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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 3861–3880 of 12,438, best-graded first.

B

80/100

University Care Center

San Diego, CA · San Diego County

CMS 5/5 87 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
36%
Serious cites
0

University Care Center runs on 4.04 nurse hours per resident day, about 5% above the national average, and weekend staffing dips roughly 8% below its own weekday level, a small gap, but one to ask about if your family visits Saturdays. The 42 deficiencies on record sound like a lot until you see none reached harm or jeopardy and none involved abuse, and the most recent inspection was in May 2025. Turnover sits at 36.4%, meaningfully better than the 45.8% national figure. Corporate for-profit ownership, 87 beds, with quality measures scoring well above its staffing marks.

B

80/100

Thousand Oaks Post Acute, Llc

Thousand Oaks, CA · Ventura County

CMS 3/5 123 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
40%
Serious cites
0

Thousand Oaks Post Acute runs on more nursing hours than most homes nationally, 4.10 per resident day against a 3.86 average, and its weekend coverage only dips about 10% below weekdays, which matters when families visit and needs don't pause for the calendar. Staff turnover sits at 39.6%, better than the 45.8% national figure, though still meaning roughly two in five caregivers changed over the year. The record isn't spotless: 37 deficiencies, including one at the harm level and one tied to abuse, plus a $20,703 fine. Its last inspection was April 2025, so the picture is recent. A for-profit LLC with solid staffing and mid-tier compliance issues is what you're weighing.

B

80/100

The Villas At Saratoga Skilled Nsg & Assisted Lvg

Saratoga, CA · Santa Clara County

CMS 1/5 86 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
22%
Serious cites
0

The Villas At Saratoga runs on a for-profit LLC model with 86 certified beds, and its staffing is genuinely better than most: 4.39 nurse hours per resident day against a national average of 3.86. Turnover sits at 21.5%, well under the 45.8% national figure, though weekend coverage dips about 7% below weekday levels. Where it gets harder to defend is the inspection record: 60 deficiencies, including two at harm or jeopardy level and two tied to abuse, with $40,323 in fines across two events. The most recent inspection was December 2024. Strong day-to-day staffing, but a compliance history that a family should read closely before deciding.

B

80/100

Buena Vista Care Center

Anaheim, CA · Orange County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
32%
Serious cites
0

Buena Vista runs 99 certified beds in Anaheim under corporate for-profit ownership, and its nurse staffing sits at 3.88 hours per resident day, basically level with the national average of 3.86, though weekends dip about 5% below its own weekday coverage. Turnover is the standout: 32% against a national 45.8%, meaning workers here tend to stay longer than at the typical home. The tradeoff shows up in its record: 70 deficiencies, four tied to abuse, with zero at the harm or jeopardy level, and a December 2025 inspection that's recent enough to trust. Quality measures score well; inspections land in the middle.

B

80/100

Woodlands Healthcare Center

Los Gatos, CA · Santa Clara County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
47%
Serious cites
0

Woodlands Healthcare Center in Los Gatos runs 4.14 nurse hours per resident day, roughly 7% above the national average, though weekends dip about 11% below its own weekday staffing. Turnover sits at 46.5%, essentially the national rate, so expect some churn among caregivers. The 5/5 inspection rating is the strongest part of the picture, helped by a recent February 2025 survey, but 26 deficiencies are on record, one abuse-related, none at the harm or jeopardy level. Quality measures land at 3/5, and at 65 beds this for-profit LLC is small enough that a single bad stretch of staffing can show up fast.

B

80/100

San Luis Care Center

Newman, CA · Stanislaus County

CMS 3/5 71 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
38%
Serious cites
0

San Luis Care Center runs 71 certified beds in Newman under for-profit LLC ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially dead even with the national average of 3.86. Weekend coverage dips about 8% below its own weekday levels, so the hours aren't distributed evenly across the week. Staff turnover comes in at 37.5%, meaningfully better than the 45.8% national figure, which suggests the workforce here is more stable than at many homes. The inspection record is where the picture darkens: 42 deficiencies on file, four at the harm or jeopardy level, one tied to abuse, and a $46,118 fine. The most recent inspection was March 6, 2026. Strong quality measure scores don't offset that history.

