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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 461–480 of 12,438, best-graded first.

A

93/100

Courtyard At Seasons

Cincinnati, OH · Hamilton County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at Courtyard At Seasons runs about 4.19 hours per resident day, roughly 8% above the national average, and the weekend dip is fairly modest at around 8% below weekday levels. Staff turnover sits at 27.7%, well under the national 45.8%, which matters for consistency of care. On the inspection side, the home carries 23 deficiencies, but none at the harm or jeopardy level, and one abuse-related finding. The most recent inspection was September 2025, so the record is current. A 45-bed for-profit LLC with that staffing margin and low turnover is doing better than most on the things families notice day to day.

A

93/100

Birchaven Retirement Village

Findlay, OH · Hancock County

CMS 4/5 118 beds Non-profit Medicaid
Nurse hours
5.53 /day
Staff turnover
43%
Serious cites
0

Birchaven runs on a nonprofit model in Findlay, and the staffing numbers are its clearest strength, 5.53 nurse hours per resident day against a national average of 3.86. Weekend coverage dips only slightly below weekdays, so care doesn't thin out much when families tend to visit. Turnover sits at 42.9%, a touch better than the national 45.8%. What holds it back from a cleaner record is the inspection side: 28 deficiencies on file, none serious enough to cause harm, but six tied to abuse. That mix, strong daily staffing and quality marks, a longer-than-ideal deficiency history, is the tradeoff worth weighing. The last state visit was in January 2025.

A

93/100

Twin Towers

Cincinnati, OH · Hamilton County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
5.06 /day
Staff turnover
51%
Serious cites
0

Twin Towers runs on 5.06 nurse hours per resident day, well above the 3.86 national average, and its weekend staffing only dips about 8% below weekdays, a smaller drop than many homes show. Staff turnover sits at 51%, a bit above the 45.8% national figure, so that's the soft spot. Inspections found 12 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. The last full inspection was February 2026, so the record is current. Nonprofit ownership, strong marks on quality measures, and nurse coverage that genuinely exceeds the norm are what's carrying this one.

A

93/100

Ohio Living Sarah Moore

Delaware, OH · Delaware County

CMS 5/5 47 beds Non-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
37%
Serious cites
0

Ohio Living Sarah Moore runs about 4.53 nurse hours per resident each day, roughly 17% above the national average, and its staff tends to stay: turnover sits at 37%, better than the 45.8% national figure. Weekend coverage dips about 10% below its own weekday staffing, so ask how that plays out on Saturdays and Sundays. The 19 deficiencies on record include none tied to harm or abuse, and the most recent inspection was in March 2026. Quality and staffing both score 5 out of 5 in CMS data, while inspections land at 3. This is a small nonprofit home, 47 beds, that performs well where it counts and has a clean harm record.

A

93/100

Cornwall Manor

Cornwall, PA · Lebanon County

CMS 5/5 96 beds Non-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
32%
Serious cites
0

Cornwall Manor runs about 5.1 nurse hours per resident each day, roughly a third more than the national average of 3.86, and its weekend staffing only dips about 10% below weekday levels. Staff turnover sits at 32.1%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The current record shows seven deficiencies, none involving harm or jeopardy and none abuse-related, and the most recent inspection was in June 2025. The weaker spot is the three-out-of-five quality measure rating, so ask what those specific measures cover. As a nonprofit with 96 certified beds, it isn't chasing quarterly returns.

A

93/100

Dock Terrace

Lansdale, PA · Montgomery County

CMS 5/5 72 beds Non-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
27%
Serious cites
0

Dock Terrace runs on 4.59 nurse hours per resident per day, roughly 19% above the national average, and its staff turnover sits at 26.7% against a national 45.8%. That combination matters more than any single number: enough hands on site, and the same hands staying long enough to know the residents. Weekend coverage dips about 10% below weekday levels, which is worth asking about directly. The current record shows zero deficiencies, including none at the harm level and none abuse-related, with the last inspection in September 2025. The nonprofit ownership and the 5/5 inspection and staffing ratings line up with what the numbers already suggest.

A

93/100

Tel Hai Retirement Community

Honey Brook, PA · Chester County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
5.41 /day
Staff turnover
25%
Serious cites
0

Tel Hai in Honey Brook runs a nonprofit shop with 119 certified beds, and the numbers back up the reputation. Nurse staffing sits at 5.41 hours per resident day, roughly 40 percent above the national average, and only about a quarter of the staff turns over each year, compared with nearly 46 percent nationally. The trade-off is a slight weekend dip: staffing drops about 9 percent from weekday levels. The current inspection record is clean, with zero deficiencies of any kind and no abuse findings, and the most recent state visit came in November 2025. Quality measures land mid-pack.

