956 Government-Run Nursing Homes in the United States

Nurse hours

5.68 /day

Staff turnover

43%

Serious cites

0

The Montana Veterans Home in Columbia Falls runs lean on turnover but heavy on care hours: 5.68 nurse staffing hours per resident day, roughly 47% above the national average, and its aide and nurse retention beats the typical U.S. facility. Weekends dip about 8% from weekday coverage, so families should ask who's on shift Saturday and Sunday. The trouble sits elsewhere. Fifteen deficiencies are on the current record, including one at the harm level and six tied to abuse, plus a single fine of $93,899. The last full inspection was July 2024, and the state runs the place. Strong staffing, real quality concerns, both are true here.

Nurse hours

4.01 /day

Staff turnover

24%

Serious cites

0

Preakness Healthcare Center is county-owned and holds 406 beds, which makes it one of the larger homes in Passaic County. The staffing numbers are genuinely strong: 4.01 nurse hours per resident day, above the national average, and a 23.7% turnover rate that's roughly half the national figure, stable crews tend to know their residents. The problem is on the other side of the ledger. Thirty-five deficiencies on the current record, including one at the harm level and four tied to abuse, with a one-star health inspection rating. Weekend staffing also dips about 7% below its weekday level. Fines total $15,646, and the most recent inspection was January 2025. Ask about those abuse-related citations directly before you decide.

Nurse hours

3.83 /day

Staff turnover

n/a

Serious cites

0

Shaker Place is a county-owned home in Albany with 250 certified beds, and its nurse staffing sits just below the national average, 3.83 hours per resident day against 3.86. That gap is small on paper, but weekends run about 19 percent lighter than weekdays, which is when families tend to visit and notice. The current inspection record shows 19 deficiencies, none at the harm or jeopardy level, though seven are abuse-related, a category worth asking about directly. Its last full inspection was in October 2023. County ownership can mean steadier funding and public accountability, but it also means budget cycles and politics shape staffing decisions rather than a single operator's priorities.

Nurse hours

3.88 /day

Staff turnover

35%

Serious cites

0

Ashtabula County Nursing Home runs 133 certified beds as a nonprofit, and its nurse staffing sits right at the national average, 3.88 hours per resident day against 3.86 nationally. Weekend coverage dips about 7% below its own weekday level, though turnover at 34.5% is notably better than the 45.8% national figure. What holds it back is the inspection record: 20 deficiencies currently on file, four of them at the harm or jeopardy level, plus one abuse-related citation. The health inspection rating still comes in at 4 out of 5, but that last survey was August 2023, so the picture may have shifted since.

Nurse hours

4.36 /day

Staff turnover

35%

Serious cites

0

Overton County Health and Rehab Center runs on county government ownership, and the numbers show a home that's mostly steady. Nurse staffing sits at 4.36 hours per resident day, about 13% above the national average, with weekend coverage barely dipping below weekday levels, and turnover at 35.1% is well under the 45.8% national figure, which suggests people stick around. The record is clean where it counts: five deficiencies total, none at the harm level and none tied to abuse, with an inspection as recent as May 2025. The softer spot is quality measures, where the home scores 2 out of 5, so ask what specific conditions are driving that before you decide.

Nurse hours

4.36 /day

Staff turnover

36%

Serious cites

0

Rolling Hills Rehab Center is county-owned, which usually means steady funding rather than a corporate owner squeezing margins, and the staffing numbers back that up: 4.36 nurse hours per resident day, roughly 13% above the national average, with weekend coverage dipping only about 4% below weekdays. Turnover sits at 35.9%, well under the national 45.8%. The catch is quality and oversight. Two stars on health inspections and two on quality measures, plus 27 deficiencies on the current record, seven tied to abuse, though none reached harm or jeopardy level. The last inspection was February 2025, so the record is recent. Strong hands on deck, uneven results on the floor.

Nurse hours

4.89 /day

Staff turnover

41%

Serious cites

0

Brookside Care Center runs on 4.89 nurse hours per resident day, roughly a quarter more than the national average, which is where its staffing rating comes from. Weekend coverage drops about 10% from weekday levels, so the cushion thins out on Saturdays and Sundays. Turnover sits at 41.4%, a bit better than the 45.8% national figure, and the health inspection rating is solid at 4 out of 5. The record isn't clean, though: nine deficiencies, two of them at the harm or jeopardy level and two tied to abuse. Two fines total $44,970, with the last inspection in November 2024.

