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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 341 to 360 of 956, best-graded first.

B

81.5/100

Fort Bayard Medical Center

Santa Clara, NM · Grant County

CMS 3/5200 bedsGovernmentMedicaid
Nurse hours
6.27 /day
Staff turnover
33%
Serious cites
0

Fort Bayard Medical Center is state-run and staffed far above the national average, 6.27 nurse hours per resident day against 3.86 nationally. Turnover sits at 33.1%, also better than the 45.8% typical elsewhere. Those numbers are real, and they matter. The trouble is on the inspection side. Forty-eight deficiencies on the current record, including two at the harm or jeopardy level and five tied to abuse. One fine, $83,501. The last full inspection was August 2024, so nothing here is stale. Weekend staffing drops roughly 19% below the home's own weekday level, which is worth asking about directly. Plenty of hands, comparatively stable ones, but a documented pattern of serious problems the state has had to write up.

B

81.5/100

Palmetto Patriots

Gaffney, SC · Cherokee County

CMS 5/552 bedsGovernmentMedicaid
Nurse hours
5.56 /day
Staff turnover
n/a
Serious cites
0

Palmetto Patriots runs a state-owned home in Gaffney with 52 beds and nurse staffing at 5.56 hours per resident day, roughly 44% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. The current inspection record shows zero deficiencies, none at the harm level, and no abuse citations, though nine fines totaling $30,147 appear on the books from earlier. Its last inspection was April 2026, so the record is recent. State ownership tends to mean steadier funding and public accountability, and the staffing number is the real story here.

B

81.5/100

Veteran Village

Florence, SC · Florence County

CMS 4/552 bedsGovernmentMedicaid
Nurse hours
5.61 /day
Staff turnover
n/a
Serious cites
0

Veteran Village runs well above the national average for nurse staffing, 5.61 hours per resident day against 3.86 nationally, roughly 45% more hands-on time, though weekend coverage dips about 10% below its own weekday level. The inspection record is mixed: six deficiencies, including two at the harm or jeopardy level and one abuse-related, with twelve fines totaling $47,631. State government ownership and a February 2026 inspection give you recent, current information to work from. The staffing number is genuinely strong; the harm-level and abuse findings on the current record are the parts worth asking about directly before you decide.

B

81.5/100

Brigadier General Wendell H Gilbert Tn State Veter

Clarksville, TN · Montgomery County

CMS 4/5108 bedsGovernmentMedicaid
Nurse hours
5.34 /day
Staff turnover
n/a
Serious cites
0

Brigadier General Wendell H Gilbert Tn State Veter runs on state government money, and the nurse staffing shows it: 5.34 hours per resident day, roughly 38% above the national average. That's real coverage, though weekends dip about 13% below the home's own weekday level, so the weekday numbers aren't the whole story. The inspection record is where things get more mixed, eight deficiencies on file, two serious enough to involve harm or jeopardy, and one tied to abuse. The last full inspection was in April 2022, so that record is getting stale. Three stars each for inspections, quality measures, and staffing puts this home squarely in the middle of the pack.

B

81.5/100

Jerold Phelps Comm Hosp Snf

Garberville, CA · Humboldt County

CMS 2/517 bedsGovernmentMedicaid
Nurse hours
7.74 /day
Staff turnover
n/a
Serious cites
0

Jerold Phelps Community Hospital's skilled nursing unit in Garberville is a 17-bed hospital-district operation, which explains the unusually high nurse staffing: 7.74 hours per resident day, roughly double the national average of 3.86. Even with weekends running about 6% lighter than weekdays, that's a lot of hands on deck. The trouble sits elsewhere. Twenty-eight deficiencies on the current record include three tied to abuse, none flagged at harm or jeopardy level, and the last inspection came in September 2025, recent enough that the findings still describe how this home operates today. A quality measure rating of 2 out of 5 suggests the everyday care results don't match the staffing investment, and for a small rural unit, that gap is worth asking about directly.

B

81.5/100

Glen Rose Nursing And Rehab Center

Glen Rose, TX · Somervell County

CMS 5/5118 bedsGovernmentMedicaid
Nurse hours
3.39 /day
Staff turnover
38%
Serious cites
0

Glen Rose Nursing and Rehab Center runs on thinner nurse coverage than most homes, about 3.39 hours per resident day against a national average of 3.86, and weekends dip roughly 18% below its own weekday levels, so the thinnest shifts land when families tend to visit. What sets it apart, though, is stability: staff turnover sits at 37.8%, well under the 45.8% national figure, which matters when residents need consistent faces. Run by the hospital district, it holds decent inspection and quality ratings and was inspected as recently as January 2026. The caveats are real, though: 20 deficiencies on record, including two at harm level and three tied to abuse, plus $17,128 in fines across two cases.

