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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 261 to 280 of 604, best-graded first.

B

83/100

Boulder City Hospital Snf

Boulder City, NV · Clark County

CMS 5/547 bedsNon-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
64%
Serious cites
0

Boulder City Hospital SNF sits at 47 beds under nonprofit ownership, and the staffing numbers are genuinely better than most: 4.21 nurse hours per resident day against a national average of 3.86. That said, weekends run about 14% thinner than weekdays, so coverage isn't perfectly even. The bigger concern is turnover, 64% of staff leaving annually, well above the 45.8% national figure, which can make care feel inconsistent even when raw hours look strong. Inspections are a clear strength: a top health inspection rating, zero deficiencies at the harm level, and nothing abuse-related. Twelve total deficiencies exist but none serious. The most recent inspection was May 2025.

B

83/100

Harmon Hospital - Snf

Las Vegas, NV · Clark County

CMS 5/510 bedsFor-profitMedicaid
Nurse hours
8.58 /day
Staff turnover
n/a
Serious cites
0

Harmon Hospital - Snf is a small for-profit home in Las Vegas, just 10 certified beds, and its staffing numbers stand out: 8.58 total nurse hours per resident day, well more than double the national average of 3.86. That's an unusual level of attention per resident, and weekend coverage barely dips, running about 3% under weekday staffing. Its inspection history is recent, from January 2026, and the health inspection rating is a perfect 5 out of 5. But the record isn't clean. Ten deficiencies are documented, including one at the harm or jeopardy level, along with one fine of $8,018. No abuse-related citations appear. Strong staffing and recent inspections sit alongside real quality concerns, which is why it lands where it does.

B

83/100

Ashley Medical Center Nursing Home

Ashley, ND · Mcintosh County

CMS 5/531 bedsFor-profitMedicaid
Nurse hours
5.22 /day
Staff turnover
41%
Serious cites
0

Ashley Medical Center Nursing Home runs on remarkably strong staffing for a 31-bed home, 5.22 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 41% actually beats the national rate. It's been inspected recently, in July 2025, and the seven deficiencies on file involve no harm or jeopardy and no abuse. The weak spot is quality measures, where it scores 2 out of 5, meaning clinical outcomes like falls, infections, or antipsychotic use don't track with how well the place is staffed. Weekend coverage also drops about 26% below weekday levels, so care may thin out on Saturdays and Sundays.

B

83/100

Peabody Manor

Appleton, WI · Winnebago County

CMS 4/558 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
35%
Serious cites
0

Peabody Manor runs a nonprofit operation with 58 beds in Appleton, and its staffing is the clearest strength: 4.39 nurse hours per resident day, well above the national average. That helps explain the top staffing marks, and turnover at 35.1% sits below the national rate, though weekend coverage drops about 10% from weekday levels. The concerns live on the inspection side. The current record shows 23 deficiencies, including one at the harm or jeopardy level and four tied to abuse. The last inspection was in December 2024. Quality measure scores come in low, and the mix of strong staffing with a thicker deficiency record is what pulls the overall picture down to a solid-but-not-clean range.

B

82.5/100

W Frank Wells Nursing Home

Macclenny, FL · Baker County

CMS 2/569 bedsNon-profitMedicaid
Nurse hours
6.08 /day
Staff turnover
28%
Serious cites
0

W Frank Wells runs a genuinely strong floor. At 6.08 nurse hours per resident day, it beats the national average by more than half, and its staff turnover of 27.9% sits well under the 45.8% norm, people stay here. Weekends thin out about 24% from weekday coverage, which is normal but worth knowing if your visits fall on a Saturday. What pulls the record down is inspections: 16 deficiencies on file, four of them serious enough to risk harm or jeopardy, four tied to abuse, and one fine of $26,320 from a December 2024 survey. The staffing is the argument for this place; the inspection history is the argument for asking hard questions before you commit.

B

82.5/100

Tippah County Nursing Home

Ripley, MS · Tippah County

CMS 4/540 bedsGovernmentMedicaid
Nurse hours
4.95 /day
Staff turnover
37%
Serious cites
0

Tippah County Nursing Home runs on a county budget and 40 beds, and the staffing numbers stand out: 4.95 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 20% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.2%, lower than the national 45.8%, so the people caring for residents tend to stay. Seventeen deficiencies on record, none at the harm level and none abuse-related, with the last inspection in February 2026. Quality measure scores run low at 2 out of 5, so ask what those specific measures cover.

B

82.5/100

Claiborne Health And Rehabilitation Center

Tazewell, TN · Claiborne County

CMS 3/5100 bedsNon-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
n/a
Serious cites
0

Claiborne Health and Rehabilitation Center runs on 4.35 total nurse hours per resident day, roughly 13% above the national average, and that shows up in a 4-out-of-5 staffing rating. The catch is weekends, when coverage drops about 11% below the home's own weekday level. On its current record are 11 deficiencies, none at the harm or jeopardy level, though 3 are abuse-related, worth asking about directly. The most recent inspection was November 20, 2025, so the picture is current. This is a nonprofit corporation with 100 certified beds in Tazewell, sitting at 3 out of 5 on both health inspections and quality measures. Strong weekday staffing, a thinner weekend, and a handful of abuse-related findings is the honest summary.

