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12,438 Medicaid Nursing Homes With a Clean Record in the United States

12,438 of the 14,697 Medicare-certified nursing homes in the United States (85%) are Medicaid-certified, clean-record, and all are listed below. 2315 of the 12405 graded homes earn an A and 367 earn a D or F. Nurse staff turnover runs 45.3%, 0.5 points lower than the 45.8% across all homes there. Mclean Health Center in Simsbury grades highest at A (100 out of 100).

How Medicaid-certified, clean-record 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

3.84

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

45.3%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

75.1/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

2,315 grade A, 6,506 grade B, 3,217 grade C, 367 grade D,

The best-graded Medicaid-certified, clean-record home in the United States is Mclean Health Center in Simsbury, CT, grade A, 100/100.

Every Medicaid-certified, clean-record nursing home in the United States

Showing 1 to 20 of 12,438, best-graded first.

A

100/100

Mclean Health Center

Simsbury, CT · Capitol County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
27%
Serious cites
0

Mclean Health Center runs on 5.12 nurse hours per resident per day, roughly a third more than the national average of 3.86, and its weekend coverage holds close to weekday levels. Staff turnover sits at 26.6% against a national average near 46%, which matters for how well aides know the residents in a 72-bed nonprofit home. The tradeoff is a longer deficiency record: 14 citations on file, one serious enough to involve harm or jeopardy, though none abuse-related. Its last inspection was April 2025, and CMS gives it top marks for staffing and quality measures, with a 4 out of 5 on health inspections.

A

100/100

Hill Top House

Bucklin, KS · Ford County

CMS 5/529 bedsGovernmentMedicaid
Nurse hours
4.38 /day
Staff turnover
29%
Serious cites
0

Hill Top House runs on a government hospital district budget in Bucklin, and the numbers suggest the money goes to people. Nurse staffing sits at 4.38 hours per resident day, about 13% above the national average, and weekends only dip roughly 5% below weekday levels, a small gap by nursing home standards. Staff turnover is 29%, well under the national 45.8%, so the aides and nurses here tend to stay. The tradeoff shows up in inspections: 15 deficiencies on record, one serious enough to reach harm or jeopardy level, and a middling 3 out of 5 inspection rating, though the last survey was recent, in November 2024, with nothing abuse-related. With 29 beds, it stays small enough that consistency matters more than scale.

A

100/100

Campion Health & Wellness, Inc

Weston, MA · Middlesex County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
6.80 /day
Staff turnover
31%
Serious cites
0

Campion Health & Wellness runs on 6.80 nurse staffing hours per resident day, roughly 76% above the national average of 3.86, a gap that shows up on weekends too, where hours dip only about 5% below the weekday pace. Staff turnover sits at 30.8% against a national average of 45.8%, and the home carries a single deficiency on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in May 2025. It's a 70-bed nonprofit affiliated with a church, and its CMS stars come back 5/5 across health inspections, quality measures, and staffing. One family review so far, and it's a 5/5.

A

100/100

Parker At Somerset, Inc

Somerset, NJ · Somerset County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
6.07 /day
Staff turnover
18%
Serious cites
0

Parker At Somerset runs on 6.07 nurse hours per resident per day, which is roughly 57% above the national average of 3.86. Weekend coverage dips about 5% below its own weekday level, but that's a small gap compared to most homes. Staff turnover sits at 17.7% against a national average of 45.8%, meaning the people caring for residents tend to stick around, and the five deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related. The last inspection was in April 2025, so the picture is recent, and as a nonprofit it isn't answering to shareholders.

A

100/100

Goodwin House Alexandria

Alexandria, VA · Alexandria City County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
5.34 /day
Staff turnover
18%
Serious cites
0

Goodwin House Alexandria runs on 5.34 nursing hours per resident per day, about 38% above the national average, and that staffing holds up on weekends, roughly 5% below its own weekday level, which is a smaller drop than many homes show. Annual turnover sits at 17.8% against a national average near 46%, so the people caring for residents tend to stay. The current inspection record shows 14 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in April 2023. This is a church-related nonprofit with 80 certified beds, and the pattern across staffing, retention, and inspection history is unusually steady.

A

99/100

Searhc Sitka Long Term Care

Sitka, AK · Sitka County

CMS 5/519 bedsNon-profitMedicaid
Nurse hours
7.89 /day
Staff turnover
31%
Serious cites
0

Searhc Sitka Long Term Care runs on unusually heavy nurse staffing, 7.89 hours per resident day, roughly double the national figure, and it holds that level up on weekends, when coverage dips only about 7% below its own weekday numbers. That consistency matters in a small 19-bed home, where one absence can strain a whole shift. Staff turnover sits at 31.4%, well under the national 45.8%, so the people caring for residents tend to stay. The current inspection record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with a recent survey date of April 2026. The nonprofit ownership is worth noting too. Nothing here is flashy; the numbers just hold up.

