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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 301 to 320 of 604, best-graded first.

B

80.5/100

Tennova Lafollette Health And Rehab Center

Lafollette, TN · Campbell County

CMS 4/598 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
28%
Serious cites
0

Tennova Lafollette runs about 3.76 nurse hours per resident per day, a touch under the national average, and weekends drop roughly 17% below its own weekday staffing. The tradeoff is stability: 28% turnover is well below the national 45.8%, so the people caring for residents tend to stick around. Inspections in January 2025 turned up 19 deficiencies, none at the harm level but one abuse-related, and the quality measure score sits at 2 out of 5 even as the inspection and staffing ratings both hit 4. It's a corporation-owned home where consistent caregivers partly offset thin weekend coverage.

B

80.5/100

Minnie Hamilton Health Care

Grantsville, WV · Calhoun County

CMS 4/524 bedsNon-profitMedicaid
Nurse hours
4.33 /day
Staff turnover
n/a
Serious cites
0

Minnie Hamilton Health Care is a small nonprofit home in Grantsville, just 24 certified beds, and its nurse staffing runs about 12% above the national average, which matters most in a county where the next option may be a long drive. But weekends dip roughly 15% below what the home staffs on weekdays, and 30 deficiencies sit on the current record, including three at the harm level and four tied to abuse. The last inspection was in August 2025. Read the inspection report yourself, especially those harm and abuse findings, before you decide how much that above-average weekday coverage is worth to you.

B

80.5/100

Modoc Medical Center D/P Snf

Alturas, CA · Modoc County

CMS 5/584 bedsFor-profitMedicaid
Nurse hours
6.09 /day
Staff turnover
44%
Serious cites
0

A for-profit corporation runs Modoc Medical Center's skilled nursing unit in Alturas, and it puts more nursing hours on the floor than most homes in the country, 6.09 per resident day against a national average of 3.86. That staffing cushion matters, though weekends thin out by roughly 18% compared to weekdays, so coverage isn't perfectly even across the week. The inspection record is clean where it counts: 18 deficiencies on file but none at the harm or jeopardy level, and the last survey came in April 2025, so the picture is current. Two abuse-related citations are worth asking about directly. Turnover sits at 44.1%, essentially the national rate, meaning the staff you meet may not be the staff there next year.

B

80/100

Cedar Creek Health Campus

Lowell, IN · Lake County

CMS 4/558 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
27%
Serious cites
0

Cedar Creek Health Campus runs 58 beds in Lowell under corporate for-profit ownership, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, with weekends dropping about 15% below its own weekday levels. Turnover is the bright spot: 27.1% against a national 45.8%, so the aides and nurses who are there tend to stay. The inspection record is more mixed: 25 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse, and a single fine of $8,021. The most recent inspection was May 2026. Quality measures score well; staffing and inspections land in the middle.

B

80/100

Ness County Hospital Ltcu Dba Cedar Village

Ness City, KS · Ness County

CMS 3/530 bedsNon-profitMedicaid
Nurse hours
5.67 /day
Staff turnover
48%
Serious cites
0

Cedar Village runs on unusually heavy staffing for a 30-bed nonprofit home, 5.67 nurse hours per resident day, roughly 47 percent above the national average, and that shows up in a five-star staffing rating. Inspections are current and strong at four stars, with 18 deficiencies on record but only one at the harm level and none tied to abuse. The weak spot is quality measures, where it sits at one star, and turnover runs slightly above the national rate at 47.8 percent. Weekend coverage dips about 13 percent below weekday levels, which matters in a building this small, where one call-out changes the whole shift.

B

80/100

North Shore Health

Grand Marais, MN · Cook County

CMS 4/537 bedsGovernmentMedicaid
Nurse hours
4.59 /day
Staff turnover
72%
Serious cites
0

North Shore Health runs on more nursing hours per resident than most homes in the country, 4.59 a day against a national average of 3.86, and its most recent inspection, in May 2026, turned up eight deficiencies with none causing harm and none tied to abuse. Those are real strengths, and the county hospital district that owns it isn't under pressure to squeeze margins the way a for-profit chain might be. The catch is retention: 71.8% annual turnover, well above the 45.8% national figure, meaning a large share of the staff delivering those hours is new. Weekend coverage also slips about 14% below weekday levels, so ask how weekends and nights actually run.

B

80/100

Good Samaritan Nursing And Rehabilitation Care Ctr

Sayville, NY · Suffolk County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
29%
Serious cites
0

Good Samaritan in Sayville runs on a leaner nurse staffing budget than most homes, 3.03 hours per resident day against a national average of 3.86. That shortfall shows up on weekends too, when coverage dips about 8% below its own weekday levels. What offsets that is stability: turnover sits at 28.6%, well under the 45.8% national figure, so the caregivers you meet are more likely to still be there next year. The inspection record is current as of April 2026, with 8 deficiencies and none rising to harm or jeopardy, though one is abuse-related and worth asking about directly. Church-affiliated nonprofit ownership means no shareholder pressure, but it doesn't change the staffing math.

