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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 2341–2360 of 12,438, best-graded first.

B

84.5/100

Strawberry Point Lutheran Home

Strawberry Point, IA · Clayton County

CMS 4/5 16 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
56%
Serious cites
0

Strawberry Point Lutheran Home is a 16-bed nonprofit in Clayton County, and the numbers suggest a place that runs lean but attentive. Nurse staffing sits at 5.13 hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level, worth asking how that gap gets covered. Staff turnover is 56%, higher than the 45.8% national figure, which is common in small rural homes but still means familiar faces cycle through. Nine deficiencies on record, none at the harm level and none abuse-related, with a fresh inspection in April 2025. Its four-star marks across inspections, quality measures, and staffing line up with what you'd expect from a well-staffed, small nonprofit.

B

84.5/100

Lenox Care Center

Lenox, IA · Taylor County

CMS 3/5 36 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
32%
Serious cites
0

Lenox Care Center runs on an unusual split: five stars for staffing, two for health inspections. The 4.63 nurse hours per resident day beat the national average by about 20%, and turnover of 31.6% sits well under the 45.8% national figure, that kind of retention suggests people stay. Weekends thin out, though, running about 16% below the home's own weekday coverage. On the inspection side, 28 deficiencies sit on the record, two tied to abuse, none flagged at the harm or jeopardy level. The most recent inspection was March 2026, so the picture is current. For-profit partnership ownership, 36 beds. Strong hands on deck; the paperwork history is where questions remain.

B

84.5/100

Colonial Manor Of Amana

Amana, IA · Iowa County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
35%
Serious cites
0

Colonial Manor Of Amana runs a tight ship on inspections, a five-star health inspection record with just three deficiencies on file, none causing harm and none tied to abuse. That matters more than most families realize. The tradeoff shows up in daily staffing: 3.43 nurse hours per resident, about 11% under the national average, and weekends run roughly 17% thinner than weekdays. Turnover sits at 34.8%, which is actually better than the national 45.8%, a sign this for-profit corporation retains its caregivers reasonably well. Fifty beds, inspected recently in June 2025, quality measures middling at three stars. The care appears safe and well-supervised; just know weekends may feel stretched.

B

84.5/100

Accura Healthcare Of Sioux City, Llc

Sioux City, IA · Woodbury County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
37%
Serious cites
0

Accura Healthcare of Sioux City runs 46 beds under corporate ownership, and its last inspection was recent, December 2025, with 21 deficiencies on record but none involving harm or abuse, which matters more than the raw count. Nurse staffing sits at 3.74 hours per resident day, a touch under the national 3.86, and weekends drop roughly 18% below weekday coverage, so ask how that gap gets filled. Staff turnover is 37%, better than the 45.8% national figure, which suggests people tend to stay. Federal ratings put quality and staffing at 4 stars each, inspection at 3.

B

84.5/100

Parkview Home

Wayland, IA · Henry County

CMS 5/5 34 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
39%
Serious cites
0

Parkview Home runs on a church-affiliated nonprofit model with 34 beds, and the numbers behind its grade hold up well. Nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average, though weekends drop about 18% below what the home staffs on weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover is 39.3%, better than the 45.8% national figure, and the home carries 10 deficiencies with none at the harm level and none abuse-related. Its last inspection was June 2025, and it scored 5 out of 5 on health inspections.

B

84.5/100

West Point Care Center Inc

West Point, IA · Lee County

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

West Point Care Center runs 46 beds under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, barely above the national average of 3.86. That thin margin matters because weekend coverage drops roughly 16% below the home's own weekday level, and annual turnover hits 53.7% against a national 45.8%. The inspection record shows 9 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $13,627. CMS gives strong marks on quality measures and solid ones on health inspections, with a recent survey date. The staffing picture is where the tension sits.

B

84.5/100

Mitchell County Hospital Health Systems Ltcu

Beloit, KS · Mitchell County

CMS 4/5 36 beds Government Medicaid
Nurse hours
4.79 /day
Staff turnover
28%
Serious cites
0

Nurse staffing here runs about 4.79 hours per resident day, roughly a quarter above the national average, and only about 28% of staff leave each year, compared to 45.8% nationally. That kind of retention matters more than almost anything else, because familiar aides notice changes in a resident before a chart does. Weekends dip about 16% below weekday coverage, so ask how that gap gets filled. The health inspection record is strong and recent, February 2025, with no deficiencies at the harm level. The tension is in the quality measures, which sit at the bottom of the scale, worth asking what specifically drives that, because good staffing and a low measure score don't usually tell the same story.

