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 2761–2780 of 12,438, best-graded first.

B

83/100

Valley Hi Nursing Home

Woodstock, IL · Mc Henry County

CMS 4/5 128 beds Government Medicaid
Nurse hours
4.71 /day
Staff turnover
34%
Serious cites
0

Valley Hi is county-run, and the staffing shows it: 4.71 nurse hours per resident day, roughly 22% above the national average, earning a top staffing rating. Weekend coverage dips about 11% below its own weekday level, though, and turnover sits at 33.9%, better than the 45.8% national figure but still a third of the workforce leaving each year. The inspection record is where it gets heavier: 30 deficiencies, including two at the harm level and three tied to abuse, plus three fines totaling $155,366. A recent March 2026 inspection means the picture is current. Strong hands on deck, but a documented history that needs watching.

B

83/100

Knox County Nursing Home

Knoxville, IL · Knox County

CMS 4/5 169 beds Government Medicaid
Nurse hours
3.73 /day
Staff turnover
34%
Serious cites
0

Knox County Nursing Home runs a tight ship on inspections, a five-star health inspection rating and seven total deficiencies on the current record, none of them causing harm or involving abuse. That's a clean record for a 169-bed county-owned home, and its last full inspection was recent, in August 2024. Staffing sits at 3.73 hours per resident day, roughly 3% under the national average, with weekends about 4% leaner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The number that stands out is turnover: 34% against a national average near 46%, meaning aides and nurses here tend to stay longer than they do at most homes.

B

83/100

Lutheran Hillside Village

Peoria, IL · Peoria County

CMS 5/5 107 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
40%
Serious cites
0

Lutheran Hillside Village in Peoria runs on a nonprofit model with 107 certified beds, and the staffing numbers are the first thing that stands out: 4.40 nurse hours per resident day, roughly 14% above the national average. Weekend coverage dips about 7% below its own weekday level, though, so care isn't perfectly even across the week. Staff turnover sits at 40.2%, lower than the 45.8% national rate, which matters for continuity. On inspections, the home holds a 5/5 rating with its last visit in December 2024, and while 13 deficiencies appear on the current record, none reached harm or jeopardy level, just one is abuse-related.

B

83/100

Avira Health Pavilion

Loves Park, IL · Winnebago County

CMS 4/5 54 beds For-profit Medicaid
Nurse hours
5.63 /day
Staff turnover
63%
Serious cites
0

East Bank Center runs a 54-bed for-profit home in Loves Park, and the staffing numbers are the first thing worth noticing: 5.63 nurse hours per resident day, roughly 46% above the national average. That's real coverage, though weekends dip about 10% below the home's own weekday level, so the floor isn't perfectly even. Turnover sits at 62.7% against a national 45.8%, which means many of the people providing that care are still new to the building. Inspections in July 2025 turned up 24 deficiencies, one serious enough to reach harm or jeopardy, none tied to abuse. Consistent staffing and solid quality marks are doing a lot of work here; the churn and that one high-level citation are the tradeoffs.

B

83/100

Willows Health Center

Rockford, IL · Winnebago County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
5.21 /day
Staff turnover
—
Serious cites
0

The Willows Health Center runs 50 certified beds in Rockford under nonprofit ownership, and its staffing sits well above average, 5.21 total nurse hours per resident day, roughly 35% more than the national figure. That's the strongest card in its hand, though weekend coverage drops about 17% below its own weekday level, so the weekday-to-weekend difference is worth asking about. The trade-off shows up in its record: 26 deficiencies, one serious enough to reach harm or jeopardy, plus three tied to abuse, and one fine of $12,909. With the last inspection dated November 2025 and quality and staffing each rated 4 out of 5, you're looking at a home that invests in staff but has real compliance problems to weigh.

B

83/100

Radford Green

Lincolnshire, IL · Lake County

CMS 5/5 84 beds For-profit Medicaid
Nurse hours
5.41 /day
Staff turnover
36%
Serious cites
0

Radford Green runs on 5.41 nursing hours per resident per day, roughly 40% above the national average, and weekend staffing holds within about 6% of weekday levels, rare for a for-profit home. Annual turnover sits at 35.7%, well under the national 45.8%, so the people around your parent are more likely to stay. The caution is on the record: 25 deficiencies, 6 serious enough to risk harm, one tied to abuse, and $68,794 in fines, with the last inspection in February 2025. Strong staffing and quality measures, a thinner inspection history. Worth asking the administrator directly what changed since.

