604 Hospital-Based Nursing Homes in the United States

Nurse hours

5.03 /day

Staff turnover

48%

Serious cites

0

Francis Marion Manor runs on more nursing hours than most places, 5.03 per resident per day against a national average of 3.86, which is the kind of gap that shows up in call lights getting answered. Weekends thin out by about 15% from its own weekday staffing, so ask how that plays out on a Sunday. Nine deficiencies sit on the current record with none at the harm level, though one is abuse-related, and the last full inspection was in August 2024. Turnover is 47.9%, slightly worse than the 45.8% national figure, which matters more than the headcount on paper.

Nurse hours

6.53 /day

Staff turnover

51%

Serious cites

0

John C. Fremont Healthcare District's skilled nursing unit runs on unusually heavy staffing for its size: 6.53 nurse hours per resident day, roughly 69% above the national average, which matters a lot in a 16-bed hospital-based unit where residents tend to be sicker. The tradeoff shows up elsewhere. Weekend coverage drops about 15% below its own weekday level, and annual turnover sits at 51.2%, higher than the 45.8% national figure, so the hours are there, but the faces change. Fifteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in February 2026. As a government hospital-district home, it answers to public oversight rather than a chain.

Nurse hours

4.07 /day

Staff turnover

22%

Serious cites

0

New Horizons Limestone runs on a nonprofit model in Gainesville, and the numbers show steady hands. Nurse staffing sits at 4.07 hours per resident day, a bit above the national average of 3.86, and weekend coverage dips about 12% from weekday levels, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover is 22.2%, less than half the national average of 45.8%, which means aides and nurses tend to stick around and know the residents. The inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the most recent survey dated March 2026. Three separate CMS ratings, health inspections, quality measures, and staffing, all land at four out of five stars.

Nurse hours

3.59 /day

Staff turnover

32%

Serious cites

0

Caroleton runs a 50-bed for-profit home in Connersville, and the inspection record is the strong part: a 4 out of 5 health inspection rating, twelve deficiencies on file with none rising to harm or jeopardy and nothing abuse-related, and the most recent survey done in April 2026. Staffing is where it thins out. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 15% below its own weekday levels, so coverage depends on when you visit. Turnover at 32.1% is meaningfully better than the 45.8% national figure, which suggests aides tend to stay. Quality measures score 5 out of 5. Ask about weekend and evening coverage specifically.

Nurse hours

5.31 /day

Staff turnover

52%

Serious cites

0

Park Place runs on a nonprofit model with 49 beds in Mount Pleasant, and the staffing numbers stand out: 5.31 nurse hours per resident day against a national average of 3.86. That's roughly a third more hands-on time than most homes, though weekends dip about 12% below its own weekday level, so coverage isn't perfectly even. Turnover sits at 51.9%, higher than the 45.8% national figure, which means new faces cycle through fairly often. The record shows 13 deficiencies, none at the harm or jeopardy level, but two tied to abuse, worth asking about directly. Inspectors last visited in May 2025.

Nurse hours

4.97 /day

Staff turnover

50%

Serious cites

0

Essentia Health Homestead runs a 32-bed nonprofit home in Deer River, and the staffing numbers are the strongest thing it has going. At 4.97 nurse hours per resident day, it beats the national average by roughly 29%, though weekends dip about 11% below its own weekday coverage, so ask how that plays out on a Saturday. The trouble sits elsewhere: 15 deficiencies on record, including 3 at harm or jeopardy level and 2 tied to abuse, plus two fines totaling $67,727. Staff turnover is 50%, above the 45.8% national figure. A recent inspection in April 2026 means the record is current. Strong caregiver ratios, real compliance problems.

Nurse hours

4.06 /day

Staff turnover

42%

Serious cites

0

Sylvan Court runs a solid, well-staffed operation in Canby. Nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, and its five-star health inspection rating reflects a clean survey record, six deficiencies total, none at the harm or jeopardy level, though two are abuse-related and worth asking about directly. Staff turnover comes in at 41.8%, slightly better than the national average of 45.8%. The tradeoffs: weekend staffing drops roughly 11% below weekday levels, and the three-star quality measure rating suggests outcomes data isn't as strong as the inspection and staffing numbers. As a nonprofit, it answers to a board rather than shareholders.

