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 Camilla is owned by Mitchell County, and that government status hasn't shielded it from scrutiny: CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The inspection record backs that up, 39 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a one-star health inspection rating. Staffing tells a different story, at four stars, though the 3.16 nurse hours per resident day still falls about 18% under the national average, with weekends running about 12% thinner than weekdays. Turnover sits at 48.7%, above the national rate.
Munster Med-Inn is county-run and large, 225 certified beds, but its current record is one of the heaviest in the CMS system. Inspectors have cited 57 deficiencies, five of them at a level where residents were actually harmed or put in immediate jeopardy, and three tied to abuse. That combination is why CMS has placed the home in its Special Focus Facility program, the agency's watchlist for the country's most persistently troubled nursing homes. Nurse staffing runs about 11% below the national average, and weekends drop roughly 18% below the home's own weekday levels, meaning coverage thins exactly when families tend to visit. The most recent inspection, in January 2026, is recent enough that this isn't a stale picture.
Core Of Dale is a 52-bed county-run home in Spencer County, and the numbers behind its record are worth reading closely. Nurse staffing sits at 2.99 hours per resident day, roughly 22% under the national average, and weekends run about 13% thinner than the home's own weekdays, so the thinnest coverage lands when families tend to visit. The deficiency record shows 31 citations, including 2 at the harm or jeopardy level and 6 tied to abuse, with two CMS fines totaling $86,444. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Its most recent inspection was April 7, 2026.
Kearny County Hospital Ltcu is a 40-bed county-owned home in Lakin, and the federal numbers are hard to read past. Inspectors have cited 43 deficiencies on the current record, two of them serious enough to put residents in harm's way, and the staffing rating sits at the bottom of CMS's scale, well below what the government considers adequate. The result: 8 fines totaling $69,565, and a place in the Special Focus Facility program, which CMS reserves for the homes with the most persistent problems. The last inspection was in October 2024, so that record is current, not stale. County ownership here doesn't translate into better care. If you're considering this home, ask what's changed since that inspection.
Lawrence County Manor reports 0.39 total nurse staffing hours per resident day, roughly a tenth of the national average of 3.86, and weekends run about a third thinner than weekdays already are. Staff turnover sits at 93.3% against a national 45.8%, meaning the people who do show up are largely new. The inspection record shows 32 deficiencies, including one at the harm level and six tied to abuse, with a single fine of $13,762 and a health inspection rating of 1 out of 5. County ownership doesn't change any of that. If you're considering this home, the staffing numbers are the ones to ask about directly.
O'Berry Neuro-Medical Treatment Center is a state-run home in Goldsboro with 144 certified beds, and its inspection record is the part that matters most. Twenty-eight deficiencies are on the current record, eight of them at the harm or jeopardy level, and six tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and a $167,242 fine is on file. The last inspection was recent, October 9, 2025, so this isn't a stale record. Quality measures sit around the middle at 3 out of 5. If you're considering this home, ask directly what's changed since that inspection.
Fair Haven Shelby County is a 90-bed county-run home in Sidney with a staffing picture that splits in two directions. Nurses provide 3.65 hours per resident day, about 5% under the national average, and weekends run roughly 5% thinner than weekdays, but turnover sits at 33.3%, well below the 45.8% national figure, which matters for consistency of care.
The inspection record is where the trouble is. CMS rates health inspections 1 out of 5, and the current record carries 56 deficiencies, including one at the harm or jeopardy level and five tied to abuse. The home is in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Avir At Longview runs on a hospital district's license with 115 certified beds, and the staffing numbers are the first thing to notice: 3.56 nurse hours per resident day, roughly 8% under the national average, with weekends dropping about 9% below its own weekday level. Staff turnover sits at 73.3% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The inspection record backs that up, 55 deficiencies, 8 of them at harm or jeopardy level, 5 tied to abuse, and two fines totaling $262,731. The most recent inspection was May 2025. If you're considering this one, ask hard questions about who's actually on the floor on a Sunday.
Town And Country runs on thinner nursing coverage than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale, and in an annual turnover rate of 65.9% compared with 45.8% nationally: roughly two of every three caregivers left within the year.
The inspection record carries 57 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $150,922 in fines. A 4/5 quality measure score and a May 2025 inspection are the brighter spots, but they sit alongside a 2/5 inspection rating and government hospital-district ownership.
San Rafael Health and Rehabilitation runs on county money and 51 beds in Ferron, and its staffing hours land right at the national average, close enough that there's no real cushion. What stands out is the churn: more than half the nursing staff turns over in a year, and weekend coverage drops about 19% below weekday levels. The inspection record is where things get serious. Twenty-seven deficiencies, six of them involving harm or jeopardy, four tied to abuse, plus two fines near $29,000 and a spot in CMS's Special Focus Facility program. Inspectors were last there in November 2024. County ownership doesn't change what those numbers say.
Monument Healthcare South Salt Lake is a 140-bed hospital-district home that the federal government has flagged for its Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The record backs that up: 57 deficiencies, nine of them serious enough to endanger residents, six tied to abuse, and two fines totaling $36,546. Its last inspection was in June 2025.
