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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 11781–11800 of 12,438, best-graded first.

C

57/100

Bedford Care Center Of Mendenhall

Mendenhall, MS · Simpson County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
61%
Serious cites
0

Bedford Care Center of Mendenhall runs 60 certified beds under limited liability ownership, and the staffing picture is mixed. At 4.11 nurse hours per resident day, it sits about 7% above the national average, but weekends drop roughly 9% below its own weekday levels, and annual turnover hits 61.1% against a national 45.8%. The bigger problem is what inspectors found: 23 deficiencies on the current record, six of them at harm or jeopardy level, with four fines totaling $101,514 and a February 2025 inspection. Both the health inspection and quality measure ratings sit at 1 out of 5 stars. Turnover that high plus that many serious deficiencies is a combination worth asking about directly before you decide.

C

57/100

Marymount Manor

Eureka, MO · St. Louis County

CMS 1/5 174 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
56%
Serious cites
0

Marymount Manor runs 174 beds in Eureka under corporate ownership, and its staffing is thinner than it looks at first glance, 3.69 nurse hours per resident day sits below the national average of 3.86, and weekends drop roughly 8% below what the home itself staffs on weekdays. The bigger concern is stability: 56.3% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. On inspections, the record shows 51 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with a $132,696 fine and a June 2025 inspection. The pattern in these numbers, heavy turnover, weekend shortfalls, repeat serious findings, is what drives the low marks on quality and inspection performance despite the staffing star.

C

57/100

Stonebridge Villa Marie

Jefferson City, MO · Cole County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
74%
Serious cites
0

Stonebridge Villa Marie runs on thin staffing. At 3.15 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly another 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the number that stands out most: 74.3% of staff leave each year, against a national average of 45.8%, which means the people caring for residents are often new and still learning the building. The health inspection record shows 33 deficiencies, two tied to abuse, though none reached the level of actual harm or jeopardy. Last inspected in August 2024 under for-profit limited liability ownership.

C

57/100

Avenir At Mark Twain

Bridgeton, MO · St. Louis County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
71%
Serious cites
0

Avenir At Mark Twain runs on thin staffing: 3.47 nurse hours per resident day, roughly 10 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That gap matters most when families visit and when emergencies happen. The record shows 62 deficiencies, including five tied to abuse and two at the level of actual harm or jeopardy, plus eight fines totaling $195,310. Staff turnover sits at 71.4 percent against a national average of 45.8, most caregivers here are new to the building and still learning it. Ownership changed hands within the last year, and the most recent inspection was August 2025.

C

57/100

New Mark Rehab And Healthcare Center

Kansas City, MO · Clay County

CMS 1/5 199 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
71%
Serious cites
0

New Mark Rehab runs 199 beds in Kansas City under for-profit LLC ownership, and its nursing hours come in around 3.51 per resident day, roughly 9% under the national average, with weekends dipping another 9% below its own weekday coverage. That thin schedule sits alongside a 70.6% annual turnover rate, well above the 45.8% national figure, meaning the staff present are often new. The inspection record shows 44 deficiencies, including four at harm or jeopardy level and six tied to abuse, with two fines totaling $12,279 and a June 2025 inspection. CMS rates staffing 1 out of 5 stars and health inspections 2 out of 5, while quality measures land at 3.

C

57/100

Westview Nursing Home

Center, MO · Ralls County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
2.32 /day
Staff turnover
63%
Serious cites
0

Westview Nursing Home runs on 2.32 nurse hours per resident day, roughly 40% under the national average of 3.86, and weekend coverage drops about 10% below its own weekday level. Staff turnover sits at 62.5% against a national 45.8%, so the aides and nurses who know your mother's routine may not be there in six months. Its inspection record is the harder problem: 49 deficiencies, six at harm or jeopardy level, two tied to abuse, and a $42,680 fine, with the last inspection in May 2025. The quality measure score looks decent, but that reflects charted care, not the staffing that delivers it.

C

57/100

Hill Crest Manor

Hamilton, MO · Caldwell County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
54%
Serious cites
0

Hill Crest Manor runs about 3.01 nurse staffing hours per resident each day against a national average of 3.86, roughly a fifth less hands-on time than most homes provide, and weekends dip further below its own weekday pattern. Staff turnover sits at 54.2%, well above the 45.8% national figure, so the people caring for residents are changing often. The inspection record shows 45 deficiencies, including one tied to abuse, and federal fines total $13,033. CMS rates its staffing, quality measures, and inspection results at the low end, with the most recent state visit in January 2025. This is a for-profit, individually owned 90-bed home in Caldwell County where the numbers point to thin coverage and a rocky regulatory history.

