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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 11761–11780 of 12,438, best-graded first.

C

57.5/100

Pleasanton North Nursing And Rehabilitation

Pleasanton, TX · Atascosa County

CMS 1/5 46 beds For-profit Medicaid
Nurse hours
2.68 /day
Staff turnover
42%
Serious cites
0

Pleasanton North runs on thin staffing: 2.68 nurse hours per resident per day, roughly 31% below the national average of 3.86, and weekends drop another 16% below its own weekday levels. The inspection record is the bigger concern, 47 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with two fines totaling $167,869 and a health inspection rating of 1 out of 5. Turnover at 42.3% is slightly better than the 45.8% national figure, but that's the one number here that isn't working against the home. The most recent inspection was July 2025, so the record is current.

C

57.5/100

Avir At Camp Wood

Camp Wood, TX · Real County

CMS 1/5 86 beds For-profit Medicaid
Nurse hours
2.77 /day
Staff turnover
—
Serious cites
0

Avir At Camp Wood runs 86 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.77 hours per resident day, roughly 28% under the national average of 3.86. That thin coverage gets thinner on weekends, when staffing drops about 9% below its own weekday level, which matters most when families are visiting and aides are stretched. The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and one abuse-related citation. CMS has fined the home twice, totaling $86,254, and the most recent inspection was July 31, 2025. Its health inspection rating lands at 3 out of 5, quality measures at 2, and staffing at 1, the numbers point to a home where care is being delivered, but with real strain.

C

57.5/100

Avir At Killeen

Killeen, TX · Bell County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
52%
Serious cites
0

Avir At Killeen runs on 3.18 nursing hours per resident day, about 18 percent under the national average, and weekend coverage drops roughly 15 percent below its own weekday level. Staff turnover sits at 52.1 percent against a national 45.8 percent, so the people caring for residents keep changing. The inspection record shows 60 deficiencies, ten of them at the harm or jeopardy level and six tied to abuse, with six fines totaling $137,749. The last inspection was April 17, 2025. Ownership is a for-profit corporation, and 120 beds are certified. The quality measure score looks better than the rest, but it's the staffing and inspection numbers a family should weigh.

C

57/100

The Blossoms At The Village Rehab & Nursing Center

Hot Springs, AR · Garland County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
71%
Serious cites
0

The Blossoms At The Village runs 120 beds in Hot Springs under corporate ownership, and its last inspection came back clean on the serious stuff, 17 deficiencies on record, none at the harm or jeopardy level, no abuse findings. That's worth something. What pulls the numbers down is the workforce: 3.20 nurse hours per resident per day, about 17% under the national average, with weekends roughly 10% thinner than weekdays. Turnover sits at 71.2% against a national 45.8%, meaning most of the people caring for your family member are likely new to the building. A recent inspection and no harm-level citations suggest the place isn't unsafe. It does suggest you should ask who's actually on the floor on a Sunday.

C

57/100

South Platte Rehabilitation And Nursing Llc

Brush, CO · Morgan County

CMS 1/5 78 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
65%
Serious cites
0

South Platte Rehabilitation and Nursing in Brush runs on thinner nurse coverage than most homes, 3.38 hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekdays. That shortfall shows up in the staffing rating, and the 64.7% annual turnover means the aides and nurses at the bedside are often new. Its inspection record carries 18 deficiencies, three serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $49,843. Ownership is a for-profit LLC with 78 certified beds. The last state inspection was October 8, 2024. Quality measures score mid-range, but staffing and safety are where families should focus questions.

C

57/100

Wrightsville Manor Health And Rehab

Wrightsville, GA · Johnson County

CMS 1/5 94 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
41%
Serious cites
0

Wrightsville Manor runs on 3.31 nurse hours per resident per day, roughly 14 percent under the national average, and weekends are thinner still, about 12 percent below what the home staffs on weekdays. That matters more than usual here, because the home's inspection record carries 18 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus three fines totaling $74,208. Turnover sits at 40.9 percent, a bit better than the 45.8 percent national figure, but it's the only number that reads favorably. The most recent inspection was July 31, 2025, and all three CMS star ratings, health inspections, quality measures, and staffing, come in at one out of five.

C

57/100

Nancy Hart Operation Llc

Elberton, GA · Elbert County

CMS 1/5 67 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
55%
Serious cites
0

Nancy Hart Operation runs on thinner nursing coverage than most homes its size, 3.02 nurse hours per resident each day against a national average of 3.86, with weekends dipping about 12 percent below its own weekday pace. That staffing pattern shows up alongside a 54.5 percent annual turnover rate, meaning more than half the nursing staff leaves within a year. The inspection record carries 28 deficiencies, three serious enough to cause harm and one tied to abuse, plus five fines totaling $30,309 and a July 2025 inspection. This is a for-profit LLC with 67 beds, and families should ask directly how the home covers weekend shifts and what it has changed since that abuse finding.

