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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 10421–10440 of 12,438, best-graded first.

C

65/100

Avir At Temple West

Temple, TX · Bell County

CMS 3/5 104 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
67%
Serious cites
0

Avir At Temple West runs on thin staffing, and the numbers show it: 3.26 nurse hours per resident day against a national average of 3.86, with weekends about 12% lighter than weekdays. That shortfall sits alongside a 66.7% annual turnover rate, far above the 45.8% national figure, so the aides and nurses caring for your relative are likely to keep changing. The 19 deficiencies on record include 2 at the harm or jeopardy level and 4 tied to abuse; one fine totaling $7,257 has been levied. The quality measures look strong and the last inspection was recent, but a for-profit LLC arrangement with those staffing and turnover figures deserves hard questions before you decide.

C

65/100

Mcgregor Wellness & Rehabilitation

Mc Gregor, TX · Mc Lennan County

CMS 2/5 186 beds Government Medicaid
Nurse hours
— /day
Staff turnover
100%
Serious cites
0

McGregor Wellness & Rehabilitation runs 186 certified beds under hospital district ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 9% below the home's own weekday coverage, and annual turnover hit 100% against a national rate of 45.8%, meaning the whole nursing staff effectively turned over within the year. The current inspection record carries 20 deficiencies, six of them serious enough to involve harm or jeopardy, with two fines totaling $49,443. Its last inspection was March 2026. Resident outcome measures look strong, but consistent staffing and a clean survey record are what keep people safe day to day.

C

65/100

Avir At Graham

Graham, TX · Young County

CMS 5/5 116 beds Government Medicaid
Nurse hours
3.11 /day
Staff turnover
39%
Serious cites
0

Avir At Graham runs on 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage drops another 10% below its own weekday levels. Turnover sits at 38.9%, better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is the strongest part of the picture: a 5/5 health inspection rating with 15 deficiencies on file, none at the harm level and none abuse-related, and the most recent visit was in August 2025. What pulls the overall picture down is the staffing rating of 2/5 and a quality measure rating of 2/5, which sit alongside that clean inspection history and government hospital district ownership.

C

65/100

Wurzbach Nursing And Rehabilitation

San Antonio, TX · Bexar County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
62%
Serious cites
0

Wurzbach runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and it gets thinner on weekends, dropping about 15% below its own weekday level. That matters more when you consider 62.3% of staff turned over last year, well above the 45.8% national average, meaning the people providing that care are often new. The inspection record is heavy: 56 deficiencies, four serious enough to put residents in harm's way and nine tied to abuse, with three fines totaling $34,945 and a June 2025 inspection. Quality measures score well, but strong numbers on paper don't offset thin weekend staffing and that turnover.

C

65/100

Hurst Plaza Nursing And Rehab

Hurst, TX · Tarrant County

CMS 5/5 106 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
57%
Serious cites
0

Hurst Plaza passed its most recent inspection cleanly, a 5/5 health inspection rating, no deficiencies at the harm level, and no abuse citations. That's genuinely good, and it matters. The problem is the day-to-day coverage. Nurse staffing sits at 3.10 hours per resident day, roughly 20% under the national average, with weekends running about 13% thinner than weekdays. Staff turnover is 57.4%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. A home can inspect well and still leave your family member waiting for help. Ask what a Tuesday night actually looks like, and how long the current director of nursing has been there.

C

65/100

Rocky Mountain Care- Clearfield

Clearfield, UT · Davis County

CMS 2/5 168 beds Non-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
64%
Serious cites
0

Rocky Mountain Care-Clearfield runs 168 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86, with weekends running about 8% leaner than weekdays. Staff turnover is 64.1% against a national 45.8%, meaning nearly two-thirds of the nursing team leaves within a year. The health inspection record is the harder read: 52 deficiencies, six at harm or jeopardy level, one abuse-related, and a $58,637 fine, with the last inspection in April 2024. Quality measures score well, but the staffing and inspection numbers are where a family should focus.

C

65/100

South Ogden Post-Acute (Cascades At South Ogden)

Ogden, UT · Weber County

CMS 2/5 122 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
60%
Serious cites
0

South Ogden Post-Acute runs 122 beds under for-profit LLC ownership, and its inspection record is the first thing worth knowing: 35 deficiencies on file, four of them serious enough to cause harm or jeopardy, five tied to abuse. Three fines totaling $68,891 have followed. Staffing sits at 3.71 nurse hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 10% below the home's own weekday level. Turnover is the sharper number: 60.2% of staff leave each year, against a national average near 46%. That churn doesn't automatically mean bad care, but it makes consistency harder to hold onto. Ask specifically about the abuse-related findings before you visit.

