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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 8581–8600 of 12,438, best-graded first.

B

70/100

Brickyard Healthcare - Portage Care Center

Portage, IN · Porter County

CMS 2/5 186 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
45%
Serious cites
0

Brickyard Healthcare - Portage Care Center runs 186 certified beds under corporate ownership, and the numbers to focus on are the staffing ones. Nurse coverage sits at 3.38 hours per resident day, about 12% under the national average, and it drops roughly another 13% on weekends, so the thinnest coverage lands when families tend to visit. Staff turnover, at 45.4%, is essentially the national rate, meaning the people who remain are working short more often than not. The inspection record backs that up: 31 deficiencies, one at the harm or jeopardy level and one abuse-related, with a 2-out-of-5 health inspection rating. The 5-out-of-5 quality measure score reflects how residents are being cared for day to day, but it doesn't offset a staffing rating of 1. Ask about weekend coverage before you decide.

B

70/100

Serenity Spring Senior Living At Northwood

Jasper, IN · Dubois County

CMS 1/5 107 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
40%
Serious cites
0

Serenity Spring Senior Living At Northwood runs 107 beds under corporate ownership, and its staffing sits about 8% under the national average at 3.55 nurse hours per resident day. Weekends drop roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 40% is better than the 45.8% national figure, which matters for continuity of care. What stands out more is the inspection record: 38 deficiencies, including one at the harm or jeopardy level and five tied to abuse. The most recent inspection was June 13, 2025, so that record is current, not stale.

B

70/100

Waters Of Fort Wayne Skilled Nursing Facility, The

Fort Wayne, IN · Allen County

CMS 3/5 77 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
60%
Serious cites
0

The Waters of Fort Wayne runs 77 certified beds under for-profit corporate ownership, and its staffing is the number that stands out, 3.59 nurse hours per resident day, roughly 7% under the national average, with weekends about 7% thinner than weekdays. Annual turnover of 59.5% sits well above the 45.8% national figure, which means the people showing up are often new. The current record carries 18 deficiencies, none at harm or jeopardy level but one abuse-related. Inspectors were last in on July 2, 2025, so the record is recent. Quality measures score well; staffing doesn't.

B

70/100

Majestic Care Of West Allen

Fort Wayne, IN · Allen County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
2.89 /day
Staff turnover
51%
Serious cites
0

Majestic Care of West Allen runs 96 beds in Fort Wayne under corporate ownership, and the staffing numbers are the first thing worth knowing: 2.89 nurse hours per resident day against a national average of 3.86, roughly a quarter below. Weekend coverage drops another 13% from its own weekday level, and annual turnover sits at 50.7%, higher than the 45.8% national figure. The current inspection record shows 16 deficiencies, including one at the harm or jeopardy level, with a single fine of $21,645. Its quality measure score is strong, but that's built on documentation, not on the hands available at the bedside.

B

70/100

Hickory Creek At Peru

Peru, IN · Miami County

CMS 4/5 36 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
61%
Serious cites
0

Hickory Creek At Peru runs 36 beds as a for-profit corporation, and the numbers pull in two directions. Clinical quality measures look strong and the health inspection record is solid, a recent December 2025 inspection with 19 deficiencies on file, none of them causing harm or tied to abuse. Staffing is the weak spot: 3.58 nurse hours per resident day sits about 7% under the national average, weekends drop roughly 11% below the home's own weekday levels, and turnover runs 61.3% against a national 45.8%. That churn matters more in a small building, where the same few aides cycle through and familiarity with residents is harder to hold onto.

B

70/100

Waters Of Chesterfield Skilled Nursing Facility

Chesterfield, IN · Madison County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
55%
Serious cites
0

Waters Of Chesterfield runs about 3.35 nurse hours per resident per day against a national average of 3.86, and weekends drop roughly 13% below its own weekday staffing. That thin coverage shows up in the federal staffing rating, which sits at 1 out of 5, and in turnover: 54.8% of staff left over the year, compared with 45.8% nationally. The inspection record is a different story, 14 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a recent visit in March 2026. Quality measures score 5 out of 5. So you're looking at a for-profit limited liability company that documents care well but runs lean, and lean staffing is what families feel day to day.

