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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 581–600 of 12,438, best-graded first.

A

92/100

N J Eastern Star Home

Bridgewater, NJ · Somerset County

CMS 5/5 82 beds Non-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
29%
Serious cites
0

N J Eastern Star Home runs on a nonprofit model with 82 beds in Bridgewater, and the staffing numbers stand out: 4.15 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 9% below its own weekday level. Staff turnover sits at 29.4% against a national average of 45.8%, which matters for continuity of care. The inspection record shows 15 deficiencies, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A January 2026 inspection means the record is recent, and 5/5 staffing and quality measure ratings back up what the hours suggest.

A

92/100

Wyoming County Community Hospitals Snf

Warsaw, NY · Wyoming County

CMS 5/5 138 beds Government Medicaid
Nurse hours
4.29 /day
Staff turnover
35%
Serious cites
0

Nurse staffing at this county-run home in Warsaw runs about 11% above the national average, and its 35% turnover is meaningfully lower than the typical 45.8%, both signs of a stable core staff. Weekend coverage, though, drops roughly 14% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Inspections in March 2024 turned up 15 deficiencies, two tied to abuse, but none at the harm or jeopardy level. That mix, with strong quality measures and solid inspection history, is why it sits near the top of what we grade.

A

92/100

Brookside Multicare Nursing Center

Smithtown, NY · Suffolk County

CMS 5/5 353 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
22%
Serious cites
0

Brookside Multicare runs 353 certified beds in Smithtown under for-profit LLC ownership, and the numbers mostly hold up. Nurse staffing sits at 3.91 hours per resident day, barely above the national average of 3.86, so this isn't a home running rich on direct care, and weekend coverage drops about 12% below its own weekday level. What stands out is retention: 21.9% annual turnover against a national average of 45.8%, meaning far fewer caregivers cycling through than at the typical home. Fifteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a single $3,145 fine and an inspection as recent as November 2025.

A

92/100

The Wartburg Home

Mount Vernon, NY · Westchester County

CMS 4/5 210 beds Non-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
14%
Serious cites
0

The Wartburg Home runs on 4.64 nursing hours per resident day, roughly a fifth more than the national average, and its staff turnover of 13.8% is far below the typical 45.8%, a sign that caregivers tend to stay, which matters for residents who need consistent faces. Inspections turned up 14 deficiencies, but none involved harm or jeopardy, and none were abuse-related, with the most recent review completed in July 2025. Weekend staffing dips about 14% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The quality measure rating sits at the top of the scale, while the health inspection rating is middling, worth reading the actual inspection reports rather than trusting either number alone.

A

92/100

Hollis Park Manor Nursing Home

Hollis, NY · Queens County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
28%
Serious cites
0

Hollis Park Manor is an 80-bed for-profit home in Queens, and the numbers behind its record are steady across the board. Nurse staffing runs 3.93 hours per resident day, a bit above the national average, and weekend coverage dips about 10% from its own weekday level, worth asking about if your visits land on Saturdays or Sundays. Staff turnover sits at 27.9%, well below the national 45.8%, which matters because consistent caregivers tend to know residents' routines. Its last inspection was May 2025, with 10 deficiencies on record and none at the harm level, though one is abuse-related and worth asking about directly.

A

92/100

The Steven And Alexandra Cohen Ped L T C Pavilion

Valhalla, NY · Westchester County

CMS 5/5 24 beds Non-profit Medicaid
Nurse hours
8.34 /day
Staff turnover
20%
Serious cites
0

The Steven and Alexandra Cohen Pediatric LTC Pavilion in Valhalla runs 8.34 nurse hours per resident day, more than double the national average of 3.86, and that staffing holds up reasonably on weekends, dipping only about 9% from weekday levels. Staff turnover sits at 20.4% against a national 45.8%, so the people caring for these 24 residents tend to stay. Inspections back it up: two deficiencies on record, none involving harm or abuse, and the most recent survey was in August 2024. As a nonprofit with a five-star inspection and quality record, this is about as steady as a small pediatric skilled nursing setting gets.

A

92/100

Ohio Living Mount Pleasant

Monroe, OH · Butler County

CMS 4/5 32 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
30%
Serious cites
0

Ohio Living Mount Pleasant runs a small 32-bed nonprofit home in Monroe, and the numbers behind its grade start with staffing: 4.08 nurse hours per resident day, roughly 6% above the national average. Weekend coverage dips about 6% below its own weekday level, which is worth asking about. Staff turnover sits at 30%, well under the national 45.8%, so the people caring for residents tend to stay. The tradeoff shows up in its inspection record, 11 deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related. Its last inspection was in January 2026, recent enough to trust. Strong quality measures and steady staffing carry this one; the deficiency history is what to weigh.

