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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 12921–12940 of 12,967, best-graded first.

D

43/100

Strafford Rehabilitation & Health Care Center

Strafford, MO · Greene County

CMS 1/5 78 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
82%
Serious cites
0

Strafford Care Center runs on thin staffing: 3.16 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday levels. The workforce is churning hard, 82.3 percent annual turnover against a national average of 45.8, which matters because 76 deficiencies sit on the current record, including 14 tied to abuse and one at the harm or jeopardy level. Inspectors were last in on April 21, 2025, and a $52,456 fine stands against the limited-liability company that owns the place. Every CMS rating category here, health inspections, quality measures, staffing, comes in at one out of five. Families weighing this home should start by asking who's actually on the floor on a Saturday.

D

43/100

Vintage Health Care Center

Denton, TX · Denton County

CMS 1/5 106 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
97%
Serious cites
0

Vintage Health Care Center runs on 3.23 nurse hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday staffing. Annual turnover sits at 96.6 percent, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, likely to be new or on their way out. The inspection record backs that up: 57 deficiencies, seven serious enough to put residents in harm's way, one tied to abuse, and four fines totaling $252,370. Federal regulators have placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.

D

42/100

Renwick Nursing And Rehab

Joliet, IL · Will County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
68%
Serious cites
0

Renwick Nursing and Rehab runs on 3.22 nursing hours per resident day, roughly 17 percent under the national average, and weekends drop about 12 percent below its own weekday staffing. Turnover sits at 67.7 percent against a national 45.8, so the aides and nurses who remain are likely covering for a constantly changing crew. The current record carries 52 deficiencies, seven of them serious enough to involve harm or jeopardy, two tied to abuse, and six fines totaling $202,040. All three CMS ratings come in at one star, with the last inspection logged in October 2024. For a 120-bed for-profit limited liability company, those numbers describe a home where short staffing, high churn, and repeated citations reinforce each other.

D

42/100

Woodland Manor

Elkhart, IN · Elkhart County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
70%
Serious cites
0

Woodland Manor runs on thinner staffing than most homes nationally, and the gap widens on weekends, when coverage drops about 11% below its own weekday level. That matters more than the raw hours suggest, because nearly 70% of the nursing staff turned over in a year, well above the national rate, so the people providing care keep changing. The inspection record backs up the concern: 50 deficiencies, five serious enough to put residents in harm's way, and four tied to abuse, with $114,339 in fines. A recent November 2025 inspection gives some current picture, but three one-star ratings across health, quality, and staffing describe a home struggling on every measure at once.

D

42/100

Big Bend Woods Healthcare Center

Valley Park, MO · St. Louis County

CMS 1/5 135 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
67%
Serious cites
0

Big Bend Woods runs on 2.84 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage drops about 11% below its own weekday level. Staff turnover sits at 67% against a national 45.8%. The inspection record shows 64 deficiencies, including four at harm or jeopardy level and five tied to abuse, plus an $85,176 fine and a 1-out-of-5 CMS rating on both staffing and quality measures. Ownership is for-profit and individual. The most recent inspection was September 2025.

D

41.5/100

Cypress At Lake Providence

Lake Providence, LA · East Carroll County

CMS 1/5 108 beds For-profit Medicaid
Nurse hours
2.59 /day
Staff turnover
68%
Serious cites
0

The numbers at Cypress At Lake Providence are hard to explain away. Nurse staffing sits at 2.59 hours per resident per day, roughly a third below the national average, and it thins out further on weekends, about 19% less coverage than during the week. That matters in a building where more than two-thirds of the nursing staff turned over in the past year, well above the national rate. The inspection record shows 69 deficiencies, including 11 tied to abuse and 3 serious enough to put residents in harm's way, with $74,456 in fines. A corporation owns it and takes profit out. If you're weighing this one for someone you love, ask what the daily aide coverage actually looks like.

D

41.5/100

Meramec Nursing

Sullivan, MO · Crawford County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
2.79 /day
Staff turnover
77%
Serious cites
0

Meramec Nursing runs on 2.79 nurse hours per resident day, roughly 28% below the national average, and weekends drop about 16% below what the home already provides on weekdays. Staff turnover sits at 76.9% against a national figure of 45.8%, meaning most of the people caring for your family member this year likely won't be there next year. The inspection record shows 26 deficiencies, two serious enough to put residents in harm's way and one tied to abuse, plus $46,449 in fines. A 1-out-of-5 quality measure score alongside a 1-out-of-5 staffing score tells you the federal data itself flags concerns here across multiple dimensions, not just one.

