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.
Legend Oaks in Gladewater runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs on weekdays. Turnover sits at 42.6%, a touch better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled to begin with. The inspection record is where it gets harder to explain away: 39 deficiencies, 7 of them at harm or jeopardy level, 8 abuse-related, and six fines totaling $124,559, with the most recent inspection on April 15, 2026. Hospital district ownership doesn't change what those numbers describe.
The staffing numbers here are genuinely strong, 5.32 nurse hours per resident day, well above the national average, with turnover at 29.2% versus 45.8% nationally. That kind of consistency matters for daily care. But the inspection record tells a different story: 40 deficiencies, including three at the harm level and seven tied to abuse. That combination, good staffing, troubling oversight findings, is what pulls the overall picture down.
The Arizona State Veteran Home in Yuma runs 80 certified beds and puts 5.58 nursing hours behind each resident every day, roughly 44 percent above the national average of 3.86. That staffing shows up in its four-star rating, though weekends dip about 11 percent below its own weekday coverage.
The inspection side is where it gets less comfortable. Eight deficiencies sit on the current record, none at harm or jeopardy level, but three tied to abuse. Its health inspection rating is 2 out of 5, and the most recent survey was September 20, 2024.
State-run ownership with that much daily nursing time is a genuine strength. The abuse-related findings and the thin inspection score are the parts worth asking about directly.
Edgemoor Hospital is county-run, and the staffing shows it: 6.43 nurse hours per resident day, roughly two-thirds more than the national average of 3.86, with turnover at 21% against a national 45.8%. Weekends run about 10% thinner than weekdays, but that's a mild dip for a nursing home. The caution is inspections. The current record holds 25 deficiencies, including five tied to abuse and one at the harm level, with a $41,895 fine, and the most recent inspection dates to December 2025. Strong care measures and staffing don't erase a citation record like that. Ask about those abuse deficiencies directly.
Colorado State Veterans Nursing Home - Rifle runs five stars' worth of nurse staffing, 4.12 hours per resident day, roughly 7% above the national average, but the state-run home has real problems elsewhere. Twenty-one deficiencies sit on its current record, four of them at the harm or jeopardy level, four tied to abuse, and the health inspection score came back 1 out of 5 from the last visit in November 2024. Staff turnover lands at 48.7%, a few points above the national figure, and the weekend crew runs about 15% thinner than weekdays, which matters if your family tends to visit on Saturdays and Sundays. One fine of $32,975 is on file. Strong bedside coverage alone doesn't offset that inspection history.
Bruce McCandless Co State Veterans Nursing Home runs on a state government license with 105 certified beds, and the staffing numbers are its one real strength, 3.77 nurse hours per resident day, close to the national average of 3.86, and a four-out-of-five CMS staffing rating. The problem is what happens when staff leave: turnover sits at 60% against a national 45.8%, and weekend coverage drops about 14% below weekday levels. On the record side, 20 deficiencies include four at harm or jeopardy level and two tied to abuse, with one fine of $81,520 and a 1-out-of-5 inspection rating from a January 2026 visit.
Spanish Peaks runs on a strong staffing engine, 4.68 nurse hours per resident day, about a fifth more than the national average, and it earns top marks from CMS on that measure. The catch is what inspections found: 24 deficiencies on the current record, including one serious enough to cause harm and three tied to abuse, which explains the two-star health inspection rating. Weekend coverage also dips roughly 14% below weekday levels, so care isn't perfectly even across the week. Staff turnover, at 44.3%, is slightly better than the national average, and the last inspection was in December 2024. Government hospital-district ownership means public accountability, but the inspection record is the real story here.
The Delaware Veterans Home runs on unusually heavy nurse staffing, 7.08 hours per resident day, roughly 83% above the national figure, and its quality measure and staffing ratings both come back at the top of CMS's scale. That's the case for the place. The case against sits in the inspection record: 21 deficiencies, two of them serious enough to involve harm or jeopardy, three tied to abuse, and $118,757 in fines across two penalties. Staff turnover runs 54%, above the national average, and weekend coverage drops about 11% from weekday levels. The most recent inspection was March 2026. Strong day-to-day care numbers, a troubled survey history, and a workforce that keeps changing.
Alwyn C Cashe State Veterans Nursing Home runs on state government ownership in Orlando, and the staffing numbers stand out first: 5.30 nurse hours per resident day, about 37 percent above the national average. That's real coverage, though weekends dip roughly 13 percent below weekdays, and turnover sits at 72.5 percent against a national 45.8, meaning the people providing that care keep changing. The inspection record is where things get harder to explain away: 22 deficiencies, four at harm or jeopardy level, four tied to abuse, and 11 fines totaling $68,731. The most recent inspection was February 2025, so the picture is current, not stale. Strong hours, unstable workforce, and a serious regulatory record.
Franklin County Transitional Care runs on 5.01 nurse hours per resident day, roughly 30 percent above the national average, and its staff turnover of 27.1 percent sits well under the national 45.8 percent, people tend to stay here. Inspectors were in the building recently, in May 2025, and found 17 deficiencies, none of them serious enough to put a resident in immediate harm, though one was abuse-related, which is worth asking about directly. Weekend staffing dips about 10 percent below weekdays, a common pattern but one that matters if your family member needs help on a Saturday.