B

80/100

Stokes County Nursing Home

Danbury, NC · Stokes County

CMS 3/540 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
25%
Serious cites
0

Stokes County Nursing Home runs 40 certified beds in Danbury under for-profit LLC ownership. Its nurse staffing sits at 3.54 hours per resident day, about 8% under the national average of 3.86, and weekends drop roughly 15% below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. Retention is the stronger story: 25% annual turnover against a national 45.8% means aides and nurses here tend to stay. The current record shows 15 deficiencies, none at harm or jeopardy level, though one is abuse-related. State inspectors were last on site in November 2025. Quality measures score low; staffing scores high.

B

80/100

Avir At Haskell

Haskell, TX · Haskell County

CMS 5/568 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
39%
Serious cites
0

Avir At Haskell runs lean on nurse hours, 3.23 per resident day against a national average of 3.86, with weekends dropping roughly 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. Turnover sits at 39.4%, better than the 45.8% national figure, so the crew here is steadier than most. Eighteen deficiencies appear on the current record, though none rise to harm or jeopardy, and none involve abuse, with the last inspection in July 2025. Corporate for-profit ownership, 68 beds, and strong marks on quality measures round out a picture of a home that's safe and well-observed but thinly staffed.

B

80/100

Midwestern Healthcare Center

Wichita Falls, TX · Wichita County

CMS 3/5121 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
45%
Serious cites
0

Midwestern Healthcare Center runs 121 certified beds in Wichita Falls under corporate for-profit ownership. Its nurse staffing sits at 3.86 hours per resident day, which is roughly the national average, but weekends run about 13% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 44.9%, close to the national 45.8%, meaning nearly half the workforce is replaced each year. The inspection record is the real concern: 23 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus one fine totaling $29,884. The most recent inspection was August 28, 2025. Quality measure scores look strong, but the health inspection side tells a different story.

B

80/100

Mitchell County Nursing And Rehabilitation Center

Colorado City, TX · Mitchell County

CMS 3/554 bedsGovernmentMedicaid
Nurse hours
3.28 /day
Staff turnover
35%
Serious cites
0

Mitchell County Nursing and Rehabilitation Center runs on leaner nursing hours than most places, 3.28 per resident day against a national average of 3.86, and weekends get noticeably thinner, with staffing dropping roughly 45% below weekday levels. That pattern matters for families who visit on Saturdays and Sundays. The home is owned by a hospital district, which tends to mean steadier public accountability than a for-profit chain. Staff turnover sits at 35.3%, better than the 45.8% national figure, so the people caring for residents are more likely to stick around. Its inspection record shows 22 deficiencies, none at the harm level, though one is abuse-related, worth asking about directly. The most recent inspection was April 28, 2026, so the picture is current.

B

79.5/100

Gregory Wing Of St Andrews Village

Boothbay Harbor, ME · Lincoln County

CMS 3/542 bedsNon-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
n/a
Serious cites
0

Gregory Wing of St Andrews Village runs 42 certified beds as a nonprofit, and its nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average of 3.86. Weekends dip about 8% below its own weekday levels, so coverage tightens when it's hardest to fill shifts. The inspection record shows 27 deficiencies, one of them abuse-related, though none rose to harm or jeopardy; the last survey was in August 2025. Federal ratings put quality measures at 2 out of 5 stars, staffing and health inspections at 3 each. Good weekday staffing, a thinner weekend margin, and a mixed quality picture, worth asking about directly.

B

79.5/100

Singing River Skilled Nursing Facility

Pascagoula, MS · Jackson County

CMS 4/554 bedsGovernment
Nurse hours
8.11 /day
Staff turnover
57%
Serious cites
0

Singing River runs on unusually heavy nurse coverage, 8.11 hours per resident per day, roughly double the national figure, and weekends dip only about a quarter below its own weekday level, which matters because that's when many homes thin out most. But the record carries ten deficiencies, four of them at the level where harm or immediate jeopardy was possible, plus an abuse citation and $31,437 in fines across four events. Staff turnover sits at 57.1%, above the 45.8% national average, so the people delivering that strong daily staffing keep changing. County-owned, inspected in December 2025, with solid marks on inspection, quality, and staffing stars. The gap between those stars and the trouble on the deficiency record is the whole story here.

