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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 761–780 of 12,438, best-graded first.

A

91/100

Westland House

Monterey, CA · Monterey County

CMS 3/5 28 beds Non-profit Medicaid
Nurse hours
5.17 /day
Staff turnover
44%
Serious cites
0

Westland House is a small nonprofit home in Monterey, 28 beds, and the raw staffing number looks strong at 5.17 nurse hours per resident day, well above the national average of 3.86. Weekend coverage dips only slightly below weekdays, and turnover at 44.4% is basically in line with the national figure. Where it gets interesting: the federal staffing star comes in at just 1 out of 5, which suggests the mix of RN versus aide hours matters more than the total. The inspection record is solid, 13 deficiencies, none causing harm and none abuse-related, with the most recent survey in September 2025.

A

91/100

Saratoga Retirement Community Health Center

Saratoga, CA · Santa Clara County

CMS 5/5 94 beds Non-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
24%
Serious cites
0

Saratoga Retirement Community Health Center runs 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 23.9% is about half the national rate of 45.8%, two numbers that tend to matter more than anything else for day-to-day care. Weekend staffing dips about 7% below its own weekday level, worth asking about if your family member needs more hands-on help on Saturdays and Sundays. The record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in January 2025. As a nonprofit with a 5-star health inspection rating, the pattern here is steady rather than spotless.

A

91/100

Freedom Village Healthcare Center

Lake Forest, CA · Orange County

CMS 5/5 52 beds For-profit Medicaid
Nurse hours
5.03 /day
Staff turnover
36%
Serious cites
0

Freedom Village Healthcare Center runs on 5.03 nurse hours per resident day, roughly 30% above the national average, and its staff turnover of 35.8% beats the 45.8% national figure, two numbers that usually don't travel together. Weekend staffing dips about 15% below its own weekday level, so coverage isn't perfectly even, but the floor stays high. The catch is the inspection record: 55 deficiencies on file, including 2 tied to abuse, though none at the harm or jeopardy level, and the most recent inspection came in late 2025. A 3/5 health inspection rating against 5/5 for staffing and quality measures sums up the split, strong day-to-day care, a paper trail that needs watching.

A

91/100

Hillcrest Heights Healthcare Center

San Diego, CA · San Diego County

CMS 5/5 96 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
30%
Serious cites
0

Hillcrest Heights runs about 96 beds in San Diego under a for-profit limited liability owner, and the staffing numbers are the strongest thing about it: 4.09 nurse hours per resident day, roughly 6% above the national average, with turnover at 30.3% against a national 45.8%. Weekend coverage dips about 8% below its own weekday level, which is common but worth knowing if your visits fall on Saturdays. The inspection record shows 43 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was January 2025. Quality and staffing measures both rate well above average for a home this size.

A

91/100

Covenant Village Care Center

Turlock, CA · Stanislaus County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
31%
Serious cites
0

Covenant Village Care Center runs about 4.29 nurse hours per resident per day, roughly 11 percent above the national average, and its staff turnover of 30.9 percent sits well below the 45.8 percent typical elsewhere. Weekend coverage dips about 12 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The 18 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and the most recent inspection was in June 2025. As a nonprofit with four out of five stars on health inspections, quality measures, and staffing, the numbers point to steady care rather than a standout or a concern.

A

91/100

Samarkand Skilled Nursing Facility

Santa Barbara, CA · Santa Barbara County

CMS 5/5 63 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
35%
Serious cites
0

Samarkand runs about 4.38 nurse hours per resident per day, roughly 13% above the national average, and its staff turnover of 34.8% sits well below the 45.8% national figure, that combination matters more than any single number, since consistent caregivers who stay tend to know residents' routines. Weekend staffing dips about 11% below weekdays, which is common but worth asking about if your family visits on Saturdays or Sundays. The inspection record shows 28 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in January 2026, so the survey history is current and free of serious findings.

A

91/100

Mrc The Crossings

League City, TX · Galveston County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
39%
Serious cites
0

Mrc The Crossings runs a tight ship on nearly every measure that matters. The nonprofit home puts 4.35 nursing hours behind each resident daily, roughly 13% above the national average, and its staff turnover of 39.1% sits well under the typical 45.8%, a signal that caregivers tend to stay. One deficiency on the current record, none involving harm or abuse, and a December 2024 inspection round out the picture. The one soft spot: weekend staffing dips about 8% below its own weekday level, so ask how coverage looks on Saturdays and Sundays. Otherwise, the numbers here are about as clean as they come.

