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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 321 to 340 of 956, best-graded first.

B

82/100

Walter B Crook Nursing Facility

Ruleville, MS · Sunflower County

CMS 3/560 bedsGovernmentMedicaid
Nurse hours
4.80 /day
Staff turnover
27%
Serious cites
0

Walter B Crook, a state-run home in Ruleville, runs on unusually strong staffing: 4.80 nurse hours per resident day, about a quarter more than the national average, and its 27% turnover is well below the 45.8% norm. Weekends dip only slightly from weekday coverage. What pulls it down is care quality, CMS rates its quality measures 1 out of 5, and its record carries 14 deficiencies, three serious enough to involve harm or jeopardy and one tied to abuse. A recent November 2025 inspection means the picture is current. Plenty of hands on deck, then; the question is what those hands are doing.

B

82/100

Good Samaritan Care Center

Cole Camp, MO · Benton County

CMS 5/572 bedsGovernmentMedicaid
Nurse hours
3.89 /day
Staff turnover
16%
Serious cites
0

Good Samaritan Care Center is county-owned, which is unusual in Missouri and tends to mean steadier budgets and less pressure to squeeze staff. That shows in the turnover number: 15.6% against a national average of 45.8%, so aides here largely stay put. Nurse staffing sits just above the national average at 3.89 hours per resident day, though weekends run about 9% leaner than weekdays, worth asking about if your family visits on Saturdays. Three deficiencies on record, none involving harm or abuse, and the last inspection was in September 2024. The weaker spot is quality measures, where the home scores low despite strong inspections and staffing.

B

82/100

La Plata Nursing Home

La Plata, MO · Macon County

CMS 3/552 bedsGovernmentMedicaid
Nurse hours
3.52 /day
Staff turnover
30%
Serious cites
0

La Plata Nursing Home runs on county money, and the numbers show a place that's steady but not especially well-staffed. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is a genuine bright spot: 30% against a national 45.8% means aides and nurses here tend to stay. The tradeoff is a 30-deficiency record, including two at harm or jeopardy level and two tied to abuse, with the last inspection in November 2024. Quality measures score low; staffing and inspections land mid-range.

B

82/100

Hillcrest Nursing Home

Mccook, NE · Red Willow County

CMS 2/5100 bedsGovernmentMedicaid
Nurse hours
4.88 /day
Staff turnover
36%
Serious cites
0

Hillcrest runs on county money, and the staffing shows it: 4.88 nurse hours per resident day against a national average of 3.86, with turnover at 36.3% compared to 45.8% nationally. That's a real edge in keeping aides and nurses on the floor, though weekends run about 13% thinner than weekdays, so coverage isn't perfectly even. The softer spots are inspections and quality measures, both two out of five stars, with 16 deficiencies on record, one tied to abuse. None of those rose to harm or jeopardy level, and the most recent inspection was May 2026. Strong hands-on care, middling survey history, that's the tradeoff here.

B

82/100

Colonial Acres Of Humboldt

Humboldt, NE · Richardson County

CMS 2/549 bedsGovernmentMedicaid
Nurse hours
4.35 /day
Staff turnover
53%
Serious cites
0

Colonial Acres is city-owned, which is unusual in this part of Nebraska, and its staffing is the strongest card it holds, 4.35 nurse hours per resident day, comfortably above the national figure, with a four-star staffing rating to match. The catch is consistency: weekends run roughly 14% thinner than weekdays, and turnover sits at 53.3%, well past the national rate. Inspections are a softer spot, at two stars with 15 deficiencies on record, though none reached harm or jeopardy and none involved abuse. The most recent visit was in March 2026, so the picture is current.

B

82/100

The Meadows At Osborn Park

Huron, OH · Erie County

CMS 3/5130 bedsGovernmentMedicaid
Nurse hours
3.76 /day
Staff turnover
36%
Serious cites
0

The Meadows At Osborn Park is county-owned, and that shows in the numbers: a 36.4% annual staff turnover rate, well under the national average of 45.8%, suggests people tend to stay. Nurse staffing sits at 3.76 hours per resident day, about 3% under the national average, and weekends run roughly 13% lighter than weekdays, worth asking about if your relative needs more help on Saturdays and Sundays. Fourteen deficiencies are on the current record, one serious enough to involve harm or jeopardy, though none tied to abuse. The last full inspection was March 2023.

B

82/100

Neshaminy Manor Home

Warrington, PA · Bucks County

CMS 4/5360 bedsGovernmentMedicaid
Nurse hours
3.43 /day
Staff turnover
17%
Serious cites
0

Neshaminy Manor is county-owned, and that shows up in the numbers in a good way: only 3 deficiencies on its current record, none at the harm level, none abuse-related, and a recent inspection in February 2026. The trade-off is staffing. At 3.43 nurse hours per resident day, it sits about 11% below the national average of 3.86, and weekends run roughly 11% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. What offsets that is retention: 17% annual turnover against a national average near 46% means familiar faces, which matters for consistent care. Worth asking how they cover weekends.

