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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 181 to 200 of 604, best-graded first.

A

87.5/100

Pontotoc Nursing Home

Pontotoc, MS · Pontotoc County

CMS 5/544 bedsNon-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
29%
Serious cites
0

Pontotoc Nursing Home runs lean in a good way on staffing, 4.27 nurse hours per resident day, about 11% above the national average, and the low 28.6% turnover means the aides and nurses you meet are more likely to still be there next year. The catch is weekends, when coverage drops roughly 18% below what the home staffs during the week, so ask how that plays out on a Saturday shift. Seven deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, and the most recent inspection was July 2025. Quality measures score low even as staffing scores high, which is worth asking about directly.

A

87.5/100

Guam Memorial Hospital Authority

Barrigada, GU · Guam County

CMS 3/540 bedsGovernmentMedicaid
Nurse hours
7.72 /day
Staff turnover
16%
Serious cites
0

Guam Memorial Hospital Authority runs 40 certified beds as a government-owned home, and its nurse staffing is the standout fact here, 7.72 hours per resident day, roughly double the national average, with weekend coverage dipping only about 9% below weekdays. Turnover sits at 15.6%, well under the 45.8% national figure, so the people providing that care tend to stay. The inspection record tells a different story: 52 deficiencies on file, including one at harm or jeopardy level and five tied to abuse, with a single $13,247 fine and a most recent inspection in August 2025. Staffing like this is rare; a deficiency count like that isn't easy to overlook either.

A

87/100

Ketchikan Med Ctr New Horizons Transitional Care

Ketchikan, AK · Ketchikan Gateway County

CMS 1/529 bedsNon-profitMedicaid
Nurse hours
6.79 /day
Staff turnover
50%
Serious cites
0

Ketchikan Med Ctr New Horizons runs 29 certified beds as a nonprofit, and its nurse staffing sits at 6.79 hours per resident day, roughly 76% above the national average of 3.86. That's a real margin, though weekend coverage drops about 13% below its own weekday level, and annual turnover of 50% runs slightly above the national 45.8%. The health inspection side is where it gets harder to read: a 1/5 star rating, 17 deficiencies on the current record, four of them abuse-related, and none flagged at harm or jeopardy level. The last inspection was April 9, 2026. Quality measures score 3/5 and staffing 4/5, so the numbers don't point the same direction.

A

87/100

Calhoun Nursing Home

Edison, GA · Calhoun County

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

Calhoun Nursing Home runs on a hospital district's budget out in Edison, and the numbers show a place that mostly does right by its residents. Nurses give 4.49 hours of care per resident per day, roughly 16% more than the national average, though weekends drop about 12% below its own weekday pace, worth asking about if you're planning visits. Staff turnover sits at 39%, better than the 45.8% national figure, which suggests people stick around. The trade-offs: eight deficiencies on record, two serious enough to involve harm or jeopardy, and the most recent inspection was May 2025. No abuse findings, and quality measures score at the top of the scale.

A

87/100

Woodbridge Health Campus

Logansport, IN · Cass County

CMS 5/569 bedsGovernmentMedicaid
Nurse hours
3.66 /day
Staff turnover
29%
Serious cites
0

Woodbridge Health Campus is county-owned, and the numbers suggest that public ownership here comes with real attention to care. The health inspection record is strong, four stars, with 11 deficiencies on file and none of them serious enough to cause harm or jeopardy. Staff turnover sits at 28.6%, well under the national average of 45.8%, which matters for residents who need consistent faces. The tradeoff is daily staffing: 3.66 nurse hours per resident falls about 5% under the national average, and weekends dip roughly 14% below weekdays. Families should ask how that weekend gap gets covered. With a recent June 2025 inspection and solid quality measures, the care fundamentals look dependable, just go in knowing weekday and weekend coverage aren't identical.

A

87/100

Asbury Towers Health Care Center

Greencastle, IN · Putnam County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
5.79 /day
Staff turnover
47%
Serious cites
0

Asbury Towers runs a nonprofit home with 48 beds in Greencastle, and its nurse staffing sits at 5.79 hours per resident day, roughly half again the national average of 3.86. That's the number driving its record. Weekend coverage dips about 15% below its own weekday level, and turnover is 46.7%, a touch above the 45.8% national figure, so the staffing edge comes with some churn behind it. The health inspection side holds up: a 4-out-of-5 rating, last surveyed March 30, 2026, with 15 deficiencies on file but none at the harm or jeopardy level and nothing abuse-related. Fifteen citations is not a spotless record, though the absence of serious harm matters more than the raw count.

A

87/100

Ochsner Medical Center Skilled Nursing Facility

Jefferson, LA · Jefferson County

CMS 5/530 bedsNon-profit
Nurse hours
6.83 /day
Staff turnover
26%
Serious cites
0

Ochsner Medical Center Skilled Nursing Facility runs a 30-bed nonprofit unit in Jefferson, and the numbers split in two directions. Nurse staffing sits at 6.83 hours per resident day, roughly 77% above the national average, and the staff turnover rate of 25.6% is nearly half the national figure, so the people caring for residents tend to stay. That consistency shows up in the inspection record too: a five-star health inspection rating and only six deficiencies, none tied to abuse, though one did rise to the harm level and drew an $8,186 fine. Where it slips is quality measures, which land at two stars. The most recent inspection was in March 2026.

