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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 10741–10760 of 12,438, best-graded first.

C

63.5/100

Northfield Retirement Communities Care Center

Scottsbluff, NE · Scott Bluff County

CMS 1/5 66 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
66%
Serious cites
0

Northfield Retirement Communities Care Center runs 66 certified beds as a nonprofit corporation, and its overall nurse staffing of 3.88 hours per resident day sits roughly 1% above the national average of 3.86. That headline number looks fine until you notice weekends run about 16% thinner than weekdays, and annual turnover hits 65.8% against a national 45.8%, meaning most of the people caring for residents are relatively new to the building. The current record carries 28 deficiencies, three tied to abuse, with the last inspection in May 2025. CMS gives the home one star each for health inspections and staffing, two for quality measures.

C

63.5/100

Wingfield Skilled Nursing And Rehabilitation Cente

Sparks, NV · Washoe County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
45%
Serious cites
0

Wingfield runs about 3.02 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop another 15% below its own weekday coverage. That thinner weekend schedule matters most when families visit and when fewer supervisors are on the floor. The inspection record shows 42 deficiencies, including three at the harm level and five tied to abuse, with one fine of $75,670, and the last inspection was February 2026. Staff turnover of 45.3% sits essentially at the national rate, so continuity isn't the standout problem here, the short staffing and the inspection history are.

C

63.5/100

Massena Rehabilitation & Nursing Center

Massena, NY · St. Lawrence County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
61%
Serious cites
0

Massena Rehabilitation & Nursing Center runs 160 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.41 total nurse hours per resident day, roughly 12% under the national average, with weekends dropping about 18% below its own weekday levels. Annual turnover sits at 61.2% against a national 45.8%. The current record shows 41 deficiencies, one at harm or jeopardy level and none abuse-related, plus three fines totaling $33,387. Its last inspection was August 15, 2025. A 1-out-of-5 health inspection rating and 2-out-of-5 quality measures round out a picture of a home where consistent nurse coverage has been the persistent problem.

C

63.5/100

Haven Manor Health Care Center, Llc

Far Rockaway, NY · Queens County

CMS 1/5 240 beds For-profit Medicaid
Nurse hours
1.67 /day
Staff turnover
27%
Serious cites
0

Haven Manor runs on 1.67 nurse staffing hours per resident per day, which is roughly 57% below the national average of 3.86. Weekends are thinner still, with staffing about 18% lower than the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover of 27.3% is actually better than the national 45.8%, meaning the staff who are there tend to stay, there just aren't enough of them. The current record shows 19 deficiencies, none at harm or jeopardy level, but four tied to abuse, and the last inspection was in November 2023. For-profit, limited liability ownership, 240 beds.

C

63.5/100

Macgregor Downs Health Center By Harborview

Greenville, NC · Pitt County

CMS 2/5 152 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
50%
Serious cites
0

Macgregor Downs runs 152 beds in Greenville under corporate ownership, and the numbers show a building stretched thinner than most. Nurse staffing sits at 3.39 hours per resident day against a national average of 3.86, and weekends drop roughly 19% below what the home itself staffs on weekdays, so the coverage gap families notice on a Saturday isn't imagined. Annual turnover of 50% means half the nursing staff leaves each year, above the 45.8% national figure, and the current inspection record carries 25 deficiencies, including one at harm or jeopardy level and two tied to abuse. One fine totaling $10,023 is on file.

C

63.5/100

Pruitthealth-Carolina Point

Durham, NC · Durham County

CMS 1/5 138 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
58%
Serious cites
0

Pruitthealth-Carolina Point runs on thinner nurse staffing than most homes in the country, 3.23 hours per resident day against a national average of 3.86, and weekends get leaner still, dropping roughly 18% below what the building staffs on weekdays. Turnover sits at 57.8%, well above the 45.8% national figure, so the people who remain are stretched and the ones who leave take institutional knowledge with them. The inspection record backs that up: 18 deficiencies on file, two serious enough to involve harm or jeopardy, two tied to abuse, and $52,901 in fines across two penalties. Quality measures score well, but a 1-out-of-5 staffing rating and a recent February 2026 inspection tell you where the risk actually lives.

C

63.5/100

Aventura At Shiloh Springs

Trotwood, OH · Montgomery County

CMS 2/5 84 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
—
Serious cites
0

Aventura At Shiloh Springs runs on 3.07 nurse hours per resident per day, roughly 20% under the national average of 3.86, and weekend coverage drops about 8% below its own weekday level. That thin staffing shows up in its one-star CMS staffing rating even as residents' clinical measures earn five stars. The inspection record is heavier: 59 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a two-star health inspection rating. This for-profit corporation's 84-bed home was last inspected January 8, 2026, so the record is current, not stale. Ask about weekend nurse coverage and how the abuse-related findings were resolved.

