ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 4761–4780 of 12,438, best-graded first.

B

78.5/100

Auburn Skilled Nursing And Rehab

Salem, OH · Columbiana County

CMS 4/5 44 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
31%
Serious cites
0

Auburn Skilled Nursing and Rehab runs 44 certified beds in Salem, under for-profit LLC ownership. Nurse staffing sits at 3.42 hours per resident per day, roughly 11% under the national average, and weekends drop about 16% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover is the bright spot: 30.8% against a national average of 45.8%, meaning the aides and nurses here tend to stay. The inspection record shows 20 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in September 2025. Quality measures score well; staffing is where the numbers lag.

B

78.5/100

Wyandot County Skilled Nursing And Rehabilitation

Upper Sandusky, OH · Wyandot County

CMS 4/5 82 beds Government Medicaid
Nurse hours
3.54 /day
Staff turnover
27%
Serious cites
0

Wyandot County Skilled Nursing runs on county government ownership, and its inspection record is genuinely solid, a four-star health inspection rating with 16 deficiencies on file, only one of them serious enough to reach harm or jeopardy level, and none tied to abuse. The staffing picture is more mixed: 3.54 nurse hours per resident day sits about 8% under the national average, weekends drop roughly 21% below the home's own weekday coverage, yet annual turnover of 27.1% is well below the 45.8% national figure, meaning the staff who are there tend to stay. That combination, stable caregivers but thinner weekend coverage, is what keeps this home in solidly good, not exceptional, territory.

B

78.5/100

Seven Acres Senior Living At Clifton

Cincinnati, OH · Hamilton County

CMS 4/5 58 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
43%
Serious cites
0

Seven Acres runs 58 beds in Clifton under for-profit LLC ownership, and its staffing sits at 3.75 nurse hours per resident day, just under the national average, with weekends running roughly 17% thinner than weekdays. Turnover lands at 42.6%, a bit better than the 45.8% national figure, so the same faces are more likely to stick around. The bigger issue is the inspection record: 26 deficiencies, including one at the harm or jeopardy level and five tied to abuse. That's a lot for a home this size, and it's the main thing pulling the grade down despite strong quality measure scores and a June 2024 inspection that's still fairly recent.

B

78.5/100

Wayne County Care Center

Wooster, OH · Wayne County

CMS 5/5 50 beds Government Medicaid
Nurse hours
3.93 /day
Staff turnover
58%
Serious cites
0

Wayne County Care Center runs on county taxpayer money, and the staffing numbers mostly hold up, 3.93 nurse hours per resident day, a bit above the national average. But that average hides a weekend problem: coverage drops roughly 17% below its own weekday level, which is when falls and infections tend to happen. The bigger concern is a 58% annual turnover rate, well above the 45.8% national figure, and 12 deficiencies on the current record including one at the harm level and three tied to abuse. Inspectors were last out in November 2024 and rated health inspections 4 out of 5.

B

78.5/100

Rose Linn Care Center

West Linn, OR · Clackamas County

CMS 3/5 71 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
—
Serious cites
0

Rose Linn Care Center in West Linn runs 71 certified beds under for-profit limited liability ownership, and its inspection record is the strong point: a 4-star health inspection rating with 14 total deficiencies on file, none of them at the harm or jeopardy level and none abuse-related. Staffing is where the picture changes, a 1-star rating there, meaning nurse and aide hours sit well below what CMS expects. Quality measures land at 3 stars, and the most recent inspection was April 2026. If you're weighing this one, the question isn't whether the place gets caught doing wrong; it's whether there are enough hands on shift day to day.

B

78.5/100

Gardens At Camp Hill, The

Camp Hill, PA · Cumberland County

CMS 3/5 95 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
—
Serious cites
0

The Gardens at Camp Hill runs 95 beds under for-profit LLC ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage dips another 3% below its own weekday levels, so the thinnest shifts are the ones families tend to visit. The inspection record is where the real concern lives: 42 deficiencies on file, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $10,059 and a health inspection rating of 2 out of 5. Its quality measure score is strong, but that reflects charted care, not hands on the floor.

B

78.5/100

Christ The King Manor

Dubois, PA · Clearfield County

CMS 4/5 160 beds Non-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
26%
Serious cites
0

Christ the King Manor runs on a church-affiliated nonprofit model in Dubois, and the staffing numbers back up the care side: 4.64 nurse hours per resident day, roughly a fifth more than the national average, with turnover at 25.8% against a national 45.8%. That stability matters, though weekend hours dip about 16% below weekday levels, so coverage isn't perfectly even. Inspections are recent and clean where it counts, seven deficiencies on record, none at harm or jeopardy level and none abuse-related, which supports the four-star health inspection rating. The weaker spot is the two-star quality measure score, suggesting outcomes tracked through MDS data lag behind the staffing strength. Overall, a solidly staffed home with room to improve on measured care quality.

