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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 3361–3380 of 12,438, best-graded first.

B

82/100

Life Care Center Of Greeneville

Greeneville, TN · Greene County

CMS 3/5 161 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
34%
Serious cites
0

Life Care Center of Greeneville runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average of 3.86. Weekend coverage drops roughly 8% below its own weekday levels, so ask how that gap gets filled on Saturdays and Sundays. Staff turnover is 33.8%, which is meaningfully better than the 45.8% national average; keeping caregivers in place matters for residents who need consistency. The inspection record shows 18 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The last inspection was June 25, 2025, so the record is current.

B

82/100

Holston Health & Rehabilitation Center

Knoxville, TN · Knox County

CMS 5/5 94 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
42%
Serious cites
0

Holston Health & Rehabilitation Center runs 94 certified beds in Knoxville under for-profit LLC ownership, and its inspection record is the strongest part of the story: six total deficiencies with none at the harm or jeopardy level, and the most recent inspection came in December 2024. Three of those six deficiencies are abuse-related, which is worth asking about directly. Staffing sits at 3.76 nurse hours per resident day, slightly under the national average, and weekends run about 11% thinner than weekdays. Annual turnover of 41.7% is a bit better than the national rate. Quality measures score well. The weak spot is consistent coverage, not care problems on paper.

B

82/100

Adamsville Healthcare And Rehabilitation Center

Adamsville, TN · Mc Nairy County

CMS 4/5 125 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
42%
Serious cites
0

Adamsville Healthcare and Rehabilitation Center runs 125 certified beds under corporate for-profit ownership, and the numbers are mostly steady. Nurse staffing sits at 4.18 hours per resident day, about 8% above the national average, though weekends drop roughly 15% below what the home staffs during the week, worth asking about if your family member needs more attention on Saturdays and Sundays. Turnover is 42%, a touch better than the 45.8% national figure. The home carries 20 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in July 2025.

B

82/100

Jefferson Park At White Pine

White Pine, TN · Jefferson County

CMS 4/5 30 beds Government Medicaid
Nurse hours
5.76 /day
Staff turnover
43%
Serious cites
0

Jefferson Park At White Pine runs on a county-owned model with just 30 certified beds, and the staffing numbers are the real story here: 5.76 nurse hours per resident day, roughly 49% above the national average. Weekend coverage dips about 6% from its own weekday level, which is a modest gap. Staff turnover sits at 43.1%, slightly better than the 45.8% national figure, so this isn't a home bleeding workers. One deficiency on the current record, none at harm level, none abuse-related, with the last inspection in October 2023, an unusually clean sheet. Small county homes sometimes get overlooked, but the numbers here point to consistent, well-staffed care.

B

82/100

Beaumont Health Care Center

Beaumont, TX · Jefferson County

CMS 5/5 82 beds Non-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
43%
Serious cites
0

Beaumont Health Care Center runs about 3.67 nurse hours per resident per day, roughly 5% under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. Turnover sits at 43.4%, marginally better than the 45.8% national figure, though that's still a lot of churn. The inspection record is cleaner than most: 10 deficiencies, none at the harm level and none abuse-related, with a survey as recent as May 2025. What holds this home back isn't safety or quality measures, it's the day-to-day staffing margin, which runs thin and thins out further on weekends.

B

82/100

Sulphur Springs Health And Rehabilitation

Sulphur Springs, TX · Hopkins County

CMS 3/5 128 beds Government Medicaid
Nurse hours
3.38 /day
Staff turnover
45%
Serious cites
0

Sulphur Springs Health and Rehabilitation runs on a hospital-district ownership, which is a little unusual for a Texas nursing home, and its 128 beds are staffed at about 3.38 nurse hours per resident day, roughly 12% under the national average, with weekends thinner still. The inspection record is where you'll want to slow down: 50 deficiencies on file, one of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $44,044 fine. Turnover sits near the national norm at 44.9%, and the last survey was March 2026, so the picture is recent. Resident care measures score well; the staffing and inspection side is doing the dragging.

