2,315 Best Medicaid Nursing Homes in the United States

Nurse hours

5.35 /day

Staff turnover

42%

Serious cites

0

First Care Living Center in Fosston runs 36 beds as a nonprofit, and its nurse staffing is the standout: 5.35 hours per resident day against a national average of 3.86, with weekend coverage dipping about 17% below its own weekday level. Turnover sits at 41.7%, slightly better than the 45.8% national figure. The tradeoff shows up in its record, 13 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, and a single fine of $14,433. Its last inspection was in May 2026, and CMS rates inspection and quality measures at 3 out of 5 each. Strong hands-on care, a thinner margin for error on compliance.

Nurse hours

3.73 /day

Staff turnover

35%

Serious cites

0

Good Samaritan Society, Mountain Lake runs 48 certified beds as a nonprofit, and its staffing story is mixed. Total nurse hours come in at 3.73 per resident day, a bit under the national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover sits at 35.3%, well below the national 45.8%, so the people caring for residents tend to stay. Inspections show a middle-of-the-road picture: 12 deficiencies on record, 3 of them at the harm level, with one fine of $14,069 and a recent July 2025 survey.

Nurse hours

5.17 /day

Staff turnover

40%

Serious cites

0

Nurse staffing at Ms Care Center of Dekalb runs 5.17 hours per resident day, roughly a third above the national average, which is the main reason it holds a 5-star staffing rating. That said, weekends run about 24 percent lighter than weekdays, so coverage isn't perfectly level across the week. Staff turnover sits at 39.6 percent, better than the 45.8 percent national figure. The current record shows nine deficiencies, two of them at the harm or jeopardy level, with two fines totaling $10,358 and a May 2024 inspection. For-profit corporate ownership, a 4-star health inspection rating, and a 3-star quality measure rating round out a home that's strongest on staffing.

Nurse hours

3.50 /day

Staff turnover

33%

Serious cites

0

Silver Cross runs 60 beds in Brookhaven under limited-liability, for-profit ownership, and its nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average of 3.86. That gap widens on weekends, when coverage drops about 23% below the home's own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is 33.3%, better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 17 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025. Quality measures score well; staffing sits in the middle.

Nurse hours

5.12 /day

Staff turnover

49%

Serious cites

0

Dugan Memorial Home runs on unusually heavy staffing for a 60-bed for-profit home, 5.12 nurse hours per resident day, roughly a third more than the national average, and CMS gives it top marks on that measure. Weekends thin out by about a fifth, and turnover sits near 49%, a touch above the national figure, so the coverage isn't perfectly steady. The record isn't spotless either: 11 deficiencies, including one at harm level and two tied to abuse, plus a single $8,788 fine. Its last inspection was March 2026, so the picture is current. Strong hands-on care, some real compliance blemishes worth asking about directly.

Nurse hours

5.46 /day

Staff turnover

41%

Serious cites

0

Bishop Spencer Place runs a nonprofit shop with 57 beds, and the staffing numbers stand out: 5.46 nurse hours per resident day, roughly 41% above the national average. Turnover sits at 40.6%, better than the 45.8% norm, though weekend coverage dips about 19% below weekday levels. The tradeoff shows up in its record, 25 deficiencies, including one at the harm level and one tied to abuse, plus an $8,021 fine. Last inspection was January 2026, so the picture is current. Strong hands on deck, but a survey history that needs watching.

Nurse hours

4.20 /day

Staff turnover

23%

Serious cites

0

Brookefield Park runs on a non-profit model with 70 certified beds, and the staffing numbers are the real story here. At 4.20 nurse hours per resident day, it sits about 9% above the national average of 3.86, and the 22.9% turnover rate is roughly half the national figure of 45.8%, which suggests people actually stay. Weekend coverage dips about 19% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2026. Star ratings land at 3 for health inspections, 3 for quality measures, and 5 for staffing.

Nurse hours

6.14 /day

Staff turnover

—

Serious cites

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Rock County Hospital Long Term Care runs a genuinely strong staffing operation, 6.14 nurse hours per resident day against a national average of 3.86, roughly 59% more hands-on time. Weekends dip about 13% below its own weekday level, which is worth asking about, but the baseline is high enough that even the lower weekend figure beats most homes. The tradeoff shows up in the inspection record: 12 deficiencies on file, including one at the harm or jeopardy level and one abuse-related, with the last survey in September 2025. County ownership tends to mean stable funding and no profit motive, but it doesn't erase those findings. The care hours are real; the inspection history is the part to press on.

Nurse hours

3.99 /day

Staff turnover

—

Serious cites

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Nevada State Veterans Home in Boulder City runs 180 certified beds and is state-owned, which usually means more public accountability than a for-profit chain. Its 3.99 nurse staffing hours per resident day sit just above the national average of 3.86, but weekends drop about 10% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. The inspection history is the real story: 24 deficiencies on record, including one at the harm level and two tied to abuse, plus a $10,358 fine. Quality measures score well, and the last inspection was recent, so the record is current rather than stale.

Nurse hours

3.87 /day

Staff turnover

44%

Serious cites

0

Trinitas Hospital runs 124 certified beds in Elizabeth under nonprofit ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. The catch is weekends, when coverage drops about 17% below its own weekday level, so the hours aren't spread evenly across the week. Staff turnover of 43.8% is slightly better than the 45.8% national figure, which matters for whether you see the same faces. Ten deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in January 2025. Quality and staffing each earned 4 of 5 stars from CMS; health inspections came in at 3.

