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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 661–680 of 12,438, best-graded first.

A

91.5/100

Friendship Village Of Dublin

Dublin, OH · Franklin County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
5.20 /day
Staff turnover
—
Serious cites
0

Friendship Village Of Dublin runs 5.20 total nurse staffing hours per resident day, roughly a third more than the 3.86 national average, and weekends only dip about 9% below its own weekdays. That's a real cushion, and it's why staffing holds four stars. The quality measures are stronger still at five. What pulls against that picture is the inspection record: 20 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. The most recent state visit was November 2024. So you're looking at a nonprofit home where day-to-day care capacity is clearly above par, but the survey history has some weight in it. Ask to see the plan of correction for that harm-level citation before you decide.

A

91.5/100

Maplecrest Nursing And Hta

Struthers, OH · Mahoning County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
40%
Serious cites
0

Maplecrest runs on more nursing hours than most homes, about 4.05 per resident per day against a national average near 3.86, and its 40% turnover sits below the national figure, so the staff you meet are more likely to still be there next year. The catch is consistency: weekends run roughly 18% thinner than weekdays. Inspectors were last in on April 14, 2025, and the record shows 17 deficiencies, including one at the harm level and one tied to abuse. That combination, strong day-to-day numbers, a recent inspection with a serious finding, is what a family should weigh before deciding.

A

91.5/100

Fernwood Supportive Living At Madrona Grove

Portland, OR · Clackamas County

CMS 4/5 16 beds Non-profit Medicaid
Nurse hours
6.29 /day
Staff turnover
—
Serious cites
0

Fernwood runs on 6.29 total nurse hours per resident day, roughly 63% above the national average, and weekends dip only about 11% below weekdays, a smaller drop than many homes show. That staffing depth is what lifts its grade despite a mixed inspection record: 22 deficiencies on file, including two at harm or jeopardy level and five tied to abuse, with a 3/5 inspection rating. The last inspection was August 2025, so the picture is recent. With 16 beds and nonprofit ownership, it's small enough that staff consistency matters more than corporate polish. The quality measure rating is 5/5, which suggests residents' clinical outcomes track better than the deficiency count alone would imply.

A

91.5/100

St Luke's Rehabilitation And Nursing Center

Coaldale, PA · Schuylkill County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
21%
Serious cites
0

St. Luke's in Coaldale runs on 4.37 nurse hours per resident day, roughly 13% more than the national average, and its staff tends to stay: 20.9% annual turnover against a national 45.8%. Weekend coverage dips about 15% below its own weekday levels, which is worth asking about if your family visits Saturdays or Sundays. The current record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. As a nonprofit with 48 beds, it's small enough that you can reasonably expect to know the people caring for your relative.

A

91.5/100

St Anne's Retirement Community

Columbia, PA · Lancaster County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
5.02 /day
Staff turnover
25%
Serious cites
0

St. Anne's runs on about 5 nursing hours per resident per day, roughly 30% more than the national average of 3.86, and its staff tends to stay, 25% annual turnover against a national rate near 46%. Weekend coverage dips about 18% below its own weekday level, which is worth asking about if your family visits primarily on Saturdays or Sundays. The record is otherwise clean: five deficiencies, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in December 2025. Quality and inspection ratings both land at 4 out of 5, staffing at 5.

A

91.5/100

Wythe Cnty Community Hosp Ecu

Wytheville, VA · Wythe County

CMS 5/5 8 beds For-profit Medicaid
Nurse hours
8.67 /day
Staff turnover
—
Serious cites
0

Wythe Cnty Community Hosp Ecu runs just eight certified beds, which puts it in a category most families never encounter, a hospital-based swing-bed operation rather than a traditional stand-alone nursing home. The staffing figure stands out: 8.67 nurse hours per resident day, more than double the national average of 3.86, though weekend coverage dips roughly 7% below its own weekday level. Six deficiencies sit on the current record, none of them at the harm or jeopardy level and none abuse-related, with a November 2025 inspection keeping things current. The for-profit corporate ownership is worth knowing about, but the inspection and quality measure ratings both come in strong, and the small bed count means care is concentrated.

A

91.5/100

The Culpeper

Culpeper, VA · Culpeper County

CMS 4/5 47 beds Non-profit Medicaid
Nurse hours
5.69 /day
Staff turnover
20%
Serious cites
0

The Culpeper runs a nonprofit home of 47 beds, and its nurse staffing sits at 5.69 hours per resident day, roughly 47% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday levels, so care thins out somewhat on Saturdays and Sundays. Staff turnover is 20%, well under the 45.8% national average, which suggests people stay. The current record carries 19 deficiencies, one at the harm level and none abuse-related, with the last inspection in October 2023. CMS gives it top marks for staffing and middling marks for inspections and quality measures. Strong hours and low turnover are doing the heavy lifting here.

