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.
Sylan Shores runs on 3.00 nursing hours per resident day, roughly 22% under the national average of 3.86, and weekends drop about 14% below what it manages during the week. That thin coverage shows up in the numbers: a 69.5% annual turnover rate against a national 45.8%, and 16 deficiencies on the current record, including one at the harm level and two tied to abuse. The last inspection was July 2025, so the findings are recent rather than stale. Government hospital-district ownership doesn't change what the staffing star says. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.
Piatt County Nursing Home is county-owned, and its 4.15 nurse hours per resident day sit about 7% above the national average, but that average hides a weekend drop of roughly 17%, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Turnover runs 56.1% against a national 45.8%, and the record carries 32 deficiencies, six of them at harm or jeopardy level and four tied to abuse, plus three fines totaling $182,948. The last inspection was June 2025. Staffing and quality measures both score low, and the inspection history is where the real weight sits.
New Richland Care Center runs on a city-government budget with 45 certified beds, and the numbers show real strain. Staff turnover hit 79.3% against a national average of 45.8%, that's most of the workforce cycling out in a year, and it lines up with a 1-out-of-5 staffing rating. Inspectors cited 21 deficiencies on the current record, including four tied to abuse and one serious enough to put a resident in harm's way, plus a $79,694 fine. The last inspection was March 31, 2026, so the record is recent, not stale. One family-facing note: government ownership doesn't automatically mean better care here.
Whisperwood runs on thin staffing: 3.39 nurse hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekdays, so the thinnest coverage lands when families tend to visit. The bigger red flag is turnover, 95.6% annually, meaning roughly the whole nursing staff cycles through in a year, versus about 46% nationally. That instability shows up in the inspection record: 34 deficiencies, six at harm or jeopardy level and seven abuse-related, with two fines totaling $19,546. It's a hospital-district home of 114 beds, last inspected in November 2024. Consistent staffing and a clean abuse record matter most here, and neither is present right now.
The Heights of League City runs on thin nursing coverage: 3.38 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. Staff turnover sits at 69.7%, well above the 45.8% national figure, so the people caring for residents are frequently new to the building. The inspection record backs this up: 28 deficiencies, nine at harm or jeopardy level, six fines totaling $144,668. A hospital district owns it, which might suggest stability, but the numbers here tell a different story.
Amistad Nursing and Rehabilitation Center runs on thin staffing. At 2.77 nurse hours per resident day, it sits roughly 28% under the national average of 3.86, and weekends drop about 16% below its own weekday level. The bigger red flag is turnover: 97.1% of staff leave each year, more than double the national rate of 45.8%. That churn matters because consistent caregivers know residents' routines and catch changes early.
The hospital district ownership and a clean inspection record help, 14 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in April 2025. But inspectors only see a snapshot. Daily care depends on who's actually on the floor, and here that's a revolving door.
Memorial Medical Nursing Center runs on 2.60 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekends drop about 19% below what the home already provides on weekdays. The inspection record shows 57 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $35,396 in fines across two penalties. Staff turnover sits at 51.4%, above the 45.8% national figure. It's a hospital-district home, so public ownership doesn't automatically mean better oversight here. The most recent inspection was June 11, 2025, so the picture is current, not stale. Ask direct questions about weekend coverage and how the abuse-related findings were resolved.
Wellington Rehabilitation and Healthcare runs on 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekends drop about 20% below its own weekday staffing. That thin coverage shows up in the workforce itself: 78.4% annual turnover against a national 45.8%, meaning most of the people caring for your family member are new to the building. The current inspection record carries 28 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and $32,275 in fines across three penalties. The most recent inspection was June 5, 2025. It's owned by a hospital district, and the quality measures score well, but measure scores don't staff a night shift.
Liberty Health Care Center runs on thin nursing coverage, 3.76 hours per resident day, just under the national figure, and weekends drop roughly 16% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays. Staff turnover sits at 69.7%, well above the 45.8% national average, so the people caring for residents change often. Inspectors cited 20 deficiencies on the current record, five at the harm or jeopardy level and five abuse-related, with two fines totaling $225,774. The hospital district owns it, and the last inspection was August 2025. Ask about weekend coverage and how they retain aides.
Whitney Nursing and Rehabilitation Center runs on a government-hospital-district license with 88 certified beds, and nurse staffing sits at 2.88 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 14% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. The current inspection record carries 15 deficiencies, four of them at harm or jeopardy level and two tied to abuse; one fine totaling $45,435 has been levied. The most recent inspection was December 4, 2025. With a 1-out-of-5 staffing rating and a 2-out-of-5 quality measure rating, the numbers point to a home where care capacity is stretched and problems have recurred.
