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2,315 Best Medicaid Nursing Homes in the United States

2,315 of the 14,697 Medicare-certified nursing homes in the United States (16%) are top-graded Medicaid-certified, and all are listed below. 2315 of the 2315 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 33%, 12.8 points lower than the 45.8% across all homes there. Mclean Health Center in Simsbury grades highest at A (100 out of 100).

How top-graded Medicaid-certified 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

4.61

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

33%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

89.4/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A

2,315 grade A,

The best-graded top-graded Medicaid-certified home in the United States is Mclean Health Center in Simsbury, CT — grade A, 100/100.

Every top-graded Medicaid-certified nursing home in the United States

Showing 2061–2080 of 2,315, best-graded first.

A

85/100

Watsonville Post Acute Center

Watsonville, CA · Santa Cruz County

CMS 5/5 95 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
41%
Serious cites
0

Watsonville Post Acute Center runs 95 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The health inspection record shows 35 deficiencies, including one at the harm or jeopardy level, with no abuse citations, and one fine of $8,018. Its last inspection was August 29, 2025, so the record is recent.

A

85/100

Golden Heights Healthcare

Daly City, CA · San Mateo County

CMS 5/5 102 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
36%
Serious cites
0

Golden Heights runs on 4.43 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 35.5% sits well below the 45.8% norm, that combination is why it holds a 5/5 on CMS staffing. Weekend coverage dips about 10% from weekday levels, worth asking about if your family visits on Saturdays or Sundays. The catch is in the inspection record: 49 deficiencies, including four tied to abuse, though none reached harm or jeopardy level. A March 2025 inspection means the record is current. Corporate-owned and for-profit, it's a well-staffed building with a paper trail that deserves a direct question.

A

85/100

Seal Beach Health And Rehabilitation Center

Seal Beach, CA · Orange County

CMS 2/5 198 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
34%
Serious cites
0

Seal Beach Health and Rehabilitation Center runs 198 certified beds under for-profit LLC ownership, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day. Retention is where it stands out: 34.2% annual turnover against a national 45.8% means aides and nurses are staying longer than at the typical home, though weekends run about 9% thinner than weekdays. The concern is the inspection record, 128 deficiencies, including 6 tied to abuse, with the most recent survey in April 2025. None of those rose to harm or jeopardy level, but that volume is a lot to carry. Quality measures score well; the inspection side is what's holding this one back.

A

85/100

Gardena Convalescent Center

Gardena, CA · Los Angeles County

CMS 3/5 74 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
25%
Serious cites
0

Gardena Convalescent Center runs 74 certified beds in Los Angeles County under corporate for-profit ownership. Its 4.17 nurse hours per resident day sit about 8% above the national average of 3.86, and weekend staffing dips roughly 11% below its own weekday level, so the coverage is real, though thinner on Saturdays and Sundays. Staff turnover of 25.4% is notably lower than the 45.8% national figure, which matters for continuity of care. The record is more mixed on oversight: 50 deficiencies total, none at harm or jeopardy level, but 4 abuse-related. Its last inspection was March 13, 2026. Quality and staffing each earned 4 stars from CMS, with health inspection at 3.

A

85/100

Lone Tree Post Acute

Antioch, CA · Contra Costa County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
33%
Serious cites
0

Lone Tree Post Acute runs 4.03 total nurse hours per resident day, a bit above the national average of 3.86, and its 33% annual turnover is well below the 45.8% typical elsewhere, both signs of a steadier floor than many homes manage. The catch sits in the inspection record: 29 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was May 2026. Weekend staffing drops about 10% from weekday levels, which matters if your family visits or calls on Saturdays and Sundays. The quality measure score is strong; the health inspection side is more mixed.

A

85/100

Alexandria Care Center

Los Angeles, CA · Los Angeles County

CMS 1/5 177 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
17%
Serious cites
0

Alexandria Care Center runs on steady staffing, not flash. Nurse coverage sits just above the national average, and a 16.5% turnover rate is remarkably low next to the 45.8% typical elsewhere, that kind of retention usually means people stay, which matters for residents who need consistent caregivers. Weekend coverage dips about 7% below weekdays, so families should ask who's on shift Saturdays and Sundays. The trouble is the inspection record: 115 deficiencies on file, including four tied to abuse, even though none rose to harm or jeopardy level, and the most recent inspection was January 2025. A one-out-of-five health inspection rating against four-out-of-five marks for quality and staffing tells you the care numbers look better than the paperwork trail.

A

85/100

Washington Center

San Leandro, CA · Alameda County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
20%
Serious cites
0

Washington Center runs on a for-profit LLC structure with 99 certified beds, and the numbers tell a steadier story than most. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends dip roughly 6% below its own weekday levels, so coverage does thin out on Saturdays and Sundays. What stands out is the 20.2% annual turnover, less than half the national rate of 45.8%, which suggests a workforce that mostly sticks around. Thirteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection from November 2024. The soft spot is raw staffing hours, not safety.

