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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 9581–9600 of 12,438, best-graded first.

C

67.5/100

Oakmont Guest Care Center

Hurst, TX · Tarrant County

CMS 2/5 161 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
—
Serious cites
0

Oakmont Guest Care Center runs 3.24 nurse hours per resident per day, about 16% under the national average, and weekend staffing drops roughly 12% below its own weekday level, meaning the thinnest coverage hits when families tend to visit. The inspection record is the bigger issue: 50 deficiencies, five serious enough to put residents in harm's way, two tied to abuse, plus $28,792 in fines across three penalties. A 4/5 on quality measures doesn't offset a 1/5 on both health inspections and staffing, especially at 161 beds under for-profit ownership. The April 2025 inspection is recent enough that this reflects current conditions, not old problems.

C

67.5/100

Golden Palms Rehabilitation And Retirement

Harlingen, TX · Cameron County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
48%
Serious cites
0

Golden Palms runs 3.44 nurse hours per resident day, about 11 percent under the national average, and weekends drop roughly 16 percent below its own weekday staffing. That thinner weekend coverage matters more than the overall number, since care doesn't pause on Saturdays. The inspection record shows 23 deficiencies, two of them serious enough to put residents in harm's way and one tied to abuse, along with three fines totaling $15,997. Staff turnover sits at 47.8 percent, slightly above the national figure, which means the aides and nurses who know your family member are often new. The most recent inspection was April 15, 2026, so the picture is current rather than stale.

C

67.5/100

Avir At Memorial

Denison, TX · Grayson County

CMS 1/5 136 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
—
Serious cites
0

The Terrace at Denison runs 136 beds under for-profit LLC ownership, and its nursing hours come in around 3.43 per resident day, roughly 11 percent under the national average, with weekends running about 14 percent thinner than weekdays. That staffing picture matches the one-star CMS staffing rating, and the inspection record backs it up: 37 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse, plus a $47,097 fine. The quality measure rating sits at 4 stars, but strong clinical numbers don't offset thin coverage and a two-star inspection history. The most recent inspection was September 11, 2025, so the record is current.

C

67.5/100

Van Healthcare

Van, TX · Van Zandt County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
71%
Serious cites
0

Van Healthcare runs about 60 beds under a for-profit LLC, and the staffing picture is where it gets uneven. Total nurse hours sit at 3.95 per resident day, just above the national average, but weekends drop roughly 17% below the home's own weekday coverage, and annual turnover hits 70.8% against a national 45.8%. That churn matters more than the headline staffing number, because it's a two-star staffing rating underneath. The inspection record is the stronger side: ten deficiencies on file, none involving harm or abuse, and a January 2026 inspection. Quality measures land mid-range. If you're weighing this one, ask how they cover weekends and how long the current director of nursing has been in place.

C

67.5/100

Northern Oaks Living & Rehabilitation Center

Abilene, TX · Taylor County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
—
Serious cites
0

Northern Oaks runs a 96-bed for-profit operation in Abilene, and the staffing numbers are where you'll want to focus. At 3.02 nurse hours per resident day, it sits about 22% below the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels. That thin coverage is likely why CMS gives it a single star for staffing. The health inspection record shows 30 deficiencies, none at the harm level but one tied to abuse, and the most recent inspection was October 2024. Quality measures score well at four stars, so the clinical tracking looks fine on paper, but the day-to-day hands available to residents tell a different story.

C

67.5/100

Rocky Mountain Care - Riverton

Riverton, UT · Salt Lake County

CMS 4/5 40 beds Non-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
54%
Serious cites
0

Rocky Mountain Care - Riverton runs 40 certified beds as a nonprofit, and its overall nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average. But the shape of that coverage matters: weekends drop about 15% below its own weekday level, and staff turnover hits 53.7% against a national 45.8%, so the people providing care keep changing. The current record shows 17 deficiencies, including one at the harm or jeopardy level, with six fines totaling $33,212. The last inspection was September 26, 2024. CMS gives the home 5 stars on quality measures but only 2 on staffing, and its inspection record landed at 3. What you're looking at is a small nonprofit that scores well on clinical measures while carrying real compliance history and a thin weekend bench.

