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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 12841–12860 of 12,967, best-graded first.

D

49/100

Steelville Senior Living

Steelville, MO · Crawford County

CMS 1/5 72 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
68%
Serious cites
0

Steelville Senior Living runs on thinner staffing than most homes in the country, about 3.31 nurse hours per resident day against a national average of 3.86, and it gets even leaner on weekends, when coverage drops roughly 8% below its own weekday level. Nearly seven in ten staff members left over the past year, well above the 45.8% national rate, which means the people caring for residents are often new and still learning the building. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and a single fine has already reached $87,749. The last inspection was in August 2024.

D

49/100

Piedmont Hills Center For Nursing And Rehab

Greensboro, NC · Guilford County

CMS 1/5 126 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
47%
Serious cites
0

Piedmont Hills runs 126 certified beds under for-profit limited liability ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.24 hours per resident day against a national average of 3.86, and weekends drop about 6% below what the home already provides on weekdays. Staff turnover is 47.3%, a bit above the national 45.8%. The inspection record shows 52 deficiencies, including 7 at harm or jeopardy level and 4 tied to abuse, with five fines totaling $217,827 and a February 2026 inspection. All three CMS star ratings, health inspections, quality measures, staffing, sit at 1 out of 5.

D

49/100

Kirtland Woods Of Journey

Kirtland, OH · Lake County

CMS 1/5 177 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
78%
Serious cites
0

Kirtland Woods of Journey runs on 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend shifts are thinner still. That staffing level comes with a 77.7% annual turnover rate, well over the national 45.8%, meaning the aides and nurses your family member sees are constantly changing. The inspection record is where things get serious: 54 deficiencies, four at harm or jeopardy level, five tied to abuse, and two fines totaling $314,178. It's a for-profit LLC with 177 beds, and its most recent inspection was May 5, 2026. If you're considering this one, ask hard questions about direct-care coverage on evenings and weekends before you decide anything.

D

49/100

Maplewood Health Care Center

Jackson, TN · Madison County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
67%
Serious cites
0

Maplewood runs 160 beds in Jackson under for-profit LLC ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day against 3.86 nationally. That number looks fine until you see who's delivering it: turnover runs 66.7% a year, well above the 45.8% national figure, and weekends drop about 11% below the home's own weekday level. Inspections tell a harder story. The current record carries 26 deficiencies, five at harm or jeopardy level and three tied to abuse, with a $93,678 fine and a 2/5 health inspection rating. Quality measures score 1/5.

D

49/100

Premier Rehab And Healthcare At Berlin

Barre, VT · Washington County

CMS 1/5 115 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
73%
Serious cites
0

Premier Rehab And Healthcare At Berlin runs 115 certified beds under for-profit LLC ownership, and the staffing number that looks fine at first glance, 3.91 nurse hours per resident day, barely above the national average of 3.86, hides a rougher reality. Weekend staffing drops about 12% below its own weekday level, and annual turnover sits at 72.9% against a national average of 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is the harder part: 67 deficiencies, 9 serious enough to involve harm or jeopardy, 7 tied to abuse, and $307,847 in fines across three actions. CMS gave it 2 out of 5 stars for health inspections, 2 for staffing, and 1 for quality measures.

D

49/100

Holston Health & Rehabilitation

Wytheville, VA · Wythe County

CMS 1/5 137 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
78%
Serious cites
0

Holston Health & Rehabilitation runs 137 beds in Wytheville under corporate ownership, and the staffing numbers are the first thing a family should sit with. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 78% against a national 45.8%, meaning most of the people caring for your relative are likely new. The inspection record backs that up: 68 deficiencies, two at harm or jeopardy level, and a $111,911 fine. No abuse citations. The most recent inspection was May 2025.

D

49/100

Avir At Weston

Temple, TX · Bell County

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

Avir At Weston runs 120 certified beds in Temple under individual for-profit ownership, and the staffing numbers are where the trouble starts. At 3.03 nurse hours per resident day, it sits roughly 21% below the national average of 3.86, and weekend coverage drops about 12% below its own weekday level, so the thinnest shifts get even thinner. Staff turnover hits 83.3% against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record backs that up: 29 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $154,589. The most recent inspection was June 13, 2025.

