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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 481–500 of 956, best-graded first.

B

76/100

Avalon Springs Health Campus

Valparaiso, IN · Porter County

CMS 4/5 61 beds Government Medicaid
Nurse hours
3.52 /day
Staff turnover
46%
Serious cites
0

Avalon Springs Health Campus runs on county government ownership in Valparaiso, and the numbers there are a mixed bag. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below what the home itself provides on weekdays, so coverage thins out right when families tend to visit. Turnover lands at 46.4%, essentially tracking the national rate. The inspection record shows 28 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey came in January 2026. Quality measures score well; staffing and inspections sit in the middle.

B

76/100

Comfort Care Nursing Center

Laurel, MS · Jones County

CMS 2/5 126 beds Government Medicaid
Nurse hours
4.47 /day
Staff turnover
—
Serious cites
0

Comfort Care Nursing Center in Laurel runs on county money, and its 126 beds get more nursing attention than most, 4.47 hours per resident day against a national average of 3.86. That staffing cushion has limits, though: weekends run about 24% leaner than weekdays, so care depends on which day you visit. The inspection record carries 14 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and the most recent state visit was November 2025. Health inspection and quality measure ratings both sit at 2 out of 5, while staffing earns 4. That gap tells the story, decent hands on deck, uneven execution everywhere else.

B

76/100

Park Rest Hardin County Health Center

Savannah, TN · Hardin County

CMS 4/5 62 beds Government Medicaid
Nurse hours
4.25 /day
Staff turnover
—
Serious cites
0

Park Rest Hardin County Health Center runs on county money, and the county's tax base shows up in the numbers. Total nurse staffing sits at 4.25 hours per resident day, about 10% above the national average, but weekends drop roughly 20% below the home's own weekday level, which means care thins out on Saturdays and Sundays. The current record lists 10 deficiencies, none at the level of actual harm or jeopardy, though 2 are abuse-related. That combination, decent weekday coverage, thinner weekends, a clean harm record, and a small cluster of abuse citations, is what keeps this from scoring higher.

B

76/100

Southern Inyo Hospital D/P Snf

Lone Pine, CA · Inyo County

CMS 4/5 33 beds Government Medicaid
Nurse hours
4.64 /day
Staff turnover
—
Serious cites
0

Southern Inyo Hospital's skilled nursing unit in Lone Pine runs 33 certified beds under hospital district ownership, and its inspection record is the strongest part of the picture, 14 deficiencies on file with none reaching harm or jeopardy level. That said, one is abuse-related, and the staffing numbers are where this home struggles: its CMS staffing rating sits at the lowest mark, meaning nurse hours per resident fall well below what most California homes report. Quality measures land at 2 out of 5. The practical takeaway: ask specifically how many certified nursing assistants are on the floor during evening and overnight shifts, and who covers when someone calls out.

B

76/100

Electra Healthcare Center

Electra, TX · Wichita County

CMS 5/5 62 beds Government Medicaid
Nurse hours
4.31 /day
Staff turnover
55%
Serious cites
0

Electra Healthcare Center runs on more nursing hours than most places, 4.31 per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday levels, so coverage thins when families tend to visit. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters for whether you'll see the same faces month to month. The inspection record is clean where it counts most: 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. Hospital district ownership and a recent March 2026 inspection round out a picture of a home that's well-staffed on paper but cycling through caregivers.

B

76/100

Harlingen Nursing And Rehabilitation Center

Harlingen, TX · Cameron County

CMS 3/5 120 beds Government Medicaid
Nurse hours
3.48 /day
Staff turnover
33%
Serious cites
0

Harlingen Nursing and Rehabilitation Center is a 120-bed hospital-district home where the clinical quality measures look strong, but the inspection record tells a more mixed story. Nineteen deficiencies, including two at the level that caused actual harm or put residents in jeopardy, and a one-time fine of just over $6,000. Nurse staffing sits about 10% under the national average, and weekends run roughly 11% thinner than weekdays, that's when families tend to notice. Turnover is the bright spot: 32.9% against a national 45.8%, meaning fewer unfamiliar faces. The last inspection was February 2026, so the record is current.

B

76/100

Southeast Nursing & Rehabilitation Center

San Antonio, TX · Bexar County

CMS 3/5 116 beds Government Medicaid
Nurse hours
3.59 /day
Staff turnover
35%
Serious cites
0

Southeast Nursing & Rehabilitation Center is run by a hospital district, which usually signals a public safety-net mission rather than a profit motive. But the inspection record is the story here: 53 deficiencies, five of them serious enough to cause harm, and three tied to abuse, with $204,738 in fines and a one-star health inspection rating. Staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 9% thinner than weekdays. Turnover at 35.4% is actually better than the 45.8% national figure, meaning workers tend to stay, the problem isn't retention, it's how many hands are on deck and how the place performs when regulators show up.

