ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 21 to 40 of 604, best-graded first.

A

97.5/100

Logan Regional Hospital Transitional Care Unit

Logan, UT · Cache County

CMS 5/511 bedsNon-profit
Nurse hours
9.62 /day
Staff turnover
15%
Serious cites
0

Logan Regional's transitional care unit is an 11-bed nonprofit operation attached to a hospital, and the staffing numbers show it: 9.62 nurse hours per resident day, roughly two and a half times the national average. Weekend coverage dips about 15% below its own weekday level, which is worth asking about if a discharge lands on a Saturday. Staff turnover sits at 15%, well under the national 45.8%, so the people caring for your family member tend to stay. The trade-off is two deficiencies on record, one serious enough to involve harm or jeopardy, though nothing abuse-related. The last inspection was January 2026. Small units like this live and die on who's on shift, and here that's mostly a strength.

A

97.5/100

War Memorial Hospital

Berkeley Springs, WV · Morgan County

CMS 5/516 bedsNon-profitMedicaid
Nurse hours
5.76 /day
Staff turnover
20%
Serious cites
0

War Memorial Hospital runs a small 16-bed unit in Berkeley Springs, and the numbers hold up well. Nurse staffing sits at 5.76 hours per resident per day, roughly half again the national average, and only about one in five employees leaves each year against a national rate near 46 percent, that kind of stability usually shows up in how residents are cared for. Weekend coverage does dip about 19 percent below weekdays, so ask how that plays out on Saturdays. The current record carries six deficiencies, none at the harm level, though one is abuse-related and worth asking about directly. The last inspection was April 2026, so the picture is recent.

A

97/100

Paul Oliver Memorial Hospital Ltcu

Frankfort, MI · Benzie County

CMS 5/535 bedsNon-profitMedicaid
Nurse hours
5.86 /day
Staff turnover
23%
Serious cites
0

Paul Oliver Memorial Hospital Ltcu runs 35 certified beds in Frankfort under corporate for-profit ownership, and the staffing numbers stand out: 5.86 nurse hours per resident day, roughly half again the national average of 3.86. Turnover sits at 22.5%, well under the 45.8% national figure, though weekend coverage dips about 9% below its own weekday level. Federal ratings put inspections at 4 of 5 stars and both quality measures and staffing at 5 of 5. The current record shows 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection dated March 20, 2025.

A

97/100

Community Medical Center Tcu

Toms River, NJ · Ocean County

CMS 5/525 bedsNon-profit
Nurse hours
6.93 /day
Staff turnover
9%
Serious cites
0

Community Medical Center Tcu runs 25 certified beds in Toms River under nonprofit ownership, and the staffing numbers stand out: 6.93 nurse hours per resident day, roughly 79% above the national average, with weekend coverage holding within about 1% of weekdays. That steadiness matters, because weekend gaps are where a lot of homes quietly slip. Turnover sits at 9.1% against a national average of 45.8%, so the people caring for residents largely stay put. Five deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was July 2, 2025. Five stars for health inspections and staffing, four for quality measures. Small homes can be uneven. This one's numbers aren't.

A

97/100

Baylor Scott & White Continuing Care Hospital Skil

Temple, TX · Bell County

CMS 5/523 bedsNon-profit
Nurse hours
8.51 /day
Staff turnover
34%
Serious cites
0

Nurse staffing here runs about 8.5 hours per resident day, more than double the national average, and it holds up on weekends rather than collapsing the way it does at many homes. Staff turnover sits at 34%, below the 45.8% national figure, and the single deficiency on the current record involves no harm or jeopardy to residents, with nothing abuse-related. The last inspection was in August 2025, so the record is recent. This is a 23-bed nonprofit unit, small enough that staffing ratios matter more than they would in a larger building, and the numbers suggest they're being kept up.

A

96/100

Heritage Place

Soldotna, AK · Kenai Peninsula County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
6.85 /day
Staff turnover
24%
Serious cites
0

Heritage Place sits in Soldotna with 60 certified beds and a corporate for-profit owner, and the staffing numbers are the real story here: 6.85 nurse hours per resident day, roughly 77% above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is worth knowing if your family visits mainly on Saturdays and Sundays. Staff turnover runs 23.6%, well under the national 45.8%, that kind of retention usually means familiar faces. The current record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Quality measures rate 4 out of 5 stars, and the inspection history rates 3.

A

96/100

Sarasota Memorial Nursing & Rehabilitation Center

Sarasota, FL · Sarasota County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.58 /day
Staff turnover
9%
Serious cites
0

Sarasota Memorial runs 4.58 nurse hours per resident day, roughly 19% above the national average, and the weekend dip is only about 7% off its own weekday level, modest as these things go. The turnover number is the one that stands out: 8.6% against a national average near 46%. Staff who stay put tend to know the residents. Inspections in March 2025 turned up 10 deficiencies, one serious enough to involve harm or jeopardy, none abuse-related. As a nonprofit with 120 beds and top marks in staffing and quality measures, the gaps here look narrow rather than structural.

