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.
Archbold Living Cairo runs on 3.03 nursing hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 18% below what the home itself staffs on weekdays. That thin weekend coverage matters, since aides and nurses are the people who catch a change in condition before it becomes a hospital trip. Turnover sits at 55.7% against a national 45.8%, meaning more than half the nursing staff leaves in a year. Nine deficiencies are on record, none at the harm level and none abuse-related, and the last inspection was recent, in August 2025. County-owned, 75 beds. The quality measure rating of 1 out of 5 is the piece worth asking about directly.
Belmont Health & Rehabilitation runs on county money, which usually means stable funding but not always generous staffing. Its 3.74 nurse hours per resident day sit just under the national average, and weekends drop about 21% below its own weekday levels, that's the gap families notice when they visit on a Saturday. Turnover is 45.5%, essentially the national rate, so continuity isn't worse than typical. The 21 deficiencies on record include nothing flagged as harm or abuse, and the most recent inspection was September 2025, so the paperwork is current. The staffing star tells the real story here: one out of five, with quality measures at two.
Willow Crossing is county-owned, and it runs 112 beds in Columbus with staffing that sits about 10% under the national average, 3.46 nurse hours per resident day against 3.86. Weekends tell a bigger story than the yearly figure: coverage drops roughly 22% below the home's own weekday level, so the hours your family member gets on a Saturday look different from a Tuesday. Turnover sits at 48.4%, a few points above the national 45.8%, meaning nearly half the nursing staff turns over in a year. The inspection record shows 26 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey dated March 11, 2026. All three CMS star ratings land at 2 out of 5.
Crown Point Health Campus is county-owned, and it's in the CMS Special Focus Facility program, which is a short list of homes the government tracks because problems keep showing up. The inspection record backs that up: 67 deficiencies currently on file, including one at the harm level and two tied to abuse, with a single fine of $25,665. Nurse staffing runs 3.26 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below the home's own weekday coverage, that's when gaps tend to bite. The last inspection was in March 2026, so the record is current, not stale. If you're considering this one, ask specifically what the abuse-related findings involved and how weekend coverage is handled.
Van Rensselaer Manor runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends drop about 16% below its own weekday staffing. Staff turnover sits at 48.3%, a couple points above the national figure, and the inspection record shows 33 deficiencies, including two at the harm or jeopardy level and seven tied to abuse. The most recent inspection was April 1, 2026, so the findings are current rather than dated. County ownership means taxpayers, not a chain, carry the operation. With the quality measure rating at 1 out of 5 and health inspections at 2, the numbers point to a home where residents get less nursing time than average and the state has documented repeated problems. If you're considering it, ask directly how the weekend shifts get covered.
Clinton County Nursing Home runs on thinner staffing than most places, 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 24% below its own weekday levels, so coverage is noticeably lighter when families tend to visit. Staff turnover sits at 74.4%, well above the 45.8% national figure, which means the people caring for residents are often new. The current inspection record shows 35 deficiencies, none at harm or jeopardy level but six tied to abuse. The last inspection was July 2023, so that record is getting old. County ownership is stable, but the numbers behind the C grade point to thin, shifting staffing more than anything else.
Ridgewood At The Woodlands is owned by a hospital district and holds 126 certified beds, but the numbers on its current record are hard to ignore. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and the gap widens on weekends, when coverage drops roughly 16% below its own weekday level. Annual turnover of 70.8% is well above the national 45.8%, which matters because constant churn makes consistent care harder to deliver.
The inspection history backs that up: 21 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, plus a $14,020 fine. Its last inspection was June 2025.
Springhill Village is county-owned, and the numbers show a home that gets inspected well but runs lean on the floor. Nurse staffing sits at 3.32 hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday level. Annual turnover runs 61.7%, well above the 45.8% national figure. The health inspection side holds up at 4 stars, with 17 deficiencies on record and none at harm or jeopardy level. Quality measures and staffing both land at 2 stars. The February 2026 inspection is recent. What you're weighing is solid oversight against thin, unstable coverage.
St. Helena Parish Nursing Home runs 4.98 nurse hours per resident day, about 29% above the national average, so the raw staffing number looks like the strongest thing here. But the inspection record tells the opposite story: 32 deficiencies on file, six of them at harm or jeopardy level and four abuse-related, with three fines totaling just under $320,000. Weekend staffing drops about 21% below its own weekday level, which means the coverage families see on a tour isn't what a Saturday looks like. Government hospital-district ownership doesn't change any of that. The most recent inspection was May 6, 2026.
If you're considering Gallatin Rest Home, the inspections are the strong part, a recent visit in June 2025 and a four-star health inspection rating. But the staffing picture is thin: one star, well below average, and 62.7% of staff left last year against a national average around 46%. The current record shows 15 deficiencies, including two at the harm level and three tied to abuse, plus a $55,413 fine. Quality measures sit at two stars. County ownership can mean stability, but it doesn't fix turnover. Ask about direct-care hours per resident and how they're holding staffing together before you decide.
