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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 341 to 360 of 604, best-graded first.

B

77.5/100

Lewis County General Hospital-Nursing Home Unit

Lowville, NY · Lewis County

CMS 2/5160 bedsGovernmentMedicaid
Nurse hours
4.41 /day
Staff turnover
43%
Serious cites
0

Lewis County General's nursing unit runs on county money, and the staffing numbers show it: 4.41 nurse hours per resident day, roughly 14 percent above the national average, with weekend coverage dipping about 16 percent below its own weekday levels. Turnover sits at 42.9 percent, a touch better than the 45.8 percent national figure. What pulls the record down is the inspection side, 16 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse, plus a single $160,046 fine. The most recent inspection was July 2024, so the picture is current.

B

77.5/100

St. Mary's Hospital

Huntington, WV · Cabell County

CMS 5/519 bedsNon-profit
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

St. Mary's Hospital runs a small unit, just 19 certified beds, as a nonprofit, and its inspectors clearly like what they see: top marks on health inspections and quality measures, with a recent April 2026 survey. The catch is staffing, where it scores at the very bottom of the federal scale. Fourteen deficiencies are on the current record, and while none rose to the level of actual harm or jeopardy, two are abuse-related, which families should ask about directly. So you have a home that's clean on paper and well-rated for care outcomes, but running thin on the people who deliver that care. Ask what the direct-care hours per resident actually look like on evenings and weekends.

B

77.5/100

South Lincoln Nursing Center

Kemmerer, WY · Lincoln County

CMS 3/524 bedsGovernmentMedicaid
Nurse hours
4.80 /day
Staff turnover
38%
Serious cites
0

South Lincoln Nursing Center runs on unusually heavy staffing for a 24-bed home, 4.80 nurse hours per resident day, about a quarter above the national average, which is why it earns top marks on that measure alone. The catch is consistency: weekends run roughly a fifth thinner than weekdays, so the coverage your family member gets depends on the calendar. Turnover at 38.1% beats the national 45.8%, though more than a third of staff still left in a year. Inspections are the weak spot, 24 deficiencies on record, four tied to abuse, none rising to actual harm, and a survey as recent as July 2025. Hospital-district ownership means public accountability rather than a chain.

B

77.5/100

Healdsburg Hospital D/P Snf

Healdsburg, CA · Sonoma County

CMS 4/517 bedsNon-profitMedicaid
Nurse hours
10.57 /day
Staff turnover
n/a
Serious cites
0

Healdsburg Hospital D/P SNF is a tiny 17-bed unit run by a nonprofit corporation, and its staffing numbers are unusual in both directions. Total nurse staffing sits at 10.57 hours per resident day, roughly 174% above the national average, but the federal staffing star comes in at just 1 out of 5, which tells you the hours on paper may not reflect what CMS considers stable, consistent coverage. Weekend staffing drops about 10% below the facility's own weekday level. The health inspection record is genuinely strong: a 5/5 rating, six deficiencies on file, none at harm or jeopardy level, and no abuse citations. Seven fines totaling $59,634 have accumulated, though, and the last inspection was August 2024.

B

77.5/100

Greater El Monte Community Hos

El Monte, CA · Los Angeles County

CMS 4/513 bedsFor-profitMedicaid
Nurse hours
8.65 /day
Staff turnover
5%
Serious cites
0

Greater El Monte Community Hos runs a small operation, 13 certified beds, and staffs it heavily: 8.65 nursing hours per resident day, more than double the national average. That ratio holds up on weekends, dipping only about 10% from weekday levels rather than collapsing the way it does at many homes. Staff turnover sits at 5% against a national average near 46%, which means the people caring for residents here tend to stay. The inspection record shows 18 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a single fine of $5,698 and a survey completed in November 2025. Corporate for-profit ownership, but the numbers describe steady, well-attended care.

B

77/100

Waters Of New Castle, The

New Castle, IN · Henry County

CMS 3/566 bedsNon-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
25%
Serious cites
0

The Waters Of New Castle runs lean on nursing hours, 3.26 per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday staffing. That thin coverage is the main thing dragging its staffing picture down. What offsets it somewhat: staff retention is unusually steady at 24.5% turnover versus 45.8% nationally, meaning fewer unfamiliar faces, and the home has a recent inspection on record with 12 deficiencies, only one at the harm level and none tied to abuse. Quality measures score well. As a nonprofit, it isn't managing to a quarterly earnings target, which tends to matter for how consistently a building staffs its floor.

