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.
The Montrose veterans home runs a leaner ship than most on staffing turnover, 26.5% against a national average near 46%, and nurse hours per resident sit slightly above the national mark. But weekend coverage drops roughly 14% below the home's own weekday levels, and the inspection record is where things get hard to ignore: 22 deficiencies, four of them serious enough to involve harm or jeopardy, six tied to abuse, and the last full inspection dates to July 2023. A single $29,153 fine is on the books. State-run ownership doesn't change what families should ask about: what those abuse citations involved, and who's covering the floor on Saturdays.
Dunseith Com Nursing Home runs on unusually heavy staffing, 5.50 nurse hours per resident day, roughly 42% above the national average, and that's the strongest thing in its file, reflected in a full five stars from CMS on staffing. The problems sit elsewhere. Inspectors have cited 31 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, plus four tied to abuse; the health inspection rating is one star, and two fines total $92,954. Weekend coverage dips about 9% below weekday levels, and turnover runs 56.4% against a national 45.8%. City-owned, 30 beds, inspected most recently in May 2025. Plenty of hands, but the record shows they haven't always kept residents safe.
The Ohio Veterans Home in Sandusky runs on state government ownership, and its staffing numbers are genuinely strong, 4.86 nurse hours per resident per day, about a quarter more than the national average, with staff turnover at 36.2% against a national 45.8%. Weekend coverage dips roughly 9% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. The friction sits in its inspection record: 23 deficiencies on file, including 3 at the harm or jeopardy level and 7 tied to abuse, with the last inspection in January 2024. Strong day-to-day care numbers and a troubled regulatory history can coexist at the same address.
Staffing is where Lebanon Veterans Home stands out: 5.61 nurse hours per resident day, roughly 45% above the national average, with turnover at 35.6% against a national 45.8%. Weekend coverage dips about 14% below weekday levels, so care does thin out on Saturdays and Sundays. The catch is the inspection record, 35 deficiencies, four tied to abuse, and a two-out-of-five health inspection rating, though none of the findings rose to actual harm or jeopardy. State-run ownership and a September 2025 inspection mean the record is current. Strong staffing doesn't erase four abuse-related deficiencies; read the inspection reports before deciding.
John J. Kane Regional Center-Ro runs 240 beds under Allegheny County's ownership, and its inspection record is the hardest thing to get past: 66 deficiencies on file, including four at the harm or jeopardy level and ten tied to abuse. Two fines totaling $90,344 sit alongside that history. Staffing hours come in around 3.59 per resident day, roughly 7% under the national average, and turnover runs at 61.9% against a national 45.8%, meaning well over half the nursing staff leaves each year. Weekend coverage actually runs slightly above its own weekday level, which is unusual. The county's most recent inspection closed in April 2025.
Rouse Warren County Home sits in Youngsville, and it's owned by the county, which tends to mean slower change and steadier budgets than a for-profit chain. The staffing numbers are genuinely good, 4.18 nurse hours per resident day, about 8% above the national average, but weekends run roughly 9% thinner than weekdays, so the coverage your relative gets on a Saturday may not match what they get on a Tuesday. Turnover of 48.4% is slightly worse than the national average, meaning familiar faces cycle out faster than you'd hope. The current inspection record shows 19 deficiencies, including two at harm level and one abuse-related, with a $22,967 fine.
John J. Kane Regional Center-Sc runs 311 certified beds as a county-owned home in Pittsburgh, and the staffing numbers sit roughly 9% under the national average at 3.52 nurse hours per resident day. Weekends dip about 5% below its own weekday coverage, while turnover at 44.3% actually edges slightly under the national rate. What stands out is the inspection record: 12 deficiencies, including two at harm or jeopardy level and five tied to abuse, with the most recent inspection in September 2024. The quality measure stars look strong, but that inspection history is the piece worth asking about directly.
The Kane Regional Center's Glen Hazel campus runs on thin nurse coverage: 2.82 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday level. That gap shows up in the staffing rating, which sits down with the inspection and quality ratings. Inspectors cited 18 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. Staff turnover of 56.3% runs well above the 45.8% national figure, so residents see a lot of new faces. Allegheny County owns and operates it, and the last state survey was in June 2025.
Fair Acres is one of the largest county-run homes in Pennsylvania, with 778 beds, and its staff retention is genuinely unusual: turnover of 21.5% sits far below the national rate of 45.8%, meaning the people who work here tend to stay. The problem is how few of them there are per resident, 2.79 nursing hours per resident day against a national average of 3.86, and weekend coverage drops roughly 7% below its own weekday level. Inspectors cited eight deficiencies on the current record, including one at the harm level and one abuse-related, with the most recent inspection dated February 2026. Low turnover helps, but it doesn't stretch thin staffing.
Delaware Valley Veteran's Home is state-run and holds 171 certified beds, and its staffing numbers are its strongest asset: 4.23 nurse hours per resident day, roughly 10% above the national average, with turnover at 29.6% compared to 45.8% nationally. Weekend coverage dips about 14% below weekday levels, so families should ask how that gap gets managed. The inspection record is where the picture dims. Twenty-two deficiencies are on file, three at harm or jeopardy level and two abuse-related, with a $10,036 fine and a survey completed in July 2025. Strong quality and staffing ratings sit alongside real regulatory findings, worth weighing carefully before deciding.
