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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 5041–5060 of 12,438, best-graded first.

B

78/100

Northern Lights Hcc

Washburn, WI · Bayfield County

CMS 2/5 50 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
50%
Serious cites
0

Northern Lights Hcc runs on a nonprofit model with 50 certified beds in Washburn, and the staffing numbers are a mixed bag. Nurse coverage sits at 3.71 hours per resident day, roughly 4% under the national average, and weekends dip about 6% below what the home staffs on weekdays, so the thinnest coverage lands when families often visit. Annual turnover hits 50%, above the national 45.8%, which means the people caring for residents are frequently new. The inspection record is the bigger concern: 35 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, plus one fine of $10,364. The most recent inspection was July 2025.

B

78/100

Little Chute Health Services

Little Chute, WI · Outagamie County

CMS 1/5 50 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
46%
Serious cites
0

Little Chute Health Services has real staffing strengths that its inspection record undercuts. Nurse coverage runs 4.20 hours per resident day, about 9% above the national average, and weekend staffing dips only modestly below weekdays. Turnover sits at 45.7%, essentially identical to the national rate. The problem is the inspection history: 18 deficiencies on the current record, four of them at the harm or jeopardy level and two tied to abuse, with a single fine of $8,827. That's a lot of serious findings for a 50-bed home, and it's why the health inspection rating sits at 1 out of 5 despite 4-star marks for staffing and quality measures. The last inspection was May 2026.

B

78/100

Meadowbrook At Chetek

Chetek, WI · Barron County

CMS 2/5 97 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
51%
Serious cites
0

Meadowbrook At Chetek runs a for-profit operation with 97 certified beds, and the staffing picture is roughly average on paper, 3.82 nurse hours per resident day against a national 3.86, but that average hides a real gap: weekends run about 10% thinner than weekdays, which is when families tend to visit and notice. Staff turnover sits at 50.7%, above the 45.8% national figure, so the people caring for residents change often. The inspection record is the bigger concern: 33 deficiencies, including one at the harm level and three tied to abuse, with a 2-out-of-5 health inspection rating. Quality measures score well, but that reflects resident outcomes, not how safely the place is run.

B

78/100

Christian Community Home Of Osceola, Inc

Osceola, WI · Polk County

CMS 2/5 40 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
52%
Serious cites
0

Christian Community Home Of Osceola is a small nonprofit outfit, 40 beds, where the hands-on care hours run meaningfully above what most homes provide: 4.42 per resident day against a national 3.86. That staffing shows up as its strongest federal mark, though weekends dip about 7% below its own weekday coverage, and turnover sits at 51.7%, higher than the 45.8% national figure. The health inspection record is the weak spot: 28 deficiencies, four tied to abuse, none rising to harm or jeopardy, with the most recent inspection in May 2025. For a family weighing a place this size, the question is whether consistent daily attention outweighs a citation history that's heavier than you'd like.

B

78/100

Morning Star Care Center

Fort Washakie, WY · Fremont County

CMS 4/5 45 beds Government Medicaid
Nurse hours
5.23 /day
Staff turnover
—
Serious cites
0

Morning Star Care Center runs on federal money, it's a government-owned home on the Wind River Reservation with 45 certified beds. Nurse staffing sits at 5.23 hours per resident day, roughly 35% above the national average, though weekends drop about 24% below its own weekday level, so coverage isn't perfectly even. The tradeoff shows up elsewhere: 16 deficiencies on the current record, two tied to abuse, and one fine of $5,168, with the last inspection in April 2025. Quality measures score low even as staffing scores high, which is the tension here, plenty of nursing hours, but outcomes and compliance haven't kept pace.

B

78/100

Platte County Legacy Home

Wheatland, WY · Platte County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
52%
Serious cites
0

Platte County Legacy Home runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 13% below its own weekday staffing. That dip matters in a 50-bed home where you can't easily shuffle people around. Annual turnover sits at 52.3%, well above the 45.8% national figure, which means the aides and nurses getting to know your family member are often new to the building. The record shows 13 deficiencies, including one at the harm level and two tied to abuse. The most recent inspection was February 20, 2026, recent enough that these findings reflect how the place runs now, not years ago.

B

78/100

Playa Del Rey Center

Playa Del Rey, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
38%
Serious cites
0

Playa Del Rey Center runs 99 certified beds under for-profit LLC ownership, and its staffing numbers are genuinely above average: 4.05 nurse hours per resident day, roughly 5% over the national figure, with turnover at 38.1% versus 45.8% nationally. Weekend coverage dips about 6% below its own weekday level, and the last inspection was June 2025, so the record is current. What pulls the grade down is the inspection history, 106 deficiencies on file, five at harm or jeopardy level and five tied to abuse, plus two fines totaling $154,742. Staffing and quality measures look decent on paper; the survey record is where the trouble sits.

