956 Government-Run Nursing Homes in the United States

Nurse hours

3.35 /day

Staff turnover

39%

Serious cites

0

Hickory Creek At Columbus runs on thinner nursing hours than most places, 3.35 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday level, so coverage gets lightest exactly when families tend to visit. Turnover sits at 38.7%, better than the 45.8% national figure, which matters because familiar staff know these 36 residents. The county owns it, and its record looks clean where it counts: eight deficiencies, none at harm or jeopardy level, nothing abuse-related, and the last inspection was September 2025. Quality measures score high, though the low staffing rating is the number that shapes daily life.

Nurse hours

3.55 /day

Staff turnover

37%

Serious cites

0

Majestic Care of Mccordsville runs 48 beds under county ownership, and its last health inspection in June 2025 came back strong, four out of five stars, with 18 deficiencies on record but none rising to actual harm or jeopardy. The catch is staffing: 3.55 nurse hours per resident day sits about 8% under the national average, weekends dip roughly 10% below its own weekday level, and that gets a one-star staffing rating. Turnover is 37%, better than the 45.8% national figure, which matters for consistency of care. Quality measures score five stars, so the clinical outcomes look good on paper, the question is whether thin weekend coverage catches up with that.

Nurse hours

3.49 /day

Staff turnover

30%

Serious cites

0

Litzenberg Memorial is county-owned, which tends to mean stability and a local board that answers to voters rather than shareholders. The inspection record backs that up: seven deficiencies on file, none of them causing harm or involving abuse, and a survey completed just this September. Staffing is where it gets uneven. At 3.49 nurse hours per resident day, it runs about ten percent under the national average, and weekends dip another ten percent below the home's own weekday levels, so a Saturday shift is the thinnest coverage you'll find here. The saving grace is retention: 30 percent turnover against a 45.8 percent national average means the aides and nurses who are there tend to stay, which matters more than raw hours when your parent needs someone who knows their routine.

Nurse hours

3.48 /day

Staff turnover

23%

Serious cites

0

Genoa Community Hospital's long-term care unit runs on a city-owned, 43-bed model, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends drop about 12% below its own weekday coverage, a gap families should ask about directly. What stands out in the other direction is turnover: 22.9% against a national average near 46%, meaning the aides and nurses here tend to stay. Ten deficiencies appear on the current record, three tied to abuse, though none reached harm or jeopardy level, and the last inspection was in May 2025. Quality measure scores lag at 1 star while staffing holds at 4.

Nurse hours

5.56 /day

Staff turnover

48%

Serious cites

0

Sullivan County Health Care is county-owned and carries 156 certified beds, and the county has clearly put money into nursing staff, 5.56 hours per resident day runs about 44% above the national average, with weekends dipping only slightly below weekdays. Inspections back that up: a four-star health inspection rating and a visit as recent as December 2025. The weaker signals sit elsewhere. Ten deficiencies are on the current record, including one at the harm level and two tied to abuse, plus a $16,153 fine. Annual turnover of 48.1% edges past the national 45.8%, and the two-star quality measure rating suggests resident outcomes aren't matching the staffing investment.

Nurse hours

3.57 /day

Staff turnover

—

Serious cites

0

The state-run veterans home in Oxford holds 242 certified beds and scores well on health inspections, four out of five stars, with just five deficiencies on the current record and none rising to harm or jeopardy. That inspection record is genuinely clean, and the most recent survey came in May 2025, so it's current. The problem sits elsewhere: staffing earns only one star, and while the state doesn't publish a raw hours-per-resident figure here, that rating means the home runs well below what CMS expects relative to other facilities nationally. There is also one abuse-related deficiency on file, which families should ask about directly. Good oversight, thin direct-care coverage, that's the tradeoff worth weighing.

