956 Government-Run Nursing Homes in the United States

Nurse hours

3.60 /day

Staff turnover

51%

Serious cites

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Harrison Terrace is county-owned, licensed for 110 beds, and its most recent inspection came in September 2025, recent enough that the record reflects current conditions. That record shows 18 deficiencies, but none at the harm or jeopardy level and none tied to abuse, which matters more than the raw count suggests. Where the numbers get thinner is staffing: 3.60 nurse hours per resident day runs about 7% under the national average, weekend coverage dips roughly 15% below its own weekday level, and turnover sits at 50.7% against a national 45.8%. The quality measure rating holds at 4 of 5, but the inspection and staffing ratings both land at 2. If you're weighing this one, ask how the weekend shift is actually covered.

Nurse hours

3.27 /day

Staff turnover

36%

Serious cites

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Riveroaks runs on 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends are thinner still, about 19% below its own weekday coverage. That's the trade-off behind a middle-tier staffing picture. Two things offset it: turnover sits at 36.4%, well below the 45.8% national figure, so the aides showing up have generally stayed, and the quality measure score is perfect at 5/5. The 20 deficiencies on record include nothing at the harm level and nothing abuse-related, and the county last inspected in December 2025. County ownership means public accountability, but also budgets set by people who don't work the floor.

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Staff turnover

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Lawrence Memorial Hospital's skilled nursing unit is small, 14 certified beds, and it's run by the city, which is unusual in this part of Kansas. The staffing numbers are the weak spot: Medicare rates nurse staffing at just one star, well below what most homes in the country manage, and that's the main thing pulling the overall picture down. The clinical quality scores are a different story, sitting at the top of the scale, and the nine deficiencies on record include nothing at the harm level and nothing tied to abuse. State inspectors were last in during October 2024, so the record is current. If you're weighing this one, ask directly how many nurses are on the floor at night.

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Staff turnover

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Wichita County Health Center is a ten-bed county-run home in Leoti, and the small size shows in the numbers. It was inspected in June 2025 and has 30 deficiencies on its current record, but none of them rose to the level of harm or jeopardy, and none were abuse-related, so what's on paper reads more like paperwork and process problems than anything that put residents in danger. Its quality measure score is essentially perfect, which usually means residents are being tracked and treated well. The tradeoff is inspection performance, which lands a step below the top. For a county facility this size, that's a fairly ordinary picture.

Nurse hours

4.13 /day

Staff turnover

20%

Serious cites

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Courtyard of Natchitoches runs on a hospital district's dime, and the staffing shows it: 4.13 nurse hours per resident day, roughly 7% above the national average, with turnover at 19.8%, less than half the national rate of 45.8%. That kind of retention is rare and worth noticing. The tradeoff sits on the inspection side. Forty-five deficiencies on the current record, including five tied to abuse, and a 2-out-of-5 health inspection rating alongside a 1-out-of-5 quality measure score. Weekend staffing drops about 17% below its own weekday level, so coverage thins out when families tend to visit. The last inspection was January 7, 2026.

Nurse hours

3.47 /day

Staff turnover

43%

Serious cites

0

Katy Manor is county-owned, and that shows up in how it's run: a clean inspection record, with zero deficiencies at the harm or jeopardy level and nothing abuse-related among its 16 total findings. Its last inspection was in March 2025, so you're looking at recent information. The trade-off is staffing. At 3.47 nurse hours per resident day, it runs about 10% under the national average, and weekends drop roughly 17% below its own weekday coverage. Turnover sits at 43.4%, slightly better than the 45.8% national figure. The inspection history is the strongest part of this home; the day-to-day staffing pattern, especially on weekends, is what I'd ask about directly.

Nurse hours

4.53 /day

Staff turnover

37%

Serious cites

0

Parkview Haven is city-county owned, and the staffing numbers reflect that: 4.53 nurse hours per resident day, roughly 17% above the national average, with turnover at 37% compared to 45.8% nationally. What keeps it out of the top tier is what inspectors found, nine deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, with the last inspection in May 2025. Weekend staffing also drops about 20% below its own weekday level, which matters if your family visits or needs help on Saturdays and Sundays. The care hours are there on paper; the survey history is the part worth asking about directly.

