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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 3601–3620 of 12,438, best-graded first.

B

81/100

Lorien Health Systems - Columbia

Columbia, MD · Howard County

CMS 2/5 205 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
42%
Serious cites
0

Lorien Health Systems in Columbia runs 205 beds under corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage drops about 8% below its own weekday level, so ask how that plays out on Saturdays. Staff turnover is 41.5%, a bit better than the 45.8% national figure. What pulls the record down is the inspection side: 53 deficiencies on file, including one at the harm level and five tied to abuse, plus a $16,042 fine. The last inspection was January 2026. Strong staffing numbers, a harder inspection history, worth weighing both.

B

81/100

Frederick Crossing Of Journey

Frederick, MD · Frederick County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
29%
Serious cites
0

Frederick Crossing of Journey runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.30 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 29.3% against a national average of 45.8%, meaning the aides and nurses here tend to stick around. The inspection record is heavier, 81 deficiencies, one at harm level, three tied to abuse, plus a $13,538 fine. The most recent inspection was February 2026. Quality measures look strong; consistent staffing and a clean record don't always come together.

B

81/100

Resorts Of Augsburg

Baltimore, MD · Baltimore County

CMS 1/5 131 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
52%
Serious cites
0

Resorts Of Augsburg runs on a corporate for-profit model with 131 certified beds, and the staffing numbers are genuinely better than most, 4.59 nurse hours per resident day against a national average of 3.86. That's a real cushion, though weekends drop about 9% below the home's own weekday staffing, and turnover sits at 51.5% versus 45.8% nationally, so the faces change often. The record shows 63 deficiencies, including 6 tied to abuse, with four fines totaling $23,896 and a health inspection star rating of 2 out of 5. The last inspection was December 2025, so the picture is current. Strong daily coverage, a thin margin on weekends, and persistent compliance problems, that's the trade-off here.

B

81/100

Future Care Homewood

Baltimore, MD · Baltimore City County

CMS 3/5 141 beds For-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
45%
Serious cites
0

Future Care Homewood runs 4.33 nursing hours per resident day, which is about 12% above the national average of 3.86, genuinely good staffing on paper. The catch is weekends, when coverage drops roughly 12% below the home's own weekday level, so the hours aren't distributed evenly. Turnover sits at 44.8%, essentially the national average, and there's a long deficiency history: 64 citations on the current record, including 2 abuse-related, though none rose to harm or jeopardy level. The last inspection was May 2025, so the record is recent. That B reflects a home that staffs above average but carries a heavy citation load from its for-profit, LLC ownership.

B

81/100

Future Care Charles Village

Baltimore, MD · Baltimore City County

CMS 4/5 109 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
51%
Serious cites
0

Future Care Charles Village runs 109 beds under for-profit LLC ownership, and its nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, and annual turnover hits 50.9% against a national 45.8%, so consistent hands are hard to keep. Its inspection record carries 43 deficiencies, three tied to abuse, though none at the harm or jeopardy level; the last survey was in October 2025. Quality measures score well, staffing and inspections sit mid-range. A workable option, but ask specifically about weekend coverage and how abuse-related findings were resolved.

B

81/100

Blaire House Of Worcester

Worcester, MA · Worcester County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
39%
Serious cites
0

Blaire House Of Worcester runs 75 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.94 hours per resident day, slightly above the national average of 3.86, though weekend coverage drops about 11% below what it provides on weekdays. Staff turnover is 38.6%, notably better than the 45.8% national figure, which matters for consistency of care. The current inspection record shows 17 deficiencies, including one at the harm or jeopardy level and two tied to abuse, along with a single fine of $13,095. The last inspection was in August 2025, so the findings are recent. Three-star ratings across health inspections, quality measures, and staffing round out a mixed but not alarming picture.

B

81/100

Jesmond Skilled Nursing & Rehabilitation Center

Nahant, MA · Essex County

CMS 3/5 57 beds For-profit Medicaid
Nurse hours
4.50 /day
Staff turnover
26%
Serious cites
0

Jesmond runs a 57-bed for-profit home in Nahant with staffing that beats the national average by about 16 percent, 4.50 nurse hours per resident day against 3.86, and its 25.6 percent turnover is well below the 45.8 percent national figure. Those are real strengths, and they're why the staffing rating sits at 4 out of 5. The record isn't clean, though: 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $56,375 fine. A 3/5 on health inspections with a recent August 2025 survey means the state has been in the building. Weekend coverage also dips about 6 percent below weekdays, worth asking about if your family visits on Saturdays.