Nurse hours

4.20 /day

Staff turnover

48%

Serious cites

0

The county runs this 46-bed home in Menomonie, and the inspection record is genuinely strong, five stars, with the most recent survey done in March 2026. Staffing is where it separates itself too: 4.20 nurse hours per resident day, roughly 9% above the national average, with weekends dipping only about 7% below weekdays. The caveats are real, though. Thirteen deficiencies sit on the current record, including one at the harm or jeopardy level and four tied to abuse. Quality measures score just 2 out of 5, and turnover runs 47.5% against a national 45.8%, slightly worse than average, meaning the good staffing numbers take constant work to sustain. So: well-inspected, well-staffed on paper, with a small cluster of serious findings and clinical quality scores that don't match the rest of the picture.

Nurse hours

3.13 /day

Staff turnover

44%

Serious cites

0

Fairview Healthcare Residence runs on thin nurse coverage, 3.13 hours per resident day, roughly 19 percent under the national average, and weekends drop about 11 percent below its own weekday levels. Turnover sits at 43.6 percent, slightly better than the national figure, so the staff who are there tend to stay. Inspections are recent, and the record holds 11 deficiencies, including one at the harm level and one abuse-related, plus a single $19,412 fine. The quality and inspection ratings hold up at 4 out of 5, but staffing lands at 3, and that gap is what pulls the overall picture down.

Nurse hours

3.28 /day

Staff turnover

35%

Serious cites

0

Mitchell County Nursing and Rehabilitation Center runs on leaner nursing hours than most places, 3.28 per resident day against a national average of 3.86, and weekends get noticeably thinner, with staffing dropping roughly 45% below weekday levels. That pattern matters for families who visit on Saturdays and Sundays. The home is owned by a hospital district, which tends to mean steadier public accountability than a for-profit chain. Staff turnover sits at 35.3%, better than the 45.8% national figure, so the people caring for residents are more likely to stick around. Its inspection record shows 22 deficiencies, none at the harm level, though one is abuse-related, worth asking about directly. The most recent inspection was April 28, 2026, so the picture is current.

Nurse hours

3.48 /day

Staff turnover

27%

Serious cites

0

Cedar Pointe runs lean on the floor: 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage is the main thing pulling its staffing rating down to 2 out of 5, though the staff who are there tend to stay, 27.2% turnover versus 45.8% nationally, which is a real point in its favor. Inspections look solid: 4 out of 5 stars, nine deficiencies on record, one at the harm level and none abuse-related, with the last visit in January 2026. Quality measures also land at 4. Hospital district ownership adds a layer of public accountability.

Nurse hours

4.45 /day

Staff turnover

34%

Serious cites

0

Jefferson County Nursing Home is county-owned and runs 60 certified beds in Fayette, and its strongest suit is staffing: 4.45 nurse hours per resident day, about 15% above the national average, with turnover at 34% against a national 45.8%. Weekend coverage drops roughly 18% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. The health inspection record is solid, 4 of 5 stars, last inspected May 2025, but nine deficiencies sit on the current record, two of them abuse-related, and the quality measure rating is just 1 of 5. Ask directly how those abuse citations were resolved and what the low quality scores reflect.

Nurse hours

8.11 /day

Staff turnover

57%

Serious cites

0

Singing River runs on unusually heavy nurse coverage, 8.11 hours per resident per day, roughly double the national figure, and weekends dip only about a quarter below its own weekday level, which matters because that's when many homes thin out most. But the record carries ten deficiencies, four of them at the level where harm or immediate jeopardy was possible, plus an abuse citation and $31,437 in fines across four events. Staff turnover sits at 57.1%, above the 45.8% national average, so the people delivering that strong daily staffing keep changing. County-owned, inspected in December 2025, with solid marks on inspection, quality, and staffing stars. The gap between those stars and the trouble on the deficiency record is the whole story here.

