956 Government-Run Nursing Homes in the United States

Nurse hours

4.21 /day

Staff turnover

45%

Serious cites

0

Lafayette Manor is county-owned, and its staffing is the strongest part of the picture: 4.21 nurse hours per resident day, about 9% above the national average, with weekend coverage dipping only slightly below weekdays and turnover at 45.1%, essentially in line with the national rate. The trouble sits in inspections. A two-out-of-five inspection rating comes with 53 deficiencies on the current record, six of them serious enough to put residents in harm's way and 14 tied to abuse. Two fines total $159,661. The most recent inspection, in March 2026, is recent enough that this is a current picture, not an old one.

Nurse hours

3.91 /day

Staff turnover

58%

Serious cites

0

Cody Regional Health Long Term Care Center runs on a hospital district's budget and holds a 4-star health inspection rating from CMS, with its most recent survey in April 2026 and no deficiencies at the harm or jeopardy level. The catch is staffing stability: 57.9% annual turnover against a national average of 45.8%, and weekend coverage that drops roughly 15% below what the home staffs on weekdays. Total nurse hours sit at 3.91 per resident day, barely above the national 3.86. Thirteen deficiencies are on record, one tied to abuse. The quality measure score of 2 stars suggests clinical outcomes aren't keeping pace with the inspection findings.

Nurse hours

3.18 /day

Staff turnover

45%

Serious cites

0

Heritage House at Keller runs on 3.18 total nurse hours per resident day, roughly 18 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5 even as quality measures score 5 out of 5, a gap worth asking about, since strong outcomes can reflect careful documentation as much as daily care. Turnover is 45.3 percent, essentially level with the national 45.8 percent. The inspection record is more concerning: 20 deficiencies, including 2 at the harm level and 2 abuse-related, plus $22,608 in fines. It's hospital-district owned and last inspected in December 2025.

Nurse hours

3.28 /day

Staff turnover

41%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Raymondville runs on thinner nursing hours than most: 3.28 per resident day against a national average of 3.86, and weekends drop about 14 percent below its own weekday levels. That staffing number earned a 1 out of 5 from CMS, and the health inspection record sits at 2 out of 5, with 33 deficiencies on file, seven tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was in February 2026. Turnover is 41.3 percent, slightly better than the 45.8 percent national figure, and the hospital district ownership is worth noting. Quality measures scored 4 out of 5, but that's where the strengths end.

Nurse hours

2.61 /day

Staff turnover

41%

Serious cites

0

Focused Care At Fort Stockton runs on thin nursing coverage: 2.61 nurse hours per resident per day, roughly a third below the national average of 3.86, and weekends dip about 10% below its own weekday level. That gap is the main story here, and it's why the staffing rating sits at 1 out of 5 even though the quality measure score is 4 out of 5. The inspection record shows 19 deficiencies, including three at the harm level and three tied to abuse, with one fine of $7,105. Turnover at 40.5% is slightly better than the 45.8% national figure. Owned by a hospital district, it was last inspected in March 2026.

Nurse hours

3.36 /day

Staff turnover

63%

Serious cites

0

Avir At Lancaster runs on thinner nursing hours than most homes, 3.36 per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday coverage. Staff turnover sits at 63.2%, well above the 45.8% national figure, so familiar faces are not the norm here. The federal inspection record shows 26 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $49,281 in fines across three penalties. A recent inspection in January 2026 and a federal government owner round out the picture. The quality measure score looks strong on paper, but the staffing and inspection numbers are the ones to weigh.

Nurse hours

3.43 /day

Staff turnover

43%

Serious cites

0

Advanced Rehabilitation and Healthcare of Wichita runs 180 certified beds as a for-profit corporation, and its inspection record is its strongest suit, a 4/5 health inspection rating with 20 deficiencies on file, none at the harm or jeopardy level. Two of those are abuse-related, which is worth asking about directly. Where the numbers get thinner is staffing: 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop about 13% below its own weekday level. Annual turnover sits at 42.6%, a bit better than the 45.8% national figure. Last inspection was December 6, 2024.

