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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 21 to 40 of 956, best-graded first.

A

97/100

George E. Wahlen Ogden Veterans Home

Ogden, UT · Weber County

CMS 4/5120 bedsGovernmentMedicaid
Nurse hours
5.05 /day
Staff turnover
27%
Serious cites
0

Staffing is the strongest thing going for the George E. Wahlen Ogden Veterans Home, 5.05 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 12% below weekdays. Turnover sits at 26.7%, well under the 45.8% national figure, so the people caring for residents tend to stay. The trouble is on the inspection side. Twelve deficiencies on the current record, three of them serious enough to put residents at risk of harm, two tied to abuse, and a $12,363 fine, with the most recent inspection in August 2024. Strong daily care, but a survey history that a family should ask hard questions about.

A

97/100

Columbia Health Care Center

Wyocena, WI · Columbia County

CMS 5/575 bedsGovernmentMedicaid
Nurse hours
4.71 /day
Staff turnover
21%
Serious cites
0

Columbia Health Care Center in Wyocena is county-owned, and the numbers back up what that stability tends to buy. Nurses provide about 4.71 hours of care per resident each day, roughly 22 percent more than the national average, and staff turnover sits at 21.3 percent against a national figure near 46 percent, so the people caring for your relative are likely to still be there next year. Weekend coverage dips only slightly below weekday levels, which matters because that's where shortfalls usually hide. One deficiency on the current record, none involving harm or abuse, and an inspection from April 2026.

A

97/100

Veterans Home Of California - Barstow

Barstow, CA · San Bernardino County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
5.67 /day
Staff turnover
23%
Serious cites
0

The state-run veterans home in Barstow runs on 5.67 nurse hours per resident per day, roughly half again what the typical American nursing home provides, and its staff tends to stay: turnover sits near 23 percent against a national average close to 46. Weekend coverage does dip about 11 percent below weekday levels, worth asking about. Inspectors have cited 12 deficiencies, none at the level of actual harm or jeopardy, though two involve abuse, which is a category families should ask about directly. The last full inspection was April 23, 2026, so the record is recent, and the home holds top federal marks across health inspections, quality measures, and staffing alike.

A

96/100

John L. Levitow Health Care Center

Rocky Hill, CT · Capitol County

CMS 5/5125 bedsGovernmentMedicaid
Nurse hours
5.61 /day
Staff turnover
12%
Serious cites
0

John L. Levitow Health Care Center is a state-run home in Rocky Hill with 125 certified beds, and its staffing numbers stand out: 5.61 nurse hours per resident day, roughly 45% above the national average. Turnover sits at 12%, well below the national 45.8%, so the people caring for residents tend to stay. Weekend staffing drops about 11% from weekday levels, which is worth asking about if your family visits then. The inspection record shows 15 deficiencies, two tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection was in February 2025.

A

96/100

Hilo Benioff Medical Center

Hilo, HI · Hawaii County

CMS 4/552 bedsGovernmentMedicaid
Nurse hours
5.34 /day
Staff turnover
31%
Serious cites
0

Hilo Benioff Medical Center runs 5.34 nurse hours per resident day, roughly 38% above the national average, and its staffing ratio holds up better than most, weekend hours dip about 14% below weekdays, which is worth knowing if you're planning visits or worrying about coverage on a Sunday. Turnover sits at 30.8%, well under the 45.8% national figure, so the people caring for your family member are more likely to still be there next year. The tradeoff shows up in the inspection record: 23 deficiencies, including one at the harm level and two abuse-related, with the most recent survey in February 2025. State-owned, 52 beds, and quality scores that beat its inspection scores.

A

96/100

Samuel Mahelona Memorial Hospital

Kapaa, HI · Kauai County

CMS 5/566 bedsGovernmentMedicaid
Nurse hours
6.10 /day
Staff turnover
8%
Serious cites
0

Samuel Mahelona Memorial Hospital runs on unusually heavy staffing for a nursing home, 6.10 nurse hours per resident day, roughly 58 percent above the national figure. Just as telling is the turnover: 7.5 percent a year against a national average near 46 percent, meaning the people caring for residents largely stay put. Weekend coverage dips only slightly below weekdays, so families shouldn't expect a stark drop-off on Saturdays. The trade-off sits in the inspection record. Eighteen deficiencies are logged, including one at the harm level and one abuse-related, though the most recent inspection in May 2026 suggests the state-run home is being watched closely. Strong staffing and consistent caregivers, with some compliance problems still on the books.

A

96/100

Stanton County Health Care Facility Ltcu

Johnson, KS · Stanton County

CMS 2/525 bedsGovernmentMedicaid
Nurse hours
5.27 /day
Staff turnover
13%
Serious cites
0

Stanton County Health Care Facility in Johnson runs on a city/county budget, and the numbers show a place where people tend to stay. Annual turnover is 13.3 percent, well below the national 45.8 percent, and total nurse staffing sits at 5.27 hours per resident day, roughly a third more than the 3.86 national average. Weekend coverage dips only about 8 percent from weekday levels, so care doesn't thin out much on Saturdays and Sundays. Inspectors logged 24 deficiencies, none at the harm level, though one is abuse-related, and the last visit was August 2025. The staffing star rating of 1/5 looks odd next to those hours; CMS's scoring there weighs things like RN coverage specifically, not just total volume.