Nurse hours

3.83 /day

Staff turnover

51%

Serious cites

0

Wisner Care Center runs on city government ownership, which is uncommon and tends to mean stable local ties rather than corporate pressure. The numbers are solid but not spotless: 14 deficiencies on record, none at the harm level, though one is abuse-related, worth asking about directly. Nurse staffing sits at 3.83 hours per resident day, a hair under the national average, and weekend coverage drops roughly 21% below weekdays, which is the kind of gap families notice on Saturdays. Staff turnover at 51.2% runs above the national 45.8%. A March 2025 inspection means the record is current, and the four-star marks across health, quality, and staffing hold up.

Nurse hours

4.74 /day

Staff turnover

45%

Serious cites

0

Coos County Nursing Hospital in West Stewartstown is county-owned and runs on 4.74 nurse hours per resident day, roughly a quarter more staffing than the national average. That shows up in its staffing star rating, though weekends dip about 15% below weekday levels, so coverage isn't perfectly even across the week. Turnover sits at 45.3%, essentially matching the national rate, so this isn't a home bleeding staff. What stands out is the inspection record: three deficiencies, none at the harm level, none abuse-related, and a survey as recent as October 2025. State inspectors clearly found little to flag. The weaker spot is the quality measure rating, which suggests outcomes like falls or antipsychotic use aren't tracking as well as the staffing and inspection picture would imply.

Nurse hours

4.56 /day

Staff turnover

33%

Serious cites

0

Marshall Manor West runs a government hospital district home with 118 certified beds, and the staffing numbers are stronger than most: 4.56 nurse hours per resident day, roughly 18% above the national average, with turnover at 32.8% compared to 45.8% nationally. That retention matters, since consistent caregivers know residents' routines. The catch is the inspection record. The current file holds 31 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, and state surveyors were last in the building on February 4, 2026. Weekend staffing drops about 23% below weekday levels, which is when families tend to visit and notice. Their quality scores look strong, but quality measures come from the home's own reporting, the surveyor findings are the harder evidence.

Nurse hours

5.38 /day

Staff turnover

41%

Serious cites

0

Miller Nursing Home in Colquitt runs on a hospital district's budget, and the staffing numbers show it: 5.38 nurse hours per resident day, roughly 39% above the national average. Weekends dip about 14% below its own weekday level, which is worth asking about if your family tends to visit then. Turnover sits at 40.8%, a bit better than the national 45.8%. Inspections came back clean on the serious stuff, seven deficiencies on record, none at harm or jeopardy level, none abuse-related, and the last visit was February 2025. Quality measures score well. The catch is the staffing star rating, which sits low despite the raw hours.

Nurse hours

4.70 /day

Staff turnover

44%

Serious cites

0

Orchard View runs on a city-county budget, and the numbers show where that money goes: 4.70 nurse hours per resident day, roughly 22 percent above the national average, with turnover at 44 percent, essentially even with the national rate. Weekends thin out about 11 percent from weekday staffing, which is worth asking about if your family visits on Saturdays. The tradeoff shows up in inspections. Thirteen deficiencies sit on the current record, three tied to abuse, and the health inspection rating lands at 2 out of 5, though none of those deficiencies rose to actual harm or jeopardy. The most recent inspection was March 2026. Strong daily coverage, a middling regulatory record, that's the honest split here.

Nurse hours

4.71 /day

Staff turnover

36%

Serious cites

0

Sunny Hill is county-owned, and the numbers show a place that's well staffed but not perfect on care quality. At 4.71 nurse hours per resident day, it runs about 22% above the national average, with turnover at 35.7%, noticeably lower than the 45.8% norm, which matters for consistency. Weekends dip roughly 9% below weekday coverage, though. The tradeoff shows up elsewhere: 24 deficiencies on record, including one at the harm level, and a 2/5 on quality measures despite a 5/5 staffing rating. The most recent inspection was January 2025, so the record is current. If you're weighing this one, ask specifically about that harm-level deficiency and how weekend coverage holds up.

Nurse hours

3.54 /day

Staff turnover

35%

Serious cites

0

La Salle County Nursing Home runs on a county government budget in Ottawa, and its record is mixed in ways worth knowing. The clinical quality measures look strong, but nurse staffing sits at 3.54 hours per resident day, about 8% under the national average, and weekends dip roughly 14% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover at 35.4% is better than the 45.8% national figure, which matters for consistency of care. The current inspection record carries 25 deficiencies, three of them at the harm or jeopardy level, with two fines totaling $146,063 and a last inspection in August 2024.