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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 41 to 60 of 12,438, best-graded first.

A

99/100

Deupree Cottages

Cincinnati, OH · Hamilton County

CMS 5/524 bedsNon-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
16%
Serious cites
0

Deupree Cottages runs on a small scale, 24 certified beds under nonprofit ownership, and the staffing numbers reflect that attention. At 5.39 nurse hours per resident day, it sits roughly 40% above the national average of 3.86, and weekend coverage stays within about 10% of its weekday level, so care doesn't thin out when families tend to visit. Staff turnover tells its own story: 15.8% against a national 45.8% means aides and nurses are staying put, which matters for residents who depend on familiar faces. Thirteen deficiencies on record with none at the harm level and none abuse-related, plus a July 2025 inspection, round out a picture of a home that's both well-staffed and recently reviewed.

A

99/100

Lebanon Valley Brethren Home

Palmyra, PA · Lebanon County

CMS 5/588 bedsNon-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
26%
Serious cites
0

Staffing here runs about 5.1 nurse hours per resident per day, roughly a third above the national average, and that holds up on weekends too, weekend coverage dips only about 10% from weekday levels, which is smaller than what many homes show. Annual turnover sits at 26.1% against a national average near 46%, so the people caring for residents tend to stay. The inspection record is thin in the best way: one deficiency total, none involving harm or abuse, from a visit dated February 2026. Put the staffing, retention, and inspection history together and you get a home that looks steady rather than lucky.

A

99/100

Willowbrooke Court Skilled Care Center At Brittany

Lansdale, PA · Montgomery County

CMS 5/592 bedsNon-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
29%
Serious cites
0

Willowbrooke Court runs on 4.21 nurse hours per resident day, roughly 9% above the national average, and weekend coverage dips only modestly below its own weekday level, a gap far smaller than what many homes show. Staff turnover sits at 29.4% against a national 45.8%, which matters because consistent caregivers know residents' routines and catch changes early. The current record holds three deficiencies, none at the harm level and none abuse-related, with an inspection completed in July 2025. As a nonprofit, it answers to a board rather than shareholders. Every one of those signals points the same direction, which is rare, homes often look strong in one area and thin in another.

A

99/100

Mervyn Sharp Bennion Central Utah Veterans Home

Payson, UT · Utah County

CMS 5/5108 bedsGovernmentMedicaid
Nurse hours
5.69 /day
Staff turnover
34%
Serious cites
0

The state-run veterans home in Payson runs nurse staffing at 5.69 hours per resident day, roughly 47% above the national figure, with weekend coverage dipping about 9% below its own weekday levels. Staff turnover of 33.7% sits well under the national 45.8%, which matters for continuity in a memory-care-heavy population. Against that, the current record carries 13 deficiencies, including one at the harm or jeopardy level and one tied to abuse, and the most recent inspection was April 2026. Strong marks across CMS's health, quality, and staffing domains coexist here with real citations, so read the inspection details rather than the star averages.

A

99/100

Rappahannock Westminster Canterbury

Irvington, VA · Lancaster County

CMS 5/542 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
26%
Serious cites
0

Rappahannock Westminster Canterbury runs about 4.92 nurse hours per resident day, which is roughly 28% above the national average, and its staff turnover sits at 25.6% against a national 45.8%, that combination is why the numbers look strong here. Weekend staffing does dip about 13% below its weekday level, so ask how that plays out on Saturdays and Sundays. The current record shows 14 deficiencies, one of them at the harm or jeopardy level, with no abuse citations; the last inspection was August 2023, so the picture may be older than you'd like. A 42-bed nonprofit home with that staffing edge and relatively stable workforce is worth a visit, but bring questions about that harm-level finding and what's changed since.

A

99/100

Briarwood At Timber Ridge

Issaquah, WA · King County

CMS 5/545 bedsFor-profitMedicaid
Nurse hours
4.64 /day
Staff turnover
29%
Serious cites
0

Briarwood At Timber Ridge runs 4.64 nurse hours per resident per day, roughly a fifth more than the national average, and its staff turnover sits at 28.6 percent against a national 45.8, meaning the people caring for your relative are more likely to still be there next year than at a typical home. Weekend coverage dips about 12 percent below weekdays, so ask how that plays out on a Sunday. The inspection record shows 19 deficiencies, none at the harm level and none abuse-related, with the most recent visit in December 2025. For a 45-bed for-profit, that combination of low turnover and steady survey history is what stands out.

