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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 401–420 of 956, best-graded first.

B

79/100

Heritage Center

Evansville, IN · Vanderburgh County

CMS 2/5 172 beds Government Medicaid
Nurse hours
4.00 /day
Staff turnover
47%
Serious cites
0

Heritage Center is county-owned, and that shows in the staffing: 4.00 nurse hours per resident day, a bit above the national average of 3.86. But weekends run about 12% thinner than weekdays, and turnover sits at 46.8%, slightly worse than the national 45.8%, so the coverage you see on a Tuesday isn't what you get on a Sunday. The inspection record is the bigger concern: 29 deficiencies, two at harm or jeopardy level, one abuse-related, with the last inspection in April 2025. Quality measures score well, but a recent inspection with harm-level findings is the number worth asking the administrator about directly.

B

79/100

Westminster Village North

Indianapolis, IN · Marion County

CMS 2/5 148 beds Government Medicaid
Nurse hours
3.75 /day
Staff turnover
44%
Serious cites
0

Westminster Village North runs 148 beds as a county-owned home, and its inspection record carries 41 deficiencies, one tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was November 24, 2025, so that picture is current. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average of 3.86, and weekends run roughly 8% leaner than weekdays, which is worth asking about if your family visits then. Staff turnover is 44.1%, slightly better than the 45.8% national figure. The quality measure rating of 4 out of 5 is the strongest single number here; the 2 out of 5 on health inspections is the weakest.

B

79/100

Washington Healthcare Center

Indianapolis, IN · Marion County

CMS 4/5 94 beds Government Medicaid
Nurse hours
3.40 /day
Staff turnover
50%
Serious cites
0

Washington Healthcare Center is county-owned, which matters less than what the numbers say about daily life there. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average, and weekends dip about 5% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover runs 50%, above the 45.8% national figure. The quality measure rating is strong, but that reflects charted care, not hands on the floor. Inspections in August 2025 turned up 25 deficiencies, one serious enough to reach harm or jeopardy level, though none were abuse-related.

B

79/100

Springs Of Mooresville, The

Mooresville, IN · Morgan County

CMS 5/5 70 beds Government Medicaid
Nurse hours
3.89 /day
Staff turnover
41%
Serious cites
0

The Springs of Mooresville is county-owned, and that shows up in the numbers in a good way. One deficiency on the current record, none of them causing harm or tied to abuse, and a clean five-star inspection rating with a survey done as recently as July 2025, that's a home that gets the basics right. Staffing sits just barely above the national average at 3.89 hours per resident day, though weekends run about 14% thinner than weekdays, so ask how coverage holds up on a Saturday. Turnover at 40.7% is better than the 45.8% national figure but still means roughly two in five caregivers left last year. Solid, not spotless.

B

79/100

Lewis County Nursing Home District

Canton, MO · Lewis County

CMS 1/5 118 beds Government Medicaid
Nurse hours
3.71 /day
Staff turnover
41%
Serious cites
0

Lewis County Nursing Home District runs on county money, and its staffing numbers are close to average but not quite there: 3.71 nurse hours per resident day against a national 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 40.9%, better than the 45.8% national figure, so people tend to stay. The trouble is inspections. A 1-out-of-5 health inspection rating and 42 deficiencies on record, including three tied to abuse, though none rose to actual harm or jeopardy, point to paperwork and process problems rather than resident injuries. One fine of $7,342. The last inspection was November 2025, so the record is current.

B

79/100

Rockingham County Nursing Home

Brentwood, NH · Rockingham County

CMS 4/5 226 beds Government Medicaid
Nurse hours
4.84 /day
Staff turnover
56%
Serious cites
0

Rockingham County Nursing Home runs on county government money, and the staffing numbers show it: 4.84 nurse hours per resident day, roughly a quarter more than the national average. That's the kind of margin that matters on a Tuesday afternoon when someone needs help getting to the bathroom. The tradeoffs are real, though. Weekend coverage drops about 11% from weekday levels, and 56.3% annual turnover means a good share of the people providing that care are still learning the building. Four deficiencies on the current record, none involving harm or abuse, with an inspection as recent as August 2025. The quality measure score sits at 2 out of 5, so clinical outcomes don't track as well as the raw staffing strength suggests.

B

79/100

Woodruff Manor

Woodruff, SC · Spartanburg County

CMS 3/5 88 beds Government Medicaid
Nurse hours
3.32 /day
Staff turnover
41%
Serious cites
0

Woodruff Manor runs on thin nursing coverage, 3.32 hours per resident day against a national average of 3.86, and weekends get even leaner, dipping about 8% below the home's own weekday numbers. The inspection record is where the real concern sits: 14 deficiencies, four of them serious enough to reach harm or jeopardy level, one tied to abuse, and $45,240 in fines across four penalties. Turnover at 40.6% is somewhat better than the 45.8% national figure, and the quality and staffing ratings both land at 4 out of 5. But a 2-out-of-5 inspection rating and that many harm-level findings carry weight a higher quality score can't offset.

