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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 12741–12760 of 12,967, best-graded first.

D

52/100

Homestead Of Hugo

Hugo, OK · Choctaw County

CMS 1/5 124 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
71%
Serious cites
0

If you're weighing Homestead of Hugo for someone you love, the staffing numbers are the first thing to sit with. At 2.91 nurse hours per resident per day, this for-profit home runs about a quarter below the national average, and weekends drop further below its own weekday level, meaning the thinnest coverage lands exactly when families tend to visit and when backup is hardest to find. Turnover sits near 71%, well above the national 46%, so the people providing that care are cycling through fast. The inspection record backs up the concern: 43 deficiencies, three at harm or jeopardy level, two tied to abuse, and $33,262 in fines. All three CMS star ratings, health inspections, quality measures, staffing, sit at one out of five.

D

52/100

Forest Park Nursing And Rehabilitation

Carlisle, PA · Cumberland County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
72%
Serious cites
0

Forest Park runs on 3.30 nurse hours per resident day, roughly 15 percent under the national average, and weekend coverage drops further below its own weekday level. Annual turnover sits at 71.9 percent against a national figure near 46, which means the people caring for residents are, more often than not, new to the building. The inspection record backs that up: 109 deficiencies, five of them at the harm or jeopardy level and four tied to abuse, with five fines totaling $161,919. Ownership is a for-profit limited liability company. The most recent inspection was March 2025. If you're weighing this one, ask about weekend staffing and how they keep experienced aides.

D

52/100

Kadima Rehabilitation & Nursing At Lititz

Lititz, PA · Lancaster County

CMS 1/5 42 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
82%
Serious cites
0

Kadima Rehabilitation & Nursing At Lititz runs 42 beds, and the numbers behind its standing are worth knowing before you visit. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average, and it thins out further on weekends, when coverage drops roughly 11% below the home's own weekday level. Staff turnover is the starkest figure: 82.1% annually against a national rate near 46%, meaning most of the people caring for residents are relatively new to the building. The current inspection record carries 33 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Inspectors last visited on July 18, 2025.

D

52/100

Wallingford Skilled Nursing And Rehabilitation Cen

Wallingford, PA · Delaware County

CMS 1/5 193 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
63%
Serious cites
0

Wallingford Skilled Nursing and Rehabilitation Center runs 193 certified beds under corporate ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average, and weekends drop about 7% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. Turnover is the harder signal: 62.8% annually against a 45.8% national average, meaning most of the people caring for residents are relatively new to the building. Then there's the inspection record: 50 deficiencies, three at harm or jeopardy level, six abuse-related, and $282,733 in fines. The most recent inspection was December 2024.

D

52/100

Carlisle Skilled Nursing And Rehabilitation Center

Carlisle, PA · Cumberland County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
61%
Serious cites
0

Carlisle Skilled Nursing and Rehabilitation Center is a 150-bed for-profit home that Medicare flags for its worst-performing tier, the Special Focus Facility program. The numbers behind that: a one-star rating across all three CMS categories, 63 deficiencies on record including four involving harm or jeopardy and two tied to abuse, plus $40,055 in fines. Nurse staffing sits at 3.19 hours per resident day, about 17% under the national average, and weekends run roughly 9% thinner than weekdays. Staff turnover is 61.3% a year, well above the 45.8% national figure, meaning the people caring for residents are constantly new. If you're considering this place, ask hard questions about who's actually on the floor.

D

52/100

Midtown Oaks Health & Rehab Center

Altoona, PA · Blair County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
57%
Serious cites
0

Midtown Oaks runs 3.52 nurse hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 7% below its own weekday level. Staff turnover sits at 57.4% against a 45.8% national figure, so the aides and nurses cycling through are often new to the building. The inspection record carries 108 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $99,042 and a health inspection rating of 1 out of 5. The most recent inspection was February 27, 2026. A for-profit LLC operates the 120-bed home. If you're considering this one, ask directly how they're fixing weekend staffing and what's changed since that February survey.

