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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 241 to 260 of 956, best-graded first.

A

85.5/100

Whispering Creek

Janesville, MN · Waseca County

CMS 5/535 bedsGovernmentMedicaid
Nurse hours
4.11 /day
Staff turnover
39%
Serious cites
0

Whispering Creek is city-owned, small at 35 beds, and it runs a tight ship. Nurses provide 4.11 hours of care per resident per day, about 7% above the national average, and the health inspection record is spotless at the top CMS rating, with five total deficiencies and none involving harm, jeopardy, or abuse. Staff turnover of 38.5% beats the national 45.8%, which matters for residents who need consistent faces. The one thing to ask about is weekends: staffing drops roughly 19% below the home's own weekday level, so if your family member needs more help on Saturdays and Sundays, that's the gap worth a direct question.

A

85.5/100

Crockett County Care Center

Ozona, TX · Crockett County

CMS 5/550 bedsGovernmentMedicaid
Nurse hours
5.23 /day
Staff turnover
51%
Serious cites
0

Crockett County Care Center runs on a county government budget in Ozona, and the staffing reflects it, 5.23 nurse hours per resident day, roughly a third more than the national average. Weekends dip about 17% below its own weekday coverage, so ask how that plays out on a Sunday shift. The six deficiencies on record carry zero harm or jeopardy findings and no abuse citations, and the last full inspection was in June 2025. Staff turnover sits at 51.1%, a bit above the national 45.8%, worth asking who's been there longest and whether the director of nursing is new.

A

85.5/100

Brown Cty Comm Treatment Ctr-Bayshore Village

Green Bay, WI · Brown County

CMS 5/563 bedsGovernmentMedicaid
Nurse hours
4.69 /day
Staff turnover
24%
Serious cites
0

Brown Cty Comm Treatment Ctr-Bayshore Village is county-owned, which matters less than what the numbers show. Nurses give 4.69 hours of care per resident per day, about 21% more than the national average, and staff turnover sits at 24.3% against a national 45.8%, that kind of retention usually means people stay because the place works. Weekend coverage drops roughly 17% below weekdays, so ask how that plays out on a Saturday. Thirteen deficiencies on record, none at the harm level, one abuse-related; the last full inspection was December 2024. The quality measure score is the weak spot here, and it's worth asking what specifically drives it.

A

85/100

Piedmont Health Care Center

Piedmont, AL · Calhoun County

CMS 5/591 bedsGovernmentMedicaid
Nurse hours
4.92 /day
Staff turnover
48%
Serious cites
0

Piedmont Health Care Center runs on city government ownership, and the numbers show a home that's been staffed well and inspected cleanly. Nurse coverage sits at 4.92 hours per resident per day, roughly 27% above the national average, and the staffing star rating reflects that. Only three deficiencies sit on the current record, none involving harm or abuse. The tradeoffs: weekend staffing drops about 14% below weekday levels, annual turnover is 47.7%, slightly worse than the 45.8% national figure, and the last inspection was April 2021, so that five-star inspection rating is several years old. Quality measures land mid-range at 3/5.

A

85/100

Arkansas State Veterans Home At North Little Rock

North Little Rock, AR · Pulaski County

CMS 5/596 bedsGovernmentMedicaid
Nurse hours
5.06 /day
Staff turnover
62%
Serious cites
0

Nurse staffing at this state-run veterans home runs 5.06 hours per resident day, about 31% above the national average, and weekends dip roughly 12% below its own weekday level. Turnover sits at 61.7% against a national average of 45.8%, which means a lot of the people providing that care are new to the building. The record shows 16 deficiencies, none at the harm level but one tied to abuse, and the last inspection was in May 2025. Strong clinical quality marks and steady staffing numbers sit alongside a workforce that keeps changing.

A

85/100

John C. Fremont Healthcare District Dp/Snf

Mariposa, CA · Mariposa County

CMS 2/516 bedsGovernmentMedicaid
Nurse hours
6.53 /day
Staff turnover
51%
Serious cites
0

John C. Fremont Healthcare District's skilled nursing unit runs on unusually heavy staffing for its size: 6.53 nurse hours per resident day, roughly 69% above the national average, which matters a lot in a 16-bed hospital-based unit where residents tend to be sicker. The tradeoff shows up elsewhere. Weekend coverage drops about 15% below its own weekday level, and annual turnover sits at 51.2%, higher than the 45.8% national figure, so the hours are there, but the faces change. Fifteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in February 2026. As a government hospital-district home, it answers to public oversight rather than a chain.

