604 Hospital-Based Nursing Homes in the United States

Nurse hours

5.57 /day

Staff turnover

79%

Serious cites

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Lefa Seran SNF in Hawthorne runs on a government hospital district license with just 24 beds, and its staffing is genuinely unusual: 5.57 nurse hours per resident day, roughly 44% above the national average of 3.86. That's the strongest thing in its file, though weekends dip about 8% below its own weekday coverage, and turnover sits at 79.3% against a national 45.8%, meaning the people providing those hours change constantly. Inspections tell the harder story. Forty-seven deficiencies on the current record, including one abuse-related citation, with the last inspection in April 2025 and CMS scoring both health inspections and quality measures at one star out of five. The hours are there; the consistency and compliance aren't.

Nurse hours

4.09 /day

Staff turnover

46%

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Clifton Springs Hospital and Clinic Extended Care runs a little richer on nursing hours than the typical American nursing home, 4.09 per resident day against a national average of 3.86, though weekends drop about 13% below what the home staffs on weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover sits at 46.4%, essentially the national rate, so this isn't a stable long-term crew. Inspections look solid: a 4-out-of-5 health inspection rating, last visit in November 2024, and 12 deficiencies on record with none involving harm or abuse.

Nurse hours

3.40 /day

Staff turnover

41%

Serious cites

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Beacon Harbor runs 190 beds in Rockwall under corporate ownership, and its staffing numbers are the first thing to look at: 3.40 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That gap matters more than the headline number, since care needs don't take weekends off. The inspection record shows 25 deficiencies, three of them at the level where harm or jeopardy was possible, plus two fines totaling $21,817. The last inspection was August 2024. Turnover sits at 41%, slightly better than the national 45.8%, so the problem isn't retention so much as how many hands are scheduled. Ask about weekend coverage specifically.

Nurse hours

3.55 /day

Staff turnover

40%

Serious cites

0

Windsor Atrium runs 120 beds in Harlingen under for-profit LLC ownership, and its staffing sits at 3.55 nurse hours per resident day, roughly 8% under the national average, with weekends about 12% thinner than weekdays. The inspection record is the heavier concern: 37 deficiencies, three of them at harm or jeopardy level and one abuse-related, with two fines totaling $23,154 and a 2/5 inspection rating. Staff turnover at 40.2% actually beats the national 45.8%, and the 5/5 quality measure score shows good clinical documentation, but a 1/5 staffing rating alongside those deficiency numbers is what families should weigh most.

Nurse hours

3.73 /day

Staff turnover

40%

Serious cites

0

Clay County Nursing Home runs leaner on nurse hours than the typical U.S. facility, 3.73 per resident day against a national 3.86, and weekends drop about 16% below what it staffs on weekdays, so coverage thins out when families tend to visit. What offsets that is stability: turnover sits at 39.7%, better than the 45.8% national figure, which matters because consistent caregivers know residents. The inspection record is clean where it counts, eight deficiencies total but none involving harm or abuse, and a four-star health inspection supports that. The weak spot is quality measures at one star, which pulls the overall picture down despite solid staffing and inspection scores.

Nurse hours

4.19 /day

Staff turnover

37%

Serious cites

0

Coastal Manor runs 4.19 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 37.2% beats the national 45.8%, real strengths in a rural Georgia county. But weekends drop about 15% below weekday staffing, and the inspection record includes 14 deficiencies, one at harm or jeopardy level, with three tied to abuse. Its last inspection was May 2025, so the picture is current. A 1/5 quality measure rating against a 4/5 staffing rating tells you the care presence is there but the clinical outcomes and compliance aren't keeping pace. Nonprofit ownership doesn't erase that gap. Ask about weekend coverage and the abuse-related citations specifically.

Nurse hours

3.47 /day

Staff turnover

54%

Serious cites

0

Waters Edge Village runs 3.47 nurse hours per resident day, about 10% under the national average, and weekends drop roughly 16% below its own weekday staffing, so care thins out right when families tend to visit. Turnover sits at 54.4% against a national 45.8%, which means more than half the nursing staff leaves each year. The 16 deficiencies on record include six tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection was March 2026. Its quality measure score is perfect while staffing sits at two stars, a split worth noticing: the home documents good clinical outcomes, but the daily coverage behind them is thinner and less stable than average.