C

67.5/100

Riverside Lifelong H & R Warwick Forest

Newport News, VA · Newport News City County

CMS 2/5 209 beds Non-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
—
Serious cites
0

Riverside Lifelong in Newport News runs 209 beds under nonprofit ownership, and the staffing numbers are the first thing to look at. At 3.38 nurse hours per resident per day, it sits about 12% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday level. The inspection record is the bigger concern: 58 deficiencies, 4 of them serious enough to cause harm or jeopardy, with the most recent inspection in December 2023. Quality measures rate mid-range, but a 1-star inspection rating and 2-star staffing tell you where the problems cluster. The single fine of $10,358 is modest, the deficiency pattern is what stands out.

C

67.5/100

Kempsville Health & Rehab Center

Virginia Beach, VA · Virginia Beach City County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
54%
Serious cites
0

Kempsville Health & Rehab Center is a for-profit, LLC-owned home in Virginia Beach with 90 certified beds, and its staffing is the first thing that stands out. Nurses provide 3.17 hours per resident per day, roughly 18% below the national average, and weekend coverage drops about 19% below the home's own weekday level, so care gets thinnest exactly when families tend to visit. Annual turnover sits at 54.1%, well above the 45.8% national figure, and the one-star staffing rating reflects that. The inspection record shows 34 deficiencies, including one at the harm or jeopardy level and five tied to abuse.

C

67.5/100

Courtland Rehabilitation And Healthcare Center

Courtland, VA · Southampton County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
52%
Serious cites
0

Courtland Rehabilitation and Healthcare Center runs on 3.08 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 16% below what the home staffs on weekdays. Annual turnover sits at 52.1%, higher than the 45.8% national figure, and federal inspectors rate staffing at 1 out of 5 stars. The home's record carries 45 deficiencies, including five at the harm or jeopardy level and five related to abuse, with one fine totaling $13,247; its last inspection was January 28, 2026. For a 90-bed for-profit home, the numbers point to thin coverage and a documented history of serious findings rather than isolated lapses.

C

67.5/100

Hillcrest Healthcare Center

Danville, WV · Boone County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
26%
Serious cites
0

Hillcrest runs leaner on nursing hours than most homes in the country, 3.15 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 16% below the home's own weekday coverage. That thin weekend staffing matters more than the raw average, because that's when families tend to visit and when problems surface. On the other hand, turnover here is unusually low at 25.7%, well under the national 45.8%, which suggests a steadier crew than most. The inspection record is mixed: a solid four-star history, but 21 deficiencies on file, two serious enough to involve harm or jeopardy, and $25,623 in fines.

C

67.5/100

Wisconsin Rapids Health Services

Wisconsin Rapids, WI · Wood County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
38%
Serious cites
0

Wisconsin Rapids Health Services runs on a for-profit LLC structure with 114 certified beds, and the numbers tell a divided story. Nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, and turnover at 37.5% actually beats the national 45.8%, which suggests they can hold onto caregivers better than most. But weekends run about 16% leaner than weekdays, and that consistency matters when someone needs help on a Sunday. What pulls the record down is everything else: 34 deficiencies on the current record, including three at harm or jeopardy level and two tied to abuse, plus $74,861 in fines across three penalties. Both the health inspection and quality measure ratings sit at 1 out of 5, and the most recent inspection was November 2024. Good staffing, serious compliance problems.

C

67.5/100

Alden Estates Of Countryside, Inc

Jefferson, WI · Jefferson County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
42%
Serious cites
0

The inspection record is the part that should worry you most. Fifty-five deficiencies on file, ten of them serious enough to involve actual harm or jeopardy, and nine tied to abuse, that's a pattern, not a one-time slip. Nurse staffing sits about six percent under the national average, and weekends run roughly seventeen percent thinner than weekdays, so coverage gets weakest exactly when families tend to visit. Staff turnover of 42.2% is slightly better than average, which is the one number here that isn't discouraging. This is a for-profit corporate home with four fines totaling $337,376 and a 2025 inspection already on the books.

C

67.5/100

Temple Park Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.81 /day
Staff turnover
33%
Serious cites
0

Temple Park Convalescent Hospital runs on a for-profit limited liability setup in Los Angeles, and its nurses put in 4.81 hours per resident day, roughly a quarter above the national average, with weekend coverage dipping about 17% below weekdays. Staff turnover sits at 32.7%, noticeably lower than the 45.8% national figure, which suggests people stick around. The trouble shows up in its inspection record: 61 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus a $144,964 fine. The most recent inspection came in April 2025. Strong staffing and quality marks don't erase that enforcement history, and families should weigh both.

