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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 4001–4020 of 12,438, best-graded first.

B

80/100

Harbor House Nursing & Rehabilitation Center

Hingham, MA · Plymouth County

CMS 4/5 142 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
32%
Serious cites
0

Harbor House runs 142 certified beds in Hingham under for-profit LLC ownership, and its numbers are decent without being remarkable. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average of 3.86, and weekends slip another 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. Where it stands out is retention: 32.4% annual turnover against a national average of 45.8% suggests people stay, which matters for consistency of care. The current record shows 22 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. Its last inspection was in November 2025, so the picture is recent.

B

80/100

Stone Rehabilitation And Senior Living

Newton Upper Falls, MA · Middlesex County

CMS 3/5 82 beds Non-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
29%
Serious cites
0

Stone Rehabilitation runs on 3.89 nurse hours per resident per day, only a hair above the national average, and weekends dip about 10% below its own weekday staffing. What stands out more is retention: 29% turnover against a national average near 46%, which suggests people tend to stay. The inspection record is where the trouble sits, 23 deficiencies, two at harm or jeopardy level and one tied to abuse, plus a single $16,195 fine. Quality and staffing measures both rate 4 out of 5, but with that many citations and a recent March 2026 inspection, the state has found real problems worth asking about directly.

B

80/100

Hillcrest Commons Nursing & Rehabilitation Center

Pittsfield, MA · Berkshire County

CMS 3/5 265 beds Non-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
35%
Serious cites
0

Hillcrest Commons runs 265 beds in Pittsfield as a nonprofit, and its staffing sits at 3.75 nurse hours per resident day, slightly under the national 3.86, with weekends about 13% thinner than weekdays, so coverage dips when families tend to visit. The bigger concern is the inspection record: 52 deficiencies, including one at the harm level and one abuse-related, which is why CMS gave it a single star for health inspections despite solid marks on quality measures and staffing. Turnover at 34.5% beats the national 45.8%, and the last inspection was March 2025, so the record is current.

B

80/100

Hancock Park Rehabiliation And Nursing Center

Quincy, MA · Norfolk County

CMS 2/5 142 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
35%
Serious cites
0

Hancock Park runs 142 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.75 hours per resident day, roughly 3% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 35.3% against a national 45.8%, meaning caregivers here tend to stay longer than at the typical home. What tempers that is the inspection record, 23 deficiencies, including one at harm or jeopardy level and one tied to abuse, with the most recent inspection in December 2025. The quality measure rating of 4 out of 5 shows clinical care can score well even when the survey history is crowded.

B

80/100

Canal View - Houghton County

Hancock, MI · Houghton County

CMS 4/5 197 beds Government Medicaid
Nurse hours
4.90 /day
Staff turnover
47%
Serious cites
0

Canal View runs on strong nurse staffing, 4.90 hours per resident day, about 27% above the national average, which earns it the top CMS staffing rating. That's real coverage for 197 beds, though weekends dip roughly 12% below its own weekday level, and turnover sits at 47%, slightly above the national 45.8%. The trouble is on the inspection side. Twenty-two deficiencies, four at harm or jeopardy level and two tied to abuse, plus two fines totaling about $39,988. A 3/5 on health inspections and 3/5 on quality measures pull down what the staffing numbers build up. County-owned, last inspected January 28, 2026. Good hands on deck, but a record that needs watching.

B

80/100

Dimondale Nursing Care Center

Dimondale, MI · Eaton County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
37%
Serious cites
0

Dimondale Nursing Care Center runs 150 certified beds under corporate for-profit ownership, and its staffing sits at 3.66 nurse hours per resident day, about 5% under the national average of 3.86. Weekend coverage drops roughly 10% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover is 37.2%, which is actually better than the 45.8% national figure. What pulls the record down is inspection history: 30 deficiencies, four at harm or jeopardy level, four abuse-related, and one fine of $35,282. The last inspection was July 8, 2025. Ask about those harm-level findings and how weekends are covered before deciding.

B

80/100

Adrian Bay Rehabilitation And Nursing Center

Adrian, MI · Lenawee County

CMS 2/5 117 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
32%
Serious cites
0

Adrian Bay runs 3.42 nurse staffing hours per resident day, about 12% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels, so the thinnest coverage tends to land when families visit. Turnover sits at 31.8%, better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The inspection record is where it gets harder: 40 deficiencies, three at harm or jeopardy level, one abuse-related, and a $201,851 fine, with the most recent inspection in June 2025. That combination, decent retention, lighter staffing, and a serious deficiency history, is what holds this one back.