A

85/100

Casitas Care Center

Granada Hills, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
24%
Serious cites
0

Casitas Care Center in Granada Hills runs on a corporate for-profit model with 99 certified beds, and its staffing picture is genuinely better than most: 4.00 nurse hours per resident day, slightly above the national average, with weekend coverage dipping only about 8% below weekdays. Turnover sits at 24.4%, roughly half the national rate, which suggests people stay. The catch is the inspection record, 59 deficiencies on file, including two tied to abuse, and a health inspection rating of 2 out of 5. Nothing reached harm or jeopardy level, and the most recent inspection was March 2026, so the record is current. Quality measures score well. The staffing is real; so is the paper trail.

A

85/100

Mountain View Conv Hosp

Sylmar, CA · Los Angeles County

CMS 2/5 114 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
27%
Serious cites
0

Mountain View Conv Hosp runs on a for-profit LLC model with 114 certified beds, and its nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average of 3.86. Turnover is 26.5% against a national 45.8%, so the same caregivers are more likely to stick around. Weekend staffing dips about 9% below its own weekday level. What pulls the record down is the inspection side: 109 deficiencies on file, including one at harm or jeopardy level and seven tied to abuse, with a 1/5 health inspection rating. That's a wide gap between how the place is staffed and how it has actually been cited.

A

85/100

Golden Empire

Grass Valley, CA · Nevada County

CMS 4/5 148 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
40%
Serious cites
0

Golden Empire runs 148 beds in Grass Valley under for-profit LLC ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 15% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover lands at 40.4%, a bit better than the 45.8% national figure. Inspections are current as of August 2025, and the record shows 30 deficiencies with none at the harm or jeopardy level, though four are abuse-related, worth asking about directly. Quality measures score well; the health inspection side is where the record is thinner.

A

85/100

Laurel Park Behavioral Health Center

Pomona, CA · Los Angeles County

CMS 4/5 43 beds For-profit Medicaid
Nurse hours
2.68 /day
Staff turnover
35%
Serious cites
0

Laurel Park runs on 2.68 nursing hours per resident day, roughly 31 percent under the national average of 3.86, and weekends drop about 10 percent below its own weekday level. Turnover is 35.3 percent, better than the 45.8 percent national figure, so the problem looks less like a revolving door than like too few hands on any given shift. The current record carries 48 deficiencies, including one at the harm level and nine tied to abuse, against a health inspection rating of 2 out of 5. Quality measures score 5 out of 5, but strong charting doesn't offset thin coverage or that inspection history.

A

85/100

Shandin Hills Behavior Therapy Center

San Bernardino, CA · San Bernardino County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
2.55 /day
Staff turnover
41%
Serious cites
0

Shandin Hills runs lean on nursing hours: 2.55 per resident day against a national average of 3.86, roughly a third below. Weekends dip further, about 7% under the home's own weekday staffing, so coverage thins out exactly when families tend to visit. Turnover sits at 41.4%, a bit better than the 45.8% national figure, and the home's inspection record is recent and clean at the harm level, 18 deficiencies on file, none causing harm or jeopardy, though one is abuse-related, which is worth asking about directly. For-profit, LLC-owned, 78 beds. The care numbers look strong; the question is whether the staffing level holds up on a bad night.

A

85/100

Hayes Convalescent Hospital

San Francisco, CA · San Francisco County

CMS 5/5 34 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
44%
Serious cites
0

Hayes Convalescent Hospital is a small for-profit home in San Francisco, 34 beds, owned by a limited liability company. Its most recent inspection was in November 2025, and the record shows 10 deficiencies, none of which rose to harm or jeopardy, though one was abuse-related. Nurse staffing sits at 4.00 hours per resident day, modestly above the national average, and weekend coverage dips only slightly below weekdays. Annual turnover of 44.1% is a touch better than the national figure. The five-star health inspection rating is the standout here; the one abuse-related deficiency is worth asking about directly before you decide.

A

85/100

Sunny Vista Living Center

Colorado Springs, CO · El Paso County

CMS 3/5 116 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
27%
Serious cites
0

Sunny Vista Living Center runs a tight ship on staffing for a 116-bed nonprofit in Colorado Springs. Nurse coverage sits right at the national average of 3.86 hours per resident day, and turnover is where this home separates itself, 26.5% against a national average of 45.8% means caregivers are staying put, which usually shows up in how consistently residents get the same faces. Weekend staffing dips only about 4% below weekdays, a modest drop. The tradeoff is inspection history: 16 deficiencies on record, including one abuse-related finding, though none rose to harm or jeopardy level. A July 2025 inspection is recent, and the 3/5 health inspection rating reflects that mixed record. Families weighing a move here should ask directly about that abuse citation.