D

49/100

Arboretum Nursing And Rehabilitation Center Of Win

Winnie, TX · Chambers County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
98%
Serious cites
0

Arboretum Nursing And Rehabilitation Center Of Win runs on a nurse staffing level that's about a fifth below the national average, and weekends are thinner still, roughly 14% under its own weekday coverage. The bigger issue is the workforce itself: turnover sits at 98.4% a year, more than double the national rate, which tells you the aides and nurses in this building are largely new to it. On the current record are 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, along with two fines totaling $115,663. For a 120-bed for-profit home in Winnie, the pattern is a constant churn of caregivers paired with serious cited problems.

D

48.5/100

Odin Health And Rehab Center

Odin, IL · Marion County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
61%
Serious cites
0

Odin Health and Rehab runs 3.02 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than typical. Weekends drop another 24% below the home's own weekday level, and 61.3% of staff left over the past year, well above the 45.8% national figure. The inspection record shows 53 deficiencies, 12 at harm or jeopardy level and 5 tied to abuse, with three fines totaling $435,072. Ownership is for-profit corporate, and the last inspection was May 2025. Quality measures score mid-range, but staffing and inspections sit at the bottom.

D

48.5/100

Onyx Care Of Natchitoches

Natchitoches, LA · Natchitoches County

CMS 1/5 98 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
67%
Serious cites
0

Natchitoches Nursing and Rehabilitation Center runs 98 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and it thins out further on weekends, roughly 16% below its own weekday levels. Staff turnover is 66.7% a year, well above the 45.8% national figure, so the people caring for residents keep changing. On the inspection side, 65 deficiencies are on record, six of them serious enough to involve harm or jeopardy, with four fines totaling $616,611 and a March 2026 inspection. Ownership is a for-profit limited liability company.

D

48.5/100

Onyx Care Of Farmerville

Farmerville, LA · Union County

CMS 1/5 117 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
70%
Serious cites
0

Farmerville Nursing and Rehabilitation Center runs on 3.06 nursing hours per resident day, roughly a fifth below the national average, and weekend coverage drops another fifth below its own weekday level. Staff turnover sits at 69.5% against a national 45.8%, meaning most of the aides and nurses caring for residents this year likely won't be there next year. The inspection record shows 30 deficiencies, including one at the level of actual harm or jeopardy and three tied to abuse, with $19,667 in fines and a survey completed in June 2025. For-profit corporate ownership, 117 beds, and low marks across staffing and quality measures round out the picture.

D

48.5/100

Maple City Rehabilitation And Nursing Center

Hornell, NY · Steuben County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
57%
Serious cites
0

Maple City runs on 3.01 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 22% under its own weekday numbers, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 57.3% against a national 45.8%, meaning more than half the nursing staff turns over in a year. The current record carries 25 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $62,207 fine, and the last inspection was August 2024. All three CMS ratings, health inspections, quality measures, and staffing, sit at one star.

D

48.5/100

Bishop Rehabilitation And Nursing Center

Syracuse, NY · Onondaga County

CMS 1/5 440 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
56%
Serious cites
0

Bishop Rehabilitation and Nursing Center is a 440-bed for-profit home in Syracuse, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.52 hours per resident per day, roughly 9% under the national average, and weekends drop about 18% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Staff turnover runs 55.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. Its current inspection record carries 51 deficiencies, 12 at harm or jeopardy level and one abuse-related, with two fines totaling $699,602 and a May 2025 inspection.

D

48.5/100

Smoky Mountain Health And Rehabilitation Center

Pigeon Forge, TN · Sevier County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
70%
Serious cites
0

Smoky Mountain Health and Rehabilitation Center runs on thin staffing, 3.45 nurse hours per resident day, roughly 11% under the national average, and it gets noticeably thinner on weekends, dropping about 17% below its own weekday level. That matters most when a resident needs help on a Saturday. Staff turnover sits at 70.1%, well above the 45.8% national average, so the people caring for your relative are often new and still learning the building. The inspection record shows 16 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, with $61,180 in fines and a survey from January 2024. A for-profit LLC operates it. Ask direct questions about weekend coverage and how they've addressed the abuse findings.