A

85/100

Life Care Center Of Valparaiso

Valparaiso, IN · Porter County

CMS 5/5110 bedsGovernmentMedicaid
Nurse hours
3.60 /day
Staff turnover
23%
Serious cites
0

Life Care Center Of Valparaiso runs on county ownership, and the numbers mostly hold up. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends dip roughly 11% below its own weekday level, worth asking about if your family visits on Saturdays. What stands out is retention: 23.3% turnover against a national 45.8% means aides and nurses tend to stay, which matters more for daily care than a staffing headline. The inspection record is clean where it counts, 17 deficiencies on file, none at harm or jeopardy level, none abuse-related, with a January 2026 inspection keeping it current.

A

85/100

Hickory Creek At Winamac

Winamac, IN · Pulaski County

CMS 4/536 bedsGovernmentMedicaid
Nurse hours
3.29 /day
Staff turnover
22%
Serious cites
0

Hickory Creek At Winamac is county-owned, and the 36-bed size means it runs small enough that staffing numbers matter more than they would at a bigger place. Nurses provide 3.29 hours per resident day, about 15% under the national average of 3.86, and weekends drop roughly another 10% below the home's own weekday coverage. That's the tradeoff worth knowing about: nine deficiencies on record, none at the harm or jeopardy level and none abuse-related, with an inspection as recent as November 2025. Turnover sits at 21.7% against a national 45.8%, so the aides and nurses here tend to stay.

A

85/100

Williamsport Nursing And Rehabilitation

Williamsport, IN · Warren County

CMS 2/580 bedsGovernmentMedicaid
Nurse hours
3.48 /day
Staff turnover
31%
Serious cites
0

Williamsport Nursing and Rehabilitation is county-owned, which matters here: 31.4% annual turnover is well under the 45.8% national average, and its 4/5 staffing star reflects that relative stability. But total nurse hours come to 3.48 per resident day, roughly 10% under the national average, and weekends run about 13% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. The 27 deficiencies on record include none flagged at harm or jeopardy level and none abuse-related, though a 2/5 health inspection star and a June 2025 inspection mean the survey history is the weaker part of the picture. Quality measures score 4/5.

A

85/100

Homeview Center Of Franklin

Franklin, IN · Johnson County

CMS 5/5119 bedsGovernmentMedicaid
Nurse hours
3.65 /day
Staff turnover
38%
Serious cites
0

Homeview Center of Franklin is county-owned, and that shows in how it's run: five deficiencies on the current record with none at the harm level and none tied to abuse, plus a clean five-star inspection history and a recent survey from March 2026. Staffing sits at 3.65 nurse hours per resident day, about 5% under the national average, and weekends run roughly 8% thinner than weekdays, so ask how that gap gets covered. Turnover is 38.4%, better than the 45.8% national figure, which matters for whether you see the same faces. The quality measures also score at the top.

A

85/100

Pinecrest Medical Care Facility

Powers, MI · Menominee County

CMS 4/5120 bedsGovernmentMedicaid
Nurse hours
3.62 /day
Staff turnover
29%
Serious cites
0

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.

A

85/100

Montana Mental Health Nursing Home

Lewistown, MT · Fergus County

CMS 4/5117 bedsGovernmentMedicaid
Nurse hours
6.95 /day
Staff turnover
54%
Serious cites
0

The state-run home in Lewistown runs nurse staffing at 6.95 hours per resident per day, roughly 80% above the national average of 3.86, and it holds up on weekends, dipping only about 7% below its own weekday level. That staffing depth is the main reason it lands at a B. The caution side: its current record carries 37 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, and its last inspection in October 2024 produced a 2-out-of-5 health inspection rating. A single fine of $7,163 is on file. High staffing, real quality concerns.

A

85/100

Elwood Care Center

Elwood, NE · Gosper County

CMS 5/543 bedsGovernmentMedicaid
Nurse hours
4.01 /day
Staff turnover
39%
Serious cites
0

Elwood Care Center is city-owned, which is unusual, most nursing homes are run for profit, and it tends to show in how the place is staffed. Nurses here give about 4.01 hours of care per resident each day, a bit above the national average, though weekends run roughly 9% leaner than weekdays. Staff turnover sits at 39.4%, lower than the 45.8% national figure, meaning fewer unfamiliar faces. The home was inspected in February 2025 and carries just four deficiencies, none involving harm or abuse. Quality measures score a middling 3 out of 5, but the inspection and staffing records are what carry this one.

A

85/100

Sandhills Care Center

Ainsworth, NE · Brown County

CMS 3/546 bedsGovernmentMedicaid
Nurse hours
4.28 /day
Staff turnover
n/a
Serious cites
0

Sandhills Care Center is county-owned, which matters here, no corporate chain pulling the strings, and the city or county answers for how it runs. Staffing sits at 4.28 nurse hours per resident day, about 11% above the national average, though weekends run roughly 19% leaner than weekdays, so care can thin out when families visit. The health inspection record is the weak spot: 22 deficiencies, including three tied to abuse, though none rose to actual harm or jeopardy. The last inspection was June 2025, so that picture is current. Quality measures score well on paper, but the inspection findings are where the real problems live.