Nurse hours

3.35 /day

Staff turnover

35%

Serious cites

0

Westchester Center for Rehabilitation & Nursing runs 240 certified beds under corporate ownership, and its inspection record is the part that stands out, 40 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. The health inspection rating sits at 1 out of 5, which fits that count. Nurse staffing comes in at 3.35 hours per resident day, roughly 13 percent under the national average, and weekends drop about 16 percent below the home's own weekday levels. What pulls the other direction is quality measures at 5 out of 5 and turnover at 34.6 percent, better than the 45.8 percent national figure.

Nurse hours

5.32 /day

Staff turnover

33%

Serious cites

0

Valley Senior Living On Columbia runs 5.32 nurse hours per resident day, well above the national average of 3.86, and its staffing star rating reflects that. Weekend coverage drops roughly 20% below weekday levels, which is common but still worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 32.6%, noticeably lower than the 45.8% national figure, so the people caring for residents tend to stick around. The tradeoff shows up in inspections: 13 deficiencies on record, two at the harm level and one abuse-related, with $20,112 in fines. The most recent inspection was June 2025, so the picture is current. Strong staffing, middling regulatory history.

Nurse hours

4.44 /day

Staff turnover

—

Serious cites

0

Parkside Lutheran runs 4.44 nursing hours per resident day, roughly 15% above the national average, but weekends dip about 14% below its own weekday staffing. That gap matters more than the headline number, because CMS scored staffing 1 out of 5 even as quality measures came in at 4 out of 5, a split that usually means the care model looks good on paper but coverage thins out. The inspection record shows 22 deficiencies, none at harm or jeopardy level, though three are abuse-related. This nonprofit has been inspected recently, in December 2025, so the picture is current. Families should ask how weekend shifts are actually covered.

Nurse hours

4.09 /day

Staff turnover

—

Serious cites

0

Simpson House, a nonprofit home in Philadelphia, runs 4.09 nurse hours per resident day, roughly 6% above the national average of 3.86, though weekend coverage dips about 5% below what it manages on weekdays. Its five deficiencies on record include none at the harm level and none related to abuse, and its last inspection was in April 2026, so the picture is current. The staffing star comes in at 3 of 5 even with the above-average hours, which suggests the mix or consistency of coverage holds it back more than the raw number does.

Nurse hours

4.50 /day

Staff turnover

—

Serious cites

0

The Rehabilitation Center at Jefferson Hills runs 4.50 nurse hours per resident day, about 17% above the national average of 3.86, and that staffing shows up in its four-star rating there. Weekend coverage slips roughly 10% below weekday levels, so ask how that plays out on a Sunday. The concern sits on the inspection side: 30 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a two-star health inspection rating, though there are no abuse-related findings and a single fine of $8,281. Quality measures rate four stars, and the last inspection was February 2026.

Nurse hours

5.32 /day

Staff turnover

—

Serious cites

0

John Edward Harter Nursing Center is a 44-bed county-owned home in Fairfax, and its staffing is the story here: 5.32 nurse hours per resident day, roughly 38% above the national average of 3.86. That matters more than most numbers on a page, because direct care time is what families actually feel. Weekend staffing dips about 7% below its own weekday level, so ask how that plays out on a Sunday. The inspection record is light, two deficiencies total, none at the harm level, no abuse citations, with a recent survey in June 2026. County ownership under a city or county government isn't common, and it tends to mean less pressure to chase profit. Two straight 4/5 marks on inspections and quality measures back that up.

Nurse hours

5.10 /day

Staff turnover

32%

Serious cites

0

Dow Rummel Village runs a nonprofit home with 50 certified beds, and its staffing is the standout: 5.10 nurse hours per resident day, about a third more than the national average, with turnover at 31.5% against 45.8% nationally. Weekends dip roughly 17% below weekday coverage, which is common but worth asking about. The inspection record is where it gets harder, a 2-out-of-5 health inspection rating, nine deficiencies with three at harm or jeopardy level, and four fines totaling $90,053, most recently inspected January 8, 2026. Good staffing and strong quality measures don't erase a rough survey history, so ask what changed since that inspection.

Nurse hours

5.22 /day

Staff turnover

25%

Serious cites

0

Summitview runs lean in a way that mostly works in residents' favor: 5.22 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping about 15% below its own weekday levels. Staff turnover sits at 25.3%, well under the 45.8% national figure, and the home is a nonprofit corporation. The inspection record is where it gets complicated, 33 deficiencies currently on file, including 3 at the harm level and 4 tied to abuse, plus three fines totaling $194,266. The most recent inspection was April 2025. Strong staffing and quality scores, but that deficiency history is worth asking about directly.

Nurse hours

4.48 /day

Staff turnover

53%

Serious cites

0

Good Shepherd Services runs a tight ship on direct care: 4.48 nurse hours per resident day, roughly 16% above the national average, with 4 out of 5 stars for staffing. The tradeoffs show up elsewhere. Turnover hits 52.9% against a national 45.8%, and weekend coverage dips about 17% below weekday levels, so the hands on deck can shift depending on the day. Inspections returned 14 deficiencies, none at harm level but five tied to abuse, and the last survey was recent enough to reflect current conditions. For a 50-bed nonprofit, the floor care is the strength; the questions are stability and consistency.

Nurse hours

5.68 /day

Staff turnover

—

Serious cites

0

Vacaville Convalescent runs its nurse staffing at 5.68 hours per resident day, roughly 47% above the national average of 3.86, the kind of margin that matters most during evenings and weekends. That said, weekend coverage dips about 13% below its own weekday level, so the staffing cushion thins out on Saturdays and Sundays. The home sits on 22 deficiencies, with none rising to harm or jeopardy but five flagged as abuse-related, which a family should ask about directly. It carries one fine totaling $7,976, and its last inspection was in early March 2026, so the record is current.