Pleasant View in Monroe is county-run, and its staffing looks solid on paper: 4.51 nurse hours per resident day, well above the national average. In practice, weekend coverage drops about 7% below weekdays, and turnover sits at 55.5%, roughly ten points above the national rate, so the people providing that care keep changing.
The inspection record is harder to explain away. Forty-two deficiencies, including five at the harm level and eight tied to abuse, and a one-star health inspection rating. The last inspection was in September 2025, so this is current, not stale. One fine totaling $41,980 is on record. High staffing hours can't offset that pattern.
Tomball Rehab & Nursing runs on 2.77 nurse hours per resident day, roughly 28% under the national average, and weekends drop another 8% below its own weekday coverage. That thin staffing shows up in the numbers: 68% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. The hospital district ownership doesn't change what the payroll looks like day to day.
Inspectors cited 26 deficiencies on the current record, two serious enough to involve harm or jeopardy, with $110,495 in fines across two penalties. The most recent inspection was February 2026. Quality measures score well at four stars, but that's a self-reported side of the ledger, and it sits against a two-star inspection history and staffing that's the real story here.
Reunion Plaza is run by a hospital district, and its inspection record is genuinely clean, five deficiencies on the books, none causing harm or involving abuse, and a recent survey from August 2025. The problem sits elsewhere. Nurse staffing runs 3.20 hours per resident day against a national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage, so the hours thin out exactly when families tend to visit. Annual turnover of 66.3% is well above the 45.8% national figure, which means aides and nurses are cycling through regularly. Good inspections, thin and unsettled staffing, that combination is what a C reflects here.
Focused Care at Hogan Park runs on 2.37 nurse hours per resident day, well under the national average of 3.86, and weekend coverage drops further below its own weekday level. Staff turnover sits at 63% against a national 45.8%, so the people showing up are often new. The current inspection record carries 45 deficiencies, one serious enough to reach harm or jeopardy level, and a $9,110 fine; the last inspection was in January 2025. The government-hospital-district owner is a real distinction from a for-profit chain, but it hasn't translated into steady hands or enough of them. Ask how they hold staffing together on weekends before you decide.
Magnolia Crossing runs on a government-hospital-district license and 128 beds, and its last inspection wrapped in May 2025 with a four-star health inspection rating, genuinely the strongest number here. The staffing numbers tell a different story. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 58.9% against a 45.8% national figure. Twenty deficiencies sit on record, none at harm level, though three are abuse-related. A strong inspection record is carrying a lot of weight for a building where people keep leaving.
Kent County Nursing Home runs on thinner staffing than most: 3.56 nurse hours per resident day against a national average of 3.86, with weekends dropping about 9% below its own weekday coverage. That matters in a 60-bed county-run home, because turnover sits at 55.1% while the national figure is 45.8%, more than half the nursing staff cycling out in a year. The inspection record is heavier still: 27 deficiencies, four serious enough to reach harm or jeopardy, five tied to abuse, and seven fines adding up to $187,081. The most recent inspection was December 2025. If you're weighing this one, ask about weekend coverage and how they've addressed the abuse findings.
Goldwater Care Marseilles is run by a hospital district, and its record shows real strain. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, and weekends drop about 17 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 52.3 percent, well above the 45.8 percent national figure.
The inspection history is the bigger concern: 59 deficiencies on record, including 8 at the harm or jeopardy level and 5 tied to abuse. Three fines total $227,365, and the most recent inspection was June 14, 2024. Resident outcome measures look better than the staffing picture, but that gap rarely holds up without enough consistent hands on site.
Lakeshore Village runs on thinner staffing than most Texas nursing homes can claim as an excuse. At 3.19 nurse hours per resident day, it sits about 17% under the national average, and weekends drop roughly 15% below what the building itself manages Monday through Friday. That matters more than the quality measure score suggests, because 52 deficiencies sit on the current record, seven at harm or jeopardy level, two tied to abuse, with $107,407 in fines and a one-star inspection rating. Annual turnover of 52.1% means more than half the nursing staff leaves each year, against 45.8% nationally. Hospital district ownership hasn't translated into stability here, and the April 2026 inspection is the only recent look regulators have taken.
Longview Hill is a hospital-district home with 198 beds, and the numbers show a building under real strain. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly another 10% below what the home itself provides on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover near 50% means the aides and nurses caring for residents are often new to the job. The inspection record backs that up: 60 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and more than $225,000 in fines.
Gainesville Convalescent Center runs on thin nurse staffing, 3.08 hours per resident day against a national average near 3.86, and weekends are roughly 11% leaner than weekdays, so coverage thins exactly when families tend to visit. The county hospital district owns the 112-bed home, and its inspection record shows 50 deficiencies, four at harm or jeopardy level and four tied to abuse; two fines total $99,075. Staff turnover of 73.8% sits well above the 45.8% norm, meaning many caregivers are new. Quality measures score well, but surveys and staffing don't, which is where the trouble actually lives.
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?