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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 2941–2960 of 12,438, best-graded first.

B

83/100

Village Square Healthcare Center

San Marcos, CA · San Diego County

CMS 4/5 118 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Village Square runs about 4.10 nurse hours per resident day, roughly 6% above the national average, and weekend staffing only dips about 5% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 37.6%, well under the national 45.8%, so the people caring for residents tend to stick around longer. The trade-off is a long paper trail: 42 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related. The most recent inspection was in May 2025, so the picture is current. This is a for-profit partnership, and the numbers describe steady, adequately staffed care rather than a standout.

B

83/100

The Hills Post Acute

Santa Ana, CA · Orange County

CMS 1/5 174 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
35%
Serious cites
0

The Hills Post Acute runs 174 certified beds under for-profit LLC ownership in Santa Ana, and its nurse staffing sits at 4.03 hours per resident day, roughly 4% above the national average of 3.86. Turnover is 34.8%, notably better than the 45.8% national figure, though weekend coverage dips about 8% below weekday levels. The staffing picture is the strong point here: CMS gives it 4 out of 5 on staffing and 4 on quality measures. What pulls it down is the inspection side, where it earns 2 stars and carries 119 deficiencies on its record, none flagged at harm or jeopardy level, and none abuse-related. Two fines totaling $4,893 is modest. Last inspection was May 2026, so the record is current.

B

83/100

Atherton Park Post-Acute

Menlo Park, CA · San Mateo County

CMS 4/5 160 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
33%
Serious cites
0

Atherton Park Post-Acute sits at 160 beds in Menlo Park, run by a for-profit LLC. Its nurse staffing averages 3.90 hours per resident day, barely above the national figure of 3.86, and weekends run about 11% leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot: 32.9% against a national 45.8%, meaning fewer unfamiliar faces from month to month. The current record carries 50 deficiencies, none at harm or jeopardy level, though three are abuse-related, and the last inspection was February 2025. A 5/5 on quality measures sits alongside a middling 3/5 for inspections.

B

83/100

Masonic Home

Union City, CA · Alameda County

CMS 4/5 125 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
28%
Serious cites
0

The numbers here tell two different stories. Nurse staffing runs 4.38 hours per resident day, well above the 3.86 national average, and the 27.8% turnover rate is far below the typical 45.8%, which matters because consistent caregivers tend to know residents' routines. Weekend coverage dips only slightly, about 6% under weekday levels. On the other side, the quality measure rating sits at 1 out of 5, and the home carries 15 deficiencies on its current record, though none at the harm level and none abuse-related. Its last inspection was recent, February 2025, and it scored 5 out of 5 on that inspection. Nonprofit ownership, strong staffing, weak quality metrics, worth asking what's driving that gap.

B

83/100

Sierra Vista Healthcare

Fresno, CA · Fresno County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
35%
Serious cites
0

Sierra Vista Healthcare runs 99 certified beds in Fresno under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.41 nurse hours per resident day against a national average of 3.86, with turnover at 34.7% compared to 45.8% nationally. Weekend coverage dips only about 6% below weekdays, which is a smaller drop than many homes show. What pulls the record down is the inspection history, 53 deficiencies on file, three of them serious enough to reach harm or jeopardy level, plus one tied to abuse, and a $12,048 fine. A 3-out-of-5 inspection rating reflects that pattern. The most recent visit was January 9, 2026, so the findings are recent, not stale. Strong staffing, a troubled survey record.

B

83/100

Hillcrest Nursing Home

San Bernardino, CA · San Bernardino County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
61%
Serious cites
0

Hillcrest runs a tight ship on the clinical side. Twenty deficiencies on record with zero at the harm level and nothing abuse-related, plus a recent inspection and top marks from CMS on both health inspections and quality measures, that's a home that gets the basics right. Where it gives ground is staffing. At 3.68 nurse hours per resident day it sits about 5% under the national average, weekend coverage dips roughly 3% below its own weekday level, and turnover at 60.6% runs well above the 45.8% national figure. Corporate-owned and small at 59 beds, Hillcrest looks like a place where care quality holds up but consistent hands on deck is the open question.

B

83/100

Avir At Pampa

Pampa, TX · Gray County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
31%
Serious cites
0

Avir At Pampa runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage. That's the tradeoff behind a staffing score in the middle of the pack. The good news sits elsewhere: turnover is 30.8%, well under the 45.8% national figure, so the aides and nurses here tend to stay. State inspectors found 16 deficiencies on the current record, none at the harm level, though four were abuse-related, which is worth asking about directly. The last inspection was in January 2026, and quality measures scored at the top of CMS's scale. Limited liability company ownership, 120 beds.

