ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 281 to 300 of 956, best-graded first.

B

84/100

Belknap County Nursing Home

Laconia, NH · Belknap County

CMS 4/594 bedsGovernmentMedicaid
Nurse hours
4.96 /day
Staff turnover
32%
Serious cites
0

Belknap County Nursing Home runs on county money, and the staffing numbers show it: 4.96 nurse hours per resident day, roughly 29% above the national average, with a 5/5 CMS staffing rating and turnover at 31.9% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on Sundays. The current record holds four deficiencies, none at harm or jeopardy level and none abuse-related, with an inspection dated September 2025. Where it slips is quality measures, rated 1/5, that's the number worth asking about directly.

B

84/100

Western New York State Veterans Home

Batavia, NY · Genesee County

CMS 5/5126 bedsGovernmentMedicaid
Nurse hours
3.60 /day
Staff turnover
50%
Serious cites
0

The state-run veterans home in Batavia runs a tight ship on the clinical side, five stars on both health inspections and quality measures, with just two deficiencies on record and none involving harm, jeopardy, or abuse. Staffing is where it gives ground. At 3.60 nurse hours per resident day, it sits about 7% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage can feel different depending on when you visit. Turnover at 49.6% is higher than the 45.8% national figure, which matters for whether the same aides know your father's routines. The last full inspection was November 2023. Strong care record, thinner staffing, that's the trade-off here.

B

84/100

Williams Co Hillside Country L

Bryan, OH · Williams County

CMS 4/571 bedsGovernmentMedicaid
Nurse hours
4.10 /day
Staff turnover
30%
Serious cites
0

Williams County runs this 71-bed home in Bryan, and the staffing numbers are its strongest argument: 4.10 nurse hours per resident day, about 6% above the national average, with weekend coverage dipping roughly 9% below its own weekdays. Turnover sits at 30.3%, well under the 45.8% national figure, which matters for consistency of care. The tradeoffs show up elsewhere. Nineteen deficiencies on the current record, none at harm or jeopardy level, but six flagged as abuse-related, a category worth asking about directly. Inspectors were last on site in February 2025, and the health inspection and quality ratings each landed mid-range.

B

84/100

Coldwater Manor

Stratford, TX · Sherman County

CMS 5/526 bedsGovernmentMedicaid
Nurse hours
5.99 /day
Staff turnover
83%
Serious cites
0

Coldwater Manor runs on a hospital district's budget out in Sherman County, and the staffing numbers show it: 5.99 nurse hours per resident day, roughly 55% above the national average of 3.86. That's real coverage for a 26-bed home, though weekends dip about 11% below its own weekday level, worth asking about if your family visits Saturdays or Sundays. The bigger flag is turnover, 82.6% against a national 45.8%, meaning most of the people caring for residents are relatively new. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, June 2025. Quality measures score well. The care seems steady; the question is whether it stays that way as staff cycle through.

B

84/100

Meadow Peak Rehabilitation

Taylorsville, UT · Salt Lake County

CMS 3/575 bedsGovernmentMedicaid
Nurse hours
4.03 /day
Staff turnover
27%
Serious cites
0

Meadow Peak runs 4.03 nurse hours per resident day, a bit above the national average of 3.86, and its turnover of 27.4% sits well under the 45.8% national figure, that kind of retention usually shows up in how consistently residents see the same faces. The catch is weekends: staffing drops roughly 12% below the home's own weekday level, so coverage thins out when weekday administrators aren't around. Inspectors logged 13 deficiencies, two of them serious enough to involve harm or jeopardy, with the most recent visit in May 2024. Limited liability, for-profit ownership is worth knowing, though nothing here points to abuse.

B

84/100

Star Valley Care Center

Afton, WY · Lincoln County

CMS 5/524 bedsGovernmentMedicaid
Nurse hours
6.08 /day
Staff turnover
n/a
Serious cites
0

Star Valley Care Center is a 24-bed hospital-district home in Afton, and its staffing numbers are the first thing worth knowing: 6.08 nurse hours per resident day, roughly 57 percent above the national average of 3.86. Weekend coverage drops about 19 percent below its own weekday level, which is common but still the gap to watch in a small building. On inspections, the record is clean, four deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in February 2026. Quality measures sit in the middle of the pack, so the stronger story here is consistent hands-on care and a well-kept survey record.

B

83.5/100

Cheyenne Manor

Cheyenne Wells, CO · Cheyenne County

CMS 5/539 bedsGovernmentMedicaid
Nurse hours
3.94 /day
Staff turnover
n/a
Serious cites
0

Cheyenne Manor is a 39-bed county hospital district home in Cheyenne Wells, and its inspection record is the strongest thing going for it, a perfect health inspection rating, with the last visit in late October 2025. Only three deficiencies sit on the current record, none of them causing harm or jeopardy. One is abuse-related, which is worth asking about directly. Nurse staffing runs 3.94 hours per resident day, slightly ahead of the national average of 3.86, though weekends dip about 5% below weekdays, so coverage isn't perfectly even. Quality measures grade well at 4 out of 5. Small government-owned homes like this often live or die on who's on shift, so ask about weekend and evening coverage.

