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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 421–440 of 12,438, best-graded first.

A

93/100

Coventry House Inn

St Joseph, MI · Berrien County

CMS 4/5 32 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
34%
Serious cites
0

Coventry House Inn runs 32 certified beds in St. Joseph, and the numbers show a home that leans hard on its nursing staff. At 4.37 hours per resident day, it's giving residents about 13% more nursing time than the typical American nursing home, a real difference in a small building where that attention gets spread across fewer people. Turnover sits at 34.1%, well under the national 45.8%, so the aides and nurses here tend to stick around longer than most. The inspection record shows 31 deficiencies, none of them involving harm or abuse, and the most recent visit was in January 2026, so the state has looked recently. Weekend staffing dips about 11% below weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays.

A

93/100

Fisher Senior Care And Rehabilitation

Mayville, MI · Tuscola County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
37%
Serious cites
0

Fisher Senior Care and Rehabilitation runs 53 certified beds in Mayville under for-profit LLC ownership, and the numbers behind its grade are mostly about consistency. Nurse staffing sits at 3.78 hours per resident day, a hair under the national 3.86, but weekends dip about 10% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 37%, better than the 45.8% national average. Inspections turned up 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2026. The five-star marks in staffing and quality measures show what steady care looks like here.

A

93/100

Michigan Veteran Homes At Grand Rapids

Grand Rapids, MI · Kent County

CMS 5/5 128 beds Government Medicaid
Nurse hours
7.21 /day
Staff turnover
45%
Serious cites
0

Michigan Veteran Homes At Grand Rapids runs a state-owned, 128-bed operation where nurse staffing sits at 7.21 hours per resident day, roughly 87 percent above the national average of 3.86. Weekends dip about 12 percent below weekday coverage, so ask how that gap gets filled. The inspection record is clean where it counts: five deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey in April 2025. Staff turnover of 44.9 percent lands just under the national 45.8 percent. Combined with 5/5 stars on health inspections and staffing and 4/5 on quality measures, the numbers point to a home that's well-run on paper and worth a visit.

A

93/100

Good Samaritan Society - Maplewood

Saint Paul, MN · Ramsey County

CMS 3/5 71 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
32%
Serious cites
0

Good Samaritan Society - Maplewood runs a nonprofit home with 71 certified beds in Saint Paul, and its staffing is the strongest part of the picture: 4.41 nurse hours per resident day, roughly 14 percent above the national average, with weekend coverage dipping about 12 percent below its own weekdays. Turnover sits at 32 percent, well under the national 45.8 percent, which matters for consistent care. The inspection record is where it gets shakier, 33 deficiencies on file, including one at the harm level and two tied to abuse, and a 2-out-of-5 inspection rating from CMS. The most recent inspection was August 28, 2025, so that record is current, not stale.

A

93/100

St Francis Home

Breckenridge, MN · Wilkin County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
33%
Serious cites
0

St Francis Home runs on a church-affiliated nonprofit model in Breckenridge, and the numbers back up the staffing side: 4.20 nurse hours per resident day, roughly 9% above the national average, with a 5/5 CMS staffing rating. Weekend coverage dips about 12% below its own weekday level, worth knowing if you visit Saturdays or Sundays. Turnover sits at 32.6%, well under the 45.8% national figure, which matters for whether your parent sees the same faces. The record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2026. Eight findings is a real number, not a spotless one, but the severity is what counts here.

A

93/100

Good Samaritan Society - Specialty Care Community

Robbinsdale, MN · Hennepin County

CMS 2/5 96 beds Non-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
30%
Serious cites
0

Good Samaritan Society's Robbinsdale home runs a split personality in the federal data. Nurse staffing sits at 4.21 hours per resident day, roughly 9% above the national average, and only 30.1% of staff left last year against a national rate near 46%. Those numbers suggest people stay and care is present. The inspection record tells a different story: 52 deficiencies on file, four tied to abuse, and a one-star health inspection rating, even though nothing on the current record rises to actual harm or jeopardy. Weekends run about 12% thinner than weekdays, so timing matters. A recent June 2026 inspection means the state has looked lately. Strong staffing, a rough survey history.

A

93/100

Country Manor Healthcare And Rehab Center

Sartell, MN · Stearns County

CMS 5/5 131 beds Non-profit Medicaid
Nurse hours
5.63 /day
Staff turnover
44%
Serious cites
0

Country Manor in Sartell runs 5.63 nurse hours per resident day, roughly 46% above the national average of 3.86, and that staffing depth shows up in its five-star staffing rating. Weekend coverage dips about 12% below its own weekday level, so the schedule thins out on Saturdays and Sundays even though the floor stays well staffed overall. Turnover sits at 44.4%, landing right around the national 45.8%, which is normal for the industry rather than a warning sign. Four deficiencies on record, none at harm or jeopardy level and none abuse-related, with a five-star health inspection rating from a visit dated April 2026.

