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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 961–980 of 2,315, best-graded first.

A

90/100

Avir At Hillview

Goldthwaite, TX · Mills County

CMS 5/5 52 beds Government Medicaid
Nurse hours
3.10 /day
Staff turnover
30%
Serious cites
0

Hillview Nursing & Rehabilitation runs on a government-hospital-district model in Goldthwaite, and the inspection record is the strongest part of the story: a perfect health inspection score, quality measures to match, and no deficiencies at the harm or jeopardy level. The 14 total deficiencies and one abuse-related finding are worth asking about directly, but none rose to actual harm. Staffing is where the picture gets complicated. At 3.10 nurse hours per resident day, this home sits roughly 20 percent below the national average, and weekends run about 14 percent thinner than weekdays. Turnover, though, is 30.3 percent against a national 45.8, a steadier crew than most. The January 2026 inspection means the record is current.

A

90/100

Richard A. Anderson (State Of Texas Veterans Land

Houston, TX · Harris County

CMS 5/5 120 beds Government Medicaid
Nurse hours
4.08 /day
Staff turnover
33%
Serious cites
0

Richard A. Anderson, the state veterans home in Houston, runs nurse staffing at 4.08 hours per resident day, about 6% above the national average, and its 33.3% turnover is well below the 45.8% typical elsewhere. Weekend coverage does dip roughly 11% below weekday levels, so ask how that plays out on Saturdays. The record shows 14 deficiencies, one at the harm level and one abuse-related, plus a single $14,730 fine; the most recent inspection was September 2025. State-run ownership and strong quality and staffing ratings sit alongside that deficiency history, which is what pulls the overall picture down despite the numbers that look good on paper.

A

90/100

Ardie R Copas State Veterans Nursing Home

Port Saint Lucie, FL · St. Lucie County

CMS 5/5 120 beds Government Medicaid
Nurse hours
5.94 /day
Staff turnover
36%
Serious cites
0

Ardie R Copas State Veterans Nursing Home in Port Saint Lucie runs on 5.94 nursing hours per resident per day, roughly half again what the typical American nursing home provides, and it holds a top federal staffing rating. Weekend coverage dips about 12 percent below its own weekday pace, but the floor stays high. Staff turnover is 35.6 percent against a national average of 45.8 percent, meaning fewer caregivers are walking out the door than elsewhere. Inspectors visited in June 2025 and logged 14 deficiencies, none of them causing harm or jeopardy, though one was abuse-related. State-run ownership and a strong inspection record round out the picture.

A

89.5/100

Cleburne County Nursing Home

Heflin, AL · Cleburne County

CMS 5/5 82 beds Government Medicaid
Nurse hours
4.32 /day
Staff turnover
42%
Serious cites
0

Cleburne County Nursing Home runs on county government ownership, and the numbers show it. Nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average of 3.86. Weekend staffing drops about 23% below its own weekday level, so coverage thins out on Saturdays and Sundays. The current record carries just 2 deficiencies, none at the harm or jeopardy level, though 1 is abuse-related, worth asking about directly. Staff turnover is 42.2%, better than the national 45.8% but still meaning nearly half the workforce turns over. The last inspection was March 2022, so the record you're reading is nearly three years old.

A

89.5/100

Terrace Manor Nursing & Rehabilitation Center, Inc

Russellville, AL · Franklin County

CMS 5/5 63 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
37%
Serious cites
0

Terrace Manor runs about 4.01 nurse hours per resident day, roughly 4% above the national average, and its staff turnover of 37.3% sits well below the 45.8% national figure, a sign people tend to stay. The tradeoff is weekends, when staffing drops about 19% below the home's own weekday level, so coverage is thinner on Saturdays and Sundays. Its record shows four deficiencies, none at the harm level, though one is abuse-related. One thing worth asking about directly: the last inspection was August 2021, so that clean-looking record is several years old.

A

89.5/100

Wiregrass Rehabilitation Center & Nursing Home

Geneva, AL · Geneva County

CMS 4/5 96 beds Government Medicaid
Nurse hours
3.86 /day
Staff turnover
34%
Serious cites
0

Wiregrass Rehabilitation Center & Nursing Home is county-owned, which is unusual in Alabama and tends to mean steadier budgets than the for-profit chains. Its 3.86 nurse hours per resident day sits right at the national average, though weekends run about 15 percent lighter than weekdays, so ask how that gap gets covered. Staff turnover is 33.8 percent against a national 45.8, lower, which usually means more familiar faces. Ten deficiencies are on record, none at harm level, none abuse-related, and the last full inspection was March 2022, so the picture is a few years old. The quality and staffing stars look solid; the three-star inspection rating is what holds it back.

