956 Government-Run Nursing Homes in the United States

Nurse hours

5.32 /day

Staff turnover

39%

Serious cites

0

Powder River Manor runs on county money in a town of a few hundred people, and the staffing numbers show it: 5.32 nurse hours per resident day, roughly 38% above the national average, with turnover at 39.3% against a national 45.8%. Weekend coverage does dip about 18% below weekdays, so ask how that plays out on a Sunday. The record isn't clean, 25 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus three fines totaling $52,551. Its last inspection was April 2026, so the picture is current. Strong staffing and quality marks sit alongside a citation history worth reading closely.

Nurse hours

5.85 /day

Staff turnover

n/a

Serious cites

0

Shady Lane Gloucester County Home runs 5.85 nurse hours per resident per day, roughly half again what the typical U.S. nursing home provides, and that staffing holds up on weekends better than most places, about 7% below its own weekday level. Inspectors have cited eight deficiencies on the current record, none causing harm or jeopardy, though one is abuse-related; the last survey was September 5, 2025, so the record is recent. County ownership is worth knowing about here. The weaker spot is staffing consistency as CMS measures it, which scores lower than the inspection and quality results despite the high raw hours.

Nurse hours

4.33 /day

Staff turnover

33%

Serious cites

0

The state-run veterans home in Jamaica runs nurse staffing at 4.33 hours per resident day, roughly 12% above the national average, and its staff turnover of 32.6% sits well below the national 45.8%. Weekend coverage, though, drops about 18% below its own weekday level, so care can thin out on Saturdays and Sundays. Ten deficiencies appear on the current record, none at the harm or jeopardy level, though two are abuse-related. The last inspection was May 2024. State ownership often means steadier funding and lower turnover than the for-profit average, which the numbers here bear out.

Nurse hours

4.79 /day

Staff turnover

44%

Serious cites

0

Nc State Veterans Home - Salisbury runs on strong staffing: 4.79 nurse hours per resident day, roughly a quarter above the national average, and a five-out-of-five staffing rating to match. But weekends dip about 20% below the home's own weekday coverage, and the inspection record is thinner, a two-out-of-five health inspection rating, 17 deficiencies including one at the harm level and two tied to abuse, plus a $12,444 fine. Staff turnover at 43.9% is a touch better than the national average, and the most recent inspection came in December 2025. State-run ownership here buys generous weekday staffing, not a clean survey history.

Nurse hours

6.40 /day

Staff turnover

35%

Serious cites

0

C M Tucker Jr Nursing Care Center, the state-run home in Columbia, runs its nursing hours well above what most homes manage, about 66% more direct nurse time per resident than the national average, and its staff tends to stay, with turnover roughly a quarter lower than typical. That's real. But look at the inspection record and a different picture shows up: six deficiencies on file, three of them serious enough to put residents in harm's way, two tied to abuse, plus nearly $60,000 in fines and a health inspection rating near the bottom. The last full look was April 2025. The quality and staffing scores don't cancel out what inspectors found.

Nurse hours

4.97 /day

Staff turnover

41%

Serious cites

0

Amie Holt Care Center runs on a government hospital-district model in Buffalo, and the staffing numbers show it: 4.97 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 16% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 40.8%, better than the 45.8% national figure but still meaning roughly two in five caregivers leaving each year. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in April 2025.

Nurse hours

5.63 /day

Staff turnover

35%

Serious cites

0

Permian Residential Care Center is county-owned and staffed well above average, 5.63 total nurse hours per resident day against a national 3.86. Weekend coverage dips about 15% below its own weekday level, which is common but worth knowing if you'll be visiting Saturdays. Staff turnover sits at 34.9%, lower than the 45.8% national rate, and its last inspection was recent, December 2025. That inspection history isn't spotless: 8 deficiencies on record, one serious enough to reach harm or jeopardy level, plus a single fine of $20,865. The staffing and inspection star ratings both come in at 5, while quality measures land at 3.