A

91.5/100

Windsormeade Of Williamsburg

Williamsburg, VA · James City County

CMS 5/5 22 beds Non-profit Medicaid
Nurse hours
5.54 /day
Staff turnover
36%
Serious cites
0

Windsormeade of Williamsburg runs on church-affiliated nonprofit ownership, and the numbers back up what that structure often buys you: time with residents. Nurse staffing sits at 5.54 hours per resident day, roughly 43 percent above the national average, and turnover comes in at 35.7 percent against a national 45.8, staff tend to stay. The tradeoff worth knowing is weekends, when coverage drops about 21 percent below the home's own weekday level. Nine deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2023. With only 22 certified beds, this is a small home, which cuts both ways on consistency.

A

91.5/100

The Glebe

Daleville, VA · Botetourt County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
5.42 /day
Staff turnover
49%
Serious cites
0

The Glebe runs about 5.42 nurse hours per resident day, roughly 40% more than the national average of 3.86, that's the kind of cushion that matters when a resident needs help at 2 a.m. Weekend staffing dips about 21% below its own weekday levels, worth asking about, though the floor starts high. Seven deficiencies sit on the current record, none at the harm level and none abuse-related. Staff turnover lands at 49%, a bit above the 45.8% national figure. CMS gives this nonprofit five stars each for inspections, quality measures, and staffing, with its last inspection in April 2024.

A

91.5/100

Transitional Care Of Seattle

Seattle, WA · King County

CMS 4/5 165 beds For-profit Medicaid
Nurse hours
7.83 /day
Staff turnover
38%
Serious cites
0

Transitional Care Of Seattle runs 165 certified beds under for-profit LLC ownership, and its nurse staffing sits at 7.83 hours per resident day, roughly double the national average of 3.86. That's the number driving its staffing score, though weekends dip about 17% below weekday levels, so coverage isn't evenly spread across the week. Staff turnover lands at 37.5%, better than the 45.8% national figure, which matters for continuity of care. The tradeoff shows up in its inspection record: 42 deficiencies, including one at harm or jeopardy level and one abuse-related, with a health inspection rating of 3 out of 5. The most recent inspection was September 23, 2025. Strong staffing and quality scores, but the deficiency history is worth asking about directly.

A

91.5/100

St. Joseph's Hospital

Buckhannon, WV · Upshur County

CMS 5/5 16 beds Non-profit Medicaid
Nurse hours
5.74 /day
Staff turnover
11%
Serious cites
0

St. Joseph's Hospital in Buckhannon runs 5.74 nurse hours per resident day, about 49% above the national average of 3.86, and it holds onto that staff, with turnover at 10.5% against a national 45.8%. Weekend coverage dips roughly 17% below its own weekday level, a real gap even at this staffing level. Fifteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2025. It's a small 16-bed nonprofit unit inside a hospital, so read the quality measure score of 3/5 as the softer spot and the staffing and inspection record as the strong ones.

A

91.5/100

Vibra Hospital Of Northern California D/P Snf

Redding, CA · Shasta County

CMS 5/5 32 beds For-profit Medicaid
Nurse hours
6.09 /day
Staff turnover
—
Serious cites
0

Vibra Hospital of Northern California runs 32 certified beds in Redding, and its nurse staffing sits at 6.09 hours per resident day, roughly 58% above the national average of 3.86. Weekend hours drop about 14% below its own weekday levels, so coverage thins out on Saturdays and Sundays. The current record shows 26 deficiencies, none at the harm or jeopardy level, though four are abuse-related. A May 2025 inspection is recent, and the for-profit corporate owner runs the building. High staffing and strong quality measures are doing the heavy lifting here, but those four abuse-related citations are worth asking about directly before you decide.

A

91.5/100

Emanate Health Inter-Community Hospital- D/P Snf

Covina, CA · Los Angeles County

CMS 5/5 25 beds Non-profit Medicaid
Nurse hours
6.10 /day
Staff turnover
15%
Serious cites
0

Emanate Health Inter-Community Hospital runs a small 25-bed skilled nursing unit in Covina, and its staffing numbers stand out: 6.10 nurse hours per resident day, roughly 58% above the national average. Weekend coverage does dip about 16% below its own weekday level, so ask how that plays out on Saturdays. Annual turnover of 15.4% is well below the 45.8% national figure, which matters for consistency of care. The inspection record shows 19 deficiencies with none at the harm level, though one is abuse-related, worth asking about directly. A May 2025 inspection means the record is current.

