ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 2681–2700 of 12,438, best-graded first.

B

83.5/100

Pickett Care And Rehabilitation Center

Byrdstown, TN · Pickett County

CMS 4/5 69 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
32%
Serious cites
0

Pickett Care runs 69 certified beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.78 nurse hours per resident day. That gap is small, but weekends thin out roughly 20% below the home's own weekday coverage, which is where short-staffing tends to bite. Turnover at 31.5% is meaningfully better than the 45.8% national figure, so caregivers here stick around longer than at the typical home. The current inspection record shows 17 deficiencies, including two at harm or jeopardy level and one tied to abuse, worth asking about directly. A recent April 2025 inspection and solid quality and staffing ratings round out a mixed but workable picture.

B

83.5/100

Life Care Center Of Gray

Gray, TN · Washington County

CMS 1/5 133 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
33%
Serious cites
0

Life Care Center of Gray runs on leaner nursing hours than most homes, 3.40 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 18% below what the building staffs during the week. Turnover sits at 33.3%, which is actually better than the 45.8% national figure, so the people who are there tend to stay. The trouble is inspections: a one-star health inspection rating, 16 deficiencies with four serious enough to put residents at risk of harm, three tied to abuse, and a $10,039 fine. Quality and staffing measures score well, but the last full look at this building was September 2023.

B

83.5/100

Uintah Health Care Special Service District

Vernal, UT · Uintah County

CMS 3/5 110 beds Government Medicaid
Nurse hours
6.49 /day
Staff turnover
—
Serious cites
0

Uintah Health Care Special Service District runs on county money, and it shows in the staffing numbers: 6.49 nurse hours per resident per day, well above the national average of 3.86. Weekend coverage dips only slightly from weekdays, so families visiting on Saturdays should still find adequate staff. The tradeoff sits in the inspection record. Eight deficiencies, including one tied to abuse and one serious enough to cause harm or jeopardy, plus a $28,038 fine. That combination drags down an otherwise solid profile, four stars each for staffing and quality measures, three for health inspections, with the most recent state visit in September 2025. Good care hours don't erase a harm-level finding. Ask what changed since.

B

83.5/100

Summit Square

Waynesboro, VA · Waynesboro City County

CMS 4/5 18 beds Non-profit Medicaid
Nurse hours
7.44 /day
Staff turnover
47%
Serious cites
0

Summit Square runs 18 certified beds, and the nurse staffing number is genuinely high, 7.44 hours per resident day, roughly double the national average. But that average hides a dip: weekends run about 19% lighter than weekdays, so coverage depends on when you visit. Turnover sits at 47.1%, slightly above the national rate, which means the people providing that care keep changing. The inspection record is where the picture darkens: 27 deficiencies on file, three serious enough to involve harm or jeopardy, one tied to abuse, and a $50,021 fine. The most recent inspection was December 2025, so it's current. A nonprofit operator with strong staffing marks and a troubled compliance history.

B

83.5/100

Regency Canyon Lakes Rehab And Nursing Center

Kennewick, WA · Benton County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
36%
Serious cites
0

Regency Canyon Lakes runs about 4.85 nurse hours per resident day, roughly 25% above the national average, and its staff turnover of 35.5% beats the national 45.8%. Weekend coverage does dip about 18% below weekdays, so ask how that plays out on Saturdays and Sundays. The inspection record is mixed: a five-star health inspection rating and a recent April 2025 survey, but 11 deficiencies on file, three of them at the harm or jeopardy level, plus two fines totaling $18,220. No abuse-related citations. Quality measures sit at three stars. It's a for-profit corporate home where the daily staffing is a real strength and the deficiency history is the part worth asking about directly.

B

83.5/100

Josephine Caring Community

Stanwood, WA · Snohomish County

CMS 5/5 160 beds Non-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
30%
Serious cites
0

Josephine Caring Community runs a church-affiliated nonprofit home with 160 beds in Stanwood, and the staffing numbers are genuinely strong, 4.69 nurse hours per resident day, about a fifth above the national average, with turnover at 30.4% against a national 45.8%. That retention matters more than the raw hours, since familiar aides tend to catch changes in a resident's condition earlier. The caution is in the inspection record: 31 deficiencies, including one at the harm level and one tied to abuse, with the most recent inspection in September 2025. Weekend staffing also drops roughly 19% below its own weekday coverage, which is worth asking about directly, who is on the floor on a Saturday night, and how many.

B

83.5/100

Northwoods Lodge

Silverdale, WA · Kitsap County

CMS 5/5 57 beds For-profit Medicaid
Nurse hours
5.48 /day
Staff turnover
40%
Serious cites
0

Northwoods Lodge runs about 5.5 nurse hours per resident each day, roughly 42% above the national average, and its staffing rating reflects that. The catch is consistency: weekends run about 19% leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The inspection record carries 36 deficiencies, three at the harm level and one tied to abuse, plus a $51,942 fine, though the most recent inspection was in March 2026 and the health and quality ratings both sit at four stars. Turnover at 40% is a bit better than the 45.8% national figure.

