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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 521–540 of 956, best-graded first.

B

74.5/100

Coryell Health Rehabliving At The Meadows

Gatesville, TX · Coryell County

CMS 4/5 106 beds Government Medicaid
Nurse hours
4.08 /day
Staff turnover
—
Serious cites
0

Coryell Health Rehab Living At The Meadows is run by the local hospital district, and its 106 beds get more nursing time than most Texas homes, 4.08 hours per resident day against a national average of 3.86. Weekends dip about 6% below weekday staffing, so ask how coverage holds up on Saturdays. The inspection record is the strong part: 17 deficiencies, none at harm or jeopardy level, though two are abuse-related and one fine of $20,622 is on file. Quality measure scores sit at 2 out of 5, which tracks with the lower marks there. Recent inspection in February 2026.

B

74/100

Countryside Care & Rehabilitation

Rupert, ID · Minidoka County

CMS 3/5 36 beds Government Medicaid
Nurse hours
5.66 /day
Staff turnover
98%
Serious cites
0

Countryside Care runs on county money in a small Idaho town, and the staffing number is the headline: 5.66 nurse hours per resident day, well above the national average, with a four-star CMS staffing rating to back it. Look closer and the picture muddies. Nearly every employee turned over last year, 97.9% against a national 45.8%, and weekend coverage drops about 11% below weekdays, so the people delivering that care keep changing. Nineteen deficiencies sit on the current record, including one tied to abuse, though none reached the harm level, and the most recent inspection came in September 2025. Quality measures rate two stars, which doesn't square neatly with the staffing advantage.

B

74/100

Life Care Center Of The Willows

Valparaiso, IN · Porter County

CMS 1/5 92 beds Government Medicaid
Nurse hours
3.45 /day
Staff turnover
49%
Serious cites
0

Life Care Center of The Willows is county-owned, with 92 certified beds in Valparaiso. The staffing numbers run thinner than most: 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 10% below what the home itself staffs on weekdays. Annual turnover sits at 49.3%, a few points above the national figure, so the people caring for residents change often. The health inspection record is where the real weight lands, a 1-out-of-5 star rating, 37 deficiencies on the current record, one tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent inspection was January 27, 2026. Quality measures score well at 4 stars, which tells you the charted clinical care looks better than the building's oversight history.

B

74/100

Rosebud Village

Richmond, IN · Wayne County

CMS 3/5 110 beds Government Medicaid
Nurse hours
3.32 /day
Staff turnover
32%
Serious cites
0

Rosebud Village is county-owned and holds 110 beds, which tends to mean steadier oversight than a lot of for-profit neighbors, and the turnover number backs that up, at 31.8% against a national average of 45.8%. That matters, because CNAs who stay put know the residents. The trade-off shows in the daily hours: 3.32 per resident, roughly 14% under the national figure, with weekends running about 15% thinner than weekdays. The inspection record carries 21 deficiencies, including one at the harm level and two tied to abuse, though the most recent survey was July 2025, so the picture is reasonably current.

B

74/100

Heritage House Rehabilitation & Health Care Center

Connersville, IN · Fayette County

CMS 4/5 98 beds Government Medicaid
Nurse hours
3.44 /day
Staff turnover
38%
Serious cites
0

Heritage House is county-owned, which is unusual these days, and its inspection record is genuinely solid, four stars, nine deficiencies on the books, none of them causing harm or involving abuse, with a survey done in January 2026. The catch is staffing, where it earns two stars: 3.44 nurse hours per resident day, roughly 11 percent under the national figure, and weekends run about 7 percent thinner than its own weekdays. Turnover sits at 38.1 percent, better than the 45.8 percent national rate. So you have a home that keeps residents safe and scores well on quality measures, but runs leaner than average on the floor, worth asking how that feels on a Sunday.

B

74/100

Grace Village Health Care Facility

Winona Lake, IN · Kosciusko County

CMS 5/5 71 beds Government Medicaid
Nurse hours
4.79 /day
Staff turnover
61%
Serious cites
0

Grace Village is county-owned, and that shows in the staffing: 4.79 nurse hours per resident day, roughly a quarter above the national average. Weekend coverage dips about 14% below its own weekday level, which is worth asking about if your family tends to visit Saturdays or Sundays. The health inspection record is the strongest part of the picture, eight deficiencies, none at the harm level, none abuse-related, and a survey as recent as March 2025. The softer spots are staff turnover at 61% against a national 45.8%, and a quality measure rating of 2 out of 5, which reflects how residents are actually faring day to day rather than how the building looks on paper.

B

74/100

Copper Trace Health & Living Community

Westfield, IN · Hamilton County

CMS 3/5 104 beds Government Medicaid
Nurse hours
3.56 /day
Staff turnover
68%
Serious cites
0

Copper Trace is county-owned, which usually buys some stability, but the numbers here are mixed. Nurses provide 3.56 hours per resident per day, about 8% under the national average, and weekends drop roughly 13% below the home's own weekday staffing, so care thins out exactly when families tend to visit. Turnover sits at 68.1% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Eighteen deficiencies sit on the current record, including one at the harm level and one tied to abuse. Quality measures score well; the inspection and staffing picture is where the doubt lives.