B

82/100

Jefferson Park At White Pine

White Pine, TN · Jefferson County

CMS 4/530 bedsGovernmentMedicaid
Nurse hours
5.76 /day
Staff turnover
43%
Serious cites
0

Jefferson Park At White Pine runs on a county-owned model with just 30 certified beds, and the staffing numbers are the real story here: 5.76 nurse hours per resident day, roughly 49% above the national average. Weekend coverage dips about 6% from its own weekday level, which is a modest gap. Staff turnover sits at 43.1%, slightly better than the 45.8% national figure, so this isn't a home bleeding workers. One deficiency on the current record, none at harm level, none abuse-related, with the last inspection in October 2023, an unusually clean sheet. Small county homes sometimes get overlooked, but the numbers here point to consistent, well-staffed care.

B

82/100

Sulphur Springs Health And Rehabilitation

Sulphur Springs, TX · Hopkins County

CMS 3/5128 bedsGovernmentMedicaid
Nurse hours
3.38 /day
Staff turnover
45%
Serious cites
0

Sulphur Springs Health and Rehabilitation runs on a hospital-district ownership, which is a little unusual for a Texas nursing home, and its 128 beds are staffed at about 3.38 nurse hours per resident day, roughly 12% under the national average, with weekends thinner still. The inspection record is where you'll want to slow down: 50 deficiencies on file, one of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $44,044 fine. Turnover sits near the national norm at 44.9%, and the last survey was March 2026, so the picture is recent. Resident care measures score well; the staffing and inspection side is doing the dragging.

B

82/100

Schleicher County Medical Center

Eldorado, TX · Schleicher County

CMS 4/534 bedsGovernmentMedicaid
Nurse hours
4.37 /day
Staff turnover
38%
Serious cites
0

Schleicher County Medical Center runs on a government hospital-district model, and the staffing numbers reflect that: 4.37 nurse hours per resident day, roughly 13% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, though annual turnover sits at 37.8%, better than the 45.8% national figure, which matters in a 34-bed home where losing even a few nurses is felt. Inspections earned 4 out of 5 stars, and the last visit was December 2025, so the record is current. The catch is 13 deficiencies, 2 of them serious enough to raise harm or jeopardy concerns, with quality measures rating just 2 out of 5.

B

82/100

Pigeon Falls Hcc

Pigeon Falls, WI · Trempealeau County

CMS 5/537 bedsGovernmentMedicaid
Nurse hours
3.65 /day
Staff turnover
14%
Serious cites
0

Pigeon Falls Hcc runs on one of the steadiest crews you'll find in Wisconsin, 13.9% annual turnover against a national average near 46% means aides and nurses here tend to stay, which matters more than almost anything for residents who need consistent hands. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, and weekends dip roughly 7% below the home's own weekday level, so coverage thins a bit when families visit. The county-owned, 37-bed home was inspected in July 2025 and carries seven deficiencies, none at the harm level, though one is abuse-related, worth asking about directly. Recent inspections look strong; the quality measure scores are the weaker signal.

B

82/100

Baldwin Gardens Nursing Center

Temple City, CA · Los Angeles County

CMS 4/559 bedsGovernmentMedicaid
Nurse hours
5.64 /day
Staff turnover
24%
Serious cites
0

Baldwin Gardens runs on unusually heavy staffing for a 59-bed home, 5.64 nurse hours per resident day against a national average of 3.86, with turnover at 24.3% versus 45.8% nationally. That continuity matters, though weekend coverage dips about 9% below weekday levels. The tradeoff sits in the inspection record: 35 deficiencies, one tied to abuse, though none rose to harm or jeopardy, and the most recent survey is recent enough to trust. Quality measures scored lower than staffing did, which is worth asking about directly. Federal ownership is uncommon in this setting and can mean different oversight than a chain. Ask about that abuse citation and what changed after it.

B

82/100

Crown Point Health Suites

Lubbock, TX · Lubbock County

CMS 5/5108 bedsGovernmentMedicaid
Nurse hours
5.01 /day
Staff turnover
52%
Serious cites
0

Crown Point Health Suites runs on a hospital district's license in Lubbock, and the staffing numbers are the first thing worth knowing: 5.01 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekends drop about 14% below its own weekday level, and annual turnover sits at 52.3%, higher than the 45.8% national figure. Inspections tell a mixed story, 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse, and a single fine of $8,281. The last inspection was April 2026. Strong daily coverage and quality scores, but that turnover and those deficiencies are what hold the grade down.

