ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 6521–6540 of 12,438, best-graded first.

B

75/100

Aspen Nursing And Rehab Center

Punxsutawney, PA · Jefferson County

CMS 2/5 75 beds For-profit Medicaid
Nurse hours
2.76 /day
Staff turnover
34%
Serious cites
0

Mulberry Healthcare and Rehabilitation Cent runs lean on nursing hours: 2.76 per resident day against a national average of 3.86, roughly 29% below. Weekend coverage drops about 14% below its own weekday level, so the thinnest shifts are the ones families tend to visit. Turnover sits at 34.1%, better than the 45.8% national figure, which suggests some steadiness in the workforce despite the low hours. The inspection record is where the concerns stack up: 46 deficiencies, including two tied to abuse and one at the harm level, plus a $24,042 fine. The most recent inspection was December 8, 2025, so the picture is current. Quality measures score well on paper, but that sits alongside a for-profit corporate owner and staffing that never reaches average.

B

75/100

Edinboro Manor

Edinboro, PA · Erie County

CMS 4/5 121 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
39%
Serious cites
0

Edinboro Manor runs 121 certified beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average of 3.86, and weekends dip about 10% below what the home itself staffs on weekdays, so families should ask who's actually on the floor on a Saturday. Turnover runs 38.5%, which is better than the 45.8% national figure. The current record shows 25 deficiencies, none at the harm level but two tied to abuse, alongside a 3-out-of-5 inspection rating and a 5-out-of-5 on quality measures. The last inspection was January 22, 2026.

B

75/100

Waynesburg Nursing And Rehab

Waynesburg, PA · Greene County

CMS 3/5 111 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
38%
Serious cites
0

Waynesburg Nursing and Rehab runs 3.58 nurse hours per resident day, about 7 percent under the national figure of 3.86, and weekends drop roughly another 6 percent below its own weekday staffing. Turnover sits at 38.3 percent, which is actually better than the 45.8 percent national average, a point in its favor, since stable staff tend to know residents' routines. But the inspection record carries 17 deficiencies, including one at the harm level and four tied to abuse, with $8,190 in fines. The most recent inspection was February 5, 2026, so that picture is current. Corporate-owned and for-profit, it earns solid marks on quality measures but pays for it with thinner daily coverage.

B

75/100

Abington Manor

Clarks Summit, PA · Lackawanna County

CMS 4/5 119 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
49%
Serious cites
0

Abington Manor runs on thinner staffing than most homes, 3.23 nurse hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often can't visit. The inspection record shows 32 deficiencies, including one at the harm level and one abuse-related citation, though the last survey was recent (September 2025). Staff turnover sits at 49.2%, a bit above the national rate, which means caregivers are frequently new to the building. Its quality measure score is strong, but that reflects charted clinical outcomes, not the daily experience of having enough hands on the floor.

B

75/100

Gardens For Memory Care At Easton, The

Easton, PA · Northampton County

CMS 3/5 115 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
42%
Serious cites
0

Gardens For Memory Care At Easton runs 3.27 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 10% below its own weekday levels. That thinner weekend coverage matters more here than the raw number suggests, since this is a memory care population. Turnover sits at 41.6%, a bit better than the 45.8% national figure. The 11 deficiencies on record include none at the harm level and none abuse-related, and the last inspection was April 2026. Its quality measure rating of 2 out of 5 is the weakest piece of the picture, while staffing grades comparatively well. A for-profit LLC operates the 115-bed home.

B

75/100

Oxford Rehabilitation And Healthcare Center

Langhorne, PA · Bucks County

CMS 5/5 179 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
43%
Serious cites
0

Oxford Rehabilitation and Healthcare Center runs 179 certified beds in Langhorne under for-profit LLC ownership, and the numbers split in two directions. The nursing side is thin: 3.53 nurse hours per resident day against a national average of 3.86, with weekends about 10% below the home's own weekday coverage, and that staffing picture earns only 2 of 5 stars from CMS. Quality measures and health inspections both come back strong, and turnover at 42.6% actually sits below the national 45.8%. What tempers the record is volume, 24 deficiencies on file, including one abuse-related citation, though none rose to harm or jeopardy level. The most recent inspection was November 14, 2025.

