956 Government-Run Nursing Homes in the United States

Nurse hours

3.87 /day

Staff turnover

50%

Serious cites

0

Clayberg in Cuba is county-owned, and the numbers show a place that's survived its inspections well, a perfect health inspection rating and a recent visit in April 2025. The catch is quality measures, which sit at two stars. Staffing is four stars and technically edges the national average at 3.87 hours per resident day, but that margin is basically zero, and weekends run about 18% thinner than weekdays. Turnover hits 50%, above the 45.8% national figure. Twelve deficiencies on record, one serious enough to involve harm. Nothing here is alarming, but the thin staffing cushion and weekend dip are worth asking about directly.

Nurse hours

3.16 /day

Staff turnover

43%

Serious cites

0

Rosewalk Village At Lafayette runs on county government ownership, and its staffing is the clearest concern: 3.16 nurse hours per resident per day sits about 18% under the national average of 3.86. Weekends get thinner still, dropping roughly 17% below the home's own weekday coverage, so a Saturday shift isn't the same as a Tuesday one. Turnover lands at 42.6%, a touch better than the 45.8% national figure but still meaning nearly half the nursing staff cycling through in a year. The inspection record shows 14 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2025. Quality measures score well; staffing is where the gaps live.

Nurse hours

3.51 /day

Staff turnover

45%

Serious cites

0

Clark Rehabilitation and Skilled Nursing Center is county-owned, which is unusual in this business, and its inspection record is solid, a four-star health inspection rating with the most recent visit in May 2025. The catch is staffing. At 3.51 nurse hours per resident per day, it runs about 9% under the national average, and weekends drop roughly 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Nineteen deficiencies sit on the current record, including two at the harm level and two tied to abuse. Staff turnover, at 45.3%, is essentially the national rate.

Nurse hours

3.72 /day

Staff turnover

40%

Serious cites

0

Lapeer County Medical Care Facility runs on county government ownership, and the staffing numbers tell a mixed story. Total nurse coverage sits at 3.72 hours per resident day, a bit under the national average of 3.86, and weekend staffing drops roughly 16% below what the home delivers on weekdays, meaning care gets thinner exactly when families tend to visit. Staff turnover at 40.4% is better than the national 45.8%, though still means a lot of new faces. The bigger concern is the inspection record: 41 deficiencies, including two at the harm level and two tied to abuse, plus a $68,445 fine. The most recent inspection was April 1, 2026. Weigh the steady county operation and above-average staffing rating against that inspection history.

Nurse hours

4.08 /day

Staff turnover

38%

Serious cites

0

Schuyler County Nursing Home District runs on county money, and its staffing is the one clear strength: 4.08 nurse hours per resident day, roughly 6% above the national average, with turnover at 38.3% against a national 45.8%. The catch is weekends, when coverage drops about 18% below the home's own weekday level. Inspections are another matter, a 2/5 health inspection rating and 42 deficiencies on record, including one abuse-related citation, though none reached harm or jeopardy level. Quality measures sit at 1/5, the weakest category here. The last inspection was September 2025, so the record is recent. Good hours on paper, thinner on weekends, and a long deficiency list to weigh.

Nurse hours

2.23 /day

Staff turnover

46%

Serious cites

0

Community Pride Care Center runs on 2.23 nurse hours per resident day, roughly 42% under the national average of 3.86, and weekends drop about 19% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 1 out of 5, and turnover at 46.2% is right about at the national figure, so there's no stability advantage to offset it. The inspection record is cleaner: 9 deficiencies, none at harm or jeopardy level, though 2 are abuse-related, and the last inspection was December 31, 2025. Quality measures score 5 out of 5, and as a city or county home, it answers to local government rather than a chain.

Nurse hours

4.06 /day

Staff turnover

48%

Serious cites

0

South Mountain Post Acute runs 124 beds in Phoenix under corporate for-profit ownership, and its last full health inspection came in August 2024, recent enough to trust the findings are current. Those findings are mixed: 16 deficiencies on record, though none rose to the level of harm or jeopardy, and none involved abuse. The staffing picture is where things get uneven. Total nurse hours sit at 4.06 per resident day, about 5% above the national average, but weekend coverage drops roughly 6% below its own weekday level, and turnover at 47.5% edges past the national rate. High quality measure scores and steady inspection results don't erase thin weekend staffing and near-half turnover, ask how they cover weekends.

