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 6541–6560 of 12,438, best-graded first.

B

75/100

Life Care Center Of Sparta

Sparta, TN · White County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
39%
Serious cites
0

Life Care Center of Sparta runs about 100 certified beds under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.77 hours per resident day, slightly under the national average of 3.86, with weekends running roughly 10 percent thinner than weekdays, worth knowing if your visits fall on Saturdays or Sundays. Turnover is 38.6 percent, which is actually better than the national 45.8 percent, so the people who stay tend to stay. The inspection record is the strong point: five deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. The weaker spot is staffing, which CMS rates low.

B

75/100

Savannah Nursing And Rehabilitation

Savannah, TN · Hardin County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
33%
Serious cites
0

Savannah Nursing and Rehabilitation runs 120 certified beds under corporate for-profit ownership, and its inspection record is genuinely solid, a 4 out of 5 health inspection rating, with eight deficiencies on file and none reaching the harm or jeopardy level. That said, there's one abuse-related citation in the record, which is worth asking about directly. Staffing sits at 3.64 nurse hours per resident day, about 6% under the national average, and weekends run roughly 11% lighter than weekdays, so coverage thins out when families tend to visit. Turnover at 33% beats the 45.8% national figure, which suggests the workforce is comparatively stable. Last inspected November 2024.

B

75/100

Abundant Christian Living Community Rehabilitation

Johnson City, TN · Washington County

CMS 5/5 103 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
42%
Serious cites
0

Abundant Christian Living in Johnson City runs a sharp split. Inspectors visited in July 2024 and found six deficiencies, none at the harm level, and its clinical quality measures score at the top of CMS's scale, that part of the record is genuinely clean. Staffing is where it thins out. At 3.16 nurse hours per resident day, this 103-bed for-profit home sits about 18 percent under the national average, and weekends drop roughly another 12 percent below its own weekday coverage. Turnover at 42.4 percent is slightly better than the 45.8 percent norm nationally, but with that many caregivers cycling through, consistent hands are hard to count on. Ask how weekends are actually covered before you decide.

B

75/100

The Meadows

Nashville, TN · Davidson County

CMS 4/5 113 beds Non-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
55%
Serious cites
0

The Meadows runs on thinner staffing than most homes nationally, 3.48 nurse hours per resident day against an average of 3.86, and weekends dip about 12% below its own weekday coverage. Staff turnover of 55.2% sits well above the 45.8% national figure, which matters because caregivers who leave take familiarity with residents with them. Its inspection record shows 16 deficiencies, none at the harm level but four tied to abuse, and the last full inspection was in September 2022, so that picture is getting old. Quality measures score well; the staffing and inspection side is where the drag comes from.

B

75/100

Perry County Nursing Home

Linden, TN · Perry County

CMS 3/5 114 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
25%
Serious cites
0

Perry County Nursing Home runs leaner than average on nursing hours, about 3.48 per resident day against a national figure near 3.86, and weekends get thinner still, dropping roughly 14% below the home's own weekday coverage. That staffing picture, plus 22 deficiencies on the current record including one at the harm level and three tied to abuse, is the main reason its federal quality and staffing ratings sit low even though inspectors gave the place 4 out of 5 stars and the last visit was in April 2026. The one real bright spot is turnover: 25% against a national average of 45.8%, meaning the aides and nurses who are there tend to stay. One fine on record, $15,593.

B

75/100

Life Care Center Of Hickory Woods

Antioch, TN · Davidson County

CMS 5/5 124 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
56%
Serious cites
0

Life Care Center of Hickory Woods is a for-profit, LLC-owned home with 124 certified beds in Antioch. Its 4.00 nurse staffing hours per resident day sit slightly above the national average of 3.86, but weekends run about 13% thinner than weekdays, and annual turnover of 55.6% is roughly ten points above the national figure of 45.8%. On the clinical side, the numbers are stronger: a 4/5 health inspection rating and 5/5 on quality measures, with 13 deficiencies on record, none at the harm or jeopardy level, though one is abuse-related. The most recent inspection was November 19, 2025. What drags the overall picture down is consistency rather than any single serious failure, steady care when fully staffed, thinner coverage on weekends.