D

52/100

Smyrna Care Center

Smyrna, TN · Rutherford County

CMS 1/5 125 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
65%
Serious cites
0

Smyrna Care Center runs on thin staffing even by industry standards, 3.22 nurse hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday numbers. That gap matters more when you look at turnover: 65% of staff leave each year, well above the 45.8% national figure. The inspection record is the harder read. Thirty deficiencies, six of them serious enough to put residents in harm's way, and one tied to abuse. The last full inspection was February 2020, more than five years ago. Corporate ownership, 125 beds. Families deserve to know all of this before deciding.

D

52/100

Granbury Care Center

Granbury, TX · Hood County

CMS 1/5 174 beds Government Medicaid
Nurse hours
2.71 /day
Staff turnover
94%
Serious cites
0

Granbury Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: a staff turnover rate of 94.2%, where the national figure sits near 46%, meaning most of the people caring for residents this year likely won't be there next year. The home carries 37 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus $37,501 in fines. Inspectors were last out in February 2026, and the health inspection rating sits at 2 out of 5.

D

52/100

Alleghany Health And Rehab

Clifton Forge, VA · Alleghany County

CMS 1/5 105 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
62%
Serious cites
0

The numbers here are hard to dress up. Nurse staffing sits at 3.23 hours per resident day, well under the national average of 3.86, and it thins out further on weekends, not the pattern you want when families visit less and oversight is lighter. Staff turnover is the bigger tell: 62.2% against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. Then there's the inspection record, 59 deficiencies, four of them at harm or jeopardy level, twelve tied to abuse, and two fines totaling $108,698. That last inspection was April 2023, so this record has had time to stand.

D

52/100

Westwood Center

Bluefield, VA · Tazewell County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
62%
Serious cites
0

Westwood Center runs 60 certified beds in Bluefield under corporate for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.80 hours per resident day, a bit under the national average, but weekends drop roughly 13% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 61.7% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current inspection record carries 46 deficiencies, six at harm or jeopardy level and one abuse-related, plus three fines totaling $159,612. Its last inspection was August 2024.

D

52/100

Rosedale Health & Rehabilitation

Richmond, VA · Henrico County

CMS 1/5 128 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
66%
Serious cites
0

Rosedale runs on thin nursing coverage: 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below its own weekday level. Turnover compounds it, nearly two-thirds of staff leave each year against a national rate of about 46%, so the people at the bedside keep changing. The inspection record is where the real weight sits: 101 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $73,788 fine. The last full inspection was September 2023, so that record is getting old, which isn't the same as getting better.

D

52/100

Avir At Granbury

Granbury, TX · Hood County

CMS 1/5 90 beds Government Medicaid
Nurse hours
3.12 /day
Staff turnover
70%
Serious cites
0

Trinity Nursing & Rehab Of Granbury runs on 3.12 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 15% below what the home staffs on weekdays. Turnover sits at 69.6% 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 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $66,367 fine. The last inspection was June 4, 2025. For-profit, LLC-owned, 90 beds. If you're considering this one, ask directly how they cover weekends and what's changed since that June inspection.

D

52/100

Franklin Heights Nursing & Rehabilitation

El Paso, TX · El Paso County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
96%
Serious cites
0

Franklin Heights runs on 3.07 nurse hours per resident per day, roughly a fifth less than the national average, and weekends drop another 14 percent below its own weekday levels. Staff turnover sits at 96.2 percent, more than double the national figure, so the people caring for residents are, statistically, almost all new. The inspection record is heavier: 77 deficiencies, five involving harm or jeopardy, 11 tied to abuse, and two fines totaling $191,503. State inspectors were last on site in July 2025. Ownership is a for-profit partnership. With 132 certified beds, that ratio of direct care to residents, especially on weekends, is the number worth asking about when you visit.

