604 Hospital-Based Nursing Homes in the United States

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Mercyhealth Javon Bea Hospital-SNF is tiny, just 17 certified beds, and it's run by a nonprofit corporation, which often means the money goes back into the building rather than to shareholders. Inspectors gave it a perfect record: zero deficiencies on the current books, none at the harm level, no abuse citations, and the last visit was recent, in October 2024. That's genuinely rare. The catch is staffing, which sits at the bottom of the federal scale. With so few residents, nurses may have more time per person than the ratio suggests, but the government's own measure doesn't reflect that. Strong oversight, thin staffing, that's the trade-off here.

Nurse hours

3.11 /day

Staff turnover

53%

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Beaumont Rehabilitation and Healthcare Center runs 200 certified beds in Anderson, and the numbers families should weigh sit mostly on the staffing and inspection side. Nurse staffing is 3.11 hours per resident day, roughly 19 percent under the national average, weekend coverage dips below its own weekday level, and more than half the nursing staff turned over in a year. The inspection record shows 40 deficiencies, including two at the harm level and four tied to abuse, with one fine of $14,901 and a survey completed in September 2025. Quality measures score well, which reflects resident care outcomes on paper, but that contrast is worth asking about directly when you visit.

Nurse hours

3.58 /day

Staff turnover

61%

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Hickory Creek At Peru runs 36 beds as a for-profit corporation, and the numbers pull in two directions. Clinical quality measures look strong and the health inspection record is solid, a recent December 2025 inspection with 19 deficiencies on file, none of them causing harm or tied to abuse. Staffing is the weak spot: 3.58 nurse hours per resident day sits about 7% under the national average, weekends drop roughly 11% below the home's own weekday levels, and turnover runs 61.3% against a national 45.8%. That churn matters more in a small building, where the same few aides cycle through and familiarity with residents is harder to hold onto.

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Centro De Cuidado Prolongado San Lucas is a small church-affiliated nonprofit in Rio Piedras, and its record is troubling. The 25-bed home carries 86 deficiencies, including four at harm or jeopardy level and nine tied to abuse, that's an unusually heavy count for a building this size. Federal data put its health inspection and staffing ratings both at the lowest rung, meaning care quality and day-to-day coverage are each well below what regulators expect. The last inspection was March 27, 2026, so the findings are current, not stale. If you're considering this home, the numbers say the problems are active and recent, and you should ask hard questions before moving anyone in.

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Catalina Island Health is an eight-bed nonprofit on Avalon, and its inspection record is the strong part: a four-star health inspection score, 19 deficiencies on file but none at the harm or jeopardy level and none tied to abuse. Staffing is the weak side, rated one star, which matters more in a facility this small, where there's little slack if someone calls out. The most recent inspection was May 8, 2025, so the picture is current. With eight residents, care is personal by necessity, but ask directly how many nurses and aides are on site overnight and what happens when someone needs care the island can't provide.

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White Memorial Medical Ctr Dp is a 27-bed nonprofit home run by a church, and its inspection record is genuinely good, four out of five stars, 18 deficiencies on file but none that caused harm or jeopardy, and no abuse citations. The problem sits elsewhere: staffing gets just one star, meaning the number of nurses and aides per resident lands well below what CMS considers adequate. With that few beds, one weak staffing picture touches nearly every shift. The last full inspection was in May 2024, so the record is current. If you're considering this place, ask point-blank how many aides are on the floor at night and on weekends.

Nurse hours

9.05 /day

Staff turnover

57%

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Memorial Hospital Of Gardena's skilled nursing unit runs on unusually heavy staffing, 9.05 nurse hours per resident day, more than double the national figure of 3.86. That number deserves context, though: weekends run about 9% thinner than weekdays, and 57.1% of staff turned over in the past year, well above the 45.8% national rate. The current record shows 33 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $12,831. Federal ratings put inspections and quality measures at 4 out of 5 stars each, with staffing at 3 despite the raw hours. A nonprofit corporation operates the 69-bed home, and its last inspection was April 2026.

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Foothill Regional's most recent inspection, in February 2026, turned up no deficiencies serious enough to harm a resident, that's a real point in its favor. But the 54 deficiencies on the current record, including three tied to abuse, add up over time, and for a small 42-bed unit, that's a lot of paperwork to accumulate. The ownership is a for-profit corporation, which tends to mean tighter staffing margins, so it's worth asking what the direct-care hours actually look like per resident. A four-star inspection rating tells you the last survey went reasonably well; the long record tells you the home has had plenty of chances to get written up. Ask about turnover and who's on the floor at night.

Nurse hours

4.03 /day

Staff turnover

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Colusa Medical Center's skilled nursing unit is tiny, just six certified beds, and it runs on a for-profit limited liability company structure. The staffing picture is unusual: total nurse hours come in at 4.03 per resident day, slightly above the national average, and weekends hold steady rather than dropping off, which is rare. But federal inspectors rate the staffing level itself at just one star, meaning the hours, while present, don't satisfy CMS benchmarks for what this resident population needs. The tradeoff shows up in inspections, where the home holds a five-star rating with 14 deficiencies on record, none at harm or jeopardy level, none abuse-related, and one fine of $4,558. Its most recent inspection was in April 2025.

Nurse hours

3.13 /day

Staff turnover

36%

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Wisteria Place runs lean on nursing hours, 3.13 per resident day against a national average of 3.86, and weekends drop roughly 12% below its own weekday coverage, which matters most when families visit and doctors don't. The 19 deficiencies on record include one at the harm level and one tied to abuse, plus a $21,645 fine. Staff turnover sits at 36.4%, better than the national 45.8%, so the people who do show up tend to stay. The last inspection was July 2025, so the record is recent rather than stale. What you have is a 123-bed for-profit that scores well on quality measures but is thin where it counts most: enough hands on deck.

