2,586 Non-Profit Nursing Homes That Accept Medicaid in the United States
2,586 of the 14,697 Medicare-certified nursing homes in the United States (18%) are non-profit Medicaid-certified, and all are listed below. 935 of the 2582 graded homes earn an A and 62 earn a D or F. They average 4.29 nursing hours per resident per day, 0.43 hours above the 3.86 for every home in the United States. Mclean Health Center in Simsbury grades highest at A (100 out of 100).
How non-profit Medicaid-certified homes in the United States compare
This group set against every nursing home in the United States, from the current CMS release.
Masonic Village at Burlington runs on a contradiction. The nursing hours are genuinely high, 5.24 per resident day, roughly a third more than the national average, and CMS gives it top marks for staffing. But inspections tell a different story: 14 deficiencies on record, six of them serious enough to endanger residents, three tied to abuse, plus $178,446 in fines and a spot in the federal Special Focus Facility program, which CMS reserves for the worst-performing homes. Turnover sits at 46%, about even with the national rate, and weekend coverage drops roughly 11% below weekday levels. Quality scores look strong at 4 out of 5, but a home with three abuse citations and active federal monitoring has problems that staffing numbers alone don't fix.
Tolstoy Foundation Rehabilitation and Nursing Center is a 96-bed nonprofit in Rockland County sitting in CMS's Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The current inspection history backs that up: 45 deficiencies, two of them at the harm or jeopardy level and eight abuse-related, plus a single $126,470 fine. One recent inspection, in September 2025, doesn't erase a pattern like that.
Staffing sits right at the national mark, 3.83 hours per resident day against 3.86, though weekends run about 12% thinner than weekdays. Turnover is genuinely better than average, 35.5% versus 45.8%, and the quality measure rating is a middling 3/5. But the inspection rating is 1/5, and that's the number that matters most here.
Eddy Heritage House runs a nonprofit shop in Troy with 120 certified beds, and the staffing looks solid on paper, 3.90 nurse hours per resident day, just above the national average of 3.86. The catch is weekends, when coverage drops about 13% below the home's own weekday level, and turnover sits at 53% against a national 45.8%.
The inspection record is where this one gets harder to defend: 29 deficiencies on file, including two at harm or jeopardy level and four tied to abuse. That's a 1-star health inspection rating, with the most recent look coming in February 2024. Staffing earns 4 stars, quality measures 2. Families should ask directly how those abuse citations were resolved.
Tsali Care Center has real strengths on the staffing side, 6.14 nurse hours per resident day is well above the national average, and CMS gives it top marks there. But staffing alone doesn't keep residents safe. The home carries 82 deficiencies on its current record, four of them serious enough to put residents in harm's way, plus one tied to abuse, and it's been fined four times for a total of $157,555. That's why CMS placed it in the Special Focus Facility program, a designation reserved for the country's most troubled homes. Staff turnover sits slightly above the national rate, and weekend coverage dips below weekday levels. The last inspection was in August 2025.
Sunset Drive is a 128-bed nonprofit home in Mandan, and the numbers tell a hard story. Nurse staffing sits at 3.57 hours per resident day, about 8% under the national average, and weekends run roughly 10% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The bigger problem is the inspection record: 69 deficiencies, including two at the harm level and eight tied to abuse, plus $42,226 in fines, and CMS has placed the home in its Special Focus Facility program. Staff turnover of 64.5% is well above the 45.8% national figure, meaning caregivers cycle through quickly.
Rolette Community Care Center runs on decent nurse hours, 3.94 per resident day, a little above the national average, and weekends dip only about 6% below weekdays, which is steadier than many homes manage. The trouble sits elsewhere: a one-star health inspection rating, 36 deficiencies on the current record including two at the harm level, and $90,017 in fines across two penalties. Staff turnover of 53.6% outpaces the national 45.8%, meaning more than half the nursing staff leaves each year. CMS has placed this nonprofit, 31-bed home in its Special Focus Facility program, the agency's watchlist for homes with a persistent pattern of poor inspections.
