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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 12281–12300 of 12,438, best-graded first.

D

50/100

Bonner Springs Nursing & Rehab Center

Bonner Springs, KS · Wyandotte County

CMS 1/5 45 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
82%
Serious cites
0

Bonner Springs Nursing & Rehab Center runs on 2.84 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 12% below its own weekday level. That thin coverage sits behind a 1-out-of-5 rating on staffing, and the workforce numbers explain why: 82.4% annual turnover, nearly double the national rate. Inspectors cited 59 deficiencies on the current record, four serious enough to put residents in harm's way, three tied to abuse, with $39,696 in fines. The last inspection was April 2025. This is a small for-profit LLC home with a 1-out-of-5 record on all three CMS measures, staffing, health inspections, and quality.

D

50/100

Medicalodges Paola

Paola, KS · Miami County

CMS 1/5 70 beds For-profit Medicaid
Nurse hours
1.90 /day
Staff turnover
56%
Serious cites
0

Medicalodges Paola runs on 1.90 nurse staffing hours per resident per day, roughly half the national figure, and weekends drop about 12% below what the home already provides on weekdays. Annual turnover sits at 55.6% against a national average of 45.8%, so the staff you meet may not be there in a year. The inspection record shows 27 deficiencies, five of them serious enough to put residents at risk of harm, two tied to abuse. Kansas inspectors cited the home most recently in July 2025, and three fines totaling $78,225 sit on the books. Its three CMS star ratings, health inspections, quality measures, staffing, all land at two out of five.

D

50/100

Oc Milford Gardens Llc

Milford, MA · Worcester County

CMS 1/5 135 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
81%
Serious cites
0

Oc Milford Gardens runs on 3.37 nurse hours per resident day, about 13 percent under the national average, and weekend coverage dips further below its own weekday level. Staff turnover sits at 81.4 percent against a national figure near 46 percent, so most of the people caring for residents are new or on their way out. The current inspection record carries 27 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, plus a $148,051 fine. The most recent inspection was in early March 2026, so the record is recent, not stale.

D

50/100

Hadley Pointe Nursing Rehab & Care

Hadley, MA · Hampshire County

CMS 1/5 154 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
70%
Serious cites
0

Hadley Pointe runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage sits behind a record of 48 deficiencies, four at harm or jeopardy level and seven abuse-related, plus two fines totaling $85,596, with CMS placing the home in its Special Focus Facility program. Annual turnover of 70% is well above the 45.8% national average. The 154-bed for-profit corporation changed ownership within the past year, and the most recent inspection was January 17, 2025, with staffing and health inspection each landing a single star.

D

50/100

Butler Rehab And Healthcare Center

Butler, MO · Bates County

CMS 1/5 98 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
74%
Serious cites
0

Butler Rehab runs 98 certified beds as a for-profit LLC, and its staffing sits at 3.36 nurse hours per resident day, about 13% under the national average of 3.86, with weekends running another 13% below its own weekday levels. Turnover tells a harder story: 73.6% of nursing staff leave annually, against a national average near 46%, which means roughly three of every four caregivers are new to the building each year. Its current record carries 33 deficiencies, three tied to abuse, with the most recent inspection dated February 2026. The low quality-measure score reflects how residents are actually doing day to day, not just paperwork.

D

50/100

Fountain Care At Sunset Hills

Saint Louis, MO · St. Louis County

CMS 1/5 166 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
80%
Serious cites
0

Fountain Care At Sunset Hills runs 166 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop another 6% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to be there. Annual turnover is 79.8%, against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record shows 78 deficiencies, six at harm or jeopardy level and 13 abuse-related, with four fines totaling $119,588 and a survey completed in April 2025.

D

50/100

Carriage Square Rehab And Healthcare Center

Saint Joseph, MO · Buchanan County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
77%
Serious cites
0

Carriage Square runs on thinner staffing than most homes its size, 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday coverage, which matters when a resident needs help on a Sunday. More striking is the churn: 77% annual turnover, well above the 45.8% national figure, so the people caring for your family member are frequently new. The inspection record backs that up. Fifty-six deficiencies, including two at harm or jeopardy level and five tied to abuse, with a $48,685 fine and a March 2025 inspection. A for-profit limited liability company operates it. Worth asking the administrator directly what's changed since then.