B

70/100

Waldron Rehabilitation And Healthcare Center

Waldron, IN · Shelby County

CMS 3/5 71 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
60%
Serious cites
0

Waldron Rehabilitation and Healthcare Center runs 71 certified beds under corporate ownership, and the staffing numbers are where I'd start. At 3.40 nurse hours per resident day, it sits about 12 percent under the national average of 3.86, and weekends drop roughly 9 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover hits 60 percent against a national 45.8, which means aides and nurses cycle through faster than average. The inspection record shows 41 deficiencies, six of them abuse-related, though none rose to harm or jeopardy. One genuine strength: the quality measure rating is high. The last inspection was December 2025, so the picture is current.

B

70/100

Hawthorne Healthcare Center

Indianapolis, IN · Marion County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
56%
Serious cites
0

Hawthorne Healthcare Center runs 88 certified beds on Indianapolis's east side, under for-profit corporate ownership. Nurse staffing sits at 3.31 hours per resident day, roughly 14 percent under the national average, and weekends dip about 4 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Annual turnover of 55.7 percent means more than half the nursing staff leaves each year, against a national rate near 46 percent. The current inspection record carries 27 deficiencies, including two at the harm or jeopardy level and four tied to abuse. Federal quality measures look strong at 5 stars, but staffing scores 2, and the most recent inspection was in December 2025.

B

70/100

Vernon Health & Rehabilitation

Wabash, IN · Wabash County

CMS 3/5 71 beds Non-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
61%
Serious cites
0

Vernon Health & Rehabilitation has a staffing edge on paper, 4.26 nurse hours per resident day, roughly 10% above the national average of 3.86, but that average covers up a rough weekend drop, with staffing running about 13% thinner than on weekdays. And the people providing that care don't stick around: turnover is 61.3% against a national average of 45.8%, meaning a large share of the staff you'd meet are relatively new to the building. The current record shows 27 deficiencies, including 2 tied to abuse, though none at the harm or jeopardy level, and the last inspection was recent, in December 2025. This is a nonprofit corporation with 71 certified beds.

B

70/100

The Highlands

Decorah, IA · Winneshiek County

CMS 2/5 86 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
53%
Serious cites
0

The Highlands sits in Decorah with 86 certified beds and a nonprofit owner, and the numbers cut two ways. Nurse staffing runs 3.90 hours per resident day, just barely above the national average of 3.86, though weekends dip about 8% below its own weekday level. The bigger concerns show up in the inspection record: 34 deficiencies, four at the harm or jeopardy level, one tied to abuse, and $93,839 in fines across two penalties, with the most recent inspection in June 2025. Staff turnover of 53.3% lands well above the 45.8% national average, which matters for consistency of care. A 4/5 staffing star softens the picture, but the health inspection rating of 2/5 tells you where the trouble lives.

B

70/100

Good Samaritan - Forest City

Forest City, IA · Winnebago County

CMS 4/5 43 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
31%
Serious cites
0

Good Samaritan - Forest City runs on a church-affiliated nonprofit model with 43 beds, and its staff tends to stay: turnover is 31%, well under the 45.8% national average. That stability matters in a small home. But daily nurse coverage sits at 3.49 hours per resident, about 10% under the national 3.86, and weekends drop roughly 9% below its own weekday staffing, so the hours thin out exactly when families tend to visit. The inspection record shows 9 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with $25,945 in fines across 2 penalties. The most recent inspection was August 2025. Quality measure scores come in at 2 out of 5 stars. Ask about the abuse-related citation and what changed since.

B

70/100

University Park Nursing And Rehabilitation Center

Des Moines, IA · Polk County

CMS 4/5 91 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
98%
Serious cites
0

University Park runs on thinner nurse staffing than most homes, 3.41 hours per resident day against a national average of 3.86, and weekends dip about 10% below what it manages during the week. The bigger number is turnover: 97.5% of nursing staff leaving annually, roughly double the national rate, which means the people caring for residents are constantly new. Inspections in March 2026 turned up 22 deficiencies, one tied to abuse, though none rose to the level of actual harm. Its quality measure scores look strong on paper, but those rest on data the staff has to collect and report accurately, and a workforce that turns over almost completely every year makes consistency hard. For-profit corporate ownership, 108 beds.

B

70/100

Pillar Of Cedar Valley

Waterloo, IA · Black Hawk County

CMS 1/5 114 beds Non-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
33%
Serious cites
0

Pillar of Cedar Valley runs a lean nursing floor: 2.92 nurse hours per resident day against a national average near 3.86, and weekends drop roughly 15% below what the home already provides on weekdays. That staffing pattern is worth asking about directly, since it shapes how quickly call lights get answered on a Saturday. The inspection record shows 23 deficiencies, three tied to abuse, though none reached the harm or jeopardy level as CMS defines it. Staff turnover sits at 32.7%, better than the 45.8% national figure, which suggests the people who are there tend to stay. The most recent state inspection was November 17, 2025. This is a nonprofit corporation with 114 certified beds.