A

87/100

Munson Healthcare Crawford Continuing Care Center

Grayling, MI · Crawford County

CMS 5/539 bedsNon-profitMedicaid
Nurse hours
4.57 /day
Staff turnover
21%
Serious cites
0

Munson Healthcare Crawford Continuing Care Center runs on 4.57 nurse hours per resident day, about 18% above the national average, and its staff turnover of 20.7% is less than half the national rate of 45.8%. That kind of stability matters more than any single inspection score, because residents see the same faces instead of a rotating cast. Weekend staffing dips roughly 5% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The home carries 26 deficiencies on its current record, none at the harm level, though two are abuse-related, and it has paid one fine of $27,600. Its last inspection was in March 2026, so the picture is current.

A

87/100

Gundersen St Elizabeth's Care Center

Wabasha, MN · Wabasha County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
28%
Serious cites
0

Gundersen St Elizabeth's runs on a nonprofit model with 4.19 nurse hours per resident day, roughly 8% above the national average, and its staff turnover sits at 27.6% against a national 45.8%, people tend to stay here. Inspections back that up: the most recent was in June 2026, and of the 8 deficiencies on record, none reached harm or jeopardy level, though one is abuse-related, which is worth asking about directly. Weekend staffing dips about 9% below weekday levels, a common pattern but still a gap. The quality measure score of 2 out of 5 is the one soft spot in an otherwise strong record, so ask what's driving those clinical numbers.

A

87/100

Webster Health Services Nursing Facilty

Eupora, MS · Webster County

CMS 5/536 bedsNon-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
29%
Serious cites
0

Webster Health Services runs a small ship in Eupora, 36 beds, nonprofit owned, and the staffing numbers are its strongest card. At 4.54 nurse hours per resident day, it sits about 17% above the national average, and weekend coverage dips only modestly from weekdays. Turnover of 28.6% is well under the national 45.8%, which matters in a rural county where replacing nurses is hard. The caution is the inspection record: four deficiencies, one serious enough to reach harm or jeopardy level, plus a $12,335 fine, with the most recent survey in August 2025. Nothing points to abuse. The care hours look solid; the one bad finding is worth asking about directly.

A

87/100

Rosebud Health Care Center

Forsyth, MT · Rosebud County

CMS 5/531 bedsNon-profitMedicaid
Nurse hours
6.26 /day
Staff turnover
46%
Serious cites
0

Rosebud Health Care Center in Forsyth runs on unusually heavy staffing for a 31-bed nonprofit home, 6.26 nurse hours per resident day, roughly 60 percent above the national average, which is the main reason its staffing rating holds at the top of the scale. Turnover sits right at the national mark, so the hours are being delivered by a workforce that's about as stable as the typical American nursing home, though weekend coverage dips about 12 percent below its own weekday level. The inspection record is strong and recent, with zero deficiencies at the harm or jeopardy level, but the eight total deficiencies include one abuse-related citation, which is the kind of finding worth asking about directly.

A

87/100

Garden County Hospital & Nursing Home

Oshkosh, NE · Garden County

CMS 3/524 bedsGovernmentMedicaid
Nurse hours
4.18 /day
Staff turnover
44%
Serious cites
0

Garden County Hospital & Nursing Home runs on a county-owned model with 24 certified beds in Oshkosh, and its staffing is the real bright spot: 4.18 nurse hours per resident day, roughly 8% above the national average, with the federal staffing rating at the top of the scale. Turnover sits at 44%, basically in line with the national 45.8%. Weekend coverage dips about 14% below weekday levels, so ask how that plays out on Saturdays. The inspection record is where it gets shakier, 18 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in August 2025. That combination is worth asking the administrator about directly before you decide.

A

87/100

Iredell Memorial Hospital Inc

Statesville, NC · Iredell County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
6.17 /day
Staff turnover
52%
Serious cites
0

Iredell Memorial Hospital's nursing home unit in Statesville runs on unusually heavy staffing: 6.17 nurse hours per resident day, roughly 60% above the national average, with a five-star staffing rating and a five-star health inspection record. The current file shows just three deficiencies, none causing harm or involving abuse, and the most recent inspection was in March 2026, a current, clean picture. The caveats are real but modest. Weekend coverage dips about 14% below weekday levels, and annual turnover sits at 51.6%, above the 45.8% national figure, so continuity of caregivers isn't a given. Quality measures land at three stars, mid-range. For families weighing a nonprofit hospital-based unit, the inspection and staffing numbers carry the weight here.

