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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 4201–4220 of 12,438, best-graded first.

B

80/100

The Orchards Post-Acute

Bakersfield, CA · Kern County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
34%
Serious cites
0

The Orchards Post-Acute runs 150 beds in Bakersfield under for-profit LLC ownership, and its staffing sits just above the national average at 3.92 nurse hours per resident day, though weekends drop about 6% below its own weekday coverage. Turnover is where it stands out: 34.4% against a national 45.8%, meaning fewer caregivers cycling through than at a typical home. The trouble is the inspection record. A 1-out-of-5 health inspection rating, 88 deficiencies on file including two at harm or jeopardy level and five abuse-related, plus $23,603 in fines, and that most recent inspection only dates to March 2025, recent enough that little has had time to change.

B

80/100

Morgan Hill Healthcare Center

Morgan Hill, CA · Santa Clara County

CMS 4/5 52 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
29%
Serious cites
0

Morgan Hill Healthcare Center runs 52 certified beds as a for-profit LLC, with nursing hours at 3.81 per resident day, just under the national average of 3.86, and weekends about 3% leaner than weekdays. The standout number is staff turnover at 28.6%, well below the national 45.8%, which suggests a steadier crew than most places. But the inspection record gives pause: 47 deficiencies, two at harm or jeopardy level, and $17,261 in fines. The most recent inspection came in April 2025, so the picture is current. Quality measures score well; the compliance history is where the trouble sits.

B

80/100

Park View Nursing And Subacute

Reseda, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
20%
Serious cites
0

Park View runs a for-profit shop in Reseda with 99 beds, and the numbers pull in two directions. Nurse staffing sits at 4.63 hours per resident day, roughly 20 percent above the national average, and turnover is genuinely low at 19.8 percent against a national 45.8 percent, that kind of retention usually means people stay because the place works for them. But the inspection record is the counterweight: 71 deficiencies on file, one tied to abuse, and a 2-out-of-5 inspection rating, even though nothing reached harm or jeopardy and the most recent survey came in May 2025. Weekend coverage dips about 6 percent below weekday levels, which is worth asking about if your family visits Saturdays.

B

80/100

Lompoc Skilled Nursing & Rehabilitation Center

Lompoc, CA · Santa Barbara County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
32%
Serious cites
0

Lompoc Skilled Nursing & Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and the staffing numbers are its clearest strength: 4.11 nurse hours per resident day, roughly 6% above the national average, with a 4/5 staffing star to match. Turnover sits at 32.4% against a national average of 45.8%, which matters for whether the same aides keep showing up. Weekends run about 10% leaner than weekdays, so ask how coverage holds on Sundays. The inspection record shows 29 deficiencies, none at harm or jeopardy level and none abuse-related, with two fines totaling $4,893, modest money. Its last inspection was February 2025, so the record is current, not stale.

B

80/100

The Springs Health And Rehabilitation Center

Murrieta, CA · Riverside County

CMS 4/5 170 beds For-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
33%
Serious cites
0

The Springs in Murrieta runs a for-profit partnership with 170 certified beds, and its nurse staffing sits at 4.55 hours per resident day, roughly 18% above the national average of 3.86. Weekends dip about 13% below its own weekday coverage, and staff turnover lands at 33.3%, well under the national 45.8%, which suggests people tend to stay. Inspections were recent, December 2025, with 4 out of 5 stars on both health inspections and quality measures. The caution is in the deficiency record: 33 total, including one at harm or jeopardy level and four abuse-related, plus a $26,918 fine. Strong staffing and inspection scores, but that deficiency history is worth asking about directly.

B

80/100

Temecula Healthcare Center

Temecula, CA · Riverside County

CMS 2/5 115 beds For-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
34%
Serious cites
0

Temecula Healthcare Center runs 115 certified beds under for-profit LLC ownership, and the staffing numbers are where it stands out. At 4.86 nurse hours per resident day, it's roughly 26% above the national average of 3.86, and turnover sits at 34.2% against a national 45.8%, both genuinely good signs. Weekends dip about 14% below the home's own weekday staffing, so coverage isn't perfectly even. The inspection record is the counterweight. A 2/5 health inspection rating, 36 deficiencies on file including one at harm or jeopardy level and three abuse-related, plus a $17,765 fine. The most recent inspection was April 2025, so the record is current. Strong staffing, weaker survey history, that tension is worth asking about directly.

