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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 9261–9280 of 12,438, best-graded first.

C

68.5/100

Life Care Center Of Richland

Richland, WA · Benton County

CMS 2/5 104 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
56%
Serious cites
0

Life Care Center of Richland runs 104 certified beds under corporate for-profit ownership, and the numbers split sharply depending on where you look. Nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86, but weekends drop roughly 19% below the home's own weekday level, and annual turnover hits 55.8% against a national 45.8%. The inspection record is the heavier concern: 73 deficiencies on file, including 5 at harm or jeopardy level and 9 tied to abuse, with two fines totaling $109,736. The most recent inspection was July 2025. Quality measures score well, but staffing and inspection results are what a family should weigh here.

C

68.5/100

New Orange Hills

Orange, CA · Orange County

CMS 1/5 145 beds For-profit Medicaid
Nurse hours
5.03 /day
Staff turnover
—
Serious cites
0

New Orange Hills runs about 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, but weekends drop about 10% below its own weekday level, so the coverage isn't as steady as that number suggests. The real trouble is its record: 82 deficiencies, including one at the harm or jeopardy level and two abuse-related, with a $8,278 fine, and a health inspection rating of 2 out of 5. It's corporate-owned, and the last inspection was February 18, 2026, so the record is current, not stale. Strong quality measures (4/5) and above-average staffing sit next to a serious inspection history, worth weighing carefully before choosing it.

C

68.5/100

Willis Nursing And Rehabilitation

Willis, TX · Montgomery County

CMS 4/5 114 beds For-profit Medicaid
Nurse hours
2.77 /day
Staff turnover
40%
Serious cites
0

Willis Nursing and Rehabilitation runs 2.77 nurse hours per resident day, roughly 28% under the national average, and weekends drop about 20% below its own weekday coverage, so the thinnest staffing lands when families tend to visit. That gap is the main reason its staffing rating sits at the bottom of CMS's scale, even though inspections look strong: 13 deficiencies on record, one serious enough to cause harm, no abuse findings, and a $7,443 fine. Turnover at 40% is actually better than the 45.8% national figure. The licensed nursing home is for-profit, LLC-owned, with 114 certified beds and a clean inspection as recently as August 2025.

C

68.5/100

Slaton Care Center

Slaton, TX · Lubbock County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
—
Serious cites
0

Slaton Care Center runs 2.84 nursing hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, and weekends dip about 11% below its own weekday level. The state inspection record looks solid, though: 20 deficiencies on file with none at the harm level and nothing abuse-related, and a clean survey as recently as December 2025. One fine of $23,491 is the only money penalty on record. The split is ownership and staffing versus everything else, corporate-owned, thinly staffed day to day, but passing its health inspections. Quality measures read strong at 5 out of 5; staffing reads 1 out of 5.

C

68.5/100

River Pointe Of Trinity Healthcare And Rehabilitat

Trinity, TX · Trinity County

CMS 4/5 104 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
48%
Serious cites
0

River Pointe Of Trinity sits in a county of about 7,000 people, and its numbers tell two different stories. The care quality measures look strong and inspectors gave it four stars, with the most recent visit in April 2025. But look at who's actually on the floor: 3.21 nursing hours per resident per day against a national average of 3.86, weekend staffing roughly a fifth thinner than weekdays, and nearly half the nursing staff turning over each year. Seventeen deficiencies are on the current record, including two that put residents in harm's way and one tied to abuse, plus about $19,700 in fines. Good outcomes in a building that runs lean.

C

68.5/100

West Oaks Nursing And Rehabilitation Center

Austin, TX · Travis County

CMS 2/5 125 beds Government Medicaid
Nurse hours
3.20 /day
Staff turnover
34%
Serious cites
0

West Oaks runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 16% below its own weekday coverage. That staffing pattern sits behind a 2-star rating from CMS, and the inspection record shows 32 deficiencies, five of them serious enough to put residents at harm or jeopardy, plus two fines totaling $39,527. What cuts the other way: staff turnover is 34.1%, well below the 45.8% national figure, and the quality measures score 4 out of 5. It's a hospital-district home with a recent February 2026 inspection, so the picture is current. The tradeoff is real, stable caregivers, but not enough of them on the floor.

C

68.5/100

Mason Creek Transitional Care Of Katy

Katy, TX · Harris County

CMS 3/5 125 beds Government Medicaid
Nurse hours
3.20 /day
Staff turnover
32%
Serious cites
0

Mason Creek runs on 3.20 nurse hours per resident day, roughly 17 percent under the national figure of 3.86, and weekends drop about 16 percent below its own weekday staffing. That thinner coverage sits alongside 15 deficiencies on the current record, three of them at harm or jeopardy level and one abuse-related, plus two fines totaling $16,175. Turnover is the bright spot: 31.9 percent against a national 45.8 percent, and the hospital district ownership means no corporate chain pulling the strings. Last inspection was December 12, 2024, and its three CMS star ratings each sit at three out of five.

