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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 6141–6160 of 12,438, best-graded first.

B

75.5/100

Waterview Nursing Care Center

Flushing, NY · Queens County

CMS 3/5 200 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
31%
Serious cites
0

Waterview Nursing Care Center runs 200 beds in Flushing under corporate ownership, and its staffing numbers are the first thing to look at. At 3.16 nurse hours per resident day, it sits roughly 18 percent under the national average, and weekends drop about 15 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot at 31.1 percent, well under the national 45.8 percent, which suggests the staff who are there tend to stay. The current record shows 19 deficiencies, none at harm or jeopardy level, but four tied to abuse, and the last inspection was December 2024.

B

75.5/100

Roscoe Regional Rehab & Residential H C F

Roscoe, NY · Sullivan County

CMS 2/5 85 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
56%
Serious cites
0

Roscoe Regional Rehab runs 85 certified beds under for-profit LLC ownership, and its staffing tells the clearest story here. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends drop roughly 23% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover of 55.7% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are often new to the building. The inspection record shows 16 deficiencies with none at harm or jeopardy level and none abuse-related, and the last survey was recent, in August 2025.

B

75.5/100

The Hurlbut

Rochester, NY · Monroe County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
51%
Serious cites
0

The Hurlbut runs a 160-bed for-profit home in Rochester, and its nurse staffing sits at 3.34 hours per resident day, roughly 14 percent under the national average. Weekends thin out further, running about 20 percent below its own weekday coverage, so the hours when families tend to visit are also the hours with the fewest nurses on the floor. Staff turnover is 51.2 percent against a national 45.8, meaning more than half the nursing staff turns over each year. Its record shows 13 deficiencies, none at the harm level, one tied to abuse, with the last inspection on July 31, 2025.

B

75.5/100

Chasehealth Rehab And Residential Care

New Berlin, NY · Chenango County

CMS 3/5 80 beds Non-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
—
Serious cites
0

Chasehealth Rehab And Residential Care runs 80 certified beds in New Berlin under nonprofit ownership, and its two most recent CMS ratings pull in opposite directions: five stars for quality measures, one star for staffing. Total nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average of 3.86, and weekends run about 6 percent thinner than weekdays. The inspection history shows 20 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related, with the last inspection in February 2025. So the clinical picture looks steady while the daily coverage looks light, worth asking how nurse hours are actually distributed across shifts.

B

75.5/100

Absolut Ctr For Nursing & Rehab Endicott L L C

Endicott, NY · Broome County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
55%
Serious cites
0

Absolut Center in Endicott runs 160 certified beds under for-profit LLC ownership, and its numbers are a mixed bag worth reading carefully. Nurse staffing sits at 3.82 hours per resident day, just under the national average, but the bigger issue is weekends, coverage drops roughly 22% below what the home staffs on weekdays, which matters if you're thinking about Saturday or Sunday care. Annual turnover hits 55.2%, well above the 45.8% national figure, so aides and nurses cycle through faster than typical. The inspection record shows 21 deficiencies, none at harm level, though one is abuse-related. Its last full inspection was October 31, 2024, so the record is reasonably current. Quality and staffing measures both score 4 out of 5, while inspections land at 3.

B

75.5/100

Sunnyside Care Center

East Syracuse, NY · Onondaga County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
60%
Serious cites
0

Sunnyside Care Center runs 80 certified beds in East Syracuse under for-profit LLC ownership, and its 3.83 nurse staffing hours per resident day sit just under the national average of 3.86, close enough that the bigger story is how those hours are distributed. Weekend staffing drops roughly 22% below the home's own weekday level, and annual turnover hits 60.4% against a national 45.8%, so families should ask who's actually on the floor on a Saturday. The inspection record carries 26 deficiencies, including two tied to abuse, though none reached harm or jeopardy level; the most recent inspection was September 12, 2025. Quality measures score well, but staffing consistency and turnover are the numbers worth pressing on during a visit.

B

75.5/100

Chemung County Health Center - Nursing Facility

Elmira, NY · Chemung County

CMS 5/5 200 beds Government Medicaid
Nurse hours
5.18 /day
Staff turnover
56%
Serious cites
0

Chemung County Health Center runs on public money, and the staffing reflects it: 5.18 nurse hours per resident day, roughly a third more than the national average. Weekends dip about 21% below its own weekday coverage, though, and 55.7% of staff turned over last year, well above the 45.8% national figure. The inspection record is the strongest part of the picture: a 5/5 health inspection rating, 11 deficiencies on file with none rising to harm or jeopardy and nothing abuse-related, last surveyed in September 2023. Quality measures sit at 2/5, which is where the score gets pulled down. Solid hands on deck and a clean survey history, but keep an eye on weekend coverage and whether they can hold onto staff.

