956 Government-Run Nursing Homes in the United States

Nurse hours

3.06 /day

Staff turnover

51%

Serious cites

0

Princeton Medical Lodge runs on a government hospital district license with 138 certified beds, and its inspection record is genuinely clean, a five-star health inspection rating, 11 deficiencies with none at harm or jeopardy level and nothing abuse-related, and a survey as recent as March 2026. Where the picture changes is daily care capacity. Nurse staffing sits at 3.06 hours per resident day against a national average of 3.86, roughly a fifth below it, and weekends drop about 15% below the home's own weekday coverage. Staff turnover of 51.1% tops the 45.8% national figure. Strong surveys, thin staffing, and a workforce that keeps cycling through, that combination is what pulls the overall grade down.

Nurse hours

4.07 /day

Staff turnover

62%

Serious cites

0

Brooke Knoll Village is county-owned, with 117 certified beds in Avon. Nurse staffing averages 4.07 hours per resident day, roughly 5% above the national figure of 3.86, but weekends run about 15% thinner than weekdays, and annual turnover sits at 61.7% against a national 45.8%. That churn matters more than the headline hours. The current record shows 29 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated April 9, 2026. CMS gives 2 of 5 stars for both health inspections and staffing, while quality measures score 4 of 5. The county backing is steady; the workforce underneath it is not.

Nurse hours

3.42 /day

Staff turnover

56%

Serious cites

0

Golden Age runs on county money in a small Caldwell County town, and its inspection record is the strongest thing about it, a four-star health inspection rating with the most recent visit in September 2025. But 23 deficiencies sit on the current record, including one that caused actual harm and four tied to abuse, and those don't disappear because the last inspection went reasonably well. Direct care runs about 12% under the national average, weekends drop roughly 17% below weekdays, and more than half the nursing staff turned over in a year against a national rate near 46%. Quality measures score two stars. Families should ask who's on duty Saturday and how abuse findings were resolved.

Nurse hours

3.78 /day

Staff turnover

47%

Serious cites

0

Obion County Nursing Home runs on a county government budget, and the numbers show where that leaves the floor: 22 deficiencies on its current record, including three tied to abuse and two serious enough to put a resident in harm's way. The last inspection was in February 2026, so that record is current, not stale, and it has drawn two fines totaling $23,963. Staffing is the one place it holds up, nurse hours per resident day come in just under the national average, and CMS gives it 4 of 5 stars there, but weekends drop about 15% below its own weekday coverage, and turnover sits at 47.1%. Roughly half the staff leaving each year makes consistent care hard.

Nurse hours

3.45 /day

Staff turnover

42%

Serious cites

0

Northeast Rehabilitation runs on 3.45 nursing hours per resident day, about 11% under the national average, and weekends drop roughly 15% below its own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure, but the inspection record is where the real trouble shows: 45 deficiencies, two at harm or jeopardy level, and five tied to abuse. Fines total $16,449 across two penalties, and the last inspection was March 2025. It's a government hospital-district home, so ownership isn't the issue here, the staffing shortfall and that deficiency count are what a family should weigh before deciding.

Nurse hours

4.78 /day

Staff turnover

—

Serious cites

0

Reagan County Care Center runs on unusually heavy staffing for a small Texas home, 4.78 nurse hours per resident day, roughly a quarter above the national average, though weekends dip about 9% below its own weekday levels. The tradeoff shows up elsewhere: a 1-out-of-5 quality measure rating and 12 deficiencies on record, none tied to harm, jeopardy, or abuse. Inspectors last visited in May 2025, and 19 fines totaling $123,755 have accumulated. The staffing number is real and worth asking about directly. So are the quality measures and that fine history.

Nurse hours

3.20 /day

Staff turnover

34%

Serious cites

0

West Oaks runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 16% below its own weekday coverage. That staffing pattern sits behind a 2-star rating from CMS, and the inspection record shows 32 deficiencies, five of them serious enough to put residents at harm or jeopardy, plus two fines totaling $39,527. What cuts the other way: staff turnover is 34.1%, well below the 45.8% national figure, and the quality measures score 4 out of 5. It's a hospital-district home with a recent February 2026 inspection, so the picture is current. The tradeoff is real, stable caregivers, but not enough of them on the floor.

