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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 201 to 220 of 604, best-graded first.

A

87/100

Hca Houston Healthcare Southeast

Pasadena, TX · Harris County

CMS 5/530 bedsFor-profit
Nurse hours
6.90 /day
Staff turnover
n/a
Serious cites
0

Hca Houston Healthcare Southeast runs a small 30-bed unit in Pasadena under corporate for-profit ownership, and the staffing numbers stand out: about 6.90 nurse hours per resident day, roughly 79% above the national average of 3.86. That is a lot of nursing time for a home this size. Weekend coverage drops about 18% below its own weekday level, which is worth asking about if your family visits or calls primarily on Saturdays and Sundays. The current record shows zero deficiencies, none at the harm or jeopardy level, and no abuse-related citations, with the last inspection dated April 12, 2024.

A

86.5/100

Yukon Kuskokwim Elder's Home

Bethel, AK · Bethel County

CMS 3/518 bedsNon-profitMedicaid
Nurse hours
9.10 /day
Staff turnover
n/a
Serious cites
0

Yukon Kuskokwim Elder's Home runs 18 certified beds in Bethel under nonprofit ownership, and its nurse staffing sits at 9.10 hours per resident day, roughly 136% above the national average of 3.86. Weekend coverage dips only about 5% below its own weekday level, which matters in a home this small, where one absence reshapes a shift. The inspection record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with a single fine of $10,117 and the most recent inspection dated March 6, 2026. Staffing and quality measures each earned 4 out of 5 stars from CMS, while health inspections came in at 3.

A

86.5/100

First Care Living Center

Fosston, MN · Polk County

CMS 4/536 bedsNon-profitMedicaid
Nurse hours
5.35 /day
Staff turnover
42%
Serious cites
0

First Care Living Center in Fosston runs 36 beds as a nonprofit, and its nurse staffing is the standout: 5.35 hours per resident day against a national average of 3.86, with weekend coverage dipping about 17% below its own weekday level. Turnover sits at 41.7%, slightly better than the 45.8% national figure. The tradeoff shows up in its record, 13 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, and a single fine of $14,433. Its last inspection was in May 2026, and CMS rates inspection and quality measures at 3 out of 5 each. Strong hands-on care, a thinner margin for error on compliance.

A

86.5/100

Cox Medical Centers Meyer Orthopedic And Surgical

Springfield, MO · Greene County

CMS 4/528 bedsNon-profit
Nurse hours
10.00 /day
Staff turnover
55%
Serious cites
0

Cox Medical Centers Meyer Orthopedic and Surgical runs 28 certified beds in Springfield, and the staffing numbers here are unusual: 10.00 nurse hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage actually edges out weekdays, so care doesn't thin out when families tend to visit. The tradeoff is retention, 54.5% annual turnover, well above the 45.8% national figure, meaning the people delivering those hours keep changing. Inspections look strong on paper: a 5/5 health inspection rating, four deficiencies total, none causing harm or involving abuse, and a survey as recent as May 2024. Nonprofit ownership with that staffing cushion is a real advantage; just ask how they hold onto nurses.

A

86.5/100

Rock County Hospital Long Term Care

Bassett, NE · Rock County

CMS 4/530 bedsGovernmentMedicaid
Nurse hours
6.14 /day
Staff turnover
n/a
Serious cites
0

Rock County Hospital Long Term Care runs a genuinely strong staffing operation, 6.14 nurse hours per resident day against a national average of 3.86, roughly 59% more hands-on time. Weekends dip about 13% below its own weekday level, which is worth asking about, but the baseline is high enough that even the lower weekend figure beats most homes. The tradeoff shows up in the inspection record: 12 deficiencies on file, including one at the harm or jeopardy level and one abuse-related, with the last survey in September 2025. County ownership tends to mean stable funding and no profit motive, but it doesn't erase those findings. The care hours are real; the inspection history is the part to press on.

A

86.5/100

Trinitas Hospital

Elizabeth, NJ · Union County

CMS 3/5124 bedsNon-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
44%
Serious cites
0

Trinitas Hospital runs 124 certified beds in Elizabeth under nonprofit ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. The catch is weekends, when coverage drops about 17% below its own weekday level, so the hours aren't spread evenly across the week. Staff turnover of 43.8% is slightly better than the 45.8% national figure, which matters for whether you see the same faces. Ten deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in January 2025. Quality and staffing each earned 4 of 5 stars from CMS; health inspections came in at 3.

