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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 201 to 220 of 956, best-graded first.

A

87/100

St Croix Health Center

New Richmond, WI · St. Croix County

CMS 4/550 bedsGovernmentMedicaid
Nurse hours
5.93 /day
Staff turnover
46%
Serious cites
0

St. Croix Health Center runs on 5.93 nurse hours per resident day, roughly half again the national figure of 3.86, and that staffing depth is the clearest signal in its record. Weekend coverage dips about 7% below its own weekday level, and turnover sits at 46.2%, essentially the national rate, so the consistency behind those hours is worth asking about directly. The county-run home carries 15 deficiencies, none rising to harm or jeopardy, though two are abuse-related, enough to keep its inspection rating at 3 out of 5. Its last inspection was December 2025, so the picture is recent.

A

87/100

Vernon Manor

Viroqua, WI · Vernon County

CMS 4/580 bedsGovernmentMedicaid
Nurse hours
4.59 /day
Staff turnover
46%
Serious cites
0

Vernon Manor is county-owned, and the staffing reflects that: 4.59 nurse hours per resident day, roughly 19% above the national average. Weekends dip about 8% below weekdays, so ask how coverage holds on Saturdays. Turnover sits at 45.5%, essentially the national rate, which means this building replaces staff as often as most. The tension is in the inspection record. Seventeen deficiencies, including six tied to abuse and one at the harm level, with a $12,649 fine. The most recent inspection was February 2026, so the record is current. Strong staffing and decent quality scores coexist here with serious survey findings, worth asking the administrator directly what changed after that harm citation.

A

87/100

Brewster Village

Appleton, WI · Outagamie County

CMS 4/5204 bedsGovernmentMedicaid
Nurse hours
5.10 /day
Staff turnover
37%
Serious cites
0

Brewster Village is county-owned, and the staffing reflects that: 5.10 nurse hours per resident day, roughly a third more than the national average, with turnover at 36.6% compared to 45.8% nationally. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Sundays. The tradeoff shows up in inspections, 17 deficiencies on record, including one at the harm level and two tied to abuse, against a middling three-star inspection score. The most recent visit was April 2026, so the record is current. Strong hands-on care, but the compliance history is the part worth pressing on.

A

87/100

Park View Health Center

Oshkosh, WI · Winnebago County

CMS 5/5168 bedsGovernmentMedicaid
Nurse hours
4.83 /day
Staff turnover
44%
Serious cites
0

Park View Health Center is county-owned, and that shows in the staffing: 4.83 nurse hours per resident day, roughly a quarter above the national average, with a five-star staffing rating to match. Turnover sits at 43.9%, slightly better than the national figure, though weekend coverage dips about 8% below weekday levels. Seven deficiencies on record, none at the harm level and none abuse-related, with an inspection in April 2025. The quality measure rating is the weaker spot at three stars, so ask what specific measures are pulling that down.

A

87/100

Lakeview Health Center

West Salem, WI · La Crosse County

CMS 5/550 bedsGovernmentMedicaid
Nurse hours
6.06 /day
Staff turnover
39%
Serious cites
0

Lakeview Health Center in West Salem is county-owned, and the staffing numbers show it: 6.06 nurse hours per resident per day, about 57% above the national average of 3.86. Weekend coverage slips only 3% below its own weekday level, so care doesn't thin out much on Saturdays and Sundays. Turnover sits at 39.2%, below the national 45.8%. The tradeoffs are elsewhere. Seven deficiencies on the current record, two of them abuse-related, with no harm-level findings. The quality measure rating is 2 out of 5, which is where the weaker numbers live. Its last inspection was July 16, 2025. For a family weighing direct care hours against regulatory history, the staffing is the strongest case here.

A

87/100

The Villas At Poway

Poway, CA · San Diego County

CMS 5/5129 bedsGovernmentMedicaid
Nurse hours
6.90 /day
Staff turnover
12%
Serious cites
0

The Villas At Poway runs on unusually deep nurse staffing, 6.90 hours per resident day against a national average of 3.86, and weekend coverage only dips about 12% below its weekday level, so care doesn't thin out as much when families visit. Staff turnover sits at 11.8% while the national figure is 45.8%, which means the people caring for residents tend to stick around. The tradeoff shows up in its inspection history: 40 deficiencies currently on record, including one at the harm level and three tied to abuse, plus ten fines totaling $57,124. Its last inspection was in May 2025, so the picture is recent. Strong staffing and retention, but the survey record is the thing to ask about directly.

