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38 Government-Run Nursing Homes in Michigan

38 of the 422 Medicare-certified nursing homes in Michigan (9%) are government-run, and all are listed below. 21 of the 38 graded homes earn an A and 0 earn a D or F. They average 5.14 nursing hours per resident per day, 1.15 hours above the 3.99 for every home in Michigan. Marquette County Medical Care Facility in Ishpeming grades highest at A (99 out of 100).

How government-run homes in Michigan compare

This group set against every nursing home in Michigan, from the current CMS release.

Nursing hours per resident per day

5.14

All homes in Michigan: 3.99

Better than the local average

Nurse staff turnover

40.3%

All homes in Michigan: 44.1%

Better than the local average

Average ElderGrade score

81.6/100

All homes in Michigan: 77/100

Better than the local average

Grade spread

A
B
C

21 grade A, 6 grade B, 11 grade C,

The best-graded government-run home in Michigan is Marquette County Medical Care Facility in Ishpeming, MI, grade A, 99/100.

Every government-run nursing home in Michigan

Showing 1 to 20 of 38, best-graded first.

A

99/100

Tuscola County Medical Care Facility

Caro, MI · Tuscola County

CMS 5/5159 bedsGovernmentMedicaid
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.

A

99/100

Marquette County Medical Care Facility

Ishpeming, MI · Marquette County

CMS 5/5140 bedsGovernmentMedicaid
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.

A

97.5/100

Bay Bluffs-Emmet County Medical Care Facility

Harbor Springs, MI · Emmet County

CMS 4/5120 bedsGovernmentMedicaid
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.

A

96/100

Ingham County Medical Care Facility

Okemos, MI · Ingham County

CMS 4/5236 bedsGovernmentMedicaid
Nurse hours
5.09 /day
Staff turnover
38%
Serious cites
0

Ingham County Medical Care Facility is a county-owned home in Okemos with 236 certified beds, and its staffing is the standout: 5.09 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips about 11% below weekday levels, which is common but still worth knowing if you're visiting Saturday or Sunday. Annual turnover sits at 37.5%, better than the 45.8% national figure, so the aides and nurses here tend to stick around longer than average. The caution is the inspection record, 63 deficiencies, one at harm or jeopardy level and nine abuse-related, with a health inspection rating of 2 out of 5 despite quality and staffing each earning top marks.

A

96/100

Allegan County Medical Care Facility

Allegan, MI · Allegan County

CMS 5/539 bedsGovernmentMedicaid
Nurse hours
5.35 /day
Staff turnover
33%
Serious cites
0

Allegan County Medical Care Facility runs on roughly 5.35 nursing hours per resident each day, well above the national average of 3.86, and its weekend coverage dips only slightly below weekday levels. Staff turnover sits at 32.7 percent, noticeably lower than the national 45.8 percent, which matters because familiar caregivers tend to notice changes in residents sooner. The county-owned home carries 11 deficiencies on its record, none at the harm level and none related to abuse, and its last inspection was in February 2026, recent enough that the findings reflect current conditions rather than old ones. With 39 certified beds, it stays small, and small homes live or die on whether the same people keep showing up. Here, the numbers suggest they do.

A

94.5/100

Eaton County Medical Care Facility

Charlotte, MI · Eaton County

CMS 5/5142 bedsGovernmentMedicaid
Nurse hours
6.31 /day
Staff turnover
38%
Serious cites
0

Eaton County Medical Care Facility is county-owned and staffed well above the national average, 6.31 nurse hours per resident day against 3.86 nationally-a figure that shows up in its staffing and quality ratings. Weekend coverage dips about 16% below its own weekday level, and turnover sits at 38%, lower than the 45.8% national average. The record isn't clean: 18 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Its most recent inspection was February 2026. Strong day-to-day staffing paired with a deficiency history that includes serious findings is what the numbers show.

