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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 6061–6080 of 12,438, best-graded first.

B

76/100

Granite Rehabilitation And Wellness

Cheyenne, WY · Laramie County

CMS 2/5 146 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
44%
Serious cites
0

Granite Rehabilitation and Wellness runs 146 certified beds in Cheyenne under corporate for-profit ownership that changed hands within the past year. Nurse staffing sits at 3.51 hours per resident day, roughly 9 percent under the national average, and weekends drop about 6 percent below the home's own weekday levels. Staff turnover, at 44.3 percent, is close to the national figure, so retention here isn't the outlier. What stands out is the inspection record: 25 deficiencies, three of them serious enough to signal harm or jeopardy, plus one fine of $15,548. A recent inspection date of March 2026 means the picture is current. The staffing star rating of 4 doesn't square neatly with those hours, which land below average, so weigh the inspection findings heavily.

B

76/100

Valley Pointe Nursing & Rehabilitation Center

Castro Valley, CA · Alameda County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
35%
Serious cites
0

Valley Pointe runs 50 beds in Castro Valley under for-profit LLC ownership, and its staffing numbers land above the national average, 4.17 nurse hours per resident day against 3.86 nationally. Weekend coverage dips about 9% below its own weekday level, which is a pattern worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 35.2%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than average. The current record shows 29 deficiencies, one at harm or jeopardy level and none abuse-related, plus a single fine of $10,033. Its last inspection was May 1, 2026.

B

76/100

The Rehabilitation Center Of Los Angeles

Los Angeles, CA · Los Angeles County

CMS 1/5 180 beds For-profit Medicaid
Nurse hours
4.87 /day
Staff turnover
32%
Serious cites
0

The Rehabilitation Center Of Los Angeles runs 180 certified beds as a for-profit partnership, and its nurse staffing comes in well above average, 4.87 hours per resident day against a national figure of 3.86. Weekend coverage dips only slightly, and turnover of 31.8% is meaningfully lower than the 45.8% national rate. The trouble sits in the inspection record: 68 deficiencies, four at harm or jeopardy level and three tied to abuse, with two fines totaling $61,435. A recent March 2025 inspection and a 4/5 quality measure score don't offset that history. Strong hands-on care, a rough paper trail.

B

76/100

Southern Inyo Hospital D/P Snf

Lone Pine, CA · Inyo County

CMS 4/5 33 beds Government Medicaid
Nurse hours
4.64 /day
Staff turnover
—
Serious cites
0

Southern Inyo Hospital's skilled nursing unit in Lone Pine runs 33 certified beds under hospital district ownership, and its inspection record is the strongest part of the picture, 14 deficiencies on file with none reaching harm or jeopardy level. That said, one is abuse-related, and the staffing numbers are where this home struggles: its CMS staffing rating sits at the lowest mark, meaning nurse hours per resident fall well below what most California homes report. Quality measures land at 2 out of 5. The practical takeaway: ask specifically how many certified nursing assistants are on the floor during evening and overnight shifts, and who covers when someone calls out.

B

76/100

Simi Healthcare Center

Simi Valley, CA · Ventura County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
39%
Serious cites
0

Simi Healthcare Center sits in Simi Valley with 99 certified beds, run by a for-profit limited liability company. The staffing numbers look strong on paper, 4.58 nurse hours per resident day, about 18% above the national average, but the federal staffing star comes in at 2 out of 5, and weekend coverage drops roughly 8% below its own weekday level. Turnover runs 39.1%, better than the 45.8% national figure. Inspections are another story: 58 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. CMS fined the home $8,446. The last inspection was August 7, 2025. Quality measures score 5 out of 5; health inspections score 2.

B

76/100

The Redwoods, A Community Of Seniors

Mill Valley, CA · Marin County

CMS 2/5 58 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
40%
Serious cites
0

The Redwoods runs a solid care floor on paper: 4.65 nurse hours per resident day, roughly a fifth more staffing than the national average, and turnover at 40.4% sits better than the 45.8% typical elsewhere. Weekend coverage dips about 9% below its own weekdays, which is worth asking about directly. What pulls the record down is inspections, 37 deficiencies, four of them at harm or jeopardy level and one abuse-related, with two fines totaling $103,054 and the last survey in July 2024. A nonprofit with good staffing but a troubled inspection history usually means the problems are specific and fixable, not structural. Ask for the plan of correction.

