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.
Knox County Nursing Home District runs on county government ownership, which usually means stable funding but also slower movement on problems. The staffing numbers are close to average on paper, 3.83 nurse hours per resident day against a national 3.86, but weekends drop about 12% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. The inspection record is the bigger concern: 37 deficiencies, including two at the harm or jeopardy level and five tied to abuse, plus a $93,280 fine. The last inspection was February 2024, so that record is recent. Ask specifically how weekend shifts are covered before you decide.
Wellington Care Center runs on thin nursing coverage: 3.07 hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 11% below its own weekday level. That shortfall is what drags its staffing rating down to 1 out of 5, even though its last inspection in January 2026 went reasonably well and produced a 4-out-of-5 inspection rating. The record shows 15 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse, plus a single $13,070 fine. Government hospital district ownership doesn't change the arithmetic, the quality measure rating sits at 3 out of 5, and the daily staffing numbers are the weakest part of this home's profile.
Village Creek runs on 3.27 nurse hours per resident day, roughly 15% under the national average, and weekend coverage dips about 15% below its own weekday level, so the thinnest staffing lands when families tend to visit. The inspection record is the bigger problem: 38 deficiencies, six of them at harm or jeopardy level and seven tied to abuse, with three fines totaling $125,838. A 1-out-of-5 inspection rating alongside a 4-out-of-5 quality measure score tells you the charted care metrics look better than the day-to-day compliance record. Turnover at 40.3% is slightly better than the 45.8% national figure, and the hospital district ownership is a point in its favor. Ask about the abuse-related findings directly before deciding.
Hallmark Hc Of Carlinville is city-owned, which is unusual, most homes are run by chains or private operators, and it holds 49 beds, so it's small. Where it struggles is staffing: 3.10 nurse hours per resident day sits about 20% under the national average, and weekends drop roughly 12% below what the home itself staffs on weekdays. Turnover lands at 45%, basically level with the national figure, so that's not the problem here. What stands out is the inspection record: 24 deficiencies, three of them serious enough to put residents at risk of harm, plus one fine totaling $25,493. The most recent state visit was February 2025, so the picture is current.
Vermillion Convalescent Center runs on 2.76 nursing hours per resident each day, roughly 29 percent under the national average of 3.86. Weekends drop about 13 percent below what the home itself staffs on weekdays, so coverage thins out right when families tend to visit. The county owns it, and turnover sits at 46.8 percent, close to the national 45.8. Inspectors were last in on August 19, 2025, and the current record carries 21 deficiencies, none at harm or jeopardy level, but three tied to abuse. The staffing star lands at 1, quality at 2, health inspection at 3.
Carmel Health & Living Community is county-owned, which can mean stability, but the numbers here tell a harder story. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 14% thinner than weekdays, so the coverage gap shows up exactly when families tend to visit. Staff turnover is the bigger worry: 69.8% a year against a national average of 45.8%, which means the people caring for your relative are often brand new. The inspection record backs that up: 30 deficiencies, two of them serious enough to put residents at risk of harm, plus one fine. The state last inspected in September 2025.
Avir At Enchanted Rock runs on a hospital district's budget out in Gillespie County, and the numbers show where that leaves residents. Nurses provide 3.44 hours of care per resident each day, roughly 11 percent under the national average, and weekends dip about 15 percent below the home's own weekday staffing. The bigger red flag is turnover: 78.9 percent of staff leave within a year, against a national average of 45.8, so the people providing that already-thin care are constantly new. Inspectors have cited 47 deficiencies, including 5 at the harm level and 8 tied to abuse, with $63,121 in fines. Quality scores look good on paper, but staffing and inspections tell the harder story.
Country Village Care runs 3.53 nurse hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday staffing. That gap matters because the health inspection record is where this home struggles most, 18 deficiencies on file, four of them serious enough to cite harm or jeopardy, plus two fines totaling $61,425. Staff turnover sits at 56% versus 45.8% nationally, which means more than half the nursing staff leaves each year. It's government-owned, run by a hospital district, and its last inspection was October 2024. Nothing here suggests abuse; the problems are staffing consistency and a pattern of serious inspection findings.
Traymore Nursing Center runs on thinner staffing than most homes its size. At 3.44 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 14% below what the home itself staffs on weekdays. Turnover is 54.9%, well above the 45.8% national figure, so the people providing care keep changing.
The inspection record is mixed. Eleven deficiencies, three of them at the level where residents were actually harmed or put in jeopardy, plus two fines totaling $30,113. The most recent inspection was July 2025, so the picture is current.
What stands out is the gap: inspectors rated the care environment 4 out of 5, yet the staffing rating is 1 out of 5. Good survey results are hard to sustain when there aren't enough consistent hands on the floor.
Ridgmar Medical Lodge runs on 3.27 nurse hours per resident day, about 15% under the national average, and weekends dip another 13% below its own weekday coverage. That thin staffing shows up in the numbers: 52.7% annual turnover, meaning more than half the nursing staff leaves each year. The inspection record carries 32 deficiencies, including four at the harm or jeopardy level and four tied to abuse, with three fines totaling $29,598. The hospital district owns the building, so it isn't a chain cutting corners for profit, but ownership type doesn't change what families have to weigh here. Quality measures score well; staffing and inspections don't. If you're considering it, ask specifically how weekends are covered.