B

78/100

Fireside Health Care Center

Santa Monica, CA · Los Angeles County

CMS 4/5 66 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
34%
Serious cites
0

Fireside Health Care Center runs 4.26 nurse hours per resident day, about 10% above the national average of 3.86, and its staff turnover of 34.3% is meaningfully better than the 45.8% national figure, a sign the workforce here is more stable than at many homes. The catch is consistency: weekend staffing drops roughly 10% below its own weekday level, and the record shows 61 deficiencies, including four tied to abuse, though none reached the harm or jeopardy level. A single fine of $97,670 is on file, and the most recent inspection was January 23, 2026. For-profit corporate ownership. Strong quality measure scores and solid staffing hours, but the inspection history has real weight.

B

78/100

Kei-Ai South Bay Healthcare Center

Gardena, CA · Los Angeles County

CMS 2/5 98 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
29%
Serious cites
0

Kei-Ai South Bay runs 4.14 nurse hours per resident per day, roughly 7% above the national average, and its staff turnover of 28.8% is well below the 45.8% national figure, that kind of retention matters for consistency of care. But the inspection record tells a different story: 63 deficiencies on file, including one at the harm level and four tied to abuse, with a $17,088 fine and a two-star health inspection rating. Weekend staffing drops about 10% below weekday levels, so coverage thins when families tend to visit. The most recent inspection was in January 2026, so the record is current. Ownership is for-profit through a limited liability company.

B

78/100

Grace Healthcare Center

Fresno, CA · Fresno County

CMS 1/5 101 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
46%
Serious cites
0

Grace Healthcare Center runs a hundred and one beds in Fresno under a for-profit limited liability owner, and the staffing numbers are the strongest thing it has going: 4.39 nurse hours per resident day, roughly 14 percent above the national average. That edge thins on weekends, when hours drop about 12 percent below the home's own weekday level, and turnover sits at 45.7 percent, essentially the national rate, neither better nor worse. The trouble is everything else. Seventy deficiencies sit on the current record, including four tied to abuse and one serious enough to reach harm or jeopardy, with five fines totaling $32,110. Inspectors last visited in March 2026.

B

78/100

Villa Health Care Center

Riverside, CA · Riverside County

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

Villa Health Care Center runs about 4.27 nurse hours per resident per day, roughly 11% above the national average, and its quality measure rating sits at the top of CMS's scale. The catch is consistency: weekend staffing drops about 9% below its own weekday level, and annual turnover hits 58.7% against a national 45.8%, so the people delivering that above-average care keep changing. The inspection record is current, last survey June 2025, with 35 deficiencies total, none at harm or jeopardy level, though one is abuse-related. For a 59-bed for-profit home, the clinical numbers look solid; the questions worth asking on a tour are about weekend coverage and how long the current staff have actually been there.

B

78/100

Marina Garden Nursing Center

Alameda, CA · Alameda County

CMS 5/5 32 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
27%
Serious cites
0

Marina Garden is a small for-profit home in Alameda, 32 beds, and its inspection record is the standout: a five-star health inspection rating, ten deficiencies on the current record with none at the harm or jeopardy level and none involving abuse. Staffing is where it thins out. At 3.74 nurse hours per resident day, it runs about 3% under the national average, and weekends dip slightly below its own weekday numbers. The tradeoff is retention: 26.7% turnover is well below the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Quality measures land mid-range.

B

78/100

Arcadia Care Center

Arcadia, CA · Los Angeles County

CMS 2/5 164 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
29%
Serious cites
0

Arcadia Care Center runs 164 certified beds under a for-profit limited liability company, and its staffing is the clearest strength: 4.46 nurse hours per resident day, roughly 16% above the national average, with a 4-out-of-5 CMS staffing rating and turnover at 29.1% against a national 45.8%. That stability matters, though weekend coverage dips about 9% below its own weekday level. The concerns sit elsewhere. Inspections in July 2025 left 67 deficiencies on record, including one at the harm or jeopardy level and two tied to abuse, and its health inspection and quality measure ratings both sit at 2 out of 5.