B

80/100

Arbor Manor Rehabilitation And Nursing Center

Spring Arbor, MI · Jackson County

CMS 3/5 122 beds For-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
52%
Serious cites
0

Arbor Manor runs 4.73 nurse hours per resident day, about 22% above the national average, and that shows up in its staffing star rating. The catch is who's providing that care: annual turnover sits at 51.6%, several points above the national figure, and weekends run roughly 6% thinner than weekdays. The inspection record is the bigger concern, 36 deficiencies, including two at the harm level and one tied to abuse, with the most recent inspection in March 2025. A for-profit corporation operates the 122-bed home. Strong daily staffing numbers, but consistency and compliance are where this one struggles.

B

80/100

Hillcrest Nursing And Rehabilitation Community

North Muskegon, MI · Muskegon County

CMS 5/5 39 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
52%
Serious cites
0

Hillcrest runs 3.59 nurse hours per resident day, about 7% under the national average, and weekends dip roughly 10% below its own weekday numbers, so the quietest shifts are also the thinnest. Staff turnover sits at 52% against a national 45.8%, which matters for a 39-bed home where residents see the same faces or don't. The inspection record shows 18 deficiencies with two at harm or jeopardy level, though none abuse-related, and the most recent inspection was in December 2025. Quality measures score well; the weaker staffing picture is what pulls the overall result down to a solid-but-not-strong B.

B

80/100

Mission Point Health Campus Of Jackson

Jackson, MI · Jackson County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
62%
Serious cites
0

Mission Point Health Campus Of Jackson runs 50 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average of 3.86. That cushion thins on weekends, when coverage drops about 10% below the home's own weekday level, and turnover runs 61.9% against a national 45.8%, so the faces change often. The inspection record is the harder read: 47 deficiencies, including one at the harm level and three tied to abuse, with the most recent inspection dated March 4, 2026. Quality measures score well, but a one-star health inspection rating against that deficiency history is what a family should weigh first.

B

80/100

Wellbridge Of Brighton

Howell, MI · Livingston County

CMS 3/5 88 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
52%
Serious cites
0

Wellbridge of Brighton runs 88 certified beds in Howell, and the nurse staffing sits slightly above the national average, 3.92 hours per resident day against 3.86, though weekends drop about 14% below what the home staffs on weekdays, which is when families tend to visit and notice. Turnover is the bigger number: 52.4% of staff leaving annually against a national 45.8%, and with 26 deficiencies on record, including 3 at harm or jeopardy level and 5 abuse-related, plus a $26,686 fine, the inspection history carries more weight than the four-star quality and staffing marks. The last inspection was January 2026, so the record is recent.

B

80/100

Good Samaritan Society - Stillwater

Stillwater, MN · Washington County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
51%
Serious cites
0

Good Samaritan Society - Stillwater runs a nonprofit shop with 50 beds, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average. That's the strongest part of the picture, though weekend coverage drops about 12% below its own weekday level, and annual turnover hits 51.2% against a national 45.8%, so the people delivering that care keep changing. The current record carries 28 deficiencies, one serious enough to involve harm or jeopardy, with no abuse findings. The last inspection came in February 2026, so the state's look is recent. Quality measure scores land at 2 out of 5 stars, which is where the lower grade comes from, decent hands-on hours, weaker measured outcomes.

B

80/100

The Estates At Chateau Llc

Minneapolis, MN · Hennepin County

CMS 2/5 69 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
37%
Serious cites
0

The Estates at Chateau has a staffing paradox worth understanding. Its CMS staffing star is 5/5, yet the actual hours, 3.09 per resident day, sit about 20% under the national average of 3.86, and weekends run roughly 11% thinner than weekdays. Turnover at 36.7% is better than the 45.8% national figure, so leadership is retaining workers. The problem is the inspection record: 50 deficiencies, one at harm or jeopardy level, six tied to abuse, and a $35,565 fine. A single star on health inspections against three on quality measures tells you the care processes look adequate on paper while the survey history says otherwise.

