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 6581–6600 of 12,438, best-graded first.

B

75/100

Sunset Villa Post Acute

Long Beach, CA · Los Angeles County

CMS 2/5 199 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
45%
Serious cites
0

Sunset Villa Post Acute sits in Long Beach with 199 certified beds and a for-profit LLC owner. Nurse staffing runs 4.00 hours per resident day, slightly above the national average, but weekends drop about 7% below its own weekday level, and turnover sits at 44.8%, roughly in line with the national rate. The staffing star rating is 3/5. The bigger concern is the inspection record: 89 deficiencies, 6 at harm or jeopardy level, 10 abuse-related, and three fines totaling $207,206. The last inspection was April 9, 2026. Its quality measure rating is 5/5, but that's derived from resident assessments, not from how safely the home is actually run day to day.

B

75/100

Stanley Healthcare Center

Westminster, CA · Orange County

CMS 3/5 30 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
56%
Serious cites
0

Stanley Healthcare Center runs 30 beds in Westminster under for-profit LLC ownership, and its nurse staffing sits a bit above the national average, 4.05 hours per resident day against 3.86. That cushion thins on weekends, though, when coverage drops about 7% below its own weekday level, and annual turnover of 55.6% tops the national 45.8%, so the faces around a resident change often. The inspection record carries 64 deficiencies, none flagged at harm or jeopardy level, but one tied to abuse. State surveyors last visited in April 2026, and the health inspection rating landed at 3 out of 5, with quality measures at 4 and staffing at 3.

B

75/100

Terrace Post Acute

Van Nuys, CA · Los Angeles County

CMS 2/5 133 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
26%
Serious cites
0

Terrace Post Acute runs 133 beds in Van Nuys under corporate for-profit ownership, and its staffing sits almost exactly at the national average, 3.87 nurse hours per resident day against 3.86, though weekends dip about 5% below its own weekday coverage. Turnover is the real bright spot at 25.7%, well under the 45.8% national figure, which suggests a steadier workforce than most. What drags the record down is inspection history: 89 deficiencies, three of them at harm or jeopardy level, four tied to abuse, plus a $94,094 fine and a one-star health inspection rating despite the four-star quality measures and a January 2026 inspection.

B

75/100

Milpitas Care Center

Milpitas, CA · Santa Clara County

CMS 2/5 35 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
19%
Serious cites
0

Milpitas Care Center runs 35 beds under corporate ownership, and its nurse staffing sits at 3.77 hours per resident day, just under the national average, with weekends running about 7% thinner than weekdays. The standout number is turnover: 19.2% against a national average of 45.8%, which means the people caring for residents tend to stick around. That matters, and it's why the staffing rating holds at 3/5 and quality measures at 3/5. The inspection record is where the picture darkens. Fifty-two deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, plus three fines totaling $28,520. The most recent inspection was June 27, 2025. Stable staff, a thin weekend margin, and a long citation history, that's the tradeoff to weigh.

B

75/100

Live Oak Nursing And Rehabilitation Center

George West, TX · Live Oak County

CMS 3/5 96 beds Government Medicaid
Nurse hours
3.37 /day
Staff turnover
32%
Serious cites
0

Live Oak Nursing and Rehabilitation runs 96 beds in George West under individual for-profit ownership, and its staffing sits at 3.37 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 10 percent below its own weekday coverage, so the thinnest shifts come when families often visit. Turnover is genuinely better than average at 32.2 percent against 45.8 nationally. What pulls the record down is the inspection side: 17 deficiencies, one at harm or jeopardy level and two tied to abuse, plus a $56,980 fine. The most recent inspection was May 2025, so that picture is current, not stale. Quality measures score well; the hands-on and oversight numbers are where the caution lives.

B

75/100

Windsor Nursing And Rehabilitation Center Of San D

San Diego, TX · Duval County

CMS 5/5 90 beds Government Medicaid
Nurse hours
3.25 /day
Staff turnover
42%
Serious cites
0

Windsor Nursing and Rehabilitation Center of San Diego runs on 3.25 nurse hours per resident per day, roughly 16 percent under the national average of 3.86, and weekends dip about 11 percent below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 2 out of 5, even though the home posts perfect marks on health inspections and quality measures. Turnover lands at 42.4 percent, a touch better than the national 45.8 percent, and its record shows 7 deficiencies with nothing at the harm or jeopardy level and no abuse citations. Inspectors were last on site in April 2026, which is recent. The hospital district ownership and clean inspection history are real strengths; the daily coverage numbers are where a family should ask questions.

