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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 1761–1780 of 12,438, best-graded first.

A

86/100

Santa Paula Post Acute Center

Santa Paula, CA · Ventura County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.67 /day
Staff turnover
37%
Serious cites
0

Santa Paula Post Acute Center runs 99 certified beds under individual for-profit ownership, and its staffing is the clearest strength: 4.67 nurse hours per resident day, roughly 21% above the national average. Turnover sits at 36.9% against a national 45.8%, though weekend coverage dips about 12% below its own weekday level, so ask how that gap gets filled. The inspection record shows 35 deficiencies, none at the harm level and none abuse-related, with the most recent survey in April 2025. All three CMS ratings, health inspection, quality measures, and staffing, land at 4 out of 5.

A

86/100

Mission Park Healthcare Center

Santa Barbara, CA · Santa Barbara County

CMS 5/5 138 beds For-profit Medicaid
Nurse hours
4.77 /day
Staff turnover
43%
Serious cites
0

Mission Park runs on 4.77 nurse hours per resident per day, roughly 23% above the national average, though weekends dip about 11% below its own weekday staffing. Turnover sits at 42.5%, slightly better than the 45.8% national figure. The inspection record shows 14 deficiencies, none at harm or jeopardy level, but two are abuse-related, and the most recent inspection was in December 2024, so the record is current. The 5/5 inspection rating and 4/5 quality measures reflect that clean harm-level record, while the 3/5 staffing rating suggests CMS isn't fully crediting the above-average hours. It's a for-profit LLC with 138 beds.

A

86/100

Guardian Rehabilitation Hospital

Los Angeles, CA · Los Angeles County

CMS 3/5 93 beds For-profit Medicaid
Nurse hours
4.87 /day
Staff turnover
31%
Serious cites
0

Guardian Rehabilitation Hospital sits in Los Angeles with 93 certified beds and a corporate for-profit owner. The staffing numbers are the strongest part of the story: 4.87 nurse hours per resident day, roughly a quarter more than the national average, with turnover at 31.2% against a national 45.8%, so people are staying longer than at the typical home. Weekends run about 12% leaner than weekdays, which is worth asking about. Against that, the current inspection record carries 49 deficiencies, four tied to abuse, and one fine of $32,040. None of the deficiencies reached harm or jeopardy level, and the last inspection was in March 2026, so the record is recent.

A

86/100

Escondido Post Acute

Escondido, CA · San Diego County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
38%
Serious cites
0

Escondido Post Acute runs 180 beds under corporate ownership, and its staffing sits at 3.78 nurse hours per resident day, about 2% under the national average of 3.86. Weekends dip roughly 4% below its own weekday coverage, so the thinnest shifts come when families tend to visit. What stands out is retention: 37.9% annual turnover against a national 45.8%, which means more familiar faces than most places. The record shows 42 deficiencies, none at harm or jeopardy level, though two are abuse-related. Inspectors were last on site in May 2025, and the quality measure rating is strong while staffing lands mid-range.

A

86/100

San Luis Post Acute Center

San Luis Obispo, CA · San Luis Obispo County

CMS 5/5 162 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
46%
Serious cites
0

San Luis Post Acute Center sits in San Luis Obispo with 162 certified beds under corporate ownership. Its 4.44 nurse hours per resident day runs about 15% above the national average of 3.86, and weekend staffing dips roughly 8% below weekday levels, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record is the stronger story: a recent March 2025 survey, 16 deficiencies on file but none at the harm or jeopardy level and none abuse-related. Turnover lands at 45.5%, essentially matching the national 45.8%. For-profit ownership and a solid survey history together.

A

86/100

Broadway Healthcare Center

San Gabriel, CA · Los Angeles County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
21%
Serious cites
0

Broadway Healthcare Center runs 59 beds in San Gabriel under for-profit LLC ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, with weekends about 3% thinner than weekdays. What stands out is retention: 21.4% annual turnover against a national 45.8%, meaning the people caring for residents tend to stay. The tradeoff shows up in the inspection record, 43 deficiencies, including one at the harm level and one abuse-related, with a single $3,145 fine. The most recent inspection was February 2026. Quality measures rate well above average, so the day-to-day care looks steadier than that paper trail suggests.