The staffing hours at Wedgewood Manor look fine on paper, 3.99 per resident day, a bit above the national average, and that's likely why CMS gives it four stars there. But the numbers behind the numbers matter here: turnover runs 53.5% against a national 45.8%, and weekend coverage drops well below its own weekday level. What CMS found on inspection is worse. Twelve deficiencies on record, three serious enough to put residents in harm's way, three tied to abuse, and a $54,925 fine. A one-star inspection rating and one-star quality measures, plus placement in the Special Focus Facility program, tell you regulators are watching closely.
Good Samaritan Society - Larimore carries the kind of record that makes families ask hard questions. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekends run roughly 8% thinner than weekdays, meaning the coverage gaps show up exactly when backup is hardest to find. Staff turnover of 78.9% is nearly double the national rate, so residents cycle through a lot of unfamiliar faces. On top of that, CMS counts 49 deficiencies, including three at the harm or jeopardy level and two tied to abuse, with $119,935 in fines and placement in the Special Focus Facility program. That program is reserved for homes with a persistent pattern of serious problems.
Souris Valley Care Center is a 46-bed nonprofit home in Velva, and the federal numbers are rough across the board. Nurse staffing sits at 3.42 hours per resident day, about 12% under the national average, and it thins out further on weekends, roughly 13% below the home's own weekday level. Staff turnover runs 63.4%, well above the 45.8% national figure, which means the people caring for residents are, more often than not, new to the building. The inspection record shows 28 deficiencies, five of them at harm or jeopardy level and two tied to abuse. Four fines total $175,053, and CMS has placed the home in its Special Focus Facility program.
Garrison Mem Hosp Nsg Fac runs 4.34 nurse hours per resident day, about 12% above the national average, and that staffing shows up in its four-star staffing rating. The catch is consistency: weekend coverage drops roughly 20% below its own weekday level, and annual turnover sits at 66.7% against a national 45.8%, well over half the nursing staff leaving each year. Its current record carries 24 deficiencies, none at the harm level but one tied to abuse, and the two-star health inspection rating reflects that. Church-affiliated nonprofit ownership on 26 beds. The nurses are there in numbers, but keeping them is the problem.
Ranchwood Nursing Center carries a staffing burden that shows up in the numbers: 3.34 nurse hours per resident day, roughly 13% under the national average, with weekends running about 11% thinner than weekdays. Staff turnover sits at 73.8% against a national 45.8%, meaning most of the people caring for residents are relatively new, and the current record shows 46 deficiencies, four of them at the harm level and four tied to abuse. Two fines total $168,835, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. The last inspection was September 2025.
Elan Skilled Nursing and Rehab runs 145 certified beds in Scranton under nonprofit ownership, and its staffing is genuinely a strength, 4.47 nurse hours per resident day, about 16% above the national average. The catch is that weekends run roughly 11% thinner than weekdays, so coverage isn't evenly spread across the week. Turnover sits at 46.8%, essentially the national rate. The bigger concern is the inspection record: 31 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $19,105 fine. That's a lot of findings against a 2-out-of-5 health inspection rating, even with a recent November 2025 inspection. Ask about weekend staffing and how the abuse-related citations were resolved.
Independence Rehab and Nursing is a 255-bed nonprofit home in Philadelphia, and the numbers on its record are hard to get past. State inspectors cited 61 deficiencies, seven of them serious enough to involve harm or jeopardy, and six tied to abuse, with five fines totaling $353,465. Staffing sits around 3.35 nurse hours per resident per day, roughly 13% under the national average, and weekends run even leaner than weekdays. Annual turnover is 54.3%, meaning more than half the nursing staff leaves each year, well above the 45.8% national figure. The most recent inspection was in December 2025. If you're considering this home, ask directly how they plan to fix the abuse-related findings and what keeps staff from walking out the door.
Winner Regional Healthcare Center sits in a small South Dakota town and puts more direct nursing time into each resident than most homes in the country, about five hours a day against a national figure near four. That cushion matters, and it's the main reason inspections look solid, with the most recent visit in December 2024. The trouble is what the numbers show underneath the surface: weekend coverage drops roughly a fifth below its own weekday pace, and more than two-thirds of staff turned over last year, well above the typical rate. Eighteen deficiencies sit on the record, including three tied to abuse and one involving actual harm. Quality scores are weak despite the staffing.
