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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 2781–2800 of 12,438, best-graded first.

B

83/100

Oakwood Specialty Care

Albia, IA · Monroe County

CMS 4/5 54 beds Non-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
32%
Serious cites
0

Oakwood Specialty Care runs a 54-bed nonprofit home in Albia, and the staffing numbers are the main thing to weigh. Nurses give residents about 3.26 hours of care per day, roughly 15% under the national average, and weekends dip another 13% below what the home itself manages on weekdays. Turnover sits at 31.7%, which is better than the 45.8% national figure. Eighteen deficiencies show on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in September 2025. Quality measures score well; the day-to-day staffing is where this home is thinner than most.

B

83/100

Akron Care Center, Inc

Akron, IA · Plymouth County

CMS 4/5 45 beds Government Medicaid
Nurse hours
3.80 /day
Staff turnover
40%
Serious cites
0

Akron Care Center is city-owned, which is unusual, most Iowa nursing homes are for-profit. Inspectors have found four deficiencies on its current record, none of them causing harm or involving abuse, and the most recent visit was in May 2025. Nurse staffing sits at 3.80 hours per resident day, a hair under the national average of 3.86, and weekends run about 11% thinner than weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 40.4%, better than the 45.8% national figure but still meaning roughly two in five caregivers left within a year. Quality measure scores lag behind its inspection and staffing results.

B

83/100

Brio Of Johnston, Llc

Johnston, IA · Polk County

CMS 3/5 36 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
55%
Serious cites
0

Brio Of Johnston runs a for-profit limited liability operation with 36 certified beds in Polk County, and its nurse staffing sits at 4.57 hours per resident day, roughly 18% above the national average. That margin narrows on weekends, when coverage drops about 10% below the home's own weekday pace. Staff turnover lands at 55.1%, nearly ten points above the national figure, which means the people delivering that care are cycling through faster than average. Twelve deficiencies sit on the current record, one serious enough to involve harm or jeopardy, with a single fine of $6,923 and an inspection dated April 2026. The staffing and quality measure ratings hold at 4 stars each; inspection results sit lower at 3.

B

83/100

Hallmar Village

Cedar Rapids, IA · Linn County

CMS 2/5 55 beds Non-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
51%
Serious cites
0

Hallmar Village runs a church-affiliated nonprofit with 55 beds, and its staffing is the clear strength: 4.46 nurse hours per resident day, roughly 15% above the national average, with weekend coverage only about 8% below weekday levels. The tradeoffs show up elsewhere. Staff turnover sits at 51.4%, higher than the 45.8% national figure, and the current inspection record carries 21 deficiencies, three of them serious enough to involve harm or jeopardy. No abuse citations, and one fine totaling $11,960. The last inspection was in October 2025, so the picture is fairly current. Strong bedside hours can offset a lot, but a turnover rate above average plus three harm-level findings is what holds this home back.

B

83/100

Brookside Retirement Community

Overbrook, KS · Osage County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
45%
Serious cites
0

Brookside Retirement Community runs 60 certified beds in Overbrook under corporate for-profit ownership. Nurse staffing sits at 3.82 hours per resident day against a national average of 3.86, and weekends dip about 9% below weekdays, that thinner weekend coverage matters when a resident needs help on a Saturday. Annual turnover of 44.9% is roughly in line with the 45.8% national figure, so continuity isn't unusually bad here. The inspection record shows 7 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations, and one fine totaling $21,645. That harm-level finding, paired with below-average staffing, is what pulls the overall picture down despite strong quality measure scores.

B

83/100

Pinnacle Park Nursing & Rehab Center

Salina, KS · Saline County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
28%
Serious cites
0

Pinnacle Park runs 60 certified beds in Salina under for-profit LLC ownership, and the numbers suggest a home that's mostly doing right by its residents. Nurse staffing sits at 3.87 hours per resident day, essentially matching the national average of 3.86, though weekends dip roughly 10% below the home's own weekday coverage, which families should keep in mind when visiting hours matter. Staff turnover of 27.5% is well below the national 45.8%, meaning caregivers tend to stick around, and the 5/5 quality measure rating backs that up. The health inspection rating is 4/5, with 21 deficiencies on record and one at the harm level; the most recent inspection was July 2024.

B

83/100

Downs Care And Rehab

Downs, KS · Osborne County

CMS 5/5 45 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
35%
Serious cites
0

Downs Care and Rehab runs 45 certified beds under corporate for-profit ownership, and its inspection record is genuinely solid: 14 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent state visit in July 2024. Nurse staffing sits at 3.79 hours per resident day, a hair under the national average, and weekends drop roughly 12% below the home's own weekday coverage, worth asking about if your family member needs more help on Saturdays and Sundays. What stands out is retention: 35.1% annual turnover against a national 45.8%, meaning caregivers here tend to stick around longer than at the typical home.

