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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 4161–4180 of 12,438, best-graded first.

B

80/100

Nhc Healthcare, Ft Sanders

Knoxville, TN · Knox County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
50%
Serious cites
0

Nhc Healthcare, Ft Sanders runs 160 certified beds as a for-profit corporation, and its nurse staffing sits just above the national average, 3.98 hours per resident day against 3.86. That edge softens on weekends, when coverage drops about 7% below its own weekday level. Staff turnover is the number worth pausing on: 50.4% a year, higher than the national 45.8%. The current record carries 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $9,770. Health inspections earned 2 out of 5 stars, while quality measures scored 5 and staffing 4, a split that suggests the day-to-day care metrics look better than the inspection history does. The last survey was January 22, 2026.

B

80/100

Nhc Healthcare, Cookeville

Cookeville, TN · Putnam County

CMS 5/5 104 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
40%
Serious cites
0

Nhc Healthcare, Cookeville runs on a corporate for-profit model with 104 certified beds, and the numbers are mostly steady. Nurse staffing sits at 4.09 hours per resident day, about 6% above the national average, though weekends drop roughly 15% below what the home provides during the week, a gap worth asking about if your family member needs consistent weekend coverage. Staff turnover is 40%, slightly better than the 45.8% national figure. Six deficiencies appear on the current record, none at the harm level and none abuse-related, and the last inspection was February 2025. That combination, recent inspection, no serious citations, solid quality scores, explains why this home grades out reasonably well despite average staffing marks.

B

80/100

Wood Village

Sweetwater, TN · Monroe County

CMS 4/5 89 beds Non-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
28%
Serious cites
0

Wood Village runs lean on daily nursing hours, 3.48 per resident, roughly 10 percent under the national average, and weekends dip another 9 percent below its own weekday pace. What stands out instead is retention: 27.9 percent turnover against a national average of 45.8 percent means the aides and nurses here tend to stay, which matters more for daily care than a staffing ratio on paper. The inspection record backs that up, with a 5/5 health inspection rating, only two deficiencies on file, none involving harm or abuse, and a recent May 2025 survey. Nonprofit ownership and a 4/5 quality measure rating round out a home that's stable rather than flush.

B

80/100

Overton County Health And Rehab Center

Livingston, TN · Overton County

CMS 4/5 125 beds Government Medicaid
Nurse hours
4.36 /day
Staff turnover
35%
Serious cites
0

Overton County Health and Rehab Center runs on county government ownership, and the numbers show a home that's mostly steady. Nurse staffing sits at 4.36 hours per resident day, about 13% above the national average, with weekend coverage barely dipping below weekday levels, and turnover at 35.1% is well under the 45.8% national figure, which suggests people stick around. The record is clean where it counts: five deficiencies total, none at the harm level and none tied to abuse, with an inspection as recent as May 2025. The softer spot is quality measures, where the home scores 2 out of 5, so ask what specific conditions are driving that before you decide.

B

80/100

White Settlement Nursing Center

White Settlement, TX · Tarrant County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
43%
Serious cites
0

White Settlement Nursing Center runs 108 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.69 hours per resident day, roughly 4% under the national average of 3.86, with weekends running about 8% thinner than weekdays. Staff turnover lands at 42.9%, a touch better than the 45.8% national figure, so retention isn't the main concern here. The inspection record is: 33 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, plus two fines totaling $23,010 and a 2-out-of-5 health inspection rating, though the most recent inspection was May 2025. Quality measures score well; the trouble sits in the hands-on care and compliance side.

B

80/100

Christian Care Communities And Services Mesquite

Mesquite, TX · Dallas County

CMS 4/5 180 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
52%
Serious cites
0

Nurse staffing at this Mesquite nonprofit runs 3.99 hours per resident day, slightly above the national average of 3.86, and weekends dip about 4% below its own weekday levels, a small drop, but worth asking about. The bigger concerns sit elsewhere: annual turnover is 52% against a national 45.8%, and the current record carries 15 deficiencies, four at harm or jeopardy level and one abuse-related, plus two fines totaling $28,941. The 5/5 quality measure score stands out, but that's largely self-reported data, while the 3/5 inspection rating reflects what surveyors actually found when they visited in March 2025.

