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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 221 to 240 of 956, best-graded first.

A

86/100

Shirkey Nursing And Rehabilitation Center

Richmond, MO · Ray County

CMS 3/5197 bedsGovernmentMedicaid
Nurse hours
4.08 /day
Staff turnover
38%
Serious cites
0

Shirkey runs on county money, which usually means steadier budgets than the for-profit chains, and the staffing numbers bear that out, 4.08 nurse hours per resident day, about 6% above the national average. Turnover sits at 37.6%, well under the 45.8% national figure, so the people caring for your relative are more likely to still be there next year. The catch is on record: 47 deficiencies, one at the level that signals actual harm or jeopardy, and two tied to abuse. Inspectors were last in on May 8, 2025. Weekend coverage drops roughly 10% from weekday levels, so ask specifically who is on the floor on Saturdays.

A

86/100

Pioneer Manor Nursing Home

Hay Springs, NE · Sheridan County

CMS 5/557 bedsGovernmentMedicaid
Nurse hours
3.99 /day
Staff turnover
45%
Serious cites
0

Pioneer Manor runs on city government ownership in a small Sheridan County town, and the numbers mostly hold up. Nurse staffing sits at 3.99 hours per resident day, a touch above the national average, and the weekend-to-weekday gap of roughly 15% is worth asking about directly, that's when families tend to notice less coverage. Staff turnover at 44.8% lands right around the national figure, so this isn't a home bleeding workers faster than everyone else. Nine deficiencies on record, one serious enough to involve harm, none tied to abuse, with an inspection completed at the end of 2025. That single harm-level finding is the one item I'd want explained before deciding.

A

86/100

Bertrand Nursing Home

Bertrand, NE · Phelps County

CMS 5/526 bedsGovernmentMedicaid
Nurse hours
3.91 /day
Staff turnover
46%
Serious cites
0

Bertrand Nursing Home is a 26-bed city-owned home in Phelps County, and the numbers behind its A grade are steady rather than spectacular. Nurse staffing runs 3.91 hours per resident day, just barely above the national average of 3.86, though weekends dip about 6% below its own weekday coverage. Staff turnover sits at 45.5%, essentially matching the national rate of 45.8%. What stands out is the inspection record: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection on May 1, 2025. A 5/5 health inspection rating and 5/5 quality measure rating support that. For a small rural home, this reads as consistent, well-monitored care without serious red flags.

A

86/100

Meadowview Nursing And Rehabilitation Center

Northfield, NJ · Atlantic County

CMS 3/5180 bedsGovernmentMedicaid
Nurse hours
4.26 /day
Staff turnover
30%
Serious cites
0

Meadowview is county-owned, and that shows in the staffing: 4.26 nurse hours per resident day, about 10% above the national average, with turnover at 30.2% against a national 45.8%. Those are real strengths, and they're why the staffing rating sits at 4 out of 5. The inspection record is where it gets harder. Thirty-two deficiencies on the current record, three of them at harm or jeopardy level and three abuse-related, plus two fines totaling $63,769. The health inspection rating is 2 out of 5, and the most recent survey was March 2025. So you have a home that's well-staffed and stable on paper, with a recent inspection history that raises questions worth asking about directly.

A

86/100

Long Island State Veterans Home

Stonybrook, NY · Suffolk County

CMS 5/5350 bedsGovernmentMedicaid
Nurse hours
4.65 /day
Staff turnover
25%
Serious cites
0

Long Island State Veterans Home runs on 4.65 nursing hours per resident day, roughly a fifth more than the national average, and its staff turnover of 24.8% sits far below the 45.8% national figure, that kind of retention keeps caregivers familiar with the people they're treating. Weekend coverage dips about 11% from weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. The tradeoff shows in the record: ten deficiencies, including one at the harm level and three tied to abuse, and a quality measure rating of 2 out of 5 despite strong marks for staffing and inspections. The state runs it, and its last inspection was March 2025, so the picture is current.

A

86/100

Communities At Indian Haven,

Indiana, PA · Indiana County

CMS 3/5108 bedsGovernmentMedicaid
Nurse hours
3.75 /day
Staff turnover
40%
Serious cites
0

Indian Haven is county-owned, which matters here, government homes often run leaner on frills but steadier on staffing, and that shows up in its four-out-of-five staffing score. Total nurse coverage sits at 3.75 hours per resident day, roughly 3% under the national average, and weekends drop about 4% below its own weekday numbers, so weekend coverage is worth asking about directly. Turnover at 40% actually beats the national 45.8%. The harder reading is the inspection record: 44 deficiencies, including one at harm level and two abuse-related, with a two-out-of-five health inspection score. Quality measures scored five out of five, but that's self-reported data. One fine on record, $8,281, with the last inspection dated January 2026.