B

81.5/100

Magnolia Place Health Care

Liberty, TX · Liberty County

CMS 4/5118 bedsGovernmentMedicaid
Nurse hours
3.73 /day
Staff turnover
52%
Serious cites
0

Magnolia Place runs 118 beds in Liberty under for-profit partnership ownership, and its numbers are a mixed bag. Nurse staffing sits at 3.73 hours per resident day, a bit under the national figure of 3.86, and weekends drop roughly 21% below what the home staffs on weekdays, worth asking about if your family visits Saturdays or Sundays. Turnover is the bigger flag: 51.8% of staff leaving annually against a national 45.8%, which means caregivers you meet may not be there in a year. The inspection record shows 23 deficiencies, none at harm or jeopardy level but one tied to abuse, with the most recent survey in June 2025.

B

81.5/100

Sun Valley Rehabilitation And Healthcare Center

Harlingen, TX · Cameron County

CMS 5/5124 bedsGovernmentMedicaid
Nurse hours
3.62 /day
Staff turnover
34%
Serious cites
0

Sun Valley runs on a hospital district's license in Harlingen, and its inspection record is unusually clean for a 124-bed home: five deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with the most recent survey done in July 2025. The staffing numbers tell a different story. At 3.62 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 16% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover, though, is genuinely low at 33.7% against a national 45.8%, which suggests the aides and nurses who are there tend to stay.

B

81/100

Woodruff County Health Center

Mccrory, AR · Woodruff County

CMS 3/5120 bedsGovernmentMedicaid
Nurse hours
4.57 /day
Staff turnover
48%
Serious cites
0

Woodruff County Health Center is county-owned, and its nurse staffing runs about 18% above the national average, 4.57 hours per resident day against 3.86. That's real coverage, though weekends dip roughly 6% below the home's own weekday level, so the cushion thins out when families tend to visit. Staff turnover sits at 47.5%, a touch above the national 45.8%, which means familiar faces aren't guaranteed. The current record shows 16 deficiencies, one serious enough to reach harm or jeopardy, plus a single fine of $8,278. The last inspection was September 2025. You're looking at a home with genuinely strong hands-on staffing but a survey history that isn't clean.

B

81/100

Emory L Bennett Memorial Veterans Nursing Home

Daytona Beach, FL · Volusia County

CMS 4/5120 bedsGovernmentMedicaid
Nurse hours
4.53 /day
Staff turnover
58%
Serious cites
0

Emory L Bennett Memorial sits in Daytona Beach as a state-run veterans home with 120 certified beds. The staffing numbers here are genuinely strong, 4.53 nurse hours per resident day, roughly 17% above the national average, which is enough for the federal staffing rating to hit the top mark. Two things pull against that. Weekend coverage drops about 13% below the home's own weekday level, so the weekday-to-weekend gap is real. And staff turnover runs 58% against a national 45.8%, meaning the people delivering that above-average care keep changing. The record shows 15 deficiencies, one at harm level, no abuse findings, and a single fine of $9,503. Inspectors last visited in October 2024.

B

81/100

Clyde E Lassen State Veterans Nursing Home

Saint Augustine, FL · St. Johns County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
5.30 /day
Staff turnover
56%
Serious cites
0

Clyde E Lassen State Veterans Nursing Home runs on a split record. Its last inspection, in August 2025, produced five deficiencies and none of them rose to harm or jeopardy, a clean enough survey to earn the top inspection rating from CMS. But look at the staffing rating: 1 out of 5, the lowest mark CMS gives. Annual turnover sits at 56% against a national average of 45.8%, meaning well over half the workforce leaves each year, and quality measures land midrange at 3. The state owns and operates it, which may explain some stability in oversight but not in the aides and nurses at the bedside. A place can pass inspection and still run thin.

B

81/100

Ridgecrest Rehab & Skilled Nursing Center

Columbus, GA · Muscogee County

CMS 5/584 bedsGovernmentMedicaid
Nurse hours
4.42 /day
Staff turnover
47%
Serious cites
0

Ridgecrest runs on public money, it's city- or county-owned, which in Georgia usually means the taxpayers carry the building, not a chain. Staffing sits at 4.42 nurse hours per resident day, roughly 14% above the national average, though weekends dip about 4% below its own weekday pace. Turnover is 46.9%, essentially the national rate, so the crew is neither unusually stable nor bleeding people. Inspections are the strongest number here: a five-star federal rating, 11 deficiencies on record, none causing harm or involving abuse, and the most recent visit was December 2025. Quality measures land mid-pack at three stars, which is where the shine dulls a little.

B

81/100

Heritage Healthcare

West Lafayette, IN · Tippecanoe County

CMS 3/5127 bedsGovernmentMedicaid
Nurse hours
3.42 /day
Staff turnover
46%
Serious cites
0

Heritage Healthcare is county-owned, which matters here: 24 deficiencies on its current record, two of them abuse-related, none at the harm or jeopardy level. The health inspection rating sits at 2 out of 5, and the most recent inspection was August 2025, so that record is recent. Nurse staffing runs 3.42 hours per resident day, about 11 percent under the national average of 3.86, and weekends drop roughly 11 percent below its own weekday levels. Turnover is 45.5 percent, essentially the national rate. Residents' quality measures score 5 out of 5, and staffing still rates 4 out of 5. The gap between those numbers and the inspection record is what a family should weigh.