A

86.5/100

Arizona State Veteran Home-Tucson

Tucson, AZ · Pima County

CMS 3/5120 bedsGovernmentMedicaid
Nurse hours
5.05 /day
Staff turnover
n/a
Serious cites
0

Arizona State Veteran Home-Tucson runs 120 certified beds and puts 5.05 nursing hours behind each resident every day, roughly 31% more than the national average of 3.86. That staffing cushion is the main reason its record holds up, though weekends drop about 8% below its own weekday levels, so coverage isn't perfectly even across the week. The inspection history is mixed: 16 deficiencies on the current record, none at harm or jeopardy level, but two tied to abuse, and the last full inspection was January 2024. State-run ownership means public accountability, and the quality measure score sits at 4 of 5 stars. Worth asking about those two abuse findings directly.

A

86.5/100

Colquitt Regional Senior Care & Rehabilitation

Moultrie, GA · Colquitt County

CMS 4/559 bedsGovernmentMedicaid
Nurse hours
4.05 /day
Staff turnover
29%
Serious cites
0

Colquitt Regional Senior Care runs on a hospital district's payroll, and the numbers show a stable crew: 28.8% turnover against a national average of 45.8%, with 4.05 nurse hours per resident day, roughly 5% above what the typical home provides. Weekend coverage dips about 16% below its own weekday level, so ask how that plays out on a Saturday. Thirteen deficiencies sit on the current record, none at the harm level, though one is abuse-related, worth a direct question. The last inspection was January 8, 2026. Staffing holds up well here; the quality measure side is more middling.

A

86.5/100

Deer's Head Center

Salisbury, MD · Wicomico County

CMS 5/580 bedsGovernmentMedicaid
Nurse hours
9.55 /day
Staff turnover
31%
Serious cites
0

Deer's Head Center is a state-run home in Salisbury with 80 certified beds, and its staffing is the headline: 9.55 nurse hours per resident day, roughly two and a half times the national average. Turnover sits at 30.6% against a national 45.8%, so the people caring for residents tend to stick around, though weekend coverage drops about 21% below weekday levels, which is worth asking about. The trouble is the inspection record: 19 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $41,265 fine. Staffing is strong; oversight has been the problem, and the most recent inspection was in December 2025.

A

86.5/100

Rock County Hospital Long Term Care

Bassett, NE · Rock County

CMS 4/530 bedsGovernmentMedicaid
Nurse hours
6.14 /day
Staff turnover
n/a
Serious cites
0

Rock County Hospital Long Term Care runs a genuinely strong staffing operation, 6.14 nurse hours per resident day against a national average of 3.86, roughly 59% more hands-on time. Weekends dip about 13% below its own weekday level, which is worth asking about, but the baseline is high enough that even the lower weekend figure beats most homes. The tradeoff shows up in the inspection record: 12 deficiencies on file, including one at the harm or jeopardy level and one abuse-related, with the last survey in September 2025. County ownership tends to mean stable funding and no profit motive, but it doesn't erase those findings. The care hours are real; the inspection history is the part to press on.

A

86.5/100

Nevada State Veterans Home - Boulder City

Boulder City, NV · Clark County

CMS 5/5180 bedsGovernmentMedicaid
Nurse hours
3.99 /day
Staff turnover
n/a
Serious cites
0

Nevada State Veterans Home in Boulder City runs 180 certified beds and is state-owned, which usually means more public accountability than a for-profit chain. Its 3.99 nurse staffing hours per resident day sit just above the national average of 3.86, but weekends drop about 10% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. The inspection history is the real story: 24 deficiencies on record, including one at the harm level and two tied to abuse, plus a $10,358 fine. Quality measures score well, and the last inspection was recent, so the record is current rather than stale.

