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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 12801–12820 of 12,967, best-graded first.

D

50/100

Paul House & Health Cr Ctr

Chicago, IL · Cook County

CMS 1/5 110 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
64%
Serious cites
0

Paul House & Health Cr Ctr runs 110 certified beds on Chicago's Near West Side, and the staffing numbers are where the trouble starts. Nurses provide 3.77 hours per resident day, slightly under the 3.86 national average, but weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Staff turnover sits at 64.2% against a 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. Add 59 deficiencies on the current record, three serious enough to involve harm or jeopardy, plus $107,115 in fines, and the recent June 2025 inspection reads less like a fresh start than a long-running pattern.

D

50/100

Sunrise Skilled Nur & Rehab

Virden, IL · Macoupin County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
57%
Serious cites
0

Sunrise Skilled Nur & Rehab runs about 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends drop another 14% below its own weekday level. Staff turnover sits at 56.8% against a national 45.8%, so the people caring for your family member are changing often. The current record carries 24 deficiencies, including 3 at the harm or jeopardy level and 4 abuse-related, plus two fines totaling $256,825. It's a for-profit limited liability company, last inspected July 2024. The low staffing rating reflects what that turnover and thin coverage actually mean day to day.

D

50/100

Barry Healthcare & Sr Living

Barry, IL · Pike County

CMS 1/5 76 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
46%
Serious cites
0

Barry Healthcare & Sr Living runs 76 certified beds under corporate for-profit ownership, and the numbers worth knowing are the staffing and inspection ones. Nurses provide 3.14 hours per resident per day, roughly 19% under the national average of 3.86, and weekends dip another 8% below what the home manages on weekdays. Turnover sits at 45.8%, right at the national figure. The current record carries 21 deficiencies, four of them serious enough to involve harm or jeopardy and two tied to abuse, plus two fines totaling $71,275. Its last inspection was January 16, 2026. CMS rates quality measures and staffing at one star each, with three stars for health inspections.

D

50/100

Arc At Bradley

Bradley, IL · Kankakee County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
2.74 /day
Staff turnover
60%
Serious cites
0

Nurse staffing at Arc at Bradley runs 2.74 hours per resident day, roughly 29 percent under the national average of 3.86, and it thins out further on weekends. That shortage shows up in the numbers that matter: 38 deficiencies on the current record, five serious enough to put residents in harm's way, one tied to abuse, and $24,622 in fines across two cases. Staff turnover sits at 60.3 percent against a national average of 45.8 percent, so the people providing care keep changing. The last inspection was in May 2024, and the 1-out-of-5 staffing rating alongside a 2-out-of-5 quality rating tells you where the trouble concentrates.

D

50/100

Colby Operator, Llc

Colby, KS · Thomas County

CMS 1/5 40 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
65%
Serious cites
0

Colby Operator, LLC runs a 40-bed for-profit partnership home, and the numbers around its staff are the first thing to notice. Its 3.86 nurse hours per resident day lands right at the national average, but weekends run about 13 percent thinner than weekdays, and annual turnover sits at 65.3 percent against a national 45.8, that's a lot of churn for a small building. The inspection record shows 26 deficiencies, including one at the harm level and one abuse-related, plus a $40,381 fine; the most recent inspection was June 2025. Quality and staffing measures both come back at one star out of five.

D

50/100

Bonner Springs Nursing & Rehab Center

Bonner Springs, KS · Wyandotte County

CMS 1/5 45 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
82%
Serious cites
0

Bonner Springs Nursing & Rehab Center runs on 2.84 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 12% below its own weekday level. That thin coverage sits behind a 1-out-of-5 rating on staffing, and the workforce numbers explain why: 82.4% annual turnover, nearly double the national rate. Inspectors cited 59 deficiencies on the current record, four serious enough to put residents in harm's way, three tied to abuse, with $39,696 in fines. The last inspection was April 2025. This is a small for-profit LLC home with a 1-out-of-5 record on all three CMS measures, staffing, health inspections, and quality.

