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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 941–960 of 12,438, best-graded first.

A

90/100

American Lutheran Home-Menomonie

Menomonie, WI · Dunn County

CMS 5/5 37 beds Non-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
54%
Serious cites
0

Nurse staffing here runs about 4.48 hours per resident per day, roughly 16 percent above the national average, though weekends drop about 12 percent below the home's own weekday levels, worth asking about if your family tends to visit Saturday or Sunday. Staff turnover sits at 54.2 percent against a national average of 45.8 percent, which is high even for this industry, and that churn matters more at a 37-bed home where residents and aides know each other by name. Inspections tell a steadier story: five deficiencies on record, one serious enough to reach harm or jeopardy level, none abuse-related, with the most recent visit in August 2025. Church-affiliated nonprofit ownership rounds out the picture.

A

90/100

Saint Johns On The Lake

Milwaukee, WI · Milwaukee County

CMS 4/5 27 beds Non-profit Medicaid
Nurse hours
5.25 /day
Staff turnover
39%
Serious cites
0

Saint Johns On The Lake runs on a church-affiliated nonprofit model with just 27 certified beds, and the staffing numbers stand out: 5.25 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 7% below its own weekday level, and turnover sits at 38.7%, better than the 45.8% national figure, though still meaning more than a third of staff leaving annually. The tradeoff shows up in its record: 14 deficiencies, including one at the harm level and two tied to abuse, with a June 2025 inspection. Strong staffing and a clean recent survey don't cancel out that history; they sit alongside it.

A

90/100

Lutheran Home

Wauwatosa, WI · Milwaukee County

CMS 4/5 160 beds Non-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
37%
Serious cites
0

Lutheran Home in Wauwatosa runs on 4.28 nurse hours per resident per day, about 11% above the national average, and that shows up in its staffing rating. Weekend coverage drops roughly 11% below weekday levels, though, so care can thin out on Saturdays and Sundays. Staff turnover sits at 37.4%, better than the 45.8% national figure but still more than a third of the workforce leaving each year. The inspection record shows 20 deficiencies, one serious enough to involve harm or jeopardy, with no abuse citations, and the most recent state visit was June 10, 2025. This is a nonprofit with solid staffing and quality marks, but the deficiency history keeps it out of the top tier.

A

90/100

Shady Lane Nursing Care Center

Manitowoc, WI · Manitowoc County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
38%
Serious cites
0

Shady Lane runs on a nonprofit model with about 5.11 nurse hours per resident each day, roughly a third more staffing than the typical American nursing home. That shows up clearly in the government's staffing rating, which sits at the top of the scale, and weekend coverage holds up reasonably well, dipping only about 7% below weekday levels. Staff turnover of 37.7% is better than the national average of 45.8%, though more than a third of the workforce still leaves each year. The tradeoff is a mixed record: four deficiencies on file, one serious enough to involve harm, alongside middle-of-the-road quality measures. The most recent inspection was April 2025, so the picture is current.

A

90/100

Glenhaven

Glenwood City, WI · St. Croix County

CMS 3/5 44 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
54%
Serious cites
0

Glenhaven runs a genuinely strong staffing operation, 4.65 nurse hours per resident day against a national average of 3.86, and CMS gives that a top rating. Weekend coverage dips about 9% below weekday levels, though, so the schedule isn't perfectly even. The trade-off shows up in the inspection record: 33 deficiencies on file, including one at the harm level and five tied to abuse, with the most recent state visit in March 2026. Staff turnover sits at 53.8%, higher than the 45.8% national figure. Quality measures score well, but a 2/5 inspection rating is the number a family should ask about directly, specifically what those abuse deficiencies involved and what's changed since.

A

90/100

St Paul Elder Services, Inc

Kaukauna, WI · Outagamie County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
37%
Serious cites
0

St Paul Elder Services in Kaukauna runs on 4.80 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home. That cushion matters less on paper than it does on a Tuesday afternoon, though weekend coverage does dip about 7% below the home's own weekday level, so the weekend shift is where you'd want to ask questions. Staff turnover sits at 36.6%, well under the national 45.8%, people tend to stay. The current inspection record shows 8 deficiencies, none at the harm level, but 2 tied to abuse, which is worth asking about directly. A recent 5-star health inspection and nonprofit ownership round out the picture.