C

57/100

The Pearl Of Downers Grove

Downers Grove, IL · Du Page County

CMS 1/5 145 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
65%
Serious cites
0

The Pearl of Downers Grove runs on thin staffing: 3.60 nurse hours per resident day, about 7% under the national average, and weekends drop roughly 8% below its own weekday levels. Turnover sits at 64.9% against a national 45.8%, meaning most of the people caring for your relative likely weren't there a year ago. The current record carries 58 deficiencies, three of them at harm or jeopardy level and two tied to abuse, plus a $30,794 fine. The last inspection was April 14, 2025. For-profit corporate ownership, 145 beds. The pattern here is understaffing, instability, and a documented history of serious problems.

C

57/100

La Bella Of Morrison

Morrison, IL · Whiteside County

CMS 1/5 74 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
100%
Serious cites
0

La Bella Of Morrison runs on a nurse staffing level of 3.04 hours per resident day, roughly 21% under the national average, and weekends dip about 7% below what the home already provides on weekdays. The bigger red flag is turnover: 100% of nursing staff left over the past year, against a national rate near 46%. On the inspection side, the record shows 47 deficiencies, including 5 at the harm or jeopardy level and 5 tied to abuse, plus three fines totaling $65,860. The most recent inspection was March 5, 2025. Ownership is a for-profit limited liability company, and the staffing star rating sits at 1 out of 5.

C

57/100

The Haven Of Tuscola

Tuscola, IL · Douglas County

CMS 1/5 71 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
47%
Serious cites
0

The Haven of Tuscola runs on 2.94 nursing hours per resident day, roughly a quarter below the national average, and weekends dip about 14% under its own weekday level. That thin coverage shows up in the inspection record: 87 deficiencies, five at harm or jeopardy level and five abuse-related, with three fines totaling $68,631. Staff turnover sits at 46.7%, slightly above the national rate. Federal ratings give this for-profit LLC one star each for health inspections and staffing, two for quality measures, and the most recent inspection was January 28, 2025. When a building carries that many citations alongside that few staff hours, families should ask hard questions before admitting anyone.

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57/100

Osage Rehab And Health Care Center

Osage, IA · Mitchell County

CMS 1/5 46 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
56%
Serious cites
0

Osage Rehab runs 46 beds under for-profit LLC ownership, and the staffing numbers are where I'd start: 3.06 nurse hours per resident per day against a national average of 3.86, with weekends about 12% thinner than weekdays. Turnover sits at 56.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is heavier still, 44 deficiencies, two at harm or jeopardy level and three tied to abuse, plus a $14,433 fine. That inspection was recent, December 2025. If you're weighing this one, ask about weekend coverage and how abuse-related findings were resolved.

C

57/100

Central Guest House Healthcare & Rehabilitation Ce

Baton Rouge, LA · E. Baton Rouge County

CMS 3/5 170 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
49%
Serious cites
0

Central Guest House in Baton Rouge runs on 3.29 nurse staffing hours per resident day, roughly 15 percent under the national average of 3.86, and weekends drop about 13 percent below what the home itself staffs on weekdays. Turnover sits at 49.3 percent against a national 45.8, so nearly half the nursing staff leaves each year. Inspectors have logged 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $26,790; the last inspection was March 2026. Ownership is a for-profit limited liability company, and the staffing and quality measure ratings both come in at two out of five.

C

57/100

Colfax Nursing And Rehab, Llc

Colfax, LA · Grant County

CMS 1/5 140 beds For-profit Medicaid
Nurse hours
2.86 /day
Staff turnover
69%
Serious cites
0

Colfax Nursing and Rehab runs 140 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.86 hours per resident per day, roughly a quarter below the national average of 3.86. Weekend coverage drops another 6 percent below what the home provides on weekdays, so the quietest shifts are also the thinnest. Annual turnover hits 69.4 percent against a national 45.8, meaning most of the aides and nurses you'd meet this year likely won't be there next year. The current record carries 45 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. The last inspection was August 27, 2025.