B

74/100

Loch Haven

Macon, MO · Macon County

CMS 2/5 100 beds Government Medicaid
Nurse hours
3.57 /day
Staff turnover
30%
Serious cites
0

Loch Haven is county-owned, and its 100 beds run on 3.57 nurse hours per resident day, roughly 8% under the national average of 3.86, with weekends about 10% thinner than weekdays. That staffing shows up as a 4/5 CMS staffing star, and turnover is genuinely low at 29.8% against a 45.8% national average, which suggests people stay. The trouble sits elsewhere: a 2/5 inspection rating, 32 deficiencies on the current record including two at harm or jeopardy level, and $77,841 in fines across two events. No abuse citations, and the most recent inspection was August 2025, so the picture is current. Quality measures land mid-range at 3/5.

B

74/100

Westmoreland Manor

Greensburg, PA · Westmoreland County

CMS 2/5 408 beds Government Medicaid
Nurse hours
3.67 /day
Staff turnover
47%
Serious cites
0

Westmoreland Manor runs 408 certified beds as a county-owned home, and its staffing sits about 5% under the national average at 3.67 nurse hours per resident day, with weekends dropping roughly 8% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover is 46.5%, essentially matching the national 45.8%, meaning roughly half the nursing staff cycles through in a year. The inspection record is the heavier concern: 32 deficiencies, four at harm or jeopardy level and two abuse-related, with the most recent inspection dated April 2026. County ownership can mean stable public funding, but it hasn't translated into a clean survey history here.

B

74/100

Lakelands Nursing And Rehabilitation Center

Abbeville, SC · Abbeville County

CMS 4/5 69 beds Government Medicaid
Nurse hours
4.23 /day
Staff turnover
42%
Serious cites
0

Lakelands runs on county money, and the staffing numbers show it: 4.23 nurse hours per resident day, roughly 9% above the national average, with turnover at 41.8%, better than the 45.8% typical elsewhere. Weekend coverage dips about 9% below its own weekday pace, worth asking about if you're planning visits then. The inspection record is clean: two deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent look was April 2026. What pulls the quality measure rating down to 1 out of 5 is the piece families feel day to day, weight loss, falls, pain, infections, so ask to see that data before deciding.

B

74/100

Marshall Manor Nursing & Rehabilitation Center

Marshall, TX · Harrison County

CMS 4/5 179 beds Government Medicaid
Nurse hours
3.85 /day
Staff turnover
48%
Serious cites
0

Marshall Manor runs 179 certified beds under hospital district ownership, and its staffing sits right at the national average, 3.85 total nurse hours per resident day against 3.86 nationally. That average comes with a catch: weekends run about 13% thinner than weekdays, and turnover is 48.1%, a bit above the 45.8% national figure. The health inspection record shows 25 deficiencies, none at harm or jeopardy level, though six are abuse-related. With a May 2025 inspection and 4/5 stars on both health inspections and quality measures, the clinical picture holds up. The staffing rating tells a different story.

B

74/100

Mission At Community Living Rehabilitation Center

Centerfield, UT · Sanpete County

CMS 3/5 46 beds Government Medicaid
Nurse hours
2.94 /day
Staff turnover
40%
Serious cites
0

Mission at Community Living runs on 2.94 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips about 12% below its own weekday level. Turnover sits at 40%, better than the 45.8% national figure, and the county-owned home was inspected recently, in June 2025, with 20 deficiencies on record, none at harm or jeopardy level, though four are abuse-related, and one fine totaling $6,351. Its quality measure score is strong and its health inspection score is middling. The tension here is thin daily staffing against decent retention and no serious harm findings; ask how weekends and evenings are actually covered before deciding.

B

74/100

Cascades At Riverwalk

Midvale, UT · Salt Lake County

CMS 4/5 120 beds Government Medicaid
Nurse hours
3.77 /day
Staff turnover
55%
Serious cites
0

Cascades At Riverwalk runs on thin nurse staffing for a 120-bed home, 3.77 hours per resident day sits just under the national average of 3.86, and weekends drop about 11% below its own weekday coverage. That gap matters more than the headline number, since care doesn't pause on Saturdays. Staff turnover is 55%, well above the 45.8% national figure, which means the people at the bedside keep changing. The inspection record shows 39 deficiencies, including one at the harm level and one abuse-related, with a single fine of $23,829. Quality measures score well, but staffing and inspection results pull the other way. A recent November 2025 inspection helps, though it doesn't erase the pattern.