Wilmot Care Center has enough hands on deck, 4.20 nurse staffing hours per resident day, roughly 9% above the national average, but almost everything else on its record is a problem. The home has been flagged as a Special Focus Facility, the CMS watch list for homes with a pattern of serious, repeated deficiencies: 18 total on the current record, two of them at the harm or jeopardy level, plus two fines totaling $28,028. Its last inspection was in March 2025. Staff turnover sits at 60.5% against a national average of 45.8%, and weekend staffing drops about 11% below the home's own weekday level. The staffing is there; the consistency and the compliance record are not.
Medicine Wheel Village sits in Eagle Butte with 50 certified beds and a staffing picture that looks strong on paper, 4.79 nurse hours per resident day, about 24% above the national average, with turnover at 31.4% versus 45.8% nationally. Weekends run roughly 16% leaner than weekdays, so coverage isn't perfectly even. The trouble is what inspections have found: 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $22,636 fine and a place in CMS's Special Focus Facility program. Quality measure scores look good, but a recent inspection and that many citations on record are the numbers that matter most for daily safety.
Mission At Alpine Rehabilitation Center is a 52-bed nonprofit home in Pleasant Grove that federal regulators have placed in the Special Focus Facility program, the designation CMS reserves for the homes it considers among the poorest performers in the country. The inspection record explains why: 44 deficiencies, eight serious enough to cause harm or jeopardy, seven tied to abuse, and $125,737 in fines across two actions. Staffing sits at 3.13 nurse hours per resident day, roughly 19% under the national average, with weekends about 12% thinner than weekdays and turnover at 65.1% against a national 45.8%. The quality measure stars look strong, but that's what families see on paper; the staffing and inspection numbers are what happen on the floor.
Thompson House runs lean on inspection results, not on staff. The Brattleboro nonprofit, 43 beds, has averaged 4.95 nurse hours per resident day, roughly 28% above the national figure, yet CMS still gave it a single star for health inspections after seven deficiencies, three serious enough to involve harm or jeopardy, and a $112,499 fine.
Weekend coverage drops about 15% below weekday levels, and turnover sits at 56.1% against a 45.8% national average. Those two numbers matter when the same crew isn't there to catch what a thin weekend shift misses.
Being placed in the Special Focus Facility program means federal regulators are watching this home's correction plan directly. The last inspection was March 2026.
Maplewood Center has real staffing muscle, 5.12 nurse hours per resident day sits about a third above the national average, but the inspection record is where the story turns. Eighty-one deficiencies on the current record, eleven of them at harm or jeopardy level and ten tied to abuse, with $352,483 in fines across four penalties. That's a lot of serious findings for a 150-bed nonprofit, and a 1-out-of-5 health inspection rating reflects it.
Turnover runs 52.1% against a national 45.8%, so even the strong staffing numbers come with constant churn, and weekend coverage drops about 9% below weekdays. The most recent inspection was May 2025, so the record is current.
The Jewish Home and Care Center in Milwaukee runs about 5.01 nurse staffing hours per resident day, roughly 30% above the national average, yet weekend coverage dips about 12% below its own weekday levels. Staff turnover sits at 52.4%, higher than the 45.8% national figure. What tempers that staffing picture is the record: 33 deficiencies on file, seven at the harm or jeopardy level and two tied to abuse, with one $8,959 fine. CMS has placed this home in its Special Focus Facility program, and its most recent inspection came April 6, 2026. A nonprofit operator and strong weekday hours don't erase a harm-level deficiency pattern.
Frequently asked questions
How many non-profit Medicaid-certified nursing homes are there in the United States?
There are 2,586 non-profit Medicaid-certified Medicare-certified nursing homes in the United States, 18% of the 14,697 nursing homes there.
Are non-profit Medicaid-certified nursing homes better staffed?
In the United States they average 4.29 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.43 hours. Staff turnover averages 41.5% against 45.8%.
Which non-profit Medicaid-certified nursing home grades best in the United States?