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956 Government-Run Nursing Homes in the United States

956 of the 14,697 Medicare-certified nursing homes in the United States (7%) are government-run, and all are listed below. 262 of the 948 graded homes earn an A and 30 earn a D or F. They average 4.28 nursing hours per resident per day, 0.42 hours above the 3.86 for every home in the United States. Hill Top House in Bucklin grades highest at A (100 out of 100).

How government-run homes in the United States compare

This group set against every nursing home in the United States, from the current CMS release.

Nursing hours per resident per day

4.28

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

44.2%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

76.1/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

262 grade A, 378 grade B, 278 grade C, 30 grade D,

The best-graded government-run home in the United States is Hill Top House in Bucklin, KS — grade A, 100/100.

Every government-run nursing home in the United States

Showing 721–740 of 956, best-graded first.

C

65.5/100

Clara City Care Center

Clara City, MN · Chippewa County

CMS 1/5 48 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Clara City Care Center is city-owned and small, 48 beds, which in a lot of towns means everyone knows someone who's stayed there. The federal numbers tell a rougher story. Inspectors have cited 12 deficiencies on the current record, three of them at the harm or jeopardy level, and the most recent inspection was April 2026. Staffing sits well below the national average, and so do the health inspection results, while the quality measures look more ordinary. That split matters: how a place scores on paper for resident outcomes can look fine even when the hands-on care and the survey record don't. One fine, $13,260. Worth asking the administrator directly what's changed since the last visit.

C

65.5/100

Ponderosa Villa

Crawford, NE · Dawes County

CMS 2/5 39 beds Government Medicaid
Nurse hours
2.90 /day
Staff turnover
—
Serious cites
0

Ponderosa Villa runs on 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The city-owned home carries 13 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and it was inspected January 14, 2026. Its quality measure rating sits at 2 out of 5 and staffing at 1 out of 5, which tells you the shortfall is consistent, not a one-time dip. A 35-bed home can be worth a look for its size and local ownership, but ask directly how weekends are covered before deciding.

C

65.5/100

Seiling Nursing Center

Seiling, OK · Dewey County

CMS 2/5 31 beds Government Medicaid
Nurse hours
0.00 /day
Staff turnover
—
Serious cites
0

Seiling Nursing Center is city-owned and holds 31 certified beds, but the number that matters most is zero, that's the reported total nurse staffing hours per resident day, against a national average near 3.86. The staffing star rating sits at 1 out of 5, and the weekend figure the data produces runs negative relative to weekday levels, which tells you the hours simply aren't there on Saturdays and Sundays. Fourteen deficiencies appear on the current record, though none rose to harm or jeopardy and none were abuse-related. The last inspection came January 22, 2026, and the health and quality ratings each land at 3 out of 5. Whatever the inspection record shows, the daily coverage is the concern.

C

65.5/100

Colonial Manor Ii

Hollis, OK · Harmon County

CMS 3/5 92 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Colonial Manor II is county-owned and holds 92 certified beds in Hollis. Its last inspection came January 8, 2026, and the health inspection record earned a 4 out of 5 star rating, a strong result on that front. The staffing side tells a different story: 1 out of 5 stars, meaning nurse hours per resident sit well below what CMS expects. The quality measure rating is 2 out of 5. Thirteen deficiencies are on record, including one at the harm or jeopardy level and three tied to abuse. So you have a home that inspects well but runs thin on direct care, which is the tension a family should weigh.

C

65.5/100

Concho Health & Rehabilitation Center

Eden, TX · Concho County

CMS 4/5 66 beds Government Medicaid
Nurse hours
3.15 /day
Staff turnover
—
Serious cites
0

Concho Health & Rehabilitation Center runs on 3.15 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop another 8 percent below its own weekday coverage. Inspectors visited recently, in July 2025, and found 14 deficiencies on the current record, none rising to harm or jeopardy, but one tied to abuse, which families should ask about directly. The staffing star comes in at 1 out of 5 while quality measures sit at 2, even as the inspection star reads 5. Hospital district ownership doesn't change the math: thin daily coverage is the pattern here, and it's what pulls the overall picture down.

