ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 1101–1120 of 2,315, best-graded first.

A

89/100

Oak Hills Living Center

New Ulm, MN · Brown County

CMS 4/5 94 beds Non-profit Medicaid
Nurse hours
5.27 /day
Staff turnover
39%
Serious cites
0

Oak Hills Living Center runs on unusually heavy staffing for a nonprofit home its size, 5.27 nurse hours per resident day, roughly a third more than the national average, which is why CMS hands it a perfect staffing rating. Turnover sits at 39%, better than the 45.8% national figure, though weekend coverage drops about 14% below its own weekday level, so care can thin out on Saturdays and Sundays. The inspection record is where the picture darkens: ten deficiencies, three serious enough to endanger residents, one tied to abuse, and $30,026 in fines across two penalties. Strong daily staffing doesn't erase those findings, and the most recent inspection in April 2026 suggests they're current, not old history.

A

89/100

Presbyterian Homes Of Bloomington

Bloomington, MN · Hennepin County

CMS 5/5 98 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
31%
Serious cites
0

Presbyterian Homes Of Bloomington runs a nonprofit home with 98 certified beds, and its nurse staffing sits at 4.80 hours per resident day, roughly 24% above the national average of 3.86. Weekend hours dip about 8% below its own weekday level, so coverage isn't perfectly even, but the floor stays well above average. Staff turnover is 30.8% against a national 45.8%, which matters for continuity of care. The current record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in April 2025. The weaker spot is the 2/5 quality measure rating; strong staffing and a clean harm record don't erase that.

A

89/100

Viking Manor Nursing Home

Ulen, MN · Clay County

CMS 5/5 45 beds Government Medicaid
Nurse hours
3.42 /day
Staff turnover
12%
Serious cites
0

Viking Manor runs on a city-owned model in a small Clay County town, and the numbers show a stable operation. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national average, and weekends dip roughly 13% below its own weekday coverage, so ask how that plays out on a Saturday. What stands out is the workforce: 12.2% annual turnover against a national 45.8% means people tend to stay. Inspections back that up: a 5/5 health inspection rating, five deficiencies on record with none at harm level and none abuse-related, and the most recent inspection in June 2025.

A

89/100

Wilkinson County Senior Care

Centreville, MS · Wilkinson County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
35%
Serious cites
0

Wilkinson County Senior Care runs on unusually heavy staffing for a 60-bed home, 5.45 nurse hours per resident day, roughly 41% above the national average, and that shows up in a 4-out-of-5 staffing rating. Weekend coverage dips about 12% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 34.7%, better than the 45.8% national figure, and the home has a clean inspection record: 12 deficiencies, none at the harm or jeopardy level and none abuse-related, with its most recent inspection in August 2025. The 3-out-of-5 quality measure rating is the softer spot. It's a for-profit limited liability company.

A

89/100

Tallahatchie General Hosp Ecf

Charleston, MS · Tallahatchie County

CMS 5/5 98 beds Government Medicaid
Nurse hours
4.17 /day
Staff turnover
34%
Serious cites
0

Tallahatchie General Hosp Ecf runs on county money, and the staffing numbers reflect that: 4.17 nurse hours per resident day, roughly 8% above the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 33.7%, well under the 45.8% national figure, which matters for continuity of care. The tradeoff shows up in the inspection record, 12 deficiencies currently, including two at harm or jeopardy level and one tied to abuse, plus a single $11,450 fine. The most recent inspection was October 2025. Solid staffing and stable retention, but the harm-level findings are the part a family should ask about directly.

A

89/100

Accura Healthcare Of Hartington

Hartington, NE · Cedar County

CMS 5/5 47 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
31%
Serious cites
0

Accura Healthcare of Hartington sits in a small Cedar County town, and its numbers are mostly steady. The building runs lean on nursing hours, 3.41 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, so ask how that gap gets filled when a resident needs help on a Saturday. Turnover is the bright spot: 31.4% against a national 45.8%, which suggests people stay. Six deficiencies on record, none at harm level, one abuse-related, and a February 2026 inspection. For-profit, limited liability ownership. Worth a visit, worth asking about weekend staffing specifically.

A

89/100

Mt Carmel Home - Keens Memorial

Kearney, NE · Buffalo County

CMS 4/5 75 beds Non-profit Medicaid
Nurse hours
6.11 /day
Staff turnover
41%
Serious cites
0

Mt Carmel Home in Kearney runs leaner on nursing hours than most places, 6.11 per resident day, roughly 58% above the national average, and that holds up across weekday and weekend shifts, though weekends dip about 13% below the home's own weekday level. Staff turnover sits at 41%, a bit better than the 45.8% typical nationally. The inspection record shows five deficiencies, none rising to harm or jeopardy, but one is abuse-related, worth asking about directly. A January 2026 inspection means the picture is current. Nonprofit ownership and four stars each on health inspections, quality measures, and staffing round out a home that looks steady on paper, with a couple of specific questions worth raising in person.

