604 Hospital-Based Nursing Homes in the United States

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St Elizabeth Ft Thomas runs a small 20-bed unit as a nonprofit, and its inspection record is genuinely clean, five stars, one deficiency on the books, none involving harm or abuse, and the last survey was in January 2025. The catch is staffing, which scores one star. That's the number to press on when you visit: ask what nurse and aide coverage looks like on nights and weekends, because a single deficiency total means little if there aren't enough hands on shift. Quality measures land mid-range at three stars. With this few beds, staffing can change fast, so ask for current numbers rather than trusting the rating alone.

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Willis-Knighton Extended Care Center is small, 24 certified beds, and it's run by a nonprofit corporation, which tends to mean the money goes back into the building rather than out to shareholders. Inspectors gave it a clean recent look, with two deficiencies on record and none involving harm or abuse, and the state visited in March 2025. The trouble sits in staffing: that star rating is 1 out of 5, and in a 24-bed home there's little cushion when someone calls in sick. Quality measures land in the middle. A strong inspection record with thin staffing isn't unusual, but it's worth asking how many aides are actually on the floor at night.

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Chi Health St. Francis runs 36 certified beds as a nonprofit, and its last inspection in March 2025 turned up seven deficiencies, none of them serious enough to cause harm or jeopardy, and nothing abuse-related. That's a reasonably clean record, and the four-star health inspection rating backs it up. Where this home struggles is staffing, which scored one star out of five, well below what you'd want to see. Quality measures sit in the middle at three. So you're looking at a small nonprofit that keeps its inspections in order but runs thin on direct care, worth asking about nurse-to-resident ratios on evenings and weekends before you decide.

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Battle Mountain General Hospital runs a small 25-bed unit as a government hospital district, and its inspection record is the bright spot: a four-star health inspection rating and a survey from February 2025, so the findings are recent. The 31 deficiencies on file include none at the harm or jeopardy level, though one is abuse-related. Staffing is where this home falls short, a one-star rating means nurse hours per resident sit well below the national average, and in a 25-bed hospital-based unit that thin coverage leaves little margin. Quality measures land in the middle. Families should ask directly how many nurses are on the floor at night.

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Hiram W Davis Medical Ctr runs 90 certified beds under state government ownership in Petersburg, and its last inspection was recent, February 12, 2026. The record shows 22 total deficiencies, but none rose to the level of actual harm or jeopardy to residents, which matters more than the raw count suggests. Three of those deficiencies were abuse-related, so you'll want to ask directly what happened and what changed afterward. Quality measures sit at 3 out of 5, a middle-of-the-road picture on resident care metrics, while the 4-star health inspection rating is the stronger part of the file. As a state-run home, the accountability chain runs to a public agency rather than a private operator.

Nurse hours

3.66 /day

Staff turnover

58%

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A 113-bed for-profit home in Seguin, Avir At Walnut Springs holds a strong recent inspection record, 14 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The weaker signal is staffing: 3.66 nurse hours per resident day sits about 5% under the national average of 3.86, weekend coverage drops roughly a fifth below its own weekday level, and annual turnover runs 57.7% against a national 45.8%. That combination, high marks from surveyors on health and quality measures, low marks from CMS on staffing, is worth understanding before you visit. Ask how the weekend schedule actually looks on the floor, and how long the current director of nursing has been in the role.

Nurse hours

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Staff turnover

53%

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Bridgepoint Subacute And Rehab Capitol Hill runs a for-profit, LLC-owned home of 117 certified beds, and the staffing numbers are genuinely strong on paper: 4.98 total nurse hours per resident day, well above the national average of 3.86. But look past that and the picture darkens. The health inspection rating sits at the lowest mark, with 80 deficiencies on record, four at harm or jeopardy level and eleven tied to abuse, plus a $95,118 fine and a May 2025 inspection that hasn't been clean. Staff turnover runs 52.9%, above the national 45.8%, and weekends dip about 6% below weekday coverage.

