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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 8741–8760 of 12,438, best-graded first.

B

70/100

Dr Ronald E Mcnair Nursing & Rehabilitation Center

Lake City, SC · Williamsburg County

CMS 3/5 88 beds For-profit Medicaid
Nurse hours
2.72 /day
Staff turnover
32%
Serious cites
0

The Mcnair center runs on 2.72 nurse hours per resident day, roughly 30% under the national average of 3.86, and weekends drop about another 10% below its own weekday level. That's the trade-off families notice first, since less coverage shows up in slower response times and busier aides. On the other hand, staff turnover sits at 32% against a national 45.8%, so the people who are there tend to stay. Its record shows 12 deficiencies, none at the harm level and none abuse-related, with the last inspection in January 2026 and a mid-range 3/5 on health inspections. Quality measures score 2/5, the weakest part of the profile.

B

70/100

Sedgewood Manor Health Care Center

Hopkins, SC · Richland County

CMS 1/5 38 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
60%
Serious cites
0

Sedgewood Manor runs 38 beds in Hopkins under corporate ownership, and its staffing sits just under the national average at 3.84 nurse hours per resident day. That thin margin gets worse on weekends, when coverage drops about 13% below the home's own weekday levels. Staff turnover is the bigger flag: 60% a year against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. Inspections tell a similar story, a 1-star health inspection rating and 18 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy. The most recent inspection was July 29, 2025. Quality measures score better than staffing or inspections here. If you're weighing this one, ask specifically about weekend coverage and how they've addressed that abuse finding.

B

70/100

Cordova Wellness And Rehabilitation Center

Cordova, TN · Shelby County

CMS 3/5 240 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
44%
Serious cites
0

Cordova Wellness runs 240 beds under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, about 6% under the national average of 3.86, with weekends running roughly 15% thinner than weekdays. That pattern matters more than the raw number, since care doesn't pause on Saturdays. Turnover lands at 44.2%, slightly better than the 45.8% national figure, which is a small point in its favor. The 12 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, and the last inspection was recent, in April 2026. Quality and staffing both rate 2 out of 5 from CMS, so the decent inspection record is carrying more weight here than day-to-day care measures.

B

70/100

Foothills Transitional Care And Rehabilitation

Maryville, TN · Blount County

CMS 2/5 185 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
51%
Serious cites
0

Foothills Transitional Care and Rehabilitation runs 185 certified beds in Maryville under corporate for-profit ownership, and its staffing numbers are the thing to look at first. At 3.33 nurse hours per resident day, it sits roughly 14% under the national average, weekend coverage drops about 13% below its own weekday level, and annual turnover hits 51.1% against a national 45.8%, that combination matters more than any single star rating. The inspection record shows 25 deficiencies, including two at the harm-or-jeopardy level and one tied to abuse, with $17,883 in fines and a last inspection in January 2024. Quality measures score well, but good numbers on paper don't staff a hallway on a Sunday.

B

70/100

Elk River Health & Rehabilitation Of Fayetteville

Fayetteville, TN · Lincoln County

CMS 4/5 79 beds Non-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
63%
Serious cites
0

Elk River Health & Rehabilitation Of Fayetteville runs 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday level. Turnover sits at 63.2% against a national 45.8%, which is the number that most explains the 2/5 staffing rating even as inspections and quality measures both land at 4/5. The current record shows eight deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025. Nonprofit ownership and clean inspections are real strengths; the thin, churning direct-care hours are the tradeoff families should weigh.

B

70/100

Four Oaks Health Care Center

Jonesborough, TN · Washington County

CMS 4/5 84 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
68%
Serious cites
0

Four Oaks runs lean on nursing staff, 3.47 hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday coverage. That thin staffing shows up plainly in the turnover number: 68.1% of staff leaving annually, well above the 45.8% national rate, which is the kind of churn that makes consistent care hard to sustain. Inspections tell a different story. The home was surveyed recently, in December 2025, and its 10 deficiencies include none at the harm level and two tied to abuse. Corporate-owned and Medicare-certified at 84 beds, Four Oaks looks solid on quality measures and inspection history while running a staffing operation that's noticeably under the national benchmark.

B

70/100

Magnolia Creek Nursing And Rehabilitation

Covington, TN · Tipton County

CMS 1/5 156 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
39%
Serious cites
0

Magnolia Creek runs 156 certified beds in Covington, and the numbers split in two directions. The clinical quality measures come in strong at 4 out of 5 stars, and turnover at 38.9% actually sits below the national average of 45.8%, a sign that the people who stay tend to stay. But staffing is 3.30 hours per resident day, roughly 15% under the national 3.86, and weekends run about 10% lighter than weekdays. Then there's the inspection record: 28 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus one fine of $16,985 from a September 2025 survey. Individual for-profit ownership, one star on health inspections. That gap between good quality scores and a rough inspection history is what a family should weigh.

