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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 8401–8420 of 12,438, best-graded first.

B

70.5/100

Devlin Manor Nursing And Rehabilitation Center

Cumberland, MD · Allegany County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
43%
Serious cites
0

Devlin Manor runs on thinner nursing coverage than most homes, 3.18 hours per resident day against a national average of 3.86, and weekends drop about 19% below its own weekday levels. That's the kind of gap families notice as slower call-button response. The 24 deficiencies on file, including one at the harm level and four abuse-related citations, are worth asking the administrator about directly, since the last inspection was in March 2026. Staff turnover at 42.5% is slightly better than the 45.8% national figure, though still high. For-profit corporate ownership, 124 beds, and middling marks across all three CMS categories.

B

70.5/100

Future Care Cold Spring

Baltimore, MD · Baltimore City County

CMS 2/5 137 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
59%
Serious cites
0

Future Care Cold Spring carries 137 certified beds under corporate ownership, and its staffing tells a story worth sitting with. At 3.48 nurse hours per resident day, it runs about 10% below the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage. That gap matters because 59.2% of staff left over the past year, well above the 45.8% national figure, meaning the people providing care keep changing. The inspection record is heavier still: 75 deficiencies, including one at the harm or jeopardy level and six tied to abuse. One fine totaling $16,042 is on file, and the most recent inspection came in October 2025. Quality measures score well, but that doesn't offset what the staffing and inspection numbers show.

B

70.5/100

Westwood Nursing Center

Detroit, MI · Wayne County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
49%
Serious cites
0

Westwood Nursing Center runs lighter on nursing hours than most homes, 3.44 per resident day against a national average of 3.86, and weekends are thinner still, about 18% below what the building staffs Monday through Friday. That matters for a 108-bed for-profit home, because care doesn't pause on Saturdays. Turnover sits at 49%, a few points above the national rate, and the record shows 25 deficiencies, two tied to abuse, plus three fines totaling $22,936. No deficiency rose to the harm level, and the last inspection was recent, in December 2025. The quality measure score of 2 out of 5 is the weakest mark in the file.

B

70.5/100

The Orchards At Harper Woods

Harper Woods, MI · Wayne County

CMS 1/5 151 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
—
Serious cites
0

The Orchards at Harper Woods runs 151 certified beds under corporate ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, with weekends dipping roughly 8% below its own weekday level. That thin weekday-to-weekend gap matters because care doesn't pause on Saturdays. The current record carries 49 deficiencies, three of them abuse-related, and while none reached harm or jeopardy level, that's still a lot of citations to accumulate. Federal inspectors last visited in May 2026, and the staffing rating came back at the lowest tier. If you're weighing this one, ask specifically how abuse-related issues were resolved and what weekend coverage actually looks like on the floor.

B

70.5/100

The Orchards At Northwest

Detroit, MI · Wayne County

CMS 1/5 154 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
—
Serious cites
0

The Orchards At Northwest runs 154 certified beds under corporate ownership, and its staffing sits at 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86, with weekends running about 12% thinner than its own weekdays. The inspection record is where the real weight sits: 43 deficiencies, three of them serious enough to put residents at risk of harm, plus three abuse-related findings and a $15,889 fine. Its last inspection was March 2026, so the record is current, not stale. Quality measures score well, but that's a narrow slice of the picture. A single star on both inspections and staffing tells you more about daily life here than the quality score does.

B

70.5/100

The Lodge At Taylor

Taylor, MI · Wayne County

CMS 4/5 134 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
53%
Serious cites
0

The Lodge at Taylor runs 134 certified beds under for-profit LLC ownership in Wayne County, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86. That's a thin margin, and weekends drop about 15 percent below weekday coverage, so the care you'd see on a Saturday may not match what you'd see midweek. Staff turnover is 52.8 percent, well above the 45.8 percent national figure, meaning the people helping your family member likely change often. The current record shows 32 deficiencies, three of them at harm or jeopardy level, plus one abuse-related citation and a $16,801 fine. The last inspection was December 11, 2025.

B

70.5/100

Woodlands Rehabilitation And Healthcare Center

Clinton, MS · Hinds County

CMS 1/5 145 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
40%
Serious cites
0

Woodlands Rehabilitation and Healthcare Center runs 145 certified beds in Clinton under corporate for-profit ownership, and its staffing picture is mixed in ways worth understanding. Total nurse coverage sits at 3.75 hours per resident day, just under the national average, and weekends drop roughly 17% below the home's own weekday levels, so the hours your family member gets depend heavily on which day they need them. Turnover at 39.7% is actually better than the 45.8% national figure, and the four-star staffing rating reflects that. What pulls the record down is oversight: 30 deficiencies on file, five at harm or jeopardy level, two tied to abuse, and $35,648 in fines across four penalties. The last inspection was August 2025.

