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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 3501–3520 of 12,438, best-graded first.

B

81.5/100

Glen Rose Nursing And Rehab Center

Glen Rose, TX · Somervell County

CMS 5/5 118 beds Government Medicaid
Nurse hours
3.39 /day
Staff turnover
38%
Serious cites
0

Glen Rose Nursing and Rehab Center runs on thinner nurse coverage than most homes, about 3.39 hours per resident day against a national average of 3.86, and weekends dip roughly 18% below its own weekday levels, so the thinnest shifts land when families tend to visit. What sets it apart, though, is stability: staff turnover sits at 37.8%, well under the 45.8% national figure, which matters when residents need consistent faces. Run by the hospital district, it holds decent inspection and quality ratings and was inspected as recently as January 2026. The caveats are real, though: 20 deficiencies on record, including two at harm level and three tied to abuse, plus $17,128 in fines across two cases.

B

81.5/100

Holland Lake Rehabilitation And Wellness Center

Weatherford, TX · Parker County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
30%
Serious cites
0

Holland Lake Rehabilitation and Wellness Center runs 120 certified beds in Weatherford under for-profit, limited-liability ownership, and its record is genuinely mixed. Nurse staffing sits at 3.45 hours per resident per day, roughly 11% under the national average of 3.86, and weekends drop about 18% below the home's own weekday coverage, so the hours get thinner exactly when a skeleton crew can hurt most. What offsets that is the inspection side: 17 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in October 2024. Turnover is 29.9%, well below the 45.8% national figure, which suggests less churn among the people doing the daily work.

B

81.5/100

Magnolia Place Health Care

Liberty, TX · Liberty County

CMS 4/5 118 beds Government Medicaid
Nurse hours
3.73 /day
Staff turnover
52%
Serious cites
0

Magnolia Place runs 118 beds in Liberty under for-profit partnership ownership, and its numbers are a mixed bag. Nurse staffing sits at 3.73 hours per resident day, a bit under the national figure of 3.86, and weekends drop roughly 21% below what the home staffs on weekdays, worth asking about if your family visits Saturdays or Sundays. Turnover is the bigger flag: 51.8% of staff leaving annually against a national 45.8%, which means caregivers you meet may not be there in a year. The inspection record shows 23 deficiencies, none at harm or jeopardy level but one tied to abuse, with the most recent survey in June 2025.

B

81.5/100

Coronado At Stone Oak

San Antonio, TX · Bexar County

CMS 5/5 112 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
27%
Serious cites
0

Coronado At Stone Oak runs lean on nurse staffing, 3.38 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday levels, so coverage thins out when families tend to visit. Turnover is where it stands out: 27% annually against a national 45.8%, meaning the people caring for residents are more likely to still be there next year than at the typical home. Its inspection record shows 24 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was May 2025, so the picture is current. The quality measure score is strong, and ownership is a for-profit LLC.

B

81.5/100

Sun Valley Rehabilitation And Healthcare Center

Harlingen, TX · Cameron County

CMS 5/5 124 beds Government Medicaid
Nurse hours
3.62 /day
Staff turnover
34%
Serious cites
0

Sun Valley runs on a hospital district's license in Harlingen, and its inspection record is unusually clean for a 124-bed home: five deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with the most recent survey done in July 2025. The staffing numbers tell a different story. At 3.62 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 16% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover, though, is genuinely low at 33.7% against a national 45.8%, which suggests the aides and nurses who are there tend to stay.

B

81/100

Forest Manor Health And Rehab

Northport, AL · Tuscaloosa County

CMS 3/5 182 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
44%
Serious cites
0

Forest Manor runs a 182-bed for-profit operation in Northport, and the staffing story is mixed. Nurses provide 3.56 hours per resident per day, about 8% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday levels, so care thins out exactly when families tend to visit. Turnover sits at 44.4%, essentially matching the national rate, which means the workforce here is no more stable than average. Nine deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, though the last full inspection was back in May 2021, so that record is getting stale. Three stars each on health inspections and quality measures round out the picture.

