956 Government-Run Nursing Homes in the United States

Nurse hours

4.38 /day

Staff turnover

29%

Serious cites

0

Hill Top House runs on a government hospital district budget in Bucklin, and the numbers suggest the money goes to people. Nurse staffing sits at 4.38 hours per resident day, about 13% above the national average, and weekends only dip roughly 5% below weekday levels, a small gap by nursing home standards. Staff turnover is 29%, well under the national 45.8%, so the aides and nurses here tend to stay. The tradeoff shows up in inspections: 15 deficiencies on record, one serious enough to reach harm or jeopardy level, and a middling 3 out of 5 inspection rating, though the last survey was recent, in November 2024, with nothing abuse-related. With 29 beds, it stays small enough that consistency matters more than scale.

Nurse hours

6.40 /day

Staff turnover

7%

Serious cites

0

Alameda County Medical Center D/P SNF runs on a government hospital district license with 109 certified beds, and the numbers behind its record are unusually steady. Nurse staffing sits at 6.40 hours per resident day, roughly two-thirds above the national average, and weekend coverage dips only about 7% from weekday levels, a gap that's small compared to what most homes show. Staff turnover is 6.9% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. The 18 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was in August 2024. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

Nurse hours

5.56 /day

Staff turnover

6%

Serious cites

0

Edward J Healey is county-owned, and that shows up in how it's run: nurse staffing runs 5.56 hours per resident day against a national average of 3.86, and turnover sits at 6.4% while the typical American nursing home churns through nearly half its staff each year. Just two deficiencies sit on the current record, none involving harm or abuse, and the most recent inspection closed out in December 2024. Weekend staffing dips about 9% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The low turnover matters most here, steady, familiar aides usually mean better day-to-day care than any scoreboard can capture.

Nurse hours

5.51 /day

Staff turnover

24%

Serious cites

0

Honoka'a Hospital & Skilled Nursing runs on state money and a lot of nursing hours. At 5.51 per resident day, it's staffed about 43 percent above the national average, and weekend coverage only dips around 14 percent from its weekday level, a smaller drop than many homes manage. Turnover sits at 24.4 percent against a national 45.8 percent, so the people caring for residents tend to stay. The 14 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the most recent inspection was in late 2024.

Nurse hours

5.85 /day

Staff turnover

27%

Serious cites

0

Oneida County Hospital & Long Term Care runs on county money in a small Idaho town, and the numbers back up the setup. Nurse staffing sits at 5.85 hours per resident day, roughly half again the national average, and weekend coverage dips only about 10% below its own weekday level, a smaller drop than many homes manage. Staff turnover is 26.8% against a national 45.8%, so the people caring for residents tend to stay. Inspectors found 13 deficiencies, none involving harm or abuse, and the most recent visit was in May 2026. Five stars across inspections, quality measures, and staffing, with 33 certified beds, tells you this is a stable, well-run county operation.

Nurse hours

4.74 /day

Staff turnover

25%

Serious cites

0

The Iowa Veterans Home in Marshalltown runs 702 certified beds as a state government operation, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.74 hours per resident day, about 23 percent above the national average of 3.86, and weekend coverage dips only about 14 percent below its own weekday level, a gap that's common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 24.7 percent against a national average of 45.8 percent, meaning caregivers here tend to stay. The home carries just two deficiencies on its current record, neither at the harm level and none abuse-related, with its last inspection dated April 16, 2026.

Nurse hours

5.95 /day

Staff turnover

25%

Serious cites

0

Tuscola County Medical Care Facility runs on a county government budget out of Caro, and the staffing numbers show it: 5.95 nurse hours per resident day, roughly 54% above the national average of 3.86. Turnover sits at 24.5% against a national 45.8%, meaning aides and nurses tend to stay. Weekends run about 14% leaner than weekdays, which is worth asking about if your relative needs help at predictable times. The tradeoff is inspections, 23 deficiencies on the current record, one at harm or jeopardy level, though none abuse-related, and the most recent survey was December 2025. Quality and staffing measures both score well; the health inspection side is the softer spot.

Nurse hours

5.06 /day

Staff turnover

24%

Serious cites

0

Nurse staffing here runs about 5.06 hours per resident day, roughly 31% above the national average of 3.86, and weekends dip only about 10% below the home's own weekday level. Staff turnover sits at 23.8% against a national average near 46%, which matters over time because familiar caregivers tend to notice changes sooner. The tradeoff is in the inspection record: 8 deficiencies, 3 of them serious enough to involve harm or jeopardy, though none abuse-related, with the most recent inspection in May 2025. County-owned facilities often run leaner on frills and steadier on staffing, and the numbers here follow that pattern.

Nurse hours

6.14 /day

Staff turnover

33%

Serious cites

0

Harmony Manor runs on unusually heavy staffing for a 42-bed hospital-district home, 6.14 nurse hours per resident day, roughly 59% above the national average, and the weekend dip of about 12% still leaves it well ahead of most places. Turnover sits at 32.7% against a national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in its record: 24 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was April 2026, and it scores 4s and 5s across inspection, quality, and staffing measures.

Nurse hours

7.22 /day

Staff turnover

33%

Serious cites

0

Helen Hayes Hospital's transitional care unit in West Haverstraw runs on unusually heavy staffing, 7.22 nurse hours per resident day, roughly 87% above the national figure, and that shows up in the weekend numbers too, which dip about 14% below weekdays but stay high in absolute terms. Staff turnover sits at 33.3%, noticeably below the 45.8% national average, which matters for consistency of care. Its inspection record is clean: two deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in March 2025. State-run ownership adds a layer of public accountability. For 24 beds, that combination of nurse hours and low deficiency counts is the whole story.

