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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 61 to 80 of 956, best-graded first.

A

94/100

Veterans Home Of California - Chula Vista

Chula Vista, CA · San Diego County

CMS 5/5180 bedsGovernmentMedicaid
Nurse hours
4.80 /day
Staff turnover
17%
Serious cites
0

The state-run veterans home in Chula Vista runs 4.80 nurse hours per resident per day, roughly a quarter above the national average, with a 5/5 CMS staffing rating and turnover at 17.3 percent, well under the 45.8 percent national figure. Those numbers help explain its B grade, but the 34 deficiencies on file matter too, including one at the harm level and two abuse-related citations, with a single $8,018 fine. Weekend staffing dips about 12 percent below its own weekday level. A January 2026 inspection is recent enough to trust. Solid staffing and stable workforce; the citation record is the piece to weigh.

A

94/100

Country View Living

Dimmitt, TX · Castro County

CMS 5/554 bedsGovernmentMedicaid
Nurse hours
4.63 /day
Staff turnover
38%
Serious cites
0

Country View Living runs on a government hospital district license in Dimmitt, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.63 hours per resident day, roughly a fifth above the national average, and weekends dip only about 10% below its own weekday level, a smaller drop than many homes show. Staff turnover is 37.9%, well under the 45.8% national figure, and its eight deficiencies include nothing at the harm or jeopardy level and nothing abuse-related. A December 2025 inspection is recent, and the five-star marks across health, quality, and staffing come from those same federal figures.

A

93/100

South Peninsula Hospital Ltc

Homer, AK · Kenai Peninsula County

CMS 5/528 bedsGovernmentMedicaid
Nurse hours
8.87 /day
Staff turnover
37%
Serious cites
0

South Peninsula Hospital Ltc runs on 8.87 nurse hours per resident day, more than double the national average of 3.86, and its weekend staffing only dips about 10% below weekday levels. Staff turnover sits at 36.8%, lower than the 45.8% national figure, and the home carries six deficiencies with none at the harm or jeopardy level and none related to abuse. A 5/5 inspection rating, a 4/5 on quality measures, and a September 2025 inspection round out a record that's unusually clean for a 28-bed city-run home in Homer.

A

93/100

Memorial Manor

Pembroke Pines, FL · Broward County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
4.84 /day
Staff turnover
16%
Serious cites
0

Memorial Manor runs on 4.84 nurse hours per resident per day, roughly a quarter more staffing than the typical Florida nursing home, and weekends dip only about 10% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 16% against a national average near 46%, which matters more than any single inspection score. The 12 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in October 2024. It's a hospital-district home with 120 certified beds, so it answers to a public board rather than a private operator.

A

93/100

Idaho State Veterans Home - Pocatello

Pocatello, ID · Bannock County

CMS 5/566 bedsGovernmentMedicaid
Nurse hours
4.95 /day
Staff turnover
49%
Serious cites
0

The Idaho State Veterans Home in Pocatello runs on state government ownership and 66 certified beds, and its nurse staffing sits at 4.95 hours per resident day, roughly 28% above the national average of 3.86. That number carries real weight, though weekends dip about 14% below the home's own weekday levels, so coverage isn't perfectly even across the week. Turnover runs 48.6%, a bit above the national 45.8%. The current inspection record shows 23 deficiencies, none at the harm or jeopardy level, but 4 are abuse-related, which families should ask about directly. The last inspection was in August 2025, so the record is recent.

A

93/100

Southfield Village

South Bend, IN · St. Joseph County

CMS 3/560 bedsGovernmentMedicaid
Nurse hours
3.94 /day
Staff turnover
25%
Serious cites
0

Southfield Village is county-owned, and that shows in the staffing: 3.94 nurse hours per resident day, just above the national average, with a 4-out-of-5 staffing rating. Weekend coverage dips only about 5% below weekdays, which is mild, and turnover sits at 25% against a national 45.8%, people tend to stay. The catch is inspections. Twenty-one deficiencies are on record, none involving harm or abuse, and the last visit was January 13, 2026, so it's recent. A 2-out-of-5 inspection rating alongside 5-out-of-5 quality measures describes a home that cares for residents well but has real documentation and process problems to clean up.

A

93/100

Timbercrest Church Of The Brethren Home

North Manchester, IN · Wabash County

CMS 4/565 bedsGovernmentMedicaid
Nurse hours
4.62 /day
Staff turnover
25%
Serious cites
0

Timbercrest runs on 4.62 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home, and it earns the top federal staffing rating for it. Weekend coverage dips about 7% below weekday levels, which is a real gap but a modest one. Staff turnover sits at 25%, well under the national 45.8%, so the people caring for residents tend to stay. The health inspection record shows 11 deficiencies, none involving harm, jeopardy, or abuse, and the most recent inspection was in August 2025. County-owned and small at 65 beds, it pairs strong quality measure scores with a solid but not flawless inspection history.

