ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 11901–11920 of 12,438, best-graded first.

C

56/100

New Richland Care Center

New Richland, MN · Waseca County

CMS 1/5 45 beds Government Medicaid
Nurse hours
— /day
Staff turnover
79%
Serious cites
0

New Richland Care Center runs on a city-government budget with 45 certified beds, and the numbers show real strain. Staff turnover hit 79.3% against a national average of 45.8%, that's most of the workforce cycling out in a year, and it lines up with a 1-out-of-5 staffing rating. Inspectors cited 21 deficiencies on the current record, including four tied to abuse and one serious enough to put a resident in harm's way, plus a $79,694 fine. The last inspection was March 31, 2026, so the record is recent, not stale. One family-facing note: government ownership doesn't automatically mean better care here.

C

56/100

Aspire Senior Living Moberly

Moberly, MO · Randolph County

CMS 1/5 101 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
61%
Serious cites
0

Aspire Senior Living Moberly runs 101 certified beds under for-profit LLC ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.50 hours per resident day, about 9 percent under the national average, and weekends drop roughly 12 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 60.9 percent against a national 45.8 percent, meaning most of the people caring for residents this year likely won't be there next year. The current inspection record shows 36 deficiencies, including 2 at the harm or jeopardy level, 4 tied to abuse, and one fine of $80,640.

C

56/100

U-City Forest Manor

Saint Louis, MO · St. Louis County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
2.57 /day
Staff turnover
61%
Serious cites
0

U-City Forest Manor runs on 2.57 nurse hours per resident day, about a third less than the national average, and weekend coverage drops roughly 11% below its own weekday level. That thin staffing shows up in the numbers: 60.7% of staff left over the past year, well above the 45.8% national rate, and the health inspection record carries 73 deficiencies, including one at the harm or jeopardy level and five tied to abuse. Federal fines total $15,949, and the last inspection was May 7, 2024. For-profit ownership by a limited liability company rounds out the picture.

C

56/100

Prestige Care Center Of Nebraska City

Nebraska City, NE · Otoe County

CMS 1/5 64 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
77%
Serious cites
0

Prestige Care Center Of Nebraska City runs on 3.41 nurse hours per resident day, about 12% under the national average, and weekends dip roughly 4% below its own weekday levels. Turnover tells you more: 76.6% of staff left last year against a national average of 45.8%, so the people caring for your relative are likely newer than the job requires. The inspection record backs that up, 43 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and the most recent inspection was November 2024. Quality measures score 1 out of 5. For-profit corporate ownership out of Nebraska City. Ask hard questions before you sign anything.

C

56/100

The Grand Rehabilitation And Nrsg At Chittenango

Chittenango, NY · Madison County

CMS 1/5 80 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
62%
Serious cites
0

The Grand Rehabilitation and Nursing at Chittenango runs 80 beds under individual for-profit ownership, and its staffing sits about 13% under the national average at 3.36 nurse hours per resident day, thinning further on weekends. That shortfall shows up in the numbers: a 61.5% annual turnover rate, well above the 45.8% national figure, with CMS awarding just one star for staffing. The home's record carries 18 deficiencies, including one at the harm or jeopardy level and one tied to abuse, along with a $16,448 fine. Its last inspection came in November 2025, and both its health inspection and quality measure ratings land at two stars.

C

56/100

Williamsville Suburban, L L C

Williamsville, NY · Erie County

CMS 1/5 220 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
57%
Serious cites
0

Williamsville Suburban runs 220 beds under for-profit LLC ownership, and the numbers that stand out are on the staffing side. At 3.30 nurse hours per resident day, it sits about 14 percent under the national average, and weekends dip roughly 14 percent below its own weekdays, so coverage thins out right when families tend to visit. Staff turnover is 57.1 percent against a national 45.8 percent, meaning more than half the nursing team turns over in a year. The inspection record is heavier still: 36 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $43,973 fine. Its most recent inspection was in October 2024.

C

56/100

Kenansville Rehabilitation And Healthcare Center

Kenansville, NC · Duplin County

CMS 4/5 92 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
63%
Serious cites
0

Kenansville Rehabilitation and Healthcare Center runs on thin staffing. At 3.29 nurse hours per resident per day, it sits roughly 15% under the national average, and weekends drop another 10% below what the home itself manages on weekdays. Annual turnover of 63.4% means most of the people providing that care are relatively new, the national figure is 45.8%. The strongest thing here is its inspection history: a 5/5 health inspection rating, with a June 2025 survey and 12 deficiencies on record, one serious enough to cause harm but none tied to abuse. Quality measures score 2/5, so the day-to-day clinical picture doesn't match the clean survey. Ask about weekend coverage and how long aides have actually been on staff.