Randolph County Care Center runs on thin margins where it counts. Nurse staffing sits just under the national average, and weekends drop roughly 9% below what the home staffs on weekdays, so the coverage your family sees Monday may not be there Saturday. Turnover tells a bigger story: 60% of staff leave each year, well above the 45.8% national figure, which means unfamiliar faces at the bedside. On inspections, the record shows 21 deficiencies, four serious enough to involve harm or jeopardy and five tied to abuse, with two fines totaling $172,932. The last full inspection was April 2024. County-run and 100 beds, but the numbers carry real weight.
Four Corners Regional Care Center runs on 2.91 nursing hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 12% below what it manages on weekdays. With 67.4% of staff turning over each year, well above the 45.8% national figure, that thin coverage is coming from a constantly changing workforce. The county runs the place, and its inspection record shows 26 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $68,471. The last inspection was in January 2025, so the record is current. Quality scores look decent, but staffing is where the risk sits.
Pine Tree Lodge runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 93.8%, more than double the national figure, which means the aide who knows your mother's routine this month may be gone the next. The current record carries 43 deficiencies, four of them serious enough to endanger residents, plus $244,330 in fines. The hospital district that owns it isn't chasing profit, but that hasn't translated into stable hands-on care.
Wharton Nursing and Rehabilitation Center runs on 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 14% below its own weekday level. That thin margin shows up in the numbers: 18 deficiencies on the current record, four serious enough to put residents in harm's way, one tied to abuse, and two fines totaling $62,525. Staff turnover sits at 65.3% against a national 45.8%, which means the aides and nurses who know your mother's routines are leaving faster than replacements learn them. The hospital district ownership doesn't change what the staffing data says. The last inspection was May 28, 2026.
Advanced Rehabilitation and Healthcare of Athens carries 120 certified beds and is run by a hospital district, which you might expect to mean steadier oversight. The numbers say otherwise. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 8% below the home's own weekday levels. Staff turnover hits 58% against a national 45.8%. The inspection record shows 31 deficiencies, seven at harm or jeopardy level and seven abuse-related, with two fines totaling $210,588, and CMS has placed the home in its Special Focus Facility program. Its last inspection was March 2026. Quality measures score well; staffing and inspections do not.
The Atrium of Bellmead runs on 3.25 nursing hours per resident day, roughly 16% under the national average, and weekends drop about 14% below its own weekday numbers. Staff turnover is the number that should stop you: 95.3% a year against a national average of 45.8%, meaning the aides and nurses at the bedside are largely new faces. Inspections look strong on paper, a recent February 2026 survey and no deficiencies at the harm level, but six deficiencies are on record, two of them abuse-related, and the government's own staffing rating lands at the bottom. Government hospital district ownership doesn't change any of that arithmetic.
La Hacienda De Paz is a 104-bed hospital-district home in Eagle Pass, and the numbers that stand out most are about who's there to care for residents. Nurse staffing runs 3.12 hours per resident day, roughly 19 percent under the national average, and weekends drop about 12 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 95.1 percent against a national 45.8 percent, meaning the aides and nurses you meet may not be there in six months. The inspection record shows 24 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $14,069 fine. Ownership is government, through a hospital district.
Avir At Lindale runs on thinner nursing coverage than most homes nationally, 3.60 nurse hours per resident day against a 3.86 average, and weekends dip about 8% below its own weekday level, so the thinnest shifts come when families often visit. Staff turnover sits at 60%, well above the 45.8% national figure, meaning many of the people caring for residents are still new to the building. The inspection record is the sharper concern: 34 deficiencies, 8 of them at harm or jeopardy level and 3 abuse-related, with five fines totaling $754,374 and a February 2026 inspection. Government hospital-district ownership hasn't shielded it from any of that.
Dermott City Nursing Home is city-owned and holds 70 certified beds in Chicot County. On its latest inspection, dated February 27, 2025, surveyors cited 27 deficiencies, two of which rose to the level of actual harm or jeopardy to residents. There are two fines on record totaling $31,889. CMS gives the home one star out of five in all three categories, health inspections, quality measures, and staffing, meaning it sits below the national average on each. No abuse-related deficiencies appear on the current record, which is worth noting. But a government-run home with that many citations, harm-level findings, and bottom-tier staffing marks is one to ask hard questions about before you consider it.
State-run and sitting in Smyrna, this home has 175 certified beds and a nursing staff that's roughly two and a half times the national average, 10.25 hours per resident day against 3.86. Turnover runs 17.5%, well under the national 45.8%, though weekend coverage dips about 17% below its own weekday level. Those numbers sit alongside a harder fact: 11 deficiencies on the current record, three of them serious enough to put residents at risk of harm, plus two fines totaling $59,947, and CMS has placed the home in its Special Focus Facility program. The last inspection was January 9, 2026.
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?