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 121 to 140 of 2,315, best-graded first.

A

96/100

Meth-Wick Health Center

Cedar Rapids, IA · Linn County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
41%
Serious cites
0

Nurse staffing at Meth-Wick runs 4.92 hours per resident day, about 27% above the national average, and the weekend dip is modest, roughly 11% below its own weekday level, which is smaller than what many homes show. Staff turnover sits at 40.5%, below the national 45.8%, and the inspection record is thin: two deficiencies total, none at the harm level and none abuse-related, with the most recent inspection in July 2025. This is a nonprofit home in Cedar Rapids with a stable workforce, recent clean surveys, and staffing that holds up on weekends, the things that tend to matter most when you're choosing care for someone you love.

A

96/100

Spurgeon Manor

Dallas Center, IA · Dallas County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
5.21 /day
Staff turnover
37%
Serious cites
0

Spurgeon Manor runs on 5.21 nursing hours per resident per day, which is about a third more than the national average of 3.86. That extra coverage holds up on weekends too, down roughly 8% from its own weekdays, but still well above what most homes staff any day. Staff turnover sits at 36.6%, noticeably under the 45.8% national figure, so the people caring for residents tend to stick around. The nonprofit's inspection record shows 8 deficiencies, none at the harm level and none abuse-related, with a state survey completed in September 2025. Its staffing and quality ratings both come in at 5 out of 5.

A

96/100

Terrace Glen Village

Marion, IA · Linn County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
33%
Serious cites
0

Terrace Glen Village runs 4.23 nurse hours per resident per day, roughly 10% above the national average, but weekends dip about 10% below its own weekday coverage, worth asking how that gap gets covered. Staff turnover sits at 32.6%, well under the 45.8% national figure, which suggests people stay. Inspections in November 2025 turned up 10 deficiencies, 3 serious enough to involve harm or jeopardy, though none abuse-related, and the 4/5 health inspection rating reflects that mixed record. Quality and staffing measures both came back 5/5. Corporate for-profit ownership of a 40-bed home means fewer layers between decisions and residents.

A

96/100

Meade District Hosp Ltcu Dba Lone Tree Retirement

Meade, KS · Meade County

CMS 5/545 bedsFor-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
40%
Serious cites
0

Lone Tree Retirement in Meade runs 4.73 nurse hours per resident day, about 23% above the national average, and that staffing shows: the federal staffing rating comes in at 5 out of 5, with turnover at 39.6%, lower than the 45.8% national figure. Weekend coverage dips roughly 9% below its own weekday level, so ask how that plays out on Sundays. The catch is the inspection record: 18 deficiencies, one involving actual harm, with the last survey in August 2025. Quality measures score 5 out of 5, but that one harm-level finding and a 3-out-of-5 inspection rating are what hold this for-profit home back.

A

96/100

Stanton County Health Care Facility Ltcu

Johnson, KS · Stanton County

CMS 2/525 bedsGovernmentMedicaid
Nurse hours
5.27 /day
Staff turnover
13%
Serious cites
0

Stanton County Health Care Facility in Johnson runs on a city/county budget, and the numbers show a place where people tend to stay. Annual turnover is 13.3 percent, well below the national 45.8 percent, and total nurse staffing sits at 5.27 hours per resident day, roughly a third more than the 3.86 national average. Weekend coverage dips only about 8 percent from weekday levels, so care doesn't thin out much on Saturdays and Sundays. Inspectors logged 24 deficiencies, none at the harm level, though one is abuse-related, and the last visit was August 2025. The staffing star rating of 1/5 looks odd next to those hours; CMS's scoring there weighs things like RN coverage specifically, not just total volume.

A

96/100

Loretto Living Center At Loretto Motherhouse, Inc.

Nerinx, KY · Marion County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
5.98 /day
Staff turnover
27%
Serious cites
0

The numbers here tell a steady story. Nurse staffing runs about 5.98 hours per resident day, roughly 55% above the national average, and the weekend drop is modest, about 14% off its own weekday level, which matters because that's when many homes quietly thin out. Staff turnover sits at 27%, well under the national 45.8%, so the people caring for residents tend to stick around. On the inspection side, the home carries just two deficiencies, neither at the harm level and none abuse-related, with its most recent survey done in August 2025. It's a nonprofit corporation with 55 certified beds, small enough that consistency is easier to hold onto.