C

68/100

Glenwood Center

Florence, AL · Lauderdale County

CMS 1/5 125 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
53%
Serious cites
0

Glenwood Center runs on thinner staffing than most homes you'd compare it to, 3.06 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday coverage. That matters more than any single number here, because 52.8% annual turnover means the aides and nurses on those shifts are often new. The 15 deficiencies on record aren't the alarming kind, none reached harm or jeopardy, none involved abuse, but a 1-out-of-5 inspection rating says the day-to-day operation has repeatedly fallen short of federal standards. Corporate for-profit ownership, 125 beds, last inspected in February 2024. The quality measures score better than the inspections do. Worth asking directly how they staff weekends and how long their current Director of Nursing has been in the role.

C

68/100

Village At Cook Springs Skilled Nursing Facility

Pell City, AL · St. Clair County

CMS 1/5 168 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
58%
Serious cites
0

The Village At Cook Springs runs 168 certified beds as a nonprofit corporation, and its last health inspection was in May 2022, more than three years ago. That inspection left 12 deficiencies on the record, including three at the harm or jeopardy level and two tied to abuse. Staffing sits at 3.71 nurse hours per resident day, slightly under the national average, and weekends run about 14% thinner than weekdays. Annual turnover is 57.7% against a national 45.8%, so nearly three in five caregivers left within the year. A 1-out-of-5 inspection rating and 2-out-of-5 quality measures tell you where the trouble concentrates.

C

68/100

Diversicare Of Bessemer

Bessemer, AL · Jefferson County

CMS 1/5 180 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
57%
Serious cites
0

Diversicare Of Bessemer runs 180 certified beds under corporate for-profit ownership, and its inspection record is the first thing to notice: 25 deficiencies on file, two of them serious enough to reach harm or jeopardy level, with the last full inspection dating back to December 2022. Nurse staffing sits at 3.33 hours per resident per day, roughly 14% under the national average, and it thins out further on weekends, dropping about 13% below the home's own weekday coverage. Staff turnover of 56.8% runs well above the 45.8% national figure, which matters for families because unfamiliar caregivers mean less continuity. No abuse citations appear on the current record.

C

68/100

Phoenix Mountain Post Acute

Phoenix, AZ · Maricopa County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
68%
Serious cites
0

Phoenix Mountain Post Acute runs 130 beds under corporate ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekends drop further, about 8% below its own weekday coverage. Turnover tells its own story: 68.4% annually against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 27 deficiencies, including one at the harm level and one abuse-related, with a single fine of $8,018. Its last inspection was November 19, 2025. CMS gives it one star for health inspections and two for staffing, though five for quality measures, a split worth asking about directly.

C

68/100

Haven Of Cottonwood

Cottonwood, AZ · Yavapai County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
60%
Serious cites
0

Haven Of Cottonwood runs on 2.80 nurse hours per resident day, roughly 28% under the national figure of 3.86, and weekend coverage drops about 11% below its own weekday level. Annual turnover sits at 59.7% against a national 45.8%, a churn rate that makes consistent care hard to sustain. The inspection record backs that up: 46 deficiencies, four tied to abuse, with the most recent inspection in May 2025. The five-star quality measure score stands apart from a one-star staffing and one-star inspection rating, which usually means the chart looks better than the floor. It's a for-profit limited liability company with 80 certified beds. Ask about actual weekend coverage and how many abuse-related citations were resolved.

C

68/100

Riviera Healthcare Center

Pico Rivera, CA · Los Angeles County

CMS 1/5 154 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
32%
Serious cites
0

Riviera Healthcare Center runs 154 certified beds in Pico Rivera under individual for-profit ownership, and the staffing picture is more mixed than one number suggests. Nurses provide 4.09 hours per resident day, about 6% above the national average of 3.86, and annual turnover sits at 31.7% against a national 45.8%, a comparatively stable workforce on paper. Weekend coverage, though, drops roughly 7% below the home's own weekday level. The inspection record is where the concern concentrates: 74 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse, against a 2/5 health inspection rating and 1/5 on quality measures. Fines total just $9,110 across a single penalty. The most recent inspection was March 12, 2026.

