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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 121 to 140 of 956, best-graded first.

A

90/100

Citizens Care And Rehabilitation Center Of Frederi

Frederick, MD · Frederick County

CMS 5/5170 bedsGovernmentMedicaid
Nurse hours
3.99 /day
Staff turnover
28%
Serious cites
0

Citizens Care and Rehabilitation Center of Frederick is county-owned, which matters here, it's one of the few government-run homes in the area. Staffing sits at 3.99 nurse hours per resident day, just above the national average, and turnover runs 27.5% against a national 45.8%, so the people caring for residents tend to stick around. Weekends dip about 11% below weekday coverage, worth asking about if you're planning visits. The inspection record shows 33 deficiencies, including one at the harm level and four abuse-related, though the most recent inspection was March 2026 and the health inspection rating came in at 4 of 5 stars. Strong quality measures, steady staff, but read that deficiency history closely.

A

90/100

Our Island Home

Nantucket, MA · Nantucket County

CMS 5/545 bedsGovernmentMedicaid
Nurse hours
3.97 /day
Staff turnover
36%
Serious cites
0

Our Island Home runs on a county budget, and the numbers hold up well against the national average. Nurse staffing sits at 3.97 hours per resident day, modestly ahead of the 3.86 national figure, though weekend coverage dips about 6% below its own weekday level, worth asking about if your family visits primarily on Saturdays or Sundays. Staff turnover of 36.4% is meaningfully lower than the 45.8% national rate, which suggests a stable workforce, and its 14 deficiencies include none at the harm level and none related to abuse. The last inspection was May 2025, so the picture is current.

A

90/100

Kalkaska Memorial Health Center

Kalkaska, MI · Kalkaska County

CMS 3/5104 bedsGovernmentMedicaid
Nurse hours
4.98 /day
Staff turnover
17%
Serious cites
0

Kalkaska Memorial runs on a hospital-district license, and its staffing is the clearest thing in its file: 4.98 nurse hours per resident day, roughly 29% above the national average, with weekend coverage dipping about 12% below its own weekday level. Turnover sits at 17.4% against a 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. The friction is inspections. Thirteen deficiencies on the current record, four of them serious enough to involve harm or jeopardy, plus one fine of $10,549, and the last survey was July 2025. Strong hands-on care, a thinner safety and compliance record.

A

90/100

Alpine Village Retirement Center

Verdigre, NE · Knox County

CMS 5/545 bedsGovernmentMedicaid
Nurse hours
4.01 /day
Staff turnover
44%
Serious cites
0

Alpine Village runs on city government ownership in Verdigre, and the numbers show a home that's been kept in decent shape. Nurse staffing sits at 4.01 hours per resident day, a bit above the national average, though weekends drop roughly 14% below what the home staffs during the week, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover lands at 44.4%, essentially in line with the national rate rather than worse. Five deficiencies on the current record, none at the harm level and none abuse-related, with the last inspection in May 2025. That combination, solid staffing, no serious citations, a recent look from the state, is what's driving the grade here.

A

90/100

Grover C Dils Medical Center Snf

Caliente, NV · Lincoln County

CMS 5/516 bedsGovernmentMedicaid
Nurse hours
4.01 /day
Staff turnover
46%
Serious cites
0

Grover C Dils Medical Center SNF is a small hospital-district home in Caliente, 16 beds, government-run, which usually means the money goes back into the building rather than to a corporate parent. Staffing sits at 4.01 nurse hours per resident day, about 4% above the national average, though weekends run roughly 12% leaner than weekdays. Turnover is 46.2%, essentially the national rate, so this isn't a stable long-term crew. The current record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was recent. Four-star health and quality ratings with five stars on staffing back that up.

A

90/100

Roosevelt Care Center

Edison, NJ · Middlesex County

CMS 5/5180 bedsGovernmentMedicaid
Nurse hours
4.75 /day
Staff turnover
34%
Serious cites
0

Roosevelt Care Center in Edison runs on 4.75 nurse hours per resident day, roughly 23% above the national average, and its weekend staffing only dips about 4% below weekday levels, a small gap compared to many homes. Staff turnover sits at 33.9%, better than the 45.8% national figure, which matters for residents who need consistent caregivers. The county-owned home's inspection record shows 20 deficiencies, including one at the harm level and one abuse-related, plus a single $27,360 fine; its last inspection was December 18, 2025. Staffing and quality measures both earned top marks, but that harm-level deficiency is worth asking about directly before you decide.

A

90/100

Coler Rehabilitation And Nursing Care Center

Roosevelt Island, NY · New York County

CMS 5/5815 bedsGovernmentMedicaid
Nurse hours
4.36 /day
Staff turnover
19%
Serious cites
0

Coler runs on a city government's dime, and the numbers show a place that's mostly keeping up. Nurse staffing sits at 4.36 hours per resident day, roughly 13 percent above the national average, and 19.2 percent turnover is less than half the national rate, people tend to stay here. Weekend coverage dips about 13 percent below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record shows 19 deficiencies, none at the harm level, though four are abuse-related, so ask directly how those were resolved. The last full inspection was November 2024, recent enough to trust.

