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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 12681–12700 of 12,967, best-graded first.

D

53/100

Forest Acres Post Acute

Columbia, SC · Richland County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
2.88 /day
Staff turnover
65%
Serious cites
0

Forest Acres runs lean on nurses, 2.88 hours per resident day against a national average of 3.86, roughly a quarter below what CMS considers typical, and weekends drop about 7% further from its own weekday levels. That thin coverage shows up in the numbers: 64.9% of staff left over the past year, versus 45.8% nationally, and the current record carries 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse. A single $82,018 fine and a May 2025 inspection round out the picture at this for-profit, limited-liability home. The quality measure rating looks good on paper, but staffing is what families actually feel day to day.

D

53/100

Lake Emory Post Acute Care

Inman, SC · Spartanburg County

CMS 2/5 88 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
61%
Serious cites
0

Lake Emory runs about 3.12 nursing hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage dips below its own weekday level. Staff turnover sits at 60.5% against a national 45.8%, which means more than half the nursing staff turns over in a year. The current inspection record shows 14 deficiencies, three serious enough to cause harm, four related to abuse, and two fines totaling $13,627. Ownership is corporate for-profit. A recent August 2025 inspection keeps the record current, but the staffing shortfall, high turnover, and harm-level findings together describe a home where care is thin.

D

53/100

Avantara Saint Cloud

Rapid City, SD · Pennington County

CMS 2/5 78 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
57%
Serious cites
0

Avantara Saint Cloud runs a 78-bed for-profit home in Rapid City under an LLC, and the numbers raise real questions. Nurse staffing sits at 3.12 hours per resident day, about 19% under the national average of 3.86, and weekends drop roughly another 9% below the home's own weekday coverage, so the thinnest shifts land when families often visit. Staff turnover is 57.3% against a national 45.8%, meaning more than half the nursing team turns over in a year. On the current record: 17 deficiencies, three at harm or jeopardy level, two tied to abuse, and $24,751 in fines. The most recent inspection was January 2026.

D

53/100

Holston Rehabilitation And Care Center

Kingsport, TN · Sullivan County

CMS 1/5 204 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
68%
Serious cites
0

Holston Rehabilitation and Care Center runs 204 beds in Kingsport, and the staffing numbers are where I'd start. At 3.63 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover is 68.1%, well above the 45.8% national figure, which usually means less continuity for residents. The current record shows 23 deficiencies, including one at the harm level and two abuse-related, plus a $16,720 fine. Inspections were recent, in November 2025, and the health, quality, and staffing ratings all land at two stars or lower.

D

53/100

West Hills Health And Rehab

Knoxville, TN · Knox County

CMS 3/5 194 beds Non-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
77%
Serious cites
0

West Hills runs a nonprofit home with 194 beds, and its inspection record is genuinely good, 4 out of 5 stars, last surveyed in November 2024, with 10 deficiencies on file, only 2 of them serious enough to cause harm. The problem sits elsewhere. Nurse staffing comes in around 3.41 hours per resident day, roughly 12% under the national average, and weekends run about 11% lighter than weekdays. Staff turnover is the number that should worry you most: 77%, against a national average near 46%. That's a lot of unfamiliar faces coming through the door. Quality measures score 2 out of 5, which suggests the day-to-day care isn't matching the clean inspection sheet.

D

53/100

Christian Care Center Of Medina

Medina, TN · Gibson County

CMS 1/5 66 beds Non-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
71%
Serious cites
0

The staffing numbers at Christian Care Center of Medina are the first thing that stands out: 3.35 nurse hours per resident day, roughly 13 percent under the national average, with weekends running about 12 percent thinner than weekdays. That shortfall shows up in the turnover figure too, 70.6 percent annually against a national rate near 46 percent, meaning most of the people caring for residents are relatively new to the building. Meanwhile, the current inspection record carries 28 deficiencies, four of them serious enough to involve harm or jeopardy and three tied to abuse. Three fines totaling $15,592 round out the picture. Nonprofit ownership doesn't change what those numbers say.