Nurse hours

3.85 /day

Staff turnover

47%

Serious cites

0

Willows Of Shelbyville runs 121 certified beds under city or county ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially even with the national average of 3.86. That average hides a gap: weekends run about 8% below the home's own weekday level, and CMS gives staffing just 1 out of 5 stars. Annual turnover is 46.8%, a touch above the national 45.8%. The health inspection record shows 30 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. The last inspection was in December 2025. Quality measures score 5 out of 5, but that strong showing sits alongside a much weaker inspection picture.

Nurse hours

3.43 /day

Staff turnover

39%

Serious cites

0

Pilgrim Manor is county-owned, which usually buys a little patience from families, and the staffing numbers here are the reason it needs some. At 3.43 nurse hours per resident day, it runs about 11% under the national average, and weekends dip roughly another 10% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover at 39.1% is actually better than the 45.8% national figure, which tells you the people who stay tend to stay. What offsets that is the inspection record: 31 deficiencies, including five tied to abuse and two at the harm level, plus a $45,580 fine. The last survey was February 2026, so the record is current, not stale.

Nurse hours

3.28 /day

Staff turnover

36%

Serious cites

0

Riverview Village is county-owned, and its inspection record is the strongest part of the story: a recent June 2025 survey with ten deficiencies total, just one at the harm level, and none tied to abuse. Quality measures also hold up. Where it slips is staffing, 3.28 nurse hours per resident day sits about 15% under the national average, and weekends run roughly 14% thinner than weekdays, so coverage gaps tend to land when families visit. Turnover at 36.2% is better than the 45.8% national figure, which matters for consistency of care. The tradeoff is real: solid oversight, thinner daily coverage.

Nurse hours

4.12 /day

Staff turnover

53%

Serious cites

0

Westminster Village Kentuckiana runs on county government ownership and 94 certified beds, with nurse staffing at 4.12 hours per resident day, roughly 7% above the national average. That headline number softens on weekends, when coverage drops about 13% below the home's own weekday level, and annual turnover sits at 53% against a national 45.8%. The inspection record shows 26 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey dates to January 2026. CMS rates health inspections and quality measures both 2 out of 5, staffing 3 out of 5. Decent weekday hours, a thinner weekend, and steady turnover are what's actually driving the grade here.

Nurse hours

3.57 /day

Staff turnover

41%

Serious cites

0

Twin City Health Care in Gas City is county-owned, which is unusual these days, and it runs 75 beds. The staffing numbers are where the concern sits: 3.57 nurse hours per resident day, about 8% under the national average, with weekends dipping roughly 8% below its own weekday levels. That thin coverage is why its staffing rating lands low even as inspections and quality measures both come in strong, and staff turnover of 40.5% is actually better than the national 45.8%. Ten deficiencies sit on the current record, three tied to abuse, though none reached harm or jeopardy. The most recent inspection was August 2025, so the picture is fairly current.

Nurse hours

3.06 /day

Staff turnover

43%

Serious cites

0

Lodge of the Wabash runs on 3.06 nurse hours per resident day, roughly 21% under the national average of 3.86, and weekends dip about 5% below its own weekday staffing. Turnover sits at 42.9%, a touch better than the 45.8% national figure, yet inspectors still logged 23 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy level. The city- or county-run home holds a 4/5 staffing star from CMS but just 2/5 on health inspections and 2/5 on quality measures, and its most recent inspection was March 4, 2026. What that mix really tells you: decent retention, thin daily coverage, and a survey history that keeps drawing attention.