B

80/100

Avir At Haskell

Haskell, TX · Haskell County

CMS 5/5 68 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
39%
Serious cites
0

Avir At Haskell runs lean on nurse hours, 3.23 per resident day against a national average of 3.86, with weekends dropping roughly 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. Turnover sits at 39.4%, better than the 45.8% national figure, so the crew here is steadier than most. Eighteen deficiencies appear on the current record, though none rise to harm or jeopardy, and none involve abuse, with the last inspection in July 2025. Corporate for-profit ownership, 68 beds, and strong marks on quality measures round out a picture of a home that's safe and well-observed but thinly staffed.

B

80/100

Midwestern Healthcare Center

Wichita Falls, TX · Wichita County

CMS 3/5 121 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
45%
Serious cites
0

Midwestern Healthcare Center runs 121 certified beds in Wichita Falls under corporate for-profit ownership. Its nurse staffing sits at 3.86 hours per resident day, which is roughly the national average, but weekends run about 13% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 44.9%, close to the national 45.8%, meaning nearly half the workforce is replaced each year. The inspection record is the real concern: 23 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus one fine totaling $29,884. The most recent inspection was August 28, 2025. Quality measure scores look strong, but the health inspection side tells a different story.

B

80/100

Carriage House Manor

Sulphur Springs, TX · Hopkins County

CMS 4/5 144 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
47%
Serious cites
0

Carriage House Manor runs 144 certified beds in Sulphur Springs under individual for-profit ownership. Its 4.29 nurse staffing hours per resident day sit about 11% above the national average of 3.86, and weekends dip roughly 13% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 46.9%, essentially tracking the national 45.8%. The inspection record shows 26 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. CMS gives it 4 stars for health inspections and 4 for staffing, 3 for quality measures.

B

80/100

Fairview Healthcare Residence

Fairfield, TX · Freestone County

CMS 4/5 84 beds Government Medicaid
Nurse hours
3.13 /day
Staff turnover
44%
Serious cites
0

Fairview Healthcare Residence runs on thin nurse coverage, 3.13 hours per resident day, roughly 19 percent under the national average, and weekends drop about 11 percent below its own weekday levels. Turnover sits at 43.6 percent, slightly better than the national figure, so the staff who are there tend to stay. Inspections are recent, and the record holds 11 deficiencies, including one at the harm level and one abuse-related, plus a single $19,412 fine. The quality and inspection ratings hold up at 4 out of 5, but staffing lands at 3, and that gap is what pulls the overall picture down.

B

80/100

Beacon Hill

Denison, TX · Grayson County

CMS 4/5 150 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
35%
Serious cites
0

Beacon Hill runs 150 certified beds in Denison under corporate ownership, and its numbers are a mixed bag worth sorting through. Nurse staffing sits at 3.27 hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below what the home staffs on weekdays, that gap matters when families visit and see who's actually on the floor. Turnover is the brighter spot: 34.9 percent against a national 45.8 percent, which suggests people stay. Inspections in December 2025 turned up 21 deficiencies, none at harm or jeopardy level and none abuse-related.

B

80/100

Hereford Nursing & Rehabilitation

Hereford, TX · Deaf Smith County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
33%
Serious cites
0

Hereford Nursing & Rehabilitation runs 120 certified beds under individual for-profit ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average, with weekends running about 13% below its own weekday levels. Turnover is the bright spot: 32.6% against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record shows 14 deficiencies, none at the harm or jeopardy level, though three are abuse-related, which is worth asking about directly. A 4/5 on health inspections and quality measures, plus a recent August 2025 survey, suggests the care itself holds up, the thin weekend coverage is the piece to watch.

B

80/100

Avir At Grand Saline

Grand Saline, TX · Van Zandt County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
42%
Serious cites
0

Avir At Grand Saline runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average, with weekends dipping about 8% below its own weekday coverage. That thin margin shows up in a 2-star staffing rating, even though turnover at 42% is actually a bit better than the 45.8% national figure. The inspection record carries 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,281. A 4-star quality measure score and a February 2026 inspection round out a mixed picture: adequate clinical metrics, but real gaps in daily staffing and past safety findings worth asking about directly.

