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.
Meadow Brook Medical Care Facility is county-owned, with 133 certified beds in Bellaire. Three out of four caregivers left their jobs last year, 75.7% turnover against a national average of 45.8%, and CMS gives the home its lowest staffing rating, one star out of five. That instability shows up in the inspection record too: nine deficiencies currently on file, including two serious enough to reach harm or jeopardy and two tied to abuse. Health inspection and quality measure ratings each sit at two stars. State surveyors were last in the building in September 2025, so the picture is recent. For a family weighing this home, the turnover number and the abuse-related findings are the two things worth asking about directly before a tour.
Bay County Medical Care Facility runs on 6.39 total nurse hours per resident day, roughly two and a half hours more than the national average, and that staffing shows in a four-star CMS staffing rating. Weekends dip about 16 percent below weekday coverage, though, and annual turnover sits at 53.9 percent, higher than the 45.8 percent national figure, so the people delivering those hours keep changing. The county-owned home holds 31 deficiencies on its current record, seven at harm or jeopardy level and two tied to abuse, with $165,536 in fines and a two-star inspection rating from its April 2025 survey. Strong hands-on coverage, uneven consistency, and a recent inspection record that's the real concern here.
Grandvue runs a county-owned home in East Jordan with 113 certified beds, and the staffing numbers are its clearest strength, 4.39 total nurse hours per resident day, roughly 14% above the national average. Weekend coverage dips about 6% below its own weekday level, though staff turnover at 42.7% is slightly better than the 45.8% national figure.
The trouble sits on the inspection side. The current record shows 17 deficiencies, including three at the harm or jeopardy level and two tied to abuse. That combination, strong daily staffing beside serious cited problems, is why the two-star health inspection rating pulls the overall picture down despite the five-star staffing mark.
Grand Traverse Pavilions is county-owned and large, 240 beds, and its inspection record is the first thing to know. Sixty-five deficiencies on the current record, seven of them serious enough to involve actual harm or jeopardy, plus eight tied to abuse. Three fines totaling about $158,000. The last inspection was June 2025, so this isn't stale paperwork.
Staffing is the other problem. CMS rates it at the bottom of the scale, meaning residents here get fewer direct care hours than most homes nationally. The quality measure score looks better, but that number reflects clinical outcomes like rehospitalization rates, not whether someone answers the call light.
For a family weighing this placement, ask about direct-care hours per resident per day and how the last inspection's abuse findings were resolved.
Hillsdale County Medical Care Facility runs on county government ownership and 170 certified beds, and its staffing is genuinely heavy, 5.38 nurse hours per resident day against a national average of 3.86. Weekends dip about 13% below weekday levels, and turnover sits at 34%, better than the 45.8% national figure. The trouble is the inspection record: 25 deficiencies, including 5 at harm or jeopardy level and 8 tied to abuse, plus three fines totaling $314,537. The most recent inspection was February 26, 2026. Strong staffing and quality scores don't cancel out that many serious findings, read the actual inspection reports before deciding.
Lenawee Medical Care Facility has the staffing most families are looking for, 5.33 nurse hours per resident day, roughly 38% above the national average, and that holds up even with weekends running about 13% thinner than weekdays. The county runs it, so there's no corporate owner to answer to. What pulls the grade down is the inspection record: 24 deficiencies, including 5 at the harm level and 9 tied to abuse, plus a 2-star health inspection rating. Staff turnover sits at 50.5%, a bit above the national 45.8%, so the people delivering that generous staffing keep changing. Strong care hours, a troubling paper trail, worth a visit and hard questions before deciding.
Calhoun County Medical Care Facility is county-owned, with 120 beds in Battle Creek. Its 4.26 nurse hours per resident day sit about 10% above the national average of 3.86, and turnover at 41.8% is a bit better than the 45.8% national figure, but weekend staffing drops roughly 10% below its own weekday level, so coverage thins out when families tend to visit. The current inspection record carries 12 deficiencies, including one at the harm or jeopardy level and one abuse-related. With an April 2026 inspection and a 2/5 health inspection rating alongside a 3/5 quality measure rating, the recent survey history is the part worth asking about directly.
Dj Jacobetti Home for Veterans runs on unusually deep staffing for a state-run home: 5.41 nurse hours per resident day, roughly 40% above the national average, with turnover at 21.2% against a national 45.8%. That retention shows up in resident outcomes, where the quality measure rating sits at the top of the scale. The tradeoff is on the health inspection side, where six deficiencies on the current record include one at the harm or jeopardy level and one abuse-related citation, and the inspection itself dates to December 2025. Weekend coverage also runs about 18% lighter than weekdays. Plenty of hands on deck most days, the compliance record is where the concerns concentrate.
Fairway View Neighborhoods is city-owned, and the staffing shows it: 4.84 nurse hours per resident day, about a quarter above the national average, with turnover at 28.1% against a national 45.8%. Weekends run roughly 13% thinner than weekdays, so care can look different depending on when you visit. The harder reading comes from inspections, a two-star health inspection rating, nine deficiencies on record including one at the harm level and two tied to abuse, with the most recent inspection in May 2025. Quality measures sit at one star. Strong staffing is real here, but the inspection record is what a family should ask about directly.
Bigfork Valley Communities runs on unusually deep staffing for a 40-bed hospital-district home, 6.04 nurse hours per resident day against a national average near 3.86. Turnover sits at 26.7%, well under the 45.8% national figure, so the people caring for residents tend to stay. Weekend coverage dips about 19% from weekday levels, which is worth asking about directly. The inspection record shows 10 deficiencies, none tied to harm or abuse, and the most recent survey was in December 2025. Quality measures land mid-range, which is the one area where the numbers don't stand out.