Nurse hours

3.20 /day

Staff turnover

32%

Serious cites

0

Mason Creek runs on 3.20 nurse hours per resident day, roughly 17 percent under the national figure of 3.86, and weekends drop about 16 percent below its own weekday staffing. That thinner coverage sits alongside 15 deficiencies on the current record, three of them at harm or jeopardy level and one abuse-related, plus two fines totaling $16,175. Turnover is the bright spot: 31.9 percent against a national 45.8 percent, and the hospital district ownership means no corporate chain pulling the strings. Last inspection was December 12, 2024, and its three CMS star ratings each sit at three out of five.

Nurse hours

2.89 /day

Staff turnover

40%

Serious cites

0

Gogebic Medical Care Facility runs on noticeably thin staffing: 2.89 nurse hours per resident day against a national average of 3.86, with weekends about 7% leaner than weekdays. Turnover sits at 40.4%, a bit better than the 45.8% national figure, so the county does hold onto workers somewhat more reliably than many operators. The inspection record is the harder read, 10 deficiencies, four of them at harm or jeopardy level and one abuse-related, plus a $16,153 fine, on a survey completed March 4, 2025. Quality and inspection scores both land at 2 out of 5, staffing at 1.

Nurse hours

3.51 /day

Staff turnover

52%

Serious cites

0

Schoolcraft Medical Care Facility is county-owned and holds 85 certified beds, and its staffing sits about 9% below the national average at 3.51 nurse hours per resident day. Weekends run roughly 10% thinner than weekdays, and turnover hits 51.5% against a national 45.8%, so the people who stay are stretched thinnest exactly when backup is hardest to find. The inspection record is where it gets harder to wave off: 19 deficiencies, three at harm or jeopardy level, four tied to abuse, and a $63,492 fine. The last inspection came in January 2025. Quality measures score middling, staffing scores comparatively well on paper, but the deficiency history tells a different story about what that staffing actually delivers.

Nurse hours

4.24 /day

Staff turnover

—

Serious cites

0

Jones County Rest Home runs a city/county operation in Ellisville with 122 certified beds, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. That's real coverage on paper, though weekends drop about 22% below the home's own weekday levels, so the weekday number isn't what a Saturday looks like. The inspection record is where the trouble shows. Sixteen deficiencies are on file, three of them serious enough to count as harm or jeopardy, plus two fines totaling $12,735. The most recent inspection was in March 2025, and both the health inspection and quality measure ratings came back at 2 out of 5. Nothing here is abuse-related, but three harm-level findings is a lot for a home this size.

Nurse hours

3.50 /day

Staff turnover

—

Serious cites

0

Putnam County Care Center runs about 3.50 nursing hours per resident day, roughly 9% under the national average of 3.86, and weekend staffing drops nearly a fifth below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current inspection record carries 24 deficiencies, three of them serious enough to involve harm or jeopardy, plus three fines totaling $72,664; the last inspection was September 2024. As a county-owned home, it answers to local government rather than a chain, but that hasn't translated into stronger numbers here. Quality measures look ordinary at three stars, while inspection and staffing sit at two each.

Nurse hours

— /day

Staff turnover

64%

Serious cites

0

Arbor Care Centers-Countryside is city-owned, with 70 certified beds in Madison. Its last inspection wrapped in December 2025, and what inspectors have on record is heavy: 31 deficiencies, including four tied to abuse and two serious enough to put residents in harm's way. Staffing is where the trouble really shows, the federal staffing rating sits at 1 out of 5, and turnover runs about 64 percent a year against a national average near 46 percent, meaning most of the people caring for your family member this year likely won't be there next year. Resident outcome measures look strong on paper, but thin, constantly changing staffing is what tends to wear those numbers down.