B

79.5/100

Platte Care Center

Platte, SD · Charles Mix County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
42%
Serious cites
0

Platte Care Center runs a non-profit shop with 48 beds, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average, which is why CMS hands it five stars on staffing. But look closer: weekends run about 17% leaner than weekdays, and turnover is 41.9%, a bit better than the 45.8% national figure but still meaning nearly half the staff cycling through in a year. The inspection record shows 8 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with $20,183 in fines across two events. The most recent inspection was November 2025. Quality measures score just 2 of 5.

B

79/100

Miller Nursing Home

Colquitt, GA · Miller County

CMS 5/5157 bedsGovernmentMedicaid
Nurse hours
5.38 /day
Staff turnover
41%
Serious cites
0

Miller Nursing Home in Colquitt runs on a hospital district's budget, and the staffing numbers show it: 5.38 nurse hours per resident day, roughly 39% above the national average. Weekends dip about 14% below its own weekday level, which is worth asking about if your family tends to visit then. Turnover sits at 40.8%, a bit better than the national 45.8%. Inspections came back clean on the serious stuff, seven deficiencies on record, none at harm or jeopardy level, none abuse-related, and the last visit was February 2025. Quality measures score well. The catch is the staffing star rating, which sits low despite the raw hours.

B

79/100

Kula Hospital

Kula, HI · Maui County

CMS 2/5105 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
54%
Serious cites
0

Nurse staffing at this Kula home runs about 5.79 hours per resident day, roughly half again the national average of 3.86, enough to earn the top CMS staffing rating. Weekends dip about 14% below weekday levels, so coverage isn't perfectly even across the week. The tradeoffs show up elsewhere: annual turnover sits at 53.9% against a national 45.8%, and the current inspection record carries 32 deficiencies, including one at the harm or jeopardy level and four tied to abuse. The two-star health inspection rating reflects that. Quality measures scored 5/5, and the last inspection was June 2024. Strong bedside hours, persistent regulatory findings.

B

79/100

Graham Hospital

Canton, IL · Fulton County

CMS 3/535 bedsNon-profitMedicaid
Nurse hours
5.45 /day
Staff turnover
82%
Serious cites
0

Graham Hospital runs a small 35-bed unit in Canton, and the staffing numbers stand out: 5.45 nurse hours per resident day, well above the national average. That's the main reason its staffing rating holds at 4 stars. The catch is turnover, 81.8% of staff leave each year, roughly double the national rate, which matters for whether that coverage stays consistent. Its inspection record shows 13 deficiencies, one serious enough to reach harm or jeopardy level, with the most recent visit in April 2026. Quality measures score 4 stars, so day-to-day care indicators look decent. If you're weighing this one, ask how they hold staffing steady through that churn.

B

79/100

Cobblestone Crossings Health Campus

Terre Haute, IN · Vigo County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
52%
Serious cites
0

Cobblestone Crossings sits just above the national average for nurse staffing, at 4.04 hours per resident day, but weekends run about 7% thinner than weekdays, worth asking about if your family member needs help on Saturdays and Sundays. Staff turnover is 51.7%, higher than the 45.8% national average, so expect some unfamiliar faces. The current record shows 29 deficiencies, none rising to harm or jeopardy, though two are abuse-related; the last inspection was August 2025 and the health inspection rating came in at 2 out of 5 stars. Ownership is for-profit corporate. The quality measure score is a bright spot at 5 stars, but that reflects charted care, not necessarily the daily experience.

B

79/100

Cornerstone Post Acute Care Of Bossier

Bossier City, LA · Bossier County

CMS 5/57 bedsFor-profit
Nurse hours
9.46 /day
Staff turnover
64%
Serious cites
0

Cornerstone Post Acute Care of Bossier runs just 7 certified beds, so you're looking at a very small operation in Bossier City. Nurse staffing sits at 9.46 hours per resident day, well above the national average of 3.86, and the state inspection record is clean at 5 out of 5 stars with six deficiencies on file, none of them involving harm or abuse. The tradeoffs show up elsewhere: staff turnover is 63.6% against a national 45.8%, weekend coverage dips about 8% below weekdays, and the quality measure score is only 2 out of 5. A recent September 2025 inspection means the picture is current.

B

79/100

Clark Fork Valley Nursing Home

Plains, MT · Sanders County

CMS 4/528 bedsNon-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
48%
Serious cites
0

Clark Fork Valley Nursing Home runs 28 beds in Plains under nonprofit ownership, and its 3.81 nurse staffing hours per resident day sit just under the national average of 3.86. Weekends are the bigger concern, staffing drops about 15% below the home's own weekday levels, and annual turnover of 48.3% runs above the national 45.8%. Inspections look decent on the surface: a 4/5 health inspection star rating and a recent survey dated April 2026. But the current record carries 19 deficiencies, including one at the harm or jeopardy level and four tied to abuse. One fine totaling $62,871 is on file.

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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