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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 9041–9060 of 12,438, best-graded first.

C

69/100

St Joseph Chateau

Saint Joseph, MO · Buchanan County

CMS 4/5 69 beds For-profit Medicaid
Nurse hours
2.67 /day
Staff turnover
41%
Serious cites
0

St. Joseph Chateau runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, roughly a third less. Weekends dip about 15% below its own weekday coverage, so the thinnest shifts come when families often visit. The inspection history is better than that staffing picture suggests: 52 deficiencies on record with none at the harm level, though two are abuse-related, and the last survey was in May 2025. Turnover at 40.7% is slightly better than the national 45.8%, and the health inspection rating sits at 4 of 5. The staffing rating of 2 tells you where the real concern lies.

C

69/100

Ignite Medical Resort Kansas City, Llc

Kansas City, MO · Platte County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
50%
Serious cites
0

Ignite Medical Resort Kansas City runs 90 beds under for-profit LLC ownership, and its staffing is the weak spot: 3.47 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 13% below its own weekday coverage. Annual turnover sits at 50%, above the 45.8% national figure, which means the people helping your family member may be relatively new to the building. The current record shows 30 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a $6,368 fine; the last inspection was February 2026. Quality measures score well, but staffing and inspection history are where the concerns concentrate.

C

69/100

Union Nursing

Union, MO · Franklin County

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

Union Nursing runs 60 beds in Franklin County under corporate ownership, and its staffing is the number that stands out: 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekends dip another 9% below its own weekday level, and 54.5% of staff turn over annually against a national rate near 46%, so the thin coverage is also a moving target. Inspections look steadier, a 4-star health inspection rating, 14 deficiencies on record with none at harm level, though two are abuse-related, and the most recent survey was August 2025. Quality measures also rate 4 stars; staffing rates 2.

C

69/100

Hot Springs Health & Rehabilitation Center

Hot Springs, MT · Sanders County

CMS 4/5 40 beds For-profit Medicaid
Nurse hours
2.70 /day
Staff turnover
45%
Serious cites
0

Hot Springs Health & Rehabilitation Center runs 40 certified beds under corporate ownership, and its staffing numbers are the first thing to notice: 2.70 nurse hours per resident day against a national average of 3.86, roughly 30% lower. Weekend coverage drops about 11% below the home's own weekday level, so the thinnest shifts are the ones families tend to visit. Turnover sits at 45.2%, essentially tracking the national average, and the current record shows 23 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $22,614. The most recent inspection was February 10, 2026.

C

69/100

Eastern Montana Veterans Home

Glendive, MT · Dawson County

CMS 3/5 80 beds Government Medicaid
Nurse hours
4.29 /day
Staff turnover
80%
Serious cites
0

Eastern Montana Veterans Home in Glendive runs 4.29 nurse hours per resident day, about 11% above the national average, but weekends drop roughly 14% below its own weekday staffing. The bigger concern is turnover: 79.7% annually, well above the 45.8% national figure, which means the people at the bedside keep changing. Its record shows 31 deficiencies, including 6 at the harm or jeopardy level and 6 abuse-related, with three fines totaling $50,805. The last inspection was February 13, 2025, and the state owns the 80-bed home. Strong weekday coverage doesn't cancel out a heavy deficiency history and unstable staffing.

C

69/100

St. Joseph's Villa, Inc.

David City, NE · Butler County

CMS 2/5 58 beds Non-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
53%
Serious cites
0

St. Joseph's Villa runs a nonprofit shop in David City with 58 beds, and the numbers show a home that's getting by rather than standing out. Nurse staffing sits at 3.79 hours per resident day, just under the national average, and weekends drop about 14% below its own weekday coverage, a gap families often feel on Saturday and Sunday. Staff turnover of 52.9% runs well above the national 45.8%, which matters because familiar faces are hard to keep when half the team leaves each year. Fourteen deficiencies sit on the current record, including one at the harm level and one tied to abuse, with a $27,115 fine attached. The most recent inspection was in August 2025.