C

65/100

Stratford Healthcare Center

Danville, VA · Danville City County

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

Stratford Healthcare Center runs 60 beds in Danville under for-profit LLC ownership, and the split in its record is worth understanding. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, with weekends running about 15% below its own weekday levels. Annual turnover of 59.7% is well above the national 45.8%, meaning more than half the nursing staff leaves each year. What keeps this home from looking worse is its inspection history: a 5/5 health inspection rating, 26 deficiencies on record with none at harm or jeopardy level, and a recent October 2024 survey. One abuse-related deficiency stands out. The quality measure rating of 2/5 suggests the day-to-day care results don't match that clean inspection sheet.

C

65/100

Appomattox Health & Rehabilitation Center

Appomattox, VA · Appomattox County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
65%
Serious cites
0

Appomattox Health & Rehabilitation Center runs on thin staffing for a 60-bed home. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekend coverage drops roughly 11% below its own weekday level, so the hours when families tend to visit are also the leanest. Turnover tells another part of the story: 64.9% of staff leave each year, against a national 45.8%, which means new faces constantly. The inspection record includes 39 deficiencies, two at harm or jeopardy level and four tied to abuse, plus $18,636 in fines, and the last inspection was May 2023. Quality measures score well, but consistent staffing and a clean survey record are what keep residents safe day to day.

C

65/100

Cypress Pointe Rehabilitation And Nursing

Virginia Beach, VA · Virginia Beach City County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
58%
Serious cites
0

Cypress Pointe runs lean on the floor. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 14% below what the home staffs during the week, so the thinnest coverage lands when families tend to visit. Staff turnover is 57.8% against a national 45.8%, meaning more than half the nursing team turns over in a year. The inspection record shows 52 deficiencies, including one at harm level and five tied to abuse, with a $10,358 fine and a February 2026 inspection. For-profit LLC ownership. Ask about weekend coverage and how they screen staff.

C

65/100

Galax Health And Rehab

Galax, VA · Galax City County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
48%
Serious cites
0

Galax Health and Rehab runs on 3.35 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip about 11 percent below what the home staffs on weekdays. That thinner weekend coverage matters in a building where staff turnover sits at 48.3 percent and inspectors have logged 40 deficiencies, including one at the harm level and three tied to abuse. The last full inspection was in November 2023, so the record is fairly current, and a single $13,627 fine is on file. The for-profit corporate owner keeps 120 certified beds; a 2-out-of-5 rating across health inspections, quality measures, and staffing tells you the shortfalls show up in more than one place.

C

65/100

Walter Reed Post Acute

Gloucester, VA · Gloucester County

CMS 4/5 181 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
60%
Serious cites
0

Walter Reed Post Acute sits in Gloucester with 181 certified beds and a for-profit corporate owner. The inspection record is genuinely strong, 18 deficiencies total, with just one at the harm level and none tied to abuse, and the last survey was recent. Where the picture changes is staffing: 3.10 nurse hours per resident day runs about 20% under the national average, weekends dip roughly 14% below the home's own weekday coverage, and turnover hits 59.9% against a national 45.8%. A strong survey history doesn't cancel out thin daily coverage, especially on weekends, and the staff churn suggests replacements are constantly learning the building.

C

65/100

Our Lady Of Hope Health Center

Richmond, VA · Henrico County

CMS 3/5 75 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
67%
Serious cites
0

Our Lady of Hope Health Center runs under a church-affiliated nonprofit, and its 4.19 nurse hours per resident day sit about 8% above the national average, real coverage on paper. But weekends drop roughly 9% below its own weekday level, and annual turnover of 67.3% is well above the 45.8% national figure, so the faces around a resident change often. The inspection history shows 33 deficiencies, including three tied to abuse, though none reached harm or jeopardy level, and the most recent look came in May 2023. Federal quality and staffing stars both land at 2 out of 5, which tells you the day-to-day experience doesn't match the raw staffing number.