B

83/100

Brownfield Rehabilitation And Care Center

Brownfield, TX · Terry County

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

Brownfield Rehabilitation and Care Center runs about 3.26 nurse hours per resident day, roughly 16 percent under the national average, and weekends dip another 13 percent below its own weekday coverage. That thin staffing is the main reason its CMS staffing score sits at 2 out of 5, even though inspectors gave it 5 out of 5 on both health inspections and quality measures. Turnover is a genuine bright spot at 31.6 percent, well under the national 45.8 percent, so the people who are there tend to stay. The inspection record shows 16 deficiencies with none at the harm level, though one is abuse-related, and the most recent visit was August 2025.

B

83/100

Stevens Nursing And Rehabilitation Center Of Halle

Hallettsville, TX · Lavaca County

CMS 5/5 144 beds Government Medicaid
Nurse hours
3.43 /day
Staff turnover
30%
Serious cites
0

Stevens Nursing and Rehabilitation Center of Halle in Hallettsville runs on a hospital district's license, and its inspection record is genuinely strong, a 4/5 health inspection rating with 19 deficiencies on file and none at the harm or jeopardy level. Four of those are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.43 nurse hours per resident day sits about 11% under the national figure, weekends run roughly 9% below its own weekdays, and the staffing rating lands at 2/5. Turnover is 30.2%, better than the 45.8% national average, so people tend to stay. The last inspection was recent, in May 2026.

B

83/100

The Manor Healthcare Residence

Mexia, TX · Limestone County

CMS 5/5 66 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
26%
Serious cites
0

The Manor Healthcare Residence runs on about 3.22 nurse hours per resident per day, roughly 17% under the national average of 3.86, and weekends dip another 8% below its own weekday staffing. Turnover is the bright spot: 25.8% against a national 45.8% means far more familiar faces than most homes manage. Inspections look strong, a perfect health inspection rating and a December 2025 visit, but 16 deficiencies sit on the current record, including one at harm level and two tied to abuse, which is worth asking about directly. For-profit, LLC-owned, 66 beds. Ask how they cover weekends when staff call out.

B

83/100

Colonial Pines Healthcare Center

San Augustine, TX · San Augustine County

CMS 4/5 107 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
49%
Serious cites
0

Colonial Pines runs a solid inspection record, 30 deficiencies on the books, but none rose to the level of actual harm or jeopardy, and the most recent survey came in January 2026. The staffing picture is closer to average: 3.72 nurse hours per resident day against a national 3.86, and weekends run about 12% leaner than weekdays, so coverage thins right when families tend to visit. Turnover sits at 48.8%, a few points above the national 45.8%. Two abuse-related deficiencies stand out on an otherwise clean record, and the home is owned by a for-profit limited liability company. Worth asking about weekend coverage and those abuse findings directly.

B

83/100

Avir At Temple East

Temple, TX · Bell County

CMS 5/5 138 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
41%
Serious cites
0

Avir At Temple East runs a 138-bed for-profit operation, and its most recent inspection in February 2026 came back clean on the things that matter most, 10 deficiencies on the current record, none of which rose to harm or jeopardy level. Staff turnover sits at 40.8%, which is actually better than the 45.8% national average, and that stability probably shows up in how consistently residents see the same faces. Where it slips is raw staffing volume: 3.46 nurse hours per resident day lands about 10% under the national average of 3.86, and weekends run slightly leaner than weekdays. One abuse-related deficiency is on the books, worth asking about directly.

B

83/100

Ambrosio Guillen Texas State Veterans Home

El Paso, TX · El Paso County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
40%
Serious cites
0

The El Paso veterans home runs 160 certified beds under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average. Weekends drop about 12% below its own weekday coverage, so the gap families feel most is often Saturday and Sunday. That said, turnover at 39.7% beats the national 45.8%, which matters for continuity of care. The inspection record is where the caution lives: 43 deficiencies, including 4 tied to abuse, with a 2-out-of-5 health inspection rating, though none reached harm or jeopardy level. The most recent inspection was April 2026.

B

83/100

Oakcrest Nursing And Rehabilitation Center

Austin, TX · Travis County

CMS 3/5 67 beds For-profit Medicaid
Nurse hours
2.68 /day
Staff turnover
34%
Serious cites
0

Oakcrest runs lean on nursing hours, 2.68 per resident day, roughly a third below the national average, and weekends dip even further, about 7% under its own weekday staffing. That thin coverage shows up in the inspection record: 22 deficiencies, three serious enough to put residents in harm's way, and one tied to abuse, with two fines totaling nearly $32,000. Turnover at 34.1% is actually better than the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was August 2025, so the record is current. If you're weighing this one, ask how they staff weekends and what changed since that abuse finding.

