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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 381 to 400 of 604, best-graded first.

B

75/100

Cross Timbers Rehabilitation And Healthcare Center

Flower Mound, TX · Denton County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
50%
Serious cites
0

Cross Timbers runs 120 certified beds in Flower Mound under corporate for-profit ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average. Weekends dip roughly 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 49.5%, close to four points above the national figure, which means many of the people caring for residents are still learning the building. The current record shows 27 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,281. The most recent inspection was April 16, 2026.

B

74.5/100

Petersburg Medical Center Ltc

Petersburg, AK · Petersburg County

CMS 5/515 bedsGovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Petersburg Medical Center's long-term care unit is a 15-bed, city-run home in a town you can only reach by boat or plane, which tends to mean staff stay put and know the residents. The inspection record backs that up: a 5-star health inspection score, six deficiencies on the current record with none causing harm and none tied to abuse, and a survey completed in August 2025. Turnover data wasn't part of what we reviewed, so treat that as an open question. What holds the grade back from the top tier is quality measures sitting at 4 stars. For a small rural home, the fundamentals look sound. Ask about staffing levels on evenings and weekends, when small facilities feel a callout most.

B

74.5/100

Sage Rehabilitation Hospital Snf

Baton Rouge, LA · E. Baton Rouge County

CMS 4/525 bedsFor-profit
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Sage Rehabilitation Hospital SNF has 25 certified beds and is owned by an individual for profit. Its last inspection was October 29, 2024, and while it has 18 total deficiencies on record, none of them are at the harm or jeopardy level, though two are abuse related, which is worth asking about directly. The inspection history is strong, and quality measures land above average. The staffing side tells a different story: nurse staffing sits far below the national average, and that's the weakest number in the file. Low staffing can affect how quickly call lights get answered and how much time aides spend with each resident.

B

74.5/100

Logan Health - Conrad

Conrad, MT · Pondera County

CMS 4/559 bedsNon-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
50%
Serious cites
0

Logan Health - Conrad runs 59 certified beds as a nonprofit corporation, and its staffing sits right at the national average, 3.84 nurse hours per resident day against 3.86 nationwide. The bigger issue is consistency: weekend coverage drops about 17% below the home's own weekday level, so care thins out exactly when families tend to visit. Annual turnover hits 50%, above the 45.8% national figure. Its inspection history shows 34 deficiencies on record, including one at the harm level and two tied to abuse, plus two fines totaling $27,013. The most recent inspection was May 2026. Those numbers, not the star ratings, are what pull the grade down.

B

74.5/100

Samaritan Senior Village, Inc

Watertown, NY · Jefferson County

CMS 3/5168 bedsNon-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
n/a
Serious cites
0

Samaritan Senior Village runs 168 beds as a nonprofit, and its nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average of 3.86. That gap widens on weekends, when coverage drops about 15% below what the home staffs on weekdays. The inspection record shows 20 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last full inspection was August 2024, and CMS gave the home 2 out of 5 stars for both health inspections and staffing, with 3 for quality measures. So the care numbers look decent while the hands-on coverage and inspection history are the weaker parts.

B

74.5/100

Corona Regional Medical Center D/P Snf

Corona, CA · Riverside County

CMS 3/561 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Corona Regional Medical Center D/P Snf is a 61-bed for-profit unit inside a hospital, and its inspection record is genuinely solid, a 4/5 health inspection score, 23 deficiencies on file but none of them at the harm or jeopardy level, and a survey completed as recently as May 2025. One abuse-related citation is on the record, which you should ask about directly. The real weak spot is staffing: 1 out of 5 stars, meaning nurse hours per resident fall well below what CMS expects. That gap matters more than the deficiency count. Hospital-based units often run lean because acute care staff float in and out. Ask who actually covers the floor overnight and on weekends.

B

74.5/100

Redlands Community Hospital D/P Snf

Redlands, CA · San Bernardino County

CMS 4/516 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Redlands Comm Hosp D/P Snf runs just 16 certified beds, so it operates more like a small hospital unit than a typical nursing floor. The staffing number stands out: 6.78 nurse hours per resident day, roughly 76% above the national average of 3.86, though weekend coverage drops about 16% below its own weekday level. That's a real gap worth asking about. Inspections are current as of December 2025, the health inspection rating is 5 out of 5, and the nine deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, meaningful given how often those categories show up elsewhere. Quality measures land at 4 out of 5. Nonprofit ownership, small size, and heavy staffing explain the solid grade, though a 16-bed home has little margin when someone calls out.