A

93/100

Grand Village

Grand Rapids, MN · Itasca County

CMS 5/5 82 beds Government Medicaid
Nurse hours
4.20 /day
Staff turnover
37%
Serious cites
0

Grand Village is county-owned, which matters less than what the numbers show. Its 4.20 nurse hours per resident day sit about 9% above the national average, and weekend staffing dips only 7% below weekdays, a modest gap that suggests the place doesn't hollow out on Saturdays and Sundays, which is where a lot of homes quietly struggle. Staff turnover of 37.2% is meaningfully below the national 45.8%, so the people caring for residents tend to stick around. The inspection record shows 21 deficiencies with none at the harm or jeopardy level, though one is abuse-related. CMS rated staffing and quality measures 5 out of 5; inspections came in at 3. The last survey was May 2025, so the picture is current.

A

93/100

Harmony Gardens

Maplewood, MN · Ramsey County

CMS 4/5 64 beds Non-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
25%
Serious cites
0

Harmony Gardens runs on nurse staffing of 4.64 hours per resident day, roughly a fifth more than the national average, and its 24.7% turnover is well under half the national rate, people tend to stay. Weekends dip about 9% below weekday coverage, worth knowing if you visit then. The tradeoff sits on the inspection side: 23 deficiencies on the current record, including one at the harm level and three tied to abuse, which pulls the health inspection rating down to 3 out of 5. The most recent inspection was March 2026. Strong staffing and steady retention are real strengths here; the deficiency history is the part to ask about directly before deciding.

A

93/100

St John Lutheran Home

Springfield, MN · Brown County

CMS 4/5 65 beds Non-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
34%
Serious cites
0

St John Lutheran Home runs 3.92 nurse staffing hours per resident day, a hair above the national average of 3.86, and its 34% turnover is well below the 45.8% typical elsewhere, both signs of a stable, adequately staffed floor. Weekend coverage dips about 7% below weekdays, so ask how that gap gets filled. The 14 deficiencies on record include none at the harm level and none related to abuse, and the last inspection was in June 2026, so the picture is current. Quality measures score well, though the three-star health inspection rating shows some room in how care is delivered day to day.

A

93/100

Pioneer Care Center

Fergus Falls, MN · Otter Tail County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
33%
Serious cites
0

Pioneer Care Center runs on a nonprofit model with 105 certified beds in Fergus Falls, and the staffing numbers are the strongest part of the picture: 4.55 nurse hours per resident day, roughly 18% above the national average. Weekend coverage dips about 9% below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 32.7%, well under the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. The 16 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in June 2026.

A

93/100

Park View Health Care Center

Buffalo, MN · Wright County

CMS 5/5 92 beds Non-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
32%
Serious cites
0

Park View Health Care Center runs on more nurse time than most homes get, 4.69 hours per resident day against a national average of 3.86. Weekend coverage dips about 15% below its own weekday level, which is normal, but worth knowing if you're planning visits around care needs. Staff turnover sits at 32% while the national average is 45.8%, so the crew here tends to stick around longer than elsewhere. On inspections, the record is clean: two deficiencies total, neither at the harm level, none abuse-related, and the most recent look came March 31, 2026. As a nonprofit with 92 beds, it's turning in strong numbers across staffing and quality alike.

A

93/100

Elim Wellspring Health Care Center

Princeton, MN · Mille Lacs County

CMS 5/5 86 beds Non-profit Medicaid
Nurse hours
5.05 /day
Staff turnover
46%
Serious cites
0

Elim Wellspring runs about 5.05 nurse hours per resident day, roughly a third more staffing than the national average of 3.86, and weekends dip only about 14% below its own weekday level, which is a smaller drop than many homes show. The record is clean where it counts: two deficiencies total, none causing harm and none tied to abuse, with an inspection completed in December 2025. Staff turnover sits at 46.3%, nearly identical to the national 45.8%, so retention here looks typical rather than exceptional. As a nonprofit, it isn't managing to a quarterly earnings number. The staffing and inspection numbers are doing the talking.

A

93/100

Sholom Home West

Saint Louis Park, MN · Hennepin County

CMS 5/5 139 beds Non-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
19%
Serious cites
0

Sholom Home West runs 5.39 nurse hours per resident per day, roughly 40% above the national average, and its weekend staffing dips only about 6% below its own weekday level. Staff turnover sits at 18.8% against a national average near 46%, so the people caring for residents tend to stay. The home has 17 deficiencies on its current record, none at the harm level and none abuse-related, with its last inspection in March 2026. Ownership is nonprofit. One caveat worth knowing: the quality measure rating is 3 out of 5, softer than the staffing picture, so ask what specifically drives that before deciding.

