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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 6121–6140 of 12,438, best-graded first.

B

75.5/100

The Gardens At Cedarwood

Franklin, MA · Norfolk County

CMS 2/5 82 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
—
Serious cites
0

The Gardens At Cedarwood runs 82 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.74 hours per resident day, just under the national average of 3.86, with weekends running about 8% thinner than weekdays. That modest shortfall shows up in the staffing star rating, which lands at 2 out of 5, and in a health inspection rating that's also 2 out of 5. The current record carries 42 deficiencies, none at harm or jeopardy level but two tied to abuse, plus three fines totaling $7,596. What lifts the picture is a 4 out of 5 on quality measures, and a state inspection as recent as June 2025 means the record is current, not stale.

B

75.5/100

Life Care Center Of Auburn

Auburn, MA · Worcester County

CMS 3/5 154 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
30%
Serious cites
0

Life Care Center of Auburn runs 154 certified beds under a for-profit limited liability company, and its nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86. Weekends drop roughly 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 30.1% against a national 45.8%, meaning aides and nurses here stick around longer than at the typical home. The inspection record is the concern, 36 deficiencies, including two at the harm level and three tied to abuse, plus one fine of $29,738. The most recent inspection was June 2025, so that record is current.

B

75.5/100

Healthsource Saginaw, Inc

Saginaw, MI · Saginaw County

CMS 3/5 213 beds Government Medicaid
Nurse hours
4.32 /day
Staff turnover
49%
Serious cites
0

Healthsource Saginaw is county-owned and staffed better than most: 4.32 nurse hours per resident day against a national average of 3.86. That staffing edge is real, and it's the main reason the quality measure rating comes in at 4 out of 5. But the inspection record is where this home gets into trouble, 57 deficiencies on file, six of them serious enough to put residents in harm's way and three tied to abuse. Five fines add up to just under $270,000. Staff turnover sits at 48.8%, a bit worse than the national 45.8%, and weekend coverage drops about 18% below weekday levels, so the weekday numbers overstate what families actually see on Saturdays. The most recent inspection was July 2025.

B

75.5/100

Medilodge Of Frankenmuth

Frankenmuth, MI · Saginaw County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
58%
Serious cites
0

Medilodge of Frankenmuth runs 105 certified beds under corporate for-profit ownership, and its staffing sits essentially at the national average, 3.87 nurse hours per resident day against 3.86 nationwide. But that average hides a weekend problem: coverage drops roughly 19% below its own weekday levels, and annual turnover hits 58% versus 45.8% nationally, meaning more than half the nursing staff leaves each year. The inspection record shows 44 deficiencies, one serious enough to involve harm or jeopardy, with the most recent state visit in April 2025. Quality measures score well, though the inspection history and churn are what pull the overall picture down.

B

75.5/100

Medilodge Of Sterling Heights

Sterling Heights, MI · Macomb County

CMS 2/5 248 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
54%
Serious cites
0

Medilodge Of Sterling Heights runs 248 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.74 hours per resident day, about 3% under the national average of 3.86. Weekends drop roughly 15% below its own weekday levels, and annual turnover is 54.1% against a national average of 45.8%, that churn matters when aides and nurses are the people doing the daily hands-on care. The inspection record shows 51 deficiencies, including one at the harm or jeopardy level and three abuse-related, with the most recent inspection dated April 14, 2026. Its quality measure rating is a 4, but the health inspection and staffing ratings both come in at 2.

B

75.5/100

Medilodge Of Richmond

Richmond, MI · Macomb County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
59%
Serious cites
0

Medilodge Of Richmond runs 126 beds under corporate ownership, and its inspection history is a mixed picture. The last survey in July 2025 came back with 14 deficiencies on record, including one at the harm or jeopardy level and one tied to abuse. That's a lot to carry for a home with a four-star inspection rating, and it tells you the good marks come with real caveats. Staffing is where the numbers get thinner: 3.67 nurse hours per resident day sits below the national average, weekends drop about 20% below the home's own weekday level, and turnover hits 58.9% against a national 45.8%. Families should ask how those weekend shifts are actually covered.

