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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 7901–7920 of 12,438, best-graded first.

B

72/100

Concordia At Villa St Joseph

Baden, PA · Beaver County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
26%
Serious cites
0

Concordia At Villa St Joseph runs 120 certified beds as a nonprofit, and its staffing is the strongest part of the picture: 3.79 nurse hours per resident day, close to the national average of 3.86, with a 4-out-of-5 staffing rating. Retention stands out too, 26.2% turnover against a national 45.8% means aides and nurses tend to stay. The trouble sits elsewhere. Inspectors have logged 42 deficiencies, including 3 at the harm level and 6 tied to abuse, with three fines totaling $31,788. Health inspection and quality ratings both sit at 2 out of 5, and the most recent survey was March 2026. Weekends also run about 9% thinner than weekdays. Ask about those abuse-related findings directly.

B

72/100

Jameson Nursing And Rehab Center

New Castle, PA · Lawrence County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
61%
Serious cites
0

Jameson Nursing and Rehab Center sits at 78 certified beds in New Castle, run by a for-profit limited liability company. The inspection record is strong, four deficiencies on file, none rising to harm or jeopardy, and a recent survey from February 2026. Staffing tells a different story: 3.82 nurse hours per resident day lands just under the national average, weekends dip about 9% below the home's own weekday levels, and annual turnover hits 60.8% against a national 45.8%. That churn matters more than the one-percent staffing gap, since replacing six in ten caregivers a year makes consistent care hard to hold onto. One abuse-related deficiency is also on record. Ask how they keep weekend coverage and new-hire training steady.

B

72/100

Scranton Health Care Center

Scranton, PA · Lackawanna County

CMS 4/5 44 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
37%
Serious cites
0

Scranton Health Care Center runs 44 beds under corporate ownership, and its nurse staffing sits at 3.63 hours per resident day, about 6% under the national average of 3.86. Weekends dip roughly 10% below what the home staffs on weekdays, so coverage gets thinnest exactly when families tend to visit. Turnover is the brighter spot: 37.2% against a national 45.8%, meaning fewer caregivers are walking out the door than elsewhere. What pulls the record down is the inspection history. There are 26 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse, plus a $12,570 fine. The most recent inspection was August 2025, so the picture is current.

B

72/100

South County Eden Operations Llc Dba Lakeside Nurs

North Kingstown, RI · Washington County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
41%
Serious cites
0

Lakeside Nursing in North Kingstown runs a for-profit operation under a limited liability company, and the numbers show a home that inspects well but staffs thin. Nurse coverage sits at 3.20 hours per resident day, roughly 17 percent under the national average, and weekends drop about 12 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover at 40.8 percent is actually better than the 45.8 percent national figure, which matters for consistency of care. Inspections are recent, April 2025, with a 4-star health inspection rating, but the record carries 18 deficiencies, including one at the harm level and one abuse-related, plus a $14,433 fine.

B

72/100

Resorts At Beaufort

Beaufort, SC · Beaufort County

CMS 3/5 170 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
65%
Serious cites
0

Resorts At Beaufort runs 170 certified beds under for-profit LLC ownership, and its staffing works out to 4.03 nurse hours per resident day, a bit above the national average of 3.86, roughly 4%. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday level. Annual turnover sits at 64.7% against a national 45.8%, so the people at the bedside change often. The current inspection record shows 22 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $10,868. Its last inspection was April 2026. All three CMS star ratings, health inspections, quality measures, and staffing, land at 3 out of 5. Ask about weekend coverage and how they keep staff.

B

72/100

Oak View Health And Rehabilitation

Conway, SC · Horry County

CMS 1/5 190 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
59%
Serious cites
0

Oak View runs on thinner staffing than most homes nationally, about 3.59 nurse hours per resident day against an average of 3.86, and it thins out further on weekends, dropping roughly 13% below its own weekday coverage. That matters when you consider the inspection record: 22 deficiencies, three of them serious enough to put residents in harm's way, and one $59,005 fine. CMS has placed this Conway home in its Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The 59.4% annual turnover is well above the 45.8% national figure, meaning the people caring for your relative are frequently new. Quality measures look strong on paper, but the staffing and enforcement record tell a fuller story.