A

99/100

Wi Veterans Hm Ainsworth Hall

King, WI · Waupaca County

CMS 5/5198 bedsGovernmentMedicaid
Nurse hours
5.82 /day
Staff turnover
27%
Serious cites
0

The state runs this 198-bed home in Waupaca County, and the staffing numbers show it: 5.82 nurse hours per resident per day, roughly half again the national average of 3.86. Weekend coverage dips about 11% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Turnover sits at 26.9%, well under the 45.8% national figure, so the people caring for residents tend to stay. Fifteen deficiencies appear on the current record with none at the harm level, one tied to abuse, and the most recent inspection was in March 2025.

A

99/100

Torrance Memorial Med Ctr Snf/Dp

Torrance, CA · Los Angeles County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
8.46 /day
Staff turnover
22%
Serious cites
0

Torrance Memorial Med Ctr Snf/Dp runs on unusually heavy staffing: 8.46 nurse hours per resident per day, more than double the national average of 3.86. That number holds up on weekends too, dipping only about 7% below its own weekday level, and staff turnover sits at 21.9% against a national average of 45.8%, people tend to stay. The home carries 28 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was in March 2026. As a nonprofit with 40 certified beds, it pairs a clean federal record with staffing most homes can't match.

A

99/100

Baywood Court Health Center

Castro Valley, CA · Alameda County

CMS 5/556 bedsNon-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
31%
Serious cites
0

Baywood Court runs about 4.88 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 10% below its own weekday levels, so ask how that plays out on a Sunday. Staff turnover sits at 30.8%, well under the national 45.8%, that kind of retention usually means caregivers who know the residents. The inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with the last visit in October 2024. As a nonprofit with top marks across inspection, quality, and staffing, this is a consistently strong home.

A

99/100

Veterans Home Of California - Fresno

Fresno, CA · Fresno County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
6.03 /day
Staff turnover
28%
Serious cites
0

The Fresno Veterans Home is state-run and staffed at 6.03 nurse hours per resident day, roughly 56% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on a Sunday. Staff turnover sits at 28.3% against a national average near 46%, which matters for whether you see the same faces month to month. The record shows 29 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 30, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 4 or 5 out of 5.

A

99/100

The Legacy At Willow Bend

Plano, TX · Collin County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.58 /day
Staff turnover
27%
Serious cites
0

The Legacy At Willow Bend runs on about 5.58 nurse hours per resident day, roughly 45% more staffing than the typical American nursing home. That's the kind of margin that shows up in daily care, and it's backed by a 26.7% annual staff turnover rate, well below the 45.8% national figure, meaning fewer unfamiliar faces. The trade-off: 16 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy level. The most recent inspection was in December 2025, so the picture is current. Weekend staffing dips about 8% below its own weekday level, a small but real gap. Nonprofit ownership, strong inspection and quality ratings, and no harm-level findings round out the record.

A

98/100

Jeanne Jugan Residence

Washington, DC · The District County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
6.49 /day
Staff turnover
17%
Serious cites
0

Jeanne Jugan Residence runs on 6.49 nurse hours per resident day, roughly two-thirds more staffing than the typical American nursing home, and its weekend coverage barely dips from weekday levels. Staff turnover sits at 17.1% against a national average near 46%, which means aides and nurses are staying long enough to know the residents. The home carries 11 deficiencies on its current record, none at the harm level and one abuse-related, with a May 2025 inspection behind those numbers. It's a small nonprofit of 40 beds where the inspection, quality, and staffing ratings all land at the top of CMS's scale.

A

97.5/100

Community Subacute And Transitional Care Center

Fresno, CA · Fresno County

CMS 5/5106 bedsNon-profitMedicaid
Nurse hours
9.19 /day
Staff turnover
22%
Serious cites
0

Community Subacute and Transitional Care Center runs on 9.19 nurse hours per resident day, roughly two and a half times the national figure, and its weekend coverage dips only about 17% below weekdays, a smaller drop than many homes see. Staff turnover sits at 21.7%, less than half the national rate, which matters because consistent caregivers know their residents. The 13 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was in February 2026. For a 106-bed nonprofit in Fresno, the numbers describe steady, well-attended care rather than any single standout statistic.

A

97.5/100

Hale Ola Kino By Arcadia

Hon, HI · Honolulu County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.51 /day
Staff turnover
13%
Serious cites
0

Hale Ola Kino By Arcadia runs on unusually heavy staffing for a 32-bed home: 5.51 nurse hours per resident day, roughly 43% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, which is worth asking about, but the bigger story is retention, 13.2% annual turnover against a national average of 45.8% means aides and nurses tend to stay, and that consistency matters more than almost anything for daily care. The 24 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was February 2025. Corporate for-profit ownership, but the numbers here don't read like a typical corporate building.

