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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 281 to 300 of 12,438, best-graded first.

A

94/100

Gottlieb Memorial Hospital

Melrose Park, IL · Cook County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.56 /day
Staff turnover
39%
Serious cites
0

Gottlieb Memorial is small, 32 certified beds, and it's run by a nonprofit corporation, which tends to mean the money goes back into the building rather than out to shareholders. The staffing numbers are the real story here: 5.56 nurse hours per resident per day against a national average of 3.86. That's roughly 44% more hands-on time than a typical home, and weekend coverage barely drops off from weekdays, so your family member isn't getting a skeleton crew on Sundays. Turnover sits at 38.6%, better than the 45.8% national figure, though not low enough to call it settled. Six deficiencies on record, none at the level that suggests actual harm, but two tied to abuse, worth asking about specifically.

A

94/100

Meridian Village Care Center

Glen Carbon, IL · Madison County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
28%
Serious cites
0

Meridian Village Care Center runs on church-affiliated nonprofit ownership in Glen Carbon, and the numbers back up what that structure often buys: time with residents. Nurse staffing sits at 4.66 hours per resident day, roughly a fifth above the national average, and weekends dip only about 5% below weekdays, a small gap compared with what many homes show. Staff turnover is 28%, well under the national 45.8%, which matters because consistent caregivers know the residents. The current record carries seven deficiencies, none at the harm level, though one is abuse-related and worth asking about directly. A 5/5 inspection rating and a November 2024 survey round out a record that looks stable rather than lucky.

A

94/100

Accura Healthcare Of Le Mars

Le Mars, IA · Plymouth County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
26%
Serious cites
0

Accura Healthcare Of Le Mars runs a 46-bed for-profit home in Plymouth County, and the staffing numbers are its strongest card. At 4.51 nurse hours per resident day, it sits about 17% above the national average, and weekend coverage dips only about 9% below its own weekday level, modest by industry standards. Turnover is 26.1%, well under the national 45.8%, which suggests people stay. The caution is on the inspection side: 17 deficiencies on the current record, including 2 at the harm level and 1 abuse-related. That's a meaningful count for a home this size. Staffing is clearly doing the heavy lifting here.

A

94/100

Bethany Home

Dubuque, IA · Dubuque County

CMS 5/566 bedsNon-profitMedicaid
Nurse hours
4.50 /day
Staff turnover
32%
Serious cites
0

Bethany Home runs on 4.50 nurse staffing hours per resident day, roughly 16% above the national average, and its weekend coverage dips about 13% below its own weekday level, a gap worth asking about if you're planning visits or worrying about Saturday-night response times. Staff turnover sits at 32.1%, well under the 45.8% national figure, which suggests less churn than most places and more familiar faces on the floor. The inspection record is thin: two deficiencies total, none at harm or jeopardy level, none abuse-related, with the last survey in May 2025. Corporate for-profit ownership, 66 beds, and a clean survey history carry real weight here.

A

94/100

Clarence Nursing Home

Clarence, IA · Cedar County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
30%
Serious cites
0

Clarence Nursing Home runs 46 certified beds under corporate for-profit ownership, and its recent inspection history is genuinely clean, a July 2025 survey with seven deficiencies on record, none of them rising to harm or jeopardy. The two abuse-related citations are worth asking about directly, since those tend to describe how the home handles incidents rather than the incidents themselves. Staffing sits at 3.58 nurse hours per resident day, about 7% under the national average, and weekends run roughly 10% thinner than weekdays, so coverage isn't perfectly even. What offsets that is retention: 30% turnover against a national 45.8% means aides and nurses here tend to stay.

A

94/100

Scottish Rite Park Inc

Des Moines, IA · Polk County

CMS 5/551 bedsNon-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
14%
Serious cites
0

Scottish Rite Park runs on unusually steady staffing for a 51-bed nonprofit home in Des Moines. Nurses provide 5.15 hours per resident day, roughly a third more than the national average, and only 14% of staff left last year, against a national rate near 46%. Weekend coverage dips about 12% from weekday levels, which is worth asking about, but the bigger caution sits in the inspection record: nine deficiencies, three serious enough to involve harm or jeopardy, and six fines totaling $60,726. The most recent state visit was June 2025, so the record is current. Strong care numbers paired with real compliance problems, that mix is what a B reflects.