B

75.5/100

Iron River Care Center

Iron River, MI · Iron County

CMS 1/5 69 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
29%
Serious cites
0

Iron River Care Center runs on 2.97 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip about 15% below its own weekday staffing. Turnover sits at 29.3%, better than the 45.8% national figure, so the people who stay tend to stay. The problem is what inspectors found: 43 deficiencies on the current record, four involving harm or jeopardy and five tied to abuse, plus a $42,575 fine. The last inspection was August 2025, so the record is recent. Corporate-owned, 69 beds. Low staffing plus that many serious citations is the story here.

B

75.5/100

The Orchards At Armada

Armada, MI · Macomb County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
—
Serious cites
0

The Orchards At Armada sits at 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends run about 10% thinner than weekdays on top of that. The inspection record is current, from June 2025, with 18 deficiencies, one serious enough to reach harm or jeopardy level; no abuse findings and a single $15,887 fine. Quality measures score well, but that staffing number is the one that shapes daily life, fewer hands per resident, especially on Saturdays and Sundays. That gap between good outcome scores and thin coverage is what pulls the overall picture down.

B

75.5/100

Regency Manor Nursing & Rehabilitation Center

Utica, MI · Macomb County

CMS 2/5 39 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Regency Manor is a small for-profit home in Utica, 39 beds, and its numbers pull in opposite directions. The state inspected it recently, in July 2025, and found 44 deficiencies on the current record, including one tied to abuse; none of them rose to the level of immediate harm or jeopardy. Staffing is where the trouble shows most clearly, with the federal government rating it in the bottom tier, while the quality measure score comes in at the top. That gap is worth sitting with: resident outcome measures look good on paper, but the hands available to deliver everyday care are thin. A corporate owner, a long deficiency list, and weak staffing are the pattern to weigh.

B

75.5/100

The Orchards At Lapeer

Lapeer, MI · Lapeer County

CMS 2/5 87 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
—
Serious cites
0

The Orchards At Lapeer runs on a thin staffing margin: 3.22 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday level. That squeeze shows up in the federal stars, where staffing and health inspections both sit at 1 out of 5. The inspection record carries 47 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related. One bright spot: the quality measure rating is 5 out of 5, and the most recent inspection was in March 2026, so the record is current rather than stale. The gap between that quality score and everything else is worth asking about on a tour.

B

75.5/100

Louisville Healthcare Llc

Louisville, MS · Winston County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
42%
Serious cites
0

Louisville Healthcare runs 4.63 nurse hours per resident day, about 20% above the national average, and its staff turnover of 41.9% is a bit better than typical. The catch is weekends, when staffing drops roughly 22% below its own weekday level, the period when families often visit and problems surface. Inspectors cited 13 deficiencies, two serious enough to put residents at risk of harm, and the quality measure rating sits at 1 out of 5. A single fine of $8,788 isn't huge, but combined with the inspection record, it suggests a home where adequate weekday staffing is doing battle with uneven care.

B

75.5/100

Choctaw Residential Center

Choctaw, MS · Neshoba County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
41%
Serious cites
0

Choctaw Residential Center runs 120 beds as a nonprofit, and its staffing sits a bit under the national average, 3.67 nurse hours per resident day against 3.86, with weekends dropping roughly 15% below its own weekday coverage. Turnover at 41.4% is actually better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in oversight: 23 deficiencies on the current record, one tied to abuse, and a single fine of $21,165, with the last inspection in March 2025. No deficiency reached harm or jeopardy level, so nothing here reads as dangerous, but the inspection and quality ratings both land at 2 out of 5, which is where the concern sits.

B

75.5/100

Heritage Hall Nursing Center

Centralia, MO · Boone County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
63%
Serious cites
0

Heritage Hall runs about 3.26 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekend coverage drops another 20% below its own weekday levels. Staff turnover sits at 62.8% against a national 45.8%, so aides and nurses are cycling through faster than at the typical home. What keeps this one from sinking is its inspection record: nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent survey in August 2025 and four-star marks across health inspections, quality measures, and staffing. It's a corporation-owned, 60-bed building that looks solid on paper but asks a lot of a thin, churning workforce.

B

75.5/100

Heritage Nursing Center - Skilled Nursing By Ameri

Kennett, MO · Dunklin County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
40%
Serious cites
0

Heritage Nursing Center runs 3.93 nurse hours per resident day, a touch above the national average of 3.86, and its 40.4% turnover beats the 45.8% norm, both signs of a stable floor. Weekends are the soft spot: staffing drops roughly 18% below its own weekday level, so coverage thins when families tend to visit. The inspection record shows 11 deficiencies with none at harm level, though one is abuse-related, and the last survey was February 2026. Quality measure scores sit at 2 of 5 stars, which suggests the clinical outcomes data isn't keeping pace with the staffing picture.