B

76/100

Bella Vista Health Center

Lemon Grove, CA · San Diego County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.87 /day
Staff turnover
48%
Serious cites
0

Bella Vista Health Center in Lemon Grove runs 4.87 total nurse hours per resident day, roughly 26% above the national average of 3.86, and its weekend staffing only dips about 7% below weekdays, a smaller drop-off than many homes show. The 22 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was November 2025. Staff turnover sits at 47.6%, slightly above the national 45.8%. With 99 certified beds under for-profit LLC ownership, the numbers describe a home that is adequately staffed and recently inspected, but not one where retention stands out.

B

76/100

Electra Healthcare Center

Electra, TX · Wichita County

CMS 5/5 62 beds Government Medicaid
Nurse hours
4.31 /day
Staff turnover
55%
Serious cites
0

Electra Healthcare Center runs on more nursing hours than most places, 4.31 per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday levels, so coverage thins when families tend to visit. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters for whether you'll see the same faces month to month. The inspection record is clean where it counts most: 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. Hospital district ownership and a recent March 2026 inspection round out a picture of a home that's well-staffed on paper but cycling through caregivers.

B

76/100

Golden Acres Living And Rehabilitation Center

Dallas, TX · Dallas County

CMS 3/5 264 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
47%
Serious cites
0

Golden Acres runs 264 beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends run about 9% leaner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Staff turnover is 46.6%, slightly worse than the 45.8% national figure, which usually means less continuity for residents who need consistent caregivers. The current record carries 33 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. The last inspection was January 22, 2026, so the picture is fairly current. Three stars each on health inspections, quality measures, and staffing puts this home squarely in the middle of the pack.

B

76/100

Collinwood Nursing And Rehabilitation

Plano, TX · Collin County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
23%
Serious cites
0

Collinwood runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip even further below its own weekday coverage. That thin floor shows up in the inspection record: 24 deficiencies, three at harm or jeopardy level and five tied to abuse, with a $51,113 fine. Staff turnover of 23.1% is genuinely better than the 45.8% national figure, which matters for continuity of care, and the 4/5 quality measure rating suggests clinical outcomes aren't the weak spot. The church-affiliated nonprofit ownership is a plus. But the last inspection was August 2025, and the staffing math combined with that deficiency count is what drives the low grade.

B

76/100

Harlingen Nursing And Rehabilitation Center

Harlingen, TX · Cameron County

CMS 3/5 120 beds Government Medicaid
Nurse hours
3.48 /day
Staff turnover
33%
Serious cites
0

Harlingen Nursing and Rehabilitation Center is a 120-bed hospital-district home where the clinical quality measures look strong, but the inspection record tells a more mixed story. Nineteen deficiencies, including two at the level that caused actual harm or put residents in jeopardy, and a one-time fine of just over $6,000. Nurse staffing sits about 10% under the national average, and weekends run roughly 11% thinner than weekdays, that's when families tend to notice. Turnover is the bright spot: 32.9% against a national 45.8%, meaning fewer unfamiliar faces. The last inspection was February 2026, so the record is current.

B

76/100

Ft Worth Southwest Nursing Center

Fort Worth, TX · Tarrant County

CMS 3/5 198 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
27%
Serious cites
0

Fort Worth Southwest Nursing Center is a 198-bed hospital-district home where the staffing numbers tell a mixed story. Nurses provide 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 10% leaner than weekdays, so coverage thins out exactly when families tend to visit. Retention is the bright spot: 27.2% turnover beats the 45.8% national rate by a wide margin, meaning the people who are there tend to stay. Against that, the current inspection record shows 19 deficiencies, including three at the harm level and three tied to abuse, plus one fine of $23,923. With a February 2025 inspection, the record is recent enough to take seriously. Strong quality scores, but the care environment carries real risk.

B

76/100

Southeast Nursing & Rehabilitation Center

San Antonio, TX · Bexar County

CMS 3/5 116 beds Government Medicaid
Nurse hours
3.59 /day
Staff turnover
35%
Serious cites
0

Southeast Nursing & Rehabilitation Center is run by a hospital district, which usually signals a public safety-net mission rather than a profit motive. But the inspection record is the story here: 53 deficiencies, five of them serious enough to cause harm, and three tied to abuse, with $204,738 in fines and a one-star health inspection rating. Staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 9% thinner than weekdays. Turnover at 35.4% is actually better than the 45.8% national figure, meaning workers tend to stay, the problem isn't retention, it's how many hands are on deck and how the place performs when regulators show up.

