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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 12821–12840 of 12,967, best-graded first.

D

50/100

Avir At San Antonio

San Antonio, TX · Bexar County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
2.63 /day
Staff turnover
61%
Serious cites
0

Avir At San Antonio runs on 2.63 nurse staffing hours per resident per day, roughly a third below the national average, and weekends drop about 9% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover sits at 60.7%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The inspection record shows 43 deficiencies, including three at the harm or jeopardy level and four tied to abuse, with $29,494 in fines across three penalties. Its most recent inspection was August 30, 2025, and the corporation that owns it holds a for-profit license.

D

50/100

Portsmouth Health And Rehab

Portsmouth, VA · Portsmouth City County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
62%
Serious cites
0

Portsmouth Health and Rehab runs on 3.24 nursing hours per resident per day, about 16 percent under the national average, and weekends dip roughly 14 percent below its own weekday coverage. Staff turnover sits at 61.5 percent against a national figure near 46 percent, so the people caring for residents are cycling out faster than at a typical home. The inspection record backs up those numbers: 64 deficiencies, six serious enough to cause harm or jeopardy, three tied to abuse, and $134,401 in fines. The last full inspection was in May 2021, which means families are relying on a picture that's several years old. For-profit corporate ownership.

D

50/100

Greenhill Villas

Mount Pleasant, TX · Titus County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
95%
Serious cites
0

Greenhill Villas runs on thin staffing even before the weekend squeeze: 3.10 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday level. That's the kind of gap families notice as slower call-button response. Staff turnover sits at 95.2%, more than double the national 45.8%, so the aide who knows your mother's routine this month may be gone the next. The current record carries 47 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $154,116 in fines across three penalties. The last inspection was June 2025. Corporate-owned, 150 beds.

D

50/100

Forest Park Nursing & Rehabilitation

Dallas, TX · Dallas County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
68%
Serious cites
0

Forest Park runs on 2.92 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips about 8% below its own weekday level. That thin staffing shows up in a 67.8% annual turnover rate, well above the 45.8% national figure. Its inspection record carries 53 deficiencies, eight at the harm or jeopardy level and four tied to abuse, along with four fines totaling $193,834. The most recent inspection was February 2026. A 4/5 quality measure score sits alongside 1/5 ratings for both staffing and health inspections, worth knowing what that quality number actually measures before weighing it against the rest.

D

50/100

Fall Creek Rehabilitation And Healthcare Center

Humble, TX · Harris County

CMS 1/5 126 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
66%
Serious cites
0

Fall Creek runs on 3.25 nursing hours per resident day, about 16 percent under the national average, with weekends dropping roughly 14 percent below its own weekday staffing. That thin coverage shows up in the numbers: a 65.6 percent annual turnover rate, well above the 45.8 percent national figure, and a one-star CMS staffing rating. Inspectors have cited 21 deficiencies, seven of them serious enough to put residents in harm's way and three tied to abuse, with two fines totaling $48,555. The last inspection was in May 2025. For a 126-bed for-profit home, the pattern across staffing, turnover, and enforcement history is worth weighing carefully before you decide.

D

49.5/100

East Carolina Health And Rehabilitation Center

Greenville, NC · Pitt County

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

East Carolina Health and Rehabilitation Center runs 130 certified beds in Greenville, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.65 hours per resident per day, slightly under the national average, and weekends drop roughly 15% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger flag: 76.7% annually against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. That instability shows up in the inspection record too: 45 deficiencies, two at harm or jeopardy level, four abuse-related, and $61,585 in fines.

D

49.5/100

Good Samaritan Society Miller

Miller, SD · Hand County

CMS 1/5 50 beds Non-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
71%
Serious cites
0

Good Samaritan Society Miller runs 50 beds in Hand County, and the numbers here deserve a close look before you decide. Nurse staffing sits just under the national average, but weekends run about 15 percent thinner than weekdays, and annual turnover of 70.8 percent means most of the people caring for residents are relatively new, against a national rate nearer 46 percent. The inspection record shows 22 deficiencies, four of them at harm or jeopardy level and two tied to abuse, with $96,127 in fines across two penalties. A recent February 2026 inspection and a 1-out-of-5 quality measure score round out a picture worth asking hard questions about.