D

50/100

Lakeview Health Care & Rehabilitation Center

Boonville, MO · Cooper County

CMS 2/5 59 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
58%
Serious cites
0

Lakeview runs lean on nursing hours, 3.13 per resident per day, about 19% under the national average, and weekends are thinner still, roughly 12% below its own weekday staffing. That shortfall shows up in turnover: 57.5% of staff left over the year, well above the 45.8% national rate, and CMS gives the home one star each for staffing and quality measures, even though its inspection rating sits at four. The record carries 32 deficiencies, including one at the harm level and two tied to abuse, plus a $49,335 fine. A recent inspection date doesn't erase what's underneath it.

D

50/100

Big Spring Care Center For Rehab And Healthcare

Humansville, MO · Polk County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
76%
Serious cites
0

Big Spring Care Center runs on 3.35 total nurse hours per resident day, roughly 13% under the national average, and weekends dip another 10% below its own weekday staffing. Annual turnover sits at 76.3%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record shows 37 deficiencies, four of them abuse-related, with the most recent look in January 2025. All three CMS star ratings sit at one out of five. Limited liability ownership with no harm-level citations on file offers little reassurance against numbers like these.

D

50/100

Yellowstone River Nursing And Rehabilitation

Billings, MT · Yellowstone County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
72%
Serious cites
0

Yellowstone River runs on 3.15 nurse hours per resident per day, about 18% below the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays. That matters because turnover sits at 71.8% against a national average of 45.8%, most of the people caring for residents are new, and the ones on duty Saturday and Sunday are stretched thinnest. The current record carries 58 deficiencies, six serious enough to endanger residents, four tied to abuse, plus $99,463 in fines. The last inspection was August 2025. For-profit, individually owned, 160 beds. Ask about weekend coverage and how long aides have actually worked there.

D

50/100

Meridian Center

High Point, NC · Guilford County

CMS 1/5 199 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
57%
Serious cites
0

Meridian Center runs 199 certified beds in High Point under for-profit limited liability ownership, and the numbers there deserve a hard look before you consider it. Nurse staffing sits at 2.95 hours per resident day, roughly a quarter below the national average, and weekends drop about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 56.6% against a national 45.8%, meaning more than half the nursing workforce turns over in a year, and CMS gives the home one star each for staffing and health inspections. The current record shows 29 deficiencies, four at harm or jeopardy level, two tied to abuse, plus five fines totaling $88,566.

D

50/100

Greenville Health And Rehabilitation Center

Greenville, NC · Pitt County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
66%
Serious cites
0

Greenville Health and Rehabilitation Center runs on thinner staffing than most homes you'd compare it to, 3.40 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That gap matters more when you see turnover at 66.4%, well above the 45.8% national figure, because residents lose familiar caregivers often. Its inspection record carries 41 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse, and two fines totaling $64,002. The 1-out-of-5 inspection and staffing ratings reflect those numbers directly. The last state visit was June 11, 2025, so the record is current, not stale. For-profit corporate ownership is the backdrop here, not the whole story.

D

50/100

Riverside Health Services

Arkoma, OK · Le Flore County

CMS 1/5 56 beds For-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
59%
Serious cites
0

Riverside Health Services runs 56 certified beds in Arkoma under for-profit LLC ownership, and its nurse staffing comes in at 5.08 hours per resident day, roughly a third above the national average. That sounds like good news until you notice weekends run about 12% thinner than weekdays, and annual turnover sits at 58.5%, well past the 45.8% national figure. The current inspection record is more concerning still: 14 deficiencies, three of them serious enough to cause harm or jeopardy, one tied to abuse, and two fines adding up to $115,170. CMS scored its most recent inspection, from February 2025, at 2 of 5 stars. High raw staffing hours paired with that much turnover and that many serious findings is the tension worth weighing.