B

81/100

Presentation Rehab And Skilled Care Center

Boston, MA · Suffolk County

CMS 4/5 122 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
25%
Serious cites
0

Presentation Rehab runs a non-profit shop in Boston with 122 beds, and its staffing is the clearest thing it has going: 4.41 nurse hours per resident day, well above the national average, with a 5-out-of-5 CMS staffing rating and turnover at 24.6%, roughly half the national rate. Weekends dip about 14% below its own weekday coverage, so care thins out on Saturdays and Sundays. The concerns sit elsewhere. There are 35 deficiencies on the current record, including 2 at harm or jeopardy level and 4 tied to abuse, plus a $56,940 fine. The most recent inspection was March 2026. Strong hands on deck, but a record that needs watching.

B

81/100

Care One At Brookline

Brookline, MA · Norfolk County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
34%
Serious cites
0

Care One at Brookline runs 3.58 nurse hours per resident day, about 7% under the national average of 3.86, and weekends dip roughly 5% below its own weekday coverage. That thinner weekend floor matters more than the weekday number, since that's when families often visit and when problems tend to surface. The good news is stability: turnover sits at 34.2%, well below the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. The tradeoff is a two-star health inspection rating with 33 deficiencies on record, though none rose to harm or jeopardy and none involved abuse, and the last inspection was recent enough to trust.

B

81/100

Regalcare At Harwich

Harwich, MA · Barnstable County

CMS 3/5 135 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
30%
Serious cites
0

Regalcare At Harwich runs leaner on nursing hours than most homes, 3.28 per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. What stands out is the retention: turnover near 30% sits well under the 45.8% national figure, which matters more than raw hours when you're thinking about who actually knows your mother's routine. The inspection record shows 24 deficiencies, none involving harm or jeopardy, and none abuse-related, with the most recent state visit in December 2025. For-profit, LLC-owned, 135 beds. The staffing shortfall is real, but the record behind it is cleaner than the hours alone suggest.

B

81/100

Notre Dame Long Term Care Center

Worcester, MA · Worcester County

CMS 4/5 123 beds Non-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
36%
Serious cites
0

Notre Dame Long Term Care Center runs on leaner nursing hours than most homes, about 3.44 per resident day against a national average of 3.86, and weekends get slightly thinner still, roughly 4% below its own weekday coverage. What offsets that is stability: staff turnover sits at 36.3%, well under the national 45.8%, so the people caring for residents tend to stay. The inspection record is clean where it matters most, 16 deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the most recent state visit was in February 2025, so the picture is current. Ownership is nonprofit, which typically means no investor pressure to trim costs. The trade-off is straightforward: fewer hands per resident, but consistent ones.

B

81/100

Evergreen Manor Senior Care Center

Battle Creek, MI · Calhoun County

CMS 4/5 91 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
47%
Serious cites
0

Evergreen Manor runs lean on nursing hours: 3.38 per resident day against a national average of 3.86. That gap widens on weekends, when coverage drops about 13% below the home's own weekday level, and staff turnover sits at 46.6%, slightly above the national rate. The corporate owner operates for profit, which is worth noting when staffing is the weak spot. On paper, inspections look strong. The most recent visit was April 2026, and the record shows 16 deficiencies with none at the harm or jeopardy level. Five abuse-related citations is a number worth asking about directly, since those can cover anything from reporting lapses to resident-to-resident incidents. Quality and inspection scores both come in at 4 out of 5, so the clinical picture holds up better than the day-to-day coverage does.

B

81/100

Sanilac Medical Care Facility

Sandusky, MI · Sanilac County

CMS 3/5 104 beds Government Medicaid
Nurse hours
5.32 /day
Staff turnover
46%
Serious cites
0

Sanilac Medical Care Facility is county-owned, and the staffing numbers are the strongest thing going for it: 5.32 nurse hours per resident day, roughly 38% above the national average, which earns a four-star staffing rating. Two caveats sit underneath that. Weekend coverage drops about 13% from weekday levels, and turnover at 45.6% is essentially the national rate, so the extra hours don't come with unusual stability. The inspection record is more mixed: 33 deficiencies, including two at harm or jeopardy level and one abuse-related, with the last inspection in August 2025. Quality and inspection ratings both land at three stars.