A

94/100

Maple Lawn Medical Care Facility

Coldwater, MI · Branch County

CMS 5/5114 bedsGovernmentMedicaid
Nurse hours
4.67 /day
Staff turnover
31%
Serious cites
0

Maple Lawn runs on county money out of Branch County, and the staffing shows it: 4.67 nurse hours per resident per day, roughly a fifth more than the national average, with weekend coverage dipping about 9% below its own weekdays. Turnover sits at 30.9% against a national 45.8%, which matters more than any single inspection score because it's what keeps familiar faces at the bedside. The record isn't spotless, 20 deficiencies, including one at the harm level and three tied to abuse, but the most recent state visit came in August 2025 and produced a four-star inspection result. Strong staffing and steady retention are doing real work here; the abuse-related citations are the part worth asking about directly.

A

94/100

Cass County Medical Care Facility

Cassopolis, MI · Cass County

CMS 5/580 bedsGovernmentMedicaid
Nurse hours
4.85 /day
Staff turnover
39%
Serious cites
0

Cass County Medical Care Facility runs on 4.85 nurse hours per resident day, roughly a quarter more staffing than the national average, and its weekend coverage stays within about 12% of weekday levels, a gap that's often wider elsewhere. Staff turnover sits at 38.8%, below the 45.8% national figure, which matters for residents who benefit from seeing familiar faces. The tradeoff shows up in its record: 22 deficiencies, four serious enough to reach harm or jeopardy level, though none involve abuse, and two fines totaling $15,593. Its last inspection was in March 2025. County-owned and small at 80 beds, this is a well-staffed home with some compliance problems worth asking about directly.

A

93/100

Maples Benzie County Medical Care

Frankfort, MI · Benzie County

CMS 5/580 bedsGovernmentMedicaid
Nurse hours
5.05 /day
Staff turnover
40%
Serious cites
0

Maples Benzie County Medical Care runs on unusually heavy nurse staffing, 5.05 hours per resident day against a national average of 3.86. That's about a third more hands-on care than most homes, and it shows in a five-star CMS staffing rating, even if weekends dip roughly 14% below the home's own weekday coverage. Staff turnover sits at 40.2%, better than the 45.8% national figure but still meaning two in five caregivers left within a year. The record isn't spotless: 21 deficiencies, including one at the harm level and one tied to abuse, plus a single $1,398 fine. County-owned, inspected in January 2026. Strong care capacity, some compliance concerns worth asking about directly.

A

93/100

Isabella County Medical Care Facility

Mt. Pleasant, MI · Isabella County

CMS 5/5100 bedsGovernmentMedicaid
Nurse hours
5.86 /day
Staff turnover
28%
Serious cites
0

Isabella County Medical Care Facility runs on a county-owned model, and the numbers show it: 5.86 total nurse hours per resident day, roughly half again the national figure, with a 5/5 CMS staffing rating to match. Turnover sits at 27.5% against a national average near 46%, meaning the aides and nurses your family would see day to day are likelier to still be there next year. Weekend coverage dips about 11% below weekdays, the one soft spot in the staffing picture. Four deficiencies on record, none involving harm or abuse, and a clean 5/5 inspection rating from a visit in March 2026. Quality measures come in at 3/5, decent, not standout.

A

93/100

Michigan Veteran Homes At Grand Rapids

Grand Rapids, MI · Kent County

CMS 5/5128 bedsGovernmentMedicaid
Nurse hours
7.21 /day
Staff turnover
45%
Serious cites
0

Michigan Veteran Homes At Grand Rapids runs a state-owned, 128-bed operation where nurse staffing sits at 7.21 hours per resident day, roughly 87 percent above the national average of 3.86. Weekends dip about 12 percent below weekday coverage, so ask how that gap gets filled. The inspection record is clean where it counts: five deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey in April 2025. Staff turnover of 44.9 percent lands just under the national 45.8 percent. Combined with 5/5 stars on health inspections and staffing and 4/5 on quality measures, the numbers point to a home that's well-run on paper and worth a visit.

