956 Government-Run Nursing Homes in the United States

Nurse hours

3.34 /day

Staff turnover

41%

Serious cites

0

Lakeview runs lean on nursing hours, 3.34 per resident day against a national average of 3.86, and weekends are thinner still, about 12% below its own weekday coverage. Staff turnover sits at 41.3%, a bit better than the 45.8% national figure, so the people who are there tend to stay. But 31 deficiencies on the current record, including six at the harm or jeopardy level and five tied to abuse, is a lot for a 60-bed home, and the two fines total $47,253. The hospital district that owns it isn't a for-profit chain, which matters, but ownership alone doesn't staff a Saturday shift.

Nurse hours

3.20 /day

Staff turnover

41%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Alice runs on 3.20 nurse hours per resident per day, roughly 17 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5, even as the quality measure score reaches 4 out of 5. The inspection record is the harder read: 25 deficiencies, three at harm or jeopardy level and two abuse-related, across three fines totaling $31,463, with the last inspection dated April 2026. Turnover at 41.4 percent is slightly better than the 45.8 percent national figure, and hospital district ownership means public accountability.

Nurse hours

3.31 /day

Staff turnover

69%

Serious cites

0

Avir At Commerce runs on thinner nursing coverage than most homes, about 3.31 nurse hours per resident each day against a national figure near 3.86, with weekends dipping roughly another 10% below its own weekday level. Staff turnover sits at 69.2%, well above the 45.8% national average, so the people around your family member change often. The inspection record shows 42 deficiencies, none flagged at the harm or jeopardy level and none abuse-related, and the most recent look came in February 2026. Quality measures score well here, but staffing and inspections are where the gaps show. It's a federal-government-operated home, which is unusual, and worth asking about directly when you visit.

Nurse hours

3.32 /day

Staff turnover

46%

Serious cites

0

Victoria Gardens of Frisco runs 118 certified beds under corporate ownership, and its nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip even further, about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 46.3 percent, essentially tracking the national rate. Inspections look strong on paper, with a recent May 2025 survey, yet the record still carries 15 deficiencies, two at harm or jeopardy level and one tied to abuse, plus two fines totaling $23,546. High marks from CMS on inspection and quality measures coexist here with weak staffing scores and real, recent citations.

Nurse hours

3.22 /day

Staff turnover

65%

Serious cites

0

Cherokee Trails is owned by the local hospital district, and that public ownership hasn't translated into strong staffing. At 3.22 nurse hours per resident day, it sits roughly 16% under the national average, and weekends drop about 13% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover is 65.3%, well above the 45.8% national figure, and the inspection record shows 43 deficiencies, including six at harm or jeopardy level and four tied to abuse, with $85,329 in fines. The quality measure score looks good on paper, but that's largely self-reported data. The recent inspection date means the record is current, not old.

Nurse hours

3.00 /day

Staff turnover

54%

Serious cites

0

The Garrison center runs 3.00 nursing hours per resident per day, about a fifth below the national average, and weekend coverage drops roughly 11% below its own weekday level, thin staffing that gets thinner when families tend to visit. Inspectors have logged 42 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $37,020 in fines across three penalties. Staff turnover sits at 53.8%, above the 45.8% national figure. The hospital district ownership and recent June 2026 inspection don't offset a record that includes abuse findings alongside persistent short staffing.

Nurse hours

3.52 /day

Staff turnover

—

Serious cites

0

Baptist Homes of Shelbina is county-owned, which in Missouri often means tight budgets, and the numbers here show the strain. Nurse staffing sits at 3.52 hours per resident day against a national average of 3.86, so aides and nurses have less time per resident than most homes, though weekend coverage actually runs slightly above its own weekday level, which is unusual and worth noting. What stands out more is the inspection record: 35 deficiencies currently on file, three of them at the harm or jeopardy level and two tied to abuse, with a $20,695 fine and a survey as recent as July 2025. Ask about the abuse-related citations specifically before you decide anything.

Nurse hours

3.94 /day

Staff turnover

—

Serious cites

0

San Mateo Medical Center's skilled nursing unit runs on county money and county rules, and the staffing numbers show it: 3.94 nurse hours per resident day, a hair above the national average, with a 4-out-of-5 staffing rating from CMS. Weekend coverage drops about 8% from weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The trouble sits elsewhere. Fifty-six deficiencies on the current record, ten of them serious enough to cite harm or jeopardy, ten tied to abuse, against a 1-out-of-5 inspection rating, two fines totaling $104,000, and a survey completed in July 2025. Good staffing can't offset that inspection history.

Nurse hours

4.97 /day

Staff turnover

64%

Serious cites

0

Mayers Memorial Hospital sits in Fall River Mills and runs 99 certified beds as a hospital-district operation. Nurse staffing averages 4.97 hours per resident day, roughly 29% above the national figure of 3.86, but weekend coverage drops about 15% below its own weekday level, and annual turnover hits 64.2% against a national 45.8%, that much churn undercuts the staffing advantage over time. The inspection record is where the real weight sits: 36 deficiencies on file, including one at the harm level and 10 tied to abuse, plus a $62,258 fine. The most recent inspection was August 2025.

Nurse hours

3.77 /day

Staff turnover

81%

Serious cites

0

Accolade Healthcare Of Waterloo is county-owned, which usually signals steadier funding than a for-profit chain, and its health inspection record is genuinely solid, four stars, last surveyed in July 2025. The staffing side is where it frays. At 3.77 nurse hours per resident day it sits just under the national average, but that gap widens on weekends, when coverage drops roughly 11% below its own weekday level. Annual turnover of 81.2% is nearly double the national figure, meaning the aides and nurses your family member sees most may not be there next year. Eight deficiencies are on record, two involving harm or jeopardy and two tied to abuse.

