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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 41 to 60 of 956, best-graded first.

A

94.5/100

Paul E Patton Eastern Ky Veterans Center

Hazard, KY · Perry County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
5.49 /day
Staff turnover
13%
Serious cites
0

Paul E Patton Eastern Ky Veterans Center runs on unusually deep nurse staffing for a nursing home, 5.49 hours per resident day, roughly 42 percent above the national average of 3.86. Weekend coverage dips about 15 percent below its own weekday levels, so that strength thins out somewhat on Saturdays and Sundays. The state-run home in Hazard keeps just 3 deficiencies on its current record with none at the harm or jeopardy level, though 2 are abuse-related, and its last inspection was December 2024. Staff turnover sits at 13 percent against a national average near 46 percent, which matters for whether the same caregivers show up for residents week after week.

A

94.5/100

Eaton County Medical Care Facility

Charlotte, MI · Eaton County

CMS 5/5142 bedsGovernmentMedicaid
Nurse hours
6.31 /day
Staff turnover
38%
Serious cites
0

Eaton County Medical Care Facility is county-owned and staffed well above the national average, 6.31 nurse hours per resident day against 3.86 nationally-a figure that shows up in its staffing and quality ratings. Weekend coverage dips about 16% below its own weekday level, and turnover sits at 38%, lower than the 45.8% national average. The record isn't clean: 18 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Its most recent inspection was February 2026. Strong day-to-day staffing paired with a deficiency history that includes serious findings is what the numbers show.

A

94.5/100

Appleton Area Health

Appleton, MN · Swift County

CMS 3/547 bedsGovernmentMedicaid
Nurse hours
4.81 /day
Staff turnover
34%
Serious cites
0

Appleton Area Health runs on city government ownership and 47 certified beds, and the raw numbers are unusual in one respect: total nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average of 3.86. That's a real margin, though the CMS staffing star lands at just 1/5, and weekend coverage drops about 18% below the home's own weekday level, so the daily experience isn't as steady as the annual figure suggests. Turnover at 34% is better than the 45.8% national rate. Thirteen deficiencies sit on the current record with none at harm or jeopardy level, one abuse-related, and the last inspection was April 2026.

A

94.5/100

Pelican Valley Health Center

Pelican Rapids, MN · Otter Tail County

CMS 5/528 bedsGovernmentMedicaid
Nurse hours
5.11 /day
Staff turnover
28%
Serious cites
0

Pelican Valley Health Center runs on hospital-district ownership in Otter Tail County, which tends to mean steadier budgets than the for-profit chains. The numbers back that up: 5.11 nurse hours per resident day against a national average of 3.86, with weekend staffing dipping about 19% below weekdays, worth asking about if your family visits on Saturdays. Staff turnover sits at 27.5%, well under the 45.8% national figure, so the people caring for residents are more likely to still be there next year. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2026. For 28 beds, that's a clean record.

A

94.5/100

New Gouverneur Hospital Snf

New York, NY · New York County

CMS 5/5295 bedsGovernmentMedicaid
Nurse hours
4.35 /day
Staff turnover
22%
Serious cites
0

New Gouverneur Hospital S N F runs on a level of nurse staffing most homes don't come close to, about 4.35 hours per resident day, roughly 13% above the national average, and its staff turnover sits at 22.2% against a national figure near 46%. The trade-off is weekends, when hours drop about 16% below the home's own weekday pace. The 295-bed city-run home holds a clean recent inspection record (December 2024) with 12 deficiencies, none at the harm level, though one is abuse-related. Three CMS star ratings of four or five say the same thing the numbers do: this is a well-staffed, stable operation with a weekend gap worth asking about.