B

82.5/100

City Creek Post Acute

Salt Lake City, UT · Salt Lake County

CMS 4/5108 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
n/a
Serious cites
0

City Creek Post Acute sits in Salt Lake City with 108 certified beds and a for-profit partnership structure. The numbers here pull in opposite directions: residents' clinical outcomes score well on federal quality measures, but staffing earns only one star out of five, and the home carries 21 deficiencies on its current record, including three at the harm or jeopardy level and three tied to abuse. That staffing figure is the one worth sitting with, since day-to-day care depends on people, not charts. The most recent inspection closed in March 2026, so the picture is current. Ask about direct-care hours per resident per day and how the abuse-related findings were resolved before you make a decision.

B

82.5/100

West Covina Medical Center D/P Snf

West Covina, CA · Los Angeles County

CMS 4/533 bedsFor-profitMedicaid
Nurse hours
8.47 /day
Staff turnover
29%
Serious cites
0

Nurse staffing at West Covina Medical Center's distinct-part unit runs 8.47 hours per resident day, roughly double the national average of 3.86, a striking figure for a 33-bed for-profit home. Weekend coverage dips about 18% below weekday levels, and staff turnover sits at 29.3%, better than the 45.8% national average. The tradeoff shows up in the inspection record: 34 deficiencies, including one abuse-related citation, though none rose to the harm or jeopardy level. State inspectors visited most recently in December 2025. A 4/5 health inspection rating and 4/5 quality measures offset a 3/5 staffing star, which may reflect the weekend gap more than raw hours.

B

82.5/100

Laguna Honda Hospital & Rehabilitation Ctr D/P Snf

San Francisco, CA · San Francisco County

CMS 3/5769 bedsFor-profitMedicaid
Nurse hours
5.83 /day
Staff turnover
17%
Serious cites
0

Laguna Honda runs 769 certified beds in San Francisco, and its nurse staffing sits at 5.83 hours per resident day, roughly half again the national average, while annual turnover of 17.3% is far below the 45.8% typical elsewhere. That combination is unusual and worth noting, though weekend coverage drops about 22% from weekday levels. The inspection record is where the picture darkens: 40 deficiencies on file, six of them involving harm or jeopardy and seven tied to abuse, plus eight fines totaling $55,499. The most recent inspection was May 2, 2025, so the findings are current. Ownership is for-profit and individual. Strong staffing hasn't kept the regulatory record clean.

B

82/100

Orchard Pointe Health Campus

Kendallville, IN · Noble County

CMS 4/558 bedsNon-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
29%
Serious cites
0

Orchard Pointe runs on more nurse time than most places, about 4.07 hours per resident day against a national average near 3.86, and its staff tends to stay, with turnover around 29% versus roughly 46% nationally. That stability shows in the quality measures, which sit at the top of CMS's scale. The tradeoffs are elsewhere. Weekend coverage drops about 14% below the home's own weekday levels, and the inspection record carries 12 deficiencies, two tied to abuse, though none rose to harm or jeopardy. The last inspection was in March 2026. For a 58-bed nonprofit, the care numbers look steady; the survey history is what a family should ask about directly.

B

82/100

Rockcastle Regional Hospital And Respiratory Care

Mount Vernon, KY · Rockcastle County

CMS 5/5143 bedsNon-profitMedicaid
Nurse hours
7.05 /day
Staff turnover
26%
Serious cites
0

Rockcastle Regional runs a genuinely heavy nursing floor: 7.05 nurse hours per resident day, roughly 83% above the national average, with weekend coverage dipping about 14% below its own weekday level. Staff turnover sits at 26.1%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The inspection record is clean where it counts, four deficiencies, none at harm or jeopardy level, no abuse citations, and the most recent survey was in March 2025. Quality measures score 5/5. The softer spot is staffing stars at 3/5 despite the raw hours, likely reflecting case-mix or weekend consistency rather than thin coverage overall.

B

82/100

Methodist Sepcialty Care Center

Flowood, MS · Rankin County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
7.57 /day
Staff turnover
23%
Serious cites
0

Methodist Specialty Care Center runs on unusually deep staffing: 7.57 nurse hours per resident day, roughly double the national figure, and only 22.9% of staff left last year against a national average near 46%. Five deficiencies sit on the current record, none involving harm or abuse, and the most recent inspection was in May 2025, a clean health inspection history that matches the top staffing marks. The weaker spot is the quality measure side, where resident outcome data scores lower than the staffing and inspection records would suggest. Weekend coverage dips about 7% below weekday levels, a modest gap given how much total nursing time is available here.