B

83/100

Locust Grove Village

La Crosse, KS · Rush County

CMS 2/5 38 beds Non-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
53%
Serious cites
0

Locust Grove Village runs a 38-bed nonprofit home in La Crosse, and its staffing is genuinely better than most, 4.27 nurse hours per resident day against a national average of 3.86. That edge narrows on weekends, though, when coverage drops about 14% below the home's own weekday level, and turnover sits at 52.5% versus 45.8% nationally, so the faces change often. The inspection record is where the concerns concentrate: 11 deficiencies, including one at the harm level and one tied to abuse, plus a $12,779 fine, with the last inspection in September 2024. Quality measures land mid-range, inspection performance below average, staffing above it.

B

83/100

Crestview Nursing & Residential Living

Seneca, KS · Nemaha County

CMS 5/5 34 beds For-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
41%
Serious cites
0

Crestview runs about 4.34 nursing hours per resident each day, which is roughly 13 percent above the national average of 3.86, and its staff turnover of 41.2% sits a little better than the 45.8% national figure. The tradeoff shows up on weekends, when coverage drops about 8% below what the home staffs on weekdays. Inspectors gave it five out of five stars and found six deficiencies on the current record, including one at the harm or jeopardy level but none tied to abuse; the most recent visit was October 24, 2024. Quality measures came in at three stars. For a 34-bed for-profit home, the staffing and inspection record carry most of the weight here.

B

83/100

Ranch House Senior Living Llc

Garden City, KS · Finney County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
36%
Serious cites
0

Ranch House Senior Living runs a 60-bed for-profit operation in Garden City, and the staffing numbers are the strongest part of the picture, 4.29 nurse hours per resident day, roughly 11% above the national average, with turnover at 36% compared to 45.8% nationally. Weekend coverage dips about 14% below weekdays, which is common but worth asking about if your family visits on Saturdays or Sundays. The tradeoffs show up elsewhere: 23 deficiencies on record, including one at the harm level and one abuse-related, and a 2/5 quality measure rating despite the good staffing. The last inspection was April 2025, so the record is reasonably current. Ask directly about those two serious deficiencies and what changed afterward.

B

83/100

Kiowa Hospital District Manor

Kiowa, KS · Barber County

CMS 5/5 29 beds Government Medicaid
Nurse hours
6.34 /day
Staff turnover
46%
Serious cites
0

Kiowa Hospital District Manor runs on unusually heavy staffing for a 29-bed home, 6.34 nurse hours per resident day, roughly two and a half hours more than the national average, and its most recent inspection was in September 2025, so the record is current. The catch is in the inspection findings: ten deficiencies on file, one of them serious enough to reach harm or jeopardy level, which is what pulls the overall picture down despite the five-star staffing rating. Weekend coverage dips about 9% below weekdays, and turnover sits at 46.2%, essentially matching the national rate. As a government hospital-district home, it answers to local public ownership rather than a chain.

B

83/100

Anthony Community Care Center

Anthony, KS · Harper County

CMS 5/5 30 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
29%
Serious cites
0

Anthony Community Care Center runs 30 beds as a nonprofit, and its last full health inspection was in April 2025, recent enough that you're looking at current conditions, not old history. Staff turnover sits at 29.2%, well under the 45.8% national average, which matters for whether your family sees the same faces month to month. The tradeoffs show up elsewhere: nurse staffing at 3.76 hours per resident day lands just under the national 3.86, weekend coverage dips slightly below its own weekday levels, and the record carries 19 deficiencies, one serious enough to involve harm or jeopardy. Quality measure scores come in low. Good retention and steady oversight, thinner care hours and some inspection problems to weigh.

B

83/100

Solomon Valley Manor

Stockton, KS · Rooks County

CMS 3/5 30 beds Government Medicaid
Nurse hours
4.25 /day
Staff turnover
29%
Serious cites
0

Solomon Valley Manor runs on a city-owned, 30-bed setup in Stockton, and its strongest asset is people: nurses deliver about 4.25 hours of care per resident per day, roughly 10 percent above the national average, and staff turnover sits at 28.6 percent against a national 45.8 percent. That retention matters in a small rural home, though weekend coverage dips about 13 percent below weekday levels. The tradeoffs are real elsewhere. Sixteen deficiencies show on the current record, three serious enough to involve harm or jeopardy, and the quality measure score is weak. Inspectors last visited in October 2024. A well-staffed building with recent inspection problems is worth a close look at what those three citations involved.