Nurse hours

4.92 /day

Staff turnover

5%

Serious cites

0

Damas Hospital SNF runs a tight ship on staffing. At 4.92 nurse hours per resident day, it's well above the national average of 3.86, and a turnover rate of 4.8% is remarkable next to the 45.8% typical elsewhere. Weekend coverage does dip about 24% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is where things get complicated: 30 deficiencies, including one at the harm level and five tied to abuse, despite a perfect health inspection star rating and a recent March 2026 survey. One fine totaling $10,839 is on file. Small facility, 25 beds, nonprofit-owned, worth a visit and pointed questions about those abuse-related findings.

Nurse hours

3.84 /day

Staff turnover

18%

Serious cites

0

Sgmc Health Villa runs on a hospital district's license in Lakeland, and its workforce is unusually steady, 17.6% turnover against a national average near 46% means aides and nurses largely stay put, which matters more for daily care than almost anything else on paper. Staffing sits at 3.84 hours per resident day, essentially level with the national 3.86, though weekends run about 16% thinner than weekdays, so ask how coverage holds up on a Sunday. The current record shows 26 deficiencies, including three at the harm level and two tied to abuse, and the last full inspection was June 2025, recent enough to trust, but those harm findings are the part worth asking about directly.

Nurse hours

4.79 /day

Staff turnover

28%

Serious cites

0

Nurse staffing here runs about 4.79 hours per resident day, roughly a quarter above the national average, and only about 28% of staff leave each year, compared to 45.8% nationally. That kind of retention matters more than almost anything else, because familiar aides notice changes in a resident before a chart does. Weekends dip about 16% below weekday coverage, so ask how that gap gets filled. The health inspection record is strong and recent, February 2025, with no deficiencies at the harm level. The tension is in the quality measures, which sit at the bottom of the scale, worth asking what specifically drives that, because good staffing and a low measure score don't usually tell the same story.

Nurse hours

7.18 /day

Staff turnover

64%

Serious cites

0

Bradford's Whittier Bradford Transitional Care Unit is a small for-profit home, 20 beds, and its inspection record is clean: zero deficiencies on the current record, none at the harm or jeopardy level, no abuse citations, with the most recent inspection in July 2025. Nurse staffing sits at 7.18 hours per resident day, roughly 86% above the national average, so there's real coverage here. The catch is retention: annual turnover is 64.1%, well above the 45.8% national figure, and weekend staffing drops about 17% from its own weekday level. That churn matters in a 20-bed home, where losing even a couple of nurses changes who's at the bedside.

Nurse hours

4.39 /day

Staff turnover

36%

Serious cites

0

Winston County Nursing Home runs a nonprofit operation with 120 certified beds, and the staffing numbers are the strongest part of the picture: 4.39 nurse hours per resident day, about 14% above the national average. That earned a five-star CMS staffing rating, and turnover sits at 36.2%, well below the national 45.8%, a sign people tend to stay. The tradeoffs show up elsewhere. Weekend staffing drops roughly 18% below weekday levels, and the quality measure rating is 2/5. Nine deficiencies sit on the current record, none at harm or jeopardy level, but two are abuse-related, which families should ask about directly. The last inspection was March 2024.

Nurse hours

4.18 /day

Staff turnover

27%

Serious cites

0

Noxubee County Nursing Home runs a county-owned, 60-bed operation in Macon, and its staffing numbers are the bright spot here. At 4.18 nurse hours per resident day, it sits about 8% above the national average, and turnover of 27.1% is well below the 45.8% typical elsewhere, a sign people tend to stay. Weekends thin out, though, running roughly 17% under weekday levels. The harder read is quality and safety: the last inspection in June 2025 turned up 14 deficiencies, including two at harm or jeopardy level and one tied to abuse. A 1-out-of-5 inspection rating against a 4-out-of-5 staffing rating tells you the care hours are there, but the oversight record isn't.