C

56/100

Camellia Gardens Center For Nursing And Rehab

Henderson, NC · Vance County

CMS 1/5 78 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
57%
Serious cites
0

Camellia Gardens runs a 78-bed for-profit operation in Henderson, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.78 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, which is when families often visit and notice. Staff turnover is 56.7%, well above the 45.8% national figure, so the people caring for residents change often. The inspection history is heavier: 37 deficiencies on the current record, including two at the harm or jeopardy level and four tied to abuse, plus three fines totaling $92,104. The last inspection was January 30, 2026.

C

56/100

Shoreland Health Care And Retirement Center Inc

Whiteville, NC · Columbus County

CMS 3/5 89 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
73%
Serious cites
0

Shoreland runs a 4-star health inspection record with 10 deficiencies and no harm-level findings, which tells you the building itself has been kept in decent shape. The problem is who's there to keep it that way. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national figure, and weekends drop roughly 8% below the home's own weekday coverage. Annual turnover of 72.5% is well above the 45.8% national average, that's most of the nursing staff replaced in a year. Quality measures land at 2 stars. A recent inspection and a single $5,077 fine suggest no crisis, but thin, churning staff is the pattern worth asking about.

C

56/100

Cherry Point Bay Nursing And Rehabilitation Center

Havelock, NC · Craven County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
78%
Serious cites
0

Cherry Point Bay runs 70 beds under for-profit LLC ownership, and its nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86, with weekends roughly 12% thinner than weekdays. That matters because turnover is the number that jumps out: 78.4% annually against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. Inspectors have cited nine deficiencies, four of them at harm or jeopardy level, and fined the home $167,122. The most recent inspection was July 2, 2025, so the record is current.

C

56/100

Jag Healthcare Mansfield

Mansfield, OH · Richland County

CMS 1/5 66 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
54%
Serious cites
0

Jag Healthcare Mansfield runs on 3.15 nurse hours per resident day, roughly 19 percent under the national figure, and weekends dip another 12 percent below what it manages on weekdays. Staff turnover sits at 53.7 percent against a national average of 45.8 percent, so the people caring for residents keep changing. The inspection record shows 58 deficiencies, including one at the harm level and four tied to abuse, plus a $130,240 fine. Federal ratings put staffing and health inspections at one star each. It's a 66-bed for-profit corporate home last inspected in July 2025. The pattern here is thin coverage, heavy turnover, and repeated citations, worth weighing if you're considering this one.

C

56/100

New Lebanon Rehabilitation And Healthcare Center

New Lebanon, OH · Montgomery County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
59%
Serious cites
0

New Lebanon Rehabilitation and Healthcare Center runs on 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits at 58.9% against a 45.8% national figure, so the people caring for residents are changing often. Its inspection record carries 63 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $96,413 fine. Quality measure scores look strong, but those depend on the staff actually present to document and deliver care. This is a for-profit corporate home with 120 beds; the September 2025 inspection is recent, and the pattern in the numbers is consistent.

C

56/100

Buckeye Terrace Rehabilitation And Nursing Center

Westerville, OH · Franklin County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
65%
Serious cites
0

Buckeye Terrace runs 70 certified beds in Westerville under for-profit LLC ownership, and its nurse staffing sits at 3.18 hours per resident day, roughly 18 percent under the national average of 3.86. Weekends dip about 5 percent below its own weekday numbers. Annual turnover hits 64.5 percent, well above the 45.8 percent national figure, which means the aides and nurses caring for residents are, on average, fairly new to the building. The health inspection record shows 70 deficiencies, including one at the harm level and seven tied to abuse, with a single fine of $140,849. Inspectors were last on site in December 2025.

C

56/100

The Gardens Of St. Francis

Oregon, OH · Lucas County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
1.48 /day
Staff turnover
66%
Serious cites
0

The Gardens of St. Francis runs on 1.48 nurse staffing hours per resident day, roughly 62% below the national average, and weekend coverage drops about 15% below what it manages on weekdays. Turnover sits at 65.6% against a national rate of 45.8%, so a large share of the staff you'd meet is relatively new. The record shows 40 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $45,250 fine. Inspections are recent, and the quality measure score is strong, but that staffing number is the one worth weighing hardest.

