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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 5601–5620 of 12,438, best-graded first.

B

77/100

Nhc Healthcare - Greenwood

Greenwood, SC · Greenwood County

CMS 3/5 152 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
45%
Serious cites
0

Nhc Healthcare - Greenwood runs 152 certified beds under corporate ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 13% below its own weekday level, so coverage thins out right when families tend to visit. Turnover is 44.9%, essentially in line with the national 45.8%. The inspection record shows 14 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $14,433. The last inspection was May 1, 2025. Quality measures score well; staffing and inspections are where the gaps show.

B

77/100

White Oak Manor - Charleston

Charleston, SC · Charleston County

CMS 4/5 176 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

White Oak Manor in Charleston runs 176 beds under corporate ownership, and its staffing sits slightly above the national average at 3.98 nurse hours per resident day. That edge shrinks on weekends, when coverage drops roughly 12% below weekday levels, worth asking about if your family visits Saturday or Sunday. Turnover lands at 38.9%, better than the 45.8% national figure, which suggests a steadier crew than many homes manage. The inspection record shows six deficiencies, one serious enough to involve harm, plus a single fine of $8,788; the most recent state visit was August 2025. Nothing here reads as dangerous, but the weekend gap and that one harm-level finding are the details to press on.

B

77/100

Lake City Scranton Healthcare Center

Scranton, SC · Florence County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
34%
Serious cites
0

Lake City Scranton runs on thinner nurse coverage than most homes, 3.18 hours per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday numbers, which is when families tend to visit and notice. The tradeoff is stability: turnover of 33.8% is well under the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. State inspectors were in on July 30, 2025 and logged 21 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. That mixture of steady staff, recent inspection, and lean daily hours is what sits behind the B.

B

77/100

The Reserve Healthcare And Rehabilitation

Charleston, SC · Berkeley County

CMS 5/5 135 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
43%
Serious cites
0

The Reserve Healthcare and Rehabilitation in Charleston runs 135 certified beds under for-profit LLC ownership, and its inspection record is the standout: zero deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with the last inspection dated May 28, 2026. That clean sheet is why CMS gave it 5 out of 5 inspection stars and 4 out of 5 on quality measures. The staffing side is thinner, 3.35 nurse hours per resident day sits about 13% under the national average of 3.86, and weekend coverage drops roughly 13% below its own weekday level, which is when families tend to notice. Turnover at 43.4% is slightly better than the 45.8% national figure, so the workforce is comparatively stable even if the hours aren't generous.

B

77/100

Promedica Skilled Nursing And Reh- Greenville West

Greenville, SC · Greenville County

CMS 5/5 88 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
48%
Serious cites
0

Promedica Skilled Nursing and Reh- Greenville West is a for-profit LLC home with 88 certified beds in Greenville, and its inspection record is genuinely strong, a 4 out of 5 health inspection rating with a recent December 2025 survey and no abuse-related deficiencies. The catch is staffing. At 3.12 nurse hours per resident day, it runs roughly 19% under the national average of 3.86, and weekends drop about 14% below its own weekday levels. Annual turnover sits at 48%, slightly above the national 45.8%. Quality measures score 5 out of 5, which speaks well of clinical outcomes, but those numbers depend on who's actually on the floor. Seven deficiencies total, one serious enough to cause harm. Worth asking about weekend coverage directly.

B

77/100

Prince George Healthcare Center

Georgetown, SC · Georgetown County

CMS 2/5 148 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
34%
Serious cites
0

Prince George Healthcare Center runs about 3.17 nurse staffing hours per resident day, roughly 18 percent under the national average of 3.86, and weekends dip another 13 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover sits at 34.3 percent, which is better than the 45.8 percent national figure, meaning the staff who are there tend to stay. Inspections in June 2025 turned up 15 deficiencies, none involving harm or jeopardy and none abuse-related, with middle-of-the-road marks on inspections, quality measures, and staffing. The corporate for-profit owner runs a 148-bed building that is neither troubled nor especially strong.

B

77/100

White Oak At North Grove Inc

Spartanburg, SC · Spartanburg County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
39%
Serious cites
0

White Oak at North Grove runs 132 beds in Spartanburg under corporate ownership, and its numbers pull in two directions. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average, with weekends about 10% thinner than weekdays. Turnover is 39.2%, which is actually better than the 45.8% national figure. What stands out is the inspection record: 16 deficiencies, two at harm or jeopardy level, two abuse-related, and one $10,364 fine, with the most recent inspection in May 2025. That record is what drags the overall picture down, even though the quality and staffing measures rate well individually.

