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956 Government-Run Nursing Homes in the United States

956 of the 14,697 Medicare-certified nursing homes in the United States (7%) are government-run, and all are listed below. 262 of the 948 graded homes earn an A and 30 earn a D or F. They average 4.28 nursing hours per resident per day, 0.42 hours above the 3.86 for every home in the United States. Hill Top House in Bucklin grades highest at A (100 out of 100).

How government-run 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

4.28

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

44.2%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

76.1/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

262 grade A, 378 grade B, 278 grade C, 30 grade D,

The best-graded government-run home in the United States is Hill Top House in Bucklin, KS, grade A, 100/100.

Every government-run nursing home in the United States

Showing 181 to 200 of 956, best-graded first.

A

88/100

Kaweah Health Skilled Nursing Center

Visalia, CA · Tulare County

CMS 5/570 bedsGovernmentMedicaid
Nurse hours
7.00 /day
Staff turnover
24%
Serious cites
0

Kaweah Health Skilled Nursing Center is run by the local hospital district, and its staffing reflects that: 7.00 nurse hours per resident day, roughly 81% above the national average. Weekend coverage dips only about 5% below weekday levels, so care doesn't thin out much on Saturdays and Sundays. Turnover sits at 23.6%, about half the national rate, which matters more than any single inspection score because it means the people caring for residents tend to stick around. The inspection record shows 25 deficiencies, one at the harm level, with no abuse citations, and the most recent survey was in January 2026. Quality measures score 5/5, though the staffing star comes in lower at 3/5 despite those hours.

A

88/100

Robert Lee Care Center

Robert Lee, TX · Coke County

CMS 5/570 bedsGovernmentMedicaid
Nurse hours
3.73 /day
Staff turnover
26%
Serious cites
0

Robert Lee Care Center is a 70-bed hospital-district home, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.73 hours per resident day, roughly 3% under the national average, and weekends run about 9% lighter than weekdays, so coverage does thin out on Saturdays and Sundays. What stands out instead is retention: turnover is 25.6%, well below the national 45.8%, meaning the people caring for residents tend to stay. The inspection record shows 11 deficiencies with none at the harm level and none abuse-related, and the most recent survey was in late 2025.

A

87.5/100

Jackson Memorial Perdue Medical Center

Cutler Bay, FL · Miami-Dade County

CMS 5/5163 bedsGovernmentMedicaid
Nurse hours
4.67 /day
Staff turnover
24%
Serious cites
0

Jackson Memorial Perdue runs on county money, and that shows up in the staffing numbers: 4.67 nurse hours per resident per day, roughly a fifth above the national figure, with weekend coverage dipping about 16% below its own weekdays. Turnover sits at 23.6%, about half the national rate, which matters more than any single inspection score, stable crews know the residents. The tradeoff is a longer deficiency record: 16 citations, one serious enough to involve harm or jeopardy, and two fines totaling $28,045. The most recent inspection was April 2026. Quality and staffing measures both rate at the top of CMS's scale; the health inspection side is more mixed at three stars.

A

87.5/100

Bear Lake Memorial Skilled Nursing Facility

Montpelier, ID · Bear Lake County

CMS 3/536 bedsGovernmentMedicaid
Nurse hours
3.74 /day
Staff turnover
35%
Serious cites
0

Bear Lake Memorial runs on thin staffing for a 36-bed county-owned home: 3.74 nurse hours per resident day, a bit under the national average, and weekends drop about 16% below its own weekday coverage. That gap shows up in the federal staffing rating. What offsets it is consistency, 35.3% turnover against a national 45.8% means the aides and nurses who are there tend to stay, which matters more in a small rural facility than raw hours. The inspection record carries 22 deficiencies, one serious enough to involve harm, though none tied to abuse. Quality measures score well; the last survey was February 2026.