C

56/100

Checotah Nursing Center

Checotah, OK · Mcintosh County

CMS 1/5 82 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
73%
Serious cites
0

Checotah Nursing Center runs on a for-profit LLC model with 82 certified beds, and the numbers worth knowing are about staffing and oversight. Annual turnover hits 72.7% against a national average of 45.8%, and CMS gives the place just one star for staffing, meaning nurses and aides are cycling through fast. Inspections back that up: 23 deficiencies on the current record, including three tied to abuse and one serious enough to reach harm or jeopardy level, plus $102,895 in fines across two cases. The last inspection was December 2025, so the record is current, not stale. Quality measures score a middling three stars, but the inspection and staffing picture is where a family should focus its questions.

C

56/100

Countryside Estates

Warner, OK · Muskogee County

CMS 2/5 111 beds For-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
57%
Serious cites
0

Countryside Estates runs about 111 certified beds in Warner, and the staffing hours look generous on paper: 4.83 nurse hours per resident day, roughly a quarter above the national average. The catch is who's delivering those hours and for how long. Turnover sits at 57.3% against a national 45.8%, and weekend coverage drops about 7% below the home's own weekday level, so the same faces aren't necessarily there week to week. Inspections in January 2025 turned up 14 deficiencies, none at harm level, one tied to abuse, and a single fine of $3,145. The federal quality measures score low.

C

56/100

Harborview Rehabilitation And Care Center At Lansd

Lansdale, PA · Montgomery County

CMS 2/5 126 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
52%
Serious cites
0

Harborview runs about 14 percent thinner on nurse staffing than the national average, and weekends dip roughly 7 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 51.7 percent against a national 45.8 percent, meaning more than half the nursing staff leaves within a year. The current inspection record carries 62 deficiencies, including three at harm or jeopardy level and four tied to abuse, and the two fines on file total $191,228. The last inspection was in August 2025, so that record is recent. A for-profit LLC operates the 126-bed building.

C

56/100

Copperas Cove Nursing & Rehabilitation

Copperas Cove, TX · Coryell County

CMS 1/5 123 beds For-profit Medicaid
Nurse hours
2.88 /day
Staff turnover
61%
Serious cites
0

Copperas Cove Nursing & Rehabilitation runs on 2.88 nurse hours per resident day, roughly a quarter below the national average, and weekends dip even further below its own weekday numbers. That thin coverage sits behind a one-star staffing rating and a 60.9% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are, more often than not, new to the building. The inspection record shows 28 deficiencies, two of them serious enough to involve harm or jeopardy, plus $24,242 in fines, though nothing abuse-related. The most recent inspection was in late November 2025, so the picture is current. For-profit corporate ownership, 123 beds, and low marks across staffing and quality.

C

56/100

Alvarado Meadows Nursing & Rehabilitation

Alvarado, TX · Johnson County

CMS 3/5 115 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
96%
Serious cites
0

Alvarado Meadows runs on thin staffing margins: 3.36 nurse hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. The turnover number is the harder one to get past, 95.7% annually, more than double the national rate, which means the aide helping your mother today is statistically unlikely to be there next year. The inspection record shows 19 deficiencies, three of them serious enough to cause harm or jeopardy and four tied to abuse, plus $85,479 in fines across five penalties. The most recent inspection was in May 2026. For-profit, limited liability ownership.

C

56/100

San Antonio North Nursing And Rehabilitation

San Antonio, TX · Bexar County

CMS 1/5 118 beds For-profit Medicaid
Nurse hours
2.67 /day
Staff turnover
56%
Serious cites
0

San Antonio North runs on 2.67 nursing hours per resident per day, roughly a third below the national average, and weekend coverage drops another 13% below its own weekday level. That thin staffing shows up in the numbers: a 55.9% annual turnover rate, well above the 45.8% national figure, and 62 deficiencies on the current record, including four at the harm or jeopardy level and six tied to abuse. Inspectors were last on site July 31, 2025, and the state has fined the for-profit operator three times, totaling $37,800. When a building is cited this often while running this lean, families should ask direct questions about who is 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.

Before you shortlist