A

93/100

Maples Benzie County Medical Care

Frankfort, MI · Benzie County

CMS 5/580 bedsGovernmentMedicaid
Nurse hours
5.05 /day
Staff turnover
40%
Serious cites
0

Maples Benzie County Medical Care runs on unusually heavy nurse staffing, 5.05 hours per resident day against a national average of 3.86. That's about a third more hands-on care than most homes, and it shows in a five-star CMS staffing rating, even if weekends dip roughly 14% below the home's own weekday coverage. Staff turnover sits at 40.2%, better than the 45.8% national figure but still meaning two in five caregivers left within a year. The record isn't spotless: 21 deficiencies, including one at the harm level and one tied to abuse, plus a single $1,398 fine. County-owned, inspected in January 2026. Strong care capacity, some compliance concerns worth asking about directly.

A

93/100

Isabella County Medical Care Facility

Mt. Pleasant, MI · Isabella County

CMS 5/5100 bedsGovernmentMedicaid
Nurse hours
5.86 /day
Staff turnover
28%
Serious cites
0

Isabella County Medical Care Facility runs on a county-owned model, and the numbers show it: 5.86 total nurse hours per resident day, roughly half again the national figure, with a 5/5 CMS staffing rating to match. Turnover sits at 27.5% against a national average near 46%, meaning the aides and nurses your family would see day to day are likelier to still be there next year. Weekend coverage dips about 11% below weekdays, the one soft spot in the staffing picture. Four deficiencies on record, none involving harm or abuse, and a clean 5/5 inspection rating from a visit in March 2026. Quality measures come in at 3/5, decent, not standout.

A

93/100

Michigan Veteran Homes At Grand Rapids

Grand Rapids, MI · Kent County

CMS 5/5128 bedsGovernmentMedicaid
Nurse hours
7.21 /day
Staff turnover
45%
Serious cites
0

Michigan Veteran Homes At Grand Rapids runs a state-owned, 128-bed operation where nurse staffing sits at 7.21 hours per resident day, roughly 87 percent above the national average of 3.86. Weekends dip about 12 percent below weekday coverage, so ask how that gap gets filled. The inspection record is clean where it counts: five deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey in April 2025. Staff turnover of 44.9 percent lands just under the national 45.8 percent. Combined with 5/5 stars on health inspections and staffing and 4/5 on quality measures, the numbers point to a home that's well-run on paper and worth a visit.

A

93/100

Grand Village

Grand Rapids, MN · Itasca County

CMS 5/582 bedsGovernmentMedicaid
Nurse hours
4.20 /day
Staff turnover
37%
Serious cites
0

Grand Village is county-owned, which matters less than what the numbers show. Its 4.20 nurse hours per resident day sit about 9% above the national average, and weekend staffing dips only 7% below weekdays, a modest gap that suggests the place doesn't hollow out on Saturdays and Sundays, which is where a lot of homes quietly struggle. Staff turnover of 37.2% is meaningfully below the national 45.8%, so the people caring for residents tend to stick around. The inspection record shows 21 deficiencies with none at the harm or jeopardy level, though one is abuse-related. CMS rated staffing and quality measures 5 out of 5; inspections came in at 3. The last survey was May 2025, so the picture is current.

A

93/100

Mn Veterans Home-Luverne

Luverne, MN · Rock County

CMS 5/585 bedsGovernmentMedicaid
Nurse hours
5.24 /day
Staff turnover
21%
Serious cites
0

Nurse staffing at the state veterans home in Luverne runs 5.24 hours per resident per day, roughly a third more than the national average of 3.86, and weekend coverage stays within about 10% of weekday levels, a gap that trips up plenty of homes. Staff turnover is 20.9% against a national 45.8%, so the people providing that care tend to stick around. The trade-off sits in the inspection record: nine deficiencies, including one at the harm level and three tied to abuse. That's worth asking about directly, even with a recent March 2026 inspection and a four-star health inspection rating behind it.

A

93/100

Riverside Rest Home

Dover, NH · Strafford County

CMS 5/5215 bedsGovernmentMedicaid
Nurse hours
4.30 /day
Staff turnover
16%
Serious cites
0

Riverside Rest Home is county-owned, that matters here, because government-run homes often get less attention than chains but this one holds up on the numbers. Total nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average, and the 5/5 staffing rating reflects that. Turnover is the striking figure: 16.2% against a national average near 46%, meaning the people caring for residents tend to stay. Seven deficiencies on record, none at harm or jeopardy level, none abuse-related, with a recent April 2026 inspection. Weekend coverage dips about 11% below weekday levels, worth knowing if you visit Saturdays.

A

93/100

Glencliff Home For The Elderly

Glencliff, NH · Grafton County

CMS 2/5130 bedsGovernmentMedicaid
Nurse hours
4.23 /day
Staff turnover
14%
Serious cites
0

Glencliff Home for the Elderly runs on one of the steadiest nursing staffs you'll find. It's a state-run facility in Grafton County with 130 certified beds, and its 4.23 nurse hours per resident day sit about 9% above the national average. Turnover is the real standout: 13.9% a year, against a national average near 46%. That kind of retention usually means residents see the same faces month after month. The tradeoff shows up in inspections. CMS gives the home a single star for health inspections, and there are 11 deficiencies on the current record, though none involved actual harm or jeopardy, and none were abuse-related. The last inspection was October 2025, so the picture is recent. Weekend staffing dips about 12% below weekdays, worth asking about if your family visits then.

