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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 2401–2420 of 12,438, best-graded first.

B

84/100

Oakdale Nursing And Rehabilitation Center

Oakdale, CA · Stanislaus County

CMS 4/5 115 beds Government Medicaid
Nurse hours
4.19 /day
Staff turnover
51%
Serious cites
0

Oakdale Nursing and Rehabilitation Center runs on a hospital-district license with 115 certified beds, and its staffing is the strongest card it holds, 4.19 nurse hours per resident day, roughly 9% above the national figure. That headcount comes with a catch: weekends run about 12% leaner than weekdays, and turnover sits at 51.4%, higher than the 45.8% national average, so the faces around a resident change fairly often. The inspection record shows 33 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent state visit was in March 2025. Nothing here suggests danger; it reads more like a home getting the basics right while working through a long list of smaller problems.

B

84/100

Pacific Heights Transitional Care Center

San Francisco, CA · San Francisco County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
42%
Serious cites
0

Pacific Heights Transitional Care Center runs on 4.09 nurse hours per resident day, roughly 6% above the national average, though weekends drop about 9% below its own weekday staffing. Staff turnover sits at 42%, a bit better than the 45.8% national figure. The record shows 27 deficiencies, none involving harm or abuse, along with one fine of $25,490, and the most recent inspection was March 13, 2026. This is a for-profit LLC with 120 certified beds and a 4-out-of-5 inspection rating. What stands out most is the combination of steady weekday coverage, no harm-level findings, and turnover that beats the norm.

B

84/100

Mission Carmichael Healthcare Center

Carmichael, CA · Sacramento County

CMS 3/5 135 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

Mission Carmichael runs 135 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national figure of 3.86. Weekends dip about 7% below the home's own weekday coverage, so if your visits fall on a Saturday or Sunday, expect a thinner floor than midweek. Staff turnover comes in at 38.5%, which is meaningfully better than the 45.8% national average; that kind of retention usually shows up in how well aides know the residents. The weight on the other side is the record: 53 deficiencies, 2 tied to abuse, and a 2/5 inspection rating. None of those deficiencies were cited at the harm or jeopardy level, and the most recent inspection was March 2025, recent enough to be worth reading in full before you decide.

B

84/100

Heritage Rehabilitation Center

Torrance, CA · Los Angeles County

CMS 2/5 161 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
31%
Serious cites
0

Heritage Rehabilitation Center sits in Torrance with 161 certified beds, run by a for-profit LLC. The staffing numbers look strong on paper, 4.65 nurse hours per resident day, roughly 20% above the national average, with weekend coverage dipping about 10% below weekdays, and turnover at 30.5% beats the national 45.8%. But the inspection record tells a different story: a 1-out-of-5 health inspection rating, 59 deficiencies on file, five at harm or jeopardy level, three tied to abuse, and $38,687 in fines across three penalties. The most recent inspection was June 13, 2025. Good staffing can't offset that pattern of serious findings.

B

84/100

Walnut Creek Skilled Nursing & Rehabilitation Cent

Walnut Creek, CA · Contra Costa County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
5.47 /day
Staff turnover
32%
Serious cites
0

Walnut Creek Skilled Nursing & Rehabilitation Cent runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 5.47 hours per resident day, roughly 42% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 9% below its own weekday level. Staff turnover comes in at 32.1%, meaningfully below the 45.8% national figure, which suggests less churn than many homes. The trade-off shows up in its record: 57 deficiencies, none at harm or jeopardy level but two tied to abuse, with a 3/5 health inspection rating against 4/5 for quality measures. Its last inspection was June 13, 2025.

B

84/100

George L Mee Memorial Hospital D/P Snf

King City, CA · Monterey County

CMS 2/5 48 beds Non-profit Medicaid
Nurse hours
5.37 /day
Staff turnover
—
Serious cites
0

The staffing numbers at George L Mee Memorial Hospital D/P SNF are the strongest part of the picture: 5.37 nurse hours per resident day, about 39% above the national average, which supports the four-star staffing rating. Weekend coverage drops roughly 16% below its own weekday level, so care may feel thinner on Saturdays and Sundays. The inspection record is where the home gets harder to read. Thirty deficiencies on file, none at the harm or jeopardy level, but one abuse-related citation, and the two-star health inspection rating reflects that pattern. Ownership is nonprofit, and the last inspection was recent. Plenty of hands on staff; the regulatory history is the part to ask about directly.