B

83.5/100

Cedar River Healthcare Center

Renton, WA · King County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
5.18 /day
Staff turnover
39%
Serious cites
0

Cedar River Healthcare Center sits in Renton with 60 certified beds and a corporate for-profit owner. The staffing numbers are the strongest part of the story: 5.18 nurse hours per resident day, well above the national average of 3.86, with turnover at 39.3%, better than the 45.8% national figure. That's real coverage, though weekends run about 17% thinner than weekdays. The inspection record tells a different story. Thirty deficiencies on file, including two at the harm level and two tied to abuse, plus a $74,815 fine. The most recent inspection was April 2025, so the record is current. Strong daily staffing and a troubled compliance history are both true here, the question is whether the care at the bedside reflects the hours or the citations.

B

83.5/100

Charleston Healthcare Center

Charleston, WV · Kanawha County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
39%
Serious cites
0

Charleston Healthcare Center runs 150 certified beds under corporate for-profit ownership, and its staffing sits at 4.12 nurse hours per resident day, roughly 7% above the national average of 3.86, with turnover at 38.9%, better than the 45.8% norm. The catch is weekends, when staffing drops about 21% below the home's own weekday level, so coverage thins exactly when families tend to visit. Inspections tell a harder story: 71 deficiencies on the current record, including four abuse-related and one at the harm or jeopardy level, with a $12,831 fine and a most recent inspection dated April 2026. Strong quality-measure scores don't cancel out that inspection history.

B

83.5/100

Mercy Retirement & Care Center

Oakland, CA · Alameda County

CMS 4/5 59 beds Non-profit Medicaid
Nurse hours
4.68 /day
Staff turnover
—
Serious cites
0

Mercy Retirement & Care Center runs on more nursing hours than most homes in the country, 4.68 per resident day against a national average of 3.86. That staffing edge is real, though it thins out on weekends, dropping about 11% below the home's own weekday level. The inspection record is where things get more complicated: 29 deficiencies on file, including 3 at the harm or jeopardy level and 2 tied to abuse, plus one fine of $16,675. Inspectors were last in the building in February 2025. For a 59-bed nonprofit in Oakland, the care hours are a genuine strength; the deficiency history is what a family should ask about directly.

B

83.5/100

Palm Terrace Care Center

Riverside, CA · Riverside County

CMS 4/5 71 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
44%
Serious cites
0

Palm Terrace runs 4.41 nurse hours per resident day, about 14% above the national average, though weekends dip roughly 15% below its own weekday numbers. Its 25 deficiencies include none at the harm or jeopardy level and one abuse-related citation, with an inspection in May 2025 keeping the record current. Staff turnover sits at 43.5%, slightly better than the 45.8% national rate, and the 5/5 quality measure rating stands out against a 3/5 on inspections and a 3/5 on staffing. For a 71-bed corporate-owned home, the care metrics look stronger than the compliance record, and the weekend gap is worth asking about directly.

B

83/100

River City Center

Decatur, AL · Morgan County

CMS 1/5 183 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
52%
Serious cites
0

River City Center runs 183 beds in Decatur under corporate ownership, and its last full health inspection was in April 2021, more than four years ago. The current record shows 12 deficiencies, including one that caused actual harm or put residents in jeopardy, plus two tied to abuse. Staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average, and weekends dip about 10% below the home's own weekday coverage. Annual turnover is 51.9%, higher than the 45.8% national figure. The quality and staffing scores look strong on paper, but a single-star inspection history and that long gap since the last survey are the numbers worth weighing.

B

83/100

Ozark Health And Rehabilitation, Llc

Ozark, AL · Dale County

CMS 3/5 149 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
46%
Serious cites
0

Ozark Health and Rehabilitation runs 149 certified beds under for-profit LLC ownership, and its staffing sits slightly under the national average at 3.74 hours per resident day. The bigger wrinkle is weekends, when coverage drops roughly 13% below what the home staffs on weekdays, so the quiet shifts are the thinner ones. Annual turnover lands at 46.3%, essentially tracking the national rate, and the home's record shows five deficiencies, none at harm or jeopardy level but one tied to abuse. Inspectors last visited in June 2023, which makes that record fairly dated. Quality and staffing measures grade reasonably well; the inspection history and weekend pattern are where a family should focus questions.

