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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 561–580 of 12,438, best-graded first.

A

92/100

Signature Healthcare At Jefferson Place Rehab & We

Louisville, KY · Jefferson County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
28%
Serious cites
0

Signature Healthcare at Jefferson Place sits right at the national average for total nurse staffing, 3.88 hours per resident day against 3.86, so this isn't a home running thin, but it isn't running rich either. What stands out is retention: 27.9% turnover against a 45.8% national average means the people caring for residents tend to stay, which matters more for daily life than a small staffing edge. The 12 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in mid-2025, so the picture is current. Weekend coverage dips about 13% below weekdays, worth asking about if your family visits Saturdays or Sundays.

A

92/100

Norway Center For Health & Rehabilitation, Llc

Norway, ME · Oxford County

CMS 5/5 42 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
34%
Serious cites
0

Norway Center runs about 4.31 nurse hours per resident each day, roughly 12% above the national average, and its staff turnover of 34.1% sits well below the 45.8% norm, a sign people tend to stay. Weekend coverage dips about 11% from weekday levels, worth asking about if your family visits mainly on Saturdays or Sundays. The home carries 10 deficiencies on its current record, none at the harm level and none abuse-related, with its most recent inspection in April 2025. For-profit corporate ownership, 42 beds, and quality measures that score at the top of CMS's range.

A

92/100

Sacred Heart Home Inc

Hyattsville, MD · Prince Georges County

CMS 5/5 44 beds Non-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
9%
Serious cites
0

Sacred Heart Home runs about 4.86 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover sits at 8.7 percent against a national figure near 46 percent, numbers that suggest people stay. Weekend staffing dips about 11 percent below its own weekday levels, worth asking about if your family tends to visit then. The current record shows 19 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the most recent inspection was July 2025. This is a small, church-affiliated nonprofit with 44 beds, and its inspection and staffing ratings both come in at the top of CMS's scale.

A

92/100

Care One At Lowell

Lowell, MA · Middlesex County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
21%
Serious cites
0

Care One At Lowell runs 160 certified beds under a for-profit limited liability company, and its last health inspection came in May 2025. The record shows 27 deficiencies, including one at the harm or jeopardy level and two tied to abuse, worth asking about directly. Nurse staffing sits at 3.68 hours per resident day, roughly 5% under the national average, and weekends drop about 9% below its own weekday levels, so coverage thins out when families tend to visit. What stands out in the other direction is turnover: 20.7% against a national average of 45.8%, meaning aides and nurses here tend to stay. Consistent caregivers matter, especially for residents who need routine.

A

92/100

Aberjona Rehabilitation And Nursing Center

Winchester, MA · Middlesex County

CMS 5/5 123 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
20%
Serious cites
0

Aberjona runs on 4.10 nurse hours per resident day, roughly six percent above the national average, and its staff turnover of 20% sits far below the typical 45.8%. That retention matters more than any single inspection result, it means the people caring for residents here tend to stick around. The home carries six deficiencies on its current record, none of them involving harm or jeopardy and none abuse-related, and its last inspection was in May 2025. One thing worth asking about directly: weekend staffing drops about 14% below weekday levels, so if your family visits primarily on Saturdays or Sundays, it's fair to ask how coverage is handled then.

A

92/100

Lourdes Rehabilitation And Healthcare Center

Waterford, MI · Oakland County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
25%
Serious cites
0

Lourdes Rehabilitation And Healthcare Center runs on church-affiliated nonprofit ownership, and the numbers show a home that's mostly steady. Nurse staffing sits at 3.99 hours per resident day, a bit above the 3.86 national average, though weekends drop roughly 11% below weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 25.3%, well under the 45.8% national figure, which suggests less churn than most places. The inspection record shows 11 deficiencies, one at the harm level and none abuse-related, with a single $15,593 fine and a recent survey from August 2025.

A

92/100

Porter Hills Health Center

Grand Rapids, MI · Kent County

CMS 5/5 39 beds Non-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
30%
Serious cites
0

Porter Hills Health Center runs on numbers that hold up. Nurse staffing sits at 4.58 hours per resident day, roughly 19 percent above the national average, and turnover is 30 percent against a national 45.8, meaning the people caring for residents tend to stick around. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none abuse-related. Its last inspection was in July 2025, and it earned five stars for both health inspections and staffing, four for quality measures. Weekend staffing dips only about 4 percent below its own weekday level. Ownership is nonprofit. For 39 beds, that's a stable, well-staffed operation.