C

63.5/100

Calera Manor

Calera, OK · Bryan County

CMS 2/5 82 beds For-profit Medicaid
Nurse hours
2.26 /day
Staff turnover
42%
Serious cites
0

Calera Manor runs on 2.26 nurse hours per resident day, roughly 42 percent under the national average of 3.86, and weekends drop about 16 percent below its own weekday staffing. That thin coverage, the federal staffing rating lands at 1 out of 5, is the backdrop for 24 deficiencies on the current record, four of them abuse-related, though none reached harm or jeopardy level. Turnover sits at 42.2 percent, a bit better than the 45.8 percent national figure. A for-profit limited liability company operates the 82-bed home, which was last inspected in June 2025. A 3-out-of-5 inspection rating and 2-out-of-5 on quality measures round out a picture where daily staffing is the main question.

C

63.5/100

Carlyle Senior Care Of Blackville

Blackville, SC · Barnwell County

CMS 1/5 85 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
44%
Serious cites
0

Carlyle Senior Care of Blackville runs 85 certified beds under corporate, for-profit ownership, and the numbers worth knowing start with its inspection record: 16 deficiencies on file, 3 of them serious enough to involve harm or jeopardy, plus 2 tied to abuse. Three fines totaling $58,881 have followed. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly 16% below the home's own weekday level, so coverage thins out right when families tend to visit. Staff turnover at 43.9% is slightly better than the 45.8% national figure, and the most recent inspection was March 31, 2026.

C

63.5/100

Avantara Clark City

Clark, SD · Clark County

CMS 4/5 35 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
42%
Serious cites
0

Avantara Clark City runs 35 beds in Clark, and the raw staffing number looks better than it is: 4.17 nurse hours per resident day sits about 8% above the national average, but weekend coverage drops roughly 16% below the home's own weekday level, so the hours aren't spread evenly across the week. Staff turnover of 42.4% is slightly better than the 45.8% national figure, though the CMS staffing rating still lands at 2 out of 5. Inspectors gave a 4 out of 5 health inspection rating and visited recently, in January 2026, but the record carries 7 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $11,057 fine.

C

63.5/100

Good Samaritan Society Tyndall

Tyndall, SD · Bon Homme County

CMS 3/5 68 beds Non-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
59%
Serious cites
0

Good Samaritan Society Tyndall runs 68 certified beds as a nonprofit, and its last health inspection was in January 2025. The record shows 10 deficiencies, three of them serious enough to put residents in harm or jeopardy, plus three fines totaling nearly $45,000. Nurse staffing sits at 3.58 hours per resident per day, about 7% under the national average, and weekends run roughly 15% lighter than weekdays. Staff turnover is the number that would worry me most, 58.5% a year, well above the 45.8% national rate. Quality measure scores came in at 2 out of 5 stars.

C

63.5/100

Bradley Health Care & Rehab

Cleveland, TN · Bradley County

CMS 1/5 213 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
51%
Serious cites
0

Bradley Health Care & Rehab runs 213 certified beds in Cleveland, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average of 3.86, with weekend coverage dropping about 15% below what the home staffs on weekdays. Turnover runs 51% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record carries 13 deficiencies, two of them serious enough to reach harm or jeopardy level and two tied to abuse. That inspection was in November 2022, so it's been a while. With a 1-out-of-5 staffing rating and 2s for inspections and quality measures, the pattern is consistent.

C

63.5/100

Bethany Center For Rehabilitation And Healing Llc

Nashville, TN · Davidson County

CMS 1/5 180 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
62%
Serious cites
0

Bethany Center runs 3.49 nurse hours per resident day, about 10% under the national average, and the gap widens on weekends, staffing drops roughly 18% below its own weekday level. Annual turnover sits at 62.1%, well above the 45.8% national figure, so the people caring for residents are, more often than not, new to the building. That combination shows up in the staffing star rating: 1 out of 5. The current inspection record lists 12 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse. The last inspection was April 2025, so the record is recent, not stale. One bright spot: the quality measure rating is 4 out of 5, meaning the clinical numbers CMS tracks look better than the staffing does. For a for-profit LLC with 180 beds, the question worth asking on a tour is who's actually on the floor at 7 p.m. on a Saturday.