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Staff turnover

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Community Hospital of San Bernardino's skilled nursing unit sits inside a nonprofit hospital, and the numbers show a split personality. Clinical quality measures look good at 4 out of 5 stars, but staffing is a different story, just 1 star, meaning nurse hours per resident fall well below what CMS expects. That gap matters more than the quality score, because staffing is what determines whether anyone answers when your mother presses the call button. The inspection record raises real questions too: 21 deficiencies on file, including two at the harm level and one tied to abuse, along with a $9,110 fine. The most recent inspection was in August 2025, so the picture is current. Ask hard questions about direct-care staffing before you consider this one.

Nurse hours

6.61 /day

Staff turnover

21%

Serious cites

0

Los Angeles Comm Hospital runs 39 certified beds under corporate for-profit ownership, and its nurse staffing sits at 6.61 hours per resident day, roughly 71% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, and annual turnover comes in at 20.8%, well under the 45.8% national figure, which suggests a steadier crew than most. The tradeoff shows up in its record: 27 deficiencies, two tied to abuse, plus three fines totaling $17,356, even though none reached harm or jeopardy level. A February 2026 inspection is recent, and the 4-star health inspection result sits against a 2-star staffing rating.

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Staff turnover

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Hico Nursing and Rehabilitation is a for-profit LLC home with 80 certified beds, and its numbers tell a split story. The quality measures look strong at 5 out of 5, but staffing sits at the bottom of the national range, 1 out of 5, and that shortfall shows up in the inspection record: 23 deficiencies, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $31,552 is on file. The last inspection was recent, December 3, 2025, so this isn't stale history. A family weighing this home should ask directly how direct-care hours are covered on evenings and weekends, and how the abuse-related findings were resolved.

Nurse hours

3.61 /day

Staff turnover

48%

Serious cites

0

Cheyenne Medical Lodge is a hospital-district home in Mesquite with 139 certified beds, and its numbers tell a mixed story. The clinical record looks strong, 21 deficiencies on file with none at the harm level and nothing abuse-related, plus a recent May 2025 inspection and top marks on CMS quality measures. Staffing is where it thins out: 3.61 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 21% below its own weekday levels, and turnover at 47.7% runs slightly above the national rate. That pattern, solid care outcomes propped up by a workforce stretched thin on weekends and cycling through staff, is the real tension in this home's record.

Nurse hours

3.79 /day

Staff turnover

—

Serious cites

0

Caraday of Houston runs 150 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a recent March 2025 survey and 15 deficiencies with none at the harm or jeopardy level. The staffing side tells a different story. At 3.79 total nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 5% below its own weekday coverage, which is where gaps tend to show up. One abuse-related deficiency and three fines totaling $53,518 round out the record. Strong surveys, thinner staffing, that tension is what separates the 5-star inspection rating from the 2-star staffing rating.

Nurse hours

3.47 /day

Staff turnover

37%

Serious cites

0

Century Villa runs lean on nursing hours, 3.47 per resident day against a national average of 3.86, and weekends dip about 12% below what the home staffs on weekdays. That's the number to watch if your family member needs help on a Saturday. Turnover sits at 36.8%, better than the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. The inspection record is clean where it counts: 15 deficiencies, none at harm or jeopardy level, no abuse citations, and the most recent survey was December 2025. The non-profit owner has kept outcomes solid; the open question is whether staffing stays thin on weekends.

Nurse hours

4.01 /day

Staff turnover

65%

Serious cites

0

Charlestown Place At New Albany runs a hospital-district operation with 158 beds, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average. That edge narrows on weekends, when coverage drops about 10% below its own weekday level, and it's undercut by turnover of 64.9% against a national 45.8%, meaning a large share of caregivers are still new to the building. The inspection record is the harder problem: 52 deficiencies, four of them at harm or jeopardy level and four tied to abuse, with two fines totaling $31,784 and a health inspection rating of 1 out of 5. The most recent inspection was August 2025, so that picture is current, not stale. Quality measures score well; the day-to-day care environment is where the risk concentrates.