B

79/100

Paramount Health And Rehabilitation

Salt Lake City, UT · Salt Lake County

CMS 3/5 99 beds Government Medicaid
Nurse hours
3.40 /day
Staff turnover
36%
Serious cites
0

Paramount Health and Rehabilitation is a 99-bed for-profit home in Salt Lake City, and the numbers pull in different directions. Nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends run about 11 percent leaner than weekdays, so the hours get thinnest exactly when families tend to visit. Turnover at 36 percent is better than the 45.8 percent national figure, which matters for consistency of care. What weighs heaviest is the inspection record: a one-star health inspection rating, 31 deficiencies, four at harm or jeopardy level, four tied to abuse, and $119,012 in fines, with the last inspection in May 2024. The five-star quality measure score doesn't cancel that out.

B

79/100

Washington Veteran Home-Retsil

Pt Orchard, WA · Kitsap County

CMS 3/5 240 beds Government Medicaid
Nurse hours
3.88 /day
Staff turnover
45%
Serious cites
0

Washington Veteran Home-Retsil runs 240 certified beds as a state-run home, and its staffing sits just barely above the national average, about 1% higher per resident day, with weekends running roughly 9% thinner than weekdays. Turnover lands at 45.1%, nearly matching the 45.8% national figure, so retention isn't the standout problem here. The inspection record is: 59 deficiencies, including one at the harm or jeopardy level and six tied to abuse, plus a $23,920 fine, and the most recent health inspection dates to May 2026. CMS gives it two stars for health inspections but five for staffing and four for quality measures, which is the tension worth sitting with.

B

79/100

Pine Valley Community Village

Richland Center, WI · Richland County

CMS 3/5 80 beds Government Medicaid
Nurse hours
4.60 /day
Staff turnover
45%
Serious cites
0

Pine Valley Community Village runs a for-profit corporation home with 80 certified beds in Richland Center, and its staffing numbers look strong on paper: 4.60 nurse hours per resident day, roughly 19% above the national average, with a 5/5 staffing star and turnover at 45%, basically in line with the national 45.8%. That's the good news. The inspection record is where it falls apart, a 1/5 health inspection rating, 21 deficiencies on the current record, including three at the harm or jeopardy level and three tied to abuse, plus two fines totaling $97,311. Weekend staffing also dips about 14% below its own weekday level. The last inspection was May 22, 2025, so this is a current picture, not an old one.

B

79/100

Heritage Home

Pinedale, WY · Sublette County

CMS 5/5 50 beds Government Medicaid
Nurse hours
4.25 /day
Staff turnover
100%
Serious cites
0

Heritage Home sits in Pinedale as a hospital-district operation with 50 certified beds, and the staffing numbers look solid on paper: 4.25 nurse hours per resident day, roughly 10% above the national average. The catch is that weekends run about 15% lighter than weekdays, and the entire nursing staff turns over every year, 100%, against a national average near 46%. That churn matters because 11 deficiencies sit on the current record, including one at the harm level and three tied to abuse, with a single fine of $9,718. Quality measures score well and the last inspection was recent, in June 2025, but steady staffing is what actually holds a building together.

B

79/100

Groesbeck Ltc Nursing And Rehabilitation

Groesbeck, TX · Limestone County

CMS 5/5 90 beds Government Medicaid
Nurse hours
3.39 /day
Staff turnover
39%
Serious cites
0

Groesbeck LTC runs on leaner nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday coverage. The tradeoff shows up in its CMS staffing rating of 2 out of 5. What offsets that is a clean inspection record: six deficiencies total, none involving harm or abuse, and a May 2025 survey that's still recent. Staff turnover sits at 38.9%, better than the 45.8% national figure, which suggests people tend to stay. County hospital district ownership adds a layer of public accountability. The practical question for your family is whether the weekday staffing level is enough for the care your relative needs, because weekends will be thinner.

B

78.5/100

Elkhart Meadows

Elkhart, IN · Elkhart County

CMS 5/5 58 beds Government Medicaid
Nurse hours
3.28 /day
Staff turnover
45%
Serious cites
0

Elkhart Meadows is county-owned, and that shows up in its inspection record: six deficiencies total, none of them causing harm and none tied to abuse, with a survey done as recently as September 2025. State inspectors have handed it five stars for health inspections and five for quality measures. Staffing is where it gets thinner. At 3.28 nurse hours per resident day, it's roughly 15 percent under the national average of 3.86, and weekend coverage drops about 16 percent against its own weekday level. Turnover, at 44.7 percent, sits right at the national rate of 45.8, ordinary churn, not a crisis. Strong oversight, shaky day-to-day floor coverage.

