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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 321 to 340 of 12,438, best-graded first.

A

94/100

Conover Nursing And Rehabilitation Center

Conover, NC · Catawba County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
27%
Serious cites
0

Conover Nursing and Rehabilitation runs about 4.79 nursing hours per resident each day, roughly a quarter above the national average, and its staff turnover of 27.4% sits well under the national 45.8%. Weekend coverage dips about 11% below weekday levels, so ask how that plays out on Saturdays and Sundays. The current inspection record shows four deficiencies, none causing harm or involving abuse, which is thin for a 90-bed home. Corporate-owned and for-profit, it was inspected in April 2026. The numbers point to steady staffing and a clean recent survey history rather than any single standout figure.

A

94/100

North Dakota Veterans Home

Lisbon, ND · Ransom County

CMS 5/552 bedsGovernmentMedicaid
Nurse hours
5.07 /day
Staff turnover
33%
Serious cites
0

The state-run veterans home in Lisbon runs nurse staffing at 5.07 hours per resident day, about 31 percent above the national average, and its staff turnover of 32.9 percent sits well under the 45.8 percent national figure. Weekend coverage dips roughly 10 percent below its own weekday level, so ask how that plays out on a Saturday. Nine deficiencies appear on the current record, two of them serious enough to reach harm or jeopardy level, with two fines totaling $32,128. Its last inspection was in August 2025.

A

94/100

Riverside Manor Nrsg & Rehab Ctr

Newcomerstown, OH · Tuscarawas County

CMS 3/580 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
22%
Serious cites
0

Riverside Manor runs a leaner ship than most on staffing: 4.55 nurse hours per resident day, roughly 18 percent above the national average, with weekend coverage dipping about 12 percent below its own weekday levels. Turnover sits at 21.8 percent, well under the national 45.8 percent, a sign of a stable crew, which matters for daily consistency. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, 27 deficiencies on record including one at harm level and four abuse-related, last surveyed January 30, 2025. Quality measures score 5 out of 5, so the clinical numbers look strong even where the inspection history doesn't.

A

94/100

Ohio Living Llanfair

Cincinnati, OH · Hamilton County

CMS 5/536 bedsNon-profitMedicaid
Nurse hours
5.28 /day
Staff turnover
28%
Serious cites
0

Ohio Living Llanfair runs a small 36-bed nonprofit home in Hamilton County, and the staffing numbers are the story here. At 5.28 nurse hours per resident day, it's well above the national average, and weekend coverage only dips about 14% from weekdays, less than many places manage. Staff turnover sits at 28.2%, noticeably below the national rate, which matters for consistency of care. On the record: 14 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The most recent inspection was December 31, 2025, so the picture is current. For a family weighing options, the staffing depth and low turnover are the real signals behind the A.

A

94/100

Apostolic Christian Home Inc

Rittman, OH · Wayne County

CMS 5/575 bedsNon-profitMedicaid
Nurse hours
4.45 /day
Staff turnover
31%
Serious cites
0

Apostolic Christian Home in Rittman, Ohio is a 75-bed nonprofit run by a church, and it holds a four-star health inspection rating from CMS. Staffing is its main strength: 4.45 nurse hours per resident day, roughly 15% above the national average, and turnover at 31.2% is well below the national 45.8%, meaning the people caring for your relative tend to stay. That consistency matters more than most families realize. The tradeoffs: weekend staffing drops about 13% from weekday levels, and the current record includes seven deficiencies, one at the harm or jeopardy level and one abuse-related. A February 2025 inspection is recent, so the record reflects the home as it operates now.

A

94/100

Trinity Woods, Inc.

Tulsa, OK · Tulsa County

CMS 5/584 bedsNon-profitMedicaid
Nurse hours
5.57 /day
Staff turnover
37%
Serious cites
0

Trinity Woods is run by a nonprofit corporation and holds 84 certified beds in Tulsa. Its nurse staffing runs about 5.57 hours per resident day, roughly 44% above the national average, and weekend coverage dips only about 10% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 36.5%, below the national 45.8%, which matters for continuity of care. On its current record: five deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in July 2024. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 5 out of 5.