Nurse hours

3.70 /day

Staff turnover

91%

Serious cites

0

Mountainside Residential Care Center runs 82 beds as a nonprofit in Margaretville, and its nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, with weekends roughly 5% thinner than weekdays. The bigger concern is turnover: 90.8% of staff left over the past year, double the national rate of 45.8%, which means the people caring for residents are, more often than not, new to the building. Its inspection record shows 14 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $8,512; the most recent inspection was July 2024. Quality measures score well, but stable staffing is what families should ask about directly.

Nurse hours

3.98 /day

Staff turnover

39%

Serious cites

0

Eden Home runs a 122-bed for-profit operation in New Braunfels, and the staffing numbers are its strongest suit: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 38.8%, noticeably better than the 45.8% norm. The catch is that weekends run about 13% leaner than weekdays, so coverage thins out exactly when families tend to visit. What pulls the record down is the inspection side: 28 deficiencies on file, including two at the harm level and two abuse-related, plus a $22,205 fine, with the most recent inspection in March 2026. A two-star health inspection rating against a four-star staffing rating tells you the care hours are there, but the compliance history isn't clean.

Nurse hours

3.91 /day

Staff turnover

58%

Serious cites

0

Cody Regional Health Long Term Care Center runs on a hospital district's budget and holds a 4-star health inspection rating from CMS, with its most recent survey in April 2026 and no deficiencies at the harm or jeopardy level. The catch is staffing stability: 57.9% annual turnover against a national average of 45.8%, and weekend coverage that drops roughly 15% below what the home staffs on weekdays. Total nurse hours sit at 3.91 per resident day, barely above the national 3.86. Thirteen deficiencies are on record, one tied to abuse. The quality measure score of 2 stars suggests clinical outcomes aren't keeping pace with the inspection findings.

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Staff turnover

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Serious cites

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Northwest Florida Community Hospital's skilled nursing unit in Chipley runs just 34 certified beds, so it's a small operation by any measure. The inspection record looks strong on paper, a five-star health inspection rating, with six deficiencies total and none rising to harm or jeopardy level, and no abuse citations at all. Staffing is where the picture changes: a one-star rating there means nurse coverage falls well short of what CMS expects relative to other homes nationally. That's the tension worth weighing, since inspections capture a moment in time while staffing affects daily life. The most recent inspection was July 2, 2025, so the record is current. Quality measures land at three stars, middling rather than poor.

Nurse hours

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Staff turnover

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Serious cites

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Southwest Medical Center's skilled nursing unit is small, 18 certified beds, and it's run by Seward County rather than a for-profit chain, which tends to matter for how a place is staffed and maintained. State inspectors were last in on April 22, 2026, and the record shows 15 deficiencies, but none rose to the level of actual harm or immediate jeopardy, and there's no abuse history on file. That's a meaningful distinction: paperwork and process problems, not residents getting hurt. Both the health inspection and quality measure ratings sit at three out of five stars. For a county-run home this size in southwest Kansas, the picture is a steady one, not spotless on compliance, but not dangerous either. Ask about the specific deficiencies and how they've been corrected.

Nurse hours

3.57 /day

Staff turnover

35%

Serious cites

0

Cal Turner Rehab runs a tight ship on the things that show up in writing: a five-star inspection record, nine total deficiencies with nothing abuse-related, and staff turnover at 34.7%, well under the 45.8% national average, which matters for whether you see the same faces month to month. A nonprofit's balance sheet shows up too, with just one fine on record for $5,519. The softer spots are real, though. Total nurse staffing sits at 3.57 hours per resident day, about 7% under the national average, and weekends drop roughly 18% below the home's own weekday levels, so ask what a Saturday actually looks like. The two-star quality measure rating is the other piece worth pressing on.