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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 7941–7960 of 12,438, best-graded first.

B

72/100

Oak Grove Health & Rehab Center, Llc

Chesapeake, VA · Chesapeake City County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
47%
Serious cites
0

Oak Grove runs 3.52 nurse hours per resident day, roughly 9% under the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage is why CMS gives it only 2 of 5 stars on staffing, and the 46.8% turnover rate means the aides and nurses cycling through are close to the national norm but still turning over nearly half the workforce each year. The good news sits elsewhere: a 4/5 inspection rating with the most recent survey in February 2026, 30 total deficiencies and 3 at harm level, no abuse citations, and one fine of $7,443. Quality measures score 5/5. The company is a for-profit LLC, so staffing is a budget choice as much as anything.

B

72/100

Skyview Springs Rehab And Nursing Center

Luray, VA · Page County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
2.78 /day
Staff turnover
36%
Serious cites
0

Skyview Springs runs lean on nursing staff, 2.78 hours per resident day against a national average of 3.86, and weekends drop further from its own weekday level. That thin coverage is the main thing behind the numbers here. Turnover at 35.6% is actually better than the national 45.8%, so leadership isn't the problem; staffing volume is. The inspection record shows 51 deficiencies, including two at harm or jeopardy level and two tied to abuse, with the most recent visit in November 2023. Quality measures score well, but they don't offset what happens when there aren't enough hands on a Saturday.

B

72/100

Westmoreland Rehabilitation & Healthcare Center

Colonial Beach, VA · Westmoreland County

CMS 3/5 66 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
43%
Serious cites
0

Westmoreland Rehabilitation & Healthcare Center runs 66 certified beds in Colonial Beach, and the staffing numbers are the first thing to notice: 3.24 nurse hours per resident day against a national average of 3.86, with weekends running roughly 12% thinner than weekdays. Turnover sits at 42.7%, slightly better than the national 45.8%, so the people who stay tend to stay. What pulls the record down is the inspection history, 53 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $27,885 fine, with the last inspection back in June 2023. The quality measure score looks strong, but it's built largely on self-reported data, while the staffing and inspection scores come from what surveyors actually found.

B

72/100

Atlantic View Post Acute

Newport News, VA · Newport News City County

CMS 2/5 154 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
54%
Serious cites
0

Atlantic View Post Acute runs 3.31 nursing hours per resident day, about 14 percent under the national average, and weekends drop roughly 11 percent below its own weekday numbers. Staff turnover sits at 53.7 percent against a national 45.8, so the people caring for residents keep changing. Its inspection record shows 27 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with the last full inspection dated December 2022. CMS gives it one star for staffing and two for health inspections, even as its quality measures score five. The corporation that owns it has real strengths and real problems sitting side by side.

B

72/100

Grayson Health And Rehabilitation

Independence, VA · Grayson County

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

Grayson Health and Rehabilitation runs a 120-bed for-profit operation in Independence, and the staffing numbers are the first thing to notice: 2.72 nurse hours per resident per day, roughly 30 percent under the national average. Weekend coverage drops another 13 percent below its own weekday level, which matters if your family visits or calls on Saturdays and Sundays. Turnover sits at 45.2 percent, right in line with the national figure. The inspection record is genuinely strong, 31 deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the last inspection was in December 2023. Quality measures score well too. The tension here is real: good care outcomes documented, thin staffing underneath them.

B

72/100

Lee Health And Rehab Center

Pennington Gap, VA · Lee County

CMS 5/5 110 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
39%
Serious cites
0

Lee Health and Rehab Center runs 110 certified beds in Pennington Gap under for-profit LLC ownership, and its inspection record is genuinely strong, a 5-out-of-5 federal rating with just seven deficiencies on file, none of them harm-level or abuse-related, and a survey completed in March 2025. Where it slips is daily care coverage: 3.47 nurse hours per resident, roughly 10% under the national average, with weekends running about 14% thinner than weekdays. Turnover is actually better than most, 39.3% against a national 45.8%, so the same faces tend to stick around. The question for your family is whether weekday coverage holds up when you visit, and who's on the floor on a Sunday.