Nurse hours

4.01 /day

Staff turnover

65%

Serious cites

0

Charlestown Place At New Albany runs a hospital-district operation with 158 beds, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average. That edge narrows on weekends, when coverage drops about 10% below its own weekday level, and it's undercut by turnover of 64.9% against a national 45.8%, meaning a large share of caregivers are still new to the building. The inspection record is the harder problem: 52 deficiencies, four of them at harm or jeopardy level and four tied to abuse, with two fines totaling $31,784 and a health inspection rating of 1 out of 5. The most recent inspection was August 2025, so that picture is current, not stale. Quality measures score well; the day-to-day care environment is where the risk concentrates.

Nurse hours

5.30 /day

Staff turnover

96%

Serious cites

0

Barron Center is city-owned and licensed for 219 beds, and its nurse staffing runs about 5.3 hours per resident day, roughly 37% above the national average of 3.86. Weekends dip about 13% below its own weekday levels, though. The bigger red flag is turnover: 96.2% of staff leave annually, more than double the national 45.8%, meaning the people providing that generous bedside time are constantly being replaced. Inspections look solid, 4 of 5 stars, last visit August 2025, 19 deficiencies with none at the harm level, though two are abuse-related, and one fine totaling $8,278. Quality measures score just 2 of 5.

Nurse hours

6.11 /day

Staff turnover

96%

Serious cites

0

Iosco County Medical Care Facility has real staffing depth, 6.11 nurse hours per resident day, well above the national average, and that's the strongest thing on its record. But nearly every employee who was here a year ago is gone, with turnover at 96.1% against a national norm under 46%. State inspectors have logged 33 deficiencies, three of them serious enough to put residents in harm's way, including one abuse finding, and the most recent inspection closed out just this January. County-owned and 78 beds, the home earns a 4 on staffing but only a 2 on health inspections. High turnover undercuts even good staffing numbers; aides who don't stay long can't learn residents' routines or catch subtle changes in condition.

Nurse hours

3.37 /day

Staff turnover

24%

Serious cites

0

Parkview Manor is a city-owned home in Ellsworth with 37 beds, and its nurse staffing sits about 13% under the national average at 3.37 hours per resident day, though weekends dip only 8% below its own weekdays, which is steadier than many places manage. Turnover is the standout: 24% against a national average near 46%, meaning the people caring for residents tend to stay. The tradeoff shows up in the clinical picture. Twenty-one deficiencies are on record, none at harm or jeopardy level and none abuse-related, but the inspection rating sits at 2 out of 5 and quality measures at just 1 out of 5.

Nurse hours

3.41 /day

Staff turnover

45%

Serious cites

0

Clark County Nursing Home runs on a county-owned model with 99 certified beds in Kahoka, and its staffing sits at 3.41 nurse hours per resident day, roughly 12 percent under the national average of 3.86. Weekends dip about 9 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 44.6 percent, essentially tracking the national rate of 45.8 percent, which means the workforce churns about as fast as most places. The current record shows 27 deficiencies with none at harm or jeopardy level, though one is abuse-related. Its last inspection was in January 2025, and quality measures score poorly even as staffing scores well.

Nurse hours

4.21 /day

Staff turnover

50%

Serious cites

0

Town Of Vici Nursing Home is city/county-owned, and its nurse staffing runs about 4.21 hours per resident day, roughly 9% above the national average, though weekends drop about 11% below its own weekday levels. That staffing picture sits alongside a 4-out-of-5 health inspection rating and a recent inspection in April 2025, but the record also shows 15 deficiencies, one of them at the harm or jeopardy level, and one fine of $8,018. Staff turnover at 50% edges past the national 45.8%, and the quality measure rating comes in at 2 out of 5. What you're looking at is a home that inspects well and staffs decently on weekdays, with real turnover and quality-measure gaps underneath.

Nurse hours

3.59 /day

Staff turnover

49%

Serious cites

0

Park Bend runs below the national average on nurse staffing, and its own weekend hours drop about 13% below weekdays, so the coverage gap widens exactly when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, seven of them at harm or jeopardy level, one abuse-related, and $65,855 in fines across three events. Staff turnover sits at 49.4%, meaning roughly half the nursing team leaves each year, which makes consistent care hard to sustain. What lifts the numbers is the quality measure score, but that reflects resident outcomes on paper, not the hands available each shift. Hospital district ownership doesn't change any of this.