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 301 to 320 of 956, best-graded first.

B

83/100

Solomon Valley Manor

Stockton, KS · Rooks County

CMS 3/530 bedsGovernmentMedicaid
Nurse hours
4.25 /day
Staff turnover
29%
Serious cites
0

Solomon Valley Manor runs on a city-owned, 30-bed setup in Stockton, and its strongest asset is people: nurses deliver about 4.25 hours of care per resident per day, roughly 10 percent above the national average, and staff turnover sits at 28.6 percent against a national 45.8 percent. That retention matters in a small rural home, though weekend coverage dips about 13 percent below weekday levels. The tradeoffs are real elsewhere. Sixteen deficiencies show on the current record, three serious enough to involve harm or jeopardy, and the quality measure score is weak. Inspectors last visited in October 2024. A well-staffed building with recent inspection problems is worth a close look at what those three citations involved.

B

83/100

Mountain View Community

Ossipee, NH · Carroll County

CMS 4/5103 bedsGovernmentMedicaid
Nurse hours
4.88 /day
Staff turnover
48%
Serious cites
0

Mountain View Community runs on county money, and the staffing shows it: 4.88 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 6% below its own weekday levels, so ask how that plays out on a Sunday afternoon. Turnover sits at 47.6%, a touch above the national 45.8%, which means new faces on the floor fairly often. The inspection record is the strongest part of the picture, six deficiencies, none at the harm level, none related to abuse, with a visit as recent as November 2025. Quality measures come in middle-of-the-road, so the clinical side isn't the differentiator here; the direct-care hours are.

B

83/100

Rocky Knoll Health Care

Plymouth, WI · Sheboygan County

CMS 3/5149 bedsGovernmentMedicaid
Nurse hours
4.99 /day
Staff turnover
59%
Serious cites
0

Rocky Knoll Health Care is county-owned, and that shows in the staffing numbers, 4.99 nurse hours per resident day, roughly 29% above the national average, which is the kind of margin that matters on a Tuesday afternoon when someone needs help. The tradeoffs are real, though. Turnover sits at 58.6%, well above the national rate, and 27 deficiencies appear on the current record, three tied to abuse, though none reached the level of actual harm or jeopardy. Inspections were recent, March 2025, and the health inspection side scored low relative to quality measures and staffing. If you're weighing this one, ask how they hold staffing on weekends, which run about 6% lighter than weekdays.

B

83/100

Clearview

Juneau, WI · Dodge County

CMS 5/540 bedsGovernmentMedicaid
Nurse hours
5.06 /day
Staff turnover
35%
Serious cites
0

Clearview is county-owned, and its staffing is the strongest part of the picture: 5.06 nurse hours per resident day, roughly 31% above the national average, with a 5-star staffing rating to match. Turnover sits at 35.2%, well below the national 45.8%. Weekends run about 9% leaner than weekdays, so ask how that gap gets covered. The record isn't spotless, 9 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $9,110, though nothing abuse-related. A 4-star inspection and a fresh August 2025 survey help. The 3-star quality measures are the soft spot worth asking about.

B

83/100

Stevens Nursing And Rehabilitation Center Of Halle

Hallettsville, TX · Lavaca County

CMS 5/5144 bedsGovernmentMedicaid
Nurse hours
3.43 /day
Staff turnover
30%
Serious cites
0

Stevens Nursing and Rehabilitation Center of Halle in Hallettsville runs on a hospital district's license, and its inspection record is genuinely strong, a 4/5 health inspection rating with 19 deficiencies on file and none at the harm or jeopardy level. Four of those are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.43 nurse hours per resident day sits about 11% under the national figure, weekends run roughly 9% below its own weekdays, and the staffing rating lands at 2/5. Turnover is 30.2%, better than the 45.8% national average, so people tend to stay. The last inspection was recent, in May 2026.

B

82.5/100

Idaho State Veterans Home - Boise

Boise, ID · Ada County

CMS 2/5122 bedsGovernmentMedicaid
Nurse hours
4.23 /day
Staff turnover
45%
Serious cites
0

The Idaho State Veterans Home in Boise runs on remarkably strong nurse staffing, 4.23 hours per resident day, about 10% above the national average, with a CMS staffing rating that reflects it. The trouble shows up elsewhere. State inspectors recorded 27 deficiencies on the current record, including two at the harm level and four tied to abuse, and the health inspection rating sits at 1 out of 5. That gap between staffing strength and inspection problems is the whole story here. Staff also thin out on weekends, dropping roughly 19% below weekday coverage, so care may look different depending on when you visit. Annual turnover, about 45%, is essentially in line with the national average.

B

82.5/100

Tippah County Nursing Home

Ripley, MS · Tippah County

CMS 4/540 bedsGovernmentMedicaid
Nurse hours
4.95 /day
Staff turnover
37%
Serious cites
0

Tippah County Nursing Home runs on a county budget and 40 beds, and the staffing numbers stand out: 4.95 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 20% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.2%, lower than the national 45.8%, so the people caring for residents tend to stay. Seventeen deficiencies on record, none at the harm level and none abuse-related, with the last inspection in February 2026. Quality measure scores run low at 2 out of 5, so ask what those specific measures cover.