A

87.5/100

Trego Co-Lemke Memorial Hospital Ltcu

Wakeeney, KS · Trego County

CMS 4/537 bedsGovernmentMedicaid
Nurse hours
5.35 /day
Staff turnover
27%
Serious cites
0

Trego County runs this 37-bed home inside the local hospital, and the staffing is the strongest thing it has going: 5.35 nurse hours per resident day, well above the national average. Turnover sits at 26.5%, notably lower than the typical nursing home, so the people caring for residents tend to stick around. Weekends thin out about 17% from weekday coverage, which is worth asking about if your family visits then. The trade-off shows in the care record, 18 deficiencies on file, including one at the harm level and three related to abuse, with a mid-2025 inspection. Staffing is clearly the priority here; the quality measures and inspection history are not keeping pace.

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

87.5/100

Guam Memorial Hospital Authority

Barrigada, GU · Guam County

CMS 3/540 bedsGovernmentMedicaid
Nurse hours
7.72 /day
Staff turnover
16%
Serious cites
0

Guam Memorial Hospital Authority runs 40 certified beds as a government-owned home, and its nurse staffing is the standout fact here, 7.72 hours per resident day, roughly double the national average, with weekend coverage dipping only about 9% below weekdays. Turnover sits at 15.6%, well under the 45.8% national figure, so the people providing that care tend to stay. The inspection record tells a different story: 52 deficiencies on file, including one at harm or jeopardy level and five tied to abuse, with a single $13,247 fine and a most recent inspection in August 2025. Staffing like this is rare; a deficiency count like that isn't easy to overlook either.

A

87/100

Highlands Health And Rehab

Scottsboro, AL · Jackson County

CMS 5/550 bedsGovernmentMedicaid
Nurse hours
4.80 /day
Staff turnover
n/a
Serious cites
0

Highlands Health And Rehab is county-owned, which is unusual, most nursing homes in Alabama are for-profit, and the numbers here mostly back it up. Nurse staffing runs at 4.80 hours per resident day, about 24% above the national average of 3.86, and that coverage holds together on weekends, dropping roughly 20% from weekday levels rather than falling off a cliff. The current record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, from an inspection last dated March 2022. With 50 certified beds, this is a small home, and one thing worth asking about directly: that inspection is now more than three years old, so the record may not reflect how things stand today.

A

87/100

Baldomero Lopez Memorial Veterans Nursing Home

Land O Lakes, FL · Pasco County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
4.76 /day
Staff turnover
48%
Serious cites
0

Baldomero Lopez Memorial Veterans Nursing Home runs on 4.76 nurse hours per resident day, roughly 23% above the national average, and that staffing depth is the main reason it holds up well. The tradeoff is a weekend dip of about 13% against its own weekday levels, so care may feel thinner on Saturdays and Sundays. Turnover sits at 47.5%, a touch above the national figure, and the record shows 8 deficiencies, none at harm or jeopardy level but one tied to abuse, worth asking about directly. Inspectors last visited in January 2024, and the state runs the place, which tends to mean steadier budgets but slower change.

A

87/100

Calhoun Nursing Home

Edison, GA · Calhoun County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
4.49 /day
Staff turnover
39%
Serious cites
0

Calhoun Nursing Home runs on a hospital district's budget out in Edison, and the numbers show a place that mostly does right by its residents. Nurses give 4.49 hours of care per resident per day, roughly 16% more than the national average, though weekends drop about 12% below its own weekday pace, worth asking about if you're planning visits. Staff turnover sits at 39%, better than the 45.8% national figure, which suggests people stick around. The trade-offs: eight deficiencies on record, two serious enough to involve harm or jeopardy, and the most recent inspection was May 2025. No abuse findings, and quality measures score at the top of the scale.

