2,315 Best Medicaid Nursing Homes in the United States

Nurse hours

4.35 /day

Staff turnover

43%

Serious cites

0

Greencroft Healthcare runs 214 certified beds in Goshen as a nonprofit, and the staffing picture is genuinely solid: 4.35 nursing hours per resident day, roughly 13% above the national average, with weekend coverage only about 7% lighter than weekdays. Turnover sits at 42.8%, a bit better than the 45.8% national figure. The trouble is inspections. A 1-out-of-5 health inspection rating, 38 deficiencies on the current record, including three at harm or jeopardy level and three tied to abuse, with the last survey dated May 2025. Strong staffing and a 5-out-of-5 quality measure score don't erase that citation history, ask pointed questions about the harm-level findings and what changed since.

Nurse hours

3.71 /day

Staff turnover

40%

Serious cites

0

Lutheran Life Villages runs 99 certified beds in Kendallville under county government ownership, and its inspection record is the cleanest part of the story: five deficiencies on file, none of them causing harm or jeopardy, none tied to abuse, with the most recent state visit in March 2026. Staffing is where the numbers get more ordinary. At 3.71 nurse hours per resident day, it sits about 4% under the national average of 3.86, and weekends dip roughly 8% below its own weekday coverage. Annual turnover of 40.3% is better than the 45.8% national figure, which matters for whether you see the same faces month to month.

Nurse hours

4.41 /day

Staff turnover

41%

Serious cites

0

Lutheran Life Villages runs 84 certified beds as a nonprofit, and the numbers hold up well. Nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average of 3.86, though weekend coverage dips about 9% below what the home provides on weekdays, so ask how that gap gets managed. Staff turnover is 41.4%, a bit better than the 45.8% national figure, which matters for continuity of care. Seven deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with a recent inspection in March 2026. Quality and inspection ratings both came back at the top of CMS's scale.

Nurse hours

5.70 /day

Staff turnover

51%

Serious cites

0

Restoracy Of Goshen runs 48 beds under individual for-profit ownership, and its strongest card is nursing hours: 5.70 per resident per day, roughly 48% above the national average of 3.86. Weekends dip about 10% below its own weekday level, so ask how that plays out on a Sunday. The inspection record shows 29 deficiencies, though none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025. Staff turnover sits at 50.6%, above the 45.8% national figure, worth asking about, since consistent caregivers matter. CMS rates quality measures 5/5, staffing 4/5, and health inspections 3/5.

Nurse hours

4.09 /day

Staff turnover

44%

Serious cites

0

Holy Spirit Retirement Home runs on a nonprofit model with 78 certified beds, and its nurse staffing sits at 4.09 hours per resident day, about 6% above the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so the margins are thinner on Saturdays and Sundays. Annual turnover is 44.4%, essentially in line with the national 45.8%. The inspection record carries 30 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was April 30, 2026. Quality measures score well above average while the health inspection side lags behind.

Nurse hours

4.33 /day

Staff turnover

27%

Serious cites

0

Good Neighbor Home runs a genuinely strong staffing operation for a 112-bed nonprofit in Manchester. Nurses provide 4.33 hours per resident day, about 12% above the national average, and turnover sits at 27.2% against a national 45.8%, that kind of retention matters more than any single number, because consistent caregivers know the residents. The catch is inspections: eight deficiencies on the current record, three of them serious enough to involve harm or jeopardy, with a $6,279 fine attached. State surveyors last visited in June 2025. Weekend coverage also dips roughly 14% below weekday levels, so care can thin out when families visit. Strong hands on staff, but quality measures and inspection history both sit at two stars.

Nurse hours

3.64 /day

Staff turnover

19%

Serious cites

0

Gracewell runs leaner on nurse hours than the typical American nursing home, 3.64 per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. What stands out more is who stays: turnover sits at 18.5% when the national figure is 45.8%, so the people caring for residents here tend to still be there next year. The inspection record backs that up, with 10 deficiencies on file, none involving harm or jeopardy and none abuse-related, and a survey as recent as August 2025. For a nonprofit home, that combination of steady staff and a clean harm record counts for more than the raw hours suggest.