Nurse hours

2.82 /day

Staff turnover

41%

Serious cites

0

Avir At Pilot Point runs on leaner nurse staffing than most homes, 2.82 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. Turnover sits at 40.9%, a bit better than the 45.8% national figure, and the home is government-owned by a hospital district. Its inspection record shows 14 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent visit was June 5, 2025. Quality measures and health inspections both rate well; staffing is where the gap shows. If your relative needs frequent hands-on help, ask how afternoons and weekends are actually covered.

Nurse hours

3.38 /day

Staff turnover

51%

Serious cites

0

The Waterton is a hospital-district home in Tyler, and its inspection record is its strongest feature, a four-star health inspection rating, with the most recent visit in May 2026. But ten deficiencies sit on the current record, two of them serious enough to reach harm or jeopardy level, and CMS has fined the home twice for a combined $23,389. The bigger issue is the floor. At 3.38 nurse hours per resident day, staffing falls about 13 percent under the national average, weekend coverage drops roughly 11 percent below the home's own weekday level, and turnover runs near 51 percent against a national 45.8. A hospital district can bring stability that for-profit chains often can't, but the numbers here still point to a thin, churning direct-care staff.

Nurse hours

3.07 /day

Staff turnover

49%

Serious cites

0

Park Manor Bee Cave is a hospital-district home with 140 beds, and its numbers point in two directions at once. The quality measures look good, but staffing runs about 3.07 nurse hours per resident day against a national average of 3.86, weekends drop roughly 14% below its own weekday levels, and turnover sits at 48.5%. The inspection record is the real concern: 36 deficiencies currently on file, 7 of them at the harm or jeopardy level, one abuse-related, and $19,608 in fines across two cases. The most recent inspection was September 2025, so that record is recent, not stale. Good clinical scores on paper don't offset thin weekend coverage and a serious deficiency history.

Nurse hours

3.00 /day

Staff turnover

36%

Serious cites

0

Lexington Medical Lodge runs on 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 12% below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 1 out of 5, even though turnover at 35.8% is actually better than the 45.8% national figure, a stable crew working with fewer hands than most homes. The inspection side tells a different story: a 5/5 health inspection rating, 12 deficiencies on record with none at the harm or jeopardy level and none abuse-related, and a survey as recent as April 2025. This government hospital-district home passes its inspections cleanly; the open question is whether the daily staffing level matches what those inspections suggest.

Nurse hours

2.99 /day

Staff turnover

43%

Serious cites

0

Starr County Nursing And Transitional Care runs on thin nursing hours, 2.99 per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home itself staffs on weekdays. Turnover sits at 42.7%, a bit better than the 45.8% national figure, and the home is government-owned through a hospital district. Inspections look strong on paper: 4 of 5 stars, most recent visit January 13, 2026, and 27 deficiencies with none rising to harm or jeopardy. Three abuse-related citations are on the record, though. The staffing gap is what pulls this home's overall standing down.

Nurse hours

4.67 /day

Staff turnover

52%

Serious cites

0

Douglas Jacobson State Veterans Nursing Home runs on state government ownership in Port Charlotte with 120 certified beds, and its nurse staffing sits at 4.67 hours per resident day, roughly 21% above the national average. But look past that headline number and the picture gets uneven: weekend staffing drops about 15% below its own weekday level, so coverage depends on which day your family member needs help. The current inspection record carries 20 deficiencies, five of them at harm or jeopardy level and five abuse-related, with seven fines totaling $139,435 and a September 2024 inspection. Annual turnover of 52.1% tops the national 45.8% average, meaning the people providing that generous staffing are often new to the building.