B

75/100

Heartland

Nashville, TN · Davidson County

CMS 5/5 66 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
55%
Serious cites
0

Heartland runs 3.36 nurse hours per resident day, about 13% under the national average, and weekends dip roughly 8% below its own weekday staffing. That gap matters because aides and nurses are thinnest exactly when families visit and problems surface. The quality measure score is strong, but 54.8% annual turnover means more than half the staff leaves each year, well above the 45.8% national average, so consistent care is hard to build. The record shows 23 deficiencies, including one at harm level and one abuse-related, plus $7,901 in fines. The last inspection was April 2026. A corporation owns the place, so staffing decisions answer to a bottom line.

B

75/100

Plainview Healthcare Center

Plainview, TX · Hale County

CMS 2/5 93 beds Government Medicaid
Nurse hours
2.71 /day
Staff turnover
43%
Serious cites
0

Plainview Healthcare Center is a 93-bed hospital-district home, and the numbers that stand out most are on the staffing side. At 2.71 nurse hours per resident day, it runs roughly 30% below the national average of 3.86, and weekends dip about 7% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover sits at 43.2%, slightly better than the national 45.8%, so the problem isn't retention so much as raw hours on the floor. The inspection record shows 30 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $19,190. Clinical quality measures score well, but the two-star inspection and staffing ratings tell you where the gaps are.

B

75/100

The Woodlands Nursing And Rehabilitation Center

The Woodlands, TX · Montgomery County

CMS 3/5 214 beds Government Medicaid
Nurse hours
3.45 /day
Staff turnover
50%
Serious cites
0

The Woodlands Nursing And Rehabilitation Center runs 214 certified beds under nonprofit corporate ownership, and the staffing numbers tell a mixed story. At 3.45 total nurse hours per resident day, it sits roughly 11% under the national average of 3.86, and weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.6% also runs above the 45.8% national figure. The inspection record is the bigger concern: 23 deficiencies, four at harm or jeopardy level, one abuse-related, and two fines totaling $23,977. Quality measures score well, but staffing and health inspections both land at 2 out of 5 stars.

B

75/100

Schulenburg Regency Nursing Center

Schulenburg, TX · Fayette County

CMS 3/5 146 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
41%
Serious cites
0

Schulenburg Regency runs 146 beds under corporate ownership, and its state inspection record is the strongest part of the picture, a recent survey, a four-star health inspection rating, and modest fines totaling under $9,000. The trouble sits in the day-to-day staffing. At 3.71 nurse hours per resident day, it falls short of the national average, weekend coverage drops about 14% below its own weekday levels, and the two-star staffing rating reflects that gap. Sixteen deficiencies are on the current record, including one at the harm level and two tied to abuse. Turnover, at least, runs below the national figure.

B

75/100

Avir At Beeville

Beeville, TX · Bee County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
30%
Serious cites
0

Avir At Beeville runs a 120-bed for-profit home in Bee County, and its numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, and weekends drop roughly 12% below the home's own weekday coverage, worth asking about if your family visits or needs care on Saturdays and Sundays. Staff turnover is genuinely low at 29.7% against a national 45.8%, which suggests people stay. But the inspection record carries 13 deficiencies, including one at the harm level and three tied to abuse, plus a $38,687 fine. The most recent inspection was August 2025. Ask directly about those abuse deficiencies and what changed since.

B

75/100

San Jose Nursing Center

San Antonio, TX · Bexar County

CMS 3/5 55 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
33%
Serious cites
0

San Jose Nursing Center runs lean on bedside staff, 3.16 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday numbers. That thin coverage shows up in the staffing star rating, though the home holds onto workers better than most, with turnover at 33.3% compared to 45.8% nationally. The current inspection record lists 32 deficiencies, none at harm or jeopardy level, but three tied to abuse, and the last full inspection came in April 2025. Quality measures score well; the hands-on care hours are where this San Antonio for-profit falls short.

B

75/100

George Washington Health & Rehabilitation

Alexandria, VA · Fairfax County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
36%
Serious cites
0

George Washington Health & Rehabilitation runs on thinner nursing coverage than most homes, 3.32 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 9% below its own weekday staffing, so the quietest shifts are the leanest. The record shows 45 deficiencies, none flagged at harm or jeopardy level, but four tied to abuse, which deserves a direct question when you tour. What balances that: staff turnover of 35.9% sits well under the 45.8% national figure, meaning caregivers tend to stay, and CMS scored the home 5 out of 5 on quality measures. Its last full inspection was June 14, 2023, so ask what's happened since.