A

91.5/100

Thornapple Manor

Hastings, MI · Barry County

CMS 5/5161 bedsGovernmentMedicaid
Nurse hours
4.95 /day
Staff turnover
40%
Serious cites
0

Thornapple Manor is county-owned, and its staffing reflects that public backing: 4.95 nurse hours per resident day, roughly 28% above the national average, which is why CMS gives it 5 out of 5 stars on staffing. Turnover sits at 39.7%, better than the 45.8% national figure, though weekend coverage drops about 18% below weekday levels. The trade-off shows up in its record: 21 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with the most recent inspection dated April 2026. Strong day-to-day staffing and a solid four-star inspection rating, but those harm-level and abuse findings are worth asking about directly before you decide.

A

90/100

Kalkaska Memorial Health Center

Kalkaska, MI · Kalkaska County

CMS 3/5104 bedsGovernmentMedicaid
Nurse hours
4.98 /day
Staff turnover
17%
Serious cites
0

Kalkaska Memorial runs on a hospital-district license, and its staffing is the clearest thing in its file: 4.98 nurse hours per resident day, roughly 29% above the national average, with weekend coverage dipping about 12% below its own weekday level. Turnover sits at 17.4% against a 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. The friction is inspections. Thirteen deficiencies on the current record, four of them serious enough to involve harm or jeopardy, plus one fine of $10,549, and the last survey was July 2025. Strong hands-on care, a thinner safety and compliance record.

A

89.5/100

Oceana County Medical Care Facility

Hart, MI · Oceana County

CMS 5/5115 bedsGovernmentMedicaid
Nurse hours
6.05 /day
Staff turnover
26%
Serious cites
0

Oceana County Medical Care Facility runs on 6.05 nurse hours per resident day, roughly 57 percent more than the national average of 3.86, and its staffing star rating reflects that. Weekend coverage dips about 16 percent below its own weekday level, worth knowing if your visits fall on Saturdays or Sundays, but turnover sits at 25.9 percent against a national 45.8 percent, so the people caring for residents tend to stay. The inspection record is clean where it matters most: five deficiencies total, none at the harm or jeopardy level, none abuse-related, and the last survey was in July 2025. County-owned and recently inspected, with quality measures scoring mid-range, this is a home whose strengths rest on consistent staffing and a clean regulatory record rather than standout clinical metrics.

A

89.5/100

Huron County Medical Care Facility

Bad Axe, MI · Huron County

CMS 5/5112 bedsGovernmentMedicaid
Nurse hours
5.57 /day
Staff turnover
36%
Serious cites
0

Huron County Medical Care Facility runs on public money and, by the numbers, spends it well. Nurse staffing sits at 5.57 hours per resident day, roughly 44% above the national average of 3.86, and weekend coverage dips only about 17% below weekday levels, which is a modest drop for a county home. The 36.1% turnover rate is lower than the 45.8% national figure, so the people providing that care tend to stick around. Inspectors logged 23 deficiencies but none at the harm or jeopardy level and none involving abuse, with the most recent inspection in July 2025. For a family weighing options, that combination of staffing depth and a clean harm record is the part worth paying attention to.

A

89.5/100

Martha T Berry Mcf

Mount Clemems, MI · Macomb County

CMS 4/5217 bedsGovernmentMedicaid
Nurse hours
5.05 /day
Staff turnover
45%
Serious cites
0

Martha T Berry Mcf runs on county money, and the numbers show a home that mostly holds up. Nurse staffing sits at 5.05 hours per resident day, roughly a third above the national average, with turnover at 44.5%, essentially level with the national rate. Weekends drop about 21% below weekday coverage, so ask how that plays out on a Sunday. The record isn't clean: 17 deficiencies, one serious enough to involve harm or jeopardy, and two tied to abuse. A 4/5 inspection rating and an April 2026 survey mean oversight has been recent. For a 217-bed county home, the staffing is the strongest signal here.

