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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 241 to 260 of 2,315, best-graded first.

A

94.5/100

Medilodge Of Sterling

Sterling, MI · Arenac County

CMS 5/539 bedsFor-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
26%
Serious cites
0

Medilodge Of Sterling runs 4.66 total nurse hours per resident day, roughly 21% above the national average of 3.86, and its staff turnover sits at 25.6% against a national figure near 46%, meaning the people caring for residents here tend to stay. The tradeoff shows up on weekends, when staffing drops about a fifth below its own weekday levels, so coverage is thinner on Saturdays and Sundays. Inspectors have logged 19 deficiencies, none of them causing harm or involving abuse, and the last visit was in September 2025. A for-profit corporate owner, 39 beds, and a recent clean inspection history with stable staffing behind it.

A

94.5/100

Corewell Health Rehabilitation & Nursing Center -

Grand Rapids, MI · Kent County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
34%
Serious cites
0

Corewell Health Rehabilitation & Nursing Center runs about five hours of nursing care per resident each day, roughly 29% more than the national average of 3.86, a real edge, though weekends dip about 16% below its own weekday pace. Staff turnover sits at 33.7%, better than the 45.8% national rate, so the people caring for residents tend to stick around. The inspection record is thin: one deficiency total, none involving harm or abuse, and the last state visit was July 2025, so the findings are recent. As a nonprofit with 80 beds, it's small enough that leadership likely knows the floor.

A

94.5/100

Appleton Area Health

Appleton, MN · Swift County

CMS 3/547 bedsGovernmentMedicaid
Nurse hours
4.81 /day
Staff turnover
34%
Serious cites
0

Appleton Area Health runs on city government ownership and 47 certified beds, and the raw numbers are unusual in one respect: total nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average of 3.86. That's a real margin, though the CMS staffing star lands at just 1/5, and weekend coverage drops about 18% below the home's own weekday level, so the daily experience isn't as steady as the annual figure suggests. Turnover at 34% is better than the 45.8% national rate. Thirteen deficiencies sit on the current record with none at harm or jeopardy level, one abuse-related, and the last inspection was April 2026.

A

94.5/100

Pelican Valley Health Center

Pelican Rapids, MN · Otter Tail County

CMS 5/528 bedsGovernmentMedicaid
Nurse hours
5.11 /day
Staff turnover
28%
Serious cites
0

Pelican Valley Health Center runs on hospital-district ownership in Otter Tail County, which tends to mean steadier budgets than the for-profit chains. The numbers back that up: 5.11 nurse hours per resident day against a national average of 3.86, with weekend staffing dipping about 19% below weekdays, worth asking about if your family visits on Saturdays. Staff turnover sits at 27.5%, well under the 45.8% national figure, so the people caring for residents are more likely to still be there next year. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2026. For 28 beds, that's a clean record.

A

94.5/100

Allina Health Restorative Suites

Plymouth, MN · Hennepin County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
5.19 /day
Staff turnover
39%
Serious cites
0

Allina Health Restorative Suites in Plymouth runs a nonprofit shop with 50 certified beds, and the nurse staffing number is the headline: 5.19 hours per resident day, roughly a third above the national average. Weekend coverage dips about 19% below weekday levels, which is worth asking about if your family visits or needs help on Saturdays and Sundays. Staff turnover sits at 38.8%, better than the 45.8% national figure, and the home's last inspection was in May 2026. Thirteen deficiencies are on the current record, one of them serious enough to involve harm or jeopardy, though none are abuse-related. Quality and staffing both score well on CMS measures; the inspection record is where the deductions pile up.

A

94.5/100

Mount Olivet Home

Minneapolis, MN · Hennepin County

CMS 5/592 bedsNon-profitMedicaid
Nurse hours
2.68 /day
Staff turnover
19%
Serious cites
0

Mount Olivet Home runs lean on daily nursing hours, 2.68 per resident, roughly a third below the national average, and weekends drop about a fifth below its own weekday coverage. That's the trade-off behind its strong marks: turnover sits at 19% against a national 45.8%, meaning the aides and nurses who are there tend to stay, and its last inspection in May 2026 came back clean enough for a 4 out of 5. Seventeen deficiencies are on record, one serious enough to involve harm, but none tied to abuse. As a nonprofit, it isn't answering to investors, which may explain the stability even with thinner shifts.