Nurse hours

3.75 /day

Staff turnover

39%

Serious cites

0

Keystone Nursing Care Center runs 55 beds under corporate for-profit ownership, and its inspection record is genuinely strong, a 5-star health inspection rating with just three deficiencies on file, only one at the harm level and none tied to abuse. Quality measures also score 5 stars. Where it gives ground is staffing: 3.75 nurse hours per resident day sits about 3% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing rating lands at 3 stars. Turnover is the brighter spot at 38.6%, well under the 45.8% national figure. Its last inspection was September 2025.

Nurse hours

4.56 /day

Staff turnover

44%

Serious cites

0

The Suites At Western Home Communities runs about 4.56 nurse hours per resident day, roughly 18% above the national average, and weekend staffing only dips about 5% below weekday levels, a small gap, which matters because weekends are where a lot of homes quietly thin out. Turnover sits at 43.6%, slightly better than the 45.8% national figure but still meaning nearly half the nursing staff turning over in a year. The inspection record shows 13 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. With a nonprofit owner, a recent March 2026 inspection, and 4s across health inspection and quality measures alongside that 5 on staffing, the numbers point to a home that's well-staffed and currently in good standing.

Nurse hours

2.94 /day

Staff turnover

36%

Serious cites

0

Southeast Iowa Healthcare Center runs lean on daily nurse coverage, 2.94 hours per resident, roughly a quarter below the national figure, and weekends dip about 14% under its own weekday levels, so families should ask how that gap gets covered. What offsets it: turnover sits at 35.9%, well under the 45.8% national rate, meaning the aides and nurses who are there tend to stay. The inspection record is clean where it counts, six deficiencies with none causing harm and nothing abuse-related, and the most recent survey was in January 2026. A for-profit LLC with 55 beds, this is a stable, recently inspected home that runs thin on hours rather than on care quality.

Nurse hours

5.70 /day

Staff turnover

53%

Serious cites

0

Brewster Health Center runs on church-affiliated nonprofit ownership and staffs well above average, 5.70 nurse hours per resident day against a national 3.86, roughly half again the typical home. That staffing depth shows up in the four-out-of-five staffing rating and a perfect quality measure score, and the inspection record is recent, from June 2025, with nineteen deficiencies but none rising to harm or jeopardy. Two abuse-related citations are worth asking about directly. The real soft spots are turnover at 53.1 percent, higher than the 45.8 percent national figure, and weekend coverage that drops about 11 percent below weekday levels. Ask how they hold staffing steady on Saturdays and Sundays.

Nurse hours

4.30 /day

Staff turnover

21%

Serious cites

0

Good Samaritan Society - Parsons runs a tight nursing operation for a 45-bed nonprofit in Labette County. Nurses deliver 4.30 hours of care per resident per day, roughly 11 percent above the national average, and staff turnover sits at 21.2 percent, less than half the national rate of 45.8 percent. That kind of retention shows up in consistent care, though weekend staffing drops about 14 percent below weekday levels, so families should ask who's covering Saturdays and Sundays. The inspection record isn't spotless: 11 deficiencies on file, one serious enough to reach harm or jeopardy level, with no abuse citations. The most recent state visit came in April 2025. Quality measure scores lag behind the strong staffing and inspection marks.

Nurse hours

5.60 /day

Staff turnover

40%

Serious cites

0

Paramount Community Living and Rehab runs about 5.60 nurse hours per resident day, roughly 45% above the national average, and weekend staffing holds within about 8% of weekday levels, better continuity than many homes manage. Turnover sits at 40.3%, a bit below the national 45.8%, which matters for residents who value seeing the same faces. The tradeoff shows up in the inspection record: 33 deficiencies on file, one tied to abuse, though none reached harm or jeopardy, and the last inspection was recent enough to trust. For a nonprofit with 101 beds in Newton, the staffing investment is real; the survey history is the part worth asking about directly.

