956 Government-Run Nursing Homes in the United States

Nurse hours

3.94 /day

Staff turnover

47%

Serious cites

0

Alexandria Care Center runs 70 beds as a county-owned home, and its nurse staffing sits at 3.94 hours per resident day, a bit above the national average of 3.86, though weekends drop about 18% below its own weekday coverage. That gap matters when aides are spread thinner on Saturdays and Sundays. The current inspection record shows 14 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the most recent survey dated August 2025. Staff turnover lands at 47.2%, slightly worse than the national 45.8%. County ownership doesn't automatically mean better oversight here; the numbers point to a home that's adequate on paper but has real trouble spots worth asking about directly.

Nurse hours

3.67 /day

Staff turnover

62%

Serious cites

0

River Terrace is county-owned, which usually means steadier oversight than you'd get from a for-profit chain, and the inspection record backs that up: a five-star health inspection rating, just four deficiencies on the books, none causing harm and none tied to abuse, with the most recent visit in December 2025. The trouble sits in the day-to-day staffing. At 3.67 nurse hours per resident, it runs about 5% under the national average, and weekends drop roughly 16% below its own weekday coverage, that's when families tend to notice slower call bells. Turnover near 62%, well above the 45.8% national figure, means the people caring for your relative keep changing.

Nurse hours

3.46 /day

Staff turnover

61%

Serious cites

0

Monroe Manor is county-owned, and its inspection record is genuinely strong, a five-star health inspection rating, with the most recent survey in March 2024. The problem sits elsewhere. Total nurse staffing runs 3.46 hours per resident day against a national average of 3.86, weekend coverage drops about 16% below its own weekday levels, and annual turnover hits 61.4% where the national figure is 45.8%. Thirteen deficiencies are on the current record, one serious enough to involve harm or jeopardy, plus a single fine of $35,360. Good surveys can't fully offset thin weekend staffing and a workforce that's turning over faster than most. Ask how they cover weekends and what they're doing to keep nurses.

Nurse hours

3.89 /day

Staff turnover

45%

Serious cites

0

Monroe Community Hospital is a county-run home with 566 beds, and its numbers tell two different stories. The clinical quality measures look good, four stars there, but the inspection record is where things fall apart: 11 deficiencies, four of them serious enough to put residents in harm's way, and two tied to abuse. Fines total nearly $95,000. Staffing sits just barely above the national average, and weekends run about 17% thinner than weekdays, which matters when you're thinking about who's actually on the floor on a Saturday. Turnover, at 45.3%, is roughly in line with the national rate. The last full inspection was in December 2024.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

The Michael J. Fitzmaurice South Dakota Veterans Home runs 78 certified beds as a state-owned facility, and its inspection record is where the trouble shows. Fifteen deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine totaling $39,293. That May 2025 inspection is recent enough to reflect how the home operates now. Quality measures score well at 4 out of 5, so resident care metrics look better than the inspection side, but a two-star health inspection rating and that abuse count are the numbers a family should ask about directly before deciding.

Nurse hours

4.77 /day

Staff turnover

44%

Serious cites

0

Hardin County Nh runs 4.77 total nurse hours per resident per day, roughly a quarter more staffing than the national average, and its 44.2% turnover sits just under the national rate. Those are the positives. Against them: eleven deficiencies on the current record, three serious enough to involve harm or jeopardy, and $67,490 in fines across two events. The quality measure rating sits at 1 out of 5, weekend staffing drops about 17% below weekday levels, and the last inspection was February 2026. County ownership is stable, but stable isn't the same as clean. If you're considering this one, ask what specifically drove those three harm-level findings and how weekend coverage actually looks in practice.

Nurse hours

3.06 /day

Staff turnover

51%

Serious cites

0

McKinney Healthcare and Rehabilitation Center sits at 125 certified beds under hospital district ownership, and the inspection record is the bright spot here, a 4-out-of-5 health inspection rating with the most recent survey done in May 2025. The 21 deficiencies on file are mostly low-level, with none rising to harm or jeopardy, though one is abuse-related and worth asking about directly. Staffing is where the numbers get thin. At 3.06 nurse hours per resident day, this home runs roughly 21 percent below the national average, weekends drop about 19 percent below its own weekday coverage, and turnover hits 50.7 percent against a 45.8 percent national figure. Ask how they cover weekends and how long the current director of nursing has been in place.