The state-run veterans home in Post Falls has real nursing hours behind it, 4.27 per resident day, roughly 11% above the national average, but that staffing drops about 13% on weekends, when families often visit. The bigger concern is who's providing that care: turnover runs at 69.8%, well above the national rate of about 45.8%, meaning nearly seven in ten staff left over the past year. Inspections tell a harder story. The home's most recent inspection was August 2025, and its record carries 19 deficiencies, including 2 at the harm level and 3 tied to abuse. Two fines total $36,855. Strong staffing numbers, unstable workforce, and serious inspection findings, weigh those together.
Hammond-Henry runs a tight ship on staffing, 3.76 nurse hours per resident day, close to the national mark, and turnover at 40% actually beats the typical 45.8%. The catch is weekends, when coverage drops about 11% below weekday levels, and a health inspection record that's harder to defend: eight deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $75,020 fine. That September 2024 inspection is recent enough to still carry weight. The quality and staffing scores look strong on paper, but the survey history is where the real risk sits. For a 38-bed home, that's a lot of regulatory attention. Ask about weekend coverage and what changed since last fall.
Mclean County Nursing Home is county-owned, which usually means slower decision-making but also no private-equity pressure to cut corners. The staffing numbers back that up: 4.07 nurse hours per resident day, about 5% above the national average, though weekends drop roughly 19% below weekday coverage. Turnover sits at 41.1%, a bit better than the 45.8% national figure. What pulls the record down is the inspection side, 31 deficiencies on file, five of them abuse-related, and a 2/5 health inspection rating, even with no harm-level citations. The last full inspection was in August 2025, so the record is current. Good daily staffing, thinner weekends, and a paper trail that needs watching.
Scott County Nursing Center runs on county money, and its staffing numbers are its strongest card: 3.76 nurse hours per resident day, just under the national average of 3.86, with a 5-star CMS staffing rating. Turnover sits at 40%, better than the 45.8% national figure. But the care record tells a harder story. Nine deficiencies are on file, four at harm or jeopardy level and four tied to abuse, plus a $29,295 fine. The most recent inspection was April 2026, so the findings are current, not stale. Weekend staffing drops about 12% below weekday levels. Adequate hands, but serious quality and safety problems documented recently.
Stonebrooke is county-owned, which is unusual in this business, and the staffing reflects it: 4.24 nurse hours per resident day, roughly 10% above the national average. Turnover sits at 38.8%, better than the 45.8% national figure, so the people caring for residents tend to stick around. Weekends get thinner, though, down about 14% from weekday coverage. The tradeoff shows up elsewhere. Inspectors cited 30 deficiencies, including two tied to abuse, and the quality measure rating lands at 2 out of 5. The most recent inspection was May 2025, so the record is current. Good staffing, real compliance problems, and a county government holding the license. Worth asking about those two abuse citations directly.
Greenwood Healthcare Center runs 185 beds under hospital-district ownership, and its staffing is the weak spot: 3.64 nurse hours per resident day sits about 6% under the national average, weekends drop roughly 8% below its own weekday coverage, and CMS gives it 2 out of 5 stars for staffing. Turnover is actually better than most, at 36.8% against a national 45.8%, so the problem looks more like thin coverage than a churning workforce. Inspections in July 2025 turned up 15 deficiencies, including one at the harm level and one abuse-related, plus a single $8,278 fine. Quality measures score well; the hands-on hours don't.
Maple Park Village runs on 3.37 nurse hours per resident day, roughly 13% under the national average of 3.86, and weekends drop about 15% below its own weekday staffing. That thin coverage shows up in the numbers: a 2/5 staffing rating, 56.3% annual turnover against a national 45.8%, and 21 deficiencies on the current record, two of them at the harm or jeopardy level and one abuse-related. The county owns it, so there's no corporate parent to blame or credit. Its quality measure score is strong at 4/5, which suggests some clinical care is being tracked well, but the last inspection was September 2025 and the health inspection rating sits at 2/5.
American Village is county-owned and holds 150 beds, and its last inspection was in March 2026, so the record on file is recent. That record shows 34 deficiencies, including one at the harm or jeopardy level and one tied to abuse. Staffing is where the pattern holds: 3.37 nurse hours per resident day against a national average of 3.86, weekends running about 16% below its own weekdays, and turnover at 54.4% compared with 45.8% nationally. The quality measure rating of 5 out of 5 sits alongside a 2 out of 5 on both inspection and staffing, which tells you the clinical measures look better than the day-to-day coverage.
Attica Long Term Care runs on thin margins, and you can see it in the numbers. The hospital district that owns it staffs nurses at 3.95 hours per resident day, just above the national average, and those hours thin out on weekends, roughly 12% below what the home itself manages Monday through Friday. Turnover sits at 36.2%, better than the national 45.8%, so the people who stay tend to stay.
The problem is the record. Eighteen deficiencies, two serious enough to put residents at risk of harm, and one tied to abuse. The health inspection rating reflects that. Quality measures land in the middle. If you're weighing this one, the staffing is genuinely a strength, but ask hard questions about those harm-level findings and who's supervising on Saturdays.
Jackson County Medical Care Facility runs a county-owned home of 194 beds where the bedside math is genuinely strong: 5.37 nurse hours per resident day, about 39% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Staff turnover sits at 23.5%, well under the 45.8% national figure, which matters for residents who want to see the same faces. The trouble is inspection history, 20 deficiencies on the current record, two at harm or jeopardy level and one tied to abuse, plus a single $68,744 fine, with the last inspection dated April 2026. Strong hands-on care and a troubled survey record can coexist, and here they do.
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?