C

67.5/100

Driftwood Healthcare Center

Torrance, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
—
Serious cites
0

Driftwood Healthcare Center runs 99 certified beds in Torrance under for-profit LLC ownership. Its total nurse staffing sits at 3.92 hours per resident day, roughly 2% above the national average, but weekends fall about 6% below its own weekday level, so coverage thins out exactly when families tend to visit. The bigger concern is the inspection record: 65 deficiencies, including one at the harm or jeopardy level and six tied to abuse, plus a $22,601 fine. That history lines up with the 2-out-of-5 inspection rating, even though the quality measure score reaches 3. The most recent inspection was August 2025, so the record is current, not stale. Ask about the abuse-related findings and how weekend coverage actually works before deciding.

C

67.5/100

Maywood Skilled Nursing & Wellness Centre

Maywood, CA · Los Angeles County

CMS 1/5 133 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
—
Serious cites
0

Maywood Skilled Nursing & Wellness Centre runs 133 certified beds as a for-profit LLC, and its nurse staffing averages 4.05 hours per resident day, about 5% above the national average of 3.86. That sounds fine until you notice weekends drop roughly 10% below its own weekday coverage, and CMS gives it just 1 out of 5 stars for staffing, despite a 4 out of 5 quality measure rating. The inspection record is where things get serious: 48 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with $37,385 in fines across two penalties and a 2-star health inspection rating. The most recent inspection was March 26, 2026.

C

67.5/100

The Rehabilitation Center Of Bakersfield

Bakersfield, CA · Kern County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
—
Serious cites
0

The Rehabilitation Center of Bakersfield runs 160 certified beds under for-profit LLC ownership, and its record shows a pattern worth taking seriously. The home reports 4.07 nurse hours per resident per day, a bit above the national average, but weekends drop roughly 10% below its own weekday staffing, so coverage isn't steady. Inspectors have cited 94 deficiencies, including 5 at harm or jeopardy level and 14 tied to abuse, with two fines totaling $23,740 and a January 2026 inspection. CMS gives it one star each for health inspections and staffing, three for quality measures. Ask about weekend coverage and how the abuse-related findings were resolved before deciding.

C

67.5/100

Manchester Healthcare Center

Los Angeles, CA · Los Angeles County

CMS 2/5 49 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
—
Serious cites
0

Manchester Healthcare Center has more nursing hours than the typical American home, 4.22 per resident day against a national average of 3.86, but that's roughly where the good news ends. The inspection record is the real problem: 73 deficiencies, including two that put residents in immediate harm and three tied to abuse, along with two fines totaling $30,487. Weekend coverage drops about 11% below what the home staffs on weekdays, so the hours that look adequate on paper thin out when families are most likely to visit. A for-profit limited liability company runs the 49-bed building. Whatever the staffing number suggests, the survey history is what a family should be asking about directly.

C

67.5/100

The Canyons Post-Acute

Colton, CA · San Bernardino County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
5.32 /day
Staff turnover
—
Serious cites
0

The Canyons Post-Acute runs 5.32 nurse hours per resident day, about 38% above the national average, and that's the strongest thing in its file. It's not enough to offset the rest. Forty-six deficiencies sit on the current record, three of them serious enough to put residents at harm or jeopardy, and three tied to abuse. State inspectors fined the place $66,158 and, as of their March 2025 visit, rated its health inspection work 2 out of 5. Weekend staffing dips roughly 7% below its own weekday level, so the extra hours aren't evenly spread across the week. Corporate ownership is a for-profit limited liability company. Ask about those harm-level citations and the abuse findings directly before you decide anything.

C

67.5/100

Post Nursing & Rehab Center

Post, TX · Garza County

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

Post Nursing & Rehab Center runs on 2.54 nurse hours per resident per day, roughly a third below the national average of 3.86, and weekends drop about 6% below what the home itself staffs on weekdays. That thin coverage is the main thing dragging its profile down, and it lines up with 11 deficiencies on the current record, though none reached harm or jeopardy level and none were abuse-related. The inspection side is genuinely strong, with a recent December 2025 survey and a 4-star health inspection rating, but quality measures sit at 2 stars and staffing at 1. So you're looking at a home that inspects clean but may not have enough hands on deck day to day, especially Saturdays and Sundays.

C

67.5/100

Madisonville Care Center

Madisonville, TX · Madison County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
—
Serious cites
0

Madisonville Care Center runs 106 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 13% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 13 deficiencies, three of them serious enough to reach harm or jeopardy level, though none involve abuse; two fines total $18,852. Federal ratings land at 3 out of 5 for both health inspections and quality measures, but just 1 out of 5 for staffing. The last inspection was March 19, 2026. If you're weighing this one, ask directly how they staff weekends.

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