Nurse hours

3.46 /day

Staff turnover

50%

Serious cites

0

Majestic Care of Terre Haute is county-owned, with 104 certified beds in Vigo County. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average of 3.86, and weekends run about 9% thinner than the home's own weekdays. Annual turnover is 50%, above the national 45.8% figure. The current record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse. The last inspection was September 11, 2025. CMS rates staffing 2 out of 5 and health inspections 2 out of 5, while quality measures land at 4 out of 5, a split worth asking about, since the quality score reflects resident assessments rather than the hands available to deliver care.

Nurse hours

3.35 /day

Staff turnover

50%

Serious cites

0

University Heights is county-owned and carries 176 certified beds, and its inspection record is genuinely strong, a 4-out-of-5 health inspection rating and no deficiencies at the harm or jeopardy level. The problem sits in the day-to-day. Total nurse staffing of 3.35 hours per resident day runs roughly 13% under the national average, weekends slip another 13% below the home's own weekday coverage, and turnover hits 50% against a national 45.8%. Two of its 16 deficiencies are abuse-related. The last inspection was May 2026, so that record is reasonably current. Good inspections paired with thin, churning staffing is the tension worth understanding before you visit.

Nurse hours

4.18 /day

Staff turnover

42%

Serious cites

0

Camelot Care Center is county-owned, and its inspection record is the standout: a 5/5 health inspection rating with just seven deficiencies on the books, none at the harm level and none abuse-related. The last inspection was in May 2026. Staffing is the complicated part. At 4.18 nurse hours per resident day, it runs about 8% above the national average, yet the federal staffing rating sits at 1/5 because weekend coverage drops roughly 14% below its own weekday level, the quiet stretches matter. Turnover at 41.6% is slightly better than the 45.8% national figure. Quality measures land mid-pack at 3/5. So: a clean inspection history paired with stretched weekend staffing and a so-so clinical picture.

Nurse hours

3.24 /day

Staff turnover

38%

Serious cites

0

The Waters of Rising Sun runs on thinner staffing than most places, 3.24 nurse hours per resident day against a national average of 3.86, and weekends drop about another 10% below its own weekday levels. That's the main thing pulling its rating down. Turnover is 37.5%, which is actually better than the 45.8% national figure, and the home is hospital-district owned, so it isn't a for-profit chain cutting corners for shareholders. Its 28 deficiencies on record include none at the harm level and none abuse-related, and the last inspection was March 2026. Quality and inspection scores land middle of the pack. If you're considering it, ask specifically who covers the floor on Saturday and Sunday.

Nurse hours

4.29 /day

Staff turnover

80%

Serious cites

0

Eastern Montana Veterans Home in Glendive runs 4.29 nurse hours per resident day, about 11% above the national average, but weekends drop roughly 14% below its own weekday staffing. The bigger concern is turnover: 79.7% annually, well above the 45.8% national figure, which means the people at the bedside keep changing. Its record shows 31 deficiencies, including 6 at the harm or jeopardy level and 6 abuse-related, with three fines totaling $50,805. The last inspection was February 13, 2025, and the state owns the 80-bed home. Strong weekday coverage doesn't cancel out a heavy deficiency history and unstable staffing.

Nurse hours

3.45 /day

Staff turnover

56%

Serious cites

0

Wedgewood runs on thin staffing, and the numbers show it: 3.45 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14% below its own weekday level. That's the kind of gap families notice on Saturday afternoons. Turnover sits at 56.1%, well above the national 45.8%, so the people caring for your relative keep changing. The health inspection record carries 39 deficiencies, three of them serious enough to put residents at risk of harm, though none involve abuse, and two fines total $31,778. A 5/5 quality measure score stands out, but it sits alongside 2/5 ratings for both staffing and inspections, a split worth asking about directly.