B

75.5/100

Plattsburgh Rehabilitation And Nursing Center

Plattsburgh, NY · Clinton County

CMS 4/5 89 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
55%
Serious cites
0

Plattsburgh Rehabilitation and Nursing Center runs 89 certified beds under corporate for-profit ownership, and its inspection record shows 21 deficiencies with none rising to actual harm or jeopardy, a meaningful distinction, since most citations here are paperwork and process issues rather than resident injuries. Three abuse-related deficiencies still stand out on that list. Nurse staffing sits at 3.46 hours per resident day, roughly 10 percent under the national average, and weekends drop about 18 percent below the home's own weekday coverage. Annual turnover of 55.1 percent tops the national 45.8 percent, so aides and nurses cycle through faster than average. Its last inspection was October 2024, and CMS gives it four stars each for health inspections, quality measures, and staffing.

B

75.5/100

Livingston County Center For Nursing And Rehabilit

Mount Morris, NY · Livingston County

CMS 2/5 266 beds Government Medicaid
Nurse hours
3.71 /day
Staff turnover
40%
Serious cites
0

Livingston County Center For Nursing And Rehab runs 266 beds as a county-owned home, and its staffing sits just under the national mark at 3.71 nurse hours per resident day. Weekends drop roughly 16% below its own weekday coverage, which is worth asking about if your family visits Saturday or Sunday. Turnover lands at 40.2%, a bit better than the 45.8% national figure, though the inspection record is thinner: 16 deficiencies, one serious enough to reach harm or jeopardy level, plus a $12,735 fine. The last full inspection was November 2023. County ownership brings some stability, but ask directly how that weekend gap gets covered.

B

75.5/100

Pine Haven Home

Philmont, NY · Columbia County

CMS 5/5 128 beds For-profit Medicaid
Nurse hours
2.57 /day
Staff turnover
43%
Serious cites
0

Pine Haven runs on noticeably thin nursing coverage: 2.57 nurse hours per resident day against a national average of 3.86. Weekends are thinner still, roughly 17 percent below the home's own weekday staffing, so the hours when families visit are often the leanest. Turnover sits at 43.2 percent, a bit better than the 45.8 percent national figure, and the record shows 13 deficiencies with none at harm level. The catch is one abuse-related citation, which matters more than the count suggests. Inspections are recent and the quality measures look strong, but the staffing number is the one to weigh hardest.

B

75.5/100

Menorah Home & Hospital For Aged & Infirm

Brooklyn, NY · Kings County

CMS 2/5 436 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Menorah Home & Hospital is a 436-bed nonprofit in Brooklyn, and its numbers pull in two directions. On paper, the quality measures look strong, but that sits next to staffing and health inspection ratings at the bottom of the scale, which is an unusual split worth asking about directly. The current record shows 23 deficiencies, four of them serious enough to involve harm or jeopardy, and three tied to abuse. That combination, thin staffing alongside harm-level findings, is the part that matters more than the quality scores. The last inspection was October 2024, so the record is recent. One fine totaling $8,018 rounds out the picture. Worth visiting unannounced and asking how they've addressed the abuse-related findings.

B

75.5/100

Wellsville Manor Care Center

Wellsville, NY · Allegany County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
42%
Serious cites
0

Wellsville Manor runs 120 beds under corporate ownership, and its last state inspection in June 2024 came back clean at the harm level, no deficiencies there, which matters more than the raw count of 11. Two of those are abuse-related, so ask about those specifically. Nurse staffing sits at 3.66 hours per resident day, a bit under the national 3.86, and weekends run roughly a fifth thinner than weekdays, which is when families tend to visit and notice. Turnover at 42.1% is slightly better than the national 45.8%, but that still means a lot of unfamiliar faces. The inspection history looks strong; the quality measures and weekend coverage are where I'd push for answers.

B

75.5/100

Valley Health Services Inc

Herkimer, NY · Herkimer County

CMS 2/5 160 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
41%
Serious cites
0

Valley Health Services is a 160-bed nonprofit in Herkimer, and the numbers tell a mixed story. Staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends run roughly 15% thinner than weekdays, so if you're visiting on a Saturday, expect less coverage than midweek. Turnover at 40.9% is actually better than the national 45.8%, which matters for whether your parent sees the same aides month to month. The bigger concern is the record: 25 deficiencies, one serious enough to reach harm or jeopardy level, and a January 2026 inspection. No abuse citations, at least.

