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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 12901–12920 of 12,967, best-graded first.

D

46/100

The Creston Health & Rehabilitation

Portland, OR · Multnomah County

CMS 1/5 100 beds Non-profit Medicaid
Nurse hours
0.93 /day
Staff turnover
95%
Serious cites
0

Nurse staffing at The Creston runs 0.93 hours per resident day, about a quarter of what you'd see at the typical American nursing home. Nearly every worker who was there a year ago is gone now, with turnover at 95.4% against a national figure under 46%. That churn shows up in the inspection record: 61 deficiencies, four serious enough to cause harm, two tied to abuse, and $122,699 in fines across three penalties. The most recent inspection was February 27, 2026, so the picture is current. Nonprofit ownership hasn't translated into steadier care here, the staffing and quality stars sit at 1 and 2 out of 5. Families considering this one should ask hard questions about who's actually on the floor.

D

45.5/100

Sterling Rehabilitation And Nursing, Llc

Sterling, CO · Logan County

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

Sterling Rehabilitation and Nursing runs 63 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.22 hours per resident day against a national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover is 60.3%, well above the 45.8% national figure, which means the people caring for residents are often new. The current inspection record carries 34 deficiencies, five of them at the harm or jeopardy level and four tied to abuse. Four fines total $118,155, and the last inspection was August 2025.

D

45.5/100

The Haven Of Ridgeview

Oblong, IL · Crawford County

CMS 1/5 55 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
57%
Serious cites
0

The Haven of Ridgeview runs on 3.48 nurse hours per resident day, roughly a tenth under the national average, and weekends drop about 16% below what the home itself staffs on weekdays. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people around your relative keep changing. The record shows 39 deficiencies, five serious enough to put residents in harm's way and three tied to abuse, with $84,882 in fines across three penalties and a state inspection in August 2025. It's a for-profit limited liability company, and the low quality-measure score suggests the day-to-day care isn't tracking well either.

D

45.5/100

Atrium Place Health And Rehabilitation

Saint Louis, MO · St. Louis County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
2.19 /day
Staff turnover
82%
Serious cites
0

Atrium Place runs on 2.19 nurse staffing hours per resident day, roughly 43 percent under the national average, and weekends drop about 18 percent below what the home itself manages on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, with annual turnover at 82 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. The record shows 46 deficiencies, four at harm or jeopardy level and four abuse-related, plus six fines totaling $171,429, with the most recent inspection in August 2024. For-profit, limited liability ownership rounds out the picture.

D

45.5/100

Mountain View Health & Rehabilitation

El Paso, TX · El Paso County

CMS 1/5 187 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
96%
Serious cites
0

Mountain View runs 187 certified beds under limited-liability, for-profit ownership, and the staffing numbers are where things get uncomfortable. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekend coverage drops roughly 15% below its own weekday level, so the thinnest shifts are also the least supervised. Staff turnover is 95.9% against a national figure of 45.8%, meaning nearly the entire nursing workforce cycles out annually. On the current record: 68 deficiencies, five of them serious enough to put residents in harm's way, seven tied to abuse, and three fines totaling $127,645. The most recent inspection was March 2026, recent enough that these problems are current, not historical.

D

45/100

La Bella Of Mascoutah

Mascoutah, IL · St. Clair County

CMS 1/5 76 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
79%
Serious cites
0

Nurse staffing at La Bella of Mascoutah runs about 3.65 hours per resident per day, roughly 5% under the national average, and it thins out further on weekends, about 14% below its own weekday level. The bigger issue is who stays: annual turnover hits 78.8% against a national average of 45.8%, meaning most of the aides and nurses caring for your relative this year likely won't be there next year. That churn shows up in the inspection record: 36 deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and three fines totaling $128,006. The most recent inspection was December 2025.

D

45/100

La Bella Of Caseyville

Caseyville, IL · St. Clair County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
55%
Serious cites
0

La Bella Of Caseyville runs on 3.03 nursing hours per resident day, roughly a fifth below the national average, and weekends dip even lower than its own weekdays. That thin coverage shows up in the numbers: a one-star staffing rating, a one-star quality measure rating, and 55.3% annual turnover, meaning more than half the nursing staff leaves each year. The inspection record is heavier than that staffing picture alone would suggest, 40 deficiencies, 7 serious enough to put residents in harm's way, 6 tied to abuse, and $222,663 in fines across three actions, with the most recent inspection in June 2025. This is a for-profit LLC with 150 beds, and families should ask directly how the home covers weekends and what changed since those abuse findings.

