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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 161 to 180 of 2,315, best-graded first.

A

96/100

Lions Gate

Voorhees, NJ · Camden County

CMS 5/5110 bedsNon-profitMedicaid
Nurse hours
5.61 /day
Staff turnover
35%
Serious cites
0

Lions Gate runs on a nonprofit model with 110 certified beds in Voorhees, and the staffing numbers are the first thing that stands out: 5.61 nurse hours per resident day, roughly 45% above the national average. That level holds up reasonably well on weekends too, dipping only about 6% below its own weekday pace. Staff turnover sits at 34.5%, which is meaningfully below the national rate of 45.8%, people tend to stay. The tradeoff shows up in inspections: 14 deficiencies on record, none at the harm or jeopardy level, but one abuse-related citation, with the most recent inspection in February 2025. Quality measures rate well above average; the health inspection side is more middling.

A

96/100

Winchester Gardens Health Care Center

Maplewood, NJ · Essex County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
5.47 /day
Staff turnover
38%
Serious cites
0

Winchester Gardens runs about 5.47 nurse hours per resident day, roughly 42 percent above the national average, and its weekend staffing only dips about 7 percent below weekdays, a small gap compared to many homes. Turnover sits at 37.9 percent against a national 45.8, so more of the same caregivers tend to stay. Inspectors found 11 deficiencies, none causing harm or involving abuse, and the last visit was recent, in September 2025. With 30 beds and nonprofit ownership, the numbers point to a home that is well staffed and currently in good standing rather than one coasting on reputation.

A

96/100

Miners Colfax Medical Center

Raton, NM · Colfax County

CMS 5/537 bedsGovernmentMedicaid
Nurse hours
4.66 /day
Staff turnover
44%
Serious cites
0

Miners Colfax Medical Center is a state-run home in Raton with 37 certified beds, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.66 hours per resident day, about 21 percent above the national average, though weekend coverage drops roughly 11 percent below what the home provides on weekdays, so ask how that gap gets handled. Staff turnover of 44.4 percent is essentially in line with the national rate. Inspectors cited 16 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection completed in May 2025.

A

96/100

Sea View Hospital Rehabilitation Center And Home

Staten Island, NY · Richmond County

CMS 5/5304 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
17%
Serious cites
0

Sea View runs on 4.44 nurse hours per resident day, about 15% above the national average, and its staff turnover is 16.8% against a national 45.8%, that retention is unusual and matters more than any single inspection score. Ten deficiencies sit on the current record, none at harm or jeopardy level, though three are abuse-related, which a family should ask about directly. The last inspection was April 2025, so the picture is recent. Weekend staffing drops roughly 12% below weekday levels, a gap worth asking about if your visits will fall on Saturdays or Sundays.

A

96/100

Northwell Health Stern Family Center For Rehabilit

Manhasset, NY · Nassau County

CMS 5/5256 bedsNon-profitMedicaid
Nurse hours
4.99 /day
Staff turnover
32%
Serious cites
0

Northwell Health Stern Family Center in Manhasset runs on a nonprofit model with 256 certified beds, and the numbers tell a fairly steady story. Nurse staffing sits at 4.99 hours per resident day, roughly 29% above the national average of 3.86, though weekend coverage dips about 7% below weekday levels. Staff turnover comes in at 31.6%, well under the 45.8% national figure, which matters for consistency of care. The inspection record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey from February 2025. Federal ratings land at 3 out of 5 for health inspections but 5 out of 5 on both quality measures and staffing. The weak spot is inspection history, not daily care.

A

96/100

Kendal On Hudson

Sleepy Hollow, NY · Westchester County

CMS 5/526 bedsNon-profitMedicaid
Nurse hours
4.49 /day
Staff turnover
16%
Serious cites
0

Kendal On Hudson runs a small operation, just 26 certified beds, but the staffing numbers stand out. At 4.49 nurse hours per resident day, it beats the national average of 3.86 by roughly 16%, and weekend coverage dips only about 12% below its own weekday level. Staff turnover sits at 16.1% against a national average of 45.8%, which matters more than almost anything else for consistency of care. Nine deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was May 2024. Nonprofit ownership, strong inspection and quality ratings, the picture is steady rather than spectacular, which is usually what you want.

A

96/100

Fox Run At Orchard Park

Orchard Park, NY · Erie County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
29%
Serious cites
0

Nurse staffing here runs about 19% above the national average, and weekend coverage dips only slightly from weekday levels, around 6%, which is a modest shift rather than a fall-off. Staff turnover sits at 29.3% against a national average of 45.8%, meaning fewer caregivers are cycling out the door. The inspection record is thin: 2 deficiencies total, none involving harm or abuse, with the most recent visit in March 2025. That's a for-profit corporate home with 60 beds, so it isn't operating at a scale that forces shortcuts. The numbers point to steady, well-attended care rather than anything flashy.