Hollidaysburg Veterans Home runs on unusually deep staffing for a nursing home, 5.13 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping only about 10% below weekdays. Turnover sits at 23.3%, about half the national rate, which suggests aides and nurses tend to stay. The trouble shows up in inspections: 41 deficiencies on the current record, including three at harm or jeopardy level and five tied to abuse, and the state's most recent look came in June 2025. A state-run veterans home with steady staff and a thin inspection record is the tradeoff here, call about those harm-level findings before you visit.
Southwestern Veterans Center has real strengths on paper. Its 4.27 nurse staffing hours per resident day beats the national average by about 11%, and that shows up in a five-star staffing rating. But weekends run roughly 13% thinner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. The trouble sits elsewhere: 36 deficiencies on the current record, including three at harm or jeopardy level and two tied to abuse, plus a $245,564 fine. Staff turnover matches the national rate at 45.8%, meaning nearly half the nursing staff leaves each year. Quality measures look strong at four stars, but a two-star inspection record is what's dragging this home's overall standing down.
C M Tucker Jr Nursing Care Center in Columbia runs on state government ownership and a big staff, 5.20 nurse hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level. What that staffing buys is a spotty record: 24 deficiencies on file, seven serious enough to put residents in harm's way, three tied to abuse, and four fines totaling $244,929. The last inspection was in May 2025, so the picture is current. High direct-care hours coexist here with repeated, sometimes dangerous, compliance failures, a split worth weighing carefully if you're choosing a place for someone.
Tennessee State Veterans Home in Cleveland runs five hours of nursing care per resident per day, about 30% above the national average, and its last inspection in January 2026 came back clean enough to earn a top federal rating. The tradeoff is consistency: weekend staffing drops roughly 14% below weekday levels, and 56.1% of staff turned over in a year, well above the 45.8% national figure, that churn matters more in a home where five deficiencies sit on record, including one tied to harm or jeopardy and one abuse-related. As a state-run facility, it answers to public oversight rather than a private operator. Strong numbers overall, but ask how weekends and new hires are actually handled.
Avir At Beaumont runs 214 certified beds under hospital district ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends run about 9 percent thinner than weekdays, so coverage gaps tend to land when families visit most. Staff turnover of 49.5 percent tops the national rate, which means the people caring for residents are often new to the job.
The current inspection record carries 41 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $39,563 in fines across three penalties. The most recent inspection was June 20, 2025.
Legacy Nursing and Rehabilitation runs about 3.00 nurse hours per resident day, roughly 22% under the national average, and weekends dip about 15% below what the home staffs on weekdays. That thin coverage shows up in the federal staffing rating, which sits at the lowest mark, while annual turnover of 46.8% means close to half the nursing staff leaves each year, a bit above the national rate. Inspectors cited 38 deficiencies on the current record, including one at the harm level and one abuse-related, with a single fine of $12,375. The most recent inspection was in May 2025. Brazos County families comparing options should weigh that record against the home's mid-range quality scores.
Colonial Manor runs about 3.78 nursing hours per resident per day, a bit under the national average, and weekends drop roughly 11% below its own weekday staffing. That thinner weekend coverage matters more when turnover sits at 52.8%, well above the 45.8% national figure, because a changing roster makes it harder to know who's on the floor. The record shows 26 deficiencies, including three at harm or jeopardy level and three tied to abuse, with $51,594 in fines and a February 2025 inspection. The quality measure stars look strong, but the inspection and staffing numbers tell a different story.
Skyline Nursing Center is a 204-bed hospital-district home in Dallas, and the numbers behind its federal record are hard to read kindly. Nurse staffing runs about 3.05 hours per resident day, roughly a fifth below the national average, and it drops another 10% on weekends, when families often visit and coverage matters most. Annual turnover sits at 50%. The inspection history is heavier still: 39 deficiencies on the current record, including 5 at the level where residents were actually harmed or put in jeopardy, plus 6 tied to abuse. One fine of $96,817 has been levied, and the most recent inspection was April 2026.
Advanced Health & Rehab Center of Garland runs on 2.97 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 10% below its own weekday staffing. That thin coverage shows up in the inspection record: 41 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and three fines totaling $237,224. Staff turnover of 43.5% is slightly better than the national 45.8%, and the quality measure score is strong, but the staffing and inspection scores sit at the bottom. It's hospital-district owned and was inspected in April 2025. Ask about weekend nurse coverage and what changed since that inspection.
Millcreek Rehabilitation and Nursing is a 61-bed county-owned home in Salt Lake City, and its inspection record is the first thing you'd want to look at. Twenty-nine deficiencies, three of them serious enough to put residents in harm's way, and four tied to abuse. The health inspection rating sits at 1 out of 5, with a $25,441 fine on the books and a survey completed in late March 2025.
Staffing is the other weak spot. At 2.25 nurse hours per resident per day, it runs about 42% under the national average, and weekends drop roughly another 13% below the home's own weekday levels. Turnover of 52.4% exceeds the national figure, and the staffing rating lands at 2 out of 5.
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?