D

41.5/100

Bentwood Nursing & Rehab

Florissant, MO · St. Louis County

CMS 1/5 116 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
77%
Serious cites
0

Bentwood runs 116 certified beds in Florissant under for-profit LLC ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, which matters because that's when families often visit and when problems can go unnoticed. The bigger signal is turnover: 77.3 percent of staff leaving in a year, well above the 45.8 percent national figure. On the record are 60 deficiencies, four of them serious enough to involve harm or jeopardy, plus three tied to abuse, and two fines totaling $107,465. The most recent inspection was February 24, 2026.

D

41.5/100

Arbor Hills Care & Rehab Center

Ferguson, MO · St. Louis County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
80%
Serious cites
0

Arbor Hills runs 150 beds in Ferguson under for-profit LLC ownership that changed hands less than a year ago. Nurse staffing sits at 3.37 hours per resident day against a national average of 3.86, and weekends dip about 18% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 79.8% is far above the 45.8% national figure, meaning the aides and nurses your relative sees are likely to keep changing. The current record carries 65 deficiencies, including 7 at harm or jeopardy level and 10 abuse-related, plus $282,840 in fines across two penalties. A February 2026 inspection is recent, but the pattern behind it isn't.

D

40.5/100

Prairie Village Healthcare Ctr

Jacksonville, IL · Morgan County

CMS 1/5 126 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
65%
Serious cites
0

Prairie Village runs 126 beds under corporate ownership, and the numbers that stand out most are about people, not beds. Nurse staffing sits at 3.84 hours per resident day, just under the national average, but weekends drop roughly 24% below what the home staffs on weekdays, so the coverage your family member gets depends heavily on which day they need it. Annual turnover of 65.2% means most of the aide staff you'd meet this year won't be there next year, against a national rate near 46%. The inspection history carries 22 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $131,684. The last full inspection was April 2024.

–

Not graded

Quail Run Health And Rehab

Trumann, AR · Poinsett County

92 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
—
Serious cites
0

Quail Run in Trumann runs 92 beds under corporate ownership, and the staffing numbers are the real story here: 4.32 nurse hours per resident day, about 12 percent above the national average of 3.86. But that weekday strength softens on weekends, when coverage drops roughly 18 percent below its own weekday level. The inspection record is clean, zero deficiencies of any kind, including nothing at the harm or jeopardy level and no abuse-related findings, and the most recent survey came in May 2025, so it's current. For a for-profit home, that combination of above-average staffing and an unblemished survey record is not common. Worth asking about weekend coverage when you visit.

–

Not graded

Craighead Nursing Center

Jonesboro, AR · Craighead County

121 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Craighead Nursing Center is county-owned, which matters in Arkansas because government-run homes often operate with different budget pressures than for-profit chains. Five deficiencies on the current record sounds like a lot until you look at severity: none rose to actual harm or jeopardy, and none involved abuse. That's the distinction that separates paperwork problems from safety problems. The last inspection closed out in December 2025, so the picture is current, not stale. What the record doesn't show is the kind of repeat, high-severity citations that tend to follow residents around. For a 121-bed county home, that's a fairly quiet file, the kind you'd want to ask about in person, but not one that raises immediate alarm.

–

Not graded

Bluestem Village

La Junta, CO · Otero County

56 beds Government
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Bluestem Village is state-run, which puts it in a small category of Colorado nursing homes, most are for-profit chains or nonprofits. Its inspection record is clean: zero deficiencies of any kind on the current record, none at the harm level, and nothing abuse-related. The last full inspection was September 5, 2024, so the findings are recent enough to mean something. With 56 beds, it's a small home, the kind where a state surveyor can look at every resident chart in a day. One caveat worth knowing: the absence of problems in the record doesn't say anything about staffing hours or turnover, which are the numbers that usually predict day-to-day life. Ask about those directly.

–

Not graded

Daniel K Akaka State Veterans Home

Kapolei, HI · Honolulu County

Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

The Daniel K Akaka State Veterans Home is state-run, which matters less for the grade than what inspectors actually found. Eight deficiencies appear on the current record, and while none rose to the level of harm or jeopardy, one is abuse-related, a category worth asking about directly, since it covers everything from mishandling to resident-to-resident incidents. The most recent inspection closed out in April 2026, so the picture is current rather than stale. There's no staffing or turnover figure here to weigh against the national average, and without it the record is mostly a deficiency count and a recent walkthrough.

