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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 12001–12020 of 12,438, best-graded first.

C

55/100

Lotus Village Center For Nursing And Rehabilitatio

Sparta, NC · Alleghany County

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

Lotus Village in Sparta runs on 3.38 nurse hours per resident day, about 12% under the national average, and weekend coverage dips roughly 7% below its own weekday levels. Staff turnover sits at 53.5%, well above the 45.8% national figure, so the people caring for residents are often new. The inspection record is the real story: 56 deficiencies, 10 of them at the harm or jeopardy level and 4 tied to abuse, plus $315,228 in fines across three penalties. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. That program status reflects sustained problems across multiple inspections, not one bad day.

C

55/100

Senior Citizens Home

Henderson, NC · Vance County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
62%
Serious cites
0

Senior Citizens Home runs 60 certified beds in Henderson under a for-profit limited liability company, and its last health inspection was in March 2026. The record shows 26 deficiencies, two of them at the harm or jeopardy level, with no abuse citations. Staff turnover sits at 61.9%, well above the 45.8% national average, and CMS rates staffing and quality measures at just one star each. One fine totaling $55,760 is on file.

C

55/100

Oak Forest Health And Rehabilitation

Winston Salem, NC · Forsyth County

CMS 1/5 170 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
61%
Serious cites
0

Staffing at Oak Forest runs 3.83 nurse hours per resident day, roughly in line with the national figure of 3.86, but it thins out on weekends, about 7% below the home's own weekday level. The bigger issue is who's giving that care: annual turnover sits at 61.3% against a 45.8% national average, meaning most of the staff you'd meet this year likely won't be there next year. That churn shows up in the record. Inspectors last visited in June 2025 and found 32 deficiencies, four serious enough to cause harm or put residents in jeopardy, one tied to abuse, drawing $38,527 in fines.

C

55/100

Ayden Court Nursing And Rehabilitation Center

Ayden, NC · Pitt County

CMS 1/5 82 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
58%
Serious cites
0

Ayden Court runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends dip about 7% below its own weekday level. That thin coverage sits behind a one-star staffing rating, while the home's 58.4% annual turnover is well above the 45.8% national figure, meaning the people who do show up are often new or on their way out. Inspectors have logged 23 deficiencies, including one at harm level and two abuse-related, and levied three fines totaling $37,700. The most recent inspection was May 2026. A for-profit LLC operates the 82-bed home.

C

55/100

Wesleyan Village

Elyria, OH · Lorain County

CMS 2/5 99 beds Non-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
66%
Serious cites
0

Wesleyan Village runs 3.42 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin coverage is paired with 66% annual turnover against a national 45.8%, so the people at the bedside keep changing. The inspection record is the harder problem: 54 deficiencies, six at harm or jeopardy level, four tied to abuse, and $219,798 in fines across two penalties, with the most recent inspection in February 2025. A five-star quality measure score sits alongside one-star inspection and staffing ratings, which is worth asking about directly, since quality scores depend on the staff actually documenting and delivering care.

C

55/100

Embassy Of Woodview

Columbus, OH · Franklin County

CMS 2/5 95 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
69%
Serious cites
0

Embassy of Woodview runs 95 certified beds in Columbus under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average, and weekends run about 5% thinner than weekdays, with annual turnover at 68.9% against a national 45.8%. The inspection record is heavy: 47 deficiencies, including two at harm or jeopardy level and two tied to abuse, with $151,043 in fines and a May 2025 inspection. Quality measures score well, but that's largely self-reported data, while staffing and inspections come from what surveyors actually found.

C

55/100

East Park Care Center

Brook Park, OH · Cuyahoga County

CMS 2/5 57 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
72%
Serious cites
0

East Park Care Center runs on 3.08 nursing hours per resident day, roughly a fifth below the national average, and weekend coverage slips about 9% below what it manages on weekdays. Staff turnover sits at 72.1% against a national rate near 46%, so the people around your family member change often. On its current record: 44 deficiencies, three involving harm or jeopardy, three tied to abuse, and $84,417 in fines across two penalties. The last inspection was in late October 2024. The five-star quality measure score reflects resident assessments, but the one-star inspection and staffing ratings describe what surveyors found and how thin the floor coverage is.