A

87/100

Health Center At Glenburn Home

Linton, IN · Greene County

CMS 4/5133 bedsGovernmentMedicaid
Nurse hours
4.39 /day
Staff turnover
28%
Serious cites
0

The Health Center at Glenburn Home runs on 4.39 nurse hours per resident day, roughly 14 percent above the national average, and its staff turnover of 27.9 percent is well below the 45.8 percent national figure, a sign people tend to stay. Weekend staffing dips about 12 percent below its own weekday level, so ask how that plays out on Saturdays. County-owned, 133 beds, three separate four-star ratings from CMS on health inspections, quality measures, and staffing. Eleven deficiencies on record, none at the harm level and none abuse-related, with the most recent inspection in August 2025. Solid, consistent numbers across the board.

A

87/100

Covered Bridge Health Campus

Seymour, IN · Jackson County

CMS 5/578 bedsGovernmentMedicaid
Nurse hours
4.25 /day
Staff turnover
19%
Serious cites
0

Covered Bridge Health Campus is county-owned, and that shows in the numbers. Nurses provide 4.25 hours of care per resident each day, roughly 10% more than the national average of 3.86, and staff turnover sits at 18.8% against a national rate of 45.8%, people here tend to stay. Inspections back that up: 11 deficiencies on record with none at the harm level, though one is abuse-related, worth asking about directly. Weekend staffing dips about 13% below weekdays. The last inspection was in February 2026, so the record is current.

A

87/100

Woodbridge Health Campus

Logansport, IN · Cass County

CMS 5/569 bedsGovernmentMedicaid
Nurse hours
3.66 /day
Staff turnover
29%
Serious cites
0

Woodbridge Health Campus is county-owned, and the numbers suggest that public ownership here comes with real attention to care. The health inspection record is strong, four stars, with 11 deficiencies on file and none of them serious enough to cause harm or jeopardy. Staff turnover sits at 28.6%, well under the national average of 45.8%, which matters for residents who need consistent faces. The tradeoff is daily staffing: 3.66 nurse hours per resident falls about 5% under the national average, and weekends dip roughly 14% below weekdays. Families should ask how that weekend gap gets covered. With a recent June 2025 inspection and solid quality measures, the care fundamentals look dependable, just go in knowing weekday and weekend coverage aren't identical.

A

87/100

Countryside Health Care Of Milford

Milford, MA · Worcester County

CMS 4/5109 bedsGovernmentMedicaid
Nurse hours
4.40 /day
Staff turnover
31%
Serious cites
0

Countryside Health Care Of Milford is city-owned, and its 4.40 nurse hours per resident day sit about 14% above the national average. Turnover runs 31.4%, well under the 45.8% norm, so the people caring for residents tend to stick around. Weekend staffing dips only about 5% below weekday levels, a smaller drop than many homes show. The inspection record isn't spotless: 16 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection came in February 2026 and the health inspection rating holds at 4 of 5. Quality measures land at 3 of 5, the softer spot in the data.

A

87/100

Mn Veterans Home Silver Bay

Silver Bay, MN · Lake County

CMS 4/554 bedsGovernmentMedicaid
Nurse hours
4.97 /day
Staff turnover
n/a
Serious cites
0

Minnesota Veterans Home - Silver Bay runs a 54-bed government-owned home where nurse staffing sits at 4.97 hours per resident day, roughly 29% above the national average of 3.86. That's a real margin, though weekend coverage drops about 17% below the home's own weekday level, so care thins out on Saturdays and Sundays. The inspection record shows six deficiencies, including one at the harm or jeopardy level and one tied to abuse. Those carry weight even with strong star ratings and a recent April 2026 inspection, and the federal government is the owner here, not a chain.

A

87/100

Madison Valley Manor

Ennis, MT · Madison County

CMS 5/532 bedsGovernmentMedicaid
Nurse hours
6.58 /day
Staff turnover
61%
Serious cites
0

Madison Valley Manor runs on county money, and the staffing shows it: 6.58 nurse hours per resident day against a national average of 3.86. Weekend coverage dips only about 4% below weekdays, so families visiting on Saturdays shouldn't find a skeleton crew. The trade-off sits in turnover, 61.3% of staff leaving annually, well above the 45.8% national figure, which means new faces at the bedside more often than you'd like. The inspection record is clean where it counts: 14 deficiencies, none at harm or jeopardy level, one abuse-related. A 5/5 health inspection rating and a May 2026 survey round out a home that's well staffed and well reviewed, but not without churn.