A

87.5/100

Manistee County Medical Care Facility

Manistee, MI · Manistee County

CMS 5/578 bedsGovernmentMedicaid
Nurse hours
6.28 /day
Staff turnover
31%
Serious cites
0

Manistee County Medical Care Facility runs on unusually heavy staffing for a county-owned home, 6.28 nurse hours per resident day, roughly 63% above the national figure, with weekend coverage dipping about 22% below its own weekday level. Turnover sits at 30.9%, well under the 45.8% national average, and the most recent inspection in December 2025 produced 13 deficiencies, none at the harm level, one abuse-related. Quality measures score 2 out of 5 stars even as inspections and staffing both hit 5, so the sharpest split here is between what the state found on site and what the federal quality data shows. Ask to see the plan of correction for that abuse citation.

A

86/100

Pleasant View Shiawassee County Medical Care Facil

Owosso, MI · Shiawassee County

CMS 5/5136 bedsGovernmentMedicaid
Nurse hours
3.97 /day
Staff turnover
46%
Serious cites
0

Pleasant View is county-owned, and the numbers suggest the public operator is running it well. Nurse staffing sits at 3.97 hours per resident day, a bit above the national average, though weekends run about 11% leaner than weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. The inspection record is the strongest signal: five deficiencies on file, none at the harm level, none tied to abuse, and a survey completed in June 2025, so the picture is current rather than stale. Staff turnover lands at 46.3%, essentially the national rate, not a red flag, not a standout. Five stars on both health inspections and quality measures back that up.

A

86/100

Oakview Medical Care Facility

Ludington, MI · Mason County

CMS 5/596 bedsGovernmentMedicaid
Nurse hours
4.87 /day
Staff turnover
39%
Serious cites
0

Oakview runs on county money, and the numbers show where that goes: 4.87 nurse hours per resident day, roughly a quarter more than the national average, with a five-star staffing rating to match. Weekends dip about 15% below weekdays, which is worth asking about if your family visits then. Turnover sits at 39.4%, better than the 45.8% national figure but still meaning new faces fairly often. The inspection record is solid, four stars, 11 deficiencies and none at the harm level, though two abuse-related citations exist and deserve a direct question. Quality measures score low at 2/5, and that's the piece to press on: staffing is strong, but the clinical outcomes those hours produce don't track with it.

A

86/100

Michigan Veterans Home Of Chesterfield Township

Chesterfield Township, MI · Macomb County

CMS 5/5128 bedsGovernmentMedicaid
Nurse hours
7.69 /day
Staff turnover
56%
Serious cites
0

Nurse staffing here runs about 7.69 hours per resident per day, roughly double the national average, and weekends dip only about 10% below the home's own weekday level, so coverage stays steady when many homes thin out. Turnover is the tradeoff: 56.3% of staff leave annually against a national average near 45.8%, meaning new faces are common even with strong numbers on the floor. The current record shows three deficiencies, none at the harm level and none abuse-related, with a May 2025 inspection behind a five-star health inspection rating. State-run ownership adds a layer of public accountability.

Frequently asked questions

How many government-run nursing homes are there in Michigan?
There are 38 government-run Medicare-certified nursing homes in Michigan, 9% of the 422 nursing homes there.
Are government-run nursing homes better staffed?
In Michigan they average 5.14 total nursing hours per resident per day, against 3.99 for all nursing homes in Michigan, a difference of +1.15 hours. Staff turnover averages 40.3% against 44.1%.
Which government-run nursing home grades best in Michigan?
Marquette County Medical Care Facility in Ishpeming, MI, grade A, 99 out of 100.
Does being government-run mean a nursing home is safe?
No. Of the 38 graded government-run homes in Michigan, 21 grade A and 0 grade D or F.
Do government-run nursing homes in Michigan accept Medicaid?
38 of the 38 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Michigan