A

89.5/100

Englewood Health Care Center

Monroeville, AL · Monroe County

CMS 5/5 87 beds For-profit Medicaid
Nurse hours
5.28 /day
Staff turnover
35%
Serious cites
0

Englewood Health Care Center runs 5.28 nurse hours per resident per day, about 37% above the national average, and its staff turnover sits at 34.7% against a national 45.8%, meaning fewer caregivers cycling out the door than is typical. Weekend staffing does drop roughly 19% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record shows four deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The last full inspection was June 14, 2021, so you're looking at a four-year-old snapshot of the building's compliance.

A

89.5/100

Willowbrooke Ct Skilled Care Ctr Westminster Vlg

Spanish Fort, AL · Baldwin County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
—
Serious cites
0

Willowbrooke runs on 4.49 nurse hours per resident day, roughly 16 percent more than the national average, and that staffing shows up clearly in its five-star CMS staffing rating. Weekend coverage dips only about 4 percent below weekdays, so care doesn't thin out much when families visit. The trade-offs sit elsewhere: ten deficiencies on the current record, including two tied to abuse, though none reached harm or jeopardy. Its last inspection was April 2021, so that record is getting old and may not reflect today's conditions. Quality measures score well at four stars. Nonprofit ownership under a corporation. The strongest argument here is hands-on time; the open question is what a fresh inspection would find.

A

89.5/100

Denali Center

Fairbanks, AK · Fairbanks North Star County

CMS 3/5 71 beds Non-profit Medicaid
Nurse hours
5.36 /day
Staff turnover
—
Serious cites
0

Denali Center runs 5.36 nurse hours per resident day, roughly 39 percent above the national average, and weekends dip about 13 percent below its own weekday level, a real drop, though the floor stays higher than most places. The tradeoff shows up in inspections: 30 deficiencies on the current record, including one at harm or jeopardy level and three tied to abuse, with a $10,358 fine and a January 2026 inspection date. Quality measures score 5 out of 5, which suggests the day-to-day clinical care tracks well even where the survey history doesn't.

A

89.5/100

Summit Health & Rehab Center

Taylor, AR · Columbia County

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

Summit Health & Rehab Center runs 4.06 nurse hours per resident day, roughly 5% above the national average of 3.86, and its 38.2% turnover beats the 45.8% national figure. Weekend staffing, though, drops about 18% below its own weekday level, so coverage thins out on Saturdays and Sundays. The inspection record is as clean as it gets: 8 deficiencies total, none at the harm or jeopardy level, none abuse-related, with the last visit on April 23, 2026. This is a for-profit LLC with 70 certified beds. The three CMS star categories all sit at 5 out of 5, health inspections, quality measures, and staffing.

A

89.5/100

Hillcrest Home

Harrison, AR · Boone County

CMS 4/5 103 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
43%
Serious cites
0

Hillcrest Home runs on 5.13 nurse hours per resident day, roughly a third more staffing than the national average, and its weekend coverage only slips about 16% below weekday levels, a gap that's smaller than what many homes show. The inspection record backs that up: six deficiencies total, none at the harm or jeopardy level and none abuse-related, with a survey completed in May 2025. Staff turnover sits at 42.8%, slightly better than the national 45.8%. For a 103-bed nonprofit in Harrison, the numbers point to a home that stays adequately covered and keeps its regulatory problems minor.

A

89.5/100

Randolph County Nursing Home

Pocahontas, AR · Randolph County

CMS 5/5 140 beds Government Medicaid
Nurse hours
4.02 /day
Staff turnover
40%
Serious cites
0

Randolph County Nursing Home runs on county tax money rather than a corporate chain, and the numbers back up the difference. Nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average, with turnover at 40.1% against a national 45.8%, a steadier workforce than most. The catch is weekends, when coverage drops about 21% below its own weekday level, so a Saturday shift won't look like a Tuesday. Sixteen deficiencies sit on the current record, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was April 2025. Pocahontas families get a county-run home with strong clinical marks and a predictable weekend dip.

A

89.5/100

Good Samaritan Rehab And Care Center

Stockton, CA · San Joaquin County

CMS 4/5 98 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
24%
Serious cites
0

Good Samaritan Rehab And Care Center in Stockton runs on 4.28 nurse hours per resident day, roughly 11% above the national average, and its staff turnover of 23.7% is about half the national rate, a real advantage in a field where aides cycling out the door is the norm. The catch is inspections: 45 deficiencies on the current record, and a two-star health inspection rating, even though none of those rose to harm or jeopardy and there's no abuse history. Weekend staffing also drops about 15% below its own weekday level, so coverage isn't evenly spread. Ownership is for-profit corporate, and the last inspection was February 2025. Strong staffing, weak survey history.

A

89.5/100

Magnolia Manor Of Marion County

Buena Vista, GA · Marion County

CMS 5/5 70 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
35%
Serious cites
0

Magnolia Manor Of Marion County runs on 4.65 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home, and it holds onto workers better than most, 35.3% turnover against a national 45.8%. The trade-off shows up on weekends, when hours drop about 16% below the home's own weekday pace, so ask how that gap gets covered. Fourteen deficiencies sit on the current record with none at harm or jeopardy level, though one is abuse-related, worth a direct question. Inspectors were last in on January 29, 2026, and the nonprofit owner has kept this building above average on health, quality, and staffing measures alike.