B

80/100

Avir At Knox City

Knox City, TX · Knox County

CMS 3/5 66 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
39%
Serious cites
0

Avir At Knox City runs on 3.24 nurse hours per resident per day, about 16% under the national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. Turnover sits at 39.3%, better than the 45.8% national figure, so the people who do stay tend to stick around. The current record carries 24 deficiencies, including one at the harm or jeopardy level and one tied to abuse, along with a single $8,018 fine. The last inspection was December 18, 2025, so the picture is recent. For-profit corporate ownership, 66 certified beds, and a quality measure score that outpaces its staffing and inspection results.

B

80/100

St James House Of Baytown

Baytown, TX · Harris County

CMS 5/5 105 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
46%
Serious cites
0

St. James House of Baytown runs 105 certified beds under corporate ownership, and its inspection record is genuinely strong, a 4-out-of-5 health inspection score, with the most recent survey completed in August 2025. The catch is what that record contains: 10 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $14,901. Staffing tells a similar story. Total nurse hours sit right at the national average, but weekend coverage drops about 10% below the home's own weekday level, and turnover runs slightly above the national rate. Quality measures score well; direct care staffing does not. Worth asking about weekend shifts and staff retention before you decide.

B

80/100

Brady West Rehab & Nursing

Brady, TX · Mc Culloch County

CMS 5/5 106 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
46%
Serious cites
0

Brady West Rehab & Nursing runs 106 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, no abuse-related deficiencies, and one harm-level finding among 23 total citations. The last survey was recent, in September 2025. Where it slips is staffing. At 3.33 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly 12% below its own weekday coverage. Turnover lands at 45.7%, essentially matching the national rate. Nothing here suggests danger, but the margin for error on a bad weekend is thinner than the quality scores alone would tell you.

B

80/100

Harbor Lakes Nursing And Rehabilitation Center

Granbury, TX · Hood County

CMS 5/5 142 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
39%
Serious cites
0

Harbor Lakes runs on a paradox: excellent inspections and quality scores, but thin staffing. At 3.30 nurse hours per resident day, it sits about 15% below the national average, and weekends drop roughly 13% below its own weekday level, so the coverage you see on a Tuesday isn't what you get on a Sunday. Turnover is 38.5%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. Sixteen deficiencies sit on the current record with none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A recent September 2025 inspection and five stars each for health inspections and quality measures explain the solid grade despite the staffing score.

B

80/100

Mitchell County Nursing And Rehabilitation Center

Colorado City, TX · Mitchell County

CMS 3/5 54 beds Government Medicaid
Nurse hours
3.28 /day
Staff turnover
35%
Serious cites
0

Mitchell County Nursing and Rehabilitation Center runs on leaner nursing hours than most places, 3.28 per resident day against a national average of 3.86, and weekends get noticeably thinner, with staffing dropping roughly 45% below weekday levels. That pattern matters for families who visit on Saturdays and Sundays. The home is owned by a hospital district, which tends to mean steadier public accountability than a for-profit chain. Staff turnover sits at 35.3%, better than the 45.8% national figure, so the people caring for residents are more likely to stick around. Its inspection record shows 22 deficiencies, none at the harm level, though one is abuse-related, worth asking about directly. The most recent inspection was April 28, 2026, so the picture is current.

B

80/100

Continuing Care At Eagles Trace

Houston, TX · Harris County

CMS 4/5 44 beds Non-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
53%
Serious cites
0

Continuing Care at Eagles Trace is a small nonprofit home in west Houston with 44 beds, and its staffing is genuinely above average, 5.08 nurse hours per resident day against a national figure of 3.86. Weekends run about 14 percent thinner than weekdays, though, and turnover sits at 53.3 percent, higher than the 45.8 percent national rate, so that strong average masks real churn. Nine deficiencies are on the current record, two of them serious enough to involve harm or jeopardy, with $22,486 in fines across two penalties. Inspections are recent, from August 2024, and there's nothing abuse-related. The staffing and inspection stars look good; the harm-level findings and turnover are what pull the overall picture down.

B

80/100

Bel Air At Teravista

Round Rock, TX · Williamson County

CMS 3/5 112 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
43%
Serious cites
0

Bel Air At Teravista runs 112 certified beds in Round Rock under corporate ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 11% below the home's own weekday coverage, so the thinnest shifts land exactly when families tend to visit. Turnover is 42.9%, a touch better than the 45.8% national figure, and the quality measure rating is a perfect 5 out of 5. The inspection record is the weaker side: 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus $19,188 in fines, with the most recent inspection in April 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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