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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 821–840 of 12,438, best-graded first.

A

90/100

Boynton Beach Rehabilitation Center

Boynton Beach, FL · Palm Beach County

CMS 5/5 168 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
28%
Serious cites
0

Boynton Beach Rehabilitation Center runs 168 certified beds under for-profit LLC ownership, and its staffing sits at 3.61 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so timing matters if you're visiting or checking in on care. Turnover is the bright spot: 28% against a national 45.8%, which suggests a steadier crew than most places. The inspection record shows 18 deficiencies with none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was October 2024. Quality measures score well; staffing and inspections land in the middle.

A

90/100

Westminster Oaks

Tallahassee, FL · Leon County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
29%
Serious cites
0

Westminster Oaks runs a tight ship on the things that are hardest to fake. Its last inspection was in August 2025, and the record shows four deficiencies with none rising to harm or jeopardy and nothing abuse-related. Nurse staffing sits at 3.79 hours per resident day, a hair under the national average of 3.86, and weekends dip about 9% below its own weekday level, so coverage thins out on Saturdays and Sundays. The number worth noticing is turnover: 29% against a national average of 45.8%, meaning far fewer people are cycling out the door than at the typical home. That kind of retention tends to show up in how consistently residents see the same faces.

A

90/100

Addington Place At College Harbor

Saint Petersburg, FL · Pinellas County

CMS 5/5 52 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
35%
Serious cites
0

Addington Place At College Harbor runs 4.13 nurse hours per resident per day, roughly 7% above the national average, and its staff turnover of 34.8% sits well below the 45.8% national figure, both signs of a stable floor. Weekend staffing dips about 10% below weekday levels, so ask how weekend coverage actually looks. Ten deficiencies appear on the current record, none at the harm level and none tied to abuse, and the most recent inspection was September 2024. State survey results and quality measures both came back strong. For-profit operation under a limited liability company, 52 beds.

A

90/100

Solaris Healthcare Windermere

Orlando, FL · Orange County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
16%
Serious cites
0

Solaris Healthcare Windermere runs on a non-profit model in Orlando with 120 beds, and its inspection record is the strongest thing about it, a five-star health inspection rating with just six deficiencies on the books, only one of which rose to the harm or jeopardy level. That's a clean sheet for a home this size, and no abuse findings at all. Staffing is where it gets more ordinary: 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 numbers, so coverage thins out when families tend to visit. The offsetting fact is turnover at 15.5%, well under the national 45.8%, the same faces, year after year, which matters more than a decimal.

A

90/100

Life Care Center At Inverrary

Lauderhill, FL · Broward County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
27%
Serious cites
0

Life Care Center At Inverrary runs 120 certified beds in Lauderhill under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average of 3.86. Turnover is the standout number here: 26.7% annually against a national average of 45.8%, meaning far fewer caregivers cycling out the door than at a typical home, though weekend staffing dips about 11% below weekday levels, so coverage thins out on Saturdays and Sundays. Inspectors documented 22 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in August 2025.

A

90/100

Life Care Center Of Estero

Estero, FL · Lee County

CMS 5/5 155 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
20%
Serious cites
0

Life Care Center of Estero sits at 155 certified beds under for-profit, limited-liability ownership, and its staffing comes in just a hair under the national average, 3.84 nurse hours per resident day against 3.86. Weekends run about 10% leaner than weekdays there, which is worth asking about if your family visits on Saturdays or Sundays. What stands out more is retention: 20% annual turnover against a national average near 46%, meaning the people caring for residents tend to stick around. Ten deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with two fines totaling $8,034. The last inspection was January 29, 2026.

A

90/100

Aloha Nursing & Rehab Centre

Kaneohe, HI · Honolulu County

CMS 4/5 141 beds For-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
39%
Serious cites
0

Aloha Nursing & Rehab Centre in Kaneohe runs on unusually heavy staffing for a for-profit partnership home, 4.75 nurse hours per resident day, about 23% above the national average, with weekend coverage dipping roughly 10% below its own weekday levels. Turnover sits at 38.6%, better than the 45.8% national figure but still meaning more than a third of staff leaving each year. The tradeoff shows up in inspections: 40 deficiencies on the current record, one serious enough to cause harm, and a $36,296 fine, though nothing abuse-related. The most recent inspection was August 2025, so the record is current. Strong daily care hours, a middling inspection history.

