ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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.

Nursing hours per resident per day

4.28

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

44.2%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

76.1/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

262 grade A, 378 grade B, 278 grade C, 30 grade D,

The best-graded government-run home in the United States is Hill Top House in Bucklin, KS, grade A, 100/100.

Every government-run nursing home in the United States

Showing 81 to 100 of 956, best-graded first.

A

93/100

Clearview Brain Injury Center

Juneau, WI · Dodge County

CMS 5/530 bedsGovernmentMedicaid
Nurse hours
7.72 /day
Staff turnover
25%
Serious cites
0

Clearview Brain Injury Center is a county-owned home in Juneau with just 30 certified beds, and its nurse staffing runs about double the national average, 7.72 hours per resident day against 3.86. That cushion matters for a brain injury population, and weekend coverage dips only about 9% below its own weekday level. Staff turnover sits at 25%, well under the 45.8% national figure, which suggests people stay. The current record shows a single deficiency, none at harm or jeopardy level and none abuse-related, with an inspection dated May 28, 2026. Its quality measure rating is the softer spot at 3 out of 5, though inspections and staffing both rate 5.

A

93/100

Veterans Home Of California - West Los Angeles

Los Angeles, CA · Los Angeles County

CMS 3/5312 bedsGovernmentMedicaid
Nurse hours
5.82 /day
Staff turnover
35%
Serious cites
0

The state-run veterans home in West Los Angeles has 312 certified beds and a nurse staffing level of 5.82 hours per resident day, roughly 51% above the national average of 3.86. That staffing cushion is real, and it shows in a 35.3% turnover rate that beats the national 45.8%. The catch is inspections: a 2-out-of-5 health inspection rating, with 46 deficiencies on the current record. None were flagged at the harm or jeopardy level, but three are abuse-related, which families should ask about directly. The most recent inspection was December 12, 2025, so the record is current. Strong hands-on care, weaker regulatory track record.

A

92.5/100

Washington County Nursing Home

Chatom, AL · Washington County

CMS 5/588 bedsGovernmentMedicaid
Nurse hours
4.61 /day
Staff turnover
25%
Serious cites
0

Washington County Nursing Home runs on numbers that hold up. Nurse staffing sits around 4.61 hours per resident day, roughly a fifth above the national figure, and weekend coverage dips about 16 percent from weekday levels, a gap worth asking about, since that's when families tend to visit. Staff turnover is 25.3 percent, well under the national 45.8 percent, which suggests people stay. The one mark against the place is on the inspection side: a single deficiency on record, abuse-related but not at harm or jeopardy level, and the last full inspection was June 2021, so that record is getting old. County-owned, 88 beds.

A

92.5/100

Buchanan County Health Center

Independence, IA · Buchanan County

CMS 5/539 bedsGovernmentMedicaid
Nurse hours
4.19 /day
Staff turnover
26%
Serious cites
0

Buchanan County Health Center runs on county ownership, and the numbers that stand out most are the ones about people. Nurse staffing sits at 4.19 hours per resident day, roughly 8% above the national average, and the staff stays: turnover is 26.3% against a national rate near 46%. Weekends are leaner, though, about 19% below the home's own weekday coverage. The inspection record is mixed, 12 deficiencies, one serious enough to involve harm or jeopardy, plus a single $4,011 fine, and the last inspection was fairly recent, in March 2026. Quality and inspection ratings both came in at 4 out of 5, but those 12 deficiencies and the thin weekend hours are what pull the overall picture down.

A

92.5/100

Davis And Mcdaniel Veterans Care Center

Roanoke, VA · Roanoke City County

CMS 5/5180 bedsGovernmentMedicaid
Nurse hours
3.99 /day
Staff turnover
29%
Serious cites
0

Davis and McDaniel Veterans Care Center runs 180 certified beds under state government ownership, and the numbers behind its record are unusually steady. Nurse staffing sits at 3.99 hours per resident day, a bit above the national average, with weekend coverage dipping about 16% below its own weekday level, worth asking about if your visits fall on Saturdays or Sundays. Staff turnover is the standout: 28.7% against a national average of 45.8%, meaning aides and nurses here tend to stay. Ten deficiencies appear on the current record, none at the harm level, though one is abuse-related. The last inspection was January 8, 2026.

A

92.5/100

Veterans Home Of California - Redding

Redding, CA · Shasta County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
5.92 /day
Staff turnover
39%
Serious cites
0

The state-run Veterans Home of California in Redding employs nurses at 5.92 hours per resident day, roughly 53% above the national average of 3.86, and its staff turnover of 38.9% sits below the national 45.8%. That staffing depth shows up in the CMS ratings: 5 out of 5 for staffing, quality measures, and 4 out of 5 on health inspections, with the most recent inspection dated April 2026. The record isn't spotless. Twenty-one deficiencies are documented, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $8,278. Weekend coverage drops about 16% below weekday levels. Strong day-to-day staffing, a handful of serious findings worth asking about directly.

