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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 241 to 260 of 604, best-graded first.

B

84/100

George L Mee Memorial Hospital D/P Snf

King City, CA · Monterey County

CMS 2/548 bedsNon-profitMedicaid
Nurse hours
5.37 /day
Staff turnover
n/a
Serious cites
0

The staffing numbers at George L Mee Memorial Hospital D/P SNF are the strongest part of the picture: 5.37 nurse hours per resident day, about 39% above the national average, which supports the four-star staffing rating. Weekend coverage drops roughly 16% below its own weekday level, so care may feel thinner on Saturdays and Sundays. The inspection record is where the home gets harder to read. Thirty deficiencies on file, none at the harm or jeopardy level, but one abuse-related citation, and the two-star health inspection rating reflects that pattern. Ownership is nonprofit, and the last inspection was recent. Plenty of hands on staff; the regulatory history is the part to ask about directly.

B

84/100

Power County Skilled Nursing Facility

American Falls, ID · Power County

CMS 1/521 bedsGovernmentMedicaid
Nurse hours
4.63 /day
Staff turnover
n/a
Serious cites
0

Power County Skilled Nursing Facility is a small, government-run home, a hospital district operation with just 21 certified beds in American Falls. The staffing numbers are its strongest card: 4.63 nurse hours per resident day, roughly 20% above the national average, though weekend coverage drops about 17% below its own weekday level, so care may thin out on Saturdays and Sundays. The inspection record is where the concern sits. Forty deficiencies on the current record is a lot for a home this size, even with none at the harm level and none abuse-related. The most recent inspection was June 9, 2026, so the findings are fresh.

B

84/100

Wellbrooke Of Westfield

Westfield, IN · Hamilton County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
46%
Serious cites
0

Wellbrooke Of Westfield runs on good staffing, 4.28 nurse hours per resident day sits about 11% above the national average of 3.86, and that shows in the 4/5 staffing star rating. Weekend coverage dips roughly 10% below weekday levels, so care can thin out on Saturdays and Sundays, and turnover at 46% is essentially the national rate. The 19 deficiencies on record include one abuse-related citation, but none rose to harm or jeopardy, and the last inspection came in March 2026. Quality measures earn 5/5, inspections 4/5. What holds this home back from the top of the range is that abuse flag and the volume of smaller findings, not the day-to-day staffing.

B

84/100

Hegg Memorial Health Center

Rock Valley, IA · Sioux County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
21%
Serious cites
0

Nurse staffing at Hegg Memorial runs 4.02 hours per resident day, about 4% above the national average, and weekends dip roughly 14% below the home's own weekday coverage, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The bigger story is retention: 21.1% annual turnover against a national average of 45.8% means aides and nurses here tend to stay, which matters more for daily care than almost anything else on paper. Eleven deficiencies sit on the current record, none at the harm level and none abuse-related, with the last inspection in November 2025. This is a nonprofit corporation in Rock Valley, and the numbers describe a stable, adequately staffed home rather than an outstanding one.

B

84/100

Lifeceare Roseau Manor

Roseau, MN · Roseau County

CMS 4/540 bedsNon-profitMedicaid
Nurse hours
5.71 /day
Staff turnover
28%
Serious cites
0

Lifecare Roseau Manor runs on unusually heavy staffing for a 40-bed nonprofit home, 5.71 nurse hours per resident day, roughly half again the national average, and its staff actually stick around, with turnover near 28% against a national rate closer to 46%. Weekends dip about 13% below its own weekday coverage, so care thins out on Saturdays and Sundays. The catch shows up in the inspection record: eight deficiencies, one serious enough to involve harm or jeopardy, plus a $17,610 fine, and residents' measured outcomes sit at the bottom of the federal scale. Plenty of hands, uneven results.

B

84/100

Lakewood Care Center

Baudette, MN · Lake Of Woods County

CMS 4/532 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
37%
Serious cites
0

Lakewood Care Center runs on a church-affiliated nonprofit model with 32 beds in Baudette, and its staffing is the clear strength here: 4.41 nurse hours per resident day sits about 14% above the national average, with turnover at 37% compared to 45.8% nationally. That's a real retention advantage in a rural market where it's hard to keep nurses. The tradeoffs show up elsewhere. Twenty deficiencies sit on the current record, including one at the harm or jeopardy level and one abuse-related citation. Health inspection scoring landed at 3 out of 5, and the quality measure rating is 2 out of 5. The last inspection was June 26, 2025, so the record is recent. Strong staffing, thinner outcomes on care measures and inspection findings.

B

84/100

Rittenhouse Post Acute

Philadelphia, PA · Philadelphia County

CMS 5/538 bedsFor-profit
Nurse hours
4.68 /day
Staff turnover
41%
Serious cites
0

Rittenhouse Post Acute runs 4.68 nurse hours per resident day, about 21% above the national average of 3.86, that's a real staffing cushion, though weekends dip roughly 11% below its own weekday levels, so coverage isn't perfectly even. Turnover sits at 40.7%, a bit better than the 45.8% national figure. The tradeoff shows up in its record: 25 deficiencies, including one at the harm level and one abuse-related, with a 3/5 inspection rating that pulled down an otherwise strong 5/5 on quality measures. A May 2025 inspection means the findings are recent. For a 38-bed for-profit home, the direct-care hours are the selling point; the survey history is what you'd want to ask about directly.