A

96/100

Joseph Eddie Ballard Western Kentucky Veterans Cen

Hanson, KY · Hopkins County

CMS 5/5156 bedsGovernmentMedicaid
Nurse hours
5.40 /day
Staff turnover
34%
Serious cites
0

The Western Kentucky Veterans Center in Hanson is state-run, and that shows in the numbers. Nurse staffing runs about 5.4 hours per resident per day, roughly 40% above the national average, with weekend coverage dipping about 14% below its own weekday level. Turnover sits at 34.3%, better than the 45.8% national figure but still meaning about a third of staff leaving each year. On inspections, there's little to argue with: two deficiencies on the current record, none causing harm or involving abuse, and a survey completed in February 2026. A recent, clean inspection record paired with that staffing level is what a strong home looks like in the data.

A

96/100

Thomson-Hood Veterans Center

Wilmore, KY · Jessamine County

CMS 5/5285 bedsGovernmentMedicaid
Nurse hours
5.09 /day
Staff turnover
29%
Serious cites
0

Thomson-Hood Veterans Center runs on 5.09 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 29.4% sits well under the 45.8% national figure, a combination that tends to mean caregivers who know the residents and stay long enough to notice when something changes. Weekend coverage dips about 12% below weekday levels, which is worth asking about if you visit mainly on Saturdays. Five deficiencies on record, none at the harm level, though one is abuse-related and worth requesting details on. The most recent inspection was in May 2026. As a state-run veterans home, its numbers hold up well against most facilities.

A

96/100

Maine Veterans Home - Augusta

Augusta, ME · Kennebec County

CMS 5/5108 bedsNon-profitMedicaid
Nurse hours
6.62 /day
Staff turnover
33%
Serious cites
0

Maine Veterans Home in Augusta runs on a state Veterans' Affairs model, and the staffing numbers show it: 6.62 nurse hours per resident day, roughly 72% above the national average. That's a big cushion, and it shows up in the five-star staffing rating. Turnover sits at 32.5%, well below the national 45.8%, so the people caring for residents tend to stay. Twelve deficiencies on record, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. The most recent inspection was November 2025, so the picture is current. Nonprofit ownership, 108 beds, and quality and inspection ratings both at four stars. The weak spot, if there is one, is weekends, when staffing drops about 10% below its own weekday level.

A

96/100

Piper Shores

Scarborough, ME · Cumberland County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
41%
Serious cites
0

Piper Shores runs about 5.14 nurse hours per resident day, roughly a third more than the national average, and its quality and staffing marks both sit at the top of CMS's scale. Weekends dip about 9% below weekday coverage, which is worth asking about if your family visits then. Turnover lands at 40.7%, a bit better than the 45.8% national figure. The 21 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was in December 2025, so the picture is current. As a nonprofit with 40 beds, it's small enough that you can press staff on specifics.

A

96/100

Broadmead

Cockeysville, MD · Baltimore County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
5.71 /day
Staff turnover
36%
Serious cites
0

Broadmead runs on 5.71 nurse staffing hours per resident day, well above the national average of 3.86, and its weekend coverage only dips about 6% below weekday levels, a gap that's often much wider elsewhere. Turnover sits at 36.2%, lower than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The home carries 12 deficiencies on its current record, none tied to harm or abuse, and its last inspection was in late 2025, so the picture is recent. As a nonprofit with 70 certified beds, it's small enough that staffing ratios translate directly to bedside attention.

A

96/100

Carroll Lutheran Village

Westminster, MD · Carroll County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
34%
Serious cites
0

Carroll Lutheran Village runs 72 certified beds as a nonprofit, and its staffing sits at 3.89 nurse hours per resident day, just barely above the national average of 3.86. Weekends dip about 6% below its own weekday coverage, so ask how that gap gets covered. Turnover is the stronger number: 33.7% against a national average of 45.8%, which suggests a more stable crew than most places manage. The inspection record shows 34 deficiencies, but none at the harm or jeopardy level and none tied to abuse, and the most recent survey was in June 2025, so the picture is current.

A

96/100

Homewood Living Frederick

Frederick, MD · Frederick County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
26%
Serious cites
0

Homewood Living Frederick runs on church-affiliated nonprofit ownership, and the numbers show a home that's been stable for a while. Nurses provide 4.42 hours of care per resident each day, roughly 15% above the national average of 3.86, and weekend staffing dips only about 7% below weekday levels, a modest gap, not the kind of drop that leaves families worrying about Saturday coverage. Staff turnover sits at 26.4% against a national average near 46%, which suggests people stay. The 19 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was July 2025, so the picture is current. Three five-star CMS ratings back it up.

