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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 12621–12640 of 12,967, best-graded first.

D

54/100

Mission Ridge Rehab & Nursing Center

Refugio, TX · Refugio County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
97%
Serious cites
0

Mission Ridge runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 9% below its own weekday numbers. That's thin coverage even before you factor in turnover near 97%, more than double the national rate, meaning most of the people caring for your family member probably weren't there a year ago. The inspection record backs this up: 25 deficiencies, three of them serious enough to put residents in harm's way, one abuse-related, and $37,698 in fines. A for-profit LLC in Refugio County, 90 beds, last inspected February 2026. The quality measures look average on paper, but staffing is where this home falls apart.

D

53.5/100

Medallion Post Acute Rehabilitation

Colorado Springs, CO · El Paso County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
56%
Serious cites
0

Medallion Post Acute Rehabilitation runs on 3.25 nurse hours per resident per day, roughly 16% under the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows in the numbers: a 55.6% annual turnover rate, well above the 45.8% national figure, and 25 deficiencies on the current record, seven serious enough to involve harm or jeopardy, one abuse-related. Four fines total $86,723. The last inspection was August 2024, so the record is fairly recent. This is a for-profit LLC with 60 beds, and the pattern across staffing, turnover, and inspection history is consistent rather than isolated.

D

53.5/100

Woods At Sparta Of Journey Llc, The

Sparta, GA · Hancock County

CMS 1/5 71 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
52%
Serious cites
0

Nurse staffing at The Woods at Sparta runs 3.00 hours per resident day, about 22 percent under the national average, and weekends drop roughly another 22 percent below the home's own weekday coverage. That thin margin shows up in the numbers: 21 deficiencies on the current record, including two at the harm or jeopardy level and one tied to abuse, plus two fines totaling $13,325. Staff turnover sits at 51.5 percent against a national 45.8 percent, so the people providing care keep changing. The last inspection was December 11, 2025, and the federal ratings land at 2 stars for health inspections and 1 star each for quality measures and staffing. It's a for-profit corporation operating 71 certified beds. If you're considering this one, ask directly how they cover weekends and what's changed since that December inspection.

D

53.5/100

Nexus At Berwyn

Berwyn, IL · Cook County

CMS 1/5 145 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
57%
Serious cites
0

Nexus At Berwyn runs 145 certified beds under corporate ownership, and the numbers that matter most here are the ones families can't easily see. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Staff turnover is 57 percent, well above the 45.8 percent national figure, so the people providing care keep changing. The inspection record is where things get serious: 52 deficiencies, including 9 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $428,544. That's a lot of documented trouble for one building.

D

53.5/100

Alpine Care Of Zion

Zion, IL · Lake County

CMS 2/5 244 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
48%
Serious cites
0

Alpine Care Of Zion runs 244 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly 26 percent under the national average of 3.86. Weekends drop about 17 percent below its own weekday levels, and annual turnover of 48.2 percent runs slightly above the national figure of 45.8 percent, so the aide or nurse your relative sees most often may not be there next year. The current record lists 44 deficiencies, three at harm or jeopardy level and two abuse-related, along with three fines totaling $72,394. The most recent inspection was August 2025, so the picture is current, not stale.

D

53.5/100

Axiom Healthcare Of Rosiclare

Rosiclare, IL · Hardin County

CMS 1/5 62 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
42%
Serious cites
0

Axiom Healthcare of Rosiclare runs 62 certified beds under corporate ownership, and the staffing picture is the first thing worth knowing: 3.65 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 19% below what the home staffs on weekdays. Turnover at 42.1% is slightly better than the national figure, which helps, but it doesn't offset a record with 33 deficiencies, three at harm or jeopardy level, two tied to abuse, and $132,266 in fines across two penalties. The most recent inspection closed in December 2025, so the findings are current rather than stale. Quality measures score low, and staffing scores lowest of all.

D

53.5/100

Christian Heights Nursing And Rehabilitation Cente

Pembroke, KY · Christian County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
63%
Serious cites
0

Christian Heights runs on 3.24 nurse hours per resident per day, roughly 16 percent under the national average, and weekends drop about a fifth below its own weekday staffing. That thin coverage is compounded by 62.5 percent annual turnover, well above the 45.8 percent national figure, so the aides and nurses around your family member are frequently new. Federal inspectors cited five deficiencies on the current record, including one at the harm level and one related to abuse. CMS gives this for-profit LLC-owned home one star for staffing and one for quality measures, with three for health inspections after a March 2026 visit. Ask directly how weekends are covered and what changed since that abuse citation.