A

86/100

Pennsylvania Soldiers And Sailors Home

Erie, PA · Erie County

CMS 5/5107 bedsGovernmentMedicaid
Nurse hours
5.83 /day
Staff turnover
35%
Serious cites
0

The Pennsylvania Soldiers and Sailors Home in Erie is a state-run veterans' home with 107 certified beds, and the staffing numbers are the first thing that stands out: 5.83 nurse hours per resident day against a national average of 3.86. That's about half again the typical home, and turnover sits at 35.2% versus 45.8% nationally, meaning workers tend to stay longer here than at most places. Weekend coverage dips roughly 14% below its own weekday levels, which is worth asking about if your family visits Saturday or Sunday. The ten deficiencies on the current record include two tied to abuse, though none rose to the harm or jeopardy level. A March 2026 inspection, a four-star health inspection, and a two-star quality measure score round out a mixed but generally steady picture.

A

86/100

Saluda Nursing Center

Saluda, SC · Saluda County

CMS 3/5176 bedsGovernmentMedicaid
Nurse hours
4.49 /day
Staff turnover
18%
Serious cites
0

Saluda Nursing Center runs a county-owned home of 176 beds, and its staffing is the strongest part of the picture, 4.49 nurse hours per resident day, about 16% above the national average, with a 5/5 staffing rating. Turnover sits at 17.9%, well below the 45.8% national figure, which matters for consistency of care. Weekend coverage dips roughly 11% below weekday levels, worth asking about. The concern is inspections: a 1/5 health inspection rating, 10 deficiencies on record including 2 at harm or jeopardy level and 2 abuse-related, plus $16,984 in fines. The most recent inspection was April 2025. Quality measures land at 3/5. Staffing is genuinely good here; the inspection record is the real question.

A

86/100

Bowdle Nursing Home

Bowdle, SD · Edmunds County

CMS 4/527 bedsGovernmentMedicaid
Nurse hours
3.80 /day
Staff turnover
35%
Serious cites
0

Bowdle Nursing Home is city-owned, and that shows in its stability. Staff turnover runs 34.8%, well under the 45.8% national average, a big deal in a 27-bed home, where losing even a few aides can unsettle care. The nursing hours come in just slightly under the national average, and weekends dip about 9% below weekdays, so ask how coverage holds up on Saturdays and Sundays. Its last inspection was July 2025, and the five deficiencies on record include none tied to harm or abuse. Four stars on inspections and staffing, three on quality measures, solid footing, with room to ask questions.

A

86/100

Sd Human Services Center - Geriatric Program

Yankton, SD · Yankton County

CMS 5/569 bedsGovernmentMedicaid
Nurse hours
8.62 /day
Staff turnover
37%
Serious cites
0

Nurse staffing at the Yankton state-run home runs 8.62 hours per resident day, more than double the national figure of 3.86, and weekends dip only about 13% below its own weekday level, a smaller drop than many homes see. Annual turnover sits at 37.4%, better than the 45.8% national average. Inspectors visited recently, in June 2025, and found five deficiencies, none causing harm or jeopardy, though one is abuse-related. The 2/5 quality measure rating is the number to ask about on your next call.

A

86/100

Texhoma Christian Care Center Inc

Wichita Falls, TX · Wichita County

CMS 5/5234 bedsGovernmentMedicaid
Nurse hours
3.93 /day
Staff turnover
41%
Serious cites
0

Texhoma Christian Care Center runs 234 beds in Wichita Falls under hospital district ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, though weekend coverage drops roughly 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 41.1%, better than the national 45.8%, which suggests people tend to stay. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection and an inspection as recent as December 2025. The weaker spot is staffing star rating at three.

A

86/100

Uintah Basin Rehabilitation And Senior Villa

Roosevelt, UT · Duchesne County

CMS 5/590 bedsGovernmentMedicaid
Nurse hours
4.23 /day
Staff turnover
46%
Serious cites
0

Uintah Basin Rehabilitation And Senior Villa is county-owned, and that shows in the numbers: 4.23 nurse hours per resident day, roughly 9% above the national average. Weekend staffing dips about 14% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 46.4%, basically even with the national average. The inspection record is the strongest part of the story, seven deficiencies, none at the harm level, none abuse-related, and the last full inspection was in February 2025. Five stars on both health inspections and quality measures, four on staffing.

A

86/100

North Valley Hospital

Tonasket, WA · Okanogan County

CMS 5/542 bedsGovernmentMedicaid
Nurse hours
4.67 /day
Staff turnover
41%
Serious cites
0

North Valley Hospital runs on 4.67 nurse hours per resident day, roughly a fifth more than the national average, and its staff turnover of 41.2% sits below the national rate. Inspectors have cited 20 deficiencies, though none rose to harm or jeopardy and none involved abuse, and the home was last inspected in February 2026. Weekend staffing dips about 12% from weekday levels, and its quality measure rating of 2 out of 5 is the weak spot against 5s for inspection and staffing. It's a hospital-district owned home of 42 beds, small enough to know its residents, and the numbers suggest the hands-on care is there even where the clinical outcomes data isn't.

