956 Government-Run Nursing Homes in the United States

Nurse hours

2.82 /day

Staff turnover

42%

Serious cites

0

Advanced Rehabilitation and Healthcare of Bowie is a hospital-district home with 180 beds, and its inspection record is genuinely strong. Ten deficiencies on the current record, none causing harm or jeopardy, none abuse-related, and an inspection as recent as February 2026, with 5 out of 5 stars on both health inspections and quality measures. Staffing tells the other story. At 2.82 nurse hours per resident day, it runs roughly 27 percent under the national average of 3.86, and weekends dip about 20 percent below its own weekday level. Turnover at 42.1 percent is slightly better than the 45.8 percent national figure, so the issue isn't churn so much as how few hands are scheduled at any given time.

Nurse hours

2.50 /day

Staff turnover

42%

Serious cites

0

Lomond Peak is county-owned, and its clinical quality scores are genuinely strong, a five out of five on CMS quality measures. The problem is the people delivering that care. At 2.50 nurse hours per resident day, staffing sits about 35 percent below the national average, and weekends run roughly 18 percent thinner than weekdays. Turnover of 41.7 percent actually beats the national rate, so this isn't a churn problem; it's a budgeted-hours problem. Inspections tell a rougher story: 21 deficiencies on the current record, including one at the harm level and one abuse-related, with a two out of five inspection rating from a visit dated October 2025. Ask about weekend coverage and how the abuse citation was resolved before deciding.

Nurse hours

3.29 /day

Staff turnover

39%

Serious cites

0

Will-O-Bell runs lean on direct care: 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though turnover at 38.7% actually beats the national 45.8%. The inspection record is a split picture, a 4/5 health inspection rating and a recent May 2026 survey, but 30 deficiencies on file, including four at harm or jeopardy level and four tied to abuse. One fine totaling $8,279. Hospital district ownership, 90 beds. Strong quality measures, weak daily coverage.

Nurse hours

3.67 /day

Staff turnover

61%

Serious cites

0

Aspen Trace is county-owned, and the inspection record is genuinely strong, five stars on health inspections, five on quality measures, with just three deficiencies on file and none involving harm or abuse. A recent inspection in May 2026 means the picture is current. Where it slips is staffing: 3.67 nurse hours per resident day, about 5% under the national average, and weekends run roughly 15% thinner than weekdays. Combine that with 60.5% annual turnover against a national 45.8%, and you get a home where care quality measures well but the people delivering it are stretched and constantly changing. Ask how they cover weekends and what they're doing to keep nurses.

Nurse hours

5.57 /day

Staff turnover

79%

Serious cites

0

Lefa Seran SNF in Hawthorne runs on a government hospital district license with just 24 beds, and its staffing is genuinely unusual: 5.57 nurse hours per resident day, roughly 44% above the national average of 3.86. That's the strongest thing in its file, though weekends dip about 8% below its own weekday coverage, and turnover sits at 79.3% against a national 45.8%, meaning the people providing those hours change constantly. Inspections tell the harder story. Forty-seven deficiencies on the current record, including one abuse-related citation, with the last inspection in April 2025 and CMS scoring both health inspections and quality measures at one star out of five. The hours are there; the consistency and compliance aren't.

Nurse hours

4.11 /day

Staff turnover

64%

Serious cites

0

Sullivan County runs this 146-bed home in Liberty, and the numbers split in two directions. Nurse staffing sits at 4.11 hours per resident day, about 6% above the national average, but weekends run roughly 9% thinner than weekdays, and annual turnover of 64.4% is well above the 45.8% national figure, so the coverage on paper isn't the same as consistency at the bedside. The inspection record is the heavier problem: 42 deficiencies, four at harm or jeopardy level, nine tied to abuse, with the last inspection in September 2024. A single $9,620 fine understates that pattern, since most deficiencies don't carry a penalty. Quality measures score well; the survey history is what pulls this home down.