A

92/100

Montgomery County Nursing Home

Mount Ida, AR · Montgomery County

CMS 5/5112 bedsGovernmentMedicaid
Nurse hours
5.14 /day
Staff turnover
15%
Serious cites
0

Montgomery County Nursing Home runs on 5.14 nurse hours per resident day, roughly a third more than the national average, and its staff turnover sits at 15.4 percent against a national rate near 46 percent, a combination that usually means the people caring for your relative have been there a while. The county owns it, and the current record shows 16 deficiencies, none involving harm or abuse, with a May 2025 inspection behind them. Weekend staffing dips about 12 percent from weekday levels, worth asking about if your visits or your family member's care needs fall on Saturdays and Sundays.

A

92/100

Jackson Memorial Long Term Care Center

Miami, FL · Miami-Dade County

CMS 5/5180 bedsGovernmentMedicaid
Nurse hours
5.66 /day
Staff turnover
12%
Serious cites
0

Jackson Memorial runs on county money, and the staffing numbers show it: 5.66 nurse hours per resident per day, roughly 47% above the national average, with a 12.2% turnover rate against a national 45.8%. That kind of retention is rare, and it means your family member sees familiar faces. The tradeoffs are real, though. Weekend coverage dips about 15% below weekday levels, and the current inspection record carries nine deficiencies, one serious enough to involve harm or jeopardy. The last inspection was August 2025, so the picture is recent. Quality and staffing measures both score at the top; the health inspection side sits in the middle.

A

92/100

Dupage Care Center

Wheaton, IL · Du Page County

CMS 5/5366 bedsGovernmentMedicaid
Nurse hours
4.11 /day
Staff turnover
17%
Serious cites
0

Dupage Care Center runs 366 beds in Wheaton under county ownership, and its staffing holds up well against national norms, 4.11 nurse hours per resident day versus 3.86 nationally, with turnover at 16.9% compared to the 45.8% average, meaning the people caring for residents tend to stay. Inspections in September 2025 turned up 24 deficiencies, including one at the harm level and one abuse-related, so the record is not spotless. Weekend staffing sits about 14% below weekday levels, which is worth asking about directly.

A

92/100

Heritage Pointe Of Fort Wayne

Fort Wayne, IN · Allen County

CMS 5/568 bedsGovernmentMedicaid
Nurse hours
4.40 /day
Staff turnover
15%
Serious cites
0

Heritage Pointe of Fort Wayne runs on county government ownership, and the numbers show a home that's been steady for a while. Nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average, and weekend coverage only dips about 8% below its own weekday level, a smaller gap than many places manage. Turnover is the standout: 14.8% against a national average of 45.8%, meaning the people caring for residents largely stick around. The current record shows 5 deficiencies, none at the harm level, though 2 are abuse-related, which is worth asking about directly. The last inspection was January 2026, and both the health inspection and quality measure ratings came back at 5 out of 5.

A

92/100

Riceville Family Care And Therapy Center

Riceville, IA · Mitchell County

CMS 5/534 bedsGovernmentMedicaid
Nurse hours
3.48 /day
Staff turnover
26%
Serious cites
0

Riceville Family Care and Therapy Center is city/county owned, which is unusual, most Iowa nursing homes are for-profit, and that shows up in how it's run. Weekend nursing coverage drops about 14% below its own weekday level, and overall nurse staffing sits around 3.48 hours per resident day, roughly 10% under the national average. What stands out is retention: 25.9% turnover against a national 45.8% means aides and nurses tend to stay, which matters more for daily care than a staffing number alone. Five deficiencies on record, none involving harm or abuse, and a March 2026 inspection rounds out a record with real consistency behind it.

A

92/100

Wyoming County Community Hospitals Snf

Warsaw, NY · Wyoming County

CMS 5/5138 bedsGovernmentMedicaid
Nurse hours
4.29 /day
Staff turnover
35%
Serious cites
0

Nurse staffing at this county-run home in Warsaw runs about 11% above the national average, and its 35% turnover is meaningfully lower than the typical 45.8%, both signs of a stable core staff. Weekend coverage, though, drops roughly 14% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Inspections in March 2024 turned up 15 deficiencies, two tied to abuse, but none at the harm or jeopardy level. That mix, with strong quality measures and solid inspection history, is why it sits near the top of what we grade.

A

92/100

Spokane Veterans Home

Spokane, WA · Spokane County

CMS 5/5100 bedsGovernmentMedicaid
Nurse hours
4.02 /day
Staff turnover
35%
Serious cites
0

Spokane Veterans Home runs on state money and 100 certified beds, and the numbers put it in decent shape. Nurse staffing sits at 4.02 hours per resident day, about 4% above the national average, though weekends run roughly 10% thinner than weekdays, worth asking about if your family visits then. Staff turnover is 34.8%, well under the national 45.8%, which matters because consistent caregivers notice changes sooner. The inspection record is where it gets more mixed: 48 deficiencies on file, including one at harm or jeopardy level and four tied to abuse, with the last inspection in March 2025. High star ratings across inspections and quality measures don't erase those specifics.

