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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 9801–9820 of 12,438, best-graded first.

C

67/100

Perry Health & Rehab Center

Wexford, PA · Allegheny County

CMS 1/5 182 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
59%
Serious cites
0

Perry Health & Rehab Center is a 182-bed for-profit home in Wexford, and the staffing numbers are where I'd start. At 3.61 nurse hours per resident day, it runs about 6% below the national average, and weekends dip roughly 9% below its own weekday staffing, so coverage thins out exactly when families tend to visit. Annual turnover of 58.7% is well above the 45.8% national figure, meaning more than half the nursing staff leaves each year. The inspection record is heavier still: 116 deficiencies, including 2 at the harm or jeopardy level and 14 tied to abuse. Last inspected in December 2025, with $18,223 in fines.

C

67/100

West Chester Rehabilitation And Healthcare Center

West Chester, PA · Chester County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
44%
Serious cites
0

West Chester Rehabilitation and Healthcare Center runs 180 certified beds under for-profit LLC ownership, and its staffing sits around 3.46 nurse hours per resident day, roughly 10 percent under the national average of 3.86, with weekends about 6 percent thinner than weekdays. That shortfall shows up in its CMS staffing rating of 2 out of 5, even though its quality measure score is a stronger 4. Staff turnover lands at 43.8 percent, slightly better than the 45.8 percent national figure. The inspection record is the bigger concern: 41 deficiencies, four at harm or jeopardy level, one abuse-related, and $40,019 in fines across two penalties, with the most recent inspection in October 2024.

C

67/100

Complete Care At Harston Hall Llc

Flourtown, PA · Montgomery County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
51%
Serious cites
0

Harston Hall runs 120 beds in Flourtown under corporate for-profit ownership, and the staffing numbers are where the trouble starts: 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends dipping another 7% below its own weekdays. That thin coverage shows up in the numbers, 66 deficiencies on the current record, including 2 at harm or jeopardy level and 8 tied to abuse, plus $17,113 in fines. Staff turnover sits at 51.4%, above the 45.8% national figure, which means caregivers keep leaving. The 4/5 quality measure score looks better than the 1/5 staffing score and 2/5 inspection rating, but quality measures reflect resident outcomes, not the hands available day to day.

C

67/100

Complete Care At Lehigh Llc

Macungie, PA · Lehigh County

CMS 3/5 128 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
43%
Serious cites
0

Complete Care At Lehigh runs on about 3.22 nurse hours per resident per day, roughly 17% under the national average, and weekends dip another 12% below its own weekday staffing. The 2-out-of-5 staffing rating reflects that gap, though the 43% turnover rate is actually a touch better than the 45.8% national figure. The inspection record looks cleaner by comparison: 12 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent survey in August 2025 earning 4 of 5 stars. It's a for-profit corporate home where care quality measures land mid-range, so the main question for your family is whether the thinner staffing on weekends matches what you see when you visit.

C

67/100

Aventura At Creekside

Carbondale, PA · Lackawanna County

CMS 1/5 81 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
56%
Serious cites
0

Aventura At Creekside runs 81 certified beds in Carbondale under corporate ownership, and the staffing numbers are the first thing worth noticing: 3.60 nurse hours per resident day, about 7% under the national average, with weekends running roughly 8% thinner than its own weekdays. Turnover sits at 56% against a national 45.8%, so the people caring for residents keep changing. The inspection record carries 73 deficiencies, including 3 at the harm or jeopardy level and 5 tied to abuse, plus a $136,785 fine. Its quality measure score looks good on paper, but that's resident-level data, not a measure of how reliably the place is run day to day.

C

67/100

Avalon Care Center

New Castle, PA · Lawrence County

CMS 2/5 84 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
56%
Serious cites
0

Avalon Care Center runs 84 beds in New Castle under for-profit limited liability ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86. Weekends slip about 7% below its own weekday coverage, and annual turnover of 55.6% runs well above the 45.8% national figure, meaning the people who do show up are often still learning the building. The current inspection record carries 27 deficiencies, three at harm or jeopardy level and one tied to abuse, with two fines totaling $19,888. Its last inspection was June 26, 2025. If you're weighing this one, ask specifically how weekends and evenings are covered, and what's changed since that abuse finding.

