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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 4741–4760 of 12,438, best-graded first.

B

78.5/100

Good Shepherd Care Center

Versailles, MO · Morgan County

CMS 5/5 117 beds Government Medicaid
Nurse hours
3.77 /day
Staff turnover
—
Serious cites
0

Good Shepherd Care Center is county-owned, which matters less than what the numbers show. Inspectors gave it a top health inspection rating and found ten deficiencies on the current record, none causing harm or jeopardy and none tied to abuse, a clean pattern for a 117-bed home. Staffing is where it slips: 3.77 nurse hours per resident day, a bit under the national average, and weekends run about 14 percent thinner than weekdays. If your family member needs consistent weekday therapy or monitoring, the inspection record is reassuring; if you're worried about Saturday and Sunday coverage, ask the administrator directly how they staff those shifts.

B

78.5/100

Benefis Senior Services - Grandview

Great Falls, MT · Cascade County

CMS 3/5 48 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
—
Serious cites
0

Benefis Senior Services - Grandview runs 4.30 nurse hours per resident day, about 11% above the national average, and weekends dip only slightly below its weekday numbers, that consistency matters more than the headline figure. The health inspection side is solid at 4 of 5 stars with a recent May 2025 survey, and none of the 21 deficiencies on record rose to harm or jeopardy. One abuse-related citation is worth asking about directly. Quality measures sit at 3 of 5, the weakest of the three federal ratings, so readmission or antipsychotic figures may be where this home gives ground. As a nonprofit with 48 beds, it's small enough that staffing shifts show up fast.

B

78.5/100

Good Samaritan Society - Bloomfield

Bloomfield, NE · Knox County

CMS 3/5 70 beds Non-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
57%
Serious cites
0

Good Samaritan Society - Bloomfield runs 70 certified beds as a nonprofit, and its clinical quality scores are genuinely strong, a five out of five on CMS quality measures. The staffing picture is thinner than that suggests. At 3.33 nurse hours per resident day, it sits about 14 percent under the national average, and weekends drop roughly 18 percent below its own weekday level, so coverage depends on when you visit. Turnover at 56.5 percent runs well above the 45.8 percent national figure. The current record carries 20 deficiencies, none at harm or jeopardy level, though two are abuse-related. That July 2025 inspection is recent, and the two-star health inspection rating reflects it.

B

78.5/100

Colonial Haven

Beemer, NE · Cuming County

CMS 5/5 34 beds Government Medicaid
Nurse hours
3.98 /day
Staff turnover
—
Serious cites
0

Colonial Haven runs on city government ownership in Beemer, and its last inspection came in April 2025 with no deficiencies at the harm or jeopardy level, a clean record on the serious stuff. Two of its ten deficiencies are abuse-related, though, which is worth asking about directly. Nurse staffing sits at 3.98 hours per resident day, about 3% above the national average, but weekends drop roughly 15% below its own weekday level, so coverage isn't even across the week. The five-star inspection rating shows the survey history is strong; the three-star quality measure rating is middling. With 34 beds, it's small enough that you can ask specific questions about who's on duty Saturday and Sunday.

B

78.5/100

South Lyon Medical Center

Yerington, NV · Lyon County

CMS 1/5 49 beds Non-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
62%
Serious cites
0

South Lyon Medical Center runs a nonprofit home in Yerington with 49 certified beds, and the staffing numbers are genuinely stronger than most: 4.22 nurse hours per resident day, roughly 9% above the national average. That's real coverage on paper. Two things complicate it. Weekend staffing drops about 18% below its own weekday level, so the coverage families actually see on Saturdays and Sundays is thinner than the average suggests. And turnover sits at 61.8%, well above the 45.8% national rate, meaning the people delivering that care keep changing. The current record shows 52 deficiencies, none at harm or jeopardy level but four tied to abuse. A July 2025 inspection is recent, so the picture is current rather than stale.

B

78.5/100

Langdon Place Of Dover

Dover, NH · Strafford County

CMS 5/5 30 beds For-profit Medicaid
Nurse hours
5.62 /day
Staff turnover
56%
Serious cites
0

Langdon Place Of Dover runs a small house, 30 beds, and staffs it well above what most homes manage, at 5.62 nurse hours per resident day against a national average of 3.86. That staffing cushion is the main thing working in its favor. The tradeoffs show up elsewhere: weekend coverage drops roughly 18% below weekday levels, and turnover sits at 55.6%, meaning more than half the nursing staff leaves within a year. Six deficiencies on record, none involving harm or abuse, and a recent February 2025 inspection. The care hours are real; the question is whether they hold steady when weekends and turnover test them.