A

96/100

Garrett County Subacute Unit

Oakland, MD · Garrett County

CMS 5/510 bedsFor-profitMedicaid
Nurse hours
9.45 /day
Staff turnover
35%
Serious cites
0

Garrett County Subacute Unit is a ten-bed for-profit home in Oakland, and its staffing numbers are the story here. At 9.45 nurse hours per resident day, it runs roughly two and a half times the national average, and turnover sits at 35.3%, below the 45.8% national figure, which matters for a small facility where one departure is felt. The trade-off is weekends, when coverage drops about 14% below its own weekday level. Inspections back up the rest: a clean current record of eight deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in August 2025. Five stars across health inspections, quality measures, and staffing is rare company.

A

96/100

Willowbrooke Ct Skilled Care Buckingham's Choice

Adamstown, MD · Frederick County

CMS 5/542 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
12%
Serious cites
0

Willowbrooke Ct runs 4.32 nurse hours per resident day, roughly 12 percent above the national figure, and its staff turnover sits at 11.5 percent against a national average near 46, that retention number is the one that tends to matter most, because familiar caregivers notice changes sooner. Weekends run about 11 percent lighter than weekdays, worth asking about if your family visits then. The 23 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was February 2026. A nonprofit corporation operates the 42-bed home. All three CMS star ratings, inspections, quality measures, staffing, come in at five.

A

96/100

Riverbend Of South Natick

S Natick, MA · Middlesex County

CMS 5/555 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
39%
Serious cites
0

Riverbend Of South Natick runs on 4.19 total nurse hours per resident day, roughly 8% above the national figure, and its weekend staffing dips about 9% below its own weekday level, so care thins out somewhat on Saturdays and Sundays. Staff turnover sits at 38.5%, lower than the 45.8% national rate, which suggests people tend to stick around here more than at the average home. The current record shows 19 deficiencies, none at the harm level, though one is abuse-related. That last inspection was recent, in August 2025.

A

96/100

Copley At Stoughton Nursing Care Center

Stoughton, MA · Norfolk County

CMS 5/5123 bedsFor-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
21%
Serious cites
0

Nurse staffing at Copley At Stoughton runs 4.27 hours per resident day, about 11 percent above the national average, and weekend coverage dips roughly 8 percent below its own weekday levels, so ask how that gap gets filled. Annual turnover of 20.6 percent sits well under the national 45.8 percent, which matters for whether you see the same faces month to month. The inspection record is the counterweight: 22 deficiencies, one at harm or jeopardy level and two abuse-related, plus a $10,517 fine, with the most recent inspection in December 2025. For-profit partnership ownership, 123 beds. Strong staffing and quality marks, a thinner inspection history.

A

96/100

Leonard Florence Center For Living

Chelsea, MA · Suffolk County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
7.34 /day
Staff turnover
31%
Serious cites
0

Nurse staffing at Leonard Florence Center for Living runs 7.34 hours per resident day, roughly 90% above the national average of 3.86, so direct care hours are generous rather than tight. Weekend coverage dips about 6% below its own weekday level, a modest gap. Annual turnover sits at 31.2%, well under the 45.8% national figure, and the nonprofit corporation that runs it has kept its inspection record current through November 2025. The eight deficiencies on file include none at the harm or jeopardy level and nothing related to abuse, with 5/5 stars across health inspections, quality measures, and staffing.

A

96/100

Ingham County Medical Care Facility

Okemos, MI · Ingham County

CMS 4/5236 bedsGovernmentMedicaid
Nurse hours
5.09 /day
Staff turnover
38%
Serious cites
0

Ingham County Medical Care Facility is a county-owned home in Okemos with 236 certified beds, and its staffing is the standout: 5.09 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips about 11% below weekday levels, which is common but still worth knowing if you're visiting Saturday or Sunday. Annual turnover sits at 37.5%, better than the 45.8% national figure, so the aides and nurses here tend to stick around longer than average. The caution is the inspection record, 63 deficiencies, one at harm or jeopardy level and nine abuse-related, with a health inspection rating of 2 out of 5 despite quality and staffing each earning top marks.

A

96/100

Michigan Masonic Home

Alma, MI · Gratiot County

CMS 5/5204 bedsNon-profitMedicaid
Nurse hours
5.19 /day
Staff turnover
31%
Serious cites
0

The Michigan Masonic Home in Alma runs on 5.19 nurse hours per resident day, roughly a third more staffing than the national average, and its staff turnover of 31.3% sits well below the 45.8% national figure, people tend to stay here. Weekend coverage dips about 10% from weekday levels, worth asking about if your family visits Saturdays and Sundays. Inspections turned up 13 deficiencies, none involving harm or abuse, and the most recent visit was January 2026, so the record is current. Five stars across staffing and quality measures, four on health inspections, under nonprofit ownership.

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