B

76/100

Windsor Calallen

Corpus Christi, TX · Nueces County

CMS 4/5 120 beds Government Medicaid
Nurse hours
3.00 /day
Staff turnover
31%
Serious cites
0

Windsor Calallen runs lean on nursing hours, 3.00 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, so the gap families notice most may show up on Saturdays and Sundays. The trade-off is stability: turnover sits at 30.8%, well under the 45.8% national figure, which matters when you're counting on familiar faces. Its inspection record shows 29 deficiencies, one tied to abuse and none at the harm level, with a single $4,823 fine. Quality measures score well; staffing does not. This is a government hospital-district home that was inspected in May 2025.

B

75.5/100

Hillcrest Home

Geneseo, IL · Henry County

CMS 4/5 99 beds Government Medicaid
Nurse hours
3.27 /day
Staff turnover
61%
Serious cites
0

Hillcrest Home is owned by the city or county, which usually means steadier oversight and no corporate parent pushing for cuts. The tradeoff shows up in the numbers: nurses give 3.27 hours per resident per day, about 15% under the national average, and weekends run roughly 15% lighter than weekdays. Staff turnover sits at 60.9% against a national 45.8%, so familiar faces are hard to count on. Inspections are the strong point, a 4/5 health inspection rating with a recent May 2025 visit, but the record still carries 17 deficiencies, one at harm level and two abuse-related, which is worth asking about directly.

B

75.5/100

Seymour Crossing

Seymour, IN · Jackson County

CMS 5/5 115 beds Government Medicaid
Nurse hours
3.62 /day
Staff turnover
41%
Serious cites
0

Seymour Crossing is a hospital-district home in Jackson County with 115 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends drop roughly 15% below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover runs 40.5%, better than the national 45.8%. On inspections, the record shows 21 deficiencies with none at the harm or jeopardy level, though two are abuse-related, and the most recent inspection was April 2026. Quality measures score 5/5, inspections 4/5, staffing 2/5. The care outcomes look strong on paper; the daily hands-on hours are where the gap sits.

B

75.5/100

Brownsburg Meadows

Brownsburg, IN · Hendricks County

CMS 3/5 147 beds Government Medicaid
Nurse hours
3.46 /day
Staff turnover
39%
Serious cites
0

Brownsburg Meadows is county-owned, which is unusual in this business, and its 147 beds run on 3.46 nurse hours per resident day, roughly ten percent under the national figure of 3.86. Weekends are thinner still, about fifteen percent below the home's own weekday coverage, so the gap families notice most is often Saturday and Sunday. Turnover sits at 38.7%, better than the 45.8% national rate, which suggests some stability in who's actually on the floor. Against that, the current record carries 24 deficiencies, including one at harm level and one abuse-related, and the most recent inspection was April 2025. The staffing and inspection stars land at 2 out of 5; the quality measures hit 5. Worth asking about those two deficiencies directly.

B

75.5/100

Healthsource Saginaw, Inc

Saginaw, MI · Saginaw County

CMS 3/5 213 beds Government Medicaid
Nurse hours
4.32 /day
Staff turnover
49%
Serious cites
0

Healthsource Saginaw is county-owned and staffed better than most: 4.32 nurse hours per resident day against a national average of 3.86. That staffing edge is real, and it's the main reason the quality measure rating comes in at 4 out of 5. But the inspection record is where this home gets into trouble, 57 deficiencies on file, six of them serious enough to put residents in harm's way and three tied to abuse. Five fines add up to just under $270,000. Staff turnover sits at 48.8%, a bit worse than the national 45.8%, and weekend coverage drops about 18% below weekday levels, so the weekday numbers overstate what families actually see on Saturdays. The most recent inspection was July 2025.

B

75.5/100

Chemung County Health Center - Nursing Facility

Elmira, NY · Chemung County

CMS 5/5 200 beds Government Medicaid
Nurse hours
5.18 /day
Staff turnover
56%
Serious cites
0

Chemung County Health Center runs on public money, and the staffing reflects it: 5.18 nurse hours per resident day, roughly a third more than the national average. Weekends dip about 21% below its own weekday coverage, though, and 55.7% of staff turned over last year, well above the 45.8% national figure. The inspection record is the strongest part of the picture: a 5/5 health inspection rating, 11 deficiencies on file with none rising to harm or jeopardy and nothing abuse-related, last surveyed in September 2023. Quality measures sit at 2/5, which is where the score gets pulled down. Solid hands on deck and a clean survey history, but keep an eye on weekend coverage and whether they can hold onto staff.

B

75.5/100

Livingston County Center For Nursing And Rehabilit

Mount Morris, NY · Livingston County

CMS 2/5 266 beds Government Medicaid
Nurse hours
3.71 /day
Staff turnover
40%
Serious cites
0

Livingston County Center For Nursing And Rehab runs 266 beds as a county-owned home, and its staffing sits just under the national mark at 3.71 nurse hours per resident day. Weekends drop roughly 16% below its own weekday coverage, which is worth asking about if your family visits Saturday or Sunday. Turnover lands at 40.2%, a bit better than the 45.8% national figure, though the inspection record is thinner: 16 deficiencies, one serious enough to reach harm or jeopardy level, plus a $12,735 fine. The last full inspection was November 2023. County ownership brings some stability, but ask directly how that weekend gap gets covered.