A

85/100

Pocopson Home

West Chester, PA · Chester County

CMS 5/5275 bedsGovernmentMedicaid
Nurse hours
4.53 /day
Staff turnover
31%
Serious cites
0

Pocopson Home is county-run, and the staffing numbers show it: 4.53 nurse hours per resident day, roughly 17% above the national average, with a five-star CMS staffing rating and turnover at 31.1% against a national 45.8%. Weekends run about 13% thinner than weekdays, which is worth asking about if your family visits then. The trade-off sits in the inspection record, 4 out of 5 stars, but five deficiencies on file, two at harm or jeopardy level and three tied to abuse, plus two fines totaling $16,036. Quality measures came in at 2 out of 5. Staffing is this home's strength; the safety history is what you'd want to press on directly.

A

85/100

John J Kane Regional Center-Mc

Mckeesport, PA · Allegheny County

CMS 3/5360 bedsGovernmentMedicaid
Nurse hours
4.12 /day
Staff turnover
52%
Serious cites
0

John J. Kane Regional Center-Mc gets its residents more nursing time than most homes nationally, 4.12 hours per resident day against a 3.86 average, and families often notice that on weekdays. Weekends are thinner, though, running about 13% below the home's own weekday staffing. The county-run facility carries 21 deficiencies on its current record, including five at the harm or jeopardy level and three tied to abuse, plus four fines totaling $59,395. Staff turnover sits at 52.1%, higher than the 45.8% national figure, which matters for anyone who needs consistent caregivers. Its last inspection was November 2024, so the record is recent. Quality measures score well; the inspection side is where the concerns cluster.

A

85/100

Musc Health Mullins Nursing Home

Mullins, SC · Marion County

CMS 3/592 bedsGovernmentMedicaid
Nurse hours
3.68 /day
Staff turnover
27%
Serious cites
0

Musc Health Mullins Nursing Home runs on a state-owned, 92-bed model with staffing that lands a bit under the national average, 3.68 nurse hours per resident day against 3.86, and weekends thin out about 10% below its own weekday levels, so coverage does dip at times. What stands out in the other direction is turnover: 27% against a national 45.8%, meaning the people who work here tend to stay. The health inspection record carries 14 deficiencies, three of them at the harm level, none abuse-related, with the most recent look in May 2025.

A

85/100

Lake Moultrie Nursing Home

Saint Stephen, SC · Berkeley County

CMS 3/588 bedsGovernmentMedicaid
Nurse hours
3.59 /day
Staff turnover
28%
Serious cites
0

Lake Moultrie Nursing Home runs on a hospital-district payroll, which shows up in the turnover number: 28.4% against a national average near 46%, so the aides and nurses here tend to stay. The trade-off is coverage. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday staffing. Inspectors cited nine deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, with a single fine of $11,196 on record. The most recent inspection was March 12, 2026. Stable staff, thinner weekend coverage, and a citation history worth asking about directly.

A

85/100

The Neighborhoods At Brookview

Brookings, SD · Brookings County

CMS 5/579 bedsGovernmentMedicaid
Nurse hours
4.60 /day
Staff turnover
54%
Serious cites
0

The Neighborhoods At Brookview is city/county-owned, and it shows in the staffing: 4.60 nurse hours per resident day, roughly 19% above the national average. Inspections back that up, a 5/5 health inspection rating, only 8 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent survey in November 2025. The tradeoffs are real, though. Staff turnover sits at 53.6% against a national 45.8%, and weekend coverage runs about 14% thinner than weekdays, so the hands-on care you see on a Tuesday may not match what a Saturday brings. Quality measures land mid-pack at 3/5.

A

85/100

Sw Va M H Inst Geri Trt Ctr

Marion, VA · Smyth County

CMS 4/525 bedsGovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
20%
Serious cites
0

Sw Va M H Inst Geri Trt Ctr runs on a state government license in Marion with just 25 certified beds, and the numbers suggest a well-run operation. Nurse staffing sits at 4.76 hours per resident day, roughly 23% above the national average of 3.86, and the weekend dip is only about 8% off its own weekday level, minor compared with what many homes see. Staff turnover is 19.6%, less than half the national rate of 45.8%, so the people caring for residents tend to stick around. Five deficiencies show on the current record with none at the harm or jeopardy level and none abuse-related, and the most recent inspection closed out in late December 2025.

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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