B

78.5/100

Careone At Middletown

Atlantic Highlands, NJ · Monmouth County

CMS 2/5 127 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
25%
Serious cites
0

Careone At Middletown runs 127 certified beds in Atlantic Highlands under for-profit LLC ownership, and its staffing numbers cut both ways. Nurses provide 3.31 hours per resident day, about 14% under the national average of 3.86, and weekends dip roughly 16% below the home's own weekday coverage. Turnover sits at 25.4%, well under the 45.8% national figure, so the people who stay tend to stay. Inspections are a different story: a 2/5 health inspection rating, 20 deficiencies on record including three at harm or jeopardy level and one abuse-related, and $8,788 in fines. The most recent inspection was January 2025.

B

78.5/100

Glendale Home-Schdy Cnty Dept Social Services

Scotia, NY · Schenectady County

CMS 2/5 200 beds Government Medicaid
Nurse hours
4.09 /day
Staff turnover
—
Serious cites
0

Glendale Home in Scotia is county-run, and that shows in the staffing numbers. At 4.09 nurse hours per resident day, it sits about 6% above the national average, which is genuinely better than most homes manage. The catch is weekends, when coverage drops roughly 14% below its own weekday level. On inspections, the record is mixed: twenty deficiencies, including one at the harm level and one abuse-related, with the most recent visit back in August 2023, so the picture is two years old. Resident care measures land mid-range. The extra weekday nursing hours are real; so are the gaps.

B

78.5/100

Champlain Valley Physicians Hosp Med Ctr S N F

Plattsburgh, NY · Clinton County

CMS 4/5 95 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
—
Serious cites
0

Champlain Valley Physicians Hosp Med Ctr S N F is a 95-bed nonprofit in Plattsburgh, and its numbers pull in different directions. The health inspection side looks solid, a 4 out of 5, with the last survey in January 2025 and no deficiencies rising to harm or jeopardy. But staffing is a real problem at 1 out of 5, meaning nurse hours per resident fall well below the national average, and quality measures sit at just 2. That combination, decent inspections on paper but thin staffing day to day, is worth weighing carefully. There are 17 deficiencies on record, four of them abuse-related, which a family should ask about directly before deciding.

B

78.5/100

Greene Meadows Nursing And Rehabilitation Center

Catskill, NY · Greene County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
59%
Serious cites
0

Greene Meadows runs a 120-bed for-profit home in Catskill, and the picture depends on which numbers you weight. Nurse staffing sits at 3.95 hours per resident day, a bit above the national average, and the quality measure rating comes in strong, but weekends drop roughly 20% below weekday coverage, so the hours aren't spread evenly across the week. Turnover is the number I'd ask about: 58.6% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. Twenty-four deficiencies sit on the current record, none at harm level and none abuse-related, with the last inspection in September 2023.

B

78.5/100

Ghent Rehabilitation & Nursing Center

Ghent, NY · Columbia County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
27%
Serious cites
0

Ghent Rehabilitation & Nursing Center runs 120 certified beds under corporate for-profit ownership, and its staffing story is a mixed bag. Nurses provide 3.43 hours per resident day, about 11% under the national average of 3.86, and weekends dip roughly 21% below the home's own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Turnover sits at 27.2%, well below the national 45.8%, so the staff who are there tend to stay. The inspection record shows 25 deficiencies, including three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was September 2023.

B

78.5/100

Madison Health And Rehabilitation

Mars Hill, NC · Madison County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
38%
Serious cites
0

Madison Health And Rehabilitation runs 100 certified beds in Mars Hill under for-profit limited liability ownership, and the staffing picture is mixed. Nurses provide 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 16% below the home's own weekday coverage, so care thins out exactly when families visit. Turnover sits at 37.9%, better than the 45.8% national figure, which suggests some stability in the workforce. The health inspection record is the weak spot: five deficiencies, including one at the harm level and one tied to abuse, plus a $9,110 fine and a 2/5 inspection rating. Quality measures score 5/5, but the most recent inspection was February 2026, so read that record closely.

B

78.5/100

Carolina Care Health And Rehabilitation

Cherryville, NC · Gaston County

CMS 5/5 107 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
42%
Serious cites
0

Carolina Care runs on solid ground where it counts. State inspectors visited in April 2026 and came away with five stars, nine deficiencies total and none of them causing harm or tied to abuse, that's a clean record by any measure. Nurse time comes in at 4.11 hours per resident day, about 6% above the national average, though weekends dip roughly 17% below weekdays, so ask how that gap gets covered. Staff turnover sits at 42.3%, slightly better than the 45.8% national figure. The for-profit LLC ownership is worth knowing about, and staffing earned three stars against five for inspections and quality, that spread is the real story here.