A

96/100

Lee Memorial Hospital Skilled Nursing Unit

Fort Myers, FL · Lee County

CMS 5/518 bedsNon-profit
Nurse hours
6.13 /day
Staff turnover
18%
Serious cites
0

Lee Memorial Hospital's skilled unit runs on an unusually thin margin: just 18 certified beds, which likely explains why staffing looks the way it does. At 6.13 nurse hours per resident day, it's well above the national average, and weekend coverage barely dips below weekdays, a gap that trips up plenty of larger homes. Staff turnover sits at 18.2 percent against a national average of 45.8, so the people caring for residents tend to stay. The inspection record is clean, with no deficiencies and nothing at the harm or abuse level, and the most recent survey came in July 2025. Nonprofit ownership rounds out a picture of a small unit that appears to be run carefully.

A

96/100

Samuel Mahelona Memorial Hospital

Kapaa, HI · Kauai County

CMS 5/566 bedsGovernmentMedicaid
Nurse hours
6.10 /day
Staff turnover
8%
Serious cites
0

Samuel Mahelona Memorial Hospital runs on unusually heavy staffing for a nursing home, 6.10 nurse hours per resident day, roughly 58 percent above the national figure. Just as telling is the turnover: 7.5 percent a year against a national average near 46 percent, meaning the people caring for residents largely stay put. Weekend coverage dips only slightly below weekdays, so families shouldn't expect a stark drop-off on Saturdays. The trade-off sits in the inspection record. Eighteen deficiencies are logged, including one at the harm level and one abuse-related, though the most recent inspection in May 2026 suggests the state-run home is being watched closely. Strong staffing and consistent caregivers, with some compliance problems still on the books.

A

96/100

Fairfield Memorial Hospital

Fairfield, IL · Wayne County

CMS 5/530 bedsNon-profit
Nurse hours
4.77 /day
Staff turnover
30%
Serious cites
0

Fairfield Memorial Hospital runs a small 30-bed unit in Wayne County, and the numbers behind it hold up. Nurse staffing sits at 4.77 hours per resident day, roughly a quarter above the national average, and weekend coverage dips only about 12% below its own weekday level, a smaller drop-off than many homes show. Staff turnover is 29.6%, well under the 45.8% national figure, which matters for consistency of care. The health inspection rating is 5 out of 5, with the last survey done in October 2024. Four deficiencies appear on the current record, one of them serious enough to involve harm or jeopardy, and none tied to abuse. For a family weighing a placement, that single high-level deficiency is the detail worth asking about directly.

A

96/100

Stanton County Health Care Facility Ltcu

Johnson, KS · Stanton County

CMS 2/525 bedsGovernmentMedicaid
Nurse hours
5.27 /day
Staff turnover
13%
Serious cites
0

Stanton County Health Care Facility in Johnson runs on a city/county budget, and the numbers show a place where people tend to stay. Annual turnover is 13.3 percent, well below the national 45.8 percent, and total nurse staffing sits at 5.27 hours per resident day, roughly a third more than the 3.86 national average. Weekend coverage dips only about 8 percent from weekday levels, so care doesn't thin out much on Saturdays and Sundays. Inspectors logged 24 deficiencies, none at the harm level, though one is abuse-related, and the last visit was August 2025. The staffing star rating of 1/5 looks odd next to those hours; CMS's scoring there weighs things like RN coverage specifically, not just total volume.

A

96/100

Garrett County Subacute Unit

Oakland, MD · Garrett County

CMS 5/510 bedsFor-profitMedicaid
Nurse hours
9.45 /day
Staff turnover
35%
Serious cites
0

Garrett County Subacute Unit is a ten-bed for-profit home in Oakland, and its staffing numbers are the story here. At 9.45 nurse hours per resident day, it runs roughly two and a half times the national average, and turnover sits at 35.3%, below the 45.8% national figure, which matters for a small facility where one departure is felt. The trade-off is weekends, when coverage drops about 14% below its own weekday level. Inspections back up the rest: a clean current record of eight deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in August 2025. Five stars across health inspections, quality measures, and staffing is rare company.

A

96/100

Lakewood Health System

Staples, MN · Todd County

CMS 5/587 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
34%
Serious cites
0

Lakewood Health System in Staples runs on 4.41 nurse hours per resident day, roughly 14% more than the national average, and its staff turnover of 34.3% is well below the 45.8% national figure, people tend to stay here. The tradeoffs show up in two places: weekend staffing dips about 12% below weekday levels, and the current record carries 8 deficiencies, including one at the harm level and one abuse-related. A February 2026 inspection is recent, so the picture is current rather than stale, and the nonprofit ownership removes some of the pressure that drives short-staffing elsewhere. Strong on paper, with a couple of specific things worth asking about directly.