B

83/100

Alden Estates Of Shorewood

Shorewood, IL · Will County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
4.89 /day
Staff turnover
38%
Serious cites
0

Alden Estates Of Shorewood runs about 4.89 nurse hours per resident day, roughly 27% above the national average. That staffing cushion is real, though weekends dip about 13% below the home's own weekday level, so coverage isn't perfectly even across the week. Turnover sits at 38.3%, meaningfully better than the 45.8% national figure. The inspection record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent inspection was January 2026. This is a for-profit corporate home whose numbers hold up on staffing and inspections, with quality measures landing closer to the middle.

B

83/100

Miller's Merry Manor

Logansport, IN · Cass County

CMS 4/5 127 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
48%
Serious cites
0

Miller's Merry Manor in Logansport runs 127 beds under corporate for-profit ownership, and its staffing sits at 3.88 nurse hours per resident day, about 1% above the national average, which is close enough that weekends are where the difference shows. Weekend staffing drops roughly 12% below its own weekday level, and annual turnover is 47.7%, slightly worse than the 45.8% national figure. The inspection record is recent (April 2026) and fairly clean: 10 deficiencies total, none at the harm or jeopardy level, though one is abuse-related. All three CMS star ratings land at 4 out of 5, so the weak spots are turnover and weekend coverage rather than the care measures themselves.

B

83/100

Avon Health & Rehabilitation Center

Avon, IN · Hendricks County

CMS 5/5 137 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
37%
Serious cites
0

Avon Health & Rehabilitation Center runs 137 certified beds as a for-profit corporation, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86, with weekends about 14% thinner than weekdays. Turnover is 36.8%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. The current record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated February 26, 2026. Quality measures score well and inspections score well; the softer spot is staffing, especially on weekends when your family member is most likely to visit.

B

83/100

Colonial Oaks Health Care Center

Marion, IN · Grant County

CMS 5/5 127 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
27%
Serious cites
0

Colonial Oaks runs a tight ship on the things inspectors check. A five-star health inspection rating with only four deficiencies on record, none at the harm level, none related to abuse, and a clean inspection from July 2024 puts it well ahead of most homes on regulatory compliance. Where it gives ground is staffing: 3.40 nurse hours per resident day sits about 12% under the national average, and weekends run roughly 14% lighter than weekdays. The saving grace is retention. Turnover of 26.6% is well below the national 45.8%, which means the aides and nurses who are there tend to stay, and that consistency matters more than raw hours in a lot of families' day-to-day experience.

B

83/100

Morristown Manor

Morristown, IN · Shelby County

CMS 4/5 119 beds Government Medicaid
Nurse hours
3.59 /day
Staff turnover
33%
Serious cites
0

Morristown Manor runs on a county-owned model with 119 certified beds along the western edge of Shelby County. Its overall nurse staffing sits at 3.59 hours per resident day, about 7% under the national figure, and weekends drop roughly 12% below what the home staffs during the week, worth asking about if your family tends to visit Saturdays and Sundays. Turnover is the bright spot, at 33% against a national average near 46%, and that stability shows up in the quality measure rating. The current inspection record carries 31 deficiencies, two at the harm level and seven flagged as abuse-related, which isn't a small number. The last state visit was in May 2025, so the picture is reasonably current.

B

83/100

Golden Years Homestead

Fort Wayne, IN · Allen County

CMS 3/5 111 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
13%
Serious cites
0

Golden Years Homestead runs on a nonprofit model with 111 certified beds, and its staffing sits at 4.09 nurse hours per resident day, roughly 6% above the national average of 3.86. That's a real cushion, though weekends run about 10% thinner than weekdays, so coverage isn't perfectly even across the week. What stands out most is retention: 12.6% annual turnover against a national average near 46%, meaning the people caring for residents here tend to stay. The inspection record is more mixed, 21 deficiencies, including one at the harm level and three tied to abuse, plus a $15,646 fine. The most recent inspection was in August 2025. Good staffing consistency, but the deficiency history is worth asking about directly.

B

83/100

Evansville Protestant Home

Evansville, IN · Vanderburgh County

CMS 2/5 49 beds Non-profit Medicaid
Nurse hours
5.35 /day
Staff turnover
46%
Serious cites
0

Evansville Protestant Home runs on a nonprofit model with 49 certified beds, and its strongest number is staffing: 5.35 nurse hours per resident day, roughly 39% above the national average. That cushion matters, though weekends dip about 8% below the home's own weekday levels. Turnover sits at 46%, almost identical to the national 45.8%, so continuity of caregivers isn't a distinguishing strength. Where the record gets harder to read is inspections and care quality, both rated 2 out of 5, with 19 deficiencies on file and one at the harm or jeopardy level, none abuse-related. The most recent inspection was April 2025, so the picture is current. Strong hands-on staffing, middling oversight results.