Nurse hours

3.67 /day

Staff turnover

46%

Serious cites

0

San Pedro Manor runs 3.67 nursing hours per resident day, about 5% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin weekend coverage matters more than the headline number, because 30 deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse. Staff turnover is 45.6%, essentially matching the national rate, so retention isn't the problem here, coverage is. The hospital district ownership hasn't kept the inspection record clean, and two fines totaling $24,285 are on file. The last inspection was August 2025. Quality measures look strong; the staffing and inspection side is where the risk lives.

Nurse hours

5.80 /day

Staff turnover

74%

Serious cites

0

Twin Oaks Manor is a 40-bed hospital-district home in Booker, and the staffing numbers are genuinely strong: 5.80 nurse hours per resident day, about half again the national average. Weekends dip roughly 13% below weekdays, which is worth asking about, since that's often when families visit. The bigger concern is turnover, 74.1% versus 45.8% nationally, meaning most of the people caring for residents this year likely won't be there next year. Inspections look solid (4 of 5 stars, 12 deficiencies, none at harm level, none abuse-related) and the most recent visit was April 2025. Quality measure scores sit at 1 of 5, so ask what specifically is driving those.

Nurse hours

3.23 /day

Staff turnover

59%

Serious cites

0

Mesquite Tree runs on 3.23 nurse hours per resident day, roughly 16% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.8%, well above the 45.8% national figure, which means the aides and nurses caring for your relative are often new to the building. The inspection record shows 25 deficiencies, including one at the harm level and one abuse-related, plus a $13,397 fine; the most recent inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are where the real story sits.

Nurse hours

3.15 /day

Staff turnover

31%

Serious cites

0

Hallettsville Nursing and Rehabilitation is run by a hospital district, which usually means steadier oversight than a for-profit chain. The staffing numbers are where it gets shaky: 3.15 nurse hours per resident day, roughly 18% under the national average, with weekends running about 14% thinner than weekdays. That's a 1-out-of-5 staffing rating, and it's the main drag on the scores. Turnover is the bright spot at 31.1%, well below the 45.8% national figure, so the people who are there tend to stay. Inspections turned up 19 deficiencies, one serious enough to involve harm, plus a single $8,824 fine. The most recent visit was January 2026, so the record is current.

Nurse hours

3.45 /day

Staff turnover

60%

Serious cites

0

Villa Haven runs on a hospital district's budget in Breckenridge, and the numbers split sharply depending on where you look. Inspections are a genuine strength, a clean record with zero deficiencies at the harm level, zero abuse findings, and a survey completed in March 2026. Quality measures score at the top of CMS's scale too. Staffing tells the other story. At 3.45 nurse hours per resident day, this home sits about 11% under the national average, and weekends drop roughly 13% below its own weekday coverage. Annual turnover is 60%, well above the 45.8% national figure, which means the people caring for your family member are cycling out faster than they can build familiarity with residents.

Nurse hours

2.72 /day

Staff turnover

40%

Serious cites

0

Greenville Gardens runs on 2.72 nurse hours per resident per day, roughly 29% under the national average of 3.86, and weekends drop about 9% below its own weekday staffing. That thin coverage shows up in the federal staffing rating of 1 out of 5, even as the quality measure rating sits at 5 out of 5. Turnover is 39.6%, better than the 45.8% national average, but the inspection record carries 46 deficiencies, including one at the harm level and four tied to abuse, with $16,206 in fines. The most recent inspection was August 13, 2025. Government hospital district ownership, 103 beds, and staffing that trails the national average by a wide margin, that's the tension here.

Nurse hours

3.39 /day

Staff turnover

22%

Serious cites

0

Briarcliff Health Center Of Greenville runs on thin nurse staffing, 3.39 hours per resident day against a national average of 3.86, and weekends get leaner still, about 12% below its own weekday level. The inspection record is the bigger concern: 38 deficiencies, three at harm or jeopardy level and three tied to abuse, plus two fines totaling $48,100. What works in its favor is workforce stability: turnover sits at 22.2%, well under the 45.8% national figure, and its quality measure rating is strong. That combination, steady staff and poor inspection results, usually points to how care is managed rather than who's giving it.