B

84/100

Emmanuel Post Acute Care - Hayward

Hayward, CA · Alameda County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
50%
Serious cites
0

Emmanuel Post Acute Care in Hayward runs 99 certified beds under individual for-profit ownership, and its staffing sits at 3.94 nurse hours per resident day, just above the national average of 3.86, though weekends drop about 10% below its own weekday level. Staff turnover is 49.5%, higher than the 45.8% national average, and the inspection record shows 39 deficiencies, including one at the harm level and one abuse-related. CMS gave it 2 out of 5 stars for health inspections but 5 out of 5 for quality measures, with the most recent inspection in August 2025. The pattern here is strong clinical scores offset by a thinner margin on safety and consistency.

B

84/100

Clear Creek Care Center

Westminster, CO · Adams County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
54%
Serious cites
0

Clear Creek Care Center runs 80 certified beds in Westminster under for-profit LLC ownership. Its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average of 3.86, and weekends run about 10% thinner than weekdays. Annual turnover is 54.3%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The health inspection record shows 28 deficiencies, including two at harm or jeopardy level and two tied to abuse; that inspection was in March 2024. The quality measure rating of 5/5 stands out against that inspection history, and it's worth asking how the two line up.

B

84/100

Sundance Skilled Nursing And Rehabilitation

Colorado Springs, CO · El Paso County

CMS 2/5 68 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
43%
Serious cites
0

Sundance Skilled Nursing in Colorado Springs runs 68 beds under for-profit LLC ownership, and its nurse staffing sits around 3.11 hours per resident day, roughly 19% under the national average, with weekends dipping another 14% below its own weekday levels. The current inspection record shows 27 deficiencies, one serious enough to reach harm or jeopardy, plus a single fine of $14,901; that inspection was recent, dated February 2026. Turnover lands at 42.9%, slightly better than the 45.8% national figure, and CMS gives it 4 stars each for staffing and quality measures but only 2 for health inspections. The gap between those marks is the real story here: enough hands on most shifts, but a survey history that keeps finding problems.

B

84/100

Western Hills Health Care Center

Lakewood, CO · Jefferson County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
43%
Serious cites
0

Western Hills runs a tight inspection record, zero deficiencies at the harm or jeopardy level, and the most recent state visit came in late February 2024. The catch is the abuse-related citations: four of them sit on the current record, which is worth asking about directly, since those don't require actual harm to be written up. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average, and weekends drop about 12% below the home's own weekday coverage, a pattern families notice on Saturday afternoons. Turnover at 42.7% is slightly better than the national figure, and the corporate owner is for-profit, so ask where the money goes.

B

84/100

Good Samaritan Society -- Fort Collins Village

Fort Collins, CO · Larimer County

CMS 4/5 64 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
38%
Serious cites
0

Good Samaritan Society's Fort Collins Village runs 64 certified beds as a nonprofit, and its three CMS star ratings, health inspections, quality measures, and staffing, all sit at 4 out of 5. On paper, the staff hours tell a more mixed story: 3.49 hours per resident per day is about 9% under the national average of 3.86, and weekends run roughly 13% lighter than weekdays. Turnover, though, is a genuine bright spot at 38.2% against a national 45.8%. The inspection record is clean where it counts, 9 deficiencies, none at harm or jeopardy level, no abuse citations, and the most recent inspection was December 2025.

B

84/100

Garden Terrace Alzheimer's Center Of Excellence

Aurora, CO · Arapahoe County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
32%
Serious cites
0

Garden Terrace runs 120 certified beds in Aurora under corporate for-profit ownership, and the staffing numbers hold up reasonably well, 3.92 nurse hours per resident day sits just above the national average, and turnover at 31.6% is well below the 45.8% typical elsewhere, which matters for whether your family sees the same faces month to month. Weekend coverage drops about 10% from weekday levels, so visit timing is worth thinking about. Inspections came back at 4 of 5 stars and the most recent was May 2025, but the record shows 12 deficiencies, 4 of them abuse-related, none at harm or jeopardy level. That mix is the real story here.

B

84/100

Crowley County Nursing Center

Ordway, CO · Crowley County

CMS 5/5 44 beds Non-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
47%
Serious cites
0

Crowley County Nursing Center runs 44 certified beds as a nonprofit corporation, and the nurse staffing works out to 3.58 hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 12% below the home's own weekday coverage, and turnover sits at 46.8%, just above the national 45.8%. Its last inspection was February 27, 2024, and the current record shows 18 deficiencies, two of them at the harm or jeopardy level, with none tied to abuse. What holds the numbers up is the quality measure rating at 5/5 and staffing at 4/5; the health inspection star sits at 3/5.