B

82.5/100

Fairview Manor

Fairmont, NE · Fillmore County

CMS 5/540 bedsGovernmentMedicaid
Nurse hours
4.13 /day
Staff turnover
16%
Serious cites
0

Fairview Manor runs on a city-county budget in a town of about 6,000, and the numbers suggest that setup is working. Nurses give residents 4.13 hours of care a day, roughly 7 percent more than the national average, and only 16.3 percent of staff left last year against a national rate near 46 percent, that kind of retention usually means people want to stay. Inspection history is clean: three deficiencies on record, none causing harm, none tied to abuse, and the last state visit came in January 2026. The softer spot is weekend coverage, which dips about 19 percent below weekday levels, and quality measures sit mid-range.

B

82.5/100

Harvard Rest Haven

Harvard, NE · Clay County

CMS 4/530 bedsGovernmentMedicaid
Nurse hours
4.41 /day
Staff turnover
49%
Serious cites
0

Harvard Rest Haven runs on a fairly lean crew for a 30-bed home, though the 4.41 nurse hours per resident day lands above the national average. Weekends are where it thins out, roughly 19% less staffing than weekdays, which is common but worth knowing if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 48.5%, a bit above the national figure, so continuity of caregivers isn't guaranteed. The inspection record is genuinely strong: a 5/5 health inspection rating, ten deficiencies on file with none at the harm level, and the most recent survey done in February 2025. One abuse-related deficiency is on the record, which you should ask about directly.

B

82.5/100

Wayne County Nursing Home

Lyons, NY · Wayne County

CMS 1/5192 bedsGovernmentMedicaid
Nurse hours
4.57 /day
Staff turnover
33%
Serious cites
0

Wayne County Nursing Home is run by the county, and its staffing is the strongest part of the picture: 4.57 nurse hours per resident day, about 18% above the national average, with turnover at 33.3%, noticeably lower than the 45.8% typical elsewhere. Weekends, though, run roughly 19% thinner than weekdays, so coverage isn't even across the week. The trouble sits in inspections, where CMS gives one star out of five. Fourteen deficiencies are on the current record, including one at the harm or jeopardy level and one abuse-related, plus a $16,153 fine. The most recent inspection was November 2024. Good staffing and steady retention matter, but a harm-level finding and an abuse citation are the kind of thing you'd want to ask about directly before deciding.

B

82.5/100

Lake Taylor Hosp

Norfolk, VA · Norfolk City County

CMS 4/5192 bedsGovernmentMedicaid
Nurse hours
4.90 /day
Staff turnover
47%
Serious cites
0

Lake Taylor runs a government hospital-district home with 192 beds, and its nurse staffing sits at 4.90 hours per resident day, roughly 27% above the national average of 3.86. That's real coverage, though weekends drop about 19% below what the home itself staffs on weekdays, so families should ask who's actually on the floor Saturday and Sunday. Turnover is 47.3%, slightly worse than the 45.8% national figure, and inspectors have logged 24 deficiencies, two of them at harm or jeopardy level, with one $59,150 fine. The last inspection was September 2025, so the record is current. Solid clinical quality marks and thin inspection margins pull in opposite directions here.

B

82.5/100

Golden Age Manor

Amery, WI · Polk County

CMS 2/585 bedsGovernmentMedicaid
Nurse hours
3.82 /day
Staff turnover
n/a
Serious cites
0

Golden Age Manor runs on county money, and its staffing numbers are right at the national line, 3.82 nurse hours per resident day against a 3.86 average. That's basically a wash on paper, but weekends drop about 13% below the home's own weekday level, which is where thin coverage tends to show up. The bigger issue is the inspection record: 28 deficiencies, one of them serious enough to cause harm, though nothing abuse-related. State inspectors were last in on April 10, 2025, and gave the health inspection side 2 out of 5 stars. Quality measures land at 3, staffing at 4. A county home with a clean abuse record and a recent visit, but 28 findings is a lot to carry.

B

82.5/100

Sterling Nursing And Rehab

Sterling City, TX · Sterling County

CMS 4/544 bedsGovernmentMedicaid
Nurse hours
5.35 /day
Staff turnover
53%
Serious cites
0

Sterling Nursing and Rehab is county-owned, and the staffing reflects that: 5.35 nurse hours per resident day, roughly 39% above the national average. That's the strongest thing in the numbers, though weekends run about 19% lighter than weekdays, and turnover sits at 53.3% against a national 45.8%, people are cycling through here faster than average. The inspection record shows 13 deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. The last state visit was September 2025. Four stars on inspections, quality measures, and staffing put this home solidly above middle ground, with the open question being whether that staffing cushion holds up when turnover keeps grinding.