A

94.5/100

Dr Susan Smith Mckinney Nursing And Rehabilitation

Brooklyn, NY · Kings County

CMS 5/5320 bedsGovernmentMedicaid
Nurse hours
4.72 /day
Staff turnover
20%
Serious cites
0

Dr Susan Smith Mckinney Nursing And Rehabilitation runs on 4.72 nurse hours per resident day, which is roughly 22% above the national average of 3.86, that's real coverage, not a rounding difference. Weekend staffing dips about 16% below its own weekday level, so ask how weekends actually feel. Staff turnover sits at 19.5% against a national average of 45.8%, meaning the people caring for residents tend to stick around. The current record shows just 2 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in October 2024. This is a city-run home in Brooklyn with 320 beds, and the numbers suggest steady, well-staffed care.

A

94.5/100

Northern Regional Hospital

Mount Airy, NC · Surry County

CMS 5/533 bedsGovernmentMedicaid
Nurse hours
4.79 /day
Staff turnover
18%
Serious cites
0

Northern Regional Hospital runs a small 33-bed unit in Mount Airy, and the numbers here are unusually clean. Nurse staffing sits at 4.79 hours per resident per day, roughly a quarter above the national average, and weekend coverage only dips about 20% below weekday levels, a gap that's common but manageable at this size. The turnover figure is the standout: 18.4% against a national average near 46%, which suggests people stay. On inspections, there's a single deficiency on record, none involving harm or abuse, with the most recent survey in March 2025. Government hospital-district ownership doesn't guarantee quality, but it does mean this home answers to a public board rather than shareholders.

A

94/100

Dept Of State Hospitals - Napa D/P Snf

Napa, CA · Napa County

CMS 3/536 bedsGovernmentMedicaid
Nurse hours
10.32 /day
Staff turnover
31%
Serious cites
0

State-run homes in California don't usually post nurse staffing of 10.32 hours per resident day, that's roughly two and a half times the national figure, and it shows up in the five-star staffing rating. Weekend coverage holds within about 4% of weekday levels, so the care doesn't thin out on Saturdays, and turnover at 31.3% sits well below the 45.8% national average. The catch is oversight: 25 deficiencies on the current record, including two tied to abuse, with the most recent inspection in May 2026 and a two-star health inspection rating. None of those deficiencies rose to harm or jeopardy level, which matters, but the volume is worth asking about directly.

A

94/100

Maple Lawn Medical Care Facility

Coldwater, MI · Branch County

CMS 5/5114 bedsGovernmentMedicaid
Nurse hours
4.67 /day
Staff turnover
31%
Serious cites
0

Maple Lawn runs on county money out of Branch County, and the staffing shows it: 4.67 nurse hours per resident per day, roughly a fifth more than the national average, with weekend coverage dipping about 9% below its own weekdays. Turnover sits at 30.9% against a national 45.8%, which matters more than any single inspection score because it's what keeps familiar faces at the bedside. The record isn't spotless, 20 deficiencies, including one at the harm level and three tied to abuse, but the most recent state visit came in August 2025 and produced a four-star inspection result. Strong staffing and steady retention are doing real work here; the abuse-related citations are the part worth asking about directly.

A

94/100

Cass County Medical Care Facility

Cassopolis, MI · Cass County

CMS 5/580 bedsGovernmentMedicaid
Nurse hours
4.85 /day
Staff turnover
39%
Serious cites
0

Cass County Medical Care Facility runs on 4.85 nurse hours per resident day, roughly a quarter more staffing than the national average, and its weekend coverage stays within about 12% of weekday levels, a gap that's often wider elsewhere. Staff turnover sits at 38.8%, below the 45.8% national figure, which matters for residents who benefit from seeing familiar faces. The tradeoff shows up in its record: 22 deficiencies, four serious enough to reach harm or jeopardy level, though none involve abuse, and two fines totaling $15,593. Its last inspection was in March 2025. County-owned and small at 80 beds, this is a well-staffed home with some compliance problems worth asking about directly.

