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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 21 to 40 of 2,315, best-graded first.

A

99/100

Iowa Veterans Home

Marshalltown, IA · Marshall County

CMS 5/5702 bedsGovernmentMedicaid
Nurse hours
4.74 /day
Staff turnover
25%
Serious cites
0

The Iowa Veterans Home in Marshalltown runs 702 certified beds as a state government operation, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.74 hours per resident day, about 23 percent above the national average of 3.86, and weekend coverage dips only about 14 percent below its own weekday level, a gap that's common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 24.7 percent against a national average of 45.8 percent, meaning caregivers here tend to stay. The home carries just two deficiencies on its current record, neither at the harm level and none abuse-related, with its last inspection dated April 16, 2026.

A

99/100

Bethel Health Care Center

North Newton, KS · Harvey County

CMS 5/565 bedsNon-profitMedicaid
Nurse hours
4.91 /day
Staff turnover
31%
Serious cites
0

Bethel Health Care Center runs on 4.91 nurse hours per resident per day, roughly a quarter more staffing than the typical American nursing home. That time holds up reasonably well on weekends, dipping about 14% below its own weekday level, and only 31.3% of staff left last year against a national average near 46%. The inspection record is clean where it counts: five deficiencies total, none involving harm or jeopardy and none tied to abuse, with the most recent survey in December 2024. Three straight five-star ratings across health inspections, quality measures, and staffing, run by a nonprofit corporation, describe a home that is well-staffed, stable, and currently in good standing.

A

99/100

Nazareth Home

Louisville, KY · Jefferson County

CMS 5/5118 bedsFor-profitMedicaid
Nurse hours
5.43 /day
Staff turnover
30%
Serious cites
0

Nazareth Home runs 5.43 nurse staffing hours per resident day, roughly 41 percent above the national average of 3.86, and its weekend hours dip only about 11 percent below its own weekday levels, a modest drop for a nursing home. Staff turnover sits at 29.5 percent against a national average near 46 percent, and the current record shows no deficiencies at all: none at the harm or jeopardy level, none abuse-related, with the most recent inspection completed April 17, 2025. As a nonprofit corporation with 118 certified beds, it pairs that clean record with top marks across health inspections, quality measures, and staffing. For families weighing a move, the numbers describe steady hands and a well-kept building.

A

99/100

Transitional Care Services At Mercy Medical Center

Baltimore, MD · Baltimore City County

CMS 5/535 bedsNon-profitMedicaid
Nurse hours
6.21 /day
Staff turnover
20%
Serious cites
0

Nurse staffing at this 35-bed nonprofit home runs 6.21 hours per resident day, about 61 percent above the national average of 3.86, so there's more hands-on time per resident than at most places. Weekend coverage dips roughly 10 percent below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 20 percent against a national average near 46 percent, meaning aides and nurses tend to stay. Eighteen deficiencies appear on the current record, one abuse-related, but none at the harm or jeopardy level, and the most recent inspection was November 2025.

A

99/100

Ingleside At King Farm

Rockville, MD · Montgomery County

CMS 5/545 bedsNon-profitMedicaid
Nurse hours
5.28 /day
Staff turnover
15%
Serious cites
0

Ingleside At King Farm runs on a rare amount of nursing attention: 5.28 hours per resident day, roughly a third more than the national figure, and it holds that level fairly steady through the weekend. Staff turnover is the striking number, under 15% a year against a national average near 46%, which matters because familiar caregivers tend to notice changes sooner. The non-profit owner has kept a clean harm record: 19 deficiencies on file, none at the level of harm or jeopardy, though two are abuse-related and worth asking about directly. The last inspection was in March 2026, so the picture is current.

A

99/100

Mary's Meadow At Providence Place

Holyoke, MA · Hampden County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.28 /day
Staff turnover
27%
Serious cites
0

Mary's Meadow runs on 5.28 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, turnover of 27.1% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your visits land on Saturdays or Sundays. The inspection record shows 10 deficiencies with none at the harm level and none tied to abuse, and the most recent state visit was in August 2025. As a church-affiliated nonprofit with 40 beds, it answers to a mission rather than shareholders, and the numbers above suggest that shows up in how it's run.

