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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 1621–1640 of 12,967, best-graded first.

A

88/100

Christian Community Home

Hudson, WI · St. Croix County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
49%
Serious cites
0

Christian Community Home runs 4.24 nurse hours per resident day, roughly 10% above the national average, and that staffing shows up in the top CMS staffing and quality scores. Weekend coverage dips about 9% below its own weekday level, and staff turnover sits at 49.2%, a few points above the national average, so consistency of caregivers is the real question mark. The recent inspection in February 2025 turned up 12 deficiencies, one serious enough to reach harm or jeopardy level, though none were abuse-related. One fine of $5,293 is on record. For 50 beds under nonprofit ownership, the care hours are there; the inspection record and turnover are what a family should ask about directly.

A

88/100

Newcastle Place

Mequon, WI · Ozaukee County

CMS 3/5 47 beds Non-profit
Nurse hours
5.22 /day
Staff turnover
43%
Serious cites
0

Newcastle Place sits in Mequon with 47 certified beds under nonprofit ownership, and its staffing numbers stand out: 5.22 nurse hours per resident day, roughly 35% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, but turnover at 43.2% is slightly better than the 45.8% national figure. The trouble is the inspection record, 43 deficiencies, including 2 at harm or jeopardy level and 10 tied to abuse, with a $12,740 fine and a May 2026 inspection date. Strong bedside hours and a clean quality measure score don't cancel out that many serious findings.

A

88/100

United Pioneer Home

Luck, WI · Polk County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.87 /day
Staff turnover
45%
Serious cites
0

United Pioneer Home in Luck sits at 50 certified beds under nonprofit ownership, and its nurse staffing runs about 4.87 hours per resident day, roughly 26% above the national average. Weekends dip about 8% below its own weekday levels, and turnover lands at 45%, essentially matching the national rate. Where things get more complicated is the inspection record: 24 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the most recent inspection in September 2025. That mix, strong staffing, middling inspection and quality-measure ratings, is what keeps this home in the middle of the pack rather than at the top, despite the caregiver hours.

A

88/100

The Hills Healthcare Center

Sunland, CA · Los Angeles County

CMS 4/5 67 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
15%
Serious cites
0

The Hills Healthcare Center runs a 67-bed for-profit operation in Sunland, and its strongest number is staffing: 4.14 nurse hours per resident day, roughly 7% above the national average, with a 5/5 CMS staffing star. Turnover sits at 14.8% against a national average near 46%, which matters more than any single inspection score, stable aides know the residents. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on a Sunday. The record shows 44 deficiencies, none at harm or jeopardy level, but four are abuse-related, and the last inspection was December 2025.

A

88/100

Lodi Nursing & Rehabilitation

Lodi, CA · San Joaquin County

CMS 4/5 74 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
27%
Serious cites
0

Lodi Nursing & Rehabilitation runs 74 certified beds under for-profit LLC ownership, and the staffing numbers are the strongest part of the picture: 4.14 nurse hours per resident day, roughly 7% above the national average of 3.86. Weekend staffing dips about 9% below weekday levels, which is common but worth asking about. Annual turnover of 26.8% sits well under the national 45.8%, meaning the people caring for residents tend to stick around. The tradeoff shows up in the inspection record, 44 deficiencies on file, none at harm or jeopardy level, but one abuse-related citation. Federal health inspection rating comes in at 3 out of 5, while quality measures hit 5 out of 5 and staffing 4 out of 5. Most recent inspection was March 2026.

A

88/100

Pacific Post Acute

Santa Monica, CA · Los Angeles County

CMS 5/5 49 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
35%
Serious cites
0

Pacific Post Acute runs 49 beds in Santa Monica under limited-liability, for-profit ownership, and the direct-care hours show it: 4.63 per resident day, roughly a fifth more than the national average, with turnover at 34.6% against a national 45.8%. Weekend staffing dips about 12% below its own weekday level, so ask how that plays out on Saturdays. The current record carries 42 deficiencies, none at harm or jeopardy level, two tied to abuse. The last inspection was April 3, 2026, so the picture is recent. Quality measures score well; staffing scores mid-range despite the hours.

A

88/100

Napa Valley Care Center

Napa, CA · Napa County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
25%
Serious cites
0

Napa Valley Care Center runs 130 certified beds under for-profit LLC ownership, and its staffing sits at 3.81 nurse hours per resident day, just under the national average of 3.86, with weekends running about 10% lighter than weekdays. What stands out is retention: 24.6% annual turnover against a national average of 45.8%, meaning the people caring for residents tend to stay. The tradeoff shows up in its inspection record, 63 deficiencies, including two at the harm level and two abuse-related, plus one $30,259 fine, with the most recent inspection in July 2025. Quality measures score well; the health inspection side is where the trouble sits.