D

52/100

Southern Specialty Rehab & Nursing

Lubbock, TX · Lubbock County

CMS 1/5 144 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
99%
Serious cites
0

Southern Specialty Rehab & Nursing runs 144 beds in Lubbock under corporate ownership, and its staffing numbers look decent at first glance, 3.99 nurse hours per resident day, just above the national average. But that average hides a churn problem: turnover sits at 98.7%, more than double the national rate, meaning the aides and nurses at your mother's bedside are likely new to the building and still learning it. Weekend coverage drops about 6% below weekday levels, so the shifts when families visit least are the thinnest. The inspection record is harder to explain away: 30 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $36,652, with the most recent inspection in June 2026.

D

52/100

Vidor Health & Rehabilitation Center

Vidor, TX · Orange County

CMS 1/5 144 beds For-profit Medicaid
Nurse hours
2.88 /day
Staff turnover
94%
Serious cites
0

Vidor Health & Rehabilitation Center runs 144 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 2.88 total nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekend coverage slips about 10% below the home's own weekday level, and annual turnover sits at 93.5% against a national rate near 46%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs up the concern: 37 deficiencies on file, four at harm or jeopardy level, four abuse-related, and two fines totaling $58,904, with a one-star health inspection rating and a one-star staffing rating.

D

52/100

The Hillcrest Of North Dallas

Dallas, TX · Dallas County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
2.66 /day
Staff turnover
68%
Serious cites
0

The Hillcrest of North Dallas runs on 2.66 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops about 13% below what the home staffs on weekdays. Annual turnover sits at 68.3% against a national 45.8%, so the aides and nurses at the bedside keep changing. Its inspection record shows 44 deficiencies, including 6 at the harm or jeopardy level and 3 tied to abuse, with $221,052 in fines across three penalties and a 1-out-of-5 inspection rating; the most recent survey was July 31, 2025. Ownership is a for-profit corporation. The quality measure stars don't offset what staffing and inspections show.

D

51.5/100

Reserve At Appling Of Journey Llc, The

Appling, GA · Columbia County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
2.98 /day
Staff turnover
59%
Serious cites
0

The Reserve at Appling runs on 2.98 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 20% below what the home itself staffs on weekdays. That thin coverage sits alongside a 58.5% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses cycling through are often new to the building. Its CMS ratings land at one star for staffing and one for quality measures, with a two-star inspection record, 25 deficiencies, and five fines totaling $19,321. Nothing on the current record rises to harm or jeopardy, and the most recent inspection was in August 2025. A for-profit LLC operation at 100 certified beds.

D

51.5/100

St Joseph Skilled Nursing And Rehabilitation

Monroe, LA · Ouachita County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
100%
Serious cites
0

St Joseph runs 130 certified beds in Monroe under for-profit partnership ownership, and the numbers that stand out most are on the staffing side. At 3.13 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly another 20% below its own weekday level, so coverage thins out exactly when families tend to visit. Every nursing position turned over last year, against a national rate near 46%. The health inspection rating is 1 out of 5 with 44 deficiencies on record, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was December 11, 2025, so the picture is current.

D

51.5/100

Cedar Pointe

Rolla, MO · Phelps County

CMS 1/5 102 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
59%
Serious cites
0

Cedar Pointe runs on 3.17 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home staffs on weekdays. That thin coverage sits behind a 58.9% annual turnover rate, well above the 45.8% national figure, so the aides and nurses working the floor keep changing. The current record carries 39 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was July 18, 2024, and the for-profit partnership has drawn a 2/5 on health inspections with 1/5 on both quality measures and staffing.

D

51.5/100

Jefferson Health Care

Lees Summit, MO · Jackson County

CMS 1/5 118 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
64%
Serious cites
0

Jefferson Health Care runs 118 beds in Lees Summit under corporate ownership, and the numbers describe a home stretched thin. Nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends running about 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 64.2% against a national 45.8%, meaning most of the people caring for residents this year probably won't be there next year. The inspection record shows 61 deficiencies, including one at the harm level and three tied to abuse, plus $34,459 in fines. That inspection was recent, April 2025, so the picture isn't stale.

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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