B

83.5/100

Fairview Care Center

Dodge Center, MN · Dodge County

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

Fairview Care Center in Dodge Center is county-owned and small, 46 certified beds, and its nurse staffing sits right at the national average, 3.87 hours per resident day, though weekends run roughly 11% lighter than weekdays. The staffing and quality measure ratings both land at 4 out of 5, and the last inspection was recent, January 14, 2026. What pulls the picture down is the inspection record: 26 deficiencies currently on file, one of them serious enough to involve harm or jeopardy to a resident, and four tied to abuse. That combination, solid day-to-day care numbers sitting alongside a heavy survey history, is the whole story here, and it's worth asking the administrator directly how those abuse-related findings were resolved.

B

83.5/100

Neshoba County Nursing Home

Philadelphia, MS · Neshoba County

CMS 3/5160 bedsGovernmentMedicaid
Nurse hours
4.48 /day
Staff turnover
46%
Serious cites
0

Neshoba County Nursing Home runs on a county government budget, and the staffing numbers reflect real investment: 4.48 nurse hours per resident day, about 16% above the national average, with a 5-out-of-5 staffing rating. But weekend coverage drops roughly 16% below weekday levels, and the inspection record is messier, 23 deficiencies currently on file, including one at the harm level and two tied to abuse, plus a $15,945 fine. Staff turnover sits at 45.5%, essentially matching the national rate. The last inspection was November 2025. Strong floor staffing, a thin weekend margin, and a deficiency list worth asking about directly.

B

83.5/100

Nc State Veterans Home-Kinston

Kinston, NC · Lenoir County

CMS 2/5100 bedsGovernmentMedicaid
Nurse hours
5.04 /day
Staff turnover
38%
Serious cites
0

Nc State Veterans Home-Kinston runs a genuine staffing advantage: 5.04 nurse hours per resident day, roughly 30% above the national average, with weekend coverage dipping about 16% below its own weekday level. Turnover sits at 37.9%, better than the 45.8% national figure, and the state runs the place. But the inspection record is the problem. Ten deficiencies are on file, seven at harm or jeopardy level, three tied to abuse, and five fines total $74,987. The most recent inspection was November 14, 2025. Strong staffing and better-than-average retention don't erase a citation history that serious, and families should ask directly what changed since that visit.

B

83.5/100

W D Bill Manning Tennessee State Veterans Home

Humboldt, TN · Gibson County

CMS 5/5140 bedsGovernmentMedicaid
Nurse hours
4.24 /day
Staff turnover
22%
Serious cites
0

The state runs this 140-bed veterans home in Humboldt, and the numbers back up the operation. Nurse staffing sits at 4.24 hours per resident per day, roughly 10% above the national average, and weekend coverage dips only about 15% below its own weekday level, modest, as these gaps go. Staff turnover of 21.9% is less than half the national rate, which suggests people stay. On the record: 7 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in October 2023. All three CMS star ratings land at 4 out of 5. A stable, well-staffed home with a clean recent inspection history and no serious findings.

B

83.5/100

Uintah Health Care Special Service District

Vernal, UT · Uintah County

CMS 3/5110 bedsGovernmentMedicaid
Nurse hours
6.49 /day
Staff turnover
n/a
Serious cites
0

Uintah Health Care Special Service District runs on county money, and it shows in the staffing numbers: 6.49 nurse hours per resident per day, well above the national average of 3.86. Weekend coverage dips only slightly from weekdays, so families visiting on Saturdays should still find adequate staff. The tradeoff sits in the inspection record. Eight deficiencies, including one tied to abuse and one serious enough to cause harm or jeopardy, plus a $28,038 fine. That combination drags down an otherwise solid profile, four stars each for staffing and quality measures, three for health inspections, with the most recent state visit in September 2025. Good care hours don't erase a harm-level finding. Ask what changed since.

B

83/100

Providence Seward Mountain Haven

Seward, AK · Kenai Peninsula County

CMS 3/540 bedsGovernmentMedicaid
Nurse hours
6.27 /day
Staff turnover
75%
Serious cites
0

Providence Seward Mountain Haven runs on a city government license and 40 certified beds, and the staffing numbers are genuinely strong: 6.27 nurse hours per resident day, roughly 62% above the national average. That's the kind of coverage that shows up in daily care. The catch is retention. Annual turnover sits at 75% against a national rate near 46%, so residents likely see a rotating cast of caregivers even though the hours are there. Twenty deficiencies on record, none at harm level, but two tied to abuse. The last inspection was September 2024. Quality and staffing each earned 4 of 5 stars from CMS; health inspection landed at 3.