B

75.5/100

Harris Hill Nursing Facility, L L C

Williamsville, NY · Erie County

CMS 5/5 192 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
53%
Serious cites
0

Harris Hill runs a 192-bed for-profit home in Williamsville with strong inspection and quality scores, 4 and 5 stars from CMS, and no deficiencies at the harm level. That part of the record is genuinely clean. The staffing side tells a different story. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly another 18% below its own weekday levels. Annual turnover of 53.2% runs well above the 45.8% national figure, which matters because consistent caregivers know residents. Fourteen deficiencies are on the current record, one abuse-related. The last inspection was April 21, 2026, so the findings are recent.

B

75.5/100

Adira At Riverside Rehabilitation And Nursing

Yonkers, NY · Westchester County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
25%
Serious cites
0

Adira At Riverside runs 4.24 nurse hours per resident day, roughly 10% above the national average, and its staff turnover of 25% is well below the 45.8% norm, a sign people tend to stay. The catch is the inspection record. Twenty-four deficiencies, two of them serious enough to put residents at risk of harm, drew a single $66,859 fine and a one-star health inspection rating. Quality measures score 5/5, but weekend staffing drops about 16% below weekdays, so care thins out exactly when families visit. Good staffing and low turnover, real trouble on inspections, worth asking what those two harm-level citations involved before deciding.

B

75.5/100

Mountain Ridge Rehabilitation And Healthcare Cente

Black Mountain, NC · Buncombe County

CMS 1/5 97 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
42%
Serious cites
0

Mountain Ridge runs on 3.47 nurse staffing hours per resident day, roughly 10% under the national average, and weekends drop about 16% below what the home staffs on weekdays. The inspection record shows 11 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $16,152; the most recent inspection was May 30, 2025. Staff turnover sits at 42%, a bit better than the 45.8% national figure, and the quality measure rating is strong at 4 out of 5. But a 1-out-of-5 inspection rating and 2-out-of-5 staffing rating carry more weight when you're choosing care.

B

75.5/100

Pruitthealth-Elkin

Elkin, NC · Surry County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
32%
Serious cites
0

Pruitthealth-Elkin runs 100 beds under corporate for-profit ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends thin out further, roughly 15% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is the bright spot: 31.5% against a national 45.8% means aides and nurses tend to stick around longer here than at the typical home. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $15,734, with the most recent state visit in June 2025.

B

75.5/100

Sardis Oaks

Charlotte, NC · Mecklenburg County

CMS 3/5 124 beds Non-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
44%
Serious cites
0

Sardis Oaks runs lean on nursing hours, 3.21 per resident per day against a national average of 3.86, and the gap widens on weekends, when staffing drops roughly 24 percent below its own weekday level. That thin weekend coverage is worth asking about directly, since it's when families often can't visit. Turnover sits at 44 percent, essentially matching the national rate, so the issue isn't churn so much as how many hands are scheduled per shift. Sixteen deficiencies appear on the current record, none at the harm level and none abuse-related, and the most recent inspection was recent. Quality measures score well; staffing is where the numbers fall short.

B

75.5/100

Fleshers Fairview Health Care

Fairview, NC · Buncombe County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
46%
Serious cites
0

Fleshers Fairview Health Care runs 106 certified beds in Buncombe County under corporate for-profit ownership, and the staffing numbers look strong on paper, 3.96 nurse hours per resident day, slightly above the national average. But weekends drop about 15% below the home's own weekday coverage, and staff turnover sits at 46.2%, essentially matching the national rate. The real concern is the inspection record: 38 deficiencies, six of them serious enough to put residents in harm's way, plus two abuse-related findings and $61,321 in fines. The most recent inspection was in September 2025, so the record is current, not stale. Strong staffing and a difficult regulatory history are both true here.

B

75.5/100

Arbors At Minerva

Minerva, OH · Carroll County

CMS 4/5 92 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
37%
Serious cites
0

Arbors at Minerva runs a 92-bed for-profit operation in Carroll County, and the staffing numbers are the first thing you'd notice. At 3.43 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 20% below its own weekday coverage, so the hours when families tend to visit are the thinnest. Turnover at 37.3% is actually better than the national 45.8%, which matters for consistency of care. What pulls the record down is the inspection side: 32 deficiencies on file, three of them at harm or jeopardy level and seven tied to abuse, plus one fine of $27,846. The most recent inspection was February 2026. Quality measures score well; the staffing and inspection history are where the concern lives.

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.

Before you shortlist