Nurse hours

7.08 /day

Staff turnover

29%

Serious cites

0

Wooster Community Hospital's skilled nursing unit runs on 7.08 nurse hours per resident day, roughly 83% above the national average of 3.86, and its staff turnover sits at 28.6% against a national 45.8%, meaning the people caring for residents tend to stay. Weekend coverage dips about 9% below weekday levels, a gap worth asking about if your family visits mainly on Saturdays. The inspection record is clean where it counts: three deficiencies total, none at the harm level, none abuse-related, with the most recent survey in January 2024. City-owned and small at 22 beds, it pairs that staffing with 5/5 ratings across health inspections, quality measures, and staffing.

Nurse hours

5.69 /day

Staff turnover

34%

Serious cites

0

The state-run veterans home in Payson runs nurse staffing at 5.69 hours per resident day, roughly 47% above the national figure, with weekend coverage dipping about 9% below its own weekday levels. Staff turnover of 33.7% sits well under the national 45.8%, which matters for continuity in a memory-care-heavy population. Against that, the current record carries 13 deficiencies, including one at the harm or jeopardy level and one tied to abuse, and the most recent inspection was April 2026. Strong marks across CMS's health, quality, and staffing domains coexist here with real citations, so read the inspection details rather than the star averages.

Nurse hours

5.82 /day

Staff turnover

27%

Serious cites

0

The state runs this 198-bed home in Waupaca County, and the staffing numbers show it: 5.82 nurse hours per resident per day, roughly half again the national average of 3.86. Weekend coverage dips about 11% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Turnover sits at 26.9%, well under the 45.8% national figure, so the people caring for residents tend to stay. Fifteen deficiencies appear on the current record with none at the harm level, one tied to abuse, and the most recent inspection was in March 2025.

Nurse hours

6.03 /day

Staff turnover

28%

Serious cites

0

The Fresno Veterans Home is state-run and staffed at 6.03 nurse hours per resident day, roughly 56% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on a Sunday. Staff turnover sits at 28.3% against a national average near 46%, which matters for whether you see the same faces month to month. The record shows 29 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 30, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 4 or 5 out of 5.

Nurse hours

4.79 /day

Staff turnover

29%

Serious cites

0

Story Medical Senior Care runs on county ownership, and the numbers back up what that stability usually buys: 4.79 nurse hours per resident day, roughly a quarter above the national average, with staff turnover at 29.3% against a national 45.8%. Five deficiencies on the current record, none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. Weekend staffing drops about 18% below weekday levels, a common pattern but still a gap you'd want to know about. The last inspection was April 30, 2026, so the record is recent. Quality and staffing measures both sit at the top of CMS's scale.

Nurse hours

5.14 /day

Staff turnover

26%

Serious cites

0

Bay Bluffs runs on county money, and the numbers show what that buys: 5.14 nurse hours per resident day, roughly a third more staffing than the typical American nursing home. Turnover sits at 26.1 percent against a national average near 46 percent, so the people caring for residents tend to stay. Weekend coverage dips about 18 percent below weekday levels, worth asking about if your family visits on Saturdays and Sundays. Inspectors were last in on April 17, 2025, and the record shows nine deficiencies, none of them causing harm or involving abuse. Four- and five-star inspection and quality ratings back that up.

Nurse hours

4.89 /day

Staff turnover

30%

Serious cites

0

Jnh-Madison Inn is state-owned, which matters here because it's held to public records and public budgets in a way private operators aren't. The numbers back it up: 4.89 nurse hours per resident day against a national average of 3.86, and turnover at 30.3% when the typical home runs closer to 46%. Three deficiencies on the current record, none at harm or jeopardy level, none abuse-related, with an inspection as recent as October 2025. The one soft spot is weekends, when staffing drops about 18% below its own weekday level, worth asking about if your family visits Saturday or Sunday. Otherwise, the record is clean and unusually well-staffed.

Nurse hours

6.81 /day

Staff turnover

34%

Serious cites

0

Helen Hayes Hospital runs one of the strongest staffing pictures you'll find: 6.81 nurse hours per resident day, roughly 76% above the national average. Weekend coverage dips about 15% below its own weekday level, which is worth asking about, but the floor stays high. Staff turnover sits at 34.2%, well under the 45.8% national figure, so the people caring for residents tend to stay. The inspection record is clean, one deficiency total, none involving harm or abuse, and the most recent survey was in February 2025. Add state ownership and perfect marks on inspections, quality measures, and staffing, and there's very little here to push back on.

Nurse hours

5.40 /day

Staff turnover

30%

Serious cites

0

Nurse staffing at Gino J Merli Veterans Center runs 5.40 hours per resident day, roughly 40% above the national average, and the state-run home in Scranton holds a 30.1% turnover rate against a national 45.8%. Those numbers matter because consistent hands on deck tend to show up in outcomes. The trade-offs sit elsewhere: weekend staffing drops about 18% below its own weekday level, and the current inspection record carries six deficiencies, including one at the harm or jeopardy level and one abuse-related, with the last inspection dated April 2026. So the picture is a well-staffed, low-turnover home with real quality marks and a handful of serious findings the family should ask about directly.

Nurse hours

7.40 /day

Staff turnover

19%

Serious cites

0

Western Md Hospital Center runs on state government money and a nurse staffing level of 7.40 hours per resident day, roughly double the national average of 3.86. That staffing holds up on weekends better than most places, dipping only about 9% below its own weekday level, and annual turnover of 19.4% is less than half the national rate of 45.8%. What pulls it back to a middling grade is the inspection record: 37 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $24,060. A December 2025 inspection means the picture is current; the quality and staffing stars are top marks, but the compliance history is what a family needs to weigh.