B

81/100

Adams Heritage

Monroeville, IN · Allen County

CMS 5/561 bedsGovernmentMedicaid
Nurse hours
3.63 /day
Staff turnover
61%
Serious cites
0

Adams Heritage is county-owned, and that shows in the inspection record: three deficiencies on file, none at the harm level, no abuse citations, and a perfect five-star health inspection rating from CMS as of the June 2026 survey. The staffing side tells a different story. At 3.63 nurse hours per resident day, it runs about 6% under the national average of 3.86, weekends dip roughly 5% below its own weekday coverage, and annual turnover sits at 60.5% against a national 45.8%, so the people caring for residents keep changing. Quality measures still score five stars, which suggests the care itself is landing well despite thinner and less stable staffing.

B

81/100

North River Health Campus

Evansville, IN · Vanderburgh County

CMS 5/558 bedsGovernmentMedicaid
Nurse hours
3.77 /day
Staff turnover
48%
Serious cites
0

North River Health Campus is county-owned, which is unusual in this business, and its inspection record is genuinely clean, ten deficiencies on the books, none of them causing harm or jeopardy, none tied to abuse. That matters more than the raw count. The staffing picture is more mixed: 3.77 nurse hours per resident day sits just under the national average, and weekends run about 12% thinner than weekdays, so coverage depends on when you visit or call. Turnover at 48.1% is slightly worse than the national 45.8%, meaning CNAs and nurses cycle through. Ask which caregivers actually know your parent, and how the weekend shift is covered.

B

81/100

Sunnycrest Manor

Dubuque, IA · Dubuque County

CMS 4/577 bedsGovernmentMedicaid
Nurse hours
4.34 /day
Staff turnover
38%
Serious cites
0

Sunnycrest Manor is county-owned, and the numbers show a home that's better staffed than most, 4.34 nurse hours per resident day, roughly 12% above the national figure. Turnover sits at 38.4%, well under the 45.8% national average, which matters for whether your family sees the same faces month to month. The tradeoff shows up in care quality measures, where it scores near the bottom, and in 14 deficiencies on its current record, though none involved actual harm or abuse. Weekend coverage drops about 11% below weekday levels, so ask about Saturday and Sunday staffing specifically. Its last inspection was in March 2026, so the record is recent.

B

81/100

Palo Alto County Hospital

Emmetsburg, IA · Palo Alto County

CMS 4/522 bedsGovernmentMedicaid
Nurse hours
3.07 /day
Staff turnover
18%
Serious cites
0

Palo Alto County Hospital runs a small 22-bed unit, and the numbers suggest it's well run. Staff turnover sits at 17.6%, very low next to the 45.8% national figure, which matters for familiarity and continuity in a place this size. The tradeoff is hours: 3.07 nurse staffing hours per resident day is about 21% under the national average, and weekends drop roughly 25% below the home's own weekday levels. One deficiency on the current record, none at harm level, no abuse findings, and a recent July 2025 inspection back that up. County-owned and financially steady, it looks like a home that keeps its people, with fewer hands on weekends.

B

81/100

Wicomico Nursing Home

Salisbury, MD · Wicomico County

CMS 4/5102 bedsGovernmentMedicaid
Nurse hours
3.76 /day
Staff turnover
26%
Serious cites
0

Wicomico Nursing Home runs on county money, and the staffing reflects that: 3.76 nurse hours per resident day sits just under the national average of 3.86, and weekends drop about 13% below its own weekday coverage. What stands out more is retention, 25.9% turnover against a national 45.8% suggests people stay, which matters for residents who need consistent caregivers. But the inspection record carries real weight: 40 deficiencies, four serious enough to put residents in harm's way, seven tied to abuse, and one fine of $28,343. The most recent inspection was in February 2026. Steady staff, uneven oversight.

B

81/100

Sanilac Medical Care Facility

Sandusky, MI · Sanilac County

CMS 3/5104 bedsGovernmentMedicaid
Nurse hours
5.32 /day
Staff turnover
46%
Serious cites
0

Sanilac Medical Care Facility is county-owned, and the staffing numbers are the strongest thing going for it: 5.32 nurse hours per resident day, roughly 38% above the national average, which earns a four-star staffing rating. Two caveats sit underneath that. Weekend coverage drops about 13% from weekday levels, and turnover at 45.6% is essentially the national rate, so the extra hours don't come with unusual stability. The inspection record is more mixed: 33 deficiencies, including two at harm or jeopardy level and one abuse-related, with the last inspection in August 2025. Quality and inspection ratings both land at three stars.

B

81/100

Beaver City Manor

Beaver City, NE · Furnas County

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

Beaver City Manor is a 30-bed city-owned home in Furnas County, and its strongest asset is people: 4.43 nurse hours per resident day, about 15% above the national average, with turnover at 29% against a national 45.8%. That staffing consistency matters more than any single number here, though weekend coverage dips roughly 14% below weekday levels. The trade-off sits in care quality measures, which scored 1 out of 5, and nine deficiencies on record, none at harm or jeopardy level, but one abuse-related. The last inspection was in June 2025, so the picture is reasonably current. Small, government-run, well-staffed, but with real quality-measure gaps worth asking about directly.

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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