B

83/100

Morgantown Care & Rehabilitation Center

Morgantown, KY · Butler County

CMS 3/5 122 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
36%
Serious cites
0

Morgantown Care & Rehabilitation Center runs 122 certified beds under for-profit LLC ownership, and the numbers suggest a home that's basically steady without being exceptional. Nurse staffing sits at 3.75 hours per resident day, a hair under the national average, and weekends drop about 13% below its own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is the bright spot: 35.5% against a national 45.8%, meaning caregivers here tend to stick around longer than at the typical American nursing home. The inspection record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in April 2026.

B

83/100

Emerald Trace

Elsmere, KY · Kenton County

CMS 2/5 54 beds Non-profit Medicaid
Nurse hours
6.34 /day
Staff turnover
53%
Serious cites
0

Emerald Trace runs on unusually heavy staffing for a 54-bed nonprofit home, 6.34 nurse hours per resident day, roughly two and a half hours more than the national average. That's the strongest thing in its file, and it shows up in a 4-out-of-5 staffing rating. The catch is consistency and oversight: weekend coverage slips about 8% below weekdays, turnover sits at 52.5%, and the last inspection (August 2025) left eight deficiencies, two serious enough to involve harm or jeopardy, plus a $9,318 fine. Good hands-on coverage, uneven follow-through on the compliance side.

B

83/100

Lagniappe Healthcare

Bastrop, LA · Morehouse County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
37%
Serious cites
0

Lagniappe Healthcare runs a 112-bed for-profit home in Bastrop, and the staffing numbers are its strongest card. Nurses deliver 4.12 hours per resident per day, about 7% above the national average, and turnover sits at 37%, better than the 45.8% typical elsewhere, meaning caregivers tend to stick around. Weekends thin out roughly 13% below weekday coverage, so ask how that plays out on a Sunday. The inspection record shows 13 deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. A February 2026 inspection is recent, and the 4-star health inspection rating reflects that.

B

83/100

Russell Park Rehabilitation & Living Center

Lewiston, ME · Androscoggin County

CMS 1/5 50 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
36%
Serious cites
0

Russell Park runs 50 beds in Lewiston, and the staffing numbers are the bright spot: 4.17 nurse hours per resident day, roughly 8% above the national average, with turnover at 36.1% against a national 45.8%. Weekends dip about 7% below its own weekday level, so coverage gets thinner then. The problem sits in inspections, a 1/5 health inspection rating, 44 deficiencies on the current record, including two tied to abuse, though none at harm or jeopardy level. The last inspection was May 2025, so the record reflects recent findings rather than old ones. Quality measures come in at 3/5 under corporate, for-profit ownership. Strong daily staffing paired with a weak inspection history is what a family should weigh here.

B

83/100

Pine Point Center

Scarborough, ME · Cumberland County

CMS 2/5 61 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
47%
Serious cites
0

Pine Point Center runs 61 certified beds in Scarborough under for-profit LLC ownership, and its staffing sits right at the national line, 3.84 nurse hours per resident day against a 3.86 average, with weekends running about 8% thinner than weekdays. Turnover lands at 47%, a touch above the 45.8% national figure. The current record carries 27 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was April 2025. Quality and staffing each earned 4 of 5 stars from CMS, while health inspections came in at 3. Nothing here looks dangerous; it looks ordinary, with a few soft spots worth asking about directly.

B

83/100

Hawthorne House

Freeport, ME · Cumberland County

CMS 4/5 83 beds For-profit Medicaid
Nurse hours
5.56 /day
Staff turnover
61%
Serious cites
0

Hawthorne House runs a genuinely strong staffing floor, 5.56 nurse hours per resident day against a national average of 3.86, and the weekend dip is modest at roughly 7%. The catch is retention: 61.4% annual turnover means a large share of the people providing that care are new, and that matters for consistency even when the hours look good on paper. The 29 deficiencies on record carry no harm or jeopardy findings and nothing abuse-related, which is a meaningful distinction; most are the paperwork-and-process type. State inspectors were last in on May 1, 2025, so the picture is current. Corporate-owned and for-profit, mid-range on inspections and quality measures, strongest on staffing.

B

83/100

Rumford Community Home

Rumford, ME · Oxford County

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

Rumford Community Home runs a 32-bed nonprofit operation where the staffing is the strongest part of the story, 4.05 nurse hours per resident day, roughly 5% above the national average, with turnover at 36.1% compared to 45.8% nationally. Weekends dip about 5% below weekday levels, which is worth asking about if your family member needs more attention on Saturdays and Sundays. The weaker side is inspections: a 2-out-of-5 health inspection rating, 28 deficiencies on record including one at the harm level and one abuse-related. The most recent inspection was February 2025, so that record is current. Good staffing and stable retention don't erase a tough survey history, ask to see how those specific deficiencies were corrected.

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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