C

57/100

Silverstone Place

Rolla, MO · Phelps County

CMS 3/5 110 beds For-profit Medicaid
Nurse hours
2.88 /day
Staff turnover
58%
Serious cites
0

Silverstone Place runs on 2.88 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 5% below its own weekday levels. Staff turnover sits at 57.7% against a national 45.8%, so more than half the nursing staff leaves each year. The 33 deficiencies on record include two abuse-related citations, though none reached harm or jeopardy. A June 2025 inspection is recent, and the 4/5 health inspection rating suggests the building itself is kept in reasonable order, but a 1/5 staffing rating and 2/5 quality measures tell you where the strain shows up. Ask about weekend coverage and how they retain aides before deciding.

C

57/100

Adept Nursing & Rehab Of Waverly

Waverly, NE · Lancaster County

CMS 2/5 54 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
78%
Serious cites
0

Adept Nursing & Rehab Of Waverly runs 54 beds under corporate ownership, and the staffing numbers are the first thing to look at. At 3.50 nurse hours per resident day, it sits about 9% under the national average, and weekends drop roughly 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the bigger flag: 78.1% of staff leaving annually, against a national 45.8%, meaning the people caring for residents are still learning the building. Behind the one-star inspection rating sit 41 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $25,642 in fines. The most recent inspection was December 2024.

C

57/100

Accura Healthcare Of North Platte

North Platte, NE · Lincoln County

CMS 4/5 71 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
65%
Serious cites
0

Accura Healthcare of North Platte runs 71 certified beds under corporate ownership, and its last state inspection was in April 2025, recent enough that the findings still reflect how the place operates now. That inspection history is the strong part: 19 deficiencies on record, but none at the harm or jeopardy level and none tied to abuse. Where it gets thinner is staffing. At 3.35 nurse hours per resident day, it sits about 13% under the national average, weekend coverage dips below its own weekday level, and turnover near 65% means CNAs and nurses keep cycling through. High turnover and below-average hours are the combination families usually feel first.

C

57/100

The Subacute At Autumn Lake Healthcare

Voorhees, NJ · Camden County

CMS 2/5 124 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
66%
Serious cites
0

The Subacute at Autumn Lake Healthcare has 124 beds and enough nursing hours per resident day to sit about 12% above the national average, which sounds reassuring until you notice weekends run roughly 12% thinner than weekdays and staff turnover hits 65.6%, well above the 45.8% national figure. A one-star health inspection rating sits alongside 26 deficiencies, four of them at harm or jeopardy level and one abuse-related, plus $130,206 in fines across two penalties. The five-star quality measure score doesn't offset that inspection record, and the most recent survey dates to March 2026. For-profit, individually owned, with a staffing rating that contradicts the raw hours.

C

57/100

Casa Arena Healthcare Llc

Alamogordo, NM · Otero County

CMS 1/5 117 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
61%
Serious cites
0

Casa Arena runs on thin staffing: 2.92 nurse hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday levels. With 60.8% annual turnover, aides and nurses are cycling out faster than most homes in the country, which makes consistent care hard to deliver. The inspection record is where the real trouble sits, 92 deficiencies, including three at harm or jeopardy level and eight tied to abuse, plus $124,375 in fines. A 4/5 on quality measures doesn't offset a 1/5 on inspections and staffing; those measures largely reflect what the home reports about its own residents. The last survey was recent, June 2025, so the picture is current.

C

57/100

The Pines At Utica Center For Nursing And Rehab

Utica, NY · Oneida County

CMS 1/5 117 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
50%
Serious cites
0

The Pines at Utica runs on 3.56 nurse hours per resident per day, roughly 8% under the national average, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in a 49.5% annual turnover rate, above the national figure, and a one-out-of-five staffing rating. The inspection record is heavy: 28 deficiencies, three serious enough to cause harm or jeopardy, plus two fines totaling $55,708. State surveyors were last in on July 22, 2025. This is a for-profit LLC operation with 117 beds, and its quality measures rate two stars. Families should ask directly how weekend coverage is handled.