C

67/100

Delaware Valley Skilled Nursing & Rehabilitation C

Matamoras, PA · Pike County

CMS 1/5 70 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
38%
Serious cites
0

Delaware Valley Skilled Nursing & Rehabilitation C runs 70 certified beds in Matamoras under corporate for-profit ownership, and its state inspection history is mixed. The home carries 22 deficiencies, two of them tied to abuse, though none rose to the harm or jeopardy level. Federal ratings put staffing and quality measures at one star each, while health inspections sit at three. Annual staff turnover of 37.7% actually beats the national average of 45.8%, which matters for continuity of care. With the most recent inspection dated March 2026, the record is current. What stands out is the gap between decent inspection performance and weak staffing and quality scores, worth asking about directly before deciding.

C

67/100

Lincolnwood Rehabilitation And Healthcare Center

North Providence, RI · Providence County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
35%
Serious cites
0

Lincolnwood Rehabilitation and Healthcare Center is a for-profit, LLC-owned home with 200 beds in North Providence. Its staffing sits around 3.39 nurse hours per resident day, roughly 12 percent under the national average, and weekends run about 11 percent thinner than its own weekdays, so coverage dips exactly when families tend to visit. The inspection record is the harder problem: 52 deficiencies, eight of them at harm or jeopardy level, three tied to abuse, and six fines totaling $70,731. Turnover at 35.1 percent actually beats the national 45.8 percent, so the issue isn't retention so much as raw hours on the floor and a survey history that keeps repeating.

C

67/100

Mansion Nursing And Rehab Center

Central Falls, RI · Providence County

CMS 2/5 62 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
44%
Serious cites
0

Mansion Nursing and Rehab Center runs on 3.06 nurse hours per resident per day, roughly 21% under the national average of 3.86, that gap is the main thing to weigh here. Weekend coverage slips about 4% below its own weekday level, so the thinnest shifts land when oversight is lightest. Turnover sits at 43.6%, slightly better than the 45.8% national figure, and a July 2025 inspection found 27 deficiencies with none at harm level, though one is abuse-related. The four-star inspection rating reflects a recent, mostly clean survey; the two-star quality measure rating is the weaker signal on resident outcomes.

C

67/100

Avantara Groton

Groton, SD · Brown County

CMS 2/5 37 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
37%
Serious cites
0

Avantara Groton runs 37 beds under for-profit LLC ownership, and its nurse staffing sits about 4% under the national average, with weekends roughly 12% thinner than weekdays. Turnover is where it looks better than most: 37% against a national 45.8%. The trouble is care quality, CMS scores it 1 out of 5 on quality measures, and the current record carries 22 deficiencies, one serious enough to reach harm or jeopardy level, plus a $6,168 fine. That combination of thin weekend coverage, weak measured outcomes, and a harm-level finding is what pulls the grade down, even though staffing hours and turnover aren't the main problem here.

C

67/100

Nhc Healthcare, Franklin

Franklin, TN · Williamson County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
55%
Serious cites
0

Nhc Healthcare, Franklin runs 80 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about 14% below its own weekday coverage, and annual turnover reaches 55.3% against a national 45.8%, so continuity of caregivers is a real question here. The inspection record shows 9 deficiencies, one serious enough to reach harm or jeopardy level, with one fine totaling $62,491 and nothing new since September 2022. Quality measures score well, but staffing and inspection results are where the gaps sit.

C

67/100

Beverly Park Place Health And Rehab

Knoxville, TN · Knox County

CMS 3/5 271 beds Non-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
67%
Serious cites
0

Beverly Park Place runs 271 certified beds as a nonprofit, and its biggest problem shows up in the staffing numbers. At 3.13 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly 11% below its own weekday level. Turnover is 66.7%, well above the 45.8% national figure, so the aides and nurses your family would see are cycling through fast. Inspections tell a similar story: 14 deficiencies on record, six related to abuse, none rising to harm or jeopardy, and the last full look was in October 2022. Quality measures score well; staffing doesn't.

C

67/100

Heritage Place Care & Rehabilitation Llc

Winchester, TN · Franklin County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
55%
Serious cites
0

Heritage Place in Winchester passed its last health inspection in July 2023 with just four deficiencies on record and none rise to harm or jeopardy level, which is a genuinely strong inspection result. The weaker spot is staffing: at 3.17 nurse hours per resident day, it runs about 18 percent under the national average, and weekends dip roughly 10 percent below its own weekday coverage. Annual turnover sits at 54.8 percent, nearly ten points above the national figure, so the people providing that care are cycling through faster than is typical. A for-profit limited liability company operates the 132-bed home. Inspections look good; the day-to-day staffing math is what pulls the overall picture down.