B

70/100

Parkridge Specialty Care

Pleasant Hill, IA · Polk County

CMS 1/5 90 beds Non-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
45%
Serious cites
0

Parkridge Specialty Care runs 90 certified beds in Pleasant Hill under nonprofit corporate ownership, and its staffing sits at 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, with weekends dropping about 10% below its own weekday levels. Turnover is 44.9%, essentially in line with the national 45.8%. The inspection record is the harder part: 49 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus one fine of $34,450, and the most recent inspection was October 2025. A 1-star health inspection rating against a 3-star staffing rating tells you where the problems cluster, not necessarily in raw hours, but in how care is delivered and documented when regulators look closely.

B

70/100

Emmetsburg Care Center

Emmetsburg, IA · Palo Alto County

CMS 1/5 46 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
57%
Serious cites
0

Emmetsburg Care Center is a 46-bed for-profit home where the numbers point in different directions. Nurse staffing sits at 3.66 hours per resident day, a bit under the national average, and it thins out further on weekends, dropping about 11% below its own weekday levels. Staff turnover is the bigger concern: 56.9% a year against a national average of 45.8%, meaning more than half the nursing staff leaves annually. Its inspection record shows 22 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a $25,695 fine. The most recent inspection was July 2025. Quality measures score well, but that sits against the weakest possible inspection rating.

B

70/100

Ams Memorial-Greene

Greene, IA · Butler County

CMS 1/5 31 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Ams Memorial-Greene runs 31 certified beds in Butler County under for-profit limited liability ownership, and the federal data on its care side is thin. Its staffing score sits at 1 out of 5, meaning nurse coverage falls well short of what CMS expects for the residents living there. Inspectors cited 16 deficiencies on the current record, two of them abuse-related, though none rose to the harm or jeopardy level. The last full inspection was February 2022, so that record is now several years old, a gap worth asking about directly.

B

70/100

Clarion Wellness And Rehabilitation Center

Clarion, IA · Wright County

CMS 1/5 76 beds For-profit Medicaid
Nurse hours
2.83 /day
Staff turnover
45%
Serious cites
0

Clarion Wellness and Rehabilitation Center runs 76 certified beds under corporate for-profit ownership, and its staffing is the number to sit with first: 2.83 nurse hours per resident per day, roughly 27% under the national average of 3.86. Weekend coverage dips about 11% below its own weekday level, so the thinnest shifts land when families often visit. The current inspection record carries 37 deficiencies, four at the harm or jeopardy level, four abuse-related, plus one fine of $24,174; the last inspection was August 28, 2025. Annual turnover of 44.9% sits near the national 45.8%, meaning the staff who remain are stretched thin, and the one-star health inspection rating reflects what surveyors have found.

B

70/100

Elm Crest Retirement Community

Harlan, IA · Shelby County

CMS 2/5 50 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
72%
Serious cites
0

Elm Crest Retirement Community runs 50 certified beds in Harlan under nonprofit ownership, and its overall nurse staffing of 3.99 hours per resident day sits modestly above the national average of 3.86, roughly 3% higher. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday level, and annual staff turnover reaches 71.7% against a national figure of 45.8%, meaning most of the people providing care are relatively new to the building. The current record shows 18 deficiencies, one of them serious enough to involve harm or jeopardy, with none tied to abuse. Inspectors last visited in January 2026.

B

70/100

Accura Healthcare Of Milford

Milford, IA · Dickinson County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
30%
Serious cites
0

Accura Healthcare of Milford runs 46 beds under corporate ownership, and its inspection record is the strongest thing it has going, a five-star health inspection rating with the most recent visit in July 2025. Eight deficiencies are on file, none causing actual harm, though one is abuse-related and worth asking about directly. Where it slips is care quality: a one-star rating on the federal quality measures. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends run about 7% thinner than weekdays. Turnover at 30.2% is better than the 45.8% national figure, which means aides tend to stick around.

B

70/100

Harmony Utica Ridge

Davenport, IA · Scott County

CMS 2/5 115 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
63%
Serious cites
0

Harmony Utica Ridge runs 115 certified beds under corporate ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, about 4% under the national average, and weekends drop roughly 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is the sharper concern at 62.8%, well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. The inspection record shows 33 deficiencies, including two at harm or jeopardy level and three tied to abuse, with $51,292 in fines. Quality measures score well; staffing and inspections do not.

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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