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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 4881–4900 of 12,438, best-graded first.

B

78/100

Christian Health Center

Hopkinsville, KY · Christian County

CMS 5/5 114 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
54%
Serious cites
0

Christian Health Center runs on more nursing hours than most homes nationally, 4.29 per resident day against an average of 3.86, and that staffing shows up in a clean inspection record: four deficiencies total, none at harm or jeopardy level, none abuse-related, with a 5/5 health inspection rating. The tradeoffs are real, though. Weekend coverage dips about 7% below weekday levels, and staff turnover sits at 54%, noticeably above the 45.8% national figure. Quality measure scores land at 2/5, which means the clinical outcomes data doesn't match the inspection story. For a church-affiliated nonprofit with 114 beds, the care presence is there; the question is whether it holds steady across weekends and staffing changes.

B

78/100

Maysville Nursing And Rehabilitation Facility

Maysville, KY · Mason County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
34%
Serious cites
0

Maysville Nursing and Rehabilitation runs 130 certified beds under corporate ownership, and its inspection record is the strongest thing it has going: a five-star health inspection rating, four total deficiencies with none rising to harm or jeopardy, and no abuse citations. The last survey was in June 2025, so the picture is recent. Where it slips is staffing, rated two stars. Total nurse hours land at 3.88 per resident day, essentially the national average, not better, and weekends drop roughly 9% below the home's own weekday coverage. Turnover of 33.6% does beat the 45.8% national figure, which matters for consistency of care. Strong oversight, thin staffing margin, especially on weekends.

B

78/100

The Willows At Fritz Farm

Lexington, KY · Fayette County

CMS 3/5 54 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
52%
Serious cites
0

The Willows At Fritz Farm runs a 54-bed for-profit operation in Lexington, and its numbers land mostly in decent territory. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average, though weekend coverage dips roughly 6% below what the home provides on weekdays, worth asking about if you're planning visits or worrying about a Saturday fall. Staff turnover is 52% against a national 45.8%, meaning more than half the nursing staff left within a year. The current inspection record shows nine deficiencies, none involving harm or abuse, and the most recent state visit was in May 2026.

B

78/100

Harbor Hill Center

Belfast, ME · Waldo County

CMS 3/5 40 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
47%
Serious cites
0

Harbor Hill Center runs 4.57 nurse hours per resident day, about 18% above the national average of 3.86, but weekends dip roughly 12% below its own weekday staffing, so coverage isn't as steady as the headline number suggests. Staff turnover sits at 46.7%, essentially right at the national 45.8%, meaning the people caring for residents change over about as fast as they do anywhere. The bigger concern is the inspection record: 39 deficiencies, one serious enough to reach harm or jeopardy level, and a two-star health inspection rating. A January 2026 inspection is recent, so that record is current, not stale.

B

78/100

Sedgewood Commons

Falmouth, ME · Cumberland County

CMS 3/5 91 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
54%
Serious cites
0

Sedgewood Commons runs 91 certified beds in Falmouth under corporate for-profit ownership, and its nurse staffing sits at 3.93 hours per resident day, modestly above the national average of 3.86, with weekends dipping about 5% below its own weekday levels. That staffing picture earned a 4-out-of-5 CMS staffing star, and the home's 53.5% annual turnover does run hotter than the 45.8% national figure, which matters for continuity of care. Its current record shows 28 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated June 2025. Health inspection and quality measure stars each landed at 3 out of 5, so the picture is steady rather than standout.

B

78/100

Autumn Lake Healthcare At Chevy Chase

Chevy Chase, MD · Montgomery County

CMS 3/5 172 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
42%
Serious cites
0

Autumn Lake Healthcare at Chevy Chase runs 172 beds under corporate for-profit ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 10% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover lands at 42%, a touch better than the 45.8% national figure. The inspection record shows 45 deficiencies, three tied to abuse, though none rose to harm or jeopardy level; the most recent inspection was April 2025. All three CMS star ratings, health inspections, quality measures, staffing, sit at 3 out of 5.

B

78/100

Turtle Creek Rehabilitation And Wellness Center

Kensington, MD · Montgomery County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
34%
Serious cites
0

Turtle Creek runs 140 beds in Kensington under corporate ownership, and the numbers pull in different directions. Nurse staffing sits at 3.45 hours per resident day, about 11 percent under the national average, and weekends drop roughly 12 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 34.2 percent is better than the 45.8 percent national figure, which suggests some stability in the workforce. The inspection record is the harder read: 48 deficiencies, including 3 at the harm or jeopardy level and 5 tied to abuse, with $80,425 in fines and a February 2025 inspection. Quality measures score well, but that history deserves your attention before a tour.