Nurse hours

3.56 /day

Staff turnover

57%

Serious cites

0

The Waters of Muncie runs on 3.56 nurse hours per resident day, about 8 percent under the national average, and weekends dip another 8 percent below its own weekdays. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5, and turnover of 56.7 percent means well over half the nursing staff leaves each year. Its 31 deficiencies include six tied to abuse, though none rose to the level of actual harm or jeopardy, and the most recent inspection was in March 2025. Quality measures look strong at 5 out of 5, and it's city or county owned, but the inspection record and the hours on the floor are the numbers worth weighing.

Nurse hours

3.88 /day

Staff turnover

53%

Serious cites

0

Flatrock River Lodge sits in Rush County as a city- or county-run home with 63 certified beds, and its inspection record is genuinely its strong point, a four-star health inspection rating, nine deficiencies on the books, none of them causing harm or involving abuse, and a survey completed in April 2026. Staffing is where the picture gets thinner. Total nurse hours land at 3.88 per resident day, barely nudging past the national average of 3.86, and the federal staffing rating comes in at just one star, with weekend coverage running about 3% below weekday levels. Turnover of 53.1% outpaces the 45.8% national figure, meaning new faces cycle through often.

Nurse hours

4.13 /day

Staff turnover

68%

Serious cites

0

Columbia Basin Care Facility runs a county-owned, 90-bed home in The Dalles, and its staffing numbers come with a catch. The 4.13 nurse hours per resident day sit about 7% above the national average, but weekends drop roughly 13% below its own weekday level, and turnover runs 68.2% against a national 45.8%, so the people covering those hours are constantly changing. The inspection record is the harder problem: 35 deficiencies, including three at harm or jeopardy level and three tied to abuse, with one fine of $52,030 and a survey dated February 2026. The federal stars land at 1 for health inspections, 1 for staffing, and 2 for quality measures.

Nurse hours

3.19 /day

Staff turnover

61%

Serious cites

0

Avir At Borger runs on 3.19 nursing hours per resident per day, about 17% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. That thin coverage matters more given 60.7% annual turnover, well above the 45.8% national figure, so the people providing care are often new to the building. The record shows 34 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus $40,307 in fines across two penalties. The most recent inspection was September 12, 2025. Hospital district ownership doesn't erase any of that; it just means the accountability runs to a public board rather than a private chain.

Nurse hours

3.13 /day

Staff turnover

—

Serious cites

0

Franklin Nursing Home runs on thin staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends drop roughly another 17 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. That shows up in its one-star staffing rating, even as inspections and quality measures each earn four stars. The current record carries 19 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in September 2025. It's a hospital-district home, which may explain the stable oversight despite the lean floor. Ask how many nurses are actually on duty on a Saturday evening.

Nurse hours

2.79 /day

Staff turnover

57%

Serious cites

0

Autumn Leaves is run by the hospital district in Henderson, and its clinical quality scores look strong on paper. The problem is who's there to deliver that care: 2.79 nurse hours per resident day, roughly 28% under the national average, with weekends running about 12% thinner than weekdays. Staff turnover sits at 56.8%, well above the 45.8% national figure, which means residents see a rotating cast of caregivers. The inspection record backs that up, 42 deficiencies, including one at the harm level and one tied to abuse, plus a $22,925 fine. The last inspection was May 2026. A hospital district can be a stable owner; here the staffing numbers are doing the talking.

Nurse hours

2.95 /day

Staff turnover

50%

Serious cites

0

Legacy Nursing and Rehabilitation runs on thin staffing. At 2.95 nurse hours per resident day, it sits about 24% under the national average of 3.86, and weekends drop roughly another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% tops the national 45.8%, meaning the aides at the bedside are often the newest hires. The 23 deficiencies on record include zero at harm or jeopardy level, but two are abuse-related, and the most recent inspection came in February 2026. Government hospital district ownership doesn't change the math; the staffing star of 1 out of 5 tells you where the pressure is.

Nurse hours

3.36 /day

Staff turnover

47%

Serious cites

0

Mabank Nursing Center runs on thin staffing. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% turnover rate is roughly in line with the national figure, but combined with 33 deficiencies on record, including 2 at the harm or jeopardy level and 2 tied to abuse, the picture is not comforting. Two fines total $31,234. A May 2026 inspection is recent, and the county hospital district that owns it isn't a for-profit chain, which may help explain the 3-star middle ground across inspections, quality, and staffing.

Nurse hours

3.46 /day

Staff turnover

50%

Serious cites

0

Cedar Hollow is hospital-district owned, which usually means steadier public funding than a for-profit chain, but the numbers here don't show that advantage paying off. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gap isn't just theoretical, it's baked into the schedule. Turnover at 50.4% tops the national 45.8%, and the inspection record carries 30 deficiencies, including three at harm or jeopardy level and one tied to abuse, plus two fines totaling $39,697. The most recent inspection was May 2026, so that record is current.

Nurse hours

3.06 /day

Staff turnover

—

Serious cites

0

Stephenson Nursing Center is county-run, which often means a public meeting before anything changes, slower fixes, but also a paper trail. The numbers here show a building running lean: 3.06 nursing hours per resident per day against a national average of 3.86, with weekends about 10% thinner than weekdays. State inspectors have logged 37 deficiencies, four serious enough to put a resident in harm's way and nine tied to abuse. One fine of $18,450 is on record, and the last inspection was in February 2025. Ask the administrator how they cover weekend call-offs and what changed after those abuse findings.