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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 12941–12960 of 12,967, best-graded first.

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Not graded

Annie's Garden Skilled Nursing

Sikeston, MO · New Madrid County

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

Annie's Garden runs 4.11 nurse hours per resident day, roughly 7% above the national average of 3.86, and its record is clean: no deficiencies at any level, none related to abuse, with an inspection completed in October 2025. The one pattern worth watching is weekends, when staffing drops about 16% below what the home runs during the week. That's not unusual in this industry, but it matters for a resident who needs more hands-on help on a Saturday than a Tuesday. The home is for-profit, owned by a limited liability company, licensed for 75 beds. A clean inspection record plus above-average staffing is a decent starting point, ask how they cover weekend shifts before you decide.

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Not graded

St Louis Altenheim

Saint Louis, MO · St. Louis City County

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

St. Louis Altenheim is a 73-bed for-profit home in the city, run by a limited liability company. Its current record shows ten deficiencies, none of which rose to actual harm or jeopardy, that's the key distinction, since most citations at this level are paperwork and process problems rather than incidents where a resident got hurt. One abuse-related deficiency is on the books, though, and that's worth asking about directly. The last inspection was October 2025, so the findings are recent, not stale. What the numbers don't show is how the place is staffed day to day, and with a for-profit LLC operator, that's the question I'd press on before deciding.

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Not graded

Western Sky Community Care Center Inc

Grant, NE · Perkins County

44 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Western Sky Community Care Center is a small nonprofit home in Grant, and its record is about as clean as it gets: zero deficiencies on the current survey, none at the harm or jeopardy level, and nothing abuse-related. The last inspection wrapped up in April 2026, which is recent enough that those results reflect how the place actually runs right now. With 44 certified beds, it's the kind of size where staff know every resident by name, and nonprofit ownership tends to mean decisions get made locally rather than by a distant chain. If you're weighing this one for a family member, the inspection history and ownership together are the strongest things it has going for it.

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Not graded

Embassy At Morehead City

Morehead City, NC · Carteret County

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

A 42-bed for-profit LLC home in Carteret County, Embassy At Morehead City carries a clean federal record: zero deficiencies of any kind, including none at the harm or jeopardy level and none tied to abuse. Its most recent inspection was February 17, 2026, so the findings are recent rather than stale. What the public data can't tell you from here is how the place feels day to day, how much direct nursing time each resident actually gets compared with the national average, and whether staff turnover undercuts consistency of care. Those are the questions worth asking the administrator directly, along with who owns the LLC and how long they've operated this building.

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Not graded

Bloomsbury At Hayes Barton Place

Raleigh, NC · Wake County

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

Bloomsbury at Hayes Barton Place is a small Wake County home, 31 certified beds, corporate for-profit ownership, and its inspection record right now is spotless. Zero deficiencies on the current record, none at the harm or jeopardy level, and nothing abuse-related, with the most recent survey completed January 22, 2026. That recency matters; a clean record from years ago tells you less than a clean one from weeks ago. What the numbers don't show is anything about staffing hours, turnover, or how residents and families actually experience the place day to day. Thirty-one beds means the place runs small, which can cut either way. If you're considering it, ask directly about nurse coverage on nights and weekends, and whether the same aides are still there year to year.

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Not graded

Good Samaritan Society - Wagner

Wagner, SD · Charles Mix County

50 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Good Samaritan Society - Wagner runs 50 certified beds as a nonprofit corporation, and its current record shows no deficiencies at all, not at the harm or jeopardy level, not abuse-related, nothing. The last inspection was January 7, 2026, so the state's findings are recent, not a stale snapshot from two or three years back. A clean record like that usually reflects steady day-to-day operations rather than luck, since inspectors tend to flag something on most surveys. What the data here can't tell you is how the place feels to visit, staffing ratios at the moment you'd call, how the dining room runs, whether your family member's specific needs fit. Ask those questions on a tour, and ask what happens when a resident's condition changes.

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Not graded

Advanced Health Care Of Nashville

Nashville, TN · Davidson County

49 beds For-profit
Nurse hours
5.25 /day
Staff turnover
—
Serious cites
0

Advanced Health Care of Nashville runs 49 beds under a for-profit limited liability company, and its nurse staffing sits at 5.25 hours per resident day, roughly 36% above the national average of 3.86. That part looks strong on paper. What sits underneath is harder to ignore: five deficiencies on the current record, three of them at the harm or jeopardy level, and all five abuse-related. CMS has fined this home six times for a total of $125,508, and the last inspection was October 2022, so the record you're reading is nearly three years old. Weekend staffing also drops about 21% below its own weekday level, meaning the hours aren't spread evenly across the week.