C

57/100

Crest Manor Living And Rehabilitation Center

Fairport, NY · Monroe County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
77%
Serious cites
0

Crest Manor runs on thin staffing: 3.44 nurse hours per resident day, about 11% under the national average, and weekends dip roughly 8% below its own weekdays. That's the number families feel when a call light goes unanswered. Turnover is the bigger warning sign. At 76.9%, more than three-quarters of the nursing staff left within a year, well above the 45.8% national rate. Combine that churn with a 1-out-of-5 inspection rating and 35 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, and the pattern is consistent. A single $41,360 fine and an inspection dated October 2024 complete the picture. The quality measure score of 4 out of 5 stands out against everything else, but those measures reflect a narrow slice of care. For-profit, limited liability ownership.

C

57/100

Betsy Ross Rehabilitation Center, Inc

Rome, NY · Oneida County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
55%
Serious cites
0

Betsy Ross Rehabilitation Center runs 120 beds in Rome under corporate ownership, and the staffing numbers are where the concern starts. At 3.38 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 11% below its own weekday coverage, so the thinnest hours come when families tend to visit. Staff turnover of 54.6% runs well above the 45.8% national figure, which matters because caregivers who leave take familiarity with residents with them. The inspection record shows 23 deficiencies, one serious enough to reach harm or jeopardy level, plus four fines totaling $32,254. The most recent inspection was June 30, 2025. No abuse-related deficiencies appear on the current record.

C

57/100

Liberty Commons Nursing And Rehabilitation Center

Whiteville, NC · Columbus County

CMS 1/5 107 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
62%
Serious cites
0

Liberty Commons runs 107 certified beds in Whiteville under corporate, for-profit ownership, and its nurse staffing sits at 3.86 hours per resident day, essentially matching the national average, not beating it. But weekends drop roughly 11% below its own weekday coverage, and annual turnover is 62% against a national 45.8%, so the people at the bedside change constantly. The inspection record is where the real weight sits: 27 deficiencies, 8 of them at harm or jeopardy level, four fines totaling $126,586, and a July 2025 inspection that landed at one star for health and one for quality measures. No abuse citations appear on record, but the harm-level findings and turnover together tell you why families here should ask hard questions before signing anything.

C

57/100

Glenwood Health & Rehabilitation

Mooresville, NC · Iredell County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
61%
Serious cites
0

The Citadel Mooresville runs on thinner nurse coverage than most homes, 3.28 hours per resident day against a national average of 3.86, and weekends drop further below its own weekday level. That staffing shortfall shows up in the numbers that matter most: a 1-out-of-5 inspection rating, 49 deficiencies on the current record, nine of them serious enough to cause harm or jeopardy, and three tied to abuse. Fines total $201,886 across two penalties, and more than six in ten nursing staff left over the past year, well above the typical rate. The most recent inspection was in May 2025, so the record is current, not stale.

C

57/100

Litchford Falls Health And Rehabilitation Center

Raleigh, NC · Wake County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
51%
Serious cites
0

Litchford Falls runs on thinner nurse coverage than most homes, 3.55 hours per resident day against a national average of 3.86, and weekends dip even lower than its own weekday levels, which matters because that's when families often visit and when problems tend to surface. Staff turnover sits at 50.6%, meaning roughly half the nursing team leaves within a year, well above the 45.8% national figure. The inspection record backs this up: 19 deficiencies, three serious enough to put residents at risk of harm, and two fines totaling $181,873. The last full inspection was in May 2025, so the picture is fairly current. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5.

C

57/100

Park Vista Nursing And Rehab

Youngstown, OH · Mahoning County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
73%
Serious cites
0

Park Vista runs on thin nurse staffing, 3.14 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday level. That shortfall shows up in the numbers that track workers: 72.5% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. The inspection record is heavier still: 63 deficiencies, including two at the harm level and one abuse-related, plus a $24,876 fine, with the most recent inspection in February 2025. Quality measures rate better at three stars, but the corporate owner's record here is mostly a staffing and compliance story. Families should ask direct questions about who's on the floor on weekends and how long the current director of nursing has been in place.

C

57/100

Edgewood Manor Rehabilitation & Healthcare Center

Port Clinton, OH · Ottawa County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
55%
Serious cites
0

Edgewood Manor runs 80 certified beds in Port Clinton under for-profit partnership ownership, and the numbers that stand out most are on the staffing side. At 3.19 nurse hours per resident day, it sits about 17% under the national average, weekend coverage dips roughly 9% below its own weekday level, and 55.4% annual turnover means more than half the staff left within the year. The inspection record shows 33 deficiencies, including one at the harm level and five tied to abuse, with the most recent visit in July 2024.

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