B

81.5/100

Arkansas Veterans Home At Fayetteville

Fayetteville, AR · Washington County

CMS 2/590 bedsGovernmentMedicaid
Nurse hours
4.28 /day
Staff turnover
69%
Serious cites
0

The Arkansas Veterans Home At Fayetteville runs a state-owned, 90-bed operation where the day-to-day staffing numbers look better than most: 4.28 nurse hours per resident day, roughly 11% above the national average. The catch is consistency. Weekend coverage drops about 18% below the home's own weekday level, and annual turnover sits at 69.1% against a national average of 45.8%, meaning a lot of the people delivering that above-average care are new, or leaving. Its inspection record shows 39 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in March 2025. Quality and staffing measures both earned four stars; inspections came in at two.

B

81.5/100

Danville Regional Rehabilitation

Danville, IN · Hendricks County

CMS 5/5110 bedsGovernmentMedicaid
Nurse hours
3.58 /day
Staff turnover
25%
Serious cites
0

Danville Regional Rehabilitation is county-owned, and that shows up in the staffing numbers in a good way: turnover runs 24.7%, well below the national 45.8%. Nurses give about 3.58 hours per resident per day, roughly 7% under the national average of 3.86, and weekends are about 16% thinner than weekdays. Inspections are current, the last was June 23, 2025, with 16 deficiencies on record, none at the harm or jeopardy level and none abuse-related, which is the more meaningful detail than the raw count. Quality measures score near the top; the staffing rating sits in the middle.

B

81.5/100

Thomas Rest Haven

Coon Rapids, IA · Carroll County

CMS 2/557 bedsGovernmentMedicaid
Nurse hours
4.71 /day
Staff turnover
47%
Serious cites
0

Thomas Rest Haven runs on a city/county budget, and the staffing shows it: 4.71 nurse hours per resident day, roughly 22% above the national average. That's the strongest number here, though weekends drop about 16% below the home's own weekday coverage, so care thins out exactly when families tend to visit. The inspection record is the bigger concern. Eighteen deficiencies on file, including two at the harm level and two abuse-related, with one fine of $11,190 and a two-star health inspection rating. Turnover sits at 46.5%, essentially the national average, so continuity isn't unusual for the industry but isn't a strength. The last inspection was September 2025, so that record is recent.

B

81.5/100

Minneola District Hospital Ltcu

Minneola, KS · Clark County

CMS 1/520 bedsGovernmentMedicaid
Nurse hours
7.16 /day
Staff turnover
n/a
Serious cites
0

Minneola District Hospital Ltcu runs on unusually heavy staffing for a 26-bed home, 7.16 nurse hours per resident day, roughly 85% above the national average, though weekends drop about 15% below its own weekday pace. That staffing cushion is doing a lot of work here, because the inspection record is rough: 23 deficiencies on file, two of them serious enough to involve harm or jeopardy, and a one-star health inspection rating despite a March 2025 survey that's still recent. Government hospital-district ownership doesn't change the picture either way. The quality measure score sits at two stars, so what you're really weighing is whether strong daily coverage outweighs a troubled survey history.

B

81.5/100

Mahnomen Health Center

Mahnomen, MN · Mahnomen County

CMS 2/532 bedsGovernmentMedicaid
Nurse hours
4.24 /day
Staff turnover
n/a
Serious cites
0

Mahnomen Health Center is city/county-owned with 32 certified beds, and its nurse staffing runs 4.24 hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, so the extra hands aren't evenly spread across the week. On inspections, the record shows a 2/5 star rating, 15 deficiencies (none at harm or jeopardy level, but 3 tied to abuse), and one fine of $12,534. The last inspection was March 11, 2026, so the picture is current. Quality measures and staffing both rate 4/5, which is what holds the overall score up despite the inspection history.

B

81.5/100

Cook Hospital & Care Center

Cook, MN · St. Louis County

CMS 4/528 bedsGovernmentMedicaid
Nurse hours
4.46 /day
Staff turnover
n/a
Serious cites
0

Cook Community Hospital C&NC is a small, government-run unit inside a hospital district in St. Louis County, and its record splits in two directions. Inspectors gave it four stars and the last visit was recent, in May 2026, but the current file still carries 11 deficiencies, two of them serious enough to involve harm or jeopardy, plus one tied to abuse. Staffing is the sharper problem: the federal rating there sits at the bottom of the scale, well below what most homes report, while the quality measure score lands at two stars. For a 28-bed home, that combination matters more than the size suggests. If you're considering it, ask directly how nurse coverage works on evenings and weekends.

B

81.5/100

George Regional Health & Rehab Center

Lucedale, MS · George County

CMS 3/559 bedsGovernmentMedicaid
Nurse hours
5.20 /day
Staff turnover
40%
Serious cites
0

George Regional runs on a county budget out in Lucedale, and the numbers say the place is staffed well above what's typical, 5.2 nurse hours per resident day against a national average of 3.86. Turnover sits at 39.6%, better than the 45.8% norm, though weekend coverage drops about a fifth below its own weekday level, so your visit timing matters. What pulls against that is the record: 17 deficiencies, four of them serious enough to involve harm, two tied to abuse, and a quality measure rating of 1 out of 5 despite inspection and staffing each earning top marks.

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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