B

84.5/100

Fowler Residential Care

Fowler, KS · Meade County

CMS 5/5 20 beds Government Medicaid
Nurse hours
5.50 /day
Staff turnover
37%
Serious cites
0

Fowler Residential Care is a small hospital-district home, 20 beds, and its staffing is the headline: 5.50 nurse hours per resident day, roughly 42% above the national figure of 3.86. Turnover sits at 37%, better than the 45.8% national average, though weekend coverage drops about 20% below the home's own weekday level. The trade-off shows up in its record: nine deficiencies, one serious enough to reach harm or jeopardy level, and a single $8,021 fine, with the most recent inspection in February 2025. Nothing here suggests abuse, and the staffing numbers are genuinely strong, but the harm-level citation is the kind of thing worth asking about directly before you decide.

B

84.5/100

Signature Healthcare Of South Louisville

Louisville, KY · Jefferson County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
47%
Serious cites
0

Signature Healthcare of South Louisville runs 100 certified beds under corporate ownership, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86. That even number hides a dip on weekends, when coverage falls about 17 percent below what the home staffs during the week. Turnover is 46.8 percent, slightly worse than the 45.8 percent national figure, so the faces around residents change fairly often. On inspections, the record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in February 2026. Quality measures score well and staffing holds up, which is where the B comes from, solid, not spotless.

B

84.5/100

Greenbriar Community Care Center

Slidell, LA · St. Tammany County

CMS 5/5 174 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
36%
Serious cites
0

Greenbriar runs on 4.39 nurse hours per resident day, roughly 14% above the national average, and its staff turnover of 35.6% sits well below the 45.8% national figure, that combination tends to mean caregivers who stay long enough to know the residents. Weekend staffing drops about 17% from weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record shows 16 deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. A 5/5 inspection rating with a clean harm record and a recent October 2025 survey is a solid position. Nonprofit ownership rounds it out.

B

84.5/100

Ridgecrest Community Care Center

West Monroe, LA · Ouachita County

CMS 4/5 112 beds Non-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
39%
Serious cites
0

Ridgecrest Community Care Center runs a 112-bed nonprofit operation in West Monroe, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average. Weekend coverage dips about 17% below its own weekday level, so families should ask how that gap gets handled. Staff turnover is 38.7%, better than the 45.8% national figure but still meaning nearly two in five caregivers left within a year. The current record shows 16 deficiencies, none at harm or jeopardy level, one abuse-related, and the last inspection was April 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 4 out of 5.

B

84.5/100

Kimball Farms Nursing Care Center

Lenox, MA · Berkshire County

CMS 4/5 74 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
41%
Serious cites
0

Kimball Farms runs a nonprofit shop in Lenox with 74 certified beds, and the staffing numbers are genuinely better than most: 4.42 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 18% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 41%, a bit under the 45.8% national figure, which matters because familiar aides tend to notice changes sooner. The inspection record is current as of December 2025, with nine deficiencies and none at the harm or jeopardy level. Four out of five stars across health inspections, quality measures, and staffing is a consistent profile, not a lopsided one.

B

84.5/100

Whittier Bradford Transitional Care Unit

Bradford, MA · Essex County

CMS 5/5 20 beds For-profit Medicaid
Nurse hours
7.18 /day
Staff turnover
64%
Serious cites
0

Bradford's Whittier Bradford Transitional Care Unit is a small for-profit home, 20 beds, and its inspection record is clean: zero deficiencies on the current record, none at the harm or jeopardy level, no abuse citations, with the most recent inspection in July 2025. Nurse staffing sits at 7.18 hours per resident day, roughly 86% above the national average, so there's real coverage here. The catch is retention: annual turnover is 64.1%, well above the 45.8% national figure, and weekend staffing drops about 17% from its own weekday level. That churn matters in a 20-bed home, where losing even a couple of nurses changes who's at the bedside.

B

84.5/100

Medilodge Of Traverse City

Traverse City, MI · Grand Traverse County

CMS 4/5 84 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
45%
Serious cites
0

Medilodge of Traverse City runs 84 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.57 hours per resident day, about 8% under the national average. Weekends dip roughly 16% below its own weekday coverage, so the hours your family member gets depend partly on which day of the week it is. The inspection record carries 26 deficiencies, including 2 at the harm level and 5 tied to abuse. The last inspection was May 2025, so that record is recent. Turnover at 45.1% lands right around the national figure, and the quality measure score is strong, but the survey history is the part worth asking about directly.

