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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 12601–12620 of 12,967, best-graded first.

D

54/100

Beeghly Oaks Center For Rehabilitation & Healing

Youngstown, OH · Mahoning County

CMS 1/5 115 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
56%
Serious cites
0

Beeghly Oaks is a for-profit LLC home in Youngstown with 115 certified beds, and the numbers here are hard to dress up. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average, and it thins out further on weekends, when coverage drops about 14% below its own weekday level. Staff turnover runs 55.8% a year against a national 45.8%, so the people caring for residents are changing constantly. The inspection record is the bigger concern: 87 deficiencies, seven serious enough to involve harm or jeopardy, three tied to abuse, and a $187,369 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems.

D

54/100

Onyx Wellness Center

Norristown, PA · Montgomery County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
69%
Serious cites
0

Onyx Wellness Center runs 3.35 nurse hours per resident per day, roughly 13% under the national average, and weekends drop about 8% below its own weekday staffing. That gap matters because 69.4% of staff left over the past year, against a national average near 46%. The inspection record shows 25 deficiencies, four at harm or jeopardy level, one tied to abuse, and two fines totaling $109,654; the most recent inspection was March 5, 2026. Its quality measure score looks strong, but that reflects charted care, not the hands available to deliver it.

D

54/100

Emerald Nursing And Rehabilitation

Elizabethtown, PA · Lancaster County

CMS 2/5 73 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
70%
Serious cites
0

Emerald Nursing and Rehabilitation runs 73 beds in Elizabethtown under for-profit LLC ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.70 hours per resident day, under the national average, and weekends drop roughly 14 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 69.7 percent against a 45.8 percent national rate, which means caregivers are cycling out faster than most homes can replace them. Forty deficiencies sit on the current record, including four at harm or jeopardy level and two tied to abuse, with $35,265 in fines across three penalties. The last inspection was May 2026.

D

54/100

Southwestern Manor Nursing And Rehabilitation

Pittsburgh, PA · Allegheny County

CMS 1/5 118 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
65%
Serious cites
0

Southwestern runs on 3.11 nurse hours per resident day, roughly 19% under the national average, and weekends drop about 7% below its own weekday levels. Staff turnover sits at 65.4% against a 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 56 deficiencies, four serious enough to put residents in harm or jeopardy and three tied to abuse. Add a $60,520 fine and a January 2025 inspection, and the pattern is a for-profit home running lean on the people who do the daily work, with a documented history of things going wrong.

D

54/100

Avantara Milbank

Milbank, SD · Grant County

CMS 1/5 55 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
92%
Serious cites
0

Avantara Milbank runs on thin staffing even before the weekends hit. At 3.23 nurse hours per resident day, it sits roughly 16% under the national average, and weekend coverage drops another 9% below its own weekday level, so the thinnest shifts are also the least supervised. The bigger warning sign is turnover: 91.5% annually, double the national rate, meaning most of the people caring for residents weren't there a year ago. Its inspection record shows 30 deficiencies, including 8 at harm or jeopardy level and 5 tied to abuse, plus three fines totaling $55,361. The most recent inspection was March 2025. For-profit corporate ownership, 55 beds, and a pattern of problems that keep recurring rather than resolving.

D

54/100

Cedar Creek Post Acute

Mount Juliet, TN · Wilson County

CMS 1/5 106 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
67%
Serious cites
0

Cedar Creek Post Acute runs 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and weekend staffing holds within about 1% of weekday coverage. That's the good news, and it's real. The rest of the picture is harder. Staff turnover sits at 67% against a national average of 45.8%, meaning most of the people providing that above-average coverage are new to the building. The current record shows 33 deficiencies, 11 of them at harm or jeopardy level and 4 abuse-related, plus a $211,244 fine. Federal inspectors gave one star for health inspections and two each for quality measures and staffing. The most recent inspection was July 30, 2025.

D

54/100

Town And Country Nursing And Rehabilitation Center

Boerne, TX · Kendall County

CMS 1/5 126 beds Government Medicaid
Nurse hours
3.33 /day
Staff turnover
66%
Serious cites
0

Town And Country runs on thinner nursing coverage than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale, and in an annual turnover rate of 65.9% compared with 45.8% nationally: roughly two of every three caregivers left within the year. The inspection record carries 57 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $150,922 in fines. A 4/5 quality measure score and a May 2025 inspection are the brighter spots, but they sit alongside a 2/5 inspection rating and government hospital-district ownership.