A

92/100

The Oaks At Battle Creek

Battle Creek, MI · Calhoun County

CMS 5/5 77 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
23%
Serious cites
0

The Oaks At Battle Creek runs on a for-profit corporate model with 77 certified beds, and its staffing numbers are the first thing worth noticing: 4.17 nurse hours per resident day, roughly 8% above the national average. Weekend coverage dips about 6% below its own weekday level, which is common but worth knowing if your family visits primarily on Saturdays and Sundays. Turnover sits at 23.1%, well under the national 45.8%, that kind of stability usually means familiar faces and consistent care. The 20 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was March 2025. Quality measures score 5/5, staffing 4/5, inspections 3/5.

A

92/100

Fenton Healthcare

Fenton, MI · Genesee County

CMS 4/5 92 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
28%
Serious cites
0

Fenton Healthcare runs leaner on nursing hours than most homes, 3.45 per resident day against a national average of 3.86, and weekends dip roughly 13% below its own weekday staffing. That's the pattern worth watching if your family member needs help on a Saturday. What sets this one apart is retention: 27.7% turnover against a 45.8% national average means the aides and nurses are more likely to still be there next year, which matters more than a slightly thin schedule. The inspection record shows 21 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last survey was in December 2025. For-profit, individually owned, 92 beds.

A

92/100

Regency At Grand Blanc

Grand Blanc, MI · Genesee County

CMS 5/5 138 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
28%
Serious cites
0

Regency At Grand Blanc runs 3.94 nurse hours per resident day, a bit above the national average, and its weekend staffing dips only around 12% below weekdays, a smaller drop than many homes show. The bigger signal is turnover: 27.9% annually against a national average of 45.8%, which suggests caregivers tend to stay. Inspections are current as of June 2025, and while the home carries 25 deficiencies, just one rose to harm or jeopardy level and none involved abuse. Quality and staffing measures both rate strongly, though the three-star health inspection score reflects that survey history. This is a for-profit, LLC-owned home with 138 beds whose numbers mostly hold up.

A

92/100

The Willows At Okemos

Okemos, MI · Ingham County

CMS 5/5 68 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
33%
Serious cites
0

The Willows At Okemos runs a tight ship on staffing: 3.99 nurse hours per resident day puts it just above the national average, and a 32.8% turnover rate is meaningfully better than the 45.8% typical elsewhere, which matters because consistent caregivers know residents' routines. Weekend coverage drops about 7% from weekday levels, worth asking about if your family visits on Saturdays or Sundays. The inspection record is a mixed bag, 22 deficiencies, one serious enough to involve harm or jeopardy, though nothing abuse-related and the most recent inspection was April 2026. The low turnover and 4-out-of-5 inspection rating suggest a home that's generally managed well, with one incident worth asking about directly.

A

92/100

The Oaks At Belmont

Belmont, MI · Kent County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
23%
Serious cites
0

The Oaks at Belmont runs 4.37 nurse hours per resident day, about 13% above the national average, and its staff turnover of 22.6% is roughly half the national rate, that retention matters more than any single inspection score. The trade-off is weekends, when staffing drops about 12% below its own weekday level, so coverage isn't perfectly even across the week. The inspection record shows seven deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. That one higher-level finding is the main thing keeping this from a cleaner record. With the most recent inspection in January 2026 and a 60-bed for-profit corporate owner, the picture is a well-staffed home with one incident worth asking about directly.

A

92/100

Mcintosh Senior Living

Mcintosh, MN · Polk County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.92 /day
Staff turnover
27%
Serious cites
0

McIntosh Senior Living runs on a non-profit model with 45 certified beds, and the staffing numbers are the first thing worth noting: 4.92 nurse hours per resident day, about 27 percent above the national average. That matters more than any single inspection result, because consistent coverage is what keeps small homes safe day to day. Weekend staffing dips roughly 14 percent below its own weekday level, so ask how that gap gets covered. Staff turnover sits at 27 percent, well under the national 45.8 percent, which suggests people stay. The record shows 2 deficiencies, one serious enough to involve harm or jeopardy, with no abuse citations and a recent March 2026 inspection.

