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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 6361–6380 of 12,438, best-graded first.

B

75/100

North Ridge Health And Rehab

New Hope, MN · Hennepin County

CMS 1/5 320 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
28%
Serious cites
0

North Ridge in New Hope runs 320 beds under corporate ownership, and its numbers pull in two directions. Nurse staffing sits at 4.23 hours per resident day, about 10 percent above the national average, and turnover of 27.5 percent is well below the 45.8 percent national figure, both genuinely good signs. But the inspection record is where this home struggles: 65 deficiencies on file, including one at the harm level and two tied to abuse, plus a $25,480 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Weekends also run about 11 percent thinner than weekdays, so coverage isn't uniform.

B

75/100

Emmanuel Nursing Home

Detroit Lakes, MN · Becker County

CMS 3/5 57 beds Non-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
49%
Serious cites
0

Emmanuel Nursing Home runs 4.57 nurse hours per resident day, about 18% above the national average, and that staffing shows up in a five-star CMS staffing rating, genuinely hard to earn. The catch is consistency: weekends run roughly 14% lighter than weekdays, so the coverage your family sees on a Tuesday isn't what's there on a Sunday. Turnover sits at 48.7%, a bit above the national 45.8%, meaning familiar faces cycle out faster than average. The inspection record is the bigger concern, 20 deficiencies on file, including two at the harm level and one tied to abuse, plus an $82,840 fine. The most recent inspection was February 2026, so the record is current.

B

75/100

Fair Oaks Lodge

Wadena, MN · Wadena County

CMS 2/5 65 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
53%
Serious cites
0

Fair Oaks Lodge runs a 65-bed for-profit operation in Wadena, and the numbers pull in different directions. Nurse staffing sits at 4.44 hours per resident day, about 15% above the national average, and that shows up in a 4-out-of-5 staffing rating, but weekends run roughly 11% thinner than weekdays, so coverage isn't even across the week. Turnover is 52.5%, well above the 45.8% national figure, which matters for how well anyone knows your family member. The inspection record is the harder read: 52 deficiencies, including one at harm or jeopardy level and three tied to abuse, with a $10,062 fine and a 2-out-of-5 health inspection rating. Quality measures also land at 2 out of 5.

B

75/100

Birchwood Care Home

Minneapolis, MN · Hennepin County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
1.94 /day
Staff turnover
38%
Serious cites
0

Birchwood Care Home runs on 1.94 nursing hours per resident per day, roughly half the national average of 3.86, and weekends dip about 15% below its own weekday staffing. That thin coverage shows up on the record: 31 deficiencies, including one at the harm or jeopardy level and two tied to abuse, alongside a 3/5 inspection rating and a 2026-05-19 survey. Turnover runs 37.5%, better than the 45.8% national figure, and the 5/5 quality measure rating reflects clinical outcomes rather than day-to-day presence. For a 60-bed for-profit home, the staffing number is the one to weigh hardest against the quality score.

B

75/100

Diversicare Of Southaven

Southaven, MS · De Soto County

CMS 1/5 140 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
22%
Serious cites
0

Diversicare Of Southaven runs 140 certified beds under for-profit LLC ownership, and its staffing numbers tell a mixed story. Nurses provide 3.41 hours per resident day, about 12% under the national average of 3.86, and weekends dip roughly 11% below the home's own weekday coverage. Turnover sits at 21.9%, well below the 45.8% national figure, so the people who are there tend to stay. The trouble is inspections: a 1-out-of-5 health inspection rating, 44 deficiencies on the current record including 10 at harm or jeopardy level, and 8 fines totaling $78,295. The most recent inspection was April 2026. Quality measures rate 3 out of 5, staffing 4.

B

75/100

Humphreys Co Nursing Center

Belzoni, MS · Humphreys County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
49%
Serious cites
0

Humphreys County Nursing Center runs about 60 beds in Belzoni, and it's individually owned for profit. The staffing is genuinely a bright spot: 4.02 nurse hours per resident day, roughly 4% above the national average, earning a 4-out-of-5 staffing star. But weekends drop about 14% below weekday levels, so coverage isn't even across the week. Turnover sits at 49.2%, higher than the 45.8% national figure. The health inspection record carries 17 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in December 2024. Quality measures score just 1 out of 5 stars. The staffing and clean harm record help; the quality measures and turnover pull the other way.

B

75/100

Vaiden Community Living Center

Vaiden, MS · Carroll County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
36%
Serious cites
0

Vaiden Community Living Center runs 60 beds under for-profit LLC ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 12 percent below its own weekday coverage, so families should ask who's actually on the floor Saturday and Sunday. Turnover is the brighter spot: 36.4 percent against a national 45.8 percent, meaning aides and nurses stick around longer than at the typical home. The tradeoff shows up in care quality. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and the quality measure rating is 2 out of 5. Inspectors last visited in October 2024.