Nurse hours

4.41 /day

Staff turnover

43%

Serious cites

0

Lewis County General's nursing unit runs on county money, and the staffing numbers show it: 4.41 nurse hours per resident day, roughly 14 percent above the national average, with weekend coverage dipping about 16 percent below its own weekday levels. Turnover sits at 42.9 percent, a touch better than the 45.8 percent national figure. What pulls the record down is the inspection side, 16 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse, plus a single $160,046 fine. The most recent inspection was July 2024, so the picture is current.

Nurse hours

12.52 /day

Staff turnover

26%

Serious cites

0

Longleaf is a state-run home in Wilson with 248 beds, and its staffing is genuinely unusual: 12.52 nurse hours per resident day, more than triple the national average of 3.86. Turnover sits at 25.9%, well under the national 45.8%, so the people providing that care tend to stay. Weekends run about 19% thinner than weekdays, which is worth asking about. The trouble is everything else. Twenty deficiencies sit on the current record, six of them at harm or jeopardy level and three tied to abuse, with $158,403 in fines across three events. Inspections in June 2025 produced 2 out of 5 stars for both health inspections and quality measures. Strong staffing hasn't translated into safe care.

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Staff turnover

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Black Mountain Neuro-Medical Treatment Center is state-run, with 163 certified beds, and the federal inspection picture looks strong on paper: five stars for health inspections, five for quality measures. But the deficiency record tells a more complicated story. Five deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, are the kind of findings that matter more than a star rating. Inspections were recent, last dated September 25, 2025. State ownership can mean stable funding and oversight, but it can also mean slower fixes when something goes wrong. Ask directly about those two serious deficiencies and what changed afterward.

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Staff turnover

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Logan Acres is county-owned, and the county runs 110 certified beds in Bellefontaine. The health inspection side looks solid, four stars, but that record includes 16 deficiencies, one of them serious enough to involve actual harm, and three tied to abuse. Staffing is where it really slips: a single star against a national average that's already thin. Quality measures earn top marks, but those often reflect documentation more than daily care, and the most recent inspection was back in January 2023. If you're weighing this one, ask specifically about direct-care hours per resident and what changed after that harm-level finding.

Nurse hours

3.36 /day

Staff turnover

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Serious cites

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Ellen Sagar Nursing Center runs 113 beds in Union under hospital-district ownership, and its staffing sits at 3.36 nurse hours per resident day, about 13% under the national average of 3.86. Weekends dip roughly 8% below its own weekday coverage, which is worth asking about if your family member needs steady care on Saturdays and Sundays. The inspection record shows 13 deficiencies, two of them serious enough to involve harm or jeopardy, though none related to abuse. That last inspection was recent, in March 2025, so the picture is current rather than stale. Quality measures score well; staffing is where this home is thin.

Nurse hours

3.65 /day

Staff turnover

41%

Serious cites

0

Hillview Health Center runs on federal ownership, which shapes how it operates. The 76-bed home in Elizabethton scores 4 out of 5 stars on all three CMS measures, health inspections, quality, and staffing, and its record shows 7 deficiencies with none at the harm or jeopardy level and nothing abuse-related. Staffing sits at 3.65 hours per resident day, about 5% under the national average of 3.86, and weekends drop roughly 20% below its own weekday coverage. Turnover is 41.2%, better than the 45.8% national figure. Its last inspection was November 2023, so the record is reasonably current. The weak spot is thin weekend staffing, not safety or quality.