Nursing hours come in slightly under the national average, and weekends run about 15% thinner than weekdays, when supervision is already stretched. The quality-measure score looks good on paper, but that number reflects resident assessments, not the day-to-day care and oversight problems regulators keep finding here. Staff turnover sits just above the national rate.
The numbers here split in two directions. Nurse staffing runs 6.03 hours per resident day against a national average of 3.86, which is real coverage, though weekends slip about 8% below the weekday pace and annual turnover sits at 51.4%, higher than the 45.8% national figure, so the people providing that care keep changing. What outweighs the staffing is the record: 46 deficiencies as of the January 2025 inspection, 9 of them at harm or jeopardy level and 14 tied to abuse. Six fines totaling $386,235 sit on file. The state runs this 158-bed home, and the inspection and quality ratings both came back at the bottom of the scale.
The Legacy Living and Rehabilitation Center is run by the local hospital district and has 160 certified beds. Nurse staffing runs 4.59 hours per resident day, about 19% above the national average, though weekends drop roughly 15% below its own weekday level. The numbers that matter more are elsewhere: 38 deficiencies on the current record, 8 of them at harm or jeopardy level, 11 abuse-related, and $115,597 in CMS fines across four events. Annual turnover is 70.5% against a national 45.8%, meaning most of the staff caring for residents last year are gone. CMS has placed it in the Special Focus Facility program, its most serious watch list. The last inspection was March 13, 2026.
The Metropolitan State Hospital SNF in Norwalk runs on unusually heavy nurse staffing, 9.80 hours per resident day, roughly two and a half times the national average, and its 22.6% turnover is about half the national rate. Those numbers are real, and they matter. But look at the record: 55 deficiencies, five of them at harm or jeopardy level, ten tied to abuse, and $83,093 in fines. It sits in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems, and its last inspection was December 2025. Weekend coverage drops about 8% below weekdays. Strong staffing alone hasn't translated into safe care here.
Viridian Wellness & Rehabilitation runs 204 beds in Arlington under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop about 9% below the home's own weekday level, so care thins out exactly when families tend to show up. Every direct-care position turned over in the past year, against a national average near 46%, which means the aides and nurses on any given shift are often new. The current record carries 101 deficiencies, 11 at harm or jeopardy level and 7 tied to abuse, plus five CMS fines totaling $312,466 and placement in the federal Special Focus Facility program. The last inspection was September 16, 2025.
Harmony Care At Beaumont is run by a hospital district, and it has 98 certified beds. The nurse staffing number looks strong on paper, 4.72 hours per resident day, roughly 22% above the national average, but weekends drop about 14% below the home's own weekday level, so coverage isn't steady across the week. The bigger issue sits in the inspection record: 77 deficiencies, 15 of them at harm or jeopardy level, 14 tied to abuse, plus 10 fines totaling $380,812. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The most recent inspection was April 15, 2026.
Trinity Rehabilitation & Healthcare Center in Trinity, Texas, is a 76-bed home run by a hospital district, and the federal numbers on it are grim. The current record shows 66 deficiencies, nine of them at the level where residents were actually harmed or put in immediate jeopardy, and six tied to abuse. On staffing, CMS rates it at the bottom of its scale, while quality measures land below average too. Four fines totaling $275,584 are on file, and the home sits in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Its last inspection was April 15, 2026. That's a lot of documented harm for a building this size.
The nurse staffing numbers at Downtown Health and Rehabilitation Center run about 16% under the national average, and weekends drop roughly another 13% below the home's own weekday level. That matters because more than nine in ten caregivers left over the past year, a 93.6% turnover rate against a national figure near 46%. The current inspection record carries 50 deficiencies, including three at the harm or jeopardy level and 11 tied to abuse; fines total $36,418. Fort Worth's hospital district operates the 161-bed home, and its last inspection was March 12, 2026. Low staffing stars and repeated turnover rarely sit apart from inspection trouble.
Rosenberg Health & Rehabilitation Center runs on 2.99 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops another 13% from its already thin weekday level. That staffing gap shows up in the inspection record: 27 deficiencies, 8 of them serious enough to put residents at harm or jeopardy, with four fines totaling $97,334. Staff turnover sits at 61.7%, well above the 45.8% national figure, meaning the aides and nurses who know your family member are likely to leave within the year. It's hospital-district owned, which sometimes signals stability, but the numbers here say otherwise. The most recent inspection was May 2026, so this is a current picture, not an old one.
Park Highlands is a hospital-district home in Athens, and its inspection record is genuinely strong, five stars, nine deficiencies with none at the harm level and no abuse findings, and a survey done as recently as May 2025. The trouble is what happens between inspections. Nurses give residents 3.05 hours of care per day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Nearly nine in ten employees turned over last year, roughly double the national rate, which means the people at the bedside keep changing. Stable hands matter most in a nursing home, and this one struggles to keep them.
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?