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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 1261–1280 of 12,967, best-graded first.

A

89/100

Oaks Health Ctr At The Marshes Of Skidaway Island

Savannah, GA · Chatham County

CMS 4/5 23 beds Non-profit
Nurse hours
6.26 /day
Staff turnover
32%
Serious cites
0

The Oaks Health Center at the Marshes of Skidaway Island runs on unusually deep staffing for a 23-bed nonprofit home, 6.26 nurse hours per resident day, roughly 62% above the national figure. Turnover sits at 31.8%, well under the 45.8% national average, and weekend coverage dips only about 6% below weekdays, so care doesn't thin out when families tend to visit. What holds it back from the top tier is its inspection record: five deficiencies, two of them serious enough to reach harm or jeopardy level, plus two fines totaling $8,788. Nothing abuse-related appears. The most recent inspection was March 2026.

A

89/100

Marsh's Edge

Saint Simons Island, GA · Glynn County

CMS 5/5 20 beds For-profit
Nurse hours
10.54 /day
Staff turnover
55%
Serious cites
0

Marsh's Edge runs a small 20-bed operation, and its nurse staffing sits at 10.54 hours per resident day, roughly triple the national average of 3.86. Weekend coverage drops about 12% below its own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover is 55.2%, nearly ten points above the national 45.8%, which means the people caring for residents change often. On the regulatory side, the record is clean where it counts: two total deficiencies, none involving harm or abuse, and the last inspection was May 2025. The for-profit LLC ownership and strong inspection history round out a picture of a well-staffed home with a retention problem.

A

89/100

Life Care Center Of Treasure Valley

Boise, ID · Ada County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
39%
Serious cites
0

Life Care Center of Treasure Valley runs 120 certified beds in Boise under corporate for-profit ownership, and its staffing sits slightly above the national average at 3.90 nurse hours per resident day. That edge is thin, though, and weekends run about 11% leaner than weekdays, so coverage isn't even across the week. Turnover lands at 39.2%, better than the 45.8% national figure, which suggests workers tend to stick around longer here than at the typical home. The current record shows 30 deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. A June 2025 inspection keeps that record recent.

A

89/100

Apostolic Christian Restmor

Morton, IL · Tazewell County

CMS 5/5 62 beds Non-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
29%
Serious cites
0

Apostolic Christian Restmor runs about 62 beds in Morton under nonprofit ownership, and its nurse staffing sits modestly above the national average at roughly 4.01 hours per resident day, with weekends dipping about 5% below weekday coverage. Staff turnover is the standout: 28.9% against a national average near 46%, meaning caregivers here tend to stay. The current inspection record shows 10 deficiencies, four serious enough to reach harm or jeopardy level, including one tied to abuse, with two fines totaling $24,723 and a survey completed in April 2025. Strong staffing and stable retention are real strengths, but those harm-level findings are the part worth asking about directly.

A

89/100

Evenglow Lodge

Pontiac, IL · Livingston County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
60%
Serious cites
0

Evenglow Lodge runs a tight ship on the clinical side. The last inspection was in December 2025, and the record shows 21 deficiencies with none at the harm or jeopardy level and nothing abuse-related, that's a clean pattern for a 48-bed nonprofit home. Nurse staffing sits at 5.08 hours per resident day, roughly a third above the national average, which is why the staffing stars hold at 4/5 even with weekends running about 11% lighter than weekdays. The real soft spot is turnover: 60% annually against a national 45.8%, meaning nearly two-thirds of the care team cycles through each year. Families should ask how that affects consistency on evenings and weekends.

A

89/100

Avondale Estates Of Elgin

Elgin, IL · Kane County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
5.21 /day
Staff turnover
31%
Serious cites
0

Avondale Estates Of Elgin runs on 5.21 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, turnover sits at 31.3% against a national 45.8%. Weekend coverage dips only about 7% below weekday levels, so the place doesn't hollow out on Saturdays. The trade-off is a longer deficiency record: 11 findings on the current file, one serious enough to involve harm or jeopardy, though none tied to abuse. State inspectors were last in on June 27, 2025, and the health inspection rating came back at the top of the scale. For a for-profit, individually owned home of 120 beds, the staffing and retention numbers are doing most of the work here.

A

89/100

Greencroft Healthcare

Goshen, IN · Elkhart County

CMS 2/5 214 beds Non-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
43%
Serious cites
0

Greencroft Healthcare runs 214 certified beds in Goshen as a nonprofit, and the staffing picture is genuinely solid: 4.35 nursing hours per resident day, roughly 13% above the national average, with weekend coverage only about 7% lighter than weekdays. Turnover sits at 42.8%, a bit better than the 45.8% national figure. The trouble is inspections. A 1-out-of-5 health inspection rating, 38 deficiencies on the current record, including three at harm or jeopardy level and three tied to abuse, with the last survey dated May 2025. Strong staffing and a 5-out-of-5 quality measure score don't erase that citation history, ask pointed questions about the harm-level findings and what changed since.