Nurse hours

4.40 /day

Staff turnover

28%

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Jefferson County Nursing Home is county-owned, and that shows up in the staffing numbers: 4.40 nurse hours per resident day, roughly 14% above the national average, with turnover at 28.4% against a national 45.8%. People tend to stay here. Weekend staffing drops about 18% below weekday levels, which is worth asking about if your family member needs more attention on Saturdays and Sundays. The health inspection record is clean where it counts, nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in December 2025. The weak spot is the quality measure rating, which sits near the bottom at 1 out of 5. That gap between good staffing and poor clinical outcomes is the thing to press the administrator on.

Nurse hours

3.76 /day

Staff turnover

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Serious cites

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Birmingham Green is county-owned, which usually means steadier funding but also slower movement on staffing. And staffing is where this place shows its soft spot: 3.76 nurse hours per resident day, a bit under the national average, with weekends running about 13% leaner than weekdays. The inspection record is genuinely strong, a 5-out-of-5 health inspection rating, last surveyed in January 2024, though it carries 15 deficiencies, including one at the harm level and one abuse-related, so the history isn't spotless. Quality measures score well at 4 out of 5. The takeaway: excellent survey performance and good clinical metrics, but ask directly about weekend nurse coverage before you decide.

Nurse hours

4.80 /day

Staff turnover

38%

Serious cites

0

South Lincoln Nursing Center runs on unusually heavy staffing for a 24-bed home, 4.80 nurse hours per resident day, about a quarter above the national average, which is why it earns top marks on that measure alone. The catch is consistency: weekends run roughly a fifth thinner than weekdays, so the coverage your family member gets depends on the calendar. Turnover at 38.1% beats the national 45.8%, though more than a third of staff still left in a year. Inspections are the weak spot, 24 deficiencies on record, four tied to abuse, none rising to actual harm, and a survey as recent as July 2025. Hospital-district ownership means public accountability rather than a chain.

Nurse hours

3.37 /day

Staff turnover

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Serious cites

0

Munday Nursing Center runs on a hospital district's budget, and the numbers show a place that inspects well but staffs thin. Its 3.37 nurse hours per resident day sit about 13% under the national average, and weekends drop roughly 14% below its own weekday coverage, a gap families often feel on Saturday and Sunday. The tradeoff looks deliberate: a clean recent inspection with no harm-level or abuse deficiencies among the 12 on record, plus solid marks on health inspections and quality measures. The weak spot is staffing, and that's the thing to ask about directly, who's on the floor, and when.

Nurse hours

3.62 /day

Staff turnover

46%

Serious cites

0

Lincoln Hills Of New Albany runs on county money, and its 156 beds are staffed at 3.62 nurse hours per resident day, about 6% under the national average of 3.86. That gap widens on weekends, when hours drop roughly 15% below the home's own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record is where the real trouble sits: 18 deficiencies, three of them serious enough to reach harm or jeopardy, with one fine totaling $12,649. A recent December 2025 inspection keeps that record current. Staff turnover at 45.6% is essentially the national rate, and the quality measures look strong, but strong chart numbers don't offset three harm-level findings.

Nurse hours

4.09 /day

Staff turnover

43%

Serious cites

0

White River Lodge is county-owned, and that shows in the numbers that matter most: nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average, and turnover at 42.9% is a little better than the typical American nursing home. Weekend coverage dips about 10% below weekday levels, which is common but worth asking about if your family visits on Saturdays. The record shows 5 deficiencies, none causing harm or jeopardy, though 1 is abuse-related, ask about that directly. Its last inspection was in March 2026, so the picture is current. Where it slips is quality measures, which lag well behind its strong inspection and staffing marks.

Nurse hours

3.48 /day

Staff turnover

55%

Serious cites

0

Bell Trace is county-owned, which is unusual in this business, and the inspection record reflects it: four deficiencies on file, none at the level where a resident was harmed or put in immediate jeopardy, and no abuse citations. That last inspection was recent, in November 2025. The tradeoff shows up in the workforce. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent under the national average, and weekends run another 10 percent thinner than weekdays. Turnover is 55.3 percent against a national 45.8 percent. So you're looking at a home that gets the care basics right on paper but runs lean, especially on Saturdays and Sundays. Ask how they cover weekend shifts before you decide.