A

92/100

Edgewater Haven Nursing Home

Port Edwards, WI · Wood County

CMS 5/550 bedsGovernmentMedicaid
Nurse hours
4.46 /day
Staff turnover
26%
Serious cites
0

Edgewater Haven is county-owned, and that shows in the numbers. Nurses provide 4.46 hours of care per resident per day, about 15% more than the national average, and staff turnover sits at 25.5%, well under the national 45.8%, which suggests people stay. A recent inspection in August 2025 turned up nine deficiencies, but none involved harm or jeopardy, and none were abuse-related, so the record is clean where it matters most. Weekend staffing dips roughly 8% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. For a 50-bed home, consistent staffing and a spotless harm record are the things that tend to hold up over time.

A

91.5/100

Fayette Medical Center Long Term Care Unit

Fayette, AL · Fayette County

CMS 5/5122 bedsGovernmentMedicaid
Nurse hours
4.47 /day
Staff turnover
27%
Serious cites
0

Fayette Medical Center's long-term care unit runs on county ownership and a payroll that stays put, 26.7% turnover against a national average near 46% means the aides and nurses here are unusually likely to still be around next year. Nurse staffing sits at 4.47 hours per resident day, roughly 16% above the national figure, though weekends drop about that same amount below the home's own weekday pace, so coverage thins out when families tend to visit. Ten deficiencies sit on the record with none at the harm level and none tied to abuse, and the last full inspection was in May 2021, worth asking what's been surveyed since.

A

91.5/100

Leahi Hospital

Honolulu, HI · Honolulu County

CMS 5/5155 bedsGovernmentMedicaid
Nurse hours
4.55 /day
Staff turnover
18%
Serious cites
0

Leahi Hospital is state-run, and that shows in the numbers that matter most: turnover sits at 17.7% against a national average of 45.8%, so the people caring for residents tend to stay. Nurse staffing runs 4.55 hours per resident day, roughly 18% above the national figure, though weekends drop about 20% below the home's own weekday level, worth asking about if your family visits on Saturdays. Eighteen deficiencies are on the current record, four tied to abuse, but none rose to harm or jeopardy, and the last inspection was recent, in July 2025.

A

91.5/100

Franklin General Hospital

Hampton, IA · Franklin County

CMS 5/552 bedsGovernmentMedicaid
Nurse hours
4.33 /day
Staff turnover
31%
Serious cites
0

Franklin General Hospital runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, and the 30.6% turnover rate is well under the national 45.8%, experienced caregivers tend to stay. Weekend coverage dips about 17% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The county-owned home carries 8 deficiencies, none at the harm level, though 2 are abuse-related and deserve a direct question. Inspectors were last on site in May 2025.

A

91.5/100

Humboldt County Memorial Hospital

Humboldt, IA · Humboldt County

CMS 5/528 bedsGovernmentMedicaid
Nurse hours
4.37 /day
Staff turnover
46%
Serious cites
0

Humboldt County Memorial Hospital runs a small county-owned unit, 28 beds, and the staffing numbers back up the ratings: 4.37 nurse hours per resident day, about 13% above the national average. The catch is weekends, when coverage drops roughly 17% below its own weekday level, so a fall or a change in condition on a Saturday may get a slower response than on a Tuesday. Turnover sits at 45.9%, essentially identical to the national average of 45.8%, meaning the staff you meet are about as likely to still be there next year as anywhere else. Seven deficiencies on record, none at the harm level and none abuse-related, with an inspection dated February 2026.

A

91.5/100

Kansas Soldiers Home

Fort Dodge, KS · Ford County

CMS 3/556 bedsGovernmentMedicaid
Nurse hours
6.58 /day
Staff turnover
28%
Serious cites
0

Kansas Soldiers Home runs on unusually heavy staffing for a nursing home, 6.58 nurse hours per resident day against a national average of 3.86. That's the strongest thing about it, and it shows up in the five-star staffing rating. Turnover sits at 27.6%, well under the national 45.8%, so the people caring for residents tend to stay. Weekends thin out, though, running about 24% below weekday coverage. The inspection record is the harder part: 25 deficiencies, including one at the harm level and two abuse-related, with a two-star health inspection rating. The last survey was August 2025, so the picture is current rather than stale. State-run ownership, 56 beds, and a mixed record, strong hands on deck, but real problems documented.

A

91.5/100

Thornapple Manor

Hastings, MI · Barry County

CMS 5/5161 bedsGovernmentMedicaid
Nurse hours
4.95 /day
Staff turnover
40%
Serious cites
0

Thornapple Manor is county-owned, and its staffing reflects that public backing: 4.95 nurse hours per resident day, roughly 28% above the national average, which is why CMS gives it 5 out of 5 stars on staffing. Turnover sits at 39.7%, better than the 45.8% national figure, though weekend coverage drops about 18% below weekday levels. The trade-off shows up in its record: 21 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with the most recent inspection dated April 2026. Strong day-to-day staffing and a solid four-star inspection rating, but those harm-level and abuse findings are worth asking about directly before you decide.

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?
936 of the 956 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist