956 Government-Run Nursing Homes in the United States

Nurse hours

4.51 /day

Staff turnover

42%

Serious cites

0

Senator Ben Atchley State Veterans' Home runs on 4.51 nursing hours per resident day, roughly 17% above the national average, and its weekend staffing dips about 11% below its own weekday level, a real gap if your family visits or calls on Saturdays. The state-run home in Knoxville holds a clean inspection record: five deficiencies total, none at harm or jeopardy level, though one is abuse-related. Turnover sits at 42.4%, slightly better than the 45.8% national figure, and its last inspection came in March 2026. The quality measure score of 2 out of 5 is the number worth asking about directly, staffing looks strong, but clinical outcomes tell a different story.

Nurse hours

4.71 /day

Staff turnover

61%

Serious cites

0

Colville Tribal Convalescent C runs a federal facility in Nespelem with 44 certified beds, and the raw staffing number looks strong, 4.71 nurse hours per resident day, roughly 22% above the national average of 3.86. The catch is consistency: weekends drop about 10% below the home's own weekday level, and annual turnover sits at 61% against a national 45.8%, which is a lot of churn for a small census to absorb. Inspections in April 2025 produced a 4-star health rating, but the record holds 19 deficiencies, including one at harm or jeopardy level and one abuse-related, plus a single fine of $8,173.

Nurse hours

4.25 /day

Staff turnover

23%

Serious cites

0

Grant Rehabilitation And Care Center runs on county money, and the staffing shows it: 4.25 nurse hours per resident day, roughly 10% above the national average, with a 5/5 CMS staffing rating and turnover at 23.4%, about half the national rate of 45.8%. That stability matters more than most families realize. The caution sits elsewhere. Quality measures score 1/5, and the record carries 42 deficiencies, including five tied to abuse, though none rise to harm or jeopardy level. The last inspection was February 2026, so the picture is current. Weekends run about 9% thinner than weekdays. Read the inspection reports yourself before deciding.

Nurse hours

4.70 /day

Staff turnover

33%

Serious cites

0

Eastern Plumas Hospital's skilled nursing unit in Portola runs on unusually deep staffing for a small rural hospital district, 4.70 nurse hours per resident day, roughly a fifth more than the national average, with weekend coverage dipping only modestly below weekdays. Turnover sits at 33%, well under the national rate, which matters for consistency of care. The trouble is elsewhere: 21 deficiencies on the current record, four serious enough to put residents in harm's way, three tied to abuse, and $69,450 in fines. Its quality measure score is poor. Staffing is the strength here; the inspection history and clinical outcomes are what a family should press the administrator on.

Nurse hours

3.38 /day

Staff turnover

33%

Serious cites

0

Kern Valley Healthcare District Dp Snf runs 74 beds in Lake Isabella, and it's a hospital-district operation, so it's government-owned rather than part of a chain. Nurse staffing sits at 3.38 hours per resident day, about 12% under the national average, and weekends drop roughly 8% below what the home staffs on weekdays. Turnover is 32.6%, which is actually well below the 45.8% national figure, a genuine bright spot. The harder numbers are the 32 deficiencies on record, two of them at harm or jeopardy level and two abuse-related, plus $31,581 in fines across two penalties. Its last inspection was April 2026. Quality measures score well; staffing and inspections are where the concerns stack up.

Nurse hours

3.72 /day

Staff turnover

32%

Serious cites

0

McAllen Transitional Care Center runs on thinner nurse coverage than most homes, 3.72 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so a Saturday fall gets less eyes on it than a Tuesday one. Staff turnover sits at 32.1%, which is meaningfully better than the 45.8% national figure, and that steadiness shows in the quality measures, which score at the top of CMS's range. What holds the record back is the inspection side: 16 deficiencies, including one at the harm level and one tied to abuse, plus a fine of $8,827. The county hospital district owns it, and its last state visit was December 2024.

Nurse hours

3.67 /day

Staff turnover

52%

Serious cites

0

Ridgeview is run by a hospital district, which is worth knowing, that public structure can mean steadier oversight than a for-profit chain, and the inspection record backs it up. Twenty deficiencies sounds like a lot until you see none reached the level of actual harm and none involved abuse, and a December 2025 inspection means the findings are recent rather than stale. The staffing side is where the picture softens: at 3.67 nurse hours per resident day, this home sits slightly under the national figure, weekends run noticeably thinner than weekdays, and turnover of 51.6% tops the national rate of 45.8%. Solid surveys, but ask about who's actually on the floor on a Sunday.

