956 Government-Run Nursing Homes in the United States

Nurse hours

3.42 /day

Staff turnover

98%

Serious cites

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Avalon Place Kirbyville runs on thin staffing: 3.42 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. The bigger red flag is turnover, 97.8% annually, meaning the whole nursing workforce essentially turns over every year, more than double the national rate. Inspections look solid on paper (4 stars, most recent visit December 2025), but the record carries 17 deficiencies, including one at harm level and one abuse-related, plus $9,113 in fines. Government hospital-district ownership hasn't translated into stable caregivers. Families should ask hard questions about who's actually on the floor, especially Saturdays and Sundays, and how often the staff you meet will still be there in six months.

Nurse hours

3.23 /day

Staff turnover

70%

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Care Inn Of La Grange runs on thin staffing. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 12% below its own weekday levels, so the hours when families visit most are often the leanest. That shows up in the one-star staffing rating, and in turnover: 70% of staff leave each year against a national rate near 46%, meaning many of the people caring for residents are still learning the building. The good news is the clinical picture. A five-star quality measure rating and a clean inspection record, 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last survey in March 2026. Government hospital district ownership adds some stability. The tradeoff is real: strong outcomes, strained hands.

Nurse hours

2.96 /day

Staff turnover

58%

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Keller Oaks runs on thin staffing. At 2.96 nurse hours per resident per day, it sits well under the national average of 3.86, and weekends drop about 12% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover is 58.3%, noticeably above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. Inspections look better: a May 2025 survey, 19 deficiencies with none at harm or jeopardy level and no abuse findings. The hospital-district ownership is unusual for a Texas nursing home. Clinical quality measures score well; direct care hours don't. That gap is the whole story here.

Nurse hours

2.85 /day

Staff turnover

80%

Serious cites

0

Emory Health And Rehab is a 68-bed hospital-district home in Rains County, and its inspection record is genuinely strong, four out of five stars, with the most recent visit in August 2025 and no abuse deficiencies. The problem sits in the staffing numbers. At 2.85 nurse hours per resident day, it runs about 26% below the national average, and weekends dip another 5% below its own weekday levels. Annual turnover of 80% means most of the aides and nurses on a given shift are relatively new. Twenty-eight deficiencies are on record, one serious enough to cause harm. A hospital district can be a steady owner, but steady ownership doesn't staff the floor.

Nurse hours

3.11 /day

Staff turnover

62%

Serious cites

0

Windmill Village runs 3.11 nurse hours per resident per day, about 20% under the national average of 3.86, and weekends dip another 11% below its own weekday levels. Staff turnover is 61.6%, well above the 45.8% national figure, so the people caring for residents change often. The 27 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, which matters. Inspectors last visited in May 2025 and the health inspection rating sits at 3 out of 5. Ownership changed hands in the past year, so current management is still new to this building.

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Staff turnover

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Cordova Community Med Ltc is a small city- or county-run home with just 10 certified beds, which matters for how you read its record. The 15 deficiencies on file sound like a lot until you notice none of them were cited at a level that caused harm or put residents in immediate jeopardy, though one did involve abuse, and that's the kind of finding worth asking about directly. Its 2-out-of-5 quality measure rating is the weaker signal here, suggesting the clinical numbers that track resident care lag behind what you'd want. The last inspection was March 2026, so the picture is fairly current.

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Caring House is federally run, which puts it in a small category of nursing homes, and its record reflects that mixed reality. The most recent inspection, in July 2025, turned up sixteen deficiencies, including one that caused actual harm and one tied to abuse, that combination matters more than the overall count, because those are the findings surveyors flag as serious. Two fines totaling $28,695 followed. The quality measure rating of four stars suggests residents' clinical outcomes look decent on paper, but the two-star health inspection rating tells you the physical care environment and safety practices are where the trouble sits. If you're considering this home, ask directly what changed after that July inspection.

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Walsh Healthcare Center is a 30-bed county hospital district home in far southeast Colorado, and the numbers suggest a place that runs lean. Its staffing score sits at the bottom of the federal scale, well below what CMS expects, and the quality measure score is also below average. That one-two combination matters more than the inspection history, which is actually its strongest area, 17 deficiencies on record, but none at the level where a resident was harmed or put in immediate jeopardy, and no abuse findings. The last inspection was recent, in October 2025. For a small rural home with government ownership, the real question is whether thin staffing is sustainable, not whether the care is unsafe. Ask about direct care hours per resident per day.

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Memorial Manor is a 107-bed home run by a hospital district, so it answers to a public board rather than a chain or a private owner. The staffing picture is the weak spot: Medicare rates it in the bottom tier for nurse coverage, well below what the average Georgia nursing home provides per resident day. The 19 deficiencies on the current record include two tied to abuse, though none rose to the level of actual harm or jeopardy at the last inspection in May 2025. Quality measures also land below average. In short, this is a home where the clinical numbers, not the inspection record, are what a family should be asking hard questions about.

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Staff turnover

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Western State is state-run, and the inspection record backs that up: 12 deficiencies on the current record, but none at harm or jeopardy level and nothing abuse-related, with a survey completed December 10, 2025. That's a home getting walked through recently and coming out without serious tags. The weaker number is quality measures at 2 out of 5, which tells you the clinical side, things like falls, weight loss, or antipsychotic use, isn't tracking as well as the inspection side. Staffing is where this home separates from the national average, and it's the main reason the overall picture lands where it does. Ask to see the last survey report and current staffing levels before you visit.