B

80/100

Sleepy Eye Rehabilitati Center

Sleepy Eye, MN · Brown County

CMS 4/5 61 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
56%
Serious cites
0

Sleepy Eye Rehabilitation Center runs 61 certified beds as a for-profit corporation, and its recent inspection history is the strongest thing it has going. The last survey was in January 2026 and turned up 17 deficiencies, but only one at the harm or jeopardy level and none related to abuse, a record that supports its 4-star health inspection rating. Staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, though weekends drop about 12% below the home's own weekday level. The number worth pausing on is turnover: 56.4% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. That churn is what keeps this home a step short of the top tier, despite solid inspections.

B

80/100

Heartwood

Crosby, MN · Crow Wing County

CMS 5/5 54 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
46%
Serious cites
0

Heartwood runs a tight ship on the staffing side, 4.30 nurse hours per resident day, roughly 11% above the national average, and that shows in a five-star staffing rating. The catch is weekends, when coverage drops about 12% below what the home provides on weekdays. Turnover sits at 46.3%, essentially matching the national rate, so continuity is neither a strength nor a glaring weakness here. Seven deficiencies on record, none involving harm, jeopardy, or abuse, and the most recent inspection was July 2025. Where the home gives ground is quality measures, at two stars, which drags an otherwise solid picture down to a B.

B

80/100

Avera Sunrise Manor

Tyler, MN · Lincoln County

CMS 4/5 30 beds Non-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
44%
Serious cites
0

Avera Sunrise Manor runs on 4.25 nurse hours per resident day, roughly 10 percent more than the national average, and it shows in a four-star staffing rating. Turnover sits at 43.9 percent, a hair better than the national 45.8 percent, though weekend coverage drops about 12 percent below weekday levels. The catch is quality: a one-star rating on CMS quality measures, and 14 deficiencies on the current record, including two tied to abuse, though none reached harm or jeopardy. A recent April 2025 inspection and four-star health inspection rating help. Church-affiliated nonprofit ownership is a steadying factor. Families should ask what the quality measure gap reflects and how weekend staffing is managed.

B

80/100

Cura Of Watkins

Watkins, MN · Meeker County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
61%
Serious cites
0

Hilltop runs a tight ship on the clinical side. The last state inspection in May 2025 turned up five deficiencies, none of them causing harm or tied to abuse, which is a clean record for a 50-bed for-profit under limited liability ownership. Nursing hours come in at 4.55 per resident day, roughly 18% above the national average, and that shows up in the four-star staffing rating. The catch is turnover: 60.6% of staff leave each year against a national average near 46%, and weekend coverage drops about 12% below weekday levels. Those two numbers are worth asking about directly, steady hands and consistent weekend care matter as much as raw hours on paper.

B

80/100

Ecumen North Branch

North Branch, MN · Chisago County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
63%
Serious cites
0

Ecumen North Branch runs a nonprofit home of 50 beds in Chisago County, and its nurse staffing sits at 4.51 hours per resident day, roughly 17% above the national average of 3.86. That's a real margin in a field where aides and nurses are the whole job. The catch is turnover: 62.7% of staff leave each year, well above the 45.8% national figure, and weekend coverage drops about 11% below the home's own weekday level. Its last inspection was July 2025, with 14 deficiencies on record, none at the harm level, none abuse-related, and mid-range three-star marks for health inspections and quality measures.

B

80/100

North Shore Health

Grand Marais, MN · Cook County

CMS 4/5 37 beds Government Medicaid
Nurse hours
4.59 /day
Staff turnover
72%
Serious cites
0

North Shore Health runs on more nursing hours per resident than most homes in the country, 4.59 a day against a national average of 3.86, and its most recent inspection, in May 2026, turned up eight deficiencies with none causing harm and none tied to abuse. Those are real strengths, and the county hospital district that owns it isn't under pressure to squeeze margins the way a for-profit chain might be. The catch is retention: 71.8% annual turnover, well above the 45.8% national figure, meaning a large share of the staff delivering those hours is new. Weekend coverage also slips about 14% below weekday levels, so ask how weekends and nights actually run.

B

80/100

Lakeshore Rehabilitation Center Llc

Waseca, MN · Waseca County

CMS 2/5 52 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
46%
Serious cites
0

Lakeshore Rehabilitation Center runs 52 certified beds in Waseca under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average of 3.86, and weekends run about 9% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Staff turnover of 46.3% is essentially at the national average, meaning the workforce churns as much as anywhere else. On the plus side, the current record shows 13 deficiencies with none at the harm level and none abuse-related, and the most recent inspection was in March 2025.

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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