Nurse hours

3.59 /day

Staff turnover

48%

Serious cites

0

The Clyde W Cosper Texas State Veterans Home in Bonham runs 160 certified beds under state government ownership, and its numbers pull in different directions. Staffing sits at 3.59 nurse hours per resident day, about 7% under the national average, and weekends run roughly 13% thinner than weekdays, a pattern families often feel before they see it on paper. Turnover is 48.3%, a few points above the national rate. What stands out more is the inspection record: 47 deficiencies, four at harm or jeopardy level, three tied to abuse, and two fines totaling $216,749. The last inspection was April 2026. Quality and staffing both score 4 out of 5, but a 1-out-of-5 health inspection rating with that deficiency history is the part worth asking about directly.

Nurse hours

2.93 /day

Staff turnover

40%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Duval runs on thinner nursing hours than most places, about 2.93 per resident per day against a national average near 3.86, and weekends dip roughly 9% below its own weekday coverage. That staffing picture shows up in the federal stars too, where the home earns just 2 out of 5, even as its quality measures come in at a perfect 5. The inspection record is the harder read: 29 deficiencies, two serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $23,341, with the most recent inspection in April 2025. Turnover, at 40.2%, is actually better than the 45.8% national figure.

Nurse hours

3.28 /day

Staff turnover

24%

Serious cites

0

Rio Grande City Nursing and Rehabilitation is a 110-bed hospital-district home with a 4/5 inspection rating and a clean record on abuse, no abuse-related deficiencies, just one fine totaling $13,514. The trouble sits in staffing: 3.28 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 10% below the home's own weekday level. That thin coverage is why CMS gives staffing only 2/5. What offsets it is retention, 24.2% turnover against a 45.8% national average means the aides and nurses who are there tend to stay. Its last inspection was September 2025, with 17 deficiencies on record, one serious enough to involve harm or jeopardy.

Nurse hours

3.25 /day

Staff turnover

41%

Serious cites

0

Windsor Arbor View runs on thinner nursing hours than most homes, 3.25 per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday levels, which is when families tend to notice. The 19 deficiencies on record, including one at the harm level and one tied to abuse, sit alongside a 41.4% turnover rate that's actually a bit better than the 45.8% national figure. The hospital district ownership is worth noting, and the last inspection was recent, in December 2025, so the record reflects current conditions rather than old ones. Quality measures score well; staffing is where the home is weakest.

Nurse hours

3.32 /day

Staff turnover

45%

Serious cites

0

Mid Valley runs on a thinner nursing crew than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. That staffing shows up in the numbers: 27 deficiencies on the current record, four of them serious enough to cite harm or jeopardy, and three tied to abuse. Turnover sits near the national mark at 45%, and the hospital district ownership doesn't change what families experience day to day. The quality measure score looks strong, but it's the staffing and inspection record that tells you whether help arrives when someone needs it.

Nurse hours

4.79 /day

Staff turnover

—

Serious cites

0

Walbridge Memorial runs on a hospital district license with 30 beds, and its nurse staffing sits at 4.79 hours per resident day, roughly a quarter above the national average, which is the strongest thing in its file. The catch is consistency: weekends drop about 7% below weekday coverage, and the inspection record carries 24 deficiencies, four of them serious enough to put a resident in harm's way, plus one tied to abuse. The last state visit was in December 2025, so the picture is current. One fine of $29,981 has been levied. Good daily staffing can't offset a pattern of serious findings, which is why the quality measure score lands low.

Nurse hours

4.43 /day

Staff turnover

—

Serious cites

0

Sedgwick County Memorial runs a county-owned 32-bed home in Julesburg, and its nurse staffing looks strong on paper, 4.43 hours per resident day, roughly 15% above the national average. That overall number hides a weekend gap of about 11% below its own weekday level, so coverage thins out when families tend to visit. The inspection record is where the picture darkens. Fifteen deficiencies are on file, three of them serious enough to put residents at harm or jeopardy, and one tied to abuse. Its last inspection was September 2025. Federal star ratings sit at 3 for health inspections but just 1 for quality measures and 1 for staffing, which suggests the hours logged aren't translating into measured outcomes.