C

63.5/100

Life Care Center Of Red Bank

Chattanooga, TN · Hamilton County

CMS 2/5 148 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
61%
Serious cites
0

Life Care Center of Red Bank runs 148 certified beds in Chattanooga, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.59 hours per resident day against a national average of 3.86, and it thins out further on weekends, dropping about 18% below the home's own weekday level. Staff turnover is the bigger flag: 61.2% annually, well above the 45.8% national figure, which means many of the people caring for residents are still learning the building. The current inspection record carries 24 deficiencies, five of them at the harm or jeopardy level and three tied to abuse, with one fine of $8,512. The most recent inspection was July 2024.

C

63.5/100

Weakley Rehabilitation And Nursing Center

Dresden, TN · Weakley County

CMS 1/5 139 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
55%
Serious cites
0

Weakley Rehabilitation and Nursing Center runs 139 certified beds out of Dresden under for-profit LLC ownership, and the numbers that matter most here are the staffing ones. Nurses provide about 3.68 hours of care per resident each day, roughly 5% under the national average, and the gap widens on weekends, when coverage drops about 20% below the home's own weekday level. Staff turnover sits at 55.2%, nearly ten points above the national figure, which means CNAs and nurses are cycling through the building faster than most. The current inspection record shows 26 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $72,917. Quality measures score well, but that's a narrow bright spot against thin staffing and a troubled compliance history.

C

63.5/100

Bells Nursing And Rehabilitation Center

Bells, TN · Crockett County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
57%
Serious cites
0

Bells Nursing and Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and its nurse staffing averages 4.30 hours per resident day, about 11% above the national figure of 3.86. That headline number deserves a closer look, though: weekend staffing drops roughly 19% below the home's own weekday coverage, and annual turnover sits at 57.4% against a national average of 45.8%, so the aides and nurses at the bedside are changing often. The current record lists 13 deficiencies, three of them abuse-related, with none at the harm or jeopardy level. The last inspection was August 2025. Its quality measure rating is 1 out of 5, even as the health inspection rating reaches 4 out of 5, a split worth asking about directly.

C

63.5/100

Lampasas Nursing And Rehabilitation Center

Lampasas, TX · Lampasas County

CMS 1/5 68 beds Government Medicaid
Nurse hours
3.43 /day
Staff turnover
—
Serious cites
0

Lampasas Nursing And Rehabilitation Center runs on 3.43 nurse hours per resident day, about 11% under the national average, and weekend coverage drops roughly 13% below what it manages on weekdays. The current inspection record carries 15 deficiencies, two of them serious enough to put residents in harm's way, along with two fines totaling $33,198. It's a hospital-district-owned home with 68 beds, inspected recently in January 2026, and its federal ratings sit at two stars for health inspections, two for quality measures, and one for staffing. The pattern worth noticing is the staffing number: when a building runs lean every day and leaner on weekends, the inspection findings tend to follow.

C

63.5/100

Salem Health & Rehabilitation

Salem, VA · Salem City County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
64%
Serious cites
0

Salem Health & Rehabilitation runs 240 beds under corporate ownership, and the numbers show a building stretched thin on the people side. Nurses provide about 3.14 hours of care per resident each day, roughly 19 percent under the national average, and weekends drop another 21 percent below what the home manages Monday through Friday. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale, and in a 64 percent annual turnover rate, well above the 45.8 percent typical nationwide. The inspection record has 32 deficiencies, though none reached harm or jeopardy. Clinical quality scores well; the day-to-day caregiving capacity is the weak point.

C

63.5/100

Gretna Health And Rehabilitation Center

Gretna, VA · Pittsylvania County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
37%
Serious cites
0

Gretna Health and Rehabilitation Center runs 90 certified beds under corporate for-profit ownership, and its inspection record is the strongest card it holds, a 4-out-of-5 health inspection rating with 12 deficiencies on file, none at the harm or jeopardy level, though one is abuse-related. Staffing is the weaker side: 3.56 nurse hours per resident day sits about 8% under the national average, weekends drop roughly 17% below the home's own weekday levels, and the staffing star rating lands at 2 out of 5. Turnover is 37%, better than the 45.8% national figure. Quality measures also rate 2 out of 5, and the last inspection was July 2023, so that snapshot is now well over a year old.

C

63.5/100

The Laurels Of Bon Air

Bon Air, VA · Chesterfield County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
66%
Serious cites
0

The Laurels of Bon Air runs on thinner staffing than most homes nationally, 3.43 nurse hours per resident day against a 3.86 average, and weekends drop roughly 16% below its own weekday coverage, which matters when families visit and needs don't pause. Turnover sits at 65.7%, well above the 45.8% national figure, so the people caring for residents change often. Its inspection record shows 67 deficiencies, though none reached harm or jeopardy level and none involved abuse, and the last full inspection was mid-2024. A limited liability company owns it for profit. The quality measure stars look strong, but those come from resident data, not from how the place is staffed or run day to day.

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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