B

78.5/100

Hendersonville Health And Rehabilitation

Flat Rock, NC · Henderson County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
37%
Serious cites
0

Hendersonville Health and Rehabilitation runs 3.50 nurse hours per resident per day, about 9% under the national average of 3.86, and weekends dip roughly 15% below its own weekday staffing. That thinner weekend coverage is the number I'd ask about directly. Turnover sits at 37.1%, better than the 45.8% national figure, so the crew that is there tends to stay. The record is clean where it matters most: 11 deficiencies, none causing harm or jeopardy, none abuse-related, and a September 2025 inspection. Owned by a for-profit LLC with 130 beds. Ask how they cover a Saturday call-out.

B

78.5/100

Mountrail Bethel Home

Stanley, ND · Mountrail County

CMS 3/5 36 beds Non-profit Medicaid
Nurse hours
4.67 /day
Staff turnover
48%
Serious cites
0

Mountrail Bethel Home runs on a church-affiliated nonprofit model with 36 beds in Stanley, and its nurse staffing sits at 4.67 hours per resident day, roughly 21% above the national average. That's the strongest part of the picture. Weekends dip about 17% below the home's own weekday coverage, though, and turnover lands at 48.3%, a bit above the national 45.8%. The inspection record shows 26 deficiencies, none at harm or jeopardy level, but two tied to abuse. Federal quality measures score 1 out of 5, while staffing earns 5 out of 5, a split worth asking about directly, since the two don't usually diverge this sharply.

B

78.5/100

St Vincent's - A Prospera Community

Bismarck, ND · Burleigh County

CMS 2/5 97 beds Non-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
43%
Serious cites
0

St Vincent's in Bismarck has a staffing story that looks fine on paper, 4.12 nurse hours per resident day, about 7% above the national average, and a compliance story that doesn't. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems, and the record shows why: 35 deficiencies, three at the level that caused actual harm or put residents in immediate jeopardy, and four tied to abuse. Two fines totaling $44,606. Weekend staffing drops roughly 17% below the home's own weekday level, and 42.9% of staff turned over last year, slightly better than average, but still nearly half the workforce. Inspectors were last in on April 3, 2025.

B

78.5/100

Andover Village Retirement Community

Andover, OH · Ashtabula County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
27%
Serious cites
0

Andover Village runs on thin but steady staffing. At 3.91 nurse hours per resident day, it's basically level with the national figure, and its weekend coverage dips about 16% below weekdays, not unusual, but worth knowing if your family visits on Saturdays and Sundays. What stands out is retention: 26.5% turnover against a national average near 46% means the aides and nurses here tend to stay, which matters more for daily care than any single inspection score. The record shows 9 deficiencies, none involving harm or abuse, and the most recent inspection was July 2024 with a 4-star health rating. It's a for-profit LLC with 99 beds. Solid, not spotless.

B

78.5/100

Berkeley Square Retirement Cen

Hamilton, OH · Butler County

CMS 4/5 33 beds Non-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
55%
Serious cites
0

Berkeley Square runs on more nursing hours than most homes, 4.53 per resident day against a national average of 3.86, and that shows up in its staffing rating. The catch is consistency: weekends drop roughly 19% below weekday coverage, so the care your family member gets on a Tuesday may not match a Sunday. Staff turnover sits at 55.1%, well above the 45.8% national figure, which means new faces are common even with strong overall hours. Eight deficiencies on record, none involving harm or abuse, and a recent April 2026 inspection support a decent inspection rating for this 33-bed nonprofit.

B

78.5/100

Dunbar Health & Rehab Center

Dayton, OH · Montgomery County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
62%
Serious cites
0

Dunbar Health & Rehab Center runs 68 certified beds in Dayton under corporate for-profit ownership, and its nurse staffing sits at 4.38 hours per resident day, roughly 13% above the national average of 3.86. That looks good on paper until you notice weekends run about 16% leaner than weekdays, and annual turnover hits 62.1% against a national 45.8%, meaning the people caring for residents are cycling out fast. The current inspection record shows 27 deficiencies, none at harm or jeopardy level but three tied to abuse, with the last full inspection in May 2025. Quality measure scores are strong; the inspection picture is where the caution lives.

B

78.5/100

Vancrest Of Delphos

Delphos, OH · Allen County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
43%
Serious cites
0

Vancrest Of Delphos runs a leaner nursing floor than most homes in the country, 3.51 nurse hours per resident day against a national average of 3.86, and weekends dip another 17% below its own weekday pace. That matters most on Saturdays and Sundays, when families tend to visit and when a fall or a change in condition can go unnoticed longer with fewer eyes on the hall. Turnover sits at 42.7%, a bit better than the 45.8% national figure, and the inspection record is genuinely clean: six deficiencies, none causing harm, none tied to abuse, with a survey dated April 2026. Quality measures score well. The pressure point here isn't care quality on paper, it's whether the daily staffing floor holds up when it counts.

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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