A

85/100

Briarwood Health Care Center

Denver, CO · Denver County

CMS 5/5 201 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
44%
Serious cites
0

Briarwood runs 201 certified beds in Denver under corporate for-profit ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. Weekends drop about 10% below the home's own weekday coverage, so the floor is thinner when families tend to visit. Staff turnover is 44.3%, essentially matching the national rate of 45.8%. The current inspection record shows 22 deficiencies, five of them serious enough to reach harm or jeopardy level, though none involve abuse. One fine totaling $9,110 is on file, and the last inspection was October 2024. Quality measures score high; the inspection history is where the problems concentrate.

A

85/100

Apple Rehab Middletown

Middletown, CT · Lower Ct River Vly County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
38%
Serious cites
0

Apple Rehab Middletown runs 70 beds under corporate ownership, and its nurse staffing sits around 3.27 hours per resident day, roughly 15 percent under the national average of 3.86. Weekends dip about 7 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 37.5 percent, actually better than the 45.8 percent national figure, which matters for consistency of care. The inspection record is the harder read: 54 deficiencies, including one at harm or jeopardy level and six tied to abuse, with the last inspection in October 2024. Quality measures score well, but that inspection history is what a family should ask about directly.

A

85/100

Avon Health Center

Avon, CT · Capitol County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
46%
Serious cites
0

Avon Health Center runs 4.24 nurse hours per resident day, roughly 10% above the national average, and weekends dip about 10% below its own weekday staffing. Turnover sits at 46%, almost exactly the national rate, so retention isn't the problem here, the record is. Thirty-one deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus $32,692 in fines across two penalties, add up to more than the staffing numbers alone would suggest. The last inspection was March 17, 2026, and the health inspection rating comes in at 4 out of 5. Ask about those abuse-related findings directly before you visit.

A

85/100

Fairview

Groton, CT · Southeastern Ct County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
34%
Serious cites
0

Fairview runs on 4.23 nurse hours per resident day, roughly 10% above the national average, and its staff turnover of 33.7% sits well under the 45.8% national figure, both signs of a stable floor. The trade-off shows up on weekends, when staffing drops about 12% below its own weekday level, and in a record of 19 deficiencies that includes one at the harm level and one abuse-related citation. Its last full inspection was July 2024. A nonprofit corporation operates the 120-bed home. Strong routine staffing and low turnover matter, but that deficiency record is the part worth asking about directly.

A

85/100

Saint Josephs Living Center Inc

Windham, CT · Northeastern Ct County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
33%
Serious cites
0

Saint Josephs Living Center runs a tight ship on staff retention, 32.5% annual turnover is well under the national average of 45.8%, which means the people caring for your relative are more likely to still be there next year. Nurse staffing sits at 3.91 hours per resident day, just barely above the national figure, though weekends dip about 8% below the home's own weekday coverage. The record isn't spotless: 22 deficiencies on file, including one at the harm level and one abuse-related, plus a $13,065 fine. The most recent inspection was December 2024, so the picture is reasonably current.

A

85/100

Pendleton Rehabilitation And Nursing Center

Mystic, CT · Southeastern Ct County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
34%
Serious cites
0

Pendleton Rehabilitation And Nursing Center runs 120 certified beds in Mystic under for-profit LLC ownership, and its record is mixed in ways families should weigh carefully. Nurse staffing sits at 3.75 hours per resident day, slightly under the national average, and weekend coverage drops about 11% below its own weekday level, a pattern worth asking about if your relative needs help on Saturdays and Sundays. Turnover is 33.7%, noticeably better than the national 45.8%, so the consistent faces are a real point in its favor. The inspection history is a split story: 32 deficiencies on record, one at harm level, though none abuse-related, with the most recent inspection in January 2025.

Frequently asked questions

How many top-graded Medicaid-certified nursing homes are there in the United States?
There are 2,315 top-graded Medicaid-certified Medicare-certified nursing homes in the United States, 16% of the 14,697 nursing homes there.
Are top-graded Medicaid-certified nursing homes better staffed?
In the United States they average 4.61 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.75 hours. Staff turnover averages 33% against 45.8%.
Which top-graded Medicaid-certified nursing home grades best in the United States?
Mclean Health Center in Simsbury, CT — grade A, 100 out of 100.
Does being top-graded Medicaid-certified mean a nursing home is safe?
No. Of the 2,315 graded top-graded Medicaid-certified homes in the United States, 2,315 grade A and 0 grade D or F.
Do top-graded Medicaid-certified nursing homes in the United States accept Medicaid?
2,315 of the 2,315 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist