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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 5501–5520 of 12,438, best-graded first.

B

77/100

Boro Park Center For Rehabilitation And Healthcare

Brooklyn, NY · Kings County

CMS 2/5 510 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
20%
Serious cites
0

Boro Park Center is a 510-bed for-profit home in Brooklyn, and its inspection record shows 18 deficiencies, one of them abuse-related, with none rising to actual harm or jeopardy. The last state visit was in May 2024. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, and weekends run roughly 10% thinner than weekdays, worth asking about if your family mostly visits on Saturdays. The genuinely strong number here is turnover: 20% against a national average near 46%, meaning the people caring for your relative are more likely to still be there next year.

B

77/100

Golden Gate Rehabilitation & Health Care Center

Staten Island, NY · Richmond County

CMS 1/5 238 beds For-profit Medicaid
Nurse hours
2.81 /day
Staff turnover
28%
Serious cites
0

Golden Gate runs on thin staffing: 2.81 nurse hours per resident day, roughly 27% under the national average, and weekends drop about 8% below its own weekday level. Turnover is where it stands out, 27.7% versus 45.8% nationally, so the people who stay tend to stay. The inspection record is the problem. Eighteen deficiencies, three serious enough to put residents in harm's way, five tied to abuse, and the most recent inspection was May 2024. Quality measures score well, but a 238-bed for-profit home with that staffing and that inspection history carries real risk. Ask to see the abuse-related correction plans before you decide.

B

77/100

Hillside Manor Rehab & Extended Care Center

Jamaica Estates, NY · Queens County

CMS 2/5 400 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
27%
Serious cites
0

Hillside Manor runs 400 certified beds in Jamaica Estates under for-profit LLC ownership, and the raw staffing number, 3.37 nurse hours per resident day, sits about 13% under the national average of 3.86. Weekends dip roughly another 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. What stands out in the other direction is retention: 26.5% turnover against a 45.8% national average means far fewer unfamiliar faces than at a typical home. The inspection record is where the picture darkens, 19 deficiencies on file, including two at harm or jeopardy level and three tied to abuse, plus a $34,947 fine and a 2-out-of-5 health inspection rating. The most recent survey was March 31, 2025, so that record is current.

B

77/100

The Monarch At Brooklyn Rehabilitation And Nursing

Brooklyn, NY · Kings County

CMS 5/5 200 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
44%
Serious cites
0

The Monarch at Brooklyn Rehab and Nursing Center runs 200 certified beds under for-profit limited liability ownership, and its staffing is the number to sit with: 2.84 nurse hours per resident day against a national average of 3.86, roughly a quarter below. Weekends dip about 8% below the home's own weekday levels, and turnover sits at 44.1%, slightly better than the 45.8% national figure, so continuity isn't the main worry here. What stands out instead is the split between inspection results and staffing: a 4/5 health inspection rating with 22 deficiencies on record and none at harm or jeopardy level, but one abuse-related citation, and a 2/5 staffing rating despite strong quality measure scores.

B

77/100

Middletown Park Rehab & Health Care Center

Middletown, NY · Orange County

CMS 4/5 230 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
36%
Serious cites
0

Middletown Park runs 230 beds under corporate ownership, and its staffing sits about 13% under the national average at 3.34 nurse hours per resident day. Weekends dip roughly 11% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is 35.5%, better than the 45.8% national figure, so the aides and nurses who are there tend to stay. The current record shows 15 deficiencies, none at harm level, though one is abuse-related, and the last inspection was March 2024. Quality measures score well; staffing is where the numbers run thin.

B

77/100

Degraff Memorial Hospital-Skilled Nursing Facility

North Tonawanda, NY · Niagara County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
54%
Serious cites
0

The staffing number is the one to sit with here: 1 out of 5 stars, with 53.6% annual turnover against a national average of 45.8%. That means the people caring for residents are changing over at a faster clip than at the typical American nursing home. On the other side of the ledger, the clinical quality measures score a full 5 out of 5, and the ten deficiencies on record include none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Inspections were recent, in October 2024, and the last one drew a middling result. Corporate-owned, 80 beds.

B

77/100

Sheepshead Nursing & Rehabilitation Center

Brooklyn, NY · Kings County

CMS 3/5 200 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
25%
Serious cites
0

Sheepshead runs leaner than the typical U.S. nursing home on nursing hours, 3.69 per resident day against a national average of 3.86, and weekends drop roughly 11% below its own weekday staffing, which is worth asking about if most of your visits would fall on Saturdays or Sundays. The good news sits in the turnover number: 25.1% is well under the national 45.8%, so the aides and nurses around your family member are more likely to still be there next year. The current record shows 17 deficiencies, none at the harm level, one tied to abuse, and the last inspection was April 2024.

B

77/100

Silvercrest

Jamaica, NY · Queens County

CMS 2/5 320 beds Non-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
19%
Serious cites
0

Silvercrest runs a tight ship on staffing: 3.93 nurse hours per resident day, just above the national average, and weekend coverage dips only about 6% below weekdays. The standout number is turnover, 19.3% against a national average near 46%. That kind of retention usually means consistent caregivers who know the residents. Then there's the inspection record. Sixteen deficiencies, one at the harm level, one abuse-related, and a $24,850 fine. The last inspection was December 2024, so the record is current, not stale. A nonprofit with 320 beds holding a 4/5 on quality measures and a 2/5 on health inspections is a mixed picture: the day-to-day care metrics look solid, but the survey history is where a family should ask questions.

B

77/100

Hope Center For Hiv And Nursing Care

Bronx, NY · Bronx County

CMS 1/5 66 beds For-profit Medicaid
Nurse hours
2.24 /day
Staff turnover
33%
Serious cites
0

The Hope Center for HIV and Nursing Care runs 66 certified beds in the Bronx under corporate ownership, and its nurses deliver about 2.24 hours of care per resident each day, roughly 42 percent below the national average of 3.86, with weekends dipping another 14 percent under its own weekday pace. Inspectors have written up 33 deficiencies, two tied to abuse, though none rose to harm or jeopardy, and the most recent visit was in May 2025. Staff turnover sits at 33.3 percent, better than the 45.8 percent national figure, and quality measures rate well. The staffing shortfall is the number worth weighing.

B

77/100

Bronxcare Special Care Center

Bronx, NY · Bronx County

CMS 4/5 240 beds Non-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
24%
Serious cites
0

Bronxcare Special Care Center runs a tight ship on retention, 23.9% turnover is roughly half the national rate, which tells you aides and nurses tend to stay. That matters, because consistency of care is hard to fake. The trade-off shows up in raw hours: 2.91 nurse staffing hours per resident day sits about a quarter below the national average, and weekends dip further. Inspections look solid, a 4/5 health inspection star and a recent survey with no deficiencies at the harm level, though 14 total deficiencies and three abuse-related citations are worth asking about directly. Nonprofit ownership and a stable workforce are real strengths here; the staffing number is the thing to watch.

B

77/100

Westhampton Care Center

Westhampton, NY · Suffolk County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
41%
Serious cites
0

Westhampton Care Center runs 180 beds under corporate ownership, and its inspection record is genuinely strong, a 4 out of 5 on health inspections, with the most recent visit in June 2025. The catch is staffing. At 3.57 nurse hours per resident day, it sits roughly 8% under the national average, and weekends drop another 9% below its own weekday levels, which matters when aides are already stretched. Sixteen deficiencies are on the current record, including one at the harm level and two tied to abuse. Turnover at 40.9% is slightly better than the national 45.8%, so the problem isn't retention so much as how many hands are scheduled per shift.

B

77/100

Queens Boulevard Extended Care Facility

Woodside, NY · Queens County

CMS 4/5 280 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
40%
Serious cites
0

Queens Boulevard Extended Care Facility runs 3.72 nurse hours per resident per day, a bit under the national average of 3.86. Weekends dip about 5% below its own weekday coverage, so the thinnest shifts are predictable ones. Staff turnover sits at 39.8%, better than the 45.8% national figure, people tend to stay here longer than at the typical home. The 280-bed for-profit LLC was last inspected in June 2024 and carries 12 deficiencies, none at harm or jeopardy level, though one is abuse-related. Federal ratings put quality and inspection at 4 out of 5 while staffing lands at 2. The pattern is a home that scores well when surveyed but runs leaner than average between visits.

B

77/100

St Catherine Of Siena Nursing And Rehabilitation C

Smithtown, NY · Suffolk County

CMS 3/5 240 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
28%
Serious cites
0

St Catherine of Siena runs a 240-bed nonprofit home in Smithtown, and its staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, so don't expect more hands on deck than a typical facility. Weekend coverage drops about 10% below its own weekday level, which is worth asking about if your family visits on Saturdays. Turnover is the real bright spot: 28% versus a national 45.8%. On the other side, 13 deficiencies are on record, one at harm or jeopardy level and three abuse-related, plus a $64,496 fine, with the last inspection in August 2025.