Nurse hours

5.04 /day

Staff turnover

68%

Serious cites

0

Clatsop Care Center is city/county-owned and runs on 5.04 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend staffing dips about 9% below its own weekday level, though. Staff turnover sits at 67.9% against a national 45.8%, which matters more than the raw hours suggest, people are cycling through. The inspection record shows 23 deficiencies, four serious enough to reach harm or jeopardy, none abuse-related, and the last inspection was January 30, 2026, so the picture is current. Government ownership tends to mean steadier funding but slower fixes; the staffing number is genuinely high, and the turnover number partly cancels it out.

Nurse hours

2.71 /day

Staff turnover

43%

Serious cites

0

Plainview Healthcare Center is a 93-bed hospital-district home, and the numbers that stand out most are on the staffing side. At 2.71 nurse hours per resident day, it runs roughly 30% below the national average of 3.86, and weekends dip about 7% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover sits at 43.2%, slightly better than the national 45.8%, so the problem isn't retention so much as raw hours on the floor. The inspection record shows 30 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $19,190. Clinical quality measures score well, but the two-star inspection and staffing ratings tell you where the gaps are.

Nurse hours

3.45 /day

Staff turnover

50%

Serious cites

0

The Woodlands Nursing And Rehabilitation Center runs 214 certified beds under nonprofit corporate ownership, and the staffing numbers tell a mixed story. At 3.45 total nurse hours per resident day, it sits roughly 11% under the national average of 3.86, and weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.6% also runs above the 45.8% national figure. The inspection record is the bigger concern: 23 deficiencies, four at harm or jeopardy level, one abuse-related, and two fines totaling $23,977. Quality measures score well, but staffing and health inspections both land at 2 out of 5 stars.

Nurse hours

4.38 /day

Staff turnover

—

Serious cites

0

Majestic Care of Manchin runs 41 beds in Fairmont under state government ownership, and its inspection history is the strongest part of the picture, a recent April 2025 survey and 35 deficiencies on record with none rising to harm or jeopardy level. Staffing is where it falls apart: the federal staffing rating sits at 1 out of 5, meaning nurse hours per resident come in well below what CMS considers adequate. Quality measures land at 2 out of 5, and there's one abuse-related deficiency and a $5,244 fine on the books. A clean inspection record matters, but thin staffing shapes daily life more than anything else here.

Nurse hours

3.37 /day

Staff turnover

32%

Serious cites

0

Live Oak Nursing and Rehabilitation runs 96 beds in George West under individual for-profit ownership, and its staffing sits at 3.37 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 10 percent below its own weekday coverage, so the thinnest shifts come when families often visit. Turnover is genuinely better than average at 32.2 percent against 45.8 nationally. What pulls the record down is the inspection side: 17 deficiencies, one at harm or jeopardy level and two tied to abuse, plus a $56,980 fine. The most recent inspection was May 2025, so that picture is current, not stale. Quality measures score well; the hands-on and oversight numbers are where the caution lives.

Nurse hours

3.25 /day

Staff turnover

42%

Serious cites

0

Windsor Nursing and Rehabilitation Center of San Diego runs on 3.25 nurse hours per resident per day, roughly 16 percent under the national average of 3.86, and weekends dip about 11 percent below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 2 out of 5, even though the home posts perfect marks on health inspections and quality measures. Turnover lands at 42.4 percent, a touch better than the national 45.8 percent, and its record shows 7 deficiencies with nothing at the harm or jeopardy level and no abuse citations. Inspectors were last on site in April 2026, which is recent. The hospital district ownership and clean inspection history are real strengths; the daily coverage numbers are where a family should ask questions.

Nurse hours

2.97 /day

Staff turnover

27%

Serious cites

0

Prairie House Living Center runs on a leaner nursing crew than most homes, about 2.97 nurse hours per resident each day against a national average near 3.86, and weekends dip roughly 12 percent below its own weekday coverage. That thin margin is the main reason its staffing rating sits at 2 out of 5, even though staff stick around: turnover of 26.7 percent is well below the national 45.8 percent, which suggests people aren't fleeing. Inspections look solid, a 4 out of 5 health inspection rating, nine deficiencies on record with none at the harm level and none abuse-related, and a visit as recent as November 2024. Owned by a hospital district, it's not chasing private-equity returns.