B

78.5/100

Morrell Nursing Center

Hartsville, SC · Darlington County

CMS 4/5 154 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
27%
Serious cites
0

Morrell Nursing Center sits right at the national average for total nurse staffing, 3.87 hours per resident day against 3.86 nationwide, though weekends run about 17% thinner than weekdays, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 27%, well below the 45.8% national figure, so the people caring for residents tend to stick around. The 154-bed for-profit home holds a 4/5 inspection rating with five deficiencies on record, none at harm or jeopardy level and none abuse-related, and its last inspection was recent. The weaker spot is the 2/5 quality measure rating, which reflects resident-level clinical data rather than the hands-on care picture.

B

78.5/100

Nhc Healthcare - Mauldin

Greenville, SC · Greenville County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
43%
Serious cites
0

Nhc Healthcare - Mauldin runs 180 certified beds under corporate for-profit ownership, and its staffing sits slightly under the national average, 3.73 nurse hours per resident day against 3.86. That gap is small, but weekends tell a bigger story: coverage drops about 16% below the home's own weekday levels, which is when problems tend to surface. Turnover lands at 42.9%, a touch better than the 45.8% national figure. The inspection record shows eight deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $7,313. The most recent inspection was March 2025, so the picture is current. State surveyors rated health inspections 2 out of 5, lower than the staffing and quality scores.

B

78.5/100

Lakes At Litchfield

Pawleys Island, SC · Georgetown County

CMS 5/5 24 beds For-profit Medicaid
Nurse hours
5.30 /day
Staff turnover
51%
Serious cites
0

Lakes At Litchfield runs a small house, 24 certified beds in Pawleys Island, and staffs it well above what most homes manage, at 5.30 nurse hours per resident day against a national average of 3.86. That's the number doing the most work here. Weekend coverage dips about 16% below its own weekday level, though, and turnover sits at 51.4%, higher than the 45.8% national figure, so the people providing that care are cycling through. The inspection record is clean at the harm level with four total deficiencies, one tied to abuse. A recent March 2026 inspection and strong survey history offset the quality-measure score, which lands mid-range.

B

78.5/100

Good Samaritan Society Scotland

Scotland, SD · Bon Homme County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
46%
Serious cites
0

Good Samaritan Society Scotland runs 45 beds as a nonprofit, and its inspection record is genuinely strong, a five-star health inspection rating with just five deficiencies on file, none of them causing harm, and a survey completed as recently as March 2025. Staffing is where the picture gets more mixed: 3.52 nurse hours per resident day sits about 9% under the national average, and weekends run roughly 15% thinner than weekdays, so coverage isn't evenly spread across the week. Turnover lands at 45.5%, essentially matching the national rate. Two abuse-related deficiencies appear on the record despite the clean harm-free count, which is worth asking about directly.

B

78.5/100

Good Samaritan Society - St Martin Village

Rapid City, SD · Pennington County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
60%
Serious cites
0

Good Samaritan Society's St Martin Village runs 60 certified beds in Rapid City under nonprofit ownership, and its staffing numbers are a mixed picture. Nurses provide 3.73 hours per resident day, about 3% under the national average, and weekend coverage drops roughly 16% below what the home staffs on weekdays, so the hours get thinnest exactly when families tend to visit. Annual turnover sits at 60% against a 45.8% national figure, meaning most of the aides and nurses at the bedside are relatively new. The inspection record is the other thing to weigh. State surveyors last visited in March 2025 and logged 19 deficiencies, none serious enough to cause harm or put anyone in immediate jeopardy, though two are abuse-related, worth asking about directly.

B

78.5/100

Laurelbrook Nursing Home

Dayton, TN · Rhea County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
22%
Serious cites
0

Laurelbrook's staffing is the strongest thing it has going: 4.12 nurse hours per resident day sits about 7% above the national average, and turnover of 21.7% is roughly half the national rate, a stable crew matters more than raw hours. The catch is weekends, when coverage drops about 22% below the home's own weekday level. The inspection record is where the real concern lives: 19 deficiencies on file, five of them at harm or jeopardy level and four tied to abuse, with the most recent inspection in October 2024. A church-affiliated nonprofit with 50 beds and steady staff, but that harm-level history is what a family should ask about directly.