B

84/100

Conemaugh Memorial Medical Center Tcu

Johnstown, PA · Cambria County

CMS 5/530 bedsFor-profit
Nurse hours
5.99 /day
Staff turnover
100%
Serious cites
0

Conemaugh Memorial's TCU runs a genuinely unusual staffing level for a nursing home, about 5.99 nurse hours per resident day, well clear of the national average, and its inspection and quality scores both sit at the top of CMS's five-star scale. The record is clean where it counts: five deficiencies, none causing harm, nothing abuse-related, and a recent inspection. The catch is the workforce itself. Every position turns over roughly once a year, more than double the national rate, and weekend coverage drops off noticeably from weekday levels. Those two facts don't cancel out the strong numbers, but they tell you the care you see on a Tuesday may not be the care you see on a Saturday.

B

84/100

Star Valley Care Center

Afton, WY · Lincoln County

CMS 5/524 bedsGovernmentMedicaid
Nurse hours
6.08 /day
Staff turnover
n/a
Serious cites
0

Star Valley Care Center is a 24-bed hospital-district home in Afton, and its staffing numbers are the first thing worth knowing: 6.08 nurse hours per resident day, roughly 57 percent above the national average of 3.86. Weekend coverage drops about 19 percent below its own weekday level, which is common but still the gap to watch in a small building. On inspections, the record is clean, four deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in February 2026. Quality measures sit in the middle of the pack, so the stronger story here is consistent hands-on care and a well-kept survey record.

B

84/100

East Los Angeles Doctors Hosp

Los Angeles, CA · Los Angeles County

CMS 5/525 bedsFor-profitMedicaid
Nurse hours
8.37 /day
Staff turnover
15%
Serious cites
0

East Los Angeles Doctors Hosp runs just 25 certified beds, which is small even by California standards, and the staffing number jumps out first: 8.37 nurse hours per resident day against a national average of 3.86. That's more than double the typical home, though weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 14.6% while the national average is 45.8%, so the people caring for residents tend to stay. The inspection record shows 13 deficiencies with none at the harm or jeopardy level and none abuse-related, and the most recent visit was January 8, 2026. Corporate for-profit ownership, with quality and staffing marks a step below its inspection result.

B

84/100

Chinese Hospital D/P Snf

San Francisco, CA · San Francisco County

CMS 4/523 bedsNon-profitMedicaid
Nurse hours
5.30 /day
Staff turnover
n/a
Serious cites
0

Chinese Hospital's skilled nursing unit runs a tight 23-bed operation, and the staffing numbers show it: 5.30 nurse hours per resident day, roughly 37 percent above the national average. Weekends dip about 9 percent from weekday coverage, which is worth asking about if your family visits then. The current record carries 19 deficiencies, none at the harm or jeopardy level, though two are abuse-related, enough to warrant a direct question about what happened and what changed. Inspectors were last in on February 26, 2026, and the health inspection rating sits at 4 out of 5. As a nonprofit, this home answers to a mission rather than shareholders, which tends to show in how it staffs.

B

83.5/100

Lake Pointe Village

Scottsburg, IN · Scott County

CMS 5/568 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
27%
Serious cites
0

Lake Pointe Village runs a tight ship on the clinical side. Six deficiencies on the current record, none of them causing harm or jeopardy, and a five-star inspection rating backed by a survey completed in August 2025, that's a clean recent look. Staff turnover sits at 26.6%, well under the national 45.8%, which matters because consistent caregivers know the residents. The tradeoffs are real: total nurse staffing lands just under the national average, and weekends run about 19% thinner than weekdays, so coverage isn't even across the calendar. There's also one abuse-related deficiency on record. For-profit corporate ownership, 68 beds. Worth asking about the weekend pattern before you decide.

B

83.5/100

Citizens Medical Center Ltcu

Colby, KS · Thomas County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
47%
Serious cites
0

Citizens Medical Center Ltcu sits in Colby, run by a nonprofit corporation, and the staffing picture is better than most: 4.07 nurse hours per resident day against a national average of 3.86. Weekends get thinner, though, roughly 17 percent below the home's own weekday coverage, and that gap is where problems tend to surface in nursing homes. The inspection record shows 17 deficiencies, two serious enough to reach harm or jeopardy level and one tied to abuse, with a single fine of $17,124 and a last inspection in August 2024. Staff turnover runs 47.4 percent, slightly above the national figure, so the people delivering that above-average care are still cycling through.