B

77/100

Sprenger Healthcare Of Bluffton

Bluffton, SC · Jasper County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
63%
Serious cites
0

Sprenger Healthcare of Bluffton runs 60 certified beds under corporate for-profit ownership, and its inspection record is genuinely strong, a recent September 2025 survey, five total deficiencies, and just one at the harm level. Where the numbers get shakier is staffing. At 3.58 nurse hours per resident day, it sits about 7% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover of 62.5% is well above the 45.8% national figure, which matters more than a single shift count because it hints at how often residents see unfamiliar faces. Good inspections, thinner coverage, high churn, that combination is what holds this home back from the top of the range.

B

77/100

Nhc Healthcare, Chattanooga

Chattanooga, TN · Hamilton County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
51%
Serious cites
0

Nhc Healthcare, Chattanooga runs 200 beds under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, with weekends dipping roughly 13% below its own weekday levels. That thinner weekend coverage matters, because direct care doesn't pause on Saturdays. Annual turnover hits 51%, well above the 45.8% national figure, so familiar faces cycle out faster than average here. The inspection record is current, last reviewed in October 2024, and shows 10 deficiencies with none at the harm or jeopardy level and nothing abuse-related. CMS rates the clinical quality measures a full 5 out of 5, while staffing earns 2. The care itself looks solid on paper; the workforce keeping it running is where the strain shows.

B

77/100

Nhc Healthcare, Murfreesboro

Murfreesboro, TN · Rutherford County

CMS 5/5 181 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
57%
Serious cites
0

Nhc Healthcare, Murfreesboro runs 181 certified beds under corporate for-profit ownership, and its inspection record is genuinely strong, a five-star health inspection rating, seven total deficiencies with none rising to harm or jeopardy, and a survey completed in March 2026. The catch sits in the workforce. Nurse staffing averages 3.85 hours per resident day, essentially level with the national figure, but weekends run about 9% lighter than weekdays, and annual turnover hits 56.7% against a national average of 45.8%. Two abuse-related deficiencies also appear on the current record. Consistent oversight and quality scores are doing real work here; the question is whether enough consistent hands stay on staff to keep it that way.

B

77/100

The Health Center At Standifer Place

Chattanooga, TN · Hamilton County

CMS 4/5 444 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
45%
Serious cites
0

The Health Center at Standifer Place runs 444 certified beds as a for-profit LLC, and its most recent inspection closed out in July 2025 with 15 deficiencies on record, none of them at the harm or jeopardy level, and none abuse-related. Nurse staffing sits at 3.83 hours per resident day, roughly a hair under the national average, but weekends drop about 15% below what the building staffs on weekdays, which is where thin coverage tends to show. Annual turnover of 44.9% is essentially the national rate. Inspection and quality measures both rate well; staffing is the softer spot.

B

77/100

Signature Healthcare Of Elizabethton Rehab & Welln

Elizabethton, TN · Carter County

CMS 5/5 94 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
37%
Serious cites
0

Signature Healthcare of Elizabethton runs 94 certified beds under for-profit LLC ownership, and its inspection record is the cleanest part of the story: a five-star health inspection rating with just two deficiencies on file, none at the harm or jeopardy level. One of those two is abuse-related, which is worth asking about directly. Nurse staffing sits at 3.89 hours per resident day, barely above the 3.86 national average, and weekends dip about 12% below the home's own weekday coverage. Staff turnover is 36.8%, lower than the 45.8% national figure, which suggests people tend to stay. The last inspection was May 2025, so the record you're reading is recent.

B

77/100

Countryside Post-Acute And Rehabilitation Center

Lawrenceburg, TN · Lawrence County

CMS 3/5 162 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
40%
Serious cites
0

Countryside Post-Acute and Rehabilitation Center is a 162-bed for-profit in Lawrenceburg, and its numbers tell a mixed story. Nurse staffing sits at 3.66 hours per resident per day, roughly 5% under the national average, and weekend coverage drops about 13% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover, at 40.2%, is actually better than the 45.8% national figure, which suggests some stability in the workforce. The current record shows 15 deficiencies, none at the harm level and none abuse-related, and the last inspection was in February 2026. Quality measures score well; staffing is the weak spot.