A

89/100

Saunders Medical Center

Wahoo, NE · Saunders County

CMS 4/5 60 beds Government Medicaid
Nurse hours
4.83 /day
Staff turnover
40%
Serious cites
0

Saunders Medical Center is county-owned, and that shows in the numbers. Nurse staffing runs 4.83 hours per resident day, roughly a quarter above the national average of 3.86, and turnover sits at 39.7% against a national 45.8%, a fairly stable crew for this industry. Weekend coverage dips about 8% below weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Five deficiencies on the current record, none at the harm level, none abuse-related, and the last inspection was in April 2026, so the picture is recent. All three CMS ratings, health inspection, quality measures, staffing, come in at 4 out of 5.

A

89/100

Merrimack County Nursing Home

Boscawen, NH · Merrimack County

CMS 3/5 290 beds Government Medicaid
Nurse hours
4.74 /day
Staff turnover
34%
Serious cites
0

Merrimack County Nursing Home runs on one of the strongest staffing pictures you'll find, 4.74 nurse hours per resident day against a national average of 3.86, and its 34.4% turnover beats the 45.8% norm, which matters for whether your parent sees the same faces each week. Weekends thin out about 11% from weekday coverage, so ask how that gap gets filled. The caution is inspections: 12 deficiencies on the current record, including one at the harm level and one abuse-related, with a $15,646 fine and a 2/5 inspection rating. A March 2026 inspection is recent, at least. County-run and 290 beds means you're dealing with a large public operator, not a chain. Staffing is the strength; the survey history is what to press on.

A

89/100

Bergen New Bridge Medical Center

Paramus, NJ · Bergen County

CMS 4/5 574 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
16%
Serious cites
0

Bergen New Bridge Medical Center runs 574 certified beds as a nonprofit, and its nurse staffing sits right at the national average, 3.88 hours per resident day against 3.86. The number that stands out is turnover: 15.8% annually, roughly a third of the 45.8% national figure, which suggests people stay. Weekend staffing dips about 8% below its own weekday level, a gap worth asking about. The current record shows 15 deficiencies, one at the harm level and none abuse-related, with an inspection in May 2025. Quality and staffing star ratings come in at 4 and 5; health inspections at 3.

A

89/100

Merry Heart Nursing Home

Succasunna, NJ · Morris County

CMS 3/5 113 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
29%
Serious cites
0

Merry Heart runs leaner than the typical American nursing home, 3.71 nurse hours per resident day against a national average of 3.86, and weekends get thinner still, with staffing dropping about 11% below its own weekday level. Turnover is where it stands apart: 28.7% versus 45.8% nationally, meaning the people showing up are more likely to still be there next year. Its 12 deficiencies include one tied to abuse, though none reached harm or jeopardy, and the most recent inspection came in January 2025. Forty-five minutes from now, that mix of steady staff and a recent, mostly clean survey is the real story here.

A

89/100

Childrens Specialized Hospital Mountainside

Mountainside, NJ · Union County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
7.79 /day
Staff turnover
33%
Serious cites
0

Childrens Specialized Hospital Mountainside runs 7.79 nurse hours per resident day, roughly double the national average of 3.86, and that staffing depth holds up on weekends, dipping only about 7% below weekday levels. Turnover sits at 33%, well under the 45.8% national figure, so the people caring for residents tend to stay. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its most recent inspection was in January 2026. As a nonprofit, it answers to a mission rather than shareholders. For a 64-bed pediatric facility, the numbers point to steady, well-staffed care.

A

89/100

Bridgeway Care And Rehab Center At Hillsborough

Hillsborough, NJ · Somerset County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
33%
Serious cites
0

Bridgeway Care and Rehab Center at Hillsborough runs on a for-profit LLC model with 126 certified beds, and its staffing is the strongest part of the story, 4.12 nurse hours per resident day, roughly 7% above the national average, with a 5-out-of-5 CMS staffing rating. Turnover sits at 33.3%, well below the national 45.8%, which suggests people stay. The tradeoffs show up elsewhere. A 3-out-of-5 inspection rating reflects 24 deficiencies on the current record, including one at the harm level and five related to abuse. That's a meaningful record to weigh, even though the most recent inspection was in January 2026 and quality measures rate 4 out of 5.