B

72/100

Winchester Health & Rehabilitation

Winchester, VA · Frederick County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
64%
Serious cites
0

Winchester Health & Rehabilitation runs 60 certified beds under corporate for-profit ownership, and the numbers show a split personality. Nurses provide 3.35 hours of care per resident per day, roughly 13% under the national average of 3.86, and weekend staffing drops another 13% below its own weekday levels, so care gets thinnest exactly when families tend to visit. Staff turnover sits at 64% against a national average of 45.8%, which means the people caring for your relative are likely to change often. The health inspection rating is 1 out of 5, with 71 deficiencies on the current record, including two tied to abuse, though none reached harm or jeopardy level. The last full inspection was April 2023. Quality measures score well at 4 out of 5, but that reflects charted clinical outcomes, not the staffing and oversight problems underneath.

B

72/100

Sunnyside Healthcare Center

Sunnyside, WA · Yakima County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
21%
Serious cites
0

Sunnyside Healthcare Center runs 80 certified beds under corporate for-profit ownership, and the numbers cut in a few directions at once. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage tightens exactly when families tend to visit. The inspection record is where the real weight sits: 37 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus three fines totaling $92,827. What keeps it from looking worse is staff turnover at 21.3%, less than half the national rate, which suggests people stay. The last inspection was in December 2025.

B

72/100

Three Creeks Post Acute

Pullman, WA · Whitman County

CMS 1/5 48 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
57%
Serious cites
0

Three Creeks Post Acute is a 48-bed for-profit home in Pullman, and the inspection record is the first thing you'd want to look at. Forty-three deficiencies on the current record, including two at the harm level and four tied to abuse, with two fines totaling $50,850. A one-out-of-five inspection rating backs that up. The staffing side is mixed. Total nurse hours run slightly below the national average, weekends drop about 13% below the home's own weekday level, and turnover sits at 57.1% against a national 45.8%, meaning more than half the nursing staff turns over in a year. Worth asking the administrator directly how they're addressing the inspection findings and what weekend coverage actually looks like.

B

72/100

St. Barbara's Memorial Nursing Home

Monongah, WV · Marion County

CMS 4/5 57 beds Non-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
58%
Serious cites
0

St. Barbara's sits at 3.85 nurse hours per resident day, essentially matching the national figure of 3.86, but that average hides a catch: weekend staffing drops roughly 10% below the home's own weekday coverage. Staff turnover runs 57.6% against a national 45.8%, so nearly six in ten workers left over the year. The inspection record shows 22 deficiencies, none at the harm or jeopardy level, with one abuse-related citation. Federal ratings split sharply here, four stars each for health inspections and quality measures, only two for staffing. The most recent inspection was August 2025.

B

72/100

Sundale Nursing Home

Morgantown, WV · Monongalia County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
35%
Serious cites
0

Sundale Nursing Home runs a tight ship on staffing relative to most places, 3.82 nurse hours per resident day, just a hair under the national average, and a turnover rate of 35.1% that sits well below the typical 45.8%. Weekend coverage dips about 10% below weekday levels, worth knowing if your visits fall on Saturdays or Sundays. The inspection record shows 31 deficiencies, none at the harm level, though three are abuse-related, which deserves a direct question to the administrator. That January 2025 inspection is recent enough to trust. Where this home gives ground is quality measures, scoring 2 out of 5, so ask how they're tracking things like falls and infections.

B

72/100

Madison, The

Morgantown, WV · Monongalia County

CMS 2/5 62 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
21%
Serious cites
0

Madison, The runs 62 beds in Morgantown under corporate for-profit ownership, and its inspection record is the main concern, 34 deficiencies on file, three of them serious enough to indicate actual harm or jeopardy, plus three fines totaling $57,113. The good news is turnover: 20.5% against a national average of 45.8%, meaning the aides and nurses here tend to stay. But staffing still lands at 3.43 hours per resident day, about 11% under the national average, and weekends drop roughly 14% below the home's own weekday levels, so coverage thins out exactly when families visit. That combination, thin weekend coverage against a long and sometimes serious deficiency history, is worth asking about directly.

B

72/100

River Oaks Healthcare Center

Clarksburg, WV · Harrison County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
53%
Serious cites
0

River Oaks runs 3.29 nurse hours per resident day, about 15% under the national average, and weekends drop roughly another 10% below its own weekday coverage. Staff turnover sits at 52.9%, well above the 45.8% national figure, so the people providing that care are changing faster than usual. The health inspection record is the harder number to get past: 79 deficiencies, one abuse-related, and a 1-star inspection rating from CMS, though nothing on the current record rises to harm or jeopardy. The 5-star quality measure score reflects resident assessment data, not the staffing or inspection picture. The last inspection was December 2024. For-profit, limited liability ownership. Worth asking how they hold weekend coverage and what that abuse citation involved before deciding.