Nurse hours

5.12 /day

Staff turnover

31%

Serious cites

0

Schowalter Villa runs on a nurse staffing level that's roughly a third higher than what's typical nationally, and its staff tends to stick around far longer than the average home, turnover sits near 31% against a national figure closer to 46%. The nonprofit's inspection record backs that up: a clean five-star health inspection rating, with six deficiencies on file and none involving harm, jeopardy, or abuse, last surveyed in November 2024. Weekend coverage dips slightly, about 7% below weekday levels, which is common but worth knowing if you're visiting then. The weaker spot is the quality measure rating, just two stars, suggesting the clinical outcome data isn't keeping pace with the strong staffing and inspection marks.

Nurse hours

3.94 /day

Staff turnover

40%

Serious cites

0

Brookdale Rosehill runs 92 certified beds in Shawnee, and the numbers hold up better than most. Nurse staffing sits at 3.94 hours per resident day, just above the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family visits Saturdays. Staff turnover is 40%, below the national 45.8%, which suggests people stay. The 36 deficiencies on record sound like a lot until you see none reached harm or jeopardy level and none involved abuse; that's paperwork and process issues, not resident safety. The last inspection was December 2025, so the picture is current. Corporate for-profit ownership, but the direct-care numbers are what families actually feel.

Nurse hours

4.37 /day

Staff turnover

43%

Serious cites

0

Twin Oaks runs a for-profit partnership in Lansing with 70 certified beds, and the staffing numbers are the first thing worth noticing: 4.37 nurse hours per resident day, about 13% above the national average. Weekend coverage dips roughly 4% below its own weekday level, so care thins out a little on Saturdays and Sundays. Annual turnover sits at 43%, slightly better than the 45.8% national figure. The current inspection record shows 18 deficiencies, one serious enough to reach harm or jeopardy level, none abuse-related, plus a single fine of $14,521. The most recent state inspection was August 29, 2024, so the picture is fairly fresh.

Nurse hours

3.99 /day

Staff turnover

44%

Serious cites

0

Cedar Ridge runs about 53 certified beds in Cynthiana under corporate for-profit ownership, and the staffing numbers are quietly decent: 3.99 nurse hours per resident day, a bit above the national average, with weekend coverage dropping roughly 8% from weekday levels. Turnover sits at 43.9%, slightly better than the national 45.8%. The current record shows five deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection came in January 2026. Quality measure and staffing ratings both land at 4 or better out of 5. What you're looking at is a home that isn't perfect on paper but has no serious problems in the numbers that matter most.

Nurse hours

6.45 /day

Staff turnover

33%

Serious cites

0

Tug Valley ARH runs 6.45 nurse hours per resident day, roughly two and a half hours more than the national average, and its staff turnover of 33.3% sits well below the 45.8% national figure, those two numbers explain most of why it lands where it does. Weekend staffing dips about 9% below its own weekday level, so ask how that plays out on a Sunday. The record shows 12 deficiencies with none at the harm level, though one is abuse-related, and a June 2025 inspection means the picture is current. Quality measure scores are the weak spot here, so ask what those measures actually track.

Nurse hours

3.88 /day

Staff turnover

44%

Serious cites

0

Riverside Care & Rehabilitation Center runs 79 certified beds in Calhoun under for-profit LLC ownership, and the numbers here mostly hold up. Nurse staffing sits at 3.88 hours per resident day, barely above the national average, but weekends drop about 13% below its own weekday level, so coverage thins out when families tend to visit. Turnover at 43.5% edges below the national rate of 45.8%, which matters less than it sounds since nearly half the staff still leaves each year. Four deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. Strong marks on health inspections and quality measures round out a record without obvious red flags.

Nurse hours

5.11 /day

Staff turnover

42%

Serious cites

0

Sam Swope Care Center has real staffing strength: 5.11 nurse hours per resident day, roughly a third more than the national average, with a 4-star staffing rating to match. Turnover sits at 42.4%, slightly better than the national 45.8%. But the inspection record is where this home gets shakier, 12 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus two abuse-related findings and two fines totaling $14,859. Weekend staffing also dips about 11% below weekday levels, which matters when families visit. The most recent inspection was February 2026. Good coverage day to day, yes, but the enforcement history is the number I'd ask about directly.