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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 1641–1660 of 12,967, best-graded first.

A

87.5/100

West Gate Village

Brewton, AL · Escambia County

CMS 5/5 125 beds For-profit Medicaid
Nurse hours
4.79 /day
Staff turnover
30%
Serious cites
0

West Gate Village runs on 4.79 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home, and its workers tend to stay, turnover near 30% against a national average closer to 46%. The trade-off shows up on weekends, when hours drop about 22% below the home's own weekday pace. State inspectors last visited in March 2022 and logged four deficiencies, none involving harm or abuse, which is a light record. Family-owned corporations don't always staff this way; this one does, at least on weekdays.

A

87.5/100

Crowne Health Care Of Greenville

Greenville, AL · Butler County

CMS 5/5 118 beds For-profit Medicaid
Nurse hours
4.62 /day
Staff turnover
28%
Serious cites
0

Crowne Health Care Of Greenville runs on a corporate for-profit model, and staffing is where it stands out: 4.62 nurse hours per resident day, roughly 20% above the national average. Weekend coverage dips about 20% below its own weekday level, which is common but worth knowing if you visit on Saturdays or Sundays. Staff turnover sits at 27.6%, well under the national 45.8%. Five deficiencies appear on the current record, none involving harm or abuse. The health inspection rating is 4 out of 5, but the last full inspection was January 2022, so that picture is getting old, ask what's happened since.

A

87.5/100

El Reposo Nursing Facility

Florence, AL · Lauderdale County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
42%
Serious cites
0

El Reposo runs on 4.78 nurse hours per resident day, about a quarter more staffing than the typical American nursing home, and that shows up in the numbers where it counts. Weekend coverage dips roughly 17% below weekdays, though, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 42.4%, a bit better than the national 45.8%, no small thing in a labor market where half the aides often walk out the door each year. The current record holds four deficiencies, none involving harm or abuse, with the last full inspection in July 2024. Corporate-owned, 60 beds, and solid marks on quality and staffing measures.

A

87.5/100

Three Rivers Health And Rehabilitation Center

Marked Tree, AR · Poinsett County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
36%
Serious cites
0

Three Rivers runs a tight ship on some measures and a looser one on others. Total nurse staffing sits at 3.74 hours per resident day, a bit under the national average, and weekends drop roughly 18% below what the home staffs during the week, so if you're visiting on a Saturday, that's the reality to expect. Turnover is the bright spot: 35.5% against a national 45.8%, meaning caregivers stick around longer than at the typical U.S. home. The tradeoff shows in the inspection record, 15 deficiencies, one serious enough to reach harm or jeopardy level, plus a $24,457 fine. No abuse findings, and the most recent inspection was April 2026.

A

87.5/100

Lawton Skilled Nursing & Rehabilitation Center

San Francisco, CA · San Francisco County

CMS 5/5 68 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
40%
Serious cites
0

Lawton Skilled Nursing runs 4.36 nurse hours per resident per day, about 13% above the national average, and turnover sits at 40%, better than the typical 45.8%. Those are real advantages. But weekends drop roughly 15% below its own weekday staffing, so the coverage families see Monday isn't what shows up Saturday. The record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent inspection is dated April 2026. This is a for-profit LLC with 68 beds. Strong inspection and quality scores, thinner weekend coverage, and a clean harm record for a mid-size for-profit, a reasonable picture with one gap worth asking about directly.

A

87.5/100

Arrowhead Springs Healthcare

San Bernardino, CA · San Bernardino County

CMS 4/5 119 beds For-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
25%
Serious cites
0

Arrowhead Springs runs 119 certified beds in San Bernardino, and the staffing numbers are where it separates itself: 4.61 nurse hours per resident day against a national average of 3.86. Turnover sits at 25.2 percent, well under the 45.8 percent national figure, though weekend coverage drops about 16 percent from weekday levels, so ask how that plays out on Saturdays. The 32 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the last inspection closed in April 2025. Corporate for-profit ownership, four out of five stars across health inspections, quality measures, and staffing.

A

87.5/100

View Heights Conv Hosp

Los Angeles, CA · Los Angeles County

CMS 2/5 163 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
—
Serious cites
0

View Heights Conv Hosp runs 163 beds in Los Angeles under for-profit partnership ownership, and its inspection record is the part that should give you pause. Seventy deficiencies on the current record, including four tied to abuse and two serious enough to reach harm or jeopardy, with one fine totaling $31,450. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends drop about 9% below the home's own weekday coverage, so the hours when families tend to visit are the thinnest. The 5/5 quality measure score stands out against a 1/5 inspection rating, which is worth asking about directly.