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Not graded

Rolling Meadows

Wichita Falls, TX · Wichita County

2 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Rolling Meadows is a small non-profit home in Wichita Falls, certified for just two beds, and its record is clean on the federal measures that matter most: no deficiencies of any kind, nothing at the harm or jeopardy level, and no abuse-related citations. The most recent inspection was July 24, 2025, so the picture is current rather than stale. With a bed count that low, there's also no meaningful staffing average to weigh against the national figure, the usual comparison doesn't apply here. What you're looking at is a very small operation with a spotless recent survey history and no for-profit owner pushing the numbers. Call and ask how those two beds are actually used.

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Not graded

Jones & Cabacoy Veterans Care Center

Virginia Beach, VA · Virginia Beach City County

128 beds Government Medicaid
Nurse hours
4.59 /day
Staff turnover
29%
Serious cites
0

Jones & Cabacoy Veterans Care Center is state-run, and you can see it in the numbers. Nurse staffing runs about 4.59 hours per resident day, roughly 19 percent above the national average, and weekend coverage holds within about 13 percent of weekday levels, a dip, but not a freefall. Staff turnover sits at 29.3 percent against a national average near 46, which suggests people stay. The inspection record is clean: no deficiencies on file, none at the harm level, nothing abuse-related, and the most recent survey dates to January 2024. For a 128-bed home, that combination, solid hours per resident, manageable turnover, an unblemished survey, is uncommon. Worth a visit, with questions about weekend staffing specifically.

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Not graded

Cedarfield Pinnacle Living

Richmond, VA · Henrico County

20 beds Non-profit
Nurse hours
5.64 /day
Staff turnover
47%
Serious cites
0

Cedarfield Pinnacle Living runs about 5.64 nurse hours per resident day, roughly 46% above the national average, which is a real cushion for a 20-bed nonprofit home in Henrico County. That staffing isn't perfectly even, though, weekends run about 13% leaner than weekdays, so coverage can thin out when families tend to visit. Turnover sits at 46.7%, essentially tracking the national rate, meaning the hands-on hours come from a workforce that changes over about as often as everyone else's. The current record shows no deficiencies at all, none at the harm level and none tied to abuse, with the last inspection in May 2023.

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Not graded

Pacific Villas Post Acute

Oceanside, CA · San Diego County

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

A clean federal record is genuinely uncommon, and Pacific Villas Post Acute has one: zero deficiencies on its current CMS record, none at the harm or immediate-jeopardy level, and nothing abuse-related. Its most recent inspection closed out in March 2025, so that record is recent rather than a stale snapshot from years ago. The catch is that this is a for-profit limited liability company, and a spotless inspection file tells you what surveyors found on one visit, not what daily staffing looks like between visits. Before you commit, ask for the direct-care hours per resident per day and the nursing turnover rate, because those are the numbers a good inspection can't speak to.

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Not graded

Stonehaven Senior Living

Fresno, CA · Fresno County

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

Stonehaven runs on more nursing hours than the typical American nursing home, about 4.18 per resident day against a national average of 3.86, and that margin is the main thing working in its favor. The catch is timing: weekends drop roughly 13% below the home's own weekday staffing, so the coverage you'd see on a Tuesday isn't what a Saturday looks like. Its inspection record is current, with the most recent visit in June 2025, and five deficiencies on file, none of them serious enough to register as harm or jeopardy and none abuse-related. For-profit, limited-liability ownership is worth knowing going in. Overall, this is a home whose numbers suggest adequate care with a real weekend soft spot.

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Not graded

Desert Ridge Transitional Care Center, Lp

Victorville, CA · San Bernardino County

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

Desert Ridge Transitional Care Center is a for-profit corporate home in Victorville with a remarkably thin inspection record, a single deficiency on the current books, none of it rising to harm or jeopardy, and nothing abuse-related. Its most recent survey came January 8, 2026, so the picture is fresh rather than dated. On paper, that's the profile of a home that hasn't given state inspectors much to write about. What the federal data can't tell you from here is how it feels on a Tuesday afternoon, staffing ratios, turnover, whether call lights get answered. Ask those questions directly when you visit. A clean record is a starting point, not the whole story.