B

82/100

Washington County Nursing Home

Akron, CO · Washington County

CMS 5/540 bedsGovernmentMedicaid
Nurse hours
4.31 /day
Staff turnover
43%
Serious cites
0

Washington County Nursing Home, the county-run home in Akron, runs on more nursing hours than most: 4.31 per resident day against a national average of 3.86. That's a real margin, and it's why CMS gives staffing top marks. It's not all upside. Inspectors wrote up 20 deficiencies, five at harm or jeopardy level and three tied to abuse, and one fine of $24,668 sits on the record. The last inspection was September 2024. Turnover of 42.6% is slightly better than average, and weekend staffing dips about 5% below weekdays, worth asking about if you visit mostly Saturdays.

B

82/100

Muscogee Manor & Rehabilitation Ctr

Columbus, GA · Muscogee County

CMS 3/5196 bedsGovernmentMedicaid
Nurse hours
5.39 /day
Staff turnover
34%
Serious cites
0

Muscogee Manor runs on a city government budget, and the staffing shows it: 5.39 nurse hours per resident day, roughly 40% above the national average, with a 5/5 staffing rating and turnover at 34.1%, well below the 45.8% national figure. Weekends dip about 10% from weekday coverage, so that's worth asking about directly, but the floor is still well covered. Where the home gives ground is quality measures, which score 1/5, and 17 deficiencies on the current record, though none at harm or jeopardy level and none abuse-related. The last inspection was February 2026, so the record is recent.

B

82/100

Oakwood Health Campus

Tell City, IN · Perry County

CMS 4/598 bedsGovernmentMedicaid
Nurse hours
3.38 /day
Staff turnover
34%
Serious cites
0

Oakwood Health Campus runs on county money in Tell City, and the numbers tell a mixed story. Nurse staffing sits at 3.38 hours per resident day, about 13 percent under the national average, and weekends run roughly 12 percent thinner than weekdays, so if you're visiting on a Saturday, expect fewer hands on deck. What stands out in the other direction is turnover: 33.8 percent versus a national 45.8 percent, which suggests people here tend to stay. The current record shows 11 deficiencies, including one at the harm level and two tied to abuse, which is worth asking about directly.

B

82/100

Parkview Haven

Francesville, IN · Pulaski County

CMS 2/542 bedsGovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
21%
Serious cites
0

Parkview Haven is a 42-bed county-owned home in Francesville, and the single most encouraging number is its staff turnover: 21.1% a year against a national average of 45.8%. Keeping caregivers in place matters more than almost anything else in a building this small. The tradeoff shows up in staffing levels, which CMS rates near the bottom, and in 22 deficiencies on the current record, including two tied to abuse, though none rose to actual harm or jeopardy. Quality measures come in above average, and the last inspection was recent, in June 2025. Read the survey report yourself and ask how they're covering shifts.

B

82/100

Springhurst Health Campus

Greenfield, IN · Hancock County

CMS 3/574 bedsGovernmentMedicaid
Nurse hours
4.30 /day
Staff turnover
39%
Serious cites
0

Springhurst Health Campus is county-owned, and that shows in the staffing numbers: 4.30 nurse hours per resident day, roughly 11% above the national average, with turnover at 38.7% compared to 45.8% nationally. Weekend coverage dips about 14% below weekday levels, so families should ask how that plays out on Saturdays and Sundays. The inspection record is the harder part, 25 deficiencies, including one at the harm level and two abuse-related, with the most recent inspection in June 2025. Quality measures score well, but a 2/5 on health inspections means the care process has had real problems, recent enough to matter.

B

82/100

Heritage Living Center

Park Rapids, MN · Hubbard County

CMS 3/548 bedsGovernmentMedicaid
Nurse hours
3.87 /day
Staff turnover
49%
Serious cites
0

Heritage Living Center is county-owned and holds 48 beds in Park Rapids, and the numbers behind its grade are mostly steady. Nurse staffing sits at 3.87 hours per resident day, essentially level with the national average, though weekends run about 9% thinner than weekdays, worth asking about if your family member needs care on Saturdays and Sundays. The inspection record is stronger than average, with a recent visit in August 2025 and nine deficiencies, but two of those stand out: one at the harm or jeopardy level and one abuse-related. Staff turnover of 48.9% edges past the national 45.8%, so expect some churn among caregivers.

B

82/100

Yalobusha County Nursing Home

Water Valley, MS · Yalobusha County

CMS 3/5122 bedsGovernmentMedicaid
Nurse hours
4.19 /day
Staff turnover
40%
Serious cites
0

Yalobusha County Nursing Home runs on a county government budget, and the staffing numbers show it: 4.19 nurse hours per resident day, about 8% above the national average, though weekends drop roughly 12% below its own weekday level. That uneven coverage matters more than the headline figure, since care doesn't pause on Saturdays. Turnover sits at 40.2%, better than the 45.8% national rate, suggesting a fairly stable workforce for a rural county home. The current inspection record is where the concern lies: 14 deficiencies, including two at the harm or jeopardy level and one tied to abuse. Last inspected October 9, 2025, with a 3/5 inspection score and 2/5 on quality measures.

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