A

90/100

Marinuka Manor

Galesville, WI · Trempealeau County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
8%
Serious cites
0

Marinuka Manor runs a tight ship on the staffing side. Nurse hours per resident day sit right at the national average, and weekend coverage dips only about 12% below weekdays, a narrow gap by industry standards. More striking: annual turnover is 7.9% against a national average of 45.8%, meaning the people caring for residents mostly stay. The inspection record backs that up, with a five-star health inspection rating, nine deficiencies on file, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Quality measures land mid-range at three stars. For a fifty-bed nonprofit in Trempealeau County, the picture is consistent: stable staff, recent inspection, no serious harm findings.

A

90/100

Aspirus Care & Rehab-Medford

Medford, WI · Taylor County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
5.94 /day
Staff turnover
41%
Serious cites
0

The numbers at Aspirus Care & Rehab-Medford tell a fairly steady story. Nurse staffing runs 5.94 hours per resident per day, roughly 54% above the national average, though weekends dip about 12% below the home's own weekday coverage, so the question is whether that gap shows up when families visit. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. The inspection record is clean where it counts: six deficiencies total, none at the harm or jeopardy level, and a five-star health inspection rating with a survey dated April 2026. There is one abuse-related deficiency on record, which is worth asking about directly. Ownership is nonprofit corporate, and the quality measure rating lands at three stars.

A

90/100

Evergreen Health Center

Oshkosh, WI · Winnebago County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
49%
Serious cites
0

Evergreen Health Center runs 5.08 nurse hours per resident day, roughly 31% above the national average of 3.86, that's a real staffing cushion, though weekends dip about 10% below its own weekday levels, so coverage isn't perfectly even across the week. The 8 deficiencies on record include one abuse-related finding, but none at the harm or jeopardy level, and the most recent inspection was in March 2025, so the picture is current. Staff turnover sits at 49%, a bit above the 45.8% national figure, which means this nonprofit is replacing workers at a slightly faster clip than average despite the generous hours.

A

90/100

Cedar Crest Health Center

Janesville, WI · Rock County

CMS 5/5 71 beds Non-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
41%
Serious cites
0

Cedar Crest runs on church-affiliated nonprofit ownership in Janesville, and the staffing numbers stand out: 5.45 nurse hours per resident day, roughly 41% above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so care isn't perfectly level across the week, and turnover sits at 41.2%, better than the 45.8% national figure but still worth asking about. Inspections are recent, and the record shows five deficiencies, none at the harm or jeopardy level, though two are abuse-related. That's the tension here: strong staffing and a clean harm record alongside a small cluster of abuse citations a family should ask about directly.

A

90/100

Schmitt Woodland Hills

Richland Center, WI · Richland County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.81 /day
Staff turnover
47%
Serious cites
0

Schmitt Woodland Hills runs about 4.81 nursing hours per resident day, roughly a quarter more than the national average of 3.86, and that staffing shows up in its top CMS staffing rating alongside solid marks for inspections and quality measures. Weekend coverage dips about 7% below weekday levels, which is common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 46.7%, essentially in line with the national average. The record shows 13 deficiencies, none at the harm or jeopardy level, though five are abuse-related, enough that you'd want to ask directly how those were resolved. The most recent inspection was in March 2026, so the picture is current.

A

90/100

Trempealeau Cty Hcc Imd

Whitehall, WI · Trempealeau County

CMS 5/5 34 beds Government Medicaid
Nurse hours
4.04 /day
Staff turnover
13%
Serious cites
0

Trempealeau County runs this 34-bed home in Whitehall, and the numbers look steady. Nurse staffing sits at 4.04 hours per resident day, a bit above the national average, though weekends run roughly 5% lighter than weekdays, worth asking about if your family visits then. The standout figure is turnover at 12.9%, far below the national 45.8%, which usually means people stay and know the residents. The health inspection record is strong: nine deficiencies total, none causing harm, though one is abuse-related and worth reading in full. Its last inspection was March 2026, so the picture is current.

A

90/100

Redwood Terrace Health Center

Escondido, CA · San Diego County

CMS 5/5 59 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
35%
Serious cites
0

Redwood Terrace runs on a nonprofit model in Escondido, and the staffing numbers show it: 4.45 nurse hours per resident per day, roughly 15% above the national average, with a 5/5 CMS staffing rating to match. Weekend coverage dips about 11% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 34.9%, noticeably better than the 45.8% national figure, so caregivers tend to stick around here. The current record carries 17 deficiencies, none at harm or jeopardy level, though two are abuse-related, a category you should ask administrators to explain directly. The last inspection was August 2025.