A

90.5/100

Evergreen Nursing Home

Evergreen, AL · Conecuh County

CMS 5/5 61 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
27%
Serious cites
0

Evergreen Nursing Home runs on more nursing hours than most places, 4.44 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 27.3% versus 45.8% nationally. That kind of retention usually shows up in how consistently residents get the same caregivers. Two things to keep in mind: weekend staffing drops about 19% below weekday levels, so coverage is thinner on Saturdays and Sundays, and the last state inspection was in March 2020, meaning the record you're looking at is several years old. Six deficiencies on file, none involving harm or abuse. Corporate-owned, 61 beds.

A

90.5/100

Innisfree Health And Rehab, Llc

Rogers, AR · Benton County

CMS 2/5 104 beds For-profit Medicaid
Nurse hours
5.14 /day
Staff turnover
44%
Serious cites
0

Innisfree Health And Rehab runs 104 certified beds in Rogers under for-profit LLC ownership, and its nurse staffing sits at 5.14 hours per resident day, roughly a third above the national average of 3.86. That cushion matters, though weekends drop about 19% below the home's own weekday coverage, so the weekday picture is stronger than Saturdays and Sundays. Annual turnover of 44% lands just under the national 45.8%. The trade-off shows up in inspections: a 1-out-of-5 health inspection rating and 21 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in November 2024. Quality measures score 5 out of 5. Strong everyday staffing and quality numbers, thinner inspection history.

A

90.5/100

Heather Manor Nursing And Rehabilitation Center

Hope, AR · Hempstead County

CMS 5/5 128 beds For-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
30%
Serious cites
0

Heather Manor runs on more nursing hours than most homes in the country, 4.51 per resident day against a national average of 3.86, and its staff turnover of 29.5% sits well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The trade-off is a thinner weekend crew, roughly 16% below weekday levels, and 22 deficiencies on the current record, though none reached harm or jeopardy and none involved abuse. Inspectors were last in on February 6, 2025. The quality measure score is perfect and staffing scores well, while the health inspection result is middling, a home that looks strong on care delivery and weaker on the paperwork and process side.

A

90.5/100

Greystone Nursing And Rehab, Llc

Cabot, AR · Lonoke County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
5.15 /day
Staff turnover
43%
Serious cites
0

Greystone in Cabot runs on unusually heavy staffing for Arkansas, 5.15 nurse hours per resident day, about a third more than the national average, though weekends dip roughly 20% below its own weekday level. Turnover sits at 43%, slightly better than the 45.8% national figure. On inspections, the record is clean where it matters: six deficiencies total, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in November 2025. The trade-off is that this is a for-profit limited liability company, a structure that tends to prioritize margin, but the numbers here don't show the usual shortcuts.

A

90.5/100

Summerfield Health Care Center

Santa Rosa, CA · Sonoma County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
35%
Serious cites
0

Summerfield runs leaner than most places on turnover, and that matters more than any single inspection score. About a third of its staff leaves each year, well under the national rate, which usually means residents see the same faces instead of a rotating cast. Nurse staffing sits about 15% above the national average, though weekends run roughly 16% thinner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record is clean where it counts: 19 deficiencies on file, none at the harm level, nothing abuse-related, and a single fine just over $3,100. The last inspection was September 2025, so the picture is current. It's a for-profit LLC with 70 beds.

A

90.5/100

Fonda Specialty Care

Fonda, IA · Pocahontas County

CMS 5/5 46 beds Non-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
23%
Serious cites
0

Fonda Specialty Care runs leaner on nurse hours than the national average, about 3.33 per resident day, roughly 14% under, and weekends dip about 16% below its own weekday coverage, so staffing thinness is real, not a rounding error. What offsets it: turnover at 23.1% sits well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay, which matters more for daily consistency than raw headcount. The 14 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the last inspection was in March 2026.