–

Not graded

Axiom Gardens Of Mount Vernon

Mount Vernon, IL · Jefferson County

106 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Axiom Gardens Of Mount Vernon carries 18 deficiencies on its current record, and three of those are abuse-related, a category families should ask about directly. Two more were serious enough to be cited at the harm or jeopardy level, meaning an inspector determined residents were actually endangered, not just at risk. The 106-bed home is run by a for-profit corporation, inspected last on March 17, 2025, and it's been fined three times for a combined $37,500. That pattern of repeat fines alongside abuse citations suggests problems that inspections have flagged before and that the home hasn't fully corrected. When you tour, ask what changed after those abuse findings and who supervises residents with behavioral needs.

–

Not graded

Future Care Annapolis

Annapolis, MD · Anne Arundel County

For-profit Medicaid
Nurse hours
4.97 /day
Staff turnover
—
Serious cites
0

Future Care Annapolis runs 4.97 total nurse staffing hours per resident day, roughly 29 percent above the national average of 3.86, and it carries no deficiencies at all on its current record, none at the harm or jeopardy level, none tied to abuse. Its most recent inspection was November 13, 2025, so the picture is fresh rather than stale. The one number that gives pause is weekend staffing, which runs about 11 percent below the home's own weekday level. That's a common pattern in nursing homes, but it matters for a family whose visits or care concerns land on Saturdays and Sundays. The corporate, for-profit ownership is worth knowing, though nothing in the record shows it dragging down care here.

–

Not graded

Massachusetts Veterans Home At Holyoke

Holyoke, MA · Hampden County

128 beds Government Medicaid
Nurse hours
8.21 /day
Staff turnover
—
Serious cites
0

The Massachusetts Veterans Home at Holyoke runs 128 certified beds under state government ownership, and its nurse staffing sits at 8.21 hours per resident day. That's roughly double the national average of 3.86, which is unusual even for a government-run home. Weekend staffing drops about 11% below its own weekday level, so the coverage families see on a Saturday won't match a Tuesday. Its record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection on February 28, 2025. High staffing and a clean harm record don't erase the weekend gap, but they tell you where this home puts its resources.

–

Not graded

Alyce G Clarke Center For Medically Fragile Childr

Jackson, MS · Hinds County

Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Alyce G Clarke Center is a state-run home in Jackson, Mississippi, serving medically fragile children. Its record shows zero deficiencies on the current inspection, including none at the harm or jeopardy level and none tied to abuse. The most recent survey was December 9, 2025, meaning the findings are recent rather than stale. That combination, a clean record with no harm-level citations and a fresh inspection, is uncommon and worth weighing against the kind of population this home serves. Children who are medically fragile often need intense, specialized care, so a spotless survey here reflects steady clinical attention, not an easy caseload. If you're considering placement, the paperwork itself won't give you much to worry about.

–

Not graded

Raintree Village

Lees Summit, MO · Jackson County

40 beds For-profit Medicaid
Nurse hours
4.92 /day
Staff turnover
—
Serious cites
0

Raintree Village runs a small house, 40 beds, and staffs it well above the national average at 4.92 nurse hours per resident day. That cushion matters most on weekends, and here it thins by about 14% against the home's own weekday coverage, which is worth asking about directly since that's when families tend to visit and notice. The inspection record is thin: one deficiency on file, nothing at the harm or jeopardy level, no abuse citations, and the most recent state visit came in May 2025. Corporate ownership doesn't tell you much on its own, but combined with that staffing and citation picture, the numbers suggest a home that has been running clean.

–

Not graded

Ignite Medical Resort St Peters

Saint Peters, MO · St. Charles County

91 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
—
Serious cites
0

Ignite Medical Resort St Peters runs 91 certified beds as a for-profit limited liability company, and its nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average of 3.86. That's a real edge on paper, but weekends dip about 19% below the home's own weekday level, so the care you'd see on a Saturday isn't the care reflected in the headline number. The inspection record is the heavier issue: 23 deficiencies, two of them serious enough to reach harm or jeopardy. None were abuse-related. The last inspection was October 2025, so the findings are recent rather than stale.

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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