B

83/100

Washington Co Extended Care Facility

Sandersville, GA · Washington County

CMS 3/560 bedsGovernmentMedicaid
Nurse hours
4.15 /day
Staff turnover
36%
Serious cites
0

Washington County runs this 60-bed home in Sandersville itself, and the staffing reflects that. Nurses provide 4.15 hours per resident per day, roughly 7% above the national average of 3.86, and the staff tends to stay: turnover is 35.6% against a national 45.8%. The catch is weekends, when coverage drops about 12% below the home's own weekday level, so a Saturday shift runs leaner than a Tuesday one. Inspectors were last in on February 26, 2026, and found nine deficiencies, none at the harm or jeopardy level, though one was abuse-related. The county's own numbers put this home modestly ahead of average, with the weekend gap the thing worth asking about.

B

83/100

Valley Hi Nursing Home

Woodstock, IL · Mc Henry County

CMS 4/5128 bedsGovernmentMedicaid
Nurse hours
4.71 /day
Staff turnover
34%
Serious cites
0

Valley Hi is county-run, and the staffing shows it: 4.71 nurse hours per resident day, roughly 22% above the national average, earning a top staffing rating. Weekend coverage dips about 11% below its own weekday level, though, and turnover sits at 33.9%, better than the 45.8% national figure but still a third of the workforce leaving each year. The inspection record is where it gets heavier: 30 deficiencies, including two at the harm level and three tied to abuse, plus three fines totaling $155,366. A recent March 2026 inspection means the picture is current. Strong hands on deck, but a documented history that needs watching.

B

83/100

Knox County Nursing Home

Knoxville, IL · Knox County

CMS 4/5169 bedsGovernmentMedicaid
Nurse hours
3.73 /day
Staff turnover
34%
Serious cites
0

Knox County Nursing Home runs a tight ship on inspections, a five-star health inspection rating and seven total deficiencies on the current record, none of them causing harm or involving abuse. That's a clean record for a 169-bed county-owned home, and its last full inspection was recent, in August 2024. Staffing sits at 3.73 hours per resident day, roughly 3% under the national average, with weekends about 4% leaner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The number that stands out is turnover: 34% against a national average near 46%, meaning aides and nurses here tend to stay longer than they do at most homes.

B

83/100

Morristown Manor

Morristown, IN · Shelby County

CMS 4/5119 bedsGovernmentMedicaid
Nurse hours
3.59 /day
Staff turnover
33%
Serious cites
0

Morristown Manor runs on a county-owned model with 119 certified beds along the western edge of Shelby County. Its overall nurse staffing sits at 3.59 hours per resident day, about 7% under the national figure, and weekends drop roughly 12% below what the home staffs during the week, worth asking about if your family tends to visit Saturdays and Sundays. Turnover is the bright spot, at 33% against a national average near 46%, and that stability shows up in the quality measure rating. The current inspection record carries 31 deficiencies, two at the harm level and seven flagged as abuse-related, which isn't a small number. The last state visit was in May 2025, so the picture is reasonably current.

B

83/100

Indiana Veterans Home

West Lafayette, IN · Tippecanoe County

CMS 4/5212 bedsGovernmentMedicaid
Nurse hours
5.61 /day
Staff turnover
64%
Serious cites
0

The Indiana Veterans Home in West Lafayette runs on a state government operation with 212 certified beds, and the nurse staffing numbers are genuinely strong, 5.61 hours per resident day puts it roughly 45% above the national average of 3.86. That's real coverage on paper, though weekends dip about 15% below its own weekday levels, and annual turnover sits at 64.2% against a national 45.8%, so the floor is covered but the faces change often. The inspection record carries 19 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with a 3/5 health inspection rating and the most recent survey dated December 2025.

B

83/100

Akron Care Center, Inc

Akron, IA · Plymouth County

CMS 4/545 bedsGovernmentMedicaid
Nurse hours
3.80 /day
Staff turnover
40%
Serious cites
0

Akron Care Center is city-owned, which is unusual, most Iowa nursing homes are for-profit. Inspectors have found four deficiencies on its current record, none of them causing harm or involving abuse, and the most recent visit was in May 2025. Nurse staffing sits at 3.80 hours per resident day, a hair under the national average of 3.86, and weekends run about 11% thinner than weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 40.4%, better than the 45.8% national figure but still meaning roughly two in five caregivers left within a year. Quality measure scores lag behind its inspection and staffing results.

B

83/100

Kiowa Hospital District Manor

Kiowa, KS · Barber County

CMS 5/529 bedsGovernmentMedicaid
Nurse hours
6.34 /day
Staff turnover
46%
Serious cites
0

Kiowa Hospital District Manor runs on unusually heavy staffing for a 29-bed home, 6.34 nurse hours per resident day, roughly two and a half hours more than the national average, and its most recent inspection was in September 2025, so the record is current. The catch is in the inspection findings: ten deficiencies on file, one of them serious enough to reach harm or jeopardy level, which is what pulls the overall picture down despite the five-star staffing rating. Weekend coverage dips about 9% below weekdays, and turnover sits at 46.2%, essentially matching the national rate. As a government hospital-district home, it answers to local public ownership rather than a chain.

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.

Before you shortlist