D

53/100

Oakmont Healthcare And Rehabilitation Of Humble

Humble, TX · Harris County

CMS 2/5 134 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
91%
Serious cites
0

Oakmont Healthcare And Rehabilitation Of Humble runs 134 certified beds under corporate ownership, and the numbers that stand out most are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends run roughly 13% thinner than weekdays, and annual turnover is 91.4%, about double the national rate. That churn matters because it's hard to deliver consistent care when the staff keeps leaving. The inspection record backs that up: 31 deficiencies, 9 of them serious enough to involve harm or jeopardy, plus three fines totaling $418,615. Quality measures score well, but quality scores rest on staffing that clearly isn't stable right now.

D

53/100

Augusta Nursing And Rehabilitation

Fishersville, VA · Augusta County

CMS 1/5 112 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
58%
Serious cites
0

Augusta Nursing and Rehabilitation runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average, and weekends dip about 14% below its own weekday level. That thin coverage has produced a citation record of 81 deficiencies, including 7 at harm or jeopardy level and 9 tied to abuse, plus one fine of $203,292. Staff turnover sits at 58.1% against a 45.8% national average, and the last inspection was February 2023. The quality measure score looks strong, but it reflects charted care processes rather than the staffing and compliance problems stacked against them.

D

53/100

Olympic View Post Acute

Port Angeles, WA · Clallam County

CMS 1/5 101 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
64%
Serious cites
0

Olympic View Post Acute runs 101 certified beds, and the numbers behind its record deserve a close look before you consider it. Nurse staffing sits at 3.51 hours per resident per day, roughly 9% under the national average, and it thins out further on weekends, about 11% below the home's own weekday level. Staff turnover is 63.9%, well above the 45.8% national figure, which means the people caring for residents are often new to the building. The current inspection record lists 103 deficiencies, including 5 at the harm or jeopardy level and 11 abuse-related, with $144,479 in fines across three penalties. The most recent inspection was May 13, 2025.

D

53/100

St Elizabeth Nursing Home

Janesville, WI · Rock County

CMS 2/5 43 beds Non-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
58%
Serious cites
0

St Elizabeth Nursing Home runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 57.8%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The inspection record shows 59 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, with two fines totaling $31,171 and a survey as recent as April 2026. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 2 out of 5.

D

53/100

Avir At Burkburnett

Burkburnett, TX · Wichita County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
65%
Serious cites
0

Avir At Burkburnett runs a 60-bed for-profit home where the nurse staffing line sits at 3.30 hours per resident day, roughly 14% under the national average of 3.86, and it thins out further on weekends, dropping about 14% below its own weekday level. That thin coverage shows up in the staffing star rating, and the 64.9% annual turnover means aides and nurses are cycling through faster than the 45.8% national rate, so the people at the bedside keep changing. The inspection record carries 28 deficiencies, three of them serious enough to put a resident in harm's way, plus two fines totaling $64,646, with the most recent inspection in December 2024.

D

53/100

Rosenberg Health & Rehabilitation Center

Rosenberg, TX · Fort Bend County

CMS 1/5 124 beds Government Medicaid
Nurse hours
2.99 /day
Staff turnover
62%
Serious cites
0

Rosenberg Health & Rehabilitation Center runs on 2.99 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops another 13% from its already thin weekday level. That staffing gap shows up in the inspection record: 27 deficiencies, 8 of them serious enough to put residents at harm or jeopardy, with four fines totaling $97,334. Staff turnover sits at 61.7%, well above the 45.8% national figure, meaning the aides and nurses who know your family member are likely to leave within the year. It's hospital-district owned, which sometimes signals stability, but the numbers here say otherwise. The most recent inspection was May 2026, so this is a current picture, not an old one.

D

53/100

Llano Nursing And Rehabilitation Center

Llano, TX · Llano County

CMS 1/5 96 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
70%
Serious cites
0

Llano Nursing and Rehabilitation 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 10% below its own weekday levels. That thin coverage shows up in the numbers: 70.4% annual staff turnover against a national average of 45.8%, and 27 deficiencies on the current record, four serious enough to cause harm or jeopardy and two tied to abuse, with one fine totaling $40,170. The most recent inspection was September 2025. The 4/5 quality measure rating reflects resident care data, but it sits alongside a 1/5 staffing rating, and that gap is worth asking about directly.