Fairfield Nursing & Rehabilitation Center is run by a hospital district, and its inspectors clearly find little to fault: a five-star health inspection record, 10 deficiencies with none rising to harm or jeopardy, and a visit as recent as December 2025. Where the numbers turn is staffing. At 3.09 nurse hours per resident day, this home sits about 20% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level. Turnover tells the same story, 96.7% annually against a national 45.8%, meaning nearly the whole nursing staff cycles through in a year. Good inspections, thin and unstable coverage.
Paoli Health And Living Community is county-owned, with 109 certified beds in Orange County. Nurse staffing runs 3.26 hours per resident day, about 16% under the national average, and weekends drop roughly 18% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 58% against a national 45.8%, meaning more than half the nursing staff leaves each year.
The inspection record is the heavier problem: 28 deficiencies, two at harm or jeopardy level and two abuse-related, with $28,138 in fines. The last inspection was April 11, 2025. Quality measures score well, but one star on health inspections and two on staffing tell you where the trouble actually lives.
Songbird Lodge runs on thin staffing: 3.06 nurse hours per resident per day against a national average of 3.86, and weekends drop about 16% below its own weekday levels. The bigger red flag is turnover, 98.8% annually, more than double the national 45.8%, which means the aides and nurses who know your mother's routines are largely gone within a year. Brownwood's hospital district owns the place, and the inspection record is recent (December 2025) with 18 deficiencies, none at harm level, plus one fine of $10,210. Its quality scores look strong and inspections are middling, but the staffing numbers tell you what day-to-day coverage probably feels like.
Avir At Sealy runs on 2.91 nurse hours per resident per day, roughly a quarter below the national average, and weekends dip about 16% below its own weekday levels. Staff turnover sits at 78.9% against a national figure near 46%, which means many of the people caring for residents are still learning the building. The inspection record is thinner than those numbers might suggest: 18 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. CMS rates the quality measures 5 out of 5 and inspections 4 out of 5, but staffing 1 out of 5. A for-profit corporation owns the 90-bed home.
Laredo West runs on 3.12 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends drop about 13% below what the home itself staffs on weekdays. Turnover sits at 47.3%, slightly above the national 45.8%. Those numbers sit behind a one-star health inspection rating and a record of 31 deficiencies, three of them at harm or jeopardy level and four tied to abuse, with two fines totaling $49,719. The most recent inspection was April 2025, so the record is current, not stale. Government hospital district ownership doesn't change what the staffing and inspection data show. Families should ask direct questions about weekend coverage and the abuse-related findings before deciding.
Crestwood runs on notably thin nursing coverage: 2.95 hours per resident day, roughly a quarter below the national average, and weekends drop about 10% below what the home already provides on weekdays. Inspectors have cited 45 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $10,839 and a health inspection rating of 1 out of 5; the last inspection was January 2024. Staff turnover sits at 59% against a national 45.8%, so the people providing care change often. The quality measure score of 5 out of 5 stands out against all of this, a gap worth asking the administrator about directly.
Eagle Pass Nursing and Rehabilitation runs on 3.08 nurse staffing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs during the week. The record shows 26 deficiencies, three of them serious enough to reach harm or jeopardy, plus three abuse-related citations and $17,419 in fines. A recent inspection in May 2025 and a strong health inspection star rating suggest the home does get looked at closely, which makes the thin staffing harder to explain. Government hospital district ownership doesn't change the arithmetic here: fewer hands per resident, especially on weekends, is the number families will feel.
Memphis Convalescent Center runs on 3.39 nursing hours per resident day, roughly 12% under the national average, and weekends dip about 9% below its own weekdays, so the thinnest coverage lands when families tend to visit. Every aide and nurse on staff turned over last year, against a national rate near 46%, which means the people caring for residents are largely new to the building and to each other. The record shows 20 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus one fine of $19,754; the last inspection was November 2025. Hospital-district ownership doesn't change what those numbers say about daily care.
Bastrop Lost Pines is run by a hospital district, which you might expect to mean steadier resources, but the numbers don't show that. Nurses give about 3.10 hours of care per resident each day against a national average of 3.86, and weekends run roughly 13 percent thinner than weekdays, so coverage depends heavily on when you visit. The current inspection record carries 27 deficiencies, three of them serious enough to put residents in harm's way and two tied to abuse, with $101,156 in fines across three cases. Turnover sits at 46.8 percent, slightly worse than the national figure, and the most recent inspection was January 30, 2026.
High Hope Care Center of Brenham is run by the local hospital district, which in theory can mean steadier resources than a for-profit chain. The numbers don't show that advantage. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 12% thinner than weekdays. Staff turnover is 62.2%, well above the national 45.8%, so the people caring for residents change often. Inspections turned up 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $20,699 fine. The last inspection was March 2026, and the quality and staffing ratings both sit 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?