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.
Cibolo Creek runs on thinner nurse coverage than most homes in the country, 3.00 hours per resident day against a national average of 3.86, and it gets thinner on weekends, when staffing drops about 14% below its own weekday level. That's the kind of gap that shows up when a resident needs help on a Saturday night. The inspection record backs up the concern: 26 deficiencies, four of them at the harm or jeopardy level and three tied to abuse. Staff turnover sits at 60.8%, well above the 45.8% national average, meaning familiar faces are hard to keep. Hospital district ownership doesn't offset any of this. Quality measures score well, but the staffing and inspection numbers are what a family should weigh.
Memorial City runs on 3.20 nurse hours per resident day, about 17% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin schedule sits behind 32 deficiencies on the current record, six of them at harm or jeopardy level, one abuse-related, plus four fines totaling $70,554. Annual turnover of 53.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The hospital district ownership is worth noting, but it hasn't kept the inspection record clean, the last survey was April 28, 2026, and the health inspection side scored 2 out of 5. Quality measures look strong at 5 out of 5, which raises the question of whether the day-to-day staffing can carry that.
Hidalgo Nursing and Rehabilitation Center runs on thinner nursing coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, which is when families often visit and notice. The 25 deficiencies on its current record include one at the harm level and four tied to abuse, and the health inspection rating sits low. Staff turnover at 41.6% is slightly better than the national 45.8%, and its quality measure score is strong, but a government-hospital-district owner doesn't change the math: the daily staffing number is what your family will actually feel.
Lavaca Bay runs on 2.99 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% below its own weekday staffing. That thin coverage shows up in the record: 37 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus $21,720 in fines across two penalties. Turnover sits at 51.4%, higher than the 45.8% national figure, so residents see a rotating cast of caregivers. The hospital district ownership doesn't change the math here, the staffing rating reflects the hours actually worked, not who signs the paycheck.
The Tuskegee Airmen Texas State Veterans Home in Fort Worth is a 120-bed nonprofit, and its inspection record carries some weight worth knowing about. Eleven deficiencies show up on the current record, including three at the harm or jeopardy level and two tied to abuse, not the kind of findings a family should gloss over. One CMS fine of $14,280 is on file, and the most recent inspection was May 14, 2025, so the picture is fairly fresh. We don't have enough verified data here to compute a grade for this home, which means the deficiency pattern is the main thing you can actually judge. Ask about those harm-level findings and the abuse citations directly before deciding.
Willows Of Richmond is county-owned and runs 87 beds, with a recent inspection on record from May 2025. The staffing picture is the main thing to know: 3.16 nurse hours per resident day sits about 18% under the national average, and weekends drop roughly 23% below what the home staffs on weekdays. Turnover is 35.8%, which is actually better than the 45.8% national figure, so people tend to stay. The tradeoff shows up in the inspection record: 21 deficiencies, none at harm or jeopardy level and none abuse-related, with middle-of-the-road marks across health inspections, quality measures, and staffing.
Gracedale is a county-run home with 688 beds, and the numbers behind its record are worth understanding before you visit. Staffing sits at 3.68 hours per resident day, roughly 5% under the national average, and weekends drop about 12% below what the home provides on weekdays, so the coverage your family member gets on a Saturday looks different from a Tuesday. The inspection history is the bigger concern: 22 deficiencies on the current record, six at harm or jeopardy level, three tied to abuse, and $122,572 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of serious problems. A 1-out-of-5 inspection rating reflects that pattern, not a single bad day.
Lampasas Nursing And Rehabilitation Center runs on 3.43 nurse hours per resident day, about 11% under the national average, and weekend coverage drops roughly 13% below what it manages on weekdays. The current inspection record carries 15 deficiencies, two of them serious enough to put residents in harm's way, along with two fines totaling $33,198. It's a hospital-district-owned home with 68 beds, inspected recently in January 2026, and its federal ratings sit at two stars for health inspections, two for quality measures, and one for staffing. The pattern worth noticing is the staffing number: when a building runs lean every day and leaner on weekends, the inspection findings tend to follow.
Meadow Brook runs on a knife's edge with staffing, and the numbers show it. Total nurse coverage sits just under the national average, but weekends drop roughly 19% below the home's own weekday levels, and annual turnover hits 77.8% against a national average of 45.8%, meaning the people caring for residents are, more often than not, new to the building. The inspection record is the harder problem: 59 deficiencies on file, 8 of them serious enough to put residents in harm's way and 9 tied to abuse, with a $31,331 fine attached. A recent inspection in November 2025 and a government-hospital-district owner don't erase that pattern.
Caraday Of Lampasas runs on 2.87 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 6% below its own weekday level, so the thinnest coverage lands when families tend to visit. The health inspection record looks solid, but staffing sits at the bottom of CMS's scale, and 13 deficiencies include three at the harm level and one tied to abuse. Three fines totaling $16,426 are on file, with the last inspection dated February 2026. It's a hospital-district home with 76 beds, and the gap between its inspection results and its day-to-day staffing is the tension worth weighing.