A

96/100

Elizabeth Seton Children's Center

Yonkers, NY · Westchester County

CMS 5/5169 bedsNon-profitMedicaid
Nurse hours
11.06 /day
Staff turnover
22%
Serious cites
0

Elizabeth Seton Children's Center runs on a nonprofit model with 169 certified beds, and the staffing numbers stand out right away: 11.06 nurse hours per resident day, roughly triple the national average of 3.86. Weekend coverage dips about 7% below weekday levels, but that's a modest gap given the overall volume. Staff turnover sits at 22.2%, well under the national 45.8%, which suggests people stay. Inspections in August 2025 turned up 14 deficiencies, none at the harm or jeopardy level, though four were abuse-related, worth asking about directly. The quality and staffing ratings both come in at the top of CMS's scale, and the health inspection rating is close behind.

A

96/100

Hillcrest Convalescent Center

Durham, NC · Durham County

CMS 5/586 bedsFor-profitMedicaid
Nurse hours
5.95 /day
Staff turnover
31%
Serious cites
0

Hillcrest Convalescent Center is a for-profit, 86-bed home in Durham with an unusually clean record: zero deficiencies on file, none at the harm level, none abuse-related, and its last inspection was in February 2025. Nurse staffing sits at 5.95 hours per resident day, about 54% above the national average, and weekend coverage holds within roughly 5% of weekday levels, a gap that trips up plenty of homes. Staff turnover is 31.4%, well below the 45.8% national figure, which matters because consistent caregivers know their residents. The federal stars back this up: five for staffing and inspections, four for quality measures. For-profit corporate ownership is the one thing here that isn't a strength on paper, but the numbers outweigh it.

A

96/100

Edgewood Place At The Village At Brookwood

Burlington, NC · Alamance County

CMS 5/551 bedsNon-profitMedicaid
Nurse hours
5.34 /day
Staff turnover
14%
Serious cites
0

Edgewood Place runs on unusually deep staffing for a 51-bed nonprofit home in Burlington, 5.34 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping only slightly below its own weekday levels. That stability shows in the turnover number, which is where a lot of homes fall apart. Eight deficiencies on the current record, none rising to harm or jeopardy and none abuse-related, and the most recent inspection was in July 2025, so the picture is current rather than stale. The staffing rating and the inspection record tell a consistent story here. For a family weighing options, the main question isn't whether this home has problems, every home does, but whether the ones it has are minor and whether the people showing up to work keep showing up.

A

96/100

Piedmont Crossing

Thomasville, NC · Davidson County

CMS 5/5104 bedsNon-profitMedicaid
Nurse hours
5.11 /day
Staff turnover
33%
Serious cites
0

Piedmont Crossing runs on about 5.11 nurse hours per resident per day, roughly a third more than the national average, and its weekend hours dip only slightly below weekdays, a gap that's usually wider elsewhere. Staff turnover sits at 32.6%, well under the 45.8% national figure, which matters because consistent caregivers know residents' routines. The current record shows three deficiencies, none involving harm or abuse, and the most recent inspection was in April 2026. As a nonprofit with 104 beds, it isn't chasing quarterly returns; the numbers suggest steady, well-staffed care with no serious compliance problems on the books.

A

96/100

Wilkes Regional Medical Ctr Sn

North Wilkesboro, NC · Wilkes County

CMS 3/510 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
31%
Serious cites
0

Wilkes Regional Medical Ctr Sn runs just 10 beds inside a hospital in North Wilkesboro, and its nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, but turnover of 30.8% is well under the 45.8% national figure, so the people caring for residents tend to stay. The state inspection history is thinner: 14 deficiencies on record, none rising to harm or jeopardy and none abuse-related, with the most recent visit in April 2025. A 2-out-of-5 inspection rating paired with a 5-out-of-5 quality measure score tells you the care itself measures well even where paperwork and process have drawn scrutiny.

A

96/100

Glenaire

Cary, NC · Wake County

CMS 5/571 bedsNon-profitMedicaid
Nurse hours
7.42 /day
Staff turnover
37%
Serious cites
0

Glenaire runs 7.42 nurse hours per resident day, roughly double the national average, and that staffing shows up in the ratings: five stars each for staffing and quality measures, four for health inspections. Turnover sits at 36.8 percent against a national 45.8, so the people caring for residents tend to stick around. The current record carries four deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. Weekend staffing dips about 9 percent below weekdays, which is common but still a real difference if your family visits on Saturdays. The last inspection was December 31, 2025, so the picture is recent, and as a nonprofit, this home answers to a board rather than shareholders.