B

75/100

Bedford Care Ctr-Monroe Hall

Hattiesburg, MS · Forrest County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
52%
Serious cites
0

Bedford Care Ctr-Monroe Hall runs a five-star staffing operation, with 4.24 nurse hours per resident day, about 10% above the national average, and a five-star inspection record with no deficiencies at the harm or jeopardy level. The catch is consistency: weekend staffing drops roughly 12% below its own weekday level, and 52.2% annual turnover tops the national average of 45.8%, meaning aides are cycling through faster than residents can get used to them. Three abuse-related deficiencies on the current record are worth asking about directly, and a one-star quality measure rating suggests the clinical outcomes don't match the staffing numbers. Ask how the home covers weekends and what those abuse citations involved.

B

75/100

Bolivar Medical Center Ltc

Cleveland, MS · Bolivar County

CMS 3/5 35 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
54%
Serious cites
0

Bolivar Medical Center Ltc runs 35 certified beds in Cleveland under corporate for-profit ownership, and its strongest numbers show up in staffing and inspections. Nurse coverage sits at 4.43 hours per resident day, roughly 15% above the national average of 3.86, though weekends run about 13% leaner than weekdays. Staff turnover is a real weak spot at 53.8% against a national 45.8%, which matters when residents rely on familiar faces. The health inspection record is solid, four stars, five deficiencies and none involving harm, jeopardy, or abuse, last reviewed in July 2025. Quality measures tell a different story at one star, so care outcomes don't track with the staffing picture. Worth asking about retention and what those quality numbers reflect.

B

75/100

Mcdonald County Living Center

Anderson, MO · Mc Donald County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
26%
Serious cites
0

McDonald County Living Center runs lean on nursing hours, 3.15 per resident day, roughly 18% under the national average, and weekends dip about 11% below its own weekday coverage. That's the weak spot. What partly offsets it: turnover here is 25.6%, well below the national 45.8%, so the staff who are present tend to stay, which matters for consistency of care. The current record shows 15 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Inspectors last visited in December 2024, and the home scores 4 out of 5 on both health inspections and quality measures, with staffing at 3. It's a for-profit corporate operation, and the numbers say decent care with thinner coverage than most.

B

75/100

Hilltop At Blue River, The

Kansas City, MO · Jackson County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
2.62 /day
Staff turnover
38%
Serious cites
0

Hilltop At Blue River runs about 2.62 nurse hours per resident day, roughly a third below the national average, and weekends drop another 11% under its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 37.9%, actually better than the national 45.8%. The split shows in the numbers: quality measures score 5/5, but staffing sits at 1/5 and inspections at 2/5, with 48 deficiencies on record, two at harm or jeopardy level and two abuse-related, plus a $34,704 fine. Last inspected March 2025. For-profit corporate ownership. Ask about weekday-to-weekend staffing and how those abuse findings were resolved.

B

75/100

Ashley Manor Health & Rehabilitation

Boonville, MO · Cooper County

CMS 4/5 52 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
56%
Serious cites
0

Ashley Manor runs about 3.41 nursing hours per resident per day, roughly 12% under the national average of 3.86, and weekends dip another 14% below its own weekday staffing. That thin coverage shows up in the staffing rating. Turnover sits at 55.8% against a national 45.8%, so aides and nurses are cycling through faster than average. On paper, care quality looks solid, four stars each on health inspections and quality measures, with a January 2025 inspection and no deficiencies at the harm level. But 24 total deficiencies and one abuse-related finding on the record is a lot to carry, and it's the staffing math, not the inspection score, that families should weigh hardest here.

B

75/100

Bethesda Dilworth

Saint Louis, MO · St. Louis County

CMS 3/5 350 beds Non-profit Medicaid
Nurse hours
5.00 /day
Staff turnover
44%
Serious cites
0

Bethesda Dilworth is a 350-bed nonprofit home in St. Louis County, and its staffing is the strongest part of the picture: 5.00 nurse hours per resident day, roughly 29% above the national average, with a four-star staffing rating to match. Turnover sits at 43.5%, a bit better than the national 45.8%, though weekend coverage drops about 11% below weekday levels. The concerns are elsewhere. Inspections turned up 24 deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, plus a single fine of $88,946. The most recent inspection was July 2025, so the record is current. Strong daily staffing, but the inspection history is what's holding this one back.