Envive of Evansville is county-owned and holds 200 certified beds, and its inspection record is the part that stands out most: 46 total deficiencies on file, including 3 at the harm or jeopardy level and 1 abuse-related, with 11 fines totaling $74,236. The health inspection rating sits at 1 out of 5, and the last inspection date is March 2026, so that record is recent, not stale. Staffing lands at 3.62 hours per resident day, roughly 6% under the national average of 3.86, and weekends dip about 4% below the home's own weekday level. Turnover runs 44.4%, a bit better than the 45.8% national figure.
Wauneta Care and Therapy Center runs on 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends dip about 10% below its own weekday level. Staff turnover sits at 59.5% against a national 45.8%, which means a good share of the people caring for residents are still learning the building, and the staffing star rating of 1 out of 5 reflects that. The current record shows 14 deficiencies, including one at the harm or jeopardy level and one abuse-related. Quality measures score 1 out of 5. Its most recent inspection was May 2025.
Glenview Wellness & Rehabilitation runs on a leaner nurse staffing budget than most homes in the country, 2.40 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday coverage. That gap shows up in the federal staffing rating, which sits at the lowest tier, while annual turnover of 57.3% means the aides and nurses who are there keep changing.
The inspection record is where things get more concerning: 26 deficiencies on file, four of them at the level where a resident was actually harmed or put in jeopardy, and six tied to abuse. Two fines totaling $23,970 have been levied. The quality measure rating is strong at 4 out of 5, but that's a paper score next to the hands-on reality of who's available to answer a call light.
Focused Care Of Waxahachie runs on 2.68 nurse hours per resident day, roughly 31% under the national average, and weekends drop another 10% below its own weekday levels. That thin coverage shows up in the staffing picture, where turnover hits 58.9% against a national 45.8%, more than half the nursing staff leaving in a year. The inspection record is the harder problem: 40 deficiencies, five serious enough to involve harm or jeopardy, three tied to abuse, and $172,367 in fines across three penalties. A government hospital district owns the 152-bed building, and its most recent inspection was April 28, 2026. Quality measures score well; the hands-on care and oversight numbers do not.
Sauk County runs this 82-bed home in Reedsburg, and the staffing numbers are genuinely good on paper: 5.40 nurse hours per resident day, about 40% above the national average, with weekend coverage dipping roughly 11% below its own weekday level. What undercuts that is everything else. Staff turnover sits at 68.1% against a national average of 45.8%, so the people delivering those hours keep leaving. Inspectors cited 16 deficiencies on the current record, five at harm or jeopardy level and five abuse-related, with three fines totaling $160,977 and a survey as recent as April 2025. County ownership and strong staffing hours haven't translated into safe care here.
Paradigm At The Pines runs on 2.90 nurse hours per resident per day, about a quarter below the national average, and weekends drop roughly another 11% beneath its own weekday level. Turnover sits at 67.4% against a national 45.8%, and the staffing star rating reflects that: 1 out of 5. The inspection record shows 34 deficiencies, including one at the harm level and six tied to abuse, with a $8,281 fine. It's a hospital-district home, and the last inspection was recent. The quality measure score is strong, but that's largely self-reported data, the hands-on staffing and inspection findings tell a harder story.
College Street Health Care Center runs on thinner nursing coverage than most homes, 3.52 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday level. Staff turnover sits at 55.6%, well above the 45.8% national figure, so the people caring for your family member are cycling through faster than usual. The current record shows 22 deficiencies, including one at the harm level and two related to abuse. A 4-star inspection rating from August 2025 suggests the survey process itself went reasonably well, but the quality measure rating of 2 stars points to weaker clinical outcomes. It's a small, government-run home with real staffing strain underneath a decent inspection score.
Carrollton Health and Rehabilitation Center runs about 3.12 nurse hours per resident each day, roughly 19 percent under the national average, and weekend staffing drops another 18 percent below its own weekday levels. That thin coverage helps explain the two-out-of-five rating on CMS's staffing measure. The inspection record shows 36 deficiencies, including two at the level where harm or jeopardy occurred and three tied to abuse, along with two fines totaling $19,185. Texas surveyors last visited in May 2025. This is a 120-bed for-profit corporate home where the daily aide and nurse presence is the real story.
Stonewall Living Center in Aspermont gets top marks on health inspections, a five-star rating there, but that's where the good news mostly stops. The staffing picture is thin, rated one star, and annual turnover runs 55.8% against a national average of 45.8%, meaning more than half the caregivers leave each year. Quality measures sit at two stars, and the current record shows ten deficiencies, one serious enough to reach harm or jeopardy level, plus an $8,281 fine. It's government-owned through the hospital district, which can offer stability, but stable ownership doesn't fix a workforce that keeps cycling through. The last inspection was in February 2026, so the record is recent. Families weighing this one should ask specifically how the home keeps consistent aides on the floor.
Choctaw County runs this 60-bed home in Ackerman, and it's been inspected fairly recently, April 2024, with 15 deficiencies on the current record, including two at the harm level and one tied to abuse. Staffing is where the numbers get hardest to ignore: the federal staffing rating sits at 1 out of 5, and quality measures land at the same bottom score, meaning resident outcomes and caregiver hours both trail what CMS expects. Two fines totaling $12,472 are on file. County ownership can mean stability, but it doesn't change what the inspection and staffing data show. If you're considering this one, ask specifically how they've addressed the harm-level findings and what direct-care hours a resident actually gets per day.
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?