D

49.5/100

Chattanooga Health And Rehab Center

Chattanooga, TN · Hamilton County

CMS 1/5 127 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
78%
Serious cites
0

Nurse staffing at Chattanooga Health And Rehab Center runs about 3.22 hours per resident day, roughly 17% under the national average, and weekends dip another 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 77.6%, well above the 45.8% national figure, which matters because aides who know residents are the ones who notice changes first. Inspectors cited 22 deficiencies on the current record, none at the harm level and none abuse-related, with one fine of $6,509 and a most recent inspection in August 2025. The limited liability, for-profit owner carries the license.

D

49/100

Glenwood Health Center By Harborview

Decatur, GA · De Kalb County

CMS 1/5 225 beds For-profit Medicaid
Nurse hours
2.75 /day
Staff turnover
63%
Serious cites
0

Glenwood Health Center By Harborview runs 225 certified beds in Decatur under for-profit LLC ownership, and the staffing numbers are the first thing to know: 2.75 nurse hours per resident per day against a national average of 3.86, roughly 29% below. That gap widens on weekends, when coverage drops about 11% below the home's own weekday level, and 62.6% annual turnover means the people providing that care are constantly changing. The inspection record includes 40 deficiencies, four at harm or jeopardy level and five related to abuse, plus two fines totaling $13,043. Its most recent inspection was January 3, 2026. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 1 out of 5.

D

49/100

Allure Of Knox County

Galesburg, IL · Knox County

CMS 1/5 84 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
74%
Serious cites
0

Allure of Knox County reports 4.19 total nurse staffing hours per resident day, which is genuinely above the national average of 3.86, that's the one number here that looks decent. Everything else points the other way. Staff turnover runs 73.9% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year, and weekend coverage dips below its own weekday level. The inspection record carries 41 deficiencies, six of them at harm or jeopardy level and six abuse-related, with $88,229 in fines and a December 2024 inspection. For-profit, limited liability ownership. Ask about turnover and the abuse findings directly before deciding.

D

49/100

Arcadia Care Auburn

Auburn, IL · Sangamon County

CMS 1/5 70 beds For-profit Medicaid
Nurse hours
2.77 /day
Staff turnover
54%
Serious cites
0

Arcadia Care Auburn runs on thinner staffing than most homes its size, 2.77 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what it manages during the week. Annual turnover sits at 54.3%, well above the 45.8% national figure, so the people providing that care are cycling through faster than usual. The inspection record backs up the concern: 33 deficiencies, eight of them serious enough to involve harm or jeopardy, two tied to abuse, and four fines totaling $273,034. Its most recent inspection was in February 2025. A 1-out-of-5 staffing rating and a 1-out-of-5 quality measure rating, in a for-profit corporate home, tell you where the trouble concentrates.

D

49/100

The Citadel At Saint Anne Place

Rockford, IL · Winnebago County

CMS 1/5 179 beds Non-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
62%
Serious cites
0

The Citadel at Saint Anne Place carries 43 deficiencies on its current record, nine of them serious enough to cause harm or put residents in jeopardy, and $144,440 in federal fines across five citations. That's a heavy enforcement history for a 179-bed nonprofit home, and it's recent, state inspectors were last on site in June 2025. Staffing sits at 3.42 nurse hours per resident day, about 11% under the national figure, and weekends drop roughly 14% below the home's own weekday coverage. Annual turnover of 62.2% means most of the people caring for your relative are new, versus 45.8% nationally. Ask the administrator directly how nine harm-level findings were corrected and what weekend coverage looks like now.

D

49/100

Warren Barr South Loop

Chicago, IL · Cook County

CMS 1/5 210 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
62%
Serious cites
0

Warren Barr South Loop runs 210 beds under for-profit LLC ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average, with weekends running about 3% thinner than its own weekdays. That thinness shows up in turnover: 61.5% of staff leave each year, well above the 45.8% national figure. The inspection record carries 65 deficiencies, including 6 at harm or jeopardy level and 3 tied to abuse, plus four fines totaling $240,888. Its last inspection was February 2025, so the record is current, and federal ratings put staffing at 1 out of 5. If you're considering this building, ask specifically who is on the floor on weekends and how they're fixing that turnover.

D

49/100

Aliya Of Crestwood

Crestwood, IL · Cook County

CMS 1/5 193 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
65%
Serious cites
0

Aliya Of Crestwood runs about 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips another 6% below its own weekdays. Staff turnover sits at 65.3%, well above the 45.8% national figure, which means the people caring for residents are often new to the building. Its current record carries 41 deficiencies, five of them at harm or jeopardy level and one abuse-related, plus two fines totaling $80,372; the last inspection was February 2025. The 3-star inspection and quality ratings look passable on their own, but the staffing number is where this one falls apart.