A

87/100

Parkside Manor

Stuart, NE · Holt County

CMS 5/540 bedsGovernmentMedicaid
Nurse hours
3.52 /day
Staff turnover
36%
Serious cites
0

Parkside Manor is city-owned, and the numbers show a home that runs lean but steady. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, and weekends dip roughly 9% below its own weekday levels, worth asking about if your family visits on Saturdays. What stands out is retention: turnover is 35.7% against a national 45.8%, which suggests people stay. The inspection record shows 8 deficiencies, none at harm or jeopardy level, though 2 are abuse-related and worth reading closely. Its last inspection was March 2026, so the record is current. Quality and staffing star ratings both land at 4 out of 5.

A

87/100

Garden County Hospital & Nursing Home

Oshkosh, NE · Garden County

CMS 3/524 bedsGovernmentMedicaid
Nurse hours
4.18 /day
Staff turnover
44%
Serious cites
0

Garden County Hospital & Nursing Home runs on a county-owned model with 24 certified beds in Oshkosh, and its staffing is the real bright spot: 4.18 nurse hours per resident day, roughly 8% above the national average, with the federal staffing rating at the top of the scale. Turnover sits at 44%, basically in line with the national 45.8%. Weekend coverage dips about 14% below weekday levels, so ask how that plays out on Saturdays. The inspection record is where it gets shakier, 18 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in August 2025. That combination is worth asking the administrator about directly before you decide.

A

87/100

The Nm Behavioral Health Institute At Las Vegas

Las Vegas, NM · San Miguel County

CMS 5/5162 bedsGovernmentMedicaid
Nurse hours
4.08 /day
Staff turnover
25%
Serious cites
0

The Nm Behavioral Health Institute At Las Vegas runs on state government ownership and 176 certified beds, and its staffing picture is genuinely strong: 4.08 nurse hours per resident day, roughly 6% above the national average, with weekend coverage dipping only about 6% below its own weekday level. Staff turnover sits at 25.4%, well under the 45.8% national figure, which matters for consistency of care. What pulls it down is the inspection record, 26 deficiencies, one at harm or jeopardy level and two tied to abuse, plus a single $18,353 fine. The most recent inspection was December 12, 2025, so that record is current, not stale.

A

87/100

Memorial Nursing And Rehabilitation Center

Dumas, TX · Moore County

CMS 5/546 bedsGovernmentMedicaid
Nurse hours
4.59 /day
Staff turnover
n/a
Serious cites
0

Memorial Nursing And Rehabilitation Center in Dumas runs on 4.59 total nurse hours per resident day, roughly 19% above the national average of 3.86, and weekend coverage drops about 20% from its own weekday level. That gap matters if you're looking at a Saturday admission or a family member who needs help on Sundays. The current record shows five deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in June 2025. Hospital district ownership means public accountability rather than a chain's bottom line.

Frequently asked questions

How many government-run nursing homes are there in the United States?
There are 956 government-run Medicare-certified nursing homes in the United States, 7% of the 14,697 nursing homes there.
Are government-run nursing homes better staffed?
In the United States they average 4.28 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.42 hours. Staff turnover averages 44.2% against 45.8%.
Which government-run nursing home grades best in the United States?
Hill Top House in Bucklin, KS, grade A, 100 out of 100.
Does being government-run mean a nursing home is safe?
No. Of the 948 graded government-run homes in the United States, 262 grade A and 30 grade D or F.
Do government-run nursing homes in the United States accept Medicaid?
936 of the 956 are certified to accept Medicaid. See Medicaid and nursing homes.

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