A

94.5/100

New Gouverneur Hospital Snf

New York, NY · New York County

CMS 5/5295 bedsGovernmentMedicaid
Nurse hours
4.35 /day
Staff turnover
22%
Serious cites
0

New Gouverneur Hospital S N F runs on a level of nurse staffing most homes don't come close to, about 4.35 hours per resident day, roughly 13% above the national average, and its staff turnover sits at 22.2% against a national figure near 46%. The trade-off is weekends, when hours drop about 16% below the home's own weekday pace. The 295-bed city-run home holds a clean recent inspection record (December 2024) with 12 deficiencies, none at the harm level, though one is abuse-related. Three CMS star ratings of four or five say the same thing the numbers do: this is a well-staffed, stable operation with a weekend gap worth asking about.

A

94.5/100

Dr Susan Smith Mckinney Nursing And Rehabilitation

Brooklyn, NY · Kings County

CMS 5/5320 bedsGovernmentMedicaid
Nurse hours
4.72 /day
Staff turnover
20%
Serious cites
0

Dr Susan Smith Mckinney Nursing And Rehabilitation runs on 4.72 nurse hours per resident day, which is roughly 22% above the national average of 3.86, that's real coverage, not a rounding difference. Weekend staffing dips about 16% below its own weekday level, so ask how weekends actually feel. Staff turnover sits at 19.5% against a national average of 45.8%, meaning the people caring for residents tend to stick around. The current record shows just 2 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in October 2024. This is a city-run home in Brooklyn with 320 beds, and the numbers suggest steady, well-staffed care.

A

94.5/100

Mountain Vista Health Park

Denton, NC · Davidson County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.96 /day
Staff turnover
22%
Serious cites
0

Mountain Vista Health Park, a nonprofit home with 60 beds in Denton, runs on unusually strong staffing for a nursing home: 4.96 nurse hours per resident day, roughly 28 percent above the national average of 3.86. Weekend coverage does dip about 19 percent below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 21.9 percent, less than half the national average of 45.8 percent, so the people caring for residents tend to stay. One health deficiency on record, none involving harm or abuse, and a clean five-star inspection rating back up what the numbers suggest.

A

94.5/100

Northern Regional Hospital

Mount Airy, NC · Surry County

CMS 5/533 bedsGovernmentMedicaid
Nurse hours
4.79 /day
Staff turnover
18%
Serious cites
0

Northern Regional Hospital runs a small 33-bed unit in Mount Airy, and the numbers here are unusually clean. Nurse staffing sits at 4.79 hours per resident per day, roughly a quarter above the national average, and weekend coverage only dips about 20% below weekday levels, a gap that's common but manageable at this size. The turnover figure is the standout: 18.4% against a national average near 46%, which suggests people stay. On inspections, there's a single deficiency on record, none involving harm or abuse, with the most recent survey in March 2025. Government hospital-district ownership doesn't guarantee quality, but it does mean this home answers to a public board rather than shareholders.

A

94.5/100

Ohio Living Cape May

Wilmington, OH · Clinton County

CMS 5/523 bedsFor-profitMedicaid
Nurse hours
4.89 /day
Staff turnover
23%
Serious cites
0

Ohio Living Cape May runs a small house in Wilmington, 23 certified beds, nonprofit-owned, and the staffing numbers are the first thing that stands out. At 4.89 nurse hours per resident day, it sits roughly 27% above the national average of 3.86, and its annual turnover of 22.7% is about half the national rate. Weekend coverage does dip about 17% below its own weekday level, which is worth asking about directly. The inspection record shows 11 deficiencies, none at the harm or jeopardy level, one abuse-related; the most recent inspection was June 2023, so the record is getting stale. A 4/5 on health inspections with 5/5 on quality and staffing measures is a solid profile for a home this size.

A

94.5/100

Bethesda Home

Webster, SD · Day County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
31%
Serious cites
0

Bethesda Home runs on 4.53 nursing hours per resident day, roughly 17 percent above the national average, and its staff tends to stay, turnover of 30.6 percent against a national figure near 46 percent. Weekends dip about 19 percent below its own weekday staffing, so ask how that gap gets covered. The eight deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was April 2026. Church-affiliated nonprofit ownership with 50 certified beds. The weak spot is thin weekend coverage; the strong spots are retention and a clean harm record.

A

94.5/100

Stones River Manor, Inc

Murfreesboro, TN · Rutherford County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
6.19 /day
Staff turnover
29%
Serious cites
0

Stones River Manor runs a small house, 30 beds, and staffs it far heavier than most places. At 6.19 nurse hours per resident per day, it's roughly 60 percent above the national average, and its nurses stay: turnover of 28.6 percent against a national rate of 45.8 percent. Inspectors were last in on July 1, 2025, and the home has 15 deficiencies on record with none at the harm or jeopardy level, one of them abuse-related, which is worth asking about directly. The trade-off to know is weekends, when staffing drops about a fifth below its own weekday level. Ownership is nonprofit.