A

90.5/100

Edgewood Convalescent Home

Edgewood, IA · Clayton County

CMS 5/5 56 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
29%
Serious cites
0

Edgewood Convalescent Home holds 56 certified beds in Clayton County and is run by a for-profit corporation. Its recent inspection history is clean: three deficiencies on record, none at the harm or jeopardy level and none tied to abuse, with a survey completed in September 2025. Staff turnover sits at 29.4 percent, comfortably under the national 45.8 percent, which suggests people tend to stay. The trade-off is raw staffing volume, 3.39 nurse hours per resident day, roughly 12 percent under the national average, and weekends drop about 17 percent below the home's own weekday coverage. Those weekend gaps are worth asking about directly.

A

90.5/100

Sibley Specialty Care

Sibley, IA · Osceola County

CMS 5/5 46 beds Non-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
27%
Serious cites
0

Sibley Specialty Care runs 46 beds as a nonprofit, and the numbers that stand out most are on the workforce side: staff turnover of 27% sits well under the national 45.8% average, which suggests people tend to stay. Daily nurse staffing of 3.40 hours per resident is about 12% under the national figure, though, and weekends run roughly 16% lighter than weekdays, so coverage isn't uniform. Ten deficiencies appear on the current record, two tied to abuse and none at the harm level, with the most recent inspection in May 2025. The quality and staffing ratings are both strong; inspections are the softer spot.

A

90.5/100

Old Brownlee Community Care Center

Bossier City, LA · Bossier County

CMS 5/5 89 beds Non-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
40%
Serious cites
0

Old Brownlee runs on 4.78 nurse hours per resident day, about a quarter more staffing than the typical American nursing home. That cushion matters less on weekends, when hours drop roughly 18% below the weekday pace, worth asking about if your family visits then. Staff turnover sits at 39.8%, better than the 45.8% national figure but still meaning four in ten caregivers left within a year. The record shows eight deficiencies, none causing harm, though two involve abuse, which you should ask about directly. A July 2025 inspection and 4s and 5s across the federal star ratings round out a nonprofit home performing above average.

A

90.5/100

Timberlyn Heights Nursing And Rehabilitation

Great Barrington, MA · Berkshire County

CMS 5/5 71 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
30%
Serious cites
0

Timberlyn Heights in Great Barrington runs on numbers that don't all point the same direction. The health inspection record is strong, four stars, only six deficiencies on file, none tied to abuse, and the most recent survey came in late 2025, so the picture is current. Quality measures also score well. The catch is staffing, which sits at one star and drags the overall picture down despite a turnover rate of 30.2% that beats the national average of 45.8%. One deficiency did rise to the harm or jeopardy level, and there's a single fine of $8,894 on record. Family-owned through an LLC, it's profit-run. Worth asking how the low staffing score actually plays out on the floor day to day.

A

90.5/100

Medilodge Of Port Huron

Fort Gratiot, MI · St. Clair County

CMS 5/5 127 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
23%
Serious cites
0

Medilodge of Port Huron runs on 4.04 nurse hours per resident day, a bit above the national average of 3.86, and its staff turnover of 22.9% is roughly half the national rate, a real signal that people tend to stay. Weekends get about 20% less staffing than weekdays, which is common but worth asking about if your family member needs more help on Saturdays and Sundays. The 14 deficiencies on record include one abuse-related finding, though none rose to the level of actual harm or jeopardy, and the most recent inspection was in May 2025.

A

90.5/100

Intersect Healthcare Of Roscommon

Roscommon, MI · Roscommon County

CMS 5/5 39 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
29%
Serious cites
0

Mission Point in Roscommon runs 3.97 nurse hours per resident day, a bit above the national average of 3.86, and its weekend staffing stays within about 20% of weekday levels, which is a narrower gap than many homes manage. Staff turnover of 28.6% sits well below the national 45.8%, so the people caring for residents tend to stick around. Inspections tell a similar story: 16 deficiencies on record, but none at the harm or jeopardy level and none abuse-related, with the most recent visit in March 2026. For-profit corporate ownership is the one caveat worth noting. The numbers here are quiet, consistent, and mostly on the right side of average.

A

90.5/100

The Willows At East Lansing

East Lansing, MI · Clinton County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
30%
Serious cites
0

The Willows At East Lansing runs 65 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.86 hours per resident day, essentially dead even with the national average, not above it. Weekends drop about 16% below the home's own weekday coverage, so care thins out when families tend to visit. Staff turnover is 30%, which is meaningfully better than the 45.8% national rate and suggests workers are staying. The current record shows 30 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026.

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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