A

96/100

Smp Health - St Aloisius

Harvey, ND · Wells County

CMS 5/565 bedsNon-profitMedicaid
Nurse hours
4.61 /day
Staff turnover
32%
Serious cites
0

St. Aloisius runs on 4.61 nurse hours per resident day, roughly 19 percent more than the national average, and its staff tends to stay: turnover is 31.7 percent against a national figure near 46 percent. Weekend coverage dips about 13 percent below weekday levels, which is common but worth knowing if your visits fall on Saturdays and Sundays. The inspection record shows six deficiencies, one serious enough to reach harm or jeopardy, and none tied to abuse; the most recent look came in April 2026. Church-affiliated nonprofit ownership rounds out the picture. Five stars each on staffing and health inspections, four on quality measures, the numbers back the reputation.

A

96/100

Hatton Prairie Village

Hatton, ND · Traill County

CMS 5/538 bedsNon-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
26%
Serious cites
0

Hatton Prairie Village runs on 3.97 nurse hours per resident day, a bit above the national average, and its staff turnover of 26% sits well under the 45.8% typical elsewhere, that kind of retention usually means caregivers stay long enough to know the residents. Weekend staffing drops about 13% from weekday levels, so ask how that plays out on Saturdays and Sundays. The 13 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in September 2025. Licensed for 38 beds under nonprofit ownership, this is a small house where the numbers hold up.

A

96/100

Fargo Elim Health Care Center

Fargo, ND · Cass County

CMS 3/588 bedsNon-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
35%
Serious cites
0

Nurse staffing at Fargo Elim runs 5.12 hours per resident day, about a third more than the national average, and the low 35% turnover means the people providing that care tend to stick around. Weekends drop roughly 12% below weekday coverage, so ask how that gap gets filled. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating with 14 deficiencies on record, one serious enough to involve harm or jeopardy. No abuse citations, and the most recent inspection was April 2026, so the picture is current. Strong staffing and quality measures sit alongside a rougher regulatory history, worth asking the administrator directly what that harm-level deficiency was and what changed after it.

A

96/100

Wesley Glen Health Services Corp

Columbus, OH · Franklin County

CMS 5/556 bedsNon-profitMedicaid
Nurse hours
6.28 /day
Staff turnover
42%
Serious cites
0

Wesley Glen runs on 6.28 nurse hours per resident day, about 63% above the national average of 3.86, and its weekend staffing only dips about 12% below weekday levels. Turnover sits at 42.3%, a bit better than the 45.8% national figure, and the nonprofit has a clean inspection record on harm: 12 deficiencies total, none at the harm or jeopardy level, though 2 are abuse-related. CMS gives it 5 stars across health inspections, quality measures, and staffing, and its last inspection was in April 2026. The numbers say a well-staffed home with recent oversight and no serious harm findings, with those two abuse citations the main thing worth asking about directly.

A

96/100

Willow Ridge Of Mennonite Home Communities Of Ohio

Bluffton, OH · Allen County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
5.30 /day
Staff turnover
32%
Serious cites
0

Willow Ridge is a 20-bed nonprofit home in Bluffton, and its staffing is the headline: 5.30 nurse hours per resident day, roughly 37% above the national average. Weekend coverage dips only about 5% below weekdays, which matters because short-staffed weekends are where a lot of problems show up. Staff turnover sits at 32.3%, well under the 45.8% national figure, so the people caring for residents tend to stick around. The current record isn't spotless, 23 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was July 2024 and inspection and quality ratings both land at 4 out of 5. Small homes live and die by their staff, and this one has kept more of theirs than most.

A

96/100

Robert A Barnes Center

Reynoldsburg, OH · Franklin County

CMS 5/525 bedsNon-profitMedicaid
Nurse hours
7.04 /day
Staff turnover
39%
Serious cites
0

The Robert A. Barnes Center runs 25 beds under church-related nonprofit ownership, and the staffing numbers stand out: 7.04 nurse hours per resident day, roughly 82% above the national average. Weekend coverage dips about 8% below its own weekday level, and turnover sits at 38.5%, better than the 45.8% national figure, though still meaning more than a third of staff leaving each year. The inspection record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse, which families should ask about directly. A June 2025 inspection keeps the record current, and the four- and five-star ratings across health inspections, quality measures, and staffing back up what the numbers suggest.

A

96/100

The Living Center

Enid, OK · Garfield County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
35%
Serious cites
0

The Living Center in Enid runs on a surprisingly strong staffing picture for a 50-bed for-profit: 4.39 nurse hours per resident day, roughly 14% above the national average, with turnover at 35% against a national 45.8%. Weekend coverage dips about 13% below its own weekday staffing, so ask how that plays out on Sundays. The inspection record backs it up, a five-star health inspection rating, a 4/5 on quality measures, and 12 deficiencies on file with none at harm or jeopardy level and nothing abuse-related. Its most recent inspection was May 2025, so the record is current.

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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