A

87/100

Avir At Paris

Paris, TX · Lamar County

CMS 5/598 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
41%
Serious cites
0

Avir At Paris runs 98 certified beds under corporate ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. That gap widens on weekends, when coverage drops about 10% below the home's own weekday level. Turnover is 40.7%, a bit better than the 45.8% national figure, but the inspection record carries 40 deficiencies, including five at the harm or jeopardy level and four tied to abuse, plus one fine of $136,756. The most recent inspection was December 2025. Strong marks on inspections and quality measures don't erase what those staffing hours and deficiency counts mean day to day.

A

87/100

San Gabriel Valley Medical Ctr D/P Snf

San Gabriel, CA · Los Angeles County

CMS 4/544 bedsFor-profitMedicaid
Nurse hours
7.66 /day
Staff turnover
20%
Serious cites
0

San Gabriel Valley Medical Ctr D/P Snf runs on unusually heavy staffing for a 44-bed for-profit home, 7.66 nurse hours per resident day, roughly double the national figure, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 20% against a national average near 46%, so the people providing that care tend to stay. The trade-off shows up in its inspection record: 34 deficiencies, though none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. Quality measures score at the top of CMS's scale, and ownership is corporate for-profit. Families weighing a small, well-staffed home against a longer paper trail should ask what those 34 citations actually involved.

A

87/100

The Villas At Poway

Poway, CA · San Diego County

CMS 5/5129 bedsGovernmentMedicaid
Nurse hours
6.90 /day
Staff turnover
12%
Serious cites
0

The Villas At Poway runs on unusually deep nurse staffing, 6.90 hours per resident day against a national average of 3.86, and weekend coverage only dips about 12% below its weekday level, so care doesn't thin out as much when families visit. Staff turnover sits at 11.8% while the national figure is 45.8%, which means the people caring for residents tend to stick around. The tradeoff shows up in its inspection history: 40 deficiencies currently on record, including one at the harm level and three tied to abuse, plus ten fines totaling $57,124. Its last inspection was in May 2025, so the picture is recent. Strong staffing and retention, but the survey record is the thing to ask about directly.

A

87/100

Encino Hospital Medical Center D/P Snf

Encino, CA · Los Angeles County

CMS 5/528 bedsFor-profitMedicaid
Nurse hours
7.62 /day
Staff turnover
33%
Serious cites
0

Nurse staffing at this Encino home runs 7.62 hours per resident day, roughly double the national average of 3.86, and turnover sits at 32.7%, well under the 45.8% norm. Those are real strengths, and they show up in the staffing and quality stars. The inspection record tells a different story: 25 deficiencies on file, including one at the harm level and three tied to abuse, plus a $24,030 fine. State inspectors were last on site in December 2025, so the picture is current. Corporate ownership and 28 beds mean a small operation where a single bad incident carries proportionally more weight.

A

87/100

Chapman Global Medical Center D/P Snf

Orange, CA · Orange County

CMS 3/527 bedsFor-profitMedicaid
Nurse hours
8.45 /day
Staff turnover
21%
Serious cites
0

Nurse staffing at Chapman Global runs 8.45 hours per resident day, more than double the national average of 3.86, and weekend coverage barely dips from weekday levels. Staff turnover sits at 21.2 percent against a national average near 46 percent, meaning the people caring for residents tend to stay. The tradeoff shows up in the inspection record: 59 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and a single fine of $4,194. This is a small for-profit home, 27 beds, last inspected in April 2026. The staffing is the story here, steady hands, a thin margin for error on compliance.

A

87/100

Providence Little Comp Of Mary Subacute Care Ctr

San Pedro, CA · Los Angeles County

CMS 4/5125 bedsNon-profitMedicaid
Nurse hours
8.67 /day
Staff turnover
25%
Serious cites
0

Providence Little Company of Mary Subacute Care Center sits in San Pedro with 125 certified beds, run by a nonprofit corporation. The staffing numbers stand out: 8.67 nurse hours per resident day is roughly two and a quarter times the national average, and weekend coverage only dips about 6% below its own weekday level, so care doesn't fall off a cliff on Saturdays and Sundays. Staff turnover runs 25.2%, well under the 45.8% national figure, which suggests people stick around. The record isn't clean, though. Thirty-one deficiencies are on file, including one at the harm level and two tied to abuse, plus a single $11,170 fine. The most recent inspection was January 30, 2026. Strong staffing and low turnover, but a deficiency count that deserves a hard look before you decide.

A

87/100

Kindred Hospital Brea D/P Snf

Brea, CA · Orange County

CMS 3/538 bedsFor-profitMedicaid
Nurse hours
7.13 /day
Staff turnover
26%
Serious cites
0

Kindred Hospital Brea runs a 38-bed skilled nursing unit in Orange County under corporate ownership, and the staffing numbers are genuinely unusual: 7.13 nurse hours per resident day, roughly 85 percent above the national average, with weekend coverage dipping only about 7 percent below weekdays. Turnover sits at 26.2 percent against a national 45.8, so the people caring for residents tend to stay. What pulls the record down is inspections, a 2 out of 5 star rating, 50 deficiencies on file, and 2 tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was February 2026, so the picture is current. Families weighing heavy care needs against regulatory history have a real tradeoff here.

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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