B

75.5/100

Monroe City Manor Care Center

Monroe City, MO · Marion County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
37%
Serious cites
0

Monroe City Manor runs 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 36.8% sits well below the national 45.8%, people tend to stay here. Weekends thin out, though, dropping about 16% below weekday coverage, and the quality measure rating comes in at just 1 out of 5, which is the number worth asking about. Inspections in August 2025 turned up 10 deficiencies, one serious enough to involve harm or jeopardy, plus a $24,408 fine. The staffing is genuinely solid; the clinical outcomes and that one harm-level finding are where the concerns live.

B

75.5/100

University Health Lakewood Medical Center

Kansas City, MO · Jackson County

CMS 3/5 188 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
39%
Serious cites
0

University Health Lakewood runs 188 certified beds as a nonprofit, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average. Weekends drop roughly 16% below its own weekday coverage, so care can thin out when families visit. Staff turnover is 38.7%, better than the 45.8% national figure, which matters because stable caregivers know residents. Inspections in August 2025 produced a 4-star health inspection rating, though the record carries 25 deficiencies, including one at the harm level and three tied to abuse. Quality measures score 2 out of 5, and one fine totaling $14,901 is on file.

B

75.5/100

Good Samaritan Society - Colonial Villa

Alma, NE · Harlan County

CMS 4/5 53 beds Non-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
42%
Serious cites
0

Good Samaritan Society - Colonial Villa runs on thinner nurse coverage than most homes, 3.15 hours per resident day, roughly 18 percent under the national average, and weekends dip about 16 percent below what the building staffs on weekdays. Turnover sits at 41.9 percent, a bit better than the 45.8 percent national figure, so the team is comparatively stable even if it's small. The inspection record is clean where it counts: nine deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey done in September 2025. A 53-bed nonprofit in rural Harlan County, this is a home whose care record looks solid; the question families should ask is whether the daily staffing floor holds up on Saturdays and Sundays.

B

75.5/100

Mother Hull Home

Kearney, NE · Buffalo County

CMS 2/5 58 beds Non-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
97%
Serious cites
0

Mother Hull Home runs a nonprofit shop in Kearney with 58 beds, and the staffing hours are genuinely above average, 4.85 per resident day against a national 3.86. That cushion matters less when you see turnover at 97.2%, roughly double the national rate. Weekends also run about 16% leaner than weekdays, so the coverage isn't as steady as the yearly number suggests. The inspection record is the softer spot: 17 deficiencies, one tied to abuse, and a 2-star health inspection rating. None reached the harm or jeopardy level, and a February 2026 inspection is recent, so the picture is current. Quality measures score well at 4 stars.

B

75.5/100

Wedgwood Gardens Care Center

Freehold, NJ · Monmouth County

CMS 4/5 151 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
36%
Serious cites
0

Wedgwood Gardens runs lean on nursing hours, 2.99 per resident day against a national average of 3.86, roughly a fifth below what Medicare considers typical. Weekends thin out further, dropping about 18% from the home's own weekday staffing, so a Saturday shift looks noticeably different from a Tuesday one. Retention is a genuine bright spot: 35.8% turnover beats the 45.8% national figure, meaning caregivers here tend to stay longer than at the average home. The tradeoff shows up on the health inspection side, where 11 deficiencies include one serious enough to trigger a harm or jeopardy finding. That single citation carries more weight than the count suggests, and it's worth asking management directly what happened and what changed since the March 2025 survey.

B

75.5/100

Schenectady Center For Rehabilitation And Nursing

Schenectady, NY · Schenectady County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
52%
Serious cites
0

Schenectady Center runs 240 beds under corporate ownership, and its last health inspection in August 2025 turned up 29 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 15% below the home's own weekday coverage. Annual turnover of 51.8% tops the national 45.8% average, which matters when consistent caregivers are the ones who notice changes first. The five-star quality measure score stands out against a one-star inspection record and two-star staffing, so ask how those clinical numbers hold up when the building is short-staffed.

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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