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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 3581–3600 of 12,438, best-graded first.

B

81/100

Happy Siesta Health Care Center

Remsen, IA · Plymouth County

CMS 4/5 62 beds Non-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
53%
Serious cites
0

Happy Siesta runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday staffing. That gap matters because a 52.5% annual turnover rate means many of the aides and nurses on the floor are still learning the building, and it sits well above the 45.8% national figure. The current inspection record shows six deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse. The last state visit was June 2025, so the picture is recent. Quality measures score well, but staffing hours and staff retention tell a different story than the star ratings alone suggest.

B

81/100

Linn Manor Care Center

Marion, IA · Linn County

CMS 2/5 38 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
41%
Serious cites
0

Linn Manor Care Center is a 38-bed nonprofit in Marion, and its staffing record is the strongest part of the picture: 3.62 nurse hours per resident day, a bit under the national average of 3.86, with turnover at 40.5% compared to 45.8% nationally. Weekends run about 11% thinner than weekdays, which is worth asking about if your family visits then. The inspection record is where the concern sits, 17 deficiencies on file, two of them at the harm or jeopardy level and two abuse-related. The last inspection was February 2026. Quality measures land mid-range, and staffing is graded well above average. Small homes can be worth a close look, but read those inspection reports before deciding.

B

81/100

Bethany Lutheran Home

Council Bluffs, IA · Pottawattamie County

CMS 1/5 112 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
30%
Serious cites
0

Bethany Lutheran Home has a staffing story worth noting: 3.99 nurse hours per resident day, slightly above the national average, with a 4-star staffing rating and turnover at 30.4%, well below the national 45.8%. That kind of retention matters. The problem sits elsewhere. Its inspection record shows 43 deficiencies, five at harm or jeopardy level and two abuse-related, with three fines totaling $46,914. The most recent inspection was October 2025. Quality measures land at 3 out of 5 stars, so day-to-day care indicators are middling. Strong staffing and low turnover don't cancel out a weak inspection history, ask about those harm-level findings and what's changed since.

B

81/100

Sunnycrest Manor

Dubuque, IA · Dubuque County

CMS 4/5 77 beds Government Medicaid
Nurse hours
4.34 /day
Staff turnover
38%
Serious cites
0

Sunnycrest Manor is county-owned, and the numbers show a home that's better staffed than most, 4.34 nurse hours per resident day, roughly 12% above the national figure. Turnover sits at 38.4%, well under the 45.8% national average, which matters for whether your family sees the same faces month to month. The tradeoff shows up in care quality measures, where it scores near the bottom, and in 14 deficiencies on its current record, though none involved actual harm or abuse. Weekend coverage drops about 11% below weekday levels, so ask about Saturday and Sunday staffing specifically. Its last inspection was in March 2026, so the record is recent.

B

81/100

Denver Sunset Home

Denver, IA · Bremer County

CMS 4/5 31 beds Non-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
40%
Serious cites
0

Denver Sunset Home runs 31 certified beds as a nonprofit, and its staffing sits slightly above the national average, 3.97 nurse hours per resident day against 3.86. Weekends dip about 9% below its own weekday levels, so ask how that gap gets covered. Annual turnover of 40% is better than the 45.8% national figure, which matters in a small building where residents see the same faces. The current inspection record shows nine deficiencies, none at the harm level and none tied to abuse, and the last inspection was recent. The 4/5 health inspection and staffing ratings carry more weight here than the 3/5 on quality measures.

B

81/100

Perry Lutheran Home

Perry, IA · Dallas County

CMS 1/5 70 beds Non-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
49%
Serious cites
0

Perry Lutheran Home runs 70 certified beds as a nonprofit corporation, and its staffing sits right at the national average of 3.86 nurse hours per resident day, with weekend coverage dropping roughly 7% below its own weekday levels. Turnover is 49.3%, a bit worse than the 45.8% national figure, so the faces change more often than average. The bigger issue is the inspection record: 22 deficiencies, 8 at harm or jeopardy level, and 4 abuse-related, with one fine of $16,351. A recent inspection date doesn't erase that history. If you're considering this home, ask specifically how those abuse-related findings were resolved and who supervises residents on weekends.

B

81/100

Palo Alto County Hospital

Emmetsburg, IA · Palo Alto County

CMS 4/5 22 beds Government Medicaid
Nurse hours
3.07 /day
Staff turnover
18%
Serious cites
0

Palo Alto County Hospital runs a small 22-bed unit, and the numbers suggest it's well run. Staff turnover sits at 17.6%, very low next to the 45.8% national figure, which matters for familiarity and continuity in a place this size. The tradeoff is hours: 3.07 nurse staffing hours per resident day is about 21% under the national average, and weekends drop roughly 25% below the home's own weekday levels. One deficiency on the current record, none at harm level, no abuse findings, and a recent July 2025 inspection back that up. County-owned and financially steady, it looks like a home that keeps its people, with fewer hands on weekends.

