604 Hospital-Based Nursing Homes in the United States

Nurse hours

7.06 /day

Staff turnover

69%

Serious cites

0

Lake Cumberland Regional Hospital Scu is a small swing-bed unit inside a hospital, twelve beds total, run by a for-profit corporation. The nurse staffing number stands out right away: 7.06 hours per resident day, roughly 83% above the national average of 3.86, though weekends dip about 12% below the unit's own weekday level. Turnover is the catch, 69.4% of staff leave each year against a national average of 45.8%, which is a lot of churn for a twelve-bed unit. On inspections it looks clean: two deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was January 2025. Quality measures score lower than the inspection record suggests.

Nurse hours

3.97 /day

Staff turnover

48%

Serious cites

0

Mansfield Place runs a nonprofit home in Philippi with 60 certified beds, and its nurse staffing sits slightly above the national average, about 3.97 hours per resident day. That edge narrows on weekends, when coverage drops roughly 12% below the home's own weekday level, and staff turnover is a touch higher than the national rate at 48.2%. The inspection history is the bigger issue: 23 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, plus a $17,345 fine. Its most recent inspection was July 2025. The staffing and inspection star ratings both land at 4 out of 5, while quality measures sit at 3.

Nurse hours

4.64 /day

Staff turnover

n/a

Serious cites

0

Southern Inyo Hospital's skilled nursing unit in Lone Pine runs 33 certified beds under hospital district ownership, and its inspection record is the strongest part of the picture, 14 deficiencies on file with none reaching harm or jeopardy level. That said, one is abuse-related, and the staffing numbers are where this home struggles: its CMS staffing rating sits at the lowest mark, meaning nurse hours per resident fall well below what most California homes report. Quality measures land at 2 out of 5. The practical takeaway: ask specifically how many certified nursing assistants are on the floor during evening and overnight shifts, and who covers when someone calls out.

Nurse hours

4.58 /day

Staff turnover

39%

Serious cites

0

Simi Healthcare Center sits in Simi Valley with 99 certified beds, run by a for-profit limited liability company. The staffing numbers look strong on paper, 4.58 nurse hours per resident day, about 18% above the national average, but the federal staffing star comes in at 2 out of 5, and weekend coverage drops roughly 8% below its own weekday level. Turnover runs 39.1%, better than the 45.8% national figure. Inspections are another story: 58 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. CMS fined the home $8,446. The last inspection was August 7, 2025. Quality measures score 5 out of 5; health inspections score 2.

Nurse hours

3.76 /day

Staff turnover

47%

Serious cites

0

Golden Acres runs 264 beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends run about 9% leaner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Staff turnover is 46.6%, slightly worse than the 45.8% national figure, which usually means less continuity for residents who need consistent caregivers. The current record carries 33 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. The last inspection was January 22, 2026, so the picture is fairly current. Three stars each on health inspections, quality measures, and staffing puts this home squarely in the middle of the pack.

Nurse hours

3.89 /day

Staff turnover

45%

Serious cites

0

Twin Oaks Convalescent Center in Alma runs on a nonprofit model with 88 certified beds, and its staffing sits right at the national average, about 3.89 nurse hours per resident day. The catch is weekends, when coverage drops roughly 18% below what residents get Monday through Friday. Turnover is 45%, almost exactly the national rate, so retention isn't unusually bad but isn't a strength either. What stands out is the inspection record: just two deficiencies, none involving harm or abuse, and a survey completed in March 2025. The quality measure score of 2 out of 5 is the weak spot, pulling down an otherwise solid profile. If you're weighing this one, ask specifically how weekend staffing is covered.

Nurse hours

4.32 /day

Staff turnover

49%

Serious cites

0

Healthsource Saginaw is county-owned and staffed better than most: 4.32 nurse hours per resident day against a national average of 3.86. That staffing edge is real, and it's the main reason the quality measure rating comes in at 4 out of 5. But the inspection record is where this home gets into trouble, 57 deficiencies on file, six of them serious enough to put residents in harm's way and three tied to abuse. Five fines add up to just under $270,000. Staff turnover sits at 48.8%, a bit worse than the national 45.8%, and weekend coverage drops about 18% below weekday levels, so the weekday numbers overstate what families actually see on Saturdays. The most recent inspection was July 2025.