Nurse hours

4.33 /day

Staff turnover

68%

Serious cites

0

Community Nursing and Rehabilitation Center is county-owned and carries 115 certified beds on Indianapolis's east side. The raw staffing number looks decent, 4.33 nurse hours per resident day, about 12% above the national average, but weekends run roughly 20% below its own weekday level, and annual turnover sits at 67.7% against a national 45.8%. Inspectors have logged 37 deficiencies, including one at the harm or jeopardy level and three tied to abuse; the health inspection rating is 1 out of 5, while resident outcome measures score 5 out of 5. One fine totaling $12,735 is on record, and the most recent inspection closed in April 2026. The county's answer to understaffing is overtime and turnover, not more hires.

Nurse hours

3.49 /day

Staff turnover

57%

Serious cites

0

Altenheim Health & Living Community is county-owned and holds 87 certified beds, and its recent inspection history is genuinely solid, a 4 out of 5 on health inspections, a perfect 5 on quality measures, and 11 deficiencies on record with none rising to harm or jeopardy and nothing abuse-related. The problem sits in the staffing column. At 3.49 nurse hours per resident day, this home runs about 10% under the national average, and weekends drop roughly 20% below its own weekday levels, meaning care thins out exactly when families tend to visit. Annual turnover of 57.3% against a 45.8% national average suggests a workforce that isn't sticking around. A last inspection in June 2025 means the record is current.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Southwest Medical Center's skilled nursing unit is small, 18 certified beds, and it's run by Seward County rather than a for-profit chain, which tends to matter for how a place is staffed and maintained. State inspectors were last in on April 22, 2026, and the record shows 15 deficiencies, but none rose to the level of actual harm or immediate jeopardy, and there's no abuse history on file. That's a meaningful distinction: paperwork and process problems, not residents getting hurt. Both the health inspection and quality measure ratings sit at three out of five stars. For a county-run home this size in southwest Kansas, the picture is a steady one, not spotless on compliance, but not dangerous either. Ask about the specific deficiencies and how they've been corrected.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Sharkey-Issaquena Nursing Home is county-owned and small, with 54 certified beds in Rolling Fork. Its ten deficiencies on the current record were all lower-level, none caused harm or jeopardy to a resident, and none were abuse-related, which matters more than the raw count. The last inspection was in October 2024, so the record is reasonably current. Federal ratings land at three stars for both health inspections and quality measures, putting this home squarely in the middle of the pack rather than at either extreme. For a family weighing a rural Mississippi county facility, the honest read is a place with no serious safety citations on file, average marks, and the accountability that comes with public ownership.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Battle Mountain General Hospital runs a small 25-bed unit as a government hospital district, and its inspection record is the bright spot: a four-star health inspection rating and a survey from February 2025, so the findings are recent. The 31 deficiencies on file include none at the harm or jeopardy level, though one is abuse-related. Staffing is where this home falls short, a one-star rating means nurse hours per resident sit well below the national average, and in a 25-bed hospital-based unit that thin coverage leaves little margin. Quality measures land in the middle. Families should ask directly how many nurses are on the floor at night.

Nurse hours

2.04 /day

Staff turnover

29%

Serious cites

0

Estelline Nursing And Care Center is city-owned, which is unusual, and its 28.8% turnover is well below the 45.8% national average, staff tend to stay. The problem is how few of them there are: 2.04 nurse hours per resident day, roughly 47% under the national average of 3.86, and weekends run about 21% thinner than weekdays. One deficiency sits on the current record, and it's at the harm level, with a $16,826 fine attached. The last inspection was April 2025, so that finding is recent. Quality measures look decent at 4 stars, but low staffing is hard to offset when something goes wrong.

Nurse hours

3.85 /day

Staff turnover

—

Serious cites

0

Mccamey Convalescent Center is a 30-bed hospital-district home, which means it answers to local government rather than a chain. Its total nurse staffing of 3.85 hours per resident day sits essentially right at the national average of 3.86, but weekends drop about 10% below its own weekday coverage, worth asking about if your family visits or needs help on Saturdays and Sundays. The health inspection side looks solid, with a 4-out-of-5 star rating and a recent survey completed in December 2025, and none of its 14 deficiencies rose to the harm or jeopardy level. One is abuse-related, though, and the quality measure and staffing star ratings both come in at 1 out of 5.