A

89/100

Lutheran Life Villages

Kendallville, IN · Noble County

CMS 5/5 99 beds Government Medicaid
Nurse hours
3.71 /day
Staff turnover
40%
Serious cites
0

Lutheran Life Villages runs 99 certified beds in Kendallville under county government ownership, and its inspection record is the cleanest part of the story: five deficiencies on file, none of them causing harm or jeopardy, none tied to abuse, with the most recent state visit in March 2026. Staffing is where the numbers get more ordinary. At 3.71 nurse hours per resident day, it sits about 4% under the national average of 3.86, and weekends dip roughly 8% below its own weekday coverage. Annual turnover of 40.3% is better than the 45.8% national figure, which matters for whether you see the same faces month to month.

A

89/100

Lutheran Life Villages

Fort Wayne, IN · Allen County

CMS 5/5 84 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
41%
Serious cites
0

Lutheran Life Villages runs 84 certified beds as a nonprofit, and the numbers hold up well. Nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average of 3.86, though weekend coverage dips about 9% below what the home provides on weekdays, so ask how that gap gets managed. Staff turnover is 41.4%, a bit better than the 45.8% national figure, which matters for continuity of care. Seven deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with a recent inspection in March 2026. Quality and inspection ratings both came back at the top of CMS's scale.

A

89/100

Restoracy Of Goshen, The

Goshen, IN · Elkhart County

CMS 4/5 48 beds For-profit Medicaid
Nurse hours
5.70 /day
Staff turnover
51%
Serious cites
0

Restoracy Of Goshen runs 48 beds under individual for-profit ownership, and its strongest card is nursing hours: 5.70 per resident per day, roughly 48% above the national average of 3.86. Weekends dip about 10% below its own weekday level, so ask how that plays out on a Sunday. The inspection record shows 29 deficiencies, though none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025. Staff turnover sits at 50.6%, above the 45.8% national figure, worth asking about, since consistent caregivers matter. CMS rates quality measures 5/5, staffing 4/5, and health inspections 3/5.

A

89/100

Holy Spirit Retirement Home

Sioux City, IA · Woodbury County

CMS 3/5 78 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
44%
Serious cites
0

Holy Spirit Retirement Home runs on a nonprofit model with 78 certified beds, and its nurse staffing sits at 4.09 hours per resident day, about 6% above the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so the margins are thinner on Saturdays and Sundays. Annual turnover is 44.4%, essentially in line with the national 45.8%. The inspection record carries 30 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was April 30, 2026. Quality measures score well above average while the health inspection side lags behind.

A

89/100

Good Neighbor Home

Manchester, IA · Delaware County

CMS 4/5 112 beds Non-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
27%
Serious cites
0

Good Neighbor Home runs a genuinely strong staffing operation for a 112-bed nonprofit in Manchester. Nurses provide 4.33 hours per resident day, about 12% above the national average, and turnover sits at 27.2% against a national 45.8%, that kind of retention matters more than any single number, because consistent caregivers know the residents. The catch is inspections: eight deficiencies on the current record, three of them serious enough to involve harm or jeopardy, with a $6,279 fine attached. State surveyors last visited in June 2025. Weekend coverage also dips roughly 14% below weekday levels, so care can thin out when families visit. Strong hands on staff, but quality measures and inspection history both sit at two stars.

A

89/100

Gracewell, An Eventide Community

Denison, IA · Crawford County

CMS 5/5 84 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
19%
Serious cites
0

Gracewell runs leaner on nurse hours than the typical American nursing home, 3.64 per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. What stands out more is who stays: turnover sits at 18.5% when the national figure is 45.8%, so the people caring for residents here tend to still be there next year. The inspection record backs that up, with 10 deficiencies on file, none involving harm or jeopardy and none abuse-related, and a survey as recent as August 2025. For a nonprofit home, that combination of steady staff and a clean harm record counts for more than the raw hours suggest.

A

89/100

Keystone Nursing Care Center Inc

Keystone, IA · Benton County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
39%
Serious cites
0

Keystone Nursing Care Center runs 55 beds under corporate for-profit ownership, and its inspection record is genuinely strong, a 5-star health inspection rating with just three deficiencies on file, only one at the harm level and none tied to abuse. Quality measures also score 5 stars. Where it gives ground is staffing: 3.75 nurse hours per resident day sits about 3% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing rating lands at 3 stars. Turnover is the brighter spot at 38.6%, well under the 45.8% national figure. Its last inspection was September 2025.