D

53.5/100

Jefferson Healthcare Center

Jefferson, LA · Jefferson County

CMS 1/5 222 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
62%
Serious cites
0

Jefferson Healthcare Center runs 222 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing that stands out: 3.13 nurse hours per resident day against a national average of 3.86, with weekends running roughly 17% thinner than weekdays. That shortfall shows up in the turnover rate too, 62.4% of staff leaving annually, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. The inspection record carries 41 deficiencies, 5 of them abuse-related, though none reached the harm or jeopardy level. A 2/5 inspection rating, 1/5 on quality measures, and last inspection in April 2026 round out a picture worth discussing directly with the administrator.

D

53.5/100

Legacy Nursing And Rehabilitation Of Plaquemine

Plaquemine, LA · Iberville County

CMS 1/5 151 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
37%
Serious cites
0

Nurse staffing at Legacy runs 2.95 hours per resident day against a national average of 3.86, and weekends drop about 18% below what the home staffs on weekdays. That thin coverage matters more when you look at the inspection record: 49 deficiencies, five of them at harm or jeopardy level and seven tied to abuse, with $245,413 in fines across three penalties. Turnover sits at 36.5%, better than the 45.8% national figure, though steady retention can't offset a floor that's short-staffed to begin with. The last inspection was January 29, 2026, so the record is current. It's a 151-bed for-profit LLC.

D

53.5/100

Grand Cove Nursing & Rehabilitation Center

Lake Charles, LA · Calcasieu County

CMS 2/5 109 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
59%
Serious cites
0

Grand Cove runs on thinner staffing than most homes nationally, 3.57 nurse hours per resident day against a 3.86 average, and weekends drop about 22% below what the home itself manages Monday through Friday. Turnover sits at 58.6%, well above the 45.8% national figure, so the people showing up are often new. The inspection record shows 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $29,042 in fines. Its quality measure star is 1 out of 5 and staffing 2 out of 5, though the last inspection was recent, in June 2025. Corporate-owned, 109 beds.

D

53.5/100

Golden Age Healthcare And Rehabilitation Center

Denham Springs, LA · Livingston County

CMS 1/5 175 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
52%
Serious cites
0

Golden Age runs 175 beds in Denham Springs under limited liability ownership, and the numbers show where the strain sits. Nurse staffing of 3.31 hours per resident day trails the national average by roughly 14%, weekend coverage drops about 17% below its own weekday level, and annual turnover of 52.4% means more than half the nursing staff leaves each year. The current record holds 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus $8,044 in fines. Federal quality and staffing measures both sit at one star, though the health inspection rating is a three and the most recent survey came in March 2026.

D

53.5/100

The Guest House Care Center

Baton Rouge, LA · E. Baton Rouge County

CMS 1/5 104 beds For-profit Medicaid
Nurse hours
2.89 /day
Staff turnover
55%
Serious cites
0

The Guest House Care Center runs on 2.89 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 17 percent below what it manages during the week. Staff turnover sits at 55.4 percent, nearly ten points above the national figure, so residents see a rotating cast of caregivers. Inspectors wrote up 26 deficiencies on the current record, two serious enough to put residents in harm's way and one involving abuse, with $33,001 in fines across three penalties. Ownership is corporate and for-profit, and the last inspection was April 30, 2025. The federal staffing rating of 1 out of 5 reflects what those hours look like at the bedside.

D

53.5/100

Oak Woods Home For The Elderly

Mer Rouge, LA · Morehouse County

CMS 1/5 119 beds Non-profit Medicaid
Nurse hours
0.80 /day
Staff turnover
—
Serious cites
0

Oak Woods Home for the Elderly runs on 0.80 nurse staffing hours per resident day, about a fifth of the national average of 3.86, and weekends drop roughly 30% below its own weekday level, so coverage thins out exactly when families tend to visit. The current record shows 19 deficiencies, one of them abuse-related, though none rose to the harm or jeopardy level, and the last inspection was recent enough that the picture is current. Two fines totaling $18,349 have been assessed. For a 119-bed nonprofit, the direct-care hours are the concern worth pressing on when you call.

D

53.5/100

Vantage Health & Rehab Of New Bedford

New Bedford, MA · Bristol County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
2.45 /day
Staff turnover
70%
Serious cites
0

Vantage Health & Rehab of New Bedford runs on 2.45 nurse hours per resident per day, roughly a third below the national average, and weekends are thinner still, about 23% less coverage than weekdays. Staff turnover sits near 70%, well above the 45.8% national figure, which means the people caring for residents are often new and still learning the building. The record shows 31 deficiencies, including one at the harm level and three tied to abuse, plus a $9,318 fine. Ownership is for-profit through a limited liability company, and the most recent inspection was in February 2026. Low staffing, high turnover, and a serious deficiency record usually travel together.