B

77/100

Life Care Center Of Collegedale

Collegedale, TN · Hamilton County

CMS 4/5 124 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
36%
Serious cites
0

Life Care Center of Collegedale runs about 3.35 nursing hours per resident each day, roughly 13% under the national average, and weekends are thinner still, about 13% below its own weekday staffing. Turnover sits at 35.8%, better than the 45.8% national figure, so the people who stay tend to stay. The current record shows 8 deficiencies, none involving harm or abuse, and the last inspection was in March 2023. Its quality measure score is perfect while staffing and inspections land in the middle. Read together, that mix suggests a home getting good clinical outcomes from a leaner crew, though the weekend dip is worth asking about directly.

B

77/100

Trenton Health And Rehabilitation Center, Llc

Trenton, TN · Gibson County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
49%
Serious cites
0

Trenton Health and Rehabilitation Center runs 50 certified beds under corporate for-profit ownership, and its inspection record is genuinely clean, a five-star health inspection rating, no deficiencies at the harm or jeopardy level, and nothing abuse-related among its eight total citations. The catch is staffing. Total nurse coverage sits at 3.88 hours per resident day, essentially dead even with the national average, and weekends drop about 12% below what the home staffs on weekdays. Annual turnover of 48.9% tops the national rate of 45.8%, which means roughly half the nursing staff turns over each year. Quality measures score five stars, and the most recent inspection was in January 2026. Strong care outcomes, thin staffing cushion.

B

77/100

Signature Healthcare Of Rogersville

Rogersville, TN · Hawkins County

CMS 5/5 150 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
43%
Serious cites
0

Signature Healthcare of Rogersville runs 150 certified beds under corporate ownership, and its staffing sits at 3.40 nurse hours per resident per day, about 12% under the national average of 3.86. Weekends dip roughly another 12% below its own weekday coverage, so if you're visiting or calling on a Saturday, expect a thinner floor than midweek. The stronger news is on inspections: three deficiencies on record, none at the harm level, none abuse-related, and the most recent survey was in January 2026. Turnover lands at 42.9%, slightly better than the 45.8% national figure. Its inspection and quality ratings both hit the top mark; staffing is the piece holding it back.

B

77/100

The Preserve At Fairfield Glade

Crossville, TN · Cumberland County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
65%
Serious cites
0

The Preserve At Fairfield Glade runs on staffing that's essentially at the national average, 3.82 nurse hours per resident day against 3.86, though weekends dip about 8% below its own weekday coverage, which matters if your visits fall on a Saturday or Sunday. What stands out more is the 65% annual turnover, well above the 45.8% national figure, meaning the aide or nurse your family member sees most often may not be there in a year. The record shows 16 deficiencies, none at the harm level but two tied to abuse, and the last full inspection was in May 2023. Quality measures score well; inspections are middling.

B

77/100

Paradigm At Bay City

Bay City, TX · Matagorda County

CMS 4/5 105 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
45%
Serious cites
0

Paradigm At Bay City runs 105 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 25 deficiencies, three at harm or jeopardy level and two tied to abuse, plus one fine of $50,359; the last inspection was May 30, 2025. Staff turnover (44.7%) is basically in line with the national rate. The quality measure rating is strong at 4/5, but the 2/5 inspection rating reflects real problems that staffing numbers alone won't fix.

B

77/100

Hacienda Oaks At Beeville

Beeville, TX · Bee County

CMS 5/5 101 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
29%
Serious cites
0

Hacienda Oaks runs leaner on nursing hours than most homes, about 3.42 per resident per day, roughly 11% under the national average, and weekends get thinner still, dropping around 14% below its own weekday coverage. That's the tradeoff to weigh against a staff turnover rate of 29.3%, well below the national 45.8%, which suggests people here tend to stay. The inspection record is decent: 23 deficiencies, none rising to harm or jeopardy, nothing abuse-related, and the last survey was in May 2025, so the picture is current. Owned by a for-profit limited liability company, the home has no serious safety citations against it, but the staffing pattern is the number worth asking about directly.

B

77/100

Clarksville Nursing Center

Clarksville, TX · Red River County

CMS 3/5 132 beds Government Medicaid
Nurse hours
3.01 /day
Staff turnover
41%
Serious cites
0

Clarksville Nursing Home is run by the local hospital district, and its last inspection was in December 2025, recent enough that you're not looking at stale findings. The record shows 34 deficiencies, but none at the harm or jeopardy level, and two tied to abuse, which is worth asking about directly. Staffing is the weaker spot: 3.01 nurse hours per resident day, roughly 22% under the national average, and weekends run about 12% lighter than weekdays, so coverage thins out exactly when families tend to visit. Turnover at 40.5% is better than the 45.8% national figure, and the 4/5 quality measure rating suggests clinical outcomes hold up despite the thin staffing.

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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