B

82/100

St. Catherine Center

Waco, TX · Mc Lennan County

CMS 5/5 165 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
28%
Serious cites
0

St. Catherine Center runs on a nonprofit model with 165 certified beds, and the staffing picture is genuinely strong: 3.94 nurse hours per resident day, just above the national average, with weekend coverage dipping about 8% below weekdays. Staff turnover sits at 28.2%, well under the 45.8% national figure, which matters more than any single inspection score for day-to-day consistency. The tradeoff shows up in quality measures, rated 2 out of 5, and in 12 deficiencies on the current record, one serious enough to reach harm or jeopardy level. A single $13,065 fine and a recent April 2026 inspection round out the picture. Good people, uneven clinical results.

B

82/100

Schleicher County Medical Center

Eldorado, TX · Schleicher County

CMS 4/5 34 beds Government Medicaid
Nurse hours
4.37 /day
Staff turnover
38%
Serious cites
0

Schleicher County Medical Center runs on a government hospital-district model, and the staffing numbers reflect that: 4.37 nurse hours per resident day, roughly 13% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, though annual turnover sits at 37.8%, better than the 45.8% national figure, which matters in a 34-bed home where losing even a few nurses is felt. Inspections earned 4 out of 5 stars, and the last visit was December 2025, so the record is current. The catch is 13 deficiencies, 2 of them serious enough to raise harm or jeopardy concerns, with quality measures rating just 2 out of 5.

B

82/100

Monument Healthcare Pioneer Trail

Brigham City, UT · Box Elder County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
36%
Serious cites
0

Monument Healthcare Pioneer Trail runs 72 certified beds under corporate ownership, and its inspection record carries some weight: 16 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse. Two fines totaling $19,747 are on file. Staffing sits at 3.68 hours per resident day, roughly 5% under the national average, and weekends run about 13% thinner than weekdays. Where it stands out is retention, 36.2% turnover against a national 45.8% means caregivers tend to stay. Its last inspection was April 2025, so the record is fairly current.

B

82/100

Holladay Healthcare Center

Salt Lake City, UT · Salt Lake County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
44%
Serious cites
0

Holladay Healthcare Center runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.59 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 11% below its own weekday levels, so coverage thins out when families tend to visit. Turnover at 43.8% is slightly better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 25 deficiencies, none at harm or jeopardy level, but three tied to abuse, worth asking about directly. A 2/5 health inspection rating against a 5/5 quality measure rating suggests the clinical metrics look better than the survey history.

B

82/100

The Terrace Transitional

Ogden, UT · Weber County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
44%
Serious cites
0

The Terrace Transitional runs 3.34 nursing hours per resident per day, about 13 percent under the national average of 3.86, and weekends dip another 13 percent below its own weekday numbers. That's a real gap if your parent needs help on a Saturday. Turnover sits at 43.8 percent, slightly better than the 45.8 percent national figure, so the same faces are somewhat more likely to stick around. The current record shows 26 deficiencies, including one abuse-related citation, though none reached harm or jeopardy level, and the last inspection was August 2024. Family complaints tend to surface in surveys, and a 2-out-of-5 inspection rating reflects that.

B

82/100

Rocky Mountain Care - Maple Dell

Payson, UT · Utah County

CMS 2/5 76 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
43%
Serious cites
0

Rocky Mountain Care - Maple Dell runs 76 certified beds in Payson under corporate for-profit ownership, and the inspection record is where the trouble sits. State surveyors have cited 80 deficiencies, six of them serious enough to cause harm or put residents in jeopardy, and four tied to abuse. That last inspection was in August 2024, so the findings are recent, not old history. Staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average, and weekends run about 10% thinner than weekdays, meaning the thinnest coverage lands when families often visit. Turnover of 43.4% is slightly better than the national 45.8%, so retention isn't the weak spot here.

B

82/100

Menig Nursing Home

Randolph Center, VT · Orange County

CMS 4/5 30 beds Non-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
48%
Serious cites
0

Menig Nursing Home runs on strong staffing numbers, 4.26 nurse hours per resident day, about 10% above the national average, and the federal rating system gives it top marks there and on quality measures. The catch is inspections. A 2/5 health inspection rating and 25 deficiencies on the current record, including 3 tied to abuse, plus a $76,500 fine, point to real problems with how care is delivered and documented even if no deficiency rose to the level of actual harm or jeopardy. Staff turnover sits near the national average at 47.6%, and weekend coverage dips about 9% below weekday levels. The most recent inspection was in September 2025, so that record is current.