Nurse hours

3.39 /day

Staff turnover

50%

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Archbold Living Thomasville runs 64 certified beds as a nonprofit, and its nursing hours come in around 3.39 per resident day against a national average of 3.86, roughly 12% under. Weekend coverage dips about 9% below what the home staffs on weekdays, so the thinnest shifts land when families tend to visit. Staff turnover sits at 50%, above the 45.8% national figure, meaning about half the nursing team turns over in a year. The current inspection record carries 12 deficiencies, one of them serious enough to reach harm or jeopardy level and another tied to abuse. The last inspection was March 13, 2026, so that record is recent, not stale.

Nurse hours

3.38 /day

Staff turnover

36%

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Brickyard Healthcare's Brentwood Care Center runs on thinner nurse coverage than most homes, 3.38 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday numbers, so families should ask who's actually on the floor Saturday and Sunday. That said, the corporate owner has kept turnover at 35.9%, well under the 45.8% national figure, which matters because consistent caregivers know residents. The health inspection record is genuinely clean: five stars, 13 deficiencies with none rising to harm or jeopardy and nothing abuse-related, last reviewed in April 2026.

Nurse hours

3.99 /day

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Forest Hill Manor runs about 3.99 nurse hours per resident per day, a bit above the national average of 3.86, but weekend coverage drops roughly 16% below what it provides on weekdays. The nonprofit home has 45 certified beds and a recent inspection on record as of March 2026, with 28 deficiencies logged, including one at the harm level and two tied to abuse. One fine totaling $13,627 has been assessed. Its inspection rating sits at 4 out of 5 stars, though the quality measure score is 2 out of 5 and staffing lands at 3. The mix matters here: a clean-ish inspection history alongside weaker clinical quality numbers and thinner weekend staffing is what pulls the overall picture down.

Nurse hours

4.60 /day

Staff turnover

56%

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Brendan House runs a nonprofit home with 110 certified beds in Kalispell, and its staffing is the strongest thing it has going: 4.60 nurse hours per resident day, roughly 19% above the national average of 3.86. That cushion thins on weekends, which run about 9% below the home's own weekday level, and turnover sits at 56.1% against a national 45.8%, meaning many of the people providing that care are still new. The current record carries 31 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus two fines totaling $92,755. The most recent inspection was July 17, 2025.

Nurse hours

3.83 /day

Staff turnover

50%

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Nathan Littauer Hospital Nursing Home runs 84 certified beds as a nonprofit, and its staffing sits just a hair under the national average, 3.83 hours per resident day against 3.86. That's close enough to call even, but the weekend tells a different story: staffing drops about 14% below its own weekday level, so care on Saturdays and Sundays may not match what you see Monday through Friday. The bigger flag is the inspection record. Twenty-five deficiencies, including two tied to abuse, with a one-star health inspection rating from CMS. None of those rose to the harm or jeopardy level, and the most recent inspection was in February 2025, so the picture is current. Annual turnover of 50% runs above the national 45.8%, meaning the staff your relative sees may not be there next year.

Nurse hours

5.95 /day

Staff turnover

66%

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Tioga Medical Center's long-term care unit runs on unusually thin margins of people, not hours. The raw staffing number looks generous, 5.95 nurse hours per resident day against a national average around 3.86, but that figure masks a workforce cycling out fast enough to matter: 65.5% annual turnover, well above the 45.8% national rate. Weekend coverage drops roughly 11% below weekday levels, and the quality measure score sits at 1 out of 5 stars despite the 4-star staffing rating. Sixteen deficiencies are on the current record, including one at the harm level and two tied to abuse, with a single $11,408 fine. The last inspection was March 2025. A nonprofit with 30 beds can be a close-knit place; this one's numbers suggest watching staff consistency closely.

