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604 Hospital-Based Nursing Homes in the United States

604 of the 14,697 Medicare-certified nursing homes in the United States (4%) are hospital-based, and all are listed below. 228 of the 602 graded homes earn an A and 21 earn a D or F. They average 4.94 nursing hours per resident per day, 1.08 hours above the 3.86 for every home in the United States. Transitional Sub-Acute Unit in Wyomissing grades highest at A (100 out of 100).

How hospital-based 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

4.94

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

41.7%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

78.9/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

228 grade A, 228 grade B, 125 grade C, 21 grade D,

The best-graded hospital-based home in the United States is Transitional Sub-Acute Unit in Wyomissing, PA, grade A, 100/100.

Every hospital-based nursing home in the United States

Showing 1 to 20 of 604, best-graded first.

A

100/100

Hrh Transitional Care Unit(A D/B/A Entity Of Hrhs)

Meadowbrook, PA · Montgomery County

CMS 5/521 bedsNon-profit
Nurse hours
6.29 /day
Staff turnover
21%
Serious cites
0

The numbers at Hrh Transitional Care Unit in Meadowbrook are hard to argue with. Nurse staffing runs about 6.29 hours per resident day, roughly 63% above the national average, and turnover sits at 20.8%, well under half the national rate of 45.8%, which matters because consistent caregivers tend to know their residents. Inspections back it up: a 5/5 health inspection rating, three total deficiencies on record with none at the harm level and none abuse-related, and a recent survey from February 2026. It's a 21-bed nonprofit unit, so it's small, and the weekend staffing dip of about 3% below its own weekday level is minor. Nothing here looks like a red flag; the record reads like a home that staffs well and keeps its paperwork clean.

A

100/100

Transitional Sub-Acute Unit

Wyomissing, PA · Berks County

CMS 5/550 bedsNon-profit
Nurse hours
5.56 /day
Staff turnover
25%
Serious cites
0

The numbers here are hard to argue with: 5.56 nurse hours per resident per day, roughly 44 percent above the national average, and a 25.3 percent turnover rate against a national figure near 46 percent, meaning staff tend to stay, which matters more than almost anything for daily consistency. Weekend coverage dips only about 4 percent below weekdays, so care doesn't thin out when families are least likely to visit. On the regulatory side, the record is clean: zero deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent inspection in August 2025. A five-star rating across health inspections, quality measures, and staffing, under nonprofit ownership, is a rare combination.

A

99/100

Community Memorial Continuing Care Center

Ojai, CA · Ventura County

CMS 5/575 bedsNon-profitMedicaid
Nurse hours
5.23 /day
Staff turnover
27%
Serious cites
0

Community Memorial Continuing Care Center in Ojai runs on about 5.23 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, 26.7% turnover against a national rate near 46%. The current record shows 15 deficiencies, none of them involving harm or jeopardy and none abuse-related, with the most recent inspection in January 2026. Weekend coverage dips about 7% below weekday levels, which is worth asking about if your family member needs more help on Saturdays and Sundays. This is a nonprofit corporation with 75 certified beds, and the staffing, inspection, and quality measure ratings all sit at the top of CMS's scale.

A

99/100

Jefferson House

Newington, CT · Capitol County

CMS 5/5104 bedsNon-profitMedicaid
Nurse hours
5.17 /day
Staff turnover
31%
Serious cites
0

Jefferson House runs on 5.17 nurse hours per resident per day, roughly a third more staffing than the typical American nursing home, and the weekend gap is only about 12% below weekdays, modest by industry standards. Staff turnover sits at 31%, well under the 45.8% national figure, which matters because consistent caregivers know residents' routines. The trade-off is a longer deficiency record: 25 citations on file, including two tied to abuse, though none rose to the level of actual harm or jeopardy. State inspectors last visited in January 2025. For a nonprofit home of 104 beds, the money is clearly going into the floor.