B

70/100

Stoneridge Health Care, Llc

Goodlettsville, TN · Davidson County

CMS 2/5 38 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
—
Serious cites
0

Stoneridge runs 38 beds in Goodlettsville under for-profit limited liability ownership, and the staffing numbers are the first thing to notice: 3.40 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 18% below the home's own weekday coverage. Fifteen deficiencies sit on the current record, though none reached harm or jeopardy level and none involved abuse, and the last inspection was in March 2026. The split in CMS ratings tells the story, a 3 for health inspections but a 1 for quality measures, meaning the day-to-day care processes the government tracks aren't measuring up even where the inspection itself went reasonably.

B

70/100

Decatur Wellness And Rehabilitation Center

Decatur, TN · Meigs County

CMS 3/5 88 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
59%
Serious cites
0

Decatur Wellness runs lean on nurses. At 3.52 hours per resident per day, it sits about 9% under the national average of 3.86, and weekends thin out further, dropping roughly 10% below its own weekday level. That's the number behind the staffing score, and it's worth asking how coverage looks on a Sunday. Turnover tells a related story: 58.6% annually, well above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Inspections look better on paper, 9 deficiencies, none at harm or jeopardy level, though 3 are abuse-related, and the most recent visit was April 2026. Corporate-owned, 88 beds. The care quality and inspection marks are solid; the workforce stability is the open question.

B

70/100

Sharpview Residence And Rehabilitation Center

Houston, TX · Harris County

CMS 1/5 134 beds Non-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
36%
Serious cites
0

Sharpville Residence runs lean on nursing hours, 3.07 per resident day, roughly a fifth below the national figure, and weekends dip about 8% below its own weekday coverage, which is when gaps tend to show up. Turnover works in its favor: 35.9% against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Its inspection record backs that up, with 12 deficiencies on file, none involving harm or abuse, and one fine of $8,431. The hospital district ownership and a clean June 2024 inspection suggest steady management. Go in asking how the weekend floor actually gets covered.

B

70/100

Parkwood In The Pines

Lufkin, TX · Angelina County

CMS 3/5 140 beds Government Medicaid
Nurse hours
3.14 /day
Staff turnover
55%
Serious cites
0

Parkwood In The Pines runs on thin staffing: 3.14 nurse hours per resident day, about 19% under the national average, and weekends drop roughly 11% below its own weekday levels. That gap shows up in the federal staffing rating, which sits at 1 out of 5 stars, while annual turnover of 54.6% means more than half the nursing staff leaves each year. The inspection record carries 32 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $21,473. Quality measures score 5 stars, but a hospital-district home with this much turnover and this few hands is one to visit unannounced.

B

70/100

Robstown Nursing And Rehabilitation Center

Robstown, TX · Nueces County

CMS 2/5 94 beds Government Medicaid
Nurse hours
2.71 /day
Staff turnover
53%
Serious cites
0

Robstown Nursing and Rehabilitation Center runs on 2.71 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekends dip about 9% below its own weekday staffing. That thin coverage lines up with a one-star CMS staffing rating, and more than half the nursing staff turned over in a year, 53.1% against a national 45.8%, so the people at the bedside keep changing. The record shows 17 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus a $12,055 fine. It's a hospital-district home with 94 beds, last inspected January 6, 2026; its quality measures score well, but quality scores and daily staffing aren't the same thing.

B

70/100

Lynwood Nursing And Rehabilitation

Levelland, TX · Hockley County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
48%
Serious cites
0

Lynwood Nursing and Rehabilitation runs 120 beds in Levelland under corporate for-profit ownership, and the staffing numbers are the first thing you'd want to know about. At 2.80 nurse hours per resident day, it sits roughly 27% under the national average of 3.86, and weekends drop another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 47.9% against 45.8% nationally, meaning the faces change about as often as anywhere. Inspections last January produced 31 deficiencies, one serious enough to involve harm or jeopardy, plus an $8,281 fine, though nothing abuse-related. Quality measures score well; staffing is where the gaps show.

