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 4861–4880 of 12,438, best-graded first.

B

78/100

Aperion Care Summerfield

Cloverdale, IN · Putnam County

CMS 5/5 43 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
23%
Serious cites
0

Aperion Care Summerfield runs on 2.91 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 7% below its own weekday levels. That thin staffing is the main drag on an otherwise solid record: a 4-star health inspection and a 5-star quality measure score, with 12 deficiencies on file but none at the harm or jeopardy level and none abuse-related. Staff turnover sits at 23.1%, well under the 45.8% national average, which suggests some consistency in who's actually showing up. For a 43-bed for-profit home last inspected in May 2025, the question worth asking is whether low turnover makes up for fewer hands per resident.

B

78/100

Ashford Place Health Campus

Shelbyville, IN · Shelby County

CMS 4/5 68 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
22%
Serious cites
0

Ashford Place runs a lean nursing floor, 3.72 hours of nurse staffing per resident day, a bit under the national average, and weekends get thinner still, dropping about 7% from weekday levels, which is when families tend to visit and notice. What stands out is retention: 22.4% turnover against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. The inspection record is more mixed: 26 deficiencies on file, including two at the harm level and two tied to abuse, though the most recent inspection was in August 2025 and quality measures score at the top of the range.

B

78/100

West River Health Campus

Evansville, IN · Vanderburgh County

CMS 4/5 61 beds Government Medicaid
Nurse hours
4.14 /day
Staff turnover
46%
Serious cites
0

West River Health Campus is county-owned and sits at 61 certified beds in Evansville. Nurse staffing averages 4.14 hours per resident day, roughly 7% above the national average, though weekends run about 3% lighter than weekdays. Staff turnover comes in at 46.2%, which lands almost exactly on the national rate of 45.8%, no real advantage there either way. The inspection record shows 18 deficiencies, 2 of them serious enough to involve harm or jeopardy, with one fine of $18,655. Quality measures score well and the most recent inspection was August 2025, so the picture is current. Solid care metrics, but the harm-level citations and average turnover are the parts worth asking about directly.

B

78/100

Allisonville Meadows

Fishers, IN · Hamilton County

CMS 3/5 161 beds Non-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
45%
Serious cites
0

Allisonville Meadows runs 3.56 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 14% below its own weekday coverage. That staffing pattern matters more than the 45% turnover rate, which actually sits just under the national figure. What stands out is the inspection record: 32 deficiencies, three at harm or jeopardy level, one abuse-related, plus a $11,190 fine. The health inspection rating is 2 out of 5, though quality measures score 5 out of 5, a split worth asking about, since strong clinical numbers can coexist with serious compliance problems. The most recent inspection was April 15, 2026, so the record is current. Nonprofit ownership doesn't erase any of this.

B

78/100

Villages At Oak Ridge, The

Washington, IN · Daviess County

CMS 3/5 58 beds Government Medicaid
Nurse hours
3.66 /day
Staff turnover
51%
Serious cites
0

The Villages at Oak Ridge is county-owned, which usually means steadier oversight but not necessarily richer staffing, and that shows here. Nurses provide 3.66 hours per resident per day, about 5% under the national average, and weekends drop roughly 14% below what the home itself staffs on weekdays. Turnover sits at 50.8%, noticeably above the 45.8% national figure, so families should expect some churn in who's providing daily care. The current record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in April 2025. Quality measures score well; staffing and inspections land in the middle.

B

78/100

Accura Healthcare Of Lake City, Llc

Lake City, IA · Calhoun County

CMS 2/5 46 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
37%
Serious cites
0

Accura Healthcare of Lake City runs 46 beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, worth asking about if your family visits on Saturdays or Sundays. Turnover is 37%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. What pulls the record down is the inspection side: 40 deficiencies on file, including 2 at the harm level and 3 tied to abuse, plus $38,610 in fines across two penalties. The most recent inspection was April 2026.

B

78/100

Community Memorial Health Center

Hartley, IA · Obrien County

CMS 3/5 62 beds Non-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
41%
Serious cites
0

Staffing is the strong point at Community Memorial Health Center: 4.02 nurse hours per resident day, a bit above the national average, with turnover at 41.1% that's actually lower than the typical nursing home. But weekends run about 13% thinner than weekdays, so coverage isn't even across the week. The trouble sits on the inspection side, 19 deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse, plus $44,528 in fines. The most recent inspection was January 2026. Nonprofit ownership and good weekday staffing don't cancel out that record; they just mean the problems aren't about money or raw hours.

