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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 10461–10480 of 12,438, best-graded first.

C

65/100

Los Arcos Del Norte Care Center

El Paso, TX · El Paso County

CMS 1/5 124 beds Government Medicaid
Nurse hours
3.31 /day
Staff turnover
41%
Serious cites
0

Los Arcos Del Norte runs on lean nursing hours, 3.31 per resident day, roughly 14% under the national average, and weekends are thinner still, about 7% below its own weekday pace. That shows up in the staffing rating, which sits at the bottom of CMS's scale. The inspection record is heavy: 72 deficiencies, including one at the harm level and two tied to abuse, with a $14,130 fine. Turnover at 40.8% is actually a little better than the 45.8% national figure, so the problem looks less like a churning workforce than like not enough hands on shift. A hospital district owns it, and its last inspection was March 2025, so the record is current.

C

65/100

Avir At Luling

Luling, TX · Caldwell County

CMS 2/5 56 beds For-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
76%
Serious cites
0

Avir At Luling runs on 2.82 nurse hours per resident per day, roughly 27% under the national average, and weekend coverage drops another 13% below its own weekday level. Staff turnover sits at 76.1% against a national 45.8%, so the people providing most of the hands-on care are constantly changing. The inspection record shows 41 deficiencies, including three at harm or jeopardy level and four tied to abuse, with $35,559 in fines across three penalties; the most recent inspection was November 2025. Corporate-owned and certified for 56 beds, the home's quality measure scores look good, but that's the part of the record least dependent on having enough consistent staff on hand.

C

65/100

Creekside Village

Richwood, TX · Brazoria County

CMS 4/5 119 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
57%
Serious cites
0

Creekside Village runs lean on nursing hours, 3.51 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 9% below its own weekday coverage. Staff turnover sits at 57.4%, well above the 45.8% national figure, which means the people caring for residents are changing often. The inspection record is genuinely strong: a 5/5 health inspection rating, 11 deficiencies with none at harm or jeopardy level, nothing abuse-related, and a survey as recent as June 2025. But quality measures come in at 1/5, a real split from that inspection score. Ownership is a for-profit partnership. The pattern worth noticing is that the home inspects well while its clinical quality measures and staffing stability lag.

C

65/100

Solera At West Houston

Houston, TX · Harris County

CMS 3/5 112 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
44%
Serious cites
0

Solera At West Houston runs 112 certified beds under for-profit LLC ownership, and its nurses deliver 3.41 hours per resident day, roughly 12% below the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 43.6%, slightly better than the 45.8% national figure, but that's about the only number here that isn't working against the home. The current record carries 34 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus three fines totaling $87,386. A 5/5 quality measure score exists, but with a 2/5 inspection rating and a 2/5 staffing rating, the pattern is consistent: thin floor coverage, a long citation history, and compliance problems serious enough to draw federal penalties.

C

65/100

Corinth Rehabilitation Suites On The Parkway

Corinth, TX · Denton County

CMS 1/5 134 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
66%
Serious cites
0

Corinth Rehabilitation Suites On The Parkway runs 134 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. At 3.58 nurse hours per resident per day, it sits about 7% under the national average, and weekends dip roughly 14% below its own weekday coverage, so the gaps aren't evenly spread. Turnover is the harder number: 66.2% of nursing staff leaving annually against a national 45.8% means the people caring for residents are, more often than not, new to the building. Fifty deficiencies, four at harm or jeopardy level and five tied to abuse, with the most recent inspection in May 2025. Quality measures score well; inspections and staffing do not.

C

65/100

Bear Creek Nursing And Rehabilitation

Grapevine, TX · Tarrant County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
55%
Serious cites
0

Bear Creek runs lean on nursing staff, 3.31 hours per resident day, roughly 14% under the national average, and it thins out further on weekends, dropping about 10% below its own weekday coverage. More than half its nurses left over the past year (55% turnover), a rate well above the 45.8% national figure. The inspection record is where things get serious: 34 deficiencies, six of them at the harm or jeopardy level, one abuse-related, and three fines totaling $148,612. A 1-out-of-5 health inspection rating reflects that pattern, and a 3-out-of-5 quality measure score doesn't offset it. For-profit LLC ownership rounds out the picture.