A

96/100

Forrest General Hospital Skilled Nursing Unit

Hattiesburg, MS · Forrest County

CMS 5/530 bedsGovernment
Nurse hours
8.20 /day
Staff turnover
45%
Serious cites
0

Forrest General Hospital's skilled nursing unit runs on 8.20 nurse hours per resident day, more than double the national average of 3.86. That's an unusual number, most homes don't come close. Weekend staffing dips about 13% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 44.8%, essentially matching the national rate, so retention here isn't a problem or a strength. The county-owned unit carries two deficiencies on its current record, neither at the harm level and none abuse-related, with its last inspection in May 2026. All three CMS star ratings land at five.

A

96/100

Hoboken University Medical Center Tcu

Hoboken, NJ · Hudson County

CMS 5/515 bedsFor-profit
Nurse hours
6.26 /day
Staff turnover
26%
Serious cites
0

Hoboken University Medical Center's TCU is a small unit, just 15 certified beds, and it runs on a corporate for-profit model, but the numbers hold up. Nurse staffing sits at 6.26 hours per resident day, well above the national average, and the unit earned a full five stars on CMS's staffing measure, with turnover at 26.3 percent compared to a national rate near 46 percent. The current record shows four deficiencies, none at the harm level and none abuse-related, and the last inspection was in June 2024. The one thing worth knowing: weekend staffing drops about 13 percent below weekday levels, so coverage isn't perfectly even across the week.

A

96/100

Miners Colfax Medical Center

Raton, NM · Colfax County

CMS 5/537 bedsGovernmentMedicaid
Nurse hours
4.66 /day
Staff turnover
44%
Serious cites
0

Miners Colfax Medical Center is a state-run home in Raton with 37 certified beds, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.66 hours per resident day, about 21 percent above the national average, though weekend coverage drops roughly 11 percent below what the home provides on weekdays, so ask how that gap gets handled. Staff turnover of 44.4 percent is essentially in line with the national rate. Inspectors cited 16 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection completed in May 2025.

A

96/100

Wilkes Regional Medical Ctr Sn

North Wilkesboro, NC · Wilkes County

CMS 3/510 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
31%
Serious cites
0

Wilkes Regional Medical Ctr Sn runs just 10 beds inside a hospital in North Wilkesboro, and its nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, but turnover of 30.8% is well under the 45.8% national figure, so the people caring for residents tend to stay. The state inspection history is thinner: 14 deficiencies on record, none rising to harm or jeopardy and none abuse-related, with the most recent visit in April 2025. A 2-out-of-5 inspection rating paired with a 5-out-of-5 quality measure score tells you the care itself measures well even where paperwork and process have drawn scrutiny.

A

96/100

Upmc Northwest Transitional Care Unit

Seneca, PA · Venango County

CMS 5/516 bedsNon-profit
Nurse hours
8.73 /day
Staff turnover
35%
Serious cites
0

UPMC Northwest's transitional care unit runs on unusually heavy staffing, 8.73 nurse hours per resident day against a national average of 3.86, and it holds five stars in that category. Weekend coverage dips about 11% below its own weekday level, which matters most for a 16-bed unit where one call-off changes the whole shift. Turnover sits at 34.5%, better than the 45.8% national figure. The current record shows five deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The last inspection was August 2025, so the picture is recent.

A

96/100

Transitional Care Unit At Nazareth Hospital

Philadelphia, PA · Philadelphia County

CMS 5/528 bedsNon-profit
Nurse hours
5.96 /day
Staff turnover
19%
Serious cites
0

Nazareth Hospital's transitional care unit runs 28 beds and staffs them at 5.96 nurse hours per resident day, roughly half again the national figure of 3.86. That staffing edge is the main story here: turnover sits at 19 percent against a national average near 46, meaning the people caring for your family member tend to stay. Weekend coverage dips about 11 percent below weekdays, which is normal but worth asking about. The home carries 10 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in March 2025. A nonprofit corporation operates it.

A

96/100

Heinz Transitional Rehabilitation Unit

Wilkes-Barre, PA · Luzerne County

CMS 5/544 bedsNon-profit
Nurse hours
5.08 /day
Staff turnover
26%
Serious cites
0

Heinz Transitional Rehabilitation Unit runs 44 certified beds as a nonprofit, and the numbers behind its record are worth knowing. Nurse staffing sits at 5.08 hours per resident day, roughly a third above the national average, though weekend coverage drops about 14% from weekday levels, a gap families should ask about directly, since that's when problems often surface. Staff turnover is 26.2%, well under the national 45.8%, which matters for whether your parent sees the same faces. Ten deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025.

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.

Before you shortlist