B

72/100

Midlands Health & Rehabilitation Center

Columbia, SC · Richland County

CMS 2/5 88 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
53%
Serious cites
0

Midlands Health & Rehabilitation Center runs 88 beds in Columbia under corporate for-profit ownership, and the staffing numbers are where families should focus. At 3.50 nurse hours per resident day, it sits about 9% under the national average of 3.86, with weekends running roughly 14% thinner than weekdays, a pattern that matters most when a resident needs help on a Sunday. Annual turnover of 52.8% tops the national 45.8%, meaning caregivers cycle through faster than average. The inspection record shows 20 deficiencies, one serious enough to reach harm or jeopardy level and two fines totaling $51,803; the most recent inspection was September 11, 2025. Quality measures score well, but that sits against the lowest staffing tier.

B

72/100

Edgefield Post-Acute

Edgefield, SC · Edgefield County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
2.93 /day
Staff turnover
30%
Serious cites
0

Edgefield Post-Acute runs lean on nursing hours: 2.93 per resident day against a national average of 3.86, and weekends drop roughly another 14% below its own weekday staffing. That matters most on Saturdays and Sundays, when a lot of hands-on care actually happens. Turnover is the brighter spot at 30.3%, well under the national 45.8%, so the aides and nurses who are there tend to stay. On record, 16 deficiencies with none at harm or jeopardy level, though two are abuse-related, worth asking about directly. A 2/5 on inspections and 2/5 on staffing pull against stronger quality marks, so ask how the low hours play out on a weekend shift.

B

72/100

Carlyle Senior Care Of Williston

Williston, SC · Barnwell County

CMS 3/5 44 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
63%
Serious cites
0

Carlyle Senior Care of Williston runs 44 beds under corporate ownership, and its staffing sits just under the national average, 3.79 nurse hours per resident day against 3.86. That gap is small, but the weekend picture matters more: staffing drops roughly 12% below its own weekday levels, so coverage thins out when families tend to visit. Turnover is the bigger number here, 62.7% against a national average of 45.8%, meaning the aides and nurses working with your relative are likely to change often. Ten deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2026. Steady on paper, but watch the weekends.

B

72/100

Aiken Rehabilitation And Care Center

Aiken, SC · Aiken County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
62%
Serious cites
0

Aiken Rehabilitation and Care Center runs 125 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.93 hours per resident day, just above the national average of 3.86. That margin is thin, and weekends dip about 11% below the home's own weekday coverage, so the daily experience depends heavily on when you visit. The bigger number to sit with is turnover: 62.2% annually against a national average of 45.8%, meaning most of the aides and nurses caring for residents are relatively new to the building. Seventeen deficiencies appear on the current record with none at harm level, but five are abuse-related, and the last inspection was April 2026.

B

72/100

Golden Age Operations

Inman, SC · Spartanburg County

CMS 4/5 44 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
61%
Serious cites
0

Golden Age Operations runs 44 beds in Inman, and its staffing is the first thing to notice: 3.43 nurse hours per resident day, about 11 percent under the national average, with weekends running roughly 9 percent thinner than weekdays. A 60.5 percent annual turnover rate, against a national 45.8 percent, means the aides and nurses caring for your relative are likely to change often, which matters for anyone with dementia or who needs consistent hands. The inspection record shows 12 deficiencies, two of them at the harm or jeopardy level and one abuse-related, plus $10,364 in fines. Its last inspection was recent, February 2026, so the record isn't stale.

B

72/100

Hallmark Healthcare Center

Summerville, SC · Dorchester County

CMS 3/5 88 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
22%
Serious cites
0

Hallmark Healthcare Center runs 88 certified beds in Summerville under corporate for-profit ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. The good news: turnover is 22.2%, well below the 45.8% national figure, meaning the caregivers you meet are more likely to still be there next year. Eighteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026.

B

72/100

Nhc Healthcare, Smithville

Smithville, TN · De Kalb County

CMS 3/5 114 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
42%
Serious cites
0

Nhc Healthcare, Smithville runs 114 certified beds under corporate for-profit ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That gap looks small, but weekends run about 12% thinner than weekdays, which matters when a resident needs help on a Sunday. Staff turnover is 42.2%, a bit better than the 45.8% national figure, not a crisis, but roughly two in five employees still leave each year. The inspection record is where the real weight sits: 10 deficiencies, three at harm or jeopardy level, two tied to abuse, and one fine of $228,511. The most recent inspection was February 2025. Quality measures score well, but quality scores and hands-on care aren't the same thing.