A

92/100

Westerwood Rehabilitation

Columbus, OH · Franklin County

CMS 5/5 75 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
31%
Serious cites
0

Westerwood Rehabilitation sits at 75 certified beds in Columbus, run by a for-profit corporation. The numbers that stand out: nurse staffing at 4.32 hours per resident day, roughly 12% above the national average, and staff turnover near 31% against a national figure closer to 46%, a meaningful gap when consistent caregivers matter to families. Weekend coverage dips about 10% below weekday levels, which is common but worth asking about. The home carries 19 deficiencies on its current record, none at the harm level, though one is abuse-related. Its last inspection was February 2026, so the picture is recent.

A

92/100

Marjorie P Lee Retirement Community

Cincinnati, OH · Hamilton County

CMS 5/5 88 beds Non-profit Medicaid
Nurse hours
5.30 /day
Staff turnover
36%
Serious cites
0

Marjorie P Lee Retirement Community runs on unusually heavy nurse staffing for a nursing home, 5.30 hours per resident day, roughly a third more than the national figure. Weekend coverage dips only slightly from weekday levels, and turnover sits well under the national rate, which matters because stable caregivers tend to know residents' routines. The trade-off is a recent record with four deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. Inspectors were last in on January 29, 2026, so the picture is current, not stale. As a nonprofit with 88 beds, it isn't chasing volume; the numbers suggest a home placing real weight on direct care, with one inspection finding worth asking about directly.

A

92/100

River Valley Skilled Nursing And Therapy

Clinton, OK · Custer County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
30%
Serious cites
0

River Valley runs about 3.54 nurse hours per resident each day, roughly 8% under the national average of 3.86, and weekends dip another 6% below its own weekday numbers, so ask how coverage holds up on a Saturday. What offsets that: turnover sits at 30% against a national 45.8%, meaning aides and nurses tend to stay, and staff who know residents matter more than a marginal hour. Five deficiencies on record, none at harm level, none abuse-related, with an inspection dated March 2026. One hundred beds under for-profit partnership ownership. Good numbers, thinner staffing than average, worth a visit.

A

92/100

West Hills Health & Rehabilitation

Portland, OR · Multnomah County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
5.03 /day
Staff turnover
42%
Serious cites
0

West Hills runs nurse staffing at 5.03 hours per resident day, roughly 30 percent above the national average, and its weekend coverage dips about 13 percent below its own weekday numbers. Staff turnover sits at 41.5 percent, a bit better than the 45.8 percent national figure. The tradeoff shows up in inspections: 26 deficiencies on the current record, including one at the harm or jeopardy level, and a single fine of $12,659, with the most recent visit in April 2025. That mix, strong staffing and quality measures against a middling inspection history, is what separates the numbers here from a clean record.

A

92/100

Brethren Village

Lancaster, PA · Lancaster County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
5.21 /day
Staff turnover
38%
Serious cites
0

Brethren Village runs a strong staffing operation: 5.21 nurse hours per resident day, roughly 35% above the national average, with turnover at 38.1% versus 45.8% nationally. Weekend coverage dips about 7% below its own weekday levels, which is worth asking about, since that's when families often visit. The trouble sits in inspections. Six deficiencies are on the current record, including three at the harm or jeopardy level and three tied to abuse. CMS gave the health inspection domain 2 out of 5 stars, even as quality measures scored 5 out of 5. That gap usually means the care itself looks fine on paper while the survey record tells a rougher story. The most recent inspection was January 30, 2026, recent enough that this reflects current conditions, not old ones.

A

92/100

Quarryville Presbyterian Retirement Community

Quarryville, PA · Lancaster County

CMS 5/5 130 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
21%
Serious cites
0

Quarryville Presbyterian runs 130 certified beds as a church-affiliated nonprofit, and the staffing story here is mostly about retention. A 20.7% annual turnover rate is less than half the national figure of 45.8%, which matters more than the headcount itself: 3.87 nurse hours per resident day sits essentially right at the national average of 3.86, so this home isn't outstaffing anyone, it's keeping the people it hires. Weekend coverage dips about 7% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The current record shows 12 deficiencies with none at harm or jeopardy level, though 2 are abuse-related and the last inspection was in August 2025.