A

92/100

Karlstad Healthcare Center Inc

Karlstad, MN · Kittson County

CMS 5/5 46 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
17%
Serious cites
0

Karlstad Healthcare Center runs on a steady crew. Nurse staffing sits at 3.95 hours per resident day, a bit above the national average, and the 17.2% turnover rate is far below the 45.8% most homes average, that kind of retention usually shows up in how consistently residents see familiar faces. Inspections back it up: a five-star health inspection rating, with just five deficiencies on record and none at the harm or jeopardy level, though one is abuse-related. Weekend staffing dips about 12% below weekdays, worth asking about. The last inspection was May 2026, so the record is current.

A

92/100

Courage Kenny Rehabilitation Institutes Trp

Golden Valley, MN · Hennepin County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
7.24 /day
Staff turnover
39%
Serious cites
0

Courage Kenny Rehabilitation Institutes Trp runs 56 certified beds in Golden Valley under nonprofit ownership, and the staffing numbers are the standout: 7.24 nurse hours per resident day, roughly double the national average of 3.86. Weekend coverage dips only about 6% below weekdays, and turnover at 38.7% sits below the 45.8% national figure. The weaker side is inspections, where CMS rates it 2 out of 5, with 12 deficiencies on record including one at the harm or jeopardy level and one tied to abuse, plus a $16,355 fine. That last inspection was recent, in March 2025, so the record is current rather than stale. Strong hands-on care, but a citation history worth asking about directly.

A

92/100

Legacy Square

Henderson, NE · York County

CMS 2/5 40 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
24%
Serious cites
0

Legacy Square runs a lean but well-staffed floor: 4.09 nurse hours per resident day, roughly 6% above the national average, and weekend coverage holds up better than you'd expect, dipping only about 13% below weekdays. Turnover sits at 23.5% against a national 45.8%, which means the people caring for residents tend to stick around. The trouble is on the inspection side. Eleven deficiencies are on the current record, including one at the harm level and two tied to abuse, and the health inspection rating reflects that. A single $14,069 fine and a January 2026 inspection round out the picture. Strong staffing can't paper over those findings.

A

92/100

Doctors Subacute Healthcare, Llc

Paterson, NJ · Passaic County

CMS 5/5 54 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
24%
Serious cites
0

Doctors Subacute Healthcare runs 54 beds in Paterson under individual for-profit ownership, and its inspection record is genuinely clean where it counts: 16 deficiencies on file, but none at the harm or jeopardy level. The two abuse-related citations are worth asking about directly. Nurse staffing sits at 3.78 hours per resident day, about 2% under the national figure, and weekends run roughly 13% thinner than weekdays, so coverage dips when families tend to visit. The standout number is turnover at 24.4%, nearly half the national average, which suggests a steadier crew than most homes manage. Its last inspection was recent, December 2025.

A

92/100

Mcauley Hall Health Care Cente

Watchung, NJ · Somerset County

CMS 4/5 74 beds Non-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
28%
Serious cites
0

McAuley Hall runs on more nursing hours than most homes in the country, about 4.14 per resident day against a national average near 3.86, and its staff tends to stay, with turnover at 27.5% compared to roughly 46% nationally. The trade-off shows up in the inspection record: 20 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. Weekend coverage dips about 4% below weekday levels, which is worth asking about. State inspectors were last in during August 2025, and the home scores 4 out of 5 on health inspections, quality measures, and staffing alike.

A

92/100

De La Salle Hall

Lincroft, NJ · Monmouth County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
35%
Serious cites
0

De La Salle Hall runs about 4.63 nursing hours per resident each day, roughly 20 percent more than the national average, and its weekend coverage barely dips below weekdays. Staff turnover sits at 35.3 percent, well under the national 45.8 percent, people tend to stay. Six deficiencies show on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection closed out at the end of 2024. For a small nonprofit home of 32 beds in Monmouth County, that combination of steady staffing and clean inspections is doing most of the work here.

A

92/100

Rose Mountain Care Center

New Brunswick, NJ · Middlesex County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
25%
Serious cites
0

Rose Mountain Care Center runs on numbers that don't all point the same direction. The 112-bed for-profit partnership in New Brunswick keeps its staff remarkably well, 25.3% turnover against a national average of 45.8%, and CMS gives it top marks for staffing and quality measures. But nurse hours per resident sit at 3.72, about 4% under the national figure, with weekends running roughly 5% leaner than weekdays. The inspection record is the real outlier: 39 deficiencies, including three tied to abuse, and a one-star health inspection rating. Nothing on the current record reached harm or jeopardy level, and the most recent inspection was December 2024, so the picture is recent. Strong retention and thin weekend coverage can coexist, worth asking how.

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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