B

75/100

Watsontown Rehabilitation And Nursing Center

Watsontown, PA · Northumberlnd County

CMS 2/5 125 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
40%
Serious cites
0

Watsontown Rehabilitation and Nursing Center runs 125 certified beds under corporate ownership, and the numbers tell two different stories. Nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, and weekends drop about 12 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover at 40 percent actually beats the national rate of 45.8 percent, which matters for continuity of care. Where the record gets harder to ignore is inspections: a 1-out-of-5 health inspection rating, 61 deficiencies on the current record, including three at harm or jeopardy level and three tied to abuse, plus $21,765 in fines across two events. The last inspection was September 12, 2025. Quality measures score well at 4 out of 5, but that's the piece families should weigh against the enforcement history, not instead of it.

B

75/100

Elizabethtown Nursing And Rehabilitation

Elizabethtown, PA · Lancaster County

CMS 2/5 45 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
50%
Serious cites
0

Elizabethtown Nursing and Rehabilitation runs 45 beds under for-profit LLC ownership, and its staffing sits about 6% under the national average at 3.63 nurse hours per resident per day, with weekends dipping another 3% below its own weekday levels. Annual turnover is 50%, above the 45.8% national figure, so the people caring for residents keep changing. The inspection record shows 45 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level; the last inspection was June 2025. CMS rates staffing and health inspections 2 out of 5, while quality measures score 4. The quality numbers look better than the day-to-day staffing and inspection picture.

B

75/100

Titusville Nursing And Rehab

Titusville, PA · Crawford County

CMS 4/5 77 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
33%
Serious cites
0

Titusville Nursing and Rehab runs 77 certified beds under for-profit LLC ownership, and its staffing sits at 3.59 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is the bright spot: 32.8% against a national 45.8% means aides and nurses are staying longer than is typical. The inspection record is clean where it counts, 15 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in June 2025. Quality measure scores lag, though, at 2 of 5 stars.

B

75/100

Millcreek Manor

Erie, PA · Erie County

CMS 4/5 144 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
40%
Serious cites
0

Millcreek Manor runs 4.07 nursing hours per resident per day, roughly 5% above the national average, and it's the strongest number in the file, weekday coverage is genuinely above par. Weekends tell a different story, with staffing dropping about 13% below the home's own weekday level, so care thins out exactly when families tend to visit. The 40% annual turnover is lower than the national 45.8%, meaning the staff you meet are somewhat more likely to still be there next year. But 29 deficiencies on record, including one at the harm level and one abuse-related, plus a $100,240 fine, point to real problems that a strong staffing ratio alone doesn't offset.

B

75/100

Heritage Hills Nursing & Rehabilitation Center

Smithfield, RI · Providence County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
40%
Serious cites
0

Heritage Hills is a 100-bed for-profit home in Smithfield, and the split in its federal ratings tells the story. The quality measures look strong, but the health inspection side sits at the bottom of the scale, with 70 deficiencies on record, three of them serious enough to involve harm or jeopardy, and three tied to abuse. Nurse staffing runs slightly under the national average at 3.74 hours per resident day, thinner on weekends, though turnover at 39.8% is actually better than the 45.8% norm. A single fine of $8,827 and a September 2025 inspection round out the picture. The quality numbers and the inspection numbers don't agree, and you should ask which one matches what you see on a visit.

B

75/100

Oak Hollow Of Georgetown Rehabilitation Center Llc

Georgetown, SC · Georgetown County

CMS 2/5 84 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
42%
Serious cites
0

Oak Hollow runs lean on nurse staffing, 3.08 hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 9% below its own weekday level. That thinner weekend coverage matters, since 11 deficiencies sit on the current record, three of them serious enough to reach harm or jeopardy, one tied to abuse. Turnover is 41.7%, a bit better than the national 45.8%, and quality measures score well, but the health inspection side tells a rougher story. The last inspection was August 28, 2025, so the record is recent. Two fines totaling $10,312 round it out.

B

75/100

Carlyle Senior Care Of Fork

Fork, SC · Dillon County

CMS 3/5 111 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
35%
Serious cites
0

Carlyle Senior Care of Fork runs 3.56 nurse hours per resident per day, about 8% under the national average, and weekends dip roughly 11% below its own weekday staffing. Turnover sits at 34.6%, notably better than the 45.8% national figure, which suggests the aides and nurses here tend to stay. The inspection record is the strong point: a 4-out-of-5 health inspection rating, eight deficiencies, none at harm or jeopardy level, no abuse findings, and a survey completed in April 2025. The weak spot is the 1-out-of-5 quality measure rating, so ask what that reflects for your family member's specific needs.