D

53.5/100

Marshall Nursing And Rehabilitation Community

Marshall, MI · Calhoun County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
54%
Serious cites
0

Marshall Nursing and Rehabilitation Community runs on 3.34 nursing hours per resident day, about 13 percent under the national average, and weekend coverage dips roughly 15 percent below its own weekday level, so the thinnest staffing lands when families tend to visit. Annual turnover sits at 53.6 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. Inspectors have cited 77 deficiencies on the current record, including three at harm or jeopardy level and five tied to abuse, with two fines totaling $105,860. The most recent inspection was September 2025. The Calhoun County home is for-profit, LLC-owned, and holds 60 certified beds.

D

53.5/100

Medilodge Of Munising

Munising, MI · Alger County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
58%
Serious cites
0

Medilodge of Munising runs 3.37 nursing hours per resident day, roughly 13 percent under the national figure, and weekends dip about 15 percent below its own weekday coverage. Staff turnover sits at 57.6 percent against a national 45.8 percent. The inspection record is the heavier problem: 64 deficiencies, including five at the harm or jeopardy level and six tied to abuse, with one fine of $84,659 and a one-star health inspection rating. The most recent inspection was January 7, 2026. For-profit LLC ownership. A CMS staffing rating of three stars doesn't offset that inspection history when you're weighing where a family member will actually live.

D

53.5/100

Pleasant Hills Community Living Center

Jackson, MS · Hinds County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
55%
Serious cites
0

Pleasant Hills runs 100 certified beds in Jackson under corporate for-profit ownership, and the numbers show a building under real strain. Nurse staffing sits just under the national average, but weekends drop about 18% below its own weekday level, meaning the coverage families count on Saturday and Sunday is thinner than what the home staffs during the week. Turnover is the bigger signal: 55.3% annually against a 45.8% national average, so nearly six in ten caregivers are leaving each year. That churn shows up in the inspection record, too, 24 deficiencies, four serious enough to put residents in harm's way, two tied to abuse, and four fines totaling $147,937.

D

53.5/100

St Sophia Health & Rehabilitation Center

Florissant, MO · St. Louis County

CMS 1/5 240 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
68%
Serious cites
0

St Sophia runs 240 beds in Florissant under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 2.86 nurse hours per resident per day against a national average of 3.86, with weekends about 16% thinner than weekdays. Turnover sits at 68.4%, roughly two-thirds of the nursing staff leaving in a year, well above the 45.8% norm, so the people caring for your relative are frequently new. The inspection record shows 87 deficiencies, including four at the harm level and three tied to abuse, with $69,203 in fines and a January 2025 inspection. Resident quality measures score well, but that's the one bright spot in an otherwise strained picture.

D

53.5/100

Country Villa Wellness & Rehabilitation

Creve Coeur, MO · St. Louis County

CMS 2/5 148 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
66%
Serious cites
0

Country Villa runs 148 certified beds in Creve Coeur, and the staffing numbers are where the trouble shows. At 2.99 nurse hours per resident day, it sits roughly 23% under the national average of 3.86, and weekends drop about 18% below its own weekday coverage. Annual turnover hits 66% against a national 45.8%, so the people filling those shifts change often. The 21 deficiencies on record include one at the harm level, though none involve abuse. A recent June 2025 inspection and a four-star health inspection rating suggest the care environment itself has been watched closely. Ownership is for-profit corporate. If you're weighing this one, ask specifically how weekends and evenings are staffed.

D

53.5/100

Estates Of St Louis, Llc, The

Saint Louis, MO · St. Louis County

CMS 1/5 94 beds For-profit Medicaid
Nurse hours
2.49 /day
Staff turnover
66%
Serious cites
0

The Estates of St. Louis runs on 2.49 nurse hours per resident per day, about 35% under the national average, and weekend coverage drops roughly a fifth below its own weekday level. Staff turnover sits at 65.6%, well above the 45.8% national rate, which means the people caring for residents are constantly changing. Its inspection record shows 60 deficiencies, including two at the harm or jeopardy level and eight tied to abuse, plus a $66,640 fine. The quality measure score looks good on paper, but that's largely self-reported data, and it doesn't offset a one-star inspection history or thin staffing 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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