A

94/100

Wilton Retirement Community

Wilton, IA · Muscatine County

CMS 5/534 bedsNon-profitMedicaid
Nurse hours
5.36 /day
Staff turnover
28%
Serious cites
0

Wilton Retirement Community runs a small 34-bed nonprofit home in Muscatine County, and the staffing numbers stand out: 5.36 nurse hours per resident day, roughly 39% above the national average. Weekend coverage dips about 10% below its own weekday level, which is worth knowing if you're planning visits or worrying about Saturday care. Staff turnover sits at 28.3% against a national 45.8%, so the people caring for residents tend to stay. On the record: seven deficiencies, none at harm or jeopardy level, one abuse-related, with the most recent inspection dated December 31, 2025. Five stars on health inspections, five on staffing, four on quality measures.

A

94/100

Larksfield Place

Wichita, KS · Sedgwick County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
34%
Serious cites
0

Larksfield Place runs on lean, steady staffing: 4.55 nurse hours per resident day, roughly 18% above the national average, and weekend coverage drops only about 9% from weekday levels, so care doesn't thin out much on Saturdays and Sundays. Staff turnover sits at 33.9% against a national average near 46%, which means the people caring for residents tend to stick around. The record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in October 2024. As a nonprofit, it answers to a board rather than shareholders. The numbers describe a home that is well-staffed, stable, and currently clear of serious findings.

A

94/100

Leonardville Nursing Home

Leonardville, KS · Riley County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
35%
Serious cites
0

Leonardville Nursing Home runs on unusually deep staffing for a 55-bed nonprofit, 5.10 nurse hours per resident day against a national average of 3.86, and weekend coverage only dips about 13% below weekdays, which is a smaller drop than many homes show. Staff turnover sits at 34.8%, better than the 45.8% national figure, so the people here tend to stay. The tradeoff is a longer paper trail: 12 deficiencies on record, one abuse-related, though none rose to harm or jeopardy level. A clean five-star inspection rating and a recent October 2024 survey back that up.

A

94/100

Breckinridge Memorial Nursing Facility

Hardinsburg, KY · Breckinridge County

CMS 4/518 bedsNon-profitMedicaid
Nurse hours
5.07 /day
Staff turnover
43%
Serious cites
0

Breckinridge Memorial runs a small 18-bed nonprofit home in Hardinsburg, and the people on the floor are the strongest part of it. Nurse staffing sits at 5.07 hours per resident day, roughly 31% above the national average, and turnover at 43.3% is a touch better than the 45.8% norm. Weekends thin out by about 14% against weekdays, worth asking about if your family member needs help then. The harder reading is on inspections: two health deficiencies at the harm or jeopardy level, one tied to abuse, plus two fines totaling $10,364, with the most recent inspection in March 2026. Strong care hours and a recent abuse-related finding can both be true; weigh which matters more for your situation.

A

94/100

Southwood At Norwell Nursing Ctr

Norwell, MA · Plymouth County

CMS 5/5142 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
29%
Serious cites
0

Southwood At Norwell runs a tight ship on the numbers that matter most. Staffing sits at 3.99 nurse hours per resident day, a bit above the national average, and turnover is where this home really separates itself: 28.7% versus 45.8% nationally, meaning caregivers tend to stay. The ten deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in January 2026. Weekend coverage dips about 11% below weekday levels, worth asking about if your family visits Saturdays or Sundays. For a for-profit partnership, the consistency here is unusual.

A

94/100

Linden Ponds

Hingham, MA · Plymouth County

CMS 4/5132 bedsNon-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
41%
Serious cites
0

Linden Ponds runs 5.15 nurse hours per resident day, roughly a third more than the national average of 3.86, and its 41% staff turnover sits below the national rate of 45.8%, a real edge on the two things families worry about most. Weekend staffing dips about 12% below weekdays, though, so the coverage your relative gets on a Saturday won't quite match Tuesday. The health inspection side is less comfortable: six deficiencies, two of them at harm or jeopardy level and one abuse-related, with one fine of $12,735, and the last inspection was April 2026. The five-star quality measure rating reflects good clinical outcomes, but those harm-level findings are worth asking the administrator about directly.

A

94/100

Maple Lawn Medical Care Facility

Coldwater, MI · Branch County

CMS 5/5114 bedsGovernmentMedicaid
Nurse hours
4.67 /day
Staff turnover
31%
Serious cites
0

Maple Lawn runs on county money out of Branch County, and the staffing shows it: 4.67 nurse hours per resident per day, roughly a fifth more than the national average, with weekend coverage dipping about 9% below its own weekdays. Turnover sits at 30.9% against a national 45.8%, which matters more than any single inspection score because it's what keeps familiar faces at the bedside. The record isn't spotless, 20 deficiencies, including one at the harm level and three tied to abuse, but the most recent state visit came in August 2025 and produced a four-star inspection result. Strong staffing and steady retention are doing real work here; the abuse-related citations are the part worth asking about directly.