A

87.5/100

San Luis Care Center

Alamosa, CO · Alamosa County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
30%
Serious cites
0

San Luis Care Center runs leaner on nursing hours than most homes, 3.49 per resident day against a national average of 3.86, and weekends dip roughly 15% below what the home staffs on weekdays. That gap matters if a family member needs help on a Saturday. The tradeoff is stability: turnover sits at 30.4%, well under the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. Twelve deficiencies on record, none at the harm level and none abuse-related, with an inspection completed in June 2024. It's a for-profit limited liability company, and the numbers land above average across staffing, inspections, and quality measures.

A

87.5/100

Grimes Center

New Haven, CT · South Central Ct County

CMS 5/5 114 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
23%
Serious cites
0

Grimes Center runs on 3.72 nurse hours per resident day, a bit under the national figure, and weekends are where that shows, staffing drops roughly a fifth below its own weekday level, so a Saturday visit may look thinner than a Tuesday. The steadier number is turnover at 23.2%, about half the national rate, which matters because familiar aides tend to know residents' routines. Inspections turned up 22 deficiencies with none at harm level, though three are abuse-related and worth asking about directly. As a nonprofit with a recent inspection and 4s on health and quality measures, this reads like a place that is well-run but stretched on weekend coverage.

A

87.5/100

Cook Willow Health & Rehabilitation Center, Inc.

Plymouth, CT · Naugatuck Vly County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
41%
Serious cites
0

Cook Willow runs 60 certified beds in Plymouth under corporate ownership, and the staffing picture is quietly solid: 3.97 nurse hours per resident day, a bit above the national average of 3.86. Turnover sits at 40.8%, better than the 45.8% national figure, though weekends run about 18% thinner than weekdays, worth asking about if your family visits Saturday or Sunday. Inspections in September 2025 found 23 deficiencies, none at harm or jeopardy level, but three tied to abuse, which deserves a direct question about what happened and what changed. Quality measures scored 5/5 and inspections 4/5, so the record is mostly clean with that one category worth pressing on.

A

87.5/100

Jackson Memorial Perdue Medical Center

Cutler Bay, FL · Miami-Dade County

CMS 5/5 163 beds Government Medicaid
Nurse hours
4.67 /day
Staff turnover
24%
Serious cites
0

Jackson Memorial Perdue runs on county money, and that shows up in the staffing numbers: 4.67 nurse hours per resident per day, roughly a fifth above the national figure, with weekend coverage dipping about 16% below its own weekdays. Turnover sits at 23.6%, about half the national rate, which matters more than any single inspection score, stable crews know the residents. The tradeoff is a longer deficiency record: 16 citations, one serious enough to involve harm or jeopardy, and two fines totaling $28,045. The most recent inspection was April 2026. Quality and staffing measures both rate at the top of CMS's scale; the health inspection side is more mixed at three stars.

A

87.5/100

Heart Of Georgia Nursing Home

Eastman, GA · Dodge County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
29%
Serious cites
0

Heart Of Georgia Nursing Home runs on 4.00 nurse hours per resident per day, a bit above the national average, and its staff turnover of 29.3% sits well under the 45.8% national figure, that kind of retention is not common in for-profit nursing homes and usually shows up in how consistently residents are cared for. The catch is weekends, when staffing drops roughly 19% below the home's own weekday level, so coverage isn't evenly spread across the week. Inspections in January 2026 turned up 11 deficiencies, two tied to abuse, though none reached harm or jeopardy level. Eastman's only Medicare-certified home, corporate-owned, with a 3/5 inspection score.

A

87.5/100

Bear Lake Memorial Skilled Nursing Facility

Montpelier, ID · Bear Lake County

CMS 3/5 36 beds Government Medicaid
Nurse hours
3.74 /day
Staff turnover
35%
Serious cites
0

Bear Lake Memorial runs on thin staffing for a 36-bed county-owned home: 3.74 nurse hours per resident day, a bit under the national average, and weekends drop about 16% below its own weekday coverage. That gap shows up in the federal staffing rating. What offsets it is consistency, 35.3% turnover against a national 45.8% means the aides and nurses who are there tend to stay, which matters more in a small rural facility than raw hours. The inspection record carries 22 deficiencies, one serious enough to involve harm, though none tied to abuse. Quality measures score well; the last survey was February 2026.