A

92/100

Normandie Ridge

York, PA · York County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
33%
Serious cites
0

Normandie Ridge runs about 4.17 nurse hours per resident each day, roughly 8% above the national average, though weekends dip close to 10% below its own weekday staffing. Staff turnover sits at 32.8%, well under the national 45.8%, which matters over time, fewer unfamiliar faces at the bedside. The 16 deficiencies on record include none at the harm level and none tied to abuse, and the most recent inspection came in September 2025, so the picture is current rather than stale. Nonprofit ownership under a corporation is worth noting, since it tends to mean the budget isn't stretched to satisfy shareholders.

A

92/100

White Oak Manor - Lancaster

Lancaster, SC · Lancaster County

CMS 5/5 132 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
33%
Serious cites
0

White Oak Manor sits in Lancaster with 132 certified beds and a corporate for-profit owner. Staffing runs 4.13 nurse hours per resident per day, roughly 7% above the national average, and turnover is 32.8% against a national 45.8%, meaning fewer caregivers are walking out the door than at the typical home. Weekend coverage dips about 15% below weekday levels, which is common but still worth asking about. Six deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. The quality measure score is perfect and the staffing score is strong; the health inspection score is the middling one.

A

92/100

Siskin Subacute West

Chattanooga, TN · Hamilton County

CMS 5/5 108 beds Non-profit Medicaid
Nurse hours
5.86 /day
Staff turnover
26%
Serious cites
0

Siskin Subacute West runs on unusually heavy staffing, 5.86 nurse hours per resident day against a national average near 3.86, and weekend coverage barely dips below the weekday pace. Turnover sits at 26.4%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. Those numbers earn top federal marks across staffing, health inspections, and quality measures. The catch is the inspection record behind those stars: 16 deficiencies, five serious enough to involve harm or jeopardy, and one fine of $93,919. A recent inspection date doesn't erase that history. The staffing is real and strong; the survey record is the part worth asking about directly.

A

92/100

Nhc Healthcare, Kingsport

Kingsport, TN · Sullivan County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
34%
Serious cites
0

Nhc Healthcare, Kingsport runs on 4.53 nurse hours per resident per day, roughly 17% above the national average, and its weekend coverage dips only about 9% below its own weekday level, a gap that tends to matter when families visit and notice who's actually on the floor. Annual turnover sits at 34.1%, well under the 45.8% national figure, meaning the aides and nurses here are more likely to be people who've stayed. The current inspection record shows three deficiencies, none at the harm level and none abuse-related, with the most recent survey dated May 2026. It's a for-profit limited liability company, so weigh that against the numbers rather than instead of them.

A

92/100

Brian Center Of Alleghany

Low Moor, VA · Alleghany County

CMS 5/5 89 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
32%
Serious cites
0

Brian Center Of Alleghany runs about 3.82 nurse hours per resident each day, roughly even with the national 3.86 average, though weekends dip about 11% below its own weekday coverage. Staff turnover sits at 31.8%, well under the 45.8% national rate, which matters for consistency of care. The current record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2024. Owned by a for-profit limited liability company, the home holds a 4/5 on health inspections and 5/5 on both quality measures and staffing.

A

92/100

Vcu Health Children's Services At Brook Road

Richmond, VA · Richmond City County

CMS 5/5 47 beds Non-profit Medicaid
Nurse hours
9.41 /day
Staff turnover
26%
Serious cites
0

Nurse staffing here runs 9.41 hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage dips only about 6% below weekday levels, so families visiting on a Saturday should still find adequate hands on deck. Annual turnover sits at 26.4%, well under the 45.8% national figure, which suggests a workforce that stays put rather than cycling through constantly. The current record shows five deficiencies, none involving harm or jeopardy and none abuse-related, with the most recent inspection dated November 2025. Nonprofit ownership and perfect marks across health inspection, quality measures, and staffing round out a picture of a facility performing at a high level on the measures that matter most.

A

92/100

Spokane Veterans Home

Spokane, WA · Spokane County

CMS 5/5 100 beds Government Medicaid
Nurse hours
4.02 /day
Staff turnover
35%
Serious cites
0

Spokane Veterans Home runs on state money and 100 certified beds, and the numbers put it in decent shape. Nurse staffing sits at 4.02 hours per resident day, about 4% above the national average, though weekends run roughly 10% thinner than weekdays, worth asking about if your family visits then. Staff turnover is 34.8%, well under the national 45.8%, which matters because consistent caregivers notice changes sooner. The inspection record is where it gets more mixed: 48 deficiencies on file, including one at harm or jeopardy level and four tied to abuse, with the last inspection in March 2025. High star ratings across inspections and quality measures don't erase those specifics.

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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