A

99/100

Honoka'a Hospital & Skilled Nursing

Honokaa, HI · Hawaii County

CMS 5/566 bedsGovernmentMedicaid
Nurse hours
5.51 /day
Staff turnover
24%
Serious cites
0

Honoka'a Hospital & Skilled Nursing runs on state money and a lot of nursing hours. At 5.51 per resident day, it's staffed about 43 percent above the national average, and weekend coverage only dips around 14 percent from its weekday level, a smaller drop than many homes manage. Turnover sits at 24.4 percent against a national 45.8 percent, so the people caring for residents tend to stay. The 14 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the most recent inspection was in late 2024.

A

99/100

Oneida County Hospital & Long Term Care Facility

Malad, ID · Oneida County

CMS 5/533 bedsGovernmentMedicaid
Nurse hours
5.85 /day
Staff turnover
27%
Serious cites
0

Oneida County Hospital & Long Term Care runs on county money in a small Idaho town, and the numbers back up the setup. Nurse staffing sits at 5.85 hours per resident day, roughly half again the national average, and weekend coverage dips only about 10% below its own weekday level, a smaller drop than many homes manage. Staff turnover is 26.8% against a national 45.8%, so the people caring for residents tend to stay. Inspectors found 13 deficiencies, none involving harm or abuse, and the most recent visit was in May 2026. Five stars across inspections, quality measures, and staffing, with 33 certified beds, tells you this is a stable, well-run county operation.

A

99/100

Fairview University Trans Serv

Minneapolis, MN · Hennepin County

CMS 5/528 bedsNon-profitMedicaid
Nurse hours
9.19 /day
Staff turnover
30%
Serious cites
0

Fairview University Trans Serv runs 28 certified beds in Minneapolis under nonprofit ownership, and the numbers behind it are unusually clean. Nurse staffing sits at 9.19 hours per resident day, roughly two and a half times the national average of 3.86, and weekend coverage only slips about 7% below weekday levels, so care doesn't thin out when families tend to visit. Staff turnover is 30%, well under the 45.8% national figure, which suggests people stay. The current record carries zero deficiencies, none at the harm level, no abuse citations, and the last inspection was November 2024, so nothing on file is stale. For a small nonprofit, that combination is rare.

A

99/100

Harmony Manor Skilled Nursing Facility

Winnemucca, NV · Humboldt County

CMS 5/542 bedsGovernmentMedicaid
Nurse hours
6.14 /day
Staff turnover
33%
Serious cites
0

Harmony Manor runs on unusually heavy staffing for a 42-bed hospital-district home, 6.14 nurse hours per resident day, roughly 59% above the national average, and the weekend dip of about 12% still leaves it well ahead of most places. Turnover sits at 32.7% against a national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in its record: 24 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was April 2026, and it scores 4s and 5s across inspection, quality, and staffing measures.

A

99/100

Childrens Specialized Hospital Toms River

Toms River, NJ · Ocean County

CMS 5/526 bedsNon-profitMedicaid
Nurse hours
6.72 /day
Staff turnover
30%
Serious cites
0

Childrens Specialized Hospital Toms River runs 26 certified beds in Ocean County as a nonprofit, and its nurse staffing sits at 6.72 hours per resident day, roughly 74% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, but with a base that high, even the lighter days stay well-staffed. Turnover is 30.3%, noticeably lower than the national 45.8%, which suggests a stable crew rather than a rotating door. Its inspection record shows 7 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent visit was September 2024. The quality and staffing star ratings are both perfect fives.

A

99/100

John T Mather Memorial Hosp T C U

Port Jefferson, NY · Suffolk County

CMS 5/516 bedsFor-profitMedicaid
Nurse hours
7.99 /day
Staff turnover
3%
Serious cites
0

John T Mather Memorial's transitional care unit runs on 7.99 nurse hours per resident day, more than double the national figure of 3.86, and its 3.4% turnover is almost unheard of next to the 45.8% national average, meaning the people caring for your family member mostly stay put. Weekend staffing dips about 11% from its own weekday level, worth asking about if you're planning visits then. Twelve deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2025. It's a small for-profit unit, 16 beds, tucked inside a hospital.