B

70/100

Vermont Veterans' Home

Bennington, VT · Bennington County

CMS 1/5 177 beds Government Medicaid
Nurse hours
— /day
Staff turnover
29%
Serious cites
0

The Vermont Veterans' Home in Bennington runs on state government ownership with 177 certified beds, and its staff turnover sits at 29.2%, noticeably below the national average of 45.8%, which matters for continuity of care. But the staffing star rating lands at just 1 out of 5, and quality measures come in at 1 out of 5 as well, even as the health inspection rating holds at 4 out of 5. Fifteen deficiencies sit on the current record, including one at the harm or jeopardy level and two tied to abuse, plus a single fine of $8,278. The last inspection was March 11, 2026. Low turnover is a real strength; the thin staffing and quality scores pull hard the other way.

B

70/100

Tate Springs Health & Rehab

Lynchburg, VA · Lynchburg City County

CMS 4/5 118 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
36%
Serious cites
0

Tate Springs runs a split personality on paper. The health inspection record is genuinely strong, a 4 out of 5, 21 deficiencies on file with none at the harm level and nothing abuse-related, last surveyed in April 2023. Quality measures score well too. Where it slips is staffing: 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends run about 10% thinner than weekdays. That's a 2 out of 5 on CMS staffing, which is the number I'd weigh heaviest if your family member needs help with daily tasks or supervision. Turnover at 36% is better than the 45.8% national figure, so the crew that's there tends to stay. Ask about weekend coverage specifically.

B

70/100

Annandale Healthcare Center

Annandale, VA · Fairfax County

CMS 1/5 222 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
24%
Serious cites
0

Annandale Healthcare Center runs 222 certified beds under corporate ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14 percent under the national average of 3.86. Weekend coverage drops another 10 percent below its own weekday levels, so the thinnest shifts land when families tend to visit. Turnover is the one bright spot: 24.1 percent against a national 45.8 percent means aides and nurses here tend to stay. But the inspection record is the real story, 61 deficiencies, two at harm or jeopardy level, three tied to abuse, and a $90,896 fine, with the most recent inspection in October 2024. That combination of light staffing and a heavy enforcement history is what drives the grade down.

B

70/100

Emporia Rehabilitation And Healthcare Center

Emporia, VA · Emporia City County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
2.93 /day
Staff turnover
43%
Serious cites
0

Nurse staffing at Emporia Rehabilitation and Healthcare Center runs about 2.93 hours per resident day, roughly a quarter below the national average, and it thins out further on weekends, about 12 percent below the home's own weekday level. The inspection record shows 69 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dating to November 2022, so that record is getting old. Turnover of 42.6 percent is slightly better than the national figure, and the home is a for-profit LLC with 120 certified beds. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.

B

70/100

Lake Manassas Health & Rehabilitation Center

Gainesville, VA · Prince William County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
58%
Serious cites
0

Lake Manassas runs 120 certified beds in Gainesville under for-profit LLC ownership, and the staffing picture is mixed. Its 3.93 nurse hours per resident day sit just above the national average of 3.86, but weekends drop roughly 10% below its own weekday level, and turnover of 58.1% runs well above the 45.8% national figure. That churn matters more than the headline staffing number. The inspection record shows 48 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a $22,509 fine and a 2/5 inspection star rating. Quality measures score 5/5, but a last inspection of April 2024 and 2/5 on staffing tell you where the risk sits.

B

70/100

Fir Lane Care

Shelton, WA · Mason County

CMS 2/5 135 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
65%
Serious cites
0

Fir Lane Care runs 135 certified beds in Shelton under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.23 nurse hours per resident day, roughly 9% above the national average, with weekends about 10% thinner than weekdays. The problem isn't how many hours get scheduled, it's who's still there to work them. Annual turnover hits 64.5% against a national 45.8%, so nearly two-thirds of the nursing staff leaves each year. That churn sits alongside 77 deficiencies on the current record, three serious enough to threaten harm, five tied to abuse, and $121,488 in fines. A June 2025 inspection is recent, and its one-star health inspection rating reflects what surveyors found.

B

70/100

Everett Transitional Care Services

Everett, WA · Snohomish County

CMS 4/5 62 beds Non-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
57%
Serious cites
0

Everett Transitional Care Services has real strengths on paper: 4.26 nurse hours per resident day is about 10% above the national average, and its last inspection was recent, in December 2025. The problems sit elsewhere. Staff turnover runs at 56.8% against a national 45.8%, meaning more than half the nursing staff leaves each year, and weekend coverage drops roughly 11% below weekday levels, the stretch when families often can't visit. Inspections also logged 19 deficiencies, two serious enough to involve harm or jeopardy, plus $36,243 in fines across two penalties. Quality measure scores sit at 2 of 5 stars despite the strong staffing numbers, so the bedside care doesn't track with the hours on the schedule.

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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