B

84.5/100

Medilodge Of Tawas City

Tawas City, MI · Iosco County

CMS 3/5 85 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
38%
Serious cites
0

Medilodge Of Tawas City runs a tight ship on staffing, 3.90 nurse hours per resident day, a hair above the national average, and weekend coverage only dips about 17% from weekday levels. Turnover sits at 37.7%, better than the 45.8% national figure, which matters for whether your family sees the same faces month to month. The tradeoff shows up in inspections. Thirty-one deficiencies on the current record, including one at the harm or jeopardy level, and a 2/5 health inspection rating, though the last survey was recent, September 2025. No abuse citations. This is a for-profit corporate home where the care hours are there but the compliance record is the weak point. Ask to see the plan of correction for that harm-level deficiency before you decide.

B

84.5/100

Good Samaritan Society - Howard Lake

Howard Lake, MN · Wright County

CMS 4/5 32 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
9%
Serious cites
0

Good Samaritan Society - Howard Lake runs a tight staffing ship for a 32-bed nonprofit home. Nurses deliver 4.06 hours of care per resident per day, slightly above the national average, and the 9.1% annual turnover is remarkably low, most American nursing homes lose nearly half their staff every year, so this one clearly retains people. The trade-offs: weekend coverage dips about 15% below weekday levels, and the record shows 11 deficiencies, including one tied to abuse; none reached harm or jeopardy level. A recent February 2026 inspection gives a current picture, though the middle-of-the-road marks on health inspections and quality measures suggest care is steady rather than spotless.

B

84.5/100

St Clare Living Community Of Mora

Mora, MN · Kanabec County

CMS 3/5 65 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
23%
Serious cites
0

St. Clare Living Community of Mora runs a lean, stable ship on the staffing side, 4.05 nurse hours per resident day, a bit above the national average, and turnover of 23.1% that's roughly half the national rate. Those numbers suggest a team that mostly sticks around, though weekend coverage drops about 19% below weekday levels. The trouble is inspections: 28 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $45,100 in fines across 13 penalties, with the most recent inspection in May 2026. Quality measures score well, but a one-star health inspection rating against five-star staffing points to a home where care delivery looks solid and compliance does not.

B

84.5/100

Good Samaritan Society - Bethany

Brainerd, MN · Crow Wing County

CMS 5/5 79 beds Non-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
28%
Serious cites
0

Good Samaritan Society - Bethany runs on a non-profit model with 79 certified beds in Brainerd, and its last health inspection came in December 2025. The 15 deficiencies on file include none at the harm level and none tied to abuse. Nurse staffing sits at 3.81 hours per resident day, roughly 1% under the national average, and weekend coverage drops about 16% below its own weekday levels, a gap worth asking about if your family visits primarily on Saturdays and Sundays. Staff turnover is the standout number: 27.8% against a national average of 45.8%, meaning aides and nurses here tend to stay considerably longer than elsewhere.

B

84.5/100

Evansville Care Center

Evansville, MN · Douglas County

CMS 5/5 27 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
16%
Serious cites
0

Evansville Care Center is a 27-bed for-profit run by a limited liability company, and its staffing numbers are the headline: 3.92 nurse hours per resident day, just above the national average, with a 16% turnover rate against a national 45.8%. That stability matters more than the small margin above average, because consistent caregivers know residents. Weekend staffing drops roughly 17% below weekday levels, so ask how that plays out on Saturdays and Sundays. The current record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with a 4/5 inspection rating and a 5/5 staffing rating. The last inspection was January 21, 2026, so the record is recent.

B

84.5/100

Winston County Nursing Home

Louisville, MS · Winston County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
36%
Serious cites
0

Winston County Nursing Home runs a nonprofit operation with 120 certified beds, and the staffing numbers are the strongest part of the picture: 4.39 nurse hours per resident day, about 14% above the national average. That earned a five-star CMS staffing rating, and turnover sits at 36.2%, well below the national 45.8%, a sign people tend to stay. The tradeoffs show up elsewhere. Weekend staffing drops roughly 18% below weekday levels, and the quality measure rating is 2/5. Nine deficiencies sit on the current record, none at harm or jeopardy level, but two are abuse-related, which families should ask about directly. The last inspection was March 2024.

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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