B

83/100

Providence Seward Mountain Haven

Seward, AK · Kenai Peninsula County

CMS 3/5 40 beds Government Medicaid
Nurse hours
6.27 /day
Staff turnover
75%
Serious cites
0

Providence Seward Mountain Haven runs on a city government license and 40 certified beds, and the staffing numbers are genuinely strong: 6.27 nurse hours per resident day, roughly 62% above the national average. That's the kind of coverage that shows up in daily care. The catch is retention. Annual turnover sits at 75% against a national rate near 46%, so residents likely see a rotating cast of caregivers even though the hours are there. Twenty deficiencies on record, none at harm level, but two tied to abuse. The last inspection was September 2024. Quality and staffing each earned 4 of 5 stars from CMS; health inspection landed at 3.

B

83/100

Haven Health Green Valley, Llc

Green Valley, AZ · Pima County

CMS 5/5 111 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
18%
Serious cites
0

Haven Health Green Valley runs lean on nursing hours, about 3.22 per resident day, roughly 17% under the national average, and weekends drop another 11% below its own weekday coverage. That's the kind of pattern families notice when a Saturday call button goes unanswered. What stands out in the other direction is retention: 18.4% annual turnover against a national average near 46%, which suggests a steadier crew than most homes manage. State inspectors last visited in May 2024 and logged 35 deficiencies, two tied to abuse, though none rose to the harm or jeopardy level. For-profit ownership through a limited liability company, with middling marks on health inspections and staffing but strong scores on quality measures.

B

83/100

Archstone Care Center

Chandler, AZ · Maricopa County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
18%
Serious cites
0

Archstone runs leaner than the typical U.S. nursing home, 3.52 nurse hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday coverage. The trade-off shows up in its staffing star, but the record is cleaner than most: 12 deficiencies, none at harm or jeopardy level, nothing abuse-related, and a January 2026 inspection that's still recent. Turnover is the standout number, 18.4% against a national average of 45.8%, meaning the aides and nurses your family would see day to day are far more likely to still be there next year. A for-profit partnership in Chandler with strong quality marks and a stable workforce, though you'll want to ask how weekend coverage actually feels on the floor.

B

83/100

Cave City Nursing Home Inc

Cave City, AR · Sharp County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
—
Serious cites
0

Cave City Nursing Home runs 4.99 nurse hours per resident day, roughly 29% above the national average of 3.86, and that staffing shows up where it counts: a clean health inspection record with 11 deficiencies, none at harm or jeopardy level and none abuse-related, from a visit in July 2025. The nonprofit corporate owner doesn't have to answer to shareholders, which tends to show up in staffing and inspection outcomes alike. The catch is weekends, when hours drop about 22% below the home's own weekday level, a resident's Saturday care may look thinner than a Tuesday's. If your family member needs consistent help with daily tasks, ask how weekend coverage is actually scheduled.

B

83/100

The Springs Of Greers Ferry

Heber Springs, AR · Cleburne County

CMS 4/5 140 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
44%
Serious cites
0

The Springs Of Greers Ferry runs a little richer on nursing hours than the typical American home, 4.01 per resident day against a national average of 3.86, though weekends thin out by roughly 9% compared to its own weekdays, so a Saturday shift isn't quite the same as a Tuesday. Turnover sits at 44.3%, marginally better than the 45.8% national figure and nothing unusual for a corporate-owned building of this size. Its inspection record shows 14 deficiencies, none at the harm or jeopardy level and none tied to abuse, with the most recent visit in January 2026, recent enough that the findings still reflect how the place runs now.

B

83/100

The Cottages At Texarkana

Texarkana, AR · Miller County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
5.12 /day
Staff turnover
47%
Serious cites
0

The Cottages At Texarkana runs 140 certified beds under for-profit LLC ownership, and its staffing is the headline: 5.12 nurse hours per resident day, about a third above the national average of 3.86. Weekends dip roughly 12% below its own weekday level, so coverage thins out, but the baseline is high. What pulls against that is the inspection record, 20 deficiencies on file, one of them serious enough to reach harm or jeopardy level, and a single $28,022 fine. Staff turnover sits at 46.8%, essentially matching the national rate. The last inspection was March 2025, so the picture is current. Strong hands-on care, but the survey history is the caution flag.

B

83/100

Siloam Healthcare, Llc

Siloam Springs, AR · Benton County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
52%
Serious cites
0

Siloam Healthcare runs 120 beds in Siloam Springs under for-profit LLC ownership, and its nurse staffing sits at 4.27 hours per resident day, roughly 10% above the national average of 3.86. That's a real margin, though weekends run about 10% thinner than weekdays, so coverage isn't perfectly even across the week. Staff turnover is 52.4% against a national 45.8%, which means a good share of the people caring for residents are still learning the building. The current record shows 33 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in January 2025. Quality and staffing both earned 4 out of 5 stars from CMS, while health inspections landed at 2.

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