B

80/100

Cleveland Health Care Center

Cleveland, TX · Liberty County

CMS 4/5 142 beds Non-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
39%
Serious cites
0

Cleveland Health Care Center runs 142 certified beds as a nonprofit corporation, and its last inspection was April 30, 2025. Nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86, but weekends drop about 12% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 39.4%, better than the 45.8% national figure, which suggests some stability in the workforce. What pulls the record down is the inspection history: 12 deficiencies on file, 3 of them serious enough to involve harm or jeopardy, plus two fines totaling $30,198. No abuse citations appear. The day-to-day care measures and inspection scores look decent on their own; the harm-level findings are the part worth asking about directly.

B

80/100

Truman W Smith Children's Care Center

Gladewater, TX · Gregg County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
35%
Serious cites
0

Truman W Smith Children's Care Center runs 4.78 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 35% beats the 45.8% national figure. Weekend coverage dips about 14% below weekday levels, though, so care may thin out on Saturdays and Sundays. The home has 13 deficiencies on record, none involving harm or abuse, and it was inspected as recently as November 2025. What pulls the grade down is the staffing star rating of 2 out of 5, even as health inspections and quality measures both score 5.

B

80/100

Mt Ogden Health And Rehabilitation Center

Washington Terrace, UT · Weber County

CMS 5/5 108 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
63%
Serious cites
0

Mt Ogden runs 108 certified beds in Washington Terrace under corporate for-profit ownership, and the staffing numbers are the first thing worth knowing. At 3.84 nurse hours per resident day it sits just under the national average of 3.86, and weekends dip about 10% below its own weekday level, so coverage thins exactly when families tend to visit. Turnover is the sharper concern: 63% of staff leave annually against a national 45.8%, which means the people caring for your relative are likely to change often. The inspection record is recent, December 2024, with 14 deficiencies, none at harm or jeopardy level, though four are abuse-related and worth asking about directly. Quality measures score well; staffing is the weaker leg.

B

80/100

South Roanoke Nursing And Rehabilitation

Roanoke, VA · Roanoke City County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
38%
Serious cites
0

South Roanoke Nursing and Rehabilitation runs on thinner nurse staffing than most homes, 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday coverage. Turnover sits at 38.2 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. Inspections are current, with a visit in April 2025, and the 39 deficiencies on record include none tied to harm or abuse. The quality measures look strong on paper, but a two-star inspection history suggests rule-following has been uneven, and the staffing gap is the number a family should weigh hardest.

B

80/100

Manassas Health And Rehab Center

Manassas, VA · Manassas City County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
35%
Serious cites
0

Manassas Health And Rehab Center runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so if you're planning visits, that gap matters. Turnover is 35.2%, which is actually better than the 45.8% national figure, and the staffing star rating reflects that relative stability. The inspection record is where the caution sits: 27 deficiencies, including two at the harm or jeopardy level and one abuse-related, plus $16,376 in fines across two penalties. The most recent inspection was January 22, 2026, so the picture is current.

B

80/100

Nhc Healthcare, Bristol

Bristol, VA · Bristol City County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
53%
Serious cites
0

Nhc Healthcare, Bristol runs 120 certified beds under corporate for-profit ownership, and its inspection record is decent, a 4-out-of-5 federal rating, with the most recent survey done in December 2023. But look at the staffing underneath that. Nurses provide 3.74 hours per resident per day, slightly under the national figure, and weekends drop about 12% below what the home itself staffs on weekdays. Annual turnover sits at 53.4%, well above the 45.8% national average, so caregivers are cycling through steadily. The 16 deficiencies on record include one at the harm level and one abuse-related, plus a $12,735 fine. Quality measures score well; the hands-on care numbers don't match.

B

80/100

Jamestown Health And Rehabilitation

Williamsburg, VA · James City County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
44%
Serious cites
0

Jamestown Health and Rehabilitation runs 90 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.37 nurse hours per resident day against a national average of 3.86, with weekends about 8% thinner than weekdays. Turnover sits at 44.3%, roughly in line with the national 45.8%, so the problem isn't retention so much as how few hours are budgeted per resident in the first place. The current inspection record carries 29 deficiencies, one of them at the harm or jeopardy level, though none abuse-related, and the most recent inspection was April 2024. Its quality measure scores are strong; the staffing score is not.