C

68/100

Advanced Rehab Center Of Tustin

Santa Ana, CA · Orange County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
25%
Serious cites
0

Advanced Rehab Center Of Tustin has 123 deficiencies on its current record, including two at the harm or jeopardy level and eleven tied to abuse. That's the number a family should sit with. The staffing numbers are genuinely better than average, 4.27 nurse hours per resident day against a national 3.86, and turnover at 24.5% is well below the 45.8% norm, which suggests a more stable workforce than most. Weekend coverage drops about 9% from weekday levels, so ask how that plays out on a Sunday. A single fine of $37,182 and an inspection dated May 2026 round out the picture. The care hours look solid; the inspection history is where the concern lives.

C

68/100

Broadway Manor Care Center

Glendale, CA · Los Angeles County

CMS 2/5 78 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
41%
Serious cites
0

Broadway Manor runs on a decent staffing engine, 4.01 nurse hours per resident per day, a little above the national average, and its turnover, 41%, is actually better than the typical U.S. nursing home. The trouble is what inspections keep finding. Fifty-seven deficiencies on the current record, including two at the harm level and two tied to abuse, with a $36,090 fine and a February 2026 inspection that was recent enough to still be raw. Weekend coverage also drops about 9% below weekday levels. A for-profit LLC with 78 beds and a two-star inspection history is a place worth visiting unannounced, at different times of day, before you decide.

C

68/100

Sequoia Vista

Visalia, CA · Tulare County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.91 /day
Staff turnover
52%
Serious cites
0

Sequoia Vista reports 4.91 nurse hours per resident per day, roughly 27% above the national average of 3.86, which sounds like a lot until you notice weekends run about 10% thinner than weekdays and turnover sits at 51.6% against a national 45.8%. The 1-out-of-5 health inspection rating is the part I'd weigh heaviest: 88 deficiencies on the current record, including 2 at harm or jeopardy level and 5 tied to abuse, plus $46,078 in fines across two penalties. The quality measure score of 4 out of 5 and a staffing rating of 2 out of 5 don't offset that inspection history. This for-profit LLC's last inspection was December 5, 2024.

C

68/100

Golden Modesto Care Center

Modesto, CA · Stanislaus County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
45%
Serious cites
0

Golden Modesto Care Center runs 120 certified beds as a for-profit LLC, and its nurse staffing sits at 3.95 hours per resident day, roughly 2% above the national average, though weekends drop about 5% below its own weekday levels. The bigger issue is what inspectors keep finding: 71 deficiencies on the current record, including 10 at the harm or jeopardy level and 4 tied to abuse, plus 14 fines totaling $348,550. Staff turnover at 45% is about even with the national rate. With the last inspection in September 2024 and a 2-out-of-5 health inspection rating, the pattern here is a home that staffs adequately on paper but has repeatedly fallen short where resident safety is concerned.

C

68/100

Heights Care & Rehabilitation Llc

Denver, CO · Denver County

CMS 2/5 110 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
76%
Serious cites
0

Heights Care & Rehabilitation runs 110 beds in Denver under for-profit LLC ownership, and its staffing numbers are the first thing to flag: 3.30 nurse hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday levels, so coverage thins exactly when families tend to visit. Annual turnover of 75.9% is well above the national 45.8%, meaning many of the people caring for residents are new to the building. The inspection record shows 56 deficiencies, including 5 at harm or jeopardy level and 7 tied to abuse, with $68,159 in fines and the most recent inspection dated April 2026. Quality measure scores look strong; the staffing and inspection data tell a different story.

C

68/100

Atlas Post Acute

Pueblo, CO · Pueblo County

CMS 4/5 146 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
65%
Serious cites
0

Atlas Post Acute in Pueblo carries a for-profit corporate owner and 146 certified beds, with a 64.6% annual staff turnover rate that runs well above the 45.8% national average. That churn is reflected in its one-out-of-five staffing rating, even though its health inspection and quality measure ratings each sit at four. The gap between those numbers is the story here. Twenty-nine deficiencies sit on the current record, three serious enough to involve harm or jeopardy, three tied to abuse. One fine totaling $39,368 has been levied. The most recent inspection was October 22, 2024, so the picture is reasonably current. Strong inspection and quality marks don't cancel out a thin, constantly changing direct-care workforce.

C

68/100

Hilltop Park Post Acute

Denver, CO · Denver County

CMS 2/5 162 beds For-profit Medicaid
Nurse hours
2.93 /day
Staff turnover
40%
Serious cites
0

Hilltop Park Post Acute runs 162 beds in Denver under for-profit LLC ownership, and its last inspection in March 2024 left 35 deficiencies on the books, four serious enough to cause harm or jeopardy, one tied to abuse. Fines total $66,307 across two penalties. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average, and weekends dip about 7% under its own weekday levels. Turnover is 39.5%, actually better than the 45.8% national figure. The quality measure score looks strong on paper, but that's largely resident-assessment data, and it's hard to square a five there with a one-star inspection record and thin coverage on the floor.

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.

Before you shortlist