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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 1641–1660 of 2,315, best-graded first.

A

87/100

Willow Brook Christian Home

Columbus, OH · Franklin County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
39%
Serious cites
0

Willow Brook runs on a non-profit model with 50 beds in Columbus, and its staffing numbers are genuinely strong, 4.03 nurse hours per resident day, a bit above the national average, though weekends drop roughly 12% below its own weekday coverage. Turnover sits at 38.9%, better than the 45.8% national figure, which matters for consistency of care. The catch is the inspection record: 25 deficiencies on file, including one at the harm level and four tied to abuse. That's a real gap between how the place is staffed and how it's been cited. The last inspection was April 2026, so the record is current. Quality and staffing measures look good; the survey history is where the caution lives.

A

87/100

Belmont Manor

St Clairsville, OH · Belmont County

CMS 4/5 57 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
41%
Serious cites
0

Belmont Manor runs 57 beds under corporate ownership in St. Clairsville, and its nurse staffing sits at 4.03 hours per resident day, roughly 4% above the national average of 3.86. Weekends dip about 13% below weekday coverage, and turnover lands at 40.7%, which is actually better than the 45.8% national figure. The inspection record shows 30 deficiencies, none at the harm or jeopardy level, but one is abuse-related, so ask about that directly. Its last inspection was March 3, 2026, and the quality measure rating comes in at 5 out of 5. The staffing and quality numbers look solid; the deficiency count and that single abuse flag are what a family should press on.

A

87/100

Otterbein North Shore

Lakeside, OH · Ottawa County

CMS 5/5 20 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
53%
Serious cites
0

Otterbein North Shore runs a small 20-bed nonprofit home in Lakeside, and the staffing numbers stand out: 4.80 nurse hours per resident day, roughly a quarter above the national average, with a five-star CMS staffing rating to match. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on a Saturday. Turnover sits at 53.1%, higher than the 45.8% national average, which matters in a building this size where one departure is felt. The inspection record shows 21 deficiencies, none at harm or jeopardy level, though one is abuse-related. The most recent inspection was March 2026, so the picture is current.

A

87/100

Atlantes The

Cincinnati, OH · Clermont County

CMS 5/5 30 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
34%
Serious cites
0

Atlantes The is a small for-profit home in Clermont County, just 30 certified beds, and the numbers behind its A grade hold up. Nurse staffing runs 4.48 hours per resident day, about 16% above the national average, and its 34.4% annual turnover sits well below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. Its inspection record is clean: zero deficiencies on file, none at the harm level, none abuse-related, with the most recent inspection dated April 30, 2026. The one soft spot is weekends, when staffing drops roughly 12% below its own weekday level. Worth asking how that gap gets covered.

A

87/100

Oaks At Bethesda The

Zanesville, OH · Muskingum County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
26%
Serious cites
0

The Oaks At Bethesda runs 55 certified beds in Zanesville under corporate, for-profit ownership, and its staffing sits at 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends drop about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the standout number in a good way: 26% against a national average of 45.8%, meaning the people caring for your relative are more likely to still be there next year. The tradeoff is the inspection record, 21 deficiencies, three of them at harm or jeopardy level, no abuse citations, and a survey completed May 28, 2026. Quality measures score well, but the harm-level findings are what a family should ask about directly.

A

87/100

Kingwood Skilled Nursing And Therapy

Oklahoma City, OK · Oklahoma County

CMS 4/5 105 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
39%
Serious cites
0

Kingwood Skilled Nursing and Therapy runs 3.44 nurse hours per resident per day, roughly 11% under the national average of 3.86, a gap families should weigh, since daily hands-on time is what shows up on a Tuesday afternoon. Weekend staffing dips about 2% below its own weekday level, so the difference isn't dramatic, but it's worth asking who covers Saturdays. Turnover sits at 39%, better than the 45.8% national figure, meaning fewer unfamiliar faces at the bedside. Inspections turned up 17 deficiencies, none at the harm or jeopardy level, though three were abuse-related, plus one fine of $15,180; the last inspection was May 2026. Corporate-owned and 105 beds.

A

87/100

Mangum Skilled Nursing And Therapy

Mangum, OK · Greer County

CMS 5/5 140 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
53%
Serious cites
0

Mangum Skilled Nursing And Therapy runs 140 certified beds under for-profit partnership ownership, and the nurse staffing number, 4.07 hours per resident day, sits about 5% above the national average of 3.86. That sounds solid until you notice weekends drop roughly 7% below the home's own weekday coverage, and annual turnover hits 52.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows four deficiencies, two serious enough to involve harm or jeopardy, plus one fine of $14,069; the most recent inspection was December 2024. Strong quality measure scores and a recent survey help, but consistent weekend coverage and retention are the real questions to ask about.