B

72/100

Stone Pear Pavilion

Chester, WV · Hancock County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
38%
Serious cites
0

Stone Pear Pavilion runs about 3.57 nursing hours per resident each day, roughly 7% under the national average of 3.86, and weekend coverage sits about 10% below its own weekday levels. That thinner weekend floor is worth asking about directly, since care needs don't take Saturdays off. The home's 38% annual turnover is actually better than the 45.8% national figure, so leadership has held onto staff relatively well even with leaner hours. Where the record gets heavier is inspections: 35 deficiencies, three tied to abuse, zero at the harm level, and a two-star health inspection rating. The most recent inspection was March 2026, so the picture is current.

B

72/100

Logan Center

Logan, WV · Logan County

CMS 3/5 66 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
37%
Serious cites
0

Logan Center runs on 3.31 nurse hours per resident day, roughly 14% under the national average, and weekends dip another 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is the bright spot at 36.8%, well under the national 45.8%. But the current record carries 31 deficiencies, three of them serious enough to put residents in harm's way, plus one tied to abuse, and $38,100 in fines. The last inspection was August 2023, so that record has had time to age without being refreshed. Quality measures score well; the hands-on staffing and inspection history are where the concern sits.

B

72/100

Nella's At Autumn Lake Healthcare

Elkins, WV · Randolph County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
44%
Serious cites
0

Nella's runs 100 beds in Elkins under a for-profit limited liability company, and its last inspection was in August 2025. The record shows 35 deficiencies, including one at the harm or jeopardy level and three tied to abuse, the kind of history that explains a 1-out-of-5 inspection rating even though quality measures score 4 out of 5. Nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average, and weekends dip about 7% below the home's own weekday coverage. Turnover at 44% is basically in line with the national rate. Two fines total $59,810.

B

72/100

Complete Care At Jefferson Meadows Llc

Baraboo, WI · Sauk County

CMS 3/5 102 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
64%
Serious cites
0

Complete Care At Jefferson Meadows is a 102-bed for-profit home in Baraboo, and its overall staffing works out to roughly the national average, just 1% above it. The catch is consistency: weekends run about 13% thinner than weekdays, and turnover sits at 63.6% against a national 45.8%, meaning a large share of the people caring for residents are new or on their way out. The record backs that up, 22 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus two fines totaling $54,326. Its last inspection was in May 2025, so the picture is current.

B

72/100

Greentree Health And Rehabilitation Center

Clintonville, WI · Waupaca County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
—
Serious cites
0

Greentree runs about 3.62 nurse hours per resident per day, roughly 6% under the national average, and weekends drop around 16% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and when fewer eyes are on residents. The current record shows 22 deficiencies, including one at the harm level and five abuse-related citations, which is a lot for a 50-bed home. The last inspection was April 2025, so the picture is recent. A for-profit corporate owner, middling inspection and quality scores, and thin weekend coverage together explain the C. Ask about weekend nurse coverage and how abuse complaints get investigated before you decide.

B

72/100

Lafayette Manor

Darlington, WI · Lafayette County

CMS 2/5 50 beds Government Medicaid
Nurse hours
4.21 /day
Staff turnover
45%
Serious cites
0

Lafayette Manor is county-owned, and its staffing is the strongest part of the picture: 4.21 nurse hours per resident day, about 9% above the national average, with weekend coverage dipping only slightly below weekdays and turnover at 45.1%, essentially in line with the national rate. The trouble sits in inspections. A two-out-of-five inspection rating comes with 53 deficiencies on the current record, six of them serious enough to put residents in harm's way and 14 tied to abuse. Two fines total $159,661. The most recent inspection, in March 2026, is recent enough that this is a current picture, not an old one.

B

72/100

Sun Prairie Senior Living

Sun Prairie, WI · Dane County

CMS 3/5 52 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
58%
Serious cites
0

Sun Prairie Senior Living runs 52 certified beds under corporate for-profit ownership, and its staffing is the number that stands out, 3.70 nurse hours per resident day sits about 4% under the national average, and weekends dip roughly 5% below the home's own weekday level. That thin margin shows up in the 2-out-of-5 staffing rating, and it's happening alongside a 57.8% annual turnover rate, well above the 45.8% national figure, meaning the people providing care change often. The current record carries 31 deficiencies, including one at the harm level and two tied to abuse, with a 3-out-of-5 inspection rating. Quality measures score better at 4 out of 5, and the most recent inspection was April 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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