B

83.5/100

Neshoba County Nursing Home

Philadelphia, MS · Neshoba County

CMS 3/5160 bedsGovernmentMedicaid
Nurse hours
4.48 /day
Staff turnover
46%
Serious cites
0

Neshoba County Nursing Home runs on a county government budget, and the staffing numbers reflect real investment: 4.48 nurse hours per resident day, about 16% above the national average, with a 5-out-of-5 staffing rating. But weekend coverage drops roughly 16% below weekday levels, and the inspection record is messier, 23 deficiencies currently on file, including one at the harm level and two tied to abuse, plus a $15,945 fine. Staff turnover sits at 45.5%, essentially matching the national rate. The last inspection was November 2025. Strong floor staffing, a thin weekend margin, and a deficiency list worth asking about directly.

B

83.5/100

Baptist Nursing Home-Calhoun, Inc

Calhoun City, MS · Calhoun County

CMS 1/5120 bedsNon-profitMedicaid
Nurse hours
5.05 /day
Staff turnover
32%
Serious cites
0

Baptist Nursing Home-Calhoun runs a nonprofit home with 120 certified beds, and the staffing numbers are genuinely good: 5.05 nurse hours per resident day, roughly 31% above the national average of 3.86. Weekend coverage dips about 19% below its own weekday level, but turnover sits at 31.8% against a national 45.8%, so aides tend to stay. The problem is everything else. Twenty-two deficiencies sit on the current record, six of them at harm or jeopardy level and four abuse-related, all from an inspection dated May 2025. Plenty of hands on deck, then, but the care those hands deliver has repeatedly fallen short in ways that put residents at real risk.

B

83.5/100

Guthrie Cortland Medical Center

Cortland, NY · Cortland County

CMS 2/580 bedsNon-profitMedicaid
Nurse hours
4.69 /day
Staff turnover
27%
Serious cites
0

Guthrie Cortland Medical Center runs a rare split: the nursing hours are genuinely strong at 4.69 per resident day, well above the national average, and staff turnover of 27.2% is much lower than the typical home. The clinical quality measures look good too. But the inspection record is where this one falls apart, 15 deficiencies on the current record, four serious enough to put residents in harm's way, one tied to abuse, and two fines totaling more than a quarter million dollars. Weekend staffing also drops about a fifth below its own weekday level, meaning the coverage thins out exactly when families tend to visit. The last inspection was in February 2026, so this is a current picture, not a stale one.

B

83/100

Motion Picture And T.v. Hosp D/P Snf

Woodland Hills, CA · Los Angeles County

CMS 3/5195 bedsNon-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
37%
Serious cites
0

Motion Picture And T.V. Hosp D/P Snf runs on unusually strong nurse coverage for a 195-bed nonprofit, 4.88 hours per resident day, roughly a quarter more than the national figure, though weekends dip about 11% below its own weekday level, a gap worth asking about. Staff turnover of 36.8% sits well under the national 45.8%, which suggests people stay. The caution signs are elsewhere: a 2-star health inspection rating, 50 deficiencies on record including 3 tied to abuse, and a survey completed in April 2025. None of those deficiencies reached harm or jeopardy level, but the count and the abuse findings are the part of this file a family should read closely.

B

83/100

Washington Co Extended Care Facility

Sandersville, GA · Washington County

CMS 3/560 bedsGovernmentMedicaid
Nurse hours
4.15 /day
Staff turnover
36%
Serious cites
0

Washington County runs this 60-bed home in Sandersville itself, and the staffing reflects that. Nurses provide 4.15 hours per resident per day, roughly 7% above the national average of 3.86, and the staff tends to stay: turnover is 35.6% against a national 45.8%. The catch is weekends, when coverage drops about 12% below the home's own weekday level, so a Saturday shift runs leaner than a Tuesday one. Inspectors were last in on February 26, 2026, and found nine deficiencies, none at the harm or jeopardy level, though one was abuse-related. The county's own numbers put this home modestly ahead of average, with the weekend gap the thing worth asking about.

B

83/100

Miller's Merry Manor

Logansport, IN · Cass County

CMS 4/5127 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
48%
Serious cites
0

Miller's Merry Manor in Logansport runs 127 beds under corporate for-profit ownership, and its staffing sits at 3.88 nurse hours per resident day, about 1% above the national average, which is close enough that weekends are where the difference shows. Weekend staffing drops roughly 12% below its own weekday level, and annual turnover is 47.7%, slightly worse than the 45.8% national figure. The inspection record is recent (April 2026) and fairly clean: 10 deficiencies total, none at the harm or jeopardy level, though one is abuse-related. All three CMS star ratings land at 4 out of 5, so the weak spots are turnover and weekend coverage rather than the care measures themselves.

B

83/100

Northern Montana Care Center

Havre, MT · Hill County

CMS 5/5135 bedsNon-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
48%
Serious cites
0

Northern Montana Care Center runs a tight ship on staffing: 4.31 nurse hours per resident day, roughly 12 percent above the national average, which is the main reason it earns top marks there. Weekend coverage dips about 11 percent below its own weekday level, worth asking about, and staff turnover sits at 47.5 percent, slightly above the national 45.8 percent, so continuity may be a real issue. The inspection record is strong: five stars, last survey in June 2025, and eight deficiencies with none at harm or jeopardy level. One is abuse-related, which you should ask about directly. Quality measure scores come in at two stars, so clinical outcomes don't match the staffing picture.

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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