A

93/100

Masonic Village At Sewickley

Sewickley, PA · Allegheny County

CMS 3/5 128 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
30%
Serious cites
0

Masonic Village at Sewickley runs on a nonprofit model with 128 certified beds, and its staffing story is mixed. Total nurse hours land at 3.84 per resident day, just under the national mark, and weekend coverage drops about 12% from weekday levels, a gap families should ask about directly. Where it stands out is retention: 29.9% turnover against a national average near 46% means caregivers tend to stay. The inspection record carries 26 deficiencies, including one at harm level and four tied to abuse, and the last survey was mid-2025. Quality and staffing marks from CMS are strong; the inspection history is the piece to weigh carefully.

A

93/100

Concordia At Spiritrust Gettysburg

Gettysburg, PA · Adams County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
35%
Serious cites
0

Concordia At Spiritrust Gettysburg runs about 4.11 nurse hours per resident each day, roughly 6% above the national average, and its staff turnover sits at 35.4% against a national 45.8%, meaning fewer caregivers are walking out the door here than at the typical home. Weekend staffing dips about 9% below weekday levels, so ask how that plays out on a Saturday. The 17 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was April 30, 2026. For a 60-bed nonprofit, the numbers describe steady, well-staffed care rather than anything flashy.

A

93/100

Moravian Hall Square Health And Wellness Center

Nazareth, PA · Northampton County

CMS 5/5 61 beds Non-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
41%
Serious cites
0

Moravian Hall Square runs 4.73 nursing hours per resident per day, roughly 22% above the national figure of 3.86, and that staffing shows up in the federal stars: five out of five. Weekend coverage dips about 7% below its own weekday level, worth asking about if your family visits Saturdays and Sundays. Turnover sits at 40.7%, better than the 45.8% national average but still meaning four in ten caregivers left within a year. Inspections turned up 7 deficiencies, one serious enough to cite harm or jeopardy, with no abuse findings. The last state visit was March 2026, so the record is current.

A

93/100

Lutheran Community At Telford

Telford, PA · Montgomery County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
4.66 /day
Staff turnover
27%
Serious cites
0

Lutheran Community at Telford runs on 75 certified beds as a nonprofit, and the staffing numbers are the first thing that stands out: 4.66 nurse hours per resident day, roughly 21% above the national average. Weekend coverage dips about 10% below its own weekday level, which is normal but worth knowing if you're planning visits or worrying about Saturday care. Staff turnover sits at 27.1% against a national average near 46%, so the people caring for residents tend to stay. Six deficiencies on record, none at the harm level, none abuse-related, and the most recent inspection was July 2025. The inspection and staffing ratings both came back 5 out of 5.

A

93/100

Manchester Commons Of Presbyterian Seniorcare

Erie, PA · Erie County

CMS 5/5 78 beds Non-profit Medicaid
Nurse hours
4.93 /day
Staff turnover
43%
Serious cites
0

Manchester Commons runs on unusually thick nurse coverage for a 78-bed nonprofit, 4.93 hours per resident day, roughly 28% above the national average, which is the kind of gap that shows up in everyday things like how fast call lights get answered. Weekend staffing does dip about 10% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 42.6%, a bit better than the 45.8% national figure. Inspectors logged 15 deficiencies, none at the harm level and none abuse-related, with the most recent visit in July 2025. All three CMS star ratings land at 4 or 5.

A

93/100

Maple Farm

Akron, PA · Lancaster County

CMS 5/5 46 beds Non-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
31%
Serious cites
0

Maple Farm runs on a nonprofit model with 46 beds in Akron, and the numbers hold up well against national benchmarks. Nurse staffing sits at 4.55 hours per resident day, roughly 18% above the national average, with turnover at 30.5% compared to the national rate of 45.8%, meaning workers tend to stay longer here than at most homes. Weekend coverage dips about 14% below weekday levels, which is common but worth asking about. Five deficiencies on record, none at the harm level and none abuse-related, with the last inspection completed in May 2025. For a family weighing options, the pattern here is steady staffing and a clean inspection history.