Nurse hours

3.56 /day

Staff turnover

29%

Serious cites

0

Westover Hills Rehabilitation And Healthcare runs 124 certified beds in San Antonio under for-profit LLC ownership. Its nurses provide 3.56 hours of care per resident per day, roughly 8% under the national average, and weekend staffing drops about 13% below its own weekday levels, a pattern families should ask about directly. Turnover sits at 29.2%, well below the 45.8% national figure, so the team here is more stable than most. The inspection record is the harder reading: 31 deficiencies, including 4 tied to abuse and 2 serious enough to trigger the harm or jeopardy level, plus two fines totaling $20,156. The last inspection was April 2025.

Nurse hours

4.41 /day

Staff turnover

33%

Serious cites

0

Palemon Gaskins Mem Nsg Home runs on county money in Ocilla, and the numbers tell a mixed story. Nurses give residents 4.41 hours of care a day, about 14% more than the national average, and staff turnover sits at 33.3%, better than the 45.8% norm, which suggests people stay. That's the good news. The catch: weekend staffing drops roughly 18% below weekday levels, so care thins out when families tend to visit. Fifteen deficiencies sit on the current record, though none involve harm, jeopardy, or abuse, and the last inspection was January 2026. Quality measures and staffing stars both come in low; inspections are middling. The grade lands where a home with real bedside hours but uneven coverage deserves.

Nurse hours

4.67 /day

Staff turnover

n/a

Serious cites

0

Grafton County Nursing Home is county-owned, and the staffing numbers reflect that: 4.67 total nurse hours per resident day, roughly 21% above the national average. That's the strongest part of the picture. Weekends dip about 5% below its own weekday level, so coverage thins out a bit then. The inspection record is where it gets rockier. Twenty deficiencies are on file, three tied to abuse, though none reached the harm or jeopardy level. Its last inspection was April 2, 2026, so the record is recent. Federal ratings put health inspections and quality measures at 2 out of 5 each, with staffing at 3. If you're weighing this one, ask specifically about those three abuse-related findings and how weekends are covered.

Nurse hours

6.09 /day

Staff turnover

30%

Serious cites

0

Henry J. Carter is a city-run home in Manhattan with 164 beds, and its staffing is the headline: 6.09 nurse hours per resident day, roughly 58% above the national average, with weekend coverage dipping about 18% below its own weekday levels. Turnover sits at 30% against a national 45.8%, which suggests people tend to stay. The trade-off shows up in its record, nine deficiencies, including one at the harm level and one tied to abuse, plus a $17,345 fine, with the most recent inspection in October 2025. Strong staffing and stable retention, but a survey history worth asking about directly.

Nurse hours

6.96 /day

Staff turnover

n/a

Serious cites

0

Pioneer Nursing Home runs on a government hospital district license with 33 certified beds, and its nurse staffing sits at 6.96 hours per resident day, roughly 80% above the national average of 3.86. That's a genuinely unusual number, though weekend coverage drops about 12% below its own weekday level. The inspection history is where things get complicated: nine deficiencies on the current record, two of them at the harm or jeopardy level and one abuse-related, plus a single fine of $114,520. Its last inspection was April 23, 2026. Staffing and quality measures both rate 4 out of 5, so the direct-care picture looks strong, but the harm-level findings and that abuse citation are the kind of record you'd want to ask about directly before deciding.

Nurse hours

3.43 /day

Staff turnover

42%

Serious cites

0

Richard M Campbell Veterans Nursing Home runs 220 certified beds in Anderson under state government ownership, and its health inspection record is genuinely strong, a 4/5 star rating with the last full inspection in December 2025, so nothing here is stale. The catch is staffing: 3.43 nurse hours per resident day sits about 11% under the national average, and weekends drop roughly 20% below what the home itself staffs on weekdays, which is when families tend to visit and notice. Turnover at 42.1% is slightly better than the national 45.8%, but six deficiencies sit on the current record, including two at the harm level and one tied to abuse.