B

81/100

Bronson Commons

Mattawan, MI · Van Buren County

CMS 3/5 100 beds Non-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
40%
Serious cites
0

Bronson Commons has real strengths in its staffing, and they're worth naming: 4.43 nurse hours per resident day puts it about 15% above the national average, and turnover at 40.3% is better than the 45.8% typical elsewhere. Weekend coverage dips roughly 11% below weekday levels, though, so care may feel thinner on Saturdays and Sundays. What pulls the picture down is the inspection record, 21 deficiencies currently on file, including two at the harm or jeopardy level and one tied to abuse, with the most recent inspection in June 2025. Federal quality and inspection ratings both sit at 2 out of 5. Strong hands on staff, but a compliance history that needs watching.

B

81/100

Autumnwood Of Deckerville

Deckerville, MI · Sanilac County

CMS 4/5 84 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
27%
Serious cites
0

Autumnwood Of Deckerville runs 84 certified beds under corporate ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average of 3.86. Weekends drop another 13% below its own weekday level, so coverage thins out right when families tend to visit. What stands out in the other direction is turnover: 26.9% against a national average of 45.8%, meaning the aides and nurses here tend to stay. The inspection record is where the concerns concentrate, 18 deficiencies, three at harm or jeopardy level, one tied to abuse, and $61,621 in fines across two events. Three stars each on health inspections and quality measures, four on staffing.

B

81/100

North Woods Nursing Center

Farwell, MI · Clare County

CMS 3/5 71 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
59%
Serious cites
0

North Woods Nursing Center runs 71 certified beds in Farwell under for-profit limited liability ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. That cushion shrinks on weekends, when coverage drops about 8% below the home's own weekday level, so the weekday numbers you might tour around aren't the whole picture. Annual staff turnover is 58.5%, well above the national 45.8%, which matters more than a single day's headcount because it affects who knows your family member's routine. The current inspection record shows 16 deficiencies, none at the harm or jeopardy level, but two tied to abuse; the last inspection was in April 2026.

B

81/100

Menominee Health Services

Menominee, MI · Menominee County

CMS 5/5 39 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
37%
Serious cites
0

Menominee Health Services runs a 39-bed for-profit home, and its staffing numbers tell the main story: 3.02 nurse hours per resident day, about 22% under the national average of 3.86. Weekends dip roughly 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 36.7%, better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The inspection record is clean where it counts, 11 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was April 2026. State inspectors rate it 5 out of 5, and its quality measures hold at 4. The gap between that inspection record and the below-average daily staffing is what a family should weigh.

B

81/100

Ovid Healthcare Center

Ovid, MI · Clinton County

CMS 4/5 94 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
45%
Serious cites
0

Ovid Healthcare Center runs 94 certified beds under corporate ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 11% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. The inspection record is where the real weight sits: 38 deficiencies, including one at the harm or jeopardy level and six tied to abuse. One fine totaling $79,950 is on file, and the most recent inspection was April 3, 2026. Staff turnover, at 44.6%, actually lands just under the national figure, so retention isn't the standout problem here, the citation history is.

B

81/100

The Orchards At Niles

Niles, MI · Berrien County

CMS 1/5 84 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
49%
Serious cites
0

The Orchards at Niles runs 84 certified beds under corporate ownership, and the staffing numbers are the strongest part of the picture: 3.93 nurse hours per resident day, slightly above the national average, with weekend coverage dipping about 10% below its own weekday levels. Turnover sits at 49.4%, a few points above the national figure. What pulls the other direction is the inspection record, 69 deficiencies on file, four tied to abuse, and a one-star health inspection rating, even though the quality measure and staffing ratings both come in at four stars. The most recent inspection was in August 2025, so that record is fairly current.

B

81/100

Medilodge Of Holland

Holland, MI · Ottawa County

CMS 3/5 77 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
48%
Serious cites
0

Medilodge Of Holland sits right at the national average for nurse staffing, 3.86 hours per resident day, so there's no extra cushion when residents need more hands, and weekends run about 14% leaner than weekdays. Staff turnover is high at 47.7%, slightly above the national 45.8%, which matters for whether you see the same faces month to month. The inspection record is solid: 12 deficiencies, none at the harm level, though one is abuse-related, and the most recent inspection came in May 2025. This is a for-profit limited liability company, and its four-star inspection and quality ratings reflect a home that's meeting standards without standing out.

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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