B

80/100

Mount Vernon Healthcare Center

Alexandria, VA · Fairfax County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
17%
Serious cites
0

Mount Vernon Healthcare Center runs 130 beds under corporate ownership, and its biggest strength is retention: staff turnover sits at 16.5%, well under the 45.8% national average, which means familiar faces are more likely to be there when you visit. But the nursing hours tell a thinner story, 3.51 per resident day, about 9% under the national average, and weekends drop roughly 12% below the home's own weekday coverage. The inspection record is the real concern: 76 deficiencies on file, nine of them involving harm or jeopardy and seven tied to abuse. A recent April 2026 inspection keeps that record current, not stale.

B

80/100

Heritage Hall Lexington

East Lexington, VA · Lexington City County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
44%
Serious cites
0

Heritage Hall Lexington runs 60 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average of 3.86. Weekend coverage drops about 11% below what the home staffs on weekdays. Annual turnover lands at 44.2%, just under the national figure of 45.8%, so retention here isn't the problem. The inspection record is where you'll want to focus: 19 deficiencies on file, including 2 at the harm or jeopardy level and 1 abuse-related, though the most recent inspection came recently, in August 2025. Quality measure scores look strong, but those come largely from resident assessment data the home reports itself, worth weighing against what surveyors actually found.

B

80/100

The Laurels Of Charlottesville

Charlottesville, VA · Albemarle County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
44%
Serious cites
0

The Laurels of Charlottesville runs 120 beds under corporate ownership, and its staffing sits just barely above the national average, 3.92 nurse hours per resident day against 3.86 nationally, roughly a 1% edge. That margin shrinks on weekends, when coverage drops about 13% below the home's own weekday level. Turnover lands at 44.3%, slightly better than the 45.8% national figure. What stands out more is the inspection record: 57 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with the most recent inspection in July 2025. One fine totaling $8,824 is on file. The quality measure rating is strong, but the inspection history is where the real questions live.

B

80/100

Ballard Center

Seattle, WA · King County

CMS 1/5 142 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
53%
Serious cites
0

Ballard Center runs 142 beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see: 3.44 nurse hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekday coverage. That gap matters because weekend shifts are when problems tend to surface. Annual turnover of 53.4% tops the national rate, so the people providing care are cycling through faster than average. The current inspection record shows 63 deficiencies, six of them abuse-related, though none rose to the harm or jeopardy level. Inspectors last visited in January 2025, and the health inspection rating came back at 2 out of 5, worth weighing carefully against the 4-star staffing score.

B

80/100

The Broadview Center

Seattle, WA · King County

CMS 2/5 211 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
41%
Serious cites
0

The Broadview Center runs 211 certified beds in Seattle under for-profit LLC ownership, and its inspection record is the part that would give me pause. Eighty-four deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, with a single CMS fine of $17,252. A health inspection rating of 1 out of 5 backs that up, and the most recent inspection was in June 2025, so this isn't stale history. Staffing sits at 3.83 hours per resident day, just under the national average, and weekend coverage dips about 11% below its own weekday numbers. Turnover at 41.2% is actually better than the 45.8% national figure, and the quality measure rating is strong, but neither offsets that inspection pattern.

B

80/100

Benson Heights Rehabilitation Center

Kent, WA · King County

CMS 3/5 91 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
38%
Serious cites
0

Benson Heights runs on a for-profit LLC structure with 91 certified beds in Kent, and the staffing numbers are genuinely its strong suit: 4.28 nurse hours per resident day, about 11% above the national average, with a five-star CMS staffing rating. Retention is better than typical too, with turnover at 37.6% against a national 45.8%. What pulls the record down is everything else. There are 46 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse, plus two fines totaling $43,455. The health inspection rating sits at 2 out of 5, and with a May 2026 inspection date, that record is recent enough to take seriously.

B

80/100

Mcdowell Healthcare Center

Gary, WV · Mc Dowell County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
45%
Serious cites
0

Mcdowell Healthcare Center runs 120 certified beds in Gary, West Virginia, under corporate for-profit ownership. The staffing picture is the weak spot: 3.49 nurse hours per resident per day sits about 10% under the national average, and weekends drop roughly 13% below the home's own weekday levels. Turnover lands at 44.6%, essentially in line with the national figure. The inspection record tells a different story. A February 2026 inspection left 25 deficiencies on the books, but none at the harm or jeopardy level and none abuse-related, a meaningful distinction when you're weighing what those citations actually mean. Quality measures and health inspections both rate at the top of CMS's scale, and the staffing star sits in the middle.

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.

Before you shortlist