B

75/100

Pearl's Ii Eden For Elders

Princeton, MO · Mercer County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
42%
Serious cites
0

Pearl's Ii Eden For Elders runs 60 beds in Princeton under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating with no deficiencies at the harm or jeopardy level. There are 38 deficiencies on the current record, though, including three tied to abuse, and the quality measure rating sits at two stars. Nurse staffing works out to 3.64 hours per resident day, about 6% under the national average of 3.86, and weekends run roughly 7% thinner than weekdays. Annual turnover of 41.5% is slightly better than the 45.8% national figure. The last inspection was August 7, 2025, so the record is recent.

B

75/100

Adept Nursing & Rehab Of Central City

Central City, NE · Merrick County

CMS 2/5 63 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
47%
Serious cites
0

Adept Nursing & Rehab Of Central City runs on thinner nursing coverage than most homes its size, 3.17 nurse hours per resident day against a national average of 3.86, with weekends dipping about 5% below its own weekday levels. The state's most recent inspection, in July 2025, left 19 deficiencies on the record, none rising to harm or jeopardy and none abuse-related, though the health inspection rating sits at 2 out of 5. Staff turnover is 47.1%, slightly above the national figure, and the home is owned by a for-profit limited liability company. Its quality measure rating is a 4, which suggests the clinical outcomes tracked by CMS look better than the staffing and inspection numbers would predict on their own.

B

75/100

Old Mill Rehabilitation

Omaha, NE · Douglas County

CMS 3/5 44 beds For-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
67%
Serious cites
0

Old Mill Rehabilitation runs on more nursing hours than most homes, 4.85 per resident day against a national average of 3.86. That's a real cushion, though weekends dip about 12% below the home's own weekday pace, so coverage isn't perfectly even. The bigger concern is staff churn: 67.3% annual turnover, well above the 45.8% national figure, which matters because residents see a lot of new faces. Eighteen deficiencies sit on the current record, three tied to abuse and none at the harm or jeopardy level. The last inspection was April 2026, so the picture is recent. Ownership is a for-profit corporation, and the three-star ratings across health, quality, and staffing are consistent with what the numbers show.

B

75/100

Litzenberg Memorial County Hospital

Central City, NE · Merrick County

CMS 4/5 46 beds Government Medicaid
Nurse hours
3.49 /day
Staff turnover
30%
Serious cites
0

Litzenberg Memorial is county-owned, which tends to mean stability and a local board that answers to voters rather than shareholders. The inspection record backs that up: seven deficiencies on file, none of them causing harm or involving abuse, and a survey completed just this September. Staffing is where it gets uneven. At 3.49 nurse hours per resident day, it runs about ten percent under the national average, and weekends dip another ten percent below the home's own weekday levels, so a Saturday shift is the thinnest coverage you'll find here. The saving grace is retention: 30 percent turnover against a 45.8 percent national average means the aides and nurses who are there tend to stay, which matters more than raw hours when your parent needs someone who knows their routine.

B

75/100

Genoa Community Hospital/Ltc

Genoa, NE · Nance County

CMS 2/5 43 beds Government Medicaid
Nurse hours
3.48 /day
Staff turnover
23%
Serious cites
0

Genoa Community Hospital's long-term care unit runs on a city-owned, 43-bed model, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends drop about 12% below its own weekday coverage, a gap families should ask about directly. What stands out in the other direction is turnover: 22.9% against a national average near 46%, meaning the aides and nurses here tend to stay. Ten deficiencies appear on the current record, three tied to abuse, though none reached harm or jeopardy level, and the last inspection was in May 2025. Quality measure scores lag at 1 star while staffing holds at 4.

B

75/100

Alta Skilled Nursing And Rehabilitation Center

Reno, NV · Washoe County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
45%
Serious cites
0

Alta Skilled Nursing runs 180 beds in Reno under for-profit LLC ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, with weekends about 13% thinner than its own weekdays. Turnover is 44.5%, essentially matching the national 45.8%, so retention isn't the standout issue; coverage is. The inspection record shows 56 deficiencies, including one at the harm level and eight tied to abuse, plus a $39,166 fine, though the most recent inspection came in May 2025. Quality measures score 2 out of 5. Families should ask directly how weekend coverage is handled.

B

75/100

Crestwood Center

Milford, NH · Hillsborough County

CMS 4/5 82 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
43%
Serious cites
0

Crestwood Center runs 82 certified beds in Milford under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.37 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, and weekends dip roughly another 13 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 43.1 percent actually edges below the 45.8 percent national figure, which is one genuinely encouraging sign. Inspections are recent, from December 2025, but the record carries 13 deficiencies, including one at the harm level and one abuse-related, plus a $15,646 fine. Quality measures score well; the staffing and inspection side is where the concern sits.

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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