C

65/100

Rollingbrook Rehabilitation And Health Care Center

Baytown, TX · Harris County

CMS 3/5 130 beds Government Medicaid
Nurse hours
3.35 /day
Staff turnover
70%
Serious cites
0

Rollingbrook is owned by a hospital district, and its inspection record is genuinely solid, a 4/5 on health inspections, with the most recent visit in March 2026 and no abuse-related deficiencies. But the staffing side tells a different story. At 3.35 nurse hours per resident day, it runs about 13% under the national average, weekends dip roughly 10% below its own weekday levels, and annual turnover sits at 70.1% against a national average of 45.8%. Ten deficiencies are on the current record, one serious enough to involve harm or jeopardy, plus a $23,676 fine. Good inspections mean the home generally gets things right when surveyors arrive; thin, churning staffing is what families live with between visits.

C

65/100

Simpson Place

Dallas, TX · Dallas County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
56%
Serious cites
0

Simpson Place runs about 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends dip another 7% below its own weekday staffing. That thin coverage comes with 55.6% annual turnover, well above the 45.8% national figure, so the aides and nurses cycling through are stretched even when the numbers look adequate on paper. The record shows 34 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was April 30, 2026. State surveyors rated health inspections 3 out of 5 and quality measures 4 out of 5, but staffing 1 out of 5, which tells you where the trouble lives.

C

64.5/100

White River Healthcare

Calico Rock, AR · Izard County

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

White River Healthcare in Calico Rock runs 70 certified beds under for-profit LLC ownership, and the federal stars tell a fairly consistent story: staffing sits at 1 out of 5, quality measures also at 1, and health inspections at 2. The current record shows 14 deficiencies, one of them abuse-related, though none rose to the harm or jeopardy level. State surveyors were last in the building on November 21, 2024, so that inspection is still recent rather than a stale snapshot. The staffing number is the one that matters most day to day, it reflects how many aides and nurses are actually present for residents, and at this level it tends to shape everything else.

C

64.5/100

York Healthcare & Wellness Centre

Los Angeles, CA · Los Angeles County

CMS 2/5 107 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
—
Serious cites
0

York Healthcare & Wellness Centre sits on 107 certified beds in Los Angeles, run by an individual for-profit owner. The raw staffing number looks decent, 4.36 nurse hours per resident day, about 13% above the national average, but weekend coverage drops roughly 12% below its own weekday level, and CMS still rates staffing at just 2 out of 5 stars. The inspection record is the real problem: 56 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with a $99,206 fine and the most recent inspection in May 2025. Quality measures land mid-range at 3 stars, but that paperwork score doesn't offset what surveyors actually found in the building.

C

64.5/100

Sierra View Homes

Reedley, CA · Fresno County

CMS 2/5 59 beds Non-profit Medicaid
Nurse hours
0.59 /day
Staff turnover
—
Serious cites
0

Sierra View Homes in Reedley is a 59-bed nonprofit, and its last state inspection was in February 2026, so the record is current. What that record shows is 29 deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, worth asking about directly. The bigger issue is staffing: 0.59 nurse hours per resident day against a national average of 3.86, with weekends running about 15% below its own weekday numbers. That's the thinnest coverage in the building when families tend to visit and when problems often surface. Inspection and quality measures both land mid-range, but the staffing figure is the one to press on before deciding.

C

64.5/100

Pruitthealth - Greenville

Greenville, GA · Meriwether County

CMS 2/5 113 beds For-profit Medicaid
Nurse hours
2.33 /day
Staff turnover
48%
Serious cites
0

Pruitthealth - Greenville runs 113 certified beds under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 2.33 hours per resident day, roughly 40% under the national average of 3.86, and weekends drop about 12% below what the home manages on weekdays, that staffing level earned a 1 out of 5 from CMS. Turnover is 48.1%, a bit above the national 45.8%, so the people who do show up don't stay long. On the other side, the quality measure rating is a perfect 5 out of 5, and the eight deficiencies on record include nothing at the harm level and nothing abuse-related, with the last inspection in August 2025.

C

64.5/100

Cambridge Post Acute Care Center

Snellville, GA · Gwinnett County

CMS 2/5 144 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
31%
Serious cites
0

Cambridge Post Acute Care Center runs on thinner nursing coverage than most homes nationally, about 3.52 nurse hours per resident per day against a 3.86 average, and weekends dip roughly 16% below what the building staffs on weekdays. Turnover is the relative bright spot at 31.1%, well under the 45.8% national figure, so the people who stay tend to stay. The inspection record is mixed: 27 deficiencies, five fines totaling $24,162, and no harm-level or abuse findings, with the last survey in April 2026. Licensed for 144 beds under limited-liability, for-profit ownership, it sits at mid-range marks across staffing, inspections, and quality measures alike.