D

45/100

Evervella Of Swansea

Swansea, IL · St. Clair County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
74%
Serious cites
0

Evervella Of Swansea runs on 3.03 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips even further below its own weekday pace. That thin margin shows up in the workforce itself: nearly three-quarters of staff turned over in a year, against a national rate closer to 46%. The inspection record carries 32 deficiencies, including three at the harm or jeopardy level and one tied to abuse, plus 23 fines totaling $155,317. The last inspection was recent, in September 2025, and quality measures sit at 2 out of 5 stars. If you're weighing this one, ask directly how they hold weekend staffing and what's changed since that abuse finding.

D

45/100

Integrity Hc Of Anna

Anna, IL · Union County

CMS 1/5 70 beds For-profit Medicaid
Nurse hours
2.63 /day
Staff turnover
68%
Serious cites
0

Integrity Hc Of Anna runs about 2.63 nurse hours per resident day against a national average of 3.86, roughly a third less hands-on care than typical, with weekends running about 13% leaner than weekdays. Turnover sits at 67.7% against a national 45.8%, meaning most of the staff you'd meet likely weren't there a year ago. The inspection record is heavy: 53 deficiencies, 10 of them at harm or jeopardy level and two tied to abuse, plus five fines totaling $352,749. The most recent inspection was August 2025, so the record is current rather than stale. For a 70-bed for-profit home, the numbers point to thin coverage and repeated compliance failures rather than isolated bad luck.

D

45/100

Regency Care

Springfield, IL · Sangamon County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
57%
Serious cites
0

Regency Care runs 99 beds in Springfield under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.96 nurse hours per resident per day, roughly a quarter below the national average, with weekends dropping another 12% below its own weekday staffing. Turnover sits at 57.3% against a national 45.8%, which means the aides and nurses your family member sees are cycling through constantly. The inspection record backs this up, 38 deficiencies, six at harm or jeopardy level, three tied to abuse, and $210,507 in fines across four events. The most recent inspection was March 2025, so the record is current. CMS rates it 1 out of 5 on both staffing and quality measures.

D

45/100

Clinton Healthcare And Rehabilitation Center

Clinton, MO · Henry County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
82%
Serious cites
0

Clinton Healthcare runs 120 beds under corporate ownership, and the numbers that stand out most are on the staffing side. Nurses give 3.57 hours per resident per day against a national average of 3.86, weekends drop roughly 12% below the home's own weekday level, and annual turnover sits at 82.2%, nearly double the 45.8% national figure. On the inspection record, 31 deficiencies are logged, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $83,041. The last inspection was September 5, 2024. Ownership and consistency of care are the things to press on when you call.

D

45/100

Avir At San Augustine

San Augustine, TX · San Augustine County

CMS 3/5 88 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
82%
Serious cites
0

Avir At San Augustine runs on thin staffing: 3.54 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 7% below its own weekday levels. That's a real problem when turnover hits 82%, nearly double the national 45.8%, because new hires cycle through faster than they can learn residents' needs. The inspection history backs this up: 20 deficiencies on the current record, including 3 at harm or jeopardy level and 3 tied to abuse, with $102,752 in fines across three penalties. A 4/5 inspection rating and recent May 2026 survey suggest the home can pass a walkthrough, but a 1/5 staffing score and 2/5 quality measures tell you what day-to-day care actually looks like.

D

45/100

Bluebonnet Point Wellness

Bullard, TX · Smith County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
98%
Serious cites
0

Bluebonnet Point Wellness runs on 2.80 nurse hours per resident day, roughly 27% under the national average, and weekends drop about 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 97.8% against a national 45.8%, meaning nearly the entire nursing workforce cycles out each year. The current record shows 34 deficiencies, six serious enough to cause harm or jeopardy and one tied to abuse, with five fines totaling $181,947. Inspectors last visited in August 2025. With 119 certified beds under corporate for-profit ownership, ask specifically who is on duty nights and weekends before you decide.