C

57/100

Pines Retirement Center Of Baton Rouge

Baton Rouge, LA · E. Baton Rouge County

CMS 1/5 85 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
74%
Serious cites
0

Pines Retirement Center Of Baton Rouge runs a for-profit limited liability operation with 85 certified beds, and the numbers carry some weight. Nurse staffing sits at 3.98 hours per resident day, slightly above the national average, but the weekend dips about 12% below weekday levels, and turnover is 73.5% against a national average of 45.8%, that churn matters more than the small staffing edge. Inspections tell the harder story: 68 deficiencies on record, three at the harm or jeopardy level, six tied to abuse, and a single fine of $174,993, with the most recent inspection in September 2025. The staffing cushion doesn't offset that record. When you're comparing homes, ask specifically about the abuse deficiencies and the harm-level citations.

C

57/100

Oakland Nursing & Rehabilitation Center

Oakland, MD · Garrett County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
45%
Serious cites
0

Oakland Nursing & Rehabilitation Center is a for-profit, LLC-owned home with 100 certified beds in Garrett County, and the numbers behind its record are worth understanding. Nurse staffing sits at 3.16 hours per resident day, roughly 18 percent under the national average, and weekends run about 10 percent thinner than weekdays, so coverage is lightest exactly when families tend to visit. Turnover lands at 45.3 percent, essentially in line with the national figure, which means this isn't a churn problem so much as a thin-staffing one. What stands out most is the inspection record: 72 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with $16,559 in fines and a December 2025 inspection. All three CMS star ratings come in at one out of five.

C

57/100

Oxford Rehabilitation & Health Care Center

Haverhill, MA · Essex County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
36%
Serious cites
0

Oxford Rehabilitation & Health Care Center runs 120 beds in Haverhill under for-profit LLC ownership, and its staffing sits at 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop another 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the heavier concern: 41 deficiencies, one at harm or jeopardy level, four tied to abuse, and $265,351 in fines across two penalties. Staff turnover at 36% is actually better than the 45.8% national figure, which suggests the problem isn't retention so much as how many hands are scheduled. A February 2026 inspection is recent, so the record reflects current conditions.

C

57/100

Haverhill Rehabilitation And Healthcare Center

Haverhill, MA · Essex County

CMS 2/5 128 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
57%
Serious cites
0

Haverhill Rehabilitation and Healthcare Center runs 128 certified beds under corporate ownership, and the staffing numbers tell the clearest story. At 3.53 nurse hours per resident day, it sits about 9% under the national average of 3.86, weekend coverage drops roughly 11% below its own weekday level, and annual turnover hits 56.5% against a national 45.8%. Inspectors have logged 43 deficiencies on the current record, including two at the harm or jeopardy level and five tied to abuse, with two fines totaling $29,749. The last inspection was March 19, 2026, and CMS gives the home a single star for staffing.

C

57/100

Adviniacare Newburyport

Newburyport, MA · Essex County

CMS 2/5 111 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
44%
Serious cites
0

Adviniacare Newburyport runs 111 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. Turnover lands at 44.3%, close to the national 45.8%, so retention isn't the outlier here, thin daily coverage is. The inspection record carries 72 deficiencies, eight at harm or jeopardy level and four abuse-related, with five fines totaling $322,104. The last inspection was September 2025, so the record is current, not stale. A 1/5 staffing star and 2/5 quality measures tell you where the pressure shows up.

C

57/100

Somerset Ridge Center

Somerset, MA · Bristol County

CMS 4/5 135 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
54%
Serious cites
0

Somerset Ridge Center runs 135 certified beds under for-profit LLC ownership, and its state survey history comes out clean where it matters most, 16 deficiencies on record, but none at the harm or jeopardy level, and none abuse-related. Inspectors were last in the building in December 2025, so the picture is current. Where the numbers get less comfortable is staffing: 3.58 nurse hours per resident day sits about 7% under the national average, weekends drop roughly 14% below the home's own weekday levels, and annual turnover runs 53.7% against a national 45.8%. One fine totaling $214,420 appears on the record. The 4-star inspection rating and 2-star quality and staffing ratings tell you what kind of tradeoff you're looking at.

C

57/100

The Villa At Green Lake Estates

Orchard Lake, MI · Oakland County

CMS 1/5 85 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
65%
Serious cites
0

The Villa At Green Lake Estates is a for-profit, 85-bed home in Orchard Lake with a staffing picture that runs below the national average, about 3.54 nurse hours per resident day against 3.86 nationally, and thins out further on weekends, when coverage drops roughly 11% below its own weekday level. Annual turnover sits at 65.2%, well above the 45.8% national figure. Its inspection record is the heavier concern: 50 deficiencies, six at the harm or jeopardy level and three abuse-related, with four fines totaling $528,432 and a health inspection rating of 1 out of 5. The quality measure rating of 4 shows some clinical metrics land well, but the inspection and staffing numbers tell the more consequential 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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