A

88/100

Vista View Post Acute

Vista, CA · San Diego County

CMS 4/5 176 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
31%
Serious cites
0

Vista View Post Acute runs 176 beds as a for-profit LLC, and its staffing sits slightly above the national average at 3.92 nurse hours per resident day. The bigger story is retention: 31.4% turnover against a 45.8% national average means far fewer unfamiliar faces than at a typical home, though weekend coverage dips about 8% below weekday levels. The tradeoff shows up in inspections. Its quality measures score well and staffing is solid, but 45 deficiencies on record, including one at harm or jeopardy level and three tied to abuse, pull the health inspection rating down to 2 out of 5. The most recent survey was May 2025, so that record is current.

A

88/100

Medical Hill Healthcare Center

Oakland, CA · Alameda County

CMS 5/5 124 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
35%
Serious cites
0

Medical Hill Healthcare Center runs 3.94 nurse hours per resident day, just above the national average of 3.86, though weekend coverage drops roughly 9% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 34.8%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The current record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse, so ask how those were resolved and what's changed since. A recent August 2025 inspection and five out of five on quality measures round out a solid picture, though the three-star staffing rating and for-profit LLC ownership are worth weighing.

A

88/100

Fruitvale Healthcare Center

Oakland, CA · Alameda County

CMS 5/5 140 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
24%
Serious cites
0

Fruitvale Healthcare Center runs 140 certified beds in Oakland under for-profit partnership ownership, and the staffing picture is genuinely better than most: 4.09 nurse hours per resident day against a national average of 3.86, with weekend coverage only about 5% below weekday levels. Turnover sits at 24% while the national figure is 45.8%, which matters because consistent caregivers know residents. The inspection record is where it gets complicated. A five-star health inspection rating and a clean October 2024 visit sit alongside 25 deficiencies, including one at harm level and four tied to abuse, plus 18 fines totaling $105,627. Ask what those abuse deficiencies involved and what changed afterward.

A

88/100

Kaweah Health Skilled Nursing Center

Visalia, CA · Tulare County

CMS 5/5 70 beds Government Medicaid
Nurse hours
7.00 /day
Staff turnover
24%
Serious cites
0

Kaweah Health Skilled Nursing Center is run by the local hospital district, and its staffing reflects that: 7.00 nurse hours per resident day, roughly 81% above the national average. Weekend coverage dips only about 5% below weekday levels, so care doesn't thin out much on Saturdays and Sundays. Turnover sits at 23.6%, about half the national rate, which matters more than any single inspection score because it means the people caring for residents tend to stick around. The inspection record shows 25 deficiencies, one at the harm level, with no abuse citations, and the most recent survey was in January 2026. Quality measures score 5/5, though the staffing star comes in lower at 3/5 despite those hours.

A

88/100

Ashby Care Center

Berkeley, CA · Alameda County

CMS 4/5 31 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
22%
Serious cites
0

Ashby Care Center is a small, for-profit home in Berkeley with 31 certified beds, and its record is genuinely mixed. The clinical quality measures look strong, but staffing earns just one star out of five, and 38 deficiencies sit on the current record, including two at the harm or jeopardy level and one tied to abuse, with a single $66,134 fine. What stands out in the other direction is turnover: 21.7% annually against a national average near 46%, meaning this home keeps its workers far longer than most. The last inspection was in May 2025. Fewer than three dozen beds also means less margin for error when staffing is thin.

A

88/100

Ararat Post Acute

Glendale, CA · Los Angeles County

CMS 5/5 28 beds For-profit Medicaid
Nurse hours
5.36 /day
Staff turnover
20%
Serious cites
0

Ararat Post Acute runs a tight ship on staffing for a 28-bed for-profit home in Glendale. At 5.36 nurse hours per resident day, it beats the national average by roughly 39%, and a 20% turnover rate is less than half the national figure, that kind of stability matters more than any star rating. The catch is in the inspection record: 30 deficiencies, one serious enough to trigger a harm or jeopardy finding, and two fines totaling $49,089. Weekend coverage also dips about 14% below weekday levels, so care can thin out when families visit. The most recent inspection was January 2026, so the record is current. Strong staffing, but the deficiency history is real.

