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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 1321–1340 of 2,315, best-graded first.

A

88/100

Shady Lawn Health And Rehabilitation

Vicksburg, MS · Warren County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
30%
Serious cites
0

Shady Lawn runs a hundred beds in Vicksburg under corporate ownership, and the numbers here mostly hold up. Nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average, and the five-star staffing rating backs that up, though weekend coverage dips about 11% below what the home manages on weekdays. Staff turnover is the standout: 29.6% against a national average near 46%, which suggests people actually stay. The inspection record is clean where it matters most, five deficiencies total with none at harm level and nothing abuse-related, and the most recent survey was in March 2026. Quality measures come in at three stars, softer than everything else.

A

88/100

Hope Care Center

Kansas City, MO · Jackson County

CMS 5/5 16 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
—
Serious cites
0

Hope Care Center runs on a small scale, 16 beds, nonprofit owned, and the staffing reflects that attention. At 4.51 nurse hours per resident day, it sits about 17% above the national average of 3.86, though weekend coverage drops roughly 17% below its own weekday level, so care may thin out on Saturdays and Sundays. The inspection record shows 27 deficiencies, none at the harm or jeopardy level, with one tied to abuse. State surveyors were last in the building in September 2025, so the picture is current. Quality measures score at the top of CMS's scale, and the health inspection rating is strong, but that abuse-related citation is worth asking about directly before you decide.

A

88/100

The Living Centre

Stevensville, MT · Ravalli County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
5.49 /day
Staff turnover
48%
Serious cites
0

The Living Centre runs 5.49 nurse hours per resident per day, roughly 42% above the national average of 3.86, and CMS gives it five stars for both staffing and quality measures. Weekend coverage dips about 8% below its own weekday level, and turnover sits at 48.2%, a bit worse than the 45.8% national figure. The harder part is the inspection record: 10 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus two fines totaling $37,525. A recent inspection in February 2026 and a four-star health inspection rating suggest the home is being watched closely, but those harm-level and abuse findings are the kind families should ask about directly.

A

88/100

Immanuel Skilled Care Center

Kalispell, MT · Flathead County

CMS 5/5 155 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
40%
Serious cites
0

Immanuel Skilled Care Center runs on 4.37 nurse hours per resident day, roughly 13% above the national average, and CMS gives it top marks for staffing. Weekend coverage dips about 5% below its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 40.2%, better than the 45.8% national figure but still meaning two in five caregivers left last year. The home carries 21 deficiencies, none at the harm level, though three are abuse-related, worth asking about directly. Inspections are current as of December 2025, and the nonprofit corporation behind it has no profit motive pushing census.

A

88/100

Eventide Lincoln Care Center

Lincoln, NE · Lancaster County

CMS 1/5 197 beds Non-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
50%
Serious cites
0

Eventide Lincoln runs on more nursing hours than most homes in the country, 5.11 per resident day against a national average of 3.86. That's real coverage, though weekends thin out roughly 12% below weekday levels, so the weekday-to-Saturday gap is worth asking about. Turnover sits at 49.6%, a bit above the national 45.8%, which means a good share of the people providing that care are still new to the building. The 22 deficiencies on record include nothing flagged as harm or jeopardy and nothing abuse-related, and the last full inspection was in December 2024. Its health inspection rating is the weak spot even as quality and staffing measures score well.

A

88/100

Rose Blumkin Jewish Home

Omaha, NE · Douglas County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
4.91 /day
Staff turnover
39%
Serious cites
0

Rose Blumkin Jewish Home runs on 4.91 nurse hours per resident day, roughly 27% above the national average of 3.86, a real cushion, though weekends dip about 11% below its own weekday levels, so coverage isn't perfectly even across the week. Staff turnover sits at 38.8%, better than the 45.8% national figure, which matters for residents who benefit from seeing familiar faces. The inspection record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. As a nonprofit with 105 certified beds, this Omaha home pairs strong staffing with a clean harm-free survey history.

A

88/100

Florence Home

Omaha, NE · Douglas County

CMS 4/5 126 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
42%
Serious cites
0

Florence Home runs on more nursing hours than most places, 4.41 per resident per day against a national average of 3.86, and that staffing shows up in its five-star CMS rating for it. Turnover sits at 42.4%, slightly better than the typical 45.8%, though weekend coverage dips about 9% below weekday levels, which families often feel on Saturdays and Sundays. The inspection record shows 15 deficiencies with none rising to harm or jeopardy, but two are abuse-related, so ask directly how those were resolved. State inspectors were last in on November 17, 2025. As a nonprofit, it answers to a board rather than shareholders. Quality measures rate four stars; health inspections, three.