C

65.5/100

Prairie Acres

Friona, TX · Parmer County

CMS 4/5 83 beds Government Medicaid
Nurse hours
3.32 /day
Staff turnover
53%
Serious cites
0

Prairie Acres runs on a hospital district's budget in Friona, and the numbers show a home that inspects well but staffs thin. Its last inspection came back in mid-2025 with a four-star health rating, yet the record still carries 16 deficiencies, including one that put a resident in harm's way and two tied to abuse. Nurse coverage sits at 3.32 hours per resident day, roughly 14% under the national figure, and weekends drop about 19% below the home's own weekday staffing. With turnover at 52.5%, well above the 45.8% national average, consistent caregivers are hard to keep. One fine of $10,033 rounds out the picture.

C

65/100

Morgantown Woods Of Journey

Morgantown, IN · Morgan County

CMS 2/5 39 beds Government Medicaid
Nurse hours
3.06 /day
Staff turnover
44%
Serious cites
0

Morgantown Woods Of Journey runs 39 certified beds under county government ownership, and its staffing sits at 3.06 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 10% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover lands at 44.4%, slightly better than the 45.8% national figure, but the inspection record is the harder read: 15 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was March 11, 2026, and CMS gives the home 2 out of 5 stars on health inspections, quality measures, and staffing alike.

C

65/100

Chimney Rock Villa

Bayard, NE · Morrill County

CMS 1/5 49 beds Government Medicaid
Nurse hours
3.47 /day
Staff turnover
50%
Serious cites
0

Chimney Rock Villa is city-owned and holds 49 beds, and its staffing looks decent on paper, 3.47 nurse hours per resident day, about 10% under the national average, with a 4-out-of-5 staffing rating. The problems sit elsewhere. Inspectors have cited 30 deficiencies, four of them at the level where residents were harmed or put in jeopardy, plus one abuse-related finding, and the health inspection rating is 1 out of 5. Annual turnover runs 50%, above the national 45.8%, and weekends are staffed about 6% leaner than weekdays. Two fines total $110,988, and the most recent inspection was July 2025. Ask about the harm-level citations and what changed since.

C

65/100

Laughlin Health Care Center

Greeneville, TN · Greene County

CMS 1/5 90 beds Government Medicaid
Nurse hours
3.46 /day
Staff turnover
63%
Serious cites
0

Laughlin Health Care Center runs on thinner staffing than most homes its size. At 3.46 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Annual turnover of 63.3% is well above the 45.8% national figure, meaning most of the aides and nurses working with residents are relatively new. Its inspection record is the harder problem: 16 deficiencies, two at harm or jeopardy level, one abuse-related, and a one-star health inspection rating, with the last survey dating to October 2023. Two fines totaling $9,770.

C

65/100

Mcgregor Wellness & Rehabilitation

Mc Gregor, TX · Mc Lennan County

CMS 2/5 186 beds Government Medicaid
Nurse hours
— /day
Staff turnover
100%
Serious cites
0

McGregor Wellness & Rehabilitation runs 186 certified beds under hospital district ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 9% below the home's own weekday coverage, and annual turnover hit 100% against a national rate of 45.8%, meaning the whole nursing staff effectively turned over within the year. The current inspection record carries 20 deficiencies, six of them serious enough to involve harm or jeopardy, with two fines totaling $49,443. Its last inspection was March 2026. Resident outcome measures look strong, but consistent staffing and a clean survey record are what keep people safe day to day.