Nurse hours

4.05 /day

Staff turnover

39%

Serious cites

0

University Health Lakewood runs 188 certified beds as a nonprofit, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average. Weekends drop roughly 16% below its own weekday coverage, so care can thin out when families visit. Staff turnover is 38.7%, better than the 45.8% national figure, which matters because stable caregivers know residents. Inspections in August 2025 produced a 4-star health inspection rating, though the record carries 25 deficiencies, including one at the harm level and three tied to abuse. Quality measures score 2 out of 5, and one fine totaling $14,901 is on file.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Oak Bend Medical Center in Richmond is a small nonprofit home, 36 beds, and its inspection record is genuinely strong: a five-star health inspection rating, five deficiencies on file with none at the harm level and nothing abuse-related, and a survey completed in May 2025. Quality measures also come in at five stars. The problem sits in staffing, which CMS rates at just one star, the lowest tier, meaning nurse coverage here is well below what the federal formula expects for a building this size. That gap is what pulls the overall picture down despite the clean surveys. Three fines totaling $17,560 are also on record. If you tour, ask directly about direct-care hours per resident per day and how often shifts run short.

Nurse hours

6.62 /day

Staff turnover

63%

Serious cites

0

The staffing numbers at Bear Valley are genuinely unusual, 6.62 nurse hours per resident per day is roughly 71% above what the typical American nursing home provides, and that shows up in the four-out-of-five staffing rating. But weekends drop about 18% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. There's a real tension in the rest of the record. The inspection rating is strong and the most recent visit was in May 2025, yet 29 deficiencies sit on the current record, one of them serious enough to involve harm or jeopardy. Staff turnover is 63%, well above the national 45.8%, with only 21 beds under hospital district ownership, that churn is worth asking about directly.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Southern California Hosp At Culver City D/P SNF runs just 21 certified beds as a for-profit LLC, and its staffing score sits at the bottom of the federal scale, families should expect thin coverage here. The inspection record backs that up: 33 deficiencies, three of them serious enough to cause harm, plus two tied to abuse. That's a lot for a home this small, and it suggests problems aren't isolated. The quality measure score looks strong on paper, but those numbers come from resident assessments, not from how the place is actually run day to day. A recent February 2026 inspection means the record is current, not stale.

Nurse hours

3.18 /day

Staff turnover

36%

Serious cites

0

Legend Oaks in Ennis is run by the local hospital district and holds a five-star health inspection rating, which tells you the building itself is well-kept and the last inspection, in February 2025, went well. The trouble sits in the day-to-day staffing: 3.18 nurse hours per resident, roughly 18% under the national average, with weekends about 20% thinner than weekdays. That's a real gap when a resident needs help. Turnover is 36%, better than the national 45.8%, so the aides who are there tend to stay. Thirteen deficiencies on record, one at harm level, and a single $13,275 fine. Good oversight, thin coverage.

Nurse hours

3.93 /day

Staff turnover

44%

Serious cites

0

Park Manor Of The Woodlands runs 124 certified beds under corporate for-profit ownership, and the numbers here are mostly steady. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, though weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.6%, slightly better than the national rate, and the home's 12 deficiencies include none at the harm or jeopardy level and none related to abuse. Its last inspection was in November 2025, so the record is recent. Nothing here screams trouble; the main thing to watch is whether weekend coverage holds up.

Nurse hours

3.39 /day

Staff turnover

45%

Serious cites

0

The Waters of Greencastle runs on thinner nursing hours than most homes, about 3.39 per resident day against a national average near 3.86, and weekends dip roughly 12% below its own weekday coverage. Its inspection record shows 22 deficiencies, one tied to abuse, though none rose to harm or jeopardy level, and the last survey was recent, in December 2025. Staff turnover at 44.6% is nearly identical to the national rate, so retention isn't the outlier here; staffing levels are. Quality measures score well, but with a government-hospital district as owner and 100 beds to cover, ask how the weekend floor actually gets staffed before you decide.