A

88/100

Pershing General Hospital Snf

Lovelock, NV · Pershing County

CMS 3/5 25 beds Government Medicaid
Nurse hours
4.12 /day
Staff turnover
45%
Serious cites
0

Pershing General Hospital's skilled nursing unit runs on a government hospital-district license and 25 certified beds, which makes it the kind of small county home where everyone knows the staff. Nurse coverage sits at 4.12 hours per resident day, about 7% above the national average, and weekend staffing dips roughly 11% below its own weekday level. Turnover lands at 44.8%, roughly in line with the national 45.8%. The record shows 41 deficiencies with none at harm or jeopardy level, though 8 are abuse-related, and one fine of $9,258. Inspectors were last on site in April 2025.

A

88/100

Fountain Springs At Cape May Nursing & Rehab Cente

Cape May Court House, NJ · Cape May County

CMS 5/5 116 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
34%
Serious cites
0

Fountain Springs runs leaner than the typical U.S. nursing home on nurse staffing, 3.55 hours per resident day against a national average of 3.86, and weekends dip roughly 12% below its own weekday coverage, so a Saturday or Sunday visit may feel thinner than a Tuesday. Turnover, though, is a genuine bright spot at 33.7% versus 45.8% nationally, meaning the aides and nurses you meet are more likely to still be there next year. State inspectors cited 19 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in late November 2024. Corporate-owned and Medicare-certified for 116 beds.

A

88/100

Oaks At Denville, The

Denville, NJ · Morris County

CMS 4/5 84 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
44%
Serious cites
0

The Oaks at Denville runs a nonprofit home in Morris County with 84 beds, and its staffing is the standout fact here: 5.13 nurse hours per resident day, roughly a third more than the national average, with a perfect staffing star rating to match. Turnover sits at 43.6%, slightly better than the 45.8% national figure, and weekend coverage dips only about 6% below weekdays, which is a fairly modest drop. What pulls the record down is inspections, a 3-out-of-5 rating and 24 deficiencies on the current record, including one at the harm or jeopardy level, from a survey completed January 31, 2025. No abuse-related citations appear. Strong hands-on care, a longer paper trail of problems.

A

88/100

Sunnyside Manor

Wall, NJ · Monmouth County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
20%
Serious cites
0

Sunnyside Manor runs about 4.12 nursing hours per resident day, roughly 7% above the national average, and its staff turnover sits at 20%, less than half the 45.8% national figure. That retention matters more than any single inspection result, because consistent caregivers notice changes in a resident before a chart does. Six deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated September 2025. One caveat worth knowing: weekend staffing drops about 8% below the home's own weekday level, so coverage isn't perfectly even across the week.

A

88/100

Alaris Health At Cedar Grove

Cedar Grove, NJ · Essex County

CMS 4/5 230 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
51%
Serious cites
0

Alaris Health at Cedar Grove runs 230 beds under for-profit LLC ownership in Essex County, and the staffing picture is mixed in ways worth understanding. Total nurse coverage sits at 4.15 hours per resident day, roughly 7% above the national average of 3.86, but weekends drop about 8% below the home's own weekday level, so the weekday numbers that lift the average aren't what a Saturday shift looks like. Annual turnover is 51%, higher than the 45.8% national figure, which means a meaningful share of the people providing that care are new to the building. The inspection record carries 42 deficiencies, including 2 at harm or jeopardy level and 5 abuse-related, though the most recent survey was September 2025 and quality measures score well.

A

88/100

Family Of Caring Healthcare At Ridgewood

Ridgewood, NJ · Bergen County

CMS 5/5 96 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
32%
Serious cites
0

Family Of Caring Healthcare at Ridgewood runs a tight ship on staffing. Its 4.39 nurse hours per resident day sits about 14% above the national average, and weekend coverage barely dips from weekday levels, a gap that trips up plenty of homes. Staff turnover is 31.6%, well under the national 45.8%, which suggests people stick around long enough to know the residents. The tradeoff is a longer deficiency list: 16 citations on the current record, though none at the harm level and none abuse-related. The last inspection was May 2025, so the picture is recent. For-profit, LLC-owned, 96 beds, a midsize Bergen County home whose numbers mostly hold up.