C

65/100

Avir At Graham

Graham, TX · Young County

CMS 5/5 116 beds Government Medicaid
Nurse hours
3.11 /day
Staff turnover
39%
Serious cites
0

Avir At Graham runs on 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage drops another 10% below its own weekday levels. Turnover sits at 38.9%, better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is the strongest part of the picture: a 5/5 health inspection rating with 15 deficiencies on file, none at the harm level and none abuse-related, and the most recent visit was in August 2025. What pulls the overall picture down is the staffing rating of 2/5 and a quality measure rating of 2/5, which sit alongside that clean inspection history and government hospital district ownership.

C

65/100

Pioneers Memorial Skilled Nursing Center

Brawley, CA · Imperial County

CMS 1/5 99 beds Government Medicaid
Nurse hours
4.32 /day
Staff turnover
39%
Serious cites
0

Pioneers Memorial runs on a government hospital district budget, and the staffing shows it: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39%, better than the 45.8% typical elsewhere. Weekends thin out about 10% from weekday coverage, which is worth asking about if your family visits then. The problem sits on the inspection side. Sixty-seven deficiencies on the current record, four serious enough to involve harm or jeopardy, and a $52,435 fine. A January 2025 inspection is recent, so this reflects present conditions rather than old history. Good staffing can't fully offset that many citations.

C

65/100

Seymour Rehabilitation And Healthcare

Seymour, TX · Baylor County

CMS 5/5 90 beds Government Medicaid
Nurse hours
3.27 /day
Staff turnover
68%
Serious cites
0

Seymour Rehabilitation and Healthcare is run by a hospital district, and its inspection record is genuinely strong, a recent April 2025 survey with no deficiencies at the harm or jeopardy level and none related to abuse. The trouble sits elsewhere. Nurse staffing runs about 3.27 hours per resident day, roughly 15% under the national average, and weekend coverage dips below its own weekday level. Annual turnover of 67.9% means most of the people caring for residents are relatively new, against a national rate near 46%. Twenty deficiencies sit on the current record, none serious. Good inspections paired with thin, churning staff is the whole story here.

C

65/100

Farwell Care And Rehabilitation Center

Farwell, TX · Parmer County

CMS 1/5 75 beds Government Medicaid
Nurse hours
3.04 /day
Staff turnover
61%
Serious cites
0

Farwell Care and Rehabilitation Center runs on thin nursing coverage: 3.04 hours per resident day against a national average of 3.86, and weekends dip about 10% below what the home already provides on weekdays. Staff turnover sits at 60.9% while the national figure is 45.8%, so residents see a lot of new faces. The inspection record shows 31 deficiencies, including two at the harm level and four related to abuse, plus one fine of $13,397; the last inspection was in December 2025. Government hospital district ownership doesn't change what those numbers say about daily staffing and oversight.

C

65/100

Sunset Home

Clifton, TX · Bosque County

CMS 3/5 128 beds Government Medicaid
Nurse hours
2.65 /day
Staff turnover
37%
Serious cites
0

Sunset Home is run by the local hospital district, and its 128 beds are staffed at 2.65 nurse hours per resident day, roughly 31% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so if your family visits on a Saturday, expect less coverage than a Tuesday. Turnover sits at 37.2%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Inspectors were last in on May 29, 2025, and found 13 deficiencies, one serious enough to put a resident in harm's way, no abuse citations, and fines total $14,020.

C

65/100

Los Arcos Del Norte Care Center

El Paso, TX · El Paso County

CMS 1/5 124 beds Government Medicaid
Nurse hours
3.31 /day
Staff turnover
41%
Serious cites
0

Los Arcos Del Norte runs on lean nursing hours, 3.31 per resident day, roughly 14% under the national average, and weekends are thinner still, about 7% below its own weekday pace. That shows up in the staffing rating, which sits at the bottom of CMS's scale. The inspection record is heavy: 72 deficiencies, including one at the harm level and two tied to abuse, with a $14,130 fine. Turnover at 40.8% is actually a little better than the 45.8% national figure, so the problem looks less like a churning workforce than like not enough hands on shift. A hospital district owns it, and its last inspection was March 2025, so the record is current.