B

75/100

Azalea Trail Nursing And Rehabilitation Center

Grand Saline, TX · Van Zandt County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
27%
Serious cites
0

Azalea Trail runs lean on nursing hours, 3.35 per resident per day against a national average of 3.86, with weekends about 12% thinner than weekdays. That's the trade-off behind its numbers: staff stick around far longer than is typical in this industry, and its inspection record is about as clean as they come, one minor deficiency with nothing tied to harm or abuse and a visit from surveyors as recent as May 2025. The weak spot sits in the quality measures, where resident outcomes lag despite the strong oversight. For a 72-bed for-profit in Grand Saline, you're looking at a home that passes its tests but may not always have enough hands on deck.

B

75/100

Willowbend Nursing And Rehabilitation Center

Mesquite, TX · Dallas County

CMS 3/5 162 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
53%
Serious cites
0

Willowbend runs 162 certified beds in Mesquite under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop another 11% below its own weekday coverage, and annual turnover hits 52.9% against a national 45.8%. The inspection record is where things get serious: 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, plus four fines totaling $94,394. Its last inspection was January 22, 2026. The 5/5 quality measure rating reflects resident assessment data, but the 2/5 staffing and 2/5 inspection ratings describe what families actually encounter day to day.

B

75/100

Pleasant Valley Healthcare And Rehabilitation Cent

Garland, TX · Dallas County

CMS 2/5 124 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
33%
Serious cites
0

Pleasant Valley runs lean on nursing hours, 3.36 per resident per day, roughly 13 percent under the national average, and weekends get thinner still, dropping about 11 percent below its own weekday coverage. That staffing picture sits behind 20 deficiencies on the current record, three of them serious enough to put residents at risk of harm or jeopardy and two tied to abuse. Staff turnover is 33.3 percent, better than the national 45.8, and the quality measure score of 4 out of 5 suggests clinical metrics look decent on paper. But a 2-out-of-5 inspection rating and $53,393 in fines point to a gap between how care is measured and how it's actually delivered.

B

75/100

Mill Creek

Silsbee, TX · Hardin County

CMS 3/5 67 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
55%
Serious cites
0

Mill Creek runs lean on nursing staff, 3.16 hours per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday coverage. That thinness shows up in the numbers: staff turnover sits at 54.7% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The 25 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with one fine of $13,232. Quality measures score well and the last inspection was recent, but a for-profit partnership operating 67 beds at this staffing level leaves little margin when problems surface.

B

75/100

Oakwood Manor Nursing Home

Vidor, TX · Orange County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
38%
Serious cites
0

Oakwood Manor runs a corporation-owned, 100-bed home in Vidor, and the numbers pull in different directions. Nurse staffing sits around 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday level, so care gets thinnest exactly when families tend to visit. Turnover is 37.8%, which is actually better than the 45.8% national figure, meaning the staff who are there tend to stay. Inspections are recent (December 2025) and turned up 21 deficiencies, none at harm or jeopardy level, though two are abuse-related. Quality measures score well; staffing is where it's weakest.

B

75/100

Silver Pines Nursing And Rehabilitation Center

Bastrop, TX · Bastrop County

CMS 4/5 114 beds Non-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
44%
Serious cites
0

Silver Pines runs a 114-bed nonprofit home in Bastrop, and its numbers split in two directions. The care side looks strong: a four-star health inspection record, a top quality-measure score, and a recent June 2025 inspection with no deficiencies at the harm or jeopardy level, though one abuse-related citation does appear among the 31 on file. Staffing is the weak spot. At 3.05 nurse hours per resident day, it sits about 21% under the national average, weekends run roughly 7% thinner than weekdays, and turnover of 44.3% is essentially the national rate. Nonprofit ownership and good survey results are real strengths, but the day-to-day nurse coverage is thin enough to ask about directly.

B

75/100

Prairie House Living Center

Plainview, TX · Hale County

CMS 3/5 121 beds Government Medicaid
Nurse hours
2.97 /day
Staff turnover
27%
Serious cites
0

Prairie House Living Center runs on a leaner nursing crew than most homes, about 2.97 nurse hours per resident each day against a national average near 3.86, and weekends dip roughly 12 percent below its own weekday coverage. That thin margin is the main reason its staffing rating sits at 2 out of 5, even though staff stick around: turnover of 26.7 percent is well below the national 45.8 percent, which suggests people aren't fleeing. Inspections look solid, a 4 out of 5 health inspection rating, nine deficiencies on record with none at the harm level and none abuse-related, and a visit as recent as November 2024. Owned by a hospital district, it's not chasing private-equity returns.