A

94/100

Regency Gresham Nursing & Rehabilitation Center

Gresham, OR · Multnomah County

CMS 5/5128 bedsFor-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
30%
Serious cites
0

Regency Gresham runs about 5.39 nurse hours per resident day, roughly 40% above the national average of 3.86, and weekend staffing dips only about 9% below its own weekday level, so care doesn't thin out as much as it might when families visit. Turnover sits at 29.7% against a national 45.8%, which matters for whether you see the same faces. The 21 deficiencies on record include nothing at the harm level and nothing abuse-related, and the last inspection was September 2025. It's a for-profit LLC with 128 beds and strong marks on staffing and quality measures alike.

A

94/100

Reedwood Post Acute

Portland, OR · Multnomah County

CMS 5/564 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
29%
Serious cites
0

Reedwood Post Acute runs 64 beds in Portland under corporate for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average, though weekend coverage drops about 9% below its own weekday level, a gap worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 28.8%, well under the national 45.8%, which matters for continuity of care. The home carries 11 deficiencies, none at the harm or jeopardy level, with one abuse-related citation on record. Its last inspection was June 26, 2025, and it holds five stars across health inspections, quality measures, and staffing.

A

94/100

Regency Care Of Rogue Valley

Grants Pass, OR · Josephine County

CMS 5/5102 bedsFor-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
23%
Serious cites
0

Regency Care of Rogue Valley runs 5.14 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 23% is about half the national rate, a combination that usually shows up in how consistently residents see the same caregivers. Weekend staffing dips about 13% below weekday levels, worth asking about if your family visits mainly on Saturdays or Sundays. The inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in March 2026. Josephine County's for-profit corporate owner keeps the building fully staffed on paper, and the record largely backs that up.

A

94/100

Avamere At Three Fountains

Medford, OR · Jackson County

CMS 5/5117 bedsFor-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
44%
Serious cites
0

Avamere At Three Fountains sits in Medford with 117 certified beds and a for-profit LLC owner. The numbers worth knowing: nurse staffing runs about 5.06 hours per resident day, roughly a third above the national average, though weekends dip about 10% below its own weekday coverage. Staff turnover lands at 44%, essentially in line with the 45.8% national figure. Inspectors were last in on January 16, 2025, and the record shows 20 deficiencies total, including two at the harm or jeopardy level and one tied to abuse. Quality measure scores are strong; the inspection history is where the questions live.

A

94/100

Saint Paul Homes

Greenville, PA · Mercer County

CMS 5/5192 bedsNon-profitMedicaid
Nurse hours
4.57 /day
Staff turnover
25%
Serious cites
0

Saint Paul Homes is run by a nonprofit and holds 192 beds in Greenville. The numbers behind its record are strong: nurse staffing sits at 4.57 hours per resident day, roughly 18% above the national average, and only 2 deficiencies show on the current record, none at the harm or jeopardy level. One is abuse-related, which is worth asking about directly. Annual staff turnover is 25% against a national average near 46%, so the people caring for residents tend to stay. Weekend staffing dips about 11% below its own weekday level, a normal pattern but one to check if your visits land on Saturdays or Sundays. The last inspection was August 2025, and all three CMS star ratings land at 5 out of 5.

A

94/100

Chandler Hall Health Services

Newtown, PA · Bucks County

CMS 5/553 bedsNon-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
25%
Serious cites
0

Chandler Hall runs on a nonprofit model with 53 certified beds in Newtown, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.47 hours per resident day, roughly 16% above the national average, and weekend coverage dips only about 5% below its own weekday level, so care doesn't thin out much when families tend to visit. Annual turnover lands at 24.5%, well under the national 45.8%, which matters because consistency is what residents actually feel. Seven deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was in May 2025, so the picture is current rather than stale.

A

94/100

Bethany Village Retirement Center

Mechanicsburg, PA · Cumberland County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
27%
Serious cites
0

Bethany Village Retirement Center runs on 4.39 nurse hours per resident day, about 14 percent above the national average, and its weekend staffing only dips about 6 percent below weekdays, a fairly small drop compared with what many homes show. Staff turnover is 27.1 percent against a national average of 45.8 percent, which matters for whether your family sees the same faces month to month. The current record holds 12 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the last inspection was in December 2025. This is a nonprofit operation, and the quality measure rating comes in at 5 out of 5.