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Not graded

Emmanuel Care Center - Travis

Fairfield, CA · Solano County

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

Emmanuel Care Center - Travis is a for-profit corporation home with 99 certified beds in Fairfield, and its 12 deficiencies on the current record are all below the harm or jeopardy level, no resident was seriously injured by the problems inspectors found, and none of them involved abuse. The last inspection was recent, December 4, 2025, so you're looking at current information rather than a stale snapshot. What the numbers can't tell you from here is staffing: how many nurses and aides are actually on the floor per resident, and how that compares to California and national averages. Ask for the last several months of payroll-based staffing reports and the administrator's turnover before you decide.

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Not graded

Plumas District Hospital Dp/Snf

Quincy, CA · Plumas County

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

Plumas District Hospital's skilled nursing unit is small, 36 certified beds, and it's run by the hospital district rather than a for-profit chain, which shapes how it operates. The current record shows four deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, so it's worth asking staff directly what happened and what changed afterward. The most recent inspection came in February 2026, so the picture here is fairly current rather than stale. With a unit this size, staffing often tracks closely to hospital coverage, which can mean steadier nurse presence than a standalone nursing home of similar bed count. One thing to note: ElderGrade doesn't have a computed grade for this home yet, so there's no score to lean on. That means the federal inspection and staffing data are what you have to work with, ask about the abuse-related finding, and ask how many residents are typically on the unit at once.

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Not graded

Grossmont Gardens Healthcare Center

La Mesa, CA · San Diego County

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

Grossmont Gardens is a for-profit corporate home in La Mesa with 16 deficiencies on its current record. None of those rose to the level of actual harm or jeopardy, which matters, that's the line between paperwork problems and a resident getting hurt. One is abuse-related, so ask about that specifically when you tour. The most recent inspection was February 12, 2026, so the record is current rather than stale. Sixteen citations is a lot to work through, though, and the count itself suggests the home struggles to stay ahead of federal requirements rather than catching problems before surveyors do. Worth asking staff how they've addressed the abuse citation and what changed since.

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Not graded

Meadows Of Marion Health And Rehabilitation The

Marion, OH · Marion County

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

Meadows of Marion runs a for-profit corporate operation with 99 certified beds, and its nurse staffing sits at 4.15 hours per resident day, roughly 8% above the national average of 3.86. That's a real cushion, though weekends dip about 9% below the home's own weekday level, so the coverage your family member gets on a Saturday isn't quite what it is midweek. The inspection record is thin: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent survey completed January 27, 2025. Few problems and recent eyes on the building. The staffing edge and the clean deficiency sheet are what's carrying this one.

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Not graded

Crocker Pointe Health And Rehabilitation

Westlake, OH · Cuyahoga County

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

Crocker Pointe runs 96 certified beds in Westlake under corporate for-profit ownership, and its nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86. The bigger thing to notice is the weekend gap: care hours drop about 10% below the home's own weekday level, so a Saturday or Sunday shift is where you'd want to ask questions. What stands out in the other direction is the record itself: zero deficiencies, none at the harm or jeopardy level, and nothing abuse-related, with a state inspection completed January 28, 2025. No home is perfect, but a clean survey plus recent review is a real signal.

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Not graded

Champion Creek Health And Rehabilitation

Medina, OH · Medina County

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

Champion Creek runs 4.46 nurse hours per resident day, roughly 16% above the national average, and weekends dip about 13% from its own weekday level, a real gap, though the floor stays higher than most homes' weekday staffing. The home has no deficiencies on its current record at any level, including none tied to abuse, and its last inspection was August 2025. It's a for-profit corporation with 99 certified beds. What the numbers describe is a home that has kept a clean inspection record while staffing above average, with the usual weekend thinning that families should ask about directly.

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Not graded

Overbrook Landing Health And Rehabiliation

Xenia, OH · Greene County

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

Overbrook Landing is a for-profit corporation running 83 certified beds in Xenia, and its inspection record is about as clean as it gets: zero deficiencies on the current record, none at the harm or jeopardy level, and nothing abuse-related. That last inspection was recent, too, January 2026, so this isn't a case of a stale, years-old survey carrying an empty record. What the federal data doesn't show is a staffing level sitting comfortably above the national average, and that's usually what separates a home that stays clean from one that just hasn't been caught yet. With no grade computed here, the numbers themselves are the story: nothing wrong on paper, but little cushion either. Ask about actual nurse hours per resident before you decide.

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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