C

64.5/100

Weiser Care Of Cascadia

Weiser, ID · Washington County

CMS 3/5 76 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
54%
Serious cites
0

Weiser Care of Cascadia runs 76 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average. Weekends dip about 16% below the home's own weekday level, and annual turnover hits 54.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 20, 2026. CMS gives it middle marks for health inspections and quality measures, but only 2 of 5 stars for staffing, the number that most directly shapes daily care.

C

64.5/100

Teton Healthcare Of Cascadia

Idaho Falls, ID · Bonneville County

CMS 2/5 88 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
61%
Serious cites
0

Teton Healthcare of Cascadia runs 88 certified beds in Idaho Falls under for-profit LLC ownership. Nurse staffing sits at 3.78 hours per resident day, slightly under the national average of 3.86, and weekends drop about 17% below the home's own weekday coverage, so families visiting Saturday or Sunday may find fewer hands on deck. Annual turnover of 60.8% is well above the 45.8% national figure, meaning the staff caring for your relative changes often. The bigger concern is the inspection record: a 1-star health inspection rating, 37 deficiencies on file, two of them serious enough to involve harm or jeopardy, and $36,190 in fines from two separate penalties. The most recent inspection was March 6, 2026.

C

64.5/100

Evercare Of Calhoun

Hardin, IL · Calhoun County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
53%
Serious cites
0

Evercare Of Calhoun runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs during the week. That thin coverage sits alongside a 53.2% annual turnover rate, higher than the 45.8% national figure, so the people showing up are often new. The current record carries 29 deficiencies, four of them serious enough to involve harm or jeopardy and one tied to abuse, plus a $25,740 fine. The last inspection was July 2024. Quality measures score well, but staffing and inspection history are what pull the overall picture down.

C

64.5/100

Ahva Care Of Stickney

Stickney, IL · Cook County

CMS 3/5 51 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
—
Serious cites
0

Ahva Care of Stickney runs 51 certified beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, roughly 3% under the national average, with weekends dipping about 5% below its own weekday levels. That thin margin is the kind of thing that shows up on a 1-out-of-5 staffing star, and the inspection record backs it up: 10 deficiencies, two of them serious enough to reach harm or jeopardy, plus one tied to abuse, and a $41,250 fine. The health inspection rating itself is decent at 4 out of 5, and the most recent survey was May 2024, so the picture isn't old. It's the day-to-day coverage that's the question mark here, not the paperwork.

C

64.5/100

Rosewalk Village

Indianapolis, IN · Marion County

CMS 3/5 140 beds Government Medicaid
Nurse hours
3.68 /day
Staff turnover
59%
Serious cites
0

Rosewalk Village is county-owned, with 140 beds in Indianapolis, and its numbers split in two directions. The clinical quality measures look strong at 5 out of 5 stars, but staffing sits at 1 star: 3.68 nurse hours per resident day, under the national average, with weekends running about 16% thinner than weekdays and turnover at 58.8% against a national 45.8%. Inspections landed at 3 stars, and the current record shows 25 deficiencies, one serious enough to involve harm, plus a single fine of $22,925. The last inspection was in March 2026. Consistent staffing is what holds good outcomes in place, and that's where this home is thinnest.

C

64.5/100

Good Samaritan - Indianola

Indianola, IA · Warren County

CMS 1/5 105 beds Non-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
61%
Serious cites
0

Good Samaritan, Indianola runs 105 certified beds as a nonprofit corporation, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.19 hours per resident day against a national average of 3.86, weekends run about 16% thinner than weekdays, and annual turnover hits 60.5% when the national figure is 45.8%, that combination makes consistent care hard to guarantee. The inspection record compounds it: 43 deficiencies, four of them at harm or jeopardy level, one abuse-related, and two fines totaling $20,316. Its most recent inspection was May 2026, so the picture is current, not stale. Families should ask directly how the home covers weekend shifts and what it has changed since that last survey.

C

64.5/100

Russell Regional Hospital Ltcu

Russell, KS · Russell County

CMS 1/5 23 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Russell Regional Hospital Ltcu is a 23-bed nonprofit unit, and the numbers here deserve a close look before you decide anything. The inspection history shows 33 deficiencies on the current record, including three tied to abuse, none of those reached the level of actual harm or jeopardy, but the volume still stands out for a home this small. Staffing and quality measures both sit at one star out of five, meaning the direct-care hours and clinical outcomes fall well below what CMS expects. The most recent inspection was in September 2025, so the picture is fairly current. With a record this heavy on a 23-bed unit, ask hard questions about turnover and who's actually on the floor at night.

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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