B

75/100

Wheeler Nursing & Rehabilitation

Wheeler, TX · Wheeler County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
36%
Serious cites
0

Wheeler Nursing & Rehabilitation runs lean on direct care: 3.08 nurse hours per resident per day, roughly a fifth under the national average of 3.86, with weekends about 10% thinner than weekdays. The inspection record shows 15 deficiencies, including two at the harm or jeopardy level and two tied to abuse. Turnover sits at 35.7%, better than the 45.8% national figure, which suggests less churn than many homes its size. The last inspection was in August 2025. The quality measures look strong, but those come from resident assessments the home reports, while staffing and inspections are observed independently. Weigh those two against each other before deciding.

B

75/100

Sugar Land Health Care Center

Sugar Land, TX · Fort Bend County

CMS 4/5 150 beds Non-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
41%
Serious cites
0

Sugar Land Health Care Center runs 3.59 nurse hours per resident day, about 7% under the national average, and weekends dip roughly another 10% below its own weekday coverage. That thin margin shows up in the staffing star rating, which sits at 2 out of 5. Turnover is 41.3%, actually a bit better than the 45.8% national figure, so the problem isn't retention so much as how many hands are on deck per shift. The inspection record carries 17 deficiencies, three of them at the harm or jeopardy level, plus two fines totaling $30,494; the last survey was May 2025. Quality measures score well at 4 out of 5, but quality scores reflect resident outcomes, not whether enough staff are present to catch problems before they become one.

B

75/100

Cross Timbers Rehabilitation And Healthcare Center

Flower Mound, TX · Denton County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
50%
Serious cites
0

Cross Timbers runs 120 certified beds in Flower Mound under corporate for-profit ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average. Weekends dip roughly 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 49.5%, close to four points above the national figure, which means many of the people caring for residents are still learning the building. The current record shows 27 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,281. The most recent inspection was April 16, 2026.

B

75/100

Park Manor Of Cyfair

Houston, TX · Harris County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
45%
Serious cites
0

Park Manor of Cyfair runs lean on direct care. At 3.10 nurse hours per resident day it sits about a fifth under the national figure, and weekends drop roughly another 14% below its own weekday coverage, so the thinnest shifts are the ones when families tend to visit. Turnover, at 44.8%, is essentially the national rate. What pulls this Houston home up is its record: a five-star health inspection rating, no deficiencies flagged at harm or jeopardy level, nothing abuse-related, and an inspection as recent as August 2025. The tradeoff is clear, strong oversight and quality marks, lighter day-to-day staffing.

B

75/100

Kruse Village Senior Living Community

Brenham, TX · Washington County

CMS 4/5 65 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
55%
Serious cites
0

Kruse Village sits in Brenham with 65 certified beds, run by a for-profit limited liability company. Nurse staffing comes in at 3.83 hours per resident day, just under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. Staff turnover is the bigger number here: 55.2% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 22 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors were last on site in May 2026, and the health inspection and quality measure ratings both land at 4 out of 5, with staffing at 3.

B

75/100

Crockett Health Care Associates, Inc.

Crockett, TX · Houston County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
1.98 /day
Staff turnover
26%
Serious cites
0

Houston County Nursing Home runs on about 1.98 nurse hours per resident per day, roughly half the national figure of 3.86, and weekend coverage slips about 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 26.1%, well under the 45.8% national average, which means the people who are there tend to stay. Inspectors visited in June 2025 and found 15 deficiencies, none rising to harm or jeopardy, though two are abuse-related. The 5-star inspection and 4-star quality scores sit alongside a 1-star staffing rating, a split worth understanding before you decide.

B

75/100

Park Manor Of Quail Valley

Missouri City, TX · Fort Bend County

CMS 2/5 125 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
35%
Serious cites
0

Park Manor Of Quail Valley runs about 3.33 nursing hours per resident each day, roughly 14% under the national average, and weekends dip about 11% below its own weekday levels, so care thins out exactly when families tend to visit. The inspection record is the bigger concern: 24 deficiencies, including three tied to abuse and one serious enough to put a resident in harm's way. Staff turnover sits at 34.9%, better than the 45.8% national figure, which means more familiar faces than most places. Ownership is a for-profit LLC with 125 beds, and the most recent inspection was June 2025. Ask direct questions about the abuse findings and weekend coverage before deciding.

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