D

49/100

Bethany Rehab & Hcc

Dekalb, IL · De Kalb County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
72%
Serious cites
0

Bethany Rehab & Hcc runs 90 certified beds in DeKalb, and the numbers behind its recent inspections are worth knowing before you visit. Nurse staffing sits at 3.64 hours per resident day, below the national average, and it thins out further on weekends, dropping about 12% from its own weekday level. Staff turnover is the harder figure, 72.2% annually, well above the national rate, which means the people caring for residents change often. The inspection record shows 68 deficiencies, 13 of them at harm or jeopardy level and three abuse-related, with six fines totaling $365,933. Its last inspection was July 2024. Ask direct questions about consistent weekend coverage and how the home has responded to those findings.

D

49/100

Sharon Health Care Elms

Peoria, IL · Peoria County

CMS 1/5 96 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
46%
Serious cites
0

Sharon Health Care Elms runs 96 beds in Peoria under corporate ownership, and the numbers behind its federal record aren't kind. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and it thins out further on weekends, about 12% below the home's own weekday level. Staff turnover is 46.2%, essentially matching the national rate, so continuity isn't the outlier here; the shortfall is hours of care. The inspection history is the heavier problem: 44 deficiencies on the current record, 7 of them at harm or jeopardy level and 3 abuse-related, with four fines totaling $185,971. CMS scored the home 2 out of 5 on health inspections and 1 out of 5 on both quality measures and staffing, with the most recent inspection in October 2024.

D

49/100

The Haven Of Farmer City

Farmer City, IL · De Witt County

CMS 1/5 56 beds For-profit Medicaid
Nurse hours
2.64 /day
Staff turnover
48%
Serious cites
0

The Haven of Farmer City runs on 2.64 nurse hours per resident per day, roughly a third below the national average, and weekends drop about 13% below its own weekday level. That thin coverage shows up in the record: 55 deficiencies, three at harm or jeopardy level, four tied to abuse, and a $122,236 fine. Staff turnover sits at 47.6%, slightly above the national figure, so the people providing that care keep changing. Federal ratings give this home 1 out of 5 on both quality measures and staffing, 2 out of 5 on health inspections, and its most recent inspection was March 2026. Corporate-owned, 56 beds. If you're considering it, ask directly how many nurses are on the floor on a Saturday.

D

49/100

Elkton Nursing And Rehabilitation Center

Elkton, KY · Todd County

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

Elkton Nursing and Rehabilitation Center runs on thinner staffing than most homes in the country, 3.16 nurse hours per resident day against a national average of 3.86, and it gets worse on weekends, when coverage drops about 13% below the home's own weekday level. That kind of gap matters most when families visit on Saturdays and Sundays and find fewer hands on deck. Staff turnover sits at 62.5%, well above the 45.8% national figure, so the people caring for residents are cycling out faster than average. The current record shows 13 deficiencies, including one tied to abuse, plus seven fines totaling $30,641. State inspectors were last in the building in July 2025.

D

49/100

Life Care Center Of Cape Girardeau

Cape Girardeau, MO · Cape Girardeau County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
69%
Serious cites
0

Nurse staffing at Life Care Center of Cape Girardeau runs about 8% under the national average, and weekends drop roughly another 12% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover is the harder number to sit with: 68.5% annually against a national average of 45.8%, so most of the people caring for residents are relatively new. The inspection record backs that up, 45 deficiencies, 7 serious enough to put residents at harm or jeopardy, and four fines totaling $149,578. The most recent inspection was in May 2025, so the picture is current, not stale. Ownership is corporate and for-profit.

D

49/100

Lakeview Post Acute

Florissant, MO · St. Louis County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
83%
Serious cites
0

Lakeview Post Acute runs 3.97 nurse hours per resident day, which edges past the national average of 3.86, but that number hides a staffing churn problem. Turnover sits at 83.3%, nearly double the national rate, and weekend coverage drops about 11% below weekdays, so the aide who knows your mother on Tuesday may be gone by next month. The inspection record is where it gets hard to ignore: 92 deficiencies, 8 at harm or jeopardy level, 5 tied to abuse, and a $176,501 fine, with the last inspection in October 2024. For-profit LLC ownership, and CMS rates staffing and health inspections 1 out of 5.

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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