B

76/100

San Remo

Richardson, TX · Dallas County

CMS 2/5 112 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
47%
Serious cites
0

San Remo runs 112 certified beds in Richardson under corporate for-profit ownership, and its staffing sits at 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends run about 6% leaner than weekdays, and turnover lands at 46.8%, a touch above the 45.8% national figure, so coverage thins out exactly when families tend to visit. The health inspection side is the weak spot: a 2/5 star rating and 34 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy. That record was last reviewed in February 2026. Quality measures score well at 4/5, which pulls the overall picture up, but the inspection history is what a family should weigh hardest.

B

76/100

Windsor Calallen

Corpus Christi, TX · Nueces County

CMS 4/5 120 beds Government Medicaid
Nurse hours
3.00 /day
Staff turnover
31%
Serious cites
0

Windsor Calallen runs lean on nursing hours, 3.00 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, so the gap families notice most may show up on Saturdays and Sundays. The trade-off is stability: turnover sits at 30.8%, well under the 45.8% national figure, which matters when you're counting on familiar faces. Its inspection record shows 29 deficiencies, one tied to abuse and none at the harm level, with a single $4,823 fine. Quality measures score well; staffing does not. This is a government hospital-district home that was inspected in May 2025.

B

75.5/100

Diversicare Of Arab

Arab, AL · Marshall County

CMS 2/5 87 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
41%
Serious cites
0

Diversicare Of Arab runs on 2.97 nurse hours per resident per day, well under the 3.86 national average, and weekends are thinner still, about 16% below what the home staffs on weekdays. That gap matters most when families visit and when care needs don't pause for the calendar. Turnover sits at 41.2%, a bit better than the 45.8% national figure, so the team is comparatively stable even if it's small. Ten deficiencies appear on the current record, none involving harm or abuse, but the last full inspection was April 2021, more than three years ago. The quality measure score is strong; the inspection history is the part worth asking about directly.

B

75.5/100

Georgiana Health And Rehabilitation, Llc

Georgiana, AL · Butler County

CMS 4/5 91 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
39%
Serious cites
0

Georgiana Health and Rehabilitation runs 4.29 nursing hours per resident per day, about 11% above the national average, and its staff turnover of 38.5% beats the national 45.8%, both real strengths. The catch is weekends, when staffing drops roughly 24% below its own weekday level, and a CMS quality measure rating of 2 out of 5 that suggests the clinical numbers families care about aren't keeping pace. Five deficiencies sit on the record with none at the harm level, though one is abuse-related, and the last inspection was December 2019, more than five years ago, so that record may not reflect current conditions. The corporation that owns it runs a for-profit operation, and the state hasn't returned since.

B

75.5/100

Rivertown Health And Rehabilitation Center

Montgomery, AL · Montgomery County

CMS 1/5 121 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
56%
Serious cites
0

Rivertown Health and Rehabilitation Center runs 121 beds in Montgomery under for-profit limited liability ownership, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 16% below the home's own weekday coverage, and annual turnover hits 55.9% against a national 45.8%. The current inspection record shows 34 deficiencies, five of them abuse-related, though none rose to harm or jeopardy level; the last inspection was July 2025, and CMS gives the health inspection domain a single star. Quality measures score well by contrast. If your family is weighing this one, the staffing and turnover numbers deserve more of your attention than the quality rating does.

B

75.5/100

Regency Health Care And Rehabilitation Center

Huntsville, AL · Madison County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
63%
Serious cites
0

Regency Health Care and Rehabilitation Center has 90 certified beds and is run by a for-profit corporation. The nursing hours look decent on paper, 4.30 per resident day, about 11% above the national average, but weekends run roughly 21% leaner than weekdays, so coverage thins out exactly when families tend to visit. Staff turnover sits at 62.7% against a national average of 45.8%, which means a lot of the people caring for your relative are new. The bigger concern is the inspection record: 18 deficiencies, three of them serious enough to put residents in harm's way, two fines totaling $16,801, and a one-star health inspection rating from CMS. Its last full inspection was August 21, 2024.

B

75.5/100

Aspire Physical Recovery Center At Hoover, Llc

Hoover, AL · Jefferson County

CMS 1/5 118 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
67%
Serious cites
0

Aspire Physical Recovery Center At Hoover runs 4.80 nurse hours per resident day, about 24% above the national average of 3.86, and that staffing shows up in its four-out-of-five staffing rating. Two things pull against it. Weekend coverage drops roughly 22% below weekday levels, and annual turnover sits at 67.3% against a national 45.8%, meaning a large share of the people providing that above-average care are new or on their way out. The health inspection record is the bigger concern: a one-out-of-five rating, 12 deficiencies, one serious enough to reach harm or jeopardy level, and the last full inspection dates to June 2023. No abuse deficiencies are on record.

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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