A

99/100

Helen Hayes Hospital T C U

West Haverstraw, NY · Rockland County

CMS 5/524 bedsGovernment
Nurse hours
7.22 /day
Staff turnover
33%
Serious cites
0

Helen Hayes Hospital's transitional care unit in West Haverstraw runs on unusually heavy staffing, 7.22 nurse hours per resident day, roughly 87% above the national figure, and that shows up in the weekend numbers too, which dip about 14% below weekdays but stay high in absolute terms. Staff turnover sits at 33.3%, noticeably below the 45.8% national average, which matters for consistency of care. Its inspection record is clean: two deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in March 2025. State-run ownership adds a layer of public accountability. For 24 beds, that combination of nurse hours and low deficiency counts is the whole story.

A

99/100

Wooster Community Hospital Snf

Wooster, OH · Wayne County

CMS 5/522 bedsGovernment
Nurse hours
7.08 /day
Staff turnover
29%
Serious cites
0

Wooster Community Hospital's skilled nursing unit runs on 7.08 nurse hours per resident day, roughly 83% above the national average of 3.86, and its staff turnover sits at 28.6% against a national 45.8%, meaning the people caring for residents tend to stay. Weekend coverage dips about 9% below weekday levels, a gap worth asking about if your family visits mainly on Saturdays. The inspection record is clean where it counts: three deficiencies total, none at the harm level, none abuse-related, with the most recent survey in January 2024. City-owned and small at 22 beds, it pairs that staffing with 5/5 ratings across health inspections, quality measures, and staffing.

A

99/100

Lehigh Valley Hospital Tsu

Allentown, PA · Lehigh County

CMS 5/552 bedsNon-profit
Nurse hours
6.46 /day
Staff turnover
15%
Serious cites
0

Lehigh Valley Hospital Tsu runs on unusually heavy staffing, 6.46 nurse hours per resident day, roughly two-thirds more than the national average, and its workers tend to stay, with turnover at 14.9% against a national 45.8%. Weekend coverage dips about 15% below weekday levels, but the floor stays well above what most homes provide. The caution sits in the inspection record: two deficiencies, one serious enough to involve harm or jeopardy, and the most recent survey dates to May 2026, so that record is getting stale. A nonprofit hospital-based unit with strong quality scores and a thin but not clean regulatory history, worth asking what that harm-level finding involved and when surveyors are due back.

A

99/100

Upmc Magee-Womens Hospital Tcu

Pittsburgh, PA · Allegheny County

CMS 5/520 bedsNon-profit
Nurse hours
6.41 /day
Staff turnover
26%
Serious cites
0

Upmc Magee-Womens Hospital Tcu runs just 20 certified beds, which tends to mean staff actually know the residents. The numbers back that up: 6.41 nurse staffing hours per resident day, roughly 66% above the national average, and a 25.8% turnover rate that's well below the 45.8% national figure. Weekend staffing dips about 7% from weekday levels, a modest drop rather than a cliff. Ten deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in late 2025. As a nonprofit, it answers to a mission rather than shareholders.

A

99/100

Hendrick Skilled Nursing Facility

Abilene, TX · Taylor County

CMS 5/520 bedsNon-profit
Nurse hours
9.65 /day
Staff turnover
34%
Serious cites
0

Hendrick Skilled Nursing Facility is a small nonprofit home in Abilene, just 20 certified beds, and the staffing numbers are the first thing that stands out. At 9.65 nurse hours per resident day, it runs roughly two and a half times the national average, and even with weekends dipping about 12% below its own weekday level, that floor stays unusually high. Staff turnover sits at 34.3%, well under the national 45.8%. The inspection record is current as of December 2025, with eight deficiencies on file but none at the harm level and none abuse-related. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

Torrance Memorial Med Ctr Snf/Dp

Torrance, CA · Los Angeles County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
8.46 /day
Staff turnover
22%
Serious cites
0

Torrance Memorial Med Ctr Snf/Dp runs on unusually heavy staffing: 8.46 nurse hours per resident per day, more than double the national average of 3.86. That number holds up on weekends too, dipping only about 7% below its own weekday level, and staff turnover sits at 21.9% against a national average of 45.8%, people tend to stay. The home carries 28 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was in March 2026. As a nonprofit with 40 certified beds, it pairs a clean federal record with staffing most homes can't match.

