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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 9381–9400 of 12,438, best-graded first.

C

68/100

Putnam County Care Center

Unionville, MO · Putnam County

CMS 2/5 60 beds Government Medicaid
Nurse hours
3.50 /day
Staff turnover
—
Serious cites
0

Putnam County Care Center runs about 3.50 nursing hours per resident day, roughly 9% under the national average of 3.86, and weekend staffing drops nearly a fifth below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current inspection record carries 24 deficiencies, three of them serious enough to involve harm or jeopardy, plus three fines totaling $72,664; the last inspection was September 2024. As a county-owned home, it answers to local government rather than a chain, but that hasn't translated into stronger numbers here. Quality measures look ordinary at three stars, while inspection and staffing sit at two each.

C

68/100

Ignite Medical Resort Blue Springs

Blue Springs, MO · Jackson County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
56%
Serious cites
0

Ignite Medical Resort Blue Springs is a for-profit, LLC-owned home with 90 certified beds, and the numbers tell a mixed story. Its inspection record is strong, a 4/5 health inspection rating, last survey in October 2024, and 14 deficiencies with none at the harm or jeopardy level, though one is abuse-related. Quality measures score 5/5. Staffing is where it slips: 3.51 nurse hours per resident day sits about 9% under the national average, weekend coverage drops roughly 9% below its own weekday level, and turnover runs 55.7% against a national 45.8%. Good outcomes on paper, but thinner coverage and churning staff are worth asking about directly.

C

68/100

Wayne Countryview Care And Rehabilitation

Wayne, NE · Wayne County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
55%
Serious cites
0

Wayne Countryview runs 3.82 nurse hours per resident day, just under the national average of 3.86, and weekend staffing drops about 10% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover sits at 55.3% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 23 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was January 28, 2026. CMS rates quality measures 2 out of 5 and staffing 2 out of 5, with inspections at 3. This for-profit LLC home holds a valid license and no serious safety findings, but the staffing consistency and retention numbers are the real story.

C

68/100

Accura Healthcare Of Pierce

Pierce, NE · Pierce County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
62%
Serious cites
0

Accura Healthcare of Pierce runs 75 certified beds in Pierce County, Nebraska, under corporate for-profit ownership. Nurse staffing sits at 2.82 hours per resident day, roughly 27% under the national average of 3.86, and weekends dip another 10% below the home's own weekday levels. Staff turnover is 61.8% a year, well above the 45.8% national figure. That thin staffing is the central fact here, and it explains why the staffing rating lands at 1/5 even while inspection and quality measure ratings each hit 4/5. The inspection record shows 18 deficiencies with no harm-level findings, one abuse-related entry, and a recent April 2026 inspection. Strong survey results carry weight, but they don't offset a workforce that loses most of its people annually.

C

68/100

Arbor Care Centers-Countryside Llc

Madison, NE · Madison County

CMS 2/5 70 beds Government Medicaid
Nurse hours
— /day
Staff turnover
64%
Serious cites
0

Arbor Care Centers-Countryside is city-owned, with 70 certified beds in Madison. Its last inspection wrapped in December 2025, and what inspectors have on record is heavy: 31 deficiencies, including four tied to abuse and two serious enough to put residents in harm's way. Staffing is where the trouble really shows, the federal staffing rating sits at 1 out of 5, and turnover runs about 64 percent a year against a national average near 46 percent, meaning most of the people caring for your family member this year likely won't be there next year. Resident outcome measures look strong on paper, but thin, constantly changing staffing is what tends to wear those numbers down.

C

68/100

Keystone Ridge Post Acute Nursing And Rehabilitati

Omaha, NE · Douglas County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
64%
Serious cites
0

Keystone Ridge runs on thinner staffing than most homes, 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. That gap matters more when you consider turnover: 64.4% of staff left over the past year, well above the 45.8% national figure, so the people covering those short weekend shifts are often new. Inspectors have cited 26 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $70,103 fine on record and a May 2025 inspection. Corporate-owned and for-profit, it holds a single health inspection star but five stars on quality measures, a split worth asking about directly.

C

68/100

Silver Hills Health Care Center

Las Vegas, NV · Clark County

CMS 2/5 155 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
72%
Serious cites
0

Silver Hills runs on thin staffing. At 3.69 nurse hours per resident day, it sits about 4% under the national average, and weekends dip roughly 9% below what the home itself manages Monday through Friday, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 71.6% of nursing staff leaving annually, against a national average near 46%. State inspectors cited 27 deficiencies on the current record, four tied to abuse, with none rising to harm or jeopardy. Its last inspection was August 2025. This is a for-profit corporate home whose quality scores look strong on paper while its staffing scores and inspection history tell a harder story.

