De Kalb County

CMS 1/5 63 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
56%
Serious cites
0

Sandwich Living & Rehab Center runs short on nursing hours, about 3.34 per resident per day, roughly 14% under the national average, and weekend coverage dips another 8% below its own weekday levels. That thin staffing shows up against a 56.3% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new or on their way out. The inspection record is the harder read: 71 deficiencies on file, 12 serious enough to cause harm or jeopardy, 10 tied to abuse, and five fines totaling $285,025. One star each for staffing and health inspections, with a state survey as recent as December 2024.

D

54/100

Prestige Care Center Of Fairfield

Fairfield, IA · Jefferson County

CMS 1/5 73 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
66%
Serious cites
0

Prestige Care Center of Fairfield runs on 3.33 nurse hours per resident per day, about 14 percent under the national average, and weekends dip roughly 8 percent below its own weekdays. Turnover sits at 66.2 percent against a national 45.8, most of the people caring for your relative this year probably won't be there next year. The inspection record is the harder problem: 65 deficiencies, five serious enough to put residents in harm's way, eight tied to abuse, and $106,751 in fines. A recent June 2025 inspection doesn't erase that history. For-profit ownership through a limited liability company means decisions here answer to a bottom line, not a community board.

D

54/100

Barbourville Health And Rehabilitation Center

Barbourville, KY · Knox County

CMS 1/5 135 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
56%
Serious cites
0

Barbourville Health and Rehabilitation Center runs 135 certified beds under corporate ownership, and the inspection record is the part that stands out. Nineteen deficiencies are on file, seven of them serious enough to involve harm or jeopardy, plus two tied to abuse, and a single CMS fine of $87,077 came out of that history. Staffing sits at 3.73 hours per resident day, slightly under the national figure, with weekends about 11% leaner than weekdays. Annual turnover of 55.6% is well above the 45.8% national average, meaning the aides and nurses caring for your relative are likely to change often. The most recent inspection was in August 2025.

D

54/100

Waldon Health Care Center

Kenner, LA · Jefferson County

CMS 1/5 205 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
45%
Serious cites
0

Waldon Health Care Center runs 205 certified beds in Kenner under corporate for-profit ownership, and its staffing sits about 10% under the national average, roughly 3.48 nurse hours per resident day against 3.86, with weekends running another 8% thinner than its own weekdays. Turnover is 45.1%, essentially level with the national figure, so that's not where the problem lies. What stands out is the record: 38 deficiencies, four of them serious enough to put residents in harm's way, four tied to abuse, and $120,279 in fines across two penalties. Both CMS ratings for health inspections and quality measures sit at the bottom of the scale. The most recent inspection was January 14, 2026, so the picture is current, not stale.

D

54/100

Rosewood Nursing Center

Lake Charles, LA · Calcasieu County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
52%
Serious cites
0

Rosewood Nursing Center runs about 3.34 nursing hours per resident per day, roughly 14% under the national average, and weekends dip another 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 52.2%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. On the current record: 20 deficiencies, three serious enough to involve harm or jeopardy, one tied to abuse, and $47,585 in fines across three penalties. The last inspection was March 4, 2026. For-profit, limited liability ownership, 150 beds.

D

54/100

Salem Rehab Center

Salem, MA · Essex County

CMS 3/5 123 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
49%
Serious cites
0

Salem Rehab Center runs on thinner staffing than most homes nationally, 3.62 nurse hours per resident day against an average of 3.86, and weekends drop about 9% below what the building manages on weekdays, so coverage is at its lightest exactly when families tend to visit. Roughly half the nursing staff turns over each year, a bit above the national rate, and the current inspection record carries 85 deficiencies, including 10 serious enough to put residents at risk of harm and 4 tied to abuse. Two fines totaling $252,785 have been levied, and the last inspection was September 2025.

D

54/100

Lawrence County Manor

Mount Vernon, MO · Lawrence County

CMS 1/5 90 beds Government Medicaid
Nurse hours
0.39 /day
Staff turnover
93%
Serious cites
0

Lawrence County Manor reports 0.39 total nurse staffing hours per resident day, roughly a tenth of the national average of 3.86, and weekends run about a third thinner than weekdays already are. Staff turnover sits at 93.3% against a national 45.8%, meaning the people who do show up are largely new. The inspection record shows 32 deficiencies, including one at the harm level and six tied to abuse, with a single fine of $13,762 and a health inspection rating of 1 out of 5. County ownership doesn't change any of that. If you're considering this home, the staffing numbers are the ones to ask about directly.