B

78/100

Denison Care Center

Denison, IA · Crawford County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
29%
Serious cites
0

Denison Care Center runs 46 beds under corporate for-profit ownership, and its staffing sits at 3.63 hours per resident day, about 6% under the national average, with weekends roughly 5% leaner than weekdays. What stands out is retention: 28.6% annual turnover against a national 45.8%, so the aides and nurses here tend to stay, even if there aren't quite as many of them per resident as elsewhere. The health inspection record is strong (four stars, most recent visit July 2025), but nine deficiencies are on file, one serious enough to involve harm or jeopardy. Quality measures lag at two stars, which often reflects resident outcomes like falls or antipsychotic use rather than the survey itself.

B

78/100

Simpson Memorial Home

West Liberty, IA · Muscatine County

CMS 3/5 55 beds Non-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
40%
Serious cites
0

Simpson Memorial Home runs a nonprofit operation of 55 beds in West Liberty, and the numbers say the day-to-day care is better staffed than most. Nurse hours work out to 4.18 per resident per day, roughly 8 percent above the national average, and staff turnover sits at 40 percent against a 45.8 percent national figure. The health inspection record is clean where it matters most: 9 deficiencies on file, none at the harm or jeopardy level, no abuse citations, and the most recent inspection was December 2025. The catch is in the quality measures, which score near the bottom. Staffing and inspection results look strong, but whatever the clinical data is tracking, falls, medications, mood, function, tells a rougher story than the staffing numbers alone would suggest.

B

78/100

Bethany Life

Story City, IA · Story County

CMS 2/5 126 beds Non-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
39%
Serious cites
0

Bethany Life runs a solid nursing floor on paper: 4.11 nurse hours per resident day, about 6% above the national average, with a CMS staffing rating of 5 out of 5 and turnover at 38.5%, better than the 45.8% national figure. Weekend coverage dips roughly 6% below weekday levels, which is common but worth knowing if your family visits on Saturdays and Sundays. The inspection record is where the picture darkens. Thirty-three deficiencies sit on the current record, five of them at harm or jeopardy level and five abuse-related, with two fines totaling $52,329 and a 1-out-of-5 health inspection rating. The most recent inspection, in March 2026, is recent enough that nothing here is stale.

B

78/100

The Alverno Health Care Facility

Clinton, IA · Clinton County

CMS 3/5 112 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
45%
Serious cites
0

The Alverno Health Care Facility runs 112 certified beds in Clinton as a nonprofit, and its staffing sits slightly under the national mark, 3.71 total nurse hours per resident day against 3.86 nationally. Weekends dip about 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 45.4% is basically the national rate. What stands out is the inspection record: 21 deficiencies, one abuse-related, and a 2-out-of-5 health inspection rating, though none of those deficiencies reached harm or jeopardy. The last inspection was February 2026, so the picture is current. Nonprofit ownership and a 4-out-of-5 staffing rating help, but the deficiency count is the number worth asking about.

B

78/100

Parkview Manor Care Center

Reinbeck, IA · Grundy County

CMS 1/5 28 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
47%
Serious cites
0

Parkview Manor in Reinbeck runs 28 beds under corporate ownership, and the staffing numbers are genuinely better than most: 4.15 nurse hours per resident day, roughly 7% above the national average, with a four-star staffing rating to match. Weekends dip about 9% below weekday coverage, which matters in a building this small, and turnover sits at 47.1%, slightly above the national figure. The trouble is the inspection record, 31 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, plus a $23,813 fine. A one-star health inspection rating against a three-star quality score tells you the day-to-day care metrics look fine while the state's own findings say otherwise. The last inspection was August 2025.

B

78/100

Pioneer Valley Living And Rehab

Sergeant Bluff, IA · Woodbury County

CMS 1/5 66 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
47%
Serious cites
0

Pioneer Valley Living and Rehab runs 66 beds in Sergeant Bluff under for-profit LLC ownership, and its inspection record is the part that stands out: 63 deficiencies on file, five of them serious enough to reach harm or jeopardy, plus two tied to abuse. The last inspection was recent, March 2026, so this isn't stale history. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends run about 14% thinner than weekdays. Annual turnover of 46.6% is essentially the national rate, meaning the staff you meet may not be there in a year. Worth asking the administrator directly what changed since that inspection.

B

78/100

Rehabilitation Center Of Lisbon

Lisbon, IA · Linn County

CMS 4/5 64 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
49%
Serious cites
0

The Rehabilitation Center of Lisbon runs 64 certified beds under for-profit LLC ownership, and its staffing sits at 3.53 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 13% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Annual turnover is 49.3%, a few points above the 45.8% national figure. On the plus side, its inspection record is clean: three deficiencies total, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 21, 2026. Quality and staffing each earned 3 of 5 stars from CMS, while inspections earned 4.