A

96/100

Joseph Eddie Ballard Western Kentucky Veterans Cen

Hanson, KY · Hopkins County

CMS 5/5156 bedsGovernmentMedicaid
Nurse hours
5.40 /day
Staff turnover
34%
Serious cites
0

The Western Kentucky Veterans Center in Hanson is state-run, and that shows in the numbers. Nurse staffing runs about 5.4 hours per resident per day, roughly 40% above the national average, with weekend coverage dipping about 14% below its own weekday level. Turnover sits at 34.3%, better than the 45.8% national figure but still meaning about a third of staff leaving each year. On inspections, there's little to argue with: two deficiencies on the current record, none causing harm or involving abuse, and a survey completed in February 2026. A recent, clean inspection record paired with that staffing level is what a strong home looks like in the data.

A

96/100

Thomson-Hood Veterans Center

Wilmore, KY · Jessamine County

CMS 5/5285 bedsGovernmentMedicaid
Nurse hours
5.09 /day
Staff turnover
29%
Serious cites
0

Thomson-Hood Veterans Center runs on 5.09 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 29.4% sits well under the 45.8% national figure, a combination that tends to mean caregivers who know the residents and stay long enough to notice when something changes. Weekend coverage dips about 12% below weekday levels, which is worth asking about if you visit mainly on Saturdays. Five deficiencies on record, none at the harm level, though one is abuse-related and worth requesting details on. The most recent inspection was in May 2026. As a state-run veterans home, its numbers hold up well against most facilities.

A

96/100

Ingham County Medical Care Facility

Okemos, MI · Ingham County

CMS 4/5236 bedsGovernmentMedicaid
Nurse hours
5.09 /day
Staff turnover
38%
Serious cites
0

Ingham County Medical Care Facility is a county-owned home in Okemos with 236 certified beds, and its staffing is the standout: 5.09 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips about 11% below weekday levels, which is common but still worth knowing if you're visiting Saturday or Sunday. Annual turnover sits at 37.5%, better than the 45.8% national figure, so the aides and nurses here tend to stick around longer than average. The caution is the inspection record, 63 deficiencies, one at harm or jeopardy level and nine abuse-related, with a health inspection rating of 2 out of 5 despite quality and staffing each earning top marks.

A

96/100

Allegan County Medical Care Facility

Allegan, MI · Allegan County

CMS 5/539 bedsGovernmentMedicaid
Nurse hours
5.35 /day
Staff turnover
33%
Serious cites
0

Allegan County Medical Care Facility runs on roughly 5.35 nursing hours per resident each day, well above the national average of 3.86, and its weekend coverage dips only slightly below weekday levels. Staff turnover sits at 32.7 percent, noticeably lower than the national 45.8 percent, which matters because familiar caregivers tend to notice changes in residents sooner. The county-owned home carries 11 deficiencies on its record, none at the harm level and none related to abuse, and its last inspection was in February 2026, recent enough that the findings reflect current conditions rather than old ones. With 39 certified beds, it stays small, and small homes live or die on whether the same people keep showing up. Here, the numbers suggest they do.

A

96/100

Sunnyside Care Center

Lake Park, MN · Becker County

CMS 5/530 bedsGovernmentMedicaid
Nurse hours
5.07 /day
Staff turnover
29%
Serious cites
0

Sunnyside runs on county money in a small Becker County town, and the numbers show real investment in direct care: 5.07 nurse hours per resident day, roughly a third more than the national average, with staff staying far longer than is typical elsewhere. Twelve deficiencies on the current record is a lot for a 30-bed home, though, and one of them involved actual harm or jeopardy and another was abuse-related, so the inspection history isn't clean. Weekends also run about 12% thinner than weekdays, which matters when falls and emergencies don't schedule themselves. The last survey came in June 2026.

A

96/100

Forrest General Hospital Skilled Nursing Unit

Hattiesburg, MS · Forrest County

CMS 5/530 bedsGovernment
Nurse hours
8.20 /day
Staff turnover
45%
Serious cites
0

Forrest General Hospital's skilled nursing unit runs on 8.20 nurse hours per resident day, more than double the national average of 3.86. That's an unusual number, most homes don't come close. Weekend staffing dips about 13% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 44.8%, essentially matching the national rate, so retention here isn't a problem or a strength. The county-owned unit carries two deficiencies on its current record, neither at the harm level and none abuse-related, with its last inspection in May 2026. All three CMS star ratings land at five.