D

54/100

Arlington Residence And Rehabilitation Center

Arlington, TX · Tarrant County

CMS 1/5 118 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
46%
Serious cites
0

Arlington Residence and Rehabilitation Center runs 118 certified beds under corporate ownership, and the staffing numbers tell you a lot before you even get to inspections. At 3.12 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends dip another 8 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 46 percent, roughly in line with the national 45.8. The inspection record is where it gets heavier: 57 deficiencies, including 4 at harm or jeopardy level and 6 tied to abuse, plus six fines totaling $111,622. Its most recent inspection was February 2025.

D

54/100

Deer Creek Nursing And Rehabilitation

Wimberley, TX · Hays County

CMS 1/5 122 beds For-profit Medicaid
Nurse hours
2.69 /day
Staff turnover
56%
Serious cites
0

Deer Creek runs about 30% below the national average on nurse staffing, 2.69 hours per resident day against 3.86, and weekends dip another 13% below its own weekday level. That thin coverage shows up on the inspection side too: 35 deficiencies on the current record, 6 of them at the harm or jeopardy level, plus 2 abuse-related findings and $75,581 in fines across 4 citations. Staff turnover sits at 56.1%, well above the 45.8% national figure, which matters most when residents need consistent hands on deck. The last inspection was recent, so the picture is current, and the ownership is a for-profit corporation.

D

54/100

Guggenheimer Health And Rehab Center

Lynchburg, VA · Lynchburg City County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
66%
Serious cites
0

Guggenheimer Health and Rehab Center runs 130 beds in Lynchburg under for-profit LLC ownership, and the numbers split sharply depending on where you look. The quality measure score is strong, but nurse staffing sits at 3.38 hours per resident day against a national average of 3.86, and weekends drop about 9% below the home's own weekday level. Turnover tells the harder story: 65.6% of staff leave annually, well above the 45.8% national figure. Inspections back that up, a 1-out-of-5 health inspection rating and 54 deficiencies on the current record, one serious enough to involve harm or jeopardy, plus a $76,681 fine. The most recent inspection was October 2024. Strong clinical metrics on paper don't offset thin, unstable staffing.

D

54/100

Forest Hill Health & Rehabilitation

Richmond, VA · Richmond City County

CMS 1/5 174 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
70%
Serious cites
0

Forest Hill runs on 3.04 nurse hours per resident per day, about a fifth less than the national average of 3.86, and weekends drop roughly 9 percent below its own weekday staffing. Turnover sits at 69.6 percent against a national 45.8 percent, meaning most of the aides and nurses who know your family member may not be there in a year. The current record carries 95 deficiencies, including 3 at the harm or jeopardy level and 9 tied to abuse, with one fine of $80,132 and an inspection from February 2025. Resident outcome measures look strong here, but the staffing and inspection numbers are where the risk lives.

D

54/100

Edenbrook Sheboygan

Sheboygan, WI · Sheboygan County

CMS 1/5 121 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
55%
Serious cites
0

Edenbrook Sheboygan runs on 3.26 nursing hours per resident day, about 16% under the national average, and weekend coverage drops roughly 12% below what the home manages on weekdays. Staff turnover sits at 55.1% against a 45.8% national average, so nearly half the nursing team is new each year, which matters more when you're relying on that team for daily care. The inspection record is where things get serious: 37 deficiencies, four of them at harm or jeopardy level and four tied to abuse, with $202,946 in fines across three penalties. The most recent inspection was April 2025. Corporate-owned, 121 beds.

D

54/100

Brush Country Nursing And Rehabilitation

Austin, TX · Travis County

CMS 1/5 118 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
78%
Serious cites
0

Brush Country runs on 3.05 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 15% below its own weekday level. Turnover sits at 77.8% against a national 45.8%, so the staff you meet is likely to change often. Inspectors have cited 45 deficiencies, three at harm or jeopardy level, with $130,834 in fines across three penalties; the last visit was August 2025. A one-star inspection rating and one-star staffing rating tell the story the quality measure score of three stars can't offset.

D

54/100

Cottonwood Nursing & Rehabilitation

Denton, TX · Denton County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
98%
Serious cites
0

Cottonwood runs about 3.24 nurse hours per resident per day, roughly 16% under the national average, and weekends dip a bit further below its own weekday numbers. The bigger issue is turnover: 98% annually, more than double the national rate, which means the aides and nurses caring for your relative are constantly new. Twenty-eight deficiencies sit on the current record, though none rose to harm or jeopardy and none involved abuse. A recent inspection in August 2025 is a point in its favor, as is the three-star health inspection rating. But for-profit corporate ownership, a one-star staffing rating, and a two-star quality measure rating all point the same direction: check actual caregiver presence on the shifts you'd visit.