B

74/100

Countryside Care & Rehabilitation

Rupert, ID · Minidoka County

CMS 3/536 bedsGovernmentMedicaid
Nurse hours
5.66 /day
Staff turnover
98%
Serious cites
0

Countryside Care runs on county money in a small Idaho town, and the staffing number is the headline: 5.66 nurse hours per resident day, well above the national average, with a four-star CMS staffing rating to back it. Look closer and the picture muddies. Nearly every employee turned over last year, 97.9% against a national 45.8%, and weekend coverage drops about 11% below weekdays, so the people delivering that care keep changing. Nineteen deficiencies sit on the current record, including one tied to abuse, though none reached the harm level, and the most recent inspection came in September 2025. Quality measures rate two stars, which doesn't square neatly with the staffing advantage.

B

74/100

Heritage House Rehabilitation & Health Care Center

Connersville, IN · Fayette County

CMS 4/598 bedsGovernmentMedicaid
Nurse hours
3.44 /day
Staff turnover
38%
Serious cites
0

Heritage House is county-owned, which is unusual these days, and its inspection record is genuinely solid, four stars, nine deficiencies on the books, none of them causing harm or involving abuse, with a survey done in January 2026. The catch is staffing, where it earns two stars: 3.44 nurse hours per resident day, roughly 11 percent under the national figure, and weekends run about 7 percent thinner than its own weekdays. Turnover sits at 38.1 percent, better than the 45.8 percent national rate. So you have a home that keeps residents safe and scores well on quality measures, but runs leaner than average on the floor, worth asking how that feels on a Sunday.

B

74/100

Hammond-Whiting Care Center

Whiting, IN · Lake County

CMS 1/580 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
49%
Serious cites
0

Hammond-Whiting Care Center runs 80 certified beds in Whiting under for-profit corporate ownership, and the numbers split in two directions. The clinical quality measures hold up reasonably well, but the staffing side is thin: 3.64 nurse hours per resident day against a national average of 3.86, with weekends running about 13 percent below the home's own weekday level. Turnover sits at 49.3 percent, above the national 45.8 percent, so the people covering those shifts keep changing. The inspection record is the harder read. Fifty-five deficiencies are on file, including two at the harm or jeopardy level and two tied to abuse, and the health inspection rating is 1 out of 5. The most recent inspection was February 11, 2026, recent enough to reflect current conditions. If you're considering this home, ask about weekend coverage and how abuse-related deficiencies were resolved.

B

74/100

Envive Of Brookville

Brookville, IN · Franklin County

CMS 3/5100 bedsNon-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
42%
Serious cites
0

Envive of Brookville runs about 3.35 nurse hours per resident each day, roughly 13 percent under the national average, and weekends dip another 8 percent below its own weekday coverage. That thin schedule is the main reason its staffing rating sits at 2 out of 5, even though turnover at 42.1 percent actually comes in slightly better than the 45.8 percent national figure. The inspection record shows 15 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey was in March 2026. Quality measures score well at 4 out of 5. If you're weighing this one, ask how they cover weekends and what that abuse citation involved.

B

74/100

Wellbrooke Of Carmel

Carmel, IN · Hamilton County

CMS 3/574 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
49%
Serious cites
0

Wellbrooke of Carmel runs 74 beds under for-profit LLC ownership, and its staffing numbers tell a story worth noticing. Nurses provide 3.55 hours per resident day, about 8% under the national average of 3.86, and weekends drop roughly 12% below what the home staffs on weekdays. Annual turnover sits at 49.2%, higher than the 45.8% national figure. The inspection record is where things get more serious: 25 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with one fine of $15,646. The last inspection was January 21, 2026. CMS rates staffing and health inspections at 2 out of 5 stars each, though its quality measure score is 5 out of 5. Ask about weekend coverage and how the abuse-related findings were resolved.

B

74/100

Barnes-Kasson County Hospital

Susquehanna, PA · Susquehanna County

CMS 2/558 bedsNon-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
37%
Serious cites
0

Barnes-Kasson County Hospital runs a 58-bed nonprofit unit in Susquehanna, and its nurse staffing comes in around 4.27 hours per resident day, roughly 11% above the national average, with weekend coverage about 12% below its own weekday level. Staff turnover sits at 37%, better than the 45.8% national figure, which matters for consistency of care. The tradeoffs show up elsewhere: 22 deficiencies on the current record, including one at the harm level and one abuse-related, a 3/5 inspection rating, and a 1/5 on quality measures despite the 4/5 staffing score. The last inspection was January 16, 2025, so the record is recent.