A

86.5/100

John Edward Harter Nursing Center

Fairfax, SC · Allendale County

CMS 4/544 bedsGovernmentMedicaid
Nurse hours
5.32 /day
Staff turnover
n/a
Serious cites
0

John Edward Harter Nursing Center is a 44-bed county-owned home in Fairfax, and its staffing is the story here: 5.32 nurse hours per resident day, roughly 38% above the national average of 3.86. That matters more than most numbers on a page, because direct care time is what families actually feel. Weekend staffing dips about 7% below its own weekday level, so ask how that plays out on a Sunday. The inspection record is light, two deficiencies total, none at the harm level, no abuse citations, with a recent survey in June 2026. County ownership under a city or county government isn't common, and it tends to mean less pressure to chase profit. Two straight 4/5 marks on inspections and quality measures back that up.

A

86/100

Clifford Chester Sims State Veterans Nursing Home

Panama City, FL · Bay County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
5.28 /day
Staff turnover
45%
Serious cites
0

Clifford Chester Sims, the state-run veterans home in Panama City, runs on 5.28 nursing hours per resident day, roughly 37% more than the national average, and that shows up as five stars for staffing. Weekend coverage dips about 10% below weekdays, so ask how that plays out on a Saturday. Turnover sits at 45%, essentially the national rate, which is unremarkable for a workforce this size. The health inspection record is where it separates itself: five stars, three deficiencies total, none at harm or jeopardy level, none abuse-related, and a clean April 2025 inspection. The catch is quality measures, where two stars suggests outcomes don't fully track the staffing investment.

A

86/100

Elms, The

Macomb, IL · Mc Donough County

CMS 5/598 bedsGovernmentMedicaid
Nurse hours
4.74 /day
Staff turnover
28%
Serious cites
0

The county-run home in Macomb runs on 4.74 nurse hours per resident day, roughly a quarter more than the national average, and its 28.4% turnover sits well under the 45.8% typical elsewhere, signs of a stable, well-staffed floor. State inspectors visited in March 2025 and rated the home 5 out of 5, though the record carries 14 deficiencies, one serious enough to involve harm. Quality measures are the soft spot at 2 out of 5, and weekend coverage dips about 12% below weekday levels, so ask how that plays out on Saturdays. No abuse citations appear on the current record.

A

86/100

Prairie Ridge Care Center

Orange City, IA · Sioux County

CMS 5/595 bedsGovernmentMedicaid
Nurse hours
3.91 /day
Staff turnover
34%
Serious cites
0

Prairie Ridge is city-and-county owned in Orange City, and the staffing numbers are the strongest thing it has going. At 3.91 nurse hours per resident day, it sits just above the national average, and weekend coverage dips only about 8% below weekdays, smaller than what many homes run. Turnover is 34%, well under the 45.8% national figure, which matters for whether you see the same faces. The tradeoff shows up elsewhere: eight deficiencies on record, none at harm level but one abuse-related, and a 2/5 on quality measures. The last inspection was April 2025, so the record is fairly current.

A

86/100

Kansas Veterans Home

Winfield, KS · Cowley County

CMS 5/597 bedsGovernmentMedicaid
Nurse hours
6.08 /day
Staff turnover
36%
Serious cites
0

Kansas Veterans Home in Winfield runs on unusually heavy staffing for a nursing home, 6.08 nurse hours per resident day against a national average of 3.86. That's roughly 58 percent more hands-on time, and it holds up on weekends better than most places, dipping about 14 percent instead of the steeper drops common elsewhere. State-run ownership shows in the numbers: 35.9 percent annual turnover beats the 45.8 percent national figure, and the current record carries 10 deficiencies, none at the harm level and none abuse-related. The tradeoff sits in the quality measures, which score low relative to inspections and staffing. Worth asking what specifically drives that before you decide.

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.

A

86/100

Greene County Health And Rehabilitation

Leakesville, MS · Greene County

CMS 4/560 bedsGovernmentMedicaid
Nurse hours
4.69 /day
Staff turnover
37%
Serious cites
0

Greene County Health And Rehabilitation runs on county money and 60 certified beds, and its staffing is the standout: 4.69 nurse hours per resident day, roughly a fifth above the national average, which is why CMS hands it a five-star staffing rating. Retention is steadier than most, too, 36.5% turnover against a national 45.8%, though weekend coverage still dips about 14% below weekdays. The caution sits on the inspection side: nine deficiencies on the current record, two serious enough to reach harm or jeopardy, one tied to abuse, and a $8,788 fine. That last inspection closed in January 2026, so the picture is current. Good hands on deck; the safety record is the open question.

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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