C

69/100

Srmc Long Term Care, Llc Dba Pole Creek Estates

Sidney, NE · Cheyenne County

CMS 3/5 63 beds Non-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
57%
Serious cites
0

Pole Creek Estates runs 63 certified beds in Sidney under nonprofit ownership, and its 2.86 nurse hours per resident day sit about 26% under the national average of 3.86. Weekends dip roughly another 10% below the home's own weekday coverage, and annual turnover hits 56.5% against a national 45.8%, that combination is where the C comes from, even though CMS gives staffing 4 of 5 stars. The inspection record shows 12 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last survey was July 17, 2025.

C

69/100

Epsom Healthcare Center

Epsom, NH · Merrimack County

CMS 2/5 108 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
42%
Serious cites
0

Epsom Healthcare Center runs 108 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 41.7%, a bit better than the 45.8% national figure. The current record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated March 12, 2026. CMS gave 2 of 5 stars for health inspections but 3 for quality measures and 3 for staffing.

C

69/100

Wolfeboro Bay Center

Wolfeboro, NH · Carroll County

CMS 4/5 104 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
45%
Serious cites
0

Wolfeboro Bay Center runs 104 certified beds under for-profit LLC ownership, and its nursing hours land at 3.55 per resident day, roughly 8% under the national average of 3.86. Weekends dip about 7% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Turnover sits at 45.1%, essentially matching the national rate. The inspection record shows 20 deficiencies, none at harm or jeopardy level, though four are abuse-related, a category worth asking about directly. The last inspection was April 2026, so the record is current. CMS gives 3 stars for health inspections, 2 for quality measures, and 4 for staffing. The staffing number looks strong on paper, but the quality measure score and those abuse citations are what pull the overall picture down.

C

69/100

St Mary's Center For Rehabilitation & Healthcare

Cherry Hill, NJ · Camden County

CMS 3/5 215 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
54%
Serious cites
0

St. Mary's Center runs 215 beds in Cherry Hill under for-profit ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 12% below its own weekday numbers, so the thinnest coverage lands when families tend to visit and when physicians are hardest to reach. Turnover tells a related story: 54.4% annually against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 35 deficiencies, three tied to abuse, though none at the harm or jeopardy level. The last inspection was December 6, 2024, so the record is fairly current. Quality measures score well. Staffing and inspections are where the concerns sit.

C

69/100

Complete Care At Brakeley Park

Phillipsburg, NJ · Warren County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
41%
Serious cites
0

Complete Care At Brakeley Park runs 120 beds in Phillipsburg under for-profit LLC ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86. Weekends get thinner still, about 12% below what the home staffs on weekdays. Turnover is 41.3%, a bit better than the 45.8% national figure, so the same faces are more likely to stick around. The bigger issue is the inspection record: 26 deficiencies, two serious enough to involve harm or jeopardy, and $55,647 in fines across two penalties. The last state visit was May 2025, so the record is current.

C

69/100

Complete Care At Ocean Grove Llc

Ocean Grove, NJ · Monmouth County

CMS 2/5 147 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
57%
Serious cites
0

Complete Care at Ocean Grove is a 147-bed for-profit run by a limited liability company, and the numbers split sharply depending on what you look at. Its quality measure score is strong, but nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, with weekends about 3% thinner than weekdays and turnover at 57.3% against a national 45.8%, that churn matters more than a single day's headcount. The inspection record shows 26 deficiencies, four tied to abuse, none flagged at harm or jeopardy, and the last survey was July 2025. A recent inspection with no harm-level findings is a real point in its favor; the thin, restless staffing is the part to ask about.

C

69/100

Laurel Brook Rehabilitation And Healthcare Center

Mount Laurel, NJ · Burlington County

CMS 2/5 220 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
50%
Serious cites
0

Laurel Brook runs about 3.47 nurse hours per resident each day, roughly 10% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thinner weekend coverage matters because this is a 220-bed for-profit home where nearly half the nursing staff turns over annually, 49.7%, above the 45.8% national figure, and the health inspection record shows 37 deficiencies, including one at the harm or jeopardy level and five tied to abuse, plus $51,495 in fines across two penalties. The quality measure stars look good, but staffing and inspection results tell the harder story.