C

68/100

Rochester Manor

Rochester, NH · Strafford County

CMS 2/5 108 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
33%
Serious cites
0

Rochester Manor runs a 108-bed operation as a for-profit LLC, and nurse staffing sits around 3.2 hours per resident day, roughly 17% below the national figure, with weekends dropping another 12% below its own weekday coverage. Turnover runs lower than the national average, which helps, but the inspection record is the real concern: 15 deficiencies, including one at the harm level and three tied to abuse. The most recent inspection came in June 2025. All three CMS star categories land at 2 out of 5. If you're weighing this one, ask specifically about weekend nurse coverage and how the abuse-related findings were resolved.

C

68/100

Oceanside Skilled Nursing And Rehabilitation

Hampton, NH · Rockingham County

CMS 1/5 117 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
24%
Serious cites
0

Oceanside Skilled Nursing and Rehabilitation runs 117 certified beds in Hampton under corporate for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19 percent under the national average of 3.86. Weekends drop about 13 percent below what the home itself staffs on weekdays, so coverage thins out right when families tend to visit. Turnover is the bright spot at 23.7 percent, well under the 45.8 percent national figure. What offsets that is the inspection record: 17 deficiencies, one serious enough to reach harm or jeopardy level, and a single $14,521 fine. The most recent inspection was January 29, 2026.

C

68/100

Wynwood Rehabilitation And Healthcare Center

Cinnaminson, NJ · Burlington County

CMS 2/5 114 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
65%
Serious cites
0

Wynwood Rehabilitation and Healthcare Center runs 114 certified beds in Cinnaminson under for-profit LLC ownership, and its record shows real strain. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends dip roughly 6% below its own weekday levels, so coverage thins exactly when families tend to visit. Annual turnover is 64.5% against a national 45.8%, meaning most of the aides and nurses your relative meets this year likely won't be there next year. The inspection history is the harder number: 27 deficiencies on the current record, four at harm or jeopardy level and three tied to abuse, with a $103,300 fine attached. The most recent inspection was December 9, 2025, so this picture is current, not stale.

C

68/100

Complete Care At Shrewsbury Llc

Shrewsbury, NJ · Monmouth County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
47%
Serious cites
0

Complete Care At Shrewsbury is a for-profit LLC home with 140 certified beds in Monmouth County, and its numbers pull in different directions. The quality measure rating is strong at 5 out of 5, but staffing sits at 3.72 nurse hours per resident day, about 4% under the national average, with weekends running roughly 4% thinner than weekdays, and turnover at 47.1% edges past the national 45.8%. The inspection record is the heavier concern: 30 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $53,780 fine and a 2-out-of-5 health inspection rating from the most recent survey in September 2025. Good quality scores don't erase a thin, churning staff and a serious inspection history.

C

68/100

Aristacare At Cherry Hill

Cherry Hill, NJ · Camden County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
67%
Serious cites
0

Aristacare At Cherry Hill runs 140 beds under for-profit LLC ownership, and its staffing numbers sit below where they should be. Nurses provide 3.35 hours per resident day against a national average of 3.86, and weekends drop roughly 12% below the home's own weekday coverage. Annual turnover hits 66.7%, well above the 45.8% national figure, which means the people caring for residents are frequently new or on their way out. The inspection record is the harder read: 53 deficiencies, including six tied to abuse, and a one-star health inspection rating. Quality measures score well at five stars, but stable, adequate staffing is what keeps those numbers from slipping. A recent August 2025 inspection means the state has been watching closely.

C

68/100

Rolling Hills Care Center

Lebanon, NJ · Hunterdon County

CMS 1/5 67 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
40%
Serious cites
0

Rolling Hills Care Center is a 67-bed for-profit in Lebanon, and the numbers pull in different directions. The health inspection record is the weak spot, a one-star rating, 25 deficiencies with two at the harm level, and $43,001 in fines across two penalties, though nothing abuse-related. Staffing sits at 3.37 nurse hours per resident day, roughly 13% under the national average, and weekends run about 5% thinner than weekdays. Turnover is the bright spot: 39.6%, better than the 45.8% national figure, which matters for consistency of care. Quality measures score well, but that inspection history from February 2025 is the thing to ask about directly.

C

68/100

Tallwoods Care Center

Bayville, NJ · Ocean County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
50%
Serious cites
0

Tallwoods Care Center runs 180 certified beds in Bayville under corporate 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 are thinner still, running about 15% below the home's own weekday coverage, which matters most when families visit and when residents need help between therapy and meals. Staff turnover is 49.6% against a national 45.8%, so many of the people caring for residents are still learning the building. The inspection record shows 18 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single $13,452 fine. The most recent inspection was November 26, 2025.