B

74/100

Lakelands Nursing And Rehabilitation Center

Abbeville, SC · Abbeville County

CMS 4/569 bedsGovernmentMedicaid
Nurse hours
4.23 /day
Staff turnover
42%
Serious cites
0

Lakelands runs on county money, and the staffing numbers show it: 4.23 nurse hours per resident day, roughly 9% above the national average, with turnover at 41.8%, better than the 45.8% typical elsewhere. Weekend coverage dips about 9% below its own weekday pace, worth asking about if you're planning visits then. The inspection record is clean: two deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent look was April 2026. What pulls the quality measure rating down to 1 out of 5 is the piece families feel day to day, weight loss, falls, pain, infections, so ask to see that data before deciding.

B

74/100

Hillside Manor

Beaver Dam, WI · Dodge County

CMS 2/5115 bedsNon-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
50%
Serious cites
0

Hillside Manor runs 115 certified beds as a nonprofit, and its nurse staffing sits right at the national average, 3.88 hours per resident day against 3.86. But weekends drop about 14% below its own weekday coverage, so the hours aren't spread evenly across the week. The bigger concern is the inspection record: 29 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, with a single fine that reached $227,895. Staff turnover is 50%, higher than the 45.8% national figure, and the most recent inspection was March 2026.

B

74/100

Ahmc Seton Medical Center

Daly City, CA · San Mateo County

CMS 1/5186 bedsFor-profitMedicaid
Nurse hours
5.81 /day
Staff turnover
34%
Serious cites
0

Ahmc Seton Medical Center has real strengths in its daily care numbers. Nurse staffing sits at 5.81 hours per resident day, roughly half again the national average, and the 34.1% turnover rate is meaningfully better than the 45.8% typical elsewhere, which matters for whether you see the same faces week to week. Weekend coverage dips only slightly, about 6% below weekdays, so care doesn't fall off a cliff on Saturdays. The trouble is the inspection record. Sixty-one deficiencies, seven serious enough to put residents in harm's way, four tied to abuse, and three fines totaling $41,019. A for-profit limited liability company running 186 beds with a one-star health inspection rating carries real risk, no matter how well the place is staffed.

B

74/100

Legend Healthcare And Rehabilitation - Greenville

Greenville, TX · Hunt County

CMS 4/5126 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
48%
Serious cites
0

Legend Healthcare and Rehabilitation in Greenville runs 126 beds under corporate ownership, and the numbers tell a split story. The health inspection and quality ratings both sit at four out of five stars, and there's nothing on the current record flagged as harm or jeopardy, but 32 deficiencies total, including one tied to abuse, is a lot of paperwork for a home to carry. Nurse staffing lands at 3.26 hours per resident day, roughly 15 percent under the national average, and weekends dip about 10 percent below the home's own weekday levels. Turnover runs slightly above the national rate. Inspectors were last in during August 2025.

B

73.5/100

Ridgecrest Regional Transitional Care And Rehabili

Ridgecrest, CA · Kern County

CMS 3/5124 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
45%
Serious cites
0

Ridgecrest Regional runs on better-than-average nurse coverage: 4.41 hours per resident day, roughly 14 percent above the national figure. But weekends drop about 17 percent below its own weekday staffing, so the care your family member gets on a Saturday may look different from a Tuesday. The inspection record is the bigger concern, 45 deficiencies, including one at the harm level and three tied to abuse, plus a $27,716 fine. Staff turnover at 45.4 percent is essentially the national rate, meaning nearly half the nursing workforce changes over each year. Ownership is nonprofit, and the last inspection was February 2026, so the record is current.

B

73.5/100

Will-O-Bell

Bartlett, TX · Bell County

CMS 4/590 bedsGovernmentMedicaid
Nurse hours
3.29 /day
Staff turnover
39%
Serious cites
0

Will-O-Bell runs lean on direct care: 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though turnover at 38.7% actually beats the national 45.8%. The inspection record is a split picture, a 4/5 health inspection rating and a recent May 2026 survey, but 30 deficiencies on file, including four at harm or jeopardy level and four tied to abuse. One fine totaling $8,279. Hospital district ownership, 90 beds. Strong quality measures, weak daily coverage.

B

73/100

New Horizons Habersham

Demorest, GA · Habersham County

CMS 4/584 bedsNon-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
33%
Serious cites
0

New Horizons Habersham runs lean on nursing hours, 3.24 per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs during the week. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover is the brighter spot: 32.7% against a national 45.8%, which suggests people stick around longer here than at the typical home. The inspection record shows 19 deficiencies, none at the harm level and none abuse-related, with the most recent survey in December 2024. Quality measure scores sit at 2 stars, the weakest part of the profile.

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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