C

69/100

Central Queens Rehab & Nursing Center

Maspeth, NY · Queens County

CMS 3/5 200 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
37%
Serious cites
0

Central Queens Rehab & Nursing Center runs about 2.97 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 10% below its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5. Turnover is 36.5%, actually better than the 45.8% national figure, so the problem isn't churn, it's how many hands are scheduled per shift. The record shows 33 deficiencies with none at the harm or jeopardy level, though three are abuse-related, and the last inspection was August 2025, so the picture is fairly current. A 200-bed for-profit operation in Maspeth with mid-range inspection and quality ratings and below-average staffing.

C

69/100

Yonkers Gardens Center For Nursing And Rehab

Yonkers, NY · Westchester County

CMS 1/5 200 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
33%
Serious cites
0

Yonkers Gardens runs 200 beds under for-profit LLC ownership, and its staffing sits about 20% under the national average at 3.07 nurse hours per resident day. Weekends drop roughly 12% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover is 33.1%, better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The trouble is the inspection record: 53 deficiencies, including 8 tied to abuse and 2 serious enough to trigger fines totaling $98,914. A 1/5 inspection rating against a 4/5 quality measure score is a wide gap, and the last survey in February 2026 means that record is recent. Ask about the abuse citations directly.

C

69/100

Absolut Center For Nursing And Rehabilitation At G

Gasport, NY · Niagara County

CMS 1/5 83 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
55%
Serious cites
0

Absolut Center in Gasport runs 83 certified beds and is owned by a for-profit limited liability company. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86, and weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover is 55% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record lists 12 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $8,281. Its last inspection was July 19, 2024.

C

69/100

Elderwood At Lancaster

Lancaster, NY · Erie County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
2.76 /day
Staff turnover
77%
Serious cites
0

Elderwood At Lancaster runs 96 certified beds under corporate for-profit ownership, and the numbers show a home stretched thinner than most. Nurse staffing sits at 2.76 hours per resident day, roughly 28 percent below the national average, and weekends drop about 9 percent below its own weekday level, so coverage is lightest exactly when families tend to visit. Annual turnover of 77.2 percent is well above the national 45.8 percent, meaning many of the aides and nurses you'd meet are relatively new. The inspection record, last updated in November 2024, carries 16 deficiencies, two tied to abuse, though none reached harm or jeopardy level. Quality measures score well; staffing and inspections are where the problems concentrate.

C

69/100

Schofield Residence

Kenmore, NY · Erie County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
67%
Serious cites
0

Schofield Residence sits in Kenmore with 120 certified beds and a nonprofit owner, and its 4.20 nurse staffing hours per resident day land about 9% above the national average of 3.86. Weekends tell a different story, though, staffing drops roughly 14% below the home's own weekday levels. The bigger number to sit with is 66.5% annual turnover against a national 45.8%, which means roughly two of every three caregivers left last year. Fifteen deficiencies appear on the current record, none at harm or jeopardy level, but one is abuse-related, and the most recent inspection was April 2025.

C

69/100

Royal Park Rehabilitation & Health Center

Matthews, NC · Mecklenburg County

CMS 2/5 169 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
46%
Serious cites
0

Royal Park runs about 3.47 nursing hours per resident day, roughly 10% under the national average of 3.86, and weekends get thinner still, about 11% below its own weekday staffing. Turnover sits at 46.2%, almost exactly the national rate, so the shortfall isn't a retention problem so much as a bare-bones schedule. On inspections, the record shows 25 deficiencies, four at harm or jeopardy level and one abuse-related, with two fines totaling $39,811 and a 2/5 inspection rating. That combination of thin coverage and serious findings is what drags the score down, even though the quality measures look better at 4/5.

C

69/100

Pruitthealth-Durham

Durham, NC · Durham County

CMS 1/5 125 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
43%
Serious cites
0

Pruitthealth-Durham runs 125 beds under for-profit, limited-liability ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends get thinner still, about 14% below the home's own weekday level, so coverage dips right when families tend to visit. The inspection record carries 33 deficiencies, six of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $34,632 fine. Turnover at 43% is slightly better than the 45.8% national figure, and the most recent inspection was April 2025. The quality measure rating holds at 3 of 5, but staffing and inspection ratings both sit at 2.

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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