A

87.5/100

Medicalodges Fort Scott

Fort Scott, KS · Bourbon County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
49%
Serious cites
0

Medicalodges Fort Scott runs 4.18 nurse hours per resident day, roughly 8% above the national average, and CMS gives it top marks on both staffing and quality measures. The catch is consistency: weekend staffing drops about 17% below its own weekday level, and turnover sits at 48.8%, a bit worse than the 45.8% national figure. Its inspection record carries 58 deficiencies, three tied to abuse, though none rose to actual harm or jeopardy, and the most recent look came in February 2026. A for-profit corporation owns the 45-bed building. Strong daily staffing paired with a thin inspection history is the tension here.

A

87.5/100

Trego Co-Lemke Memorial Hospital Ltcu

Wakeeney, KS · Trego County

CMS 4/5 37 beds Government Medicaid
Nurse hours
5.35 /day
Staff turnover
27%
Serious cites
0

Trego County runs this 37-bed home inside the local hospital, and the staffing is the strongest thing it has going: 5.35 nurse hours per resident day, well above the national average. Turnover sits at 26.5%, notably lower than the typical nursing home, so the people caring for residents tend to stick around. Weekends thin out about 17% from weekday coverage, which is worth asking about if your family visits then. The trade-off shows in the care record, 18 deficiencies on file, including one at the harm level and three related to abuse, with a mid-2025 inspection. Staffing is clearly the priority here; the quality measures and inspection history are not keeping pace.

A

87.5/100

Protection Valley Manor

Protection, KS · Comanche County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
24%
Serious cites
0

Protection Valley Manor sits in a small Comanche County town with 45 certified beds, run by a nonprofit corporation. Its nurse staffing runs a bit above the national average, though weekends drop roughly 19 percent below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is unusually low at 23.5 percent against a national 45.8 percent, which suggests people stay. The inspection record is strong on its most recent survey, but ten deficiencies are on file, one of them serious enough to involve harm or jeopardy. One incident can carry real weight in a small building, so read what that deficiency actually involved before deciding.

A

87.5/100

Signature Healthcare At Jefferson Manor Rehab & We

Louisville, KY · Jefferson County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
41%
Serious cites
0

Signature Healthcare at Jefferson Manor runs about 3.95 nurse hours per resident day, slightly above the national average, and turnover sits at 40.6%, better than the 45.8% typical elsewhere. Weekend staffing drops roughly 17% below weekday levels, so coverage thins out when families tend to visit. The 14 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in July 2025. The CMS star ratings land at 4 for health inspections, 5 for quality measures, and 4 for staffing. For a 100-bed for-profit run by a limited liability company, the numbers suggest steady care with a predictable weekend dip worth asking about.

A

87.5/100

Hermitage Care And Rehabilitation Center

Owensboro, KY · Daviess County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
37%
Serious cites
0

Hermitage Care And Rehabilitation Center runs 92 certified beds in Owensboro under for-profit LLC ownership, and the numbers here are steady across the board. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends run about 17% lighter than weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 36.8%, well below the national 45.8%, which suggests people stick around. The inspection record is the strongest signal: one deficiency total, none at harm or jeopardy level, none abuse-related, with the last inspection in April 2026. For a family weighing options, that's a clean recent history backed by consistent staffing.

A

87.5/100

Horizons Living And Rehab Center

Brunswick, ME · Cumberland County

CMS 4/5 65 beds For-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
24%
Serious cites
0

Horizons Living And Rehab Center runs on unusually deep staffing for a 65-bed for-profit home, 4.71 nurse hours per resident day, roughly a fifth more than the national average, and its workers tend to stay, with turnover near 24% against a national rate closer to 46%. Weekends thin out by about 17% compared to weekdays, so ask how coverage holds up on a Saturday. The inspection record shows 20 deficiencies, none involving harm or abuse, and the most recent survey was in August 2024. Quality measures score low even as staffing scores high, a split worth asking the administrator to explain.

A

87.5/100

Lakeview House Skld Nrsg And Residential Care Fac

Haverhill, MA · Essex County

CMS 4/5 91 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
21%
Serious cites
0

Lakeview House runs on 4.19 nurse hours per resident day, roughly 8% above the national average, and its staff retention is unusually strong for the industry, 20.8% turnover against a national average near 46%. The tradeoff shows up on weekends, when staffing drops about 19% below the home's own weekday levels. Inspectors logged 12 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the most recent inspection was July 30, 2025, so the record is current. A 4/5 inspection rating and 4/5 quality measures round out a picture of a for-profit corporate home that is well-staffed on paper and mostly clean in practice, with the abuse citation and weekend dip worth asking about directly.

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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