A

93/100

Roberts Health Centre Inc

North Kingstown, RI · Washington County

CMS 5/5 66 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
37%
Serious cites
0

Roberts Health Centre in North Kingstown runs on 4.80 nurse hours per resident day, roughly a quarter more staffing than the national average, and its weekend coverage dips about 10% below its own weekday levels. Turnover sits at 36.6%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The tradeoff shows up in the inspection record: nine deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related, and the last survey was May 2026. That mix of strong staffing and a handful of real problems is what a family should weigh, ask specifically what those two harm-level findings involved and how they were corrected.

A

93/100

Westminster-Canterbury Of Richmond

Richmond, VA · Henrico County

CMS 5/5 158 beds Non-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
44%
Serious cites
0

Westminster-Canterbury of Richmond runs 4.75 nurse hours per resident day, which is about 23% more than the national average of 3.86. Weekend coverage dips roughly 7% below its own weekday levels, and annual turnover sits at 43.8%, slightly under the national 45.8%, which for a nursing home this size is steadier than most. The health inspection record shows 14 deficiencies, but none at the harm or jeopardy level, and no abuse citations. State surveyors were last in the building in June 2024. As a nonprofit, it isn't working around shareholder returns, and the staffing and quality measure ratings both land at 4 out of 5.

A

93/100

Snyder Nursing Home

Salem, VA · Salem City County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
30%
Serious cites
0

Snyder Nursing Home runs on about 4.53 nurse hours per resident day, roughly 17 percent more than the national average, and its weekend staffing only dips about 12 percent below weekdays, a smaller drop than many homes show. Staff turnover sits at 29.5 percent against a national 45.8, so the people caring for residents tend to stay. Ten deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in late October 2025. As a nonprofit with 45 beds, it's small enough that consistent staffing shows up in the numbers.

A

93/100

Regency Care Center At Monroe

Monroe, WA · Snohomish County

CMS 4/5 92 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
32%
Serious cites
0

Regency Care Center At Monroe runs 4.08 nurse hours per resident day, roughly 6% above the national average, and its weekend staffing dips about 9% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 31.7%, well below the 45.8% national figure, which suggests less churn than many for-profit LLC homes. The current record shows 32 deficiencies, but none at the harm level and none abuse-related, and the last inspection was in May 2025.

A

93/100

Mt Baker Care Center

Bellingham, WA · Whatcom County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
5.00 /day
Staff turnover
41%
Serious cites
0

Mt Baker Care Center in Bellingham runs 70 certified beds under for-profit LLC ownership, and the staffing number is the one worth noting: 5.00 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is common but still worth asking about if your family visits on Saturdays or Sundays. Its inspection record shows 20 deficiencies, none at the harm or jeopardy level, though two are abuse-related, a distinction worth asking the administrator about directly. Staff turnover sits at 41%, slightly better than the 45.8% national figure. The last inspection was July 2025, so the record is recent. Strong staffing plus a clean harm-level record is a solid combination.

A

93/100

Avamere Rehabilitation Of Cascade Park

Vancouver, WA · Clark County

CMS 5/5 88 beds For-profit Medicaid
Nurse hours
4.76 /day
Staff turnover
27%
Serious cites
0

Nurse staffing at Avamere Rehabilitation of Cascade Park runs well ahead of the national average, and the weekend drop is modest, so coverage stays fairly steady across the week. Turnover sits in the low range too, 27.4% against a national number closer to 46%, which matters for whether you see the same faces month to month. The tradeoff shows up on the inspection record: 32 deficiencies, including one at the harm level and two flagged as abuse-related, even though the most recent inspection was in late 2025 and the health and quality ratings both land at 4 out of 5. Strong staffing, a longer deficiency history, worth asking about directly before you decide.

A

93/100

Dove Healthcare - West Eau Claire

Eau Claire, WI · Eau Claire County

CMS 4/5 83 beds For-profit Medicaid
Nurse hours
6.23 /day
Staff turnover
41%
Serious cites
0

Dove Healthcare - West Eau Claire runs on unusually heavy staffing for a nursing home: 6.23 nurse hours per resident day, about 61% above the national average, which is the main reason it holds up well. Weekends dip roughly 12% below its own weekday coverage, so ask how that plays out on a Sunday. Turnover sits at 41%, a bit better than the 45.8% national figure, and the 12 deficiencies on record include one at the harm level, worth asking about directly. The last inspection was March 2025, so the picture is current.

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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