A

89.5/100

Apostolic Christian Home

Roanoke, IL · Woodford County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
21%
Serious cites
0

Apostolic Christian Home runs on unusually steady ground. Its nurse staffing sits a hair above the national average, and while weekends get quieter, about 16% below its own weekday coverage, the bigger story is retention: 21.2% turnover against a national 45.8% means aides and nurses tend to stay, so residents see familiar faces. The inspection record backs that up. Fifteen deficiencies on file, but none at the harm level and nothing abuse-related, with the most recent state visit in April 2026. For a 60-bed church-affiliated nonprofit in Woodford County, the numbers show a home that's compliant and consistent rather than stretched thin.

A

89.5/100

Lutheran Retirement Home

Northwood, IA · Worth County

CMS 3/5 42 beds Non-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
42%
Serious cites
0

Lutheran Retirement Home is a small church-affiliated nonprofit in Northwood, and its staffing is genuinely strong, 4.57 nurse hours per resident day, about 18 percent above the national average, with turnover at 41.9 percent, better than the 45.8 percent norm. Weekends run roughly 17 percent leaner than weekdays, so coverage isn't perfectly even. The trouble sits on the inspection side: 13 deficiencies on the current record, four of them at the harm or jeopardy level and three abuse-related, plus one fine of $24,922. That split, high staffing and quality marks alongside serious inspection findings, is worth asking the administrator about directly, particularly what changed after the February 2026 survey.

A

89.5/100

Eastridge

Centralia, KS · Nemaha County

CMS 2/5 28 beds Non-profit Medicaid
Nurse hours
5.34 /day
Staff turnover
54%
Serious cites
0

Eastridge runs a tight ship on staffing hours, 5.34 per resident day against a national average of 3.86, and its quality measure score is perfect. But the inspection record tells a harder story: 12 deficiencies logged, two of them serious enough to put residents at risk of harm, and a health inspection score of 1 out of 5. A $12,798 fine and a 53.8% turnover rate, above the national average, suggest the people providing that care don't stay long. Weekend coverage drops about 17% below weekday levels. With 28 beds and nonprofit ownership, this is a small home where the clinical numbers look strong but the oversight record raises real questions worth asking on a visit.

A

89.5/100

Caritas Center, Inc

Wichita, KS · Sedgwick County

CMS 5/5 22 beds Non-profit Medicaid
Nurse hours
6.11 /day
Staff turnover
14%
Serious cites
0

Caritas Center is a small nonprofit home in Wichita, just 22 certified beds, and its nursing hours run about 58% above the national average, with turnover at 14.3% against a national 45.8%. That combination is rare: plenty of homes staff up, but few keep the same people. Weekend coverage dips roughly 18% below its own weekday level, so ask how that plays out on a Saturday. The inspection record shows six deficiencies, none at the harm level and none abuse-related, and the last survey was in March 2026. Quality measures sit in the middle of the pack.

A

89.5/100

Oceana County Medical Care Facility

Hart, MI · Oceana County

CMS 5/5 115 beds Government Medicaid
Nurse hours
6.05 /day
Staff turnover
26%
Serious cites
0

Oceana County Medical Care Facility runs on 6.05 nurse hours per resident day, roughly 57 percent more than the national average of 3.86, and its staffing star rating reflects that. Weekend coverage dips about 16 percent below its own weekday level, worth knowing if your visits fall on Saturdays or Sundays, but turnover sits at 25.9 percent against a national 45.8 percent, so the people caring for residents tend to stay. The inspection record is clean where it matters most: five deficiencies total, none at the harm or jeopardy level, none abuse-related, and the last survey was in July 2025. County-owned and recently inspected, with quality measures scoring mid-range, this is a home whose strengths rest on consistent staffing and a clean regulatory record rather than standout clinical metrics.

A

89.5/100

Huron County Medical Care Facility

Bad Axe, MI · Huron County

CMS 5/5 112 beds Government Medicaid
Nurse hours
5.57 /day
Staff turnover
36%
Serious cites
0

Huron County Medical Care Facility runs on public money and, by the numbers, spends it well. Nurse staffing sits at 5.57 hours per resident day, roughly 44% above the national average of 3.86, and weekend coverage dips only about 17% below weekday levels, which is a modest drop for a county home. The 36.1% turnover rate is lower than the 45.8% national figure, so the people providing that care tend to stick around. Inspectors logged 23 deficiencies but none at the harm or jeopardy level and none involving abuse, with the most recent inspection in July 2025. For a family weighing options, that combination of staffing depth and a clean harm record is the part worth paying attention to.

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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