B

75/100

Union Post Acute

Union, SC · Union County

CMS 5/5 88 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
38%
Serious cites
0

Union Post Acute runs lean. At 3.09 nurse hours per resident day, it sits about 20 percent under the national average of 3.86, and weekends dip roughly another 10 percent below its own weekday numbers, that's the kind of gap families notice when a call button goes unanswered on a Sunday. The record isn't clean, either: 13 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level. What keeps it in decent territory is turnover at 38.2 percent, better than the 45.8 percent national figure, plus strong marks on inspections and quality measures. A February 2026 inspection means the picture is current. Go in asking who's on the floor on weekends.

B

75/100

Ascension Living Alexian Village Tennessee

Signal Mountain, TN · Hamilton County

CMS 1/5 114 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
49%
Serious cites
0

Ascension Living Alexian Village Tennessee sits in Signal Mountain with 114 certified beds, run by a nonprofit corporation. The staffing numbers look decent on paper, 4.05 nurse hours per resident day, slightly above the national average, but that advantage shrinks on weekends, when coverage drops about 7% below the home's own weekday level. Staff turnover runs 49%, a few points above the national rate of 45.8%. The real problem shows up in inspections. CMS gave this home 1 out of 5 stars for health inspections, with 28 deficiencies on the current record, including 6 at the harm or jeopardy level and 3 tied to abuse. Two fines total $233,543. The last inspection was December 10, 2025. Strong quality and staffing scores don't offset that inspection history.

B

75/100

Nhc Healthcare, Hendersonville

Hendersonville, TN · Sumner County

CMS 3/5 122 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
43%
Serious cites
0

Nhc Healthcare, Hendersonville runs 122 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 9% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 42.6% is slightly better than the 45.8% national figure, which matters given how often new faces cycle through. The current inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site March 18, 2026. Quality measures score well; staffing and inspections are where the home gives ground.

B

75/100

Willow Ridge Center

Maynardville, TN · Union County

CMS 2/5 77 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
42%
Serious cites
0

Willow Ridge Center runs 77 certified beds under corporate ownership, and its nursing hours come in at 3.11 per resident day, roughly a fifth under the national average of 3.86. Weekends drop about 13% below the home's own weekday staffing, which matters when a fall or an infection doesn't wait for Monday. The inspection record shows 15 deficiencies, two of them serious enough to involve harm or jeopardy, though none tied to abuse. Staff turnover sits at 41.8%, a touch better than the 45.8% national figure, and the last full inspection was in mid-2023. Quality measures score well; staffing is where the weakness lives.

B

75/100

Ridgeview Terrace Of Life Care

Rutledge, TN · Grainger County

CMS 4/5 132 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
23%
Serious cites
0

Ridgeview Terrace runs leaner than most homes on daily nursing hours, about 3.27 per resident, roughly 15% under the national average, and weekends dip another 12% below its own weekday coverage. What stands out is retention: 23.3% annual turnover is less than half the national rate, so the people showing up are largely the same people, which matters more than raw headcount. The 11 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy, and the last inspection was recent, in May 2025. Quality measure scores sit at 2 of 5 stars while inspections hold at 4, an unusual split worth asking about directly.

B

75/100

Legacy Health And Rehab

Manchester, TN · Coffee County

CMS 2/5 72 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
35%
Serious cites
0

Legacy Health And Rehab runs 72 certified beds in Manchester under for-profit limited liability ownership, and its staffing sits at 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 24 deficiencies, none at the harm or jeopardy level but one abuse-related, with the most recent inspection in June 2025. Staff turnover at 35.4% is actually better than the 45.8% national figure, which matters for continuity of care, though CMS inspection and quality measure ratings both sit at 2 out of 5. Ask about weekend coverage and that abuse citation directly.

B

75/100

Spring Meadows Health And Rehabilitation

Clarksville, TN · Montgomery County

CMS 2/5 121 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
39%
Serious cites
0

Spring Meadows runs 3.43 nurse hours per resident day, about 11% under the national average, and weekend coverage drops roughly 7% below its own weekday level, so the thinnest staffing tends to land when families visit. Turnover at 39.4% is better than the 45.8% national figure, which matters for continuity of care. The inspection record is the harder read: 21 deficiencies, five serious enough to reach harm or jeopardy, two tied to abuse, with the most recent inspection in July 2024. Good quality measure scores and steadier retention sit alongside real regulatory problems, and that mixed picture is what a B reflects.

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