A

86.5/100

Bayonne University Hospital

Bayonne, NJ · Hudson County

CMS 5/517 bedsFor-profit
Nurse hours
7.89 /day
Staff turnover
n/a
Serious cites
0

Bayonne University Hospital runs a small 17-bed unit, and the staffing number is the first thing worth noticing: 7.89 nurse hours per resident day, roughly double the national average of 3.86. Weekend coverage dips only about 4% below weekdays, which is a modest drop for a place this size. Its inspection record shows three deficiencies, none at the harm level and none related to abuse, with the most recent survey done in September 2025. Quality measures score a middle 3 out of 5 even as staffing and inspections both come in at the top. The for-profit limited liability ownership is worth knowing, but nothing in the numbers suggests problems.

A

86/100

Lanai Community Hospital

Lanai City, HI · Maui County

CMS 5/510 bedsFor-profitMedicaid
Nurse hours
12.42 /day
Staff turnover
58%
Serious cites
0

Lanai Community Hospital runs just 10 certified beds, which makes its staffing figure worth a second look: 12.42 nurse hours per resident day, roughly triple the national average. Small homes often post numbers like that because a fixed crew covers very few residents. Weekend staffing dips about 9% below its own weekday level, so coverage isn't perfectly even. Turnover sits at 58.3%, well above the 45.8% national mark, meaning the people delivering that care change often. Inspections in April 2026 produced 17 deficiencies, none at the harm level, though four were abuse-related, worth asking about directly. The company is a for-profit LLC.

A

86/100

Avera Morningside Heights Care Center

Marshall, MN · Lyon County

CMS 3/576 bedsNon-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
24%
Serious cites
0

Avera Morningside Heights runs on a nonprofit model with 76 certified beds, and its staffing is the standout: 4.80 nurse hours per resident day, roughly a quarter above the national average, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 24.4% against a national 45.8%, which suggests people stay. The caution is inspections. Seventeen deficiencies are on record, three of them at harm or jeopardy level, and the most recent inspection was December 2025, recent enough that the findings aren't stale. One fine totaling $17,345 has been levied, and no abuse-related citations appear. Strong, stable staffing is carrying a home whose inspection history has real problems in it.

A

86/100

Snu Armstrong Co Memorial Hosp

Kittanning, PA · Armstrong County

CMS 3/517 bedsNon-profit
Nurse hours
8.65 /day
Staff turnover
20%
Serious cites
0

Nurse staffing here runs at 8.65 hours per resident day, well over twice the national average of 3.86, and weekends dip only about 7% below weekdays, so coverage stays fairly steady. Annual turnover sits at 20% against a national 45.8%, which means the people caring for residents tend to stick around. The current record shows 21 deficiencies with none at the harm or jeopardy level, though one is abuse-related. Inspectors were last in on July 9, 2025. The catch is in the quality measures, which sit at the bottom of CMS's scale even as staffing earns top marks, a split worth asking the administrator about directly.

A

86/100

Sd Human Services Center - Geriatric Program

Yankton, SD · Yankton County

CMS 5/569 bedsGovernmentMedicaid
Nurse hours
8.62 /day
Staff turnover
37%
Serious cites
0

Nurse staffing at the Yankton state-run home runs 8.62 hours per resident day, more than double the national figure of 3.86, and weekends dip only about 13% below its own weekday level, a smaller drop than many homes see. Annual turnover sits at 37.4%, better than the 45.8% national average. Inspectors visited recently, in June 2025, and found five deficiencies, none causing harm or jeopardy, though one is abuse-related. The 2/5 quality measure rating is the number to ask about on your next call.

A

86/100

Monument Healthcare Millcreek

Salt Lake City, UT · Salt Lake County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
47%
Serious cites
0

Monument Healthcare Millcreek runs about 3.74 nurse hours per resident each day, a bit under the national average of 3.86, and weekends drop roughly 12% below what the home staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and don't see the weekday crew. Annual turnover sits at 46.9%, just above the national 45.8%, so expect some churn in who's caring for your relative. Eighteen deficiencies appear on the current record, two tied to abuse, though none rose to the harm or jeopardy level, and the last inspection was November 20, 2025. The quality measure rating is strong; the inspection history is more mixed.

A

86/100

North Valley Hospital

Tonasket, WA · Okanogan County

CMS 5/542 bedsGovernmentMedicaid
Nurse hours
4.67 /day
Staff turnover
41%
Serious cites
0

North Valley Hospital runs on 4.67 nurse hours per resident day, roughly a fifth more than the national average, and its staff turnover of 41.2% sits below the national rate. Inspectors have cited 20 deficiencies, though none rose to harm or jeopardy and none involved abuse, and the home was last inspected in February 2026. Weekend staffing dips about 12% from weekday levels, and its quality measure rating of 2 out of 5 is the weak spot against 5s for inspection and staffing. It's a hospital-district owned home of 42 beds, small enough to know its residents, and the numbers suggest the hands-on care is there even where the clinical outcomes data isn't.

