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Key Takeaways
- Just 25 out of roughly 15,000 U.S. nursing homes achieved zero health deficiency citations during the 12-month period ending May 21, 2026
- Florida (9 facilities) and California (6 facilities) account for 60% of the honor roll, though facilities appear in 11 states total
- Facilities range from 53 to 290 certified beds, showing that both small and large operations can achieve consistent compliance
- The list includes diverse operators: continuing care communities, hospital-based units, pediatric facilities, and a state veterans center
- All 25 facilities scored 96 or higher (out of 100) in CMS ratings, with two achieving perfect scores of 100
Between June 27, 2025 and May 21, 2026, federal inspectors examined thousands of nursing homes across the United States. Just 25 facilities—less than 0.2% of all nursing homes nationwide—completed this period without receiving a single health deficiency citation from the Centers for Medicare & Medicaid Services (CMS).
These "zero-deficiency" homes range from a 53-bed rehabilitation center in New Jersey to a 290-bed facility in Arkansas. They span 11 states and include independent operators, hospital-based units, continuing care retirement communities, and specialized pediatric facilities. All earned CMS quality scores of 96 or higher out of 100.
This achievement represents consistent compliance with federal health and safety standards during routine inspections. CMS surveys nursing homes every 9 to 15 months, examining everything from medication management and infection control to residents' rights and staffing levels.
Geography and Size
Florida leads with 9 facilities on the honor roll, followed by California with 6. New Jersey and Illinois each contributed 2 facilities, while Arkansas, Kentucky, Massachusetts, Michigan, New York, Ohio, and Virginia each had one. The geographic spread suggests that achieving zero deficiencies is possible across different state regulatory environments and regional healthcare markets.
Facility size varies considerably. The largest honor roll member, Arkansas Health Center in Benton, Arkansas, operates 290 certified beds. The smallest, Florham Park Rehabilitation and Healthcare Center in New Jersey, has 53 beds. The median size is 96 beds, with 13 facilities operating 100 or more beds and 12 operating fewer than 100.
Types of Operators
The honor roll includes several continuing care retirement communities (CCRCs), which typically serve healthier seniors alongside skilled nursing residents. Examples include Westminster-Canterbury of Lynchburg in Virginia and Parker at Somerset in New Jersey. Hospital-based skilled nursing units also appear, such as Alameda County Medical Center in California and Sharp Coronado Hospital's Villa Coronado.
Two specialized facilities stand out: Sunshine Children's Home and Rehab Center in Ossining, New York, and New England Pediatric Care in North Billerica, Massachusetts. These pediatric long-term care facilities serve medically fragile children, a population with distinct care needs. One state-run veterans center, Paul E. Patton Eastern Kentucky Veterans Center in Hazard, also made the list.
Quality Scores and Performance
Two facilities achieved perfect CMS scores of 100: Greenridge Post Acute in El Sobrante, California, and Health Center at Sinai Residences in Boca Raton, Florida. Both are 60-bed facilities. Scores for the remaining 23 facilities ranged from 96 to 99, all within CMS's "excellent" performance band.
These scores reflect CMS's Five-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing levels, and quality measures. A zero-deficiency inspection record directly contributes to a facility's health inspection rating, though the overall star rating also incorporates other performance dimensions.
What This Means for Families
A zero-deficiency record indicates that inspectors found no violations of federal participation requirements during the measurement period. However, this snapshot covers one year of inspections. Families researching nursing homes should review multi-year inspection histories, staffing data, and quality measures on Medicare.gov's Care Compare tool, and always visit facilities in person.
It's worth noting that even excellent facilities can receive deficiencies in subsequent surveys as regulations evolve and resident populations change. Similarly, facilities not on this list may provide high-quality care while working to correct minor compliance issues. The honor roll represents one data point in a comprehensive assessment, not a complete picture of care quality.
How to Read This
- Care Safety score
- A 0–100 score we calculate from CMS inspection history, staffing data, citation patterns, and complaint summaries. Higher is better. We group facilities into bands: Excellent, Good, Fair, and Poor.
Data source: Centers for Medicare & Medicaid Services (CMS). Data as of 2026-05-21.
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How we built this: Every Senior Care Report Card insight is generated from the federal CMS Care Compare dataset and reviewed by our editorial team before publishing. We do not invent numbers, and we always tell you the date the data was collected. Read our methodology →