B

82.5/100

Mitchell-Hollingsworth Nursing & Rehabilitation

Florence, AL · Lauderdale County

CMS 3/5 222 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
37%
Serious cites
0

Mitchell-Hollingsworth runs 222 certified beds in Florence under for-profit LLC ownership, and its staffing figure of 3.38 nurse hours per resident day sits about 12% under the national average of 3.86. Weekend coverage drops roughly 16% below what the home staffs on weekdays, so if you're visiting or calling on a Saturday, that's the stretch where help is thinnest. Turnover lands at 36.6%, which is actually better than the 45.8% national rate, aides and nurses here tend to stay longer than elsewhere. The current record shows 11 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the last inspection was September 2025.

B

82.5/100

Fair Haven

Birmingham, AL · Jefferson County

CMS 3/5 259 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
—
Serious cites
0

Fair Haven is a 259-bed nonprofit home in Birmingham, and its strongest card is raw nursing hours: 4.38 per resident per day, about 13% above the national average. That said, weekends run roughly 9% thinner than weekdays, so the coverage your family sees on a Tuesday isn't quite what shows up on a Sunday. The inspection record carries 11 deficiencies, one tied to abuse, none at the harm or jeopardy level, plus 10 fines totaling $31,615. The last full inspection was in June 2021, which is a long stretch without a fresh look. Ownership is nonprofit, and quality measures score well, but staffing consistency and that dated inspection are the real caveats here.

B

82.5/100

Crowne Health Care Of Mobile

Mobile, AL · Mobile County

CMS 3/5 148 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
26%
Serious cites
0

Crowne Health Care Of Mobile runs 148 certified beds as a for-profit corporation, and its nurse staffing sits at 4.95 hours per resident day, roughly 28% above the national average of 3.86. That edge is real, though weekend coverage drops about 19% below its own weekday level, so the weekday numbers tell a rosier story than a Saturday does. Staff turnover is 25.7%, well under the national 45.8%, which matters for continuity of care. Against that, the quality measure rating is 1 out of 5, and the last health inspection was September 2019, nearly six years ago. Eight deficiencies on record, none at harm level, none abuse-related.

B

82.5/100

Southland Nursing Home

Marion, AL · Perry County

CMS 5/5 91 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
—
Serious cites
0

Southland Nursing Home in Marion runs a tight ship on care quality, its 5/5 quality measure rating is as good as it gets, and the 4/5 inspection score reflects a record without a single deficiency at the harm or jeopardy level. The seven deficiencies on file are minor, and one fine totaling $5,244 is modest by industry standards. Where it slips is staffing: 3.91 nurse hours per resident day edges the national average by roughly 1%, but weekends run about 10% below its own weekday level, which matters when families visit less. That gap likely explains the middling 3/5 staffing rating. One thing worth asking about: the last inspection was April 2021, so the record is several years old.

B

82.5/100

Dadeville Healthcare Center

Dadeville, AL · Tallapoosa County

CMS 3/5 144 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
35%
Serious cites
0

Dadeville Healthcare Center runs on a for-profit limited liability company and holds 144 certified beds. The staffing numbers are the real story here: 4.41 total nurse hours per resident day sits about 14% above the national average of 3.86. Turnover is 34.5%, noticeably lower than the 45.8% national figure, though weekend coverage drops roughly 15% below weekday levels, so care may thin out on Saturdays and Sundays. On paper, the clinical record is thinner than the staffing: 16 deficiencies total, none at the harm level but one abuse-related. The 2/5 inspection and quality ratings pull against the 5/5 staffing score, and the last inspection was April 2021, nearly four years without a fresh look at the building.

B

82.5/100

Nightingale At Stonegate

Crossett, AR · Ashley County

CMS 5/5 76 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
35%
Serious cites
0

Nightingale At Stonegate runs a lean nursing floor for a 76-bed home: 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 16 percent further below its own weekday coverage. What offsets that is consistency and a clean recent record. Turnover sits at 34.7 percent, well under the 45.8 percent national figure, and the last inspection in July 2025 turned up 12 deficiencies with none at the harm level and nothing abuse-related. The inspection history is strong enough for five stars. If your family member needs frequent skilled nursing attention, ask how the weekend shift is actually staffed before you decide.

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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