D

54/100

Nodaway Healthcare

Maryville, MO · Nodaway County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
73%
Serious cites
0

Nodaway Healthcare runs 60 beds in Maryville under for-profit LLC ownership, and the numbers behind its grade point to a building stretched thin on direct care. Nurse staffing sits at 3.09 hours per resident day, roughly a fifth below the national average, and it drops another 13% on weekends, when coverage is already thinnest. Staff turnover tells its own story: 73% of the workforce leaves each year, against a national rate near 46%. That churn shows up in the inspection record too, where 41 deficiencies are logged, including one tied to abuse, alongside a 2-out-of-5 health inspection rating and 1-out-of-5 marks for both quality measures and staffing. The most recent inspection was August 2025.

D

54/100

Aspen Meadows Health And Rehabilitation Center

Billings, MT · Yellowstone County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
76%
Serious cites
0

Aspen Meadows runs 90 certified beds in Billings under corporate ownership, and the staffing numbers tell a big part of the story: 3.63 nurse hours per resident day, about 6% under the national average, with weekends running roughly 11% lighter than weekdays. That thin coverage lines up with a 76.2% annual turnover rate, well over the national 45.8%, so the people caring for residents are changing constantly. The inspection record shows 36 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus $115,183 in fines. The most recent inspection was March 26, 2026, and quality measures sit at 1 out of 5 stars.

D

54/100

Verrazano Nursing And Post-Acute Center

Staten Island, NY · Richmond County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
2.68 /day
Staff turnover
58%
Serious cites
0

Verrazano Nursing and Post-Acute Center runs on 2.68 nurse hours per resident per day, roughly a third less than the national average, and weekend coverage drops about 10% below its own weekday level. Staff turnover sits at 58.3%, well above the 45.8% national figure, so the people caring for residents are changing often. The current record shows 17 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus 13 fines totaling $130,902. Inspectors were last on site in March 2025. Corporate-owned and 120 beds, this is a home where the inspection and quality scores look steadier than the daily staffing picture underneath them.

D

54/100

Clayton Rehabilitation And Healthcare Center

Clayton, NC · Johnston County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
78%
Serious cites
0

Clayton Rehabilitation and Healthcare Center runs on thinner nurse staffing than most homes in the country, about 3.11 hours per resident day against a national average near 3.86, and weekends get leaner still, roughly 14% below what the building staffs on weekdays. That gap matters because turnover sits at 77.8%, well above the 45.8% national figure, meaning the aides and nurses who do show up are often new to the job and to these residents. The inspection record backs that up: 38 deficiencies on file, two serious enough to put residents in harm's way, and a single fine of $166,075. One star for health inspections and one for staffing, with quality measures landing at three. It's individually owned and for profit.

D

54/100

Biltmore Haven Nursing And Rehabilitation

Arden, NC · Buncombe County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
2.93 /day
Staff turnover
71%
Serious cites
0

Biltmore Haven runs about 2.93 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop further from there. That thin coverage sits alongside a 71.4% annual turnover rate, well above the 45.8% national figure, so the staff who are there are often new. The inspection record is the harder problem: 50 deficiencies, 7 of them at harm or jeopardy level, 2 tied to abuse, and $189,174 in fines across three penalties. CMS placed this for-profit LLC home in its Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was May 1, 2025.

D

54/100

Suburban Healthcare And Rehabilitation

North Randall, OH · Cuyahoga County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
58%
Serious cites
0

Suburban Healthcare and Rehabilitation runs 150 beds in North Randall under for-profit LLC ownership, and the numbers that stand out most are on the staffing side. At 3.33 nurse hours per resident day, it sits roughly 14% under the national average, with weekends about 7% below its own weekday level. Annual turnover is 58.3% against a national 45.8%, so the people caring for residents change often. The inspection record is heavier still: 67 deficiencies, six at harm or jeopardy level and one abuse-related, plus four fines totaling $94,587. The most recent inspection was March 2024. Quality measures look better than the rest of the picture, but they measure care outcomes, not whether enough consistent staff are present to deliver it.

D

54/100

Cridersville Nursing And Rehab

Cridersville, OH · Auglaize County

CMS 1/5 50 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
78%
Serious cites
0

Cridersville Nursing and Rehab is a 50-bed for-profit home in Auglaize County, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.22 hours per resident per day, about 17% under the national average, and weekends run thinner than weekdays. That matters because turnover sits at 78.2%, well above the 45.8% national figure, so the people at the bedside keep changing. The inspection record is where it gets serious: a 1-out-of-5 health inspection rating, 37 deficiencies, five at the harm or jeopardy level, and two tied to abuse. Three fines totaling $112,610. The quality measure rating looks better, but that's mostly self-reported data. Ask about direct-care staffing on evenings and weekends before you decide anything.

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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