B

75.5/100

Bear Valley Community Hospital D/P Snf

Big Bear Lake, CA · San Bernardino County

CMS 4/5 21 beds Government Medicaid
Nurse hours
6.62 /day
Staff turnover
63%
Serious cites
0

The staffing numbers at Bear Valley are genuinely unusual, 6.62 nurse hours per resident per day is roughly 71% above what the typical American nursing home provides, and that shows up in the four-out-of-five staffing rating. But weekends drop about 18% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. There's a real tension in the rest of the record. The inspection rating is strong and the most recent visit was in May 2025, yet 29 deficiencies sit on the current record, one of them serious enough to involve harm or jeopardy. Staff turnover is 63%, well above the national 45.8%, with only 21 beds under hospital district ownership, that churn is worth asking about directly.

B

75/100

Edgewater Woods

Anderson, IN · Madison County

CMS 4/5 81 beds Government Medicaid
Nurse hours
3.35 /day
Staff turnover
37%
Serious cites
0

Edgewater Woods is county-owned, and its 81 residents get about 3.35 nursing hours each per day, roughly 13% less than the national average, with weekends running about 13% thinner than weekdays. Turnover sits at 36.9%, which is meaningfully better than the 45.8% national figure, so the staff who are there tend to stay. The current record shows 13 deficiencies, one abuse-related but none rising to harm or jeopardy, and the last inspection was in April 2026. Quality measures score well while staffing scores low, which is the tension worth asking about: whether the good outcomes hold up when the hours per resident dip.

B

75/100

Green Valley Care Center

New Albany, IN · Floyd County

CMS 4/5 141 beds Government Medicaid
Nurse hours
3.61 /day
Staff turnover
41%
Serious cites
0

Green Valley Care Center is city/county-owned, which is unusual in Indiana, and its 141 beds run on 3.61 nurse hours per resident day, about 6% under the national average of 3.86, with weekends roughly 10% thinner than weekdays. Turnover sits at 40.8%, a bit better than the 45.8% national figure, yet CMS still gives staffing just 2 of 5 stars. The inspection record is the harder part: 21 deficiencies, including one at harm or jeopardy level and four tied to abuse, from a survey dated January 9, 2026. Quality measures score 5 of 5, so the day-to-day care metrics look strong, but thin weekend coverage plus that deficiency history is what pulls the overall picture down.

B

75/100

Westview Nursing And Rehabilitation Center

Bedford, IN · Lawrence County

CMS 5/5 95 beds Government Medicaid
Nurse hours
3.62 /day
Staff turnover
33%
Serious cites
0

Westview is a county-owned home of 95 beds in Bedford, and its inspection record is the standout: one deficiency on the books, nothing at the harm or jeopardy level, and a survey completed in December 2025. That's a clean paper trail most homes can't match. Staffing is where it gets thinner, 3.62 nurse hours per resident day sits about 6% under the national average, and weekends run roughly 11% below the home's own weekday coverage, so families should ask who's actually on the floor on a Sunday. Turnover at 33.3% is meaningfully better than the 45.8% national figure, which suggests a steadier crew than average.

B

75/100

Spring Mill Meadows

Indianapolis, IN · Marion County

CMS 3/5 124 beds Government Medicaid
Nurse hours
3.69 /day
Staff turnover
55%
Serious cites
0

Spring Mill Meadows is county-owned, which can mean steadier funding than a for-profit chain, but the numbers show real strain. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and it dips roughly 10% further on weekends. Annual turnover of 55.1% runs well above the 45.8% national figure, so the people providing care keep changing. The inspection record is where the concern sharpens: 27 deficiencies, three at the harm or jeopardy level and one tied to abuse. The most recent inspection was in August 2025, so the record is current. Quality measures look strong, but strong scores on paper don't offset thin weekend coverage or a harm-level finding.

B

75/100

Waters Of Greencastle, The

Greencastle, IN · Putnam County

CMS 2/5 100 beds Government Medicaid
Nurse hours
3.39 /day
Staff turnover
45%
Serious cites
0

The Waters of Greencastle runs on thinner nursing hours than most homes, about 3.39 per resident day against a national average near 3.86, and weekends dip roughly 12% below its own weekday coverage. Its inspection record shows 22 deficiencies, one tied to abuse, though none rose to harm or jeopardy level, and the last survey was recent, in December 2025. Staff turnover at 44.6% is nearly identical to the national rate, so retention isn't the outlier here; staffing levels are. Quality measures score well, but with a government-hospital district as owner and 100 beds to cover, ask how the weekend floor actually gets staffed before you decide.

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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