A

91.5/100

Zuckerberg San Francisco General Hosp & Trauma Snf

San Francisco, CA · San Francisco County

CMS 5/5 30 beds Government Medicaid
Nurse hours
8.33 /day
Staff turnover
—
Serious cites
0

Zuckerberg San Francisco General's skilled nursing unit is run by the city and county, and it shows in the numbers: 8.33 nurse hours per resident day, roughly double the national average. Weekend staffing dips about 14 percent below its own weekday level, which is worth knowing if your family visits or calls on Saturdays and Sundays. The current record carries 12 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in January 2026. With 30 beds, it's small enough that staffing and oversight stay close to the residents.

A

91/100

Altoona Health & Rehab

Altoona, AL · Etowah County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
32%
Serious cites
0

Altoona Health & Rehab runs 50 certified beds under corporate for-profit ownership, and the staffing picture is its clearest strength: 3.90 nurse hours per resident day, just above the national average of 3.86, with weekend coverage dipping about 8% below its own weekday level. Turnover sits at 31.8%, well under the 45.8% national figure, which matters for whether residents see familiar faces. The tradeoff is oversight. Five deficiencies sit on the current record with none at harm or jeopardy level and none abuse-related, but the last inspection dates to June 2022 and the health inspection rating is 2 of 5. Quality measures score 4 of 5. Stable staff, thin recent inspection history.

A

91/100

Parkwood Health Care Facility

Phenix City, AL · Russell County

CMS 5/5 74 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
36%
Serious cites
0

Parkwood runs on more nurse hours than most homes, 4.11 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 35.8% compared to roughly 46% nationally. The catch is weekends, when coverage drops about 15% below what the building staffs on weekdays. Inspectors logged 14 deficiencies on the current record, two of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent visit was in February 2026. It's a for-profit limited liability company, 74 beds, sitting in the middle of the pack on inspections while scoring at the top on quality measures and staffing.

A

91/100

Maple Springs Of Wasilla

Wasilla, AK · Matanuska-Susitna County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
5.06 /day
Staff turnover
36%
Serious cites
0

Maple Springs Of Wasilla runs 5.06 total nurse hours per resident day, about 31% above the national average of 3.86, and its staff turnover of 35.9% beats the national 45.8%, a meaningful edge in a field where replacing caregivers constantly wears a building down. Weekend coverage dips roughly 12% below weekdays, so ask how that plays out on a Saturday night. The 34 deficiencies on record carry no harm or jeopardy findings and nothing abuse-related, and the most recent inspection was July 2025. A for-profit limited liability company owns it, which is worth knowing when you ask about spend on direct care versus everything else.

A

91/100

Highland Court, A Rehabilitation And Resident Care

Marshall, AR · Searcy County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
39%
Serious cites
0

Highland Court sits in Marshall, Arkansas, a for-profit LLC operating 78 certified beds, and its numbers hold up well against the national picture. Nurse staffing runs 3.93 hours per resident day, slightly above the 3.86 national average, though weekends drop about 13% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 38.8%, better than the 45.8% national rate, which matters for whether your parent sees the same faces month to month. The 16 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was August 2025.

A

91/100

Linda Mar Care Center

Pacifica, CA · San Mateo County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
38%
Serious cites
0

Linda Mar Care Center runs on more nursing hours than most homes in the country, 4.56 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 37.7% versus 45.8% nationally. The tradeoff shows up on weekends, when coverage drops about 12% below the home's own weekday level, so ask how that plays out on a Sunday shift. Seventeen deficiencies sit on the current record, none involving harm or abuse, and the last inspection was in January 2025. For-profit corporate ownership is worth naming, but the numbers here don't read like a home cutting corners on care.

A

91/100

Idylwood Care Center

Sunnyvale, CA · Santa Clara County

CMS 5/5 185 beds For-profit Medicaid
Nurse hours
6.07 /day
Staff turnover
31%
Serious cites
0

Idylwood Care Center runs on unusually heavy nurse staffing for a 185-bed for-profit home, 6.07 hours per resident day, well above the 3.86 national figure, and its staff tends to stay, with turnover at 30.9% against a national 45.8%. Weekend coverage dips about 15% below weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The home was inspected in April 2025 and carries 30 deficiencies, none at the harm level but one tied to abuse, so ask directly how that was resolved. Ownership is a limited liability company, meaning financial accountability can be harder to trace than with a nonprofit or public operator.

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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