A

87/100

The King's Daughters & Sons Nursing Home

Durant, OK · Bryan County

CMS 4/5 65 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
32%
Serious cites
0

At The King's Daughters & Sons Nursing Home in Durant, staffing is the standout: 4.48 nurse hours per resident day, about 16% above the national average, with a five-star CMS staffing rating. Turnover sits at 31.6%, well below the national 45.8%, meaning the people caring for residents tend to stick around. Weekend coverage dips roughly 15% from weekday levels, worth asking about. The concerns are on the inspection side: 18 deficiencies on record, including one at the harm level and one abuse-related, plus a $15,249 fine. A June 2025 inspection is recent. Corporate, for-profit ownership. Strong staffing, but the inspection record is where you'd want to ask questions.

A

87/100

University Village Retirement Community

Tulsa, OK · Tulsa County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
48%
Serious cites
0

University Village in Tulsa runs 4.36 nurse hours per resident per day, about 13% more than the national average, and enough for a top federal staffing rating. Weekend coverage dips roughly 10% below its own weekday levels, so ask how that plays out on a Saturday. Staff turnover sits at 48.1%, slightly worse than the 45.8% national figure. Inspections in December 2024 turned up 15 deficiencies, none involving harm or abuse, which is why the health inspection rating lands mid-range at 3 out of 5 while quality measures score 4. It's for-profit, LLC-owned, 80 beds. Solid staffing carries this one; the inspection record is the soft spot.

A

87/100

Rainbow Terrace Care Center

Weleetka, OK · Okfuskee County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
43%
Serious cites
0

Rainbow Terrace runs lean on nursing hours, 3.32 per resident day against a national average of 3.86, and CMS's own staffing rating lands at 1 out of 5. That shortfall hasn't come with heavy turnover, though; at 43.3% it's slightly better than the national 45.8%, and weekend coverage actually runs a bit above the home's weekday level. What pulls the record down is the inspection side: 32 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus a $60,140 fine and a 2/5 inspection rating, with the most recent survey from January 2025. The quality measure score of 4/5 is the bright spot. Corporate-owned, 60 beds.

A

87/100

Dallas Retirement Village Health Center

Dallas, OR · Polk County

CMS 4/5 121 beds For-profit Medicaid
Nurse hours
5.40 /day
Staff turnover
44%
Serious cites
0

Dallas Retirement Village Health Center runs a for-profit, individually owned home with 121 certified beds, and its nurse staffing sits at 5.40 hours per resident day, roughly 40% above the national average of 3.86. That's the real story here, though weekend coverage drops about 13% below its own weekday level, and staff turnover lands at 44%, close to the national 45.8%. The current record shows 35 deficiencies, none at harm or jeopardy level, but one abuse-related citation on file. Inspections are recent, with the last one dated April 2026, and CMS gives it middling marks for health inspections and quality measures while staffing earns 4 of 5 stars.

A

87/100

Avamere Rehabilitation Of Junction City

Junction City, OR · Lane County

CMS 4/5 53 beds For-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
46%
Serious cites
0

Avamere Rehabilitation of Junction City runs 53 beds under corporate ownership, and its nurse staffing sits at 4.75 hours per resident day, roughly 23% above the national average, with weekend coverage dipping about 7% below its own weekday levels. The tradeoff shows up in its record: 35 deficiencies, including 6 tied to abuse and 3 serious enough to put residents in harm's way, plus one fine of $8,678. Staff turnover of 45.6% lands right at the national figure, so continuity isn't a strength here. Your last inspection was fairly recent, in July 2025, and the quality measure rating is strong, but those harm-level and abuse-related findings are the numbers worth asking about directly.

A

87/100

Marquis Tualatin Post Acute Rehab

Tualatin, OR · Clackamas County

CMS 5/5 54 beds For-profit Medicaid
Nurse hours
5.47 /day
Staff turnover
46%
Serious cites
0

Marquis Tualatin runs a genuinely strong nurse staffing line, 5.47 hours per resident day, roughly 42% above the national average, and that's the single best thing in its file. The catch is that weekends thin out about 13% from weekday levels, so coverage isn't as steady as the headline number suggests. Turnover sits at 46.2%, basically level with the national rate, and the inspection record is where things get harder: 11 deficiencies, one at harm or jeopardy level, two tied to abuse, with a 2-out-of-5 inspection rating. The most recent survey was May 2026. For-profit corporate ownership. Strong hours, but a recent record worth asking about directly.