A

99/100

Tuscola County Medical Care Facility

Caro, MI · Tuscola County

CMS 5/5159 bedsGovernmentMedicaid
Nurse hours
5.95 /day
Staff turnover
25%
Serious cites
0

Tuscola County Medical Care Facility runs on a county government budget out of Caro, and the staffing numbers show it: 5.95 nurse hours per resident day, roughly 54% above the national average of 3.86. Turnover sits at 24.5% against a national 45.8%, meaning aides and nurses tend to stay. Weekends run about 14% leaner than weekdays, which is worth asking about if your relative needs help at predictable times. The tradeoff is inspections, 23 deficiencies on the current record, one at harm or jeopardy level, though none abuse-related, and the most recent survey was December 2025. Quality and staffing measures both score well; the health inspection side is the softer spot.

A

99/100

Marquette County Medical Care Facility

Ishpeming, MI · Marquette County

CMS 5/5140 bedsGovernmentMedicaid
Nurse hours
5.06 /day
Staff turnover
24%
Serious cites
0

Nurse staffing here runs about 5.06 hours per resident day, roughly 31% above the national average of 3.86, and weekends dip only about 10% below the home's own weekday level. Staff turnover sits at 23.8% against a national average near 46%, which matters over time because familiar caregivers tend to notice changes sooner. The tradeoff is in the inspection record: 8 deficiencies, 3 of them serious enough to involve harm or jeopardy, though none abuse-related, with the most recent inspection in May 2025. County-owned facilities often run leaner on frills and steadier on staffing, and the numbers here follow that pattern.

A

99/100

Holland Home Breton Rehabilitation & Living Centre

Grand Rapids, MI · Kent County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at Holland Home Breton runs about 33% above the national average, and the weekend drop is only around 6%, small enough that care doesn't change much on Saturdays and Sundays. Staff turnover sits at 28.1% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record shows six deficiencies, none at the harm level and none related to abuse; the last state visit was in March 2025, so the picture is recent rather than stale. Three straight five-star ratings from CMS, health inspections, quality measures, and staffing, back that up. As a nonprofit, this is a home that has kept its numbers steady across every category the federal government tracks.

A

99/100

Fairview University Trans Serv

Minneapolis, MN · Hennepin County

CMS 5/528 bedsNon-profitMedicaid
Nurse hours
9.19 /day
Staff turnover
30%
Serious cites
0

Fairview University Trans Serv runs 28 certified beds in Minneapolis under nonprofit ownership, and the numbers behind it are unusually clean. Nurse staffing sits at 9.19 hours per resident day, roughly two and a half times the national average of 3.86, and weekend coverage only slips about 7% below weekday levels, so care doesn't thin out when families tend to visit. Staff turnover is 30%, well under the 45.8% national figure, which suggests people stay. The current record carries zero deficiencies, none at the harm level, no abuse citations, and the last inspection was November 2024, so nothing on file is stale. For a small nonprofit, that combination is rare.

A

99/100

Trinity Care Center

Farmington, MN · Dakota County

CMS 5/590 bedsNon-profitMedicaid
Nurse hours
5.11 /day
Staff turnover
20%
Serious cites
0

Trinity Care Center in Farmington runs on a nonprofit model, and its staffing reflects that: 5.11 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage slips about 11% below its own weekday level, which is common but worth asking about if you're planning visits or worrying about Saturday care. Turnover sits at 19.8% against a national average near 46%, that stability matters, because familiar staff notice changes in residents. The inspection record isn't spotless: 14 deficiencies, two serious enough to involve harm or jeopardy, though none related to abuse, and the most recent inspection was April 30, 2026. The quality and staffing measures both score at the top of CMS's scale, which is where much of the strength here comes from.

A

99/100

Lutheran Convalescent Home

Webster Groves, MO · St. Louis County

CMS 5/5251 bedsFor-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
32%
Serious cites
0

Lutheran Convalescent Home runs 4.82 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its staff tends to stay, 31.5% turnover against a 45.8% national figure. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record shows nine deficiencies, none at the harm level, though one is abuse-related, and the last full inspection was in November 2024. For a 251-bed for-profit home, that combination of heavy staffing and low turnover is the main thing separating it from the pack.

A

99/100

Newport House

Omaha, NE · Douglas County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
5.07 /day
Staff turnover
33%
Serious cites
0

Newport House runs 5.07 nurse hours per resident day, roughly a third more hands-on care than the national average, and its weekend hours dip only about 11% below weekday levels, smaller than what many homes see. Staff turnover sits at 32.8% against a national 45.8%, so the people caring for residents tend to stick around. The inspection record shows nine deficiencies with none at the harm level, though one is abuse-related, and the last survey was recent, in January 2026. Quality and staffing both score at the top of CMS's five-star scale while inspections land at three, which fits a nonprofit home that invests heavily in daily care.