Nurse hours

3.39 /day

Staff turnover

54%

Serious cites

0

Avir At Bay City runs on thin staffing: 3.39 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays already are. Annual turnover of 54.2% sits well above the 45.8% national figure, so the people providing that care keep changing. The current record shows 28 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $23,689; the most recent inspection was February 26, 2026. Hospital district ownership is a steadying factor, and the 3/5 inspection and quality ratings are middling rather than alarming. The staffing number is the one to press on when you visit.

Nurse hours

2.57 /day

Staff turnover

55%

Serious cites

0

Monument Rehabilitation and Nursing Center is a 104-bed hospital-district home in La Grange, and its numbers pull in different directions. The clinical quality measures look solid at 4 out of 5 stars, but staffing sits at just 1 star with an annual turnover rate of 54.5 percent, nearly nine points above the national average of 45.8 percent. That churn matters. Twenty-one deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, with $8,281 in fines. The last inspection was September 11, 2025, so the record is recent enough to take seriously. Quality marks alone don't tell you who's showing up to provide the care.

Nurse hours

2.54 /day

Staff turnover

67%

Serious cites

0

Alpine Meadow runs on 2.54 nursing hours per resident day, roughly a third below the national average, and weekends drop another 12% under its own weekday level, so the thinnest coverage lands when families are most likely to visit. Staff turnover sits at 66.7%, well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The current record carries 22 deficiencies, including two at the harm level and six tied to abuse, with one fine of $15,025 and a 2-out-of-5 inspection rating. City/county ownership is unusual here, and quality measures score well, but the staffing and inspection numbers are what a family should weigh.

Nurse hours

3.50 /day

Staff turnover

46%

Serious cites

0

Gracy Woods II runs on 3.50 nurse hours per resident per day, about 9% under the national average, and weekends dip roughly 7% below its own weekday staffing. That thin margin is the main reason it lands where it does, despite steady turnover at 45.5%, essentially the national rate. What keeps it from sliding further is an inspection record with no harm-level or abuse-related deficiencies among its 16, and recent federal surveys from March 2025 that rated four out of five stars for health inspections and quality measures. The staffing star tells the more honest story. If your family member needs frequent hands-on help, ask how weekends are covered before deciding.

Nurse hours

2.67 /day

Staff turnover

43%

Serious cites

0

Avir At Kingsland runs on thin nursing coverage: 2.67 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home manages on weekdays. That staffing level is the main reason the federal staffing rating lands at 1 out of 5, even though turnover at 42.5% is slightly better than the 45.8% national figure. The inspection record shows 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated May 2026. It's a hospital-district home with 122 certified beds, and its health inspection and quality measure ratings both sit at 3 out of 5.

Nurse hours

3.30 /day

Staff turnover

51%

Serious cites

0

Windcrest runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends drop roughly another 9% below its own weekday pace. Turnover sits at 50.5%, above the 45.8% national figure, so the staff covering those shifts is changing fairly often. The record shows 15 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $26,364; the most recent inspection was in May 2026. Quality measures score well, inspections and staffing land mid-range, and hospital-district ownership means public accountability rather than a chain. Ask how they staff weekends and what changed after those two harm-level citations.

Nurse hours

2.98 /day

Staff turnover

52%

Serious cites

0

The Lev At Winchester is run by a hospital district, and its inspection record is the strongest thing going for it, a four-star health inspection score, no deficiencies at the harm or jeopardy level, no abuse citations, and a recent survey from August 2025. On the floor, though, the numbers tell a different story: 2.98 nurse hours per resident per day against a national average of 3.86, with weekends running roughly 12% thinner than weekdays. Staff turnover sits at 52.1%, above the 45.8% national figure, which matters most when the same aides aren't there week to week. Quality measures score well at four stars, and there's just one fine on record, $3,174. If your family member needs steady hands nearby, ask specifically about weekend coverage and how long the current staff have been there.