Nurse hours

4.32 /day

Staff turnover

44%

Serious cites

0

Schuyler Hospital's long-term care unit runs a nonprofit operation with 120 certified beds, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average. That's a real cushion, though weekends drop about 18% below the home's own weekday levels, so coverage isn't uniform across the week. Staff turnover of 44.4% lands just under the national 45.8%, which is close to typical rather than a standout. The inspection record shows 19 deficiencies, none at harm or jeopardy level, but two tied to abuse, worth asking about directly. The last inspection was in March 2024, so the picture is reasonably current.

Nurse hours

4.25 /day

Staff turnover

29%

Serious cites

0

Courtland Terrace is a 77-bed nonprofit home in Gastonia, and the staffing numbers are the strength here, 4.25 nurse hours per resident day, roughly 10% above the national average, with turnover at 28.9% compared to 45.8% nationally. That retention matters more than any single inspection result, because consistent caregivers know the residents. The trade-off is weekends, when staffing drops about 22% below the home's own weekday level, so ask how that plays out on a Sunday afternoon. Ten deficiencies on record with none at the harm level and none abuse-related, and a 4-star health inspection from a visit in February 2026, suggest a home that runs steady rather than spotless.

Nurse hours

4.52 /day

Staff turnover

39%

Serious cites

0

Sanford Hillsboro runs a tight ship on staffing, with 4.52 nurse hours per resident day, roughly 17% above the national average, and a 38.6% turnover rate that beats the national figure of 45.8%. That consistency matters for a 34-bed home where residents see the same faces. But the inspection record tells a different story: 10 deficiencies on file, two serious enough to reach harm or jeopardy level, and $42,488 in fines across two penalties. The health inspection rating sits at 2 out of 5, even though quality measures score 4 and staffing scores 5. The most recent survey was June 26, 2025. The care may be well-staffed, but the state has found real problems worth asking about directly.

Nurse hours

10.10 /day

Staff turnover

29%

Serious cites

0

Whittier Hospital Medical Ctr D/P SNF runs a small 22-bed unit, and the staffing numbers are the story here: 10.10 nurse hours per resident day, roughly two and a half times the national average. Weekend coverage dips about 9% below weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. Turnover sits at 28.6%, well under the national 45.8%, so the people caring for your family member are more likely to stick around. The tradeoff shows up in the inspection record: 26 deficiencies on file, including two at the harm level, though none abuse-related. Inspectors were last out in April 2025, so that record is current, not stale.

Nurse hours

4.30 /day

Staff turnover

n/a

Serious cites

0

Memorial Health Care Center runs on county money in Seminole, and that shows in the numbers: 4.30 nurse hours per resident day, roughly 11% above the national average. Weekend staffing dips about 13% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The home carries 14 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and it was inspected as recently as August 2025. A 4-out-of-5 on health inspections, quality measures, and staffing across the board is a steady, unremarkable record, the kind you want from a small county home.

Nurse hours

4.57 /day

Staff turnover

n/a

Serious cites

0

Lompoc Valley Medical Center's skilled nursing unit runs on government-hospital-district money, and it shows in the staffing: 4.57 nurse hours per resident day, roughly 18 percent above the national average of 3.86. That's a real cushion, though weekends dip about 16 percent below the home's own weekday levels, so coverage isn't perfectly even. The inspection record is the strongest part of the story, a 5-star health inspection rating, a survey completed in March 2026, and 19 deficiencies on file with none at the harm or jeopardy level. Three of those are abuse-related, which is worth asking about directly. Quality measures sit at 4 stars, staffing at 4 stars. For a 110-bed public facility, the pattern is steady rather than spotless.

Nurse hours

4.19 /day

Staff turnover

51%

Serious cites

0

Oakdale Nursing and Rehabilitation Center runs on a hospital-district license with 115 certified beds, and its staffing is the strongest card it holds, 4.19 nurse hours per resident day, roughly 9% above the national figure. That headcount comes with a catch: weekends run about 12% leaner than weekdays, and turnover sits at 51.4%, higher than the 45.8% national average, so the faces around a resident change fairly often. The inspection record shows 33 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent state visit was in March 2025. Nothing here suggests danger; it reads more like a home getting the basics right while working through a long list of smaller problems.