B

78/100

Palomar Heights Post Acute

Escondido, CA · San Diego County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
42%
Serious cites
0

Palomar Heights runs a for-profit operation with 98 certified beds, and its nurse staffing sits at 4.00 hours per resident day, a bit above the national average, though weekends drop about 12% below its own weekday level. Staff turnover lands at 42.3%, slightly better than the national rate. What pulls this home down is its inspection record: 55 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $8,176 fine on file. The health inspection rating reflects that, even as the quality measure score reads strong. It was last inspected May 30, 2025, so the record is reasonably current. Worth asking about those abuse-related findings directly.

B

78/100

Sunnyvale Post-Acute Center

Sunnyvale, CA · Santa Clara County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
31%
Serious cites
0

Sunnyvale Post-Acute Center runs 99 certified beds under for-profit LLC ownership, and its staffing numbers cut both ways. Total nurse coverage sits at 4.20 hours per resident day, roughly 9% above the national average, and turnover at 30.9% is well below the 45.8% norm, but weekends dip about 10% below weekday levels, and CMS gives staffing just 2 of 5 stars. The bigger concern is the inspection record: 67 deficiencies, six tied to abuse, and a 1-star health inspection rating, with the most recent survey in October 2024. No deficiencies rose to harm or jeopardy level, and quality measures scored 4 of 5, which keeps this from being a clear avoid, but ask pointed questions about that abuse history and weekend coverage before deciding.

B

78/100

Elmwood Care Center

Berkeley, CA · Alameda County

CMS 3/5 74 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
58%
Serious cites
0

Elmwood Care Center sits in Berkeley with 74 certified beds and an individual for-profit owner. The nursing hours look solid on paper, 4.29 per resident day, about 11% above the national average, and that's why staffing earns 4 stars. But weekends run roughly 7% thinner than weekdays, and annual turnover hits 58.3% against a national 45.8%, so the faces around your relative may change often. The inspection record is where things get harder to ignore: 40 deficiencies on file, including one at the harm level and two tied to abuse, with the last inspection in July 2024. Quality and health inspection each sit at 3 stars.

B

78/100

Height Street Skilled Care

Bakersfield, CA · Kern County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
30%
Serious cites
0

Height Street Skilled Care runs on a for-profit LLC model with 99 certified beds, and the staffing numbers are the bright spot: 4.24 nurse hours per resident day, about 10% above the national average, with turnover at 29.5% against a national 45.8%. That stability matters, though weekend coverage dips about 10% below its own weekday level. The inspection record is where the picture darkens, 70 deficiencies on file, including four at the harm or jeopardy level and four tied to abuse, with a 1-out-of-5 health inspection rating and a single $12,735 fine. The most recent inspection was April 2026. Staffing can carry a building only so far when the care environment draws that kind of scrutiny.

B

78/100

Trellis Chino

Chino, CA · San Bernardino County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
25%
Serious cites
0

Trellis Chino runs on a for-profit LLC structure with 59 beds, and the numbers tell two different stories at once. Nurse staffing sits at 4.53 hours per resident day, about 17% above the national average, and annual turnover of 25.4% is strikingly low against the 45.8% norm, which suggests people actually stay. Inspections came back clean at the harm level: 15 deficiencies on record, none causing injury or jeopardy, with one abuse-related citation filed. The catch is staffing consistency. Weekend coverage drops roughly 8% below the home's own weekday level, and CMS pegs staffing at just 2 of 5 stars despite the healthy daily average, worth asking how thin weekends actually get.

B

78/100

Pine Grove Nursing Center

Center, TX · Shelby County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
40%
Serious cites
0

Pine Grove Nursing Center runs 3.40 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekend staffing drops another 12% below its own weekday levels, so coverage thins out right when families tend to visit. The 120-bed nonprofit in Center carries 22 deficiencies on its current record, including one at the harm level and one abuse-related, plus a single fine of $8,278. Its quality measure score is perfect, but staffing sits mid-range and health inspections come in at 3 of 5. Staff turnover of 40.4% is better than the 45.8% national figure, which matters for continuity. Last inspection was July 2024, so the record is reasonably current.

B

78/100

Baywind Village Skilled Nursing & Rehab

League City, TX · Galveston County

CMS 5/5 107 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
63%
Serious cites
0

Baywind Village runs a strong inspection record, a 5-star health inspection rating with the most recent survey in May 2025, and its 4.80 nurse hours per resident day sit about 24 percent above the national average, which matters when you're comparing rehab options. But two things pull against that: staff turnover at 63.3 percent is well above the 45.8 percent national figure, and weekend coverage drops roughly 15 percent below weekday levels, so the caregiver on Saturday may be newer than the one on Tuesday. Fifteen deficiencies sit on the current record, including one at the harm level and one abuse-related. For-profit individual ownership rounds out the picture.

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