A

90/100

Life Care Center Of Hilo

Hilo, HI · Hawaii County

CMS 5/5 252 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
30%
Serious cites
0

Life Care Center of Hilo runs 252 certified beds under corporate ownership, and its inspection record is mixed: 41 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse. That's a real flag worth asking about directly. Staffing sits at 3.79 nurse hours per resident day, slightly under the national average, and weekend coverage drops about 14% below its own weekday levels, so care may thin out on Saturdays and Sundays. Turnover, though, is 30.3%, well below the national 45.8%, meaning the crew tends to stay. Last full inspection was December 2023, and fines total $13,065.

A

90/100

Liliha Healthcare Center

Honolulu, HI · Honolulu County

CMS 3/5 92 beds For-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
27%
Serious cites
0

Liliha Healthcare Center runs on nurse staffing that's well above average, 4.72 hours per resident day against a national 3.86, and its staff turnover of 26.5% is far below the 45.8% national figure, which matters because stable staff know residents' routines. Weekend coverage dips about 11% from weekday levels, so ask how that plays out on Saturdays and Sundays. The caution flag is the inspection record: 48 deficiencies on file, including two at the harm level and five tied to abuse, with a 2/5 inspection rating and the most recent survey in January 2025. For-profit corporate ownership. The numbers describe a well-staffed building with a troubled regulatory history, worth asking about directly.

A

90/100

Ossian Health Care And Rehabilitation Center

Ossian, IN · Wells County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
34%
Serious cites
0

Ossian Health Care and Rehabilitation Center sits in Wells County with 100 certified beds under individual for-profit ownership. Staffing runs about 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86, and weekends dip about 15% below the home's own weekday coverage. That's the main soft spot. Turnover, though, is 34% against a national 45.8%, so the aides and nurses who are there tend to stay. On inspections, six deficiencies appear on the current record with none at harm or jeopardy level and nothing abuse-related, and the most recent inspection closed out in April 2026. Ownership is individual for-profit, meaning one person's name is on the license rather than a chain's.

A

90/100

Christian Care Retirement Community

Bluffton, IN · Wells County

CMS 5/5 86 beds For-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
38%
Serious cites
0

Christian Care in Bluffton runs 4.73 nurse hours per resident per day, which is about 22% above the national average of 3.86, that's a real staffing cushion, not a rounding difference. Weekends dip roughly 14% below the home's own weekday coverage, so a Saturday shift won't look like a Tuesday, and staff turnover sits at 38.3%, better than the 45.8% national figure. Five deficiencies on the current record, none tied to harm or abuse, and the last inspection was August 2025. It's a for-profit corporation, so margins matter here, but the numbers above are the ones that decide what your family member's day actually looks like.

A

90/100

Holy Cross Village At Notre Dame Inc

Notre Dame, IN · St. Joseph County

CMS 3/5 52 beds Non-profit Medicaid
Nurse hours
4.89 /day
Staff turnover
36%
Serious cites
0

Holy Cross Village runs nurse staffing at 4.89 hours per resident day, roughly 27% above the national average, and its staff turnover of 35.5% sits well below the 45.8% national figure, a sign people tend to stay. The tradeoff is the inspection record: 14 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a 3-out-of-5 health inspection rating, though the most recent inspection was May 2026. Weekend staffing dips about 8% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The quality measure rating comes in at 4 out of 5. Strong everyday staffing and steady retention, but the harm-level and abuse-related citations deserve a direct question before you decide.

A

90/100

White Oak Health Campus

Monticello, IN · White County

CMS 5/5 61 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
30%
Serious cites
0

White Oak Health Campus sits in Monticello with 61 certified beds and corporate for-profit ownership. Nurse staffing runs 4.07 hours per resident day, about 5% above the national average, though weekends dip roughly 9% below its own weekday levels, worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover is 29.8%, well below the national 45.8%, which suggests people tend to stay. The inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the most recent inspection dated June 2026.