A

90/100

Trempealeau Cty Hcc Imd

Whitehall, WI · Trempealeau County

CMS 5/534 bedsGovernmentMedicaid
Nurse hours
4.04 /day
Staff turnover
13%
Serious cites
0

Trempealeau County runs this 34-bed home in Whitehall, and the numbers look steady. Nurse staffing sits at 4.04 hours per resident day, a bit above the national average, though weekends run roughly 5% lighter than weekdays, worth asking about if your family visits then. The standout figure is turnover at 12.9%, far below the national 45.8%, which usually means people stay and know the residents. The health inspection record is strong: nine deficiencies total, none causing harm, though one is abuse-related and worth reading in full. Its last inspection was March 2026, so the picture is current.

A

90/100

Mountains Community Hosp Dp/Snf

Lake Arrowhead, CA · San Bernardino County

CMS 4/519 bedsGovernmentMedicaid
Nurse hours
7.12 /day
Staff turnover
38%
Serious cites
0

Mountains Community Hospital's skilled nursing unit runs on a hospital district's license with just 19 certified beds, and its inspection record is clean where it counts: ten deficiencies on file, none at the harm level, none tied to abuse, and a survey completed in June 2025. The staffing picture cuts against expectations, though. Reported nurse hours come to 7.12 per resident day, roughly 84 percent above the national figure, yet CMS scores staffing 1 out of 5 and weekend coverage drops about 10 percent below weekdays. Turnover sits at 37.5 percent, better than the 45.8 percent national rate. Quality measures land mid-range at 3 out of 5.

A

90/100

Avir At Hillview

Goldthwaite, TX · Mills County

CMS 5/552 bedsGovernmentMedicaid
Nurse hours
3.10 /day
Staff turnover
30%
Serious cites
0

Hillview Nursing & Rehabilitation runs on a government-hospital-district model in Goldthwaite, and the inspection record is the strongest part of the story: a perfect health inspection score, quality measures to match, and no deficiencies at the harm or jeopardy level. The 14 total deficiencies and one abuse-related finding are worth asking about directly, but none rose to actual harm. Staffing is where the picture gets complicated. At 3.10 nurse hours per resident day, this home sits roughly 20 percent below the national average, and weekends run about 14 percent thinner than weekdays. Turnover, though, is 30.3 percent against a national 45.8, a steadier crew than most. The January 2026 inspection means the record is current.

A

90/100

Richard A. Anderson (State Of Texas Veterans Land

Houston, TX · Harris County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
4.08 /day
Staff turnover
33%
Serious cites
0

Richard A. Anderson, the state veterans home in Houston, runs nurse staffing at 4.08 hours per resident day, about 6% above the national average, and its 33.3% turnover is well below the 45.8% typical elsewhere. Weekend coverage does dip roughly 11% below weekday levels, so ask how that plays out on Saturdays. The record shows 14 deficiencies, one at the harm level and one abuse-related, plus a single $14,730 fine; the most recent inspection was September 2025. State-run ownership and strong quality and staffing ratings sit alongside that deficiency history, which is what pulls the overall picture down despite the numbers that look good on paper.

A

90/100

Ardie R Copas State Veterans Nursing Home

Port Saint Lucie, FL · St. Lucie County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
5.94 /day
Staff turnover
36%
Serious cites
0

Ardie R Copas State Veterans Nursing Home in Port Saint Lucie runs on 5.94 nursing hours per resident per day, roughly half again what the typical American nursing home provides, and it holds a top federal staffing rating. Weekend coverage dips about 12 percent below its own weekday pace, but the floor stays high. Staff turnover is 35.6 percent against a national average of 45.8 percent, meaning fewer caregivers are walking out the door than elsewhere. Inspectors visited in June 2025 and logged 14 deficiencies, none of them causing harm or jeopardy, though one was abuse-related. State-run ownership and a strong inspection record round out the picture.

A

89.5/100

Cleburne County Nursing Home

Heflin, AL · Cleburne County

CMS 5/582 bedsGovernmentMedicaid
Nurse hours
4.32 /day
Staff turnover
42%
Serious cites
0

Cleburne County Nursing Home runs on county government ownership, and the numbers show it. Nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average of 3.86. Weekend staffing drops about 23% below its own weekday level, so coverage thins out on Saturdays and Sundays. The current record carries just 2 deficiencies, none at the harm or jeopardy level, though 1 is abuse-related, worth asking about directly. Staff turnover is 42.2%, better than the national 45.8% but still meaning nearly half the workforce turns over. The last inspection was March 2022, so the record you're reading is nearly three years old.