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Staff turnover

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Jasper County Nursing Home in Bay Springs runs on county money, and its staffing is genuinely better than most: 4.57 nurse hours per resident day against a national average of 3.86. Turnover sits at 42.7%, slightly under the national rate, which suggests people stick around more than usual here. The catch is weekends, when hours drop about 16% below the home's own weekday level, and the inspection record: 24 deficiencies, three serious enough to put residents in harm's way, two tied to abuse. The last full inspection was October 2025. Strong daily coverage doesn't cancel out what those inspections found.

Nurse hours

3.83 /day

Staff turnover

50%

Serious cites

0

Moore Few Care Center is city-owned, which is unusual, and its 108 beds are staffed at 3.83 nurse hours per resident day, a hair under the national average of 3.86. Weekends are where that thins out: about 17% less coverage than weekdays, and half the staff turns over each year against a national rate near 46%. Inspections look solid on paper, with a 4-out-of-5 health inspection rating and the most recent visit in July 2024, but 21 deficiencies sit on the current record and three of those rose to harm or jeopardy. One fine totaling $13,662. The quality measure side tells a different story than the inspection side, and that gap is worth asking about directly.

Nurse hours

3.77 /day

Staff turnover

61%

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Rensselaer Care Center runs on county government money, and the numbers show a building stretched thin. Nurse staffing sits at 3.77 hours per resident day, just under the national average, but weekends drop about 8% below its own weekday level, meaning the thinnest coverage lands when families are most likely to visit. Staff turnover of 60.5% is well above the national 45.8%, so the people at the bedside change often. The bigger problem is the inspection record: 44 deficiencies, two at harm or jeopardy level, two tied to abuse, and a $128,311 fine. Quality measures score well, but consistent staffing and safe care are what matter most day to day.

Nurse hours

4.09 /day

Staff turnover

37%

Serious cites

0

County-run home in Shelbyville with 130 certified beds, and the inspection record is its strongest card: a four-out-of-five health inspection score with no deficiencies at the harm or jeopardy level. The 20 total deficiencies include one abuse-related citation, which is worth asking about directly. Staffing is where the picture gets messier, 4.09 nurse hours per resident day sits about 6% above the national average, but weekends run roughly 10% thinner than weekdays, and CMS rates staffing just one out of five. Turnover at 37.3% is better than the 45.8% national figure, though still over a third of the staff leaving in a year. Its last inspection was May 2026.

Nurse hours

4.06 /day

Staff turnover

65%

Serious cites

0

Maple Lawn has a staffing edge on paper, 4.06 nurse hours per resident day, roughly 5% above the national average, but that number hides two problems. Weekend coverage drops about 9% below its own weekday level, and 65% of staff turn over each year against a national rate near 46%, so the people providing that care keep changing. The inspection record is harder to explain away: 44 deficiencies, five of them serious enough to put residents at risk of harm, seven tied to abuse, and two fines totaling $74,653. County ownership and a December 2025 inspection don't offset what those findings describe.

Nurse hours

3.63 /day

Staff turnover

67%

Serious cites

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Beaver County Nursing Home runs on thin staffing. At 3.63 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 12% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Annual turnover of 66.7% is well above the 45.8% national figure, meaning aides and nurses cycle through quickly. The inspection record shows 13 deficiencies, including one at the harm level and one abuse-related, with a $15,642 fine. County ownership provides some public accountability, but the last inspection in December 2024 and 2/5 ratings across all three CMS measures point to persistent problems worth asking about directly.

Nurse hours

2.90 /day

Staff turnover

41%

Serious cites

0

McAllen Nursing Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 10% below its own weekday level. The 2/5 inspection rating reflects 28 deficiencies on the current record, three of them at harm or jeopardy level, plus two abuse-related citations, and the state has fined the home twice, totaling $17,459. Staff turnover at 40.7% is actually a little better than the national 45.8%, though that is the one number here that leans your way. The limited liability company operating it last faced inspection in April 2025, so the record is recent.

Nurse hours

2.92 /day

Staff turnover

53%

Serious cites

0

Hearthstone runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 13% below its own weekday coverage. Staff turnover sits at 53.3% against a national 45.8%, which matters when the same short-staffed floor keeps training replacements. The current inspection record carries 26 deficiencies, including 6 at harm or jeopardy level and 3 tied to abuse, with $152,617 in fines across three penalties. Quality measures score well, but that's resident outcome data, not a picture of the hands available daily. Hospital district ownership doesn't offset what the staffing and inspection numbers show. If you're weighing this one, ask directly how weekend coverage is filled.

Nurse hours

2.92 /day

Staff turnover

42%

Serious cites

0

The Lev At Town Park runs on thin nursing coverage: 2.92 hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday levels. Its inspection record is the bigger problem, 29 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a $31,031 fine, all from a June 2025 inspection. Turnover at 42.4% is slightly better than the 45.8% national figure, and resident outcome measures score well, but the staffing rating is 2/5 and inspections 1/5. Government hospital district ownership hasn't translated into stronger oversight here.

Nurse hours

3.98 /day

Staff turnover

98%

Serious cites

0

Bedford County runs this 90-bed home itself, and it earns a 4-out-of-5 on health inspections with no abuse citations on record. The problem sits underneath that: staff turnover hit 97.7% last year, more than double the national rate, meaning roughly the entire nursing workforce turned over. Total nurse hours per resident (3.98) edge out the national average, but weekends run about 13% below weekdays, so coverage thins exactly when inspections rarely happen. One deficiency reached harm or jeopardy level, and the last full inspection was August 2023. Stable leadership and staffing matter more here than the inspection score suggests, ask who's actually on the floor on Saturdays.