Nurse hours

4.03 /day

Staff turnover

n/a

Serious cites

0

Dogwood Village is county-owned, which matters for how it's run. Total nurse staffing sits at 4.03 hours per resident day, just above the national average of 3.86, but weekends drop about 10% below its own weekday level, and CMS gives the staffing domain only 2 of 5 stars despite that overall number. The current record shows 19 health deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in March 2025. Quality measures score 5 of 5, a real strength, while the 3 of 5 inspection rating reflects a longer-than-ideal deficiency list even without serious harm. Families should ask how weekend coverage actually looks on the floor.

Nurse hours

3.66 /day

Staff turnover

51%

Serious cites

0

Life Care Center of Rochester runs on county government ownership, and its current record includes 33 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level. Nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average, with weekends running about 12% thinner than weekdays. Annual turnover is 50.9%, above the 45.8% national figure, so the people showing up are often still learning the building. The 5/5 quality measure rating and a September 2025 inspection are the counterweights, but a 2/5 on health inspections tells you what surveyors have repeatedly found. Ask about staff retention and how weekends are covered before deciding.

Nurse hours

3.53 /day

Staff turnover

31%

Serious cites

0

George Ade Memorial runs on county money, and the staffing reflects it: 3.53 nurse hours per resident day, about 9% under the national average, with weekends dipping another 9% below its own weekday level. Turnover is the one clear bright spot at 30.8%, well under the national 45.8%, so the aides and nurses who are there tend to stay. The tradeoff shows up in inspections, 26 deficiencies on the current record, one serious enough to involve harm or jeopardy, though nothing abuse-related, and the last survey was recent enough to trust. Quality measures score well; the hands-on care hours and the inspection history are where the gaps sit.

Nurse hours

3.36 /day

Staff turnover

44%

Serious cites

0

Adams Woodcrest is county-owned, and that shows in the inspection record: two deficiencies total, none causing harm or jeopardy, none tied to abuse, and a survey completed just this past September. The quality measure and health inspection ratings both sit at the top of CMS's scale, which says a lot about how carefully this place is run day to day. Staffing is the trade-off. At 3.36 nurse hours per resident per day, it runs roughly 13% below the national average, and weekends dip about 12% below its own weekday levels, so coverage thins out when families tend to visit. Turnover, at 44.1%, is marginally better than the national figure.

Nurse hours

3.85 /day

Staff turnover

43%

Serious cites

0

Cumberland Trace runs on county money, which usually means stable funding but not always sharp management. Staffing sits right at the national average, 3.85 nurse hours per resident day, and turnover at 43.4% is actually a bit better than the typical home, though weekends run about 13% leaner than weekdays, so your Saturday visit may look different from a Tuesday one. The real trouble is the inspection record: 19 deficiencies with 3 at harm or jeopardy level, and a $33,579 fine, all fairly recent as of May 2025. Resident care measures look strong, but that gap between quality scores and survey findings is worth asking about directly.

Nurse hours

4.90 /day

Staff turnover

47%

Serious cites

0

Canal View runs on strong nurse staffing, 4.90 hours per resident day, about 27% above the national average, which earns it the top CMS staffing rating. That's real coverage for 197 beds, though weekends dip roughly 12% below its own weekday level, and turnover sits at 47%, slightly above the national 45.8%. The trouble is on the inspection side. Twenty-two deficiencies, four at harm or jeopardy level and two tied to abuse, plus two fines totaling about $39,988. A 3/5 on health inspections and 3/5 on quality measures pull down what the staffing numbers build up. County-owned, last inspected January 28, 2026. Good hands on deck, but a record that needs watching.

Nurse hours

4.59 /day

Staff turnover

72%

Serious cites

0

North Shore Health runs on more nursing hours per resident than most homes in the country, 4.59 a day against a national average of 3.86, and its most recent inspection, in May 2026, turned up eight deficiencies with none causing harm and none tied to abuse. Those are real strengths, and the county hospital district that owns it isn't under pressure to squeeze margins the way a for-profit chain might be. The catch is retention: 71.8% annual turnover, well above the 45.8% national figure, meaning a large share of the staff delivering those hours is new. Weekend coverage also slips about 14% below weekday levels, so ask how weekends and nights actually run.