B

78.5/100

Little Cottonwood Rehabilitation And Nursing

South Salt Lake, UT · Salt Lake County

CMS 5/5 37 beds Government Medicaid
Nurse hours
2.06 /day
Staff turnover
26%
Serious cites
0

Little Cottonwood Rehabilitation And Nursing is a 37-bed county-run home in South Salt Lake, and its inspection record is the strongest thing about it: a five-star health inspection rating, only six deficiencies on file, none at the harm or jeopardy level, and a survey completed in October 2025. The quality measures also come in at five stars. What holds it back is staffing, 2.06 nurse hours per resident day, roughly half the national average of 3.86, with weekends running about 18 percent thinner than weekdays. Turnover is unusually low at 26.3 percent against a 45.8 percent national figure, which suggests a stable crew, but a stable crew that's small. Two abuse-related deficiencies are worth asking about directly.

B

78.5/100

Richfield Health Center - Salem

Salem, VA · Salem City County

CMS 3/5 112 beds Non-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
52%
Serious cites
0

Richfield Health Center runs a nonprofit operation with 112 certified beds, and its nurse staffing sits at 4.34 hours per resident day, about 12% above the national average of 3.86. That's a real strength. The catch is weekends, when coverage drops roughly 20% below what the home staffs on weekdays. Turnover is 51.5%, higher than the 45.8% national figure, so the people providing that care change often. On inspections, the record shows 31 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $15,465 fine. The last inspection was in May 2024.

B

78.5/100

Alexandria Rehabilitation And Healthcare Center

Alexandria, VA · Alexandria City County

CMS 3/5 111 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
26%
Serious cites
0

Alexandria Rehabilitation and Healthcare Center runs 3.47 nursing hours per resident day, about 10% under the national average, and weekends drop roughly 17% below its own weekday staffing. Turnover sits at 25.6%, well under the national 45.8%, so the aides and nurses who are there tend to stay. The inspection record is the harder part: 40 deficiencies, two at harm or jeopardy level and four abuse-related, with the most recent inspection in April 2024. Quality measures score well, but staffing and health inspection stars both come in at 2 out of 5. Limited liability ownership, 111 beds. Ask about weekend coverage and how the abuse-related citations were resolved before deciding.

B

78.5/100

Shenandoah Nursing Home

Fishersville, VA · Augusta County

CMS 5/5 84 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
37%
Serious cites
0

Shenandoah Nursing Home in Fishersville runs on thinner nurse staffing than most homes nationally, 3.43 hours per resident day against an average of 3.86, with weekends dropping about 15% below its own weekday levels. That pattern matters most on Saturdays and Sundays, when care needs don't take the weekend off. The tradeoff is a relatively stable workforce: 37% turnover beats the 45.8% national figure, and a 4/5 inspection rating with no harm-level or abuse deficiencies on a recent May 2024 survey suggests the care is consistent even when staffing is lean. Family members should ask how weekend coverage is handled on the specific unit their relative would live on.

B

78.5/100

Regency Harmony House Rehab & Nursing

Brewster, WA · Okanogan County

CMS 5/5 54 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
28%
Serious cites
0

Regency Harmony House runs a tight ship on inspections, a five-star health inspection rating and a recent survey date of November 2025, with 15 deficiencies on record and none at the harm or jeopardy level. Staffing sits at 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 22% below the home's own weekday coverage, so families should ask how that gap gets filled. Turnover is the bright spot: 27.5% against a national average of 45.8%, meaning the people caring for residents tend to stay. The weaker piece is the two-star quality measure rating, and three abuse-related deficiencies appear on the current record, worth asking about directly.

B

78.5/100

Agility Health And Rehabilitation

University Place, WA · Pierce County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
42%
Serious cites
0

Agility Health and Rehabilitation runs 120 certified beds in University Place under for-profit LLC ownership, and its staffing sits at 4.19 nurse hours per resident day, roughly 9% above the national average. Turnover lands at 42.3%, a touch better than the 45.8% norm, though weekend coverage drops about 16% below its own weekday level, so care can thin out when families visit most. The inspection record is where things get harder to ignore: 41 deficiencies, including one at the harm or jeopardy level and six tied to abuse. Its most recent inspection was June 9, 2026, so the picture is current, not stale. Quality measures score well, but that record is worth asking about directly.

B

78.5/100

Continuous Care Center Wheeling Hospital

Wheeling, WV · Ohio County

CMS 5/5 144 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
—
Serious cites
0

Continuous Care Center Wheeling Hospital runs 4.40 nurse hours per resident per day, roughly 14% above the national average, and weekends dip about 11% below its own weekday staffing. That weekday strength is real, but the schedule thins out on Saturdays and Sundays. The current record shows 23 deficiencies, none at the harm or jeopardy level, though two are abuse-related. That combination, a clean recent inspection in August 2025 and a five-star health inspection rating, sits alongside a two-star quality measure rating, which suggests the day-to-day care measures aren't matching the inspection results. A church-affiliated nonprofit owns the 144-bed home, and its staffing rating lands at three stars. The numbers point to a place that inspects well and staffs better than average most days, with some gaps worth asking about directly.

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