A

94/100

Messiah Lifeways At Messiah Village

Mechanicsburg, PA · Cumberland County

CMS 5/5118 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
40%
Serious cites
0

Messiah Village in Mechanicsburg runs a church-affiliated nonprofit home with 118 certified beds, and the staffing numbers are the standout: 5.25 nurse hours per resident day, roughly 36% above the national average of 3.86. Weekends dip about 8% below its own weekday coverage, and staff turnover sits at 39.5%, better than the 45.8% national figure, though still meaning more than a third of the workforce turning over annually. Five deficiencies show on the current record, one of them serious enough to reach harm or jeopardy level, with a single fine of $8,018 and an inspection completed in August 2025.

A

94/100

Trillium Place

Lancaster, PA · Lancaster County

CMS 5/5160 bedsNon-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
33%
Serious cites
0

Trillium Place runs 160 certified beds as a nonprofit corporation, and the staffing numbers are the story here: 4.79 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 32.9%, well under the 45.8% national figure, so the people caring for residents tend to stick around. One deficiency on the current record, none at harm or jeopardy level, none abuse-related, with the last inspection in late November 2024.

A

94/100

Landis Homes

Lititz, PA · Lancaster County

CMS 5/5103 bedsNon-profitMedicaid
Nurse hours
5.43 /day
Staff turnover
31%
Serious cites
0

Landis Homes sits on 103 certified beds in Lititz, run by a nonprofit corporation. Nurse staffing averages 5.43 hours per resident day, roughly 41% above the national figure of 3.86, though weekend coverage dips about 7% below its own weekday levels. Staff turnover lands at 30.6%, noticeably under the 45.8% national average, which matters because stable caregivers tend to know residents' routines. The tradeoff is in the inspection record: just one deficiency on file, but it's flagged at the harm or jeopardy level, and the most recent inspection was September 2025. That single serious citation is worth asking about directly, even though the quality and staffing ratings both sit high.

A

94/100

Fairmount Homes

Ephrata, PA · Lancaster County

CMS 5/5114 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
25%
Serious cites
0

Fairmount Homes runs about 4.39 nurse hours per resident per day, roughly 14% above the national average, and its 25% turnover is well under the 45.8% typical elsewhere, both point to a staff that mostly stays put. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is clean: zero deficiencies, none at the harm level, no abuse findings, and the most recent survey was July 2025. As a nonprofit with 114 beds, it isn't chasing quarterly returns, and the numbers here reflect that steadiness.

A

94/100

Homewood Living Plum Creek, Inc

Hanover, PA · York County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
27%
Serious cites
0

Homewood Living Plum Creek runs on nurse staffing of 4.14 hours per resident day, roughly 7 percent above the national average, and its weekend coverage only dips about 10 percent below weekday levels, a smaller drop than many homes show. Staff turnover sits at 26.5 percent against a national average near 46 percent, which matters for whether caregivers actually know the residents. The tradeoff is a current record of 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $7,443. Its last inspection was in December 2025, so the picture is recent.

A

94/100

Masonic Village At Warminster

Warminster, PA · Bucks County

CMS 5/543 bedsNon-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
31%
Serious cites
0

Masonic Village At Warminster runs 43 certified beds as a nonprofit, and the numbers behind it are unusually clean. Nurse staffing sits at 4.19 hours per resident day, roughly 8% above the national average, with weekend coverage dipping about 8% below its own weekday level, a normal pattern, but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 30.8%, well under the national 45.8%, which matters because consistent caregivers learn residents' routines. The home carries a single deficiency on its current record, none at the harm level and none abuse-related, with its last inspection in July 2025. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

A

94/100

Garden Spot Village

New Holland, PA · Lancaster County

CMS 5/573 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
32%
Serious cites
0

Garden Spot Village runs nurse staffing at 5.00 hours per resident day, roughly 30% above the national average, and its staff turnover of 32.2% sits well below the national 45.8%, people tend to stay. Weekends dip about 14% below weekday coverage, which is worth asking about if your family visits then. The trade-off is in the inspection record: four deficiencies, two serious enough to reach harm or jeopardy level, and one fine of $8,018. The most recent inspection was January 2026. Strong staffing and better-than-average retention are real, but four deficiencies with two at the harm level means the care isn't flawless.

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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