A

86/100

Palm Springs Healthcare & Rehabilitation Center

Palm Springs, CA · Riverside County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
41%
Serious cites
0

Palm Springs Healthcare & Rehabilitation Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 5.10 hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips modestly, about 8% below weekday levels, while annual turnover of 41.2% comes in slightly under the national 45.8%. The current inspection record shows 31 deficiencies but none at the harm or jeopardy level and nothing abuse-related, with the most recent survey completed in December 2024. Its CMS stars line up evenly across health inspections, quality measures, and staffing, each at 4 out of 5.

A

86/100

We Care Skilled Nursing - Fremont

Fremont, CA · Alameda County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
39%
Serious cites
0

We Care Skilled Nursing in Fremont runs on 4.19 nurse hours per resident day, about 8% above the national average, and its 38.9% turnover is meaningfully better than the 45.8% typical elsewhere. Weekend staffing dips roughly 7% from weekday levels, so coverage is a little thinner on Saturdays and Sundays. Inspectors wrote up 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last visit in December 2024. The for-profit limited liability company behind it earned a 3 out of 5 on health inspections, while quality measures and staffing both came in at 4. Staffing and turnover look like the strengths here; the inspection record, while free of serious findings, is the softer spot.

A

86/100

San Leandro Healthcare Center

San Leandro, CA · Alameda County

CMS 4/5 62 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
38%
Serious cites
0

San Leandro Healthcare Center runs 62 beds under corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average. Weekend coverage dips about 9% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Staff turnover is 37.5%, noticeably better than the 45.8% national figure, which matters for whether your family sees the same faces. The current record shows 27 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in November 2024. Inspections, quality measures, and staffing each landed at 4 out of 5 stars.

A

86/100

Lake Merritt Healthcare Center Llc

Oakland, CA · Alameda County

CMS 2/5 53 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
29%
Serious cites
0

Lake Merritt Healthcare Center runs on a for-profit LLC structure with 53 certified beds, and its staffing is the clearest strength: 4.16 nurse hours per resident day sits about 8% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover at 28.6% is well under the national 45.8%. The inspection record is where the picture darkens, 44 deficiencies on file, three tied to abuse, and a 2/5 health inspection rating, though none reached harm or jeopardy. The most recent inspection was October 2024. A 4/5 staffing rating paired with a 2/5 inspection rating tells you the hands are there but the compliance history has been rougher than average.

A

86/100

All Saints Healthcare Subacute

North Hollywood, CA · Los Angeles County

CMS 2/5 128 beds For-profit Medicaid
Nurse hours
10.93 /day
Staff turnover
28%
Serious cites
0

All Saints runs unusually heavy nurse staffing, nearly 11 hours per resident day, roughly triple the national figure, and its 28% turnover beats the 45.8% national average. Weekend coverage dips about 10% below its own weekday level, but the numbers stay high regardless. The inspection record is where it falls apart. Ninety-six deficiencies are on file, four of them at the harm or jeopardy level and six tied to abuse, with three fines totaling $118,855. The most recent inspection, in January 2026, gave the home a one-star health inspection rating even as its quality and staffing measures scored five. Corporate ownership, 128 beds, and a record showing both strong bedside hours and serious compliance problems, that combination is what the grade reflects.

A

86/100

Fremont Healthcare Center

Fremont, CA · Alameda County

CMS 4/5 115 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
36%
Serious cites
0

Fremont Healthcare Center runs 115 beds under for-profit partnership ownership, and the staffing numbers here are the real story: 4.12 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 7% below its own weekday level. Turnover sits at 36%, better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in the inspection record, 30 deficiencies, none at harm or jeopardy level, but three tied to abuse, plus one fine of $12,051. The most recent inspection was November 2025. Quality measures score well and staffing is strong; the survey history is where a family should ask questions.

A

86/100

Life Care Center Of Evergreen

Evergreen, CO · Jefferson County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
38%
Serious cites
0

Life Care Center of Evergreen runs a corporate-owned, 120-bed operation that just earned strong marks across all three federal ratings, with its most recent inspection in May 2025 finding no deficiencies at the harm or jeopardy level. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends run roughly 12% leaner than weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover lands at 37.5%, which is meaningfully better than the 45.8% national figure, suggesting people tend to stay. Eleven total deficiencies on record, none abuse-related.

