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.
Woodland Park runs a hundred beds in Shepherd under hospital district ownership, and the numbers there deserve a close look. Nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average, and weekends drop about 8% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 57.4%, well above the 45.8% national figure, which usually means less continuity for residents who need consistent hands. The current record carries 31 deficiencies, five of them serious enough to involve harm or jeopardy, plus two fines totaling $41,515. The last inspection was July 2025.
Granbury Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: a staff turnover rate of 94.2%, where the national figure sits near 46%, meaning most of the people caring for residents this year likely won't be there next year. The home carries 37 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus $37,501 in fines. Inspectors were last out in February 2026, and the health inspection rating sits at 2 out of 5.
Trinity Nursing & Rehab Of Granbury runs on 3.12 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 15% below what the home staffs on weekdays. Turnover sits at 69.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $66,367 fine. The last inspection was June 4, 2025. For-profit, LLC-owned, 90 beds. If you're considering this one, ask directly how they cover weekends and what's changed since that June inspection.
Coral Rehabilitation and Nursing of Austin runs on 2.82 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 11% below its own weekday level. That thin margin shows up in staffing, where the home sits at the bottom of CMS's scale, and in a 57.6% annual turnover rate, well above the 45.8% national figure. The inspection record is heavier still: 86 deficiencies, 18 of them at harm or jeopardy level and 10 involving abuse, plus five fines totaling $294,911. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The last inspection was September 30, 2025.
The Rio at Mission Trails runs 124 beds under hospital district ownership in San Antonio, and its nurse staffing sits just under the national average, 3.71 hours per resident day against 3.86. That small gap is not the real story. Weekend staffing drops roughly 16% below its own weekday level, and annual turnover hits 97.2%, more than double the national rate of 45.8%, meaning the aides and nurses at your mother's bedside are, statistically, almost certain to be new within the year. On inspections, the home carries 32 deficiencies, three at harm or jeopardy level and four abuse-related, with two fines totaling $153,825.
Buena Vida Nursing and Rehab in San Antonio runs 222 certified beds under hospital district ownership, and federal data shows it struggling on every measure CMS tracks. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 9% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 49 deficiencies, five serious enough to put residents in harm's way, three tied to abuse, and $187,608 in fines. That combination landed it in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
The staffing number at Wyoming Retirement Center is the one to sit with: 0.39 total nurse hours per resident per day, roughly a tenth of the national average of 3.86. Weekends run about 45% thinner than weekdays already are, so certain shifts have very little licensed coverage in a 90-bed building. On the state's watch, its current record shows 18 deficiencies, six of them at harm or jeopardy level and seven tied to abuse, with two fines totaling $41,201 and an inspection from December 2024. State-run ownership doesn't change what those numbers mean for a resident who needs help at 2 a.m.
Avir At Rose Trail carries a record that should give any family pause. The Tyler home runs 3.04 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 16% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 69.6% against a national 45.8%, meaning most of the people caring for your relative will likely be gone within the year.
The inspection record is worse: 59 deficiencies, 10 of them at the harm or jeopardy level and 10 tied to abuse, with $442,321 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for the country's most troubled homes.
Craighead Nursing Center is county-owned, which matters in Arkansas because government-run homes often operate with different budget pressures than for-profit chains. Five deficiencies on the current record sounds like a lot until you look at severity: none rose to actual harm or jeopardy, and none involved abuse. That's the distinction that separates paperwork problems from safety problems. The last inspection closed out in December 2025, so the picture is current, not stale. What the record doesn't show is the kind of repeat, high-severity citations that tend to follow residents around. For a 121-bed county home, that's a fairly quiet file, the kind you'd want to ask about in person, but not one that raises immediate alarm.
Bluestem Village is state-run, which puts it in a small category of Colorado nursing homes, most are for-profit chains or nonprofits. Its inspection record is clean: zero deficiencies of any kind on the current record, none at the harm level, and nothing abuse-related. The last full inspection was September 5, 2024, so the findings are recent enough to mean something. With 56 beds, it's a small home, the kind where a state surveyor can look at every resident chart in a day. One caveat worth knowing: the absence of problems in the record doesn't say anything about staffing hours or turnover, which are the numbers that usually predict day-to-day life. Ask about those directly.
The Daniel K Akaka State Veterans Home is state-run, which matters less for the grade than what inspectors actually found. Eight deficiencies appear on the current record, and while none rose to the level of harm or jeopardy, one is abuse-related, a category worth asking about directly, since it covers everything from mishandling to resident-to-resident incidents. The most recent inspection closed out in April 2026, so the picture is current rather than stale. There's no staffing or turnover figure here to weigh against the national average, and without it the record is mostly a deficiency count and a recent walkthrough.
The Massachusetts Veterans Home at Holyoke runs 128 certified beds under state government ownership, and its nurse staffing sits at 8.21 hours per resident day. That's roughly double the national average of 3.86, which is unusual even for a government-run home. Weekend staffing drops about 11% below its own weekday level, so the coverage families see on a Saturday won't match a Tuesday. Its record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection on February 28, 2025. High staffing and a clean harm record don't erase the weekend gap, but they tell you where this home puts its resources.
Alyce G Clarke Center is a state-run home in Jackson, Mississippi, serving medically fragile children. Its record shows zero deficiencies on the current inspection, including none at the harm or jeopardy level and none tied to abuse. The most recent survey was December 9, 2025, meaning the findings are recent rather than stale. That combination, a clean record with no harm-level citations and a fresh inspection, is uncommon and worth weighing against the kind of population this home serves. Children who are medically fragile often need intense, specialized care, so a spotless survey here reflects steady clinical attention, not an easy caseload. If you're considering placement, the paperwork itself won't give you much to worry about.
Jones & Cabacoy Veterans Care Center is state-run, and you can see it in the numbers. Nurse staffing runs about 4.59 hours per resident day, roughly 19 percent above the national average, and weekend coverage holds within about 13 percent of weekday levels, a dip, but not a freefall. Staff turnover sits at 29.3 percent against a national average near 46, which suggests people stay. The inspection record is clean: no deficiencies on file, none at the harm level, nothing abuse-related, and the most recent survey dates to January 2024. For a 128-bed home, that combination, solid hours per resident, manageable turnover, an unblemished survey, is uncommon. Worth a visit, with questions about weekend staffing specifically.
Plumas District Hospital's skilled nursing unit is small, 36 certified beds, and it's run by the hospital district rather than a for-profit chain, which shapes how it operates. The current record shows four deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, so it's worth asking staff directly what happened and what changed afterward. The most recent inspection came in February 2026, so the picture here is fairly current rather than stale. With a unit this size, staffing often tracks closely to hospital coverage, which can mean steadier nurse presence than a standalone nursing home of similar bed count.
One thing to note: ElderGrade doesn't have a computed grade for this home yet, so there's no score to lean on. That means the federal inspection and staffing data are what you have to work with, ask about the abuse-related finding, and ask how many residents are typically on the unit at once.
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?