A

88/100

Garden Park Care Center

Garden Grove, CA · Orange County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
35%
Serious cites
0

Garden Park runs on more nursing hours than most homes, 4.31 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 34.8% versus roughly 46% nationally. Those are real advantages, and they show up in the five-star quality measure rating. The catch is consistency: weekend coverage dips about 8% below the home's own weekday levels, and a three-star inspection rating sits behind 70 deficiencies on record, three of them abuse-related, though none rose to the level of harm or jeopardy. The most recent inspection was in June 2025, so the picture is current. It's a for-profit limited liability company, which is worth knowing when you weigh how the place invests in care.

A

88/100

Asbury Park Nursing And Rehabilitation Center

Sacramento, CA · Sacramento County

CMS 3/5 139 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
45%
Serious cites
0

Asbury Park runs 139 certified beds under a for-profit LLC, and the nursing hours tell a decent story: 4.41 per resident day against a national average of 3.86. Weekends dip roughly 9% below weekdays, so coverage thins out when families tend to visit. Staff turnover at 45.2% lands right at the national rate, meaning the people caring for your relative cycle through about as fast as anywhere else. The inspection record is where it gets uneven, 50 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent inspection was March 2026, so the picture is current. Quality measures score well; the health inspection side is what holds this one back.

A

88/100

Bellaken Skilled Nursing Center

Oakland, CA · Alameda County

CMS 5/5 61 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
14%
Serious cites
0

Bellaken Skilled Nursing Center runs on numbers that hold up well against the national picture. Nurse staffing sits at 4.09 hours per resident day, about 6% above the national average, and the 14% annual turnover is strikingly low next to the 45.8% norm, that kind of retention usually shows up in how consistently residents see the same faces. Weekend staffing dips roughly 8% below its own weekday level, worth asking about if your family visits mainly on Saturdays. The inspection record backs this up: 17 deficiencies on file, none at the harm or jeopardy level, nothing abuse-related, and the most recent inspection was November 2024. Corporate for-profit ownership, 61 beds, five stars on both health inspections and quality measures.

A

88/100

University Retirement Community At Davis

Davis, CA · Yolo County

CMS 5/5 37 beds Non-profit
Nurse hours
4.83 /day
Staff turnover
38%
Serious cites
0

University Retirement Community At Davis runs a tight ship on staffing: 4.83 nurse hours per resident day, about a quarter above the national average, with weekend coverage dipping roughly 12% below its own weekday levels. Turnover sits at 37.8%, well under the national 45.8%, which suggests people stick around here longer than at the typical home. The tradeoff is on inspections. Eighteen deficiencies are on the current record, one serious enough to reach harm or jeopardy level, though none involve abuse. The last survey came in September 2025, so the picture is recent. For a small 37-bed nonprofit, the staffing and retention numbers are the strong points; the deficiency count is what keeps this from being a cleaner record.

A

88/100

Robert Lee Care Center

Robert Lee, TX · Coke County

CMS 5/5 70 beds Government Medicaid
Nurse hours
3.73 /day
Staff turnover
26%
Serious cites
0

Robert Lee Care Center is a 70-bed hospital-district home, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.73 hours per resident day, roughly 3% under the national average, and weekends run about 9% lighter than weekdays, so coverage does thin out on Saturdays and Sundays. What stands out instead is retention: turnover is 25.6%, well below the national 45.8%, meaning the people caring for residents tend to stay. The inspection record shows 11 deficiencies with none at the harm level and none abuse-related, and the most recent survey was in late 2025.

A

88/100

Capstone Healthcare Of Perryton

Perryton, TX · Ochiltree County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
33%
Serious cites
0

Capstone Healthcare Of Perryton runs on 4.08 nurse hours per resident day, roughly 6% above the national average, and its staff retention is a real bright spot: 33.3% turnover against a national 45.8%. Weekend coverage drops about 14% below weekday levels, so ask how that plays out on Saturdays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level, with one abuse-related finding, worth asking about directly. A 2025-04-09 inspection means the record is recent. Corporate, for-profit ownership, 60 beds. The staffing numbers and retention carry this home; the abuse citation and weekend dip are the two things to press on.

A

88/100

Continuing Care At Highland Springs

Dallas, TX · Dallas County

CMS 3/5 44 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
31%
Serious cites
0

Continuing Care At Highland Springs runs 44 certified beds as a nonprofit, and its staffing is a genuine bright spot: 4.29 nurse hours per resident day, roughly 11% above the national average, with weekend coverage dipping about 10% below its own weekday levels. Turnover sits at 31.4%, well under the 45.8% national figure, so the people caring for residents tend to stay. The friction is on the inspection side, 17 deficiencies on record, two of them serious enough to reach harm or jeopardy, plus one $46,105 fine, with the most recent inspection in September 2025. That combination of strong daily staffing and a troublesome survey history is what pulls the overall picture down.

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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