Nurse hours

3.37 /day

Staff turnover

39%

Serious cites

0

The Waters Of Princeton runs on leaner nursing hours than most homes, 3.37 per resident day against a national average of 3.86, with weekends dipping about 5% below its own weekdays. That staffing picture lines up with a two-out-of-five CMS staffing rating and a one-out-of-five inspection rating, backed by 41 deficiencies on the current record, including one at the harm or jeopardy level and one tied to abuse. Turnover sits at 39.1%, actually below the national 45.8%, and the quality measure rating is four out of five, so there are real positives here. But the inspection history is the number that matters most, and the most recent survey came in January 2026. Ask about that harm-level deficiency specifically.

Nurse hours

3.55 /day

Staff turnover

37%

Serious cites

0

Majestic Care of Mccordsville runs 48 beds under county ownership, and its last health inspection in June 2025 came back strong, four out of five stars, with 18 deficiencies on record but none rising to actual harm or jeopardy. The catch is staffing: 3.55 nurse hours per resident day sits about 8% under the national average, weekends dip roughly 10% below its own weekday level, and that gets a one-star staffing rating. Turnover is 37%, better than the 45.8% national figure, which matters for consistency of care. Quality measures score five stars, so the clinical outcomes look good on paper, the question is whether thin weekend coverage catches up with that.

Nurse hours

4.43 /day

Staff turnover

54%

Serious cites

0

Bolivar Medical Center Ltc runs 35 certified beds in Cleveland under corporate for-profit ownership, and its strongest numbers show up in staffing and inspections. Nurse coverage sits at 4.43 hours per resident day, roughly 15% above the national average of 3.86, though weekends run about 13% leaner than weekdays. Staff turnover is a real weak spot at 53.8% against a national 45.8%, which matters when residents rely on familiar faces. The health inspection record is solid, four stars, five deficiencies and none involving harm, jeopardy, or abuse, last reviewed in July 2025. Quality measures tell a different story at one star, so care outcomes don't track with the staffing picture. Worth asking about retention and what those quality numbers reflect.

Nurse hours

3.48 /day

Staff turnover

23%

Serious cites

0

Genoa Community Hospital's long-term care unit runs on a city-owned, 43-bed model, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends drop about 12% below its own weekday coverage, a gap families should ask about directly. What stands out in the other direction is turnover: 22.9% against a national average near 46%, meaning the aides and nurses here tend to stay. Ten deficiencies appear on the current record, three tied to abuse, though none reached harm or jeopardy level, and the last inspection was in May 2025. Quality measure scores lag at 1 star while staffing holds at 4.

Nurse hours

3.51 /day

Staff turnover

53%

Serious cites

0

Willowbend runs 162 certified beds in Mesquite under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop another 11% below its own weekday coverage, and annual turnover hits 52.9% against a national 45.8%. The inspection record is where things get serious: 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, plus four fines totaling $94,394. Its last inspection was January 22, 2026. The 5/5 quality measure rating reflects resident assessment data, but the 2/5 staffing and 2/5 inspection ratings describe what families actually encounter day to day.

Nurse hours

3.36 /day

Staff turnover

33%

Serious cites

0

Pleasant Valley runs lean on nursing hours, 3.36 per resident per day, roughly 13 percent under the national average, and weekends get thinner still, dropping about 11 percent below its own weekday coverage. That staffing picture sits behind 20 deficiencies on the current record, three of them serious enough to put residents at risk of harm or jeopardy and two tied to abuse. Staff turnover is 33.3 percent, better than the national 45.8, and the quality measure score of 4 out of 5 suggests clinical metrics look decent on paper. But a 2-out-of-5 inspection rating and $53,393 in fines point to a gap between how care is measured and how it's actually delivered.