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.
Pinecrest runs on county money, and the numbers show a stable operation rather than a troubled one. Staff turnover sits at 28.8 percent against a national average near 46, that kind of retention matters more than raw hours, since residents see the same faces. Total nurse staffing is 3.62 hours per resident day, about 6 percent under the national figure, and weekends drop roughly 14 percent below the home's own weekday coverage, which is where gaps tend to show up. The inspection record isn't clean: 40 deficiencies, including one at the harm level and six tied to abuse, with the most recent survey in July 2025.
Sanilac Medical Care Facility is county-owned, and the staffing numbers are the strongest thing going for it: 5.32 nurse hours per resident day, roughly 38% above the national average, which earns a four-star staffing rating. Two caveats sit underneath that. Weekend coverage drops about 13% from weekday levels, and turnover at 45.6% is essentially the national rate, so the extra hours don't come with unusual stability. The inspection record is more mixed: 33 deficiencies, including two at harm or jeopardy level and one abuse-related, with the last inspection in August 2025. Quality and inspection ratings both land at three stars.
Canal View runs on strong nurse staffing, 4.90 hours per resident day, about 27% above the national average, which earns it the top CMS staffing rating. That's real coverage for 197 beds, though weekends dip roughly 12% below its own weekday level, and turnover sits at 47%, slightly above the national 45.8%.
The trouble is on the inspection side. Twenty-two deficiencies, four at harm or jeopardy level and two tied to abuse, plus two fines totaling about $39,988. A 3/5 on health inspections and 3/5 on quality measures pull down what the staffing numbers build up. County-owned, last inspected January 28, 2026. Good hands on deck, but a record that needs watching.
Iron County Medical Care Facility runs on county money, and the staffing shows it: 4.20 nurse hours per resident day, roughly 9% above the national average, with a top federal staffing rating. That's the strongest thing here. Weekends drop about 17% below weekday coverage, though, and turnover sits at 46.2%, essentially the national rate, so the bench isn't especially stable. The current record carries 15 deficiencies, three of them abuse-related, none at harm or jeopardy level, and the last inspection was April 2025. Quality measures score low despite the strong staffing. The county runs a well-covered building with a documentation problem worth asking about directly.
Healthsource Saginaw is county-owned and staffed better than most: 4.32 nurse hours per resident day against a national average of 3.86. That staffing edge is real, and it's the main reason the quality measure rating comes in at 4 out of 5. But the inspection record is where this home gets into trouble, 57 deficiencies on file, six of them serious enough to put residents in harm's way and three tied to abuse. Five fines add up to just under $270,000. Staff turnover sits at 48.8%, a bit worse than the national 45.8%, and weekend coverage drops about 18% below weekday levels, so the weekday numbers overstate what families actually see on Saturdays. The most recent inspection was July 2025.
Lapeer County Medical Care Facility runs on county government ownership, and the staffing numbers tell a mixed story. Total nurse coverage sits at 3.72 hours per resident day, a bit under the national average of 3.86, and weekend staffing drops roughly 16% below what the home delivers on weekdays, meaning care gets thinner exactly when families tend to visit. Staff turnover at 40.4% is better than the national 45.8%, though still means a lot of new faces. The bigger concern is the inspection record: 41 deficiencies, including two at the harm level and two tied to abuse, plus a $68,445 fine. The most recent inspection was April 1, 2026. Weigh the steady county operation and above-average staffing rating against that inspection history.
Iosco County Medical Care Facility has real staffing depth, 6.11 nurse hours per resident day, well above the national average, and that's the strongest thing on its record. But nearly every employee who was here a year ago is gone, with turnover at 96.1% against a national norm under 46%. State inspectors have logged 33 deficiencies, three of them serious enough to put residents in harm's way, including one abuse finding, and the most recent inspection closed out just this January. County-owned and 78 beds, the home earns a 4 on staffing but only a 2 on health inspections. High turnover undercuts even good staffing numbers; aides who don't stay long can't learn residents' routines or catch subtle changes in condition.
Gogebic Medical Care Facility runs on noticeably thin staffing: 2.89 nurse hours per resident day against a national average of 3.86, with weekends about 7% leaner than weekdays. Turnover sits at 40.4%, a bit better than the 45.8% national figure, so the county does hold onto workers somewhat more reliably than many operators. The inspection record is the harder read, 10 deficiencies, four of them at harm or jeopardy level and one abuse-related, plus a $16,153 fine, on a survey completed March 4, 2025. Quality and inspection scores both land at 2 out of 5, staffing at 1.
Schoolcraft Medical Care Facility is county-owned and holds 85 certified beds, and its staffing sits about 9% below the national average at 3.51 nurse hours per resident day. Weekends run roughly 10% thinner than weekdays, and turnover hits 51.5% against a national 45.8%, so the people who stay are stretched thinnest exactly when backup is hardest to find.
The inspection record is where it gets harder to wave off: 19 deficiencies, three at harm or jeopardy level, four tied to abuse, and a $63,492 fine. The last inspection came in January 2025. Quality measures score middling, staffing scores comparatively well on paper, but the deficiency history tells a different story about what that staffing actually delivers.