B

83/100

Indiana Veterans Home

West Lafayette, IN · Tippecanoe County

CMS 4/5 212 beds Government Medicaid
Nurse hours
5.61 /day
Staff turnover
64%
Serious cites
0

The Indiana Veterans Home in West Lafayette runs on a state government operation with 212 certified beds, and the nurse staffing numbers are genuinely strong, 5.61 hours per resident day puts it roughly 45% above the national average of 3.86. That's real coverage on paper, though weekends dip about 15% below its own weekday levels, and annual turnover sits at 64.2% against a national 45.8%, so the floor is covered but the faces change often. The inspection record carries 19 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with a 3/5 health inspection rating and the most recent survey dated December 2025.

B

83/100

Mount Ayr Health Care Center

Mount Ayr, IA · Ringgold County

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

Mount Ayr Health Care Center runs 46 certified beds under corporate for-profit ownership, and its staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, so families should ask how that gap gets covered. Turnover is the brighter spot: 37% against a national 45.8%, which suggests a relatively stable crew for a small Iowa home. The inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey dated April 2026.

B

83/100

Mechanicsville Specialty Care

Mechanicsville, IA · Cedar County

CMS 5/5 39 beds Non-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
38%
Serious cites
0

Mechanicsville Specialty Care runs on a nonprofit model with 39 beds, and the numbers show a place that inspection-wise is doing a lot right. Its last survey was in September 2025, and of the 12 deficiencies on record, none rose to harm or jeopardy level and none involved abuse. Nurse staffing sits at 3.07 hours per resident day, roughly 20 percent under the national average of 3.86, and weekends dip about 3 percent below weekdays, so coverage is thinner than you'd like. Turnover, though, is 38.2 percent against a national 45.8, which suggests people tend to stay. Quality measures scored at the top of the scale.

B

83/100

Atlantic Specialty Care

Atlantic, IA · Cass County

CMS 3/5 90 beds Non-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
28%
Serious cites
0

Atlantic Specialty Care runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below its own weekday staffing. That thinner coverage shows up in its two-out-of-five inspection rating and 42 deficiencies on record, though none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. What works in its favor: staff turnover is 28.3%, well under the 45.8% national figure, suggesting a steadier workforce than many homes, and its quality measure rating sits at five out of five. As a nonprofit, it isn't answering to shareholders. The tradeoff here is real but bounded, fewer hands on weekends, strong clinical measures, no serious safety findings.

B

83/100

Bedford Specialty Care

Bedford, IA · Taylor County

CMS 4/5 39 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
28%
Serious cites
0

Bedford Specialty Care runs 39 certified beds as a nonprofit, and its recent inspection history is solid, the last survey wrapped in July 2025 with a 4-star health inspection rating. The 14 deficiencies on record include none at the harm or jeopardy level, though three are abuse-related, which families should ask about directly. Staff turnover sits at 27.6% against a national average of 45.8%, meaning caregivers here tend to stay. Total nurse staffing is 3.72 hours per resident day, slightly under the 3.86 national figure, and weekends run about 5% thinner than weekdays, so coverage dips when it's hardest to reach administrators.

B

83/100

Montezuma Specialty Care

Montezuma, IA · Poweshiek County

CMS 3/5 41 beds Non-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
52%
Serious cites
0

Montezuma Specialty Care runs 41 certified beds as a nonprofit corporation, and its 3.30 nurse staffing hours per resident day sit about 14 percent under the national average of 3.86. Weekends dip roughly 7 percent below the home's own weekday levels, and annual turnover lands at 51.6 percent against a national 45.8, so the people caring for residents here are both fewer in number and changing more often than is typical. The current record shows 13 deficiencies, two tied to abuse, though none rose to harm or jeopardy. Its last inspection was April 23, 2026. Quality and staffing measures each earned four stars from CMS, with inspection at three.

B

83/100

Chariton Specialty Care

Chariton, IA · Lucas County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
58%
Serious cites
0

Chariton Specialty Care runs 60 certified beds as a for-profit corporation, and its staffing sits just under the national average at 3.81 nurse hours per resident day. The bigger concern is who's on the floor: annual turnover hits 58.1%, well above the 45.8% national rate, and weekends run about 13% leaner than weekdays, exactly when families often visit. Inspections tell a similar story, 18 deficiencies on record, including one at the harm or jeopardy level and two tied to abuse. A single fine of $15,134 has been levied. The most recent inspection was January 14, 2026. Quality measures score well, but the direct-care and oversight picture is what a family should weigh.

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