A

88/100

Careone At Madison Avenue

Morristown, NJ · Morris County

CMS 3/5 178 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
21%
Serious cites
0

Careone At Madison Avenue runs 4.03 nurse hours per resident day, a bit above the national average, and its staff turnover sits at 21% against a national 45.8%, that retention is unusual and matters more than most families realize. The catch is weekends, when staffing drops roughly 7% below the home's own weekday level, so coverage isn't perfectly steady across the week. Its last health inspection came in April 2025 and produced 21 deficiencies, none at the harm or jeopardy level and none abuse-related, which is the difference between paperwork problems and resident safety problems. Quality measures score high, though the inspection record suggests the home doesn't always hit that mark.

A

88/100

Las Estancias By Pure Health

Albuquerque, NM · Bernalillo County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
33%
Serious cites
0

Las Estancias sits on Albuquerque's west side with 120 certified beds and a for-profit corporate owner, and the numbers behind its grade tell a fairly steady story. Nurse staffing runs 3.94 hours per resident day, a bit above the national average, though weekends drop about 14% below what the home provides on weekdays, worth asking about if your family member needs more hands-on help on Saturdays and Sundays. Annual turnover of 32.5% is well below the national rate of 45.8%, which suggests a more stable crew than many places. The record isn't spotless: 29 deficiencies, one serious enough to involve harm or jeopardy, with no abuse findings. Its last inspection was February 2025.

A

88/100

St Josephs Home

Ogdensburg, NY · St. Lawrence County

CMS 5/5 82 beds Non-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
28%
Serious cites
0

St Josephs Home runs on 3.02 nurse hours per resident per day, roughly 22% under the national average of 3.86, and weekends dip about 11% below its own weekday staffing. What offsets that thin coverage is consistency: turnover sits at 27.8% against a national 45.8%, so the aides and nurses showing up are more likely to already know the residents. The inspection record is clean where it counts, 11 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. This nonprofit has been inspected recently, March 2026, and its quality measures score at the top of the federal scale. Ask about weekend coverage and that abuse citation.

A

88/100

Forest Hills Care Center

Forest Hills, NY · Queens County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
31%
Serious cites
0

Forest Hills Care Center runs 100 certified beds under for-profit partnership ownership, and its staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot: 30.8% against a national 45.8%, which suggests aides and nurses are sticking around longer than at the typical home. The inspection record shows 16 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in June 2025. Quality measures score well and inspections land mid-range; the staffing number is the piece worth watching.

A

88/100

Beth Abraham Center For Rehabilitation And Nursing

Bronx, NY · Bronx County

CMS 3/5 448 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
23%
Serious cites
0

Beth Abraham runs 4.13 nurse hours per resident day, about 7% above the national average, and its staff turnover of 23.2% is roughly half the national rate, that retention matters more than a single inspection cycle. The trade-off shows up in oversight: 19 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy, and the last inspection was in February 2024. Weekend staffing dips about 8% below its own weekday level, which is worth asking about if your family visits Saturdays and Sundays. A for-profit LLC with 448 beds, rated 2 out of 5 on health inspections but 5 on quality measures.

A

88/100

The Valley View Center For Nursing Care And Rehab

Goshen, NY · Orange County

CMS 2/5 360 beds Government Medicaid
Nurse hours
3.92 /day
Staff turnover
21%
Serious cites
0

Valley View, a county-run home in Goshen with 360 beds, sits in an unusual spot. Its staffing looks solid on paper, 3.92 nurse hours per resident day, just above the national average, with a 4/5 staffing star, and turnover is genuinely low at 20.8% against a national 45.8%. But weekend staffing drops roughly 10% below its own weekday level, and the inspection record is the real story: 44 deficiencies on file, including 8 tied to abuse, with a 1/5 health inspection star despite the most recent survey in July 2025. None of those deficiencies reached harm or jeopardy level, and resident quality measures score 5/5. So you're weighing a home that keeps its staff and treats residents well by the measures, against a thick inspection history worth asking about directly.

A

88/100

Grandell Rehabilitation And Nu

Long Beach, NY · Nassau County

CMS 5/5 278 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
22%
Serious cites
0

Grandell runs 278 beds in Long Beach under corporate ownership, and its inspection record looks solid on paper, a 4-star health inspection rating and a survey completed in August 2025. The catch is in the details. Fifteen deficiencies sit on the current record, three of them abuse-related, though none rose to harm or jeopardy level. Staffing tells a similar story: 3.68 nurse hours per resident day trails the national average, and weekends run about 6% thinner than weekdays. What stands out favorably is turnover at 22%, well under the 45.8% national figure, suggesting people stay. Quality measures score 5 stars. The numbers point to a home that inspects well and keeps its staff, but runs lean on daily coverage.

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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