956 Government-Run Nursing Homes in the United States

Nurse hours

8.73 /day

Staff turnover

12%

Serious cites

0

O'Connor Hospital's skilled nursing unit is small, 24 beds, and county-run, which tends to mean steadier staffing than the for-profit average, and the numbers bear that out. Nurse staffing sits at 8.73 hours per resident day, well over twice the national figure, and weekend coverage only dips about 10% below weekdays instead of falling off a cliff. Staff turnover is 11.5% against a national 45.8%, so the people caring for residents largely stay put. The tradeoff is paperwork: 23 deficiencies on the current record, though none rose to harm or jeopardy and none involved abuse, and the last inspection was recent, in August 2025.

Nurse hours

5.19 /day

Staff turnover

40%

Serious cites

0

Shinnery Oaks runs on nurse staffing of 5.19 hours per resident day, about a third more than the national average, and it shows in the metrics: five stars for staffing, five for health inspections, four for quality measures. Weekend coverage dips only modestly below weekdays, so care doesn't thin out as much as it does at many homes. Staff turnover sits at 39.7%, better than the national figure, which matters for whether residents see the same faces. The caution is in the record: ten deficiencies, one serious enough to involve harm or jeopardy, and a $26,120 fine. County-owned, sixty beds, inspected as recently as December 2025.

Nurse hours

6.14 /day

Staff turnover

39%

Serious cites

0

Arkansas Health Center is state-run and large, with 290 certified beds in Benton. Its nurse staffing sits at 6.14 hours per resident day, roughly 59% above the national average, and it holds five stars in both staffing and health inspections, with eleven deficiencies on record and none at the harm or jeopardy level. Turnover runs 38.8%, better than the 45.8% national figure but still meaning more than a third of staff leaving each year. The catch is weekends, when hours drop about 15% below the weekday level. With a May 2025 inspection and no abuse citations, the record is clean and recent. Families should ask how weekend coverage is actually staffed, because that gap is where the risk usually lives.

Nurse hours

4.31 /day

Staff turnover

13%

Serious cites

0

Hazel Hawkins runs on a hospital district's budget, and the numbers show where the money goes: nurse staffing at 4.31 hours per resident per day, about 12% above the national average, with a 5-star staffing rating to match. Turnover sits at 13.3% against a national average of 45.8%, that kind of retention is rare and usually means residents see the same faces. The catch is weekends, when coverage drops roughly 15% below the home's own weekday level. Inspections turned up 28 deficiencies, one abuse-related, though none at the harm or jeopardy level, and the last visit was September 2025.

Nurse hours

7.89 /day

Staff turnover

n/a

Serious cites

0

Nurse staffing at Helen Bernardy Center runs about 7.89 hours per resident day, roughly double the national average of 3.86. Weekends dip only about 7 percent below its own weekday levels, so coverage stays fairly steady rather than thinning out when families tend to visit. The health inspection record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated March 2026. It's a government hospital-district home with 43 certified beds, and its quality measure and health inspection ratings both sit at the top of CMS's scale. The staffing rating is one notch lower, which is worth asking about directly if you tour.

Nurse hours

5.15 /day

Staff turnover

n/a

Serious cites

0

Georgia Regional Atlanta Ltc runs on state government ownership in Decatur, and its nurse staffing sits at 5.15 hours per resident day, roughly a third above the national average of 3.86. That said, weekends drop about 15% below its own weekday coverage, so care can thin out when families visit. The current record shows 10 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site September 18, 2025. Its quality measure rating is perfect at 5/5 while health inspections land at 2/5, a split worth asking about directly.

Nurse hours

6.21 /day

Staff turnover

n/a

Serious cites

0

The state-run Veterans Home in Minneapolis carries 341 beds and a nurse staffing level of 6.21 hours per resident day, roughly 61% above the national average of 3.86. That's a genuinely high figure, though weekend coverage drops about 11% below its own weekday pace. On its current record: 21 deficiencies, with 2 at the harm or jeopardy level and 1 flagged as abuse-related. The last inspection was April 2025, recent enough to reflect present conditions. High staffing is a real strength here, but the harm-level and abuse-related findings are the kind that matter more than any average. The quality measure rating of 4 out of 5 tracks with better clinical outcomes, yet the deficiency history is what pulls the overall picture down.