Nurse hours

4.25 /day

Staff turnover

52%

Serious cites

0

Willow Point runs a county-owned, 300-bed home in Vestal, and the staffing numbers are its clearest strength: 4.25 nurse hours per resident day, roughly 10% above the national average. But weekends drop about 12% below its own weekday level, and turnover sits at 52.1% against a national 45.8%, so that coverage isn't always steady. The bigger concern is the inspection record, a 1-out-of-5 health inspection rating, 26 deficiencies with two at harm or jeopardy level, two abuse-related, and a $166,364 fine, with the last survey in June 2025. Quality and staffing measures both land at 3 out of 5. Families weighing this one should ask directly about weekend coverage and the abuse-related findings.

Nurse hours

3.50 /day

Staff turnover

61%

Serious cites

0

The Pines in Olean is county-owned, which matters less than what the numbers show. Nurses provide 3.50 hours of care per resident per day, about 9% under the national average of 3.86, and weekends run roughly a tenth thinner than weekdays, so the weakest coverage lands when families tend to visit. Annual turnover sits at 60.8% against a national 45.8%, meaning most of the staff you meet this year likely won't be there next. The good news: inspections are recent, the health inspection rating is strong at 4 of 5, and none of the nine deficiencies on record reached harm or jeopardy level. Three are abuse-related, though, which is worth asking about directly.

Nurse hours

3.44 /day

Staff turnover

77%

Serious cites

0

Lakeside Health & Rehab Center runs 114 certified beds in Huntersville under federal government ownership, and the numbers split in two directions. The clinical quality measures look strong, but staffing sits at 3.44 hours per resident per day against a national average of 3.86, roughly 11% below, and weekends drop about 14% below the home's own weekday level. Staff turnover is the sharper concern: 77.2% annually, well above the 45.8% national figure, which means aides and nurses are cycling through constantly. Fifteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection came in December 2025. Good outcomes depend on consistent hands, and this home struggles to keep them.

Nurse hours

3.12 /day

Staff turnover

—

Serious cites

0

El Paso Health & Rehabilitation Center runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday staffing. That thin coverage sits behind a one-star CMS staffing rating and 55 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Inspectors were last in on August 7, 2025, so the findings are recent, and the home carries one fine of $20,312. It's a 150-bed hospital-district facility, which can mean public oversight, but the numbers here don't show it translating into safer care.

Nurse hours

5.17 /day

Staff turnover

98%

Serious cites

0

Mesa View Senior Living in Canadian runs on a hospital district's license and staffs at 5.17 nurse hours per resident day, roughly a third more than the national average of 3.86, with weekends dipping only slightly below weekdays. That kind of coverage is hard to find. The complications sit elsewhere: staff turnover hits 98.2% against a national 45.8%, meaning the people providing that generous coverage are largely new faces. Sixteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in December 2025. Quality measure scores land at 1 out of 5 stars, which reflects resident-level clinical outcomes rather than the staffing numbers.

Nurse hours

4.29 /day

Staff turnover

73%

Serious cites

0

McKay Healthcare & Rehab Center is a small hospital-district home in Soap Lake, and its day-to-day staffing looks solid on paper, 4.29 total nurse hours per resident, roughly 11% above the national average. But that average hides two things worth asking about: weekends run about 14% thinner than weekdays, and annual turnover sits at 72.9%, well above the national 45.8%. A recent inspection in March 2025 and a four-star health inspection rating are genuine positives, but the current record carries 40 deficiencies, including one at the harm level and five tied to abuse, plus a $113,505 fine. Good inspections, but the staffing churn is the number I'd press them on.

Nurse hours

3.36 /day

Staff turnover

31%

Serious cites

0

Renaissance Rehabilitation runs on a government hospital district's license in Italy, Texas, with 74 certified beds. The inspection record is the standout: a five-star federal rating, 11 deficiencies on file and none of them at the harm or jeopardy level, with the most recent survey done in September 2025. Staffing tells a different story. At 3.36 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, weekends run roughly a tenth thinner than weekdays, and the government's staffing rating lands at two stars. Turnover, though, is genuinely low at 31.1 percent against a 45.8 percent national figure. Quality measures rate two stars.