B

77/100

Lincoln Hills Of New Albany

New Albany, IN · Floyd County

CMS 4/5156 bedsGovernmentMedicaid
Nurse hours
3.62 /day
Staff turnover
46%
Serious cites
0

Lincoln Hills Of New Albany runs on county money, and its 156 beds are staffed at 3.62 nurse hours per resident day, about 6% under the national average of 3.86. That gap widens on weekends, when hours drop roughly 15% below the home's own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record is where the real trouble sits: 18 deficiencies, three of them serious enough to reach harm or jeopardy, with one fine totaling $12,649. A recent December 2025 inspection keeps that record current. Staff turnover at 45.6% is essentially the national rate, and the quality measures look strong, but strong chart numbers don't offset three harm-level findings.

B

77/100

Memorial Hospital Ltcu (Village Manor)

Abilene, KS · Dickinson County

CMS 4/575 bedsGovernmentMedicaid
Nurse hours
4.33 /day
Staff turnover
55%
Serious cites
0

Memorial Hospital Ltcu in Abilene runs on a government hospital-district license and 75 certified beds. The staffing numbers are the strongest part of the story: 4.33 nurse hours per resident day, roughly 12% above the national average, though weekend coverage slips about 7% below its own weekday level. Turnover sits at 55.1% against a 45.8% national average, so the people providing that care are cycling through fairly quickly. The inspection record shows 17 deficiencies, including one at the harm level and one abuse-related, with the most recent survey in September 2024. Quality measure scores came in at 2 stars while staffing earned 4.

B

77/100

Mainegeneral Rehab & Long Term Care - Gray Birch

Augusta, ME · Kennebec County

CMS 4/577 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
48%
Serious cites
0

Gray Birch runs a nonprofit home in Augusta with 77 certified beds, and its nurse staffing sits at 4.73 hours per resident day, roughly 23% above the national average of 3.86. Weekends dip about 12% below its own weekday coverage, and turnover at 48% edges past the national 45.8%, so the strong weekday numbers come with some churn behind them. The health inspection record shows 27 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, though the last survey was in January 2026. Federal staffing and inspection ratings land at 5 and 4 stars, while the quality measure rating sits at just 1, worth asking the staff directly about, since those measures track things like falls, infections, and antipsychotic use.

B

77/100

Doctors Community Rehabilitation And Patient Care

Lanham, MD · Prince Georges County

CMS 3/5130 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
38%
Serious cites
0

Doctors Community Rehabilitation And Patient Care runs 130 certified beds in Lanham under for-profit partnership ownership, and its nurse staffing sits at 3.81 hours per resident day, just under the national figure of 3.86. That gap is small, but weekend coverage runs about 11% thinner than the home's own weekdays, so care can feel different depending on when you visit. Staff turnover of 37.9% is actually better than the 45.8% national average, which matters for consistency. The inspection record is the harder part: 48 deficiencies, including one at the harm level and four tied to abuse, plus a $16,331 fine. The most recent inspection was December 2025.

B

77/100

Medina Memorial Hospital Snf

Medina, NY · Orleans County

CMS 4/530 bedsNon-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
53%
Serious cites
0

Medina Memorial Hospital SNF runs a small 30-bed unit, and its staffing is genuinely better than most: 4.36 nurse hours per resident day, roughly 13 percent above the national average, with weekends only about 7 percent lighter than weekdays, a modest dip. The trade-offs show up elsewhere. Staff turnover sits at 52.9 percent against a national 45.8, so the people delivering that care keep changing. Inspections in May 2024 turned up 8 deficiencies; none rose to harm or jeopardy, but 2 were abuse-related, and the quality measure rating lands at 1 out of 5. Strong hands-on hours, uneven consistency and outcomes.

B

77/100

Montgomery General Hospital

Montgomery, WV · Fayette County

CMS 2/544 bedsNon-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
31%
Serious cites
0

Montgomery General Hospital runs a 44-bed unit with a stable workforce, turnover at 31.4% is well under the 45.8% national average, and that consistency shows in the staffing picture. Nurse hours come in just under the national figure at 3.76 per resident day, and weekend coverage dips about 9% below weekdays, which is the kind of gap families notice when they visit. The 39 deficiencies on record are all low-level, with nothing citing harm or abuse, and the most recent inspection was in May 2025. The weak spot is quality measures, where this home scores near the bottom.

B

77/100

Healthbridge Children's Hospital - Orange D/P Snf

Orange, CA · Orange County

CMS 3/521 bedsFor-profitMedicaid
Nurse hours
10.57 /day
Staff turnover
n/a
Serious cites
0

Healthbridge Children's Hospital in Orange runs a small 21-bed skilled nursing unit under for-profit LLC ownership, and the nurse staffing number stands out: 10.57 hours per resident day, roughly triple the national average of 3.86. That's unusual, though weekend hours drop about 11% below the weekday level, so coverage isn't perfectly even. The bigger concern is the deficiency record, 47 total on the current file, six of them abuse-related, even though none rose to harm or jeopardy level. Inspections are recent, and the staffing and health inspection ratings both land mid-range at three stars. For a small facility with this many findings, ask pointed questions about how those abuse-related deficiencies were resolved before you decide.