A

89/100

Bethel Nursing Home Company Inc

Ossining, NY · Westchester County

CMS 3/5 43 beds Non-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
25%
Serious cites
0

Bethel Nursing Home Company in Ossining is a small nonprofit, 43 certified beds, and the numbers tell a story with real strengths and real caveats. Nurse staffing runs about 3.53 hours per resident day, roughly 9% under the national average, though its 25% annual turnover is well below the 45.8% national figure, which matters for whether you see the same faces week to week. The inspection record is the weak spot: 22 deficiencies, two tied to abuse, and a two-star health inspection rating, though none reached harm or jeopardy level and the most recent inspection was in March 2025. Ask specifically about those abuse-related citations and how weekend coverage holds up.

A

89/100

Ideal Senior Living Center

Endicott, NY · Broome County

CMS 5/5 150 beds Non-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
30%
Serious cites
0

Ideal Senior Living Center runs on 4.55 nurse hours per resident day, roughly 18% more than the national average, though weekend coverage dips about 14% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 30.2%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record shows 8 deficiencies with none at the harm level and none abuse-related, plus one fine of $28,140; the most recent inspection was in February 2026, so the picture is current. As a nonprofit, it answers to a board rather than shareholders.

A

89/100

Queen Of Peace Residence

Queens Village, NY · Queens County

CMS 5/5 53 beds Non-profit Medicaid
Nurse hours
7.17 /day
Staff turnover
29%
Serious cites
0

Queen of Peace Residence in Queens Village runs on a non-profit model with 53 certified beds, and its staffing is the standout: 7.17 nurse hours per resident day, roughly 86% above the national average. That's an unusual number, and it shows up in the staffing star rating. Weekend coverage dips about 5% below weekday levels, which is modest. Staff turnover sits at 28.6% against a national average near 46%, so people tend to stay. The record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in late 2025. Quality measure scores run lower, at 2 stars, which is worth asking about directly.

A

89/100

Smp Health - St Catherine North

Fargo, ND · Cass County

CMS 4/5 125 beds Non-profit Medicaid
Nurse hours
5.03 /day
Staff turnover
31%
Serious cites
0

St. Catherine North is church-run and nonprofit, which tends to show up in how it treats staff, and it does here. Nurse staffing runs about 5.03 hours per resident day, roughly 30% above the national average, and turnover sits at 31.3% against a national 45.8%. Both numbers say people tend to stay. Weekends dip about 11% below the home's own weekday level, so ask how that plays out on a Sunday. The inspection record is more mixed: 12 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $6,168. The last inspection was in February 2026, so the picture is current. Strong staffing, decent but not spotless oversight.

A

89/100

Jenkins Care Community

Wellston, OH · Jackson County

CMS 4/5 57 beds Non-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
26%
Serious cites
0

Jenkins Care Community runs a tight ship on staffing: 3.95 nurse hours per resident day, slightly above the national average, and turnover sits at 26% against a national figure near 46%. That retention matters, it usually means residents see the same faces. Weekends dip about 12% below weekday coverage, so ask how that plays out on Sundays. The blemishes on the record are real: 23 deficiencies, one at the harm level and one tied to abuse. A February 2025 inspection is recent, and the four-star inspection and quality ratings suggest the problems were addressed rather than ignored. As a nonprofit, there's no owner extracting profit, which gives it room to spend on care.

A

89/100

Beechwood Home For Incurables

Cincinnati, OH · Hamilton County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
5.26 /day
Staff turnover
42%
Serious cites
0

Beechwood Home for Incurables runs 80 certified beds as a nonprofit in Cincinnati, and its nurse staffing sits at 5.26 hours per resident per day, roughly 36% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Annual turnover is 41.9%, a bit better than the 45.8% national figure. The health inspection record shows 14 deficiencies, none at the harm or jeopardy level, though four are abuse-related and worth asking about directly. The most recent inspection was May 22, 2025, so the picture is current. Strong quality measure scores and above-average staffing are the real story here.

A

89/100

Ottawa Co Riverview Nursing Ho

Oak Harbor, OH · Ottawa County

CMS 4/5 115 beds Government Medicaid
Nurse hours
4.26 /day
Staff turnover
39%
Serious cites
0

Riverview runs on county money, and the staffing numbers show it: 4.26 nurse hours per resident day, roughly 10% above the national average, with turnover at 38.9% against a national 45.8%. That's a stable workforce by nursing home standards, though weekend coverage dips about 6% below weekdays. The tradeoff shows up in inspections. Fourteen deficiencies sit on the current record, including one at the harm level and two tied to abuse, and a $17,345 fine. The last inspection was February 2026, so the record is recent. Strong quality scores and above-average staffing are real, but the harm-level and abuse findings are the kind of thing worth asking about directly before you decide.

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