D

54/100

Arbor Grace Guest Care Center

Kilgore, TX · Rusk County

CMS 1/5 127 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
75%
Serious cites
0

Arbor Grace runs 42 deficiencies on its current record, five of them serious enough to put residents in harm's way and three tied to abuse. The $187,096 fine is a single penalty, not a slow accumulation, which tells you something went badly wrong at least once. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends drop another 13% below the home's own weekday levels. Turnover is the number that would worry me most: 75.3% of staff leaving in a year against a national rate near 46%. Kilgore is a 127-bed for-profit, and the last inspection in April 2025 is recent enough to mean the record reflects how things run now.

D

54/100

Avir At Arlington

Arlington, TX · Tarrant County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
67%
Serious cites
0

Avir At Arlington runs 114 beds under limited-liability, for-profit ownership, and the numbers worth your attention are on the staffing side. Nurse hours come to 3.36 per resident per day against a national average of 3.86, and weekends drop roughly 13% below the home's own weekday coverage, meaning the thinnest shifts land when families tend to visit. Staff turnover sits at 66.7% against a national 45.8%, so aides and nurses cycle through quickly. The inspection record shows 27 deficiencies, three serious enough to put residents at risk of harm, and one fine of $121,953. A recent inspection in February 2026 keeps that record current rather than stale.

D

54/100

Avir At Caldwell

Caldwell, TX · Burleson County

CMS 1/5 112 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
94%
Serious cites
0

Avir At Caldwell runs on thin coverage. At 3.12 nurse hours per resident day, it sits roughly 19 percent under the national average of 3.86, and weekend staffing drops about 9 percent below its own weekday level, so the thinnest shifts get even thinner. The bigger red flag is turnover: 94.3 percent annually against a national average of 45.8 percent means the staff caring for your family member is, statistically, mostly new. Inspections tell a similar story, 30 deficiencies on record, two serious enough to involve harm or jeopardy, a one-star health inspection rating, and one fine of $10,036. The last inspection was January 8, 2026. Corporate-owned, 112 beds. Worth asking hard questions before you sign anything.

D

54/100

Paradigm At Katy

Katy, TX · Fort Bend County

CMS 1/5 125 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
91%
Serious cites
0

Paradigm At Katy has 125 certified beds and a for-profit LLC owner. Its nurse staffing comes in at 4.41 hours per resident day, roughly 14% above the national average, but the workforce behind those hours is unstable: annual turnover runs 91.1% against a national 45.8%, and weekends already sit about 6% below weekday coverage. The inspection record is the harder problem, 51 deficiencies on file, 7 of them serious enough to involve harm or jeopardy and 2 tied to abuse, with $241,445 in fines across 5 penalties and a health inspection star rating of 1 out of 5. Quality measures score 4 out of 5, but that sits alongside a 1 out of 5 staffing rating despite the above-average hours.

D

54/100

The Plaza At Richardson

Richardson, TX · Dallas County

CMS 2/5 124 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
95%
Serious cites
0

The Plaza At Richardson runs on 3.02 nurse hours per resident per day, about a fifth below the national average, which is thin enough that the 1-out-of-5 staffing rating is no surprise. Turnover tells the bigger story: 95.3% of nursing staff left over the past year, roughly double the national rate, so the people caring for your relative are likely new to the building and still learning it. The 39 deficiencies on record include two tied to abuse, though none rose to the level of actual harm, and the most recent inspection was in June 2025. Weekend coverage also dips below its own weekday level.

D

54/100

Legend Oaks Healthcare And Rehabilitation - Fort W

Keller, TX · Tarrant County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
68%
Serious cites
0

Legend Oaks Healthcare and Rehabilitation - Fort W runs 132 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average. Weekends drop about 13% below its own weekday coverage, and annual turnover hits 67.8% against a national 45.8%, so the people providing care keep changing. The current inspection record shows 23 deficiencies, five at harm or jeopardy level, one abuse-related, with five fines totaling $65,583. Quality measures score well, but staffing and inspection results tell the harder story: thin coverage, high churn, and recent serious findings at a home where families should ask direct questions about who is on the floor at night and on weekends.

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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