A

94/100

Jnh-Jefferson Inn

Whitfield, MS · Rankin County

CMS 5/590 bedsGovernmentMedicaid
Nurse hours
4.92 /day
Staff turnover
44%
Serious cites
0

Jnh-Jefferson Inn runs on 4.92 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home. Weekends dip about 12% below its own weekday coverage, so ask how that gap gets covered. Turnover sits at 43.5%, slightly better than the national 45.8%, and the current record shows 15 deficiencies with none at harm or jeopardy level and nothing abuse-related. State-run ownership means public accountability, though the three-out-of-five inspection rating suggests room remains. The last inspection was October 2025, so the picture is current. Strong staffing and quality scores carry this home; the inspection history is where you'd want to ask questions.

A

94/100

Douglas County Health Center

Omaha, NE · Douglas County

CMS 3/5254 bedsGovernmentMedicaid
Nurse hours
4.78 /day
Staff turnover
15%
Serious cites
0

Douglas County Health Center runs on a county-owned model, and its staffing shows it: 4.78 nurse hours per resident day, roughly a quarter more than the national average, with just 14.9% turnover against a national rate near 46%. Weekend coverage dips about 8% below weekday levels, but that's a modest gap compared with most homes. The tradeoff sits in its inspection record. Thirty-three deficiencies are on file, including four tied to abuse and one at the harm level, which pulled its health inspection rating down to 2 out of 5. Quality measures score 4 out of 5. The last survey was in May 2025, so the picture is current. Strong staffing, a shakier compliance history, that's the honest tension here.

A

94/100

Hillsborough County Nursing Home

Goffstown, NH · Hillsborough County

CMS 5/5300 bedsGovernmentMedicaid
Nurse hours
3.74 /day
Staff turnover
30%
Serious cites
0

Hillsborough County Nursing Home runs 300 beds as a county-owned home, and its record is unusually clean for a building that size: nine deficiencies total, none of them causing harm or jeopardy, and nothing abuse-related. The last inspection was recent, so that picture isn't stale. Staffing is the one spot worth watching, 3.74 nurse hours per resident day sits just under the national average, and weekends run roughly 11% thinner than weekdays, which is when families tend to visit and notice. What offsets that is retention: turnover of 30.1% is well below the national 45.8%, meaning the people caring for residents largely stay. For a family weighing a large county facility, the steady workforce and clean inspection history matter more than the slight staffing dip.

A

94/100

New Jersey Veterans Memorial Home Menlo

Edison, NJ · Middlesex County

CMS 5/5328 bedsGovernment
Nurse hours
6.02 /day
Staff turnover
17%
Serious cites
0

New Jersey Veterans Memorial Home Menlo runs 328 certified beds in Edison, and it's a state-run home, which shapes how it's staffed and inspected. Nurse coverage sits at 6.02 hours per resident day, roughly 56% above the national average, and weekend staffing barely dips, only about 4% under its own weekday level. Staff turnover is 17%, well below the 45.8% national figure, so the people caring for residents tend to stay. The trade-off shows up in its record: 21 deficiencies, 5 of them serious enough to involve harm or jeopardy, though none abuse-related, and the last inspection came in September 2025.

A

94/100

Roosevelt Care Center At Old Bridge

Old Bridge, NJ · Middlesex County

CMS 5/5180 bedsGovernmentMedicaid
Nurse hours
4.56 /day
Staff turnover
31%
Serious cites
0

Roosevelt Care Center At Old Bridge runs on county money and 180 certified beds, and the staffing numbers are the first thing worth noticing: 4.56 nurse hours per resident day, roughly 18% above the national average, with turnover at 31.4% against a national 45.8%. Weekend coverage dips about 6% from weekday levels, which is common but still worth asking about. The inspection record shows 16 deficiencies, none at the harm or jeopardy level, one tied to abuse, and the most recent visit was September 2025, so the record is current. A five-star inspection rating and five-star quality measures sit behind that. If you tour, ask how the abuse-related finding was resolved and what weekends actually look like on the floor.