A

86/100

Washington Soldiers Home

Orting, WA · Pierce County

CMS 3/597 bedsGovernmentMedicaid
Nurse hours
4.27 /day
Staff turnover
41%
Serious cites
0

Washington Soldiers Home runs on state government ownership, and the numbers show a facility that's mostly steady on care quality but carries some real inspection baggage. Nurse staffing sits at 4.27 hours per resident day, roughly 11% above the national average, though weekends run about 11% lighter than weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 40.7%, a bit better than the 45.8% national figure, which suggests a relatively stable workforce. The concern is the inspection record: 31 deficiencies, including 2 at the harm level and 4 tied to abuse, with one fine of $10,358. The most recent inspection was August 2025, so the picture is current.

A

86/100

Neighbors - Central Neighborhood (The)

Menomonie, WI · Dunn County

CMS 4/545 bedsGovernmentMedicaid
Nurse hours
4.30 /day
Staff turnover
30%
Serious cites
0

The county runs this 45-bed home in Menomonie, and the numbers show a place that is well staffed but not without some quality concerns. Nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average, with a 5/5 staffing rating and annual turnover of 29.7%, noticeably lower than the 45.8% national figure. Weekend coverage dips about 10% below weekday levels, which is common but worth asking about. The health inspection rating is 3/5, with six deficiencies on record, none at the harm level and none abuse-related. Its quality measure score of 2/5 pulls the overall picture down, meaning clinical outcomes don't match the strong staffing.

A

86/100

Norseland Nursing Home

Westby, WI · Vernon County

CMS 3/550 bedsGovernmentMedicaid
Nurse hours
3.85 /day
Staff turnover
34%
Serious cites
0

Norseland runs on a city government budget, and the numbers show a home that's basically holding steady. Nurse staffing sits at 3.85 hours per resident day, which is right on the national average of 3.86, but weekends drop about 12% below its own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 34%, which is meaningfully lower than the national 45.8%, so the people caring for residents tend to stick around. The current record carries 18 deficiencies, one of them serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection was in June 2025, so the picture is fairly current. Nothing here is alarming, but that one harm-level finding and the weekend staffing dip are the two things I'd ask about directly.

A

85.5/100

Providence Valdez Medical Center

Valdez, AK · Chugach County

CMS 3/510 bedsGovernmentMedicaid
Nurse hours
8.55 /day
Staff turnover
n/a
Serious cites
0

Providence Valdez Medical Center runs a ten-bed unit owned by the city, and its nurse staffing sits at 8.55 hours per resident day, more than double the national average of 3.86. Weekend coverage drops about 14% below its own weekday levels, so the generous weekday numbers aren't quite the whole picture. Inspectors have cited 19 deficiencies on the current record, none at the harm or jeopardy level, though two are abuse-related; the most recent inspection was in May 2026. That combination of heavy staffing, a small government-run setting, and a mixed inspection history is what lands it where it does.

A

85.5/100

Colorado Veterans Community Living Ctr At Homelake

Monte Vista, CO · Rio Grande County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
5.08 /day
Staff turnover
24%
Serious cites
0

Colorado Veterans Community Living Ctr At Homelake runs on unusually deep staffing for a 60-bed home, 5.08 nurse hours per resident day, roughly a third more than the national average, with turnover at 23.7% against a national 45.8%. That stability shows: a five-star staffing rating and a five-star health inspection record, with the most recent survey in October 2024. The friction sits elsewhere. Nine deficiencies are on file, including one at the harm level and one tied to abuse, and the quality measure rating lands at two stars, the clinical outcomes side doesn't match the care hours. Weekend coverage also drops about 25% below weekday levels, so ask how that gap gets covered.

A

85.5/100

St Luke Living Center

Marion, KS · Marion County

CMS 4/532 bedsGovernmentMedicaid
Nurse hours
4.19 /day
Staff turnover
n/a
Serious cites
0

St Luke Living Center runs on 4.19 nurse hours per resident day, roughly 8% above the national average of 3.86, and weekends dip about 13% below its own weekday levels, a drop families should ask about directly. The 22 deficiencies on record include none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection came in October 2025. This is a hospital-district-owned home in Marion with 32 certified beds, which means a small census and a public owner. Its four-out-of-five ratings for health inspections, quality measures, and staffing are consistent across the board, suggesting a stable operation rather than one carried by a single strong category.

A

85.5/100

The Massachusetts Veterans Home At Chelsea

Chelsea, MA · Suffolk County

CMS 4/5154 bedsGovernment
Nurse hours
6.97 /day
Staff turnover
n/a
Serious cites
0

The Massachusetts Veterans Home at Chelsea runs on 6.97 nurse hours per resident day, roughly 81% more staffing than the national average of 3.86. That's an unusual amount of hands-on time, and it shows in the staffing star rating. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on a Saturday. State-run and inspected most recently in September 2025, it carries 24 deficiencies on its current record, three tied to abuse, though none at the harm or jeopardy level. A 4/5 inspection rating and 3/5 on quality measures round out a record that's solid on staffing, thinner on measured care quality.

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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