Nurse hours

3.16 /day

Staff turnover

44%

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Willow Rehab & Nursing is a for-profit LLC home in Kilgore with 118 certified beds, and its record shows real tension between care quality and staffing. The quality measure rating comes in at 5 out of 5, but nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, and weekends run about 11% thinner than weekdays, with a 2 out of 5 staffing rating to match. Its inspection history carries 33 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $219,229. Turnover at 43.8% is slightly better than the 45.8% national figure. The most recent inspection is dated April 1, 2026. Strong clinical measures, thin coverage, and a costly enforcement record.

Nurse hours

3.20 /day

Staff turnover

47%

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Park Manor Of Tomball runs 125 certified beds under for-profit LLC ownership, and its nursing hours come in at 3.20 per resident day against a national average of 3.86, roughly 17% thinner, with weekends about 9% leaner than its own weekdays. Staff turnover sits at 47.3%, a bit above the 45.8% national mark. The inspection record shows 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a single $14,069 fine and a survey dated March 26, 2026. Its quality measure stars look strong on paper, but those depend on the staffing and inspection results underneath them.

Nurse hours

3.04 /day

Staff turnover

33%

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Elgin Nursing and Rehabilitation Center runs lean on direct care: 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop another 12% under its own weekday pace. That thin coverage shows up in the federal staffing rating, and it's worth weighing against 27 deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $36,221 fine. Staff turnover at 33.3% is better than the 45.8% national figure, and the quality measure score of 4 out of 5 suggests residents' clinical outcomes aren't the main problem. The last inspection was April 2025, so the record is recent.

Nurse hours

3.24 /day

Staff turnover

30%

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Canton Oaks runs lean on nursing hours, 3.24 per resident day against a national average of 3.86, and weekends dip about 6% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is the brighter spot: 30.4% is well under the 45.8% national figure, meaning the aides and nurses who are there tend to stay. The trouble sits in the inspection record: four deficiencies, two of them serious enough to rate harm or jeopardy, plus two fines totaling $49,111. A July 2025 inspection is recent, at least. Ask what those two harm-level findings involved and how the home fixed them.

Nurse hours

2.99 /day

Staff turnover

41%

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Falcon Ridge runs 2.99 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday staffing. That thin coverage sits behind 33 deficiencies on the current record, including two at the harm level and three abuse-related, with $8,577 in fines. Turnover is 40.8%, a bit better than the 45.8% national figure, and the last inspection was March 20, 2025. The 140-bed corporate-owned home draws a 3 out of 5 on health inspections and 4 on quality measures, but staffing comes in at 1.

Nurse hours

3.36 /day

Staff turnover

38%

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Legend Oaks Healthcare and Rehabilitation Garland runs 132 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends get thinner still, dropping about 13% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. The current inspection record shows 29 deficiencies, none at the harm or jeopardy level, though three are abuse-related. Staff turnover is 38.1%, better than the 45.8% national figure. The most recent inspection was February 2025, so the picture is fairly current. Ask about weekend coverage and what those three abuse deficiencies involved before deciding.

Nurse hours

6.62 /day

Staff turnover

39%

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Kindred Hospital - Louisville runs 47 beds as a for-profit partnership, and its nurse staffing comes in at 6.62 hours per resident day, roughly 71% above the national average of 3.86. That sounds impressive until you look at how it's spread: weekends run about 15% thinner than weekdays, so the coverage families actually visit isn't the coverage on paper. Turnover sits at 39.4%, a bit better than the 45.8% national figure, and the home avoids the worst marks on quality measures, though its inspection record shows 10 deficiencies, two of them serious enough to involve harm or jeopardy, plus a $64,799 fine. The most recent inspection was December 31, 2025.

Nurse hours

3.53 /day

Staff turnover

57%

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Hendricks Community Hospital runs 48 certified beds as a nonprofit, and the numbers behind its C grade point to a staffing problem. Total nurse coverage sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 17% below what the home staffs on weekdays. That thin coverage is compounded by 56.9% annual turnover, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar caregivers. The current record carries 22 deficiencies, three tied to abuse, though none reached the harm or jeopardy level. A recent April 2025 inspection is a positive, but the low quality-measure and staffing ratings suggest the day-to-day care still has real gaps.

Nurse hours

4.06 /day

Staff turnover

56%

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Avera Mother Joseph Manor runs a nonprofit shop with 81 certified beds, and the nurse staffing numbers look solid on paper, 4.06 hours per resident day, a bit above the national figure. But weekends tell a different story, with hours dropping roughly 17% below the home's own weekday levels, and annual turnover sits at 55.7%, well past the national 45.8%. The inspection record is where the real concern lives: 18 deficiencies, three of them serious enough to reach harm or jeopardy, plus one fine of $8,824. A 2025-12-17 inspection keeps the record current, though a 2-star inspection rating and 1-star quality measures don't inspire confidence. Strong staffing scores alone can't carry a record like this.

Nurse hours

5.07 /day

Staff turnover

58%

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Scotchman Living Center runs on unusually heavy staffing for a 42-bed nonprofit home, 5.07 nurse hours per resident day, roughly a third more than the national average. But that cushion thins on weekends, when coverage drops about 18% below its own weekday pace, and nearly 58% of staff turned over last year against a national rate under 46%. The health inspection side looks solid at four stars, yet the current record carries 13 deficiencies, including four at harm or jeopardy level and three tied to abuse, plus $47,655 in fines across three events. Quality measures sit at one star despite the generous staffing. The most recent inspection was November 2025.