D

50/100

Jersey Shore Skilled Nursing And Rehabilitation Ce

Jersey Shore, PA · Lycoming County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
73%
Serious cites
0

Jersey Shore Skilled Nursing and Rehabilitation runs 120 beds under corporate ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average, and weekends dip another 6% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Staff turnover is 73.2% against a national 45.8%, so the people providing that care are largely new to the building and to each other. Inspectors have cited 61 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with $46,196 in fines. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5.

D

50/100

Ridgeview Healthcare & Rehab Center

Shenandoah, PA · Schuylkill County

CMS 1/5 111 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
85%
Serious cites
0

Ridgeview runs a 111-bed for-profit home in Shenandoah, and the numbers there deserve a hard look before you tour. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends run about 5% thinner than weekdays, so coverage is already stretched and gets thinner when it matters. The bigger red flag is turnover: 84.9% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, unlikely to still be there in a year. The inspection record shows 73 deficiencies, including 4 tied to abuse and 2 serious enough to put residents in harm's way, with $333,638 in fines.

D

50/100

Avir At San Antonio

San Antonio, TX · Bexar County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
2.63 /day
Staff turnover
61%
Serious cites
0

Avir At San Antonio runs on 2.63 nurse staffing hours per resident per day, roughly a third below the national average, and weekends drop about 9% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover sits at 60.7%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The inspection record shows 43 deficiencies, including three at the harm or jeopardy level and four tied to abuse, with $29,494 in fines across three penalties. Its most recent inspection was August 30, 2025, and the corporation that owns it holds a for-profit license.

D

50/100

Portsmouth Health And Rehab

Portsmouth, VA · Portsmouth City County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
62%
Serious cites
0

Portsmouth Health and Rehab runs on 3.24 nursing hours per resident per day, about 16 percent under the national average, and weekends dip roughly 14 percent below its own weekday coverage. Staff turnover sits at 61.5 percent against a national figure near 46 percent, so the people caring for residents are cycling out faster than at a typical home. The inspection record backs up those numbers: 64 deficiencies, six serious enough to cause harm or jeopardy, three tied to abuse, and $134,401 in fines. The last full inspection was in May 2021, which means families are relying on a picture that's several years old. For-profit corporate ownership.

D

50/100

Greenhill Villas

Mount Pleasant, TX · Titus County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
95%
Serious cites
0

Greenhill Villas runs on thin staffing even before the weekend squeeze: 3.10 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday level. That's the kind of gap families notice as slower call-button response. Staff turnover sits at 95.2%, more than double the national 45.8%, so the aide who knows your mother's routine this month may be gone the next. The current record carries 47 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $154,116 in fines across three penalties. The last inspection was June 2025. Corporate-owned, 150 beds.

D

50/100

Forest Park Nursing & Rehabilitation

Dallas, TX · Dallas County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
68%
Serious cites
0

Forest Park runs on 2.92 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips about 8% below its own weekday level. That thin staffing shows up in a 67.8% annual turnover rate, well above the 45.8% national figure. Its inspection record carries 53 deficiencies, eight at the harm or jeopardy level and four tied to abuse, along with four fines totaling $193,834. The most recent inspection was February 2026. A 4/5 quality measure score sits alongside 1/5 ratings for both staffing and health inspections, worth knowing what that quality number actually measures before weighing it against the rest.

D

50/100

Fall Creek Rehabilitation And Healthcare Center

Humble, TX · Harris County

CMS 1/5 126 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
66%
Serious cites
0

Fall Creek runs on 3.25 nursing hours per resident day, about 16 percent under the national average, with weekends dropping roughly 14 percent below its own weekday staffing. That thin coverage shows up in the numbers: a 65.6 percent annual turnover rate, well above the 45.8 percent national figure, and a one-star CMS staffing rating. Inspectors have cited 21 deficiencies, seven of them serious enough to put residents in harm's way and three tied to abuse, with two fines totaling $48,555. The last inspection was in May 2025. For a 126-bed for-profit home, the pattern across staffing, turnover, and enforcement history is worth weighing carefully before you decide.

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