A

93/100

Saint Therese At Oxbow Lake

Brooklyn Park, MN · Hennepin County

CMS 3/5 64 beds Non-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
27%
Serious cites
0

Saint Therese At Oxbow Lake runs on a non-profit model with 64 certified beds in Brooklyn Park, and its nurse staffing sits at 4.73 hours per resident day, about 22% above the national average of 3.86. Weekend coverage dips roughly 10% below its own weekday level, so the cushion narrows on Saturdays and Sundays. Staff turnover is 26.6%, well under the national 45.8%, which suggests people tend to stay. The inspection record carries more weight than the staffing story: 30 deficiencies on file, though none at harm or jeopardy level and none abuse-related. The last inspection was February 2026, so the picture is current. Strong daily care numbers, a thinner inspection history.

A

93/100

Mn Veterans Home-Luverne

Luverne, MN · Rock County

CMS 5/5 85 beds Government Medicaid
Nurse hours
5.24 /day
Staff turnover
21%
Serious cites
0

Nurse staffing at the state veterans home in Luverne runs 5.24 hours per resident per day, roughly a third more than the national average of 3.86, and weekend coverage stays within about 10% of weekday levels, a gap that trips up plenty of homes. Staff turnover is 20.9% against a national 45.8%, so the people providing that care tend to stick around. The trade-off sits in the inspection record: nine deficiencies, including one at the harm level and three tied to abuse. That's worth asking about directly, even with a recent March 2026 inspection and a four-star health inspection rating behind it.

A

93/100

Lenoir Health Care Center

Columbia, MO · Boone County

CMS 5/5 56 beds Non-profit Medicaid
Nurse hours
4.88 /day
Staff turnover
35%
Serious cites
0

Lenoir Health Care Center runs on 4.88 nurse hours per resident day, about 27% above the national average, and its weekend staffing only dips roughly 5% below weekday levels, a gap that trips up plenty of homes. Staff turnover sits at 34.8% against a national average near 46%, so the people caring for residents tend to stick around. The trade-off is a longer deficiency record: 13 citations on file, including one abuse-related finding, though none rose to actual harm or jeopardy. Its last inspection was April 2025, and the nonprofit operator posts top marks across health inspections, quality measures, and staffing.

A

93/100

St John's Lutheran Home

Billings, MT · Yellowstone County

CMS 3/5 186 beds Non-profit Medicaid
Nurse hours
5.40 /day
Staff turnover
45%
Serious cites
0

St. John's Lutheran Home runs on 5.40 nurse hours per resident day, roughly 40% more than the national average of 3.86, and that staffing depth is what carries the rest of its record. Weekend coverage dips about 8% below its own weekday level, and turnover sits at 44.6%, essentially matching the national rate of 45.8%. The trade-off shows up in its inspection history: 33 deficiencies on the current record, two of them abuse-related, though none rose to the level of actual harm or jeopardy. Its most recent inspection was in July 2025, so the picture is reasonably current. As a nonprofit, it isn't answering to shareholders, and the quality measure rating suggests the clinical care generally holds up.

A

93/100

St. Jane De Chantal

Lincoln, NE · Lancaster County

CMS 4/5 103 beds Non-profit Medicaid
Nurse hours
7.36 /day
Staff turnover
32%
Serious cites
0

St. Jane De Chantal runs on 7.36 nurse hours per resident day, nearly double the national average of 3.86, and that staffing depth shows up in a 5/5 CMS staffing rating. Turnover sits at 32.3%, well under the 45.8% national figure, so the people providing that care tend to stick around; weekend coverage dips only about 8% from weekday levels, a modest slide rather than a cliff. The trade-off is a 3/5 inspection rating with 11 deficiencies on record, one tied to abuse, though none reached harm or jeopardy. The most recent inspection was January 8, 2026. Quality measures score 4/5, and nonprofit ownership rounds out the picture.

A

93/100

Eventide Crete

Crete, NE · Saline County

CMS 5/5 38 beds Non-profit Medicaid
Nurse hours
4.93 /day
Staff turnover
39%
Serious cites
0

Eventide Crete runs on 4.93 nurse staffing hours per resident day, roughly 28% more than the national average, and its staff turnover sits at 38.6% against a national figure near 46%, both of which suggest a stable, well-covered floor. Weekend coverage dips about 14% below weekday levels, which is common but worth knowing if you're visiting or calling on Saturdays and Sundays. The home carries six deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with a September 2025 inspection behind those findings. As a nonprofit with 38 beds, it's small enough that you can reasonably ask who actually owns the place and how long the director has been there.

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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