A

90/100

Chautauqua Guest Home #2

Charles City, IA · Floyd County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
41%
Serious cites
0

Chautauqua Guest Home #2 runs a 53-bed operation in Charles City, and the staffing numbers are the strongest part of its case. At 4.02 nurse hours per resident day, it sits about 4% above the national average, and the weekend dip of roughly 10% below its own weekday level is modest, worth knowing, but not alarming. Turnover lands at 41.3%, slightly better than the 45.8% national figure, which suggests the crew sticks around better than most. Two deficiencies on record, one serious enough to involve actual harm, is the item that deserves a direct question when you visit. The most recent inspection was September 2025, so the picture is current.

A

90/100

Oaknoll Retirement Residence

Iowa City, IA · Johnson County

CMS 5/5 70 beds Non-profit Medicaid
Nurse hours
5.28 /day
Staff turnover
28%
Serious cites
0

Oaknoll runs a leaner, steadier operation than most. Nurse staffing sits at 5.28 hours per resident day, roughly 37% above the national average, and weekends barely dip from that pace, only about 3% below weekday levels, which is where a lot of homes quietly cut corners. Staff turnover is 27.9%, well under the 45.8% national figure, so the people caring for residents tend to stick around. Inspections back that up: a 5/5 health inspection rating, seven deficiencies on record with none at the harm or jeopardy level and none abuse-related, and the most recent visit in September 2025. One caveat worth naming: the quality measure score is 2/5, so the clinical-outcome data isn't as strong as everything else here.

A

90/100

Mill-Pond

Ankeny, IA · Polk County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
37%
Serious cites
0

Mill-Pond runs on 4.58 nurse hours per resident day, roughly 19% above the national average, and that staffing shows up in the five-star rating CMS gives it for workforce. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 37.1%, better than the 45.8% national figure. The current record lists 10 deficiencies, none at the harm or jeopardy level, though 3 are abuse-related, worth asking about directly. The last inspection was March 2026, and the health inspection and quality measure ratings both came in at 4 out of 5.

A

90/100

Kanawha Community Home, Inc.

Kanawha, IA · Hancock County

CMS 5/5 26 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
39%
Serious cites
0

Kanawha Community Home runs a tight ship for a 26-bed for-profit in Hancock County. Nurse staffing sits at 4.52 hours per resident day, roughly 17 percent above the national average, and the health inspection record is clean where it counts: three deficiencies total, none at the harm or jeopardy level, none tied to abuse, with the last inspection in September 2025. Staff turnover lands at 38.5 percent against a national average near 46, which for this industry is stability, not churn. The one soft spot is weekends, when coverage dips about 8 percent below the home's own weekday levels. A small building with low turnover and steady weekday staffing can absorb that; families should still ask who's on duty Saturday and Sunday.

A

90/100

Sunrise Retirement Community

Sioux City, IA · Woodbury County

CMS 5/5 74 beds Non-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
38%
Serious cites
0

Sunrise Retirement Community runs on 5.09 nurse hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 10% below weekday levels, which is common but worth knowing if your visits land on Saturdays. Staff turnover sits at 37.8%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than elsewhere. The current inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the last survey in September 2025. As a nonprofit with 74 beds, it's smaller than many, and its health inspection rating holds at 4 out of 5.

A

90/100

Twilight Acres

Wall Lake, IA · Sac County

CMS 5/5 39 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
35%
Serious cites
0

Twilight Acres runs on a nonprofit model with 39 beds in Wall Lake, and the numbers behind it look steady. Nurse staffing sits at 4.07 hours per resident day, about 6% above the national average, though weekends dip roughly 9% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Annual turnover is 34.5%, noticeably lower than the 45.8% national figure, which suggests caregivers tend to stay. The inspection record shows 7 deficiencies, none at the harm level, but one is abuse-related, so ask directly how that was resolved. Its last inspection was in December 2025, and quality measures score at the top of the federal scale.

A

90/100

Community Care Center

Stuart, IA · Adair County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
20%
Serious cites
0

Community Care Center in Stuart runs a tight ship on staff retention, 20.4% turnover is less than half the national average of 45.8%, which means the people caring for residents tend to stick around. That stability shows up in the quality and staffing star ratings, both 5 out of 5. The tradeoff is that daily nurse staffing sits at 3.48 hours per resident, about 10% under the national figure, and weekends dip roughly 10% below what the home itself provides on weekdays. Twelve deficiencies appear on the current record, none at the harm level, though three are abuse-related. The last inspection was December 2025, so the picture is recent.

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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