B

80/100

Leisure Glen Post Acute Care Center

Glendale, CA · Los Angeles County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
28%
Serious cites
0

Leisure Glen runs about 4.15 nurse hours per resident per day, roughly 7% above the national average, and weekend staffing dips only about 6% below its own weekday level. Staff turnover sits at 28.1%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The tradeoff is its inspection history: 43 deficiencies on the current record, including two flagged as abuse-related, though none rose to harm or jeopardy level. Its last inspection was in June 2025, so the picture is recent. This is a for-profit limited liability company with 108 certified beds in Glendale.

B

80/100

Redwood Cove Healthcare Center

Ukiah, CA · Mendocino County

CMS 4/5 68 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
43%
Serious cites
0

Redwood Cove runs on thinner staffing than most homes, 3.52 nurse hours per resident day against a national average of 3.86, with weekends dipping about 13% below its own weekday levels. That gap matters most on Saturdays and Sundays, when residents still need the same hands. Turnover sits at 42.9%, slightly better than the 45.8% national figure, so the crew is comparatively stable even if it's small. The inspection record shows 36 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent survey was in December 2025. Quality measures score well; the staffing and inspection side of things is where the weaker numbers live.

B

80/100

Plum Tree Care Center

San Jose, CA · Santa Clara County

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

Plum Tree Care Center runs 4.53 nurse staffing hours per resident per day, about 17 percent above the national average, and its 42.6% turnover is slightly better than the 45.8% norm. That said, weekend staffing drops roughly 8% below its own weekday levels. The 33 deficiencies on record, including one at the harm level and one abuse-related, plus an $8,018 fine, are worth asking about directly. The last inspection was March 2025, so the record is reasonably current. A for-profit LLC with 76 beds, it earns solid marks on quality measures and inspections but middling on staffing.

B

80/100

Coastal Post Acute

Salinas, CA · Monterey County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
40%
Serious cites
0

Coastal Post Acute runs 80 beds in Salinas under corporate for-profit ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day against 3.86 nationally, though weekends dip about 7% below its own weekday coverage, which matters if your family visits or calls on Saturdays. Staff turnover is 39.7%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than at the typical home. What pulls the record down is the inspection history: 40 deficiencies, including one at the harm level and one tied to abuse, plus a $63,850 fine. The most recent inspection was March 2025.

B

80/100

National City Post Acute

National City, CA · San Diego County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

National City Post Acute runs 98 beds under for-profit LLC ownership, and its nurse staffing sits at 3.93 hours per resident day, just above the national average of 3.86, though weekends drop roughly 10% below its own weekday levels. Staff turnover is 44.3%, slightly better than the 45.8% national figure. What stands out is the inspection record: 46 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with one fine of $15,652 and a 2-out-of-5 health inspection rating, though the most recent inspection was December 2025. Quality measures rate 5 out of 5, so the clinical numbers look strong even as the survey history tells a rougher story.

B

80/100

Eden Healthcare Center

Hayward, CA · Alameda County

CMS 2/5 121 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
28%
Serious cites
0

Eden Healthcare Center runs 121 certified beds in Hayward under for-profit LLC ownership, and its staffing sits just barely above the national average, 3.91 nurse hours per resident day against 3.86. The more telling number is turnover: 27.6% versus a national average of 45.8%, meaning workers here tend to stay. But the inspection record is where the picture darkens. Fifty-six deficiencies are on file, including two at the harm or jeopardy level and five tied to abuse, with one fine of $30,870. The most recent inspection was October 2024. Strong retention and decent quality scores don't erase that many serious findings.

B

80/100

Sacramento Post-Acute

Sacramento, CA · Sacramento County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
42%
Serious cites
0

Sacramento Post-Acute runs 4.65 nurse hours per resident day, roughly 20% above the national average, and its staff turnover of 42.3% is slightly better than the typical 45.8%. Weekend coverage dips about 7% below its own weekday level, which is worth asking about if your family member needs care on Saturdays and Sundays. The current record shows 33 deficiencies, none at the harm or jeopardy level, though three are abuse-related. A February 2026 inspection is recent, and the 5/5 quality measure rating stands out against a 2/5 staffing rating and 3/5 inspections. Corporate-owned, 99 beds.