B

81/100

Lafayette Extended Care

Lafayette, AL · Chambers County

CMS 2/5 69 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
41%
Serious cites
0

Lafayette Extended Care runs 69 certified beds under corporate ownership, and its staffing picture is the weak spot: 3.82 nurse hours per resident day sits just under the national average of 3.86, weekend coverage drops about 7% below its own weekday level, and CMS gives it 1 out of 5 stars for staffing. Turnover at 41.2% is actually better than the 45.8% national figure. The inspection record shows 13 deficiencies, none at harm or jeopardy level, though two are abuse-related, with one fine totaling $4,558. That last inspection was January 22, 2020, over five years ago, which matters when you're weighing how current any of this is.

B

81/100

Hartford Health Care

Hartford, AL · Geneva County

CMS 4/5 86 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
48%
Serious cites
0

Hartford Health Care runs 86 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: five deficiencies on file, none rising to harm or jeopardy, none tied to abuse, with the last state visit in December 2023. Staffing is where it thins out. At 3.28 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and weekends drop about 14% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover lands at 47.9%, a touch above the 45.8% national figure. Clean inspections, thinner hands on deck.

B

81/100

Valley View Health And Rehabilitation, Llc

Madison, AL · Madison County

CMS 4/5 155 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
71%
Serious cites
0

Valley View runs 4.42 nurse hours per resident per day, about 14 percent above the national average of 3.86, and weekends stay reasonably close to weekdays. The staffing picture isn't the problem. The bigger concern is turnover at 70.8 percent, well above the national 45.8 percent, which means the people providing that care are constantly changing. The record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, though the last full inspection was in April 2022, so that snapshot is more than three years old. For-profit corporate ownership is worth knowing too. Solid day-to-day coverage, but at that churn rate, consistent caregivers are harder to count on than the hours suggest.

B

81/100

Folsom Rehabilitation And Healthcare Center

Cullman, AL · Cullman County

CMS 4/5 102 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
50%
Serious cites
0

Folsom Rehabilitation and Healthcare Center runs 102 certified beds under corporate ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. The catch is weekends, when coverage drops about 14% below what the home staffs on weekdays. Annual turnover is 50.4%, higher than the 45.8% national figure, so even with decent daily hours, familiar faces may be hard to count on. Twelve deficiencies are on the current record, none involving harm, jeopardy, or abuse. One thing worth asking about directly: the last inspection was September 2019, so the record you're seeing is several years old.

B

81/100

Payson Care Center

Payson, AZ · Gila County

CMS 2/5 163 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
54%
Serious cites
0

Payson Care Center runs 163 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.96 hours per resident day, a bit above the national average of 3.86, though weekends run roughly 10% thinner than weekdays. Staff turnover is the bigger concern: 53.5% annually against a national 45.8%. The current record shows 30 deficiencies, none at harm or jeopardy level but 7 tied to abuse; the last inspection was March 2025, and the health inspection rating is 2 out of 5. Strong quality measures (4/5) coexist with that weaker inspection history, so weigh recent survey findings as heavily as the quality scores suggest.

B

81/100

Springdale Health And Rehabilitation Center

Springdale, AR · Washington County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
53%
Serious cites
0

Springdale Health and Rehabilitation Center runs 140 certified beds under for-profit LLC ownership, and its staffing numbers are the main thing to know. At 3.66 nurse hours per resident day, it sits about 5% under the national average of 3.86, and weekends drop roughly 12% below its own weekday coverage. Annual turnover is 52.5% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 2026. Quality measures score well; staffing is the weaker signal.

B

81/100

Woodruff County Health Center

Mccrory, AR · Woodruff County

CMS 3/5 120 beds Government Medicaid
Nurse hours
4.57 /day
Staff turnover
48%
Serious cites
0

Woodruff County Health Center is county-owned, and its nurse staffing runs about 18% above the national average, 4.57 hours per resident day against 3.86. That's real coverage, though weekends dip roughly 6% below the home's own weekday level, so the cushion thins out when families tend to visit. Staff turnover sits at 47.5%, a touch above the national 45.8%, which means familiar faces aren't guaranteed. The current record shows 16 deficiencies, one serious enough to reach harm or jeopardy, plus a single fine of $8,278. The last inspection was September 2025. You're looking at a home with genuinely strong hands-on staffing but a survey history that isn't clean.