A

99/100

The Terraces At San Joaquin Gardens Village

Fresno, CA · Fresno County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
30%
Serious cites
0

The Terraces at San Joaquin Gardens Village runs a strong staffing operation, 5.13 nurse hours per resident day, about a third above the national average, with a 5/5 CMS staffing star. Weekend coverage dips roughly 13% below weekday levels, and turnover sits at 30.3%, well under the 45.8% national figure. Quality measures score 5/5, though the 3/5 health inspection rating reflects 31 deficiencies on record, one serious enough to reach harm or jeopardy level; no abuse citations appear. This nonprofit's last inspection was March 21, 2025, so the record is current. The staffing and quality numbers are the real story here.

A

99/100

Community Memorial Continuing Care Center

Ojai, CA · Ventura County

CMS 5/575 bedsNon-profitMedicaid
Nurse hours
5.23 /day
Staff turnover
27%
Serious cites
0

Community Memorial Continuing Care Center in Ojai runs on about 5.23 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, 26.7% turnover against a national rate near 46%. The current record shows 15 deficiencies, none of them involving harm or jeopardy and none abuse-related, with the most recent inspection in January 2026. Weekend coverage dips about 7% below weekday levels, which is worth asking about if your family member needs more help on Saturdays and Sundays. This is a nonprofit corporation with 75 certified beds, and the staffing, inspection, and quality measure ratings all sit at the top of CMS's scale.

A

99/100

Alameda County Medical Center D/P Snf

San Leandro, CA · Alameda County

CMS 5/5109 bedsGovernmentMedicaid
Nurse hours
6.40 /day
Staff turnover
7%
Serious cites
0

Alameda County Medical Center D/P SNF runs on a government hospital district license with 109 certified beds, and the numbers behind its record are unusually steady. Nurse staffing sits at 6.40 hours per resident day, roughly two-thirds above the national average, and weekend coverage dips only about 7% from weekday levels, a gap that's small compared to what most homes show. Staff turnover is 6.9% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. The 18 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was in August 2024. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

A

99/100

Crestwood Treatment Center

Fremont, CA · Alameda County

CMS 5/588 bedsFor-profitMedicaid
Nurse hours
5.05 /day
Staff turnover
12%
Serious cites
0

Crestwood Treatment Center runs on numbers that mostly hold up. Nurse staffing sits at 5.05 hours per resident day, roughly a third above the national average, and the 12.3% turnover rate is far below the typical 45.8%, that kind of stability usually means consistent caregivers who know the residents. Weekend coverage dips about 14% against weekdays, worth asking about. The current record shows 11 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A February 2025 inspection means the findings are recent rather than stale. With a 4/5 on health inspections and 5/5 on quality measures, the picture is of a corporate-owned home in Fremont that performs well above average on most measures, with a single abuse citation to look into directly.

A

99/100

Jefferson House

Newington, CT · Capitol County

CMS 5/5104 bedsNon-profitMedicaid
Nurse hours
5.17 /day
Staff turnover
31%
Serious cites
0

Jefferson House runs on 5.17 nurse hours per resident per day, roughly a third more staffing than the typical American nursing home, and the weekend gap is only about 12% below weekdays, modest by industry standards. Staff turnover sits at 31%, well under the 45.8% national figure, which matters because consistent caregivers know residents' routines. The trade-off is a longer deficiency record: 25 citations on file, including two tied to abuse, though none rose to the level of actual harm or jeopardy. State inspectors last visited in January 2025. For a nonprofit home of 104 beds, the money is clearly going into the floor.

A

99/100

Southington Care Center

Southington, CT · Capitol County

CMS 5/5130 bedsNon-profitMedicaid
Nurse hours
4.72 /day
Staff turnover
34%
Serious cites
0

Southington Care Center runs on 4.72 nurse hours per resident day, roughly a fifth more than the national average, and its staff turnover of 33.6% sits well under the 45.8% norm, two signs of a stable, well-resourced floor. Weekend coverage dips about 11% below weekday levels, so ask how that plays out on Saturdays. The record isn't spotless: 14 deficiencies, one tied to abuse, though none rose to harm or jeopardy. A May 2024 inspection and top federal marks across health, quality, and staffing round out the picture.

A

99/100

Village On The Isle

Venice, FL · Sarasota County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
5.74 /day
Staff turnover
10%
Serious cites
0

Village On The Isle runs 48 certified beds in Venice, and the numbers behind its grade are mostly about people, not paperwork. Nurse staffing sits at 5.74 hours per resident day, roughly half again the national average, and turnover is 9.7% against a national 45.8%, that stability matters more than any single inspection finding. Weekend coverage dips about 8% below weekdays, which is worth asking about directly. Three deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2024. It's a for-profit corporate home, but the staffing and retention figures don't read like one.

A

99/100

Waters Edge Health And Rehabilitation

Palm City, FL · Martin County

CMS 5/536 bedsFor-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
17%
Serious cites
0

Waters Edge runs 5.39 nurse hours per resident per day, roughly 40% more than the national average, and its weekend staffing dips only about 7% below weekdays, a small gap compared to many homes. Staff turnover is 16.7%, well under the 45.8% national figure, which matters because consistent caregivers learn residents' routines. The 9 deficiencies on record include none tied to harm or abuse, and the most recent inspection was May 2025, so the picture is current rather than stale. At 36 beds under corporate for-profit ownership, it's small enough that staffing numbers reflect daily reality, not a large building's averages. All three CMS star ratings, health inspections, quality measures, staffing, sit at 5 out of 5.