D

44/100

Gallaway Health And Rehab

Gallaway, TN · Fayette County

CMS 1/5 104 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
66%
Serious cites
0

Gallaway Health and Rehab runs on 2.94 nurse hours per resident day, about a quarter below the national average, and weekends drop roughly 15% below what the home staffs on weekdays. Nearly two-thirds of its nurses left over the past year, well above the 45.8% national rate, which means care is often delivered by people still learning the building. Its record shows 21 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $78,741 fine. The last inspection was June 2022, so that record is largely unverified since then. A for-profit LLC operates the 104-bed home out of Fayette County.

D

44/100

Greenview Nursing And Rehabilitation

Waco, TX · Mc Lennan County

CMS 1/5 128 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
70%
Serious cites
0

Greenview runs on 2.86 nurse hours per resident day, well under the 3.86 national average, and weekends drop about 9% below what the home already provides on weekdays. Nearly 70% of nursing staff turned over in a year, against a 45.8% national figure, with a for-profit LLC operating the 128 beds. The current inspection record carries 45 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, and the home has been fined five times for $73,108 total. Its last inspection was March 19, 2025.

D

43.5/100

Lampstand Nursing And Rehabilitation

Bryan, TX · Brazos County

CMS 1/5 140 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
97%
Serious cites
0

Lampstand runs 140 beds in Bryan under for-profit LLC ownership, and the staffing numbers are the first thing to sit with. At 3.33 nurse hours per resident day, it's roughly 14% under the national average, and weekends drop about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the harder fact: 97.3% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, almost certain to change within the year. Behind those numbers sit 48 deficiencies on the current record, four of them serious enough to reach harm or jeopardy level, plus $31,460 in fines. The most recent inspection was April 2026.

D

43/100

Roswell Center For Nursing And Healing Llc

Roswell, GA · Fulton County

CMS 1/5 268 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
62%
Serious cites
0

Roswell Center for Nursing and Healing runs 268 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average, and weekends drop another 13% below what the home already provides on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover is 61.7% against a national 45.8%, meaning most of the people caring for residents are still learning the building. Inspectors have cited 24 deficiencies, five serious enough to put residents at harm or jeopardy, and one fine of $206,486. No abuse citations appear on the current record.

D

43/100

Lakeside Health & Rehab Center

Carlinville, IL · Macoupin County

CMS 1/5 95 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
61%
Serious cites
0

Lakeside runs 3.12 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends are thinner still, about 13% below its own weekday coverage, and 60.6% of staff turned over in a year versus 45.8% nationally, so the people providing that care keep changing. The inspection record shows 38 deficiencies, 11 serious enough to cause harm or jeopardy, 2 tied to abuse, and $199,461 in fines across three penalties. The most recent inspection was March 2025, so the picture is current. A for-profit corporation owns the 95-bed building. Staffing, quality measures, and inspection results each land at the low end of CMS's scale.

D

43/100

Arc At Sangamon Valley

Springfield, IL · Sangamon County

CMS 1/5 171 beds Non-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
73%
Serious cites
0

Nurse staffing at Arc at Sangamon Valley runs about 25% under the national average, 2.91 hours per resident day against 3.86, and weekends dip roughly 8% below what the home itself provides on weekdays. When aides and nurses leave at a 72.6% annual rate, well above the 45.8% national figure, that thin coverage gets harder to hold steady. The inspection record carries 82 deficiencies, 14 of them at harm or jeopardy level and 13 tied to abuse; federal fines total $583,051 across five penalties, and the most recent inspection was September 2024. Nonprofit ownership hasn't translated into stronger numbers here.

D

43/100

Serenity Estates Of Lincolnshire

Lincolnshire, IL · Lake County

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

Serenity Estates of Lincolnshire runs on 2.97 nurse hours per resident per day, roughly a quarter below the national figure, and it thins out further on weekends. That staffing picture is hard to separate from a 99% annual turnover rate, meaning the aides and nurses in the building are largely new to it, more than double the churn seen at the typical U.S. home. The inspection record is heavier still: 61 deficiencies, ten serious enough to involve harm or jeopardy, six tied to abuse, and $343,139 in fines across eight penalties. The most recent state visit was April 2025. A for-profit limited liability company operates the 144-bed home.

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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