Nurse hours

7.23 /day

Staff turnover

n/a

Serious cites

0

If you want the numbers that actually matter here, start with nurse staffing: 7.23 hours per resident per day against a national average of 3.86. Even with weekends running about 14 percent lighter than weekdays, that leaves a floor most homes never reach. The inspection record is clean, zero deficiencies, none tied to harm or abuse, with the most recent visit in December 2025. State-run ownership shows up in how steady the place is, not in frills. Quality measures land at 4 out of 5, which is strong without being flawless. What you're looking at is a home that's well above average on the things families worry about most.

Nurse hours

5.65 /day

Staff turnover

50%

Serious cites

0

South Mountain Restoration Center runs 5.65 nurse hours per resident day, roughly 46 percent more than the national average of 3.86. That staffing depth shows up in the federal stars: five out of five for staffing and five for health inspections, with quality measures at four. The current record carries six deficiencies, none at the harm or jeopardy level and none tied to abuse. Weekend coverage does thin out by about 22 percent against weekdays, and turnover sits at 50.4 percent, a bit above the national 45.8 percent. As a state-run home with a September 2025 inspection behind it, the core picture here is consistent coverage and a clean harm record, with weekend shifts worth asking about directly.

Nurse hours

4.87 /day

Staff turnover

n/a

Serious cites

0

Surprise Valley Community Hospital's skilled nursing unit is a 22-bed government-run operation in Cedarville, and the staffing numbers here tell an unusual story. Total nursing time runs 4.87 hours per resident day, roughly a quarter above the national average, with weekends barely dipping below weekday coverage, which matters in a small rural home where backup staff aren't easy to call in. Inspections in May 2025 turned up 22 deficiencies, none at the harm or jeopardy level, though four were abuse-related; that's a lot of paperwork findings for a building this size, and worth asking about directly. The hospital district owns it, so there's no corporate parent to chase if something goes wrong.

Nurse hours

5.02 /day

Staff turnover

44%

Serious cites

0

Henry County Health and Rehabilitation runs on county money, and the numbers show it: 5.02 nurse hours per resident day, roughly 30% above the national average, which is enough to earn the top federal staffing rating. Turnover sits at 43.6%, modestly better than the 45.8% national figure, though weekend coverage drops about 15% below weekday levels, so care can thin out on Saturdays and Sundays. The inspection record shows 11 deficiencies with nothing at the harm or abuse level, but the last visit was February 2022, over three years ago. Strong staffing paired with that gap in oversight is what's behind the grade.

Nurse hours

4.72 /day

Staff turnover

27%

Serious cites

0

The Idaho State Veterans Home in Lewiston runs on state money and 66 beds, with nurse staffing at 4.72 hours per resident day, roughly 22% above the national average, and weekend coverage holding fairly steady, down only about 14% from weekdays. Staff turnover sits at 26.9%, well under the national 45.8%, which matters for residents who need consistent faces. But the inspection record is where this home gets complicated: 15 deficiencies, two of them serious enough to endanger residents, five tied to abuse, and a single fine that climbed to $186,850. The most recent inspection was July 2025, so the picture is current. Strong staffing and low turnover are real strengths; those deficiency numbers are equally real.

Nurse hours

4.77 /day

Staff turnover

39%

Serious cites

0

Dekalb County Rehab & Nursing runs on county government ownership, and the staffing numbers show it: 4.77 nurse hours per resident day, roughly a quarter above the national average, with a five-star staffing rating to match. Turnover sits at 38.6%, better than the 45.8% national figure, though weekend coverage drops about 12% below the home's own weekday level. The current inspection record carries 22 deficiencies, three of them serious enough to involve harm or jeopardy, along with two fines totaling $140,423. That's the tension here, strong day-to-day staffing paired with a citation record that keeps the health inspection rating at three stars. The most recent survey was April 3, 2025.

Nurse hours

3.96 /day

Staff turnover

24%

Serious cites

0

Northwest Manor is county-owned, which is unusual in this business, and it shows in the workforce: only 24.2% of staff left last year, well under the national rate of 45.8%. Nurse staffing sits at 3.96 hours per resident day, running slightly above the national average, though weekends dip about 14% below the home's own weekday coverage. The tradeoff is on inspections. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and the health inspection rating is 2 out of 5. Quality measures score 5 out of 5, and the last inspection was May 13, 2026. Stable staff, respectable daily coverage, but a survey history worth asking about directly.