A

96/100

Miners Colfax Medical Center

Raton, NM · Colfax County

CMS 5/537 bedsGovernmentMedicaid
Nurse hours
4.66 /day
Staff turnover
44%
Serious cites
0

Miners Colfax Medical Center is a state-run home in Raton with 37 certified beds, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.66 hours per resident day, about 21 percent above the national average, though weekend coverage drops roughly 11 percent below what the home provides on weekdays, so ask how that gap gets handled. Staff turnover of 44.4 percent is essentially in line with the national rate. Inspectors cited 16 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection completed in May 2025.

A

96/100

Anna John Resident Centered Care Community

Oneida, WI · Brown County

CMS 5/548 bedsGovernmentMedicaid
Nurse hours
7.73 /day
Staff turnover
31%
Serious cites
0

Anna John Resident Centered Care Community runs on staffing levels that are roughly double the national average, 7.73 nurse hours per resident day against 3.86 nationwide, and its weekend coverage dips only about 12% below its own weekday numbers, which is a mild drop most families wouldn't notice. The nonprofit's 30.7% turnover also sits well under the 45.8% national figure, meaning the people caring for residents tend to stick around. Four deficiencies appear on the current record, none at the harm level, though one is abuse-related, worth asking about directly. Inspectors last visited in November 2024 and gave the home top marks on health inspections and staffing.

A

96/100

Wi Veterans Home At Chippewa Falls

Chippewa Falls, WI · Chippewa County

CMS 5/572 bedsGovernmentMedicaid
Nurse hours
3.94 /day
Staff turnover
38%
Serious cites
0

The state-run veterans home in Chippewa Falls runs 72 certified beds and staffs at 3.94 nurse hours per resident day, a touch above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 37.6%, well under the 45.8% national figure, which matters because stable aides know the residents. Ten deficiencies show on the current record, none at the harm level and none abuse-related, and the last inspection was June 2025. All three CMS star ratings land at four or five. Government ownership here looks like steady staffing rather than a warning sign.

A

96/100

St John's Health Sage Living

Jackson, WY · Teton County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
3.97 /day
Staff turnover
32%
Serious cites
0

St. John's Health Sage Living runs 60 beds under hospital-district ownership, which tends to mean steadier budgets than a for-profit chain can offer. Its nurse staffing sits at 3.97 hours per resident day, just above the national average of 3.86, though weekends dip about 14% below its own weekday coverage, a gap worth asking about if your family member needs more hands-on help on Saturdays and Sundays. Staff turnover is 32%, well under the national 45.8%, so the people caring for residents tend to stick around. Five deficiencies appear on the current record, none at the harm level, one abuse-related. The last inspection was May 2025.

A

95.5/100

Southeastern Pennsylvania Veteran's Center

Spring City, PA · Chester County

CMS 5/5238 bedsGovernmentMedicaid
Nurse hours
5.46 /day
Staff turnover
28%
Serious cites
0

The state-run veterans home in Spring City runs 238 certified beds and staffs nurses at 5.46 hours per resident day, roughly 41% above the national average, with weekend coverage dipping about 16% below its own weekday level. Staff turnover sits at 28.2%, better than the 45.8% national figure. Where it slips is inspections: a 2-out-of-5 health inspection rating, 14 deficiencies on the current record, three of them at the harm or jeopardy level and one abuse-related, plus a $15,733 fine. The most recent inspection was May 9, 2025. Strong staffing and quality scores, weaker inspection history, that's the tradeoff to weigh if you're considering this home.

A

95.5/100

Sitter And Barfoot Veterans Care Center

Richmond, VA · Richmond City County

CMS 5/5200 bedsGovernmentMedicaid
Nurse hours
4.91 /day
Staff turnover
24%
Serious cites
0

Sitter and Barfoot in Richmond is state-run and staffs heavily: 4.91 nurse hours per resident day, roughly 27 percent above the national average, with a 5/5 CMS staffing rating to match. Turnover sits at 24.4 percent, well under the national 45.8 percent, so the people caring for residents tend to stay. The caution is in the inspection record, 31 deficiencies, four at harm or jeopardy level and four abuse-related, with a June 2025 inspection and a middling 3/5 health inspection rating. Strong daily coverage and stable staff, but a compliance history worth asking about directly.

A

95/100

Wi Veterans Home Moses Hall

King, WI · Waupaca County

CMS 5/5192 bedsGovernmentMedicaid
Nurse hours
5.10 /day
Staff turnover
33%
Serious cites
0

Staffing at Moses Hall runs about 5.10 nurse hours per resident day, roughly a third above the national average, and only about 32.6% of staff left last year against a national rate near 46%. Weekend coverage dips about 10% below its own weekday levels, so ask how that plays out on a Sunday. The record isn't clean: 20 deficiencies, three serious enough to put residents in harm's way and five tied to abuse, plus one fine of $23,520. The last inspection was March 2025. Strong staffing and quality scores sit alongside a state-run record with real problems on it.

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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