A

86/100

Westview Health Care Center

Dayville, CT · Northeastern Ct County

CMS 3/5 103 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
41%
Serious cites
0

Westview runs a for-profit corporate home with 103 beds, and its staffing is the strongest card it holds: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 41%, lower than the typical 45.8%. Weekends thin out, though, running about 14% below weekday coverage. The health inspection record is the weak spot: 30 deficiencies, including two tied to abuse, and a 2-out-of-5 star rating from CMS on inspections, even though quality measures scored 4 and staffing scored 5. The last inspection was February 3, 2025. None of the deficiencies rose to harm or jeopardy level, which matters, but the count is high. Ask about weekend coverage and the abuse-related findings before deciding.

A

86/100

Elim Park Baptist Home, Inc

Cheshire, CT · Capitol County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
40%
Serious cites
0

Elim Park Baptist Home runs on a nonprofit model with 90 certified beds, and the staffing picture is the strongest part of the story: 4.37 nurse hours per resident day, roughly 13% above the national average, with a five-out-of-five CMS staffing rating to match. Weekend coverage dips about 6% below weekday levels, which is worth asking about. Turnover sits at 39.8%, better than the 45.8% national figure but still meaning nearly four in ten staff left within a year. The inspection record is where things get more complicated: 19 deficiencies on file, including one at the harm level and one abuse-related citation, plus an $8,018 fine. The last inspection was September 2024.

A

86/100

Mozaic Senior Life

Bridgeport, CT · Greater Bridgeport County

CMS 2/5 294 beds Non-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
24%
Serious cites
0

Mozaic Senior Life runs on 294 certified beds as a nonprofit, and the numbers pull in two directions. Nurse staffing sits at 4.61 hours per resident day, about 19% above the national average of 3.86, and turnover is 24.3%, far below the 45.8% norm. Weekend coverage dips roughly 7% under weekday levels, so the floor is thinner on Saturdays and Sundays. What drags the record down is inspection history: 46 deficiencies, including five at harm or jeopardy level and nine tied to abuse, plus five fines totaling $58,260. The most recent inspection was September 29, 2025. Strong staffing and low turnover don't erase that paper trail.

A

86/100

The Moorings At Lewes

Lewes, DE · Sussex County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
42%
Serious cites
0

The Moorings At Lewes runs 4.38 nurse hours per resident day, roughly 13% above the national average, with a five-star staffing rating to match. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Annual turnover sits at 42.2%, better than the 45.8% national figure but still meaning nearly half the staff changes in a year. On inspections, two deficiencies on record, neither at the harm level nor abuse-related, and the last survey was in January 2026. This is a small nonprofit home with 40 beds whose numbers hold up well against the national baseline.

A

86/100

Inspire Rehabilitation And Health Center Llc

Washington, DC · The District County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

Inspire Rehabilitation and Health Center runs 180 certified beds under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.04 nurse hours per resident day, roughly 5% above the national average, with turnover at 39.4% compared to the 45.8% national figure. Weekends thin out, though, dropping about 13% below weekday coverage. The inspection record is where the story shifts, 83 deficiencies on file, including two at the harm or jeopardy level and seven tied to abuse, plus one $11,921 fine. The last inspection was November 2023, so the record is current, not stale. Quality and staffing measures both earn 4 stars, but that deficiency count, particularly the abuse-related findings, is the number worth asking about directly.

A

86/100

Coral Gables Nursing And Rehabilitation Center

Miami, FL · Miami-Dade County

CMS 5/5 87 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
25%
Serious cites
0

Coral Gables Nursing and Rehabilitation Center runs on 87 certified beds in Miami, and the staffing numbers stand out: 4.44 nurse hours per resident per day, roughly 15% above the national average. Turnover sits at 24.7%, well under the 45.8% national figure, which matters for continuity of care. Weekend staffing dips about 12% below weekday levels, so ask how that plays out on Sundays. The inspection record is clean, two total deficiencies, none at the harm or jeopardy level, and the most recent survey was December 18, 2025. Quality measures came in at three stars, softer than the staffing and inspection scores. It's a for-profit limited liability company, so worth asking who runs day-to-day operations and how long they've been there.

A

86/100

Kissimmee Health And Rehabilitation Center

Kissimmee, FL · Osceola County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
25%
Serious cites
0

Kissimmee Health and Rehabilitation Center runs 59 certified beds under for-profit limited liability ownership, and its staffing picture is the most interesting thing here. Total nurse coverage sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86, and weekends drop about 8% below the home's own weekday levels, so the hours thin out when families tend to visit. What offsets that is retention: 24.5% turnover against a national average of 45.8%, meaning the people who are there tend to stay. The record shows 22 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025.

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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