Nurse hours

7.04 /day

Staff turnover

36%

Serious cites

0

Glasgow State Nursing Facility is unusual for a state-run home in that its staffing is genuinely strong, 7.04 nurse hours per resident day, roughly double the national average, and its staff turnover of 35.8% beats the national 45.8%. Those numbers matter, because consistent hands-on care is what families actually feel day to day. The problem sits on the inspection side: six deficiencies on record, five of them serious enough to involve harm or jeopardy, two tied to abuse, and $62,189 in fines. A recent August 2025 inspection means the picture is current, not stale. Strong staffing and troubling survey findings can coexist, here they clearly do, and the inspection record is what a family should ask about directly before deciding.

Nurse hours

4.12 /day

Staff turnover

45%

Serious cites

0

Pershing General Hospital's skilled nursing unit runs on a government hospital-district license and 25 certified beds, which makes it the kind of small county home where everyone knows the staff. Nurse coverage sits at 4.12 hours per resident day, about 7% above the national average, and weekend staffing dips roughly 11% below its own weekday level. Turnover lands at 44.8%, roughly in line with the national 45.8%. The record shows 41 deficiencies with none at harm or jeopardy level, though 8 are abuse-related, and one fine of $9,258. Inspectors were last on site in April 2025.

Nurse hours

3.92 /day

Staff turnover

21%

Serious cites

0

Valley View, a county-run home in Goshen with 360 beds, sits in an unusual spot. Its staffing looks solid on paper, 3.92 nurse hours per resident day, just above the national average, with a 4/5 staffing star, and turnover is genuinely low at 20.8% against a national 45.8%. But weekend staffing drops roughly 10% below its own weekday level, and the inspection record is the real story: 44 deficiencies on file, including 8 tied to abuse, with a 1/5 health inspection star despite the most recent survey in July 2025. None of those deficiencies reached harm or jeopardy level, and resident quality measures score 5/5. So you're weighing a home that keeps its staff and treats residents well by the measures, against a thick inspection history worth asking about directly.

Nurse hours

4.06 /day

Staff turnover

29%

Serious cites

0

Kershaw Health Karesh Long Term Care sits at 132 certified beds in Camden, run by the county rather than a chain. The staffing numbers are the strongest part of the picture: 4.06 nurse hours per resident day, about 5% above the national average, with a 5-out-of-5 staffing rating. Turnover is 28.8% against a 45.8% national average, which suggests people stay. But weekends run roughly 12% thinner than weekdays, and the inspection record carries five deficiencies, two of them at harm or jeopardy level, plus one $19,460 fine. The last inspection was September 2025. Good daily coverage, thinner weekends, and a harm-level citation are the real story here.

Nurse hours

3.60 /day

Staff turnover

37%

Serious cites

0

Millard County Care and Rehabilitation is county-owned, which matters less than what the numbers show. Staffing sits at 3.60 nurse hours per resident day, about 7% under the national average, and weekends dip slightly below its own weekday levels, though turnover at 36.8% is notably better than the 45.8% national figure. The real concern is the inspection record: 40 deficiencies, including two at the harm level and three tied to abuse, with a $19,656 fine and a one-star health inspection rating. Quality and staffing measures both score 5/5, so day-to-day care looks solid, but the compliance history is where you'd want to ask hard questions before choosing this home.

Nurse hours

5.79 /day

Staff turnover

23%

Serious cites

0

Rock Haven is county-owned, and that shows up in the staffing numbers: 5.79 nurse hours per resident day against a national average of 3.86. Turnover sits at 23.4%, roughly half the national rate, so the people caring for residents tend to stay. Weekends run about 7% thinner than weekdays, which is worth asking about if your family visits then. The record isn't clean. Twenty-three deficiencies, including one at the harm level and four tied to abuse, plus a $42,560 fine. The last inspection was in January 2026, so that picture is current rather than stale. Strong staffing and steady retention are real strengths; the inspection history is the counterweight, and it's the part I'd want to read closely before deciding.