A

87/100

Marquis Autumn Hills Memory Care

Portland, OR · Washington County

CMS 5/5 39 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
24%
Serious cites
0

Marquis Autumn Hills runs on unusually steady staffing for a for-profit memory care home, 4.65 nurse hours per resident day, about a fifth more than the national average, and turnover of 23.7% against a national 45.8%. That retention matters in dementia care, where familiarity with residents is half the job. Weekends dip roughly 8% below weekday coverage, so ask how that plays out on a Sunday. The record isn't spotless: 15 deficiencies, including one at the harm level and three tied to abuse. Inspectors were last in on February 27, 2026, and the home scored 4 of 5 on health inspections but 5 of 5 on quality measures and staffing. The weak spot sits in the inspection history, not the day-to-day numbers.

A

87/100

Luther Crest Nursing Facility

Allentown, PA · Lehigh County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
48%
Serious cites
0

Luther Crest runs on 4.42 nurse hours per resident day, roughly 14% above the national average, and that staffing shows up in the weekend numbers too, weekends dip only about 9% below weekdays, which is milder than what many homes manage. The tradeoff is retention: turnover sits at 48.3%, a bit above the national 45.8%, so the staffing depth comes with a steady churn of faces. On the inspection side, the record is clean where it matters, seven deficiencies total, none at harm or jeopardy level, none abuse-related, and the last survey was recent. Quality measures land at 4 of 5 stars. For a 60-bed nonprofit, the weak spot isn't care, it's keeping the people who deliver it.

A

87/100

Lgar Health And Rehabilitation

Turtle Creek, PA · Allegheny County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
34%
Serious cites
0

Lgar Health and Rehabilitation runs 60 certified beds in Turtle Creek under nonprofit ownership, and its inspection record is the strongest part of the story: a 4-out-of-5 health inspection rating, last surveyed in October 2024, with nine deficiencies on file and none involving actual harm or jeopardy. Two of those deficiencies are abuse-related, which is worth asking about directly. Staffing is the softer spot, 3.68 total nurse hours per resident day sits about 5% under the national average, and weekends run roughly 6% thinner than weekdays. Annual turnover of 34% beats the 45.8% national figure, so the people who are there tend to stay.

A

87/100

Laurel View Village

Davidsville, PA · Somerset County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
5.04 /day
Staff turnover
54%
Serious cites
0

Laurel View Village runs on a church-affiliated nonprofit model in Davidsville, and the staffing numbers back up the good marks: 5.04 nurse hours per resident day, roughly 30% above the national figure of 3.86. Weekends dip about 14% below the home's own weekday coverage, and turnover sits at 54.1% against a national 45.8%, both worth knowing if your family visits or calls mostly on Saturdays and Sundays. The record shows 18 deficiencies, none at harm or jeopardy level, though one is abuse-related and needs a direct question. Its last inspection was May 2026, so the picture is current.

A

87/100

Bradford Ecumenical Home, Inc

Bradford, PA · Mc Kean County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
33%
Serious cites
0

Bradford Ecumenical is a 100-bed nonprofit in McKean County, and the numbers back up its reputation. Nurse staffing runs about 4.20 hours per resident day, roughly 9% above the national average, though weekends dip about 14% below what the home provides on weekdays, so ask how that gap gets covered. Staff turnover sits at 32.7%, well below the national 45.8%, which suggests people stay. The health inspection record is clean: two deficiencies total, none at the harm level, none abuse-related, and the last inspection was in July 2025. For a family weighing options, that combination, low turnover, recent inspection, no harm-level findings, is a solid, unglamorous picture.

A

87/100

Shenango Presbyterian Seniorcare

New Wilmington, PA · Lawrence County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
46%
Serious cites
0

Shenango Presbyterian runs 32 certified beds in New Wilmington under nonprofit ownership, and its staffing sits about 21% above the national average for nurse hours per resident day. That margin matters most on weekends, which run roughly 8% below its own weekday level, a dip, but one that starts from a higher baseline than most homes. Inspection history is the standout: one deficiency on record, none at harm or jeopardy level, none abuse-related, with the most recent inspection dated August 2025. Annual turnover lands at 45.5%, essentially matching the national rate, so the staffing strength isn't coming from unusually stable retention. Quality measures score mid-range even as staffing and inspections score at the top.

A

87/100

Avera Sister James Care Center

Yankton, SD · Yankton County

CMS 5/5 194 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
31%
Serious cites
0

Avera Sister James Care Center runs on 4.10 nurse hours per resident per day, roughly 6% above the national average, and its weekend coverage dips about 10% below its own weekday level, worth asking about if you're planning visits or worrying about Saturday-night care. Staff turnover sits at 31.3%, well under the national 45.8%, which suggests people stay. Nine deficiencies on the current record, one serious enough to reach harm or jeopardy level, none abuse-related, and the last inspection was May 2026, so the record is recent rather than stale. Nonprofit ownership under Avera. The numbers point to a home that's generally steady on staffing and quality, with one inspection finding worth reading closely.

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