B

82/100

Woodbine Rehabilitation & Healthcare Center

Alexandria, VA · Alexandria City County

CMS 5/5 307 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
30%
Serious cites
0

Woodbine runs about 307 beds in Alexandria, and the staffing picture is genuinely better than average, 4.08 nurse hours per resident day against a national 3.86. Weekend coverage dips roughly 9% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 29.7%, well under the 45.8% national figure, which matters for whether you see the same faces. The record shows 20 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Its last full inspection was May 2023, so the picture may be somewhat dated.

B

82/100

Potomac Falls Health & Rehab Center

Sterling, VA · Loudoun County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
27%
Serious cites
0

Potomac Falls runs a tight ship on staffing stability, 27% turnover is well below the 45.8% national figure, which matters more than most families realize. Aides who stay put know the residents. The trade-off shows up in raw hours: 3.81 per resident day sits just under the national average, and weekends dip about 10% below weekdays, so coverage thins out exactly when families tend to visit. The 37 deficiencies on record, including two at harm level, are worth asking about directly, especially since the last full inspection was December 2021. Three years without a fresh look means you're relying on older findings.

B

82/100

Vierra Falls Church

Falls Church, VA · Fairfax County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
33%
Serious cites
0

Vierra Falls Church runs 160 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage, though, drops about 12% below its own weekday level, so care thins out when families tend to visit. Annual turnover is 33.1%, well under the national 45.8%, which suggests a steadier crew than most. The record shows 32 deficiencies, but none at the harm or jeopardy level and none abuse-related. One thing to weigh: the last inspection was August 2022, so that clean harm record is now several years old.

B

82/100

Grays Harbor Health & Rehabilitation Center

Aberdeen, WA · Grays Harbor County

CMS 4/5 105 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
45%
Serious cites
0

Grays Harbor Health & Rehabilitation in Aberdeen runs 105 certified beds as a for-profit corporation, and its nurse staffing sits at 4.17 hours per resident day, about 8% above the national average of 3.86, though weekend coverage dips roughly 10% below its own weekday levels. Staff turnover is 44.6%, essentially at the national average of 45.8%, so retention isn't a standout problem here. On its record: 18 deficiencies, none at the harm or jeopardy level, one abuse-related, with the most recent inspection completed March 19, 2025. The four-star marks across health inspections, quality measures, and staffing line up with what the numbers show, solid coverage and no serious citations, with the weekend staffing drop worth watching.

B

82/100

Pacific Care And Rehabilitation

Hoquiam, WA · Grays Harbor County

CMS 5/5 72 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
41%
Serious cites
0

Pacific Care and Rehabilitation runs a tight ship on the clinical side. State inspectors visited in May 2025 and logged twelve deficiencies, but none rose to harm or jeopardy, and nothing on the record involves abuse, that's a cleaner inspection sheet than most homes carry. Nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average, though weekends drop about 13% below weekday coverage, so ask how that gap gets filled. Turnover of 40.5% edges out the national rate of 45.8%, meaning this corporate-owned building retains caregivers a bit better than average. The weak spot isn't care quality, it's consistency when the weekday crew goes home.

B

82/100

Linden Post Acute

Toppenish, WA · Yakima County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
28%
Serious cites
0

Linden Post Acute runs 75 beds in Toppenish under corporate ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, so families should ask how that gap gets covered. What stands out is retention: 28.3% turnover against a national 45.8%, meaning the aides and nurses you meet are more likely to still be there next year. Inspections in November 2025 produced 31 deficiencies, none at harm or jeopardy level, though three were abuse-related. Recent inspections and steady staff count for a lot; the thin weekend coverage and those abuse citations are what to press on.

B

82/100

Avamere Rehabilitation Of Burien

Burien, WA · King County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
24%
Serious cites
0

Avamere Rehabilitation of Burien runs a 140-bed for-profit home where the day-to-day staffing picture is genuinely better than average: 4.08 nurse hours per resident day against a national 3.86, and turnover of 24.4% is roughly half the national rate. Those are real strengths. The trouble shows up on the inspection side, where 54 deficiencies on the current record include six at the harm or jeopardy level and three tied to abuse, plus a $59,485 fine. Weekends also run about 11% thinner than weekdays, so coverage isn't even across the week. The most recent inspection was May 2025, so the record is current. Strong staffing, a rough survey history.

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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