Nurse hours

3.55 /day

Staff turnover

41%

Serious cites

0

Georgetown Nursing and Transitional Care is a nonprofit home with 142 beds, and its staffing is the weak spot. At 3.55 nurse hours per resident day, it runs about 8 percent under the national average, and weekends drop roughly 11 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 41.3 percent, a bit better than the national 45.8 percent, which suggests some stability in who's actually on the floor. The inspection record is mixed: 16 deficiencies, including one at the harm level and three related to abuse, with a single $8,281 fine. The most recent inspection was April 30, 2025, so the picture is current. Quality measures score well; staffing is where the concern lies.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Petersburg Medical Center's long-term care unit is a 15-bed, city-run home in a town you can only reach by boat or plane, which tends to mean staff stay put and know the residents. The inspection record backs that up: a 5-star health inspection score, six deficiencies on the current record with none causing harm and none tied to abuse, and a survey completed in August 2025. Turnover data wasn't part of what we reviewed, so treat that as an open question. What holds the grade back from the top tier is quality measures sitting at 4 stars. For a small rural home, the fundamentals look sound. Ask about staffing levels on evenings and weekends, when small facilities feel a callout most.

Nurse hours

4.13 /day

Staff turnover

60%

Serious cites

0

Hudson Memorial runs on county money, which tends to mean stable funding but not always deep pockets for staffing. Its 4.13 nurse hours per resident day sits about 7% above the national average, and the last inspection was recent, December 2024, with 15 deficiencies on record, none of them causing harm or involving abuse. That's a meaningful distinction. The concern is turnover: 59.7% of staff leaving annually against a 45.8% national rate, and weekend coverage drops roughly 20% below weekday levels. High churn plus thinner weekend shifts can wear on consistency of care even when the raw staffing number looks fine. Inspection history sits at 2 stars; quality measures and staffing each earn 3.

Nurse hours

3.14 /day

Staff turnover

43%

Serious cites

0

Swiss Villa is county-owned, which is unusual these days and tends to mean steadier oversight than a lot of for-profit chains. The tradeoff shows up in the staffing numbers: 3.14 nurse hours per resident day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays. Seventeen deficiencies sit on the current record, though none rose to harm or jeopardy level and none involved abuse, and the last inspection was in August 2025. Turnover at 42.6 percent is actually slightly better than the national 45.8 percent. So you're looking at a home that inspects well and keeps its staff reasonably well, but runs lean on the floor, worth asking how weekend coverage actually feels.

Nurse hours

3.75 /day

Staff turnover

50%

Serious cites

0

Clearvista Lake Health Campus runs 70 beds as a county-owned home, and its clinical quality scores are genuinely strong, a perfect 5 out of 5 on CMS quality measures. Staffing is where it slips. At 3.75 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 19% below its own weekday coverage, a gap families should ask about directly. Annual turnover of 50% runs above the 45.8% national figure, which matters for whether your parent sees the same aides twice. The inspection record shows 27 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse.

Nurse hours

4.26 /day

Staff turnover

67%

Serious cites

0

Wilber Care Center is city/county-owned and staffs 4.26 nursing hours per resident day, about 10% above the national average, which is a real strength. But that number hides two problems: weekend coverage drops roughly 18% below weekday levels, and annual turnover sits at 67.4% against a national 45.8%, so the people providing that care change often. The 12 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy level, and the last inspection was January 2025. Quality measures score well; inspections do not.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Midtown Manor's staffing is the problem here. At one star, its nurse and aide hours come in well below what CMS sees at the typical Utah home, and that shortfall shows up in the inspection record: 41 deficiencies, three tied to abuse, though none rose to the level of immediate harm or jeopardy when surveyors visited on April 30, 2025. The county runs this 82-bed building, which can mean steadier public oversight than a for-profit chain, but it doesn't fix thin coverage on the floor. Quality measures score well at four stars, so the clinical outcomes they track look fine, but those numbers depend on people being there to deliver the care. Ask about actual daily aide hours before you decide.