A

99/100

Edward J Healey Rehabilitation And Nursing Center

Riviera Beach, FL · Palm Beach County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
5.56 /day
Staff turnover
6%
Serious cites
0

Edward J Healey is county-owned, and that shows up in how it's run: nurse staffing runs 5.56 hours per resident day against a national average of 3.86, and turnover sits at 6.4% while the typical American nursing home churns through nearly half its staff each year. Just two deficiencies sit on the current record, none involving harm or abuse, and the most recent inspection closed out in December 2024. Weekend staffing dips about 9% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The low turnover matters most here, steady, familiar aides usually mean better day-to-day care than any scoreboard can capture.

A

99/100

Honoka'a Hospital & Skilled Nursing

Honokaa, HI · Hawaii County

CMS 5/566 bedsGovernmentMedicaid
Nurse hours
5.51 /day
Staff turnover
24%
Serious cites
0

Honoka'a Hospital & Skilled Nursing runs on state money and a lot of nursing hours. At 5.51 per resident day, it's staffed about 43 percent above the national average, and weekend coverage only dips around 14 percent from its weekday level, a smaller drop than many homes manage. Turnover sits at 24.4 percent against a national 45.8 percent, so the people caring for residents tend to stay. The 14 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the most recent inspection was in late 2024.

A

99/100

Hi'olani Care Center At Kahala Nui

Honolulu, HI · Honolulu County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
6.39 /day
Staff turnover
24%
Serious cites
0

Hi'olani Care Center at Kahala Nui is a small nonprofit home, just 20 certified beds, and the staffing numbers are where it stands out. At 6.39 nurse hours per resident day, it runs roughly two-thirds above the national average, and its staff turnover of 23.9% is about half the national rate, which matters because consistent caregivers know their residents. Weekend coverage dips only slightly below weekdays, so care doesn't thin out on Saturdays and Sundays. The trade-off is in inspections: a three-star health inspection rating and 24 deficiencies on the current record, though none at the harm level and none abuse-related. The last state visit was June 2024. Strong staffing and quality scores, a middling inspection history.

A

99/100

Oneida County Hospital & Long Term Care Facility

Malad, ID · Oneida County

CMS 5/533 bedsGovernmentMedicaid
Nurse hours
5.85 /day
Staff turnover
27%
Serious cites
0

Oneida County Hospital & Long Term Care runs on county money in a small Idaho town, and the numbers back up the setup. Nurse staffing sits at 5.85 hours per resident day, roughly half again the national average, and weekend coverage dips only about 10% below its own weekday level, a smaller drop than many homes manage. Staff turnover is 26.8% against a national 45.8%, so the people caring for residents tend to stay. Inspectors found 13 deficiencies, none involving harm or abuse, and the most recent visit was in May 2026. Five stars across inspections, quality measures, and staffing, with 33 certified beds, tells you this is a stable, well-run county operation.

A

99/100

Highland Oaks

Elgin, IL · Kane County

CMS 5/524 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
28%
Serious cites
0

Highland Oaks runs 24 beds in Elgin under church-related nonprofit ownership, and the staffing numbers show it: 5.25 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 27.5%, well under the 45.8% national figure, which matters for residents who need consistent faces. On record: six deficiencies, none at the harm level, one abuse-related, with the last inspection in August 2024. All three CMS star ratings, health inspections, quality measures, staffing, come in at five.

A

99/100

St Francis Manor

Grinnell, IA · Poweshiek County

CMS 5/578 bedsNon-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
28%
Serious cites
0

St Francis Manor runs on unusually deep staffing for a nursing home, 4.85 nurse hours per resident day, roughly a quarter above the national average, and its weekend coverage drops only about 12% from weekdays, which is a smaller dip than many homes show. Staff turnover sits at 27.6% against a national 45.8%, so the people caring for residents tend to stay. The inspection record is thin: two deficiencies total, none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. The most recent inspection was in May 2026. As a nonprofit, there's no owner extracting a margin.

Frequently asked questions

How many Medicaid-certified, clean-record nursing homes are there in the United States?
There are 12,438 Medicaid-certified, clean-record Medicare-certified nursing homes in the United States, 85% of the 14,697 nursing homes there.
Are Medicaid-certified, clean-record nursing homes better staffed?
In the United States they average 3.84 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of -0.02 hours. Staff turnover averages 45.3% against 45.8%.
Which Medicaid-certified, clean-record nursing home grades best in the United States?
Mclean Health Center in Simsbury, CT, grade A, 100 out of 100.
Does being Medicaid-certified, clean-record mean a nursing home is safe?
No. Of the 12,405 graded Medicaid-certified, clean-record homes in the United States, 2,315 grade A and 367 grade D or F.
Do Medicaid-certified, clean-record nursing homes in the United States accept Medicaid?
12,438 of the 12,438 are certified to accept Medicaid. See Medicaid and nursing homes.

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