B

77/100

Broadmoor Medical Lodge

Rockwall, TX · Rockwall County

CMS 3/5140 bedsGovernmentMedicaid
Nurse hours
3.37 /day
Staff turnover
38%
Serious cites
0

Broadmoor Medical Lodge runs 140 certified beds in Rockwall under for-profit LLC ownership, and the staffing picture is the main thing to understand here. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, which is actually better than the 45.8% national figure. The current record shows 28 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in December 2024. Quality measures score well; staffing is the weaker spot.

B

76.5/100

Early Memorial Nursing Facility

Blakely, GA · Early County

CMS 3/5127 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
31%
Serious cites
0

Early Memorial runs a for-profit shop with 127 certified beds, and the numbers pull in two directions. The nursing hours are real: 4.23 per resident day, about 10% above the national average, and staff turnover at 30.8% sits well below the 45.8% national figure, people here tend to stay. Weekends tell a different story, with staffing roughly 16% thinner than weekdays. Then you get to the inspection record. Twenty-four deficiencies on the current record, three serious enough to reach harm or jeopardy level, three tied to abuse. One fine totaling $177,463. The most recent inspection was December 2025. Good daily coverage doesn't cancel out findings like those, and that gap is what families should weigh.

B

76.5/100

Del Rio Nursing And Rehabilitation Center

Del Rio, TX · Val Verde County

CMS 4/560 bedsGovernmentMedicaid
Nurse hours
2.95 /day
Staff turnover
37%
Serious cites
0

Del Rio Nursing and Rehabilitation Center is run by a hospital district, and its inspection record is strong, four stars, with the most recent survey in May 2025. Quality measures also score five stars. The tradeoff sits in direct care: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends run about 19% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. Eighteen deficiencies are on file, including one at the harm level and two tied to abuse, plus an $8,018 fine. Turnover, at 36.7%, is better than the national 45.8%, which suggests a steadier crew than most.

B

76/100

Bibb Medical Center Nursing Home

Centreville, AL · Bibb County

CMS 1/5131 bedsGovernmentMedicaid
Nurse hours
3.23 /day
Staff turnover
53%
Serious cites
0

Bibb Medical Center Nursing Home runs on thinner staffing than most places. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly 12% below what the home itself staffs during the week, so the thinnest coverage lands when families tend to visit. Turnover is 53.1% against a national 45.8%, which means aides and nurses cycle through faster than average. The inspection record shows nine deficiencies, none reaching harm or jeopardy and none abuse-related, though the most recent look was November 2023 and the health inspection star sits at 1 out of 5. County-owned, 131 beds.

B

76/100

Emanuel County Nursing Home

Swainsboro, GA · Emanuel County

CMS 2/549 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
39%
Serious cites
0

Emanuel County Nursing Home runs 49 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.70 hours per resident day, about 4% under the national average of 3.86. Weekend coverage drops roughly 22% below its own weekday level, which is the kind of gap families notice when they visit on a Saturday. Annual turnover is 39%, better than the national 45.8%, though still meaning more than a third of staff left within the year. The current record shows 10 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2025. CMS rated staffing 4 stars, inspections and quality measures 3 each.

B

76/100

Brickyard Healthcare -Sycamore Village Care Center

Kokomo, IN · Howard County

CMS 3/5110 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
42%
Serious cites
0

Brickyard Healthcare - Sycamore Village runs 110 certified beds in Kokomo under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. That gap widens on weekends, when coverage drops about 15% below the home's own weekday level, so a Saturday shift is thinner than a Tuesday one. Staff turnover is 41.8%, a bit better than the 45.8% national figure, which suggests some stability. Inspections turned up 28 deficiencies, none at harm or jeopardy level but two tied to abuse; the most recent visit was January 2026. Quality measures score well; staffing and inspections are middling.

B

76/100

Avalon Springs Health Campus

Valparaiso, IN · Porter County

CMS 4/561 bedsGovernmentMedicaid
Nurse hours
3.52 /day
Staff turnover
46%
Serious cites
0

Avalon Springs Health Campus runs on county government ownership in Valparaiso, and the numbers there are a mixed bag. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below what the home itself provides on weekdays, so coverage thins out right when families tend to visit. Turnover lands at 46.4%, essentially tracking the national rate. The inspection record shows 28 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey came in January 2026. Quality measures score well; staffing and inspections sit in the middle.

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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