A

89.5/100

Wiregrass Rehabilitation Center & Nursing Home

Geneva, AL · Geneva County

CMS 4/596 bedsGovernmentMedicaid
Nurse hours
3.86 /day
Staff turnover
34%
Serious cites
0

Wiregrass Rehabilitation Center & Nursing Home is county-owned, which is unusual in Alabama and tends to mean steadier budgets than the for-profit chains. Its 3.86 nurse hours per resident day sits right at the national average, though weekends run about 15 percent lighter than weekdays, so ask how that gap gets covered. Staff turnover is 33.8 percent against a national 45.8, lower, which usually means more familiar faces. Ten deficiencies are on record, none at harm level, none abuse-related, and the last full inspection was March 2022, so the picture is a few years old. The quality and staffing stars look solid; the three-star inspection rating is what holds it back.

A

89.5/100

Randolph County Nursing Home

Pocahontas, AR · Randolph County

CMS 5/5140 bedsGovernmentMedicaid
Nurse hours
4.02 /day
Staff turnover
40%
Serious cites
0

Randolph County Nursing Home runs on county tax money rather than a corporate chain, and the numbers back up the difference. Nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average, with turnover at 40.1% against a national 45.8%, a steadier workforce than most. The catch is weekends, when coverage drops about 21% below its own weekday level, so a Saturday shift won't look like a Tuesday. Sixteen deficiencies sit on the current record, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was April 2025. Pocahontas families get a county-run home with strong clinical marks and a predictable weekend dip.

A

89.5/100

Oceana County Medical Care Facility

Hart, MI · Oceana County

CMS 5/5115 bedsGovernmentMedicaid
Nurse hours
6.05 /day
Staff turnover
26%
Serious cites
0

Oceana County Medical Care Facility runs on 6.05 nurse hours per resident day, roughly 57 percent more than the national average of 3.86, and its staffing star rating reflects that. Weekend coverage dips about 16 percent below its own weekday level, worth knowing if your visits fall on Saturdays or Sundays, but turnover sits at 25.9 percent against a national 45.8 percent, so the people caring for residents tend to stay. The inspection record is clean where it matters most: five deficiencies total, none at the harm or jeopardy level, none abuse-related, and the last survey was in July 2025. County-owned and recently inspected, with quality measures scoring mid-range, this is a home whose strengths rest on consistent staffing and a clean regulatory record rather than standout clinical metrics.

A

89.5/100

Huron County Medical Care Facility

Bad Axe, MI · Huron County

CMS 5/5112 bedsGovernmentMedicaid
Nurse hours
5.57 /day
Staff turnover
36%
Serious cites
0

Huron County Medical Care Facility runs on public money and, by the numbers, spends it well. Nurse staffing sits at 5.57 hours per resident day, roughly 44% above the national average of 3.86, and weekend coverage dips only about 17% below weekday levels, which is a modest drop for a county home. The 36.1% turnover rate is lower than the 45.8% national figure, so the people providing that care tend to stick around. Inspectors logged 23 deficiencies but none at the harm or jeopardy level and none involving abuse, with the most recent inspection in July 2025. For a family weighing options, that combination of staffing depth and a clean harm record is the part worth paying attention to.

A

89.5/100

Martha T Berry Mcf

Mount Clemems, MI · Macomb County

CMS 4/5217 bedsGovernmentMedicaid
Nurse hours
5.05 /day
Staff turnover
45%
Serious cites
0

Martha T Berry Mcf runs on county money, and the numbers show a home that mostly holds up. Nurse staffing sits at 5.05 hours per resident day, roughly a third above the national average, with turnover at 44.5%, essentially level with the national rate. Weekends drop about 21% below weekday coverage, so ask how that plays out on a Sunday. The record isn't clean: 17 deficiencies, one serious enough to involve harm or jeopardy, and two tied to abuse. A 4/5 inspection rating and an April 2026 survey mean oversight has been recent. For a 217-bed county home, the staffing is the strongest signal here.

A

89.5/100

Green Pine Acres Nursing Home

Menahga, MN · Wadena County

CMS 5/565 bedsGovernmentMedicaid
Nurse hours
4.77 /day
Staff turnover
30%
Serious cites
0

Green Pine Acres is city-owned, which is unusual, and it shows in the staffing numbers. At 4.77 nurse hours per resident per day, it runs about a quarter above the national average, and its staff actually stick around, 30.4% turnover against a national 45.8% means fewer unfamiliar faces on the floor. Weekends do thin out, roughly 17% below weekday coverage, so that's worth asking about directly. Seven deficiencies sit on the current record with none at the harm level, though two are abuse-related, and the last inspection was in January 2026. The quality measure score is the soft spot; staffing and inspections are where this home is strongest.

A

89.5/100

Madison Medical Center

Fredericktown, MO · Madison County

CMS 5/599 bedsGovernmentMedicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Madison Medical Center is county-owned, and its 4.10 nurse hours per resident day sits about 6% above the national average, with a five-star staffing rating to back it up. Turnover runs 38.3%, noticeably better than the 45.8% national figure, so the people caring for residents tend to stay. Five deficiencies on record, none involving harm or abuse, and the last inspection was recent. The one thing to ask about: weekend staffing drops roughly 19% below weekday levels, so visit on a Saturday if you can.

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.

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