B

78.5/100

Prairie Village Nursing And Rehabilitation

Washington, IN · Daviess County

CMS 4/5 65 beds Government Medicaid
Nurse hours
3.87 /day
Staff turnover
23%
Serious cites
0

Prairie Village runs on city/county money out in Daviess County, and the numbers tell a mixed story. Nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average, but weekends drop roughly 18% below what the home staffs on weekdays, so coverage thins out when families tend to visit. The standout figure is turnover: 23.3% against a national average of 45.8%, meaning aides and nurses here tend to stay put, which matters for familiarity and consistency of care. Seventeen deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related. The last inspection was May 2025, so the picture is recent.

B

78.5/100

Hamilton Pointe Health And Rehab

Newburgh, IN · Warrick County

CMS 2/5 115 beds Government Medicaid
Nurse hours
3.95 /day
Staff turnover
56%
Serious cites
0

Hamilton Pointe runs a county-owned home of 115 beds, and its nurse staffing sits slightly above the national average at 3.95 hours per resident day. That edge thins on weekends, when coverage drops roughly 15% below its own weekday level, and turnover runs 56.3% against a national 45.8%, you're likely meeting a lot of new aides. The quality scores look strong, but the inspection record is where the picture shifts: 44 deficiencies, one serious enough to reach harm or jeopardy, from an inspection dated August 2025. County ownership doesn't erase that paper trail. Ask about the plan behind that harm citation and how weekend coverage gets filled.

B

78.5/100

Johnson Memorial Hospital & Home

Dawson, MN · Lac Qui Parle County

CMS 3/5 56 beds Government Medicaid
Nurse hours
4.42 /day
Staff turnover
46%
Serious cites
0

Johnson Memorial Hospital & Home runs on a hospital district's budget in a county of about 1,400 people, and it shows in the staffing numbers, 4.42 nurse hours per resident per day, roughly 14% above the national average. Inspectors have been in recently and left 11 deficiencies, one of them serious enough to reach harm or jeopardy, with nothing tied to abuse. The gap worth noticing is between the staffing score and the quality measure score: nurses are present, but the outcomes CMS tracks don't reflect it, and weekend coverage drops about 17% below the home's own weekday level. Turnover sits at 45.8%, dead even with the national figure.

B

78.5/100

North Star Manor

Warren, MN · Marshall County

CMS 4/5 45 beds Government Medicaid
Nurse hours
5.04 /day
Staff turnover
55%
Serious cites
0

North Star Manor runs on strong nurse staffing: 5.04 hours per resident day, roughly a third more than the national average, and its most recent inspection in August 2025 turned up five deficiencies, none causing harm or tied to abuse. That combination is why inspectors gave it top marks. Two things pull in the other direction. Weekend staffing drops about 18% below its own weekday level, so coverage thins exactly when families tend to visit. And turnover sits at 54.5%, well above the 45.8% national figure, meaning many of the people providing that generous staffing are still learning the building. The city owns it, which may explain the stable funding behind the hours.

B

78.5/100

Good Shepherd Care Center

Versailles, MO · Morgan County

CMS 5/5 117 beds Government Medicaid
Nurse hours
3.77 /day
Staff turnover
—
Serious cites
0

Good Shepherd Care Center is county-owned, which matters less than what the numbers show. Inspectors gave it a top health inspection rating and found ten deficiencies on the current record, none causing harm or jeopardy and none tied to abuse, a clean pattern for a 117-bed home. Staffing is where it slips: 3.77 nurse hours per resident day, a bit under the national average, and weekends run about 14 percent thinner than weekdays. If your family member needs consistent weekday therapy or monitoring, the inspection record is reassuring; if you're worried about Saturday and Sunday coverage, ask the administrator directly how they staff those shifts.

B

78.5/100

Colonial Haven

Beemer, NE · Cuming County

CMS 5/5 34 beds Government Medicaid
Nurse hours
3.98 /day
Staff turnover
—
Serious cites
0

Colonial Haven runs on city government ownership in Beemer, and its last inspection came in April 2025 with no deficiencies at the harm or jeopardy level, a clean record on the serious stuff. Two of its ten deficiencies are abuse-related, though, which is worth asking about directly. Nurse staffing sits at 3.98 hours per resident day, about 3% above the national average, but weekends drop roughly 15% below its own weekday level, so coverage isn't even across the week. The five-star inspection rating shows the survey history is strong; the three-star quality measure rating is middling. With 34 beds, it's small enough that you can ask specific questions about who's on duty Saturday and Sunday.

B

78.5/100

Glendale Home-Schdy Cnty Dept Social Services

Scotia, NY · Schenectady County

CMS 2/5 200 beds Government Medicaid
Nurse hours
4.09 /day
Staff turnover
—
Serious cites
0

Glendale Home in Scotia is county-run, and that shows in the staffing numbers. At 4.09 nurse hours per resident day, it sits about 6% above the national average, which is genuinely better than most homes manage. The catch is weekends, when coverage drops roughly 14% below its own weekday level. On inspections, the record is mixed: twenty deficiencies, including one at the harm level and one abuse-related, with the most recent visit back in August 2023, so the picture is two years old. Resident care measures land mid-range. The extra weekday nursing hours are real; so are the gaps.

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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