B

70.5/100

Columbia Rehabilitation And Healthcare Center

Columbia, MS · Marion County

CMS 3/5 119 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
45%
Serious cites
0

Columbia Rehabilitation and Healthcare Center runs 119 certified beds under corporate ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That margin shrinks on weekends, when coverage drops about 15% below the home's own weekday levels. Staff turnover is 44.8%, essentially in line with the 45.8% national figure. Inspectors last visited in September 2025 and found 9 deficiencies, none at the harm or jeopardy level, though one was abuse-related. The 4/5 health inspection rating stands out against a 1/5 quality measure score, a split worth asking the administrator about directly.

B

70.5/100

Shearer-Richardson Memorial Nursing Home

Okolona, MS · Chickasaw County

CMS 3/5 73 beds Government Medicaid
Nurse hours
4.30 /day
Staff turnover
57%
Serious cites
0

Shearer-Richardson Memorial is run by the city or county, and it shows in the staffing: 4.30 nurse hours per resident day, about 11% above the national average of 3.86. Weekends drop roughly 16% below its own weekday level, though, and turnover sits at 56.6% against a national 45.8%, that's a lot of new faces for a 73-bed home. The inspection record is the harder part. Eighteen deficiencies, three at harm or jeopardy level and three tied to abuse, plus two fines totaling $20,050. The most recent inspection was October 8, 2025, so the picture is current, not stale.

B

70.5/100

Aspire Senior Living Carthage

Carthage, MO · Jasper County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
2.64 /day
Staff turnover
—
Serious cites
0

Aspire Senior Living Carthage runs 120 certified beds as a for-profit corporation, and its nurse staffing sits at 2.64 hours per resident day, roughly a third below the national average of 3.86. Weekends dip about 14% below its own weekday coverage, which matters when a resident needs help on a Sunday afternoon. The inspection record shows 21 deficiencies, none at harm or jeopardy level, though two are abuse-related; state surveyors last visited March 31, 2025. Quality measures score well, but that strength rests on a thin staffing base in a building where the government's own staffing rating sits at the bottom of the scale.

B

70.5/100

Pillars Of North County Health & Rehab Center, The

Florissant, MO · St. Louis County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
2.39 /day
Staff turnover
48%
Serious cites
0

Pillars of North County runs about 2.39 nurse hours per resident day against a national average near 3.86, roughly 38% less hands-on time than the typical home. Weekends dip even further, about 16% below what the building staffs on weekdays, and nearly half the nursing staff turned over in the past year. State inspectors cited 59 deficiencies on the current record, including two at the harm level and four tied to abuse. The five-star quality measure score reflects how well the home documents resident care, but the one-star staffing rating and the inspection history tell you what those daily hours actually look like.

B

70.5/100

James River Nursing And Rehabilitation

Springfield, MO · Greene County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
64%
Serious cites
0

James River Nursing and Rehabilitation runs 120 certified beds in Springfield under individual for-profit ownership, and its staffing picture is the main thing to know. Nurses provide 3.60 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover sits at 64% against a national 45.8%, so the people caring for residents change often. The current record shows 27 deficiencies, one abuse-related, though none at the harm or jeopardy level. Inspectors last visited July 30, 2024. CMS gives the home middle marks for health inspections and quality measures, but two stars for staffing, the number that tracks closest to daily care.

B

70.5/100

Heisinger Bluffs Rehab And Healthcare Center

Jefferson City, MO · Cole County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
44%
Serious cites
0

Heisinger Bluffs runs 60 beds under for-profit LLC ownership in Jefferson City, and its recent inspection record is decent, 18 deficiencies on file, none at the harm level, though one is abuse-related, and the last state visit came in March 2025. The real tension sits in the workforce numbers. At 3.02 nurse hours per resident day, this home staffs roughly a fifth below the national average of 3.86, and weekends drop another 16% beneath its own weekday levels. Turnover, at 44%, is basically in line with the national rate. So you're looking at a home that inspects reasonably well but runs lean on the floor, especially Saturdays and Sundays.