B

78/100

Grand Meadows Senior Living & Health Care

Asbury, IA · Dubuque County

CMS 2/5 32 beds For-profit Medicaid
Nurse hours
5.14 /day
Staff turnover
—
Serious cites
0

Grand Meadows runs 32 certified beds in Asbury under corporate for-profit ownership, and the numbers are worth walking through before you tour. Twenty deficiencies sit on its current record, including one that rose to the level of actual harm or jeopardy and three tied to abuse, that combination matters more than the single $16,448 fine on file. Staffing is where this home falls furthest behind, landing at the bottom of CMS's rating scale, which means the people doing the daily hands-on care are stretched thin relative to what federal reviewers expect. The last inspection, in March 2026, is recent, so these findings reflect how the place operates now, not a fix from years ago.

B

78/100

Via Christi Village Manhattan, Inc

Manhattan, KS · Riley County

CMS 3/5 93 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
49%
Serious cites
0

Via Christi Village Manhattan runs a nonprofit home in Riley County with 93 certified beds, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average of 3.86. That cushion thins on weekends, when coverage drops about 8% below the home's own weekday level, and annual turnover of 49% runs a few points above the national 45.8%, meaning many of the people providing that care are still new to the building. The bigger concern is the inspection record. Twenty-three deficiencies are on file, seven of them serious enough to involve harm or jeopardy, with four fines totaling $96,781. No abuse citations appear. A recent inspection, dated April 30, 2026, found those problems despite solid marks on quality measures and staffing.

B

78/100

Pratt Health And Rehab

Pratt, KS · Pratt County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
48%
Serious cites
0

Pratt Health and Rehab runs 45 beds under for-profit LLC ownership, and its staffing sits slightly under the national average at 3.76 nurse hours per resident day. Weekends drop about 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover of 47.5% means roughly half the nursing staff leaves each year, just above the 45.8% national figure. The inspection record is more reassuring: 4 of 5 stars from CMS, with the most recent survey in March 2026. But 22 deficiencies sit on the current record, including two at the harm level, and one fine of $22,925. No abuse citations. Quality measures land at 3 of 5. Steady oversight, uneven follow-through, and thin weekend coverage, that's the tradeoff here.

B

78/100

Azria Health Wichita

Wichita, KS · Sedgwick County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
68%
Serious cites
0

Azria Health Wichita runs a for-profit limited liability operation with 70 certified beds, and the staffing numbers are the real story here: 5.39 nurse hours per resident day, roughly 40% above the national average of 3.86. That's meaningful coverage, though weekends dip about 7% below the home's own weekday levels, and staff turnover sits at 68% against a national average of 45.8%, a lot of churn for a building this size. The inspection record shows 39 deficiencies, one of them at the harm or jeopardy level and one abuse-related, with the most recent survey dated February 2026. If you're weighing this one, the bedside hours are a genuine strength; the turnover and the harm-level finding are the parts worth asking about directly.

B

78/100

Center At Waterfront Llc

Wichita, KS · Sedgwick County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
5.02 /day
Staff turnover
62%
Serious cites
0

Center At Waterfront in Wichita runs 80 certified beds under corporate for-profit ownership, and its nurse staffing sits at 5.02 hours per resident day, roughly 30% above the national average of 3.86. That's a real cushion, though weekends dip about 12% below the home's own weekday levels, and annual turnover hits 61.6% against a national 45.8%, so the people delivering those hours keep changing. The current inspection record shows 24 deficiencies, one serious enough to reach harm or jeopardy level, and a single $12,740 fine. The last inspection was January 2026. Strong quality-measure scores sit alongside middling inspection results, worth asking about directly.

B

78/100

F W Huston Medical Center

Winchester, KS · Jefferson County

CMS 3/5 38 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
49%
Serious cites
0

F W Huston Medical Center runs 38 certified beds in Winchester under nonprofit ownership, and its recent inspection history is genuinely reassuring, 20 deficiencies on record, but none at the harm or jeopardy level and none tied to abuse. The tradeoff shows up in the intangibles: weekend nurse coverage drops roughly 9% below its own weekday level, and 48.9% annual turnover sits above the national rate of 45.8%, which matters in a small rural building where familiar faces are part of the care. Overall staffing of 3.72 hours per resident day lands about 4% under the national average, and the quality measure score is on the weaker side even as the staffing score holds up. A survey from August 2025 means inspectors have looked recently.

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