A

94.5/100

Brandon Oaks Nursing And Rehabilitation Center

Roanoke, VA · Roanoke County

CMS 5/562 bedsNon-profitMedicaid
Nurse hours
5.40 /day
Staff turnover
35%
Serious cites
0

Brandon Oaks runs about 5.4 nurse hours per resident per day, roughly 40% above the national figure, which is the kind of margin that usually shows up as more hands on the floor. Weekend coverage dips about 16% below its own weekday level, so families should ask how that gap gets managed. Staff turnover sits at 34.6%, better than the 45.8% national average, and the home carries 12 deficiencies with none at harm or jeopardy level and none abuse-related. Its last inspection was September 2023, so the record is getting a little dated. Nonprofit ownership tends to mean steadier staffing decisions, and the numbers here back that up.

A

94/100

Mission View Health Center

San Luis Obispo, CA · San Luis Obispo County

CMS 5/5162 bedsFor-profitMedicaid
Nurse hours
5.31 /day
Staff turnover
39%
Serious cites
0

Mission View Health Center runs on 5.31 nurse hours per resident per day, roughly a third more than the national average, and that staffing holds up fairly well on weekends, about 6% thinner than weekdays, but not the drop-off you see at a lot of places. Staff turnover sits at 38.8%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The inspection record is clean where it counts: 8 deficiencies, none at the harm level and none abuse-related, with the most recent survey in December 2025. It's a for-profit corporate home with 162 beds, and the numbers here are consistent rather than exceptional in any one spot.

A

94/100

Ventura Post Acute

Ventura, CA · Ventura County

CMS 5/571 bedsFor-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
25%
Serious cites
0

Ventura Post Acute runs 4.70 nurse hours per resident day, about 22 percent above the national average, and its staff tends to stay, 25 percent annual turnover against a national 45.8 percent. Weekend coverage dips roughly 9 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in June 2025. It's an individual for-profit with 71 beds, and the quality and staffing ratings both come in at the top of CMS's scale.

A

94/100

Empress Care Center, Llc

San Jose, CA · Santa Clara County

CMS 4/567 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
33%
Serious cites
0

Empress Care Center runs on 4.19 nursing hours per resident day, roughly 8% above the national average, and its weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 32.7%, well under the 45.8% national figure, so the people caring for residents tend to stick around longer than at a typical home. The catch is the inspection record: 44 deficiencies, including one abuse-related finding, though none rose to actual harm or jeopardy, and the last state visit was in April 2025. A five-star quality rating alongside a two-star inspection history is worth asking about directly when you tour.

A

94/100

The Redwoods Post-Acute

San Jose, CA · Santa Clara County

CMS 3/5152 bedsFor-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
31%
Serious cites
0

The Redwoods runs on strong staffing ratios, 4.47 nursing hours per resident day, about 16% above the national figure, and its staff retention is genuinely better than most, with turnover at 30.8% against a national 45.8%. Weekend coverage dips roughly 9% below weekday levels, which is worth asking about if your relative needs consistent weekend care. The concern sits in inspections: a 2-out-of-5 health inspection rating, 55 deficiencies on record including one at the harm level, and a January 2025 survey that's already a year old. Corporate ownership plus that deficiency count means you should read the actual inspection reports before deciding.

A

94/100

California Pacific Medical Ctr- Davies Campus Hosp

San Francisco, CA · San Francisco County

CMS 5/538 bedsNon-profitMedicaid
Nurse hours
8.97 /day
Staff turnover
29%
Serious cites
0

Nurse staffing here runs 8.97 hours per resident day, more than double the national average of 3.86, and that holds up on weekends, which dip only about 5% below weekday levels. Turnover sits at 29%, well under the national 45.8%. The health inspection rating is 5/5, though the record shows 10 deficiencies, one abuse-related, none at harm or jeopardy level; the most recent inspection was January 9, 2026. Note this is a 38-bed hospital-based unit, so the numbers reflect a small, closely staffed operation rather than a typical standalone nursing home.

A

94/100

Carlsbad By The Sea

Carlsbad, CA · San Diego County

CMS 5/533 bedsNon-profitMedicaid
Nurse hours
5.37 /day
Staff turnover
25%
Serious cites
0

Carlsbad By The Sea runs 33 certified beds as a nonprofit corporation, and the staffing numbers are where it separates itself: 5.37 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is worth knowing if you're planning visits or worrying about Saturday and Sunday care. Turnover sits at 25%, roughly half the national rate of 45.8%, so the people caring for residents tend to stick around. The home carries 8 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated March 25, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

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.

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