A

99/100

Laredo Medical Center

Laredo, TX · Webb County

CMS 5/518 bedsFor-profit
Nurse hours
6.27 /day
Staff turnover
30%
Serious cites
0

The numbers at Laredo Medical Center are unusually clean for an 18-bed for-profit home. Nurse staffing sits at 6.27 hours per resident day, roughly 62% above the national average, and the staff turnover rate of 30% beats the national figure of 45.8%. Only two deficiencies show on the current record, neither at the harm level and none abuse-related, following an inspection in December 2025. The one soft spot is weekends, when staffing runs about 12% below the home's own weekday level. That's a common pattern, but with this few beds it's worth asking how coverage holds up on a Saturday.

A

99/100

The Methodist Hospital Snf

Houston, TX · Harris County

CMS 5/525 bedsNon-profit
Nurse hours
10.85 /day
Staff turnover
25%
Serious cites
0

The Methodist Hospital SNF runs 25 certified beds on a church-affiliated nonprofit model, and the staffing numbers reflect that: 10.85 nurse hours per resident day against a national average of 3.86. That's not a rounding error, it's roughly triple the typical home, with weekend coverage dipping only about 7% below its own weekday level, so care doesn't thin out when families visit. Staff turnover sits at 25% versus 45.8% nationally, meaning aides and nurses here tend to stay. The current record shows two deficiencies, neither at harm level and none abuse-related, with an inspection dated August 2025. Small, stable, and recently reviewed.

A

97.5/100

St Elizabeth Edgewood Snf

Edgewood, KY · Kenton County

CMS 5/530 bedsNon-profit
Nurse hours
6.52 /day
Staff turnover
33%
Serious cites
0

St Elizabeth Edgewood runs a small 30-bed home in Kenton County, and the staffing numbers are the story here. At 6.52 nurse hours per resident day, it's giving residents roughly 69% more nursing time than the national average of 3.86, a gap that matters more than most families realize. Turnover sits at 32.7%, well below the national 45.8%, so the people providing that care tend to stick around. Weekend coverage does dip about 18% below its own weekday level, which is worth asking about directly. The record shows 4 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in February 2026.

A

97.5/100

Helen Hayes Hospital R H C F

West Haverstraw, NY · Rockland County

CMS 5/525 bedsGovernmentMedicaid
Nurse hours
6.81 /day
Staff turnover
34%
Serious cites
0

Helen Hayes Hospital runs one of the strongest staffing pictures you'll find: 6.81 nurse hours per resident day, roughly 76% above the national average. Weekend coverage dips about 15% below its own weekday level, which is worth asking about, but the floor stays high. Staff turnover sits at 34.2%, well under the 45.8% national figure, so the people caring for residents tend to stay. The inspection record is clean, one deficiency total, none involving harm or abuse, and the most recent survey was in February 2025. Add state ownership and perfect marks on inspections, quality measures, and staffing, and there's very little here to push back on.

Frequently asked questions

How many hospital-based nursing homes are there in the United States?
There are 604 hospital-based Medicare-certified nursing homes in the United States, 4% of the 14,697 nursing homes there.
Are hospital-based nursing homes better staffed?
In the United States they average 4.94 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +1.08 hours. Staff turnover averages 41.7% against 45.8%.
Which hospital-based nursing home grades best in the United States?
Transitional Sub-Acute Unit in Wyomissing, PA, grade A, 100 out of 100.
Does being hospital-based mean a nursing home is safe?
No. Of the 602 graded hospital-based homes in the United States, 228 grade A and 21 grade D or F.
Do hospital-based nursing homes in the United States accept Medicaid?
534 of the 604 are certified to accept Medicaid. See Medicaid and nursing homes.

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