C

55/100

Springfield Nursing & Independent Living

Springfield, OH · Clark County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
79%
Serious cites
0

Springfield Nursing & Independent Living runs on 3.10 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. Staff turnover sits at 78.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 50 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus an $85,067 fine. The last inspection was May 2024, so that record is fairly recent. Quality measures score well, but staffing and inspections tell the harder story.

C

55/100

Laurel Ridge Center

Uniontown, PA · Fayette County

CMS 1/5 61 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
55%
Serious cites
0

Laurel Ridge Center runs 61 beds in Uniontown under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.29 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and weekends drop another 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 55.2% tops the national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 13 deficiencies, including one at harm or jeopardy level and three tied to abuse. CMS rated quality measures 1 out of 5 and staffing 2 out of 5, with a June 2025 inspection.

C

55/100

St Francis Center For Rehabilitation & Healthcare

Darby, PA · Delaware County

CMS 1/5 273 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
58%
Serious cites
0

St. Francis Center runs 273 beds in Darby, and the numbers tell two different stories. Inspectors have been through recently, July 2025, and found 23 deficiencies, none of them serious enough to harm a resident and none related to abuse, which is why the health inspection rating sits at 4 out of 5. Staffing is the weak point. At 3.39 nurse hours per resident day, this home runs about 12 percent below the national average, and weekends drop another 8 percent below its own weekday levels. Annual turnover of 58.4 percent is well above the 45.8 percent national figure, so the people providing that care are cycling through quickly.

C

55/100

Woodhaven Health & Rehab Center

Monroeville, PA · Allegheny County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
56%
Serious cites
0

Woodhaven runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and it thins out further on weekends, dropping about 9% below its own weekday staffing. That shortfall shows up in retention too: 55.6% of staff left over the past year, well above the 45.8% national figure, which means new faces are constantly learning the building. The inspection record is the bigger concern. Fifty deficiencies are open right now, one of them serious enough to involve actual harm and another tied to abuse, plus a $37,480 fine. For a family weighing this place, those are the numbers worth pressing the administrator on directly.

C

55/100

Aristacare At East Falls

Philadelphia, PA · Philadelphia County

CMS 1/5 66 beds For-profit Medicaid
Nurse hours
5.50 /day
Staff turnover
59%
Serious cites
0

Aristacare At East Falls runs 5.50 nurse hours per resident day, well above the national average, but the weekend gap and a 58.6% turnover rate suggest those hours aren't reliably staffed by the same people. The inspection record is the bigger concern: 79 deficiencies, including three at harm or jeopardy level and four tied to abuse, with two fines totaling $57,568. A 1/5 inspection rating and a 1/5 staffing rating, despite the raw hours, point to real gaps between what's scheduled and what families actually experience.

C

55/100

Elk River Health & Nursing Center Of Winchester

Winchester, TN · Franklin County

CMS 3/5 80 beds Non-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
70%
Serious cites
0

Elk River Health & Nursing Center runs about 3.70 nursing hours per resident per day, a bit under the national average, and weekends drop roughly 13% below its own weekday staffing. That thin weekend coverage matters more when you consider turnover: nearly 70% of staff left last year, against a national average near 46%, and CMS gives the home its lowest mark on staffing. Inspections look better, a four-star health inspection rating, with nine deficiencies on record and none at the harm level, though one is abuse-related. The last inspection was July 30, 2025. Quality measures sit at two stars. Nonprofit ownership doesn't change the arithmetic: consistent hands are the hard part here.

C

55/100

Northbrooke Post Acute

Jackson, TN · Madison County

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

Northbrooke Post Acute runs on 3.54 nurse staffing hours per resident day, roughly 8% under the national average, and weekends dip about 10% below what the home itself does on weekdays. That thin coverage is hard to separate from a 73.9% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses at the bedside are frequently new. The current record carries 32 deficiencies, none flagged at the harm or jeopardy level and none abuse-related, and the last full inspection was in April 2025. Inspections, quality measures, and staffing each land at or below the middle of CMS's five-star scale, with staffing at the bottom. A for-profit corporation owns the 120 certified beds.