A

86/100

Trinity Hospital Skilled Nursing Facility

Weaverville, CA · Trinity County

CMS 3/513 bedsFor-profitMedicaid
Nurse hours
5.75 /day
Staff turnover
38%
Serious cites
0

Trinity Hospital Skilled Nursing Facility is a 13-bed for-profit home in Weaverville, and the staffing numbers here are unusual in a good way, 5.75 nurse hours per resident day, roughly half again the national average of 3.86. Weekend coverage drops about 15% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 38.1%, better than the 45.8% national figure, which matters in a small building where you want familiar faces. The tradeoff shows up in 14 deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025.

A

85.5/100

Providence Valdez Medical Center

Valdez, AK · Chugach County

CMS 3/510 bedsGovernmentMedicaid
Nurse hours
8.55 /day
Staff turnover
n/a
Serious cites
0

Providence Valdez Medical Center runs a ten-bed unit owned by the city, and its nurse staffing sits at 8.55 hours per resident day, more than double the national average of 3.86. Weekend coverage drops about 14% below its own weekday levels, so the generous weekday numbers aren't quite the whole picture. Inspectors have cited 19 deficiencies on the current record, none at the harm or jeopardy level, though two are abuse-related; the most recent inspection was in May 2026. That combination of heavy staffing, a small government-run setting, and a mixed inspection history is what lands it where it does.

A

85.5/100

St Luke Living Center

Marion, KS · Marion County

CMS 4/532 bedsGovernmentMedicaid
Nurse hours
4.19 /day
Staff turnover
n/a
Serious cites
0

St Luke Living Center runs on 4.19 nurse hours per resident day, roughly 8% above the national average of 3.86, and weekends dip about 13% below its own weekday levels, a drop families should ask about directly. The 22 deficiencies on record include none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection came in October 2025. This is a hospital-district-owned home in Marion with 32 certified beds, which means a small census and a public owner. Its four-out-of-five ratings for health inspections, quality measures, and staffing are consistent across the board, suggesting a stable operation rather than one carried by a single strong category.

A

85.5/100

Community Nursing Home Of Anaconda

Anaconda, MT · Deer Lodge County

CMS 3/562 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
n/a
Serious cites
0

Community Nursing Home of Anaconda runs on 5.25 nurse hours per resident day, well above the national average of 3.86, that extra margin shows up on weekends too, when staffing dips only about 9% from weekday levels, a smaller drop than many homes manage. The tradeoff sits in the inspection record: 26 deficiencies on file, including one abuse-related citation, though none reached the harm or jeopardy level. Ownership is nonprofit, and the last full inspection came in December 2025, so the picture is recent. Nothing here suggests danger, but the gap between strong daily staffing and a longer-than-ideal deficiency list is the real story.

A

85.5/100

Schulman And Schachne Institute For Nursing And Re

Brooklyn, NY · Kings County

CMS 3/5448 bedsFor-profitMedicaid
Nurse hours
4.33 /day
Staff turnover
23%
Serious cites
0

Schulman and Schachne in Brooklyn runs 448 beds under corporate ownership, and its staffing picture is genuinely strong, 4.33 nurse hours per resident day, roughly 12% above the national average, with turnover at 22.9% against a national 45.8%. That consistency matters, though weekend coverage dips about 16% below weekday levels. The concerns sit elsewhere: 18 deficiencies on the current record, including one at harm or jeopardy level and two tied to abuse, plus a $15,646 fine. Inspectors last visited in July 2024. High marks on staffing and quality measures don't erase what shows up in the inspection history.

A

85.5/100

Eckerd Living Center

Highlands, NC · Macon County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
37%
Serious cites
0

Eckerd Living Center runs 4.35 nurse hours per resident day, about 13% above the national average, and that staffing shows up in a five-star CMS staffing rating. Weekend coverage dips roughly 20% below its own weekday level, which is common but still worth knowing if you're visiting Saturdays. Staff turnover sits at 36.7%, better than the 45.8% national figure. The home has seven deficiencies on record, none at the harm level and none abuse-related, and its last inspection was April 10, 2026, so the picture is current. A for-profit partnership with 80 beds and a four-star health inspection rating, it looks steady on paper.

A

85.5/100

Clinch Valley Medical Center

Richlands, VA · Tazewell County

CMS 5/524 bedsFor-profitMedicaid
Nurse hours
8.03 /day
Staff turnover
n/a
Serious cites
0

Clinch Valley Medical Center runs 24 certified beds in Richlands under corporate for-profit ownership, and its nurse staffing sits at 8.03 hours per resident day, more than double the national average of 3.86. Weekend coverage dips about 13% below its own weekday numbers, which is worth asking about if your family visits or calls on Saturdays and Sundays. The inspection record is clean where it counts: eight deficiencies total, none at the harm or jeopardy level, none abuse-related, and the last inspection was in January 2023. That gap of more than two years means the current picture rests on an older survey. Quality measures come in midrange against strong staffing and inspection results.

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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