A

99/100

Harmony Manor Skilled Nursing Facility

Winnemucca, NV · Humboldt County

CMS 5/542 bedsGovernmentMedicaid
Nurse hours
6.14 /day
Staff turnover
33%
Serious cites
0

Harmony Manor runs on unusually heavy staffing for a 42-bed hospital-district home, 6.14 nurse hours per resident day, roughly 59% above the national average, and the weekend dip of about 12% still leaves it well ahead of most places. Turnover sits at 32.7% against a national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in its record: 24 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was April 2026, and it scores 4s and 5s across inspection, quality, and staffing measures.

A

99/100

Applewood Village, Inc

Freehold, NJ · Monmouth County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.73 /day
Staff turnover
23%
Serious cites
0

Applewood Village is small, 60 beds, and it runs on a nonprofit model, which often shows up in the numbers. Nurse staffing sits at 5.73 hours per resident day, roughly 48% above the national average, and weekend coverage dips only about 6% below weekday levels, so the care doesn't thin out much on Saturdays and Sundays. Annual turnover is 22.8%, about half the national rate of 45.8%, meaning the people caring for residents tend to stay. On the inspection side, two deficiencies on record, neither at the harm level and none abuse-related, with the most recent inspection dated March 2026. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

Cheshire Home

Florham Park, NJ · Morris County

CMS 5/535 bedsNon-profitMedicaid
Nurse hours
7.73 /day
Staff turnover
28%
Serious cites
0

Cheshire Home runs 35 certified beds in Florham Park under nonprofit ownership, and the staffing number is the first thing that stands out: 7.73 nurse hours per resident day, roughly double the national average. Weekend coverage dips about 10% below its own weekday level, which is worth asking about, but the base is high enough that even the dip stays well above typical. Staff turnover sits at 28.1%, meaningfully below the 45.8% national figure, so the people caring for residents tend to stick around. Fifteen deficiencies appear on the current record with none at the harm level, though two are abuse-related and worth reading directly. Morris County families comparing options should note the inspection was recent, January 2026.

A

99/100

Childrens Specialized Hospital Toms River

Toms River, NJ · Ocean County

CMS 5/526 bedsNon-profitMedicaid
Nurse hours
6.72 /day
Staff turnover
30%
Serious cites
0

Childrens Specialized Hospital Toms River runs 26 certified beds in Ocean County as a nonprofit, and its nurse staffing sits at 6.72 hours per resident day, roughly 74% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, but with a base that high, even the lighter days stay well-staffed. Turnover is 30.3%, noticeably lower than the national 45.8%, which suggests a stable crew rather than a rotating door. Its inspection record shows 7 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent visit was September 2024. The quality and staffing star ratings are both perfect fives.

A

99/100

John T Mather Memorial Hosp T C U

Port Jefferson, NY · Suffolk County

CMS 5/516 bedsFor-profitMedicaid
Nurse hours
7.99 /day
Staff turnover
3%
Serious cites
0

John T Mather Memorial's transitional care unit runs on 7.99 nurse hours per resident day, more than double the national figure of 3.86, and its 3.4% turnover is almost unheard of next to the 45.8% national average, meaning the people caring for your family member mostly stay put. Weekend staffing dips about 11% from its own weekday level, worth asking about if you're planning visits then. Twelve deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2025. It's a small for-profit unit, 16 beds, tucked inside a hospital.

A

99/100

River Landing At Sandy Ridge

Colfax, NC · Guilford County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.52 /day
Staff turnover
30%
Serious cites
0

River Landing at Sandy Ridge runs about 5.52 nurse hours per resident each day, roughly 43% above what nursing homes nationally average. Weekends dip about 11% below its own weekday staffing, so coverage isn't perfectly flat, but the baseline is high enough that the drop doesn't erase the advantage. Staff turnover sits at 29.5% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record is clean where it counts: three deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in January 2026. Under nonprofit ownership, that combination, strong hours, stable staff, no harm-level findings, is doing the work here.

A

99/100

Mcv Health Care Facilities, Inc

Mason, OH · Warren County

CMS 5/573 bedsNon-profitMedicaid
Nurse hours
5.60 /day
Staff turnover
29%
Serious cites
0

Mcv Health Care Facilities runs on church-affiliated nonprofit ownership, and the numbers reflect that stability. Nurse staffing sits at 5.60 hours per resident day, roughly 45% above the national average of 3.86, and weekend coverage dips only about 12% below weekday levels, a gap that's smaller than what many homes show. Staff turnover is 29.3%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. The inspection record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in November 2023. 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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