B

81/100

Belle View Estates Rehabilitation And Care Center

Monticello, AR · Drew County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
29%
Serious cites
0

Belle View Estates runs leaner on nursing hours than the typical American nursing home, about 3.57 hours per resident day against a national average near 3.86, and weekends get thinner still, roughly 13% below its own weekday staffing. The tradeoff is stability: turnover sits at 29.4%, well under the national 45.8%, which means the aides and nurses you meet are more likely to still be there next year. Inspection history is strong on recency and scope, with 17 deficiencies logged, only one serious enough to cause harm, and no abuse findings; the single fine on record totals $7,443. What keeps it out of the top tier is the staffing number itself, not the care record.

B

81/100

Oak Ridge Health And Rehabilitation

El Dorado, AR · Union County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
30%
Serious cites
0

Oak Ridge Health and Rehabilitation sits in El Dorado with 180 certified beds and for-profit LLC ownership. Nurse staffing comes in at 3.91 hours per resident day, just barely over the national average of 3.86, and weekends drop about 10% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the real bright spot: 29.8% against a national average of 45.8%, meaning aides and nurses here tend to stick around. Against that, the current record carries 15 deficiencies, including one at the harm level and one abuse-related, plus two fines totaling $74,825. The last inspection was March 2026.

B

81/100

Dardanelle Nursing And Rehabilitation Center,Inc

Dardanelle, AR · Yell County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
47%
Serious cites
0

Dardanelle Nursing and Rehabilitation Center runs 110 certified beds under individual for-profit ownership, and its staffing sits at 4.15 nurse hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record shows nine deficiencies, one serious enough to reach harm or jeopardy level, with no abuse findings, and one fine totaling $9,113. Staff turnover of 47.1% runs slightly above the 45.8% national figure. CMS gives this home 4 out of 5 stars across health inspections, quality measures, and staffing, solid marks that the deficiency record and turnover numbers temper.

B

81/100

Horizon Health & Subacute Center

Fresno, CA · Fresno County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
47%
Serious cites
0

Horizon Health & Subacute Center runs 180 certified beds in Fresno under for-profit LLC ownership, and its staffing is genuinely above average, 4.63 nurse hours per resident day against a national figure of 3.86. Weekends dip about 12% below its own weekday coverage, though, and turnover sits at 47.1%, slightly worse than the 45.8% national rate. The bigger concern is the inspection record: 45 deficiencies, including two at harm or jeopardy level and five tied to abuse, with one fine of $22,913 and a survey as recent as March 2025. Quality and staffing measures look reasonable on paper, but that citation history is what pulls the overall picture down.

B

81/100

Arroyo Vista Nursing Center

San Diego, CA · San Diego County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
50%
Serious cites
0

Arroyo Vista is a small for-profit home in San Diego, 53 beds, run by a limited liability company, and the numbers pull in different directions. Its most recent inspection was in January 2026, and it carries 26 deficiencies on record, though none at the harm level and none tied to abuse, which matters more than the raw count. The bigger concern is staffing: CMS gives it 1 out of 5 stars there, and annual turnover runs 50 percent against a national average of about 46 percent. Quality measures and health inspections both look strong on paper. The gap between how well residents are doing and how thin the workforce is behind them is the thing to ask about directly.

B

81/100

Grossmont Post Acute Care

La Mesa, CA · San Diego County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
4.76 /day
Staff turnover
49%
Serious cites
0

Grossmont Post Acute Care runs 90 beds in La Mesa under corporate for-profit ownership, and its staffing sits well above what most homes manage: 4.76 nurse hours per resident day against a national average of 3.86. That cushion thins on weekends, though, down about 12% from its own weekday numbers. The inspection record is the part worth slowing down on. Thirty-four deficiencies is a lot to carry, including one at the harm level and two tied to abuse. A single fine of $11,466 and a June 2025 inspection suggest the state has been watching. Staff turnover at 48.7% edges past the national 45.8%, so the people delivering that above-average care keep changing.

B

81/100

Palo Alto Post-Acute

Palo Alto, CA · Santa Clara County

CMS 4/5 66 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
45%
Serious cites
0

Palo Alto Post-Acute runs on 4.32 total nurse hours per resident day, roughly 12% above the national average, though weekend coverage drops about 15% below what the home staffs on weekdays. Turnover sits at 45.2%, essentially matching the national rate, and the most recent inspection was in May 2025. What stands out is the record itself: 38 deficiencies, two of them abuse-related, none serious enough to trigger a harm or jeopardy citation. That combination, strong quality scores, solid weekday staffing, and a long citation history, is worth asking about directly before you tour.

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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