A

90/100

Danville Post-Acute Rehab

Danville, CA · Contra Costa County

CMS 4/5 54 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
31%
Serious cites
0

Danville Post-Acute Rehab runs 54 beds under corporate ownership, and its nurse staffing sits at 4.53 hours per resident day, roughly 17% above the national average. Weekend coverage dips about 12% below its own weekday numbers, so the hours aren't evenly spread across the week, but the overall staffing picture holds up. Turnover runs 30.6%, well below the national 45.8%, which suggests a steadier workforce than most. The record shows 17 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was October 2024, and the 5/5 quality measure score stands out against a 3/5 inspection rating, strong day-to-day care numbers, a more mixed regulatory history.

A

90/100

Fountains, The

Yuba City, CA · Sutter County

CMS 5/5 145 beds Non-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
15%
Serious cites
0

The Fountains runs on a non-profit model in Yuba City, and the numbers behind its A grade point to steady, well-funded care. Nurse staffing sits at 3.96 hours per resident day, a bit above the national average, and weekend coverage drops only about 6% from weekday levels, a gap far smaller than what many homes show. What stands out most is the 15% annual turnover against a national rate near 46%, suggesting a workforce that largely stays put. Inspections in March 2025 turned up 28 deficiencies, none at the harm level, though four were abuse-related. Quality and inspection ratings both land high, so the record is solid with that one caveat worth asking about directly.

A

90/100

Mountains Community Hosp Dp/Snf

Lake Arrowhead, CA · San Bernardino County

CMS 4/5 19 beds Government Medicaid
Nurse hours
7.12 /day
Staff turnover
38%
Serious cites
0

Mountains Community Hospital's skilled nursing unit runs on a hospital district's license with just 19 certified beds, and its inspection record is clean where it counts: ten deficiencies on file, none at the harm level, none tied to abuse, and a survey completed in June 2025. The staffing picture cuts against expectations, though. Reported nurse hours come to 7.12 per resident day, roughly 84 percent above the national figure, yet CMS scores staffing 1 out of 5 and weekend coverage drops about 10 percent below weekdays. Turnover sits at 37.5 percent, better than the 45.8 percent national rate. Quality measures land mid-range at 3 out of 5.

A

90/100

River Valley Care Center

Live Oak, CA · Sutter County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
32%
Serious cites
0

River Valley Care Center runs a 99-bed for-profit operation in Live Oak, and the staffing picture is genuinely better than most: 4.04 nurse hours per resident day, roughly 5% above the national average, with weekend coverage dipping about 7% below its own weekday levels. Turnover sits at 32.3%, well under the 45.8% national figure, which matters for whether aides know residents' routines. The trouble is the inspection record, 53 deficiencies, including one at harm level and one abuse-related, with the most recent inspection in June 2025. Quality measures score well, but that's largely self-reported data. The gap between how this home charts and how it performs under surveyor scrutiny is the real story.

A

90/100

Terrace View Care Center

Fullerton, CA · Orange County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
24%
Serious cites
0

Terrace View runs 4.86 nurse hours per resident day against a national average of 3.86, and weekend coverage dips only about 11% below its own weekday level, so the floor doesn't empty out on Saturdays. Annual turnover of 24.3% is roughly half the national rate, which matters more than any single number here: experienced aides tend to know the residents. The catch is the inspection record, 58 deficiencies, six tied to abuse, none reaching harm or jeopardy. A 5/5 on quality measures sits next to a 3/5 on inspections, and that gap is worth asking about directly. Last inspection was February 2026, so the record is current. Corporate-owned, 59 beds.

A

90/100

Devonshire Oaks Nursing Center

Redwood City, CA · San Mateo County

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

Devonshire Oaks runs about 4.64 nurse hours per resident day, roughly 20% above the national average, which is the kind of staffing number that matters most on evenings and weekends. Weekend coverage does dip about 16% below its own weekday level, so the weekday-to-weekend gap is real even if the floor stays relatively high. The home has 28 deficiencies on its current record, including one at the harm level, with no abuse citations. Its last inspection was January 2025, so the picture is fairly current. The ownership is corporate for-profit. Nothing here reads as a red flag on staffing or quality measures; the deficiency count is the piece worth asking about directly.

A

90/100

Huntington Healthcare Center

Los Angeles, CA · Los Angeles County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
30%
Serious cites
0

Huntington Healthcare Center runs 99 certified beds in Los Angeles under corporate for-profit ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.03 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 8% below weekday levels. Turnover is the real bright spot at 30%, well under the national 45.8%, that kind of retention matters for consistent care. The inspection record shows 26 deficiencies with none at harm or jeopardy level and no abuse findings, plus one fine of $13,635. A December 2025 inspection keeps that picture current. Quality and staffing star ratings both come in at 1 out of 5 despite the decent raw staffing hours, which suggests the numbers behind those measures don't track as favorably.

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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