C

68/100

Excel Care At Egg Harbor

Egg Harbor Township, NJ · Atlantic County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
71%
Serious cites
0

Excel Care At Egg Harbor runs on 3.53 nurse hours per resident day, about 9% under the national average of 3.86, and weekend coverage drops roughly another 10% below its own weekday level. That thinner weekend presence matters, because the home's 70.8% annual staff turnover is well above the national 45.8%, a resident's regular aide is likelier than not to change within the year. The current record shows 21 deficiencies, including one at the harm level and one abuse-related, plus a single $18,119 fine. The last inspection was January 31, 2025. Its quality measure scores look strong, but those come from reported data; the staffing and inspection numbers describe what families actually encounter day to day.

C

68/100

Accela Post Acute Care At Hamilton

Hamilton, NJ · Mercer County

CMS 2/5 55 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
62%
Serious cites
0

Spring Hills Post Acute Hamilton runs 55 beds under corporate ownership, and its staffing numbers tell two stories. The 4.48 nurse hours per resident day sits well above the national average, but weekends drop about 12% below the home's own weekday coverage, and turnover hits 62.3% against a national 45.8%. Inspections are the bigger concern: 28 deficiencies on the current record, including one at harm or jeopardy level and two abuse-related, drawing a $11,175 fine and a 2/5 health inspection rating. Quality measures score 5/5, but that's the one bright spot in a record that most recently drew scrutiny in February 2025.

C

68/100

Northwoods Rehab And Nursing Center At Moravia

Moravia, NY · Cayuga County

CMS 3/5 40 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
64%
Serious cites
0

Northwoods Rehab and Nursing Center at Moravia is a small for-profit home, 40 beds, and its staffing numbers sit under the national average: 3.58 nurse hours per resident day against 3.86 nationally, with weekends running about 9% thinner than weekdays. That gap matters more in a building this size, where there's less slack to absorb an absence. Turnover is the bigger flag at 64.2%, well above the 45.8% national figure, and a stable aide who knows your mother's routines is often the difference between a good day and a fall. The 20 deficiencies on record include one abuse-related citation, though none rose to harm or immediate jeopardy, and the last inspection was recent, in November 2025.

C

68/100

Willow Point Rehabilitation And Nursing Center

Vestal, NY · Broome County

CMS 1/5 300 beds Government Medicaid
Nurse hours
4.25 /day
Staff turnover
52%
Serious cites
0

Willow Point runs a county-owned, 300-bed home in Vestal, and the staffing numbers are its clearest strength: 4.25 nurse hours per resident day, roughly 10% above the national average. But weekends drop about 12% below its own weekday level, and turnover sits at 52.1% against a national 45.8%, so that coverage isn't always steady. The bigger concern is the inspection record, a 1-out-of-5 health inspection rating, 26 deficiencies with two at harm or jeopardy level, two abuse-related, and a $166,364 fine, with the last survey in June 2025. Quality and staffing measures both land at 3 out of 5. Families weighing this one should ask directly about weekend coverage and the abuse-related findings.

C

68/100

The Pines At Glens Falls Ctr For Nursing & Rehab

Glens Falls, NY · Warren County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
58%
Serious cites
0

The Pines at Glens Falls runs 3.29 nurse staffing hours per resident day, about 15% under the national average, and weekend coverage drops roughly 13% below what it manages on weekdays. Staff turnover sits at 57.8% against a national 45.8%, so familiar faces are hard to count on. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated March 2026. The quality measure stars look strong here, but that number reflects clinical metrics rather than day-to-day presence of aides and nurses. For a 120-bed for-profit LLC, the question worth asking on a tour is who actually shows up on a Saturday.

C

68/100

The Pines Healthcare & Rehabilitation Centers Olea

Olean, NY · Cattaraugus County

CMS 4/5 120 beds Government Medicaid
Nurse hours
3.50 /day
Staff turnover
61%
Serious cites
0

The Pines in Olean is county-owned, which matters less than what the numbers show. Nurses provide 3.50 hours of care per resident per day, about 9% under the national average of 3.86, and weekends run roughly a tenth thinner than weekdays, so the weakest coverage lands when families tend to visit. Annual turnover sits at 60.8% against a national 45.8%, meaning most of the staff you meet this year likely won't be there next. The good news: inspections are recent, the health inspection rating is strong at 4 of 5, and none of the nine deficiencies on record reached harm or jeopardy level. Three are abuse-related, though, which is worth asking about directly.

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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