B

78/100

Autumn Lake Healthcare At Bridgepark

Baltimore, MD · Baltimore City County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
4.68 /day
Staff turnover
40%
Serious cites
0

Autumn Lake Healthcare at Bridgepark runs on a for-profit corporate model with 106 certified beds, and its staffing is its clearest strength, 4.68 nurse hours per resident day, roughly a fifth above the national average. Weekend coverage dips about 7% below weekday levels, though, and turnover sits at 40.4%, better than the 45.8% national figure but still meaning four in ten caregivers left within the year. The harder reading is the inspection record: 71 deficiencies, including one at the harm level and four tied to abuse, with a 2-out-of-5 health inspection rating on the most recent survey in June 2025. The quality and staffing stars look better, but the deficiency history is what a family should ask about directly.

B

78/100

Autumn Lake Healthcare At Braddock Heights

Frederick, MD · Frederick County

CMS 4/5 65 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
51%
Serious cites
0

Autumn Lake Healthcare at Braddock Heights runs about 3.31 nurse hours per resident each day, roughly 14% under the national figure of 3.86, and weekends dip another 6% below what the home staffs on weekdays. Annual turnover sits at 51.1%, higher than the 45.8% national average, so familiar faces cycle through. On paper the care record looks steadier: a 4-out-of-5 health inspection rating, 57 deficiencies logged with none rising to harm or jeopardy, though 7 are abuse-related and the last inspection was August 2024. Owned by an individual for profit. The numbers point to a home that inspects reasonably well but runs lean on the floor.

B

78/100

Julian J Levitt Family Nursing Home

Longmeadow, MA · Hampden County

CMS 4/5 200 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
39%
Serious cites
0

Julian J Levitt Family Nursing Home runs 200 certified beds as a nonprofit corporation. Nurse staffing sits at 3.94 hours per resident day, modestly above the national average of 3.86, though weekends run about 8% thinner than weekdays. Staff turnover is 38.7%, better than the 45.8% national figure, which matters for continuity of care. The inspection record is where the picture gets more complicated: 21 deficiencies, two of them at the harm or jeopardy level, and one fine of $11,468. The most recent inspection was in May 2025, so the record is current rather than stale. Quality measures score well, staffing is average, and the health inspection side carries real weight, families should ask specifically about those two harm-level findings.

B

78/100

Bear Hill Healthcare And Rehabilitation Center

Stoneham, MA · Middlesex County

CMS 5/5 169 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
37%
Serious cites
0

Bear Hill runs 169 beds under for-profit LLC ownership, and the staffing numbers are decent, 4.00 nurse hours per resident day, a bit above the national average. Weekend coverage dips about 8% below weekday levels, and turnover sits at 37.1%, which is actually better than the 45.8% national figure. Where it gets murkier is the inspection record: 27 deficiencies, including one at the harm level and one abuse-related, plus a $16,146 fine. The last inspection was January 2026, so the picture is current. Strong quality scores and recent oversight, but that harm-level finding is the kind of thing worth asking about directly before you decide.

B

78/100

East Longmeadow Skilled Nursing Center

East Longmeadow, MA · Hampden County

CMS 4/5 131 beds Non-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
47%
Serious cites
0

East Longmeadow Skilled Nursing Center runs on more nursing hours than most homes, 4.22 per resident day against a national average of 3.86. That's a real margin, though weekends dip about 9% below its own weekday levels, so coverage isn't perfectly even across the week. The inspection record is solid: 30 deficiencies on file, none at the harm or jeopardy level, and the most recent state visit was in July 2025. One abuse-related citation is worth asking about directly. Staff turnover of 46.6% is essentially the national rate, which means this nonprofit isn't retaining caregivers any better than the typical facility.

B

78/100

St Francis Rehabilitation & Nursing Center

Worcester, MA · Worcester County

CMS 4/5 137 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
41%
Serious cites
0

St Francis runs about 4.02 nurse hours per resident day, a bit above the national average of 3.86, though weekend coverage drops roughly 11% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 41.1%, slightly better than the national 45.8%. Against that, the inspection record shows 23 deficiencies, four at the harm level and one abuse-related, with two fines totaling $19,175 and a survey as recent as November 2025. The quality measure score is strong; the health inspection side is where the concerns live. This is a for-profit limited liability company operating 137 beds.

