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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 12961–12967 of 12,967, best-graded first.

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Not graded

The Heights Of Magnolia

Magnolia, TX · Montgomery County

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

The Heights of Magnolia runs 138 certified beds under for-profit LLC ownership in Montgomery County, and its inspection record is unusually clean: a single deficiency on the current record, none at the harm or jeopardy level, and nothing abuse-related. The last full inspection came on August 20, 2025, so the picture is recent rather than a stale survey from years back that may no longer reflect the building. What the record doesn't show is how the place is staffed day to day. ElderGrade couldn't compute a grade here because the usual staffing and quality measures weren't available, so there's no confirmed comparison against the national average. Before you decide, ask the administrator directly about nurse aide hours per resident per day on evenings and weekends, that's the number that tells you the most.

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Not graded

St. Joseph's Care Center

Mcgregor, TX · Mc Lennan County

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

St. Joseph's Care Center runs 100 certified beds in McGregor under for-profit partnership ownership. Its record shows two deficiencies, one serious enough to reach the harm or jeopardy level, meaning inspectors found a problem that had already hurt or endangered a resident, not just a paperwork gap. One CMS fine totals $12,735. No abuse-related citations are on file, and the most recent inspection, dated June 12, 2025, is recent enough that the findings still describe the home as it operates now. A single harm-level deficiency in a 100-bed building is not a pattern, but it is not nothing either. Ask what happened and what changed afterward.

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Not graded

St. Juanita Retirement And Rehab

San Angelo, TX · Tom Green County

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

St. Juanita Retirement and Rehab is a 90-bed for-profit corporate home in San Angelo, and its inspection record is mild enough on its face: five deficiencies, none of them at the harm or jeopardy level, none abuse-related, with a very recent survey dated December 23, 2025. What stands out is what isn't there. The home has no computed ElderGrade score, which typically means the underlying CMS data needed to grade it, star ratings, staffing figures, isn't available or complete enough to judge. So a clean deficiency count tells you only that inspectors found little to flag on one visit; it can't tell you whether nurse staffing sits above or below the national average, because that number isn't in the record. Worth asking the administrator directly.

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Not graded

Oak Grove Retirement Home

Duncan, MS · Bolivar County

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

Not graded

Coon Memorial Home

Dalhart, TX · Dallam County

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

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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