A

89/100

The Suites At Western Home Communities

Cedar Falls, IA · Black Hawk County

CMS 5/5 72 beds Non-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
44%
Serious cites
0

The Suites At Western Home Communities runs about 4.56 nurse hours per resident day, roughly 18% above the national average, and weekend staffing only dips about 5% below weekday levels, a small gap, which matters because weekends are where a lot of homes quietly thin out. Turnover sits at 43.6%, slightly better than the 45.8% national figure but still meaning nearly half the nursing staff turning over in a year. The inspection record shows 13 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. With a nonprofit owner, a recent March 2026 inspection, and 4s across health inspection and quality measures alongside that 5 on staffing, the numbers point to a home that's well-staffed and currently in good standing.

A

89/100

Southeast Iowa Healthcare Center

Keokuk, IA · Lee County

CMS 4/5 55 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
36%
Serious cites
0

Southeast Iowa Healthcare Center runs lean on daily nurse coverage, 2.94 hours per resident, roughly a quarter below the national figure, and weekends dip about 14% under its own weekday levels, so families should ask how that gap gets covered. What offsets it: turnover sits at 35.9%, well under the 45.8% national rate, meaning the aides and nurses who are there tend to stay. The inspection record is clean where it counts, six deficiencies with none causing harm and nothing abuse-related, and the most recent survey was in January 2026. A for-profit LLC with 55 beds, this is a stable, recently inspected home that runs thin on hours rather than on care quality.

A

89/100

Brewster Health Center

Topeka, KS · Shawnee County

CMS 5/5 97 beds Non-profit Medicaid
Nurse hours
5.70 /day
Staff turnover
53%
Serious cites
0

Brewster Health Center runs on church-affiliated nonprofit ownership and staffs well above average, 5.70 nurse hours per resident day against a national 3.86, roughly half again the typical home. That staffing depth shows up in the four-out-of-five staffing rating and a perfect quality measure score, and the inspection record is recent, from June 2025, with nineteen deficiencies but none rising to harm or jeopardy. Two abuse-related citations are worth asking about directly. The real soft spots are turnover at 53.1 percent, higher than the 45.8 percent national figure, and weekend coverage that drops about 11 percent below weekday levels. Ask how they hold staffing steady on Saturdays and Sundays.

A

89/100

Good Samaritan - Parsons

Parsons, KS · Labette County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
21%
Serious cites
0

Good Samaritan Society - Parsons runs a tight nursing operation for a 45-bed nonprofit in Labette County. Nurses deliver 4.30 hours of care per resident per day, roughly 11 percent above the national average, and staff turnover sits at 21.2 percent, less than half the national rate of 45.8 percent. That kind of retention shows up in consistent care, though weekend staffing drops about 14 percent below weekday levels, so families should ask who's covering Saturdays and Sundays. The inspection record isn't spotless: 11 deficiencies on file, one serious enough to reach harm or jeopardy level, with no abuse citations. The most recent state visit came in April 2025. Quality measure scores lag behind the strong staffing and inspection marks.

A

89/100

Paramount Community Living And Rehab Inc

Newton, KS · Harvey County

CMS 3/5 101 beds Non-profit Medicaid
Nurse hours
5.60 /day
Staff turnover
40%
Serious cites
0

Paramount Community Living and Rehab runs about 5.60 nurse hours per resident day, roughly 45% above the national average, and weekend staffing holds within about 8% of weekday levels, better continuity than many homes manage. Turnover sits at 40.3%, a bit below the national 45.8%, which matters for residents who value seeing the same faces. The tradeoff shows up in the inspection record: 33 deficiencies on file, one tied to abuse, though none reached harm or jeopardy, and the last inspection was recent enough to trust. For a nonprofit with 101 beds in Newton, the staffing investment is real; the survey history is the part worth asking about directly.

A

89/100

Schowalter Villa

Hesston, KS · Harvey County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
5.12 /day
Staff turnover
31%
Serious cites
0

Schowalter Villa runs on a nurse staffing level that's roughly a third higher than what's typical nationally, and its staff tends to stick around far longer than the average home, turnover sits near 31% against a national figure closer to 46%. The nonprofit's inspection record backs that up: a clean five-star health inspection rating, with six deficiencies on file and none involving harm, jeopardy, or abuse, last surveyed in November 2024. Weekend coverage dips slightly, about 7% below weekday levels, which is common but worth knowing if you're visiting then. The weaker spot is the quality measure rating, just two stars, suggesting the clinical outcome data isn't keeping pace with the strong staffing and inspection marks.

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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