B

70.5/100

Good Samaritan Society - Auburn

Auburn, NE · Nemaha County

CMS 3/5 102 beds Non-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
36%
Serious cites
0

Good Samaritan Society - Auburn is a nonprofit home with 102 beds, and its staffing sits at 3.54 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends run about 15% lighter than weekdays, so coverage thins out right when families tend to visit. Turnover is 35.6%, which is actually better than the 45.8% national figure, meaning the crew here is steadier than most. Nine deficiencies appear on the current record, none at the harm level and none abuse-related, with the last inspection dated February 2026. Quality measures score 2 out of 5, the weakest of its three federal ratings.

B

70.5/100

Accura Healthcare Of Neligh

Neligh, NE · Antelope County

CMS 1/5 70 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
44%
Serious cites
0

Accura Healthcare of Neligh runs 4.01 nurse hours per resident day, which is slightly above the national average of 3.86, and turnover sits at 44.1%, marginally better than the 45.8% national figure. But the staffing star rating tells a different story: 1 out of 5. That gap comes from how thin weekends get, running about 16% below the home's own weekday coverage. The inspection record shows 21 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent inspection was in March 2025. The quality measure rating is also 1 out of 5. A for-profit limited liability company operates the 70-bed home.

B

70.5/100

Heritage Care Center

Fairbury, NE · Jefferson County

CMS 3/5 100 beds Non-profit Medicaid
Nurse hours
2.70 /day
Staff turnover
43%
Serious cites
0

Heritage Care Center runs about 2.70 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekends dip another 22% below its own weekday staffing. That gap matters more than the inspection record, which shows 11 deficiencies with none at the harm level and one abuse-related finding, last reviewed in June 2025. Turnover sits at 42.5%, slightly better than the 45.8% national figure, a small positive for a nonprofit-run home with 100 beds. Quality measures score well, but the staffing number is the one families should ask about directly, especially on weekends.

B

70.5/100

Mitchell Care Center

Mitchell, NE · Scott Bluff County

CMS 3/5 50 beds Government Medicaid
Nurse hours
3.81 /day
Staff turnover
48%
Serious cites
0

Mitchell Care Center runs on thin margins, and the numbers show it. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but the real gap is weekends, coverage drops about 18% below what the home staffs on weekdays, which is when falls and infections tend to happen. Turnover runs 47.5%, higher than the national rate, and the current record carries 19 deficiencies, including five tied to abuse. None rose to the harm level, and the most recent inspection was in September 2025, so the picture is current rather than stale. City- or county-run ownership can mean steadier funding, but it doesn't change what the staffing pattern and survey history already tell you.

B

70.5/100

Meadowbrook Respiratory And Nursing Center

Matawan, NJ · Monmouth County

CMS 4/5 130 beds Non-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
—
Serious cites
0

Meadowbrook's quality measure score looks great on paper, but that top rating sits next to a one-star staffing score, and staffing is what actually shows up at the bedside. Twenty deficiencies on the current record, including one that caused harm and two tied to abuse, plus a $48,266 federal fine. That combination matters more than any single star. The inspection itself is recent, from May 2025, so this is a current picture, not an old one. Nonprofit ownership doesn't automatically mean better care here; the numbers say this home is short on staff relative to what residents need. If you're considering it, ask directly about nurse aide hours per resident per day and how they've addressed the abuse-related findings.

B

70.5/100

Casa Del Sol Center

Las Cruces, NM · Dona Ana County

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

Casa Del Sol Center runs on thinner nurse coverage than most homes, 3.52 hours per resident day against a national average of 3.86, and the gap widens on weekends, when staffing drops roughly 19% below its own weekday level. That's the pattern that tends to matter most, since families often visit Saturday and Sunday. The bigger concern is turnover: 62.3% of nursing staff left over the past year, well above the 45.8% national figure, which means the people caring for your relative are frequently new. Fifty-five deficiencies sit on the current record, two tied to abuse, though none reached harm or jeopardy level. The last inspection was March 2025, so the picture is reasonably current.

B

70.5/100

Katherine Luther Residential Hlth Care & Rehab

Clinton, NY · Oneida County

CMS 1/5 280 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
35%
Serious cites
0

Katherine Luther Residential in Clinton is a 280-bed nonprofit home run by a church group, and its numbers tell a split story. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average, and weekends run about 16 percent thinner than weekdays, so coverage is lightest exactly when families tend to visit. Turnover is the brighter spot at 34.9 percent, well under the national 45.8 percent, which suggests a steadier workforce than many homes manage. The inspection record is the real concern: 33 deficiencies, four of them at harm or jeopardy level, one abuse-related, and $80,558 in fines across two penalties. The most recent inspection was August 2024.

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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