B

80/100

The Rowland

Covina, CA · Los Angeles County

CMS 2/5 126 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
14%
Serious cites
0

The Rowland runs on thin nursing coverage, 3.60 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. Turnover is strikingly low at 14% compared with the 45.8% national figure, so the people who are there tend to stay, though the inspection record is where the problems pile up: 69 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $30,421 fine. The most recent inspection was May 2025, so the record is current, and the quality measure score of 4 out of 5 stands in sharp contrast to the health inspection score of 1.

B

80/100

Huntington Park Nursing Center

Huntington Park, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
30%
Serious cites
0

Huntington Park Nursing Center runs 99 beds under for-profit LLC ownership, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage dips about 8% below the home's own weekday levels, so families should ask how that gap gets filled. Staff turnover is 30.1%, well under the national 45.8%, which suggests workers tend to stay. The current record shows 54 deficiencies, none at harm or jeopardy level, though one is abuse-related. Inspections were last done in May 2025, and the health inspection rating is 2 out of 5 while quality measures score 4 out of 5.

B

80/100

Guardian Care And Rehabilitation Center

Manteca, CA · San Joaquin County

CMS 2/5 176 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
32%
Serious cites
0

Guardian Care runs 176 beds in Manteca under corporate ownership, and its staffing is the one clear strength here: 3.96 nurse hours per resident day, slightly above the national average, with turnover at 31.7% against a national figure near 46%. Retention like that matters, though weekend coverage drops about 7% below weekday levels, so timing affects what you get. The inspection record is where the picture darkens, 64 deficiencies on file, including one at the harm level and five tied to abuse, with a 2-star health inspection rating. A recent August 2025 inspection means the record is current, not stale. Ask about those abuse deficiencies specifically before you decide.

B

80/100

Solano Post Acute

Vallejo, CA · Solano County

CMS 2/5 166 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
37%
Serious cites
0

Solano Post Acute has 166 beds and runs a for-profit operation under an LLC, and its staffing sits slightly above the national average at 3.93 nurse hours per resident day, though weekends drop about 5% below its own weekday level. Turnover is 37%, better than the 45.8% national figure. The problem isn't the day-to-day care numbers; it's the inspection record. Seventy-eight deficiencies, four at harm or jeopardy level, twelve abuse-related, and $73,177 in fines. The most recent inspection was December 2025. Quality measures score well, but that record of harm-level and abuse citations is what a family should weigh hardest before deciding.

B

80/100

Golden Pavilion Healthcare

Daly City, CA · San Mateo County

CMS 2/5 239 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
40%
Serious cites
0

Golden Pavilion Healthcare runs 239 certified beds in Daly City under corporate, for-profit ownership. Its nurse staffing sits right at the national average of 3.86 hours per resident day, though weekends drop about 7% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 39.6%, better than the 45.8% national figure, and the staffing star rating reflects that relative stability. The inspection record is where things get heavier: 67 deficiencies on file, including 2 at the harm or jeopardy level and 9 tied to abuse, with two fines totaling $14,048 and a survey completed in May 2025.

B

80/100

San Francisco Post Acute

San Francisco, CA · San Francisco County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
36%
Serious cites
0

San Francisco Post Acute runs about 4.35 nursing hours per resident per day, roughly 13% above the national average, and its staff turnover of 35.5% sits well below the 45.8% national figure, people tend to stay here longer than at the typical home. The catch is how thin weekends get: staffing drops about 9% below the home's own weekday level, which matters if your family visits or calls on a Saturday. Twenty-four deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the last inspection was December 2024. Ownership is a for-profit limited liability company.

B

80/100

Boulder Post Acute

Boulder, CO · Boulder County

CMS 4/5 162 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
60%
Serious cites
0

Boulder Post Acute runs 162 beds under limited-liability, for-profit ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, and annual turnover hits 59.5% against a 45.8% national figure, which means the people at the bedside keep changing. The current inspection record carries 30 deficiencies, including three at the harm or jeopardy level and five tied to abuse; one fine totaling $9,113 has been assessed, with the last inspection dated February 19, 2026. Resident outcome measures look strong, but inspection findings and retention are the parts worth pressing on when you visit.

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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