A

93/100

New Jersey Veterans Memorial Home At Paramus

Paramus, NJ · Bergen County

CMS 5/5336 bedsGovernment
Nurse hours
5.77 /day
Staff turnover
22%
Serious cites
0

The state-run veterans home in Paramus has 336 beds and enough nurses to staff them well, 5.77 hours per resident day, roughly half again the national average. Turnover sits at 22% against a national norm near 46%, so the people caring for residents tend to stay. Inspections back that up: a perfect health inspection record, seven total deficiencies with none at the harm level, and a fresh survey from April 2025. One abuse-related citation is on the books, worth asking about directly. Weekend coverage dips about 9% below weekdays, a common pattern but still a gap. Quality measures land mid-pack at three stars, the one number here that isn't strong.

A

93/100

Hillview Health Care Ctr

La Crosse, WI · La Crosse County

CMS 5/537 bedsGovernmentMedicaid
Nurse hours
4.61 /day
Staff turnover
41%
Serious cites
0

Hillview Health Care Center in La Crosse is county-owned, and that shows in how it's run. Nurse staffing runs 4.61 hours per resident day, about 19% above the national average, with a five-out-of-five staffing rating to back it up. Weekend coverage dips roughly 6% below weekday levels, though turnover at 40.7% sits below the national 45.8%, which matters for whether that coverage stays steady. The inspection record is recent, February 2026, and clean where it counts: twelve deficiencies total, none at the harm level and none abuse-related. With 37 beds, this is a small home, and the numbers suggest one that runs tight.

A

93/100

Badger Prairie Hcc

Verona, WI · Dane County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
6.13 /day
Staff turnover
10%
Serious cites
0

Badger Prairie Hcc is county-owned, and that shows up in the numbers. Nurse staffing runs about 6.13 hours per resident day, roughly 59% above the national average, and weekend coverage only dips about 9% below weekdays, which matters because that's when a lot of homes quietly thin out. Annual turnover sits near 9.7% against a national average of 45.8%, so the people caring for residents tend to stick around. The health inspection rating is 5/5 with the most recent visit in September 2025, though the record does carry 9 deficiencies, including 1 at the harm level and 4 tied to abuse. Quality measures rate a 3/5, the softer spot in an otherwise strong profile.

A

93/100

Harbor Haven Health & Rehabilitation

Fond Du Lac, WI · Fond Du Lac County

CMS 5/585 bedsGovernmentMedicaid
Nurse hours
4.31 /day
Staff turnover
33%
Serious cites
0

Harbor Haven runs on county money, and the numbers show it. Nurse staffing sits at 4.31 hours per resident day, about 12% above the national average, with weekends dipping only slightly below weekdays, a gap that's small by industry standards. Staff turnover is 33.3%, well under the national 45.8%, which matters because consistent caregivers learn residents' routines. The inspection record is thin: two deficiencies total, none involving harm or abuse, and the most recent state visit was in April 2025. Quality measures score well too. For a family weighing options in Fond du Lac County, this is a home where the workforce stays and the state hasn't found much to cite.

A

93/100

Lasata Care Center

Cedarburg, WI · Ozaukee County

CMS 5/5106 bedsGovernmentMedicaid
Nurse hours
5.73 /day
Staff turnover
41%
Serious cites
0

Lasata Care Center is county-owned, and that shows up in the staffing numbers: 5.73 nurse hours per resident day, roughly 48% above the national average of 3.86. Weekend coverage dips only about 7% below its own weekday level, so care doesn't thin out much on Saturdays and Sundays. Staff turnover sits at 40.8%, better than the national 45.8%. The tradeoff is in the inspection record, 10 deficiencies, none at the harm or jeopardy level, but five flagged as abuse-related. That's worth asking about directly. The last inspection was January 7, 2026, so the picture is current.

A

93/100

Norwood Health Ctr-Central

Marshfield, WI · Wood County

CMS 5/532 bedsGovernmentMedicaid
Nurse hours
6.12 /day
Staff turnover
40%
Serious cites
0

Norwood Health Center-Central runs on unusually heavy staffing for a 32-bed county home, 6.12 nurse hours per resident day, roughly 59% above the national average, which is where its perfect staffing rating comes from. Weekend coverage dips about 11% below its own weekday level, and turnover sits at 40%, a bit better than the 45.8% national figure. The tradeoff shows up in its record: three deficiencies, all flagged at harm or jeopardy level and all abuse-related, with the most recent inspection dated April 15, 2026. Strong quality and inspection ratings sit alongside those three serious citations, so ask what changed since that April visit before you decide.

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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