The state-run veterans home in Fergus Falls runs leaner than most on staffing churn, 27.2% turnover against a national 45.8% means the aides and nurses who show up tend to stick around, and 5.17 nurse hours per resident day sits well above the 3.86 average. Weekends dip about 10% below weekday coverage, so that cushion isn't perfectly flat.
The trouble is inspections. Five deficiencies on record, including two at the harm or jeopardy level and two tied to abuse, plus a $23,520 fine. The most recent inspection came in May 2026, so the record is current. Strong staffing and quality scores, real problems on the health side.
Madison County Nursing Home in Canton runs on county money, and its staffing is the strongest thing it has going: 4.34 nurse hours per resident day, roughly 12 percent above the national average, with a 4-out-of-5 CMS staffing rating and turnover at 39.6 percent, better than the 45.8 percent national figure. But weekends run about 17 percent thinner than weekdays, and the care record is shakier than the payroll: a 2-out-of-5 inspection rating, 14 deficiencies including 2 at harm or jeopardy level and 3 tied to abuse, plus one $8,278 fine. The most recent inspection was April 30, 2026. Good coverage, uneven follow-through, worth asking about weekend shifts and those abuse findings directly.
Reginald P White Nursing Facility in Meridian runs on unusually heavy staffing for a 70-bed home, 7.04 nurse hours per resident day, roughly double the national figure, though weekends drop about 22% below its own weekday coverage. The tradeoff shows up elsewhere: a 2/5 health inspection rating with 15 deficiencies on record, four of them at the harm or jeopardy level and four tied to abuse, plus a 51.4% turnover rate that runs above the national average. State-owned and last inspected in May 2025, it carries $10,364 in fines. Strong hands-on coverage, but the record raises real questions.
Sunnyview runs in Trenton as a county-owned home with 94 certified beds, and its nurse staffing comes in at 4.46 hours per resident day, roughly 16% above the national average of 3.86. That sounds like a strength until you see who's delivering it: annual turnover is 63.9% against a national figure of 45.8%, and weekend coverage drops about 10% below the home's own weekday level. The current record carries 36 deficiencies, including one at the harm level and three tied to abuse, plus a $30,295 fine. State inspectors were last in on September 19, 2025. High hours with high churn and a stack of deficiencies is the pattern here.
Morningside Center is county-owned, which usually buys some stability, but the numbers here tell a mixed story. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover runs 50.7%, above the 45.8% national figure, meaning the people at the bedside keep changing. The record shows 16 deficiencies, including one at harm-or-jeopardy level and one abuse-related, and the most recent inspection was January 2025. Quality measures score poorly; staffing scores well on paper.
Tobacco Root Mountains Care Center is county-owned and runs on unusually heavy staffing, 7.05 nurse hours per resident day, roughly double the national average. That's the strongest thing in its file. The problems sit elsewhere. Inspectors logged 11 deficiencies, two of them at harm or jeopardy level, and four tied to abuse; the most recent inspection was May 21, 2026. Staff turnover runs 72.7% a year against a national 45.8%, meaning most of the people delivering those generous hours are new. Weekend coverage also dips about 10% below weekday levels. High staffing with high churn and abuse findings is a mixed picture, the hours are there, but consistency and safety aren't fully keeping pace.
The New Mexico State Veterans Home in Truth Or Consequences runs 6.02 nursing hours per resident day, roughly 56% above the national average of 3.86, and weekend coverage stays within about 9% of weekday levels. That staffing cushion is doing real work, because the rest of the record is heavy: 65 deficiencies, 7 of them at harm or jeopardy level, 2 abuse-related, plus an $44,226 fine. Annual turnover hits 84.1% against a national 45.8%, meaning most of the people providing that generous staffing are new or on their way out. The last inspection was 2024-12-27, so the picture is current. Strong hours, unsettled workforce, and a long enforcement history, that combination is what drives the low overall grade.
A Holly Patterson Extended Care is a 589-bed state-run home in Uniondale, and its numbers pull in different directions. Staff turnover sits at 15.7%, well below the 45.8% national average, yet total nurse staffing is 2.79 hours per resident day, roughly 28% under the national figure of 3.86, and weekends run about 14% leaner than weekdays. That gap matters more than the retention number, because steady staff who aren't there in enough numbers still can't cover the floor. The inspection record is the harder problem: 21 deficiencies, six at harm or jeopardy level and four abuse-related, with three fines totaling $141,265. New York State owns it, so there's no corporate chain to blame or petition, the accountability runs to Albany.
The county runs this 115-bed home in Machias, and its strongest number is staffing: 3.76 nurse hours per resident day, close to the national average, with turnover at 36.8% against a national 45.8%, people here tend to stay. Weekends tell a different story, running about 11% thinner than weekdays. The trouble sits on the inspection side: 12 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, plus a $125,453 fine, with the last inspection in February 2025. CMS rates quality measures 1 out of 5. Staffing is not the problem here; oversight and resident safety are what the record keeps flagging.
Terrace View is a 390-bed county-run home in Buffalo, and its numbers pull in different directions. Nurse staffing runs 4.28 hours per resident day, about 11% above the national average, which matters at this size, but weekends drop roughly 11% below the home's own weekday levels, so coverage thins out when families tend to visit. The inspection record is the harder part: 18 deficiencies on file, including two at the harm or jeopardy level and four tied to abuse, plus one fine of $30,843. The last inspection was August 2024. County ownership can mean steady funding; it doesn't erase those findings.
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?