B

82/100

Walter B Crook Nursing Facility

Ruleville, MS · Sunflower County

CMS 3/560 bedsGovernmentMedicaid
Nurse hours
4.80 /day
Staff turnover
27%
Serious cites
0

Walter B Crook, a state-run home in Ruleville, runs on unusually strong staffing: 4.80 nurse hours per resident day, about a quarter more than the national average, and its 27% turnover is well below the 45.8% norm. Weekends dip only slightly from weekday coverage. What pulls it down is care quality, CMS rates its quality measures 1 out of 5, and its record carries 14 deficiencies, three serious enough to involve harm or jeopardy and one tied to abuse. A recent November 2025 inspection means the picture is current. Plenty of hands on deck, then; the question is what those hands are doing.

B

82/100

Dwelling Place At St Clares

Dover, NJ · Morris County

CMS 5/528 bedsFor-profitMedicaid
Nurse hours
5.93 /day
Staff turnover
17%
Serious cites
0

Dwelling Place at St. Clare's runs 28 beds in Dover, and the staffing is genuinely heavy, 5.93 nurse hours per resident day, roughly half again the national figure. That kind of coverage matters more at a small home, where one aide calling out changes the whole shift, though weekend hours do dip about 10% below weekdays. Turnover sits at 17.1% against a national 45.8%, which usually signals people stay, and six deficiencies on record with none at harm or jeopardy level backs that up. The last inspection was April 2025, so the picture is current. Quality measures score well; staffing stars land lower than the raw hours suggest, likely a case-mix or RN mix issue.

B

82/100

Schoellkopf Health Center

Niagara Falls, NY · Niagara County

CMS 3/5120 bedsNon-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
54%
Serious cites
0

Schoellkopf Health Center runs 120 certified beds as a nonprofit corporation, and the staffing numbers are the first thing worth knowing. Total nurse coverage sits at 3.76 hours per resident day against a national average of 3.86, and weekends dip about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 54.3%, nearly nine points above the national figure, which matters more than a single shift count because it means less continuity for residents. The inspection record shows 19 deficiencies, none at harm or jeopardy level but two tied to abuse, and the most recent inspection was in August 2025. Quality measures score well; the inspection and staffing sides of the ledger are where the tension sits.

B

82/100

Centro Medico Wilma N Vazquez Snf

Vega Baja, PR · Vega Baja County

CMS 3/545 bedsFor-profit
Nurse hours
5.04 /day
Staff turnover
27%
Serious cites
0

Centro Medico Wilma N Vazquez SNF runs on unusually strong staffing for a 45-bed for-profit home, 5.04 nurse hours per resident day, roughly 30% above the national average, with turnover at 26.9% against a national 45.8%. That consistency matters, though weekends drop about 22% below the home's own weekday coverage. The inspection record is the tension here: 35 deficiencies on file, zero at harm or jeopardy level and none abuse-related, plus one $29,997 fine and a December 2024 inspection. A 1/5 health inspection star sitting beside a 5/5 staffing star tells you the care presence is real but the paperwork and process side has repeatedly drawn federal citations.

B

82/100

Beaumont Health Care Center

Beaumont, TX · Jefferson County

CMS 5/582 bedsNon-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
43%
Serious cites
0

Beaumont Health Care Center runs about 3.67 nurse hours per resident per day, roughly 5% under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. Turnover sits at 43.4%, marginally better than the 45.8% national figure, though that's still a lot of churn. The inspection record is cleaner than most: 10 deficiencies, none at the harm level and none abuse-related, with a survey as recent as May 2025. What holds this home back isn't safety or quality measures, it's the day-to-day staffing margin, which runs thin and thins out further on weekends.

B

82/100

Sierra View Medical Center

Porterville, CA · Tulare County

CMS 5/535 bedsFor-profitMedicaid
Nurse hours
7.58 /day
Staff turnover
33%
Serious cites
0

Sierra View runs 7.58 nurse hours per resident per day, roughly double the national average, and its staff turnover of 33.3% is well under the 45.8% national figure. Those are real strengths. The catch is the inspection record: 19 deficiencies, one abuse-related, though none rose to the harm or jeopardy level, and the most recent state visit was April 2025. Weekend staffing dips about 9% below weekdays, and the 35-bed size means a single departure or callout shifts the ratio more than it would at a larger building. The low turnover suggests people stay, which matters for consistency in a small home.

B

82/100

Crown Point Health Suites

Lubbock, TX · Lubbock County

CMS 5/5108 bedsGovernmentMedicaid
Nurse hours
5.01 /day
Staff turnover
52%
Serious cites
0

Crown Point Health Suites runs on a hospital district's license in Lubbock, and the staffing numbers are the first thing worth knowing: 5.01 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekends drop about 14% below its own weekday level, and annual turnover sits at 52.3%, higher than the 45.8% national figure. Inspections tell a mixed story, 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse, and a single fine of $8,281. The last inspection was April 2026. Strong daily coverage and quality scores, but that turnover and those deficiencies are what hold the grade down.

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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