D

50/100

Medicalodges Paola

Paola, KS · Miami County

CMS 1/5 70 beds For-profit Medicaid
Nurse hours
1.90 /day
Staff turnover
56%
Serious cites
0

Medicalodges Paola runs on 1.90 nurse staffing hours per resident per day, roughly half the national figure, and weekends drop about 12% below what the home already provides on weekdays. Annual turnover sits at 55.6% against a national average of 45.8%, so the staff you meet may not be there in a year. The inspection record shows 27 deficiencies, five of them serious enough to put residents at risk of harm, two tied to abuse. Kansas inspectors cited the home most recently in July 2025, and three fines totaling $78,225 sit on the books. Its three CMS star ratings, health inspections, quality measures, staffing, all land at two out of five.

D

50/100

Oc Milford Gardens Llc

Milford, MA · Worcester County

CMS 1/5 135 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
81%
Serious cites
0

Oc Milford Gardens runs on 3.37 nurse hours per resident day, about 13 percent under the national average, and weekend coverage dips further below its own weekday level. Staff turnover sits at 81.4 percent against a national figure near 46 percent, so most of the people caring for residents are new or on their way out. The current inspection record carries 27 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, plus a $148,051 fine. The most recent inspection was in early March 2026, so the record is recent, not stale.

D

50/100

Hadley Pointe Nursing Rehab & Care

Hadley, MA · Hampshire County

CMS 1/5 154 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
70%
Serious cites
0

Hadley Pointe runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage sits behind a record of 48 deficiencies, four at harm or jeopardy level and seven abuse-related, plus two fines totaling $85,596, with CMS placing the home in its Special Focus Facility program. Annual turnover of 70% is well above the 45.8% national average. The 154-bed for-profit corporation changed ownership within the past year, and the most recent inspection was January 17, 2025, with staffing and health inspection each landing a single star.

D

50/100

Butler Rehab And Healthcare Center

Butler, MO · Bates County

CMS 1/5 98 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
74%
Serious cites
0

Butler Rehab runs 98 certified beds as a for-profit LLC, and its staffing sits at 3.36 nurse hours per resident day, about 13% under the national average of 3.86, with weekends running another 13% below its own weekday levels. Turnover tells a harder story: 73.6% of nursing staff leave annually, against a national average near 46%, which means roughly three of every four caregivers are new to the building each year. Its current record carries 33 deficiencies, three tied to abuse, with the most recent inspection dated February 2026. The low quality-measure score reflects how residents are actually doing day to day, not just paperwork.

D

50/100

Fountain Care At Sunset Hills

Saint Louis, MO · St. Louis County

CMS 1/5 166 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
80%
Serious cites
0

Fountain Care At Sunset Hills runs 166 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop another 6% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to be there. Annual turnover is 79.8%, against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record shows 78 deficiencies, six at harm or jeopardy level and 13 abuse-related, with four fines totaling $119,588 and a survey completed in April 2025.

D

50/100

Carriage Square Rehab And Healthcare Center

Saint Joseph, MO · Buchanan County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
77%
Serious cites
0

Carriage Square runs on thinner staffing than most homes its size, 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday coverage, which matters when a resident needs help on a Sunday. More striking is the churn: 77% annual turnover, well above the 45.8% national figure, so the people caring for your family member are frequently new. The inspection record backs that up. Fifty-six deficiencies, including two at harm or jeopardy level and five tied to abuse, with a $48,685 fine and a March 2025 inspection. A for-profit limited liability company operates it. Worth asking the administrator directly what's changed since then.

D

50/100

Lakeview Health Care & Rehabilitation Center

Boonville, MO · Cooper County

CMS 2/5 59 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
58%
Serious cites
0

Lakeview runs lean on nursing hours, 3.13 per resident per day, about 19% under the national average, and weekends are thinner still, roughly 12% below its own weekday staffing. That shortfall shows up in turnover: 57.5% of staff left over the year, well above the 45.8% national rate, and CMS gives the home one star each for staffing and quality measures, even though its inspection rating sits at four. The record carries 32 deficiencies, including one at the harm level and two tied to abuse, plus a $49,335 fine. A recent inspection date doesn't erase what's underneath it.