D

48.5/100

Bluebonnet Nursing & Rehabilitation

Karnes City, TX · Karnes County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
91%
Serious cites
0

Bluebonnet Nursing and Rehabilitation runs 120 beds in Karnes County under corporate ownership, and the staffing numbers are the first thing to notice. At 3.40 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 23% below its own weekday level, which matters if your family visits on a Saturday. Turnover is the harder number: 91.4% of staff leave each year against a national average of 45.8%, so the people caring for your relative are likely new to the building and still learning it. The current inspection record shows 39 deficiencies, five of them at the harm or jeopardy level, with $125,523 in fines across five penalties. The last inspection was August 2025.

D

48.5/100

Sienna Nursing And Rehabilitation

Odessa, TX · Ector County

CMS 1/5 138 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
92%
Serious cites
0

If your family is looking at Sienna Nursing and Rehabilitation in Odessa, the staffing numbers are what you need to sit with. Nurses provide 2.91 hours of care per resident each day, about a quarter below the national average, and weekends run thinner than weekdays. Turnover is the number that should worry you most: 92.3% of staff leave or are replaced annually, roughly double the national rate, meaning the aide who knows your mother's routines today is probably gone within a year. The record shows 28 deficiencies, four of them serious enough to put residents at real risk, plus one abuse-related finding and a $241,722 fine. The state last inspected in January 2025.

D

48/100

Apple Rehab Avon

Avon, CT · Capitol County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
55%
Serious cites
0

Apple Rehab Avon runs 60 beds, and the nurse staffing number is the first thing worth your attention: 3.31 hours per resident per day, roughly 14 percent under the national average. Weekends dip about 6 percent below the home's own weekday coverage, and turnover sits at 55.2 percent against a national average of 45.8 percent, so the aides and nurses cycling through are both fewer and less likely to still be there next year. The inspection record shows 46 deficiencies, seven tied to abuse, none rising to harm or jeopardy, plus one $78,309 fine. The most recent inspection was in November 2025, so it's current. Nothing here is catastrophic on paper, but thin staffing and heavy turnover are the conditions that make bad days possible.

D

48/100

Bell Minor Home, The

Gainesville, GA · Hall County

CMS 1/5 104 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
82%
Serious cites
0

Bell Minor Home runs on 3.13 nurse staffing hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about another 10% below its own weekday level. That thin coverage shows up in the numbers that matter: a one-out-of-five staffing rating, 31 deficiencies on the current record, five of them at harm or jeopardy level, and one tied to abuse. Staff turnover sits at 82.1% against a national average of 45.8%, meaning most of the people caring for residents are new to the building and still learning it. Two fines totaling $74,979 are on file, and the last inspection was May 6, 2026. A for-profit partnership owns it. Ask about weekend coverage and how long aides have actually worked there before you decide.

D

48/100

Tonganoxie Terrace

Tonganoxie, KS · Leavenworth County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
69%
Serious cites
0

Tonganoxie Terrace runs on 3.00 nurse hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 68.6% versus 45.8% nationally, meaning most of the people caring for your relative likely weren't there a year ago. The current record shows 56 deficiencies, two at harm or jeopardy level and two abuse-related, plus $47,317 in fines. Its last inspection was January 29, 2026. This is a for-profit limited liability company with a 90-bed census. Every CMS star category sits at 1 out of 5.

D

48/100

Auburn Nursing And Rehabilitation Center

Auburn, KY · Logan County

CMS 1/5 66 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
87%
Serious cites
0

Auburn Nursing and Rehabilitation Center runs on 3.06 nurse hours per resident per day, about a fifth below the national average, and weekends drop roughly another 10% under its own weekday level. Staff turnover sits at 86.5% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The current record carries 19 deficiencies, two of them serious enough to indicate harm or jeopardy, plus $24,850 in fines. All three CMS star ratings, health inspections, quality measures, staffing, sit at 1 out of 5. Ownership changed within the past year, and the most recent inspection was September 12, 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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