A

94/100

Cass County Medical Care Facility

Cassopolis, MI · Cass County

CMS 5/580 bedsGovernmentMedicaid
Nurse hours
4.85 /day
Staff turnover
39%
Serious cites
0

Cass County Medical Care Facility runs on 4.85 nurse hours per resident day, roughly a quarter more staffing than the national average, and its weekend coverage stays within about 12% of weekday levels, a gap that's often wider elsewhere. Staff turnover sits at 38.8%, below the 45.8% national figure, which matters for residents who benefit from seeing familiar faces. The tradeoff shows up in its record: 22 deficiencies, four serious enough to reach harm or jeopardy level, though none involve abuse, and two fines totaling $15,593. Its last inspection was in March 2025. County-owned and small at 80 beds, this is a well-staffed home with some compliance problems worth asking about directly.

A

94/100

Holland Home - Raybrook Manor

Grand Rapids, MI · Kent County

CMS 4/5101 bedsNon-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
31%
Serious cites
0

Raybrook Manor is a nonprofit home in Grand Rapids with 101 certified beds, and the numbers behind its grade are mostly about people. Nurse staffing runs 4.77 hours per resident day, roughly a quarter above the national average, and only about 11% of that thins out on weekends. Annual turnover sits at 31.3% against a national average near 46%, which matters more than it sounds, since aides and nurses who stay put know the residents. The tradeoff shows up in its record: 21 deficiencies, including one at the harm level and four tied to abuse, though the most recent inspection this March earned 4 out of 5 stars. Worth asking about those abuse citations directly.

A

94/100

Fraser Villa

Fraser, MI · Macomb County

CMS 5/5111 bedsNon-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
28%
Serious cites
0

Fraser Villa runs on 4.36 nurse hours per resident day, about 13% above the national average, and its staff turnover of 28.4% sits well under the 45.8% norm, both signs of a stable crew rather than a revolving door. Weekend staffing dips roughly 13% below weekday levels, so ask how that plays out on a Sunday. The record shows 8 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in March 2026. Nonprofit ownership under a corporation, and top marks across health inspection, quality measures, and staffing. The numbers point to a home that's been running clean.

A

94/100

Augustana Care Hastings Health And Rehabilitation

Hastings, MN · Dakota County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
33%
Serious cites
0

Augustana Care Hastings runs a nonprofit shop with real staffing depth, 4.60 nurse hours per resident day against a national average of 3.86, and a 33.3% turnover rate that's meaningfully better than the 45.8% typical elsewhere. Weekends dip about 13% below weekday coverage, so ask how that gap gets filled. The catch sits on the inspection side: 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $21,645 fine, and the most recent survey dates to May 2025. Quality measures score well, but quality scores are self-reported by the facility. The staffing is genuinely there; the compliance record is the part worth pressing on during a visit.

A

94/100

Avera Granite Falls Care Center

Granite Falls, MN · Yellow Medcine County

CMS 3/548 bedsNon-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
25%
Serious cites
0

Avera Granite Falls runs on a church-affiliated nonprofit model with 48 beds, and its staffing tells a story that splits in two directions. The day-to-day numbers land just under the national average, and weekends dip about 10% below its own weekday coverage, but only a quarter of its staff left last year, well under the 45.8% national rate, which matters for residents who need consistent faces. The trouble sits in inspections: 17 deficiencies on record, two serious enough to involve harm or jeopardy, one tied to abuse, and a $15,642 fine. That's the gap behind the middling grade, steady hands, uneven oversight.

A

94/100

Good Shepherd Lutheran Home

Sauk Rapids, MN · Benton County

CMS 5/5146 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
39%
Serious cites
0

Good Shepherd Lutheran Home runs on strong staffing: 4.92 nurse hours per resident day, roughly 28% above the national average, with turnover at 38.6% compared to 45.8% nationally. Weekend coverage dips about 11% below its own weekday level, worth asking about if your family visits or needs help on Saturdays and Sundays. The trade-off is inspections. Twenty deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy level, and the last inspection was April 2025. Quality measures score well, but that recent survey history is the part of this home's record that deserves your attention before you decide.

A

94/100

Lakeview Methodist Health Care Center

Fairmont, MN · Martin County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
37%
Serious cites
0

Lakeview Methodist runs lean on turnover compared to most places, 36.5% against a national average near 46%, and it puts more nursing hours into each resident's day than the typical home, roughly 23% above the national figure. The catch is weekends, when staffing drops about 14% below its own weekday level, so care can look different on a Saturday than a Tuesday. Its 26 deficiencies are worth noting, though none rose to harm or jeopardy and none involved abuse. Inspectors were last on site in November 2025, so the record is current. For a nonprofit home of 72 beds, the numbers say steady hands, thinner weekend coverage, and a clean safety record on paper.

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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