C

65/100

Carrington Place Of Tappahannock

Tappahannock, VA · Essex County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
56%
Serious cites
0

Carrington Place of Tappahannock runs about 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip another 8% below its own weekday level. That thin coverage shows up in the staffing rating: one star out of five. Staff turnover sits at 56.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The current record carries 33 deficiencies, though none at the harm or jeopardy level and none abuse-related, and the last inspection was July 15, 2024. Quality measures score well at four stars, but with this few hands on deck, that gap is worth asking about directly.

C

65/100

Deer Meadows Rehabilitation And Nursing

Abingdon, VA · Washington County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
64%
Serious cites
0

Deer Meadows runs a 119-bed for-profit operation in Abingdon, and the staffing numbers are where the story starts: 3.30 nurse hours per resident per day against a national average of 3.86, with weekends dipping roughly 11% below its own weekdays. Nearly two-thirds of staff turned over in the past year, 63.6% against a national 45.8%, which means the people delivering care keep changing. On paper, the quality measures look decent at 4 out of 5 stars, and the 53 deficiencies on record include none flagged for harm or abuse. But low staffing plus high turnover is a hard combination to dress up, no matter how the quality scores read.

C

65/100

Holly Manor Rehab And Nursing

Farmville, VA · Prince Edward County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
57%
Serious cites
0

Holly Manor Rehab And Nursing runs 120 certified beds in Farmville under for-profit LLC ownership, and the numbers that matter most here are the inspection and staffing ones. CMS gives it one star for health inspections and one for staffing. There are 95 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average, and weekends drop about 12% below its own weekday level. Annual turnover is 56.9%, well above the 45.8% national figure. The quality measure star of four looks better on paper, but it's built from resident assessment data, not from how the place is actually run day to day. The last inspection was August 30, 2024.

C

65/100

The Wybe And Marietje Kroontje Health Care Center

Blacksburg, VA · Montgomery County

CMS 1/5 60 beds Non-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
78%
Serious cites
0

The Kroontje Health Care Center runs a tight ship on inspections, a perfect 5 out of 5 on CMS's health inspection score, with 15 deficiencies on record but none rising to harm or jeopardy, and no abuse citations. Staffing sits at 4.13 hours per resident day, about 7% above the national average, though weekends dip roughly 11% below its own weekday levels. The number that should give you pause is turnover: 78.3% annually, well above the 45.8% national average. That kind of churn makes it harder to keep consistent caregivers at the bedside, which matters more than a star rating on a given day.

C

65/100

Othello Post Acute

Othello, WA · Adams County

CMS 3/5 39 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
61%
Serious cites
0

Othello Post Acute runs 39 beds under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, and annual turnover hits 61.1% against a national 45.8%, so the aides and nurses cycling through are often new to the building. The inspection record shows 34 deficiencies, four serious enough to reach harm or jeopardy level and one tied to abuse, with two fines totaling $19,182; the most recent survey was January 2026. CMS gives middle marks across health inspections, quality measures, and staffing, three stars each.

C

65/100

Cascades Of St Anne

Seattle, WA · King County

CMS 2/5 47 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
67%
Serious cites
0

Cascades Of St Anne runs 47 beds in Seattle under corporate ownership, and the staffing picture is mixed. Total nurse hours come in at 4.20 per resident day, roughly 9% above the national average, but weekends drop about 12% below what the home staffs on weekdays. Annual turnover sits at 66.7%, well above the 45.8% national figure, so the people providing that care are cycling through quickly. The inspection record is the bigger concern: 57 deficiencies, including 2 at the harm level and 4 tied to abuse, against a 2/5 inspection rating. The last survey was January 21, 2026, so the record is current. Good quality measure scores don't offset that history.

C

65/100

Heritage Health Services

Port Washington, WI · Ozaukee County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
58%
Serious cites
0

Heritage Health Services runs about 3.72 nurse hours per resident per day, roughly 4% under the national average, and weekends dip another 13% below its own weekday staffing. That matters more when you see turnover at 57.5%, well above the 45.8% national figure, meaning the people caring for residents are frequently new. The inspection record shows 33 deficiencies, including one at the harm level and two tied to abuse, with a $16,801 fine on file. The last inspection was in March 2025, so the picture is current rather than stale. For-profit ownership under an LLC, 50 beds, and middling marks on both health inspections and quality measures round out a home where the staffing numbers and the deficiency count are telling the same story.

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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