B

78/100

Carlyle House

Framingham, MA · Middlesex County

CMS 1/5 55 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
43%
Serious cites
0

Carlyle House runs 4.36 nurse hours per resident day, about 13% above the national average, and turnover at 42.9% is slightly better than the 45.8% norm. Those numbers sound decent until you notice CMS rates staffing 1 out of 5 and weekend coverage drops roughly 13% below its own weekday level. The inspection record carries 22 deficiencies, four of them at the harm or jeopardy level, with two fines totaling $25,263 and a 2/5 health inspection rating. Last inspection was July 2025. Despite the above-average raw staffing hours, the harm-level citations and thin weekend coverage are what families should weigh.

B

78/100

Wellspring Lutheran Services

Frankenmuth, MI · Saginaw County

CMS 3/5 83 beds Non-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
48%
Serious cites
0

Wellspring Lutheran Services in Frankenmuth runs on a nonprofit model with 83 certified beds, and its nurse staffing sits at 3.96 hours per resident day, roughly 3% above the national average of 3.86. That margin is real but thin, and weekends dip about 7% below the home's own weekday coverage, so the weekday-to-weekend gap is worth asking about directly. Turnover lands at 47.7%, just above the national 45.8%, meaning nearly half the nursing staff turns over in a year. The current record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, a volume that reflects paperwork and process issues rather than resident safety. The most recent inspection was August 2025, so the picture is current.

B

78/100

Mission Point Nursing & Physical Rehabilitation Ce

Greenville, MI · Montcalm County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
55%
Serious cites
0

Mission Point runs a hundred beds in Greenville under limited-liability, for-profit ownership, and its nurse staffing sits about 15% above the national average at 4.46 hours per resident day, real coverage, though weekends dip roughly 9% below its own weekdays. Turnover is the harder number: 55% of staff leaving annually against a national 45.8% means new faces on the floor often. The current inspection record carries 36 deficiencies, four at harm or jeopardy level and two tied to abuse, with one fine of $10,220 and a survey dated May 2025. Strong hours, unsettled workforce, and a serious citation history, visit unannounced and watch the evening and weekend shifts.

B

78/100

Regency At St. Clair Shores

St. Clair Shores, MI · Macomb County

CMS 3/5 146 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
19%
Serious cites
0

Regency At St. Clair Shores runs 146 beds under corporate ownership, and the numbers cut both ways. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends dip roughly 8% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is the standout: 19% against a national average near 46%, meaning the aides and nurses here tend to stay, which matters for anyone living with dementia or needing consistent hands. But the inspection record carries 29 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a $22,874 fine. The last inspection was August 2025. High marks on inspection and quality stars coexist with real findings. Ask about those two serious deficiencies specifically.

B

78/100

Medilodge Of Zeeland

Zeeland, MI · Ottawa County

CMS 3/5 138 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
29%
Serious cites
0

Medilodge Of Zeeland runs 138 beds under corporate ownership that changed hands within the past year, and the inspection record shows 41 deficiencies, including five at the harm or jeopardy level and six tied to abuse. Staffing sits at 3.42 nurse hours per resident day, roughly 12 percent under the national average, and weekends run about 12 percent thinner than weekdays. Turnover is the one bright spot: 28.6 percent against a national 45.8 percent, which suggests people tend to stay. The last inspection was in February 2025, so the record is current. Quality measures score low, staffing scores high, that split tells you where the problems likely sit.

B

78/100

Medilodge Of Wyoming

Wyoming, MI · Kent County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
46%
Serious cites
0

Medilodge Of Wyoming runs an 80-bed for-profit home in Kent County, and its most recent inspection, in July 2025, turned up ten deficiencies with none at the harm level and nothing abuse-related. Nurse staffing sits at 3.81 hours per resident day, a hair under the national average, and weekends drop roughly 12% below what the home staffs on weekdays, worth asking about if your family tends to visit Saturday or Sunday. Turnover is 46.2%, basically even with the national rate. The health inspection record is strong; the quality measure score is middling; staffing falls in between.

B

78/100

Aerius Health Center

Riverview, MI · Wayne County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
62%
Serious cites
0

Aerius Health Center in Riverview is a for-profit, individually owned home with 78 certified beds, and its inspection record is genuinely strong, a 2025-08-06 survey, 16 total deficiencies, none of them causing harm or jeopardy, and none abuse-related. Where it gets shakier is staffing: 3.63 nurse hours per resident day, roughly 6% under the national average, with weekend coverage dropping about 13% below its own weekdays. Annual turnover sits at 61.9% against a national 45.8%, so the people around your family member change often enough that consistency is a fair question to raise. A low staffing score next to high inspection and quality scores usually means the home does well when it's watched closely and thins out between visits, 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