B

81/100

Medicalodges Columbus

Columbus, KS · Cherokee County

CMS 3/5 45 beds For-profit Medicaid
Nurse hours
4.90 /day
Staff turnover
55%
Serious cites
0

Medicalodges Columbus runs 4.90 nurse hours per resident day, roughly 27% above the national average, and weekends dip only about 8% below its own weekday levels. That staffing cushion is real, but it comes with churn: 55.3% annual turnover against a 45.8% national figure, meaning the people providing that care keep changing. The inspection record is the harder read, 21 deficiencies, two of them serious enough to involve harm or jeopardy, and $36,322 in fines across two events, with the most recent inspection in February 2025. Strong quality measures and steady hours don't erase a two-star health inspection history.

B

81/100

Parsons Presbyterian Manor

Parsons, KS · Labette County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
56%
Serious cites
0

Parsons Presbyterian Manor runs a nonprofit home with 43 certified beds, and its nurse staffing sits at 4.60 hours per resident day, about 19 percent above the national average of 3.86. That's the strongest part of the picture, and it shows in a five-star staffing rating. Other numbers pull the other way. Staff turnover hits 56 percent against a national average near 46, and weekend coverage drops roughly 11 percent below its own weekday level. Inspections look strong on the star rating, yet the record holds 19 deficiencies, two at harm or jeopardy level and two tied to abuse, plus one fine of $14,433. High marks on paper, real gaps in the details.

B

81/100

Good Samaritan - Atwood

Atwood, KS · Rawlins County

CMS 2/5 35 beds Non-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
22%
Serious cites
0

Good Samaritan Society - Atwood runs a tight ship on retention: 22.2% annual turnover against a national average of 45.8% means aides and nurses tend to stay, and that kind of continuity matters for residents who need familiar faces. The staffing rating reflects that stability, though total nurse hours of 3.58 per resident day sit about 7% under the national figure, with weekends running roughly 11% lighter than weekdays. The inspection record is where it gets harder to explain. Twenty-six deficiencies, four at harm or jeopardy level, two tied to abuse, and $68,956 in fines across three penalties, all reflected in a one-star health inspection rating despite a June 2025 survey. The quality measure score sits at two stars. Strong retention and a clean staffing score don't offset a record like that.

B

81/100

Trinity Manor

Dodge City, KS · Ford County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
41%
Serious cites
0

Trinity Manor runs about 46 beds in Dodge City under for-profit LLC ownership, and its most recent inspection wrapped up in January 2025, so the record you're looking at is current, not stale. The health inspection side holds up reasonably well, but 15 deficiencies on file include two at the harm or jeopardy level and one tied to abuse, which is the kind of thing worth asking about directly rather than glossing over. Staffing sits slightly under the national average at 3.69 nurse hours per resident day, and weekends run thinner than weekdays by roughly 12%, so coverage can dip when it matters. Turnover at 40.5% is better than average, though two fines totaling $29,773 suggest the problems weren't just paperwork.

B

81/100

The Cedars

Mcpherson, KS · Mcpherson County

CMS 3/5 54 beds Non-profit Medicaid
Nurse hours
4.98 /day
Staff turnover
64%
Serious cites
0

The Cedars in McPherson is a 54-bed nonprofit home where nurses spend more time per resident than most places in the country, about 4.98 hours a day versus a national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, and annual turnover sits at 64.4%, well above the 45.8% national figure, so consistent caregiving is the weak spot. Its last inspection came in January 2026, and the record holds 29 deficiencies, none at harm or jeopardy level but four tied to abuse. Subtract the inspection strength and the staffing picture gets wobblier than the raw hours suggest.

B

81/100

Sunporch Of Smith County

Smith Center, KS · Smith County

CMS 5/5 22 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
45%
Serious cites
0

Sunporch Of Smith County runs on a nonprofit model with just 22 certified beds, and the staffing numbers stand out: 4.40 nurse hours per resident day, roughly 14% above the national average, earning a top staffing rating. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. Turnover sits at 44.8%, essentially in line with the national rate. Inspections are the strongest signal here, a five-star health inspection rating, last visit in October 2024, and nine deficiencies on record with none at the harm level and none abuse-related. The weaker spot is the two-star quality measure rating, which reflects clinical outcomes rather than the inspection or staffing picture. Small homes live and die by who's on shift, so visit at different times and watch the care firsthand.