C

67/100

Greystone Health Care Center

Blountville, TN · Sullivan County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
55%
Serious cites
0

Greystone runs 4.17 nurse hours per resident day, roughly 8% above the national average, so the raw staffing number looks better than most. Look closer and the picture shifts: weekend coverage drops about 11% below its own weekday level, and annual turnover sits at 54.6% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious, 25 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with a $15,041 fine and a one-star health inspection rating from CMS. The last inspection was October 30, 2024, so it's fairly recent. For-profit LLC ownership rounds out the profile.

C

67/100

Reelfoot Manor Health And Rehab

Tiptonville, TN · Lake County

CMS 2/5 116 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
43%
Serious cites
0

Reelfoot Manor runs 116 certified beds in Tiptonville under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 42.5% is slightly better than the 45.8% national figure, which is worth noting. What pulls the record down is oversight: 27 deficiencies on file, including one at the harm level and three tied to abuse, with the last inspection dating to May 2022. That's a long stretch without a fresh look at a home carrying those findings.

C

67/100

Signature Healthcare Of Greeneville

Greeneville, TN · Greene County

CMS 4/5 154 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
38%
Serious cites
0

Signature Healthcare of Greeneville runs 154 certified beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average, with weekends about 12% thinner than its own weekdays. Turnover is 37.6%, better than the 45.8% national figure, which matters for continuity. What pulls the record down is the inspection history: 10 deficiencies on file, including one at the harm level and three tied to abuse, plus a $9,419 fine. The most recent inspection was March 18, 2026. If you're weighing this one, ask directly how the abuse-related findings were resolved and how weekend coverage is filled.

C

67/100

Stone River Post Acute

Murfreesboro, TN · Rutherford County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
5.15 /day
Staff turnover
57%
Serious cites
0

Stone River Post Acute runs 68 beds in Murfreesboro under corporate ownership, and the staffing picture is genuinely better than most: 5.15 nurse hours per resident day against a national average of 3.86, with weekends dipping only about 5% below weekdays. That's real coverage. The trouble shows up elsewhere. Staff turnover sits at 57.4%, well above the 45.8% national rate, so residents see a lot of new faces. The current inspection record carries 16 deficiencies, including one at the harm level and two tied to abuse, and the quality measure rating comes in at 2 out of 5. High hours help, but they don't offset a record like that on their own.

C

67/100

Mcallen Nursing Center

Mcallen, TX · Hidalgo County

CMS 3/5 122 beds Government Medicaid
Nurse hours
2.90 /day
Staff turnover
41%
Serious cites
0

McAllen Nursing Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 10% below its own weekday level. The 2/5 inspection rating reflects 28 deficiencies on the current record, three of them at harm or jeopardy level, plus two abuse-related citations, and the state has fined the home twice, totaling $17,459. Staff turnover at 40.7% is actually a little better than the national 45.8%, though that is the one number here that leans your way. The limited liability company operating it last faced inspection in April 2025, so the record is recent.

C

67/100

West Side Campus Of Care

White Settlement, TX · Tarrant County

CMS 1/5 234 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
36%
Serious cites
0

West Side Campus Of Care runs 234 beds in White Settlement under corporate for-profit ownership, and its staffing numbers sit well under what you'd want to see: 3.07 nurse hours per resident day against a national average of 3.86, with weekends running about 9% thinner than weekdays. The inspection record shows 23 deficiencies, four of them serious enough to cause harm or jeopardy and four tied to abuse, plus three fines totaling $31,279. Turnover at 36.3% is better than the national 45.8%, which matters, but it doesn't offset a one-star staffing rating and a two-star inspection history. The most recent inspection was March 2026. Quality measures score well; the hands-on care and oversight numbers don't.

C

67/100

Avir At Courtyard

Houston, TX · Harris County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
59%
Serious cites
0

Avir At Courtyard runs 3.45 nurse hours per resident day, roughly 11% under the national average, and weekend coverage dips about 6% below its own weekday level. Staff turnover sits at 59% against a national 45.8%, so the people caring for residents keep changing. The inspection history is mixed: a five-star health inspection rating, but 18 deficiencies on record, including one at harm level and two abuse-related, with the most recent inspection in September 2025. Ownership changed within the past year, and the one-star staffing rating tells you the hours and retention problems are the real story here.

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