Jackson County Medical Care Facility runs a county-owned home of 194 beds where the bedside math is genuinely strong: 5.37 nurse hours per resident day, about 39% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Staff turnover sits at 23.5%, well under the 45.8% national figure, which matters for residents who want to see the same faces. The trouble is inspection history, 20 deficiencies on the current record, two at harm or jeopardy level and one tied to abuse, plus a single $68,744 fine, with the last inspection dated April 2026. Strong hands-on care and a troubled survey record can coexist, and here they do.
Meadow Brook Medical Care Facility is county-owned, with 133 certified beds in Bellaire. Three out of four caregivers left their jobs last year, 75.7% turnover against a national average of 45.8%, and CMS gives the home its lowest staffing rating, one star out of five. That instability shows up in the inspection record too: nine deficiencies currently on file, including two serious enough to reach harm or jeopardy and two tied to abuse. Health inspection and quality measure ratings each sit at two stars. State surveyors were last in the building in September 2025, so the picture is recent. For a family weighing this home, the turnover number and the abuse-related findings are the two things worth asking about directly before a tour.
Bay County Medical Care Facility runs on 6.39 total nurse hours per resident day, roughly two and a half hours more than the national average, and that staffing shows in a four-star CMS staffing rating. Weekends dip about 16 percent below weekday coverage, though, and annual turnover sits at 53.9 percent, higher than the 45.8 percent national figure, so the people delivering those hours keep changing. The county-owned home holds 31 deficiencies on its current record, seven at harm or jeopardy level and two tied to abuse, with $165,536 in fines and a two-star inspection rating from its April 2025 survey. Strong hands-on coverage, uneven consistency, and a recent inspection record that's the real concern here.
Grandvue runs a county-owned home in East Jordan with 113 certified beds, and the staffing numbers are its clearest strength, 4.39 total nurse hours per resident day, roughly 14% above the national average. Weekend coverage dips about 6% below its own weekday level, though staff turnover at 42.7% is slightly better than the 45.8% national figure.
The trouble sits on the inspection side. The current record shows 17 deficiencies, including three at the harm or jeopardy level and two tied to abuse. That combination, strong daily staffing beside serious cited problems, is why the two-star health inspection rating pulls the overall picture down despite the five-star staffing mark.
Grand Traverse Pavilions is county-owned and large, 240 beds, and its inspection record is the first thing to know. Sixty-five deficiencies on the current record, seven of them serious enough to involve actual harm or jeopardy, plus eight tied to abuse. Three fines totaling about $158,000. The last inspection was June 2025, so this isn't stale paperwork.
Staffing is the other problem. CMS rates it at the bottom of the scale, meaning residents here get fewer direct care hours than most homes nationally. The quality measure score looks better, but that number reflects clinical outcomes like rehospitalization rates, not whether someone answers the call light.
For a family weighing this placement, ask about direct-care hours per resident per day and how the last inspection's abuse findings were resolved.
Hillsdale County Medical Care Facility runs on county government ownership and 170 certified beds, and its staffing is genuinely heavy, 5.38 nurse hours per resident day against a national average of 3.86. Weekends dip about 13% below weekday levels, and turnover sits at 34%, better than the 45.8% national figure. The trouble is the inspection record: 25 deficiencies, including 5 at harm or jeopardy level and 8 tied to abuse, plus three fines totaling $314,537. The most recent inspection was February 26, 2026. Strong staffing and quality scores don't cancel out that many serious findings, read the actual inspection reports before deciding.
Lenawee Medical Care Facility has the staffing most families are looking for, 5.33 nurse hours per resident day, roughly 38% above the national average, and that holds up even with weekends running about 13% thinner than weekdays. The county runs it, so there's no corporate owner to answer to. What pulls the grade down is the inspection record: 24 deficiencies, including 5 at the harm level and 9 tied to abuse, plus a 2-star health inspection rating. Staff turnover sits at 50.5%, a bit above the national 45.8%, so the people delivering that generous staffing keep changing. Strong care hours, a troubling paper trail, worth a visit and hard questions before deciding.
Calhoun County Medical Care Facility is county-owned, with 120 beds in Battle Creek. Its 4.26 nurse hours per resident day sit about 10% above the national average of 3.86, and turnover at 41.8% is a bit better than the 45.8% national figure, but weekend staffing drops roughly 10% below its own weekday level, so coverage thins out when families tend to visit. The current inspection record carries 12 deficiencies, including one at the harm or jeopardy level and one abuse-related. With an April 2026 inspection and a 2/5 health inspection rating alongside a 3/5 quality measure rating, the recent survey history is the part worth asking about directly.
Dj Jacobetti Home for Veterans runs on unusually deep staffing for a state-run home: 5.41 nurse hours per resident day, roughly 40% above the national average, with turnover at 21.2% against a national 45.8%. That retention shows up in resident outcomes, where the quality measure rating sits at the top of the scale. The tradeoff is on the health inspection side, where six deficiencies on the current record include one at the harm or jeopardy level and one abuse-related citation, and the inspection itself dates to December 2025. Weekend coverage also runs about 18% lighter than weekdays. Plenty of hands on deck most days, the compliance record is where the concerns concentrate.
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?