A

94/100

Upstate University Hosp At Community General T C U

Syracuse, NY · Onondaga County

CMS 5/520 bedsGovernment
Nurse hours
8.21 /day
Staff turnover
54%
Serious cites
0

Upstate University Hospital's TCU is a 20-bed unit in Syracuse run by New York State, and the staffing numbers stand out right away: 8.21 nurse hours per resident day, more than double the national average. That kind of coverage shows up in the inspection record too, with four deficiencies on file and none involving harm or jeopardy to a resident. The tradeoff is retention. At 53.7% annual turnover, this unit replaces over half its nursing staff every year, well above the 45.8% national figure, so consistent care often depends on newer faces. Weekend hours dip only slightly, about 2% under weekdays. Its last inspection was July 2025.

A

94/100

North Dakota Veterans Home

Lisbon, ND · Ransom County

CMS 5/552 bedsGovernmentMedicaid
Nurse hours
5.07 /day
Staff turnover
33%
Serious cites
0

The state-run veterans home in Lisbon runs nurse staffing at 5.07 hours per resident day, about 31 percent above the national average, and its staff turnover of 32.9 percent sits well under the 45.8 percent national figure. Weekend coverage dips roughly 10 percent below its own weekday level, so ask how that plays out on a Saturday. Nine deficiencies appear on the current record, two of them serious enough to reach harm or jeopardy level, with two fines totaling $32,128. Its last inspection was in August 2025.

A

94/100

Canyonland Care Center

Moab, UT · Grand County

CMS 5/536 bedsGovernmentMedicaid
Nurse hours
4.96 /day
Staff turnover
22%
Serious cites
0

Canyonland Care Center is county-owned, and that shows in the numbers: 4.96 nurse hours per resident day, roughly 28% above the national average, with a 5-star staffing rating to match. Staff turnover is 21.6% against a national average near 46%, a workforce that mostly stays put, though weekend coverage dips about 7% below weekday levels. The trouble sits in the inspection record. Seventeen deficiencies, two of them serious enough to risk harm, including five tied to abuse, and one fine of $11,193. Two stars worth of quality and health ratings don't erase that. Good staffing is the strength here; the survey history is what a family needs to ask about directly.

A

94/100

Washington State Walla Walla Veterans Home

Walla Walla, WA · Walla Walla County

CMS 4/580 bedsGovernmentMedicaid
Nurse hours
6.41 /day
Staff turnover
23%
Serious cites
0

The state-run veterans home in Walla Walla staffs at 6.41 nurse hours per resident day, about two-thirds more than the national average, and its workforce is unusually stable for this industry, 22.8% turnover against a national rate near 46%. Weekend coverage dips roughly 10% below weekday levels, so ask how that plays out on a Sunday. The tradeoff shows up in its record: 26 deficiencies, including one at the harm level and three tied to abuse, plus a $15,935 fine. Inspectors were last in on February 27, 2026. Strong staffing and recent, decent inspections, but read the abuse-related findings yourself before deciding.

A

94/100

Columbia Basin Hospital

Ephrata, WA · Grant County

CMS 3/512 bedsGovernmentMedicaid
Nurse hours
5.22 /day
Staff turnover
31%
Serious cites
0

Columbia Basin Hospital is a small county-run home in Ephrata, just 12 beds, and the nurse staffing number is genuinely high: 5.22 hours per resident day, roughly a third more than the national average. Turnover sits at 31.3%, well under the 45.8% national figure, and weekend coverage barely dips from weekday levels. The complication is its record. Thirty-one deficiencies are on file, including six tied to abuse, though none reached the harm or jeopardy level, and the last inspection was recent. CMS also rates its staffing at just 1 out of 5 stars, which sits oddly beside the hours reported. If you're considering it, ask directly about those six abuse-related findings and how the staffing star got so low when the hours look strong.

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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