B

81/100

Laurel Heights Home For The Elderly

London, KY · Laurel County

CMS 5/5 160 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
32%
Serious cites
0

Laurel Heights runs on more nursing hours than most homes, 4.10 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 32.1% versus 45.8% nationally. That stability matters, though weekend coverage dips about 9% below weekday levels, so ask how weekends are actually staffed. The inspection record is clean where it counts: five total deficiencies, none at the harm level, none abuse-related, and the most recent inspection was in April 2025. As a nonprofit, it answers to a board rather than shareholders. The weaker spot is quality measures, which sit mid-range, so ask what those scores reflect.

B

81/100

Signature Healthcare At North Hardin Rehab & Welln

Radcliff, KY · Hardin County

CMS 2/5 136 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
47%
Serious cites
0

Signature Healthcare at North Hardin runs 136 certified beds as a for-profit LLC, and its staffing sits just under the national mark, 3.75 nurse hours per resident day against 3.86 nationwide. Weekends thin out further, dropping roughly 13% below the home's own weekday coverage, and turnover lands at 47.1% versus 45.8% nationally, so the people caring for residents are changing over at a steady clip. Inspectors were last in on May 29, 2025, and the current record shows 28 deficiencies, none at harm or jeopardy level, though one is abuse-related. Ownership, weekend dips, and that deficiency count are the things worth asking about directly.

B

81/100

Beaver Dam Nursing & Rehab Center, Inc

Beaver Dam, KY · Ohio County

CMS 3/5 58 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
39%
Serious cites
0

Beaver Dam Nursing & Rehab Center runs 58 certified beds under for-profit LLC ownership, and the staffing picture is the strongest thing it has going. At 3.99 nurse hours per resident day, it sits slightly above the national average of 3.86, and its 39.4% turnover is meaningfully better than the 45.8% typical elsewhere, a real signal that caregivers tend to stay. The trade-off is consistency: weekend staffing drops about 10% below its own weekday level, so coverage thins when families visit most. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection dated April 2026. Quality and inspection ratings both land mid-range, so this reads as a steady, adequately staffed home rather than an exceptional one.

B

81/100

Maple Grove Senior Living Llc

Shelbyville, KY · Shelby County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
51%
Serious cites
0

Maple Grove Senior Living runs about 90 certified beds in Shelbyville under for-profit LLC ownership, and its nurse staffing sits slightly above the national average, 4.02 hours per resident day. That edge shrinks on weekends, though, when coverage drops roughly 11% below what the home staffs during the week, and annual turnover of 50.5% tops the national figure of 45.8%. The inspection record shows six deficiencies, none at the harm or jeopardy level, but one is abuse-related, and the most recent state visit was in January 2026. Quality and staffing measures both score well; the inspection side is where the picture gets less tidy.

B

81/100

Wyatt Manor Nursing And Rehab Ctr, Inc

Jonesboro, LA · Jackson County

CMS 4/5 62 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
46%
Serious cites
0

Wyatt Manor runs 62 beds in Jonesboro under corporate ownership, and its last inspection was recent, March 2026. The health and quality ratings both come back strong at 4 out of 5, and that recent survey matters more than older history. But look at what's on the record: 11 deficiencies, two of them serious enough to involve actual harm or jeopardy, and two tied to abuse. Two fines totaling $17,275 back that up. Staffing sits at 3.69 nurse hours per resident day, roughly 4% under the national average, and weekends run about 7% thinner than weekdays. Turnover is 46.3%, essentially matching the national rate. Good inspection marks, real problems underneath.

B

81/100

Pinnacle Health & Rehab At N Berwick

North Berwick, ME · York County

CMS 5/5 64 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
38%
Serious cites
0

Pinnacle Health & Rehab At N Berwick runs 64 beds in York County, owned by an individual for profit. Its staffing sits right at the national average, 3.85 nurse hours per resident day against 3.86 nationwide, though weekends fall about 12% below what the home staffs on weekdays, so coverage thins when families tend to visit. Turnover is 38.1%, better than the 45.8% national figure. On inspections, the record is strong: a 5/5 health inspection rating, 12 deficiencies total, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. The weaker spot is quality measures at 2/5.

B

81/100

Wicomico Nursing Home

Salisbury, MD · Wicomico County

CMS 4/5 102 beds Government Medicaid
Nurse hours
3.76 /day
Staff turnover
26%
Serious cites
0

Wicomico Nursing Home runs on county money, and the staffing reflects that: 3.76 nurse hours per resident day sits just under the national average of 3.86, and weekends drop about 13% below its own weekday coverage. What stands out more is retention, 25.9% turnover against a national 45.8% suggests people stay, which matters for residents who need consistent caregivers. But the inspection record carries real weight: 40 deficiencies, four serious enough to put residents in harm's way, seven tied to abuse, and one fine of $28,343. The most recent inspection was in February 2026. Steady staff, uneven oversight.

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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