B

72/100

Signature Healthcare Of Putnam County

Cookeville, TN · Putnam County

CMS 2/5 175 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
41%
Serious cites
0

Signature Healthcare of Putnam County runs 175 certified beds under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, about 5% under the national average of 3.86. Weekends drop roughly 15% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 41.4%, a bit better than the 45.8% national figure, which matters for whether you see the same faces month to month. The bigger concern is the 1-out-of-5 health inspection rating, with 14 deficiencies on record, though none reached harm or jeopardy and none were abuse-related. The last inspection was May 2023.

B

72/100

The Waters Of Union City , Llc

Union City, TN · Obion County

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

The Waters of Union City runs lean on nursing hours: 3.32 per resident day against a national average of 3.86, with weekends about 9 percent thinner than its own weekdays. Staff turnover sits at 42.6 percent, a bit better than the 45.8 percent national figure, so the people who are there tend to stay longer than average. The inspection record is the strongest part of the picture, a recent March 2026 survey, nine deficiencies with none rising to harm or jeopardy, and nothing abuse-related. This is a for-profit limited liability company with 80 beds. The tradeoff is straightforward: consistent care and clean surveys, but fewer hands per resident than most homes.

B

72/100

Franklin Wellness And Rehabilitation Center

Franklin, TN · Williamson County

CMS 2/5 88 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
83%
Serious cites
0

Franklin Wellness and Rehabilitation Center runs 88 certified beds under for-profit LLC ownership, and its numbers split sharply. The health inspection side is the weak spot, 16 deficiencies on record, two of them serious enough to involve harm or jeopardy, and a single fine of $44,469. Staffing sits at 3.56 nurse hours per resident day, about 8% under the national average, with weekends running roughly 11% leaner than weekdays. The turnover figure is the one that should stop you: 83.3% annually against a national average of 45.8%, meaning most of the people caring for residents are new to the building. A recent June 2025 inspection is the one point in its favor.

B

72/100

Agape Rehabilitation & Nursing Center, A Waters Cm

Johnson City, TN · Washington County

CMS 4/5 84 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
54%
Serious cites
0

Agape Rehabilitation & Nursing Center runs on thinner staffing than most homes you'll compare it to, 3.18 nurse hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekdays. That's a real gap when you're thinking about how quickly someone answers a call light. Turnover sits at 54.4%, well above the 45.8% national figure, so the people caring for your family member are cycling through faster than average. On the other side, the home's quality measure score is strong and its last inspection was February 2024, with seven deficiencies on record, none at the harm level, though one is abuse-related. It's licensed for 84 beds and owned by an individual for profit.

B

72/100

The Waters Of Shelbyville, Llc

Shelbyville, TN · Bedford County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
53%
Serious cites
0

The Waters of Shelbyville is a for-profit LLC home with 96 beds, and its numbers pull in two directions. Inspections look solid, a 4/5 star rating, with the last visit in February 2026 and nine deficiencies on record, only one at the harm level and none tied to abuse. Quality measures also score 5/5. Staffing is the problem: 3.14 nurse hours per resident day sits about 19% under the national average, weekends run roughly 15% thinner than weekdays, and turnover hits 52.5% against a national 45.8%. That combination, good care when surveyed, thin coverage day to day, is what keeps this home in the middle of the pack rather than at the top.

B

72/100

West Meade Place

Nashville, TN · Davidson County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
63%
Serious cites
0

West Meade Place runs 120 certified beds as a for-profit partnership, and its overall nurse staffing sits at 3.98 hours per resident day, roughly 3% above the national average of 3.86. That headline number comes with a catch: weekend staffing drops about 12% below its own weekday level, and annual turnover is 62.6% against a national average of 45.8%, so the people providing that care change often. Inspections look steady, a 4/5 health inspection rating, most recently surveyed March 13, 2026, with 17 deficiencies on record, none at harm or jeopardy level but two tied to abuse. The 5/5 quality measure rating reflects resident outcomes; the 2/5 staffing rating reflects what CMS actually thinks of the hours and retention.

B

72/100

Henry County Health And Rehabilitation

Paris, TN · Henry County

CMS 5/5 136 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
48%
Serious cites
0

Henry County Health And Rehabilitation runs 4.53 nurse hours per resident per day, roughly 17% above the national average, so there's more direct care time here than at most homes. The catch is weekends, when staffing drops about 13% below its own weekday level. The health inspection record is clean on the things that matter most: 9 deficiencies total, none at harm or jeopardy level, none abuse-related, and a survey as recent as November 2025. But the quality measure rating sits at 2 out of 5, meaning clinical outcomes like falls, infections, and medication management don't track with that inspection record. Turnover is 47.8%, slightly above the national 45.8%. Corporate-owned, 136 beds.

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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