Nurse hours

9.92 /day

Staff turnover

25%

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Providence Holy Cross Med Ctr D/P Snf sits inside a hospital in Mission Hills, and its nurse staffing is genuinely high, 9.92 hours per resident day, well above the national average. That's the one clear strength here. The inspection record is the problem: 48 deficiencies on file, three of them serious enough to put residents in harm's way, plus two tied to abuse, and a fine just under $98,000. The most recent inspection happened in March 2026, so the record is current, not stale. Weekend staffing dips about 8% below weekdays, meaning the coverage families count on is thinnest exactly when they're most likely to visit. Nonprofit ownership hasn't translated into a clean record here.

Nurse hours

3.76 /day

Staff turnover

66%

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Hi-Desert Medical Center's skilled nursing unit in Joshua Tree runs 3.76 nurse hours per resident day, a bit under the national average, and weekend coverage drops about 13% from its own weekday level. Turnover is the harder number: 65.7% of staff leave each year, well above the 45.8% national rate. On inspections, the record shows 41 deficiencies, including one at the harm level and five tied to abuse. The staffing star sits at 2 out of 5, and the health inspection star at 1 out of 5, so the quality measure star of 4 is doing most of the lifting here. The last inspection was March 19, 2026.

Nurse hours

3.55 /day

Staff turnover

49%

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Wellbrooke Of Crawfordsville runs lean on the floor. At 3.55 nurse hours per resident each day, it sits about 8% under the national average, and weekends dip roughly 16% below its own weekday staffing, meaning the days when families visit most are the thinnest. Staff turnover of 48.5% runs slightly above the national figure, so the people caring for residents keep changing. On paper the state survey history looks strong: a 4/5 inspection rating, most recent visit in November 2025, and just one deficiency at the harm level out of sixteen total, none abuse-related. The staffing star tells the harder truth here, one out of five, and it's the number worth asking about when you tour.

Nurse hours

3.38 /day

Staff turnover

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Yorktown Nursing and Rehabilitation Center runs 82 certified beds under for-profit LLC ownership, and its inspection record is genuinely better than most, a four-star health inspection rating, 14 deficiencies with just one at the harm level and none tied to abuse. The problem sits with staffing, which CMS rates at one star. At 3.38 nurse hours per resident day, this home runs about 13% under the national average, and weekends drop roughly 14% below its own weekday numbers. One fine of $8,018 is on record, and the last inspection was February 2026. Families should ask how the weekend floor is actually covered, because that gap is where care gets thin.

Nurse hours

3.15 /day

Staff turnover

41%

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Senior Care Health & Rehabilitation Center in Wichita Falls runs on a government hospital district license and holds a five-star inspection record, with its most recent survey completed in February 2025. That inspection history is clean where it matters most: no deficiencies tied to harm or jeopardy, none related to abuse. Where the home falls short is staffing. At 3.15 nurse hours per resident day, it sits roughly 18% under the national average of 3.86, and weekend coverage drops another 16% below its own weekday levels, a real concern if your family visits or needs help on Saturdays and Sundays. Turnover at 40.7% is better than the 45.8% national figure, so the people who are there tend to stay.

Nurse hours

2.92 /day

Staff turnover

48%

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Avir At Bellville runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 15% below its own weekday coverage. That thin margin is the main story behind its staffing rating of 1 out of 5, and with turnover at 47.5%, slightly above the national 45.8%, the home is regularly refilling positions. The good news is real: a 4/5 inspection rating, a clean record with no harm-level or abuse deficiencies among the 31 cited, and a recent May 2026 inspection. But a corporation-owned home with this few hands on deck asks families to watch the evening and weekend shifts closely.

Nurse hours

3.39 /day

Staff turnover

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River Bend Healthcare runs on thinner nursing coverage than most homes in the country, 3.39 hours per resident day against a national average of 3.86, and weekends drop roughly 13% below what the building staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. The inspection record shows 49 deficiencies, including two at the harm level and two tied to abuse, with $18,225 in fines across two cases; the last survey was February 13, 2026. It's a hospital-district-owned home, which can mean steadier public oversight but doesn't change what the numbers say about daily coverage. The quality measure score runs high, yet staffing sits at the bottom of the federal scale.