B

75/100

Signature Healthcare Of Norfolk

Norfolk, VA · Norfolk City County

CMS 3/5 169 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
45%
Serious cites
0

Signature Healthcare of Norfolk runs 169 beds under corporate ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends run about 10% thinner than weekdays, so coverage dips when families tend to visit. Turnover is 45.4%, basically level with the national rate, so that's not the differentiator here. What stands out is the inspection record: 47 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse. The last inspection was July 2023, so that record has had time to age. Quality measures score well, but the staffing and inspection numbers are where the real story sits.

B

75/100

Fairfax Rehabilitation And Nursing Center

Fairfax, VA · Fairfax City County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
45%
Serious cites
0

Fairfax Rehabilitation and Nursing Center runs 200 certified beds under for-profit LLC ownership, and its staffing numbers are the weak spot. At 3.55 total nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so coverage thins exactly when families tend to visit. The health inspection record shows 60 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus two fines totaling $22,957. Staff turnover of 44.8% is roughly in line with the national 45.8%, so retention isn't the outlier here; direct care hours are.

B

75/100

Portside Health & Rehab Center

Portsmouth, VA · Portsmouth City County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
47%
Serious cites
0

Portside Health & Rehab Center runs 132 certified beds in Portsmouth under corporate for-profit ownership, and the staffing numbers are the first thing worth noticing: 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, with weekends running about 14% thinner than its own weekdays. Turnover sits at 47.1%, a bit above the national 45.8%. The inspection record carries 46 deficiencies, two of them serious enough to reach harm or jeopardy level, and CMS rated health inspections 2 out of 5 stars. Fines total $8,018 across one penalty, and the most recent inspection was December 12, 2024. Quality measures scored 5 out of 5, which is genuinely strong, but that's the piece least tied to how many hands are actually available on a Saturday.

B

75/100

Fair Oaks Health & Rehabilitation

Fairfax, VA · Fairfax County

CMS 1/5 155 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
23%
Serious cites
0

Fair Oaks runs on thin nurse coverage, 3.33 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekdays. That staffing number is worth watching since residents don't stop needing help on Saturdays. The stronger signal here is turnover: 22.6% versus 45.8% nationally, meaning the aides and nurses who are there tend to stay, which matters for consistency of care. But the inspection record is the weak spot, 65 deficiencies on file, a 1-out-of-5 health inspection rating, and the last survey was February 2025. None of those deficiencies rose to harm or jeopardy, and there's no abuse history. A for-profit LLC operates the 155-bed building.

B

75/100

Three Rivers Health & Rehab Center

West Point, VA · King William County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
42%
Serious cites
0

Three Rivers runs about 3.15 nurse hours per resident per day, roughly 19% under the national average, and weekends dip about 10% below its own weekday staffing. That thin coverage is the main reason the staffing rating sits at 1 out of 5 even though the quality measure score is 5 out of 5, the clinical outcomes look good, but there aren't many hands. The inspection record shows 36 deficiencies, two at harm or jeopardy level and one abuse-related, with $8,492 in fines and a March 2024 inspection. Turnover at 42% is slightly better than the 45.8% national figure, so retention isn't the problem; scheduling is. For-profit, limited liability ownership, 60 beds.

B

75/100

August Healthcare At Leewood

Annandale, VA · Fairfax County

CMS 2/5 157 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
45%
Serious cites
0

August Healthcare at Leewood runs 157 certified beds under for-profit LLC ownership, and its staffing sits about 4% under the national average at 3.72 nurse hours per resident day, with weekends roughly 11% leaner than its own weekdays. Turnover lands near the national mark at 44.7%. What stands out is the inspection record: 36 deficiencies, one at harm or jeopardy level and seven tied to abuse, with a single $25,488 fine and no inspection since March 2022. The five-star quality measure score contrasts with a one-star health inspection rating, so ask directly how those abuse-related findings were resolved and who is on duty on weekends.

B

75/100

Radford Health And Rehab Center

Radford, VA · Radford City County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
42%
Serious cites
0

Radford Health and Rehab runs 3.51 nurse hours per resident per day, about 9% under the national average, and weekends drop roughly another 10% below its own weekday coverage. That thin margin matters more than the overall numbers suggest, because the home carries 27 deficiencies on its current record, including one at the harm level and one tied to abuse. Turnover sits at 41.6%, which is actually better than the 45.8% national figure, and the quality measure score is strong. But a 2-out-of-5 staffing rating paired with a February 2025 inspection means the clinical outcomes are being achieved with less hands-on time than most homes. Ask about weekend coverage and the abuse deficiency specifically.

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