B

74/100

Sunny Springs Nursing & Rehab

Sulphur Springs, TX · Hopkins County

CMS 2/5 95 beds Government Medicaid
Nurse hours
3.36 /day
Staff turnover
45%
Serious cites
0

Sunny Springs is run by the hospital district, which is worth knowing since government-owned homes often operate differently than chains. The staffing numbers are the real story here: 3.36 nurse hours per resident day puts it about 13% under the national average, and weekends drop roughly 8% below its own weekday levels. That shows up in the staffing rating. The inspection record is heavy, 57 deficiencies, including two at harm or jeopardy level and seven tied to abuse. Turnover at 44.9% is basically the national norm, so that's not the problem. The 4/5 quality measure score suggests some clinical metrics look fine, but staffing and inspections tell a different story.

B

74/100

Belterra Health & Rehab

Mckinney, TX · Collin County

CMS 4/5 103 beds Government Medicaid
Nurse hours
3.39 /day
Staff turnover
37%
Serious cites
0

Belterra Health & Rehab runs on leaner nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday. Turnover is the brighter spot: 36.7% versus 45.8% nationally, meaning aides and nurses stick around longer than is typical. The 20 deficiencies on record include none tied to harm or abuse, and the most recent inspection came in April 2026. As a hospital-district home, it answers to public ownership rather than a chain, which tends to show up in how complaints get handled. Ask about weekend staffing specifically before you decide.

B

74/100

Legend Oaks Healthcare And Rehabilitation - New Br

New Braunfels, TX · Comal County

CMS 3/5 126 beds Government Medicaid
Nurse hours
3.30 /day
Staff turnover
50%
Serious cites
0

Legend Oaks in New Braunfels runs a government hospital district operation with 126 certified beds, and the staffing side is where the strain shows. At 3.30 total nurse hours per resident day, it's about 14% under the national average, and weekends drop roughly 13% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover sits at 49.5%, above the national 45.8%. The inspection record holds 38 deficiencies, none at harm level but three tied to abuse, with the last survey dated May 2026. Quality measures score well, but the staffing numbers are what temper the overall picture.

B

74/100

Sterling Oaks Rehabilitation

Katy, TX · Harris County

CMS 4/5 126 beds Government Medicaid
Nurse hours
3.11 /day
Staff turnover
39%
Serious cites
0

Sterling Oaks runs on a thinner nursing floor than most homes its size, about 3.11 nurse hours per resident per day against a national average near 3.86, and weekends drop roughly 8% below its own weekday pace. That gap is the main thing pulling its staffing rating down to 2 out of 5. Where it holds up better: turnover sits at 39.1% against a national 45.8%, and its inspection record shows 18 deficiencies with none at the harm level and none tied to abuse. A recent May 2026 inspection and 4 out of 5 stars on both health inspections and quality measures round it out. If your family member needs heavy day-to-day hands-on care, ask specifically how weekend coverage gets filled.

B

73.5/100

Grand Valley Health & Rehab

Martinsville, IN · Morgan County

CMS 5/5 100 beds Government Medicaid
Nurse hours
4.48 /day
Staff turnover
38%
Serious cites
0

Grand Valley Health & Rehab runs on county money, and the numbers show a place that's decently staffed but not perfectly even. Total nurse coverage sits at 4.48 hours per resident day, about 16% above the national average, and turnover at 38.2% beats the 45.8% national figure, meaning aides and nurses tend to stick around longer than at most homes. The catch is weekends, when staffing drops roughly 18% below its own weekday level, so care can feel thinner on Saturdays and Sundays. Inspections look strong: a 5/5 health inspection rating, just five deficiencies on record, none at the harm level and none abuse-related, with the last visit in June 2025. Quality measures are the weak spot at 2/5, so ask what those specifically cover.

B

73.5/100

Logan Manor Community Health Services

Logan, KS · Phillips County

CMS 3/5 36 beds Government Medicaid
Nurse hours
4.41 /day
Staff turnover
57%
Serious cites
0

Logan Manor is city-owned, and it runs 36 beds with nurse staffing at 4.41 hours per resident day, roughly 14 percent above the national average, which is the strongest thing in its favor. The catch is who's still there month to month: turnover sits at 56.8 percent against a national 45.8 percent, and weekends run about 16 percent thinner than weekdays, so the coverage that looks good on paper may not feel steady at the bedside. The inspection record shows 26 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was in December 2025. Federal quality measures come in at 2 stars.

B

73.5/100

Arrington Living Center

Collins, MS · Covington County

CMS 4/5 60 beds Government Medicaid
Nurse hours
4.61 /day
Staff turnover
47%
Serious cites
0

Arrington Living Center is city/county-owned, and its nurse staffing runs 4.61 hours per resident day, roughly 19% above the national average, which is a real strength. The catch is weekends: coverage drops about 18% below its own weekday level, so care thins out exactly when families tend to visit. Turnover sits at 46.8%, a hair above the national 45.8%, and the current record shows 7 deficiencies, 3 of them at harm or jeopardy level, including 1 abuse-related citation, plus two fines totaling $17,727. The most recent inspection was May 2025, so that record is fairly fresh. Strong weekday staffing, but the quality measure score and those harm-level findings are what pull the overall picture down.

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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