D

53/100

Park Highlands Nursing & Rehabilitation Center

Athens, TX · Henderson County

CMS 3/5 132 beds Government Medicaid
Nurse hours
3.05 /day
Staff turnover
87%
Serious cites
0

Park Highlands is a hospital-district home in Athens, and its inspection record is genuinely strong, five stars, nine deficiencies with none at the harm level and no abuse findings, and a survey done as recently as May 2025. The trouble is what happens between inspections. Nurses give residents 3.05 hours of care per day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Nearly nine in ten employees turned over last year, roughly double the national rate, which means the people at the bedside keep changing. Stable hands matter most in a nursing home, and this one struggles to keep them.

D

53/100

Woodland Park Nursing & Rehab

Shepherd, TX · San Jacinto County

CMS 1/5 100 beds Government Medicaid
Nurse hours
2.94 /day
Staff turnover
57%
Serious cites
0

Woodland Park runs a hundred beds in Shepherd under hospital district ownership, and the numbers there deserve a close look. Nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average, and weekends drop about 8% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 57.4%, well above the 45.8% national figure, which usually means less continuity for residents who need consistent hands. The current record carries 31 deficiencies, five of them serious enough to involve harm or jeopardy, plus two fines totaling $41,515. The last inspection was July 2025.

D

53/100

The Bradford At Brookside

Livingston, TX · Polk County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
65%
Serious cites
0

The Bradford At Brookside runs lean on nursing staff, 3.39 hours per resident day against a national average of 3.86. Weekends are thinner still, roughly 13 percent below its own weekday coverage. Turnover sits at 65.2%, well above the 45.8% national figure, so the people caring for residents change often. Against that, the home's most recent health inspection in August 2025 produced a strong four-star result and 31 deficiencies with none at the harm or jeopardy level, though one is abuse-related. State inspectors have looked recently and found no serious harm. What you're weighing is a home that passes inspection but runs short-staffed with high turnover. Ask about weekend coverage and how long aides typically stay.

D

53/100

Oasis At Pearland

Pearland, TX · Brazoria County

CMS 1/5 138 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
72%
Serious cites
0

Oasis At Pearland runs 138 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.50 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends dip roughly 8% below its own weekday level. Turnover tells a harder story: 71.8% of staff leave annually, against a national 45.8%. The inspection record backs that up, 42 deficiencies, including 6 at harm or jeopardy level and 3 abuse-related, with $34,510 in fines across three events. A 1-out-of-5 health inspection rating and 1-out-of-5 staffing rating, last surveyed June 12, 2025, describe a home where both the workforce and the oversight have been thin.

D

53/100

Houston Heights Nursing And Rehabilitation Center

Houston, TX · Harris County

CMS 1/5 120 beds Non-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
59%
Serious cites
0

Houston Heights Nursing and Rehabilitation Center runs on 3.03 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 8% below its own weekday level. Staff turnover sits at 59.1% against a national 45.8%, so the people doing the bedside work change often, and a 1-out-of-5 CMS staffing rating reflects that reality. The inspection record shows 23 deficiencies, including six at the harm or jeopardy level and two tied to abuse, with four fines totaling $105,536 and a 2-out-of-5 health inspection rating. The 4-of-5 quality measure score stands out, but it rests on a staffing and inspection foundation that is thin.

D

53/100

The Lodge Of Saginaw Health And Wellness

Saginaw, TX · Tarrant County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
55%
Serious cites
0

The Lodge of Saginaw runs on about 3.10 nurse hours per resident per day, roughly a fifth below the national average, and weekends are thinner still, about 9% under its own weekday coverage. Staff turnover sits at 55.3% against a national 45.8%, so aides and nurses cycle through faster than at the typical home. That shows up in the staffing star rating, which CMS puts at 1 out of 5, even while the quality measure score reaches 5. Twenty-three deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus a $15,944 fine. The last inspection was recent, December 2025. For-profit, LLC-owned, 130 beds.

D

52.5/100

Nexus At Palos

Palos Hills, IL · Cook County

CMS 1/5 207 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
55%
Serious cites
0

Nexus At Palos runs 207 beds in Palos Hills under for-profit LLC ownership, and its staffing looks fine on paper, 4.13 nurse hours per resident day, about 7% above the national average. But that average hides a lot: weekend staffing drops roughly 21% below its own weekday level, and annual turnover sits at 54.8% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the bigger problem. Eighty-seven deficiencies, 21 of them at harm or jeopardy level, 8 tied to abuse, and nine fines totaling $431,708. The most recent inspection was May 2025.

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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