C

65/100

Rollingbrook Rehabilitation And Health Care Center

Baytown, TX · Harris County

CMS 3/5 130 beds Government Medicaid
Nurse hours
3.35 /day
Staff turnover
70%
Serious cites
0

Rollingbrook is owned by a hospital district, and its inspection record is genuinely solid, a 4/5 on health inspections, with the most recent visit in March 2026 and no abuse-related deficiencies. But the staffing side tells a different story. At 3.35 nurse hours per resident day, it runs about 13% under the national average, weekends dip roughly 10% below its own weekday levels, and annual turnover sits at 70.1% against a national average of 45.8%. Ten deficiencies are on the current record, one serious enough to involve harm or jeopardy, plus a $23,676 fine. Good inspections mean the home generally gets things right when surveyors arrive; thin, churning staffing is what families live with between visits.

C

64.5/100

Rosewalk Village

Indianapolis, IN · Marion County

CMS 3/5 140 beds Government Medicaid
Nurse hours
3.68 /day
Staff turnover
59%
Serious cites
0

Rosewalk Village is county-owned, with 140 beds in Indianapolis, and its numbers split in two directions. The clinical quality measures look strong at 5 out of 5 stars, but staffing sits at 1 star: 3.68 nurse hours per resident day, under the national average, with weekends running about 16% thinner than weekdays and turnover at 58.8% against a national 45.8%. Inspections landed at 3 stars, and the current record shows 25 deficiencies, one serious enough to involve harm, plus a single fine of $22,925. The last inspection was in March 2026. Consistent staffing is what holds good outcomes in place, and that's where this home is thinnest.

C

64.5/100

Northwest Louisiana Veterans Home

Bossier City, LA · Bossier County

CMS 4/5 8 beds Government
Nurse hours
— /day
Staff turnover
—
Serious cites
0

The Northwest Louisiana Veterans Home is a small state-run home in Bossier City, just 8 certified beds, and its inspection record is genuinely strong: a 5-star health inspection rating, with all 6 deficiencies cited at the lowest severity level and none causing harm or jeopardy. That matters. But there's a real split in the numbers. Quality measures sit at 1 out of 5 stars, the weakest tier, meaning the clinical outcomes tracked by Medicare lag well behind what most homes achieve. One abuse-related deficiency also appears on the current record, which deserves a direct question when you visit. The state inspection from April 2026 is recent enough to reflect current conditions. Small government homes can be excellent or stretched thin; here the care process looks better than the outcomes.

C

64.5/100

Tennessee Veterans Home

Murfreesboro, TN · Rutherford County

CMS 1/5 140 beds Government Medicaid
Nurse hours
4.83 /day
Staff turnover
67%
Serious cites
0

The Tennessee Veterans Home in Murfreesboro puts more nursing hours per resident than most places, 4.83 a day against a national average of 3.86, so there's real bedside coverage here. The problem is who's providing it and how long they stay: turnover runs 67.1%, well above the 45.8% national figure, and weekend staffing drops about 19% from weekday levels. That instability shows up in the inspection record. Twenty-three deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and one $193,155 fine, with the most recent inspection in May 2026 earning the lowest possible health inspection rating. State-run and well-staffed on paper, but the care itself has repeatedly fallen short.

Frequently asked questions

How many government-run nursing homes are there in the United States?
There are 956 government-run Medicare-certified nursing homes in the United States, 7% of the 14,697 nursing homes there.
Are government-run nursing homes better staffed?
In the United States they average 4.28 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.42 hours. Staff turnover averages 44.2% against 45.8%.
Which government-run nursing home grades best in the United States?
Hill Top House in Bucklin, KS — grade A, 100 out of 100.
Does being government-run mean a nursing home is safe?
No. Of the 948 graded government-run homes in the United States, 262 grade A and 30 grade D or F.
Do government-run nursing homes in the United States accept Medicaid?
936 of the 956 are certified to accept Medicaid. See Medicaid and nursing homes.

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