Nurse hours

3.71 /day

Staff turnover

40%

Serious cites

0

Lutheran Life Villages runs 99 certified beds in Kendallville under county government ownership, and its inspection record is the cleanest part of the story: five deficiencies on file, none of them causing harm or jeopardy, none tied to abuse, with the most recent state visit in March 2026. Staffing is where the numbers get more ordinary. At 3.71 nurse hours per resident day, it sits about 4% under the national average of 3.86, and weekends dip roughly 8% below its own weekday coverage. Annual turnover of 40.3% is better than the 45.8% national figure, which matters for whether you see the same faces month to month.

Nurse hours

4.60 /day

Staff turnover

24%

Serious cites

0

LaSalle Nursing Home runs on a hospital district's budget in Jena, and the numbers behind it are mostly steady. Nurse staffing sits at 4.60 hours per resident day, roughly 19% above the national average, and weekend coverage only dips about 13% below its own weekday level, a gap that's real but not dramatic. Turnover is the standout: 23.6% against a national average near 46%, meaning the people caring for residents tend to stay. The tradeoffs show up elsewhere. Inspectors found seven deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse, and the home carries a single fine of $7,443. Its last inspection was in December 2025, so the picture is recent. Quality measure scores land in the middle at 3 out of 5, which is where the overall grade loses ground.

Nurse hours

3.42 /day

Staff turnover

12%

Serious cites

0

Viking Manor runs on a city-owned model in a small Clay County town, and the numbers show a stable operation. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national average, and weekends dip roughly 13% below its own weekday coverage, so ask how that plays out on a Saturday. What stands out is the workforce: 12.2% annual turnover against a national 45.8% means people tend to stay. Inspections back that up: a 5/5 health inspection rating, five deficiencies on record with none at harm level and none abuse-related, and the most recent inspection in June 2025.

Nurse hours

4.17 /day

Staff turnover

34%

Serious cites

0

Tallahatchie General Hosp Ecf runs on county money, and the staffing numbers reflect that: 4.17 nurse hours per resident day, roughly 8% above the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 33.7%, well under the 45.8% national figure, which matters for continuity of care. The tradeoff shows up in the inspection record, 12 deficiencies currently, including two at harm or jeopardy level and one tied to abuse, plus a single $11,450 fine. The most recent inspection was October 2025. Solid staffing and stable retention, but the harm-level findings are the part a family should ask about directly.

Nurse hours

4.83 /day

Staff turnover

40%

Serious cites

0

Saunders Medical Center is county-owned, and that shows in the numbers. Nurse staffing runs 4.83 hours per resident day, roughly a quarter above the national average of 3.86, and turnover sits at 39.7% against a national 45.8%, a fairly stable crew for this industry. Weekend coverage dips about 8% below weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Five deficiencies on the current record, none at the harm level, none abuse-related, and the last inspection was in April 2026, so the picture is recent. All three CMS ratings, health inspection, quality measures, staffing, come in at 4 out of 5.

Nurse hours

4.74 /day

Staff turnover

34%

Serious cites

0

Merrimack County Nursing Home runs on one of the strongest staffing pictures you'll find, 4.74 nurse hours per resident day against a national average of 3.86, and its 34.4% turnover beats the 45.8% norm, which matters for whether your parent sees the same faces each week. Weekends thin out about 11% from weekday coverage, so ask how that gap gets filled. The caution is inspections: 12 deficiencies on the current record, including one at the harm level and one abuse-related, with a $15,646 fine and a 2/5 inspection rating. A March 2026 inspection is recent, at least. County-run and 290 beds means you're dealing with a large public operator, not a chain. Staffing is the strength; the survey history is what to press on.

Nurse hours

4.26 /day

Staff turnover

39%

Serious cites

0

Riverview runs on county money, and the staffing numbers show it: 4.26 nurse hours per resident day, roughly 10% above the national average, with turnover at 38.9% against a national 45.8%. That's a stable workforce by nursing home standards, though weekend coverage dips about 6% below weekdays. The tradeoff shows up in inspections. Fourteen deficiencies sit on the current record, including one at the harm level and two tied to abuse, and a $17,345 fine. The last inspection was February 2026, so the record is recent. Strong quality scores and above-average staffing are real, but the harm-level and abuse findings are the kind of thing worth asking about directly before you decide.