D

50/100

Big Spring Care Center For Rehab And Healthcare

Humansville, MO · Polk County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
76%
Serious cites
0

Big Spring Care Center runs on 3.35 total nurse hours per resident day, roughly 13% under the national average, and weekends dip another 10% below its own weekday staffing. Annual turnover sits at 76.3%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record shows 37 deficiencies, four of them abuse-related, with the most recent look in January 2025. All three CMS star ratings sit at one out of five. Limited liability ownership with no harm-level citations on file offers little reassurance against numbers like these.

D

50/100

Yellowstone River Nursing And Rehabilitation

Billings, MT · Yellowstone County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
72%
Serious cites
0

Yellowstone River runs on 3.15 nurse hours per resident per day, about 18% below the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays. That matters because turnover sits at 71.8% against a national average of 45.8%, most of the people caring for residents are new, and the ones on duty Saturday and Sunday are stretched thinnest. The current record carries 58 deficiencies, six serious enough to endanger residents, four tied to abuse, plus $99,463 in fines. The last inspection was August 2025. For-profit, individually owned, 160 beds. Ask about weekend coverage and how long aides have actually worked there.

D

50/100

Meridian Center

High Point, NC · Guilford County

CMS 1/5 199 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
57%
Serious cites
0

Meridian Center runs 199 certified beds in High Point under for-profit limited liability ownership, and the numbers there deserve a hard look before you consider it. Nurse staffing sits at 2.95 hours per resident day, roughly a quarter below the national average, and weekends drop about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 56.6% against a national 45.8%, meaning more than half the nursing workforce turns over in a year, and CMS gives the home one star each for staffing and health inspections. The current record shows 29 deficiencies, four at harm or jeopardy level, two tied to abuse, plus five fines totaling $88,566.

D

50/100

Greenville Health And Rehabilitation Center

Greenville, NC · Pitt County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
66%
Serious cites
0

Greenville Health and Rehabilitation Center runs on thinner staffing than most homes you'd compare it to, 3.40 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That gap matters more when you see turnover at 66.4%, well above the 45.8% national figure, because residents lose familiar caregivers often. Its inspection record carries 41 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse, and two fines totaling $64,002. The 1-out-of-5 inspection and staffing ratings reflect those numbers directly. The last state visit was June 11, 2025, so the record is current, not stale. For-profit corporate ownership is the backdrop here, not the whole story.

D

50/100

Riverside Health Services

Arkoma, OK · Le Flore County

CMS 1/5 56 beds For-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
59%
Serious cites
0

Riverside Health Services runs 56 certified beds in Arkoma under for-profit LLC ownership, and its nurse staffing comes in at 5.08 hours per resident day, roughly a third above the national average. That sounds like good news until you notice weekends run about 12% thinner than weekdays, and annual turnover sits at 58.5%, well past the 45.8% national figure. The current inspection record is more concerning still: 14 deficiencies, three of them serious enough to cause harm or jeopardy, one tied to abuse, and two fines adding up to $115,170. CMS scored its most recent inspection, from February 2025, at 2 of 5 stars. High raw staffing hours paired with that much turnover and that many serious findings is the tension worth weighing.

D

50/100

Jersey Shore Skilled Nursing And Rehabilitation Ce

Jersey Shore, PA · Lycoming County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
73%
Serious cites
0

Jersey Shore Skilled Nursing and Rehabilitation runs 120 beds under corporate ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average, and weekends dip another 6% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Staff turnover is 73.2% against a national 45.8%, so the people providing that care are largely new to the building and to each other. Inspectors have cited 61 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with $46,196 in fines. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5.

D

50/100

Ridgeview Healthcare & Rehab Center

Shenandoah, PA · Schuylkill County

CMS 1/5 111 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
85%
Serious cites
0

Ridgeview runs a 111-bed for-profit home in Shenandoah, and the numbers there deserve a hard look before you tour. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends run about 5% thinner than weekdays, so coverage is already stretched and gets thinner when it matters. The bigger red flag is turnover: 84.9% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, unlikely to still be there in a year. The inspection record shows 73 deficiencies, including 4 tied to abuse and 2 serious enough to put residents in harm's way, with $333,638 in fines.

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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