B

84/100

Hillcrest Care Center

Wray, CO · Yuma County

CMS 5/5 45 beds Government Medicaid
Nurse hours
3.49 /day
Staff turnover
55%
Serious cites
0

Hillcrest Care Center is a 45-bed hospital-district home in Wray, and the numbers point in two directions at once. The clinical side looks strong: a 5/5 on quality measures and a 4/5 on health inspections, with the most recent survey in October 2024. But staffing tells a different story, 3.49 nurse hours per resident day sits about 10% under the national average, weekends run roughly 10% leaner than weekdays, and turnover hits 55% against a national 45.8%. Twenty deficiencies sit on the current record, including two at the harm level and one tied to abuse. The care delivered here scores well; whether there are consistently enough hands to deliver it is the open question.

B

84/100

Life Care Center Of Colorado Springs

Colorado Springs, CO · El Paso County

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

Life Care Center of Colorado Springs runs on more nursing hours than most homes, 4.16 per resident day against a national average of 3.86, and that staffing holds up reasonably well on weekends, dipping about 12% rather than collapsing. Turnover sits at 43.8%, a hair better than the national 45.8%, so the faces here aren't churning quite as fast as elsewhere. The catch is the inspection record: 10 deficiencies, two of them serious enough to put residents at real risk of harm, and $45,171 in fines. A February 2026 inspection is recent enough to take seriously. Strong daily care, but the mistakes that did occur were not minor ones.

B

84/100

Coal Creek Post Acute & Assisted Living

Lafayette, CO · Boulder County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
5.64 /day
Staff turnover
62%
Serious cites
0

Coal Creek runs a genuinely strong staffing operation, 5.64 nurse hours per resident day, roughly 46% above the national average, and its inspection and quality measure ratings both hold up well, with a recent inspection in August 2025. The catch is who stays. Annual turnover of 62.2% is well above the national 45.8%, which means a lot of the hands providing that above-average care are still learning the building, and weekend coverage dips about 9% below weekday levels. Twenty-two deficiencies sit on the record, one of them serious enough to involve harm or jeopardy, though none are abuse-related. It's a for-profit corporate home that's doing the hard part right on paper.

B

84/100

Nathaniel Witherell, The

Greenwich, CT · Western Ct County

CMS 2/5 202 beds Government Medicaid
Nurse hours
4.38 /day
Staff turnover
7%
Serious cites
0

Nathaniel Witherell is city-owned, and its staffing is the standout: 4.38 nurse hours per resident day, about 14% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Staff turnover of 7.4% is remarkably low next to the 45.8% national figure, which suggests a stable workforce. The problem sits in inspections. The current record shows 59 deficiencies, 12 of them abuse-related, though none rose to harm or jeopardy, and the last inspection was August 2024. One fine totaling $4,516 is on file. Strong staffing and steady retention are real; the inspection history is what pulls the rest down.

B

84/100

Guilford House, The

Guilford, CT · South Central Ct County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
39%
Serious cites
0

Guilford House runs on unusually strong staffing for a for-profit home, 4.44 nurse hours per resident day, roughly 15 percent above the national average, and its turnover of 39.2 percent beats the national 45.8 percent, which matters because consistent caregivers know residents' routines. Weekend coverage dips only slightly below weekdays. The catch is the inspection record: 33 deficiencies, one serious enough to reach harm or jeopardy, two tied to abuse, and an $8,824 fine. The last full inspection was October 2023, so that record is getting stale. Strong daily care, a middling regulatory history, worth asking the administrator directly what changed since that harm-level finding.

B

84/100

Cheshire House Health Care Facility & Rehab Center

Waterbury, CT · Naugatuck Vly County

CMS 2/5 75 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
34%
Serious cites
0

Cheshire House runs 75 beds in Waterbury under for-profit LLC ownership, and its staffing sits right at the line, 3.83 nurse hours per resident day against a national average of 3.86, close enough that the difference won't mean much day to day. What matters more is the shape of it: weekends run about 15% leaner than weekdays, so a Saturday shift isn't the same as a Tuesday one. Turnover at 33.8% is well below the 45.8% national figure, which suggests the staff who are there tend to stay. The record shows 56 deficiencies, 11 tied to abuse, none at the harm level. Inspectors last visited in April 2025.

B

84/100

Complete Care At Hillside Llc

Wilmington, DE · New Castle County

CMS 4/5 106 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
45%
Serious cites
0

Complete Care At Hillside runs 4.14 nurse hours per resident day, about 7% above the national average, though weekend coverage dips roughly 9% below its own weekday staffing. The 35 deficiencies on record include one abuse-related finding, but none at the harm or jeopardy level, and the most recent inspection was in February 2025. Staff turnover of 45.1% is essentially the national rate. The quality measure side looks strong; the inspection history and a for-profit limited liability company structure are the drags. If you're considering it, ask how the abuse-related deficiency was resolved and what weekend coverage actually looks like on the floor.

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.

Before you shortlist