C

55/100

Ennis Care Center

Ennis, TX · Ellis County

CMS 2/5 155 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
58%
Serious cites
0

Ennis Care Center runs on thin staffing: 3.23 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below what the home itself manages Monday through Friday. That shortfall shows up in turnover too, 58.2% of staff leave each year, well above the 45.8% national rate, which means caregivers are constantly new to residents who need consistency. The inspection record backs this up: 21 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and $187,220 in fines across three penalties. Corporate ownership is for-profit. The most recent inspection was March 2025, so the picture is current, not stale, and it's a hard one.

C

55/100

Heritage At Longview Healthcare Center

Longview, TX · Gregg County

CMS 1/5 140 beds For-profit Medicaid
Nurse hours
2.81 /day
Staff turnover
—
Serious cites
0

Heritage at Longview runs 140 certified beds under corporate ownership, and its nurse staffing sits at 2.81 hours per resident each day, roughly 27 percent under the national average of 3.86. Weekends are thinner still, about 21 percent below what the home staffs on weekdays. The inspection record shows 26 deficiencies, including two at the level where harm or jeopardy occurred, one tied to abuse, and $81,752 in fines across two penalties. Its last inspection was June 5, 2024, so that record is recent. Staffing carries the lowest federal mark at 1 out of 5 stars, while inspections and quality measures each land at 3. The gap between those quality scores and the day-to-day staffing numbers is the thing worth asking about directly.

C

55/100

Heritage At Turner Park Health & Rehab

Grand Prairie, TX · Dallas County

CMS 2/5 146 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
94%
Serious cites
0

Heritage at Turner Park runs 146 beds in Grand Prairie under for-profit LLC ownership, and the numbers that stand out most are about the people doing the work. Nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average, with weekends dipping about 10 percent below the home's own weekday levels, and annual turnover hitting 94.1 percent against a national rate near 46 percent. That churn means aides and nurses are constantly being replaced. The inspection record shows 17 deficiencies, three of them at harm or jeopardy level and one abuse-related, plus three fines totaling $31,873. The most recent inspection was July 31, 2025, so the record is current.

C

55/100

Avir At San Knoll

San Antonio, TX · Bexar County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
75%
Serious cites
0

Northgate runs on 3.10 nurse hours per resident per day, about a fifth below the national average, and weekends dip even further. Three in four employees left last year, against a national rate around 46%, which means the people at the bedside keep changing. Inspectors have written 54 deficiencies, including one at the harm level and three tied to abuse, with a $27,710 fine on record from a July 2025 visit. The quality star is high, but that measure leans on self-reported data. Licensed staffing and inspection results are where this home sits at the bottom.

C

55/100

Paradigm At First Colony

Missouri City, TX · Fort Bend County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
67%
Serious cites
0

Paradigm At First Colony runs about 3.36 nursing hours per resident per day, roughly 13% under the national average, and weekend coverage drops another 14% below its own weekday levels. That thin margin shows up in the workforce itself: 67% of staff turned over in a year, against a national rate near 46%. The inspection record is harder to explain away, 41 deficiencies, eight serious enough to put residents in harm's way, four tied to abuse, and three fines reaching $211,113. A 150-bed for-profit LLC in Missouri City, recently inspected in January 2026. Whatever the quality measures suggest, the staffing and survey history carry more weight when you're choosing care for someone you love.

C

55/100

Five Points At Lake Highlands Nursing And Rehab

Dallas, TX · Dallas County

CMS 1/5 280 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
64%
Serious cites
0

Five Points At Lake Highlands runs 280 certified beds in Dallas under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends dip roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 64% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is heavier still: 53 deficiencies, five at harm or jeopardy level, one abuse-related, and $58,149 in fines across five penalties. The most recent inspection was March 31, 2026, so the picture is current, not stale.

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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