B

77/100

Harmony Park At Wilson

Wilson, NC · Wilson County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
44%
Serious cites
0

Harmony Park At Wilson runs a 110-bed for-profit operation, and the split in its record is worth understanding. Inspections look solid, a four-star health inspection rating and no deficiencies at the harm or jeopardy level. But two abuse-related citations on the current record deserve a direct question when you tour. Staffing is the weaker spot: 3.60 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 8% below the home's own weekday coverage. Turnover of 44.2% is roughly in line with the national figure. Ask how they staff Saturday and Sunday, and who supervises residents then.

B

77/100

Life Care Center Of Banner Elk

Banner Elk, NC · Avery County

CMS 4/5 118 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
18%
Serious cites
0

Life Care Center of Banner Elk runs a corporate-owned, 118-bed building where the nursing hours come in light, about 3.18 per resident day against a national average near 3.86, and weekends dip roughly 7% below the home's own weekday coverage. What stands out in the other direction is retention: turnover sits at 17.6%, well under the 45.8% national figure, so the people caring for residents tend to stay. The inspection record is current and clean at the serious end, seven deficiencies, none involving harm or abuse, following an August 2025 survey. Read together, that suggests a stable crew working with thinner daily staffing than most homes.

B

77/100

Riverpoint Crest Nursing And Rehabilitation Center

New Bern, NC · Craven County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
23%
Serious cites
0

Riverpoint Crest runs leaner on nursing hours than most homes, about 3.36 per resident per day against a national average of 3.86, and weekends dip roughly 12% below its own weekday staffing. The tradeoff is stability: turnover sits at 23.4%, well under the 45.8% national figure, so the aides and nurses your family member sees are more likely to still be there next year. Its inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in September 2025. Corporate for-profit ownership and a mid-range inspection history mean the numbers here are solid on staffing consistency but not standout on care quality.

B

77/100

The Greens At Hickory

Hickory, NC · Catawba County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
42%
Serious cites
0

The Greens At Hickory runs 150 beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.74 nurse hours per resident day, roughly 3% below. Weekends are where that thins out most, dropping about 11% below the home's own weekday coverage, which matters when families visit and needs don't pause for the calendar. Turnover lands at 41.5%, a bit better than the 45.8% national figure. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in late January 2026. Inspections have drawn a 2 out of 5 from CMS, the weakest of its three ratings.

B

77/100

The Lodge At Mills River

Mills River, NC · Henderson County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
56%
Serious cites
0

The Lodge At Mills River just cleared a June 2025 inspection and holds a 5-star record on both health inspections and quality measures, the clinical side looks strong. But look at staffing and the picture shifts: 3.89 nurse hours per resident day sits barely above the national average, weekends run about 14% thinner than weekdays, and annual turnover of 55.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. Six deficiencies are on record, one serious enough to reach harm or jeopardy. A for-profit LLC runs the place, and with only 50 beds, every departure is felt. Good care when inspected, but keeping enough consistent hands is the real question.

B

77/100

Peak Resources - Alamance, Inc

Graham, NC · Alamance County

CMS 3/5 142 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
52%
Serious cites
0

Peak Resources - Alamance runs 142 certified beds in Graham under corporate for-profit ownership, and its inspection record is genuinely solid, a four-star health inspection rating, eight deficiencies on file with none rising to harm or jeopardy level, and no abuse citations. The catch is staffing. At 3.43 nurse hours per resident day, it sits roughly 11 percent under the national average, and weekends drop another 11 percent below its own weekday coverage, which matters most when families visit and aides are stretched thinnest. Staff turnover of 52.4 percent runs well above the 45.8 percent national figure, so the people caring for residents change often. One fine totaling $3,728 and a recent March 2026 inspection round out a home that's safe on paper but thin on consistent hands.

B

77/100

Cardinal Healthcare And Rehabilitation

Lincolnton, NC · Lincoln County

CMS 5/5 63 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
40%
Serious cites
0

Cardinal Healthcare and Rehabilitation runs about 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends dip another 9% below its own weekday numbers, so if you're visiting on a Saturday, expect a thinner floor than midweek. Turnover sits at 40%, a bit better than the 45.8% national figure, and the inspection record is clean where it counts: eight deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey dated June 2026. The 63-bed for-profit corporate home earns top marks on quality measures and solid marks on inspections, but the staffing hours are what a family should weigh against a recent, mostly minor survey history.

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