Nurse hours

3.73 /day

Staff turnover

26%

Serious cites

0

Berks Heim runs on county money, and the numbers suggest that's mostly working in its favor. Staff turnover sits at 25.6%, well under the national 45.8%, which matters more than raw hours, familiar faces tend to notice small changes before they become falls or pressure sores. The trade-off shows up in coverage: 3.73 nurse hours per resident day is slightly under the national 3.86, and weekends run about 15% thinner than weekdays, so timing your visits matters. Nine deficiencies on record, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Inspectors were last in December 2025.

Nurse hours

3.61 /day

Staff turnover

35%

Serious cites

0

Veterans Victory House runs 220 certified beds as a state-run home, and its inspection record is the strongest thing about it: a 5-star health inspection rating with just four deficiencies on file, none of them causing harm or involving abuse. Staffing tells a more mixed story. At 3.61 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends run roughly 14% lighter than its own weekdays. The tradeoff is retention, 34.6% turnover beats the 45.8% national figure, so the aides and nurses here tend to stick around longer than elsewhere. The last inspection was May 2026.

Nurse hours

6.25 /day

Staff turnover

32%

Serious cites

0

Garfield County Nursing Home is small, 21 certified beds, and county-run, which matters less than how it's staffed. At 6.25 total nurse hours per resident day, it runs about 62 percent above the national average, an unusually wide margin. Weekend staffing dips roughly 14 percent below weekday levels, so coverage isn't perfectly even across the week. Turnover sits at 32.3 percent, well under the national 45.8 percent. The tradeoff shows up in care quality: a 2-out-of-5 on quality measures, 15 deficiencies on record including 2 abuse-related, though none rose to harm or jeopardy. The most recent inspection was June 25, 2025. Strong staffing and stable retention are carrying a lot of weight here.

Nurse hours

4.49 /day

Staff turnover

27%

Serious cites

0

Orchard Manor runs on a county-owned model that shows up clearly in its numbers. Nurse staffing sits at 4.49 hours per resident day, roughly 16% above the national average, and the 26.8% annual turnover is well under the national 45.8%, a stable crew matters when you're talking about daily care. The trade-off is in the inspection record: nine deficiencies, two of them serious enough to reach harm or jeopardy level, and two tied to abuse, with one fine of $22,425. Weekend staffing dips about 11% below weekday levels, so care may thin out on Saturdays and Sundays. The most recent inspection was December 2025, so the picture is current.

Nurse hours

4.09 /day

Staff turnover

51%

Serious cites

0

The county runs this 46-bed home in Menomonie, and the nursing hours are genuinely better than most, 4.09 per resident day against a national average of 3.86. Weekends dip only slightly below weekdays, so coverage stays fairly even. What pulls it down is staff retention: 50.8% turnover, higher than the 45.8% national figure, meaning roughly half the nursing staff leaves each year. On the current record there are 13 deficiencies, including one at the harm level and two tied to abuse. The most recent inspection was January 2026, so the picture is current. Strong daily staffing and a five-star quality measure score sit alongside real problems in how residents are protected and how well workers stay.

Nurse hours

7.02 /day

Staff turnover

26%

Serious cites

0

Nurse staffing at this state-run veterans home runs about 7.02 hours per resident day, roughly 82% above the national average, and it earns the top CMS staffing rating. Turnover sits at 26.2%, well under the national 45.8%. Those are real strengths. The inspection side is where it gets complicated: 41 deficiencies on record, including 3 at the harm or jeopardy level and 2 tied to abuse. The last inspection was March 2026. Weekend staffing dips about 15% below its own weekday levels, so the strong average thins out on Saturdays and Sundays. CMS rates the health inspection 3 out of 5 stars and quality measures 2 out of 5. Plenty of hands on weekdays, but a documented history worth asking about directly.