A

97.5/100

St Augustine Home For The Aged

Indianapolis, IN · Marion County

CMS 5/523 bedsNon-profitMedicaid
Nurse hours
9.62 /day
Staff turnover
17%
Serious cites
0

St. Augustine Home for the Aged is a small nonprofit home in Indianapolis, just 23 certified beds, and its recent inspection history is mostly clean where it counts: 13 deficiencies on record, none of them causing harm or jeopardy, with the last survey completed in July 2025. Two abuse-related citations are worth asking about directly, since those tend to say more about staffing and supervision than paperwork does. The quality measure side is strong, and inspection results sit above average. Where this home gives ground is staffing, which is what holds its overall standing back despite solid clinical numbers. Ask about direct care hours per resident on evenings and weekends.

A

97.5/100

Story Medical Senior Care

Nevada, IA · Story County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
4.79 /day
Staff turnover
29%
Serious cites
0

Story Medical Senior Care runs on county ownership, and the numbers back up what that stability usually buys: 4.79 nurse hours per resident day, roughly a quarter above the national average, with staff turnover at 29.3% against a national 45.8%. Five deficiencies on the current record, none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. Weekend staffing drops about 18% below weekday levels, a common pattern but still a gap you'd want to know about. The last inspection was April 30, 2026, so the record is recent. Quality and staffing measures both sit at the top of CMS's scale.

A

97.5/100

Community Hospital Onaga Ltcu

St Marys, KS · Pottawatomie County

CMS 5/526 bedsNon-profitMedicaid
Nurse hours
5.73 /day
Staff turnover
30%
Serious cites
0

Community Hospital Onaga Ltcu runs about 5.73 nurse hours per resident day, roughly 48% above the national average of 3.86, though weekends dip about 20% below its own weekday staffing. Turnover sits at 30%, well under the 45.8% national figure, and no deficiencies on its current record involve harm, jeopardy, or abuse. This is a small 26-bed nonprofit home in Pottawatomie County with a clean inspection history, last surveyed in October 2024. The staffing cushion and low turnover matter more than the nine total deficiencies, which are all lower-level. For a family weighing care here, the numbers point to consistent coverage and stable workers.

A

97.5/100

Bay Bluffs-Emmet County Medical Care Facility

Harbor Springs, MI · Emmet County

CMS 4/5120 bedsGovernmentMedicaid
Nurse hours
5.14 /day
Staff turnover
26%
Serious cites
0

Bay Bluffs runs on county money, and the numbers show what that buys: 5.14 nurse hours per resident day, roughly a third more staffing than the typical American nursing home. Turnover sits at 26.1 percent against a national average near 46 percent, so the people caring for residents tend to stay. Weekend coverage dips about 18 percent below weekday levels, worth asking about if your family visits on Saturdays and Sundays. Inspectors were last in on April 17, 2025, and the record shows nine deficiencies, none of them causing harm or involving abuse. Four- and five-star inspection and quality ratings back that up.

A

97.5/100

Jnh-Madison Inn

Whitfield, MS · Rankin County

CMS 5/563 bedsGovernmentMedicaid
Nurse hours
4.89 /day
Staff turnover
30%
Serious cites
0

Jnh-Madison Inn is state-owned, which matters here because it's held to public records and public budgets in a way private operators aren't. The numbers back it up: 4.89 nurse hours per resident day against a national average of 3.86, and turnover at 30.3% when the typical home runs closer to 46%. Three deficiencies on the current record, none at harm or jeopardy level, none abuse-related, with an inspection as recent as October 2025. The one soft spot is weekends, when staffing drops about 18% below its own weekday level, worth asking about if your family visits Saturday or Sunday. Otherwise, the record is clean and unusually well-staffed.

A

97.5/100

Helen Hayes Hospital R H C F

West Haverstraw, NY · Rockland County

CMS 5/525 bedsGovernmentMedicaid
Nurse hours
6.81 /day
Staff turnover
34%
Serious cites
0

Helen Hayes Hospital runs one of the strongest staffing pictures you'll find: 6.81 nurse hours per resident day, roughly 76% above the national average. Weekend coverage dips about 15% below its own weekday level, which is worth asking about, but the floor stays high. Staff turnover sits at 34.2%, well under the 45.8% national figure, so the people caring for residents tend to stay. The inspection record is clean, one deficiency total, none involving harm or abuse, and the most recent survey was in February 2025. Add state ownership and perfect marks on inspections, quality measures, and staffing, and there's very little here to push back on.

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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